SOMATOM go. platform Oncology Job Aid (VA20)

Oncology Job Aid SOMATOM go. VA20 CT View&GO In a few easy steps for a single time point and a multiple time point patient case, this docu- ment guides you through the Oncology workflow of CT View&GO for the SOMATOM go. VA20 software version. Please note: Each of the following workflows describes one possible way out of various to perform it. Single Time Point Patient Case Step 1: Load CT Thorax patient data with lung nodules into CT View&GO ( 1 and 2). SIEMENS Healthineers adminUser ? 0 8 = Scan 4 = Recon 1 O Patient Browser Local Data Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters Open Open with DICOM Import Export Correct Delete Manage Recon Raw Data Results (41 results, 11:30:21 AM) Series Open with View&GO Patient Name Date of Birth Patient ID Modality Study Date and Time Study Description Delete Protect ... + Series Number Series Description Modality # Instances + MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:59:49. 01_CN Abdomen(. Topogram 1.0 T20s CT MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:57:59 01_CN_Thorax(Ad. LungCARE 1.0 B50f CT 37 MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:53:56 02_GZ_Abdomen(. 501 Patient Protocol CT MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:50:41. 02_GZ_Thorax(Ad Osteo Spiral 1 4/12/1951 Osteo Spiral 1 CT 10/14/2015 12:36: CT Osteodensitom. Osteo Spiral 2 2/18/1956 Osteo Spiral 2 CT 10/12/2015 9:51:5 CT Osteodensitom. Osteo_Anke_LWS 4/12/1951 Anke_LWS CT 10/14/2015 12:36 Abdomen^Osteod Osteo_SPI_01_L2L3L4L5 4/12/1951 Osteo_SPI 0 CT 10/14/2015 12:36 Abdomen^Osteod Osteo_SPI_01_L3L4L5 4/12/1951 Osteo_SPI_0 CT 10/14/2015 12:36 Abdomen^Osteod OsteoSpine_Spiral Tilt 1/28/1955 123 CT 1/28/2015 12:28:5 Abdomen^Abdom OsteoU_Sequ_PhantDetect_Failed 1/1/1940 OsteoU_Seq CT 4/10/2014 10:38:4 Spezial^07_Osteo OsteoU_Sequ_PhantDetect_Failed OsteoU_Seq CT 6/27/2013 2:51:13 OsteoU_Sequ_PhantDetect_Failed 2 2/18/1939 OsteoU_Seq CT 12/18/1995 11:40 PEP_AbdominalMass_Onco 12/5/1946 cc CT 3/14/2007 12:47:3 Abdomen 01_Abd PEP_AorticCoarctation AVA 9/8/1968 CC CT 5/7/2007 11:25:55 ThoraxAngio % # Instances PEP_CT_Colonography_2 1/1/1975 123 CT 9/27/2005 10:17:1 Colonography 454 CT 05 Feb 2003 @ PEP_CT_LungCare, Followup 1 1/11/1939 454 CT 10/23/2002 8:41:4. 23-Oct-2002 @ PER_NeuroDSA_Carouas Brain Scall & # PEP_ThoraxAbdo_CTA_IDR_NOZ 7/7/1940 007 CT 10/23/2007 10:49 Specials^Thoracal. Ross, Haley 1/24/1967 dc3cd7a8-32 CT, SR 4/27/2018 3:44:53 Thorax(Adult) ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:31:2 Thorax^01_Thorax ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:30:0 Head^001_HeadS Tyson, Kurtis 11/17/1979 8699b58c-7f. CT, SR 4/27/2018 3:55:04 Thorax(Adult) WholeBody_Angio_BR_AVA 9/16/1946 CC CT 5/10/2006 11:08:4 Abdomen % # WholeBodyAngio, HongKong, China 5/16/1965 CC CT 2/26/2007 12:11:3 Vascular BodyAngi Search successfully completed 11:30 AM SIEMENS siemens.com/healthineers Healthineers . Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Step 2: Maximize the axial segment by double-clicking it ( 1 ). Healthines adminUser A mi = Scan 4 E Recon 1 O PEP_CT_LungCare, Followup 1/11/1939 M 454 CT View&GO PEP_CT_LungCare, Followup Anlagenzentrum 454 Sensation 16 Series *1/11/1939, M, 63Y VA508 Viewing SP A160.0 SPF17IT Ref. Physician: H-SP Add Study Distin Ward: 23-Oct-2002 08:41 Physician: Operator: Total mAS, 695 stack 3x 2 Stack 4x4 Follow Up MPR VRT Scan MAS CTDO TI CSL Later 01 Topogr am LungCARE 1.59 51 1.0 08 CT, 2/5/2003 05.Feb-2003_@ MPR MIP IP Compare St Stack 22 vessel Curren CT, 10/23/2002 23-Oct-2002_@ cm Printing A Distribution CT_SOM5 TOP SL 1.0 pouram 1.0 LungCARE 1.0 350 CT_SOMS SP 50 KV 120 Favorite Tools X Patient Protocol O. Distance ROI Circle Parallel Snapshot Line Ranges Export Show in Remove Image 30 Bones Define Coronary Isolate Vessels Tree Heart Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. Solid Lung CAD Osteo Reset Lesion Series Windowing * T Windowing Vascular Text Diameter Ranges WHO ROI HU dit Resu + 11:33 AM Step 3: Change to Lung windowing by pressing the key F6 or selecting Lung ( 2 ) from CT Pre- sets ( 1 ) in the lower right in-segment corner menu. Healthineers Soft-Tissue F5 adminUser E Scan 4 = Recon 1 O .5kg LungCare, Followup * 1/11/1939 M 454 Lung F6 2 CT View&GO Bone F Series Viewing Liver F8 Add Study Disich Angio Stack 3x2 Stack 4x4 Follow Up MPR VR 3 IMA 238 SP F171.1 Colon Later 01 Abdomen CT, 2/5/2003 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Baby Abdomen Compare Current Baby Brain _CT, 10/23/2002 23-Oct-2002_@ Baby Extremity Baby Lung Printing Baby Neck Baby Spine Poram 1.0 LUNGCARE 1.0 Distribution Base Orbita Cardio Favorite Tools Cerebrum Patient Protocol Dental Distance ROI Circle Parallel Snapshot Ranges Extremity Exage Inner Ear 10cm Show in 3D Intervention Bone Endoeco. Define Coronary Isolate Vessels Intervention Lung Tree Heart Intervention Soft-Tissue Solid Lung CAD Osteo Reset Lesion Series Windowing Larynx T Mediastinum SL 1.0 Windowing Vascular Text Diameter KV 20 * Ranges WHO Osteo CT Presets -.- 1 ROI HU Pelvis CT Color LUT 2. Reset Windowing + 11:35 AM Siemens Healthineers Services Page 2 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Step 4: In the lower left in-segment corner menu, change the image type to MPR ( 1 ). Adjust the slice thickness for optimal visualization, if necessary. Healthineers> adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO A Series X Viewing Add Study Disto stuck 3x2 Stack 4x4 Follow Up MPR VRT 3 IMA 238 SPF171.1 Later 01 CT, 2/5/2003 05-Feb-2003_@ COMPR Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution 101205 117 LUNGCARE 1.0 V R Favorite Tools Patient Protocol Distance ROI Circle Parallel Snapshot Line Ranges Export Image Show in Remove Remove 10cm 3D Table Bones Define Coronary Isolate Vessels Tree Heart VRT F Solid Lesion Lung CAD Osteo Series Windowing MinIP Thin SL 1.0 Windowing Vascular Diameter MPR Thick Ranges MPR 1 W 1200 C -600 ROI HU EGA PRESUN MPR Show in Display Type MPR [2] Q 2D 11:36 AM Step 5: On the image in the segment, scroll through the dataset for diagnostic reading pur- poses by using the middle mouse button / wheel ( 1 ). Healthineers adminUser * = E Scan 4 = Recon 1 O PEP_CT LungCare, Followup . 1/11/1939 M 454 CT View&GO A Series x Viewing Add Study Disto stuck 3xd Slack 4x4 Folow Up MPR VRT 3 IMA ~167 SP F114.2 Later 01 CT, 2/5/2003 APR MIR Stack 2012 v 05.Feb-2003_@ Current CT, 10/23/2002 23-Oct-2002_@ 1 Printing Distribution Program 1.0 LungCARE 1.0 R Favorite Tools Patient Protocol [501] Distance ROI Circle Parallel Snapshot Line Ranges X Export Image Show in Remove Remove 10cm 3D Table Bones Endosco ... Define Coronary Isolate View Vessels Tree Heart F Solid Lung CAD Osteo Reset Lesion Series Windowing SL 0.0 Windowing Vascular Diameter MPR Ranges WHO kV 120 1500 -400 ROL HU 11:44 AM Siemens Healthineers Services Page 3 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Step 6: Use the Lung CAD Series tool ( 2 ) as a second reader by selecting it from the Tool Gallery ( 1 ) or from the Favorite Tools. Healthineers adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO Series X Viewing Add Study Disto Letaxa Slack 4x 4 Follow Up MPR VRT 3 IMA ~238 SP F171.1 Later 01 Tool Gallery APR MIR 3_@ COMPR Basic Interactions Movie Zoom/Pan Alignment Display Types Printing 2D MPR MPR/MPR MIP VRT 2 Distribution LUNGCARE 1.0 Measurements V 4 The Pixel Lens ROI Circle VC Diamete Favorite Tools Sphere 39 CA Leston Annotations Calculate and Show/Hide Lung CAD Distance ROI Circle Parallel Snapshot T Line Ranges Text Export X Image Show in Remove Remove 3D Table Bones Ranges Coronary Isolate Tree Heart Image Visualization .. Solid Lung CAD Osteo Lesion Series Windowing Fit to Fit to Acq. Hide Custom Windowing Va Diameter Segment Size Graphics MPR kV 120 Windowing ROI HU LOO 11:47 AM After selecting the tool, the layout is split into two segments with the Lung CAD Series being calculated in the right segment ( 1 ). Healthineers adminUser * = E Scan 4 = Recon 1 O PEP_CT_LungC T_LungCare, Followup 1/11/1939 M 454 CT View&GO Series Viewing 3 IMA ~187 SP F130.3 Add Study Disto Stack 3x2 Slack 4x4 Follow Up MPR VRT Later 01 CT, 2/5/2003 MPR MIP Stack 2012 05.Feb-2003_@ Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution gram 1.0 720% LUNGCARE 1.0 1 Lung CAD series is being calculated. Favorite Tools Patient Protocol Distance ROI Circle Line Export Image Show in Remove 3D Table Bones Endosco ... Define Coronary View Vessels Tree A Seres Diameter MPR kV 120 1500 ROI HU ar Ean Result 11:48 AM Siemens Healthineers Services Page 4 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Step 7: Once the computation has finished, scroll through ( 1 ) the findings ( 2 ) in the seg- ment on the right and evaluate the potential candidates. Healthineers adminUser E Scan 4 = Recon 1 PEP_CT_LungCa . 1/11/1939 M 454 O CT View&GO Series X Viewing 3 IMA -187 1000 IMA 3 Add Study Disto SP F119.9 Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 2TP CT, 2/5/2003 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Compare Current 23.Oct-2002 Printing Distribution Topogram 1.0 720s [1] LUNGCARE 1.0 V Favorite Tools 1 Patient Protocol Distance ROI Circle 2 Line Results Export 2-C3 Image Show in 3D Bones Define View Vessels Caution. View only after first read!" Lung CAD [3] Findings: 6 Candidates [1000] Lung CAD Osten Series Windowing Lung.CAD version: VD10F mage 174/373 (1 Finding(s)) SIEMENS pianeta MPR ROI HU an Edn Result KV 120 LOAD SERIES KV 120 1500 Automatic Result 11:50 AM Healthiners> adminUser mf R = Scan 4 E Recon 1 PEP_CT_LungCare, Followup 1/11/1939 M 454 CT View&GO Series X Viewing @ IMA -166 SP F113.5 1000 IMA Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 CT, 2/5/2003 05-Feb-2003_@ APR MIPMPR Stack 2X2 Vessel Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution Topogram 1.0 720% LUNGCARE 1.0 Favorite Tools x 2 Patient Protocol Distance ROI Circle Parallel Ranges Results Export Show in 3D Endosco View Caution. View only after firstread Candidates [ 10001 Findings: 6 Solid Lesion Lung CAD Series Lung.CAD version: VD1OF mage 166/373 (1 Finding(5) SIEMENS Windowins T MPR SL U.D SL 1.0 ROI HU on Result kV 120 1500 LOAD SERIES 1500 + Automatic Resul 11:52 AM Siemens Healthineers Services Page 5 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Step 8: Once a lesion is validated, the Lung Lesion Segmentation can be used to segment the find- ing. Select it from the Tool Gallery ( 1 ) or from the Favorite Tools. To initialize the segmentation, draw a longest diameter stroke through the finding ( 2 ), and it is performed in 3D ( 3 ). You can adjust the segmentation results by using the in-segment tool bar at the bottom ( 4 ). Healthineers adminUser E Scan 4 = Recon 1 PEP_CT_LungCa . 1/11/1939 M 454 X O CT View&GO X A Series X Viewing is Add Study Distor P F113.5 1000 IMA 2 tack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 Tool Gallery 3 @ MPR MIP MPR Stack 22 Vessel Basic Interactions Movie gnment Display Types Printing 20 Distribution Measurements LUNGCARE 1.0 V Distance Angle Pixel Lens ROI Circle Diameter Lung CAD ROI HU WHO Series Threshold Favorite Tools Legion > Lung Lesion Segmentation Annotations Distance ROI Circle Parallel Line Ranges Export Show in Remove Image 3D Table Ranges =O * * * * D Endosco Parallel Radial Radial Curved Spine Vascular Edit Result View Vessels Tree Ranges Ranges Slice Ranges Ranges Ranges Osten Reset Image Visualization Vindowins Fit to Fit to Acq. Hide Hide Lines Cust Custom Diamete SLOO LCAD SERIES Windowing KV 120 ROI HU on Result + Automatic Result 11:56 AM SIEMENS adminUser E Scan 4 = Recon 1 PEP_CT LungCare, Followup . 1/11/1939 M 454 O CT View&GO A A Series X Viewing Add Study P F113.5 SPF1135 Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 2TP CT, 2/5/2003 MPR MIP Stack 2212 v 05-Feb-2003_@ Compare Current _CT, 10/23/2002 23-Oct-2002_@ Printing Distribution 2 Topogram 1.0 720s LUNGCARE 1.0 V II Favorite Tools Patient Protocol Distance ROI Circle Parallel Snapshot Line 02 Ranges Results Export Remove Image Show in 3D Table Bones Endosco ... Define Coronary View Vessels Tree Candidates 11000) Solid Lesion Lung CAD Osteo Series Windowing T Windowing Vascular Diamete F LOAD SERIES ROI HU Zoomip Edn Result KV 120 Automatic Result 11:58 AM Siemens Healthineers Services Page 6 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Healthingers adminUser mf R = Scan 4 # Recon 1 O. PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO A A Series X Viewing SPF113.5 SPFH Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 , CT, 2/5/2003 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Compare Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution 3 opogram 1.0 1205 LUNGCARE 1.0 Favorite Tools X Patient Protocol Distance ROI Circle Parallel Snapshot Line Rangles Plameter: 10.1 mm Mean Diameter: 8.9 mm CZ Results Export Show in 3D Endosco ... Define View Vessels Candidates 110001 Solid Lugg Can Osteo Lesion T 4 [F] Windowing Vascular SL 1.0 LCAD SERIES KV 120 ROI HU Zoom/Pan Ean Result KV 120 + Automatic Result 11:59 AM Step 9: Document the findings by taking Snapshots ( 1 ). Healthineers adminUser A mi ) = Scan 4 E Recon 1 PEP CT_LungCare, Followup * 1/11/1939 M 454 X CT View&GO A A Senes Viewing SP F113.5 Stack 3 x2 Stack 4 x4 Follow Up MPR VRT Later 01 05 Feb-2003 MPR MIP MPR Stack2X2 Vessel Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution Topogram 1.0 7205 LungCARE 1.0 Favorite Tools 1 Paliers Protocol Linee ROI Circle Snapshot Create Snapshots [S] Chiam Diameter: 8,9 mm 02 Results Export Remove Remove Show in Image 3D Eneview Vessels Coronary Candidates 110001 View & GO [ 1006 ] Solid Lung CAD Osteo Lesion Reset Series Windowing T Windowing Vascular Diamete Ranges WHO SLO.O KV 120 LOAD SERIES SL 1.0 t Result Threshold + Automatic Resul 12:06 PM Please note: For documentation purposes, you can create Snapshots at any time while per- forming the relevant workflow steps. Siemens Healthineers Services Page 7 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Multiple Time Point Patient Case (Lung Nodules) Step 1: Load CT Thorax patient data with lung nodules into CT View&GO ( 1 and 2 ). Healthineers adminUser  ¡ ¡ = Scan 4 = Recon 1 O Patient Browser Local Data Search by Name, ID, Date, Description and Modality (Ctrl+F) Q More Filters 2 new ppen with View&GO DICOM Manage Results (41 results, 12:10:18 PM) Series Patient Name Date of Birth Patient ID Modality Study Date and Time Study Description Delete Protect ... Series Number Series Description Modality # Instances + MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:59:49 01_CN_Abdomen( Topogram 1.0 T20s CT MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:57:59. 01_CN_Thorax(Ad. LungCARE 1.0 B50f CT MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:53:56 02_GZ_Abdomen(. 501 Patient Protocol CT MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:50:41 02_GZ_Thorax(Ad. Osteo Spiral 1 4/12/1951 Osteo Spiral 1 CT 10/14/2015 12:36 CT Osteodensitom. Osteo Spiral 2 2/18/1956 Osteo Spiral 2 CT 10/12/2015 9:51:5 CT Osteodensitom. Osteo_Anke_LWS 4/12/1951 Anke_LWS CT 10/14/2015 12:36 Abdomen^Osteod Osteo_SPI_01_L2L3L4L5 4/12/1951 Osteo SPI 0 CT 10/14/2015 12:36 Abdomen^Osteod Osteo_SPI_01_L3L4L5 4/12/1951 Osteo_SPI 0 CT 10/14/2015 12:36 Abdomen^Osteod OsteoSpine_SpiralTilt 1/28/1955 123 CT 1/28/2015 12:28:5 Abdomen^Abdom OsteoU_Sequ_PhantDetect_Failed 1/1/1940 OsteoU_Seq CT 4/10/2014 10:38:4 Spezial^07_Osteo OsteoU_Sequ_PhantDetect_Failed OsteoU_Seq CT 6/27/2013 2:51:13 OsteoU_Sequ_PhantDetect_Failed 2 2/18/1939 OsteoU_Seq CT 12/18/1995 11:40 PEP_AbdominalMass_Onco 12/5/1946 CC CT 3/14/2007 12:47:3 Abdomen 01_Abd .. PEP AorticCoarctation AVA 9/8/1968 CC CT 5/7/2007 11:25:55. ThoraxAngio_%_# Instances 1/1/1075 122 PEP_CT_LungCare, Followup 1 1/11/1939 454 CT 2/5/2003 9:40:09 AM 05-Feb-2003 @ PER_CT_Lungoare, Followup CT TO/23/ZOUZ 8.41.4. 25-Oct-2002_@@ PEP_NeuroDSA_Carotids 1/26/1931 CC CT 3/7/2007 10:21:40 Brain Scan & # PEP_ThoraxAbdo_CTA_IDR_NOZ 7/7/1940 007 CT 10/23/2007 10:49 Specials^Thoracal. Ross, Haley 1/24/1967 dc3cd7a8-32 CT, SR 4/27/2018 3:44:53 Thorax(Adult) ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:31:2 .. Thorax^01_Thorax. ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:30:0 Head^001_HeadS Tyson, Kurtis 11/17/1979 8699658c-7f. CT, SR 4/27/2018 3:55:04. Thorax(Adult) WholeBody_Angio_BR_AVA cc CT 5/10/2006 11:08:4 Abdomen_%_# WholeBodyAngio, HongKong, China 5/16/1965 CC CT 2/26/2007 12:11:3 Vascular BodyAngi. The selected data opened 12:10 PM Step 2: Switch to the MPR Compare layout by selecting it on the Viewing panel ( 1 ). Healthineers adminUser ? = = Scan 4 = Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO PEP_CT_LungCare, Followup Sensation 16 VABOA Series 454 Viewing *1/11/1939, M, 64Y SPALTBO 3UMA 172 Ref. Physician H-SP Ward: 05-Feb-2003 09:40 Add Sue Physician: Stack 4x4 Follow Up MPR VRT Operator. CTC 9tal mABL992 TI CSL ........ Scan MAS Current LOROHARE 47 83 88 CT, 2/5/2003 APR MI MPR 2 Vessel 05-Feb-2003_@ 1 T205 (1) ungCARE 1.0 Printing A Distribution CT.SOMS TOP SL 1.0 KV 80 350 $ 120 50 Patient Protocol Favorite Tools Prior 01 O. CT, 10/23/2002 * 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Ranges Export Show in Remove Coronary polate Please drag data from Series Navigator. Please drag data from Series Navigator Please drag data from Series Navigator Solid Lesion Lung CAD Osteo Reset Series Windowing T Windowing Vascular Text Diameter Ranges WHO ROI HU Zoom/Pan Edit Result Threshold 12:12 PM Siemens Healthineers Services Page 8 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Step 3: Load the Prior ( 1 ) and Current ( 2 ) studies into the layouts by dragging and dropping the study data from the Series panel into the empty segments ( 3 and 4 ). Healthineers adminUser mf R = Scan 4 = Recon 1 ILungCare, Followup 1/11/1939 M 454 CT View&GO Series Viewing Add Study Disto Stack 3x2 Stack 4x4 Follow Up MPR VRT Current Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Serles Navigator. CT, 2/5/2003 - 05-Feb-2003_@ MPR MIP COMPR Stack 2x2 Vessel Bsor 15 2 Printing Distribution V II [50 1] Favorite Tools Prior 01 _ CT, 10/23/200 Distance ROI Circle 4 23-Oct-2002 @ Please drag data from Series Navigator. 3 Please drag data from Series Navigator. 1 Patient Protocol Tex Diameter WHO Edit Result + 12:15 PM Result after dragging and dropping the Prior and Current data sets into the empty segments: ealthingers> adminUser imà ¡ = Scan 4 = Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO Series Viewing SPAIGE SP L5.0 alina FRM 3 IMAn.a. FRM n.a Add Stud Stack 3x 2 Stack 4x4 Follow Up MPR VRT Current CT, 2/5/2003 MPRIMI 1cm 05-Feb-2003_@ MPR 150 88 pogram 1.0 T205 [1] Printing Distribution 3 IMA ~176 Patient Protocol Favorite Tools Prior 01 CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Ranges Export Image Show in Remove Bones 30 pogram 1.0 720 Define View Vessels Tree Solid Lesion Lung CAD Windowing Patient Protocol Windowing Vascular Diameter Ranges WHO SL 0.7 ROI HU ZOPme KV 120HICK 1500 12:16 PM Siemens Healthineers Services Page 9 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Step 4: In order to simultaneously scroll through the axial slices, click the first axial segment ( 1 ), then click the second axial segment by pressing the Ctrl key at the same time ( 2 ). Then scroll through the axial images by using the middle mouse button / wheel ( 3 ). Healthineers adminUser ? 0 8 RE Scan 4 = Recon 1 O .EP CT_LungCare, Followup 1/11/1939 M 454 CT View&GO Series Viewing 3 IMA n. 3 IMAn.a. FRM n. SP L3.2 Add Study Dition Stack 3x2 Stack 4x4 Follow Up MPR VRT Current CT, 2/5/2003 05-Feb-2003_@ Compare AV 120 88 Topogram 1.0 7205 LUNGCARE 1.0 Printing Distribution Ctrl + 3 IMAn.a . SPF586.0 2 Patient Protocol [50 1] Favorite Tools X Prior 01 O. CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Ranges TX Export Robbie Bones Image Show in 3D Coronary lactate Topogram 1.0 T20s LungCARE 1.0 Endosco. Deine [1] B50f [3] View Tree Solid Lung CAD Osteo Lesion Reset Series Windowing T X Patient Protocol W Windowing Vascular Text Diameter Ranges WHO MPR THICK MPR T SL U. 1500 ROI HU + 12:42 PM Step 5: To obtain the sagittal and coronal views ( 1 ) of a lesion ( 2 ), select 3D Reference Point ( 3 ) from the upper left in-segment corner menu. Healthineers> adminUser imà ¡ = Scan 4 = Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO Series Viewing SPAIGE 3 IMAn.a SP L5.0 aAna FFM SPA118.8 3 IMAn.a. FRM n.a SP L3.2 Add Stud Stack 3x2 Stack 4x4 Follow Up MPR VRT Current 05 Feb 5003 MPRMI 05-Feb-2003_@ CMPR Stack 22 1 WERT KV 120 500 fopogram 1.0 T203 (1) LungCARE 1. Printing Zoom/Pan Distribution Windowing 3IMAn.a Rotate Patient Protocol Scroll Favorite Tools Movie Prior 01 3D Reference Point _ CT, 10/23/2002 Distine 23-Oct-2002_@ Distance ROI Circle Lune Parallel Snapshot Ranges Lock Reference Lines 3 e Point across multiple segments [R] Export Ill Ranges Show in Remove 3D Table Bones 10] Region Growing Topogram 1.0 1205 Endosco ... Destino, Coronary Isolato Fit to Segment 2 Leston Series Windowins RD Patient Protocol Windowing Vascular Diameter IMPR THICK SL 0.7 ROI HU AUPR THIC 1500 + 12:44 PM Siemens Healthineers Services Page 10 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Please note: After you have selected 3D Reference Point from the in-segment corner menu, you must click your point of interest (in any of the segments) for the navigation to work. After clicking, the other segments will automatically navigate to the 3D position of this point. Result after selecting 3D Reference Point with axial ( 1 ), sagittal ( 2 ) and coronal views ( 3 ) of a lesion: Healthineers adminUser mf R = Scan 4 # Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO H Senes Viewing SPAIGES 3 IMAn.a. SP L115. 3 IMAn.a. FRM n.a. SP L113.0 Add Study Distin Inck 3x2 Stack 4x4 Follow Up MPR VRT 3 2 Current - 61, 215/2003 MPR MIR MPR 05-Feb-2003_@ MPR THIC SL 0.7 KV 120 MPR THICK KV 120 1500 88-80 Topogram 1.0 T205 LungCARE 1.0 [1] Printing Distribution SP F114. 3 IMA ~148 SP F586.0 athers Protocol Favorite Tools Prior 01 O CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Ranges Export Show in Remove 1 Topogta1 120s LUNGCARE 1.0 Solid Lung CAD Osteo Lesion Series Windowing * T Patient Proloco Windowing Vascular Diameter [501) Ranges MPR THICK MPR THI SL O. 1500 ROI HU 400 Zoom/Pan Edit Result Threshold 12:51 PM Siemens Healthineers Services Page 11 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Step 6: Use Lung Lesion Segmentation tool to segment the identified lesions. Select it from the Tool Gallery ( 1 ) or from the Favorite Tools. To initialize the segmentation, draw a longest diameter stroke through the finding ( 2 ), and it is performed in 3D ( 3 ). You can adjust the segmentation re- sults by using the in-segment tool bar at the bottom of the segment ( 4 ). Healthineers> adminUser | | = Scan 4 E Recon 1 O PEP_CT_LungCare, Followup : 1/11/1939 M 454 CT View&GO Series Viewing SIMAna SPAIGES SP 115.4 3 IMAna. F a. FRM n.a. PA183.0 Add Study Di Stack 3x2 Slack 4x4 Follow Up MPR VRT Current RP CT, 2/5/2003 MPR Tool Gallery 05-Feb-2003_@ BW A SLOT Basic Interactions 1500 MPR THICK -400 KV 120 Signment im 1.0 720 LungCARE 1.0 -83-80 Printing Display Types Distribution 3 IMA n.3 SP F114. SPF 58 20 MPR MPRIMPR Minip Thin Measurements 1 Favorite Tools X Distance 4 Pixel Lens ROI Circle VOT WHO Sees TROL HU Leaton > Lung Lesion Segmentation Distance ROI Circle Line Paralel Annotations Exage Show in Remote Bones LungCARE 1.0 Ranges Endosco ... Define Isolate View Vessels Tree Heart Ranges RAGION Surged CON Lesue Solid Lesion Lung CAD Reset Series Windowing RD T Image Visualization Protocol Windowing Vascular Diameter Ranges * WHO Fit to Fit to Acq. Hide Hide Lines |Custom Lock Ref. 3D Ref. MPR T Segment Size Graphics Text Lines KV 120 ROI HU Zoom/Pan Edit Result Threshold Windowing 2:05 PM Healthineers adminUser + ? @ @ E Scan 4 = Recon 1 O T_LungCare, Followup 1/11/1939 M 454 CT View&GO Series Viewing anARE SPL115.4 BIMAna FRMna SPA183.0 3 IMAn.a. FRM n.a. SP L113.0 Diameter: 10.2 mm Stack 3x 2 Stack 4x4 Follow Up MPR VRT Wean Diamet Mean Diameter. 8.5 mm olume 0. 320 Volume: 0.326 ml Current ME RP CT, 2/5/2003 0cm 1cm 05-Feb-2003_@ MPR THI pogram 1.0 7205 LungCARE 1.0 Printing Distribution 3 IMA ~148 V Patient Protocol [501] Favorite Tools Prior 01 X _CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Line Parallel Snapshot Ranges 2 Export Image Show in Remove 3D Table Bones Topogram 1.0 720% LungCARE 1.0 [1] Endosco ... Define Coronary toolate 1cm View Vessels Tree Mean Disme.2 mm Volume: 02266-8.5 mm Solid Lung CAD Lesion Series Windowing T Patient Protocol Windowing Vascular Diamet SLO ROI HU Zoom/Pan Edit Result Threshold + 8.9 2:08 PM Siemens Healthineers Services Page 12 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Healthingers> adminUser mf R = Scan 4 E Recon 1 O PEP_CT_LungCare, Followup 1/11/1939 M 454 X CT View&GO Series X Viewing 3 IMAn.a. BIMAna. FRMn 3 IMAn.a. FRM n.a SP L115.4 SP L113.0 Diameter: 10.1 mm Diameter: 10.2 mm Stack 3x2 Stack 4x4 Follow Up MPR VRT Me meter 10 Mean Diameter: 89 mm Diameter me plume 0:317 Volume: 0.317 ml Mean Diameter Mean Diameter. 8.5 Volume: 0.326 ml Current RP _ CT, 2/5/2003 05-Feb-2003 @ MPR MIP MPR Stack 2x2 Vessel Compare KV 120 MPR THIC KV 120 Topogram 1.0 T205 LungCARE 1.0 Printing A Distribution [501] Favorite Tools X Prior 01 CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Rangey Snapshot Line Diameter. 10.1 mm Mean Diameter. 8.0 mm Volume: 0.317 ml Export Show in 3D ram 1.0 T20s LungCARE 1.0 Endosco ... Define View Vessels 3 Diameter 10.2 mm Volume: 0:320 ml Solid Lesion Series * 4 F F Patient Proto 501) Windowing Vascular WHO ROI HU ZoomiPan Ean Result + 159 2:09 PM Step 7: Document the lesions by taking Snapshots ( 1 ). Healthineers adminUser RE Scan 4 = Recon 1 O PEP CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO Series Viewing SP L115.4 BIMAna FRM na 3 IMAn.a. FRM n.a SP L113.0 Add Stud Mean Diameter 80 Diameter: 10.2 mm mm et 8.5 mm Mean Diameter 8.5 mm Stack 3x2 Stack 4x4 Follow Up MPR VRT Volume 0317 Volume: 0.326 ml A APR MIP MPR Stack 2x2 Ves Topogram 1.0 7205 ung CARE 1.0 SL 0.7 KV 120 1500 Printing A A Patient Protocol [501] Distribution iMAnG 3 IMA ~148 Prior 01 CT, 10/23/2002 23-Oct-2002_@ Favorite Tools Distance ROI Circle Create Snapshots [S] Diameter. 10.4 mm Mean Diameter 8.0 mm Topogram 1.0 7205 LungCARE 1.0 Export Image Show in Remove BD Table Endosco ... Define Coronary View Vessels Tree Mean Diameter : 8. 5 mm Patient Protocol Volume: 0.320 ml Solid Lesion Windowing Results T F Windowing Vascular Diameter WHO JPR THICK SLO7 XV 120 MAR THIC 30 ROI HU Zoom/Pan Edit Result Threshold + View&GO (1005) ViResults CT few&GO (1008] 2:10 PM Please note: For documentation purposes, you can create Snapshots at any time while performing the relevant workflow steps. Siemens Healthineers Services Page 13 of 14 Oncology Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905862 Disclaimer Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warn- ings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. 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