syngo CT VA40 Improvements Job Aid - SOMATOM X. platform

SIEMENS Healthineers syngo CT VA40 Improvements Job Aid SOMATOM X. platform Version 2021.11 Template Effective Date: 27 May 2019 | HOOD05162003010284 Effective Date: 16 Dec 2021| HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 syngo CT VA40 Improvements Job Aid SIEMENS Healthineers Table of Contents General CT workflow Exam/Recon improvements 3 myExam Companion improvements 25 CARE Dose4D & CARE kV improvements 39 CT View&GO improvements 49 Exam Designer improvements 61 Scan protocols improvements 66 General syngo improvements 71 Cardiac CT improvements 74 Dual Energy improvement 83 New optional features 85 2 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers SIEMENS Healthineers 11 Recon . * 8/8/1988 (32) M 123456 Test ? M # syngo CT VA40 Improvements 1,591 Test H SOMATOM X.cite Test AH Topogram 123456 123456 SOMATOM X.cite *8/8/1 988, M, 32Y syngo CT VA40A Recon Ranges *8/8/1988, M, 32Y syngo CT VA40A HFS Brain 5/20/2021 5/20/2021 Job Aid 11:57:48.49 AM 11:58:41.53 AM Brain 1 IMA 1 TP1 -876.2 Topogram TOP 101 TP2 -743:7 101 IMA 15 TP -750.0 LEN 132.5 RTD 201 GT -23 TP -814.0 Thorax auto Preconditions Topogram Brain A R CTDIvol (16 cm) 56.5 mGy SSDE (10.5 cm) 67.5 mGy Thorax DLP 837 mGy*cm 10cm Ocm General CT workflow Eff. mAS 310 KV 120 KV 120 Exposure Time 7.37 s KV Sn140 Eff. mAs 310 Brain A Check image quality mA 55 TI 1.0 TI 2.04 IF GT -23.0 SL 4.0/1 28x0.6 (z-sharp)/p0.55 Exam/Recon 512.0 0/0 W 500 421.0 0/0 200 Simulator Filter Sn C 50 Simulator 40 auto nE Show QC XI Scan Favorites General Scan Dose Timing Config Physio Scan Contrast - Repeat Scan Start Auto Tasking Scan/Recon Memo Check&GO Check&GO Image Type Check&GO Orientation Scan Start improvements Brain Manual MPR Sagitta Start Button Check myExam Compass Activate Brain scan TH Recon ALL GO Cancel LO L 25 7.85 3.35 4.1s 7.85 2 E or O o 10 10 O 3 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 General syngo improvements SIEMENS Healthineers New tile on Homescreen - Restart Application • It only restarts the software – not the whole system • After doing some system configurations, it is better to use Restart Application • It is much faster than Restart System • Job View dialog is also shown for Restart Application, CH Restart the So aris Application Examination System Check Restart Lock same as for Shut Down • Restart System is still available Restart System Shut Down System Application Restart X If there are background recon jobs running, restarting the application may take longer than expected. Click Job View to display all active processes. Examinat Restart Application Job View Cancel Lock 4 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Larger focus scope of range box Test 123456 SOMATOM X.cite +8/8/1988, M. 32Y syngo CT VA40A Routine scan ranges 5/1.0/2021. HFS 9:43:58.87 PM • Larger focus scope for better recon box 2 IMA 1 Test H TOP 101 handling. 123456 SOMATOM X.cite TP -750.0 +8/8/1988, M. 32Y syngo CT VA40A 5/1 0/2021 HFS 9:43:58 87 PM 2 IMA 1 TP1 -1.001.0 It is much easier to grab and position the TOP 101 TP2 -1,011.0 • TP -750.0 LEN 10.0 FOV 300x300 range! Bolus tracking/Test bolus range • Resizing handles have been removed. R R • Larger focus scope for better recon box 30cm 10cm handling. • Change applies for all scans which can not be resized KV Sn100 mA 55 A TI 3.32 512.0 0/0 350 KV Sn100 Simulator Filter Sn 50 DE mA 55 TI 3.32 512.0 0/0 350 Simulator Filter Sn 5 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Display of repeated scan range on timeline • When there are several ranges displayed in timeline, the eneral Scan Dose Timing Config Physio Scan Contrast - - repeated range will not be hidden any more. Scan Mode Decision Trees CARE Dose4D CARE KV & CARE KV CARE KV IQ level optimized for CTDIvol [mGy] DLP [mGy*cm] Pitch RoutineSpiralAdultAngioBody Full 70 Auto (Vascular) (32 cm) 1.14 35.2 1.50 • The timeline will be automatically adapted so that the repeated range (violet) will be visible and be displayed at Show Parameters the right end of the time line, because the focus jumps to Delete 4 ml/s 4 mlis Repeat there now. Open Edit Mode A Create Image with Reference Lines You don’t need to press the arrow to scroll the timeline to 0.3s 1.15 3.9s 3.95 • 10 18.1 6 the right side. 0 10 20 25 30 O 10 eneral Scan Dose Timin Confic Physio Scan ontrast - - - Scan Mode Decision Trees CARE Dose4D CARE KV IQ level CARF KV opt mized for CTDIvol [mGy] DLP & CARE KV [mGy*cm] Pitch RoutineSpiralAdultAngioBody Full 70 Auto (Vascular) 32 cm) 1.14 35.2 1.50 4 ml/s 4 ml/s 1.15 3.9s 3.95 3.9s 10 18.1 6 Repeated range 6 10 15 20 25 30 o 10 6 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Plan scan range on the first topogram If an examination contains multiple topograms, SIEMENS Healthineers 2 11 Test ? M # Recon 8/8/1988 (32) M 123456 to plan the next scan range on either of the CH 1.591 Test H 123456 SOMATOM X.cite topograms, the workflow becomes easier now in Topogram MAS *8/8/1 988, M, 32Y syngo CT VA40A Recon Ranges HFS Brain 5/20/2021 11:57:48.49 AM Topogram 1 IMA 1- - TP1 -876.2 syngo CT VA40. Topogram TOP 101 TP2 -743.7 LEN 4333 TP -750.0 LEN 132.5 GT -23 Thorax Preconditions V Brain 1. Select the topogram from the timeline on Brain auto which you would like to plan the range, this CTDIvol (16 cm) 56.5 mGy SSDE (10.5 cm) 67.5 mGy Topogram DLP topogram will be displayed. 837 mGy*cm Eff. mAs 310 KV 120 Exposure Time 7.37 s Thorax Check image quality 2. Select the scan range from the timeline, the 10cm selected topogram will be kept, the scan 3 Show QC Brain range will be displayed on this topogram Repeat Scan Start Auto Tasking auto image, as long as the patient position is not KV Sn140 mA 55 moved during the whole examination. FAST TI 2.04 512.0 0/0 500 Filter Sn 50 nE planning will automatically adjust the range Simulator position if a proper topogram is used. Check myExam Compass Activate Brain scan TH Recon 1 2 All GO Cancel O 3. To manually adjust the scan range, you need 25 Topo1 7.8s Topo2 3.3s 4.1s 7.8s 6 to select the recon job. 10 5 10 O O O O O 7 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers “Scan reference lines” for tilted ranges are removed • The software does not create Scan reference lines for 11 Recon Test 8/8/1988 (32) M 123456 ? M * Scan tilted ranges. min 1.591 Test H SOMATOM X.cite Test AH 123456 123456 SOMATOM X.cite syngo CT VA40A syngo CT VA40A Recon Ranges MAS *8/8/1 988, M, 32Y 5/20/2021 HFS *8/8/1988, M, 32Y 5/20/2021 HFS 11:57:48.49 AM 11:58:41.53AM Brain • The parameter Scan Ref. Lines is no longer available for 1 IMA 1 TP1 -876.2 TOP 101 TP2 -743:7 101 IMA 15 RTD 201 TP -750.0 LEN 132.5 GT -23 TP -814.0 tilted ranges. auto Topogram A IR Thorax Ocm 10cm KV 120 KV Sn140 Eff. mAs 310 Brain mA 55 L TI 1.0 TI 2.04 GT -23.0 SL 4.0/1 28x0.6 (z-sharp)/p0.55 512.0 0/0 W 500 Filter Sn C 421.0 0/0 200 Simulator 50 Simulator auto X Scan Favorites General Scan Dose Timing Config Physio Scan Contrast - - - Scan/Recon Memo Check&GO Check&GO Image Type Check&GO Orientation Scan Start Scan Ref. Brain Manual MPR Sagittal Start Button -CH L 25 7.85 B.3s 4.15 7.8s 6 6 E E 0 10 10 0 10 O O O 8 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Hint for gantry acceleration syngo CT VA30 Loading scan parameters ... Main console • After the topogram, there is a waiting time due to the gantry acceleration without any hint for the user Confirm GO Cancel syngo CT VA40 L • New hint of Gantry accelerating is displayed below the control buttons during the waiting time on the main Gantry accelerating console • This hint is also shown in Scan&GO Scan&GO 3.3 s 6 s 3.9 s Topogram Thorax -1262.0 w Gantry accelerating Cancel GO 9 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Display of parameters for multi recons in job view tab syngo CT VA30 * 8/8/1988 (32) M 123456 Test ? M # CH Some parameter are not displayed for multi recon jobs in Pose Overview Job View • Series Description Requested P Recon Progress Order Auto Recon Auto View&GO Transfer Nodes Auto Transfer Auto Printing Local Application Workflow syr Job view pring Premonitoring 10.00 Br36 Off Off Off None No Monitoring 10.00 Br36 Off Off Of None No CTA Thorax 5.00 Bv36 A3 sag Off PACS Off On CTA Thorax 5.00 Bv36 A3 cor On On SYNGOVIA On Off None syngo CT VA40 CTA Thorax 5.00 Bv36 A3 ax On PACS; SYNGOVIA Off On CIA MOTOX 2.00 DIOU AD ax CTA Thorax 5.00 Br40 A3 ax On Off Off None No CTA Thorax 3.00 Bv36 A3 Radial Vascular On Off Off None No • All parameters (e.g. Transfer Nodes, Auto Printing) for multi recon jobs are now displayed and can be configured Cancel Prioritize for every single recon job O EN 10 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Remove protection for multiple data in Manage Raw Data dialog • In Manage Raw Data dialog, all actions are performed Manage Raw Data ? X depending on the selections in the check boxes Delete Export Import • In syngo CT VA40, with multi selection you are able to remove protection of Reconstruction Pending for multiple Only raw data files that do not have protection may be deleted. Check the protection flag status. raw data files Patient Study Description Range Description Modality Protection Flags Size H Hart, Dick A Abdomen [factory](Ad Topogram CT 1. Check the checkbox at the left side of the data. Kemp, Angel Thorax [factory](Adult Topogram CT Mcconnell, Napoleon Thorax CTA [factory](A Topogram CT Mcconnell, Napoleon Thorax CTA [factory](A Premonitoring CT 2. Right mouse click, select Remove Protection. Mcleod, Carlo Thorax [factory](Adult Topogram CT Salas, Jayson Abdomen [factory](Ad Topogram CT Sullivan, Lana Abdomen Multi Phase Topogram CT Sullivan, Lana Abdomen Multi Phase Non Contrast Liver CT Reconstruction Pending 1,7 Test, Thorax [factory](Adult Thorax CT 9 Test, Brain [factory](Adult) Thorax CT Test, Brain [factor:1Ad .. (4) CT Reconstruction Pending 3,2 Test, Thorax CTA [ Remove Protection CT Test, Brain [factory](Adult) Topogram CT Test, Thorax [factory](Adult Topogram CT Test, Brain [factory](Adult) Topogram CT Total Size: 5,001.34 MB Show all available rawdata files Delete Cancel 11 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Absolute start delay for repeated range syngo CT VA30 10cm 10cm • The absolute start delay has been copied from previous scan KV 70 syngo CT VA40 Eff. mAs 95 KV Sn100 mA 55 A Quality ref. mAs 250 TI 0.3 F • Repeated scan ranges now have the minimum absolute T1 3.32 GT 0.0 350 SL 4.0/64x0.6/p1.5 start delay. In case the original scan range was not 512.0 0/0 421.0 0/0 ₹ 25 Simulator Filter Sn Simulator Show Parameters successful, for example, contrast media has been applied, Delete but no or very few contrast media was shown in the 3 ml/s Repeat -CH target image due to e.g. slower blood circulation of the Open Edit Mode patient, the user can repeat the last range, without TO Create Image with Reference Lines adjusting the start delay and perform the repeated scan L 3.3s 3.9s 6 within a shortest time 10 3 ml/s 3 ml/s Repeated range 3.9s 11 25 -- 10 15 20 25 35 9k 30 10 O 12 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Sorting in Patient Instruction and Scan Mode selection • Patient instruction languages are ordered alphabetically • Basic scan modes are now sorted with respect to their according to the selected UI language clinical relevance. Afrikaans Alemán Scan Mode Árabe Bengalí Birmano RoutineSpiralAdultHeadSnXcare Búlgaro hiza RoutineSpiralAdultHead Cantonés RoutineSpiralAdultHeadHighres odo de Checo RoutineSpiralAdultHeadHighresplus Chino RoutineSpiralAdultHeadSn Coreano nificExp Croata RoutineSpiralAdultHeadSnHighres Danes RoutineSpiralAdultHeadSnHighresplus Eslovaco RoutineSpiralAdultHeadXcare Español RoutineSpiralAdultHeadSnXcare Farsi Finlandés RoutineSequenceAdultHead O Inglés RoutineSequenceAdultHeadHighres Instrucción al paciente 6 Inspiración 5 10 O 13 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers CARE Contrast* - Flow User enters a flow value > maximal value SIEMENS Healthineers .. 0 Scan F 8 Test ? M # Recon CHI * 8/8/1988 (32) M 123456 Topogram 216 Test 123456 SOMATOM X.cite Parameter Flow is displayed as invalid Recon Ranges MAS *8/8/1 988, M, 32Y syngo CT VA40A • Preconditions 5/13/2021 HFS Contrast 2:52:42.27 PM Topogram (yellow background) 2 IMA 1 TP2 -762.5 Pressure Limit: 1,000 kPa TOP 101 LEN 280 TP-7500 Fluid Injector Required Contrast protocol has been declined by Thorax Contrast 500 ml 2 70 ml • The according coupled measurement can’t Saline 500 ml 2 40 ml the injector: Flow too high (Phase 1). R be loaded Contrast protocol has been declined by the injector: Flow too high (Phase 1). FAST Planning V • The examination workflow can only be FAST 3D Scan Parameter Check KV Sn100 mA 55 A proceeded after a valid flow value is entered TI 2.53 Thorax 512.0 0/0 W 350 CTDIvol (32 cm) 1.49 mGy Simulator Filter Sn C 50 SSDE (11.4 cm) 3.64 mGy X DLP 47.0 mGy*cm CH Contrast User enters a flow value < minimal value Eff. mAS 87 Scan/Recon Contrast Protocol CM Name lodine Concentration [ mg/ml] Phase Type Flow Volume [ml) Duration CM Ratio KV 70 [ml/s] [s] [%] Exposure Time 1.81 S Thorax 300 Value is automatically adjusted to the Contrast Invalid contrast protocol Contrast 12.0 70 • 16 100 allowed minimal flow value of the connected injector Invalid contrast protocol 12 ml/s 3 ml/s CH Confirm GO Cancel A 2.5s 3.9s 6 25 10 15 O O EN 14 * optional feature. If you are interested in this option, please contact your local SIEMENS Healthineers sales Effective Date: 16 Dec 2021 | HOOD05162003244314 representative to get more information on the feature and its requirements Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Additional FAST Planning Ranges > Dental > Cerebrum Spine > Orbita Head Trauma >Pelvis Sinuses Head Frontal > Vascular No Tilt - Head Special + CAP Inner Ear Dental Lung Apex to Iliac Crest No Tilt > Orbita Lung Apex to Ischium 5/1 3/2021 HFS 5/1 3/2021 5/1 3/2021 3:30:22.64 PM TP1 -919.5 3:36:51.03 PM TP1 -959.9 3:14:23.32 PM 4 IMA 1 5 IMA 1 3 IMA 1 FOV 344x408 TOP 301 TP2 -853.2 TP2 -758.4 - - LEN 281.5 TOP 201 TP-750.0 LEN 66.3 TOP 401 FOV 150x150 TP -750.0 FOV 200x200 TP -750.0 A R R 10cm 10cm 10cm KV Sn140 KV Sn140 KV Sn100 mA 55 mA 55 A mA 55 A TI 2.04 TI 2.04 TI 3:32 15 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers FAST Planning Isocenter Detection A dedicated algorithm for head iso- SIEMENS, Healthineers 8 Test ? M # Scan Recon * 8/8/1988 (32) M 123456 center detection in combination with FAST Planning is now available in Brain [factory] (Adult) 18 .591 Test H 123456 SOMATOM X.cite Recon Ranges MAS *8/8/1988, M, 32Y syngo CT VA40A 5/13/2021 HFS Topogram 7:49:32.88 PM Topogram TP1 -877.9 syngo CT VA40 Preconditions v 1 IMA 1- - TOP 101 TP2 -745.4 Brain TP -750.0 LEN 132.5 FOV 200×200 GT -23 CTDIvol (16 cm) 56.5 mGy Brain • Algorithm will detect whether the SSDE (10.6 cm) 67.0 mGy DLP 837 mGy*cm Eff. mAS 310 auto head range defined by FAST KV 120 Exposure Time 7.37 s Planning is in the iso-center or Check image quality not. When loading the range, the Reconstruction Close user is prompted to press the 10 cm Move button to adapt the patient table up or down mash140 • This algorithm is independent of LASS the 3D camera 512.0 Activate Brain scan Press MOVE > to change table height Confirm GO Cance Press MOVE >> to change table height O 10 EN 16 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Copy/Paste Recon Volume Parameters for Recon& GO - Inline Results • Copy/paste recon volume parameters is now possible between all recon types before scanning Recon Ranges Topogram Thorax Show Parameters Delete Repeat Copy All Recon Parameters Copy Recon Volume Parameters Paste All Recon Parameters Paste Recon Volume Parameters Create Image with Reference Lines Send to CT View&GO Edit Result in CT View&GO 17 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Changing the Recon Job Order • Recon job order can now be modified • or via drag & drop using Cut/Copy/Paste in Protocol Parameters dialog O 8 Thorax Scan Recon * 8/8/1988 (32) M 123456 Test CH Protocol Selection Protocol Parameters auto Thorax [factory] Protocol Description -Indications: mass nodes, tuberculosi pulmonary nodule Scan Favorites General Scan Dose Timing Thorax Recon Favorites General Recon Recon&GO Image Impres Scan/Recon X Recon Scan/Recon Absolute Start Slice Thickness auto Delay [s] [mm] Topogram 6.0 Topogram 0.60 Tr20 cor Thorax 6.0 Thorax 5.00 Br40 A3 cor Cut Thorax 5.00 Br40 A3 ax 5.00 Copy Thorax 5.00 B160 A3 sag Paste Thorax 5.00 B160 A3 cor Delete 5.00 Thorax 5.00 BI60 A3 ax Thorax 10.00 BI60 A3 cor Repeat 10.00 Thorax 1.00 B160 A3 Copy All Recon Parameters 1.00 Copy Recon Volume Parameters Paste All Recon Parameters Paste Recon Volume Parameters 18 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Recon&GO Preview for Radial Ranges Test Test • Recon&GO preview segment now displays a pictogram of 123456 123456 8/8/1988, M, 32Y *8/8/1988, M, 32Y the resulting reference image 5/1 3/2021 5/1 3/2021 8:57:20.15 PM 8:57:20.15 PM MPR 201 MPR 201 • eye: viewing direction (feet to head) R A -O- • arrow: image order (counterclockwise direction) 10cm 10cm A W 420 420 SL 4.0 50 SL 4.0 -.................................................................................................. Test A H 123456 *8/8/1988, M, 32Y 5/1 3/2021 8:57:20.15 PM MPR 201 -R R Image Orientation Viewing Direction Image Order 10cm F A O Axial Feet to Head Counter Clockwise SL 4.0 19 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Recon&GO Preview for Radial Ranges (Examples) A A A O R R o RO RO F F F F Image Orientation Viewing Direction Image Order Image Orientation Viewing Direction Image Order Image Orientation Viewing Direction Image Order Image Orientation Viewing Direction Image Order Coronal Front to Back Counter Clockwise Sagittal Left to Right Counter Clockwise Sagittal Right to Left Counter Clockwise Sagittal Right to Left Clockwise 20 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Inline Result Inner Ear Improve Inner Ear image quality by using smaller input FoV Inner Ear 10 cm When Parallel Range is used in the recon job, go to Inline A Inner Ear 0.80 Hr68 A3 cor L Options -> Organ -> select Head Temporal Bone L/R: SL 4.0 670 670 Tools SL 4.0 Inline Results Parallel Ranges Test 123456 *8/8/1 988, M, 32Y MPR 5/1 3/2021 MIP Thin Set FoV Set Ref • 150 mm FoV is used in the Inner Ear factory protocol Segment Segment 9:56:32.55 PM MPR 301 Planning Base Preview not available Topograms R for selected • The algorithm separates both inner ears for input Inner Ear 10 cm Inline Results type. recon and places the recon boxes according to the RT F anatomy W 3925 c 670 Recon Cancel SL 4.0 Inner Ear 10cm 10 cm A L Inner Ear 0.80 Hr68 A3 ax R 3925 SL 4.0 670 835 SL 4.0 Tools Inline Results Parallel Ranges Test 123456 *8/8/1988, M, 32Y 5/1 3/2021 MPR MIP Thin Set FoV Set Ref Segment Segment 9:56:32.55 PM MPR 301 Planning Base Preview not available Topograms R for selected Inline Results type. Inner Ear 10cm RT F W C 3925 670 Recon Cancel SL 4.0 21 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Mirroring of Reconstructed Images Test A • A Mirroring parameter is now available for the users to be SOMATOM X.cite Test SOMATOM X.cite *8/8/1 988, M, 32Y syngo CT VA40A 123456 syngo CT VA40A able to change the image orientation during reconstruction 5/1 4/2021 HFS *8/8/1 988, M, 32Y 5/1 4/2021 HFS 1:29:49.67 PM 1:29:49.67 PM 9 IMA 49 7 IMA 49 SPI 201 SPI 201 TP -1,010.0 TP -1,010.0 • Fix Axial must be On Mirroring parameter can be found in Recon Box tab card R R • Below options for Mirroring are available: 1 3 • KV 90 Mirroring KV 90 Mirroring Eff. mAs 66 Eff. mAs 66 Quality ref. mAs 159 Quality ref. mAs 159 TI 0.3 TI 0.3 GT 0.0 GT 0.0 1. None SL 5.0/64x0.6/p1.2 SL 5.0/64x0.6/p1.2 344.0 4/0 None 344.0 4/0 Up/Down Simulator Simulator 2. Left/Right 3. Up/Down Test A Test 123456 SOMATOM X.cite syngo CT VA40A 123456 SOMATOM X.cite *8/8/1 988, M, 32Y syngo CT VA40A 4. Both 5/1 4/2021 HFS *8/8/1 988, M, 32Y 5/1 4/2021 HFS 1:29:49.67 PM 1:29:49.67 PM 8 IMA 49 6 IMA 49 SPI 201 201 TP -1,010.0 TP -1,010.0 2 4 0cm KV 90 Mirroring KV 90 Mirroring Eff. mAs 66 Eff. mAs 66 Quality ref. mAs 159 Quality ref. mAs 159 TI 0.3 TI 0.3 GT 0.0 GT 0.0 SL 5.0/64x0.6/p1.2 SL 5.0/64x0.6/p1.2 344.0 4/0 Left/Right 344.0 4/0 Simulator Simulator Both 22 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Multi-Impression Recons with different Iterative Recon Settings • The parameters for iterative reconstructions can now be set individually for each sub recon of a multi-impression recon • You can switch on or off, or select different strength level for each sub recon Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon - Scan/Recon Window@120kV FAST Window Kernel ADMIRE ADMIRE Strength iBHC iBHC Material iMAR iMAR Type Thorax 5.00 Br36 A5 Angio On Br36 On 5 On Bone Off Thorax 5.00 Br48 A3 Angio On Br48 On Off On Pacemaker W Thorax 5.00 B160 Angio On BI60 Off Off Off 23 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers Select CARE kV min/max from dropdown list • Min/Max values for CARE kV are SIEMENS. Healthineers Scan 11 Recon Test 123456 Exam Designer available now in a dropdown list CH Back to Exam Designer Scan Protocols showing all available voltage-filter- 1. Select Protocols 2. Modify Protocols 3. Confirm Changes combinations (i.e. 80, Sn100, ) Protocol Scan Favorites General Scan Dose Timing Config Physio Scan Contrast CH Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options Find/Replace Scan/Recon Dose CHI Scan/Recon CARE Dose4D CARE KV IQ level CARE KV CARE KV & CARE KV optimized for Grouping KV Quality ref. mAs Eff. mAs mA CARE KV min. CARE kV max. DLP Dose Notification Dose Notification KV KV CTDIvol [mGy] [mGy*cm] CTDIvol [mGy] DLP [mGy*cm] Shaped Fil Thorax [factory] (Adult) Topogram Sn 100 55 SPR (32 cm) 0.02 0.89 0.00 0.0 Standar Thorax Full 80 Non-Contrast Off Sn 100 538 354 Sn 100 Sn 150 (32 cm) 3.29 106 0.00 0.0 Standar ........................ Sn 100 Sn 110 Sn 120 Sn 130 Sn 140 Sn 150 Select Protocols Validate Scan Mode Confirm Changes EN 24 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General CT workflow Exam/Recon improvements SIEMENS Healthineers New kernel available for iMAR • iMAR is now allowed till sharpness of 56 (equivalent to maximum we had in Somaris 7) Image Impre ... Recon Box Physio Recon Auto Tasking - - • Please note significantly increased computation time! (therefore, only available on X.platform) AST Window Kernel ADMIRE ADMIRE Strength iBHC iMAR iMAR Type On Br56 On Off On Pacemaker W Author | Department 25 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers syngo CT VA40 Improvements Job Aid myExam Companion improvements 26 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers New Selection Page in myExam Cockpit • The selection page in myExam Cockpit has SIEMENS .: Healthineers ... Scan 12 Sweet, Tanisha codOf504-ed53-4 04-ed53-4173-8806-e62ee6c76fb0 Exam Designer ? M * now the same structure as in protocol Back to Exam Designer myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees • Decision trees can be filtered by Types: Search Decision Trees: Enter name or description Filter By: Type all Show: > Factory Trees (45) Customer Trees (4) 1. All Select all Add folder Filter By: Type Spine (4) al 2. Scan mode dependent tree: the trees Vascular C-Spine disc or bone [factory] al um necessa ... T- and L-Spine disc or bone [factory] Vascular Cardiac Scan mode dependent tree n DE possibl Spine TwinSpiral DE possible [factory] that affect scan modes ssible [facto ... General Spine TwinSpiral metal DE possible [ ... General tree r bone [fact ... Templates Upper Extremities (0) Thorax contrast medium necessary [ ... 3. General tree: e.g. Recon trees and Memo Unsorted Decis ... Neck FoV [factory] - Copy Lung screening [factory] Pelvis (3) Neck FoV [factory] Thorax and Abdomen FoV [factory] Pelvis soft tissue or bone [factory] Lower Extremities (0) Neck contrast medium necessary [fa ... Thorax and Abdomen contrast medi ... Pelvis contrast medium necessary [f ... trees Neck VNC TwinBeam DE possible [fa ... Thorax and Abdomen VNC TwinBea ... Pelvis TwinSpiral DE possible [factory] • The Information area gives you the nformation The selected Decision Tree is used in following Exam Protocols: -Thorax [factory] (Adult) information to which scan protocols the selected trees are linked Reset Selection Delete Export for sewing Modify Tree Information The selected Decision Tree is used in following Exam Protocols: -Thorax [factory] (Adult) 27 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers New Selection Page in myExam Cockpit • Decision tree folders are available SIEMENS .. Healthineers Scan Recon Test 123456 Exam Designer CH ? M Ö Back to Exam Designer You can add new folders myExam Cockpit • 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Unsorted Decision Tree folder: Search Decision Trees: Enter name or description Filter By: Type all • Show: Factory Trees (45) Customer Trees (2) When this system is updated to syngo CT Select all 1. VA40, all customer trees from previous Add folder Head (3) Shoulder (0) Abdomen (5) Spine (4) version can be found in this folder. Brain contrast medium necessary [f ... Abdomen FoV [factory] Vascular C-Spine disc or bone [factory] Sinus sinusitis or soft tissue [factory] Thorax (8) Abdomen contrast medium necessa ... T- and L-Spine disc or bone [factory] Vascular Cardiac RTP Brain [factory] Abdomen VNC TwinBeam DE possibl Thorax multi [factory] Spine TwinSpiral DE possible [factory] Kidney TwinSpiral DE possible [facto ... Spine TwinSpiral metal DE possible [ ... 2. User needs to manually sort the trees General Neck (3) Thorax breathhold and X-CARE [fact ... Whole Body soft tissue or bone [fact ... Thorax FoV [factory] Templates into the anatomic regions or folder Neck FoV [factory] Upper Extremities (0) Thorax contrast medium necessary [ ... Neck contrast medium necessary [fa ... Lung screening [factory] Pelvis (3) Jnsorted Decis ... structure. Neck VNC TwinBeam DE possible [fa ... Thorax and Abdomen FoV [factory] Pelvis soft tissue or bone [factory] Lower Extremities (0) Thorax and Abdomen contrast medi ... Pelvis contrast medium necessary [f ... Thorax and Abdomen VNC TwinBea ... Pelvis TwinSpiral DE possible [factory] Information Reset Selection Delete Export for Viewing Modify Tree 28 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers New delay parameters • The below 3 delay parameters are now available to be configured and Scan Favorites General Scan Dose Timing Config - set by myExam Companion. Scan/Recon Pitch Rot. Time [s] Exam Time [s] Patient Instruction Post Instruction Delay [s] Absolute Start Delay [s] 1. Absolute Start Delay CTA Thorax 1.50 0.30 4.03 Inspiration 0 20.0 2. Post Bolus Delay : This parameter is only available when the range is coupled with 4 ml/ 4 ml/s -CH Bolus Tracking. It belongs to the diagnostic scan range now 1 L 3.35 Absolute Start Delay (20s) 4s 3. Post Instruction Delay (new in syngo CT VA40) 6 20 O 10 10 15 25 30 Info Text O Scan Mode CARE Dose4D & CARE KV eneral Scan Dose Timing Config Physio Scan Contrast - - CARE KV optimized for ot. Time [s] Exam Time [s] Patient Instruction Post Instruction Delay [s] Post Bolus Delay (BT) [s] Injector Coupling 0.30 3.91 Inspiration 10 20 Contrast Protocol Absolute Start Delay Post Bolus Delay (BT) 4 ml/s Post Instruction Delay 3 Post Instruction EI Delay 0.3s 5.85 + Add Parameter 3.9s 10 Post Bolus Delay (20s) 5.8 2 10 20 25 30 35 40 O 29 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers Dose Notification parameters • Dose Notification DLP and Dose Notification CTDIvol are Scan Strategies Decision Tree now available to be configured and set by myExam Companion Sinus sinusitis or soft tissue [factory] • Dose Notification values can be set for each scan strategies individually low dose standard dose + Add Strategy Info Level None None • Use case: set different Dose Notifications for screening and non-screening scan strategies Info Text Scan Mode RoutineSpiralAdultHeadSnXcare RoutineSpiralAdultHeadXcare E CARE Dose4D & CARE KV Full Full CARE KV optimized for Bone/Calcium Non-Contrast CARE KV IQ level 50 100 Dose Notification DLP 0.0 0.0 Dose Notification CTDIvol 0.00 0.00 + Add Parameter Decision Tree Filter RoutineHeadAdult 30 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers New tree: Info Template (memo tree) • A memo for the scan ranges can be configured via myExam Compass using the Info Template decision tree • The memo content should be entered in the Info Text • 2 different Info Levels can be selected for the memo 1. Info Level = Information 2. Info Level = Important Information The message will be displayed in the myExam Compass window The message will automatically appear before loading the range, an Accept icon needs to be clicked to proceed with the examination workflow 1 Info template 1 (Memo tree) 2 Info template 2 (Memo tree) O Check myExam Compass template 1 template 2 Activate Thorax scan Info Level Information Info Level Important Information Confirm GO Cancel Info Text Info Level "Information" is set for this memo Info Text Info Level "Important Information" is set for this memo myExam Compass myExam Compass Information Information Info Level "Information" is set for this memo Info Level "Important Information" is set for this memo Accept 31 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers New tree: Brain contrast medium necessary myExam Compass Questions Would you like to apply contrast medium? yes no Brain contrast medium necessary [factory] WO CM W CM Info Level None None Info Text Scan Mode RoutineSpiralAdultHead RoutineSpiralAdultHead Injector Coupling Off On Contrast Protocol Brain [factory] Absolute Start Delay 2.0 180.0 32 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers New tree: Lung screening myExam Compass Patient Characteristics Gender Female Questions examination? Is your focus on lung cancer screening with low dose or high resolution ung cancer screening high resolution Lung screening [factory] low dose wo X-CARE low dose w X-CARE high resolution wo X-CARE high resolution w X-CARE Info Level None None None None Info Text Scan Mode RoutineSpiralAdultThoraxSn RoutineSpiralAdultThoraxSnXcare RoutineSpiralAdultThorax RoutineSpiralAdultThoraxSnXcare CARE Dose4D & CARE KV Full Full Full Full CARE KV IQ level 15 15 100 100 Pitch 0.80 0.60 0.80 0.60 33 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers New tree: Thorax multi myExam Compass Patient Characteristics Gender Female Questions What is the breathhold capability of the patient? above 5 s below 5 s Would you like to apply contrast medium? yes no Thorax multi [factory] WO CM wo X-CARE Breathhold >5 s? above 5 s below 5 s Wo CM wo X-CARE wo CM fast acquisition wo X-CARE Contrast medium? - Contrast medium? yes no yes no W CM wo X-CARE Wo CM wo X-CARE w CM fast acquisition wo X-CARE wo CM fast acquisition wo X-CARE Gender Gender Male Female Other Male Female Other W CM wo X-CARE w CM w X-CARE w CM w X-CARE wo CM wo X-CARE WO CM w X-CARE WO CM w X-CARE 34 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers Workflow improvements and remark • When you build up new decision tree, you can freely switch between 2. Modify Decision Trees 3. Confirm Decision Trees Scan Strategies and Decision Tree tabs, a save in between is not required anymore Scan Strategies Decision Tree Brain contrast medium necessary [factory] Wo CM Y Contrast medium? yes no w CM WO CM • If you edit a tree which is already linked to a protocol, to see the SIEMENS 0 Exam Designer changes in the protocol you need to close the Exam Designer and open Healthineers Scan Recon O it again. Message will be displayed to inform the user when you Back to Exam Designer myExam Co confirm save decision trees. 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees v Save Name Save Changes X ? You need to close Exam Designer and reopen it for the changes to take effect in the linked protocols. OK 35 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers Strategy Review in protocol • It is possible in syngo CT VA40 to validate the selected SIEMEN Healthinee Strategy Review Test 123456 Exam Designer scan strategies directly in Scan Protocol in Exam Designer CH Back to Exam Scan Protocols 1. Switch on Strategy Review parameter. 1. Seled cols Off 3. Confirm Changes On General Scan Dose Timing Config Physio Scan Contrast 2. Select between scan strategies under Scan Strategies Recon Fave Les Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options parameter. Find/Replace Scan/Recon Scan Favorites × Scan/Recon Strategy Review Decision Trees Scan Strategies Scan Mode CARE KV DLP Absolute Start 3. Check the adapted scan parameters according to the optimized for [mGy*cm] Pitch Delay [s] Thorax [factory] (Adult) selected scan strategies. 1 Topogram Scanplanning TopoAdultSn 0.89 6.0 Thorax Thorax multi [factory] Morax multi [factory].wo CM wo X-CARE RoutineSpiralAdultThorax Non-Contrast 203 1.20 6.0 Thorax multi [factory] 2 wo CM wo X-CARE wo CM w X-CARE • This setting does not change the default strategy. With wo CM fast acquisition wo X-CARE w CM wo X-CARE confirm changes, the strategy is switched back to the w CM w X-CARE w CM fast acquisition wo X-CARE default Thorax On Thorax multi [factory] Thorax multi [factory].wo CM w X-CARE tineSpiralAdultThoraxXcare Non-Contrast 192 0.60 25.0 Thorax Thorax multi [factory] prax multi [factory].wo CM fast acquisition w. RoutineSpiralAdultThorax 3 On 204 1.50 6.0 Thorax On Thorax multi [factory] Thorax multi [factory].w CM wo X-CARE RoutineSpiralAdultThorax sue with C ... 203 1.20 25.0 Thorax On Thorax multi [factory] Thorax multi [factory].w CM w X-CARE RoutineSpiralAdultThoraxXcare Soft Tissue with C ... 192 0.60 25.0 Thorax On Thorax multi [factory] ax multi [factory].w CM fast acquisiti RoutineSpiralAdultThorax Soft Tissue with C ... 204 1.50 25.0 36 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers Table Test Run* • The Table Test Run is part of all decision trees on myExam Compass SIEMENS . Scan&GO after the topogram Healthineers Patient registered Questions Would you like to apply contrast medium? yes Th myExam Compass X • Additionally, a dedicated new decision tree Test Information Breathing Instruction Practice Run can be added to each scan range to show an Due to a high table speed a test run is recorrenended. Accept Instruction Language English Important information to the user to perform a Audio table test run Visuals An important information is displayed in myExam Patient Characteristics • Gender Compass on the console and Scan&GO Male L 3.35 Questions • The Test Run can be triggered via Scan&GO when O the user is close to the patient What is the breathhold Answer capability of the patient? Please Select Audio 1. The travel range is the scan range including Visuals pre- and post-run . Questions 2. For an auto-range, the maximum length Would you like to apply Answe Test Table Movement contrast medium? Please Select including all ranges with the maximum pre- Start Test Run and post-run is used. Information ... Due to a high table speed a test run is recommended. -757.0 Back GO 37 *: optional feature. If you are interested in this option, please contact your local SIEMENS Healthineers Effective Date: 16 Dec 2021 | HOOD05162003244314 sales representative to get more information on the feature and its requirements. Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers Table Test Run* • If a FAST 3D camera is connected, the Test Run can be also SIEMENS triggered from the FAST 3D camera step on the tablet. In Healthineers development this case the detected topogram range is used as Test Thorax [factory] (Adult) Head First - Prone Run range C Table Movement 5 Topogram Length [mm] • The button shall be always enabled on the FAST 3D 618 camera screen and can be performed as much as wanted Audio Control by the user Instruction Language Bengali Audio Visuals Test Table Movement Start Test Run Live Image is off -1299.0 Back GO 38 *: optional feature. If you are interested in this option, please contact your local SIEMENS Healthineers Effective Date: 16 Dec 2021 | HOOD05162003244314 sales representative to get more information on the feature and its requirements Unrestricted © Siemens Healthineers, 2021 myExam Companion improvements SIEMENS Healthineers Teamplay • Since syngo CT VA40, teamplay will display Clinical Decision Trees and Contrast protocols 39 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers Test 123456 SOMATOM X.cite *8/8/1988, M, 32Y CURRENT 5/23/2021 9:30 PM syngo CT VA40 Improvements STUDY 5/23/2021 Patient Protocol [501] Ward: Physician: Operator: Job Aid 501 IMA 1 Total mAs: 5655 Total DLP: 449 Scan IQ Level kV eff. CTDIvol* DLP SSDE Dw MAS mGy mGycm mGy cm Patient Position FFS Topogram 101 Sn100 55 m 0.02 L CARE Dose4D & CARE 1 Thorax 201 80 90 61 4.13L 104 10.0 11.5 Kidney Stones 301 L 80 54 301 H 145 Sn150 97 6.87 L 139 17.3 139 17.3 10.6 Premonitoring 401 25 kV improvements 100 9 0.52 L 1 1.23 12.5 Contrast Monitoring 504 25 100 9 2.07 L 12.5 CTA Brain 601 105 2 4.92 70 196 10.1 S 10.4 13.6 i-Spiral Thorax 701 70 132 84 2.46 L 61 5.98 11.5 i-Sequence Thorax 801 1 20 36 2.41 L 5.64 12.5 lodine Medium Type Conc. Volume Flow CM Ratio mg/ml ml ml/s Zoom 1.89 Contrast 300 80 4.0 100 % 512*512 Saline 0 40 4.0 0 % 50 CT_SOM PROT 200 nE L = 32cm; S = 16cm 40 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers CARE kV IQ level • Because of the increased bore size (geometry difference), scanners HD Dose syngo CT VA40 X.cite with bigger bore size require higher mA values than the ones with Scan/Recon smaller bore size for the same CTDI and the same image quality Scan/Recon CARE Dose4D CARE KV CARE KV CARE KV Quality & CARE KV IQ level optimized for Grouping KV ref. mAs When transfer protocols between systems with geometry difference: Brain [factory] (Adult) • Topogram Sn 140 Brain Off 120 1. In syngo CT VA30: Automatic adaptation of Q. ref. mAs @ 120 kV Thorax [factory] (Adult) to compensate for geometry differences, UI displays adapted mAs Topogram Sn 100 values only (i.e. different mAs values on different scanners) Thorax Full 80 Non-Contrast Off 120 72 Abdomen [factory] (Ad ... 2. In syngo CT VA40: UI displays the new geometry independent value Topogram Sn 100 Abdomen Full 145 Non-Contrast Off CARE kV IQ level. The same numeric value and comparable dose / 120 131 image quality are applied on all scanners syngo CT VA40 Abdomen [factory] Scanner CARE/FAST kV Quality ref.mAs IQ level X.cite 145 131 41 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers CARE kV IQ level • syngo CT VA40 shows different value in CARE kV IQ level and Quality • syngo CT VA30 shows same value in CARE kV Quality ref. mAs @120kV ref. mAs and Quality ref. mAs Scan/Recon Dose Scan/Recon CH Dose Scan/Recon CARE Dose4D CARE KV CARE KV CARE KV Quality CARE Dose4D CARE CARE KV CARE KV Quality Quality Eff. & CARE KV IQ level optimized for Grouping KV ref. mAS Eff. mAS mA Scan/Recon & CARE KV kV Gr ... optimized for ref. mAs @120 kV KV ref. mAs mAS mA Brain [factory] (Adult) in [factory] (Adult) Topogram Sn 140 55 Topogram Sn 140 55 Brain Off 120 310 Brain Off 120 310 Thorax [factory] (Adult) Thorax [factory] (Adult) Topogram Sn 100 55 Topogram Sn 100 55 Thorax Full 80 Non-Contrast Off 120 72 72 Thorax Full Off Soft Tissue wi .. 70 120 70 Abdomen [factory] (Ad ... Abdomen [factory] (Adult) Sn 100 Topogram Sn 100 55 Topogram 55 Abdomen Full Off Soft Tissue wi .. 129 120 129 Abdomen Full 145 Non-Contrast Off 120 131 131 L-Spine [factory] (Adult) L-Spine [factory] (Adult) Topogram Sn 140 55 Topogram Sn 140 55 L-Spine Full Off Non-Contrast 257 120 257 L-Spine Full 285 Non-Contrast Off 120 257 257 Coronary CTA [factory] ( ... Coronary CTA [factory] ( ... Topogram Sn 100 55 Topogram Sn 100 55 Calcium Scoring Full Off Bone/Calcium 17 120 17 Calcium Scoring Full 19 Auto (Bone/C ... Off 120 17 17 Premonitoring Manual kV Soft Tissue wi. 23 100 31 Premonitoring Manual KV 25 Soft Tissue wi ... 100 30 30 Monitoring Manual kV Soft Tissue wi. 23 100 31 Monitoring Manual KV 25 Soft Tissue wi ... 100 30 30 CTA Coronary Full Off Vascular 58 100 62 CTA Coronary Full 64 Auto (Vascular) Off 100 62 62 42 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers CARE kV optimized for: Auto-Mode • Use information from contrast injection timeline and Basic Scan Mode (BSM) to automatically select appropriate CARE kV optimized for Scan Favorites General Scan Dose Timing Config CH Physio Scan - - CARE KV CARE KV setting Scan/Recon CARE Dose4D & CARE KV CARE KV IQ level optimized for Grouping KV Eff. mAS CTDIvol [mGy] SSDE [mG CTA Abdomen Full 15 Auto (Vascular) Off 100 15 (32 cm) 0.81 (10.9 cm) Auto (Vascular) • Contrast flag positive Non-Contrast Bone/Calcium Vascular BSM → Vascular Soft Tissue with Contrast Vascular Else → Soft Tissue with contrast 4 mlis 4 ml/s -CH • Contrast flag negative 3.3s 0.3s 0.9s L 4.5s Extremity / Shoulder / Cardio / Sn except Thorax -> Bone 16 17.9 10 10 20 25 O Else -> Non-Contrast • In the brackets after Auto, the current system selection is always displayed 43 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) Why SSDE? IEC Webstore International Electrotechnical Commission Since CTDI is measured using 16cm and 32cm phantom for head and body HOME SIGN IN HELP CARTO region. It is not adapted to the patient size IEC 62985:2019 CTDI is rather a quantity to measure the scanner output, but does not show Methods for calculating size specific dose estimates (SSDE) for computed tomography the dose the patient is receiving TC 62/SC 62B | Additional information Systematic Errors of CTDIvol and DLP Abstract PREVIEW IEC 62985:2019 applies to - CT SCANNERS that are able to display and report CTDIVOL in accordance with • Systematic underestimation caused by limited integration length IEC 60601-2-44, and - RADIATION dose index monitoring software (RDIMS) for the purpose of calculating, displaying and recording the SIZE SPECIFIC DOSE • Systematic overestimation of local dose in short scan ranges ESTIMATE (SSDE) and its associated components. Specifically, this document provides standardized methods and requirements for calculating, displaying, or recording of SSDE, SSDE(z), WATER EQUIVALENT • Systemtic over-/underestimation depending on patient size DIAMETER (Dw), and Dw(z), where z represents a specific longitudinal position of the scanned object. This document provides a method of determining a reference WATER EQUIVALENT DIAMETER, DW,REF(z), using CT scans of two cylindrical water PHANTOMS and one or more anthropomorphic PHANTOM(S), which conform to the specifications defined in this document. The method of calculating the WATER EQUIVALENT DIAMETER that is implemented by the MANUFACTURER, Dw,IMP(Z), is tested and validated against Dw,REF(z) using the TEST OBJECTS and methods defined within this document. This document also describes the methods for calculating SSDE and Dw, which represent the average values of SSDE(z) and Dw(z) over the RECONSTRUCTION LENGTH. 44 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) SSDE now defined in IEC 62985 (published 09/2019) will become mandatory for display and report • The SIZE SPECIFIC DOSE ESTIMATE (SSDE) is an estimate of the average ABSORBED DOSE to the scan volume that takes into account the ATTENUATION of the anatomy being scanned (using the WATER EQUIVALENT DIAMETER DW) and the RADIATION OUTPUT of the CT SCANNER (using CTDIVOL). • SSDE is intended to provide a dose estimate for PATIENTs of all sizes. SSDE, which is given in units of mGy, is especially important for small pediatric PATIENTS since the corresponding applied level of RADIATION (CTDIVOL, also given in units of mGy) does not adequately indicate the absorbed RADIATION DOSE. • SSDE is calculated using a SSDE CONVERSION FACTOR AT LONGITUDINAL POSITION Z (ƒ) and the CTDIVOL AT LONGITUDINAL POSITION Z, CTDIVOL(z), where ƒ is a function of the WATER EQUIVALENT DIAMETER AT LONGITUDINAL POSITION Z, DW(z), and the size of the CTDI PHANTOM used to report CTDIVOL. ƒ is given in normative Annex A. • Absorbed radiation dose is a dose quantity which is the measure of the energy deposited in matter by ionizing radiation per unit mass [ 1 Gy = 1 J/kg]. 45 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) Definition: 𝐒𝐒𝐃𝐄 𝐳 = 𝐟 𝐃𝐖 𝐳 ( ) 𝐂𝐓𝐃𝐈𝐯𝐨𝐥 𝐳 ⋅ 3 32 cm CTDI phantom 16 cm CTDI phantom • With 𝑓 𝐷𝑊(𝑧) = 𝑎 ∙ 𝑒 ( ) (−𝑏∙𝐷𝑊 𝑧 ) factors a and b are provided by IEC , 𝐷𝑊 = Water equivalent diameter f (D ) • 1 IEC defined image based gold standard O 𝐷𝑊,𝑅𝐸𝐹 = 2 ∙ σ𝑥,𝑦 𝐴𝑝𝑖𝑥𝑒𝑙 (- ) - 𝐶𝑇(𝑥,𝑦,𝑧) 20 + 1 40 O ∙ 1000 Dw [cm] 𝜋 • Vendor-specific implementation 𝐷𝑊,𝐼𝑀𝑃 1. Pre scan: topogram based 2. Post scan: RTD based patient positioning correction 3. Required consistency with gold standard ±10% DW,REF 46 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) Dw correction steps Other impacts of a correct Dw calculation • Fan beam geometry of topogram acquisition • Extrapolation if topogram does not cover entire scan length • CT Table subtraction • Table tops, positioning devices are used • Post scan patient position update • Head holder correction depends on organ characteristic (wrong if head scan on table) • Different kV value or Sn filter for the topo scans, iBHC for head scans 47 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) • Dose Overview tab card shows pre- and post- scan dose value of all the dose parameters • After scan, the patient position will be detected and used to correct the dose calculation, that is why the post values can be different from the pre values 5 13 Test Exam Designer ? M Scan Recon CH * 8/8/1988 (32) M 123456 Dose Overview Job View Range Scan CTDIVol SSDE DW DLP Diameter Pre Post Notify at Pre Post Pre Post Pre Post Notify at [cm] [mGy] [mGy] [mGy] [mGy] [mGy] [cm] cm] [mGy*cm] [mGy*cm] [mGy*cm] Topogram 100 32 0.02 0.02 0.00 0.89 0.89 0.0 Thorax 200 32 2.38 4.13 0.00 5.79 10.0 11.5 11.5 70.4 104 0.0 Kidney Stones 300 32 4.33 6.87 0.00 10.9 17.3 10.6 10.6 106 139 0.0 Premonitoring 400 32 0.30 0.52 0.00 0.70 1.23 12.5 12.5 0.30 0.52 0.0 Monitoring 500 32 9.01 2.07 0.00 21.1 4.92 12.5 12.5 9.01 2.07 0.0 CTA Brain 600 16 8.24 10.1 0.00 8.47 10.4 13.6 13.6 127 132 0.0 i-Spiral Thorax 700 32 1.09 2.46 0.00 2.66 5.98 11.5 11.5 32.4 61.0 0.0 i-Sequence Thorax 801 32 2.41 2.41 0.00 5.64 5.64 12.5 12.5 9.24 9.24 0.0 i-Sequence Thorax 900 32 2.41 0.00 5.64 12.5 9.24 0.0 Accumulated (Study) 21.12 461.0 Dose Alert Threshold 1,000.00 0.0 48 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CARE Dose4D & CARE kV improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) SSDE value displayed in examination card SSDE value (post) displayed in Patient Protocol SIEMENS, Healthineers f R scan Recon Test Exam Designer CHI * 08/08/1988 (32) F 123456 Thorax CTA [factory] ( ... Test H 123456 SOMATOM X.cite *08/08/1 988, F, 32Y syngo CT VA40A Recon Test mAs 123456 SOMATOM X.cite| 05/25/2021- - - HFS Topogram *8/8/1988, M, 32Y 10:24:37.36 PM Premonito CURRENT 5/23/2021 9:30 PM 1 IMA 1 Premonitoring P2-1.099 9 TOP 101 LEN 2749 TP -750.0 STUDY 5/23/2021 Monitoring Patient Protocol [501] Ward: Monitoring Physician: Preconditions Operator: CTA Thorax 501 IMA 1 CTDIvol (32 cm) 1.14 mGy Total mAs: 5655 Total DLP: 449 SSDE (11.5 cm) 2.77 mGy CTA Thora Scan IQ Level kV eff. CTDIvol' DLP SSDE 35.2 may cm MAS Dw DLP mGy mGycm mGy cm Eff. mAS 22 KV 100 auto Exposure Time Patient Position FFS 1.78 s MA 55 Topogram 101 Sn100 Check image quality 55 mA 0.02 L Thorax 201 80 90 61 4.13 L 104 10.0 11.5 Reconstruction 512.0 0/0 Simulator Filter Sn 3.50 Kidney Stones 301 L 80 54 Close 301 H 145 Sn150 97 25 6.87 L 39 10.6 Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Premonitoring 401 100 9 0.52 L 17.3 1.23 125 Contrast Scan/Recon CARE Dose4D & CARE KV CARE KV IQ CARE KV CARE KV may1 SSDE [mGy] DLP [mGy*cm] Dose Notification level optimized for KV G ... CTDIvol [mGy] Dose DLP Monitoring 504 25 100 2.07 L 4.92 12.5 CTA Brain 601 105 70 10.1 S CTA Thorax Full 70 Auto (Vascular) Off 100 22 (32 cm) 1.14 11.5 cm) 2.77 35.2 0.00 i-Spiral Thorax 701 70 195 84 32 10.4 13.6 i-Sequence Thorax 801 2.46 L 5.98 11.5 120 35 2.41 L 5.64 12.5 lodine Activate Premonitoring scan Medium Type Conc. Volume Flow CM Ratio 4 ml/'s 4 ml/s mg.ml ml ml/s -CH Confirm GO Cancel Contrast Zoom 1.89 300 100 % 512*512 Activate | Saline O 80 40 4.0 4.0 0 % 50 3.3 0.3s 1. Is 3.9s Go to Setting CT_SOM PROT C 200 16 10 18.1 10 O 10 20 25 30 *: L = 32cm; S = 16cm 49 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers SIEMENS . X Healthineers ... O PEP_CTAThoAbd_Xcite202 * 3/10/2021 F PEP_CTAThoAbd_Xcite ... ? syngo CT VA40 Improvements CT View&GO Series PEP_CTAThoAbd_Xcite 202 PEP_CTAThoAbd_Xcite 202 T View&GO PEP_CTAThoAbd_Xcite 202 SOMATOM X cite PEP_CTAThoAbd_Xcite 202 SOMATOM X.cite Stack 3x2 Stack 3x3 Stack 1x1 *3/10/2021, F, 9M syngo CT VA30A *3/10/2021, F, 9M syngo CT VA30A Add Study Senchive Job Aid CURRENT CURRENT 10/11/2019 10/11/2019 .2 [7] 1, 2 Stack 4x4 Follow Up MPR VRT Current 2TP 7 IMA ~269 7 IMAn.a. FRM n.a. 8:20:05.89 PM 8:20:05.89 PM CT, 10/11/2019 SP H1766.0 SP A175.0 Unknown study description Stack 2x2 MPR MIP MPR Favorite Tools Compare Head MPR VRT MPR SL SL 10cm Tool Gallery VRT Range[3] [1030] CT View&GO [1030] Region Anatomy Punch Clip Box Clip Plane Spine/Rib Neuro DSA A *** Growing Visualizer Label KV 80 700 +C 80 Series Folate Remove Edit Bones Bone Table Removal improvements Results CT View&GO [1018] [1018] Favorite Tools X Print & Export PEP_CTAThoAbd_Xcite202 CASOS SOMATOM X.cite ROI Auto Distance PEP_CTAThoAbd_Xcite 202 CH *3/10/2021, F, 9M Snapshot Print Series mage Syngo CT VA30A CURRENT 10/11/2019 MPR cor 2mm Range Printing [7] Postprocessing [1001] [1001] Ranges Snapshot 7 IMAn.a. FRM n.a. 3D 3D 8:20:05.89 PM SP R2.0 Show in Endosco ... Osteo Define Trauma Sim&GO O 3D View Vessels Tools Show in Print Export 30 image Image R Manip VRT Flip Rapine SL 10cm SL full Label L A KY 80 KV 80 8 8 50 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Flipping Images (Horizontal/Vertical) • You can optimize the image presentation by flipping the SIEMENS PEP_CTAThoAbd_Xcite202 x displayed images horizontally or vertically Healthineers ... * 3/10/2021 F PEP_CTAThoAbd_Xcite ... CT View&GO X -............................................................................................... Zoom/Pan A CT View&GO 1. In a segment, choose Flip Horizontal from the top left LLL O. Windowing CURRENT Stack 3x2 Stack 3x3 Stack 1x1 10/11/2019 R Rotate 8:20:05.89 PM corner menu to flip the images left or right 1001 IMA 0 SP H1766.0 Scroll Stack 4x4 Follow Up MPR VRT ----- 2TP Il Movi 2. Or choose Flip Vertical from the top left corner menu Stack 2x2 MPR MIP MPR 3D Reference Point Favorite Tools Compare Range R R to flip the images up or down SL Head 1.0 Save as Series 10cm • To reverse the flip, execute the same function a second Fit to Segment R Flip Vertical H time R : A Flip Horizontal between Images: 20 mm 1474 Slice Thickness: 2.0 mm 379 Series ---- Flip Vertical II • The Flipping tool is also available in the Tool Gallery Tool Gallery Image Visualization R ----- Fit to Fit to Acq. Segment Hide Hide Lines Custom Lock Ref. BD Re Flip Show Size Graphics Text Lines Point Vertical /essel 51 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Spine/Rib Labeling tool • You can use Spine/Rib Labeling SIEMENS PEP_CTAThoAbd_Xcite202 X Healthineers .. O * 3/10/2021 F PEP_CTAThoAbd_Xcite ... ? tool out side of Ranges layout CT View&GO X Series X now CT View&GO ......... EF CURRENT CURRENT Stack 3x2 Stack 3x3 Stack 1x1 T3 Add Study Send and 10/11/2019 10/11/2019 Archive 8:20:05.89 PM 8:20:05.89 PM 1. Start Spine/Rib Labeling 7 IMA n.a. FRM n.a. 7 IMA n.a. FRM n. a. Stack 4x4 Follow Up MPR VRT SP R1.7 SP A175.0 Current L4 CT, 10/11/2019 Unknown study description Stack 2x2 MPR MIP R4 MPR Favorite Tools 2. Start Rib Algorithm Compare R5 L5 Head TB R6 L6 Range[3] [1030] (10301 Rib Auto-Labeling calculation ... AF X L7 Series Results CT View&GO ? Auto rib labeling calculation may take some A [1018] [1018] L8 time. You may continue working while it Favorite Tools X MPR runs. Hit ok to continue. O. SL 0.7 T11 0.7 Distance ROI Circle Parallel Line Ranges 3D Printing T12 R9 Lg 10cm MPR cor 2mm Range [1001] [1001] Radial OK Snapshot Show in Cancel Ranges 3D Print Export justor 1 Li Image Image R10 Flip Vertic Spir Spine/Rib Label 12 A 700 abels atie anatomy 2 Caution: Automatic anatomy abels not confirmed. 80 + 8:43 PM 52 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Layout configuration • Layout management is included in CT View&GO in syngo SIEMENS .. O PEP_CTAThoAbd Xcite202 × Healthineers 3/10/2021 F PEP_CTAThoAbd_Xcite ... CT VA40 CT View&GO Series X CT View&GO CURRENT CURRENT Stack 3x2 Stack 3x3 Stack 1x1 10/11/2019 10/11/2019 Add Study Sarchive 8:20:05.89 PM 8:20:05.89 PM 7 IMA ~269 7 IMAn.a. FRM n. SP H1766.0 SP A175.0 • It is possible to define new layouts, to save the viewing 1 2 Stack 4x4 Follow Up MPR VRT Current CT, 10/11/2019 properties of the layout including: reformatting type, Unknown study description Stack 2x2 MPR MIP MPR Compare Layout Gallery x Favorite Tools thickness, view orientation and ColorLUT preset 1 Layout operations 2 Head MPR VRI MPR SL 0.7 Save Save layout layout as LosOLI TEloGuey 128 1. Here you can open Layout Gallery Public Layouts A W 700 80 Series MPR VRT Stack 3x2 Stack 2x2 Stack 1x1 Stack 2x1 Stack 3x3 Stack 4x3 Stack 4x4 Stack 5x5 Stripe 3x2 Stripe 4x3 costomiz ... ET View&GO 18] (1018] Favorite Tools X 2. Use one of the 3D layouts listed below to create or Stripe 5x4 Follow Up Follow Up Follow Up MPR VRT MPR MIP MPR Head Runoff Spine Lung CURRENT 2TP 2TP 4×2 2TP 4×3 Compare Distance ROI Circle Parallel 10/11/2019 save your own layout: HHH Line Ranges 8:20:05.89 PM 3D 7 IMAn.a. FRM n.a. Vessel MPR cor 2mm Range Printing Snapshot Show in O SP R2.0 [1001] [1001) Radial Ranges 3D Siemens Layouts Print Export Custom MPR VRT Image Image Text Stack 3x2 Stack 2x2 Stack 1x1 Stack 2x1 Stack 3x3 Stack 4x3 Stack 4x4 Stack 5x5 Stripe 3x2 Stripe 4x3 Stripe 5x4 R MPR MPR MIP Flip Spine Vertical Spine/Rib 2.7 Ranges Label Follow Up Follow Up Follow Up | MPR VRT MPR MIP MPR Head Spine Lung 2TP 2TP 4x2 2TP 4x3 Compare MPR Compare IL A Head W 700 W 700 80 80 Runoff 8:55 PM Spine Lung 53 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Layout Synch / Synch Config tools X • Synchronization functions allow you to group different SIEMENS ... Healthineers Test - 8/8/1988 M 123456 ? @ segments and operate them in a synchronized way with CT View&GO X Series Test Test Test CT View&GO CURRENT BOMITON X. cite Test syngo CT VA4CA CURRENT BOMATOM X CURRENT SOMATOM X.cite CURRENT BOMATOM X.cite defined viewing properties 5/18/2021 5/18/2021 5/18/2021 syngo CT VA40A 5/18/2021 SynDO CT VA40A Stack 3x2 Stack 4x4 Follow Up Thorax 2.00 Br40 A3 ax [21] Thorax 2 00 Hr4DA3 ax [21] Thorax 2 00 Br40 A3 ax [23] 2TP 1,4 2. 4 Thorax 2.00 Br40 A3 ax [23] Add Study Sera 21 IMAn.a. FRM n a 21 IMAna. FRMna 23 IMAn.a. FRM n.a. 23 IMAn.a. FRMma 2 10:04:51.75 PM 10:04 5175PM 10:04:51.75 PM 10:04:51.75 PM SP A105.D SPLI.2 SP A105 D MAR VRT MPR MIP SP L1.2 MPR Current R CT. 5/15/2021 MPR 5 5 5cm Thorax [factory](Adult) • Synchronization functions work only within 3D layouts SL Favorite Tools SPO 0.5 KV 90 KV 90 1727 498 1. Click Synch icon, use Ctrl key to multiselect the segments. BOMK 2,3 123456 SOMATOM X cite Test "8/8/1 988, M, 32Y syngo CT VA40A 123456 BOMATOM X.cite 8/8/1988, M, 32Y syngo CT MA40A Series RRENT 5/18/2021 8/2021 Thorax 2.00 Br40 A3 ax [21] orax 2.00 Br40 A3 ax [23] Favorite Tools X 21 IMA-69 IMA -69 10:04:51.75 PM :04:51.75 PM 2. Click Synch Config to open the Synchronizations SP F978.6 SP F979.1 ROI AUTO Contour Distance Line Printing dialog. Thorax 5:00 Ar40 A3 Parallel Radial Snapshot Ranges Ranges 3D Show lis Print Export SL Irrsage Image 3. Select the viewing properties you would like to Full Text Vertical Spine Ranges synchronize. F **** KV 90 3303 1727 659 KV 90 496 4. Click OK or Apply. Tool Gallery 3 Synchronizations 5. The group numbers will be displayed in the image Basic Interactions segment. 1 2 Display Type Navigation LUT Slice Thickness Zoom Zoom/Pan Scroll Rotate Movie Visual Windowing Synch Synch Home Alignimer Config 4 Position OK Apply Cancel 54 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Defining automatic ROI contours • ROI Auto Contour replaces the ROI Polygon SIEMENS Healthineers * O PEP_CTAThoAbd_Xcite202 X * 3/10/2021 F PEP_CTAThoAbd_Xcite ... ? @ from syngo CT VA30 CT View&GO X A Distance Line A Series 1 6 X PEP_CTA CT View&GO PEP_CTATh ROL Circle PEP ROI Properties ? X Stack 3x2 Stack 3x3 Stack 1x1 *3/10/2021, F, > .. .40A FFS Add Study Send and CURRENT ROI Circle Archive • The ROI Auto Contour tool allows you to define 10/11/2019 MPR cor 2mm Ra ROI Freehand esull Display the following evaluations: Stack 4x4 Follow Up MPR VRT Current contours automatically with an edge detection 2TP 8:20:05.89 PM ROI Auto Contour :20:0 MPR 400 Min/Max CT, 10/11/2019 1001 IMA O Unknown study description algorithm Mean/SD Stack 2x2 MPR MIP MPR SP H1805.0 SP H1766.0 Favorite Tools Compare R R Text T Area (cm2) 2D SL 1.0 Head MPR VRT 10cm Sum costomiz .. Number of Pixels 1. The tool behavior can be activated in the 2 nhancements: VRT Range[3] [1030] [1030] F +C ROI Properties window KV 80 F KV istence between Images: 20 mm Slice Thickness: 20 mm Automatic Contour in Polygonal ROI Series M 786x512 80 -500 1 512 HU OK Cancel Results CI 2. If you deactivate the automatic contour Favorite Tools X A PEP_CTAThoAbd_Xcite202 drawing, you can draw polygonal ROIs PEP_CTAThoAbd_Xcite 202 SOMATOM X.cite ROI Auto Distance *3/10/2021, F, 9M Contour Line CURRENT Printing instead ROI Circle STUDY 10/11/2019 MPR cor 2mm Range [1001] [10. VRT Range[3] [1030] ROI Freehand ROI Auto Contour 1030 IMA O Image Image Please drag data from Series Navigator. Please drag data from Series Navigator. Text Spine 10cm te Blocks in mages 10.0 . AC 400 98 786 + 9:49 PM St 55 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Interactive image text (Slice thickness, spacing, filter type) • With interactive image text you can easily adapt H values. Interactive image text is displayed as blue- PEP_CTAThoAbd Xcite 202 green image text. PEP_CTAThoAbd Xcite202 SOMATOM X.cite *3/10/2021.F.9M syngo CT VA30A CURRENT 10/11/2019 • You can interact with interactive image text in different ways: PEP CTAThoAbd Xcite202 SOM 8:20:05.89 PM PEP CTAThoAbd_Xcite202 *3/10/2021, F. 9M sync SP A161.3 1. Click to switch between predefined values (e.g. CURRENT 2D -> MPR -> MIP -> VRT). 10/11/2019 R 1 [7] MIP 2 2. Drag to increase or decrease the value. 8:20:05.89 PM SL 12.5 SP A161.3 SPC 1.5 10cm 3. Double-click to enter values with the keyboard. R 3 A VRT SL 33.0 KV 80 700 +C 80 A KV 80 56 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Printing: Top access bar rearrangement 1. Icon and Name change: Drag & Drop icon is replaced by Rearrange Images icon in syngo CT VA40. Function and Printing syngo CT VA30 behavior is same as before. 1 2 T Combine Text and Arrow” into one position. Select the 7 2. function by dropdown list. Zoom/Pan Drag & Text Arrow Drop 3. Add Keep Every N-th Image to Top access bar. Printing syngo CT VA40 3 T Zoom/Pan | Rearrange Text Keep Images Every N -.. 5/9 images on last T Text Arrow 57 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Printing: 2 new indicators 1. A green dot will be displayed on the Printing SIEMENS .. X card, indicating that there are images in film Healthineers .. O PEP_CTAThoAbd_Xcite202 3/10/2021 F PEP_CTAThoAbd_Xcite ... ? CT View&GO X Printing Series X sheet for printing. After user clicks Print, PEP_CTAThoAbd_Xcite 202 CT View&GO PEP_CTAThoAbd_Xcite 202 T 2 Printer PRINTER Copies 1 SOMATOM X.cite Stack 3x2 Stack 3x3 Stack 1x1 +3/10/2021, F, 9M this indicator will disappear. CURRENT Zoom/Pan Rearrange Ever Inch 8x10 Archive 10/11/2019 Paper Size Print syngo CT VA30A Text Layout Add Study Send and Images Number of Print-o ... 0 Save Gallery mage [7] Stack 4x4 Follow Up MPR VRT 6/9 images on last page Invert Background 1, 2 Current 2TP 7. IMA ~269 8:20:05.89 PM CT. 10/11/2019 SP H1766.0 2. New info display above the sheet preview: Unknown study description Stack 2x2 MPR MIP MPR Favorite Tools Compare -R N/M images on the last page. Meaning 6 Head MPR VRT MPR costomiz .. 0.7 SPC images are left in the last page with a VRT Range[3] [1030] [1030] 9- segment layout. A KV 80 F F F 700 Series aution: Al esults CT View&GO 1 [1018] [1018] ite Tools X PEP_CTAThoAbd_Xcite 202 SOMATOM X.cite PEP_CTAThoAbd_Xcite 202 ROI Auto Distance *3/10/2021, F, 9M Syngo CT VA30A Contour Line CURRENT Printing 10/11/2019 11001] [1001) [7] Paralle Ranges Ranges Snapshot 7 IMAn.a. FRM n.a. 3D 8:20:05.89 PM F O SP R2.0 Show in Export +] 3D Image Image Full Text Flip Spine MPR Vertica pine SL 0.7 0.7 10cm Label A KV 80 +C Caution: Au IF F + abels not 58 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Printing: Invert Background • All image background will be inverted after Printing X Printing user activates the Invert Background T Printer PRINTER Copies Printer E PRINTER Copies 1 4 Zoom/Pan Rearrange Text Keep Print Paper Size Inch 8x10 Number of Print-o ... 0 Save mage Zoom/Pan Rearrange Keep Images Every N -... Layout Print checkbox Images Paper Size Inch 8x10 Number of Print-o ... 0 Gallery Image 9/9 images on last page Invert Background 9/9 images on last page Invert Background PEP_CTAThoAb Xcit ... PEP_CTATheAbd Xcit ... PEP CTATHA XOdie PER CTAThaAd XeYA2 STUDY 10/11/2012 STUDY 10/11/2013 STUDY 16/11/2019 ............................................................ EI 59 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Printing: Print image order changes Approach via UI Approach via Shortcut Print Result "Print Image/Stack" Via CT View&GO → Tools Gallery "E/A" keyboard shortcut from CT View&GO segment Print Stack Same to stack image order "Print Series" Via CT View&GO → Series Navigator Export Series n.a. Print Series Merge Drag & Drop by mouse operation Via CT View&GO → Series Navigator n.a. "Print" button Via Patient Browser [Ctr] + [P] keyboard shortcut from Patient Browser Same to recon image order Print "View as Read-Only with → Print" Via Patient Browser n.a. “Auto Printing” Auto Printing Via CT scanner Recon Parameter n.a. → Auto Tasking On 60 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 CT View&GO improvements SIEMENS Healthineers Printing: Print Floating Window via Patient Browser • Since syngo CT VA40, via Patient Browser, SIEMENS . Healthineers O Print will be opened as a floating window. It Patient Browser is NOT a Print workflow tab any more PEP_CTAThoAbd_Xcite202 ? X Local Data T Printer PRINTER Copies 1 - Below functions are removed from print Zoom/Pan Rearrange Text Print View&G Print Open Open with DICOM Import Expor • Keep Layout Printing Images Every N -. Inch 8x10 Gallery Properties Q/R Paper Size Number of Print-outs: floating window open via Patient Browser: Results (2 results, 9:25:59 PM) 1/9 images on last page Invert Background Patient Modality Stud PEP CTAThoAbd Xcite *3/10/2021, F 1. Save Image/ Save Sheet icon PEP_CTAThoAbd_ Xcite202 CT, SEG 10/1 W&GO VRT Range[3] Segmentations CT View&GO PEP Monitoring_Xcite 2. Auto-Save Printed Sheets in Printing *3/10/2021, F PEP_Monitoring_Xcite202 Properties • These functions are still available in print floating window when it is opened via CT View&GO 4 269 Search successfully completed 61 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers SIEMENS Test Healthineers Scan Recon Exam Designer 123456 syngo CT VA40 Improvements X Back to Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Job Aid Search Protocols: Enter protocol name or description. Filter by: Patient Type all Contrast Protocol all Protocol Type all Show: Factory Protocols (144) Customer Protocols (0) Decision Tree all Technique all Adult Child Head (9) Thorax (7) Head (5) Abdomen (3) Exam Designer Brain [factory] Thorax [factory] Brain [factory] Abdomen [factory] Brain Multi Phase [factory] Thorax Dynamic [factory] Brain Multi Phase [factory] Abdomen Multi Phase [factory] + Add folder + Add folder Brain DE Hemorrhage Post Int ... Thorax and Abdomen [factory] Inner Ear [factory] Whole Body [factory] Brain Perfusion [factory] Thorax and Abdomen DE Virt ... Sinus [factory] improvements Trauma Traum Brain Perfusion Prolonged [fa ... Thorax and Abdomen Multi P ... Orbit [factory] Pelvis (2) Inner Ear [factory] Lung Screening [factory] Pelvis [factory] RTP RTP Sinus [factory] Lung Low Dose [factory] Neck (1) Orbit [factory] Hip [factory] Neck [factory] specials Specials Dental [factory] Abdomen(7) Spine (2) Abdomen [factory] Intervention Baby Neck (2) Shoulder (1) C-Spine [factory] Abdomen Multi Phase [factory] Neck [factory] Shoulder [factory] Abdomen DE Virtual Non Con ... T- or L-Spine [factory] New Folder Intervention Neck DE Virtual Non Contrast ... Liver Perfusion [factory] Kidney DE Stones [factory] Thorax (2) Shoulder (1) Colon Low Dose [factory] Thorax [factory] Shoulder [factory] Whole Body [factory] Thorax and Abdomen [factory] Reset Selection Hide Delete Export Import Modify Protocols 62 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 Exam Designer improvements SIEMENS Healthineers Selection page - Filter area SIEMENS . • New filter area on selection page to support finding Healthineers Scan Recon Test ? HO 123456 Exam Designer protocols X Back to Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes • All available filter options based on licenses: Search Protocols: Enter protocol name or description. Filter by Patient Type all Contrast Protocol all Protocol Type all Show: Factory Protocols (144) Customer Protocols (0) Decision Tree all Technique all 1. Patient type (all/Adult/Child) Adult Child Head (9) Thorax (7) Head (5) Abdomen (3) Brain [factory] Thorax [factory] Brain [factory] Abdomen [factory] 2. Decision Tree (all/Not linked/Linked with) Brain Multi Phase [factory] Thorax Dynamic [factory] Brain Multi Phase [factory] Abdomen Multi Phase [factory] + Add folder + Add folder Brain DE Hemorrhage Post Int ... Thorax and Abdomen [factory] Inner Ear [factory] Whole Body [factory] Brain Perfusion [factory] Thorax and Abdomen DE Virt ... Sinus [factory] Trauma Trauma Brain Perfusion Prolonged [fa ... Thorax and Abdomen Multi P ... Orbit [factory] Pelvis (2) Inner Ear [factory] Lung Screening [factory] 3. Contrast protocol (all/Not linked/Linked with) RTP Pelvis [factory] RTP Sinus [factory] Lung Low Dose [factory] Neck (1) Hip [factory] Orbit [factory] Dental [factory] Neck [factory] Specials Specials Abdomen (7) Spine (2) Abdomen [factory] 4. Technique (Non-spectral/Spectral/HighRes) Intervention Baby Neck (2) Shoulder (1) Abdomen Multi Phase [factory] C-Spine [factory] Neck [factory] Shoulder [factory] Abdomen DE Virtual Non Con ... T- or L-Spine [factory] New Folder Intervention Neck DE Virtual Non Contrast ... Liver Perfusion [factory] Kidney DE Stones [factory] Thorax (2) 5. Protocol Type (all/Clinical/Research) Shoulder (1) Colon Low Dose [factory] Thorax [factory] Shoulder [factory] Whole Body [factory] Thorax and Abdomen [factory] • With Reset Selection button, you can switch all the Reset Selection Hide Delete Export Import Modify Protocols selected filters to the defaults Filter by: Patient Type all Contrast Protocol all Protocol Type all Reset Selection Decision Tree all Technique all 63 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Exam Designer improvements SIEMENS Healthineers Selection page - Filter area • The Decision Tree and Contrast Protocol filters allow you to filter Decision Tree Not linked Technique al protocols linked with specific decision trees or contrast protocols all Not linked Linked with Select all • Multiple selection is possible Brain contrast medium necessary [factory] Abdome Sinus sinusitis or soft tissue [factory] Neck contrast medium necessary [factory] Phase [factory] Abdol Neck VNC TwinBeam DE possible [factory] morrhage Post Int ... Liver | Side [factory] ion [factory] Colon Thorax multi [factory] ion Prolonged [fa ... Thorax breathhold and X-CARE [factory] Contrast Protocol Linked with Protocol Type all Technique all Not linked Linked with Select all Brain [factory] Child Brain Perfusion [factory] CTA [factory] Head(0) vNeck [factory] Thorax [factory] hities (0) Neck (0) Abdor en [factory] Liver Perfusion [factory] 64 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Exam Designer improvements SIEMENS Healthineers Selection page – protocol icon changes • Factory icons are removed Adult syngo CT VA30 syngo CT VA40 Adult • Scan&GO icons are removed Head (9) Head (9) • New icon: Scan&GO Unapproved Brain [factory] Brain [factory] Brain Multi Phase [factory] Brain Multi Phase [factory] Brain DE Hemorrhage Post Int ... Brain DE Hemorrhage Post Int ... Brain Perfusion [factory] Brain Perfusion [factory] Brain Perfusion Prolonged [fac ... Brain Perfusion Prolonged [fa ... Inner Ear [factory] Inner Ear [factory] Sinus [factory] Sinus [factory] Orbit [factory] Orbit [factory] Dental [factory] Dental [factory] 65 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Exam Designer improvements SIEMENS Healthineers Scan Protocol Export for Viewing always with all Parameters • Always all parameters (including recon RT FAST Folder Name Protocol Name Range Name |Recon Name Hidden |Scan&GO Protocol Description Patient Organ Patient Target Scan Mode Accessible Scan Modes Strategy| Decision Tilt Acquisition| Protocol|Approved Characteristic Region Topo Review Trees Scan Strategies [*] [mm] parameters) of all selected Marking Type Region protocols are exported for Factory Protocols viewing Head Brain [factory] Adult) no yes None Topogram Adult Head Head ScanplanningTopoAdultSn ScanplanningTopoAdultSn Off 3× 0.60 Topogram 0.60 Tr20 sag -Indications: stroke, hemorrhage, cerebral atrophy, hydrocephalus, inflammation, wo CM RoutineSpiralAdultHead; Brain -Scan modes: RoutineSpiralAdultHead RoutineSpiralAdultHeadHighres; contrast Brain contrast Brain -Decision Tree: Brain contrast medium Adult Brain Head RoutineSpiralAdultHead RoutineSpiralAdultHeadXcare; 128 x 0.60 F€ Off medium medium necessary 10 necessary [factory] RoutineSequenceAdultHead; (z-sharp) JH necessary [factory].wo CM RoutineSequenceAdultHeadHighres [factory] Brain 5.00 Hr40 A2 For Archiving Brain 5.00 Hr60 A2 For Viewing Brain Multi Phase [factory] no yes None Export Import (Adult) 66 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers Scan/Recon Scan Favorites X syngo CT VA40 Improvements Scan/Recon Scan Mode Pitch Acquisition [mm] Rot. Time Decision Trees CARE KV DLP Absolute Start [s] optimized for [mGy*cm] Delay [s] Brain [factory] (Adult) Job Aid Topogram Scanplanning TopoAdultSn 6 x 0.60 4.23 2.0 Brain RoutineSpiralAdultHead 0.60 128 x 0.60 (z-sharp) 1.00 Brain contrast medium ... 770 2.0 Brain Perfusion [factory ... Topogram Scanplanning TopoAdultSn 6 x 0.60 4.23 7.0 Non Contrast Brain RoutineSpiralAdultHead 0.55 128 x 0.60 (z-sharp) 1.00 760 2.0 Perfusion Brain DynamicSpiralAdultHead 0.50 64 x 0.60 0.30 Soft Tissue with C ... 1868 2.0 Scan protocols Premonitoring 1 × 10.00 0.30 Soft Tissue with C ... 1.00 2.0 Monitoring 1 × 10.00 0.30 Soft Tissue with C ... 29.9 10.0 CTA Brain and Neck RoutineSpiralAdultAngio ... 1.20 64 x 0.60 0.30 Auto (Vascular) 301 Thorax [factory] (Adult) Topogram ScanplanningTopoAdultSn 6 × 0.60 0.89 6.0 Thorax RoutineSpiralAdultThorax 1.20 64 x 0.60 0.30 Thorax multi [factory] Non-Contrast 203 6.0 Abdomen [factory] (Ad ... Topogram ScanplanningTopoAdultSn 6 x 0.60 0.89 6.0 Abdomen RoutineSpiralAdultAbdo ... 0.80 128 x 0.60 (z-sharp) 0.50 Abdomen contrast medi ... Non-Contrast 356 6.0 L-Spine [factory] (Adult) Topogram ScanplanningTopoAdultSn 6 × 0.60 8.64 2.0 I -Snine RoutineSniralAdultSnine 178 y 0 60 (7-charn) 1 00 T- and I -Snine dier ar ha Non-Contract 205 67 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 Scan protocols SIEMENS Healthineers kV improvements • CARE kV: Scan/Recon CARE Dose4D & CARE KV CARE KV IQ level CARE KV optimized for 1. New parameter for scan protocols and Brain Perfusion [factory] (Adult) decision trees: CARE kV IQ level Topogram Non Contrast Brain Off Perfusion Brain Full 78 oft Tissue with Contrast Premonitoring Manual kV 25 loft Tissue with Contrast Monitoring Manual kV 25 loft Tissue with Contrast CTA Brain and Neck Full 145 Auto (Vascular) Scan/Recon CARE Dose4D FAST KV IQ level FAST KV optimized for Brain Perfusion [factory] (Adult) Topogram Non Contrast Brain Off Perfusion Brain On 78 Soft Tissue with Contrast Premonitoring On 25 Soft Tissue with Contrast Monitoring On 25 Soft Tissue with Contrast CTA Brain and Neck On 145 Auto (Vascular) 68 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Scan protocols SIEMENS Healthineers Lung Screening • New scan protocol with a new decision tree. Scan/Recon Scan Favorites Different strategies: Scan/Recon Decision Trees Strategy Scan Strategies Scan Mode CARE Dose4D CARE KV Review & CARE KV IQ level KV Lung Screening [factory] (Adult) 1. low dose Topogram Off Scanplanning TopoAdultSn Sn 100 Topogram 0.60 Tr20 cor Lung Lung screening [factory] On Lung screening [factory].low dose wo X-CAF RoutineSpiralAdultThoraxSn Full 15 Sn 100 Lung 5.00 Br40 A3 cor Lung screening [factory] 2. high resolution Lung 5.00 Br40 A3 ax low dose wo X-CARE Lung 5.00 BI60 A3 sag low dose w X-CARE Lung 5.00 B160 A3 cor high resolution wo X-CARE Lung 5.00 B160 A3 ax high resolution w X-CARE Lung 2.00 B164 A3 sag Lung 2.00 B164 A3 cor Lung 2.00 BI64 A3 ax Lung 10.00 BI60 A3 cor Lung 1.00 BI60 A3 Scan/Recon Scan Favorites Scan/Recon Decision Trees Strategy Scan Strategies Scan Mode CARE Dose4D CARE KV Review & CARE KV IQ level KV Lung Screening [factory] (Adult) Topogram Off Scanplanning TopoAdultSn Sn 100 Topogram 0.60 Tr20 cor Lung Lung screening [factory] On Lung screening [factory].high resolution wo RoutineSpiralAdultThorax Full 100 120 Lung 5.00 Br40 A3 cor Lung screening [factory] Lung 5.00 Br40 A3 ax low dose wo X-CARE Lung 5.00 BI60 A3 sag low dose w X-CARE Lung 5.00 BI60 A3 cor high resolution wo X-CARE Lung 5.00 BI60 A3 ax high resoNition w X-CARE Lung 2.00 BI64 A3 sag Lung 2.00 B164 A3 cor Lung 2.00 BI64 A3 ax Lung 10.00 B160 A3 cor Lung 1.00 BI60 A3 69 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Scan protocols SIEMENS Healthineers Scan mode name improvement • Key word Multienergy- is deleted, because it Scan/Recon was redundant when Twinspiral or Twinbeam is in the scan mode name Scan/Recon Scan Mode Acces Kidney DE Stones [factory] (Ad ... Topogram Scanplanning TopoAdultSn Scanp Kidney Stones RoutineSpiralAdultAbdomenTwinspiral (ma: Routines RoutineSpiralAdultAbdomen RoutineSpiralAdultAbdomenTwinspiral (max. 100 cm) RoutineSpiralAdultAbdomenTwinbeam RoutineSpiralAdultAbdomenSn Kidney DE Stones [facto ... Topogram Scanplanning TopoAdultSn Kidney Stones Multienergy SpiralAdultAbdomenTwinspiral (max. 100 cm) Multienergy SpiralAdultAbdomen Twinbeam Multienergy SpiralAdultAbdomen Twinspiral (max. 100 cm) RoutineSpiralAdultAbdomen RoutineSpiralAdultAbdomenSn 70 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Scan protocols SIEMENS Healthineers High resolution in radial ranges • Set High Resolution (1024 matrix size) in long CPR radial ranges Scan/Recon Inline Results Type Vessel Vessel Angle High Label Betwe ... +Resolution Extremity CTA [factory] (Adult) Topogram Premonitoring Monitoring CTA Extremity CTA Extremity 5.00 Bv36 A3 sag CTA Extremity 5.00 Bv36 A3 cor None CTA Extremity 5.00 Bv36 A3 ax CTA Extremity 3.00 Bv36 A3 R ... | Radial Vascular Ranges Curved Runoff R Runoff R 10 On CTA Extremity 3.00 Bv36 A3 R ... Radial Vascular Ranges Curved Runoff L Runoff L 10 On 71 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers syngo CT VA40 Improvements Job Aid SIEMENS Healthineers Go syngo CT General syngo improvements Copyright @ Siemens Healthcare GmbH 2021 . All rights reserved. 72 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 General syngo improvements SIEMENS Healthineers Patient browser • Copy Series: To avoid multiple recons which are needed in case of Multi Study Exam Series Open View as Read-Only (Grouping procedures) it is possible to copy those series as needed in Patient Protocol Dose Report CTA Coronal Open with View as Read-Only with all studies. It is necessary if radiologists need this dedicated series in Load into myNeedle Guide multiple studies Set Delete Protection state Set Archive state Correct Cut Copy CCT ax KN 0.6/0.4 Copied from CCT ax Paste WT 1/0.4 Delete Del • Addition tool tip at the archived flag which shows the archive nodes Patient Browser which were addressed. It saves time for the technologist during Local Data + checking, whether the data was correctly sent to the archive or not Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters Results (19 results, 10:42:55 PM) Series Patient Modality Study Date and Ti ... Study Descripti ... Exported Study Archived + Test *8/8/1988, M 123456 CT, SR 5/23/2021 9:10:49 Thorax [factor ... CT Raw data CT, SR 5/23/2021 9:02:14. Thorax [factor. T CT, SR 5/20/2021 11:54:1. Brain [factory] .. EC To be archived T CT, SR 5/15/2021 8:57:14 ... Thorax [factor. CT, SR 5/15/2021 4:52:12 ... Thorax [factor ... 73 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 General syngo improvements SIEMENS Healthineers Raw Data Storage New selection of Enable/Disable raw data auto SIEMENS Healthineers 5 SSDE value (post) displayed in Patient Protocol 14 O Service, Local x Exam Designer Recon deletion in Raw Data Storage configuration Scan SIEMENS . Healthineers MS-CT-APPSX02 / syadmin Free (Restricted Remote Access) M- Diagnose Installation &# Technical Configuration Quality Assurance Clinical Configuration Site Information Raw Data Storage Remote Service Use the following settings to automatically delete raw data Licensing when required. User and Role Administration Disable raw data auto deletion . Enable raw data auto deletion DICOM Nodes Trigger point for deletion DICOM Data Handling If raw data storage reaches % Archiving and Deletion If raw data disk space is limited to the data of patients Raw Data Storage Raw data to be deleted (only unprotected raw data) Exclude from Archive Only raw data older than 7 day(s) and 0 hours Autorouting Job Settings Media Compression Author | Department 74 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers Xcite_30_test A syngo CT VA40 Improvements Job Aid Cardiac CT R improvements Courtesy of University Hospital Erlangen, Erlangen, Germany 75 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 Cardiac CT improvements SIEMENS Healthineers Protocol selection SOMATOM X.cite / SOMATOM X.ceed + Add folder + Add folder • Same protocols for both systems The relevant folders for ECG scans are Vascular Cardiac or Trauma Trauma • Vascular Thorax RTP RTP Adult Child Specials Specials Vascular Thorax (5) Vascular Thorax (2) Thorax CTA [factory] Thorax CTA [factory] ntervention Baby Thorax Dynamic CTA [factory] Pulmonary CTA [factory] Thorax Coronary CTA [factory] Pulmonary CTA [factory] Pulmonary DE CTA [factory] Vascular Cardiac (1) New Folder Intervention Cardiac CTA [factory] Vascular Cardiac (5) Coronary Calcium Scoring [fa ... Coronary CTA [factory] Coronary CTA Function [facto ... Coronary CTA HeartFlow [fact ... TAVI [factory] 76 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Cardiac CT improvements SIEMENS Healthineers Protocol selection (e.g.: Adult) Protocol: Coronary Calcium Scoring [factory] • Coronary Calcium Scoring [factory] -Indications: identification, quantification of Topogram calcified lesions in the coronary arteries, wo CM -Scan modes: CardiacSequenceAdult Calcium Scoring -Decision Tree: Coronary Calcium Scoring HR variability [factory] • Coronary CTA [factory] Protocol: Coronary CTA [factory] -Indications: identification, quantification of Topogram calcified lesions in the coronary arteries, wo CM; stenosis of the coronary arteries, w CM • Coronary CTA Function [factory] Calcium Scoring -Scan modes: CardiacSequenceAdult, PremonitoringSequenceAdult2d, Premonitoring MonitoringSequenceAdult2d, Monitoring CardiacSpiralAdultAngio -Decision Tree: Coronary Calcium Scoring HR CTA Coronary Coronary Calcium HeartFlow [factory] variability [factory], Coronary CTA HR variability • and HR [factory] -Contrast Protocol: Coronary CTA [factory] Protocol: Coronary CTA Function [factory] • TAVI [factory] -Indications: identification, quantification of Topogram calcified lesions in the coronary arteries, wo CM; stenosis of the coronary arteries, w CM Calcium Scoring -Scan modes: Cardia SequenceAdult, PremonitoringSequenceAdult2d, Premonitoring MonitoringSequenceAdult2d, Monitoring CardiacSpiralAdultAngio -Decision Tree: Coronary Calcium Scoring HR CTA Coronary variability [factory], Coronary CTA HR variability and HR [factory] -Contrast Protocol: Coronary CTA [factory] Protocol: Coronary CTA HeartFlow [factory] -Indications: identification, quantification of Topogram calcified lesions in the coronary arteries, wo CM; stenosis of the coronary arteries, w CM Calcium Scoring -Scan modes: CardiacSequenceAdult, PremonitoringSequenceAdult2d, Premonitoring MonitoringSequenceAdult2d, CardiacSpiralAdultAngio Monitoring -Decision Tree: Coronary Calcium Scoring HR CTA Coronary variability [factory], Coronary CTA HR variability and HR [factory]; Coronary CTA image quality and calcium [factory] -Contrast Protocol: Coronary CTA [factory] Protocol: TAVI [factory] -Indications: TAVI/TAVR, the evaluation of the access route (peripheral, transapical, subclavian, Topogram transaortic), aortic root and aortic annulus Test Bolus dimensions, as well as aortic valve structure and calcification, w CM Valve -Scan modes: TestbolusSequenceAdult2d, TAVI Planning CardiacSpiralAdultAngio, RoutineSpiralAdultAngioBodyFast -Contrast Protocol: CTA [factory] 77 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Cardiac CT improvements SIEMENS Healthineers Protocol selection (e.g. Adult) – ECG trigger • Thorax Coronary CTA [factory] Protocol: Thorax Coronary CTA [factory] -Indications: chest pain, triple rule out, vascular Topogram anomalies, aneurysms, dissection, ruptures of the thoracic aorta, pulmonary embolism, stenosis of Premonitoring the coronary arteries, w CM Monitoring 1. The dose in the heart area is 100% and the dose cranial -Scan modes: PremonitoringSequenceAdult2d, MonitoringSequenceAdult2d, CardiacSpiralAdultAngioFlexdose CTA Thorax Coronary and caudal of the heart is 50% -Decision Tree: Thorax Coronary CTA HR variability and HR [factory] -Contrast Protocol: Coronary CTA [factory] min Test H 123456 SOMATOM X.cite MAS +8/8/1988, M, 32Y syngo CT VA40A 5/24/2021 HFS 9:28:46.56 PM 2 IMA 1 TOP 101 ECG trigger TP -750.0 R L 10cm ........ KV Sn100 mA 55 A TI 2.17 512.0 0/0 350 Simulator Filter Sn 50 78 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Cardiac CT improvements SIEMENS Healthineers Cardiac Flex Sequence Scan Repetition Flex Sequence SIEMENS ... Healthineers Scan Recon Test 8/8/1988 (32) M 123456 ? M # Coronary CTA [factory ... Test 123456 SOMATOMX Test A MAS *8/8/1 988, M, 32Y syngo CT VA40 123456 SOMATOM X.cite syngo CT VA40A Recon Ranges 5/24/2021 HFS *8/8/1988, M, 32Y 5/24/2021 HFS myExam Compass 9:28:46.56 PM 9:32:48.51 PM Monitoring Flex Sequence: Originally available on Somaris 7 matrix 2 IMA 1 TP1 -855.2 103 IMA 8 • Topogram TOP 101 TP2 -993.2. LEN 138.0 RTD 501 TP -750.0 Calcium Scoring systems Premonitoring CTA Coronary Monitoring LLLLLLHHHH KV 70 10cm Preconditions V 10cm kv Sh100 Eff. MAS 64 Quality ref. mAs 128 A single repetition is automatically triggered in a Cardiac CTA Coronary A TI 0.29 • GT 0.0 IF SL 4.0/1 28x0.6 (z-sharp) 30 CTDIvol (32 cm) 2.94 mGy Flex Sequence acquisition if the ECG detects an extra- Simulator W 350 990 Filter Sn C 50 421.0 0/0 345 SSDE (12.1 cm) 7.93 mGy Simulator DLP 40.6 mGy*cm systolic event Eff. mAS 57 Scan Favorites General Scan Dose Timing Config Physio Scan Contrast KV 70 Exposure Time 1.40 5 Scan/Recon Scan Mode Decision Trees CARE Dose4D & CARE KV CARE KV IQ leve CARE KV DLP Rot. Time optimized for CTDIvol [mGy] [mGy "cm] [s] Reconstruction CTA Coronary CardiacSequenceAdultAngioFlex onary CTA HR variability and ... Full 64 Auto (Vascular) (32 cm) 2.94 40.6 0.30 • Supported only in: Close 60 60 60 . 120 . 40 60 60 60 60 60 60 120 40 60 1. SOMATOM X.cite 66 bpm Min: 40 Max: 120 2. SOMATOM X.ceed Start reconstructions Switch to Reconstruction 6 ml/s 6 ml/s Recon ALL Next Cancel • Supported only in CardiacFlexSequenceAngio modes L 2.25 6.25 0.35 3.1s 7.45 10 10 10 24.1 10 10 10 15 25 Scan Mode CardiacSequenceAdultAngioFlex 79 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Cardiac CT improvements SIEMENS Healthineers Cardiac Flex Sequence Scan Repetition Flex Sequence Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Scan/Recon Recon Type Recon Phase(s) Recon True Phase Unit Stack Temporal Resolution [ms] Flex ECG Recon The system automatically selects the repeated acquisition CTA Coronary 5.00 Bv36 A3 BestDiast long a ... • CTA Coronary 5.00 Bv36 A3 BestDiast short ... BestPhase (diastolic) 75 % Off 150 On for the reconstruction as default (Flex ECG Recon = on) CTA Coronary 5.00 Bv36 A3 BestDiast four c ... The first acquisition can be selected for the 60 60 60 60 60 60 60 60 60 60 60 60 • reconstruction by switching Flex ECG Recon to off. Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Scan/Recon Recon Type Recon Recon True Temporal Flex ECG Phase(s) Phase Unit Stack Resolution [ms] Recon Flex ECG Recon CTA Coronary 5.00 Bv36 A3 BestDiast long a ... CTA Coronary 5.00 Bv36 A3 BestDiast short ... BestPhase (diastolic) 75 Off 150 Off CTA Coronary 5.00 Bv36 A3 BestDiast four c ... 60 60 60 60 60 60 60 60 60 60 60 60 On 80 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Cardiac CT improvements SIEMENS Healthineers Cardiac scan dose settings SIEMENS ... • Cardiac scanning follows the general VA40 CARE changes Healthineers Scan Recon Test * 8/8/1988 (32) M 123456 Exam Designer ? H Ö Coronary CTA [factory ... ¡ 123456 SOMATOM X. cite 123456 SOMATOM X cite LAS *8/8/1 988, M, 32Y syngo CT VA40A Syngo CT VA40A Recon Ranges *8/8/1 988, M, 32Y Quality.ref.mAs@120kV is transformed into CARE kV IQ myExam Compass 5/24/2021 _ HFS 5/24/2021 • 9:28:46.56 PM Monitoring TP1 -855.2 9:32:50.47 PM Topogram 2 IMA 1 TP2 -993.2 103 IMA 17 TOP 101 TP -750.0 LEN 138.0 RTD 502 Level TP -921.3 Calcium Scoring Premonitoring R R CTA Coronary Monitoring 10cm KV 70 AAAAAAAAA • Ex-Factory default values are Preconditions V Eff. mAs 64 Quality ref. mAs 128 .CTA Coronary MA 55 T1 2.17 LA TI 0.29 GT 0.0 F CTDIvol (32 cm) 2.94 mGy 512.0 uru 350 SL 4.0/1 28x0.6 (z-sharp) Filter Sn 421.0 0/0 990 SSDE (12.1 cm) 7.93 mGy Simulator 345 nE Calcium Scoring: 20 DLP 40.6 mGy*cm Eff. MAS 57 Scan Favorites eneral Scan Dose Timing Config Physio Scan Contrast kV 70 Exposure Time 1.40 $ Scan/Recon CARE Dose4D & CARE KV CARE KV IQ level CARE KV CARE KV Eff. mAS CTDIvol [mGy] DLP [mGy*cm] Dose Notification Dose Notification optimized for Grouping KV CTDIvol [mGy] DLP [mGy*cm] Shaped Filter Coronary CTA: 64 Reconstruction CTA Coronary Full 64 Auto (Vascular) Off 70 57 (32 cm) 2.94 40.6 0.00 0.0 Narrow Close 60 60 60 120 . 40 60 60 60 60 60 60 120 40 60 66 bpm Min: 40 Max: 120 Start reconstructions Switch to Close Recon Next Cancel L 2.2s 6.25 0.35 3.1s 7.4s CARE KV IQ level 10 10 24.1 10 O 15 10 15 25 30 64 81 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Cardiac CT improvements SIEMENS Healthineers ECG Documentation • Displays ECG as embedded color image as secondary capture. Works on standard DICOM viewers / PACS HRx-ray (bpm): Avg 79 Min 77 Max 81 HRx-ray (bpm): Avg 79 Min 77 Max 81 Channel: 3 Strength: 5 of 5 Channel: 3 Strength: 5 of 5 Scan Phase: 70% - 80% Scan Phase: 70% - 80% Recon Phase: 0% - 95% Recon Phase: BestSyst 41% Very similar to the ECG display in the Exam UI. Created 79 80 79 79 79 80 79 79 • -269.7 269.7 with every reconstruction series (e.g.: an orientation 343.3 343.3 multi 3 will end up with 3 identical ECG DICOM images, 80 78 80 79 79 81 79 79 81 because the system treats them as individual series if the -343.3 343.5 416.9 16.9 recon job is started) 78 80 78 79 80 78 80 78 79 80 -416.9 -416.9 The only exception is multiphase reconstruction, where 490.5 490.5 • e.g. 10 image series from 0% to 90% creates only 1 DICOM ECG documentation series HRx-ray (bpm): Avg 82 Min 68 Max 92 HRx-ray (bpm): Avg 82 Min 68 Max 92 Channel: 3 Strength: 5 of 5 Channel: 3 Strength: 5 of 5 • It can be correlated to the image. Because on the left side Scan Phase: 70% - 80% Scan Phase: 70% - 80% Recon Phase: BestDiast 90% Recon Phase: BestDiast 90% of each ECG trace row, the data z-position provided as min 68 90 68 92 87 88 69 90 88 -283.3 and max value covering a z-range -420.5 69 88 90 68 90 90 68 90 90 87 70 420.5 79 80 79 79 79 -525.4 -269.7 68 90 88 69 90 -343.3 -220.8 -283.3 82 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Cardiac CT improvements SIEMENS Healthineers ECG Documentation • Does include header information: HRx-ray (bpm): Avg 79 Min 77 Max 81 1. Heart Rate (bpm) during the scan ( x-ray on !) Channel: 3 Strength: 5 of 5 1) Average Scan Phase: 70% - 80% Recon Phase: 0% - 95% 2) Minimum HR 3) Maximum HR Series 2. Signal strength 3. Scan and recon information (%) / (ms). ET Raw data Topogram 0.60 Tr20 CTA Coronary 5.00 .. TA Coronary 5.00 .. CTA Coronary 5.00. ECG CTA Coronary. ECG CTA Coronary. ECG CTA Coronary .. Patient Protocol • ECG documentation can be disabled globally in the configuration. Dose Report Examination Report - Diagnose Installation &# Technical Configuration Quality Assurance Clinical Configuration Examination Configuration Cardiac Configuration Dose Acquisition Cardiac ECG Synthetic Sync Spiral Respiratory ECG Documentation Image v ECG documentation per reconstruction 83 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers syngo CT VA40 Improvements Job Aid O Dual Energy improvements 84 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 Dual Energy improvements SIEMENS Healthineers Advanced Visualization DE Results stored as Multi-Energy CT Images (Supplement 188 format) • Better display of DE results if supported by viewer • L/H/C images are always conventional CT images • Disable Multi-Energy CT format if PACS can’t handle it Configuration Panel Client Settings Advanced Visualization Display And Behavior Export myNeedle Guide DE Inline Results Application Classes Global Configuration Spectral Post Processing (SPP) lodine Image Output Create lodine Concentration Images (100ug/cm3) . Create lodine Enhancement Maps (HU) for Interactive Spectral Imaging and scanner generated classes: Liver VNC, Virtual Unenhanced, Lung PBV, Brain Hemorrhage Dual Energy Output Use Multi Energy CT DICOM Extension to store Dual Energy results 85 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers syngo CT VA40 Improvements Job Aid New optional features in syngo CT VA40 If you are interested in the options, please contact your local SIEMENS Healthineers sales representative to get more information on the feature and its requirements 86 Click to add footnote Effective Date: 16 Dec 2021 | HOOD05162003244314 second line Unrestricted © Siemens Healthineers, 2021 myNeedle Companion in CT-guided interventions SIEMENS Healthineers In-room control More control, less miscommunication Benefits • In-room control simplifies challenging workflow and reduces Healthineers miscommunication with technologists • Interact with the software and system via easy-to-learn no-look tablet gestures, the i-joystick, and a full-sized in-room monitor Work as you want – with or without a technologist OMATON XEBe • • Full synchronization of the in-room and control-room monitors, in- room tablet, i-joystick, footswitch, and remote control Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myNeedle Laser SIEMENS Healthineers World’s first integrated CT lasers for CT-guided interventions Work quickly and precisely with integrated laser guidance Benefits Video snippet focus Laser • Unique, CT-integrated option can boost efficiency and precision compared to manual techniques from shooting • Automatic projection of the needle entry point and insertion angle onto the body of the patient • Integration in the CT system reduces workflow steps compared to external laser-guidance systems • Advanced automated guidance during needle insertion may help reduce the need for control scans 88 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 myExam Satellite: SIEMENS Healthineers Maximized clinical performance in time-critical situations Read and scan in parallel Benefits • The myExam Satellite client solution brings forward diagnosis in time- critical cases that require multiphase scans • Access the scanner from up to two myExam Satellite clients • Client access to the scanner database enables CT teams to scan and read images in parallel, and cut turnaround time ............. • Film, create results, or read on a myExam Satellite client while work continues uninterrupted at the scanner Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 Precision Matrix: SIEMENS Healthineers Matching reconstruction for an outstanding acquired spatial resolution • Leverages the full potential of high- resolution techniques when a large FoV is 512 x 512 1024 x 1024 needed: lung, orthopedic or trauma imaging • Precision Matrix 768 x 768, 1024 x 1024 SOMATOM X.ceed Sn120 kV CTDIvol: 7.12 mGy DLP: 257 mGy*cm Courtesy of University Hospital Erlangen, Erlangen, Germany Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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. © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 91 Effective Date: 16 Dec 2021 | HOOD05162003244314 Unrestricted © Siemens Healthineers, 2021