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syngo.CT VB20 Software Update Job Aid

SIEMENS Healthineers Software Update syngo CT VB20 HOOD05162003128359 Effective 10/05/2020 Unrestricted © Siemens Healthineers, 2020 SOMATOM VB20 Update – SIEMENS Healthineers Table of Contents • New Topogram behaviors - • New Kernel Convention • Precision Matrix (SOMATOM Force only) • Updated Lung imaging protocols (SOMATOM Force only) • Cardiovascular News • FAST DE Results improvements • Improvements to Workflows and Data role selection • CT Intervention SIEMENS • Miscellaneous .. .... 2 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Topogram Behavior Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Topogram Behavior SIEMENS Healthineers Topogram speed – for all VB20 scanners Topogram Speed • Increased from 100 mm/sec to 200 mm/sec. Dual Energy Protocol . Replace . Append • Due to the increased speed of the table there is a Cardiac reduction in dose Topogram . Cut Vascular . Keep • Synchronized scanning and table movement • The movement ceases when the Topogram ends. RT Auto reference lines None St Deci Trauma TraumaThin Topogram Dose PolyTrauma PET HeadTrauma HeadTraumaSeq2D • The overall mA settings for Topograms is reduced NeuroVPCT 028s NeuroPCT German with VB20 (see next slides). NeuroPCTSingle NeuroMultiPhase_VAngio028s BodyVPCT_028s BodyVPCT_long028s BodyPCT Tin Topograms (Sn) 17.10.09-07:19:09-STD-Specials Po BodyPCTSeq BodyPCTSingleSeq TC Total mAs: BodyMultiPhase_VAngio028s • Tin filtration is applied to all Topograms on the mA 75 ExtrMultiPhase_VAngioPlus028s DynMultiECG KV Sn140 - SOMATOM Force. DunSerinFCGSeq Scan time 2.04 s Topos Sn Topos • If available, the Tin Topograms will be accessible in III the Specials folder Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Topogram Behavior SIEMENS Healthineers Topogram behavior – for all VB20 scanners Dual Topogram evaluation in VB20 • With VB20, the lateral Topogram is only used for geometric correction of patient position based on patient center profile. Patient • With this change, VB20 produces identical dose for center a single Topogram or Dual Topogram protocol* *Identical dose in single Topogram mode with perfect patient positioning and dual Topogram mode Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Topogram Behavior SIEMENS Healthineers Topo behavior – for all VB20 scanner Dual Topogram Protocols imported from SW < VB20 • Due to new behavior of Topograms in VB20 from previous SW versions it is important to reduce the Quality Reference mAs (QRM) by as much as 30%* Patient ----------- • This is ONLY for Protocols that originated in SW < center VB10 and are being imported back into the system • Monitor Protocols from previous dose levels and change the QRM accordingly. *can produce exams up to 30% higher than before the upgrade if no change is made Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers SIEMENS Healthineers New Kernel Concept SOMATOM Force Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 New Kernel concept on all VB20 Scanners SIEMENS Healthineers Recon job 1 2 3 4 5 6 7 8 Series description Thorax 5.0 Br40 3 Slice 5.0 mm Advanced reconstruction options ADMIRE M Strength 3 The system Kernels have been aligned across all Kernel Br40 iBHC None FAST M Window Mediastinum iMAR None SOMARIS 7 and SOMARIS X scanners to reflect Bone lodine the existing Kernel system on the SOMATOM Force. HD FoV FoV 300 mm = Image order Craniocaudal Center X 0 mm : Increment 5.0 mm2: Overview Center Y 0 mm 2 No. of images 61= Mirroring None Comments Extended CT scale Routine Scan Recon Auto Tasking Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Kernel Name Pattern 1 2 3 4 5 6 7 Series description Extremity 4.0 Br62 3 The kernel names are divided into three levels: B r 62 Recon job 8 Slice 4.0 mm Recon job type o Axial 3D ADMIRE Strength 3 • The capital letter represents the body region or the Kernel Br62 ... ] so called Family Window B-Body > El-FineNoise Begin position -453.5 m • End position The small letter indicates the sub group within a 37 -603.5 m 39 body region/family: regular, vascular, lung, III HD F 42 ELungSpecial Image order Craniocaudal pediatric, crisp L.57 Increment 4.0 m • Overview E The number at the end indicates the sharpness Regular 32 No. of images Mirroring 34 Comments Extended CT s 36 38 Routine 40 43 v Auto Tasking .... Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Kernel resolution rho50 [1/cm] ResolutionIndex 1,0 5 • 1,5 The left column represents the linepairs per cm 15 2,0 23 (resolution) 2,5 28 3,0 33 To achieve a resolution of 4 lp/cm, use a kernel • 3,5 37 4,0 40 with the resolution index 40 4,5 43 5,0 46 • The higher the resolution index, the sharper is 5,5 48 the image impression. 6,0 51 6,5 53 7,0 55 7,5 56 8,0 58 8,5 60 9,0 61 9,5 62 10,0 64 10,5 65 11,0 66 11,5 67 12,0 68 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 kernel type sub-kernel type Naming Kernel properties and usage Body (B) Regular (r) Br… Body kernels for regular imaging tasks (regular are all tasks which are not listed explicitly). FineNoise (f) Bf… Noise structure at the same resolution is more finely than with regular body kernels. Lung (l) Bl… Special lung kernels with strong edge enhancement (strong over- and undershoots at edges). Vascular (v) Bv… Body kernels for vascular imaging tasks (enhancement of vessels). Head (H) Regular (r) Hr… Head kernels for regular imaging tasks (regular are all tasks which are not listed explicitly). FineNoise (f) Hf… Noise structure at the same resolution is more finely than with regular head kernels. Crisp (c) Hc… Different noise texture than the corresponding regular head kernels. Aim to mimic the head image quality of GE scanners. Pediatric (p) Hp… Special head kernels for pediatric imaging (special cupping correction adjusted for pediatric imaging). Vascular (v) Hv… Head kernels for vascular imaging tasks (enhancement of vessels). Quantitative (Q) Regular (r) Qr… Quantitative kernels with no over- and undershoots. Are to be chosen for imaging tasks where the absolute HU value is of interest (dual energy, calcium scoring). UHR (U) Regular (r) Ur… Kernels for ultra high resolution scans. Typically scans with a high resolution comb in place. Body (b) Ub… Reconstructions of UHR scans with an Br like image impression Head (h) Uh… Reconstructions of UHR scans with an Hr like image impression Lung (l) Ul… Reconstructions of UHR scans with an Bl like image impression Quantitative (q) Uq… Reconstructions of UHR scans with an Qr like image impression Special Artificial120 Sa… Images with 120 kV HU values independent from the voltage used for scanning Electron Direct Density Sd… No HU values but electron densities (for RT planning) independent from the voltage used for scanning Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 New Kernel: Hv SIEMENS Healthineers • New with VB20 is dedicated vascular head Kernels: Hv • The Hv kernels are optimized for imaging of Hr contrast enhanced vessels in the head • Fine noise grains for smoother vessel wall Appearance • Iterative reconstruction is optimized for vessel like structures. • Hv kernels are default in the SOMARIS 7 VB10 Hv head angio scan protocols. Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Kernel update to existing scan protocols can Protocol Assistant • Previous Kernels will automatically be 2 3 converted during the VB20 update What do you want to do? • The Siemens Service Engineer will preform Scan protocols >Manipulate scan protocols (cut / copy / paste / delete) this update Change parameters @ Import user scan protocols o Import from teamplay · Export scan protocols . Restore scan protocols to Siemons defaut Contrast protocols o Define contrast protocols . List/'import/ export contrast protocols. Update customer protocols Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Precision Matrix Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Precision Matrix (SOMATOM Force Only) SIEMENS Healthineers • Precision Matrix: Matrix >512 (768, 1024) Matrix 512 Precision Matrix Improve imaged visualization of fine structures, e.g.: of the lungs, terminal bronchioles, inner ear and hips on large field- of-views.* • Automode Selects the right matrix size for high resolution images according to selected 512 Matrix / 300 mm FoV 512 Matrix / 150 mm FoV 1024 Matrix / 300 mm FoV kernels and field of view *Note, not all kernels benefit from a high matrix Additional No additional as their intrinsic resolution is limited. reconstruction needed reconstruction needed 15 Job Aid Job AidEffective Date: XX/XX/XXXX | HILS/HOOD# Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Precision Matrix (SOMATOM Force Only) SIEMENS Healthineers • Precision Matrix is only available on SOMATOM Recon job 1 2 3 4 5 6 7 8 Series description Thorax 0.6 Br40 3 Force CT Scanners Slice 0.6 mm- Advanced reconstruction options ADMIRE M Strength 3 The reconstruction matrix size can be selected via Matrix size 1024 • Kernel Br40 BHC None Auto a dropdown in the Advanced reconstruction dialog 512 FAST M Window Mediastinum iMAR None 768 on the Recon tab card (orange box) 1024 • Choose between 512, a 768 and a 1024* HD FoV FOV 300 mm 2 Image order Craniocaudal Center X 0 mm Increment 0.6 mm 2: • If auto mode is chosen the system will choose Overview Center Y 0 mm No. of images 501= the appropriate matrix size according to the Mirroring None Comments selected kernel and field-of-view size. Extended CT scale Matrix size 1024 The matrix size selected for reconstruction is also Routine Scan Recon Auto Tasking • displayed at the bottom of the Recon tab (purple box). * Please note, some syngo.via applications may require a 512-matrix 16 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Precision Matrix (SOMATOM Force Only) SIEMENS Healthineers 19.01.28-14:06:14 ST Hospita 19.01.28-14:06:14 ST H Hospital 19.01.28-14:06:14 STD-1. 19.01.28-14:06:14 STD-1. *18-Nov-1858, 0, 160Y *18-Nov-1858, 0, 160Y • The matrix size is also available in Workstream4D 29-Jan-2019 29-Jan-2019 16:07:31.94 16:07:31.94 MPR 3 MPR 3 • Navigate to the 3D Graphical Reconstruction Planning (GRP) control bar IR A • All sizes (orange box) are available as square and non-square oV 230 337 SL 5.0 ₩ 1500 SL 5.0 1.500 • The largest aspect ratio of non-square matrixes is Matrix siz 1024 Non-square Planning base ThorHR RTD 1:8 for 256 and 1:4 for all other matrix sizes. Thus, 19.01.28-14: 256 Auto Specials PolyTraun 19.01.28-14:06:14-STC Total mAs: 703 1512 Reco 768 3456 7 8 1024 Series description ThorHR 5.0 MPR ax CT reconstructions with a matrix up to 1024 x 4096 Slice 5.0 mm Advanced reconstruction options ADMIRE Strength 3 Matrix size |1024 Kernel Br40 ... BHC None are now possible. FAST M Window Lung iMAR None Fov 230 mm x 387 mm 2 Image order Head to feet Increment 5.0 mm No. of images 61 Comments Note: Using a larger matrix size may be beneficial to image Matrix size 1024 sharpness for large field-of-view but may lead to an increase in Routine Scan Recon Auto Tasking image noise 17 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Precision Matrix (SOMATOM Force Only) SIEMENS Healthineers Examination Configuration • It is possible to limit the matrix size for all Patient Dose Workflow Topogram Processing Contrast reconstructions to 512, 768, or 1024 by choosing the Shortcut Settings For Windowing F2 Abdomen F3 Lung F4 Bone matrix size upper limit in the workflow tab card of the Messages Confirm Close current patient M Examination Configuration. Confirm contrast examination Reconstruction Matrix • This is accessible via Matrix size upper limit 1024 Options  Configuration  Examination Configuration OK Apply Default Settings Cancel Help 18 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Lung Imaging Protocols Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Lung Imaging Protocols (SOMATOM Force Only) SIEMENS Healthineers With syngo CT VB20, enhanced in-plane Patient Model Dialog • . Adult Dual Energy Protocol . Replace resolution for high resolution lung scanning has Child Append been introduced TurboFlash Thorax HR Thorax XCARE Topogram @ Cut ThoraxRoutine DSXXL_Thorax . Keep • These protocols have been added to the Thorax HR ThoraxSeqHR TurboFlash_LungLowDose_HR_Sn eference lines None Thorax folder of the Patient Model Dialog LungLowDose Sn LungLowDose HR Sn LungCAD ThorAbd_XCARE (orange box) and are marked by „_HR“ ThorAbd ThoraxIntervention API Language German • The following enhanced high resolution thorax OK Cancel protocols are available: • TurboFlash_Thorax_HR • Thorax_HR • TurboFlash_LungLowDose_Thorax_HR_Sn • LungLowDose_Thorax_HR_Sn 20 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Lung Imaging Protocols (SOMATOM Force Only) SIEMENS Healthineers • The minimal slice thickness for the high resolution lung scanning is limited to 0.75 mm • In addition, dose levels for the “TurboFlash_Thorax_HR” and “Thorax_HR” protocols have been increased to ensure optimal Thorax_HR ThoraxRoutine image quality. Rotation time 0.25s Rotation time 0.25s 21 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Cardiovascular Updates Click to add footnote 22 second line Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 kV Independent Calcium Scoring (Agatston Scoring) SIEMENS Healthineers • VB20 introduces a special kernel allowing voltage-independent 80 kV 100 kV Agatston Scoring: Sa36 120 kV 140 kV • The Sa36 kernel uses a special correction in the raw data space to adjust for different attenuation of calcium at different kV levels. Original [HU] • This allows for better tailoring of tube voltage to patient size Artificial 120 [HU] Note: Due to the calculation during the reconstruction process the Sa36 corrected image of a 120 kV scan will not have an identical image impression when compared to a reconstructed image of the same 120 kV scan using a Qr36 kernel. 23 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 Sa36 Kernel SIEMENS Healthineers • The Sa36 Kernel should only be used for Calcium ADMIRE Scoring Kernel Sa36 ... Window #- Body • Combined use of Sa36 and iterative beam hardening @- Head Quantitative correction (iBHC) is always set to Calcium and @ Special cannot be changed Extended P @ AgatstonScore 36 Body The Sa36 Kernel is located in Special folder of the rview o eDDensity • kernel dropdown list + Head Mirroring b- All ended CT s • In all default protocols for coronary calcium scoring “CARE kV” will be switched on and the kernel for the ne default reconstructions is set to Sa36 24 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 HeartFlow SIEMENS HeartFlow Healthineers • Helping to identify ischemia-causing lesions, CT-derived Fractional Flow Reserve (FFRCT) is the only non-invasive test that provides actionable information to aid clinicians in RCA determining vessel-by-vessel, the functional significance of 0.89 coronary artery lesions. 0.72 LCX • In three prospective multicenter trials, the HeartFlow® FFRCT 0.85 0.74 Analysis has shown higher specificity and positive predictive LAD value (PPV) compared to coronary CTA alone (7-9). Reference (6) Meijboom WB et al. Comprehensive assessment of coronary artery stenoses: computed tomography coronary angiography versus conventional coronary angiography and correlation with fractional flow reserve in patients with stable angina. J Am Coll Cardiol 2008;52:636–43. (7) Koo BK et al. Diagnosis of ischemia-causing coronary stenoses by noninvasive fractional flow reserve computed from coronary computed tomographic angiograms. Results from the prospective multicenter DISCOVERFLOW (Diagnosis of Ischemia-Causing Stenoses Obtained Via Noninvasive Fractional Flow Reserve) study. J Am Coll Cardiol 2011;58:1989–97. (8) Min JK et al. Diagnostic accuracy of fractional flow reserve from anatomic CT angiography. JAMA 2012;308:1237–45. (9) Nørgaard BL et al. Diagnostic performance of noninvasive fractional flow reserve derived from coronary computed tomography angiography in suspected coronary artery disease: the NXT trial. J Am Coll Cardiol 2014;63:1145–55. 25 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 Dedicated Heart Flow® Protocols SIEMENS Healthineers • Special protocols for FFRCT (fractional flow reserve by Dual Energy Protocol . Replace CT) are available in the cardiac folder in the Patient · Append Model Dialog Card TurboFlash_CaScore_Sn TurboFlash CaScore DS CaScore Cut Vasc DS_CaScoreSeq_Sn DS_CaScoreSeq Keep • On the SOMATOM Definition Edge, SOMATOM FAST TurboFlash Cardiac DS_CoroCTA_AdaptSeq Definition AS+, SOMATOM Definition AS 64 and R DS_CoroCTA_AdaptSeq_Edge_IR pne DS_CoronaryCTA SOMATOM EdgePlus the protocol will be named: DS_CoroCTA_BiSeg Spec DS_CoronaryCTA05s DS CoroCTA_AdaptSeqArrhythmicHR CoroCTA_HeartFlow DS CoroCTAArrhythmicHR PEL DS CoroCTA HeartFlow TurboFlash TAVI API Language German • On the SOMATOM Definition Flash, SOMATOM DRIVE and SOMATOM FORCE the protocol will be named: DS_CoroCTA_HeartFlow 26 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 Dedicated TAVI/TAVR Protocols SIEMENS Healthineers • TAVI planning requires assessment of the aortic valve plane as well as the access route • New TAVI planning protocols consist of a dedicated cardiac scan for aortic valve assessment followed by a matching CT angiography of the access route • ECG Electrodes are mandatory, for ECF triggered placement • Special protocols for TAVI/TAVR planning can be found in the Cardiac folder of the Patient Model Dialog: • SOMATOM Definition AS, Edge, Edge+: TAVI • Protocol consists of an auto-range of a ECG gated spiral cardiac scan and a CTA scan with a pitch of 1.4 spiral, matching rotation time and wedge filter state to minimize inters can delay. • SOMATOM Drive and Definition FLASH: Flash_TAVI • SOMATOM Force: TurboFlash_TAVI • Protocols consist of a Flash spiral (SOMATOM Drive/ Definition Flash) or a Turbo Flash Spiral (SOMATOM Force) with a default start phase of the embedded cardiac range of 30%. 27 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 FAST Phase SIEMENS Healthineers FAST Phase is an intuitive and fully integrated solution for cardiac imaging, designed to help quickly set up complex and often time consuming cardiac procedures reliably and repeatedly • Automatic ECG analysis of heart rate and rhythm (variability) in real-time • Chooses the most appropriate phase of the heart cycle to scan and reconstruct • Comprehensive cardio CT made easy in combination with FAST Planning and Rapid Results • With FAST Phase fully integrated in the Cardiac workflow, the most appropriate scan parameters and reconstruction parameters are suggested based on an automatic analysis of the patients heartbeat prior to scanning. 28 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 FAST Phase (continued) SIEMENS Healthineers For FAST Phase, the heart beat is characterized HeartView x by: General Preview Series Multiphase Auto Trigger 1. Heart rate Thresholds Scan perform with contrast Slow, moderate, high Heart Rate Start Ph. End Ph. Unit Best Phase Unit 2. Heart rate variability Low-Regular 70% 70 % BestDiast % Low-Unstable 65- 75 % % Regular, unstable, arrhythmic BestDiast Low-Arrhythmic 60- 80-1 % BestDiast % Moderate-Regular 60- 80-1% BestDiast % • For each of the 9 resulting heart rate Moderate-Unstable 60- 80-1% BestDiast % categories a set of optimized scan and Moderate-Arrhythmic 200- 350 = ms BestSyst ms reconstruction parameters is predefined. High-Regular 30- 40-1 % BestSyst High-Unstable 200- 350-m BestSyst ms These parameters are stored in a special High-Arrhythmic 200 350-1 ms BestSyst ns • look up table for both contrast and non- contrast examinations. OK Apply Default Settings Cancel Help 29 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 FAST Phase: Set-Up SIEMENS Healthineers To adjust the default parameters, the look up table can be accessed by: 1. Options/ Configuration/ HeartView/ Auto 2. During cardiac scan: Trigger Tab Click on the Icon in the Trigger Card. 18 Somaris/7 - Configuration Panel Heart Rate (bpm) Min: 60 Max: 60 Avg: 60 Var: 0.0 File DICOM 60 60 60 60 60 60 sym * Patient Patient Patient Transfer Conversion Auto Delete Browser Registration Search CT.Log Expert-i Image Text Scan Protocol E-Logbook Examination Bolus Editor Assistant Configuration Tracking ? . HeartView x Respiratory HeartView Intervention Gating General Preview Series Multiphase Auto Trigger Scan auto BestPhase auto Thresholds Scan perform with contrast Range 70to 70= Phase Start 702 Filming Filming Report Layout Layout Editor Configuration Heart Rate Start Ph. End Ph. Unit Best Phase Unit Low-Regular 70- 70 % BestDiast % Pulsing 70 = to 70= Unit % Low-Unstable Ca 65 75- % BestDiast % cm 3 Volume CT CaScoring VPCT Neuro VF Low-Arrhythmic 60 Unit % 80 % BestDiast % HeartView Moderate-Regular 60-: 80 % BestDiast % Recon quick 66 ms DS_CoroCTA_AdaptS Moderate-Unstable 60 80 % BestDiast % Moderate-Arrhythmic 200 350 ms BestSyst 5:51- ms Topogram High-Regular 30 40 % BestSyst % Routine Scan Recon Auto Tasking Trigger 200 350 . DS_CorAdSeq High-Unstable ms BestSyst R m High-Arrhythmic 200- 350 ms BestSyst ms OK Apply Default Settings Cancel Help 30 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 FAST Phase: Lookup Tables SIEMENS Healthineers Two Lookup Tables are available: HeartView x General Preview Series Multiphase Auto Trigger 1. With contrast • Used for exams with contrast media Thresholds Scan perform with contrast 2. Without contrast Heart Rate Start Ph. End Ph. Unit Best Phase Unit • Used for exam without contrast media Low-Regular 70 70 % BestDiast Low-Unstable 65- 75 % BestDiast % • To switch between the two look up tables, select Low-Arrhythmic 60- 80 % BestDiast % the desired option from the dropdown list located Moderate-Regular 60- 80 % BestDiast % in the upper right corner (orange box). Moderate-Unstable 60- 80 % BestDiast % Moderate-Arrhythmic 200 350- ms BestSyst ms Values are adjustable by entering values to the High-Regular 30 40 % BestSyst % • fields accordingly High-Unstable 200 350- ms BestSyst ms High-Arrhythmic 200- 350 ms BestSyst • If necessary, it is possible to restore factory settings by use of the “Default Settings“ button OK Apply Default Settings Cancel Help located at the bottom of the window (orange box). 31 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 FAST Phase: Thresholds SIEMENS Healthineers >. Heart View × • Heart rate and heart rate variability can be General Preview Series Multiphase Auto Trigger adjusted by navigating to Thresholds (orange box) Thresholds Auto Trigger Thresholds X • In the Auto Trigger Thresholds window the lower Hei Heart Rate Low-I and upper thresholds can be entered in the Low-L Low Moderate High corresponding fields. Low-Arr 67bpm 85bpm Moderate-l Moderate-L Moderate-Arr Heart Rate Variability High-I High-L Regular Unstable Arrhythmic High-Arr 4bpm 12pm OK App OK Cancel 32 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 FAST Phase Configuration at the Scan Level SIEMENS Healthineers To use FAST Phase for scanning: Select Scan Entry/Trigger Card • DS_CoroCTA_AdaptSeq (Adult) Test 17.07.24-13:15:51-STC Total mAs: 252 • Sequence Mode: Topogram Heart Rate (bpm) Min: 60 Max 60 Avg: 60 Ver: 0.0 Scan/ auto . DS_CorAdSeq 60 60 60 60 60 » 80 RT » Applies look up table to Trigger & Pulsing setting. IA • Spiral Mode: Scan auto BestPhase auto » Pulsing/ auto Range 70 Phase Start auto » Applies look up table to Pulsing Pulsing 70 to 70 Unit BestSyst BestDiast Unit % manual setting. Recon quick 66 ms BestPhase/auto Load Hold Recon Recon • Routine Scan Recon Auto Tasking Trigger » Applies lookup table to the reconstruction. Note: using FAST phase (auto) disables manual input options. FAST Phase can be applied independently to acquisition and reconstruction (best phase) or to both. 33 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 HOOD05162002963234 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers FAST DE Results Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results Improvement SIEMENS Healthineers Fast DE Results allows for automated post- Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 processing of reconstructed dual energy Auto recon images Auto filming every 1 - image Auto viewing No, of filmed images 0 Auto postprocessing None • Up to three different dual energy FAST DE Results ... application classes available directly from Application class Output type Output series description the scanner None None None None None None Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking Note: Please review auto-transfer settings and update manually 35 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Dual Energy - FAST DE Results Recon Prerequisites SIEMENS Healthineers For SOMATOM Force, SOMATOM Drive and SOMATOM Recon job 1 2 3 4 5 6 7 8 Series description DE_Thorax 5.0 Br40 3 Definition Flash Dual Source systems: Slice 5.0 mm Recon job type o Axial 3D ADMIRE Strength Recon region: Narrow Wide . “A+B+M” or “A+B” must be selected in the Series Kernel Br40 Thorax - Lung • Window Mediastinum Begin position -806.5 mm2: dropdown list of the Recon tab (see figure) to be able to Series A+B+M DE Comp. 0.6 == End position -506.5 mm2: use FAST DE Results. A+B+M A+B FAST DE Fo\ 300 mm = Image order Craniocaudal Center X 0 mm 2 Increment 5.0 mm = Overview Center Y 0 mm No. of images 61 Mirroring None Comments Extended CT scale Routine Scan Recon Auto Tasking Note: Please refer to your system’s Instructions of Use for further information. 36 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Dual Energy - FAST DE Results Recon Prerequisites SIEMENS Healthineers For SOMATOM Definition Edge, SOMATOM Definition AS+ Recon job 123 456 7 8 Series description TB_Abdomen 5.0 Br38 and SOMATOM Edge Plus with the TwinBeam dual energy Slice 5.0 mm Recon job type o Axial 3D ADMIRE Recon region: Narrow Wide o option: Kernel Br38 ... None FAST Window Abdomen Begin position -1213.0 mm= “L+H” must be selected in the Series dropdown list of Series L+H End position -1413.0 mm= • the Recon tab (see figure 1) to be able to use FAST DE HD FoV FoV 300 mm Image order Craniocaudal Results. Center X 0 mm : Increment 5.0 mm Overview Center Y 0 mm 2 No. of images 41 Mirroring None Comments Extended CT scale Routine Scan Recon Auto Tasking 37 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Using FAST DE Results SIEMENS Healthineers Recon job 1 2 3 8 • Check the tick box next to FAST DE Results 4 5 6 7. Series description #PP DE_Thorax 1.5 Qr40 2 (orange box) to activate FAST DE post Auto recon processing Auto filming every 1 - image Auto viewing No. of filmed images 0 Auto postprocessing None • To configure application classes left click on FAST DE Results Application class Output type Output series description the button in the same row - None None None None • A menu will open with available application None None classes Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking Note: Former separate Recon jobs for FAST DE Results should be combined into one Recon job with multiple active FAST DE Application classes 38 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Using FAST DE Results SIEMENS Healthineers • Series Descriptions are now customizable for each Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 FAST DE Results series. Enter the requested series Auto recon description in the corresponding text field (orange Auto filming every 1 image Auto viewing No. of filmed images 0 Auto postprocessing None box) FAST DE Results ... Application class Output type Output series description Please note, if the output series description is left None None • None None empty, the same automatically generated series None None description will be used as in previous software Output: Original settings Slice 1.5 mm increment 1.0 versions Auto transfer None Routine Scan Recon Auto Tasking Note: If FAST DE Results were converted from an earlier software version, please check if the series description is still valid 39 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results: Slice Thickness SIEMENS Healthineers • By checking the “Originals settings” box (orange Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 square) slice thickness and increment set in the recon tab will be used for reconstruction Auto recon Auto filming every 1 _ image Auto viewing • If unchecked, slice thicknesses can be manually No. of filmed images 0 Auto postprocessing None entered in the corresponding box (orange rectangle). FAST DE Results ... The thin-slice low/high energy reconstruction of the Application class Output type Output series description • None None default scan protocol should be used None None • Please note that it is not possible to reconstruct FAST None None DE slices that are thinner than the original input Output: Original settings Slice 1.5 mm Increment 1.0 slices. This will yield in an error message. Auto transfer None • If thicker slices are created please make sure the Routine Scan Recon Auto Tasking series is adequately labeled by entering the necessary information in the output series description field. • A DICOM node can be chosen from the Autotransfer Note: If FAST DE Results were converted from an earlier dropdown to autosend images software version, please check if the slice thickness is still valid 40 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results: Application Classes for Dual Source Systems SIEMENS Healthineers Recon job 8 Series description #PP DE_Thorax 1.5 Qr40 2 • The Application Classes are available via a dropdown 1 2 3 4 5 O) menu (orange box). Auto recon Auto filming every 1 = image Auto viewing No. of filmed images 0 Auto postprocessing None • With syngo CT VB20 the following application classes FAST DE Results ... will be available for Dual Source systems: Application class Output type Output series description None None None None Monoenergetic Plus Monoenergetic Plus • Mixed None Virtual Unenhanced Mixed Optimum Contrast Slice 1.5 mm Increment 1.0 • Lung PBV Virtual Unenhanced Liver VNC Auto transfer None • Rho/Z Optimum Contrast Routine Scan Recon Auto Tasking • • Lung PBV • Liver VNC • Rho/Z 41 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results: Application Classes (TBDE) SIEMENS Healthineers • The Application Classes are available via a dropdown Recon job 1 2 3 4 5 6 8 Series description #PP TB_Thorax 2.0 Qr40 3 menu (orange box). Auto recon Auto filming every 1 = image Auto viewing With syngo CT VB20 the following application classes No. of filmed images Auto postprocessing None • O will be available for systems with the TwinBeam Dual FAST DE Results ... Application class Output type Output series description Energy option: None None None Monoenergetic Plus None • Monoenergetic Plus Mixed None Virtual Unenhanced • Mixed Optimum Contrast Slice 2.0 mm Increment 1.4 Liver VNC Rho/Z Auto transfer None • Virtual Unenhanced Optimum Contrast Routine Scan Recon Auto Tasking • • Liver VNC • Rho/Z 42 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results Improvement: Application Classes for Single SIEMENS Healthineers Source Systems 6 7 8 • The Application Classes are available via a dropdown Recon job 1 2 3 4 5 Series description #PP DE_Foot80kV 0.75 Qr40 menu (orange box). Auto recon Auto filming every image Auto viewing No. of filmed images 0 Auto postprocessing None • With syngo CT VB20 the following application classes FAST DE Results ... will be available with the Dual Spiral Dual Energy Application class Output type Output series description option: None None None Monoenergetic Plus None Mixed None Monoenergetic Plus Rho/Z • Output: Original settings Slice 0.75 mm Increment 05 • Mixed Auto transfer None • Rho/Z Routine Scan Recon Auto Tasking 43 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results: Monoenergetic Plus SIEMENS Healthineers • Monoenergetic images can be Recon job 1 2 3 4 5 6 8 Series description #PP DE_Thorax 1.5 Qr40 2 reconstructed from 40-190 keV Auto recon Auto filming every 1 - image Auto viewing • Monoenergetic Plus allows for an increase No, of filmed images Auto postprocessing None in identification of faint enhanced lesions FAST DE Results ... with high sensitivity. Application class Output type Output series description Monoenergetic Plus None None 40keV 45keV • Different energy levels can be None 50keV 55keV reconstructed by checking the appropriate Output: Original settings 60keV 70keV Increment 1.0 box in the output type drop down menu 80keV transfer None 90keV (orange box). 100kcv Routine Scan Recon Auto asking 44 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results– Mixed and Optimum Contrast SIEMENS Healthineers • Mixed Recon job 1 2 3 4 5 6 8 Series description #PP DE_Thorax 1.5 Qr40 2 • “Mixed” blends low and high kV datasets in the Slice 1.5 mm +] DE Composition: image space. ADMIRE Strength For Dual Source systems this blend depends on Kernel Qr40 B * * A • Window Mediastinum the setting of the DE Composition slider in the Series A+B+M DE Comp 0.6 == 1.0 -0.5 +0.0 +0.5 +1.0 Recon tab card. (see figure) FoV 300 mm Image order Craniocaudal • For TBDE this value is fixed at 0.8 with regards to Center X 0 mm 2 Increment 1.0 mm 2 the low spectrum (gold) image. Overview Center Y 0 mm No. of images 301 For Dual Spiral Dual Energy scans the mixing Mirroring None Comments • Extended CT scale Matrix size 512 ratio is fixed at 0.3 with regards to the low kV Routine Scan Recon Auto Tasking spiral. • Optimum Contrast • Optimum contrast blends the low and high kV datasets to achieve the best contrast-to-noise ratio 45 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results: Virtual Unenhanced and Liver VNC SIEMENS Healthineers Virtual Unenhanced and Liver VNC assists in Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 • Auto recon visualizing contrast agent concentration in Auto filming every image Auto viewing abdominal organs and the liver. The basis for this No. of filmed images 0 Auto postprocessing None FAST DE Results ... Application class approach is a material decomposition into iodine Output type Output series description Virtual Unenhanced None None lodine contrast agent and organ / liver tissue. VNC None None Output: Original settings Slice 1.5 mm ] Increment 1.0 Auto transfer None • The assessment of iodine uptake of an abdominal Routine Scan Recon Auto Tasking lesion can be used as an indicator whether a lesion is Recon job 1 2 3 4 5 8 Series description #PP DE_Thorax 1.5 Qr40 2 0) benign or malignant. Auto recon I Auto filming every 1 image Auto viewing No, of filmed images 0 Auto postprocessing None FAST DE Results Iodine maps and/or virtual non-contrast series can Application class Output type Output series description • Liver VNC None be reconstructed by marking the checkbox in the None lodine VNC None None 00 Output type dropdown menu (orange box). Output: Original settings Slice 1.5 mm _] Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking Note: Iodine maps will be displayed in greyscale. 46 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results– Lung PBV SIEMENS Healthineers Recon job 1 2 3 • This application class allows for direct 4 5 6 Series description #PP DE_Thorax 1.5 Qr40 2 visualization of iodine concentration in the Auto recon lung parenchyma, a measure of the local Auto filming every Image Auto viewing No, of filmed images 0 Auto postprocessing None blood volume. FAST DE Results ... Application class Output type Output series description Lung PBV • It may help you in the assessment of None None lodine hemodynamically relevant perfusion defects Mixed None None e.g.: caused by pulmonary emboli. Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking 47 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results-Rho/Z SIEMENS Healthineers 8 • The attenuation of X-ray mainly depends on Recon job 1 2 3 4 5 Series description #PP DE_Thorax 1.5 Qr40 2 the electron density and the effective atomic Auto recon number. Auto filming every 1Image Auto viewing No. of filmed images 0 Auto postprocessing None FAST DE Results ... • Both parameters are characteristic for Application class Output type Output series description different materials and may be used for Rho/Z None None Rho evaluation of beam attenuation for radiation Z None None oncology procedures. Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None • With FAST DE Results Rho/Z you have access Routine Scan Recon Auto Tasking to electron density maps and effective Z maps from dual energy scans. 48 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 FAST DE Results Configuration SIEMENS Healthineers Iodine concentration conversion table FAST DE Results can be configured in: Roi value µg/cm³ mg/ml Options  Configuration  FAST DE Results. 0 0 0 5 500 0,5 10 1000 1 15 1500 1,5 • With syngo CT VB20 it is now also possible to obtain iodine 20 2000 2 concentration maps instead of HU measurements maps 25 2500 2,5 30 3000 3 • Iodine concentration maps, which can be calculated in 35 3500 3,5 40 4000 4 the following application classes: 45 4500 4,5 Virtual Unenhanced 50 5000 5 • 55 5500 5,5 • Lung PBV 60 6000 6 65 6500 6,5 • Liver VNC 70 7000 7 75 7500 7,5 80 8000 8 • To switch to iodine concentration maps check the tick box in 85 8500 8,5 the FAST DE Results configuration window. 90 9000 9 95 9500 9,5 100 10000 10 Note: this is a global setting and will affect all application classes producing iodine maps 49 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Rapid Results Technology Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Improvements to Workflows and Data Role Selection SIEMENS Healthineers • With syngo CT VB20, the usability of workflows and data roles for Rapid Results technology will be improved Bild RR • A large number of Siemens default protocols with appropriately assigned data roles will be available • Further more, VB20 workflows and data SOMATOM CT scanner svngo.via server svngo.via client / PACS roles can now be adjusted “on-the-fly” during an examination 51 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Improvements to Workflows and Data role selection – SIEMENS Healthineers adjusting Workflows and Data roles on the fly Topogram Recon job 1 2 34 5 Series description DE_Thorax 5.0 Br40 3 00 To adjust Data roles on the fly: DE_Thorax RT Auto recon Auto filming even image Auto viewing Bild GUI 1. No. of filmed images 0 Auto postprocessing None FAST DE R Auto reference lines Auto Tasking DE CT Neuro DSA 1. Select the first reconstruction of the first scan (RT CT Dual Energy CT Bone Reading CT Myocardial Perfusion purple box) Auto transfer None Requested procedure CT Dynamic Angio MM RT Image Suite – T None CT Cardiac Planning None Body part examined CT Vascular 2. Navigate to the Auto Tasking tab 3. CT Liver Analysis 3 Workflow None Data role 3. Select the appropriate workflow for the Workflow Load Hold Recon Recon Routine Scan Recon Auto Tasking 2. dropdown (orange box) M Topogram Recon job 1 2 3 5 6 Series description DE_Thorax 5.0 Br40 3 00 DE_Thorax RT Auto recon 4. Subsequently, select the appropriate data role Auto filming every image Auto viewing No. of filmed images F 0 Auto postprocessing None from the dropdown menu for data role for each FAST DE Results ... Auto reference lines Auto Tackina DE ceriec M Kidney Stones (AA) recon job. Liver VNC (AA) Auto transfer None Lung PBV (AA) Lung Vessels (AA) None Mixed (AA) None Monoenergetic (AA) Monoenergetic+ (AA) Monoenergetic+ 40 (AA) Monoenergetic+ 45 (AA) Load Hold 4. Data role Recon Recon Routine Scan Recon Auto Tasking 52 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Improvements to Workflows and Data role selection – SIEMENS Healthineers adjusting Workflows and Data roles on the fly • Note: only one workflow can be chosen for the - whole exam, assigning different workflows to different scans within one exam will not be possible • Selection of different data roles for each recon job is possible. Keep in mind that the requirements for the selected data roles have to be met by the recon job SIEMENS ....... 53 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Improvements to Workflows and Data Role Selection SIEMENS Healthineers • As before, a general preset of workflows and Bild RR data roles are accessible in Scan Protocol Assistant • Note: Syngo.via has to be connected to the scanner and Rapid Results need to be configured on syngo.via to gain access to custom customer workflows and Data roles.* SOMATOM CT scanner sungo.via server svngo.via client / PACS *Depends on system‘s configuration 54 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers CT Intervention Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Changes to CT Intervention SIEMENS Healthineers Enhanced Functionality of i-Control Added functionality for the following buttons: 1. 2. 2. 3. 3. 1. Current image position: 2. Move the patient table to the currently image 11213 position. 2. Blowup image: Blow up view for the currently selected image. 3. Save displayed images: 4. 1. 4. Save all displayed images as key images. - J 4. Cancel move: Stop movement of the patient table. This function is only available if a move request is active, for example, after mode loading. 56 Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Miscellaneous Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 UHR Protocols with Tin Filter - SOMATOM Force Only SIEMENS Healthineers Patient Model Dialog • Dedicated UHR_Sn protocols have been added to the . Adult Head_XCARE al Energy Protocol . Replace SOMATOM Force for imaging of the inner ear and . Child HeadRoutine HeadNeuro_XCARE ·Append HeadNeuro HeadRoutineSeq ardiac HeadNeuroSeq extremities. Topogram . Cut InnerEarUHR InnerEarUHR Sn scula . Keep InnerEar InnerEarSeq InnerEarUHR_Sn Sinus RT Auto reference lines None Sinus_Sn Sinus Vol Orbit Specials ExtrUHR_Sn Dental PET API Language German • With the combination of the UHR Comb and tin filter OK Cancel there is an increase in spatial resolution Patient Model Dialog |Patient Model Dialog Adult Dual Energy · Adult Dual Energy Child . Child Cardiac ardiac Vascula WristUHR ExtrUHR ExtrUHR Sn RT Extremity Extremity_Sn ecials Specials KneeUHR FootUHR PET ExtrUHR ExtrUHR Sn Extremity Extremity_Sn OK Cancel OK Cance Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Additional Kernel for Bone Imaging SIEMENS Healthineers • The following kernels have been added on SOMATOM Drive, SOMATOM Edge Plus, SOMATOM Definition Edge, SOMATOM Definition Flash, SOMATOM Definition AS family. • Standard mode: Qr62 and Qr66 • UHR mode: Uq68 and Uq77 • As compared to the corresponding “Br” Kernel, these Kernels have less edge enhancement which facilitates the appraisal of bone structures. Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Miscellaneous • FAST 3D Camera: Algorithm update • Automatic detection of landmarks • Improved iso-center detection • Improved topo-range accuracy • Faster calculation • Image data storage capacity (Tower 13 update) • Data base increased by factor 4 • > 2,000,000 uncompressed images • Please keep in mind, that the duration for deleting large quantities of old image data may increase greatly. • New NeuroVPCT_Prolonge Protocol • Allows for neuro perfusion scans lasting up to 60 seconds Job Aid Effective Date: 07/16/2019 | HILS/HOOD05162003018074 Siemens Healthcare GmbH, 2019 Thank you SIEMENS Healthineers for your enthusiasm! Siemens Healthineers Instructor Training and Development Center (TDC) • Name: Cary, NC USA • Phone Number: siemens-healthineers.com • Email: [email protected] Author | Department 61 Unrestricted © Siemens Healthineers, 2020

  • syngo.CT VB20 Software Update Job Aid