syngo.via - CT Coronary General Evaluation

syngo.via® CT Coronary General Evaluation " syngo.via CT Coronary is a full-featured software package designed to aid in the diagnostic evaluation of car- diac CT angiography (CTA) volume data sets. CT Coronary provides general evaluation tools, vessel defini- tion tools, and vessel evaluation tools that support in the identification and quantification of coronary le- sions and other cardiac anomalies. 1. From the Patient Worklist, load an appropriate data set into the CT Coronary Workflow: • If the examination has been correctly mapped, double click to load • If manual mapping is required, right-click the examination and select Open With > CT Coronary 2. Use the Phase Navigator to review different phases in a multi-phase 256 * 256 cardiac data set. Select a phase directly from the list, use the mouse 10% 256 * 256 256 * 256 (scroll wheel + ALT, or drag left/right + RMB) or up/down arrows to 20% 35% 256 * 256 step through consecutive phases. The cine mode will automatically 45% 256 * 256 50% 256 * 256 navigate through all available cardiac phases. 55% 256 * 256 60% 256 * 256 65% 256 * 256 70% 256 * 256 71% BestDiast 512 * 512 75% 256 * 256 80% 256 * 256 3. The Case Navigator provides many tools useful in performing a general evaluation of the heart. Heart Isolation, Coronary Tree, and Blood Pool Removal are performed as preprocessing steps. Deselect the icon(s) to view the complete anatomy. CT Coronary Q + • Heart Isolation automatically isolates the heart from the CT Coronary surrounding tissues and structures -IT Isolate corona Remove Heart Tree Blood Manual Vessel Plant SURF SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Healthineers Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/26/17 | HOOD05162002613572 Job Aid | syngo.via CT Coronary General Evaluation Effective Date: 06/26/17 | HOOD05162002613572 • Coronary Tree isolates the coronary arteries and the CT Coronary + ascending aorta and creates a new volume that is displayed in the Anatomy Visualizer CT Coronary FIT Coronary Remove Marker Heart Tree BI Manual Plane Vessel SURF • Blood Pool Removal extracts the CT Coronary Q + remaining blood from the heart chambers. Although pre-processed, CT Coronary OB the icon is not active by default -IT Isolate Coronary Marker Heart Tree Blood Manual Vessel Plane SURF 4. The Manual Plane tool enables instant viewing of anatomy in an arbitrarily defined plane. Click in the image and drag the mouse to draw a green line through the area of interest. An oblique MPR in that plane is created in the best plane segment. CT Coronary Q + CT Coronary FIT Isolate Coronary Remove Marker Heart Tree Blood Manual Plane Vessel SURE Detailed Tree SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 06/26/17 | HOOD05162002613572 Page 2 of 6 Job Aid | syngo.via CT Coronary General Evaluation Effective Date: 06/26/17 | HOOD05162002613572 5. Vessel Surf allows for navigation through a vessel in an MPR segment. The all other segments will up- date in real-time to display the current orthogonal views. With the icon enabled, click inside the vessel of interest and “surf” forward using the right mouse button. CT Coronary Q + CT Coronary Isolate Coronary Remove Tree Blood Manual Plant SURF 6. Detailed Tree displays a detailed centerline tree for all side branches. CT Coronary Q + CT Coronary 36666689882 FIT Isolate Coronary Remove Blood Marker Tree A FLAD A 600 Vessel Detailed 600 W Manual Manip VRT C 200 Plane Tree 63 bpm, 71 % D, 150 ms SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Healthineers Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/26/17 | HOOD05162002613572 Page 3 of 6 Job Aid | syngo.via CT Coronary General Evaluation Effective Date: 06/26/17 | HOOD05162002613572 7. Before performing further vessel analysis, confirm the accuracy of the vessel centerlines and anatomic labels: • From the layout gallery, select a Twin layout, where synchronized CPRs show the vessel at a 90° angle. • From the upper left corner menu of the CPR segment, choose Show Centerline. • Rotate around the centerline to check positioning. • To rename an already-defined anatomic label, double-click the label and enter the desired name, OR right-click the label and select a preset from the context menu. H RCA RCA FL_CorCTA_0.75mm B26 LM SP A139.1 RAMUS LAD CX RCA LIMA Bypass R RIMA Bypass SVG RCA Rename to Manip VRT Delete Centerline 0 A 8. The Anatomy Visualizer – in the upper left segment menu of the VRT - displays the list of all segmentation objects, such as the Anatomy Visualizer ? x Aorta, Heart, Blood Pool, Coronary Tree, and Volume. Segmen- tation objects can be added, deleted, merged, and edited using Segmentation Objects the various tools provided. Region Growing Aorta Coronary Tree Blood Pool Heart Punch + Anatomy Visualizer Clip Plane Opens an Anatomy Visualizer dialog -CX Segmentation Tools Clip Box X Ranges Tools Region Growing VRT FreeHand Fine Tune Threshold Punch MPR SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 06/26/17 | HOOD05162002613572 Page 4 of 6 Job Aid | syngo.via CT Coronary General Evaluation Effective Date: 06/26/17 | HOOD05162002613572 9. Cinematic Rendering – in the lower left segment menu – enables a photorealistic 3D volume rendering display RHP ARF Angio View Cinematic VRT HO VRT DI MIP D. MPR SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 06/26/17 | HOOD05162002613572 Page 5 of 6 Job Aid | syngo.via CT Coronary General Evaluation Effective Date: 06/26/17 | HOOD05162002613572 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 ŶOperator Manualŷ) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator’s Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively ŶFunctionalityŷ) 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. Copyright “ Siemens Healthcare GmbH 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 06/26/17 | HOOD05162002613572 Page 6 of 6