syngo.via - CT Vascular General Evaluation

syngo.via® CT Vascular General Evaluation syngo.via CT Vascular Analysis is a full-featured software package designed to aid in the diagnostic evalua- tion of CT angiography (CTA) volume data sets. CT Vascular Analysis provides general evaluation tools, ves- sel definition tools, and vessel evaluation tools that support in the identification and quantification of vascu- lar lesions and other vessel anomalies. 1. From the Patient Worklist, load an appropriate data set into the CT Vascular Analysis 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 Vascular 2. The Case Navigator provides many tools useful in performing a general evaluation of vessels. Many functions – like table removal and bone removal - are performed automatically as preprocessing steps. CT Vascular IT Remove Bone Edit Remove Table Remov ... Calcium Marker Bones Vessel Plane SURF • Table Removal automatically removes the table and head holder from 3D images. X Remove Table • Bone Removal – Auto automatically applies the optimal bone removal algorithm to the loaded series, depending on the detected body region. A manual selection of the various body regions and algorithms – including Dual Energy options (when loaded) is available in the Bone Removal icon dropdown menu. Bone Bone Removal Auto Bone Bone Removal Head Remov ... Bone Removal Body Bone Removal Leg Structure Isolation Bone Removal DE Body Bone Removal DE Head Bone Removal Neuro DSA 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: 5/1/2017| HOOD05162002591644 Job Aid | syngo.via CT Vascular General Evaluation Effective Date: 5/1/2017| HOOD05162002591644 • If the bone removal is not satisfactory, the bone removal mask [for single energy studies] can be manually edited in the Bone Removal Edit Mode. • Enable the Edit Bones icon. The magenta bone removal mask overlay is displayed on structures that will be removed from the VRT/MIP. A Edit Bones 118710<164 "$1.01.1317.M. 91Y DIA Cardidirda Hale 1. 5026 15.12.2338 "11.01.1356, M. SOY 09:25:31 Pat 1.0mmiztraf FP FE19.0 11 :28:24 MY138 mês 216 CAUD FE P M 512:4312 • Move the mouse pointer over the image. The mouse pointer will change appearance and become a toggle:  Over a structure that has not been identified as bone to mark it as bone  Over a structure that has been identified as bone to mark it as non-bone • Bone editing markers can be repositioned or deleted. • Click the Edit Bones icon again to finish the bone removal editing. • Additional calcium can be removed from the MIP, VRT, or AngioView to get a true lumen-only view of the vessels. • Enable the Remove Calcium icon Remove Calcium • Use the threshold slider to optimize the visualization of the vessels. 480 300 800 [HU] 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: 5/1/2017| HOOD05162002591644 Page 2 of 5 Job Aid | syngo.via CT Vascular General Evaluation Effective Date: 5/1/2017| HOOD05162002591644 3. 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. Manual Plane AR O 4. Vessel Surf allows for navigation through a vessel in an MPR segment. The all other segments will update 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. Vessel SURF 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: 5/1/2017| HOOD05162002591644 Page 3 of 5 Job Aid | syngo.via CT Vascular General Evaluation Effective Date: 5/1/2017| HOOD05162002591644 5. Before performing further vessel analysis, confirm the accuracy of the vessel center- lines 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. 6. The Anatomy Visualizer allows for quick access to all 3D masks that have been created. Individual masks can be shown or hidden using the check boxes, and VRT presets can be adapted as well. Region Growing Anatomy Visualizer ? x Punch Name Show Cut Punch Anatomy Visualizer Calcification .. NeuroDSAAlgorithm O Clip Plane Opens an Anatomy Visualizer dialog Volume Clip Box Ranges Tools 7. Cinematic Rendering – in the lower left segment menu – enables a photorealistic 3D volume render- ing display RHP ARF Angio View Cinematic VRT HO VRT MIP 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: 5/1/2017| HOOD05162002591644 Page 4 of 5 Job Aid | syngo.via CT Vascular General Evaluation Effective Date: 5/1/2017| HOOD05162002591644 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like 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 “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. 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: 5/1/2017| HOOD05162002591644 Page 5 of 5