syngo.via VB30 Overview of MM Oncology for CT e-Clip

On Koleji is by far the most common indication for see T exams today. It is therefore clinically and financially essential for a successful see T facility to have a fast and efficient on koleji workflow. Keeping track of the tumor in oncology image Ng over the entire patient history can sometimes be quite a challenge. Multiple lesions, multiple time points and multiple readers can often result in countless findings. This movie shows you how to evaluate CT on koleji cases. Mykala geez. Automated pre processing virtually reads your mind. It automatically prefetches your multimodality images from your archive and arranges them in exactly the layout and order. You always preferred reading them in. Tumor followups especially no longer require you to search for images in databases. Automatic layout selection is done depending on the modality, combination, number of prior studies and types of series. In this example, the study is opened with a two time point layout that shows two series of a current study on the left side of the screen, arterial and venous, and two series of the prior study on the right side of the screen. Other layouts are available if, for example, you want to compare additional time points, or if you prefer to read all Mer orientations, open the series Navigator by placing your mouse over the small triangle on the right and dragging any additional series. All time point you would like to compare. In the series Navigator loading of multiple reconstruction data sets is also possible. The data groups view and the thumbnails view enable drag and drop operations from the series Navigator into the image area. Drag and drop operations can be performed for switching time points, acquisitions and single series in the image area. You can configure the default layout that is loaded for specific data sets by selecting an assignment object, Study Description, protocol name or body part examined, followed by an assignment condition. You can also add knew layout rules based on the amount of examination time points for this patient. These selections filter the data sets that are displayed in an initial layout. From the configuration dialog box, select the initial layouts tab from the initial layout list, select my initial layout rules. Click the add new rule icon to add and you layout rule. The assign initial layout dialog box opens. Move the four patient with time Points Slider to select the number of prior time points that you want to load for the patient. It can be up to eight time points. Select an assignment object from the selection menu. Select an assignment condition relevant to the current study from the selection menu from the. Use this layout list. Select a layout. Click accept. The new layout assignment rule is listed in the initial layouts tab. If you want to have a first look at the NPR segments, notice that you can navigate by right clicking and dragging the segments vertically or using the scroll wheel. Window corrections can be done by clicking the scroll wheel and dragging. Click to zoom when the mouse pointer is on the periphery of the segment or tepan when the mouse pointer is in the center of the segment. Notice how the mouse pointer changes its shape to show which function is active.

SIEMENS SIEMENS . Administrator server: OSWA.VlA03 server server: OSVVA.VlA03 server: OSWA.VlA03 OSWA.V'A03 OSWA.VIA03 Healthineers Healthineers•• goUp_LowDos.Lung2, US goUp_LowDoSeLung2, US AS_Onco_multiple TP Paris AS_Onco_multiple TP_Paris FL MultiLesion 8TP, LMU Munich L MultiLesion 8TP, LMU Munich 8TP, LMU goUp_LowDoseLung2, US goUp_LowDosoLung2, US goUp_LOwDOSOLung2, US goUp_LOwOoseLung2 , US • 15.012013 0 • 0 • 15.01.2013 0 M 2012R0940 • 01.01.1953 M goUp_121 01.01-1953 M goUp_121 Series numbnails MM Oncology LIVOII Against Against 039122012 _ 122012 Against Basellne. goUp_LOwOoseLung2 goUp_LOwOoseLung2, U goup _LowOoseLung2 RECIST 1.1 mm 1.1 mm Series Details Thumbnails goup_121 RECIST 1 1 Diarn_ 62.2 mm RECIST 1 1 62.2 mm RECIST han e RE-CIST VI RECIST 1 Mak Orth_ 43.1 mm Orth. 43.1 mm mm MM Oncology CURRENT prior 01 01 2 1 5.05±2 015.08.2012 nco gy Max. Olth. Diam.: 42.0 mm Max. Offh. Diarn.: 42.0 mm Max. Orth. Diam.: 42.0 mm CURRENT MM Oncology Reading goUp_Lo goUp_LOWDOSOLu ng2 , ml Max. Orth, Diam.: 42,0 mm Max. Orth, Diam.' 42,0 mm rth, Diam.: mm Diam.: 42,0 mm 15 CURRENT 03 12.2012 CURRENT Version: w. manually corrected Version: manually corrected 1 3 MM Oncology Volume: 51 .159 ml me 51 , 159 mi me. 51 , 159 ml MM Oncology Reading goUp_121 M goUp_121 "121 121 1210 0821:05.81 084725.40 Volume: 51,159 ml 51,159 ml 12484B.41 sp Fl 1821 0821 AS_Onco_multiple. 08.21 :05.81 Lung Low Oose Patient Name Graph of @ Selected Lesion Modality Current Vers Version: manually corrected M, M. CT 5 IMA-21 31 3 IMA-339 5 IMA -23 5 IMA-23 5 IMA-24 5 IMA -21 3 IMA-23 3 IMA -22 3 IMA-313 3 IMA -338 5 IMA -23 6 IMA -22 5 IMA-23 5 -22 5 -20 5 IMA -22 3 IMA -340 5 IMA -324 5 IMA-37 3 IMA-3724 Y corre Version: — i manually corrected manual corrected Version: — , manual corrected Version: , manually corrected MM Oncology Reading Initial Layout Assign Initial Layout Lun'g Lung SC 3 IMAn.a. 3 -341 3 IMA-343 Vol. 56,0 24.722 ml (49.3%) Please note that the learning material is for training purposes only! 3D Reading MM Reading Read sp sp HI sp HI 508.0 HI Vol. Val:e O HU 24.722 ml (48.3%) o. 24.722 ml (48.3%) HU 24.722 ml (48.3%) sp sp Fl 334.g sp Fl 334.9 sp Fl sp Fl 360.1 325.3 Current Configuration sp HI HI CT CT. ct 29062017 RECIST 1 RECIST 1 _ 1 RECIST 1hang RECIST 1.1 1 1 29.06.2017 CT 29.062017 Copy Export to Export to Baseline prior 01 , 03.122012 Metric 3D Reading CT Abdomen 29.06.2017 MM Reading CHEST LOW Trending CT. Il L ng L ng •ose 1.50 ng Dose 1.50 Lung Low Oose Lung Low Dose DSWA-VlA03 Administrator CT, CT, 01_08.2012 RECIST 1 _ 1 RECIST RECIST 1 RECIST han e RECIST 1hang RECIST 1.1 mm I _ I 1 _ I CT Thorax I-avo Lava Lunö'Lt6W/Dose 1150 Br641S3 Lung:UÖiLDose 1150 Br64iS3 • CT 1 1 2:15 435 44 3 Multi-foci Hottest Lesions CT Thorax For the proper use of the software or hardware, please always use the Operator Manual or Instructions RECI RECIST RECIST 1 RECISt 1 42. r 42."_ '1.1 4 1 Diarrl_ Lliarrl_ For Patient with Tmepoint(s): Calculation Visualization Initial Layout Initial Layouts •al Layouts Measurements Lung CAD Trending Archiving nts Diarrl.: Dliarrl.: 12 SP solid Segmentation MPR KM MM . Max. O RECIST 1.1 RECIST 1.1 mm RE-CIST 1M RE-CIST 1I Max Ortnog_ Max onnog_ Diam Max •arm: 24.1 rnr Diam Diarrl._ Oarn_: rnr, Ma rr rnrrl rnrn Jr rr rr rrll Initial Layout 2TP for Use (hereinafter collectively "Operator Manual") issued by Siemens Healthineers. This material is to be CT, 13022012 CT. 13.022012 Volu Volume: 1 RECIST 1.1 2 ml T2 ml ml rrll Vol Trend for L3 Trend for 1_3 COW Trending Color Trend i RECIST RECISf Thorax in 2 Ebenen Any Lung Lymph Gengic Genetic Geneti c Vers Version: vi Version: Version: v SD HU Ve ver v4 TJ ver v4.0 CT Multi ver v4 used as training material only and shall by no means substitute the Operator Manual. Any material used Hybrid Arterial Enhancement Fraction lcm CT Multi My Initial Layouts Rules Initial Layout outs Rules 5.01301 RECIST 1hange RECIST Change RECIST hange RECIST Change RECIST 5cm 5cm RECIST 1.1 8TP 4TP 2TP Lines Liver Lymph % Change Solid mm The reproduction, transmission or distribution of this training or its contents is not permitted without WHO Area . 30 % Lesion 10cm CURRENT prior 01 Additional Data - 30 % IOcm 10cm 1 Ocm CT Lung -200 Volume Multi -"T P HU Thorax in 2 Ebenen Trending Timepojnts Tjmepojnts State state Tjmepoints Assignment Object (Assignment Object) Assignment Condition Assignment condition Initial Layout For a study With a CT, 05.02.2012 CT. 0502.2012 20 % the software and hardware available at the time of the training. • Additional Data Additional Data express written authority. Offenders will be liable for damages. MPR Lung L ung Max. C) CT Abdomen Additional Data MM Reading 30 Reading BOdY part Examined Lung 11 5 IMA -23 6 IMA -22 Assignment condition (Assignment Object) 5 -22 Vol. -equiv. Sphere Diam- VOL -equiv. Sphere Diam_ / Study Description Study Description part Examined Maximum Value for Pre-contrast Phase Other Other CT 1 Fr.or 04 Version: CT MPR goUp_LowDos.Lung2 , US St Lukes CDI Chesterfield St Lukes CD' Chesterfield 5.013M 130f 3 (51 Hybrid Trending CT On w Auto Bundles part 10cm VRT Energy CT M CT Multi CT CT Multi CT Lung The Operator Manual shall be used as your main reference, in particular for relevant safety information ALI names and data of patients, parameters and configuration dependent designations are fictional like Hide 69,51 Board -12 11 435 356 SOMATOM SOMATOM go up 44 3 Tö85 2TP Save and Sent Assignment •0101 1953. M,UY 1953. M,6ZY 1953. M,64Y Skip 85 TC 85 TC CT Abdomen Protocol Name 3D Reading MM Reading 12 356 32 42 Volume <= X HU CT, 15.050012 Lung gung like warnings and cautions. (Assignment condition) (Assignment Condition) (Assignment Object) Arter I KM i. _ KM i. KM iv. KM Art Art i arteriel Art ial 29.06.2017 CT Dual Trending 1+ arteriel KM KM i." 3D Lung LOW Lung CAD Lung Low Dose use this layout goup_121 Lung Low Oose Vs, CT. CT 1_3V014 Note: Some functions shown in this material are optional and might not be part of your system. The CT Multi CT MPR CT CT Dual RECIST 1.1 60.2 mm RECIST 1.1 mm 1.1 Diam.; 60.2 mm 1.1 60.2 mm CT Lung CT RECIST 1m RECIST 1.1 Diam.:58.3 mm RECIST 1.1 mm CT Single Single Singe .3 mm 2TP Bundles 3D 2TP VRT Energy 12 1200 121 42 1.52 Max. Orth_ 42.3 mm Max. Orth_ Diam.:42.3 mm Mak Diam.: 45.4 mm Mak 45.4 mm Otth. Oiam.: 45.4 mm Diam.: 45.4 mm 45.4 prior 02 Prior 02 CURRENT prior 01 prior 04 Prior 01 prior 01 . prior 01 Prior 02 prior 03 1.50 21 venous vessel Thresh01d information in this material contains general technical descriptions of specifications and options as well arteriel Prior 01 sp Volume; 50.702 ml 50.702 ml ml Volume; 52.591 ml 29.062017 1004 2012 17 01 300 356 golJp 121 Findings Navigator n: w. manually corrected • Venous TWAbd 5.0 130f 64, 55 Prior 03 Additional Data > Advanced' 0821 083548.22 12147:.35.10 12147:35.10 125030.16 12147•.35.10 125980.16 1214785.10 247:35.10 08:21 > Advanced Advanced Close as standard and optional features that do not always have to be present in individual cases. M. 64Y Manip VRT PR Findings Navigator — 3 IMA -341 5 IMA-23 4 IMA-25 4 IMA -23 4 -23 5 IMA -21 4 IMA-23 3 IMA -339 3 IMA -37 6 IMA -22 3 IMA-3438 5 IMA -20 2 IMA -22 4 IMA—25 3 IMA -3854 6 IMA -22 3 IMA 3 IMA -22 5 IMA-23 2 IMA 3 -372 3 IMA -37 5 IMA -23 3 -371 5 IMA -22 3 IMA-23 5 IMA -20 5 IMA--23 4 IMA -28 2 IMA-24 3 IMA-40g 3 IMA -3530 IMA -22 CT, 17.10.2011 Additional Data l. Name Value Volue Volume: Valume: . Prior 02 sp , 4 sp HI 62,4 sp HI sp HI 63,8 sp sp F755,1 F 745.5 Findings Navigator Additional Data CURRENT CURRENT. Copyiight O Siemens Healthcare GmbH, 2018 Copyright O Siemens Healthcare GmbH, 2018 qmue Value CT. 0502.2012 source LäV016 Name LIVOII 68.04. 68_04_ MM. _ MM . MM__ MM _ 07 27 407 Accept Cancel 29.06.2017 CT Abdomen Value Abdomen*3PhasenLeber (Adult) 62,06 Certain products, product related claims or functionalities described in the material (hereinafter collectively L3V013 f L3V013 / 62, 06 ell L2V015 L3V016 L3VOlB L2V015 L3V015 62,17 62,17 MM.. 39.70... 39.70... MM... 39.70.. MM.. 39.70.. MM... MM... MM__ MM. _ If no rules matcn use If no rules match use LIVOII L3va L2V015 L3VO 4 L3V0 L 3V L3va L3V CT, 02.06.2010 :+utomatjc Layout Selection J+utomatic Layout Selection Layout Selection yout Selection 1.50 RECIST W L3V015 L2V015 L3V016 L23V015 L3VC113 L2V015/ L_3V015 42.16... 39.70... 42.16.. 42. 16 42.16... MM... 42.16 . MM... . MM.. MM... Max. MM. _ MM__ MM.. RE-CIS 8 mm B mm B rnrn Diarrl.: CJiarn.: Üiarn.: r Dliarrl.: Üiarn.: 3 Change Rate Aligrn CT, 15.050012 RE-CIST 1 RE-CIST 1I rnrn "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, rrlrrl No recalculation process is possible. If you need to correct the assignment, close the patient and repeat the assignment. Max h CT, 02.062010 Max. Max MM.. Cliar Orr: rr Diarn.: 2012 10.01_2012 27 27 2011 CT, 1505.2012 15.052012 2011 62,17 ... r larri.: larri.: Max. Ma Baseline / Current CT Abdomen Orth. C.iiarrl.. rh. Diarrl.: rt Cliarn.: rti- Max D _lrrL rrl rrlrrl Current Baseline Volu Value Vo me: '21.5•11 ml '21..5• 21.511 rr 41.511 1.511 rrll .511 ml 1 Ocm 5cm absolute ( % ) Vol Volu Vol r VI VolLlme: •Il 1434 ml 1 313 ml the future availability of said Functionalities in any specific country is not guaranteed. Please contact your Volume: Il Patient 1109 Tools -4 Versi Ver i Ve i ersion: Liver Il AbdomenA3PhasenLeber (Adult) IOcrn 10crn [1251] ve Version: . manually Version- , c ma co so r c or RECISTI 1.1 (mm) RECISTI 1 (mm) 55 p 1+ 121 10cm 5cm local Siemens Healthineers sales representative for the most current information. Images courtesy of St. Luke's Hospital, Chesterfield, USA Tools SP H1604,8 SP H1604ß Otth. Diam (mm) -1.2 (-2.7%) -1.2 (-27%) 42,0 2646.1 42.3 54.2 2548.4 5cm 5cm : 5cm 5cm . 5cm : Tumor Burden OK Cancel 10cm Thorax in 2 Ebenen 1 Ocm WHO (mm2) 2548.4 2575 E .0 ICIcm . Abdom enAThoraxAbdomenRouti... Align Aligrn Cliarn Custom Hide like RECIST 57,10 CT, 17.10.2011 Text Graphic Lines Li nes L I nes Timepo... Timepo.. Timepo„.. Timepoints Timepo.m yolurr!? Volume 51.159 42,0 52 Max. a 37 rnm rrvrr Abdomen"cmlsk Leber 2 Phase... _ _ . _ Abdomen*3PhasenLeber (Adult) RECIST 1 _ 1 RECIST 1.1 (mm) (-3%) 622 67.7 55.8 67.7 Findings Navigator Navigator MPR JPG Version: v4.0 Lersion. ax. Orth 54.2 85 CT, 1302.2012 CT, 13.02.2012 -600 1108 Vo me. 1200 493 300 302 381 517 697 54,62 407 326 365 300 3012 Name Value Source WHO (mm2) Edit TC85 c 85 .5 TC 85 -600 Target CT Abdomen 42 27 22 22 . 12 42.2 40 407 33 so sp Liver v CT. 13.02.2012 Image non-DIC.. Image non-DC.. CT, Layout Image non-OIC... Image Image nomOIC.. Image non-DC. Image non-OIC.. Image non-Ol non-Olc.. CUR CT, 21.01_2009 MPR MPR Tools Volume (ml) 51 , 159 48 345 52,591 Lines Liver AbdomenA3PhasenLeber (Adult) Results MM Oncology MM.. DD. MM YYYY Arterial arteriel Ven us. Venous Ve Arterial Layout prior 01 CT, 17.10.2011 VolDTirnæ(days) VolDTime (days) 51.159 Venous KM i.v. KM 0835 11:07 11:08 11:09 1109 Il:og 1108 1200 14:29 12.00 1.50