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syngo.via VB40 Delta - Computed Tomography - USA

This online training is intended to train you on new features and functionalities of the syngo.via VB40 software for Computed Tomography.

Upon successful completion of this online training, you will know about new features and/or feature improvements in: General features CT Coronary/Vascular, with improved CPR rotation behaviour Cardiac Planning, where CT Cardiac Planning now supports the mixing of reconstructions with different resolutions and a default PDF form is now available for TAVI planning MM Oncology, where Dual Energy information is now also provided in segmented lesions with regions of interest selection Rapid Results Technology, where various improvements are now available regarding creation of new result types, CT Neuro Perfusion results, editing of automatically created results, together with various configuration improvements Interactive Spectral Imaging which is a new simplified way of visualizing and processing Dual Energy studies, now supported and integrated into the syngo.via MM Reading workflow. Congratulations. You have completed the syngo.via Delta Online Training - Computed Tomography. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Select the link below to view and/or print your review material before proceeding to the final quiz. Download and print a copy of the Course Review. General features  It is now possible to undo individual punch operations after the punch tool has been closed. The Save as Series tool is now integrated in the upper left corner menu. CT Coronary/Vascular   In CT Coronary/Vascular, you can rotate the view around vessels at the current reference lines position which is now fixed in CPR segments. This avoids rotation of the vessel out of the segment.   CT Cardiac Planning   CT Cardiac Planning now supports the mixing of reconstructions with different resolutions. Combine, for example, the Best Phase reconstruction with 512 x 512 matrices and a functional data set reconstructed with 256 x 256 matrices.   Regarding TAVI Planning and CT Rapid Results, a default PDF form is now available. It can be filled out in the context of the Rapid Results protocol for TAVI Planning, covering all required measurements. The form fields are evaluated by Rapid Results and can be filled with finding values based on your configuration.   CT Neuro Perfusion   In addition to the existing Stroke template, a template for RAPID-like evaluation (ASA RAPID template) is now available as a user defined template.   MM Oncology   Dual Energy information is now also provided in segmented lesions with region of interest selection.   The change of the Dual Energy information over multiple time points is often used to check the progress of a disease or a specific therapy response. Therefore, the Dual Energy information can be investigated over several time points. The following Dual Energy information can now be measured in segmented lesions: Mean Hounsfield Unit values for Liver VNC (Hepatic =H) or Virtual UNenhanced (N) data Mean Hounsfield Unit values for Mixed images (M) Mean Hounsfield Unit values for Iodine image (I) Density in mg/ml Iodine Uptake in mg For liver lesions, there are 4 dual energy layouts in which the DE measurements use the Liver VNC data: DECT Liver DECT Liver 3D DECT Liver 3D 2TP DECT Liver 4TP Rapid Results Technology (RRT)   You can now create the following new result types. Automatic generation of: Radial VRT Range series for visualization of the isolated heart and coronary tree. CPR Radial and Parallel Ranges for the internal Carotid Arteries total Calcium Score ASPECT Score to support assessment and severity of ischemic changes on non-contrast CT head scans. The Alberta stroke program early CT score (ASPECTS) provides a score from 0 (most severe) to 10 (least severe).  For CT Neuro Perfusion, the generation and display of the core infarct and penumbra volume is now included.   The editing functionality is now improved with VB40.   General configuration improvements  The RRT User Interface now provides direct access to the ranges parameters for anatomical ranges You can now control RRT windowing values directly at the scanner and use new Windowing Preset As Input data set All Dual Energy RRT results are now workflow independent Rapid Results Technology is now ready for Dual Energy routine You can now use anatomical Dual Energy data straight away or configure your dedicated DE results (for example Monoenergetic+) in syngo.via You can now duplicate the selected RRT result type with all currently used parameters and only change the differences Configuration improvements for SOMATOM scanners with syngo CT VB20 in combination with syngo.via VB40 To enable connectivity enhancements in communication between SOMATOM scanners and syngo.via, https-communication can now be used instead of a dynamic FTP port. It is now possible to get started with Rapid Results Technology even before bidirectional communication to syngo.via is established. The size of the requested Data role field has been improved to enable the viewing of more RRT related information at the first view During scanning, you can now change the Data roles of each Recon job on the Auto Tasking parameter card of the currently running examination. You can now assign RRT Data roles to scan protocols when using the Append option on the Patient Model Dialog. Interactive Spectral Imaging in MM Reading   Interactive Spectral Imaging is a new simplified way of visualizing and processing Dual Energy studies, and is now supported and integrated into the syngo.via MM Reading workflow. Instead of high and low kV data, Spectral Post-Processing (SPP) data is required that contains all the necessary information for post processing These series are either automatically created on syngo.via and will be shown as a single series, for example in your Patient Browser to avoid filling up your storage too quickly Interactive Spectral Imaging gives you the possibility to interactively change different energy levels and evaluate certain dual energy representations such as VNC or Iodine Get additional information by performing measurements during reading. 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. Note: Some functions shown in this material are optional and might not be part of your system. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (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, 2019 Images courtesy of: Az. Ospedali Riuniti Ancona, Ancona, Italy Clinique Bizet, Paris, France Clinique Pasteur, Toulouse, France  Harbourside Cardiology, Barangaroo NSW, Australia Ludwig-Maximilians-Universität, Klinik und Poliklinik für Radiologie, München, Germany Welcome to the syngo.via VB40 delta online training. In this training you will learn about new features and feature improvements of the syngo.via VB40 software version that covers Computed Tomography. In syngo.via VB40, it is now possible to undo individual punch operations after the punch tool has been closed.   Another syngo.via VB40 improvement relates to the Save as Series tool integration in the upper left corner menu.   In CT Coronary and CT Vascular of syngo.via VB40, including CT Coronary Analysis, CT Vascular, Vessel PlugIn, Cardiac Planning, there is a feature improvement regarding the CPR Rotation Behavior. Learn more about it on the following page. In CPR segments, you can rotate the view around vessels at the current reference lines position. The longitudinal orientation of the vessel is fixed, however, the view of the centerline changes when you move the mouse. The current marker position acts as the focus point of rotation, which is kept fixed in the segment. Thus, you can avoid that the vessel rotates out of the segment by moving the marker position to the area of interest.   In CT Cardiac Planning of syngo.via VB40, there are a few feature improvements regarding Data Loading, and CT Rapid Results / TAVI Planning. Learn more about them on the following pages. CT Cardiac Planning supports the mixing of reconstructions with different resolutions. You can, for example, combine the Best Phase reconstruction with 512 x 512 matrices and a functional data set reconstructed with 256 x 256 matrices. If you want to use a smaller matrix size, you can drag and drop these data sets from the Series panel.   A default PDF form has been made available in syngo.via VB40, that can be filled out in the context of the Rapid Results protocol for TAVI Planning, covering all required measurements (icon name Fill Form / Fill Measurement Form). The fields available in the PDF are evaluated by Rapid Results and can be filled with finding values based on your configuration.   The existing ROI tool uses circular regions of interest to provide Dual Energy information. In syngo.via VB40, Dual Energy information is also provided within a segmented lesion. Herewith, typical Dual Energy information like the iodine uptake of a lesion can be measured. The change of the Dual Energy information over multiple time points is often used to check the progress of a disease or a specific therapy response. Therefore, the Dual Energy information can be investigated over several time points. In syngo.via VB40, there are several improvements within Rapid Results Technology: General improvements Enhancements for CT Neuro Perfusion results Improved editing of automatically created result series ​​General configuration improvements Learn more about them on the following pages. A major improvement in Rapid Results Technology (RRT) is the capability to create the following new result types: Automatic generation of Radial VRT Range series for visualization of the isolated heart and coronary tree. Automatic generation of CPR Radial and Parallel Ranges for the internal Carotid Arteries Automatic generation of total Calcium Score Automatic generation of ASPECT Score to support assessment and severity of ischemic changes on non-contrast CT head scans.   Further improvements for Rapid Results Technology Neuro Perfusion include the generation and display of the core infarct and penumbra volume. An overview image has been added to the penumbra map, also including values for the Hypoperfused Area (calculated as the sum of the identified penumbra and infarct volumes), the Infarct Area, as well as the Mismatch Ratio. The Mismatch Ratio is calculated as the hypoperfused area divided by the infarct volumes. Penumbra improvements are applicable for the CT Neuro Perfusion workflow as well as for Rapid Results Technology.   It is possible to edit most automatically generated results as a quality control measure, for example in the case of anatomical or vessel ranges. The editing functionality of Rapid Results Technology (RRT) allows you to use additional tools during editing, for example, the Punch tool. In addition, editing has been further extended to enable editing on Dual Energy-based result series (anatomical information only).   Configuration improvements are available in combination with all Siemens Healthineers CT scanners that allow the usage of Rapid Results Technology (RRT): The RRT User Interface provides direct access to the ranges parameters for anatomical ranges. Control RRT windowing values directly at scanner and use new Windowing Preset ‘As Input data set’ Duplicate the selected RRT result type with all currently used parameters and only change the differences.   All Dual Energy RRT results are workflow independent: On the scanner side: you no longer need to map the DE workflow in the Scan Protocol Assistant On the syngo.via side: Dual Energy RRT are calculated automatically, there is no need to adapt the syngo.via configuration or map workflows. The CT Dual Energy configuration provides new options with which you can specifiy the availability of Dual Energy RRT results (options: in Workflows Using Dual Energy (default), in Dual Energy only, or in all workflows). Rapid Results Technology becomes ready for Dual Energy routine - it is now possible to combine anatomical Dual Energy data with other RRT results, except for CT Neuro Perfusion results. You can use anatomical Dual Energy data straight away or configure your dedicated DE results (for example Monoenergetic+) in syngo.via. The anatomical Dual Energy Data RRT is now handled implicitly (by selecting Conventional CT/Mixed as the Output Type), or can explicitly be chosen when you need a Dual Energy specific image (by selecting Monoenergetic+ as the Output Type).   The following improvements have been introduced: To enable connectivity enhancements in communication between SOMATOM scanners and syngo.via, https-communication can be used instead of a dynamic FTP port. Secure communication on a static port facilitates local IT administration. It is now possible to get started with Rapid Results Technology even before bidirectional communication to syngo.via is established. Up to 14 RRT results are available ex-factory. These RRT data roles are identified by AA- as a prefix and are added to factory protocols for immediate use. The size of the requested datarole field has been improved to enable the viewing of more RRT related information at the first view, reducing the need to use the mouse over and tooltip text. During scanning, you can change the Data roles of each Recon job on the Auto Tasking parameter card of the currently running examination. You can assign RRT Data roles to scan protocols when using the Append option on the Patient Model Dialog. You can configure to send a failure information image with the results in case of any calculation errors. For this, select the Get notification in case of failure check box in the Verification and Archiving section of the RRT configuration. If the calculation of a result has failed, a series is generated containing only one image which is the middle image of the input series. The failure information image displays information about the error, for example, the reason why the result computation failed.   The Interactive Spectral Imaging feature contains interactive image text: Available on any MM Reading layout with full image text enabled Allowing you to toggle easily between different representations such as: Conventional CT Mono+ VNC Mixed Iodine Each change in the representation is immediately applied without needing to re-open the patient. The representation series can be saved using the ‘Save as series’ functionality. By selecting the Mono+ representation, the images shown simulate an image scanned at a single energy level. The energy level for the monoenergetic keV value can be changed easily using the interactive image text by: Moving the mouse right or left / up and down (incremental steps of 1), or Double-clicking the image text and use the keyboard to enter a value, or Right-clicking the keV entry and adapting the value using the slider in the upcoming Dual Energy Mono+ Properties dialog. ​This allows you to enhance the contrast between different materials and visualize regions of interest according to your needs. The Spectral Post-Processing data can also be used with the CT Extended Functionalities. You can use the full functionality available for the following CT Extended Functionalities in MM Reading such as: Define Vessel Table- and Bone Removal Heart Isolation Coronary Tree View Gather further information on any area of interest by additional measurements: ROI or VOI measurements can be performed on each representation ROI measurement Details are explicitly informing you on which representation the measurement was performed In MM Oncology of syngo.via VB40, there are improvements regarding Dual Energy information in segmented lesions. Learn more about it on the following pages. The following Dual Energy information can be measured: Mean Hounsfield Unit values for Liver VNC (Hepatic = H) or Virtual UNenhanced (N) data Mean Hounsfield Unit values for Mixed images (M) Mean Hounsfield Unit values for Iodine image (I) Density in mg/ml Iodine Uptake in mg Apply a Dual Energy layout and use the segmentation tool for your lesion of interest. The Dual Energy information is automatically added to the segmentation results. There are four Dual Energy layouts for liver lesions in which the DE measurements uses the Liver VNC data. They are indicated in  the following table with the term “Liver”. The residual four Dual Energy layouts (without the term “Liver”) are for other lesions. The Dual Energy measurements uses the Virtual Unenhanced data. Non-liver layouts are the defaults.   After loading several timepoints into MM Oncology, open the trending step and select the trending graph with the trending tab. Choose the graph of the selected lesion. In the Metric drop-down list, in addition to the geometric measurements, the Dual Energy Information can be found. Select one of the following entries for graphical representation of its change. Liver VNC (Hepatic = H) mean HU or Virtual Unenhanced (N) Mixed mean HU Iodine Mean HU Iodine Density (mg/ml) Iodine Uptake (mg) Choose the entry of interest and see the trending graph over the time points.   The syngo.via MM Reading workflow can now support Interactive Spectral Imaging - a new simplified way of visualizing and processing Dual Energy data. Only Spectral Post-Processing (SPP) data is required that contains all the necessary information for post-processing. Thus, high and low kV data is no longer needed. The SPP data are automatically created on syngo.via and will be shown as a single series, for example in your Patient Browser to avoid filling up your storage too quickly. Interactive Spectral Imaging gives you the possibility to interactively change different monoenergetic energy levels and evaluate certain Dual Energy representations such as Virtual Non-Contrast or Iodine. Get additional information by performing measurements during reading. ​You will learn more about this new feature in the upcoming chapters.

  • syngo.via
  • VB40
  • Computed Tomography
  • Delta
  • syngovia
  • snygo
  • via