syngo.via VB40 Delta - Further Enhancements in MM Reading (Part 2) - USA

Upon successful completion of this online training, you will know about: Further major enhancements in syngo.via MM Reading concerning: Interactive Spectral Imaging MR General Tools Please note: Some of the features are license dependent. Congratulations. You have completed the syngo.via VB40 Delta online training - Further Enhancements in MM Reading (Part 2). 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 Improvements & Enhancements in MM Reading A major new improvement is the support of Interactive Spectral Imaging in the syngo.via MM Reading workflow - a new simplified way of visualizing and processing Dual Energy data. Evaluate certain dual energy representations such as Virtual Non-Contrast, Iodine or interactively change different monoenergetic energy levels directly in MM Reading. Furthermore, measurements can be performed giving you additional information during reading.   MM Reading now includes MR radiology tools that were previously only available in MR workflows. MR Calculation Tools such as Subtraction, Addition, Division, Multiplication and Arithmetic Mean are now accessible in your toolbox or on the lower right corner menu. Further functionalities like Motion Correction, Distortion correction, Image Filter, and calculated ADC and b-values are also available. In addition, the MR Composer tool also is integrated allowing you to do new composing and combining of images. 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: Erasmus Medical Center, Department of Radiology, Rotterdam, The Netherlands Institut Jules Bordet, Department of Radiology, Bruxelles/Brussels, Belgium Kantonsspital Münsterlingen, Department of Radiology, Münsterlingen, Switzerland Klinikum der Ludwig-Maximilians-Universität, Department of Radiology, Munich, Germany Universitätsklinikum Tübingen, Department of Radiology, Tübingen, Germany Welcome to this syngo.via VB40 delta online training. Part 2 of this training continues with further major enhancements in MM Reading that are available with the syngo.via VB40 software version. For enhancements in MM Reading, such as syngo.via OpenApps or Advanced Visualization Tools in MM Reading, please see part 1 of this training available in the syngo.via training area of PEPconnect.     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. 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   MM Reading now includes MR general tools to support basic MRI image reading. The following tools are available: MR Calculation tools: Addition, Division, Multiplication and Arithmetic Mean as well as Subtraction, ADC & b-value calculation MR Correction tools: Motion correction, Distortion correction Image Filter functions MR Composer tool You will learn more about the Subtraction, ADC and b-value calculation as well as the Composing in the upcoming training section. On the fly subtraction can be performed for images, series or 4D data sets to subtract different time phases using the Subtraction Tool integrated in MM Reading. It is easily accessible from the Lower right corner menu Analysis Tools > Subtraction, or  From the toolbox  If needed, adaptations to the input data can be made. Configure the default phase to be used as the subtrahend for each subtraction using the Subtraction Settings. Subtraction Results are automatically saved in the Series Navigator or send to your PACS automatically upon workflow completion. MRI Diffusion-weighted imaging plays an important role in evaluation of body lesions. The Apparent Diffusion Coefficient (ADC) is used to determine the mobility of the molecules in certain tissue types, helping to distinguish between healthy and tumor tissue. ADC maps are calculated from diffusion-weighted images and require measurements with various diffusion weightings (b-values). The on-the-fly calculation of ADC maps and b-values i​s now available in MM Reading as well. ADC and b-value calculation for MR images is now available in MM Reading. Simply select it from the Lower right corner menu Analysis Tools > ADC & b-value calculation, or  From the toolbox   At least two b-values are necessary to calculate new b-values and the ADC map. Image quality of computed b-value images and the ADC map increases, if more than two input series are available.   Background noise reduction can be performed by using the Threshold. The ADC maps can be calculated along with the b-values, or only a calculation of one of them is possible. The range for b-value adjustment is between 0 and 5,000. The default value is 1,400. A quick quality check can be performed using the Preview functionality. Results are saved in the Series Navigator ready to be archived on completion of the workflow.   In addition, the MR Composer tool has also been integrated into the syngo.via VB40 software version allowing you to do new composing and combining of images. On the following pages, you will learn more about: Creating a new composition Algorithms New composition results Recomposing Editing the composed images Creating a new combination New combination results ​ If you have obtained several overlapping MRI volume data sets from a tomographic examination and you want to combine them, you can now use the Composing tool integrated in MM Reading. This allows you to generate overviews, for example of the spinal column in sagittal or coronal image orientation.   The following algorithms are available for composing: Spine Algorithm: Based on bone structure, for composing spine images. Angio Algorithm: Based on vessel structure, to obtain an overview of the vessels. MIP Algorithm: Optimized for composing MIP images. Adaptive Algorithm: Based on elastic matching, to correct B0 induced inhomogeneities in image areas beyond the magnetic homogeneity volume. An appropriate name for your composed result series can be defined. The composed series is temporarily available in the Case Navigator until you confirm it. After confirmation, it is automatically displayed in the Series Navigator as a result ready for archiving.   If the composing results are not appropriate, or if you would like to add another series, you can recompose the images before the results are confirmed. Right-click on the composed series in the Case Navigator and choose Edit Composing to open the Create new Composition dialog again.   For editing the composed images you can use the following tools: Blend / Cut Mode: Switch between soft transitions and hard cuts.   Normalize: Harmonizes different grayscale values for homogenous overview.   Manual Adjust: Enables manual alignment of the original images. The combining feature is used to combine adjacent axial image series into a new series, for example, if the scan region was split into separate acquisitions. You can access it from the toolbox.   An individual name for your combined result series can be defined. The combined series is temporarily available in the Case Navigator until you confirm it. After confirmation it is automatically displayed in the Series Navigator as a result ready for archiving.