syngo.via CT VB30-VB60 Delta Job Aid - Part 2

SIEMENS Healthineers syngo.via CT VB30-VB60 News & Improvements Part 2 Template Effective Date: 27 May 2019 | HOOD05162003010284 Job Aid Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Please note SIEMENS Healthineers This learning material is only providing you with information about the highlights of the syngo.via versions VB40, VB50, and VB60. In order to get the complete information, please consider the corresponding delta training material shown in the ‘Upgrade (Delta Training)’ section of the syngo.via Training Area. 2 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 syngo.via CT VB30-VB60 News & Improvements SIEMENS Healthineers Rapid Results Technology Table of Contents Overview 5 How to Add / Create Configured Results 11 Anatomical Structure and Ranges Type 19 General Parameters 28 Dual Energy (DE) Images Output Types 33 Advanced Result Types 46 Rule-Based Configuration 56 Miscellaneous 66 3 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Rapid Results Technology SIEMENS Healthineers General Information Rapid Results Technology (RRT) provides automatically generated result series that can be prepared and archived in the PACS, without the need to open the workflow in syngo.via. There are two configurable options in the context of using this technology: • Automatic Preparation without Archiving: This option enables the automatic preparation of the results during the processing of the case. These result series are then available in the list of series in the browser, allowing you to verify the results before they are archived. • Automatic Preparation AND Archiving: After receiving the series with the configured RRT data role from the scanner, syngo.via will generate the result series and automatically send it to the default archive, without the need to interact with syngo.via. In RRT connecting with scanner, a secure connection is supported for the transfer of data roles. 4 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Overview 5 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Configuration in One Place SIEMENS Healthineers The Configuration Panel of Rapid Configuration Panel Results Technology has been Client Settings Advanced Visualization Display And Behavior Export reworked and updated. OpenApps All configuration options are now Rapid Results Technology available through a single list. Your configured results: + Configure a new result Head and Neck Configure Scanner Assignment Thorax Heart Abdomen and Pelvis Extremities Whole Body 1 To request the results, you need to set up a rule that triggers the result calculation for incoming series by clicking the Scanner Assignment button, or you need to assign your configured results to a reconstruction at a Siemens Healthineers CT scanner. Activate Rapid Results Technology 6 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Configured Results as Body Part Tree View SIEMENS Healthineers All results configured by the user are stored in the list. Rapid Results Technology Access to configured results has been improved by a new structure: Your configured results: ? • Hierarchical view Head and Neck • The structure is now based on the following body parts: Aspect Score • Head and Neck Sinus Coronal 3.0mm Stroke Perfusion • Thorax Thorax • Heart Lung CAD • Abdomen and Pelvis RibRangesDefault • Extremities Heart Whole Body Abdomen and Pelvis • • The sorting of entries within body parts is alphabetical Extremities Whole Body 7 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Result Parameters (1/3) SIEMENS Healthineers All parameters of the selected Properties of Sinus Coronal 2.0mm configured results are shown in the Properties section underneath the Anatomical Structure Head Sinus configured results list. Ranges Type Parallel Anatomical Structure, Ranges Type, General Parameters Output General Parameters, Visualization, Display Type MPR Thick Output Type Conventional CT (including DE) Output, and Verification and Archiving Windowing Preset Soft-Tissue Output type allows you ... can be configured. Orientation Coronal Phase Auto % 1 Image Order Front to Back Verification and Archiving Viewing Direction Front to Back Series Name Sinus Coronal 2.0mm Image Thickness 2 mm Automatic Archiving Distance between Images 2 mm Get notification in case of failure Image Comment Reference Image Text Language English (United States) Visualization Image Resolution Normal 8 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Result Parameters (2/3) SIEMENS Healthineers (1) Name of selected result ① ② ③ (2) Main parameters section An Anatomical Structure and a Ranges Type can Properties of Sinus Coronal 2.0mm be selected. When you select a range type, its associated parameters are displayed in the left part of the Properties Anatomical Structure Head Sinus Ranges Type Parallel area. General Parameters Output (3) General Parameters and Visualization sections Display Type MPR Thick Output Type Conventional CT (including DE) Windowing Preset Soft-Tissue Output type allows you ... • These sections provide additional configuration options Orientation Coronal Phase Auto depending on the selected ranges result. Image Order Front to Back Verification and Archiving • The display of these sections and their parameters is Viewing Direction Front to Back Series Name Sinus Coronal 2.0mm Image Thickness 2 updated according to the selection of a result option, an Automatic Archiving Distance between Images 24 mm output type or a single configuration step. Image Comment Get notification in case of failure Reference Image Text Language English (United States) Visualization Image Resolution Norma 9 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Result Parameters (3/3) SIEMENS Healthineers All available parameters Properties of Sinus Coronal 2.0mm depend on the Anatomical Structure and the Ranges Type ① Anatomical Structure Head Sinus used. Ranges Type Parallel ② ③ The result parameters should General Parameters Output be set in the order shown: Display Type MPR Thick Output Type Conventional CT (including DE) Windowing Preset Soft-Tissue i Output type allows you ... Orientation Coronal Phase Auto % i Image Order Front to Back Verification and Archiving Viewing Direction Front to Back Series Name Sinus Coronal 2.0mm Image Thickness mm Automatic Archiving Distance between Images 2 mm Image Comment ¥ Get notification in case of failure Reference Image Text Language- English (United States) Visualization Image Resolution Normal 10 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements How to Add / Create Configured Results 11 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Configured Results – Listed Place SIEMENS Healthineers The created or duplicated configured results are listed in the Your configured results: organ group to which they originally belonged. Head and Neck Aspect Score Sinus Coronal 3.0mm • All duplicated results will stay in the same organ group. Sinus Coronal 3.0mm_Copy Stroke Perfusion Thorax › Heart Abdomen and Pelvis Extremities Whole Body • All newly created results will be stored in the dedicated organ group (based on selected organ in patient model). Your configured results: ? TI X Discard Configuration of a New Result Head and Neck Choose a Result Type: Thorax Heart Abdomen and Pelvis Abdomen and Pelvis General Alignment Range Hip Acetabulum L Range RT AutoContouring Abdomen_New1 Hip Acetabulum R Range Kidney Artery L Range Spine Rang Kidney Artery R Range Extremities Pelvis Range RT AutoContouring Abdomen Whole Body RT AutoContouring Pelvis Spine Range Configure Result 12 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 How to Add Results – Creation of a New Result (1/3) SIEMENS Healthineers Add a new result from the patient model. Configuration Panel 1) Click on the + button to configure a new result. + Client Settings Advanced Visualization Display And Behavior ① Export OpenApp Rapid Results Technology 2) Select the appropriate body part from the patient Your configured results: ? Configure a new result + Head and Neck model. All available Rapid Results Technology Configure Scanner Assignment Thorax › Heart types for this body part will be listed on the right- Abdomen and Pelvis Extremities hand side of the patient model (light blue box). Whole Body 3) Select a Result-Type from the list. To request the results, you need to set up a rule that triggers the result calculation for incoming series by clicking the Scanner Assignment button, or you need to assign your configured results to a reconstruction at a Siemens Healthineers CT scanner. H. Activate Rapid Results Technology X Discard Configuration of a new Result Choose a Result-Type: ② ③ Abdomen and Pelvis Abdomen Range Aorta Range Complete Volume Range General Alignment Range Hip Acetabulum L Range Hip Acetabulum R Range Kidney Artery L Range Kidney Artery R Range Pelvis Range RT AutoContouring Abdomen RT AutoContouring Pelvis Configure Result 13 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 How to Add Results – Creation of a New Result (2/3) SIEMENS Healthineers 4) Click on the Configure Result button (orange box) to add the X Discard Configuration of a new Result  result to the Your configured results list. Choose a Result-Type: The new result is initially selected and the corresponding body Abdomen and Pelvis Abdomen Range part is expanded in the tree view of the Your configured results Aorta Range Complete Volume Range General Alignment Range list (light blue box). Hip Acetabulum L Range Hip Acetabulum R Range Kidney Artery L Range Kidney Artery R Range Pelvis Range Change the name appropriately. RT AutoContouring Abdomen RT AutoContouring Pelvis Configure Result Rapid Results Technology Your configured results: + Configure a new result Head and Neck O Configure Scanner Assignment Thorax Heart Abdomen and Pelvis Abdomen Range_New1 Kidney Artery L Range Pelvis Range Spine Range Extremities Whole Body 14 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 How to Add Results – Creation of a New Result (3/3) SIEMENS Healthineers 5) Configure the parameters shown in the Properties of Abdomen Range_New1 parameter properties section and click Apply or Anatomical Structure Abdomen OK to save the configured results. Ranges Type Parallel General Parameters Output Display Type MPR Thick Output Type Conventional CT (including DE) Windowing Preset Soft-Tissue Output type allows you ... Orientation Axial Phase Auto Image Order Head to Feet Verification and Archiving Viewing Direction Feet to Head Series Name Abdomen Range_New1 Image Thickness 1 - mm Automatic Archiving Distance between Images 0,7 - mm Image Comment Get notification in case of failure Reference Image Text Language English (United States) Visualization Image Resolution Normal OK Apply Cancel  OK Apply Cancel 15 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Result Type – Range Presets Examples SIEMENS Healthineers • Range presets can belong to different organs, e.g., Spine Range: Cervical Spine Thoracic Spine Lumbar Spine → Head and Neck → Thorax → Abdomen Choose a Result Type: Choose a Result Type: Choose a Result Type: Head and Neck Thorax Abdomen and Pelvis Head AC-PC Line Range Aorta Range General Alignment Range Head Orbital Bone L Range Complete Volume Range Hip Acetabulum L Range Head Orbital Bone R Range General Alignment Range Hip Acetabulum R Range Head Orbitomeatal Line Range Lung CAD Kidney Artery L Range Head Sinus Range Rib Cage Range Kidney Artery R Range Head Temporal Bone L Range Rib Ranges Pelvis Range Head Temporal Bone R Range RT AutoContouring Thorax RT AutoContouring Abdomen RT Autai ontouring Head and Neck Spine Range RT AutoContouring Pelvis Spine Range Spine Range Thorax Kange Configure Result Configure Result Configure Result 16 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 User-Defined Public Presets SIEMENS Healthineers • You can create your own presets as Public Presets e.g., in MM Reading. X Discard Configuration of a new Result These presets will be automatically sorted into the Choose a Result-Type: • dedicated organ group. Abdomen and Pelvis Kidney Artery L Range They will be named according to the name given to Kidney Artery R Range • 0 Pelvis Range the preset and will be sorted alphabetically. RT AutoContouring Abdomen RT AutoContouring Pelvis Spine Range -Public Presets -- Aorta routine MPR Spine Coro MPR 2mm Spine Sagi MPR 2mm Configure Result 17 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 How to Add Results – Creation from Existing Configured Result SIEMENS Healthineers Rapid Results Technology 1) Select one result from the Your configured  Your configured results: ? results list which you would like to copy. Head and Neck 2) Click on the copy button. Aspect Score Sinus Coronal 3.0mm 3) Change the name appropriately. Stroke Perfusion  Parameters of the selected result are shown in Thorax Heart the parameter properties section (light blue box). Head and Neck Abdomen and Pelvis 4) Configure the parameters and click Apply or OK Aspect Score  Extremities Whole Body to save the result configuration. Sinus Coronal 3.0mm Sinus Coronal 2.0mm_Copy Properties of Sinus Comnat 7.5mm Stroke Perfusion Anatomical structure|Head Sinus Ranges Type Paralle General Parameters Output General rule: Display Type MPR Thick Output Type Conventional Cl (including DE) Windawing Preset Soft Tissue Output type allows you ... The sorting of the elements is alphabetical in the Orientation Coronal Phase Auto Image Order Front to Back Verification and Archiving Viewing Director Front to Back Series Name configured result list per body region. Image Thickness 2.3 + mm Sinus Coronal 2.5mm 2.5 4 mm Automatic Archiving Distance between Images ¥ Get notification in case of failure Image Comment Reference Image Text Language English (United States) Visualization Image Resolution Normal  OK Apply Carrosd OK Apply Cancel 18 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Anatomical Structure and Ranges Type 19 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Anatomical Structure Example – Abdomen and Pelvis SIEMENS Healthineers Anatomical Structure: Choose a Result-Type: • Different anatomical structures are available based on the selected organ. Abdomen and Pelvis • Based on ALPHA technology* or vessels. Abdomen Range Aorta Range The background algorithm differs depending on the Anatomical Structure. Complete Volume Range General Alignment Range Hip Acetabulum L Kange Complete Volume: Hip Acetabulum R Range • Kidney Artery L Range Kidney Artery R Range • Whole volume (scanned range) is used for calculation. Pelvis Range • Axial slice is aligned to the table. RT AutoContouring Abdomen RT AutoContouring Pelvis • General Alignment: Configure Result • The volume used will be limited by the information from skin to skin. Air around the patient will be removed. Example: Result type Abdomen and Pelvis • The axial slice is aligned on the patient axis. The appropriate Anatomical Structure should be selected depending on the Anatomical Structure Abdomen desired result. Abdomen Ranges Type Aorta Complete Volume General Alignment * ALPHA stands for Automatic Landmarking and Parsing of Human Anatomy. With this, syngo.via automatically 20 recognizes anatomical landmarks in the acquired images available on the server. Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Series Name – Verification and Archiving Section SIEMENS Healthineers This part of the Properties area is available for all result options. Verification and Archiving Series Name can be edited. Series Name Aorta Range_MPR_paralle • Automatic Archiving By default, the Series Name is set to the name of the configured Get notification in case of failure result. Changing the Series Name will also change the name of the Text Language English (United States) configured result (same behavior as in syngo.via VB50). In the Configuration Panel for Rapid Results Technology on CT scanners, the Series Name will be used for the matching data role. • Enable or disable Automatic Archiving and Get notification in Your configured results: case of failure. Head and Neck Thorax • Text Language that is displayed on the result images. Heart Abdomen and Pelvis Aorta Range_MPR_paralle Extremities Whole Body 21 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Ranges Type SIEMENS Healthineers The available Ranges Type is defined by the selected Anatomical Head Sinus Structure. The available items in the Ranges Type list differ depending on the selected Anatomical Structure. Anatomical Structure Head Sinus Ranges Type Parallel Example: • Head Sinus: Parallel only Hip Acetabulum L • Hip Acetabulum L: Radial only • Thorax - Aorta: Parallel, Radial, Radial Vascular, and Anatomical Structure Parallel Vascular Hip Acetabulum L Ranges Type Radial Aorta Anatomical Structure Aorta Ranges Type Radial Vascular Parallel Radial General Parameters Radial Vascular Parallel Vascular 22 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 General Case 1: Head Sinus SIEMENS Healthineers • Ranges Type: Parallel only Anatomical Structure Head Sinus New General Parameters: Ranges Type • Parallel • Orientation General Parameters Axial, Sagittal, and Coronal Display Type MPR Thick • Image Order Head to Feet / Feet to Head (Axial) Windowing Preset Soft-Tissue Right to Left / Left to Right (Sagittal) Orientation Coronal Back to Front / Front to Back (Coronal) Image Order Front to Back • Viewing Direction Viewing Direction Front to Back Feet to Head / Head to Feet (Axial) Image Thickness 3 - Left to Right / Right to Left (Sagittal) mm Front to Back / Back to Front (Coronal) Distance between Images 2 - mm Image Comment 23 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 General Case 2: Hip Acetabulum L SIEMENS Healthineers • Ranges Type: Parallel and Radial are available Anatomical Structure Hip Acetabulum L Ranges Type Radial • New General Parameters for radial ranges: • Orientation General Parameters Axial, Sagittal, and Coronal Display Type VRT VRT Preset Vascular General • Image Order Clockwise / Counter Clockwise Orientation Sagittal Viewing Direction Image Order Counter Clockwise • Left to Right / Right to Left (Sagittal) Viewing Direction Left to Right Head to feet / Feet to Head (Axial) Angle between Images 10 + Front to Back / Back to Front (Coronal) Number of Images 37 - Image Comment 24 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Special Case: Thorax – Aorta SIEMENS Healthineers • Ranges Type: Anatomical Structure Aorta The following ranges types are available: Ranges Type • Parallel Radial Vascular Parallel • Radial Radial Parallel Vascular General Parameters • Radial Vascular Radial Vascular Parallel Vascular • Vessel Label Aorta Parallel and Radial Ranges Type: Display Type MPR Thick • New General Parameters are the same for case 1 and case 2. Windowing Preset As input data set Degree Steps 10 • Parallel Vascular and Radial Vascular: Image Thickness 0,4 ¢ mm Same parameters as in VB50. High Resolution The Aorta ranges type can be chosen from the Thorax or Image Comment • Abdomen and Pelvis organ group. 25 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Special Case: Spine VB50 SIEMENS Healthineers With VB50: Properties of Aligned Range Ranges Preset Spine ParaCor MPR 2.0mm • Parallel spine ranges: Display Type MPR Thick • Result type: Aligned Range Windowing Preset As input data set • Range preset: Spine *name* Image Thickness mm Distance between Images 1.5 mm Image Comment Reference Image Visualisation • Paraxial / Curved Ranges: Normal • Result type: Spine Range Properties of Spine MPR 2.0mm • Ranges type: Parallel / Curved Ranges Type Curved Display Type Parallel Curved Windowing Preset Bone Sagittal A different result type has to be used to set up the Orientation Image Thickness mm different Rapid Results. Distance between Images 1.5 mm Number of Images 60 Image Resolution High Image Comment 26 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Special Case: Spine VB60 SIEMENS Healthineers New with VB60: All possible spine ranges types are combined now: Anatomical Structure: Spine Ranges Types: • Parallel • Paraxial (Vertebras)* • Curved Anatomical Structure Spine Ranges Type Paraxial (Vertebras) Parallel Note: The available ranges types are always defined Paraxial (Vertebras) General Parameters by the selected Anatomical Structure. Curved * The number of the generated images depends on the length of the spine and the defined distance between the images. A paraxial spine labeling is 27 displayed on the result images. Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements General Parameters 28 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 General Parameters SIEMENS Healthineers • More choices compared to VB50. Properties of Sinus Coronal 2.0mm • Range parameters included. Anatomical Structure Head Sinus Ranges Type Parallel • Available parameters based on selected Anatomical Structure and Ranges Type. General Parameters Display Type MPR Thick Windowing Preset Soft-Tissue Orientation Coronal Image Order Front to Back Viewing Direction Front to Back Image Thickness 2 mm Distance between Images 2 mm Image Comment Reference Image Visualization Image Resolution Normal 29 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Orientation Elements: SIEMENS Healthineers Example: Heart Anatomical Structure: Heart Orientation Heart Four Chamber • Parallel Ranges The Orientation list offers the 4 cardiac ranges: Image Order Heart Four Chamber Heart Long Axis • Heart Four Chamber Viewing Direction Heart Short Axis Heart Long Axis Heart Three Chamber • Heart Short Axis Image Thickness 1 mm • • Heart Three Chamber • Radial Ranges Orientations: Orientation Sagittal • Axial Axial • Coronal Image Order Coronal • Sagittal Viewing Direction Sagittal • LAO LAO RAO Angle between Images RAO • LAO Cran LAO Cran • 30 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Display Type and Windowing Preset SIEMENS Healthineers Example: Aorta (1/2) Anatomical Structure Aorta • Thorax – Aorta Range: Ranges Type Radial • Range type: Radial General Parameters • Display type: VRT • VRT preset: Vascular General Display Type VRT VRT Preset Vascular General • Thorax – Aorta Range: Orientation Sagittal Range type: Parallel Parallel • Image Order Counter Clockwise • Display type: MPR Thick Viewing Direction Anatomical Structure Aorta • Windowing preset: Soft-Tissue Left to Right Radial Ranges Type Parallel General Parameters Display Type and Windowing Preset differ depending on the selected Ranges Type. Display Type MPR Thick Windowing Preset Soft-Tissue Orientation Axial Image Order Head to Feet Viewing Direction Feet to Head 31 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Display Type and Windowing Preset SIEMENS Healthineers Example: Aorta (2/2) Radial Vascular • Thorax – Aorta Range: Anatomical Structure Aorta • Range type: Radial Vascular Display type: MRP Thick Ranges Type Radial Vascular • • Windowing preset: As input data set General Parameters Vessel Label Aorta • Thorax – Aorta Range: Range type: Parallel Vascular Display Type MPR Thick • • Display type: MPR Thick Windowing Preset As input data set Parallel Vascular • Windowing preset: As input data set Degree Steps 10 Anatomical Structure Aorta Ranges Type Parallel Vascular Display Type and Windowing Preset are automatically adapted depending on the selected Ranges Type. General Parameters Vessel Label Aorta Display Type MPR Thick Windowing Preset As input data set 32 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements DE Images Output Types 33 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 DE Images Output Types (1/3) SIEMENS Healthineers With VB50: Output • Dual Energy data can be combined with other Output Type Conventional CT (including DE) Rapid Results Technology results Conventional CT (including DE) Monoenergetic Plus DE Output Type: Liver VNC • Phase Conventional CT Virtual Unenhanced • Monoenergetic Plus i Phase selection is only supported for multiphase cardiac gated CT scans. The • setting does not have an affect on other scans. • Liver VNC • Virtual Unenhanced Output • Input data needed: Output Type Monoenergetic Plus Low kV series Energy Level 70 kev • • High kV series i This parameter describes the output of Rapid Results Technology. You can choose between conventional CT or Dual Energy Results. • SPP series are considered as single energy data and are not supported 34 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 DE Images Output Types (2/3) SIEMENS Healthineers New with VB60: The following output display modes can be selected from the Output Type list depending on the selected result option and purchased licenses. Properties of Pelvis Range_New1 • Conventional CT Monoenergetic Plus Anatomical Structure Pelvis • Ranges Type Parallel • Liver VNC • Virtual Unenhanced General Parameters Output • Gout* Display Type MPR Thick Output Type Conventional CT (including DE) Conventional CT (including DE) • Kidney Stones* Windowing Preset Soft-Tissue Liver VNC Orientation Axial Phase Virtual Unenhanced Gout Image Order Head to Feet Verification and Archiving Kidney Stones Conventional CT (including DE) is selected Gout Viewing Direction Feet to Head from the Output Type list by default. For single Series Name Pelvis Range_New1 Image Thickness mm Automatic Archiving energy data, the other DE option is not Distance between Images 0,7 mm Get notification in case of failure available. Image Comment Text Language English (United States) * Newly available in VB60 35 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 DE Images Output Types (3/3) SIEMENS Healthineers New with VB60: • Conventional CT (including DE) is selected from the Output Type Conventional CT (including DE) Output Type list by default. Conventional CT (including DE) • DE Output Types are available for: Monoenergetic Plus Low and high kV series Phase Liver VNC • Virtual Unenhanced • SPP series (new with VB60) Gout iving Kidney Stones The available Output Type differs depending on the selected Anatomical Structure. VB60 Output Type Conventional CT (including DE) Conventional CT (including DE) Monoenergetic Plus Liver VNC Phase Virtual Unenhanced VB50 36 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Examples of Gout and Kidney Stones SIEMENS Healthineers • Anatomical Structure: Abdomen Anatomical Structure Abdomen • Ranges Type: Only Parallel • DE Output Type: Ranges Type Parallel • Gout Parallel • Kidney Stones → displayed as fused image Output Type Conventional CT (including DE) Conventional CT (including DE) Monoenergetic Plus Phase Liver VNC Virtual Unenhanced Gout iving Note: As soon as you change the Anatomical Structure to Aorta Kidney Stones and the Ranges Type to Radial, the Gout and Kidney Stones options are no longer available (Fig. 1). Anatomical Structure Aorta Ranges Type Radial meters Output Display Type VRT Output Type Conventional CT (including DE) Conventional CT (including DE) VRT Preset Vascular General Monoenergetic Plus Liver VNC Orientation Sagittal Phase Virtual Unenhanced Image Order Counter Clockwise Verification and Archiving Fig. 1 37 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 New DE Application Class in Output Type: Kidney Stones SIEMENS Healthineers Kidney Stones is newly available as an Output Type with VB60. Overlay is a new parameter. General Parameters Output Display Type MPR Thick Output Type Kidney Stones Windowing Preset Soft-Tissue 50 Output type allows you ... Overlay Center 0 Phase Auto 9 1 Width 400 Color LUT 1 Dual Energy - Kidney Stones Verification and Archiving Orientation Axial Series Name Abdomen Range New1 Image Order Head to Feet Automatic Archiving Viewing Direction Feet to Head -50 Get notification in case of failure Image Thickness mm Text Language English (United States) Distance between Images 0,7 mm Image Comment Reference Image Visualization Image Resolution Normal 38 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 New DE Application Class in Output Type: Gout SIEMENS Healthineers Gout is also newly available as an Output Type with VB60. Overlay is a new parameter as well. General Parameters Output Display Type MPR Thick Output Type Gout Windowing Preset Soft-Tissue i Output type allows you ... Overlay Center Phase Width 200 Auto Color LUT 1 Dual Energy - Gout Verification and Archiving Orientation Axial Series Name Abdomen Range_New1 Image Order Head to Feet Automatic Archiving Viewing Direction Feet to Head Get notification in case of failure Image Thickness 1 mmm Text Language English (United States) Distance between Images 0,7 mm Image Comment Reference Image Visualization Image Resolution Normal 39 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Options with DE Application Class SIEMENS Healthineers With VB60, VNC, Fused or Iodine can be selected with Liver VNC and Virtual Unenhanced as an option. Output Output Output Type Liver VNC Output Type Virtual Unenhanced VNC Fused VNC Fused lodine Thin Slice (Original) lodine Thin Slice (Original) Output type allows you ... Output type allows you ... 40 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Thin Slice Option SIEMENS Healthineers Thin Slice (Original) can be combined with VNC and Iodine but Output not with Fused. Output Type Liver VNC • Will create a series with the same DICOM 188 elements as VNC Fused the primary original. The original image volumes of the application class are lodine Thin Slice (Original) • archived. Output type allows you ... • The display of the original images as 3D data is still possible. Output Output Type Virtual Unenhanced VNC Fused lodine Thin Slice (Original) Output type allows you ... 41 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 DE Option Example of Thorax / Abdomen DE Output Type SIEMENS Healthineers Anatomical Structure: Thorax / Abdomen • Ranges Type: Parallel only Anatomical Structure Thorax • Output Type: Liver VNC Ranges Type Parallel Selectable options are: • VNC • Iodine • Fused Output Output Type Liver VNC VNC Fused lodine Thin Slice (Original) 42 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Window Preset Examples of DE Options SIEMENS Healthineers The Windowing Preset depends on the DE option: • VNC → Soft-Tissue Windowing Preset Soft-Tissue • Iodine → Center / Width (prefilled based on the DE configuration) Windowing Center 250 Width 500 • Fused → Overlay: Center / Width with Color LUT (prefilled based on the DE configuration) Windowing Preset Soft-Tissue Overlay Center 250 ¢ Width 500 Color LUT Dual Energy - Liver VNC 3 The Windowing Preset is automatically adapted to the selected DE option. 43 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Example of DE Options for Liver VNC and Virtual Unenhanced SIEMENS Healthineers Anatomical Structure: Aorta Anatomical Structure Aorta Ranges Type: • Radial and Parallel Ranges Type Parallel Vascular • Radial Vascular and Parallel Vascular DE Output Type: Liver VNC Parallel DE options: Radial eters Radial Vascular • VNC • Iodine Parallel Vascular Only VNC and Iodine are available for the Liver VNC and Virtual Unenhanced output type. The Fused option is not available. Output Type Liver VNC Note: The available DE option depends on the selected DE application class VNC and Ranges Type. lodine 44 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Consistent Spectral Results SIEMENS Healthineers New with VB60 Example only Stable visualization algorithmic results are now provided independently of the DE application class or keV value used. In the background, an algorithm will detect the anatomy based on ALPHA and guarantee Consistent Spectral Results for all created Ranges such as Spine Ranges, iodine images with ALPHA or Vessel Tracing for VNC images. 90 ml KM i.v. postscans Automatic Result, ME 70 kev / Monoenergetic Plus 45 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Advanced Result Types 46 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Advanced Result Types SIEMENS Healthineers The following result types are accessible via the patient Choose a Result-Type: model in the Rapid Results Technology configuration panel: Thorax • Lung CAD Aorta Range Complete Volume Range • ASPECT Score* General Alignment Range • CT Calcium Scoring Lung CAD • Rib Ranges Rib Cage Range Rib Ranges • CT Neuro Perfusion RT AutoContouring Thorax Spine Range Thorax Range Configure Result * not available in the U.S. 47 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 CaScoring: Vessel – Specific Score SIEMENS Healthineers With VB60, a Vessel-specific score is available as an Properties of CT CaScoring option in the Scoring Mode list. Vessel-specific score • The Total score mode assigns the same label Ca to Scoring Mode all calcified coronary lesions and only provides the Vessel-specific score Reference Data total score. Total score • The Vessel-specific score mode assigns a vessel label to each calcified coronary lesion and also provides individual scores for each vessel, in Verification and Archiving addition to the Total score value. Series Name CT CaScoring You do not need to create one result series per vessel; all scores for each vessel will be provided within the Automatic Archiving same result series. Get notification in case of failure Text Language English (United States) 48 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges SIEMENS Healthineers Rapid Results Auto Archiving (AA) All Dual Energy RRT results are now also workflow independent: Requested Procedere Workflo Recon Data role Dual Energy / DE Abdomen VNC IR (Adult R DE_Abdomen 5.0 8638 3 On the scanner side: #PP DE_Abdomen 1.5 Qr40 2 Lung Analysis Monoenergetic+ No need to map the protocol with the CT Dual Energy workflow Rho/Z Dual Energy LLLLLLLLLLLLLLLLLLL Body Bone Removal (Strong) in the Scan Protocol Assistant. Head Bone Removal (Strong) Lung Analysis (Dense Lung) Lung Analysis Bone Marrow (AA) The available Data Roles depend on the selected Workflow. Head Bone Removal (AA) Body Bone Removal (AA) Brain Hemorrhage (AA) Virt. Unenhanced (AA) Gout (AA) Hard Plaques (AA) Heart PBV (AA) Kidney Stones (AA) Sequenceiscars Spiral scans 1 Mutiscans Interventional scans Liver VNC (AA) Lung PBV (-3) obs 3D recon jobs ADMIRE I Sequence Lung Vessels (AA) Mixed (AA) Monoenergetic (AA) Monoenergetic+ (AA) Monoenergetic+ 40 (AA) CT Duar Workflow Data role [-] 49 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges SIEMENS Healthineers Rapid Results Auto Archiving (AA) All Dual Energy RRT results are now also workflow independent: • 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 specify the availability of Dual Energy RRT results: • In Workflows Using Dual Energy (default). • In Dual Energy only. CT Dual Energy Configuration • In all workflows. Application Profiles Rapid Results Techonology will be available Workflow Bone Reading in Dual Energy Only Body Region Cardiac Function in Dual Energy Only DualEnergy plus Vascular Bone Reading in Workflow Using Dual Energy Oncology in All Workflows Coronary Vascular Dual Energy DE Using Workflows 50 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges SIEMENS Healthineers Rapid Results Auto Archiving (AA) SPR Images (Stopping Power Ratio Images) Application Class Rho/Z Base Application Class Rho/Z • Not available in DE workflow only as Rapid Results Create New Delete • Only selectable as data role at SPA of Dual Source and Dual Spiral Application Subclasses Rho/Z scanners: SPR Dual Energy Spectra Drive/Flash/DS ... 80/140KV • SPR (AA) Visualization Algorithm Material Definitions Presets Preprocessing Options ROI Properties • Parameters Automatic Parallel Ranges Automatic Archiving of Thin Slice (Original) • In DE configuration, use the Application Class Rho/Z and Parallel Range 1 change the data role scope to in All Workflows to combine SPR Parallel Range 2 Display Type MPR Thick Display Type MPR Thick images with RT Image Suite. Orientation Axial Orientation Axial Slice Thickness [mm] 3.0 + Slice Thickness [mm] 1.5 Increment [mm] 3.0 + Increment [mm] 1.0 + Rho Rho • SPR images can be used for: Z Material characterization similar to electron density images Fused Fused High Resolution High Resolution could be used for particle therapy (mainly research), Include Reference Image Include Reference Image No marketing claim for this application! Rapid Results Techonology will be available in All Workflows The same parameters will also be used for the calculation of SPR images 51 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges SIEMENS Healthineers Rapid Results Auto Archiving (AA) Spectral Post Processing (SPP) for Interactive Spectral Imaging Spectral Post Processing (SPP) • As already introduced in chapter DE in MM Reading Interactive Spectral Post Processing (SPP) for Interactive Spectral Imaging Spectral Imaging, the interactive Spectral Imaging features uses Create as Conventional CT mixed (default) Create as Monoenergetic+ with keV defined for the body region a single post processing series in the file format Spectral Post- always for slice thickness up to 2mm (may result in high system load, default) Processing (SPP) that contains all the necessary information. only for quantitative kernel (Qr, Q, or D) and slice thickness of exactly 1.5mm (limited number of series) only if datarole SPP was explicitly set at the scanner (Scan Protocol Assistant) Thus high and low kV data is no longer needed. never (do not even use datarole SPP) Should only be used temporarily if a large amount of data is imported to syngo.via SPP is automatically created on syngo.via with Rapid Results Exclude air from calculation. This check box is selected by default to reduce calculation time. • Technology and will be shown as a single series e.g. in the Optimized for structures with: normal contrast (default, suitable for most patients) Patient Browser. • On the Spectral Post Processing (SPP) tab of the DE Configuration, you can define settings for the creation of SPP data sets with Rapid Results Technology. 52 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges SIEMENS Healthineers Rapid Results Auto Archiving (AA) Spectral Post Processing (SPP) for Interactive Spectral Imaging Spectral Post Processing (SPP) for Interactive Spectral Imaging 1. Depending on the selection, either Conv. CT or Mono+ 1 Create as Conventional CT mixed (default) Create as Monoenergetic+ with keV defined for the body region is used as the main representation for Interactive Spectral 2 always for slice thickness up to 2mm (may result in high system load, default) Imaging. only for quantitative kernel (Qr, Q, or D) and slice thickness of exactly 1.5mm (limited number of series) only if datarole SPP was explicitly set at the scanner (Scan Protocol Assistant) never (do not even use datarole SPP) Should only be used temporarily if a large amount of data is imported to syngo.via 2. By default, preprocessing always creates SPP data sets for incoming low and high energy series, 3 Exclude air from calculation. This check box is selected by default to reduce calculation time. except when the slice thickness is more than 2 mm. 4 Optimized for structures with: normal contrast (default, suitable for most patients) 3. If the Exclude air from calculation check box is selected, only HU values above -950 HU are considered for calculating the SPP data set; this will reduce calculation time. 4. Select the predominant structures in the SPP data sets. The calculation of the SPP data sets is globally optimized accordingly. 53 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 New with syngo.via for CT SIEMENS Healthineers PACS-Ready ASPECT Score1 (1/2) • The Alberta stroke program early CT score Affected area (X) (ASPECTS) provides a score from 0 (most severe) to 10 (least severe)2 . • Support assessment and severity of ischemic 37.9 C 38.3 changes on non-contrast CT head scans. C IC 35.9 IC 36.0 INS 30.8 X INS 32.9 L 36.7 L 38.1 M1 33.8 X M1 36.2 Automatically calculated ASPECT Score. M2 35.4 M2 36.4 • M3 38.6 M3 38.7 M4 34.5 M4 35.3 M5 33.4 X M5 35.5 M6 35.7 M6 36.4 automated ASPECT Score 7 automatic Results Powered by syngo.via ASPECTS1 highlights the affected brain regions (bold) Rapid Results and provides the average HU value in each of the 10 regions. Courtesy of Ludwig-Maximilians-University Munich, Munich, Germany. 54 1) syngo.via ASPECT Score is not commercially available in the US. Its future availability cannot be guaranteed. Effective Date: 16 Jun 2021 | HOOD05162003200694 2) http://www.aspectsinstroke.com/. Unrestricted © Siemens Healthineers, 2021 New with syngo.via for CT SIEMENS Healthineers PACS-Ready ASPECT Score1 (2/2) ASPECT Score Explanation (Example Case) MI MI M4 M4 37.8 35.9 IC 38.3 36.0 INS 30.9 X INS 32.9 M2 M2 MS MS 36.7 L 38.1 M1 33.8 X M1 36.2 MS M2 M6 M2 35.4 36.4 M3 M3 38.6 M3 38.7 144 34.5 M4 35.3 MS M6 33.4 X 35.5 35.7 36.4 X / Bold Surroundings: Region with lower HU values compared to other hemisphere (e.g. M4) automated WM: Only white matter may be affected ASPECT Score 7 Boldface text: Region that is visible in the current image (left: C, IC, INS, L, M1-M3 / right: M4-M6) automatic Results • Easy access of full analysed ASPECT Score series • Last image in series contains an explanation in PACS2 image • Full window/level capability available • Toggle ASPECT Score overlay on/off syngo.CT ASPECT1 provides automatic results and • Powered by Rapid Results is non-editable Courtesy of Ludwig-Maximilians-University Munich, Munich, Germany. 55 1) syngo.via ASPECT Score is not commercially available in the US. Its future availability cannot be guaranteed. Effective Date: 16 Jun 2021 | HOOD05162003200694 2) PACS needs to support DICOM 6000. Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Rule-Based Configuration 56 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 syngo.via Rapid Results Technology Workflow SIEMENS Healthineers Automation & Fleet Management  syngo.via VB10 syngo.via VB20 Start of RRT RRT became task flow syngo.via VB40 syngo.via VB50 RRT becomes vendor independent Holistic Portfolio of RRT independent ROUTINE RESULTS ADVANCED RESULTS CLINICAL RESULTS Automatic Spine Ranges Unfolded Lung CAD Series Neuro Perfusion Anatomical Rib Ranges Range Creation Algorithm enhanced Quality Control Dual Energy Volume Renderings and Edit of automatic Vessel Ranges Result Ranges ASPECT score* Automatic Calcium Scoring Results (total Casco) 57 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Automated Clinical Results for your Vendor Independent* SIEMENS Healthineers CT Fleet Vendor- Automated results independent* through rule-based configuration SOMATOM CT scanner SOMATOM CT scanner New with syngo.via server PACS syngo.via VB50 Non Siemens syngo.via configuration only, potentially skip the scanner part configuration. CT scanner * Optional. As a prerequisite the dedicated syngo.via CT Application is able to handle the vendor specific CT DICOM data. 58 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 syngo.via Rapid Results Technology SIEMENS Healthineers Rule-Based Configuration • As a clinical administrator, you can configure and manage rules in the syngo.via configuration panel by using keywords or conditions that are part of the DICOM image header. • License-protected, it works for all Siemens Healthineers CT scanners and other vendors’ scanners with the license. Configure Rapid Results Technology Assignments ? X Set up rules to specify how incoming series trigger Rapid Results Technology calculations. + Add new Rule When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Study Description Series Description Additional Condition Additional Value (Optional) (Optional) Rapid Results Technology Result *Lung* *Thorax' Kernel Lung CAD *Lung* RT Auto Contouring *Thorax* Scan protocol name *Thorax* RT Auto Contouring 59 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Configuring Results Based on Result Types SIEMENS Healthineers • Configure the rule in the Configuration Panel. • Click Configure Scanner Assignment icon to create the rule. Configuration Panel Client Settings Advanced Visualization Display And Behavior Export Frontier Rapid Results Technology Activate Rapid Results Technology Configure Scanner Assignment Available Result Types Configured Results ? Parallel Ranges Aligned Range Radial Ranges Aspect Score Spine Ranges Coronaries VRT LAO Cran CT ASPECT Score * CT CaScoring RT Auto Contouring Curved Radial MPR LAD CT Neuro Perfusion Curved Radial MPR LOX CT CaScoring Curved Radial MPR RCA Parallel Vascular Ranges Heart VRT LAO Cran Radial Vascular Ranges Liver VNC Range Lung CAD Lung CAD Rib Ranges Parallel Ranges New1 * CT ASPECT score is currently under development and is not for sale in the U.S.A. Its future availability cannot be guaranteed. 60 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Configure Rapid Results Assignments SIEMENS Healthineers Click on the + icon to create a new rule. Configure Rapid Results Technology Assignments ? X Set up rules to specify how incoming series trigger Rapid Results Technology calculations. + And new Rule When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Study Description Series Description Additional Condition (Optional) Additional Value (Optional) Rapid Results Technology Result 1 Use * as wildcard/ placeholder character (multiple use is possible). Examples OK Cancel 61 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Available Parameter for Configuration of Rules SIEMENS Healthineers The following parameters are Configure Rapid Results Technology Assignments available to create rules: Set up rules to specify how incoming series trigger Rapid Results Technology calculations. • Study Description Add new Rule • Series Description + • Additional Condition (Optional) When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Additional Value (Optional) Study Description Additional Condition Additional Value • Series Description (Optional) (Optional) Rapid Results Technology Result Rapid Results Technology Result *Thorax 3mm • Empty> Aligned Range Contrast media Aspect Score Kernel Coronaries VRT LAO Cran Scan protocol name CT CaScoring Scanner Manufacturer Curved Radial MPR LAD → All parameters are available in the Scanner name Curved Radial MPR LOX Curved Radial MPR RCA Patient Browser either on patient Heart VRT LAO Cran level or on series level. Liver VNC Range Lung CAD Radial VRT Range RibRangesDefault RT Auto Contouring Sinus Coronal 3.0mm Spine MPR 2.0mm Stroke Perfusion 62 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Example of the Rule SIEMENS Healthineers • Text strings are context-sensitive, for example, Thorax and thorax will not lead to the same results. • You can use * as a wildcard character. Examples: Rule: Matching Recon Head*1.5*Coronal Head 1.5 Hr60 Coronal Yes Head 1.5 Coronal contrast No - Contrast at the end Head 1.5 coronal No - context-sensitive Head/Neck 1.5 Coronal Yes Head/Neck 1.5 Hr60 Coronal Yes 63 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Additional Condition (Optional) SIEMENS Healthineers Additional Comments (AND Addit. Condition is:) (With Addit. Value:) Condition Additional Condition Additional Value (Optional) (Optional) Contrast Media Series level, Contrast media Yes value: yes/no Yes No Kernel Series level, value: text (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Scan protocol Study level, value: Scan protocol name Additional Condition Additional Value name (Optional) (Optional) Rapid Results Technology Result e.g. Brain Perfusion Kernel *Bv38 Curved Radial MPR LAD Scan protocol name *Brain Perfusion Stroke Perfusion Manufacturer Study level, Lung CAD Name value: Manufacturer given scanner type e.g. SOMATOM Drive Contrast media Kernel Scanner Name Study level, Scan protocol name value: Customer given device name, e.g. Scanner Manufacturer Scanner name CT3 64 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Rapid Result Technology Results SIEMENS Healthineers In the last column Rapid Result Technology Results you can select the + Add new Rule available clinical results* of RRT for the When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: conditions. Study Description Series Description Additional Condition Additional Value (Optional) (Optional) Rapid Results Technology Result *Thorax *3mm Scanner Manufacturer Canon Aligned Range Aspect Score Coronaries VRT LAO Cran CT CaScoring Curved Radial MPR LAD Curved Radial MPR LOX Curved Radial MPR RCA Heart VRT LAO Cran Liver VNC Range Lung CAD Radial VRT Range RibRangesDefault RT Auto Contouring Sinus Coronal 3.0mm Spine MPR 2.0mm Stroke Perfusion * The dedicated clinical RRT results are part of the clinical Applications, e.g. Rapid Results Technology of total 65 CaScore is included in the syngo.CT CaScoring license. Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Miscellaneous 66 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 Tooltips SIEMENS Healthineers User-guiding tooltips are shown when the user hovers over Rapid Results Technology icons or certain texts. Your configured results: ? Configure a new result Example + Configure a new result Add a new Rapid Results Technology Head and Neck result to the list of configured results Aspect Score and define how this result should be. Add a new Rapid Results Technology result to the list of configured results and define how this result should be. The tooltips provide users with guidance on text boxes and icon functions. 67 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers 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 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 68 Effective Date: 16 Jun 2021 | HOOD05162003200694 Unrestricted © Siemens Healthineers, 2021