syngo.via MI 4D Data Support in Volume Layouts Job Aid

SIEMENS Healthineers 4D Data Support in Volume Layouts syngo.via Molecular Imaging VB60A_HF02 Template Effective Date: 10 Aug 2021| HILS 2223 Job Aid Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Introduction These training slides will introduce you to Favorite Tools X T MI General the 4D support capability in volume TAST Takel --- layouts and in the Volume Stripe layouts Favorite Tools for syngo.via Molecular Imaging. The layouts are available when HAH Series MERFLEIEN Vark & VRT MES FUSION upgrading your syngo.via system, starting BL min ELmn SPC 1.0 1 0cm from version VB60A_HF02. AL Finding's SPECT L ** 3|38 241167m-0] EFECT UNB [COME 24/137mm-201 Printing F A 11:50 2 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Table of Contents Favorite: Tools Understanding the 4D Support in Volume Layouts 4 T MI General --- Ranttttet : Graphies Wienerest Working with 4D Datasets in Volume Layouts 8 M: SPECTLPB |CGZAS 241:6"M /C Enhace1, 8/7/201 3 2:30 0 PM Drag and Drop Functionality B :AC_CT L"3 ETOS, 817120 3 3 19:38 PM C: EFECTUB [CORE 24)1:7mm-AC| 87/2013 2:05:06 FH Favorite Tools 10 174,05 VEq 374,05 MBQ = 92:16 14:53:20 374,05 H3 Spatial and Temporal Navigation 16 4D Movie Control Options 18 Series BYC 374,05 VE9 15:19:38 274,05 MEq 613:36 1613:38 374,55 H33 16:12:28 374,05 M3: 41MI -152|1700 IMA -112 41MA-1121| 1-11.MA-115 14:59 02 020 MAn a. FRY 1000 198 7.3. FRM n.2. Printing 15:19:38 1 5:19 3E 519:38 4MARK FEHna I HAna FEHna 1010 NAna =RY n.3. I Hona FRNna :070 MMAna FRY - FH 4 Han3 -Ryna 110:01967.3. FRMn). 1518:30 3 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers 4D Data Support in Volume Layouts Understanding the 4D Support in Volume Layouts 4 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Display Feature 4D data support is now added to all 3D layouts as well as SIEMENS . X Dynamic TwoTP .. Healthineers NH3_PATIENT#27. #27 . 12/27/1942 M 97166896 MI General the Volume Stripe layouts. Volume Stripe layouts are now MI General Patient Name : NH3_PATIENT#27827 Study Date : 5/29/2009 Pabent ID : 97166896 Study Time : 12:51:32 PM Patient Birthdate, Sex and Age : 12/27/1942, M, 066Y Energy Window 1 : Nº13"/"13"Nitrogen). Study Description : PET'PETCT_Cardiac_NH3 (Adult) Acquisition Time : 1:56:57 PM Acquisition Date : 5/29/2009 Series X MI General 8. Dynamic NH3 REST progressifAC_CT#2 (AC), 5/29/2009 2-27:38 P Add Stud available to support the display of 4D series (gated or HAL 124 Series Name RA 5/29/2009 12:51 PM dynamic). This display feature enables: CT PET, PETAPETCT_Cardiac_ ... Functional Fused Volume Favorite Tools Axial 3x Axial 3x. Strip A · PET.CT 1 HAL B Casc 3.0 B201 55% [P3] Fused 2x3 Cardiac AC- Cardiac .2.4 ,90 512 + Movie NAC HRA 408 . Dynamic NH3 STRESSpro ... - PET.CT 2 • The 4D/4D fusion series capability for MPR/MPR and . MI Organ Processing CaSc 3.0 82Of 55% [P3] HAL 512 VRT/MIP image fusion. 402 . PET NH3 STRESS 1 phase ... Series 406 PET STRESS 10 phases ite .... Favorite Tools . PET.CT 3 R 3 CaSc 3.0 820f 55% [P3] T HAL + 512 Contin Window 409 Dynamic NH3 REST progr ... Findings • Multi-selection of 4D datasets for enhanced drag and drop. . PET-CT 4 Custom Automatic Distante Layout - Casc 3.0 B201 55% [P3] Text Unte 512 ROI Cicle VOL Sphere Vioual ALF 403 . PET NH3 REST 1 phase ite ... Nigomen 407 . PET NH3 REST 10 phases ... Sequential images continue to show spatial changes. - C15 Autoonibic Hide Hide Lines • Registrat . Graphics Printing 2 AC_CT #1 [2] - CT 6 R2001 Cardiac Spatial navigation using arrow keys (gated and non-gated). Ranges ALF Ranges Mask 8 CorCTA 0.6 B201 70% [P8] > 512 Cantisc Lock Planes Referen .. Releien + 2:06 PM • Temporal navigation using Alt + (left or right) arrow keys or right mouse button (RMB) drag left/right. • 4D movie capability in all segments. • Spatial or temporal navigation in movie mode. 5 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Layout Gallery (1/2) The 4D data support is now added Layout Gallery Layout Gallery 1 Layout operations to all 3D layouts as well as the 1 2 Allgemeine Layouts Volume Stripe layouts. Save Save layout as layout Basic Functional Fused 2x3 Fused Fused 2x3 Fused 2x4 Hybrid 3x3 Hybrid Hybrid 1x 4D Hybrid 4D Fused 4D Public Layouts Display Axial 3x ... + Movie Axial 3x ... Movie Compare + Movie 2×3 + ... 1×3 + ... Functio .. Basic Functional Fused 2x3 Fused Fused 2x3 Fused 2x4 Hybrid 3x3 Hybrid Hybrid 1x3 Static - Display Axial 3x .... + Movie Axial 3x. Hybrid Movie Compare + Movie AC - NAC Dynamic Compare View Hybrid Dynamic Static - Static WB - Dual Time To simplify your layout View Intensity Compare WB Planar Savescreen Dynamic + Static + Static + CR Gated Dyn + Static WB Stati. 2 WB - Dual WB - Planar Savescreen Dynamic + Static + WB Static +CR Dyn + Functional Fused 2x2 Compare Static + Dynamic WB + Static HHIII management the 4D only layouts tensity Compare Gated Static Static + WB 2x3 + M .... + Movie ... WB + Static Fused ... Compare + Fused .. Functional Fused 2x2 Compare Static + Dynamic WB + Lung VIQ Dynamic + Cardiac AC Cardiac Volume Volume 2x3 + M ... + Movie ... WB + S ... Fused Ompare Static .. Compare Static + ... NAC Stripe Strip ... HHIIII have been removed from the Lung VIQ Dynamic + Cardiac AC Cardiac Volume Volume Compare Static +. NAC Stripe Strip Siemens Layouts Layout Gallery. Siemens Layouts Basic Functional Fused 2x3 Fused Fused 2x3 Fused 2x4 Hybrid 3x3 Hybrid Hybrid 1x4D Hybrid 4DFused 4D Basic Functional Fused 2x3 Fused Fused 2x3 Fused 2x4 Hybrid 3x3 Hybrid Hybrid 1x3 AC- NAC Dynamic Static - Static - Display Axial 3x ... + Movie Axial 3x. + Movie Comme Functio ... compar + Movie Display Axial 3x ... + Movie Axial 3x ... Movie Compare + Movie 2×3 + ... 1x3 + ... 2X2 Compare Time WB - Dual WB. Intensity Compare Planar Savescreen Dynamic + Static + WB Static + CR Dyn + Functional Fused 2x2 Compare Static + Dynamic WB + Static Gated Static Static + WB 2x3 + M .... + Movie .... WB + Static Fused ... Compare 4 Fused. Hybrid Dynamic Static Static WB - Dual WB Planar Savescreen Dynamic + Static + Static + CR Dyn + 2X2 Time View Intensity Compare Gated Static WB Stati ... Lung VIQ Dynamic + Cardiac AC Cardiac Volume Volume Compare Static + .... NAC Stripe Strip ... Functional Fused 2×2 Compare Static + Dynamic WB + Volume Volume 2x3 + M ... + Movie ... WB + S ... Fused .. Compare Static. Lung VIQ Dynamic + Cardiac AC Cardiac Compare Static + ... NAC Stripe Strip ... 6 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Layout Gallery (2/2) The Volume Layouts are available in the Layout Gallery for all monitor configurations and for all MI workflows: Monitor Configuration/Workflow MI General MI Cardiology MI Neurology Single Portrait Volume stripe Volume stripe Volume stripe Volume stripe + movie Volume stripe + movie Volume stripe + movie Double Portrait Fused 3x2 + VS + movie Fused 3x2 + VS + movie Fused 3x2 + VS + movie Fused Axial 2x3 + VS Fused Axial 2x3 + VS Fused Axial 2x3 + VS Functional Axial 2x3 + VS Functional Axial 2x3 + VS Functional Axial 2x3 + VS Single – Volume stripe Volume stripe Volume stripe Landscape/Widescreen Volume stripe + movie Volume stripe + movie Volume stripe + movie Dual – Functional Axial 3x2 + VS Functional Axial 3x2 + VS Functional Axial 3x2 + VS Landscape/Widescreen Fused 2x3 + VS + movie Fused 2x3 + VS + movie Fused 2x3 + VS + movie Fused 3x2 Axial + VS Fused Axial 3x2 + VS Fused Axial 3x2 + VS 7 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers 4D Data Support in Volume Layouts Working with 4D Datasets in Volume Layouts 8 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers General Data Handling • Volume Stripe will automatically load functional series. Anatomical series would need to be dragged and dropped. • Reset Layout from Favorite Tools is not functional for Volume Stripe. Projection data is prioritized over MIP in movie segment (Volume Stripe + movie). • In the case of PET series where no projection data is present, the movie segment will fall back to MIP. • Image Fusion between two gates of the same series (same volume) is not allowed (this is applicable to all layouts – Volume Stripe and Non-Volume Stripe). • The tool Auto Views is not available in Volume Stripe layouts. Topic Details 4D/4D and Layouts having Volume Stripe on the second monitor supports viewing of all types of data. 4D/3D support – All layouts are capable of displaying 4D/3D and 4D/4D views. Single/Dual 1. 4D/4D – Fusion. Both base and overlay are 4D data. No modality restrictions on base and overlay. Monitor Layouts 2. 4D/3D – Fusion. Base is 4D data and overlay is 3D data. No modality restrictions on base and overlay. 3. 3D/4D – Fusion. Base is 3D data and overlay is 4D data. No modality restrictions on base and overlay. 4. 3D/3D – Fusion. Both base and overlay are 3D data. No modality restrictions on base and overlay. 5. 4D – Displayed as MPR. 6. 3D – Displayed as MPR. 7. 2D – Not applicable to Volume Stripe. 9 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers 4D Data Support in Volume Layouts Drag and Drop Functionality 10 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Image Fusion with Enhanced Drag and Drop for 4D/3D and 4D/4D Datasets Enhanced Drag and Drop functionality Left click This function has been added to optimize Hybrid Imaging and Hybrid VRT/MIP Imaging to reduce the Replace All number of clicks needed to perform image fusion and Fuse as base (MPR/MPR) Right click is now available for gated and dynamic series. Fuse as overlay (MPRIMPR) Fuse as base (VRT/MIP) • You can enable a fused VRT/MIP for 4D/4D, 4D/3D, 3D/4D image fusion with the enhanced Fuse as overlay (VRT/MIP) drag and drop functionality. • You are able to fuse two 4D/3D datasets or 4D/4D datasets with left mouse button (LMB) or RMB drag and drop. • You can manually select the base or the overlay series. 11 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Enhanced Drag and Drop for 4D/3D Datasets Ability to fuse two 4D datasets with LMB and RMB drag and drop. Function Details 4D/3D Image Ability to drag and drop 4D datasets into Volume Stripe (VS) using LMB and RMB. Fusion Drag and Drop LMB Drag and Drop 1. For left click drag and drop, existing series in VS-layout are replaced with the new series along with all the planes. 2. If the gated series is dragged as a whole, the first gate is displayed. 3. If the dynamic series is dragged as a whole, the last phase (4D Dynamic series) is displayed. 4. On LMB drag and drop on fused segments, overlay or base is replaced based on modality. RMB Drag and Drop For right click drag and drop, the following options are possible: 1. Replace all. 2. Fuse as overlay/Fuse as base. 3. If the gated series is dragged as a whole, the first gate is displayed. 4. If the dynamic series is dragged as a whole, the last phase (4D Dynamic series) is displayed. 12 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Enhanced Drag and Drop for 4D/4D Datasets Function Details 4D/4D Image Ability to fuse two 4D datasets: Fusion This can be Anatomical/Functional, Functional/Functional, Anatomical/Anatomical. On fusion, the system performs spatial and temporal registration. Select fuse as base or fuse as overlay for 4D volumes. Rules for LMB drag and drop: Dropped Data Data Present in Segment Action Type (Base/Overlay) Functional Anatomical/Anatomical Replace Overlay Replace All Fuse as base (MPR/MPR) Functional Anatomical/Functional Replace Overlay Fuse as overlay (MPRIMPR) Functional Functional/Anatomical Replace Base Fuse as base (VRT/MIP) Fuse as overlay (VRT/MIP) Functional Functional/Functional Replace Overlay Anatomical Anatomical/Anatomical Replace Overlay Anatomical Anatomical/Functional Replace Base Anatomical Functional/Anatomical Replace Overlay Anatomical Functional/Functional Replace Base 13 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Multiselect Drag and Drop for 4D Data – 3D/4D and 4D/4D Datasets (1/2) Multiselect drag and drop ability from the series SIEMENS X X Healthineers NH3_PATIENT#27. 827 12/27/1942 M 97166896 Dynamic TwoTP ... MI General navigator. Prerequisites for 4D data – MI General O X Patent Name : NH3_PATIENT#27-#27 Patent ID : 97165896 Study Date : 5/29/2009 Study Time : 12:51:32 PM Patient Birthdate, Sex and Age : 12/27/1942. Energy Window 1 : N+13"P13"Nitrogen) Study Descripbon : PETAPETOT_Cardiac_NH3 (Adulo) Acquisition Date : 5/29/2009 Series X Acquisition Time : 1:56:57 PM MI General A Dynamic NH3 STRESSprogressifAC_CTE1 (AC), 5/29/2009 1:56:57 PM Basic 3D/4D and 4D/4D datasets are: Display Dynamic SENDC . B: Dynamic NH3 REST progressifAC_CT#2 (AC). 5/29/2009 2:27:38 PM Time HAL Series Name NE - DUM 3,24 RA 124 424 5/29/2009 12:51 PM CT PET, PETAPETCT Cardiac_ ... Functional Fused Volume Axial 3x PET-CT 1 Favorite Tools Axial 3x Serie 1. Two series shall be selected. A HH HAL - Casc 3.0 820f 55% |P3] Fused 213 Cardiac AC - Cardiac 512 Movie NAC 7. 2, 4 RA 408 . Dynamic NR3 STRESSpro ... . PET.CT. 2 . MI Organ Processing 3 Casc 3.0 8201 55% [P3] 2. Both series shall be suitable for 3D or 4D HAL > 512 402 Series PRH . PET NH3 STRESS 1 phase ... 406 . PET STRESS 10 phases ite ... visualization. - PET.C1 3 Favorite Tools Casc 3.0 8201 55% [P3] HAL R > 512 409 . Dynamic NR3 REST prixgir PRH Findings . PET.CT.4 3. Target segment shall be 3D or 4D fusion capable. Custoes Automatic Distance - Casc 3.0 8201 55% [P3] Text Uryout O. > 512 ALF 403 . PET NH3 REST 1 phase ite ... 407 . PET NH3 REST 10 phases ... . CTS Hide Hide Lines Graphics Printing AC_CT #1 12) . CT6 Cardiac Mak ALF . CorCTA 0.6 B201 70% (P8) · 512 - - + 2:06 PM 14 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Multiselect Drag and Drop for 4D Data – 3D/4D and 4D/4D Datasets (2/2) Function Details Multiselect Drag The system performs image fusion of two selected series after: and Drop for: 4D data – 3D/4D 1. LMB drag and drop into the target segment with MPR/MPR filter applied. or 4D/4D data 2. RMB drag and drop into the target segment when the user selects one of the options below: a) Fuse (MPR/MPR) for which MPR/MPR filter is applied. b) Fuse (VRT/MIP) for which VRT/MIP filter is applied. If the dropped series combination (including fusion order) is already displayed in the target segment, the system shall restrict the operation. The system shall follow these rules for image fusion: 1. Functional is overlay and anatomical is base. 2. For the same modalities first selected is base and second selected is overlay. 3. If more than two datasets are selected, the system shall display a restriction icon. 15 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers 4D Data Support in Volume Layouts Spatial and Temporal Navigation 16 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers Spatial and Temporal Navigation with 4D/4D Viewing Matching Gates Topic Details Spatial and If the user is looking at a fused view: temporal Both base and overlay are synced 1-1 for temporal navigation. navigation with 4D/4D viewing If two 4D series are viewed separately (like in Hybrid 2x2, Hybrid 3x3, two rows in VS): matching gates 1-1 sync between the fused and non fused views for temporal navigation. Example - Hybrid 3x3 layout: • Row 1 - CT • Row 2 - PET • Row 3 - Fused Navigating on row 1 using Alt + (left or right) arrow keys, 1-1 match should happen in row 2, and in base and overlay both on row 3. Sequential images continue to show spatial changes. Spatial navigation using arrow keys (gated and non-gated). Temporal navigation using Alt + (left or right) arrow keys or RMB drag left/right. 17 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers 4D Data Support in Volume Layouts 4D Movie Control Options 18 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 4D Data Support in Volume Layouts – SIEMENS Healthineers 4D Movie and Movie Control Options in Volume Layouts Function Details 4D movie in all 4D movie and movie control options in all Volume Stripe layouts: Volume Stripe Layouts 1. The Movie toolbar is available only in the main segment. 2. Spacebar is the shortcut key to stop/start movie. 3. 4D movie is synchronized for all 4D volumes. 4. In fused volumes, a volumes movie will be played for the base and the overlay. 5. In case of 3D/4D or 4D/3D fusion, a temporal movie will be played by default. 6. Spatial or temporal navigation in movie mode. Temporal sync note: 1. If two series having the same gates are viewed in Volume Stripe slots, they display the same gate number at all times. 2. If two series have a different number of gates, the series with 8 gates is displayed in slot A and another series with 16 gates is displayed in slot B. 3. For every 2 gates that change in 16-gated series , 1 gate will be changed in 8 gated series. 19 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 20 Effective Date 22 Feb 2022 | HOOD05162003257876 Unrestricted © Siemens Healthineers, 2022