syngo.via MI VB30-VB60 Delta Job Aid Part 1 - General & Oncology

SIEMENS Healthineers syngo.via MI General and MI Oncology VB30-VB60 News & Improvements Version 2021 Template Effective Date: 27 May 2019 | HOOD05162003010284 Job Aid Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 Please note 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: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 syngo.via MI General and MI Oncology VB30-VB60 SIEMENS Healthineers News & Improvements | Table of Contents MI General 4 MI Organ Processing 37 MI Oncology 47 -... .... PEPconnect 61 syngo.via Innovations 65 3 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MI - News & Improvements MI General 4 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General - syngo.via VB50A SIEMENS Healthineers Siemens Healthineers New User Interface (SHUI) Stone is the new default schema (Nightsky and Ocean still available in the Configuration Panel • Client Settings Advanced Visualization Display And Behavior Export Fr config panel) Access Control Display Types Require authentication on startup Visual Appearance • Icons and button styles updated VRT Reset MiniP Thin MPR/MPR MPR Cinemat UI schema: Stone Schema Preset VRT Size of fonts and controls: Nightsky Schema Ocean Schema Stone Schema Troubleshoot • GNM and SPECT/CT functionality included on syngo.via - new MI General TGBOBY SIEMENS ealthineers workflow syngo.via • Optimized layouts • Useful tools for technologist and reading physician • Automate manual tasks Technologist Physician • AI-powered algorithms syngo.via software version VB50 is not commercially available in all countries. 5 Due to regulatory reasons its future availability cannot be guaranteed. Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers New Workflow You will learn: SIEMENS x Healthineers Favorite Tools x • Customize the user screen T MI General Area Reset Text Automat Custom Distance Rol Cirde VOI Sphere Visual Automatic Hide Hide Lines FAST Cardisc Grap Lock Planes Arliren Snapshot Contr Windcini Toxi Alignment Registrat ... Graphics SYMEN Pinch • Viewing Panel and Layouts MI General Co x Shujcy Time : 10:00:15 Accession unter:1 Energy Window 1: 99m Technatum Etudy Description: Bone Scan Radiopharmaceutical DFD" Study Date . 07.03.2013 Favorite Tools Bone Fused AH HPA T12 Bone Fused b L1 • Configure the User Presets 12 L3 MI Organ Processing L4 Series RAF RAH • Tool Gallery MER FUSION S1 SPC 1,0 • Favorite Tools LE/LA Findings Findings HPR Findings MER FUSION Finding 1 8L mh SPC 1,0 51 Snapshot VV X Finding 2 Printing S2 Snapshot Finding 3 L3 S3 Snapshot ARH RAH Manin VRTMIFFUSION 13:26 6 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI Workflow SIEMENS Healthineers MI General Improved Visualization SIEMENS Healthineers NM_XSPECT_01, Osteochondro ... x 01.01.1951 F Tc-99m DPD • 3D Reference Lines available in all layouts Patient Name : NM_XSPECT_01 Osteochongrosis, Arthrosis Accession Number: 1 Patient ID : Tc-99rn DPD nergy Window 1 : 99m Technetim Patient Birthdate, Sex and Age : 01.01.1951. F. 062Y Radiopharmaceutical : DPD Study Description : Bone Scan Study Date : 07 08 2013 Study Time : 10:00:19 H MI General • Windowing synchronization between filter types Enhanced Postprocessing RA Favorite Tools • Enhancements for Auto Lung 3D and Auto FAST Ranges Series • Extended Automatic Layout Tool • Image Filter Tool for PET data. RAH Findings CT Interactive Spectral Imaging Integration Tool Gallery Printing Favorite Tools T O .. Basic Interactions Custom auto Area Reset Text Automatic Distance ROI Circle VOI Sphere Visual Automatic Hide Hide Lines FAST Contr ... Windowi ... Layout Text Line Alignment Registrat Graphics Ranges Planes Referen Referen Snapshot com/Pan Synch ust Automatic Movieen Registral MI General Display Types Basic Dynamic Static MB- DUST MI Organ Display Time Processing VRTIMIP VRT Reset nlp Thin MPR Gallery Preset VRT V Volume Functional 4D Hybrid Volume Fused 2x3 Measurements Stripe Axial 3x .. 2x3 + ... Stripe (1) + Movie 7 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Customize the User Screen Flexible and intuitive user interface SIEMENS x Healthineers favorite Tools X T O. MI General • Tab cards for the most important panels Ares Text Automat Custom Distance ROI Cirde VOI Sphere Visual. Automatic Hide Hide Lires FAST Cardioc Snap Lock Snapshot Centr Windcim Largait Toxi Line Alignmont Registral .. : Graphics Rangos FAST + pineti Auto • Panels can be hidden or made floating MI General o X Stucy Time : 10:00:15 EnergyAndow 1 ; 99m Ternatum Etuch Description: Bune Scar Radiopharmaceutical DFD Study Date : 07.09.2013 Favorite Tools Accession Number : 1 Bone Fused AHL HPA and placed anywhere on the screen to T12 Fused Ar L1 maximize the image space 12 L3 MI Organ Processing L4 Series RAF RAH 15 MER FUSION 12 BPC 1,0 L1 L2 LE/LA Findings IL4 Indings Findings HPL MFR FUSION LG HPR Finding 1 SL mh SPC 1.0 51 Snapshot Finding 2 Printing S2 Snapshot 12 Finding 3 L3 S3 Snapshot ARH RAH Manin VRT MIF FUSIONS 13:26 8 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Viewing Panel and Layouts Predefined layouts MI General Patient Name : NM_xSPECT_01^Osteochondrosis, Arthro:Patient ID : Tc-99m D Study Time : 10:00:19 Accession Number : 1 Assign Layouts ? X Bone MI General LH Bone Designed for different patient data For a study specified by modality and assignment condition, please drag the layouts to the Layout Gallery Preferred Layouts section. The first layout in the list will be your initial layout. types and monitor configurations to Layout operations Favorite Tools MI OrganProcessing Protocol Name visualize and read Oncology, Allgemeine Layouts Save Save layout as layout Bone Fused Cardiology, and Neurology studies. Private Layouts Modality Basic Dynamic WB - Dual WB H Display Time View Intensity Compare Sone Fused Ax NMICT Allgemeine Layouts Planar Savescreen Dynamic + Static + Static + CR Dyn Series • Change a layout Assignment Object Gated Static WB Stati Display Dynamic Static . Static Time View WB - Dual WB- Intensity Compare Planar Savescreen Dynamic + Static + Study Description HE Gated Static WB Functional Functional Fused 2x3 Fused Fused 2×3 Fused 2x4 Movie Axial 3x ... Movie Image Text Configuration • Add Favorite Layouts Fused Fused 2x3 Fused 2x4 Fused 2x2 Hybrid Axial 3x ... + Movie + Movie ... i Checked elements will be shown in customized image text mode Findings Modality NM 4D Fused 4D Hybrid Compare Dynamic + Cardiac AC Cardiac Volume Volu Static + ... NAC Stripe (1) Strip Subcategory * Show All Show All ctio .. 1×3 + ... 2x3 WB + S. None None Pa Patient Name Institution Name • Specify Favorite Siemens Layouts NM DYNAMIC Patient ID Referring Physician's Name NM GATED Hybrid Lung VIQ Hybrid 1x3 Configuration NM RECON TOMO Birth Date, Patient's Sex and Age Manufacturer/Manufacture .. Stic Layouts in more detail Software Versions Compare Compare + Movie Basic Dynamic NM STATIC Time Point Display Time Static - View WB - NM WHOLE BODY Study Date Patient Position Acquisitio ... NM GATED TOMO NM RECON GATED TOMO Series Description Operator Printing NM TOMO Temporal Location Radioisotope Volume Volume Fused Fused 2x3 Fused 2x4 Fused 2x2 Hybrid Stripe (1) Volume Stripe Axial 3x ... Movie + Movie ... Strip ... Show All Configure Image Text accessed NM • Dynamic + Cardiac AC Cardiac Volume Volu Filter Type Slice Thickness from the Configuration Panel Slice Spacing - Show Al Show All Quick Quant ImageType 2D Orientation Cube Acquisition Number * Show All Spacing Between Sli ... Matrix Size Alpha Blending Kernel/Reconstruction Parame .. Image Comments 1 Zoom Factor FOV Image Comments 2 Window Top Compression Rate Slab Thickness Window Bottom 9 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers User Presets Tab Allows you to configure visualization Configuration ? X Patient Birthdate, Sex and Age : 01.01.1951, F, 062Y Study Description Energy Window 1 : 99m Technetium Radiopharmaceu parameters such as LUT, alpha Gen MI General blending ratio, slice thickness, and Layouts User Presets IM_xSPECT_01, Osteochondrosis, Arthrosis Bas c-99m DPD Displ slice spacing depending on the data Choose protocol to configure Initial Workflow Step URRENT | CURRENT TUDY 07.08.2013 type of the image displayed. Functi General None AC_CT LWS B41s [5] | SPECT LWS [CGZAS 2411 s5mm - AC Enhanced ] 7.08.2013 | 07.08.2013 Axial 5:19:38 | 14:59:06 LUT Settings IMA n.a. FRM n.a. | 1000 IMA n.a. FRM n.a. SP A118,6 | SP A118,6 Favorite Tools Slice Thickness Preferred protocol can be chosen NM CT PT MR Fused o use senes data for thickness settings • Data Type LUT Apply custom thickness settings to configure from a list NM Micro Delta Hot Metal 1 - mm PT Hot Body Hot Body • The Initial Workflow Step displays CT Slice Spacing MR Warm Metal Apply minimum spacing Series the workflow steps or tools that Micro Delta Hot Metal Apply percentage value spacing BW Inv Log % of slice thickness directly can be launched Auxctq Mixing Ratio Ascending Red Apply absolute value spacing. Must not exceed slice thickness. 1PR FUSION BW Log L min Base (100%) Inverted Grayscale 0 - mm SPC 1,0 BW Parabolic Save Reset Heart Findings Import Export Hot Iron Hot Metal Hot Metal New Iso Count Lava 10 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Tool Gallery Tool Gallery Display Types Well-known tools as well as new tools sorted according to their THD VRUNIP VRT VRT Reset MIP MinIP Thin MPRIMPR MPR 2D Cinemat. Gallery Preset VRT category are provided. Automated processes quickly demonstrate Measurements patient’s anatomy and physiology, reduce manual user interaction, and O allow for faster reading of hybrid images, such as: Distance Angle Pixel Lens ROI Circle VOI Sphere Line Annotations • Enhanced Drag & Drop functionality optimized for Hybrid Imaging and Hybrid VRT/MIP T D Marker ATTow Text Edit Comment Automatic Table and Bone Removal, Automatic Registration, and Ranges • Automatic Reorientation for Neurology and Cardiology images Parallel Radial Properties Ranges Ranges Slice .. Add to Favorites nges Artificial Intelligence based tools like Auto Lung 3D, Auto Views, image Visualization • Cinematic VRT, Spine and Rib Label Ranges, and single-click Fast auto Fit to Fit to Hide Hide Color Hide Lines Custom Lock BD Snap Automatic Brain AC- cardiac Segment Acquisiti, Graphics Bars Text Referen. Referen ... . Referen. Layout PC Planes Range Generation with Auto Fast Ranges Windowing • Visualization enhancements with the new tool Automatic Layout, Windowi .. Reset Area Windowi ... Contr ... the new features Remove Image and Frame Summing 3D Editing C Punch Clip Box Clip Plane Spine/Rib Region Anatomy Auto Cardiac Remove Edit Bones Bone Bone Label Growing Visualizer Views Mask Table Opacity Remo 11 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Tool Gallery in Favorite Tools Tool Gallery Display Types THD Add to Favorite Tools: VREMIP VRT VRT Reset MIP MinIP Thin MPRIMPR MPR 2D Cinemat. Gallery Preset VRT Measurements • Frequently used tools can be added from the Tool Gallery to the O Favorite Tools area of the Viewer Distance Angle Pixel Lens ROI Circle VOI Sphere Line Annotations Right-click an icon and choose Add to Favorites from the context T D • Marker Arrow Text Edit menu Comment Ramves Parallel Radial Rao Properties AST Ranges Ranges Slice ... Add to Favestes Iges image Visualization auto Fit to Fit to Hide Hide Color Hide Lines Custom Lock 30 Snap Automatic Brain AC- cardiac Segment Acquisiti ,, Graphics Bars Text Referen ... Referen ... Referen .. Layout PC Planes Windowing Windowi .. Reset Area Windowi ... Contr ... 3D Editing C Punch Clip Box Clip Plane Spine/Rib Region Anatomy Auto Cardiac Remove Edit Bones Bone Bone Label Growing Visualizer Views Mask Table Opacity Remo 12 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Postprocessing Tools - Drag and Drop Enhanced Drag and Drop for Hybrid VRT Imaging • Fuse multiple modalities with RMB and drag and drop Replace All • Manually select the base or the overlay series Fuse as base (MPR/MPR) • Create a fused VRT/MIP with enhanced drag Fuse as overlay (MPRIMPR) and drop functionality Fuse as base (VRT/MIP) Fuse as overlay (VRT/MIP) • Create clinical images for patient review, referring physicians and marketing material • Automatic Table Removal 13 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Postprocessing Tools - Automatic Spatial Registration Automatic Spatial Registration of two SIEMENS Healthineers' ... NM_xSPECT_01, Osteochondro. × + 01.01.1951 F Tc-99m DPD series included Favorite Tools T O MI General auto auto Area Reset FAST Snap Lock Cardiac • Apply and save multiple registrations Contr ... Windowi. Text Automatic Custom Cardiac ROI Circle VOI Sphere Visual Automatic Hide Hide Lines Cardiac Layout Layout Text Mask Alignment Registrat ... Graphics Ranges Planes Referen ... Referen Snapshot FAST for difficult cases Auto Lung Synch 3D Patient Name : NM_xSPECT_01^Osteochondrosis, ArthroBatient ID : Tc-99m DPD Accession Number : 1 Energy Window 1 : 99m Technetium Patient Birthdate, Sex and Age : 01.01.1951, F. 062Y Radiopharmaceutical : DPD Study Description : Bone Scan Favorite Tools • Select the scanner registration to Zoom/Pan allow quality control of hybrid images 3D Reference Point Rotate Windowing IlMovie Serie Automatic Registration Automatic Registration AR Visual Alignment Save as Series Findings Ranges Fit to Segment Geometric Identity Identity *User Defined Mattrix User Defined Mattrix Save Save As Reset Delete 14 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Auto Views SIEMENS .... x Healt oers . 20-Vision 450 DK 1z_1.0mm/s ... 01.01. 1930 M F18-FDG 7.1 ... MI General m/sec_16.8 mirPatient ID : F18-FDC 7.1 mCi (265MBa) Patient Name : 20-Vision 450 DK 1z_1.0mm/sec_16.8 mitEnergy Window 1 :21 Patient Birthdate, Sex and Age : 01.01.1930, M. 089Y Radiopharmaceutical Fluorodeoxyglue Study Description : PET ConUncor ACCT Saphire Study Date : 29.08.2019 Bone Fused HRA HRA MI General Hybrid Bone Auto Views ? > 3x3 Fused Ax. Allows automatic orientation and viewing of CT Modality CT Preset group |Head/Neck AL Favorite Tools and fused data based on the ALPHA Technology. › MI Organ Pro MPR FUSION SL min Name SPC 0,8 Head & Neck Coronal view of head & Head Benefits: Orbitomeatal Line Series Head AC-PC Line r Saphire Study Date : 29.08.2019 HRA Findings • Auto Views Gallery provides clear access to the presets OK Cancel 10cm HAL Printing • The Gallery groups presets according to anatomy and suggests presets • Create clinically relevant images of indicated RAF RAF MPR FUSION MPR FUSION Findings anatomy SL min 10cm SL min SPC 0,8 SPC 0,8 HAL Printing Auto Views Units CT Presets RAH CT Color LUT PET Presets PET Color LUT Reset Windowing 15 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Cinematic VRT Volume rendering technique based on ALPHA SIEMENS x Healthineers Technology. 1144 HH • Provides a photorealistic visualization of the human body • Gives a more realistic impression of the patient's anatomy 1144 A14 45:32 16 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Automated Spine and Rib Labeling H MI_Onco_5TP_1 Universitaetsklinikun _MI_Onco_5TP_1 Universitaetsklinikum • Automatically identify and propose labels for _MI_Onco_5TP_1 *01.01.1982, M, 28Y Biograph 64 _MI_Onco_STP_1 *01.01.1982, M, 28Y R4 R4 Biograph 64 CURRENT CURRENT | CURRENT R5 L4 11.08.2010 CT Enhanced B30f 3.0 [3] | TrueX 2.9 MBq/kg 3 min 211 4s PAC) L5 vertebrae and ribs CT Enhanced B30f 3.0 [3] -- > AQ1:A1 | AQ1:F1 T6 L6 -- > AQ1:A1 # 1 R7 T7 WB5 T8 Depending on the data set, spine and rib labeling or 10:55:59 STUDY 11.08.2010 • R8 T9 3 IMA n.a. FRM n.a. 11.08.2010 | 11.08.2010 SP A81,6 10:55:59 | 10:56:39 3 IMA n.a. FRM n.a. | 102 IMA n.a. FRM n. T10 L8 only spine labeling (only spine on PET segments) 29 SP A81,6 | SP A81,6 R9 T12 Lg R R10 L10 • Rib labels: L, R, and number R11 0cm • Spine labels: C, T, L, S, and number A A MPR FUSION AC 2 x 50,00% If the system proposed labels are not correct, you can 512*512 SL min 28 EQ Filter: ??? mm 280 T 5,00 SUV-bw 35 B 0,00 SUV-bw add or edit the labels. H MI_Onco_5TP_1 Universitaetsklinikum MI_Onco_5TP_1 Universitaetsklinikum MI_Onco_5TP_1 *01.01.1982, M, 28Y 1094 _MI_Onco_STP_1 *01.01.1982, M, 28Y 1094 CURRENT CURRENT TrueX 2.9 MBq/kg 3 min 2i14s (AC) 15 TrueX 2.9 MBq/kg 3 min 2i14s (AC) spine and rib labels T6 -- > AQ1:F1 -- > AQ1:F1 #1 # 1 WB5 WB5 STUDY 11.08.2010 (CT) STUDY 11.08.2010 11.08.2010 11.08.2010 10:56:39 T10 10:56:39 102 IMA n.a. FRM n.a. SP A81,6 T1 T12 R 10cm MPR MIP AC 2007 A AC 2007 A 168*168 168*168 PSF 211 EQ FIN All-pass PSF 2i14s, All-pass EQ Fir r: ??? mm 5,00 SUV-bw EQ Filter: ??? mm 0,00 SUV-bw 5,00 SUV-bw B 0,00 SUV-bw spine labels only (PET) AC_CT AC_CT 17 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Automatic Spine and Rib Label Ranges Result Ranges with spine and rib label overlays SIEMENS .. : NM_xSPECT_01, Osteochondro .. × Healthineers + 01.01.1951 F Tc-99m DPD Patient Name : NM_xSPECT_01^Osteochondrosis, ArthrPatient ID : Tc-99m DPD Study Time : 10:00:19 Patient Birthdate, Sex andAge : 01.01.1951, F, 062Y Study Description : Bone Scan Study Date : 07.08.2013 Accession Number : 1 Energy Window 1 : 99m Technetium Radiopharmaceutical : DPD Zoom/Pan H H MI General • Create Parallel or Radial Ranges with spine and rib 3D Reference Point T.12 label overlays Rotate 2. Windowing 1.3. Bill Movie Favorite Tools Create result ranges with spine and rib label Automatic Registration • Lock Reference Lines 14 ARH overlays on VRT/MIP Ranges Parallel Ranges Fit to Segment Radial Sliced Ranges Punch Radial Ranges Series • Reviewing cases with quick anatomical references Clip Plane Curved Ranges Remove Table Spine Ranges Bone Removal Tools EP. HPR H Findings T12 L1 L1 2. 5 L2 . 5. L2 L3 L3 Printing L4 L4 ARH L5 L5 S1 S1 S 18 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Automatic Layout Tool The Automatic Layout tool automatically displays SIEMENS Healthineers MI_OrganProcessing_Bone, C ... HA 01.01.2001 M Tc-99m DPD planar Nuclear Medicine images based on the Favorite Tools X T O MI General available data. Ares Reset Text Automa Tea Cardiec ROI Circle VOI Sphere Visual Automatic Hide Hide Lines FAST Contr .. Windowl ... Mask Alignment Registrat .... . Graphics Ranges Planes Referen Referen . Snapshot + Auto Lun Synch The layout is created based on the type of data, MI General X Patient Name : _MI_OrganProcessing_Bone"CoPatient ID : Tc-99m DPD Radiopharmaceutical : HDP Patient Birthdate, Sex and Age : 01.01.2001, M, OStudy Description : Bone Scan Study Date : 23.04.2002 Study Time : 09:53:58 Favorite Tool • nergy Window 1 : 99m Technetium Bone Tomo MI_OrganProcessing_Bone, Complete Tc-99m DPD size, number, aspect ratio and orientation of the Functional Static- *01.01.2001, M, 1Y Axial 3x: View 23.04.2002 10:08:16 monitors Series Automatic Layout X • The images to be displayed are assigned to Select Dynamic Static WB Gated display groups based on data types Current V Findings ? fps • The data is displayed in a layout created Printing automatically by the system 200 • The Select Groups Panel provides functions for controlling the image types displayed in the 100 100 $ 100 ₴ image area 11 11:16 19 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Automatic Layout Tool Automatic Layout MI General Study Description: Bone scanspecie Gouda_3702897 Study Date : 2/11/2018 Study Time: 7 42 35And Age: 1/1/2019. F. 005W Static WB - Dual Plamat Display Time Intensity Gared Stripe Functional Fused 4D Hybrid • The Automatic Layout tool has been extended to display also NM or MI Organ Processing PET 3D reconstructed images (AC recon/ Non AC recon) and Secondary VIDEO Automatic Layout × Selec Captures. Group Select All Dynamic Static Recon WB SC .. * 2/11/2019 Favorite Tools • The layout is created based on the type of data, size, number, aspect T Area Text Contra: Windows ratio, and orientation of the monitors. O. ROI Circle VOi-Sphere Visual Automatic Argument Regigrat Graphics Hide Hide Lines Radiel Carttinc Ranges Kanes Beleien ... Referent Synch • Time points are now labeled by date. Snapshot Cardiac VAST Oncoloco • Recon data will be automatically fused with CT if available. • If multiple Secondary Captures are present in a series, a scroll bar will be available in the segment. Drag & drop is still available to rearrange or replace data. • The priority order for displaying data is: AC over NAC; PET and xSPECT over SPECT; Most recent date and time 20 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Auto FAST Ranges FAST Ranges Properties X Snapshot Orientation Cardiac FAST The Auto FAST Ranges tool reduces manual steps in your daily Image Order FAST Rangi work by providing automatic generation of ranges. Transaxial Feet to Head Sagittal Right to Left The tool generates ranges based on the data in the selected Coronal Front to Back segment of the layout, and the configured settings, without VIDEO If images have been significantly reoriented, check that reorientation and labeling in resulting ranges changing your layout. Now you are able to: are as expected. Fused Data Create range of fused data • Change the image order from Head to Feet or Feet to Head and adjust the Slice Thickness and Slice Spacing for your Create range of base data Create range of overlay data convenience Slice Thickness Slice Spacing 5.0 mm 5.0 mm Parallel Range Series Name Suffix • Generate Radial MIP Ranges Parallel Range 02 • The Radial MIP Ranges consists of 36 slices with 10° spacing Radial Range between each slice. Create radial range for rotating MIP Radial Range Series Name Suffix The ranges are automatically saved and displayed in the series Radial MIP Range 01 panel. OK Cancel 21 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Sum Frames Frame Summing SIEMENS .. Healthineers NM_xSPECT_01, Osteochondro ... x 01.01.1951 F Tc-99m DPD Patient Name : NM_xSPECT_01^Osteochondrosis, ArthroPatient ID : 10-99m Sty Description : Bone Scan Study Date : 07.08.2013 Accession Number : 1 Energy Window 1 : 99m Technetium Patient Birthdate, Sex and Age : 01.01.1951, F, 062Y Radiopharmaceutical : DPD Study Time : 10:00:19 MI General • Activated with right click context menu 1 Remove Image • Automatically sums 2D dynamic images Favorite Tools | Sum Frames • Manual summing is still available Configure Frame Summing X Series Manual Frame Summing Auto Frame Summing Frames to Sum Auto Summing Set a numeric value for the number Automatic values are chosen for the of sequential 2D dynamic frames to number of sequential 2D dynamic sum together in stripe view. frames to sum together in stripe view. Findings OK Cancel Printing 22 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Remove Image Remove Image SIEMENS x Healthineers .. MI General X MI General General • Quickly removes unwanted images from the viewing segments ritto Segment HH Favorite Tools • Activated with right click on context menu De IL Line MI Organ Processing is March Remove Image • This prevents from reviewing unnecessary images sedas Findings 100 > 5:41 23 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers 3D Reference Lines in all Layouts 3D Reference Lines have until now only been Favorite Tools MI General T Ares Reset Custom Automatic Distance ROI Cirde VOI Sphere Visual Autor Cardiac auto FAST Image available in layouts that display more than Contr ... Windowi. Text Layout Line Alignment Regist Synch Snapshot FAST Ranges one orientation. The planes in the reference MI General x CURRENT Favorite Tools segments are positioned orthogonally to Basic Dynamic Static - Display Time 07.08.2013 15:19:38.23 5 IMAn.a. FRM n.a. VIDEO WB - Dual Planar Volume SP A94,0 each other. .2, 5 Intensity Gated Stripe Functional Fused 4D Hybrid Axial 3x ... Axdal 3x __ 2:3+_ R R Series To optimize image reading for NM data, this .MI Organ Processing MPR MPR FUSION SL min SL min SPC 1,0 10cm behavior has been changed in MI General: A A Findings a 50,00% MPR FUSION 450 | B 0,00 SUV-bw • 3D Reference Lines are now present in all H layouts regardless of the number of CURRENT CURRENT STUDY 07.08.2013 STUDY 07.08.2013 Printing SPECT LWS [CGZAS 24i1 $5mm -AC Enhanced ] SPECT LWS [CGZAS 2411 $5mm -AC Enhanced ] -- > Current.AQ1:F1 -> Current.AQ1:F1 orthogonal orientations. 07.08.2013 07.08.2013 14:59:06 14:59:06 1000 IMAn.a. FRM n.a. • In a layout with only axial visualization, 10cm the reference lines are displayed in axial segments without the presence of sagittal T 17,1 SUV-bw 0,00 SUV-bw 0,00 SUV-bw or coronal orientations. 24 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Windowing Synchronization between Filters Windowing synchronization between Favorite Tools T MI General Area Reset Automatic Distance FOI Circle VOI Sphere Visual Automatic Hide Hide Lines Pa FAST Synch Contr ... Windowi .... Layout Line filters Alignment Registrat .. Graphics Ranges MI General Qo X HRP Favorite Tools • Windowing synchronization is now Basic Dynamic Static - Display Time 23.2 6 bw available between filter types, WB - Dual Planar Volume Intensity Gated Stripe irrespective of modality. VIDEO Functional Fused 40 Hybrid Series . MI Organ Processing LAH MPR FUSION • The function is possible between MIP / MIPThin / MinIP filters and 2D / MPR / Findings TC 85 C 565 | B 0,00 SUV-bw ON Fused views. MPR FUSION HLA Printing ARH MPR FUSION VRT MIP FUSION TC 85 565 | B 0,00 SUV-bw TC 85 565 | B 0,00 SUV-bw 3 0,00 SUV-bw 25 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Image Filter Tool for Siemens PET Images The visualization of unfiltered PET images can now be Favorite Tools MI - Tools MI General Arus Reset Automatic Alignment Registrad Graphics Symes adjusted more or less dynamically. The result is displayed Contr Windowl .. HAST Image Filter in the bottom segment by using the Image Filter tool. MI General Ca º x Favorite Tools Basic Dynamic Static. _MI_MIGeneral_GaussFilter, WB_CHUV_11 Diaplay Time Biograph Vision Biograph64_Vision 600 +01.01.1993, F CURRENT Image Filter is available from the Tool Gallery. WE - Dual Panar Volume • Intensity Gated Stripe STUDY 12.06.2018 PET WB FlowAC non_matched All Pass VIDEO Functional Fused: 40 Hybric -- > AllPass Axial 3x Axial 3x .. 2.3 12.06.2018 15:41:56 4 IMAn.a. FRM n.a. Selies A Gaussian Filter is applied to the unfiltered image in MI Organ Processing • Image Filter the selected segment, with full-width, half-maximum Gaussian Fator men Enter the Filter size A Finding as specified in the entry box. Publish T 2,94 SUV-bw B 0,00 SUV-bw • The filtering is based on user-defined parameters _MI_MIGeneral_GaussFilter, WB_CHUV_11 Biograph Vision syngo.via. VB60A *01.01.1993, F Printing (values 0-20 mm). STUDY 12.06.2018 PET WB FlowAC non_matched All Pass_Gauss_3,0 -- > GaussianFiltered 12.06.2018 15:41:56 1179 IMAn.a. FRM n.a. R • Pressing Enter triggers the generation of the filtered image. A T B 2,94 SUV-bw 0,00 SUV-bw • Pressing the Publish button saves the filtered image. Gaussian Filter_3.0mm 26 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Interactive Spectral Imaging Spectral Post-Processing SIEMENS Healthineers ED_256 * 01.01.1935 F #ED_256 MI General Series MI General Basic Dynamic Static - ED_256 2021-02-28 Add Study syngo.via creates a single series called Spectral Display Time #ED 256 Ref.: TwinBeam WB - Dual Planar Volume *01.01.1935, F, 80Y syngo.via. VB50A Current Postprocessing (SPP) data that contains all the Intensity Gated Stripe CURRENT VB50A CT, 30.03.2015 30.03.2015 Thx Abd DECT OCT TBDE tumor cyst Functional Fusod 4D Hybrid Favorite Tools Axial 3x ... Axial 3x 2×3+ DE TB_Chest 1.5 |41f 2 SPP [900] - CT 1 necessary postprocessing information. DE TB Chest 1.5 141f 2 (1106) . MI Organ Processing # 2015R0821 2 2 900 IMA ~181 15:05:54.33 SP H71,0 INQUE Derived This data is automatically created in syngo.via and Favorite Tools X Series T 0 Area Reset Text will be shown as a single series, e.g. in your Patient Contr_. Windowi ... Full To Full Text Automatic Distance R DE TI Chest 1.5 Layout Line Browser. MPR Additional Data Findings Ol Circle VOI Sphere SL min Conv CT Automatic Hide Hide Lines Registrat ... Graphics Patient Protocol In patient follow-up, high and low kV data is no C 10cm [501] [501] Topogram 0.6 720% Parallel Radial Cardiac Ranges Mask Printing longer needed. Cardiac Snap Lock Planes F Snapshot Cardiac auto FAST FAST Ranges KV Au120/Sn120 400 +C 40 Au CE MIX / Filter AuSn 27 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Interactive Spectral Imaging SIEMENS ED_256 X Healthineers 01.01.1935 F #ED_256 ................................................................................................................................................................................ MI General MI General Changing the spectral representation Basic Dynamic Static- Display Time ED_256 2021-02-28 IIII #ED 256 Ref.: TwinBeam WB - Dual Volume 01.01.1935, F, 80Y syngo.via. VB50A Intensity Planar Gated Stripe CURRENT | CURRENT Functional Fused 40 Hybrid STUDY 30.03.2015 Favorite Tools Audial 3x ... . Axial 3x ... 2x3 + ... You can easily switch between the different DE TB_Chest 1.5 |41f 2 SPP [900] | DE TB_Chest 1.5 |41f 2 SPP [900] MI Organ Processing .- > Current.AQ1:A3 | Current.AQ1:A3 representations. Left-click the corresponding image # 2015R0821 30.03.2015 | 30.03.2015 15:05:54 | 15:05:54 O Favorite Tools 900 IMA n.a. | 900 IMA n.a. text or right-click the image text and choose another Series T Area Reset Text Contr ... Windowi. representation, such as: Full Text Automatic Distance R Layout ‘line MPR FUSION Findings ROI Circle VOI Sphere SL min Alignment SPC 0,6 VNC | lodi Automatic Hide Hide Lines • Conventional CT Registrat .. Graphics n.a. | IOD Reset Mono+ 10cm Parallel Radial Cardiac VNC Mask • Iodine Ranges Ranges Mixed Printing lodine Cardiac Planes Fatcran - Refaron VNC/lodine Mono+ F • AUTO Snapshot Cardar FAST FAST Ranges a 50,00% • VNC 400 W 500 AC 3 C 250 • Mixed Au CE, Filter AuSn VNC MPR FUSION Series can be saved using the Save as series SL min SPC 0,6 functionality. VNC | lodine n.a. | IOD Reset Mono+ VNC Measurements can be performed additionally. Mixed lodine VNC/lodine 28 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Interactive Spectral Imaging SIEMENS ED 256 X Healthineers .. Close 01.01.1935 F #ED 256 ............................................................................................................................ MI General Al General Basic Dual Energy Mono+ Properties ? X Display Dynamic Static Time 2021-02-28 Ref.: TwinBeam Changing the energy level in Mono+ representations WB - Dual Planar Volume syngo.via. VB50A Intensity Gatod Stripa VB50A Functional Fused 4D Hybrid Favorite Tools Axial 3x ... Axial 3x 2×3+ Easily change the keV level of your Monoenergetic+ . MI Organ Processing 70keV VII image by: OK Cancel Favorite Tools Series T Area Reset Contri Windowl ... Full Text Automatic Distance R Mouse movement (left / right or up / down) Layout Line • O. MIP RON Cirde VOI Sphere Findings SL SPC 0,0 Mono+ Automatic Hide Hide Lines Registrat. Graphics keV 70 O • Double-click the image text and use the keyboard Parallel Radial Cardiac Ranges Rangos Mask 10cm Printing to enter a value Cardiac Snap Planes Raforan Hoforan F Snapshot Catalan Right-click on the keV entry and adapt the value kV Au120/Sn120 400 +C 40 • Au CE, Filter AuSn by using the slider in the upcoming Dual Energy + Mono+ 70keV ......................................................................................... Mono+ Properties dialog box Dual Energy Mono+ Properties ? x 89keV OK Cancel 29 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Auto Lung 3D* Allows you to automatically quantify ventilation and perfusion of SPECT/CT lung scans. • Artificial Intelligence (AI) based algorithm automatically segments CT of right and left lung into 5 individual lobes Al-powered SPECT quantification and CT volume results are healthcare • provided for all lung lobes based on the automatic segmentation of the CT volume • Automatic Report CT NM ThorRoutine 1.5 B70s Lung Tomo [- corrected Recon, Flash3D 8 4 4 - AC ] 1/20/2016 10:37:23 AM 1/20/2016 10:13:09 AM Slice Thickness : 1.5 mm Attenuation corrected : Yes Volume (ml) Volume (%) Counts (konts) Counts (%) R Upper 812 21 4,673 20 R Middle 350 1.316 6 R Lower 832 22 6.396 27 Total R Lung 1,994 52 12,385 53 L Upper 842 22 4.855 21 L Lower 993 26 5.976 26 Total L Lung 1,835 48 10,831 47 * This is available as an optional purchase. 30 Performance testing is based on CT images with a slice thickness of 2mm or less. Effective Date: 27 May 2021 | HOOD05162003196028 Data courtesy of University Hospital Basel, Basel, Switzerland. Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Auto Lung 3D Accessed from Favorite Tools T MI General • Tool Gallery 1% Auto Lung O Area Custom auto 3D Reset Text Cardiac ROI Circle VOI Sphere Visual Automatic Hide Hide Lines FAST Cardiac Snap Lock Layout Cardiac Contr ... Windowi ... Layout Mask Alignment Registrat ... Graphics Ranges Planes Referen ... Referen. Snapshot FAST • Auto Lung 3D complex tool % Auto Lung Synch 3D • The Auto Lung 3D workflow step is MI General Patient Name : USBLunge005 Study Date : 19.10.2015 Patient ID : Anonymous Study Time : 08:46:26 Patient Birthdate, Sex and Age : 01.01.1958, M, 056Y Study Description : Lung Perfu Energy Window 1 : 99m Technetium Radiopharmaceutical : MAA Favorite Tools available below the Viewing panel of the General A USBLunge005 application and the Data Selection step is Basic Dynamic Static - WB - Dual Anonymous Display Time Intensity *01.01.1958, M, 56Y Co CURRENT enabled by default 1 Planar Volume Functional 4D Hybrid Lung Tomo [- corrected Recon, Flash3D 8 4 4 - AC ] Gated Stripe Axial 3x .... 2×3 19.10.2015 09:22:22 SP H1651,3 Series • Complex tool provides additional workflow Volume Fused 2x3 Hybrid 3x3 Fused Stripe (1) + Movie Axial 3x .... R R MPR steps: › MI Organ Processing 10cm • Data Selection Auto Lung 3D X • Registration Data Selection Findings 128*128 • Segmentation Confirm Data • Results Data courtesy of University Hospital Basel, Basel, Switzerland. 31 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Auto Lung 3D* The Auto Lung 3D tool automatically quantifies SIEMENS. Healthineers Lung Perfusion_02 X - 1/1/1918 F 10000001 MI General Study Description : Lung Perfusion Scan ventilation and perfusion of SPECT/CT lung scans based General MI General CURRENT CURRENT on an Artificial Intelligence (AI) algorithm. Dynamic Static. WO - Chinl Insertarty 8/31/2015 8/31/2015 11:13:17 84 AM 11:13 17 84 AM 3 IMA ~85 FRM ~1 3 IMAn.a. FRM n.a. Volum unttional fusent SP H1690.4 SP A1 38.5 Favorite Tools 4D Hybric Hytirid hd Cardiac AC Cardiac 28- NAC The ability to edit segmentations generated with Auto R R . MI Organ Processing MPR MPR . Auto Lung 3D SL min Data Selection 10cm Lung 3D has been improved with an Undo & Redo Registration F A Series Segmentation button: 2D 0.50 cm 1200 Unde mic -600 Series Mudge globe CURRENT CURRENT Undo allows you to erase the last change done to the Results 8/31/2015 8/31/2015 • 11:13:17.84 AM 11:13:17.84 AM 3 IMAn.a. FRM n.a. SP L45.5 SP A1 80.0 contour, reverting it to an older state. Favorite Tools Printing Reset Windowi MPR VRT • Redo allows you to restore an action that was previously undone using the Undo tool. 1200 2:15 PM Please refer to the syngo.via VB50 MI General Auto Lung 3D e-Clip 2D 0.50 cm Static on PEPconnect to get more insight on the extended handling 3D Undo Redo Nudge Dynamic Contour ¥ Fill Contours capabilities. * This is available as an optional purchase. 32 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Auto Lung 3D Clinical value Thoracic surgeons and pulmonologists rely on nuclear medicine studies for pre- and post-surgical evaluation of lung perfusion and ventilation to make informed treatment decisions. Limitations in clinical use Conventional planar lung perfusion and ventilation studies to determine regions and volumes are often inaccurate due to the limitations of 2D imaging. 33 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Auto Lung 3D Manual delineation of the lung lobes is time consuming and may be L Upp RUpp prone to error. • 3D SPECT/CT improves delineation and quantification of L Mid lung segments compared to planar SPECT imaging SPECT/CT studies provide 3-dimensional displays of lung perfusion L LOW R LOW • and ventilation, allowing more accurate visualization and analysis of anatomy and function compared to a 2D planar image • Incorporation of CT enables more precise anatomical segmentation which enhances the accuracy of lobar lung volumes estimation Data courtesy of University Hospital Basel, Basel, Switzerland. 34 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Auto Lung 3D 2D versus 3D SPECT/CT Publications and clinical validation 3D-Quantitated lung perfusion 99mTc-MAA SPECT/CT: Impact on intended management in comparison to planar (2D) lung perfusion Is hybrid SPECT/CT necessary for pre- CrossMark scan in lung cancer patients interventional 3D quantification of relative Alin Chirindel2, Michal Cachovan3, Alexander Hans Vija4, Makhmudbek Mallaev7, Daiana Stolz6, Michael Tamm1, Didier Lardinois7, Damian Wild5 andGuillaume Nicolas2 lobar lung function? +] Author Affiliations Abstract Daniela Knollmann1, Jerome Avondo2 and Wolfgang M. Schaefer1" 299 Objectives: Prior to lung resection, predicting the postoperative lung function is of paramount importance. The current practice uses planar (2D) scintigraphie have * Correspondence: wolfgang. previously shown that 3D quantitated SPECT is more accurate than 2D in determining lobar perfusion. We aim to assess the impact of 3D-quantitated lung perfusion SPECT/CT schaefer@mariahilf.de Abstract on the operability of lung cancer patients. Kliniken Maria Hilf, Nuclear Medicine, Viersener Str. 450, 41063 Background: In pulmonary malignancies pre-interventional 3D estimation of relative Methods: Post-hoc, single centre study in consecutive patients with suspected or known lung cancer, undergoing pre-operative evaluation with lung perfusion imaging and Moenchengladbach, Germany lobar perfusion is established to predict post-interventional functional outcome pulmonary function tests (PFT). Tc-MAA planar and SPECT/CT lung perfusion scans were performed on a single imaging system (Intevo, Siemens). The lobar contribution to Full list of author information is particularly in patients with borderline lung function. Aim was to test whether the total lung perfusion was assessed using the established 2D-projection method and the 3D-anatomical method (CT Pulmo 3D and xSPECT-Quant - Siemens). The accuracy available at the end of the article of the two evaluation methods was tested against a computational anthropomorphic chest phantom (XCAT). Predictive post-operative PFT (PPO PFT) was calculated according quantification from SPECT-scanners (non-hybrid) is as accurate as from SPECT/CT- 3D is more accurate than 2D, and may help optimize 3D estimation of relative lobar perfusion predicts post- surgical management of lung cancer. interventional functional outcome (particularly in patients with borderline lung function). 1. J Nucl Med May 1, 2019 vol. 60 no. supplement 1 299. 35 2. European J Hybrid Imaging 2, 18 (2018). Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI General SIEMENS Healthineers Organ Processing Application Launching Organ Processing application redeployment SIEMENS .... X Healthineers ... T16_Hemangioma E ? * 1/1/1948 M Tc_99m_Labeled ... MI General X Cardiac Series Cholecystic MI General Static - WB - Dual Planar Gastric Add Study Basic Dynamic The MI Organ Processing step is Display Time Intensity Gated • Parathyroid Series Name Volume Functional Fused 4D Hybrid Pulmonary Stripe Axial 3x ... Axial 3x ... 2×3 + ... automatically displayed in the control area AutoLayout 2D Renal Current Thyroid CT NM, 4/24/2008 Favorite TIS MI Organ Processing Liver Scan Display SPECT . CT 1 ........................ UCO ucol *SPECT CT 5.0 B31s [3] 3 Phase Cardiac Cardiac Cardiac Display General IQ SPECT Lung PET CT Planar Savescre. Slice Static Wholeb ... xSPECT Favorite templates can be added by right Bone Di ... Compar ... CT Slice ... Slice Dis ... Slice Dis ... Compare Display Display Gated D ... Review Compar ... SPECO Display Display Display AC CT 5.0 BO8s [2] • Processing Activities 10 ... Hemangioma SPECT [AC Recd 19 ... Hemangioma SPECT [AC Reco clicking a template and selecting favorite Blank >>Ad-Hoc Processing 10 .. Hemangioma SPECT [AC Reco Series 10 ... Hemangioma SPECT [No AC R All template Liver Flow 20 mCi Tc99m 10 ... 99m Technetium Liver Immediate 20 mCi Tc99m 10 ... RT ANTERIOR LT 10 ... LT POSTERIOR RT Findings 10 ... RAO • The MI Organ Processing step can be Favorite Tools X 10 ... LPO 10 ... RT LATERAL configured to launch automatically in the auto 10 ... Area Reset Auto Lung Automatic Fit to LT LATERAL Contr .... Windowi ... 3D Layout Acquisiti ... 10 ... RPO User Presets configuration of MI General O .. Configuration ? X TO ... LAO Custom ROI Circle VOI Visual Automatic Printing Text Freehand Alignment Registrat ... Liver Delay 20 mCi Tc99m 10 ... RT ANT LT 20 MIN Hide Hide Lines Parallel Radial Cardiac Graphics Ranges Ranges Mask 10 ... LT POST RT 20 MIN 10 ... RAO 20 MIN auto Cardiac Snap Snapshot FAST Layouts User Presets Lock 10 ... LPO 20 MIN Planes Referen ... Referen ... Ranges 10 ... RT LAT 20 MIN Choose protocol to configure Initial Workflow Step auto $10 ... LT LAT 20 MIN Fit to Cardiac Segment FAST ... Panel to appgate Mlindows. General None 10 ... LAO 20 MIN + 36 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MI - News & Improvements MI Organ Processing 37 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI Organ Processing SIEMENS Healthineers • Renal Analysis Improvement SIEMENS Healthineers • Image Registration Activity R TP5 MM × * 01.01.1982 M F-18 FDG > Cardiac MI Reading Cholecystic MI Reading Gastric MI Organ Processing Parathyroid i Select a category, then an icon from the Pulmonary Template Browser to start organ processing. To place a workflow template in this area, right Renal click on an icon and select Favorite Template. > Thyroid Display Processing Activities Blank Ad-Hoc Processing ............... Dynamic Heart Lung NM_CT NM_MR NM NM NM_NM NM_NM Phase Co ... Ratio Manual Fus ... Manual Fus ... Manual Fus ... Static Fusio ... Wholebody ... 38 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI Organ Processing SIEMENS Healthineers Renal Analysis (1/5) • Extrapolate T1/2 in the renal evaluation to Settings |Display ROIS Results Kidney Aorta better align with SNMMI Procedure Data Selector % % 100 100 Left Kidney Kidney Right Kidney Standards Left Backgr. Right Back Fit_Left Kid ... 500 Max-I TMax-R Quality Control 450 400 • Use case: T1/2 is not reached in the allotted 350 rfit-L 300 acquisition time, but the reading physician 0 0 Fr:1 153K Pixel Units 64x64 250 [/2-R Renal Fr:1 3134Pixel Units 64x64 Processing Table of Patient Parameters 200 still requires a T1/2 value for reporting Parameters Values 150 Counts/Second Renal Protocol Generic (None) 100 Kidney Depth Method Standard 50 Flexible Display Patient Name NM Renal_01_SymbiaS Renal Retention Patient ID Tc-99m MAG3 • Sex Male 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age 62 Minutes Reference BSA 1,73 m2 Hard Copy Split Uptake Interval ( .. 2,0 - 3,0 Radiopharmaceutical 2,7 mCi 99m Technetium MAG3 Method Adult Left Kidney Flow Hematocrit 0,00 FRONT 450 400 Table of Result Summary 350 Parameters Left Right Total Curve Fit 300 On Off Split Function (%) 48,3 51,7 250 Renal Retention 0,156 200 Renal Retention 0,159 Time of Max (min) 0,401 4,002 150 Time of 1/2 Max (min) 40,01 11,5 100 Counts/Second Complete Extrapolated 50 O 5 10 15 20 25 30 35 40 45 50 55 O Seconds Setup 39 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MI Organ Processing SIEMENS Healthineers Renal Analysis (2/5) To see this new feature, open a dynamic renal SIEMENS .. Healthineers ' NM_Renal_01_SymbiaS x study with MI Reading. * 01.01.1952 M Tc-99m MAG3 Cardiac MI Reading + Choose Renal Flow and Diff Proc from the Cholecystic MI Reading Gastric category Renal. MI Organ Processing Parathyroid 1 Select a category, then an icon from the Pulmonary Template Browser to start organ processing. To place a workflow template in this area, right Renal click on an icon and select Favorite Template. eg Renal ACE Renal Bubeck Renal Flow Inhibitor Proc MAG3 TER P .. and Diff Proc Renal Gates Renal Generic Renal Itoh Proc Renal Renal Oriuchi Renal GFR Proc MAG3 Proc Oberhausen ... Proc Transplant Thyroid Display Processing Activities Blank Ad-Hoc Processing › All 40 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MI Organ Processing SIEMENS Healthineers Renal Analysis (3/5) Compared to the right kidney, in this Settings |Display ROIs Results Kidney Aorta example, the clearance of the left kidney (red Data Selector % % 100 100 Left Kidney Kidney Right Kidney curve) is so slow, that T1/2 can not be Left Backgr ... Right Back ... 500 Max-L Max-R reached within the 20 minute acquisition. Quality Control 450 400 - 350 300 Therefore the field in the results table 250 TVSR O Renal Fr:1 153K Pixel Units 64x64 Fr: 1 3134Pixel Units 64x64 Processing remains empty. Table of Patient Parameters 200 Parameters Values 150 Counts/Second Renal Protocol Generic (None) 100 Flexible Display Kidney Depth Method Standard 50 Patient Name NM Renal_01_SymbiaS Patient ID Tc-99m MAG3 Sex Male 3 5 6 8 9 10 11 12 13 14 15 16 17 18 19 O Age 62 Minutes Reference BSA 1,73 m2 Hard Copy Split Uptake Interval (. 2,0 - 3,0 Radiopharmaceutical 2,7 mCi 99m Technetium MAG3 Method Adult Flow Hematocrit 0,00 450 400 Table of Result Summary 350 Parameters Left Right Total 300 Curve Fit Off Off Split Function (%) 48,3 51,7 250 Renal Retention 200 0.156 0,159 Time of Max (min) 0,401 4,002 150 Time of 1/2 Max (min) 11.5 100 Counts/Second Complete 50 MA 5 10 15 20 25 30 35 40 45 50 55 O Setup Seconds 41 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MI Organ Processing SIEMENS Healthineers Renal Analysis (4/5) On the Settings page, the option to create a Settings Display ROIs Results fit of a kidney curve can be selected. Data Selector Renal Method ROI . Captopril Comparison Gates GFR (DTPA) Method Use Existing ROIs Itoh ERPF (MAG3) M Apply Background Subtraction Quality Control Manual Generic (None) . Automatic MAG3 (Without Samples) X-Shift: 2 Pixels Threshold : 31 % Y-Shift: 2 Pixels Oberhausen Renal Oriuchi Clearance (MAG3) Offset: 2 Pixels Processing Bubeck (TER) Height: 100 % Width: 100 1% Flexible Display Patient Information Options Parameters Kidney Depth (cm) Injected Dose Bladder Hard Copy Calculate Blood Flow Parameters Options Calculate Blood Flow Parameters Manual T - Start M T-Max M T-1/2 Max Use Cortical ROIs T-2/3 Max Use Cortical ROIs T-Max-> T-1/2 T-Max-> T-2/3 Renal Retention Apply Deconvolution Slope T-1/2 Apply Deconvolution Cmax Manual T - Upslope Definition Upslope Time Complete Split Function Range Upslope Split Function: 2 - 3 minutes M Left Curve Fit Right Curve Fit Setup 42 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MI Organ Processing SIEMENS Healthineers Renal Analysis (5/5) This fit can be used to extrapolate the T1/2 time Settings Display ROIs Results Kidney Aorta point beyond the end of the scan. Data Selector % % 100 100 - Left Kidney Kidney Right Kidney Left Backgr. - Right Back. 500 Max-I Fit_Left Kid. TMax-R The value is now shown in the results table. Quality Control 450 400 350 T fit-L 300 0 0 250 T1/2-R Renal Fr:1 153K Pixel Units 64x64 Fr:1 3134Pixel Units 64x64 Processing Table of Patient Parameters 200 Parameters Values 150 Counts/Second Renal Protocol Generic (None) 100 Kidney Depth Method Standard 50 Flexible Display Patient Name NM Renal_01_SymbiaS Patient ID Tc-99m MAG3 O Sex Male 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Age 62 Minutes Reference BSA 1,73 m2 Hard Copy Split Uptake Interval ( ... 2,0 - 3,0 Radiopharmaceutical 2,7 mCi 99m Technetium MAG3 Method Adult Left Kidney Flow Right Kidney Hematocrit 0,00 Aorta 450 400 Table of Result Summary 350 Parameters Left Right Total 300 Curve Fit On Off Split Function (%) 48,3 51,7 250 Kidnau Caunte (com) 24.665 22201 AQGE 200 Renal Retention 0,156 0,159 MI Time of Max (min) 0.401 4,002 150 Time of 1/2 Max (min) 40,0' 11,5 100 Counts/Second Complete * Extrapolated 50 O 5 10 15 20 25 30 35 40 45 50 55 O Setup Seconds 43 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MI Organ Processing SIEMENS Healthineers Image Registration/Image Fusion • Prepare data for synchronized viewing such as side by AI side displays or even more advanced techniques such Settings Registration Object vs Target Object vs Target Matrix Optional vs Object Matrix as alpha blending Data Selector Optional vs Object Default Default Optional vs Target Transverse Sagittal Coronal AC_CT LWS B70s, 07.08.2013 SPECT LWS [Flash3D 256x256 8i4s6mm - AC ], 28.08.2013 A HU 78 % • Re-slice data in preparation for viewing on other Image Registration workstations such as PACS Flexible Display • Supports manual registration for volume data, including gated and dynamic data Hard Copy 52 • For planar data, manual registration is supported • For manual registration, visual verification and T: 1,5 T: 1,0 manual interaction are required to ensure that both S: 1,5 S: 1,0 P: 188,3 P: 305,2 126|B70s 314 870s P: 306.6 B70s 315 O datasets are properly registered Transverse Sagittal Coronal Complete ............ ............ ............ ............. .......... Rotation Z 0,00 Rotation × 0,00 Rotation Y 0,00 Setup Translation (mm): × 0,00 Y 0,00 Z 0,00 Landmarks 44 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MI Organ Processing SIEMENS Healthineers Image Registration Activity SIEMENS .. • Open a SPECT/CT study with MI Reading Healthineers Server: 192.168.236.155 S500_ ? MI_NM_SPECT_CT_1 * 01.01.1930 M MI_NM_SPECT_CT_1 Cardiac • Choose one of the Fusion Proc templates MI Reading Q + Cholecystic MI Reading Gastric from the category Ad-Hoc Processing MI Organ Processing Parathyroid 1 Select a category, then an icon from the Pulmonary Template Browser to start organ processing. To place a workflow template in this area, right Renal click on an icon and select Favorite Template. Thyroid Display Processing Activities x Blank Ad-Hoc Processing + Dynamic Heart Lung NM_CT Manual NM_MR Manual NM_NM Manual NM_NM Static NM_NM Series Series Series Filter Fusion Proc Fusion Proc Generic Proc Series FWHM Series Phase Extractor Proc Reformat Ge ... Curve Generi ... Extractor Proc Series Series ROI Series Static Static Merge Phase Compr .. Fusion Proc Fusion Proc Wholebody F ... Arithmetic G ... Dynamic Co. Proc All Findings Navigator DO - Name Value Source 45 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MI Organ Processing SIEMENS Healthineers Image Registration Activity Different tools can be used to apply manual shift or A re-angulation to the object series: Settings Registration . Object vs Target Object vs Target Matrix Optional vs Object Matrix Data Selector @Optional vs Object Default Optional vs Target Default Transverse Sagittal Cacanal • Mouse AC CT LWS 870s, 07.08.2013 SPECT LWS [Flash3D 256x256 8i4s6mm - AC ], 28.08.2013 A HU 78 % • Sliders Image Registration • Numerical values Flexible Display The resulting registration matrix can be saved. Hard Copy 52 T: 1,5 T: 1.0 3.06.61 B70s P P: 188,3 P: 305,2 126 B70s F 314 870s Transverse Sa-Mal Coronal Complete .......... ........... Rotation Z 0,00 Rotation × 0,00 Rotation Y 0,00 Setup Translation (mm): 0,00 Y 0,00 Z 0,00 Landmarks 46 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers MI - News & Improvements MM Oncology 47 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Display Improvements lealthineers Server: 146.254.133.144 Siemens Healthineer ? : TP5 MM X * 1/1/1982 M F-18 FDG MM Oncology RP DA Q + TP5_MM TP5_MM • Hybrid VRT Radial Ranges MM Oncology Reading F-18 FDG F-18 FDG CURRENT | CURRENT CURRENT | CURRENT 3D Reading STUDY 8/11/2010 STUDY 8/11/2010 CT Enhanced B30f 3.0 [3] | TrueX 2.9 MBq/kg 3 min 211 4s (AC) • Spine and Rib Labeling CT Enhanced B30f 3.0 [3] | TrueX 2.9 MBa/kg 3 min 2114s (AC) 8/11/2010 | 8/11/2010 8/11/2010 | 8/11/2010 RECIST 1.1 10:55:59 AM | 10:56:39 AM 10:55:59 AM | 10:56:39 AM 3 IMA ~206 | 102 IMA ~138 3 IMAn.a. | 102 IMAn.a. SP F426.5 | SP F426.5 SP A78.6 | SP A78.6 Solid Lesion Liver Lymph Node Generic RECIST Measurement Improvements RAF Lung CAD AEF Onco Board Auto Trending • Interactive Trending for PET and CT MM Reading F • Automated Tumor Burden Trending 0: 50.00% SL min a 50.00% MPR FUSION 280 T 5.00 SUV-bw 35 Manip VRT MIP FUSION B 0.00 SUV-bw B 0.00 SUV-bw CURRENT CURRENT STUDY 8/11/2010 STUDY 8/11/2010 TrueX 2.9 MBq/kg 3 min 211 4s (AC) TrueX 2.9 MBq/kg 3 min 211 4s (AC) -- > AQ1:F1 -- > AQ1:F1 Findings Navigator 8/11/2010 10:56:39 AM 10:56:39 AM 102 IMA~138 102 IMA n.a. Name Value Source RA 10 cm Tools Ocm L Synch Align Custom Hide Hide Lines Reset Graphics Timepoints EP F AL Edit Snapshot Print Image Export Undo Redo 5.00 SUV -by Layout Image MPR 0.00 SUV-bw T 5.00 SUV-bw MIP B 0.00 SUV-bw 12:37 PM AC_CT AC_CT 48 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Hybrid VRT - Radial Ranges Hybrid VRT/MIP provides a visual summery of the current disease state, illustrating the distribution of functional uptake with the anatomical reference in a single image. Zoom/Pan • Radial sliced ranges used to create series of Remove Table images cut radially around a pivot 3D Reference Point Windowing • Lock Reference Lines Enabled in fused segments Rotate Clip Plane 3TP 4 Biograph 6 Parallel Ranges *1/1/1930, M, 77Y Ranges Tools CURRENT | CURRENT CT [2] | HD Fit to Segment Radial Ranges -- > AQ1:A1 | AQ1:F1 PET3 Radial Sliced Ranges Open Radial Ranges STUDY 9/20/2007 9/20/2007 | 9/20/2007 12:26:04 PM | 12:27:20 PM ..................... Curved Ranges R Set to FOV Segment Total Angle: 360.0 º Angle Between Images: 8.6 . Result View 0cm Set to Reference Segment Global View VRT/MIP MiniP Thin MIP VRT Gallery MPR/MPR Send To Context Menu MPR 49 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Hybrid VRT - Radial Ranges Define: Universitaetsklinikum MI_Onco_5TP_1 Universitaetsklinikum MI. MI_Onco_5TP_1 Universitaetsklinikum _MI_Onco_5TP_1 Biograph 64 _MI_Onco_5TP_1 +01.01.1982, M, 28Y Biograph 64 MI_Onco_5TP_1 • Number of images *01.01.1982, M, 28Y *01.01.1982, M, 28Y Biograph 64 CURRENT | CURRENT CURRENT | CURRENT CURRENT | CURRENT CT Enhanced B30f 3.0 [3] | TrueX 2.9 MBq/kg 3 min 2i14s (AC) CT Enhanced B30f 3.0 [3] | TrueX 2.9 MBq/kg 3 min 2i14s (AC) CT Enhanced B30f 3.0 [3] | TrueX 2.9 MBq/kg 3 min 2i14s (AC) -- > AQ1:A1 | AQ1:F1 -- > AQ1:A1 | AQ1:F1/ -- > AQ1:A1 | AQ1:F1 # 1 # 1 #1 ; WB5 WBS WB5 STUDY 11.08.2010 STUDY 11.08.2010 STUDY 11.08.2010 11.08.2010 | 11.08.2010 11.08.2010 | 11.08.2010 11.08.2010 | 11.08.2010 Image resolution 10:55:59 | 10:56:39 10:55:59 | 10:56:39 10:55:59 | 10:56:39 • PR RA 10cm • Reference image • Click Start to create the images Manip VRT MIP FUSION Manip VRT MIP FUSION AC 2 R AC 2 Total-Angle: 350.0 -.- Between Images: 10.0 . F Manip VRT MIP FUSION 512*512 œ: 50,00% 512*512 EQ Filter: ??? mm EQ Filter: ??? mm o: 50,00% 512*512 5,00 SUV-bw EQ Filter: ??? mm @ 50,00% T 5,00 SUV-bw T 5,00 SUV-bw B 0,00 SUV-bw B 0,00 SUV-bw 0,00 SUV-bw Parallel O Radial ~ Curved • Click Accept to save the range _MI_Onco_5TP_1 H Universitaetsklinikum _MI_Onco_5TP_1 Parallel Radial Curved *01.01.1982, M, 28Y Biograph 64 Preview Preset Select the Preset CURRENT | CURRENT STUDY 11.08.2010 Preset Select the Preset CT Enhanced B30f 3.0 [3] | TrueX 2.9 MBq/kg 3 min 2114s (AC) 3 IMA n.a. | 102 IMA. n.a. Angle between Images 10,0¢ Angle between Images 10,0 + Number of Images 36 Number of Images 36 Field of View 1122,5 x 1122,5 mm Field of View 1122,5 x 1122,5 mm AL Presets Orientation Image Series Presets Orientation Image Series Image Resolution Normal Range Series Name |VRT Range Image Size 1169 x 1169 pixels Image Comment Fusion Data Set Data set 1+2 Include Reference Image x 50,00% Start Accep Close Start Accept Close AC 2 5,00 SUV-bw Manip VRT MIP FUSION 0,00 SUV-bw 50 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Automated Spine and Rib Labeling H MI_Onco_5TP_1 Universitaetsklinikum _MI_Onco_5TP_1 Universitaetsklinikum Automatically identify and propose labels for _MI_Onco_5TP_1 *01.01.1982, M, 28Y Biograph 64 _MI_Onco_STP_1 *01.01.1982, M, 28Y R4 R4 • Biograph 64 CURRENT | CURRENT R5 L4 CURRENT 11.08.2010 CT Enhanced B30f 3.0 [3] | TrueX 2.9 MBq/kg 3 min 21143 @AC) L5 vertebrae and ribs CT Enhanced B30f 3.0 [3] -- > AQ1:A1 | AQ1:F1 T6 -- > AQ1:A1 # 1 R7 T7 L6 T8 L7 # 1 WB5 • Depending on the data set, spine and rib labeling 10:55:59 STUDY 11.08.2010 11.08.2010 | 11.08.2010 R8 T9 3 IMA n.a. FRM n.a. SP A81,6 10:55:59 | 10:56:39 T10 L8 3 IMA n.a. FRM n.a. | 102 IMA n.a. FRM n.a. SP A81,6 | SP A81,6 R9 T11 or only spine labeling (only spine on PET Lg R R10 R R10 T12 L10 segments) R11 10cm R1 L11 L12 • Rib labels: L, R, and number A A MPR FUSION AC 2 • Spine labels: C, T, L, S, and number 512*512 @ 50,00% SL min EQ Filter: ??? mm 280 T 5,00 SUV-bw 35 B 0,00 SUV-bw nz H CH If the system proposed labels are not correct, you can MI_Onco_5TP_1 Universitaetsklinikum MI_Onco_5TP_1 Universitaetsklinikum _MI_Onco_5TP_1 add or edit the labels. *01.01.1982, M, 28Y 1094 MI_Onco_5TP_1 *01.01.1982, M, 28Y 1094 CURRENT CURRENT spine and rib labels TrueX 2.9 MBq/kg 3 min 2i14s (AC) TrueX 2.9 MBq/kg 3 min 2i14s (AC) -- > AQ1:F1 T6 -- > AQ1:F1 # 1 # 1 WBS WBS (CT) STUDY 11.08.2010 STUDY 11.08.2010 11.08.2010 11.08.2010 10:56:39 102 IMA n.a. FRM n.a. SP A81,6 T11 T12 R R 10CM spine labels only (PET) MPR MIP AC 2007 A AC 2007 A 168*168 168*168 PSF 2i14s, All-pass PSF 2014s, All-pass EQ Filter: ??? mm 5,00 SUV-bw EQ Filter: ??? mm 0,00 SUV-bw 5,00 SUV-bw -0 0,00 SUV-bw AC_CT AC_CT 51 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Spine and Rib Labeling - How to Start 1. CT or fused segment: Distance Line I ROI Circle MI_Onco 5TP_1 UnivePixel Lens MI_Onco_5TP_1 Top right corner menu > Spine/Rib Label *01.01.1982, M, 28Y Marker CURRENT Arrow 11.08.2010 CT Enhanced B30f 3.0 [3] Angle 2. Auto-labeling of spine starts -- > AQ1:A1 VOI Sphere # 1 Text T 10:55:59 3 IMA n.a. FRM n.a. Propagate Markers SP A81,6 RECIST/WHO + VOI 3. Labeling of ribs has to be started separately on mini-tool Isocontour Solid Lung Lesion Segmentation bar Start Lung CAD Auto-labeling running Spine/Rib Label Show Spine/Rib Label R + 10cm 4. Labels are ready for review (if CT image quality requirements are fullfilled) 5. Confirm labels after review A MPR 280 52 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Spine and Rib Labeling - Mini-Tool Bar + Start rib labeling algorithm ............. ............................. Confirm labels Add multiple Reset to initially Add single rib label after verifying spine labels computed labels correct locations 53 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Spine and Rib Labeling - Manipulating Spine Labels Adding a single vertebra label • Right-click > Insert and Propagate T9 In spine label menu, choose vertebra label spine label menu • T11 Adding multiple vertebra labels Mini toolbar > Insert multiple spine labels icon T • L • Position the mouse pointer over a vertebra and click • Select vertebra label from spine label menu S + • Position the mouse pointer over another vertebra and click to continue adding • To stop adding, deselect Insert multiple spine labels icon ...... Editing vertebra labels Label and Propagate • Select a vertebra label, right-click for context menu Label Single spine label context menu • Choose action to change or delete the label: Delete and Propagate Single: No effect on adjacent labels Delete Single • • and Propagate: Adapt labels above and below in anatomical order … ... ... ... 54 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Interactive Trending SIEMENS • Automatic display of clinically relevant Soner SMOKEY readingO Domo guide MTV_TLG. Multiple TimeP * 1/1/1982 M F-18 FDG calculations with respect to the Against Baseline: 7/31/2008 237 days elapsed 19 12] baseline examination and linked LIVO12 PT LIVO12 findings Max: 42:07 SUV-b (+42%) Max 42.07 SUV-bw (+42%) Peak 27.0 SUV by / Size 1 cm3 (+419) Peak: 27.0 SUV-bw / Size: 1 cm3(+4) Thresh: 11,78 SU w/ 28.% Threste 11:78 SUV-tw/ 28% A Days elapsed between baseline and Against Baseline: 7/31/2008 • LIVON CT RECIST 11 Diam: 275 nm 237 days elapsed Max: Orth, Diam.: 26:7 mm current timepoint Volume 7.362 ml -bw (+42%) -bw / Size: 1 cm3 (+41%) UV-bw / 28 % • Percentage change for CT and PET segmentations New case here LIVO14.CT RECIST 1.1 Diam. 23:8 mm Max Orth, Diam 19:8 Volume: 4.141 ml R R R LIVOI3 - LIVOI3 PT L1VOI3 Max. 29 53 SUV bw Max. 29 53 SU-w Peak 19.08 SUV-bw./ Size: 1 cm3 Peak 19.08 SUV-bw/ Size: 1 cm3 Thresh: 6.74 SUV-8W / 23 % Thresh 8 74 SUV-bw / 23 16 o activate Windows 55 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Interactive Trending MM Oncology Configuration Configuration X Show change rate for linked Calculation Visualization Initial Layouts Measurements Lung CAD Trending Multi-foci Segmentation Archiving measurements Tools MM Oncology Deactivate tools after creating a measurement MM Oncology Reading Display evaluation text only when selected 3D Reading Automatically create propagated markers for new measurements RECIST 1.1 Show change rate for linked measurements Solid Liver Lymph Generic RECIST Lesion Node + VOI Quick Quant Sphere Radius 5 4 mm Lung CAD AEF Onco Auto Board Zoom Trending VOI Sphere MM Reading OK Cancel 56 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Automated Trending Wholebody MTV and TLG / Total Activity (Tumor Burden) can Findings details ? × now be trended across timepoints. This helps to assess the disease status and the effectiveness of treatment. Series Details Trending 1. Configure measurement tool to display MTV, TLG, or Patient Name _MI_Onco_5TP_1 Graph of Selected Lesion Modality PET CSV Baseline Prior 02, 28.07.2009 . Tumor Burden Metric Volume Add Print Copy Export to Snapshot Total Activity Hottest Lesions Volume (MTV) TLG 2. Measure lesions in at least two timepoints TLG Trend for Tumor Burden 3. Open Findings details, select Graph of Tumor Burden % Change Baseline SUV-bw x cm3 and choose Metric to be displayed in Trending Graph 350 578,72 300 514,42 VOI Isocontour Properties X Display the following evaluations on PET/SPECT data: 250 450,12 Max (Maximum) Max.eq (Maximum Equivalent) 200 385,81 Peak (Highest Average 1cm3 Sphere) Peak.eq (Highest Average 1cm3 Sphere Equivalent) Mean (Average) 150 321,51 Mean.eq (Average Equivalent) SD (Standard Deviation) 100 257,2 SD.eq (Standard Deviation Equivalent) TLG (Total Lesion Glycolysis) / Total Activity (Mean x MTV) 50 192,91 Volume (MTV) (Molecular Tumor Volume) Thresh (Threshold of VOI Max) 128,60 Deauville Score 11 Please review results as the system only evaluates Deauville scores from 2 to 5. 50 64,30 Prior 02 28.07.2009 Prior 01 19.04.2010 CURRENT 11.08.2010 Date DD.MM. YYYY OK Cancel 57 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Lesion Scout and AutoID Powerful identification and measurement capabilities: n The Lesion Scout tool can be used to automatically detect and segment regions of high radiopharmaceutical uptake on RefLIV1 PT Max: 3:47 SU PET or 3D tomographic studies for the purposes of whole- Mean: 2.23 SD: 0.35 SU PERCIST Th body tumor burden calculation. With the optional Auto ID regions on 18F-FDG, studies can Distance Line be automatically classified as included or excluded (e.g. ROI Circle Pixel Lens physiological uptake). This is achieved with an Artificial Marker FIT Intelligence (AI) algorithm. Arrow Angle VOI Sphere Text T Proposed classifications are color coded, can be toggled and Propagate Markers RECIST/WHO + VOI Isocontour presented in the preview mode for review, and confirmed by Solid Lung Lesion Segmentation the user prior to final acceptance. Lesion Scout Start Virtual Planar Reconstruction = The user can hide color rendering on MIP during preview. Al- powered healthcare Data courtesy of Seeland University Hospital, Naestved, Denmark. syngo.via VB50 and its features are not commercially available in the United States. Future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. 58 The accuracy of lesion classification has not been verified by the FDA. The lesion classification presented by Auto ID is only a proposal. Effective Date: 05/27/2021 | HOOD05162003196028 Effective Date: 27 May 2021 | HOOD05162003196028 All findings must be evaluated and accepted by the physician before MTV/TLG is calculated. Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Lesion Scout and AutoID Auto ID: Initial Layouts Measurements Lung CAD Trending Lesion Scout Archiving • Is activated only if checkbox is enabled in configuration settings tab card 4,5 SUV Save As save Delete • Presets can be saved • Make sure metric is SUV • Auto ID is trained for FDG only ! SUV Max greater than Manual Threshold • PET/CT only! No PET/MR! No SPECT/CT! with value of Auto ID SUV Adult only Automatically analyze and suggest physiological • areas for exclusion from burden calculation. • You can activate Lesion Scout with the keyboard shortcut Ctrl + L Selection Threshold with value of 4,5 ¢ SUV Supported for [18F]-FDG radiopharmaceutical only. Please ensure all foci are reviewed before accepting. E 0,5 ¢ 0,5 % ml • Limitations to 50 foci ex factory might be reached quickly, consider to change config.net after evaluating the system capacity and capabilities • Lesion Scout and Auto ID can be resource-hungry in longer axial scans, higher matrix with more segmentation results, in those cases a prediction algorithm foresees the max-out RAM scenario and will block the user from running the application with a message 59 The accuracy of lesion classification has not been verified by the FDA. The lesion classification presented by Auto ID is only a proposal. Effective Date: 27 May 2021 | HOOD05162003196028 All findings must be evaluated and accepted by the physician before MTV/TLG is calculated. Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 MM Oncology SIEMENS Healthineers Lung CAD* VC20C in MM Onco Lung CAD VD20C is now a purchasable option in SIEMENS .. Healthineers SI_CT_Lung_Onco, 105 KG 160 ... 01.01.1958 F 2018R00015 FH .................................................................................... MM Oncology: MM Oncology Q + H MM Oncology Reading Against Baseline: 01.01.2020 366 days elapsed 3D Reading SI_CT_Lung_Onco, 105 KG 160 CM 2018R00015 Ref.: SINA Improved LCAD user interface RECIST 1.1 *01.01.1958, F, 63Y SOMATOM Definition Edge • CURRENT Liver Lymph Generic BECIST 19.08.2014 Solid Lesion Node Lung 1.0 170f 3 LCAD [3] Lung CAD AFF Once Auto -- > AQ1:A1 • Improved algorithm to detect the nodules # 2018R00015 Trending 10:57:26 based on deep learning AI MM Reading 3 IMA n.a. FRM n.a. SP A165,6 • Provides both nodule types, solid and sub- R C1 solid nodules for RoW Findings Navigator 10cm • New Navigation toolbar Name Value Source • A lens to generate a zoomed view Tools A MPR Synch Alien Hide Hide Lines Reset Graphics Timepol ... 1600 -600 • Buttons in the mini toolbar to toggle Edit Snapshot Print Export Undo Redo Layout Image Image Config between different windowing levels 14:32 displayed in the lens *Lung CAD requires an additional license. 60 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MI - News & Improvements PEPconnect 61 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 PEPconnect: Your Smart Connection to Knowledge SIEMENS Your Personalized Education Plan, the central point for education Healthineers SIEMENS ... Healthineers PEPconnect Explore Search Content and Groups In English | Log in / Register - syngo.via VB30 Nuclear Medicine - PET Applications Type Of: All- Language: English - Configurations: None Selected . Filter By Title: Enter text PEP connect All Learning Activities VB30 Delta - Nuclear Medicine MM Oncology Layouts VB30 MM Oncology Tools VB30 MM Oncology for MI: MM Oncology for MI: Hybrid MM Oncology for MI: MM Oncology for MI: MI Cardiology (syngo.MBF) (PET & SPECT) Online Quantification VB30 Gating VB30 Visualization / Image Fusion OncoBoard VB30 VB30 Training VB30 Videos in 5 0 106 00 Add To Plan Add To Plan 047 00 Add To Plan 45 00 Add To Plan 023 00 Add To Plan Add To Plan 0 27 Add To Plan 0 38 90 Add To Plan languages MI Neurology Basics VB30 MI Neurology-Database MI Neurology-Striatal DE MI Neurology-Subtraction MI Reading Basics VB30 Comparison VB30 Analysis VB30 VB30 New VB40 Delta Online Training Welcome to the syngo.via VB40 delta online training. Add To Plan 0 37 @1. Add To Plan 0 27 00 Add To Plan 01500 Add To Plan 38 00 Add To Plan In this training you will learn about new features and syngo.via VB30 Nuclear Medicine - SPECT Applications functionalities of the syngo via VB40 software version that covers Molecular Imaging (MI) / Nuclear Medicine Type Of: All- Language: English - Configurations: None Selected - Filter By Title: Enter text (PET & SPECT). All Learning Activities Help VB30 Delta - Nuclear Medicine (PET & SPECT) Online EMM Oncology Layouts VB30 EMM Oncology Tools VB30 MM Oncology for Ml: MM Oncology for MI: MM Oncology for MI: EMI Neurology Basics VB30 MI Neurology-Database Quantification VB30 Visualization / Image Fusion OncoBoard VB30 Comparison VB30 Training VB30 .syngo.via VB30 Online Help - Which's HEN? 0 106 00 Add To Plan Add To Plan 047 00 Add To Plan 9 45 00 Add To Plan Add To Plan Add To Plan 9 28 00 Add To Plan 037 01 Add To Plan Go to: www.siemens.com/pepconnect 62 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 PEPconnect: Your Smart Connection to Knowledge SIEMENS Your Personalized Education Plan, the central point for education Healthineers SIEMENS Healthineers' ... PEPconnect Explore Search Content and Groups English Log in / Register - syngo.via VB30 Nuclear Medicine - PET Applications Type Of: All - Language: English - Configurations: None Selected - Filter By Title: Enter text PEP All Learning Activities connect VB30 Delta - Nuclear Medicine MM Oncology Layouts VB30 DE MM Oncology Tools VB30 MM Oncology for MI: EMM Oncology for MI: Hybrid Training Quantification VB30 Gating VB30 MM Oncology for MI: DE MM Oncology for MI: Visualization / Image Fusion OncoBoard VB30 MI Cardiology (syngo.MBF) (PET & SPECT) Online VB30 VB30 Videos in 5 OIC languages 0 106 00 Add To Plan Add To Plan 047 00 Add To Plan Add To Plan 0 23 00 Add To Plan Add To Plan 27 00 Add To Plan 0 38 00 Add x plan MI Neurology Basics VB30 MI Neurology-Database MI Neurology-Striatal MI Neurology-Subtraction Comparison VB30 Analysis VB30 MI Reading Basics VB30 VB30 O28 00 Add To Plan 0 371 Add To Plan 0 27 00 dd To Plan 015 00 Add To Plan 38 00 Add To Plan syngo.via MI Workflows syngo.via MI Cardiology Applications VB50 Delta Online Training, Part 1 VB50 Delta Online Training, Part 2 Help In this training you will learn about new features and functionalities of the syngo.via VB50 In this training you will learn about new features and functionalities for the Cardiology software version that covers Molecular Imaging (MI) respectively Nuclear Medicine (PET and Applications Cedars Sinai Cardiac Suite 2017 and Corridor 4DM 2018 available for the SPECT). syngo.via VB50 software version. syngo ula 1 2 ............................... 3 .......... 4 1 2 ........... 3 4 ............... 5 Learn more about Become familiar with Learn more about Learn more about Clinical and functional General enhancements Clinical and functional Clinical and functional Clinical and functional further developments the new routine MI further developments in further developments enhancements of of Cedars Cardiac Suite enhancements of enhancements of enhancements of in MM Oncology General workflow MI Neurology in MI Cardiology Cedars 2017 QPS/QGS 2017 Cedars 2017 CFR Cedars 2017 QBS Corridor 4DM 2018 Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 Go to: www.siemens.com/pepconnect 63 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 PEPconnect: Your Smart Connection to Knowledge SIEMENS Your Personalized Education Plan, the central point for education Healthineers SIEMENS Healthineers PEPconnection SIEMENS Healthineers Explore Search Content and Groups M My Activities My Plan Groups Transcript AB Medical Imaging and Therapy Explore Search Content and Groups Advanced Visualization and Imaging IT (syngo)|Computed Tomography| Digital Marketplace Magnetic Resonance Imaging|Mammography|Nuclear Medicine Technology - PET|Nuclear Medicine Technology - SPECT Ultrasound Angiography|Mobile C-arms nexaris Therapy Suites| Radiation Therapy X-ray Products Advanced Visualization and Imaging IT (syngo) syngo.via syngo Dynamics - CVIS syngo Virtual Cockpit syngo.plaza - PACS Type Of: Job Aid - Language: English - Filter by Module/Version: None Selected EN EN EN All syngo.share syngo.via syngo.via Clinical Applications Virtual Classroom EN EN EN General Video Nuclear Medicine Applications syngo.via VB20 syngo.via View&GO Online Training EN EN Gen Job Aid Itm & Features syngo.via Clinical Applications Type Of: Al - Language: English - Filter by ModuleVersion: None Selected . Filter By Title: Enter text OpenApps User Guide Job General Malcar Mediche Technology . PET| Nuclear Medicine Technology . SPECT Aid General Als.Paper .. Cinematic White Paper.Increasing the value of Radiology throug === 0 227 2 Ads Ta Plan Add To Pra Add To Plan Nuclear Medicine Technology - PET Management of Epilepty with gynoo.via Detabaco Neuronalyet In cyngo.via Technology ALPHA tantiparametric PET Butte techniques for CT - based PE White paper - Tips & Tricks: White Paper - HD-Chest Amplitude Based Respiratory Clinical Advances with White Paper - Cardiao wormparicon In Ml Neurology attenuation correction BUY abross technologies Using EQ.PET to Mescure Aproct Multiple Technologies Bating for PET FlowMotion Technology! Positron Emiccion Tomography: Myocardial ... Nuclear Medicine Applications -2 - --- ® 20 Add To Pra 6 20 0 Add To Man 9 14 00 12 00; Add To Plan Add To Plan Add To Man Add To Para Add To Plan Add To Pra Add To Man Organ Processing Workflow Organ Processing Workflow Nuclear Medicine Technology - SPECT Building: Part 1 Data Selector Building: Part 2 Job Aid Job Aid Management of Epllepty with Comparison In MI Neurology workflow Mi Neurology EXPECT: a clinical overview Characteristics of the Agourate, reproducible, and ET performance in SPECTICT Technology THOHEFHI .... .+ A 9 14 80 Add To Pla Add To Plan Add To Plis Add To Pias Add To Plan = = 14 00 Wionion incass Go to: www.siemens.com/pepconnect Add To Plan Add To Plan 64 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 HOOD05162003046557_Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers MI - News & Improvements Innovations 65 Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 syngo.via - A Universal 3D Reading Solution SIEMENS Innovations Healthineers MI Workplace Education Plans WP syngo.via Open Apps* WebViewer* Annual Review and Customization' Education and Skills Assessment2 PEPconnections PEPconnections PEPconnections UpSkill Optimization & Consulting UpSkill Optimization & Consulting UpSkill Optimization & Consulting Remote Assist Remote Assist Remote Assist L Server Clinical Workshop Classroom Training XL Server Tailored Hands-on Tailored Hands-on PEPconnect PEPconnect PEPconnect Hand-over Training Hand-over Training Hand-over Training GAIN GROW LEAD ........... Clinical Applications syngo.via Virtualized Frontier Server Our Expertise Frontier Platform Our Education Plans GAIN . GROW. LEAD prototypes HW Infrastructure Frontier** Your needs Your Plan *The application syngo.via WebViewer is not for diagnostic viewing/reading on mobile devices in the US. *syngo.via and syngo.via OpenApps are not yet commercially available in all countries. Due to regulatory reasons, its future availability cannot be guaranteed. 66 Please contact your local Siemens Healthineers organization for further information and availability outside these countries. **For research use only. Not for clinical use. 2 Requires specific agreement with Siemens. Effective Date: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021 New CT Pneumonia Analysis Prototype SIEMENS Healthineers Reacting to the severity of the current situation battling COVID-19, syngo is A SOMATOM Forc releasing a trial to our “CT Pneumonia Analysis” prototype free-of-charge to all our syngo.via users* R 200 mm- • Prototypes like these normally require the user to have purchased access to syngo.via Frontier – but we are entirely waving that for this prototype which is freely available on the Digital Marketplace through syngo.via OpenApps until 30 N 1200 November 2020 • syngo.via Frontier users can get regular, unlimited access to this application through the syngo.via Frontier Prototype Store • Siemens Healthineers customers who do not have a syngo.via can gain access using the AI-Rad Companion on the teamplay digital health platform *Users need at least syngo.via VB30A to access the Siemens Healthineers Digital Marketplace. syngo.via, the CT Pneumonia Analysis prototype, and the Digital Marketplace are not yet available in all countries. Due to regulatory reasons, future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further information. The CT Pneumonia Analysis prototype is for Research Only. Not for Clinical Use. 67 Effective Date: 27 May 2021 | HOOD05162003196028 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: 27 May 2021 | HOOD05162003196028 Unrestricted © Siemens Healthineers, 2021