Spirit
Application Guide
Page
 Overview
 Syngo 3D
Page
 Contents
 Access to Computer Based Training or
 Contents
 Contents
 Contents
 Syngo 3D
 Contents
 Contents
 Syngo CT Operator Manual Volume
Syngo Volume
User Documentation
 User Documentation
 Scan and Reconstruction
Concept of Scan Protocols
 Scan Set Up
 Scan Modes
Sequential Scanning
Spiral Scanning
Dynamic Serioscan
 Slice Collimation Slice Width
 Mm1, 1.25, 2, 3, 5 mm Mm 2, 3, 5, 6 mm Mm 3, 5, 6, 8, 10 mm
 Increment
 Pitch
 Window values
Hounsfield Units Gray scale
CT-window values
 Kernels
 Image Filters
 Scan and Reconstruction
 Improved Head Imaging
Head image without correction Head image with cor- rections
 Dose Information
Ctdiw and CTDIVol
CTDIVol = CTDIW/Pitch Factor
 2 3 mSv per year in Germany
 Effective mAs
 Dose Information
 Care Dose
How does Care Dose work?
 High attenuation, high mA
Example of scanning the shoulder region
Principle of Care Dose tube current adaption
 Dose Information
 Dose Information
 Workflow Information
Recon Jobs
 Examination Job Status
 Auto Load in 3D and Post- processing Presets
 How to Create your own Scan Protocols
Edit/Save Scan Protocol
 Hints
Scan Protocol Manager
 Change one or more parameters for all Customer protocols
Select Replace All
 Workflow Information
 Hints
 Additional Information
 Contrast Medium
Basics
Longer scan time
 Radiology 1998 207647
 CM = start delay time + scan time x flow rate
IV Injection
 Bolus Tracking
General Hints
 Workflow Information
 Test Bolus using Care Bolus
How to do it
 Test Bolus
 Workflow Information
 Workflow Information
 Application Information
Somatom life
General Information
 Key Features
 Description
 Access to Computer Based Training or Manuals on
CD ROM
 SRS Based Services
 Download of Files
 Contact incl. Dicom Images
 Application Information
 Trial Order and Installation
 Application Information
 Image Converter
 Application Information
 File Browser
Transfer files to floppy
Burn on CD
 Review reports and movies
Hint
 Patient Protocol
 Application Information
 Head
Overview
 Hints in General
Head Kernels
 HeadRoutine
Indications
 Volume 50 60 ml Flow rate Ml/sec Start delay 50 60 sec
Base Cerebrum
Contrast medium IV injection
 HeadSeq
 Start delay 60 sec Flow rate Ml/sec Volume 50 60 ml
BaseSeq CerebrumSeq
 InnerEarHR
InnerEar 2nd reconstr
 Head
 Start delay 60 sec Flow rate Ml/sec Total amount 50 60 ml
InnerEarHRSeq
InnerEarSeq
130
 Head
 Sinus
Sinus 2nd reconstr
 Head
 SinusSeq
SinusSeq
 Head
 Orbita
Orbita 2nd reconstr
Contrast medium IV injection
 Head
 Dental
Dental
 Head
 Neck
Neck
 Hints in General
 Body Kernels
 Neck
 Start delay 45 sec Flow rate Ml/sec Total amount 120 ml
Neck
Neck
 Hints
 Shoulder
Shoulder
 Hints in General
 Shoulder
 Shoulder 2nd reconstruction
 Thorax
ThoraxFast
ThoraxHRSeq
LungLowDose
 Hints in General
 Thorax
 Body Kernels
 ThoraxRoutine ThoraxRoutine08s
 Start delay 25 30 sec Flow rate Ml/sec Total amount 80 ml
ThorRoutine
Reconstruction
 ThoraxFast
 ThorFast 2nd reconstr
 ThoraxHRSeq
 ThorHRSeq
 LungLowDose
 Start delay 30 sec Flow rate Ml/sec Total amount 50 70 ml
LungLowDose
 Abdomen
AbdomenFast
AbdomenSeq
 Upper abdomen
Abdomen Pelvis
 Abdomen
 Body Kernels
 AbdomenRoutine AbdomenRoutine08s
 AbdRoutine
 AbdomenFast
 AbdFast
 AbdMultiPhase AbdMultiPhase08s
 Non Arterial Venous Contrast Phase
 Hints
 121
 Start delay 50 60 sec Flow rate Ml/sec Total amount 100 ml
AbdomenSeq
AbdSeq
 Hints
 Pelvis
Pelvis
Hip
SIJoints
 Hints in General
 Pelvis
 Pelvis
 Hip
 Hip 2nd reconstr
 SIJoints
SIJoints 2nd reconstruction
 131
 Spine
Spine
SpineSeq
Osteo
 For image reconstruction of bone studies, use kernel B60 133
 Spine
 Body Kernels
 Spine
 Spine 2nd reconstr
 SpineSeq
C2-3 C3-4 C4-5
 C5-6 C6-7
Dental artifacts can be reduced by tilting the gantry
 Spine
 Spine
 SpineSeq
 L3-4 L4-5 L5-S1
 Osteo
Osteo
 145
 Upper Extremities
WristHR
ExtrRoutineHR
 Hints in General
 Body Kernels
 149
 WristHR
 WristHR 2nd reconstruction
 ExtrRoutineHR
ExtrHR 2nd reconstruction
 153
 Lower Extremities
KneeHR
FootHR
 Hints in General
 Body Kernels
 157
 KneeHR
 KneeHR 2nd reconstruction
 FootHR
FootHR 2nd reconstruction
 For image reconstruction of soft tissue, use kernel B31s 161
 Vascular
 Hints in General
 HeadAngio/HeadAngio08s
HeadAngio 2nd reconstruction
 Start delay 18 sec Flow rate Ml/sec Total amount 75 ml
 CarotidAngio/CarotidAngio08s
CarotidAngio 2nd reconstruction
 Start delay 15 sec Flow rate Ml/sec Total amount 90 ml
 ThorAngio/ThorAngio08s
ThorAngio 2nd reconstruction
 Start delay 10 25 sec Flow rate Ml/sec Total amount 80 ml
 Embolism
Embolism 2nd reconstruction
 Start delay 10 sec Flow rate Ml/sec Total amount 80 100 ml
 BodyAngioRoutine BodyAngioRoutine08s
BodyAngio 2nd reconstruction
 Vascular
 BodyAngioFast
BodyAngio
 Start delay 20 sec Flow rate Ml/sec Total amount 120 ml
 Specials
Trauma
Interventional CT
 Trauma
 PolyTrauma
Head Neck
 Thorax AbdPelvis
 HeadTrauma
 Interventional CT
 Biopsy
Biopsy
 TestBolus
TestBolus
 Children
 Head
Neck
Thorax
Abdomen
 Spine
Extremities
Vascular
Specials
 Hints in General
 Children
 Needle Size gauge Flow Rate ml/sec
 Head Kernels
 Body Kernels
 HeadRoutineBaby
Head
 Hints
 HeadRoutineChild
 Children
 HeadSeqBaby
HeadSeq
 Children
 HeadSeqChild
 Children
 InnerEar
InnerEar
 Children
 SinusOrbi
SinusOrbi
 Contrast medium IV injection
 Neck
 Children
 ThoraxRoutineBaby
 ThorRoutine
 ThoraxRoutineChild
 Children
 ThoraxHRSeqBaby
 Children
 ThoraxHRSeqChild
 Children
 AbdomenBaby
Abdomen
 Children
 AbdomenChild
 Children
 SpineBaby
 Children
 SpineChild
 Hint
 ExtrHRBaby
ExtrHR
 Hints
 ExtrHRChild
 Hint
 HeadAngio
 Hints
 HeadAngio08s
HeadAngio
 Children
 CarotidAngio
CarotidAngio 2nd reconstr
 Children
 CarotidAngio08s
 Children
 BodyAngio
BodyAngio 2nd reconstr
 Children
 BodyAngio08s
 Children
 NeonateBody
NeonateBody
 239
 Multi Planar Reconstruction MPR
Maximum Intensity Projection MIP
 Volume Rendering Technique VRT
Shaded Surface Display SSD
 Workflow
Prerequisites
Loading the Images
 Image Representation on the 3D Card
 Defining Output Types
Creating Series
Parallel Ranges
 Radial Ranges
Expanded Ranges
Curved Ranges
 Editing
 Syngo 3D
 Region Growing
Object Punching
 Morphological Operations
Documentation of Results
 Using MPR/MPR Thick
Workflow for a CT Extremity Examination
 Using SSD
Using VRT
 Using MIP/MIP Thin
Workflow for a CT Angiography
 Using VRT/VRT Thin/Clip
 Setting Views in the Volume Data Set
Rotating around one axes oblique cut planes
 Changing /Creating VRT Presets
 Syngo 3D
 Auto Load in 3D and Post-processing Presets
Blow-up Mode
 Key Features
Syngo Fly Through
 SSD and VRT Presets for Endoscopic Renderings
Prerequisites
Basics for CT Virtual Endoscopy
 Endoscopic Viewing Parameters/Fly Cone Settings
Cone setting for flying through the airways
Cone Graphic and Definition
 Syngo Fly Through
 Patient Preparation
 Workflow
 Syngo Fly Through
 Navigation of the Endoscopic Volume
 Fly Path Planning
 Syngo Fly Through
 Syngo Dental CT
Basics
What can syngo Dental CT do?
 Scan Protocols
Panoramic view Paraxial view
 User interface of syngo Dental CT
 Additional Important Information
TOP-cranial view Caudal view
 Syngo Dental CT
 Paraxial lines using Cluster
 Syngo Osteo CT
Siemens Reference Data
 Scanning Procedure
Scan Protocols
 Syngo Osteo CT
 Topographic Phantom inside the FoV
 Configuration
 Syngo Osteo CT
 Example for one patient with three Osteo tomo- grams
Data structure of the result file
 Abbreviations
 Evaluation Workflow
Water Bone equivalent equivalent Correcting contour lines
 Syngo Osteo CT
 Score
 285
 Syngo Osteo CT
 Filming layout
 Syngo Volume Evaluation
 Syngo Volume Evaluation
 Prerequisites
 Workflow
 Preparing Volume Calculation
Planning a Volume
 Planning a Volume with Automatic Volume Detec Tion
 Restricting Automatic Volume Detection
Planning a Volume with the Interactive Volume Definition
 295
 Syngo Volume Evaluation
 Overlap and Mark&Link Method
 Syngo Volume Evaluation
 Evaluation Results
 General Hints
Loading Images
 ROI and Volume Definition
 Restrictions for Linking and Unlinking
 Configuration
 Syngo Volume Evaluation
 305
 Syngo Dynamic Evaluation
 Syngo Dynamic Evaluation
 Prerequisites
 Workflow
 Inspecting the Input Images
Generation of Parameter Images
 Syngo Dynamic Evaluation
 Syngo Dynamic Evaluation
 Creating a Baseline Image
Click on the button Generate baseline image with the mouse
 Evaluation of Region of Interests
Display of the Pixel Lens curve
 Enhancement Curve
Absolute/Relative Enhancement curve
 Documentation of Results
 Defining the Tissue Range
Slice Position with Multi-Row Scanners
Help to Interpret the Enhancement
 Delay of Injection
Filtering
Moving the Sampling Line
 Relative Enhancement Curve
Time Axis
Enhancement Axis Y
Absolute Enhancement Curve
 Configuring Dynamic Evaluation
 Manufacturer