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