Siemens SOMATOM Sensation Cardiac Version A60 Application Manual
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Siemens SOMATOM Sensation Cardiac Version A60, 64 LungCare LungCare kV 120 Effective mAs 20 Slice collimation 0.75 mm Slice width 1.0 mm Feed/Rotation 18.0 mm Rotation time 0.5 sec. Kernel B50f Increment 0.5 mm Image order cr-ca CTDI w 1.7 mGy Effective dose Male: 0.6 mSv Female: 0.7 mSv A dedicated low dose Spiral mode for the syngo Lung CARE evaluation. Indications: Lung studies with low dose setting, e.g. early visuali- zation of pulmonary nodules. A typical thorax study in a range of 30 cm will be covered in 8.9 s. We recommend using a tube voltage of at least 120 kV. For further information on the syngo Lung CARE Application, please refer to the Application Guide “Clinical Options”.
Siemens SOMATOM Sensation Cardiac Version A60, 106 PulmonaryEmboli Indications: For Pulmonary Emboli studies. There are two recon jobs predefined. The first one, with 5 mm slice thickness, the second reconstruction, with 1 mm slice thickness. A range of 30 cm will be covered in 10.6 s. Thorax
102 Thorax Overview • LungLowDose Spiral mode with very low dose for special lung studies, e. g. early visualization of pulmonary nodules • PulmonaryEmboli Spiral mode for Pulmonary Emboli studies • ThoraxCombi For the combination of thin slice lung and routine thorax studies • ThoraxRoutine For routine thorax studies
Siemens SOMATOM Sensation Cardiac Version A60, 76 HeadAngio Indications: Spiral mode for head CT angiography, e.g. cerebral vascular abnormalities, tumors etc. HeadAngio 2 nd Reconstr. kV 80 Effective mAs * Slice collimation 0.75 mm Slice width 2.0 mm 1.0 mm Feed/Rotation 6.8 mm Rotation time 0.5 sec. Kernel H20f H10f Increment 2.0 mm 0.7 mm Image order ca-cr * The mAs should be adjusted to the age of the child. * The conversion factor for an 8-week-old, and a scan range of 40 mm was used. ** The conversion factor for a 7-year-old and a scan range of 60 mm was used. Age kV mAs CTDI w Effective dose (mGy) (mSv) < 6 years 80 100 8.4 Male: 0.4* F
Siemens SOMATOM Sensation Cardiac Version A60, 19 General Some of the Scan protocols, mainly for Angio exami- nations, are already delivered with Auto load in 3D. If you do not like, please deselect the Auto load in 3D and save your scan protocol. Some of the Scan protocols are delivered with links to a postprocessing protocol. If you do not like our suggestions, please delete the Range Parallel preset or overwrite them with your own settings. Contrast Medium IV Injection* The administration of a contrast medium depends on the indication a
58 Bolus Tracking TestBolus Indications: This mode can be used to test the start delay of an optimal enhancement after the contrast medium injection. TestBolus kV 120 Effective mAs 30 Slice collimation 5.0 mm Slice width 10 mm Feed/Scan 0 mm Rotation time 0.5 sec. Kernel B40f Cycle time 2 s
Siemens SOMATOM Sensation Cardiac Version A60, 67 CT Colonography We recommend using a tube voltage of at least 120 kV. A comprehensive study consists of four sections: Preparation, examination in supine & prone positioning and post processing. • Patient preparation In the case of CT Colonography, adequate prepa- ration in bowel cleansing must be done prior to the CT examination. Important for good results in a CT Colonography examination is the optimal preparation of the patient. The patient has to start with a diet and bowel cleaning two days prior to the examination like for a conventional Colonoscopy. • Patient examination The bowels can be delineated with air. Or, if desired, with carbon di
Siemens SOMATOM Sensation Cardiac Version A60, 59 Bolus Tracking Application Procedures: 1. Select the spiral mode that you want to perform, and then “Append” the TestBolus mode under Special protocols. 2. Insert the Test Bolus mode above the spiral mode for contrast scan by “cut/paste” (with right mouse button). 3. Perform the Topogram, and define the slice position for TestBolus. 4. Check the start delay, number of scans and cycle time before loading the mode. 5. A test bolus with 10-20 ml is then administered with the same flow rate as during the following spiral scan. Start the contrast media injection and the scan
107 PulmonaryEmboli 2 nd Reconstr. kV 120 Effective mAs 100 Slice collimation 0.75 mm Slice width 5.0 mm 1.0 mm Feed/Rotation 15.0 mm Rotation time 0.5 sec. Kernel B30f B80f Increment 5.0 mm 0.7 mm Image order cr-ca CTDI w 7.8 mGy Effective dose Male: 3.0 mSv Female: 3.9 mSv * CARE Bolus may be used to optimize the bolus timing. Set the ROI for monitoring scan in the truncus pulmonalis wi
Siemens SOMATOM Sensation Cardiac Version A60, 108 Thorax ThoraxCombi Indications: Combining thin slice lung and routine thorax studies with one spiral scan. E.g. thorax studies in general and interstitial changes in the lungs. There are two recon jobs predefined. The first one, with 5 mm slice thickness, for the mediastinum, the second reconstruction, with 1 mm slice thickness, for the lung. A range of 30 cm will be covered in 10.6 s.
Siemens SOMATOM Sensation Cardiac Version A60, 68 Children Overview This folder contains 8 organ specific pediatric proto- cols with 2 to 5 age or weight dependant subgroups. For your convenience, the protocols are numbered according to the body regions, i. e. from head to abdomen. The scan protocols for Head and Neck regions are defined according to age, and the scan protocols for the other body regions are defined according to body weight. As a default, the effective mAs is set to the lowest category, e.g. less than 6 months in head modes, and the suggested effective mAs values for the other
86 Children AbdCTA Indications: For abdominal CT Angio studies, e. g. vascular abnormalities, aneurysms, etc. AbdCTA 2 nd Reconstr. kV 80 Effective mAs * Slice collimation 0.75 mm Slice width 3.0 mm 1.0 mm Feed/Rotation 12 mm Rotation time 0.5 sec. Kernel B30f B20f Increment 3.0 mm 0.7 mm Image order cr-ca * The mAs should be adjusted to the body weight of the ch
Siemens SOMATOM Sensation Cardiac Version A60, 52 HeartView CT You can activate the “Auto load in 3D” function on the Examination Card/Auto Tasking and link it to a recon job. If the postprocessing type is chosen from the pull down menu, the reconstructed images will be loaded automatically into the 3D Card on the Navigator with the corresponding postprocessing type. On the 3D Card you have the possibility to create for MPR, MIPthin Range Parallel and Radial protocols which can be linked to a special series. For example, if you always do MIP Reconstructions for a Coronary CTA examination, you load once the images into the 3D Card. Select the image type (e. g. MIPthin) and the orientation, and the
Siemens SOMATOM Sensation Cardiac Version A60, 80 Children NeonateBody Indications: Spiral mode for routine neonate body studies, e. g. tumors, abnormalities, malformations, abscesses, etc. NeonateBody kV 80 Effective mAs 25 Slice collimation 1.5 mm Slice width 6.0 mm Feed/Rotation 24 mm Rotation time 0.5 sec. Kernel B30f Increment 6.0 mm Image order cr-ca CTDI w 0.55 mGy Effective mAs* Male: 0.5 mSv Female: 0.7 mSv * The conversion factor for an 8-week-old, and a scan range of 150 mm was used.
24 HeartView CT Coronary arteries: • Right coronary artery (RCA) Right coronary artery supplies blood to the right atrium, right ventricle, a small part of the ventricular septum. • Left coronary artery (LCA) Left coronary artery supplies blood to the left atrium, left ventricle and a large part of the ventricular septum. SVC:Superior Vena Cava IVC: Inferior Vena Cava RA: Right A
Siemens SOMATOM Sensation Cardiac Version A60, 126 AngioRunOff Indications: For CTA studies A range of 100 cm will be done in 21.4 s. AngioRunOff 2 nd Reconstr. kV 120 Effective mAs 130 Slice collimation 1.5 mm Slice width 6.0 mm 2.0 mm Feed/Rotation 24.0 mm Rotation time 0.5 sec. Kernel B30s B20s Increment 6.0 mm 1.5 mm Image order cr-ca cr-ca CTDI w 9.1 mGy Effective dose Male: 4.4 mSv Female: 3.2 mSv Extremities
Siemens SOMATOM Sensation Cardiac Version A60, 33 HeartView CT * Depends on heart rate. CaScoreSpiStd0.5s Indications: This is a spiral scanning protocol, using an ECG gating technique for coronary calcium scoring studies, with a rotation time of 0.5 seconds. Topogram: AP, 512 mm. From the carina until the apex of the heart. A typical range of 15 cm covering the entire heart can be done in 11.7 s. CaScoreSpiStd0.5s kV 120 Effective mAs 133 Slice collimation 1.5 mm Slice width 3 mm Feed/Rotation 6.8 mm Rotation time 0.5 sec. Temporal Resolution Up to125 ms* Kernel B35f Increment 1.5 mm Image order cr-ca CTDI w 9.6 mGy Effective Dose Male: 2.1 mSv Female: 3.1 mSv
Siemens SOMATOM Sensation Cardiac Version A60, 122 AbdomenSeq Indications: Sequential mode for addomen studies. AbdomenSeq kV 120 Effective mAs 140 Slice collimation 5.0 mm Slice width 5.0 mm Feed/Scan 10.0 mm Rotation time 0.5 sec. Kernel B31f Image order cr-ca Abdomen
Siemens SOMATOM Sensation Cardiac Version A60, 13 General Dose Information The dose as described by CTDI w is displayed on the user interface for the selected scan parameters. The CTDI w is measured in the dedicated plastic phantoms – 16 cm diameter for head and 32 cm diameter for body (as defined in IEC 60601-2-44). This dose number gives a good estimate for the average dose applied in the scanned volume as long as the patient size is similar to the size of the respective dose phantoms. Since the body size can be smaller or larger than 32 cm, the CTDI value disp
Siemens SOMATOM Sensation Cardiac Version A60, 22 HeartView CT HeartView CT HeartView CT is a clinical application package specifically tailored to cardiovascular CT studies. The Basics Important Anatomical Structures of the Heart Four chambers: • Right atrium – receives the deoxygenated blood back from the body circulation through the superior and inferior vena cava, and pumps it into the right ventricle • Right ventricle – receives the deoxygenated blood from the right atrium, and pumps it into the pulmo- nary circulation through the pulmonary arteries • Left atrium – receives the oxygenated
Siemens SOMATOM Sensation Cardiac Version A60, 29 HeartView CT Fig. 14 CardioCARE This is a dedicated cardiac filter which can reduce image noise thus provides the possibility of dose reduc- tion. It is applied in a pre-defined scan protocol called “CoronaryCARE.” CardioSharp This is a dedicated reconstruction kernel used for better edge definition in coronary artery imaging. It is applied in a pre-defined cardiac scan protocol called “CoronarySharp.” Image examples are shown in figure 15. Fig. 15: Image reconstruction with (15b) and without (15a) Cardio Sharp kernel. 15a 15b
Siemens SOMATOM Sensation Cardiac Version A60, 49 HeartView CT PulmonaryECG Indications: This is a spiral scanning protocol with an ECG gating technique for aortic and pulmonary studies, e. g. aortic dissection or pulmonary emboli. PulmonaryECG kV 120 Effective mAs 200 Slice collimation 1.5 mm Slice width 3.0 mm Feed/Rotation 5.6 mm Rotation time 0.42 sec. Temporal resolution Up to 105 ms* Kernel B30f Increment 2.0 mm Image order cr-ca CTDI w 14.4 mGy Effective dose Male: 5.7 mSv Female: 7.3 mSv Topogram: AP, 512 mm. From the aorta arch until the tip of the sternum. A typical
Siemens SOMATOM Sensation Cardiac Version A60, 99 Neck Hints in General 1. Topogram: Lateral, 256 mm. 2. Patient positioning: Patient lying in supine position, hyperextend neck slightly, secure head well in head cradle. 3. Patient respiratory instruction: do not breathe, do not swallow. 4. For image reconstruction of bone structure, use kernel B60. 5. In case of 3D study only, the mAs value can be reduced by 50%. Use kernel B10 and 50% over- lapping for image reconstruction. 6. For examinations in the Neck/Shoulder region at least 120 kV is recommendable for optimized image quality. For large patients 140 kV is advisable.
Siemens SOMATOM Sensation Cardiac Version A60, 117 Abdomen AbdRoutine kV 120 Effective mAs 140 Slice collimation 1.5 mm Slice width 5.0 mm Feed/Rotation 24.0 mm Rotation time 0.5 sec. Kernel B31f Increment 5.0 mm Image order cr-ca CTDI w 10.0 mGy Effective dose Male: 5.8 mSv Female: 8.9 mSv You could repeat the same protocol simply by clicking the chronicle with the right mouse button for “repeat“. E. g. when both non-contrast and contrast studies are required. Contrast medium IV injection Start delay 50 – 60 sec. Flow rate 4.0 ml/sec. Total amount 100 ml
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