Siemens EMOTION 16-Jun User Manual Page 1

SOMATOMEmotion 6/16-slice configurationApplication GuideProtocolsPrinciplesHelpful HintsSoftware Version syngo CT 2007E

10 ContentsThoraxFast06s 244- ThoraxHR 246- ThoraxHRSeq 250- ThoraxECGHRSeq 252-LungLowDose/LungLowDose06s 254-LungCARE/LungCARE06s 258 Abdomen 262•

100Workflow InformationManipulate scan protocolsThis workflow consists of four steps.Step 2 - Manipulate scan protocols (cut/copy/paste/delete)To be a

Workflow Information101Setting the Emergency Protocol:One protocol must be labeled as the emergency pro-tocol, if you want to change the default emerg

102Workflow InformationStep 3 - ConfirmationHere you can check the modifications and save the changes. All relevant information such as the Name of th

Workflow Information103Change parametersThis workflow consists of five steps.Step 2 - Select the scan protocols you want to changeHere you can select:

104Workflow InformationAll scan protocols selected in Step 2 are displayed. For each parameter you can select the scan protocols you want to apply you

Workflow Information105ProtocolSelect single scan protocol or all scan protocols you want to modify in this subsection.In the subsection Protocol the

106Workflow InformationThe four buttons: Column Configuration, Show/Hide Parameters, Parameter Property and Find/Replace are now available.– Column Co

Workflow Information107TopogramSelect single scan protocol or all scan protocols you want to modify in this subsection.In the subsection topogram the

108Workflow InformationScanSelect single scan protocol or all scan protocols you want to modify in this subsection. Additionally you can select the sc

Workflow Information109It is possible to insert the Autorange brackets in a selected Multi Range by using the right mouse button and removing the Paus

Contents11 - SpineSeq 308- Osteo 312 Pelvis 314• Overview 314- General Hints 316- Body Kernels 317• Scan Protocols 318- Pelvis 318- PelvisVol 322-

110Workflow InformationScan Parameters Spiral ModeSequence ModeMultiscan ModeCareVision ModeMixed ModemAs X X X Xeff. mAs X

Workflow Information111ReconYou can select all recon jobs, Sequence, Spiral, Multi-scan and CareVision Scan Entries you want to modify in this subsect

112Workflow InformationIn the subsection Recon the following changes can be made:Scan Parameters Spiral ModeSequence ModeMultiscan ModeCareVision Mode

Workflow Information113AutoTaskingSelect single recon job or all recon jobs you want to modify in this subsection. Additionally you can display inform

114Workflow InformationIn the subsection Auto Tasking the following changes can be made:• Auto transfer 1,2,3•Auto Viewing •Auto Recon• Auto Filming•

Workflow Information115TriggerSelect single, all, all sequence or all spiral scan proto-cols with trigger,• When "include scan range and recon in

116Workflow InformationSome parameters listed are associated with each other. If you input a value which influences another value and therefore causes

Workflow Information117Import scan protocols from SOMATOM LifeNet/CDIn this workflow you can import new scan protocols either from SOMATOM LifeNet, if

118Workflow InformationRestoring protocols to Siemens defaultThis workflow consists of four steps:Step 2- Select the scan protocols you want to restor

Workflow Information119If no customized scan protocols are selected, the radiobuttons <Replace customized protocols with samename> and <Add S

12 Contents Vascular 360• Overview 360- General Hints 363- Head Kernels 364- Body Kernels 365• Scan Protocols 366- HeadAngio/HeadAngio06s 366- Hea

120Workflow InformationStep 4 -Changes savedIn this step you can decide if you want to pass a differ-ent modification workflow or if you want to exit

Workflow Information121

122 Contrast MediumContrast MediumThe BasicsThe administration of intravenous (IV) contrast mate-rial during spiral scanning improves the tissue and l

Contrast Medium 123The dynamics of the contrast enhancement is deter-mined by:• Patient cardiac output•Injection rate• Total volume of contrast mediu

124Contrast MediumInjection rate: 2 ml/s,120 ml, 300 mg I/mlInjection rate: 4 ml/s,120 ml, 300 mg I/mlTotal volume of contrast medium injected: 80 ml,

Contrast Medium 125IV Injection*The administration of a contrast medium depends on the indication and on the delay times to be used during the examin

126Contrast MediumBolus TrackingAn automatic Bolus Tracking program is available which enables triggering of the spiral scanning at the optimal phase

Contrast Medium 127– Move the monitoring scan line toward the optimal position and release the mouse button, it will be snapped automatically. (Trick

128Contrast MediumTest Bolus using CARE BolusYou can use the CARE Bolus option as a Test Bolus.Method1.Insert a Bolus Tracking via the context menu pr

Contrast Medium 129Test BolusThis is a low dose sequential protocol without table feed used to calculate the start delay of a spiral scan to ensure o

Contents13 -PolyTrauma/PolyTrauma06s 426- HeadTrauma 430- HeadTraumaSeq 432- Additional Important Information 434• Interventional CT - Biopsy 436- B

130Contrast Medium6.Load the images into the DynEva task card and determine the time to peak enhancement. Alterna-tively, on the image segment, click

Contrast Medium 131WorkflowTo start a contrast enhanced examination in coupled mode:• Select the Scan subtask card.• Select under the menu field Scan

132Contrast MediumAfter the injector is armed the scan and the injector can be started by pressing either the Start button/ Footswitch at the scanner,

Contrast Medium 133Additional Important Information•If Coupled Mode is selected the CT checks if there is an injector available.The scan mode cannot

134Contrast MediumThe injector reports a technical problem:The connection between scanner and injector is inter-rupted, or the injection was stopped d

Contrast Medium 135

136 Application InformationSOMATOM LifeNet General InformationSOMATOM LifeNet is our information and service por-tal that can be accessed directly at

Application Information137Key FeaturesSOMATOM LifeNet offline (All users):• General Information about your system and configu-ration • Access to syngo

138Application InformationSOMATOM LifeNet offlineStart SOMATOM LifeNet by selecting SOMATOM LifeNet under Options in your syngo menu bar and you will

Application Information139The syngo Basics E-Learning is pre-installed on your system and can directly be used by selecting E-Train-ing. The syngo Adv

14 Contents Respiratory Gating 484• Key Features 486- Respiratory Gating 486- Respiration Monitoring 486- Respiration Synchronization 487• Position

140Application InformationSOMATOM LifeNet onlineWhen you start up your system you will receive up-to-date information in the Newsticker and see the ex

Application Information141Download of FilesEach download will be performed in the background and even if you disconnect your SOMATOM LifeNet online se

142Application InformationThe E-training is automatically installed as soon as it is downloaded and can be started within the SOMATOM LifeNet offline

Application Information143All new protocols, including those you did not choose to import to the Customer Folder will also be stored in the Siemens Fo

144Application InformationContact FunctionContacting Siemens via Email is possible directly from your scanner and even DICOM images can be attached to

Application Information145Trial Order and InstallationAs a SOMATOM CT user you can request trial clinical software directly from the scanner. The requ

146Application InformationForwarding information via EmailThis service enables those customers who do not have a printing device connected to their CT

Application Information147Image ConverterThe CT application Common DICOM Adapter can con-vert different DICOM data sets to formats provided by other C

148Application InformationIn the pop-up window you can select the application for which you want to convert the images

Application Information149Split-Up Multi-Phase Series1.Select Split-up series according to trigger delay from the section Split-up Heartview 4D series

15 Contents- ThoraxRoutine/ThoraxRoutine06s 546- ThoraxCombi/ThoraxCombi06s 550- ThoraxHRSeq 554- AbdomenRoutine/AbdomenRoutine06s 558- Spine/SpineRo

150Application InformationReport Template ConfigurationUnder Options/Configuration you will find the Report Template Configuration.With the Report Con

Application Information151File BrowserThe File Browser provides you with a secure means of accessing and managing data in a private folder, which is a

152Application InformationRaw data transfer:Raw data set can be transferred.First configure the directory where the raw data should be transferred to:

Application Information153Burn on CD:• Do not write files to CD-R while other jobs are being transferred.• Make sure that the volume of data to be rec

154Application InformationReview reports and movies:• Select the desired files and double-click on them.• The corresponding program, for example, Movi

Application Information155CamtasiaCamtasia is a separate software tool that allows you to film your desktop activities. You can save these record-ings

156Application InformationUnder Tools > Options you can define special settings for recording:• AVI – to define Video and Audio options• File – to

Application Information157• Program – to define capture options

158Application InformationThe Effects Options dialog box allows you to set options for your recording, for example, cursor effects.

Application Information159Additional Important Information• To transfer avi files from the file browser to any exter-nal storage device, for example C

16 User DocumentationFor further information about the basic operation, please refer to the corresponding syngo CT Operator Manual:syngo CT Operator M

160Application InformationPatient ProtocolScan: number of scan rangekV: kilo VoltmAs: averaged applied mAs of the rangeref. mAs quality ref. mAs of t

Application Information161

162 OverviewIn this chapter you will find all scan protocols relating to the Head region, their descriptions, individual indi-cations, and important h

Head163For SOMATOM Emotion 16-slice configuration:– HeadRoutineSpiral mode for routine head studies– HeadNeuroSpecial spiral mode using an acq. of 4 x

164HeadFor SOMATOM Emotion 6-slice configuration:– HeadRoutineSpiral mode for routine head studies– HeadSeqSequential mode for routine head studies– I

Head165General Hints• Topogram: Lateral, 256 mm.• Patient positioning:Patient lying in supine position, arms resting against body, secure head well in

166HeadHead Kernels• For soft tissue head studies, the standard kernel is H40s; softer images are obtained with H30s or H20s, H10s, sharper images wit

Head167

168HeadScan ProtocolsHeadRoutineIndications:Spiral mode for routine head studies, for example, stroke, brain tumors, cranial trauma, cerebral atrophy,

Head169Emotion 16 Base CerebrumkV 130 130Effective mAs/Quality ref. mAs220 240Rotation time 1.5 sec. 1.5 sec.Acquisition 16 x 0.6 mm 16 x 1.2 mmSlice

User Documentation 17syngo CT Operator Manual Volume 4:syngo LungCARE CTsyngo Pulmo CTsyngo Neuro Perfusion CTsyngo Body Perfusion CTsyngo CT Operator

170HeadEmotion 6 Base CerebrumkV 130 130Effective mAs/Quality ref. mAs220 250Rotation time 1.5 sec. 1.5 sec.Acquisition 6 x 1.0 mm 6 x 2.0 mmSlice col

Head171Hints• An automatic bone correction allows for improved head image quality, without any additional postpro-cessing.• In order to optimize image

172HeadHeadNeuroIndications:Special spiral neuro mode for dedicated head studies.Two ranges are predefined for the base of the skull using an acquisit

Head173Hints• An automatic bone correction allows for improved head image quality, without any additional postpro-cessing.• In order to optimize image

174HeadHeadSeqIndications:Sequence mode for routine head studies, e.g. stroke, brain tumors, cranial trauma, cerebral atrophy, hydro-cephalus, and inf

Head175Emotion 16 BaseSeq CerebrumSeqkV 130 130Effective mAs/Quality ref. mAs270 270Rotation Time 1.5 sec. 1.5 sec.Acquisition 2 x 5.0 mm 2 x 8.0 mmSl

176HeadHints• An automatic bone correction allows for improved head image quality, without any additional postpro-cessing.• In order to optimize image

Head177InnerEarHRIndications:Spiral mode for inner ear high resolution studies, e.g. inflammatory changes, tumorous processes of pyra-mids, cerebellop

178HeadEmotion 16 InnerEar 2nd reconstr.kV 130Effective mAs/Quality ref. mAs130Rotation Time 1.0 sec.Acquisition 4 x 0.6 mmSlice collimation 0.6 mmSli

Head179Hints• For image reconstruction of soft tissue, use kernel H30s/H31s.• An automatic bone correction allows for improved head image quality, wit

18 Scan and ReconstructionConcept of Scan ProtocolsThe scan protocols for adult and children are defined according to body regions - Head, Neck, Shoul

180HeadInnerEarHRVolIndications:Spiral mode for high resolution inner ear studies, e.g.malformations of the inner ear, inflammatory-changes, pathologi

Head181Emotion 6 InnerEar2nd recon.3d recon.kV 130Effective mAs/Quality ref. mAs130Rotation Time 1.0 sec.Acquisition 6 x 0.5 mmSlice collimation 0.5 m

182HeadHints• For image reconstruction of soft tissue, use kernel H30s/H31s.• An automatic bone correction allows for improved head image quality, wit

Head183

184HeadInnerEarIndications:Spiral mode for inner ear studies, e.g. inflammatory changes, tumorous processes of pyramids, cerebel-lopontine angle tumor

Head185Emotion 16 InnerEar 2nd reconstr.kV 130Effective mAs/Quality ref. mAs120Rotation Time 1.0 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6 mmSl

186HeadHints• For image reconstruction of soft tissue, use kernel H30s/H31s.• An automatic bone correction allows for improved head image quality, wit

Head187

188HeadInnerEarSeqIndications:Sequence mode for inner ear studies, e.g. inflamma-tory changes, tumorous processes of pyramids, cere-bellopontine angle

Head189Emotion 16 InnerEarSeqkV 130Effective mAs/Quality ref. mAs140Rotation Time 1.0 sec.Acquisition 12 x 0.6 mmSlice collimation 0.6 mmSlice width 0

Scan and Reconstruction 19Scan Set UpScans can be simply set up by selecting a predefined examination protocol. To repeat any mode, just click the chr

190HeadHints• For image reconstruction of soft tissue, use kernel H30s/H31s.• An automatic bone correction allows for improved head image quality, wit

Head191

192HeadSinusIndications:Spiral mode for paranasal sinuses studies, e.g. sinusi-tis, mucocele, pneumatization, polyposis, tumor, cor-rections etc.For S

Head193Emotion 16 Sinus 2nd recon.3rd recon.4th recon.kV 130Effective mAs/Quality ref. mAs35Rotation time1.0 sec.Acquisition 16 x 0.6 mmSlice collimat

194HeadHint• For low dose studies use only 20 mAs.Emotion 6 Sinus 2nd recon.3rd recon.4th recon.kV 130Effective mAs/Quality ref. mAs35Rotation time1.0

Head195

196HeadSinusVolIndications:Spiral mode for axial and coronal paranasal sinuses studies, e.g. sinusitis, mucocele, polyposis, tumor, cor-rections etc.T

Head197Hint• For low dose studies use only 20 mAs.Emotion 6 Sinus 2nd recon.3d recon.kV 130Effective mAs/Quality ref. mAs35Rotation Time 1.0 sec.Acqui

198HeadOrbitIndications:Spiral mode for orbital studies, e.g. fracture.For SOMATOM Emotion 16-slice configuration:A range of 50 mm will be covered in

Head199Hint• For low dose studies use only 20 mAs.Emotion 6 Orbit 2nd reconstr.kV 130Effective mAs/Quality ref. mAs70Rotation Time 1.0 sec.Acquisition

The information presented in this application guide is for illustration only and is not intended to be relied upon by the reader for instruction as to

20 Scan and ReconstructionTopo Length* only in combination with PET and SPECT, option** only in combination with SPECT, option*** only in combination

200HeadDentalIndications:This is the scan protocol for the syngo Dental applica-tion package. It is used for evaluation and reformatting of the upper

Head201Emotion 16 DentalkV 130Effective mAs/Quality ref. mAs45Rotation Time 1.0 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6 mmSlice width 0.75 mm

202HeadFor further information on the scan protocols and how to use syngo Dental CT, please refer to the Application Guide "Clinical Applications

Head203Hint• An automatic bone correction allows for improved head image quality, without any additional postpro-cessing.• In order to optimize image

204 OverviewIn this chapter you will find all scan protocols relating to the Neck region, their descriptions, individual indi-cations, and important h

Neck 205For SOMATOM Emotion 16-slice configuration:– NeckRoutineSpiral mode for soft tissue routine neck studies– NeckVolSpiral mode for axial, coron

206 NeckGeneral Hints• Topogram: Lateral, 256 mm or AP 512 mm.• Patient positioningPatient lying in supine position, hyperextend neck slightly, secure

Neck 207Body Kernels• As standard kernels for body tissue studies B30s or B40s are recommended; softer images are obtained with B20s or B10s (extreme

208 NeckScan ProtocolsNeckRoutineIndications:Spiral mode for soft tissue studies in the cervical region, e.g. tumors, lymphoma, abscesses etc.For SOMA

Neck 209Emotion 16 NeckRoutine 2nd reconstr.kV 130Effective mAs/Quality ref. mAs130Rotation Time 1.0 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6

Scan and Reconstruction 21Scan ModesSequential ScanningThis is an incremental, slice-by-slice imaging mode in which there is no table movement during

210 NeckHints• Due to its iodine content, the thyroid gland is hyper-dense in relation to the neighboring muscles both before and after an IV CM injec

Neck 211

212 NeckNeckThinSliceIndications:Spiral mode using thin slices for soft tissue studies,e.g. the functional study of the throat. For SOMATOM Emotion 6-

Neck 213Hints• Due to its iodine content, the thyroid gland is hyper-dense in relation to the neighboring muscles both before and after an IV CM inje

214 NeckNeckVolIndications:Spiral mode for soft tissue studies in the cervical region, e.g. tumors, lymphoma, abscesses etc. Three recon jobs are pred

Neck 215Emotion 6 Neck 2nd recon.3rd recon.kV 130Effective mAs/Quality ref. mAs130Rotation Time 0.8 sec.Acquisition 6 x 1.0 mmSlice collimation 1.0 m

216 NeckHints• Due to its iodine content, the thyroid gland is hyper-dense in relation to the neighboring muscles both before and after an IV CM injec

Neck 217

218OverviewIn this chapter you will find all scan protocols relating to the Shoulder region, their descriptions, individual indications, and important

Shoulder 219General Hints• Topogram: AP, 256 mm.• Patient positioning:Patient lying in supine position, the uninjured arm placed above the head, the i

22 Scan and ReconstructionQuick ScanThe data is usually acquired during a full 360° rotation – this is a Full scan. Data acquisition not using a full

220 ShoulderScan ProtocolsShoulderIndications:Spiral mode for bone studies and soft tissue, e.g. evaluation of joint cavities, masses, trauma, disloc

Shoulder 221Emotion 16 Shoulder 2nd recon.kV 130Effective mAs/Quality ref. mAs100Rotation Time 1.5 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6 mm

222 ShoulderHints• Use raw data to review a target region if necessary.• For image reconstruction of soft tissue use kernel B31s and a slice width of

Shoulder 223

224 ShoulderShoulderVolIndications:Spiral mode for bone studies and soft tissues, e.g. eval-uation of joint cavities, masses, trauma, dislocations, o

Shoulder 225Hints• Use raw data to review a target region if necessary.• For image reconstruction of soft tissue use kernel B31s and a slice width of

226 OverviewIn this chapter you will find all scan protocols relating to the Thorax region, their descriptions, individual indications, and important

Thorax 227For SOMATOM Emotion 16-slice configuration:– ThoraxRoutineSpiral mode for routine thorax studies– ThoraxCombiSpiral mode for the combination

228 ThoraxFor SOMATOM Emotion 6-slice configuration:– ThoraxRoutine/ThoraxRoutine06sSpiral mode for routine thorax studies– ThoraxCombi/ThoraxCombi06s

Thorax 229General Hints• Topogram: AP, 512 mm.• Patient positioning: Patient lying in supine position, arms positioned comfortably above the head in t

Scan and Reconstruction 23UFC detectorSiemens’ proprietary, high-speed Ultra Fast Ceramic (UFC) detector enables a virtually simultaneous read-out of

230 Thorax• Lung images should be documented in both soft tis-sue window and lung window.• It is also possible to interleave the soft tissue & lun

Thorax 231Body Kernels• As standard kernels for body tissue studies B30s or B40s are recommended; softer images are obtained with B20s or B10s (extrem

232 ThoraxScan ProtocolsThoraxRoutine/ThoraxRoutine06sIndications:Routine spiral studies for the region of thorax, e.g. examination of tumors, metasta

Thorax 233Emotion 16 ThorRoutine 2nd recon.kV 130Effective mAs/Quality ref. mAs70Rotation Time 0.6 sec.Acquisition 16 x 1.2 mmSlice collimation 1.2 mm

234 ThoraxHint• For lung cancer evaluation, this protocol can be com-bined with protocol NeckRoutine.Contrast medium IV injectionStart delay 25 – 30 s

Thorax 235ThoraxCombi/ThoraxCombi06sIndications:Combining thin slice lung and routine thorax studies with one spiral scan. E.g. thorax studies in gene

236 ThoraxEmotion 16 Thor Combi2nd recon.3rd recon.4th recon.kV 130Effective mAs/Quality ref. mAs70Rotation time0.6 sec.Acquisition 16 x 0.6 mmSlice c

Thorax 237Emotion 6 Thor Combi2nd recon.3rd recon.4th recon.kV 130Effective mAs/Quality ref. mAs70Rotation time0.8/0.6 sec.Acquisition 6 x 1.0 mmSlice

238 ThoraxHints• In addition to the mediastinum and the lungs, it may be necessary to evaluate the axillary fatty tissue and the bilateral mammary gla

Thorax 239

24 Scan and ReconstructionAcquisition, Slice Collimation and Slice WidthSlice collimation is the slice thickness resulting from the effect of the tube

240 ThoraxThoraxVolIndications:Routine spiral studies for the region of thorax, e.g., visualization of tumors, metastases, lymphoma, lymph nodes, vasc

Thorax 241Emotion 16 Thor Combi2nd recon.3rd recon.4th recon.kV 130Effective mAs/Quality ref. mAs70Rotation time0.6 sec.Acquisition 16 x 0.6 mmSlice c

242 ThoraxFor the 3rd and 4th reconstruction a non-square matrix 3D recon job is predefined.Emotion 6 Thor Combi2nd recon.3rd recon.4th recon.kV 130Ef

Thorax 243Hint• In addition to the mediastinum and the lungs, it may be necessary to evaluate the axillary fatty tissue and the bilateral mammary glan

244 ThoraxThoraxFast/ThoraxFast06sIndications:Fast spiral mode for lung studies, e.g. when a patient has difficulty with breathhold.For SOMATOM Emotio

Thorax 245Hints• For lung cancer evaluation, this protocol can be com-bined with protocol “Neck Routine”.Emotion 6 ThorFast 2nd recon.kV 130Effective

246 ThoraxThoraxHRIndications:Spiral mode for high resolution studies, e.g. interstitial changes in the lungs.For SOMATOM Emotion 16-slice configurati

Thorax 247Emotion 16 ThorHR 2nd recon.3rd recon.4th recon.kV 130Effective mAs/Quality ref. mAs100Rotation time0.6 sec.Acquisition 16 x 0.6 mmSlice col

248 ThoraxHints• With studies of interstitial changes in the lungs, con-trast medium is not necessary.• This examination is normally performed followi

Thorax 249

Scan and Reconstruction 25SOMATOM Emotion 16-slice configu-rationSpiral ModeHR/Neuro Spiral ModeSequence ModeCollimation/AcquisitionSlice width16 x 0.

250 ThoraxThoraxHRSeqIndications:Sequence mode for high-resolution lung studies, for example, interstitial changes in the lungs using a feed of 10 mm.

Thorax 251Hints• If you want to reconstruct thin slices every 10 or 20 mm instead of 15 mm as predefined, simply change the Feed/Scan before loading t

252 ThoraxThoraxECGHRSeqIndications:Sequence mode for High Resolution, ECG triggered lung studies, e.g. interstitial changes in the lungs.For SOMATOM

Thorax 253Hints• With studies of interstitial changes in the lungs, con-trast medium is not necessary.• If you want to reconstruct thin slices every 1

254 ThoraxLungLowDose/LungLowDose06sIndications:Spiral lung studies with low dose setting, e.g. early visualization of pulmonary nodules.For SOMATOM E

Thorax 255Emotion 16LungLowDose2nd recon.3rd recon.4th recon.kV 110Effective mAs/Quality ref. mAs16Rotation time0.6sec.Acquisition 16 x 0.6 mmSlice co

256 ThoraxEmotion 6 LungLowDose 2nd recon.kV 110Effective mAs/Quality ref. mAs16Rotation Time 0.8/0.6 sec.Acquisition 6 x 2.0 mmSlice collimation 2.0

Thorax 257Hints• For lung cancer evaluation, this protocol can be com-bined with protocol “Neck Routine”.• Low dose lung images are usually evaluated

258 ThoraxLungCARE/LungCARE06sIndications:Spiral lung study with low dose setting for early visual-ization of pathologies, used for the application Lu

Thorax 259Emotion 16 LungCARE2nd recon.3rd recon.4th recon.kV 110Effective mAs/Quality ref. mAs15Rotation time0.6 sec.Acquisition 16 x 0.6 mmSlice col

26 Scan and ReconstructionSOMATOM Emotion 6-slice configura-tionSpiral ModeSequence ModeHR Spiral ModeHR Sequence ModeCollimation Slice width1 mm 1,1.

260 ThoraxEmotion 6 LungCARE2nd recon.3rd recon.4th recon.kV 110Effective mAs/Quality ref. mAs15Rotation time0.8/0.6 sec.Acquisition 6 x 1.0 mmSlice c

Thorax 261Hints• For lung cancer evaluation, this protocol can be com-bined with protocol Neck Routine or you can use the protocol NeckThorax.• Low do

262 OverviewIn this chapter you will find all scan protocols relating to the Abdomen region, their descriptions, individual indications, and importan

Abdomen263– AbdMultiPhaseSpiral mode for three phases liver studies– AbdSeqSequential mode for abdominal studies– ColonographySpiral mode used for the

264 AbdomenGeneral Hints• Topogram: AP, 512.• Patient positioning: Patient lying in supine position, arms positioned comfortably above the head in the

Abdomen265– In general, for abdominal studies such as liver, gall bladder (query stones), pancreas, gastrointestinal studies, focal lesion of the kidn

266 AbdomenScan ProtocolsAbdomenRoutine/AbdomenRoutine06sIndications:Spiral mode for routine studies in the region of abdo-men, e.g. evaluation, follo

Abdomen267Emotion 16 AbdRoutinekV 130Effective mAs/Quality ref. mAs120Rotation time 0.6 sec.Acquisition 16 x 1.2 mmSlice collimation 1.2 mmSlice width

268 AbdomenHints• You could repeat the same protocol simply by click-ing the chronicle with the right mouse button for “repeat“. E.g. when both non-co

Abdomen269

Scan and Reconstruction 27IncrementThe increment is the distance between the recon-structed images in Z direction. When the chosen incre-ment is small

270 AbdomenAbdomenCombi/AbdomenCombi06sIndications:Combination of thin slice and routine abdominal stud-ies with one spiral scan.For SOMATOM Emotion 1

Abdomen271Emotion 16 AbdCombi 2nd reconstr.kV 130Effective mAs/Quality ref. mAs130Rotation time 0.6 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6 m

272 AbdomenHints• You could repeat the same protocol simply by click-ing the chronicle with the right mouse button for “repeat“. E.g. when both non-co

Abdomen273

274 AbdomenAbdomenVolIndications:Spiral mode for all routine studies in the region of abdomen, e.g. follow-up examinations etc. Two recon jobs are pre

Abdomen275Emotion 6 AbdCombi 2nd recon.kV 130Effective mAs/Quality ref. mAs130Rotation Time 0.8Acquisition 6 x 1.0 mmSlice collimation 1.0 mmSlice wid

276 AbdomenHints• You could repeat the same protocol simply by click-ing the chronicle with the right mouse button for “repeat“. E.g. when both non-co

Abdomen277

278 AbdomenAbdomenFast/AbdomenFast06sIndications:Fast spiral mode for abdominal studies, e.g. when a patient has difficulty with breathhold.For the SO

Abdomen279Hints• You could repeat the same protocol simply by click-ing the chronicle with the right mouse button for “repeat“. E.g. when both non-con

28 Scan and ReconstructionKernelsThere are 4 different types of kernels: “H“ stands for Head, “B“ stands for Body, “C“ stands for ChildHead and ”S” st

280 AbdomenAbdMultiPhase/AbdMultiPhase06sIndications:Combination of three phase study including liver, pan-creas and kidney.For SOMATOM Emotion 16-sli

Abdomen281A range of 20 cm including liver, pancreas and kidney:arterial phase acquired in 16.83 sec.Emotion 16 Arterial Phase 2nd recon.kV 110Effecti

282 AbdomenA range of 20 cm including liver, pancreas and kidney:arterial phase acquired in 9.01 sec.Emotion 16 Venous PhasekV 130Effective mAs/Qualit

Abdomen283For SOMATOM Emotion 6-slice configuration:A range of 20 cm including liver, pancreas and kidney: arterial phase acquired in 7.87 sec.Emotion

284 AbdomenA range of 20 cm including liver, pancreas and kidney: arterial phase acquired in 12.96 sec.Emotion 6 Arterial Phase 2nd recon.kV 110Effect

Abdomen285A range of 20 cm including liver, pancreas and kidney:arterial phase acquired in 12.96 sec.* CARE Bolus may be used to optimize the bolus ti

286 AbdomenHints• You could repeat the same protocol simply by click-ing the chronicle with the right mouse button for “repeat“. E.g. when both non-co

Abdomen287

288 AbdomenAbdomenSeqIndications:This protocol is created for measurement with sequen-tial mode in the region of the abdomen. For SOMATOM Emotion 16-s

Abdomen289Hints• You could repeat the same protocol simply by click-ing the chronicle with the right mouse button for “repeat“. E.g. when both non-con

Scan and Reconstruction 29Body Kernels:Child Head Kernels:Kernel descriptionB08s very smoothB10s very smoothB19s very smooth B20s smooth B29s smooth B

290 AbdomenColonography/Colonography06sSpiral mode used for the application syngo Colonogra-phy.For SOMATOM Emotion 16-slice configuration:A complete

Abdomen291Emotion 16 Colo_supine Colo_pronekV 130 130Effective mAs/Quality ref. mAs50 30Rotation Time 0.6 sec. 0.6 sec.Acquisition 16 x 0.6 mm 16 x 0.

292 AbdomenCARE Dose 4D is off as default because for CT Colonog-raphy protocols the lowest mAs values are used. For further information on the scan p

Abdomen293

294 OverviewIn this chapter you will find all scan protocols relating to the Spine region, their descriptions, individual indi-cations, and important

Spine 295– SpineVolSpiral mode for axial and sagittal lumbar and tho-racic spine studies– SpineSeqSequential mode for lumbar and thoracic evaluation

296 SpineGeneral Hints• Topogram: Lateral, 512 mm for thoracic and lumbar spine and 256 mm for the C-spine.• Patient positioning for thoracic and lumb

Spine 297• To further optimize MPR image quality we recom-mend that you reduce one or more of the following:collimation, reconstruction increment, an

298 SpineScan ProtocolsC-SpineIndications:Spiral mode for cervical spine studies, e.g. prolapse, degenerative changes, trauma, tumors etc.For SOMATOM

Spine 299Emotion 16 C-Spine 2nd recon.kV 130Effective mAs/Quality ref. mAs150Rotation Time 1.0 sec.Acquisition 16 x 0.6 mmSlice collimation0.6 mmSlic

Overview3 User Documentation 16 Scan and Reconstruction 18 Dose Information 42 Workflow Information 64 Contrast Medium 122 Application Information 1

30 Scan and ReconstructionTopogram Kernels:Special Application:Kernel descriptionT10s smooth T20s standardT21s standard T80s sharp T81s sharp T90s ult

300 SpineC-SpineVolIndications:Spiral mode for cervical spine studies, e.g. prolapse, degenerative changes, trauma, tumors etc.Three recon jobs are pr

Spine 301Emotion 6 C-Spine 2nd recon.3rd recon.kV 130Effective mAs/Quality ref. mAs150Rotation Time 1.0 sec.Acquisition 6 x 1.0 mmSlice collimation 1

302 SpineSpineRoutineIndications:Spiral mode for thoracic and lumbar spine studies, e.g. prolapse, degenerative changes, trauma, tumors etc. For SOMAT

Spine 303Emotion 6 SpineRoutine2nd recon.3rd recon.kV 130Effective mAs/Quality ref. mAs190Rotation Time 1.0 sec.Acquisition 6 x 2.0 mmSlice collimati

304 SpineSpineThinSliceIndications:Spiral mode for thin slice thoracic and lumbar spine studies, e.g. prolapse, degenerative changes, trauma, tumors e

Spine 305SpineVolIndications:Spiral mode for thoracic and lumbar spine studies, e.g. prolapse, degenerative changes, trauma, tumors etc. Three recon

306 SpineEmotion 6 Spine 2nd recon. 3rd recon.kV 130Effective mAs/Quality ref. mAs190Rotation Time 1.0 sec.Acquisition 6 x 1.0 mmSlice collimation 1.0

Spine 307

308 SpineSpineSeqIndications:Sequence mode for spine studies, e.g. prolapse, degenerative changes, trauma, tumors etc. This protocol contains three ra

Spine 309Emotion 16 L3-4 L4-5 L5-S1kV 130 130 130Effective mAs/Quality ref. mAs280 280 320Rotation time 1.5 sec. 1.5 sec. 1.5 sec.Acquisition 12 x 0.

Scan and Reconstruction 31PET-Kernel:SPECT-Kernel:Kernel PETB19s smooth B29s medium smooth B39s medium H19s smooth H29s medium smooth H39s mediumKerne

310 SpineHint• You could repeat the same protocol by simply click-ing the chronicle with the right mouse button for repeat.Emotion 6 L3-4 L4-5 L5-S1kV

Spine 311

312 SpineOsteoThis is the scan protocol for the syngo Osteo CT appli-cation package to assist the physician with the quanti-tative assessment of verte

Spine 313• With CAREDose 4D the mA values are adapted for each osteo range, according to the patient diameter. Therefore special obese protocols for

314 OverviewIn this chapter you will find all scan protocols relating to the Pelvis region, their descriptions, individual indi-cations, and important

Pelvis315For SOMATOM Emotion 6-slice configuration:– PelvisSpiral mode for routine soft tissue pelvis studies– PelvisVolSpiral mode for axial and coro

316 PelvisGeneral Hints• Topogram: AP, 512 mm for pelvis studies and 256 mm for studies of the hip and SI Joints.• Patient positioning:Patient lying

Pelvis317Body Kernels• As standard kernels for body tissue studies B30s or B40s are recommended; softer images are obtained with B20s or B10s (extreme

318 PelvisScan ProtocolsPelvisIndications: Spiral mode for routine pelvis studies, e.g. processes of the prostate, urinary bladder, rectum, gynecolog

Pelvis319Emotion 16 PelviskV 130Effective mAs/Quality ref. mAs120Rotation Time 1.0 sec.Acquisition 16 x 1.2 mmSlice collimation 1.2 mmSlice width 5.0

32 Scan and ReconstructionHead Kernels For soft tissue head studies, the standard kernel is H40s; softer images are obtained with H30s or H20s, H10s,

320 Pelvis* If the examination performed requires a full urinary bladder, wait at least 3 minutes following IV adminis-tration of the contrast medium

Pelvis321

322 PelvisPelvisVolIndications: Spiral mode for pelvis studies, e.g. processes of the prostate, urinary bladder, rectum, gynecological indi-cations e

Pelvis323* If the examination performed requires a full urinary bladder, wait at least 3 minutes following IV adminis-tration of the contrast medium.E

324 PelvisHipIndications:Spiral mode for bone studies and soft tissue studies of the Hip. E.g. evaluation of joint cavity, masses, trauma, dysplasia,

Pelvis325Emotion 16 Hip 2nd reconstr.kV 130Effective mAs/Quality ref. mAs100Rotation Time 1.0 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6 mmSlice

326 PelvisHints• In case of 3D study only, images should be recon-structed with at least 50% overlapping and kernel B10.• If only one side is examine

Pelvis327

328 PelvisHipVolIndications:Spiral mode for bone studies and soft tissue studies of the Hip, e.g. evaluation of joint cavity, masses, trauma, dysplas

Pelvis329Hint• In case of 3D study only, images should be recon-structed with at least 50% overlapping and kernel B10.• If only one side is examined,

Scan and Reconstruction 33Body Kernels As standard kernels for body tissue studies B30s or B40s are recommended; softer images are obtained with B20s

330 PelvisSI_JointsIndications:Spiral mode for bone studies of the sacral iliac joints, e.g. evaluation of joint cavity, masses, trauma, dyspla-sia,

Pelvis331Emotion 16 SI_Joints 2nd reconstr.kV 130Effective mAs/Quality ref. mAs120Rotation time 1.0 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6 m

332 OverviewIn this chapter you will find the scan protocol relating to the Upper Extremities region, its description, indi-vidual indications, and im

Upper Extremities 333For SOMATOM Emotion 16-slice configuration:– WristHRSpiral mode for routine high resolution wrist studies– ExtrRoutineHRSpiral m

334Upper ExtremitiesGeneral Hints• Topogram: AP, 256 mm for joint studies.• Patient positioning:Depends on the region of examination. In general, for

Upper Extremities 335Body Kernels• As standard kernels for body tissue studies B30s or B40s are recommended; softer images are obtained with B20s or

336Upper ExtremitiesScan ProtocolsWristHRIndications:Spiral mode for resolution bone study of thewrist, for example, trauma, orthopedic indications et

Upper Extremities 337Emotion 16 WristHR 2nd reconstr.kV 130Effective mAs/Quality ref. mAs40Rotation time 1.0 sec.Acquisition 4 x 0.6 mmSlice collimat

338Upper ExtremitiesHints• For image reconstruction of soft tissue, use kernel B30s/B31s.

Upper Extremities 339

34 Scan and ReconstructionExtended FoVSOMATOM Emotion 16/6-slice configuration offers the extended field of view. The range can be individually adapte

340Upper ExtremitiesExtrRoutineHRIndications:Spiral mode for high-resolution bone study, for exam-ple, trauma, orthopedic indications etc. For SOMATOM

Upper Extremities 341Emotion 16 ExtrHR 2nd reconstr.kV 130Effective mAs/Quality ref. mAs60Rotation time 1.0 sec.Acquisition 4 x 0.6 mmSlice collimati

342Upper ExtremitiesHint• For image reconstruction of soft tissue, use kernel B30s/B31s.

Upper Extremities 343

344Upper ExtremitiesExtrCombiIndications:Spiral mode for the combination of bone and soft tis-sue studies, e.g. masses, trauma, disorders of the joint

Upper Extremities 345Hint • For image reconstruction of soft tissue, use kernel B30s/B31s.Emotion 6 ExtrCombi 2nd reconstr.kV 130Effective mAs/Qualit

346 OverviewIn this chapter you will find the scan protocol relating to the Lower Extremities region, its description, indi-vidual indications, and im

Lower Extremities 347For SOMATOM Emotion 6-slice configuration:– KneeSpiral mode for routine joint studies– FootSpiral mode for routine wrist studies–

348 Lower ExtremitiesGeneral Hints• Topogram: AP, 256 mm for joint studies.• Patient positioning:Depends on the region of examination. In general, for

Lower Extremities 349Body Kernels• As standard kernels for body tissue studies B30s or B40s are recommended; softer images are obtained with B20s or B

Scan and Reconstruction 35Auto-FoV After scanning a topogram the available ranges are dis-played in the topo segment. They can be automatically adapte

350 Lower ExtremitiesScan ProtocolsKneeIndications:Spiral mode for knee bone study, e.g. trauma, orthope-dic indications etc. For SOMATOM Emotion 16-s

Lower Extremities 351Hints• For image reconstruction of soft tissue, use kernel B30s/B31s.Emotion 16 Knee 2nd reconstr.kV 130Effective mAs/Quality ref

352 Lower ExtremitiesFootIndications:Spiral mode for foot bone study, e.g. trauma, orthope-dic indications etc. For SOMATOM Emotion 16-slice configura

Lower Extremities 353Hints• For image reconstruction of soft tissue, use kernel B30s/B31s.Emotion 16 Foot 2nd reconstr.kV 130Effective mAs/Quality ref

354 Lower ExtremitiesExtrRoutineHRIndications:Spiral mode for high resolution bone study, e.g. trauma, orthopedic indications etc.For SOMATOM Emotion

Lower Extremities 355Emotion 16 ExtrHR 2nd reconstr.kV 130Effective mAs/Quality ref. mAs*60Rotation time 1.0 sec.Acquisition 4 x 0.6 mmSlice collimati

356 Lower Extremities* Adjust the mAs value to the body region.Hint• For image reconstruction of soft tissue, use kernel B30s/B31s.Emotion 6 ExtrHR 2n

Lower Extremities 357

358 Lower ExtremitiesExtrCombiIndications:Spiral mode for the combination of bone and soft tis-sue studies, e.g. masses, trauma, disorders of the join

Lower Extremities 359* Adjust the mAs value to the body region.Hint• For image reconstruction of soft tissue, use kernel B30s/B31s.Emotion 6 ExtrCombi

36 Scan and ReconstructionHints• When positioning the arms along the body, the Auto-FoV will also cover the arms.• When scanning two extremities at th

360 OverviewIn this chapter you will find all scan protocols relating to the Vascular region, their descriptions, individual indications, and importan

Vascular 361For SOMATOM Emotion 16-slice configuration:– HeadAngioSpiral mode for routine head CTAngio studies– HeadAngioVolSpiral mode for axial and

362 VascularFor SOMATOM Emotion 6-slice configuration:– HeadAngio/HeadAngio06sSpiral mode for routine head CTAngio studies– HeadAngioVolSpiral mode fo

Vascular 363General Hints• Topogram: AP, 512/1024, LAT 256• Patient positioning: Patient lying in supine position, arms positioned comfortably above t

364 VascularHead Kernels• For soft tissue head studies, the standard kernel is H40s; softer images are obtained with H30s or H20s, H10s, sharper image

Vascular 365Body Kernels• As standard kernels for body tissue studies B30s or B40s are recommended; softer images are obtained with B20s or B10s (extr

366 VascularScan ProtocolsHeadAngio/HeadAngio06sIndications:Spiral mode for cerebral CT Angio studies, e.g. cerebral vascular abnormalities, tumors an

Vascular 367Emotion 16 HeadAngio 2nd reconstr.kV 110Effective mAs/Quality ref. mAs70Rotation time 0.6 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6

368 VascularHint• Use of CARE Bolus with monitoring scans positioned at the level of the basilar artery or carotid artery. Set the trigger threshold a

Vascular 369

Scan and Reconstruction 37Neuro ModesIn addition to the standard collimations, the SOMA-TOM Emotion 16-slice configuration provides a special mode whi

370 VascularHeadAngioVolIndications:Spiral mode for cerebral CT Angio studies, e.g. cerebral vascu-lar abnormalities, tumors and follow-up studies etc

Vascular 371Hint• Use of CARE Bolus with monitoring scans positioned at the level of the basilar artery or carotid artery. Set the trigger threshold a

372 VascularCarotidAngio/CarotidAngio06sIndications:CT angiography of the carotid arteries, e.g. carotid stenosis or occlusion, coarse plaques abnorma

Vascular 373Emotion 16 CarotidAngio 2nd reconstr.kV 110Effective mAs/Quality ref. mAs70Rotation time 0.6 sec.Acquisition 16 x 0.6 mmSlice collimation

374 VascularHints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the aortic arch with triggering threshold

Vascular 375

376 VascularCarotidAngioVolIndications:CT angiography of the carotid arteries, e.g. carotid stenosis or occlusions, coarse plaques abnormalities of th

Vascular 377Emotion 6 CarotidAngio 2nd reconstr.kV 110Effective mAs/Quality ref. mAs70Rotation time 0.8 sec.Acquisition 6 x 1.0 mmSlice collimation 1.

378 VascularHints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the aortic arch with triggering threshold

Vascular 379

38 Scan and ReconstructionAutomatic Bone CorrectionThe head protocols provide significant improvements regarding image quality for heads. An automatic

380 VascularThorAngioRoutine/ThorAngioRoutine06sIndications:Spiral mode for thorax CT Angio studies, e.g. visualiza-tion of tumors, metastases, lympho

Vascular 381Emotion 16 ThorAngio 2nd reconstr.kV 110Effective mAs/Quality ref. mAs70Rotation time 0.6 sec.Acquisition 16 x 0.6 mmSlice collimation 0.6

382 VascularHints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the aortic arch with triggering threshold

Vascular 383

384 VascularThorAngioVolIndications:Spiral mode for thorax CT Angio studies, e.g. visualiza-tion of tumors, metastases, lymphoma, lymph nodes, vascula

Vascular 385Emotion 6 ThorAngio 2nd reconstr.kV 110Effective mAs/Quality ref. mAs70Rotation time 0.8 sec.Acquisition 6 x 1.0 mmSlice collimation 1.0 m

386 VascularHints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the aortic arch with triggering threshold

Vascular 387

388 VascularThorAngioECG/ThorAngioECG06sIndications:This is a spiral scanning protocol using a collimation of 1.2 mm and an ECG gating technique for t

Vascular 389Emotion 16 ThorAngioECG 2nd reconstr.kV 130Effective mAs/Quality ref. mAs 280Rotation Time 0.5 sec.Acquisition 16 x 1.2 mmSlice collimati

Scan and Reconstruction 39PositioningIn order to optimize image quality versus radiation dose, scans in body regions “Head” and “AngioHead” are provid

390 VascularEmotion 6 ThorAngioECG 2nd reconstr.kV 130Effective mAs/Quality ref. mAs 210Rotation Time 0.6 sec.Acquisition 6 x 2.0 mmSlice collimation

Vascular 391Hints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the aortic arch with triggering threshold

392 VascularThorAngioECGSeqIndications:Sequential, ECG triggered study for location and extent of aneurysms, dissection, and ruptures of the thoracic

Vascular 393

394 VascularEmbolism/Embolism06sIndications:Spiral mode for pulmonary embolism studies.For SOMATOM Emotion 16-slice configurationA range of 30 cm will

Vascular 395Emotion 16 Embolism 2nd reconstr.kV 110Effective mAs/Quality ref. mAs 80Rotation Time 0.6 sec.Acquisition 16 x 0.6 mmSlice collimation 0.

396 VascularHints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the pulmonary trunk with triggering thres

Vascular 397

398 VascularBodyAngioRoutine/BodyAngioRoutine06sIndications:Spiral mode for abdominal CT Angio studies.For SOMATOM Emotion 16-slice configuration:A ty

Vascular 399Emotion 16 BodyAngio 2nd reconstr.kV 110Effective mAs/Quality ref. mAs 90Rotation Time 0.6 sec.Acquisition 16 x 0.6 mmSlice collimation 0

4 Overview Respiratory Gating 484 Children 508

40 Scan and ReconstructionImage FiltersIf you use kernels, the images are reconstructed again with the selected kernel value. If you use image filters

400 VascularHints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the abdominal aorta with triggering thres

Vascular 401

402 VascularBodyAngioVolIndications:Spiral mode for abdominal CT Angio studies.Two recon jobs are predefined for reconstruction: the first for axial,

Vascular 403Emotion 6 BodyAngio 2nd reconstr.kV 110Effective mAs/Quality ref. mAs 90Rotation Time 0.8 sec.Acquisition 6 x 1.0 mmSlice collimation 1.0

404 VascularHints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the abdominal aorta with triggering thres

Vascular 405

406 VascularBodyAngioFast/BodyAngioFast06sIndications:Spiral mode for longer coverage and larger vessels.For SOMATOM Emotion 6-slice configuration:A t

Vascular 407Emotion 6 BodyAngioFast2nd reconstr.kV 110Effective mAs/Quality ref. mAs 90Rotation Time 0.8/0.6 sec.Acquisition 6 x 2.0 mmSlice collimat

408 VascularHints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan in the abdominal aorta with triggering thres

Vascular 409

Scan and Reconstruction 41"HCE": The High-contrast enhancement (HCE) filter enhances high-contrast detectability. It increases the image sha

410 VascularAngioRunOff/AngioRunOff06sIndications:Spiral mode for CT Angio studies of the extremities.For SOMATOM Emotion 16-slice configuration:A ran

Vascular 411Emotion 16 AngioRunOff 2nd reconstr.kV 110Effective mAs/Quality ref. mAs 90Rotation Time 0.6 sec.Acquisition 16 x 1.2 mmSlice collimation

412 VascularHints• CARE Bolus may be used to optimize the bolus timing and with a triggering threshold of 120 HU, or use manual triggering.• If Topo l

Vascular 413

414 VascularWholeBodyAngioIndications:For CT Angio spiral studies of the whole body. For SOMATOM Emotion 16-slice configuration:A range of 80 cm will

Vascular 415Hints• CARE Bolus may be used to optimize the bolus tim-ing.• Set the ROI for monitoring scan with triggering threshold of 120 HU, or use

416Specials OverviewThe examination protocols designed for some of these applications are under the “Special” folder.TraumaIn any trauma situation, ti

Specials 417For SOMATOM Emotion 6-slice configuration:– PolyTrauma/PolyTrauma06sThis is a combined mode for the examination of mul-tiple ranges, for e

418SpecialsInterventional CTFor SOMATOM Emotion 16-slice configuration:– BiopsyThis is the multislice biopsy mode. With three times 4.8 mm, the images

Specials 419For SOMATOM Emotion 6-slice configuration:– BiopsyThis is the multislice biopsy mode. With three times 6.0 mm, the images will be reconstr

42 Dose InformationCTDIW and CTDIVolThe average dose in the scan plane is best described by the CTDIW for the selected scan parameters. The CTDIW is

420SpecialsTest BolusFor SOMATOM Emotion 16-slice configuration:– TestBolusThis mode can be used to test the start delay of opti-mal enhancement after

Specials 421

422SpecialsTrauma ProtocolsIn any trauma situation, time means life and the qual-ity of life for the survivor.General Information• Check that the emer

Specials 423

424SpecialsTraumaThis is a one-range mode for fast screening for emer-gency studies.For SOMATOM Emotion 16-slice configuration:A scan range of 50 cm w

Specials 425TraumaVolThis is a one-range mode for fast screening for emer-gency studies.Three recon jobs are predefined for reconstruction: the first

426SpecialsPolyTrauma/PolyTrauma06sTwo combined ranges are predefined, head with neckand thorax with abdomen.For SOMATOM Emotion 16-slice configuratio

Specials 427Take a new Topogram for the thorax and abdomenrange.A scan range of 20/40 cm will be done in 9.01/9.53 sec.Emotion 16 Thorax AbdPelviskV 1

428SpecialsFor SOMATOM Emotion 6-slice configuration:A scan range of 12/14 cm will be done in 9.84/13.67 sec.Emotion 6 Head NeckkV 130 130Effective mA

Specials 429Take a new Topogram for the thorax and abdomenrange.A scan range of 20/40 cm will be done in 9.04/10.09 sec.Emotion 6 Thorax AbdPelviskV 1

Dose Information43Note: Previously the dose display on the user interface was labeled “CTDIW“. This displayed CTDIW was also cor-rected for the pitch

430SpecialsHeadTraumaA spiral mode for emergency head studies with a max.FoV of 500 mm. For SOMATOM Emotion 16-slice configuration:A scan range of 12

Specials 431Emotion 6 Head 2nd reconstr.kV 130Effective mAs/Quality ref. mAs250Rotation time 1.5 sec.Acquisition 6 x 2.0 mmSlice collimation 2.0 mmSli

432SpecialsHeadTraumaSeqA sequence mode for emergency head studies with amax. FoV of 500 mm.For SOMATOM Emotion 16-slice configuration:A scan range is

Specials 433Emotion 6 HeadSeqkV 130Effective mAs/Quality ref. mAs270Rotation time 1.5 sec.Acquisition 6 x 3.0 mmSlice collimation 3.0 mmSlice width 6.

434SpecialsAdditional Important Information• You can select which protocol is the emergency pro-tocol.• For long range scanning, please pay attention

Specials 435

436SpecialsInterventional CT - BiopsyTo facilitate CT interventional procedures, we created dedicated multislice and single slice sequential modes.Any

Specials 437BiopsyWith this routine protocol images will be reconstructed with three time 4.8/6.0 mm or one time 10 mm slice thickness.Emotion 16 Biop

438SpecialsBiopsy SingleOne 10 mm slice images will be reconstructed and dis-played for each scan.Emotion 16 Biopsy SinglekV 130Effective mAs/Quality

Specials 439Interventional CT - CARE VisionCARE Vision is a CT Fluoroscopic mode for interven-tions with 1 or 3 combined slices and up to 10 images pe

44 Dose InformationImpactDoseFor most of the scan protocols, the effective dose num-bers for standard male* and female* are calculated, and listed th

440SpecialsCAREVisionWith this routine protocol, the image will be recon-structed and displayed using three times 4.8/6.0 mmor one time 10 mm slice th

Specials 441CAREVisionSingleThe images will be reconstructed and displayed with one time 10 mm slice thickness and a kernel of B30.Emotion 16 CAREVisi

442SpecialsCAREVisionBoneThe images will be reconstructed and displayed in the CARE View mode with three times 4.8/6.0 mm or one time 10 mm slice thic

Specials 443HandCAREHandCARE is a dedicated algorithm for dose reduction during the interventional procedure.It switches off the x-ray exposure for a

444SpecialsThe HandCARE item list offers “None“ and three select-able protection areas. You can select this values inde-pendent of the current or a fu

Specials 445Application Procedure1.Load and scan a spiral protocol of the interested body region.2.Scroll through the images to define a target slice.

446SpecialsYou can change the following Scan Parameters on the examination task card during radiation:•Gantry Tilt•Table position•Table movement type•

Specials 447Additional Important InformationPause CARE Vision Scan RangeIf you pause the CARE Vision Scan Range the SlicePo-sition and TableHeight wil

448SpecialsRadiation exposure to patients• CARE Vision applies continuous exposure at moder-ate mA levels.• Due to the potentially long scan times and

Specials 449Radiation exposure to personnelDuring the procedure the physician is in the scan room and close to the exposed scan plane. • Take special

Dose Information45Effective mAs In sequential scanning, the dose (Dseq) applied to the patient is the product of the tube current-time (mAs) and the C

450SpecialsGeneral Information for Biopsy and CARE VisionInterventional ToolbarIf you want to perform a CareVision or Biopsy Scan you can activate the

Specials 451• Interventional Window 1/2/3With the special window toggle button you can apply three different window settings to your image, the defaul

452Specials• Screen layoutIn the interventional Toolbar for CARE Vision you can change the Layout of the Display. There are three dif-ferent modes ava

Specials 453CAREViewThe item CAREView indicates when a combined image is displayed. When the number of Slice Positions per scan is three, CARE View is

454SpecialsCARE Vision and Biopsy layout for Single image displayCARE Vision layout for CAREView large-size display

Specials 455CARE Vision and Biopsy layout for CAREView equal-size displayBiopsy two segment

456SpecialsConfigurationDose DisplayThe maximum displayed value of the Dose is set as a default to 2000 mGy. It is possible to configure this from 100

Specials 457Example3.5 second scan done.Then at least four images are saved depending on con-figuration:• Conf: 1ima/s– Central image - after 1st seco

458SpecialsRoutine Subtask cardMove table/scanrange to displayed image position.The function Move Table/Scanrange to displayed image position in the R

Specials 459Additional Important InformationIndependently from the Interventional Window but-tons on the Interventional Toolbar you can use for faster

46 Dose InformationFor spiral scan protocols, the indicated mAs is the effective mAs per image. The correlation between tube current and effective mA

460SpecialsTestBolus ProtocolTestBolusThis mode can be used to test the start delay of an opti-mal enhancement after the contrast medium injec-tion.Em

Specials 461

462 Radiation TherapyRadiation Therapy PlanningThe SOMATOM Emotion 16/6-slice configuration are very well suited to Radiation Therapy Planning (RTP) w

Radiation Therapy 463COHERENCE DosimetristRemember the challenges of Radiation Therapy…• Precisely locate and delineate the tumor volume • Establish

464 Radiation Therapy• Spare as much healthy tissue as possible • Precisely position the patient for treatment for the entire course of treatment (typ

Radiation Therapy 465Benefits• No limitations for patient set-up within 85 cm gantry opening and the ability to scan at a low table posi-tion thereby

466 Radiation Therapy• High volume coverage in time (16 X2.0 mm in 0.6 s) minimizing motion artifacts and breath hold time• Thin slice imaging for hig

Radiation Therapy 467• New long-range gantry laser lights with position adjustment possible without opening gantry covers for easier installation and

468 Radiation TherapyWorkflowSimulation:1.Patient positioning on CT table (external lasers)2.Patient marking (external lasers)3.CT scan4.Offline: Virt

Radiation Therapy 469

Dose Information47CARE Dose 4DCARE Dose 4D is an automated exposure control, which ensures constant diagnostic image quality over all body regions at

470 Radiation TherapyScan ProtocolsOverviewYou can use the following scan protocols for the Radia-tion Therapy Planning:For SOMATOM Emotion 16-slice c

Radiation Therapy 471For SOMATOM Emotion 6-slice configuration:– RT_HeadSpiral mode for routine radiation therapy planning head studies– RT_ThoraxSpi

472 Radiation TherapyRT_HeadIndications:Spiral mode for routine radiation therapy planning head studies. For SOMATOM Emotion 16-slice configuration:A

Radiation Therapy 473Emotion 6 Head 2nd recon.kV 130Effective mAs/Quality ref. mAs250Rotation time 1.5 sec.Acquisition 6 x 2.0 mmSlice collimation 2

474 Radiation TherapyRT_ThoraxIndications:Spiral mode for routine radiation therapy planning tho-racic studies. For SOMATOM Emotion 16-slice configura

Radiation Therapy 475Emotion 6 Thorax 2nd recon.kV 130Effective mAs/Quality ref. mAs90Rotation time 0.8 sec.Acquisition 6 x 2.0 mmSlice collimation

476 Radiation TherapyRT_BreastIndications:Spiral mode for routine radiation therapy planning tho-racic studies of the mammae. For SOMATOM Emotion 16-s

Radiation Therapy 477Emotion 6 Breast 2nd recon.kV 130Effective mAs/Quality ref. mAs90Rotation time 0.8 sec.Acquisition 6 x 2.0 mmSlice collimation

478 Radiation TherapyRT_AbdomenIndications:Spiral mode for routine radiation therapy planning abdominal studies. For SOMATOM Emotion 16-slice configur

Radiation Therapy 479Emotion 6 Abdomen 2nd recon.kV 130Effective mAs/Quality ref. mAs150Rotation time 0.8 sec.Acquisition 6 x 2.0 mmSlice collimation

48 Dose InformationBased on a user defined Image Quality Reference mAs, CARE Dose 4D automatically adapts the (eff.) mAs to the patient size and atte

480 Radiation TherapyRT_PelvisIndications:Spiral mode for routine radiation therapy planning pel-vis studies.For SOMATOM Emotion 16-slice configuratio

Radiation Therapy 481Emotion 16 Pelvis 2nd recon.kV 130Effective mAs/Quality ref. mAs150Rotation time 1.0 sec.Acquisition 16 x 1.2 mmSlice collimatio

482 Radiation TherapyAdditional Important InformationHU valuesThe HU values are of crucial importance for the therapy planning systems of radiation th

Radiation Therapy 483

484 Respiratory GatingWhen imaging of the chest or abdomen is performed by CT, there may be artifacts produced causing prob-lems with reproducibility

Respiratory Gating 485The respiratory gating hardware (AZ-733V) is com-posed of a:• Respiratory Sensor (RS) to detect patient's abdomi-nal motio

486 Respiratory GatingKey Features Respiratory Gating• is capturing slow moving anatomical structures such as lung lesions during respiration up to a

Respiratory Gating 487Respiration Synchronization• Synchronization of CT data acquisition with respira-tion: 4D CT - prospectively Respiratory Trigge

488 Respiratory GatingPositioning of the respiratory sensor beltThe correct placement of the abdominal belt is essen-tial in order to receive a clear

Respiratory Gating 489For proper belt positioning please follow the instruc-tions below:For further information on the respiratory gating sys-tem AZ-

Dose Information49How does CARE Dose 4D work? CARE Dose 4D combines two types of tube current modulation:1) Axial tube current modulation: Based on a

490 Respiratory GatingScanning InformationThe expected benefits in radiation treatment planning, e.g. for lung and abdominal tumors are:• Information

Respiratory Gating 491Temporal ResolutionTemporal resolution, also called time resolution, repre-sents the time window of the data that is used for i

492 Respiratory GatingRespiratory gatingThe respiration of the patients is simultaneously recorded during the Spiral acquisition.Data are acquired du

Respiratory Gating 493The timebase of the respiratory curve is realtime in an updating mode.Images can be reconstructed at any user defined Inha-lati

494 Respiratory GatingProspective respiratory triggering ver-sus retrospective respiratory gatingWith prospective respiratory triggering, the lung vo

Respiratory Gating 495Curve EditorThe respiration curve editor is used to modify the res-piratory signal. This editing tool is available after spiral

496 Respiratory GatingThe recorded Respiration curve can be edited similar to the ECG Trace editing in Cardiac CT.Inspiration Syncs can be deleted, d

Respiratory Gating 497Synthetic Trigger/SyncBy default, the "Synthetic Trigger" (Respiratory-trig-gered scanning) or "Synthetic Sync&q

498 Respiratory GatingWorkflowReconstruction and Post processingFor respiratory gating a slice width of 3 mm and an increment of 1.9 mm is used for

Respiratory Gating 499Additional important Information• For operating the respiratory gating system (AZ-733V, Anzai Medical, Japan), please refer to

Overview5

50 Dose Information2) Angular tube current modulation: Based on the above described axial eff. mAs profiles, the tube current is modulated during eac

500 Respiratory GatingScan ProtocolRespSeqIndications:A sequential mode for studies with respiration trigger-ing.For SOMATOM Emotion 16-slice configu

Respiratory Gating 501Emotion 6 RespSeqkV 130Effective mAs/Quality ref. mAs16Rotation time 0.6 sec.Acquisition 6 x 3.0 mmSlice collimation 3.0 mmSlic

502 Respiratory GatingRespIndications:A spiral mode for patients with a respiration rate per minute greater than 10 using respiration gating.For SOMA

Respiratory Gating 503Emotion 6 Resp 2nd reconstr.kV 130Effective mAs/Quality ref. mAs230Rotation time 0.8 sec.Acquisition 6 x 2.0 mmSlice collimatio

504 Respiratory GatingRespModBreathRateIndications:A spiral mode for patients with a respiration rate per minute greater than 7.5, using respiration

Respiratory Gating 505Emotion 6 RespMode 2nd reconstr.kV 130Effective mAs/Quality ref. mAs320Rotation time 0.8 sec.Acquisition 6 x 2.0 mmSlice collim

506 Respiratory GatingRespLowBreathRateIndications:A spiral mode for patients with a respiration rate per minute greater than 6.5, using respiration

Respiratory Gating 507Emotion 6 RespLow 2nd reconstr.kV 130Effective mAs/Quality ref. mAs320Rotation time 1.0 sec.Acquisition 6 x 2.0 mmSlice collima

508 ChildrenOverviewThe scan protocols for children are defined according to body regions - Head, Neck, Thorax, Abdomen, Spine, Upper Extremities, Low

Children 509• Neck– NeckRoutineSpiral mode for soft tissues routine neck studies• Thorax– ThoraxRoutineSpiral mode for routine thorax studies– ThoraxH

Dose Information51Scan with constant mAReduced dose levelReal-time angularslice positionx-ray dosebased on topogramdose modulation

510 ChildrenFor SOMATOM Emotion 6-slice configuration:• Head– HeadRoutine Spiral mode for routine head studies– HeadSeq Sequential mode for routi

Children 511• Abdomen– AbdomenRoutine/AbdomenRoutine06sSpiral mode for routine abdominal studies• Spine– SpineRoutineSpiral mode for routine spine stu

512 ChildrenGeneral Hints• Topograms: 256 mm lateral topograms are defined for the head modes, and 512 mm AP topograms are defined for the body modes

Children 513• Oral and rectal contrast administration: Depending on the reason for the exam/status of the patient, oral contrast may or may not be giv

514 ChildrenCentral lines and ports may need to be hand injected or power injected at a very low flow rate (1 ml/sec.).PIC lines and 24 gauge (or sma

Children 515Head KernelsThe endings “s” or “f” depend on the rotation time.• For head scans of small children, the kernels C20s, C30s (for example, fo

516 ChildrenBody KernelsThe endings “s” or “f” depend on the rotation time.• As standard kernels for body tissue studies B30s or B40s are recommended

Children 517

518 ChildrenScan ProtocolsHeadRoutineIndications:Spiral mode for routine head studies, for example, tumors, hydrocephalus, hemorrhaging, abnormalitie

Children 519* The conversion factor for a 7-year-old child, and ascan range of 120 mm was used.Emotion 16 HeadkV 110Effective mAs/Quality ref. mAs230R

52 Dose InformationPrinciple of automatic tube current adaptation by CARE Dose 4D for a spiral scan from shoulder to pelvis (very high table feed for

520 ChildrenHints• Children, who are older than age 6, should be scanned with an adult protocol as the skull by this time is fully grown.• When bone

Children 521

522 ChildrenHeadSeqIndications:Sequential mode for routine head studies for children, for example, tumors, hydrocephalus, hemorrhaging, abnormalities

Children 523* The conversion factor for a 7-year-old child, and ascan range of 117 mm was used.Emotion 6 HeadSeqkV 110Effective mAs/Quality ref. mAs26

524 ChildrenHints• Children, who are older than age 6, should be scanned with an adult protocol as the skull by this time is fully grown.• When bone

Children 525

526 ChildrenInnerEarHRIndications:Spiral mode for high-resolution inner ear studies, for example, malformations of the inner ear, inflamma-tory chang

Children 527* The conversion factor for a 7-year-old child, and ascan range of 45 mm was used.Emotion 16 InnerEarkV 110Effective mAs/Quality ref. mAs5

528 ChildrenHints• Children, who are older than age 6, should be scanned with an adult protocol as the skull by this time is fully grown.• In order t

Children 529

Dose Information53Special Modes of CARE Dose 4D For certain examination protocols CARE Dose 4D uses modified tube current modulation, to meet specific

530 ChildrenInnerEarIndications:Spiral mode for routine inner ear studies, for example, malformations of the inner ear, inflammatory changes, patholo

Children 531* The conversion factor for a 7-year-old child, and ascan range of 45 mm was used.Emotion 16 InnerEarkV 110Effective mAs/Quality ref. mAs5

532 ChildrenHints• Children, who are older than age 6, should be scanned with an adult protocol as the skull by this time is fully grown.• In order t

Children 533

534 ChildrenInnerEarSeqIndications:Sequential mode for routine inner ear studies, for example, Inflammatory changes, tumorous pro-cesses of pyramids,

Children 535* The conversion factor for a 7-year-old child, and ascan range of 40 mm was used.Emotion 6 InnerEarSeqkV 110Effective mAs/Quality ref. mA

536 ChildrenHints• Children, who are older than age 6, should be scanned with an adult protocol as the skull by this time is fully grown.• In order t

Children 537

538 ChildrenSinusOrbitIndications:Spiral mode for routine spiral studies of the sinuses and paranasal sinuses, for example, sinusitis, pneuma-tizatio

Children 539Emotion 16 SinusOrbi2nd recon.3rd recon.4th recon.kV 110Effective mAs/Quality ref. mAs50Rotation time1.0 sec.Acquisition 16 x 0.6 mmSlice

54 Dose InformationScanning with CARE Dose 4D If the settings of Image Quality Reference mAs are cor-rectly predefined*, no further adjustment of the

540 Children* The conversion factor for a 7-year-old child, and ascan range of 60 mm was used.Emotion 6 SinusOrbi2nd recon.3rd recon.4th recon.kV 110

Children 541Hints• Children older than age 6 should be scanned with an adult protocol.• The second recon job is defined with kernel H60s and with an o

542 ChildrenNeckRoutineIndications:Spiral mode for routine neck studies, for example, tumors, lymphoma, abscesses, etc.NeckRoutine:For SOMATOM Emotio

Children 543* The conversion factor for a 7-year-old child, and ascan range of 170 mm was used.Emotion 16 Neck 2nd reconstr.kV 110Effective mAs/Qualit

544 ChildrenHints• If necessary, scan down to the aortic arch or medi-astinum to include the entire lesion. • Cooperative children can be instructed

Children 545

546 ChildrenThoraxRoutine/ThoraxRoutine06sIndications:Spiral mode for routine thorax studies,for example, pneumonia, tumors, metastases, lymphoma, va

Children 547Emotion 16 ThorRoutine2nd recon.3rd recon.4th recon.kV 110Effective mAs/Quality ref. mAs39Rotation time0.6 sec.Acquisition 16 x 1.2 mmSlic

548 Children* The conversion factor for a 7-year-old child, and ascan range of 150 mm was used.Emotion 6 ThorRoutine 2nd reconstr.kV 110Effective mAs

Children 549Hints• Children with a body weight of more than 55 kg should be examined with an adult protocol.• The first and second recon jobs are defi

Dose Information55Outside the topogram range, CARE Dose 4D will con-tinue the scan with the last available topogram infor-mation. Without a topogram,

550 ChildrenThoraxCombi/ThoraxCombi06sIndications:Combining thin slice and routine thorax studies with one spiral scan, for example, thorax studies i

Children 551* The conversion factor for a 7-year-old child, and ascan range of 150 mm was used.Emotion 6 ThorCombi2nd recon.3rd recon.4th recon.kV 110

552 ChildrenHints• Children with a body weight of more than 55 kg should be examined with an adult protocol.•For the 2nd reconstruction the Autoload

Children 553

554 ChildrenThoraxHRSeqIndications:Sequence mode for high-resolution lung studies, for example, interstitial changes in the lungs, using a 10 mm feed

Children 555* The conversion factor for a 7-year-old child, and ascan range of 200 mm was used.Emotion 16 ThoraxHRSeqkV 110Effective mAs/Quality ref.

556 ChildrenHints• Children with a body weight of more than 55 kg should be examined with an adult protocol.• If you want to acquire the patient at

Children 557

558 ChildrenAbdomenRoutine/AbdomenRoutine06sIndications:Spiral mode for routine studies in the region of abdo-men and pelvis, for example, tumors, ly

Children 559* The conversion factor for a 7-year-old child, and ascan range of 200 mm was used.Emotion 16 AbdRoutinekV 110Effective mAs/Quality ref. m

56 Dose InformationAfter the topogram has been scanned, the (eff.) mAs value in the Routine tab card displays the mean (eff.) mAs estimated by CARE D

560 ChildrenHints• Delayed scans may be required for the kidneys & bladder.• Rectal contrast may be required for evaluation of pel-vic mass.• Chi

Children 561

562 ChildrenSpine/SpineRoutineIndications:Spiral mode for spine studies, for example, post-trau-matic changes, tumors, malformations, orthopedic indi

Children 563* The conversion factor for a 7-year-old child, and ascan range of 160 mm was used.Emotion 16 Spine 2nd reconstr.kV 110Effective mAs/Quali

564 ChildrenHints• Children with a body weight of more than 55 kg should be examined with an adult protocol.•To work without CARE Dose 4D use for chi

Children 565

566 ChildrenSpineThinSliceIndications:Spiral mode for the spine when Multi Planar Reforma-tion (MPR) are intended, for example, post-traumatic change

Children 567Hints• Children with a body weight of more than 55 kg should be examined with an adult protocol.•To work without CARE Dose 4D use for chil

568 ChildrenExtrRoutineHRIndications:Spiral mode for high-resolution bone studies, for example, tumors, post-traumatic changes, orthopedic indication

Children 569* The conversion factor for a 7-year-old child, and ascan range of 60 mm was used.** Adjust the mAs value to the body region.Hints• Childr

Dose Information57The Quality reference mAs value is displayed on the Scan tab card. This defines the overall image quality of the scan protocol curre

570 ChildrenExtrCombiIndications:Spiral mode for the combination of bone and soft tis-sue studies, for example, masses, trauma, disorders of the join

Children 571* The conversion factor for a 7-year-old child, and a scan range of 100 mm was used.Emotion 16 ExtrCombi 2nd reconstr.kV 110Effective mAs/

572 ChildrenHints• Children with a body weight of more than 55 kg should be examined with an adult protocol.•To work without CARE Dose 4D use for chi

Children 573

574 ChildrenHeadAngio/HeadAngio06sIndications:Spiral mode for head CT Angio studies, for example, cerebral vascular abnormalities, tumors etc.For SOM

Children 575* The conversion factor for a 7-year-old child, and ascan range of 60 mm was used.Emotion 6 HeadAngio 2nd reconstr.kV 80Effective mAs/Qual

576 ChildrenHints• Children older than age 6 should be examined with an adult protocol.• CARE Bolus may be used to optimize the bolus timing with a t

Children 577

578 ChildrenCarotidAngio/CarotidAngio06sIndications:Spiral mode for carotid CT Angio studies, for example, carotidstenosis or occlusion, vascular ab

Children 579* The conversion factor for a 7-year-old child, and ascan range of 170 mm was used.Emotion 16 CarotidAngio 2nd reconstr.kV 80Effective mAs

58 Dose InformationAdjusting the Image Noise The correlation between attenuation and tube current is defined by the analytical function described abo

580 ChildrenHints• Children older than age 6 should be scanned with an adult protocol.• CARE Bolus may be used to optimize the bolus timing with a tr

Children 581

582 ChildrenBodyAngioRoutine/BodyAngioRoutine06sIndications:For abdominal CT Angio studies, for example, vascular abnormalities, aneurysms, etc.For S

Children 583* The conversion factor for a 7-year-old child, and ascan range of 200 mm was used.Emotion 16 BodyAngio 2nd reconstr.kV 80Effective mAs/Qu

584 ChildrenHints• Children with a body weight of more than 55 kg should be examined with an adult protocol.• CARE Bolus may be used to optimize the

Children 585

586 ChildrenBodyAngioFast/BodyAngioFast06sIndication:Spiral mode for fast abdominal CT Angio studies, for example, vascular abnormalities, aneurysms,

Children 587NeonateBody/NeonateBody06sIndications:Spiral mode for neonate body studies, for example, tumors, abnormalities, malformations, abscesses,

588 Children* The conversion factor for a 8-week-old child, and ascan range of 150 mm was used.Emotion 16 NeonateBodykV 80Effective mAs/Quality ref.

Children 589Hints• CARE Bolus may be used to optimize bolus timing. Set the ROI for monitoring scan in the abdominal aorta with triggering threshold o

Dose Information59If you change the quality ref. mAs, a pop-up window is displayed.• To change the configuration of CARE Dose 4D, please open the Exam

ManufacturerSiemens Shanghai MedicalEquipment Ltd. (SSME)278 Zhou Zhu Road201318 Shanghai, P.R. ChinaTelephone: +86 21 38895000Authorized Representati

6 Contents User Documentation 16 Scan and Reconstruction 18• Concept of Scan Protocols 18• Scan Set Up 19• Feed in/Feed out 19• Topo Length 20• Scan

60 Dose Information– if the automatic dose increase for obese patients (or patient sections) has to be more moderate than the preset (choose obese: w

Dose Information61Activating and DeactivatingCARE Dose 4D may be activated or deactivated for the current scan in the Scan tab card. If CARE Dose 4D i

62 Dose InformationIf you are unsure about the correct Image Quality Ref-erence mAs value, follow this simple procedure:• Enter the (eff.) mAs value

Dose Information63Additional Important InformationFor ideal dose application it is very important to posi-tion the patient in the isocenter of the gan

64Workflow InformationWorkStream4DRecon JobsIn the Recon card, you can define up to eight recon-struction jobs for each range with different parameter

Workflow Information653D Recon3D Recon allows you to perform oblique and/ or double oblique reconstructions in any user-defined direction directly aft

66Workflow InformationWorkflow DescriptionWorkStream 4D improves your workflow whenever non-axial images of a CT scan are required, for example examin

Workflow Information67Additional Important InformationPitch factor for 3D Recon• For reconstruction of 3D recon jobs the maximum pitch factor is 1.5.I

68Workflow InformationThree planning segments in perpendicular orienta-tions will appear in the upper screen area. You can choose between MPR Thick (3

Workflow Information69The rectangle with the grid represents the reference image (topogram) which is added to the Topogram series including the refere

Contents7 • CARE Dose 4D 47- How does CARE Dose 4D work? 49- Special Modes of CARE Dose 4D 53- Scanning with CARE Dose 4D 54- Adjusting the Image

70Workflow InformationPreview ImageA preview of the actual FoV is now available.• After pressing the button Preview Image the actual FoV to be reconst

Workflow Information71Depending on the desired resultant images, choose coronal, sagittal or oblique recon axis.1. Sagittal/Coronal Reconstructions• A

72Workflow InformationTo define the reference image (topogram) to the active segment, click on the Set Reference Segment button. This defines the orie

Workflow Information73Additional InformationAs soon as you define a new recon range, all recon ranges will be shown in the topo segment. The two numbe

74Workflow InformationRecon PlanningDuring planning of a 3D recon range, the image dis-played in the FoV segment will be updated to the new position o

Workflow Information75• Oblique reconstruction of the sinuses:– Scan a topogram– Plan your axial spiral scan range– Reconstruction of the spiral image

76Workflow InformationNon-square Matrix for 3D ReconIf you perfrom a 3D reconstruction of your spiral scan you have the possibility to choose between

Workflow Information77Case Examples for 3D Recon and Non-Square MatrixSome scan protocols are delivered with predefined oblique and non-square matrix

78Workflow Information– Rotate the reference lines until the best view on the sinuses is displayed in one of the other seg-ments– Select this segment

Workflow Information79WorkflowPatient PositionA default patient position can be linked and stored to each scan protocol. The SIEMENS default protocols

8 Contents- Change parameters 103- Import scan protocols from SOMATOM LifeNet/CD 117 Contrast Medium 122• Contrast Medium 122- The Basics 122- IV I

80Workflow InformationNavigation within the TopogramNavigation within the topogram helps you to plan a reconstruction range. The minimum conditions fo

Workflow Information81API LanguageThe API language can now be selected directly in the Patient Model Dialog.When the API language is selected, only th

82Workflow InformationBefore recording a new API text, first define the API lan-guage in the API setup dialog under Setup > API/Com-ment Setup in

Workflow Information83e - LogbookThe goal of e-Logbook is to offer an effective and effi-cient functionality to process examination informa-tion.The e

84Workflow InformationOver Default Time period you can determine how the recordings should be listed inside the e-Logbook Browser:– Today (which is th

Workflow Information85On the Manual Entries tab card you can configure the System Entries and Manual Entries, that should be displayed in the e-Logboo

86Workflow InformationFurthermore the Continuous Number can be set to:– Daily– Monthly– YearlyIf you set Continuous Number to Daily, the continu-ou

Workflow Information87Additionally the user can define Manual Entries which will also be displayed in the e-Logbook. These infor-mation can be pre-con

88Workflow Informatione- Logbook BrowserYou will find the e- Logbook Browser in the main menu under Patient > e- Logbook browser or you can use F12

Workflow Information89Additional to the dates, certain criteria can be selected to have a more specific search. Search criteria can be defined for all

Contents9 - InnerEarHRVol 180- InnerEar 184- InnerEarSeq 188- Sinus 192- SinusVol 196- Orbit 198- Dental 200 Neck 204• Overview 204- General Hints 2

90Workflow InformationHints for the Record List:1. Calling up Patient BrowserWhen you double click on any record in the e-Logbook Browser, the patient

Workflow Information91Study ContinuationAn existing study can be continued at a later time.To load an existing study:• Select the desired study in the

92Workflow InformationReconstruction on the syngo CT Work-placeIt is possible to start all reconstructions from your sat-ellite console.• Raw data has

Workflow Information93Examination Job StatusYou can get an overview of all recon jobs by clicking on the recon task symbol in the status bar or select

94Workflow InformationAuto Load in 3D and Postprocessing PresetsYou can activate the Auto load in 3D function on the Examination task card/Auto Taskin

Workflow Information95The same can be done for VRT presets. In the main menu under Type > VRT Definition, you can link VRT presets with a series de

96Workflow InformationScan Protocol CreationYou can modify or create your scan protocols in two different ways:• by editing/saving scan protocols• via

Workflow Information97User-specific scan protocols can be saved with the fol-lowing basic procedure:• Register a patient, you can choose any patient p

98Workflow InformationAdditional important information:• You can save your scan protocol at any time during the examination. • It is recommended that

Workflow Information99Step 1 - What do you want to do?Four different operation types are possible:• Manipulate Scan protocols (cut, copy, paste and de