syngo.via Images, my way.

Redefining PET and CT reading with revolutionary ease-of-use anywhere.

www.siemens.com/mi 1

syngo.via

Images, my way.
Redefining PET and CT reading with revolutionary ease-of-use anywhere.1,4
Your diagnostic report will help determine the care that a waiting patient will receive. The rich diagnostic information from your PET and CT imaging system has been acquired, but theres still a lot of work to be completed before you can deliver the critical diagnosis that the patients physician needs. Siemens understands that high quality image acquisition is important, but that you need more. You need faster and easier ways to process, read and share those PET and CT images. Enter the world of syngo.via, the new imaging software that redefines PET and CT reading with revolutionary ease-of-use anywhere.1,2,4

Experience reading efficiency

Convenient access to tools on the image.

Experience workflow integration

Live access to your PET and CT cases from any location.

Experience investment protection

Remote updates occur automatically and the system is expandable to meet your changing needs.

Experience unparralled image access, ease-of-use and workflow efficiency with the syngo.via1 imaging software based on a clientserver platform. It is designed for your PET and CT imaging and diagnostic needs of today, and it has the ability to evolve to meet your software and system needs of tomorrow.

My cases ready.
syngo.via automatically prepares the images and enables timely navigation through a case, in line with disease-specific requirements.

My places networked.
syngo.via makes it possible to quickly access information from any location,from any modality, and to share it with colleagues and clinical partners.1,2,4

My needs anticipated.
syngo.via keeps all of the functionality state-of-the-art and offers a predictable cost-ofownership throughout the life cycle.

syngo.via

My PET and CT cases ready.

Increasing patient and data volumes are demanding more of you and your equipment. You cant afford lost time searching for the right patient, prior studies and the right tools. syngo.via lets you focus on the image, making your reading more efficient. With syngo.via, you can experience reading efficiency.

Instant case access via QuickWorklist and automated case preparation

Structured reading via Case and Findings Navigators

PET and CT tools on the image via dynamic and smart menus

Instant case access.

Your cases are ready for interpretation and are available directly from your QuickWorklist, including all relevant prior studies. And your worklist can be set to batch mode, which ensures that the next case is ready and waiting for you, after you complete each case.

Structured reading.
The Case Navigator provides a guided workflow, specific to the type of modality and to the case at hand. The necessary tools are organized in logical order. And while you read the case, all of your findings are automatically tracked and stored in the Findings Navigator for easy reference and reporting.

PET and CT tools on the image.

Oncology cases automatically load into the oncology reading environment, including the right layouts and tools. All user interface elements can be hidden so you can focus on the case. And when you need to change to a different PET or CT tool, its where you need it. Its on the image, in the corner menus and your configurable Context Menu.

syngo.via

My PET and CT places networked.

Your PET and CT imaging systems deliver rich clinical information with remarkable detail. Making full use of this information by extracting and communicating all of the findings efficiently is a matter of image access and networking. syngo.via provides a single database and working environment for you and your clinical partners, so nothing is lost in transition. Advanced PET and CT visualization for case preparation, reading and results communication is now available where and when its needed including PACS. With syngo.via, you can experience workflow integration.

Reduced reading time via efficient case preparation

Advanced PET and CT reading on every PACS5 via IT integration

Live access anytime, anywhere via client-server architecture

In an oncology department, syngo.via helps to make case presentations easier. With the link between text and image, it is quite easy, for example, to present ten cases prepared by different investigators, because their findings can easily be tracked by everyone.
Prof. Dr. med. Dipl.-Phys. Heinz-Peter Schlemmer University Hospital Tuebingen, Department of Diagnostic and Interventional Radiology Tuebingen, Germany

Reduced reading time.

With a single database, your technologist can now prepare your cases before placing them in the reading worklist. Routine tasks will be completed, so more time is available for reading. All cases are available instantly, without sending studies across the network.

Advanced PET and CT reading on every PACS.5

With syngo.via, you can freely navigate the entire dataset, use advanced PET and CT segmentation and quantification tools, and document your findings right on your RIS/PACS reporting workplace. Cases can now be interpreted and reported with access to full clinical information, without depending on parallel ranges or switching between reporting and reading workplaces.

Live access anytime, anywhere.

On your PACS, at the tumor board meeting, in the OR, or even from home, live access to all cases and tools is just a login away on any PC.1,2,4 Referring physicians can access WebReports* to review findings and related images. This creates new possibilities, like easy second opinion and on-call scenarios, using the Findings Navigator to elegantly present cases, or using 3D visualization for surgery planning and patient communication. syngo.via frees medical images from the local workstation to bring the power of hybrid imaging to clinical routine.

syngo.via

My PET and CT needs anticipated.

Your image management and visualization solution is part of the infrastructure of your department. You rely on uptime and state-of-the-art functionality to remain productive and competitive. You need it to be up and running, with minimal downtime. And you want the infrastructure to grow with your needs. The syngo.via service agreement keeps the system state-of-the-art with automatic remote updates. Uptime is improved with server-grade hardware that is remotely monitored and centrally managed. And with the flexible licensing model, additional user and application licenses can be configured as needed. With syngo.via, you can experience investment protection. Refer to page 15-16 of this brochure for complete details on the service and support available to you along the entire life cycle of your syngo.via investment.

State-of-the-art applications via automatic remote updates

Improved uptime via a centrally managed server

Cost-effective scalability via flexible licensing

State-of-the-art applications.
Remote updates become automatically available on the server and ready for installation by the local administrator. All users can immediately benefit from continuous innovations and new developments.

Improved uptime.
Server-grade hardware in a controlled server room can be centrally managed and remotely monitored. Siemens Remote Service monitors the server continuously for preventive maintenance to ensure system performance.

Cost-effective scalability.
The flexible licensing model of concurrent users allows additional users and application licenses to be configured at any time. Existing computers can also be used as syngo.via clients, which can run on any standard PC.1,2,4

syngo.via
Modular. Multimodality. Client-Server Based Architecture.

syngo.via can be configured with a large selection of advanced applications. Engine and Engine Pro options are available and include applications designed for specific clinical specialties. The Engine option focuses on the functions required for routine PET use, and Engine Pro contains additional PET and CT functionality. The PET and CT Engines5 for syngo.via provide a higher level of automation and quantification. The system helps deliver a processing and evaluation solution tailored to your specific PET and CT workflow requirements, installed modalities, and clinical focus requirements in order to facilitate reproducible results faster, a necessity in high volume environments.

Standard multimodality reading functionality

Standard CTA functionality

Standard integrated PET and CT functionality

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mCT Oncology Engines

syngo.via clients

MR Oncology Engines

The number of syngo.via client licenses, applications and engines can be configured independently with regard to timing and quantity. A complete list of the software applications available on syngo.via for PET and CT is listed on page 12-13 of this brochure.

optional

CT Oncology Engines

standard

syngo.via Standard Applications syngo.via Client-server platform and universal functionality

PACS/Archive

syngo.via is a modular solution that consists of a client-server architecture and a variety of standard and optional software applications that together form the revolutionary syngo.via image management software platform. With the client-server architecture at its foundation, syngo.via PET and CT users can achieve functionality like anywhere, anytime access, a single database workflow environment, remote upgrade and service capability, centralized server administration, and cost-effective, scalable license sharing and expansion capability. Add a powerful set of optional clinical applications and engines, and you can go beyond image display to advanced visualization and quantification that is tailored to the needs of specific clinical specialties, like oncology, cardiology or neurology. These powerful engines can be purchased at any time - making syngo.via a modular, multimodality, client-server solution that can grow with you today, as well as tomorrow.

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syngo.via Applications Overview for PET and CT

Functionality at a Glance

Application Oncology syngo.PET&CT Oncology syngo.PET Segmentation syngo.Onco Cross-timepoint Evaluation syngo.CT Segmentation RT Export1 Gating Support1 syngo.Lung CAD syngo.CT Colonography syngo.CT Colonography - PEV Cardiology syngo.CT Vascular syngo.CT Cardiac Corridor 4DM or Cedars PET Quantification1 syngo.CT CaScoring syngo.CT Coronary Analysis2 syngo.CT Cardiac Function2 syngo.CT Cardiac Function Enhancement2 syngo.CT Cardiac Function Right Ventricle2 syngo.CT Vascular Analysis2 syngo.CT Vascular Analysis Autotracer2 Myocardial Blood Flow Evaluation1 Neurology Neuro Viewer Neurology PET Evaluation1 Neuro Perfusion CT1

syngo.CT Neuro DSA2

Clinical functionality provided on syngo MMWP. Functionality to be transferred to syngo.via at a later date. Pending clearance by the US FDA. Not commercially available.

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Features

syngo.via Standard Functionality

syngo.mCT Engine

syngo.mCT Engine Pro

Specialty Applications

syngo.mCT Oncology Engines Automatic image registration and fusion, MIP-based case navigation, synchronized MPR, VRT view, automatic pre-fetching of relevant prior studies, multi-timepoint comparison, RECIST/WHO measurements (manual), reporting, Findings Navigator, Corner Menus, Context Menu, multiple layouts, LUTs, windowing pre-sets 1-click PET segmentation with 2D and 3D SUV-based iso-contouring tools, PET quantification incl. SUVmax, SUV average, max diameter Quantitative follow-up incl. percent change over time per lesion 1-click CT segmentation with 3D tools for liver lesions, lymph nodes, lung nodules, and general segmentation, automatic calculation of RECIST/WHO diameters and volume, quantitative follow-up incl. RECIST-based total tumor burden Capability to export PET based iso-contours as RT structure sets for therapy planning Display and analysis of respiratory gated studies incl. movie, max. range of motion quantification, and gated superset contour creation CT Lung CAD with autoprocessing CT virtual colonoscopy with 2D and 3D reading (fly through), global view (solid and semi transparent), registered navigation (prone/supine), small intestine deletion, distance to rectum, panoramic view, perpendicular flight CT virtual colonoscopy with Polyp Enhanced Viewing (PEV) syngo.mCT Cardiology Engines Bone removal, table removal, manual vessel tracking, MPR, thin MIP images, curved and cross-sectional MPR, reporting Heart isolation, plaque visualization, manual coronary tracking, cardiac planes, curved and cross-sectional MPR, reporting, movie (beating heart) Standard PET quantification package from Cedars or Corridor 4DM for perfusion, viability, and functional analysis Calcium Scoring Automatic coronary tracking and labeling (LAD, RCA, LCX), VesselSURF for navigation along coronaries, curved and cross sectional ranges, single click stenosis function provides diameter, plaque composition, curved length, lumen profile curve, and minimum lumen information Left ventricular functional analysis of CT angiography studies incl. volumetry in all cardiac phases, ejection fraction, wall motion and thickening. Results displayed in polar plots and graphs. First pass myocardial enhancement based on Single Energy CT data Right ventricular volumetry for CT angiography studies Curved and cross sectional ranges, navigation along vessels, vessel tracking, stenosis measurement, calcium removal (Single Energy), lumen to vessel measurement Automatic tracking and labeling of main vessels Absolute quantification of the myocardial blood flow in ml/g/min based on dynamic PET perfusion study. Helps to improve diagnostic confidence even in patients with balanced disease. syngo.mCT Neurology Engines Neuro layouts, dynamic data display Visualization, volumetric analysis, automated registration and fusion of PET studies with CT and MR, FDG PET normal database comparison (voxel based), regional evaluation of abnormal glucose metabolism, prededined regions of interest optimized for evaluation of dementia Quantitative evaluation of dynamic CT data to aid in early differential diagnosis of acute ischemic stroke and image the bloodbrain barrier disruption found with some brain tumors; Provides Cerebral Blood Flow (CBF), Cerebral Blood Volume (CBV), Time-to-Peak and Multi-Parameter Classification from one set of dynamic CT images for assessment of the type and extent of cerebral perfusion disturbances. Capability to generate permeability images of brain tumors may enhance the physicians ability to grade tumors, plan biopsies and monitor therapy. Using many automated functions, mirroring of ROIs, and automated calculations, fast results like multiparameter tissue classification can occur in seconds. Bone removal from CT Angiography datasets for improved visualization of the cerebral vasculature Standard Standard l Standard l l Standard Standard Standard Standard l l l Standard Standard l l l l l l l l l Standard Standard l l Standard l l l l l l l l

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syngo.via
My needs anticipated.

syngo.via service provides you with peace of mind. You can be confident that you are on the leading edge of technology, and that your systems and workflow are running smoothly.

Continued innovations keep you on the leading edge

With our dedicated syngo.via service agreement, your core functionality and clinical applications are always state of-the-art. We continuously provide you with managed remote updates for software enhancements. These will be delivered automatically, via our secure remote infrastructure, without unplanned workflow interruptions. This means that you are able to expand your clinical spectrum with the latest applications, when needed.

Integrated services for comprehensive support

With our service agreement, you receive support for your workflow, not just for a single step. Our remote maintenance and repair services ensure quick response and repair times for better staff planning and patient scheduling. Our service team is available for you up to 24/7. During the Principal Coverage Period, native language support is available for most major languages. Furthermore, you will have a primary contact person who has in-depth knowledge of your facility. In addition, our application support and modular training offering mirror your needs, schedule, and work-flow.

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Confident financial and department planning with predictable life-cycle costs

Our comprehensive service agreement and the flexible licensing model are key to planning security. Software maintenance and support services are an integral part of the syngo.via service agreement, which makes service costs predictable. In addition, you can adapt your service agreement to meet your unique needs by adding optional services. Our concurrent user model for syngo.via is highly flexible. Simply choose the number of licenses that meet your needs, not the number of connected hardware. Should your requirements change, you can always expand the number of licenses or add new clinical applications.

Foreseeable Total Cost of Ownership

Another big plus on the business perspective: foreseeable Total Cost of Ownership. Because software maintenance and support services are an integral part of your syngo.via service agreement, service costs are predictable and clearly calculable. In combination with the fl exible licensing model, this makes precise budget planning easier for you.

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Benefits For All Members

Technologists
syngo.via is easy to learn and intuitive to use. Technologists and physicians work with the same tools. It helps eliminate workarounds, such as parallel ranges for PACS reading. Preparation work performed by the technologist is saved for further manipulation and review. Adjustments can be made without rework at a later time.

Reading Physician
The reading worklist with batch mode, automated case preparation, and disease-oriented workflow reduce reading time. Routine access and the use of integrated PET and CT tools help extract all clinical information for full use of hybrid scanner capabilities. All clinical data and applications can be accessed when and where needed: during reporting from PACS, during the tumor board from a PC, and during on-call from home.

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of the Imaging Team...

Clinical Partners
syngo.via unites oncology, cardiology and neurology tools in one intuitive multimodality environment. Surgeons can plan an intervention by navigating through the case in 3D instead of looking at static 2D images. Oncologists can review lesions with advanced measurement tools. And referring physicians have access to WebReports. The consistent user interface and intuitive workflow design enable consistent and reproducible results even for applications only used occasionally.

Administrator
A single database avoids time consuming data transfers across the network. The syngo.via multimodality platform is the ultimate enabler of the true PET and CT shared-services department. Centralized IT administration, automatic updates, and fast and efficient remote services improve uptime and keep the system state-of-the-art. With low incremental cost per additional user, syngo.via provides better return on investment and grows with PETCT needs.

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syngo.via
processing, reading and sharing images, your way.
In todays challenging healthcare environments, Siemens understands that the cost and efficiency of healthcare delivery is equally of concern as is the quality of care. syngo.via is the latest innovation from Siemens designed to address these important concerns. When combined with the state-of the-art Biograph PETCT imaging scanners, powerful software applications, and radiopharmaceuticals from PETNET Solutions, the result is a comprehensive solution designed to help you efficiently transform patient medical images into accurate clinical diagnoses and treatment protocols that can help improve the life of a patient.

To learn more about syngo.via, visit www.siemens.com/mi or contact your local Siemens sales representative to schedule your syngo.via onsite demonstration today.

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Disclaimers: * syngo.via can be used as a standalone device or together with a variety of cleared and unmodified syngo.via-based software options, which are medical devices in their own rights. 1. Prerequisites include: Internet connection to clinical network, DICOM compliance, meeting of minimum hardware requirements, and adherence to local data security regulations. 2. syngo.via supports interpretation and evaluation of examinations within healthcare institutions, for example in Radiology, Nuclear Medicine, and Cardiology environments. 3. The system is not intended for the display of digital mammography images for diagnosis in the U.S. 4. Any PC or MAC with a network connection and meeting minimum hardware requirements can be used as a client. 5. This product does not yet fulfill all the essential requirements of the European Medical Device Directive (93/42/EEC) and its national implementations. It is not yet commercially available in the European Union. Whenever the hardware is supplied by us and is labeled accordingly, it is CE-compliant in accordance with EMC 2004/108/EC and, if applicable, with LVD 2006/95/EC. Caution: US federal law restricts the herein described devices to sell by or on the order of a physician.

Trademarks and service marks used in this material are the property of Siemens Medical Solutions USA, Inc. or Siemens AG. All other company, brand, product and service names are trademarks or registered trademarks of their respective holders. On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which do not always have to be present in individual cases. Siemens reserves the right to modify the design, packaging, specifications and options described herein without prior notice. Please contact your local Siemens sales representative for the most current information. Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when reproduced.

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