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Vision 6.0 Clinical Applications
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Vision Power Station

• Full panel cardiology software
• Industry Standard Applications (Emory )
• Complete Clinical Software Library
• Large panel of connectivity solutions
• Fast processing

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Vision Power StationCardiac SPECT Processing

• Up to 3 simultaneous reconstruction (stress,
  rest, delay)
• Any combination of gated and/or non-gated studies
• Sinogram, Linogram and raw cine mode quality
  control
• Fast assessment of wall motion, perfusion and
  thickening
• Slices cine mode for Gated SPECT studies

Read Master Display
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Vision Power StationCircumferential Profiles
Analysis

• Stress and rest dual study comparison
• Applicable to thallium or technetium agents
• Circonferential profiles with expected
  redistribution
• Perfusion and washout bullseyes
• Adjustable distribution 3D map

3D perfusion map
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Vision Power StationTARGET Bullseye

• Perfusion bullseyes display
• Thallium or technetium based perfusion agents
• Cedars thallium reference database (option)
• Multiple user-created databases
• Quantitative patient/database comparison

Comparison bullseye
Patient bullseye
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MultidimTM Comparative ProcessingOwnership gated
tomography protocol

• Up to 3 gated or non-gated datasets may be
  analysed
• 4D cine of the endocardial wall (3D surface
  wall motion)
• Solid or wire-mesh display

4D cine and physiological indexes
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MultidimTM Comparative Processing Ownership
gated tomography protocol

• LV EF and volume calculation
• ES, ED and stroke volumes, EF and cardiac output
  computation
• 3D mapping
• regional ejection fraction
• regional perfusion
• stress/rest subtraction (washout)

3D perfusion map
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Vision Power Station Planar Gated Bloodpool

• Automatic tail drop correction
• Automatic or manual Region-Of-Interest
• Left and right global ejection fraction
• Exercise gated comparison with up to eight
  datasets
• Fourier analysis
• amplitude and phase image
• contraction wave propagation
• Regional and sectorial EF

Functional images
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Vision Power StationStasis Motion Correction

• Correction for patient motion and cardiac creep
• Vertical and horizontal shifts treated
  independently
• Automated analysis of sinogram and linogram
• Compatible with both gated and non-gated

Linogram
Sinogram
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Vision Power StationRestore Resolution
Recovery

• Depth dependent resolution recovery
• Scatter correction
• Filter adjustement (maximum gain, cutoff,
  filter-shape)
• Collimator and acquisition setting
• Improves cardiac spect images quality
• enhances contrast between heart and background
• gives better definition of ventricular cavity
• leads to a more homogeneous visualization

3D map of Restore filter
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Vision Power StationTACTM Transmission
Attenuation Correction

• Myocardial SPECT non-uniform attenuation
  correction
• 153Gd or 99mTc as transmission source
• 201Tl or 99mTc-sestamibi as radiotracer
• Multi-iterative reconstruction optimization
• Chang algorithm
• Single or gated cardiac SPECT

Transmission map
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Vision Power StationTACTM Transmission
Attenuation Correction

• Eliminates non-uniform attenuation artifacts
• enhances activity in inferior / infero-spetal
  regions
• decreases relative activity of antero-lateral
  region
• decreases hyperactivity of apex

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Vision Power StationSPECT reconstruction / 3D
package

• Real time slice reconstruction for SPECT
  acquisition
• Decay, COR, uniformity post-acquistion correction
• Large choice of reconstructiuon filters
• 3D volume rendering or iso-surface display

Bone tomoscintigraphy
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Vision Power StationCerebral Blood Flow

• Regional brain flow quantification
• Dual SPECT comparison
• Automatic circumferential segmentation
• Segmental left/right and early/delay analysis
• Numeric and bar graphic display

Cerebral stroke
Circumferential analysis
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Vision Power StationRenal Package

• Automated processing
• DTPA, MAG3 and IOH acquisitions
• Renogram analysis
• Effective Renal Plasma Flow (ERPF)
• Glomerular Filtration Rate (GFR)
• Renal uptake, clearance and excretion assessment

MAG3 study
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Vision Power StationLungs Ventilation /Perfusion

• Analysis of pulmonary function
• Automated processing
• Global and segmental analysis
• Ventilation and perfusion time activity curves
• Functional images
• Ventilation index
• Perfusion index
• Vent/Perf ratio
• Mean transit time

Vent/Perf ratio
Image Histogram
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Vision Power StationWhole Body Processing

• Ant/Post single or dual study processing
• Full 10241024 screen display
• Hot spot masking
• ROI counts statistics
• Magnification tools

Whole body scan
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Vision POWERstation 6.0

• New Clinical Appliation
• PER (Scatter correction software)
• BrainQuant (Stereotaxic Brain Quantification)
• Myoflex (3D Myocarial Fuzzy Logic Expertise)

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PER - Scatter Correction

• Objectives
• Improve the effective energy resolution of
  acquisition system,
• Correct the images for
• Compton scatter
• Crosstalk down scatter contamination
• gt Multispectral analysis based on iterative
  energy spectrum deconvolution
• Benefits
• Better image contrast
• Improved spatial resolution
• More accurate quantification

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PER - Scatter Correction
Thallium Stress SPECT Scintigraphy
Without correction
With Scatter Correction
Inf. wall Ant. wall
Line profile through a middle VLA slice
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MyoFLEX
Processing steps
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2D views
3D views
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MyoFLEX

• Automatic myocardial edge detection algorithm
• Perfusion 3D Quantification (3D ROI)

3D automatic analysis
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MyoFLEX

• 18 Sectors Segmentation
• Normal Reference Databases available
• User-defined databases capability

Myocard segmentation
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MyoFLEX

• Color-coded perfusion scores
• Relative tracer uptake distribution
• Simultaneous Rest / Stress analysis
• Reversibility 3D map (Rest-Stress)

Perfusion Mapping
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XT-ERNA 2 Multi-harmonic Fourier Analysis

• Automatic tail drop correction
• R-R waves histogram
• Automatic or manual Region-Of-Interest creation
• Left and right global ejection fraction
  calculation
• Multi-harmonic capability (1 or 3 harmonics)
• LV and RV percentile analysis

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XT-ERNA 2

• Exercise gated comparison with up to eight
  datasets
• Fourier analysis
• amplitude and phase image
• contraction wave propagation
• Sectorial EF
• Improved cine display
• Comprehensive result pages
• Standard display
• User-defined screens

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BrainQuant

• Anatomical localization of functional
  abnormalities is difficult to implement in NM
  without MRI and CT scan images.

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Ability to identify cerebral structures by
comparing functional images with a standard
reference system (Talairach atlas).
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BrainQuant
Talairach grid
AC-PC orientation

• AC-PC plane determination and Talairach grid
  applied on transverse cerebral slices

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Patient Motion Correction (MoCo)

• Can be launch from any SPECT Protocols
• Fully Automatics
• Support Gated SPECT

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QGS / QPS
Complementary (but similar) application referring
to Myocardial SPECT
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BPGS
Recon Reformat uses eNTEGRA UI, BPGS uses UI of
Cedars-Sinai.