Derived series and specialized tools

• Intuitive presentation, navigation and manipulation of MRI, CT, CR, DX, RG, RF and XA images
• Ability to access advanced applications and workflows along with semi-automated whole body image MRI stitching
• Time Intensity Analysis (TIA) available for temporal MR series
• Supports image processing for subtraction of two MRI series/datasets
• Seamless features to compare multiple studies

• Whole-organ 3D perfusion
• Single-input organ workflow for display of Arterial Flow (AF) map
• Dual-input lung workflow for display of Pulmonary Flow (PF), Arterial Flow (AF) and Pulmonary Perfusion Index (PI) maps
• Dual-input liver workflow for display of AF, PF and hepatic PIC maps
• Deformable registration and motion correction
• Patlak Plot method for display of Arterial Flow maximum slope, Patlak Equivalent Blood Volume and Patlak Flow

• Automatic calculation of quantitative brain perfusion results: Regional Cerebral Blood Volume (rCBV), Mean Transit Time (MTT), Regional Cerebral Blood Flow (rCBF)
• Summary map with single view for communication of the perfusion results
• Automatic curve-fitting and motion correction

• Automatic calculation of quantitative brain perfusion results: Regional Cerebral Blood Volume (rCBV), Mean Transit Time (MTT), Regional Cerebral Blood Flow (rCBF), Time-to-Peak of tissue response curve (TTP), delay of tissue response curve
• Single-view summary map for communicating the perfusion results
• 4D cine of the DSA view for visualizing the flow of contrast through the vessels
• Automatic arterial and venous phase separation in 3D views of the arteriogram and venogram (generated CTA-V view)
• Fusion of parametric and anatomical CT view

• Streamlined coronary workflow with automatic extraction of the coronary arteries and optimized viewports such as volume rendering, MIP, MPR, curved and straightened MPR views
• Full Vessel Probe capabilities for coronary artery analysis including the Lesion Tool, Vessel Walk, and Cath View
• Ability to display a subtraction and non-subtraction (CTA) series in a comparison side-by-side layout with auto link functionality
• ^SUREPlaque^™* tool assists clinicians in evaluating the characteristics inside blood vessels:
  • Characterize lesions in the vessel wall as either calcified or non-calcified
  • Quantify plaque burden and coronary remodeling non-invasively

• Automatic segmentation of the heart, left ventricle and myocardium in multiple phases
• Automatic calculation of global metrics, including: end diastolic volume, end systolic volume, stroke volume, ejection fraction, cardiac output, cardiac index, stroke index and myocardial mass
• Short-axis, long-axis and four chamber views of the heart
• Automatic calculation of regional metrics, including: wall motion; percentage of wall thickening and regional ejection fraction; and polar maps with live 3D beating heart visualization
• Key findings classification for consolidated reporting of all cardiac workflows

• Automatic-segmentation of colon with creation of 2D and 3D centerline for simultaneous multiplanar reformatting (MPR) and 3D review
• Single-click polyp segmentation for morphological characterization and quantification of size, density and distance to rectum
• Integrated filet view and endoluminal fly-through
• Automatic fluid/stool tagging and subtraction
• Polyp assessment and reporting using C-RADs guidelines

• Automatic bone segmentation and vessel tracking with centerline and contour editing tools
• User-guided workflow with automated identification of anatomical landmarks and stent-specific endovascular measurements
• Auto-populated reporting worksheet with selected stent template measurements
• Multi-study support for longitudinal comparison
• Key measurements supporting fenestrated grafts using the clock angle tool and clock overlay functionality

• Automated segmentation of the left atrium and pulmonary veins
• Automatic centerline and lumen boundaries with 3D fly-through for visualization and measurement of the pulmonary vein ostia
• Ability to define esophagus for proximity calculation
• Ability to export results in a STL file
• Export the 3D model to an EP navigation and mapping system (EnSite^™)

• Segment subcutaneous and visceral fat regions
• Evaluate fat segmentation results
• Dedicated application report with results based on the obesity standard associated with the selected report guideline

• Single-click liver and vascular segmentation
• Single-click tumor probe with tumor margin borders viewing in 2D/3D
• Volume fusion support for up to four timed phases.
• Resection planning tool to divide the liver into Remnant and Resected Liver and obtain liver volumes
• User selection for standard, rigid or deformable image registration
• Reporting templates for summarization of lesions:
  • Calculation of RECIST measurements
  • Calculation of WHO measurements

• Automated segmentation of lung and airways with expert presets for visualization
• Single-click lung nodule segmentation tools to include solid nodules and ground glass opacity (GGO) nodules
• Quantification of lung nodules with nodule growth and doubling times in comparison studies
• Dictation Table with LUNG-RADS^™, Fleischner Criteria and export options to PowerScribe^® 360 deployment
• Additional software offerings for Lung Screening Initiatives

• Lung density result quantification with HU density range, volume measurements, lung density index and the PD15% measurement
• Improved image quality for noisy images with built-in denoising function
• Semi-automatic right lung, left lung and airway segmentation
• Visualization of lung density with color-defined Hounsfield Unit (HU) ranges
• Density graph/histogram of the classified lung voxels’ relative frequencies
• Comparison of upper and lower lung density index ratios

• Vitrea Advanced Visualization’s flagship CT Lung Analysis application with Image Denoising
• Support of Nuance PowerScribe^® 360 Reporting
• PenLung^™ by PenRad unified software solution
• Integrated with Visia^™ CT Lung CAD
• Custom report templates with LUNG-RADS and ACR guidelines

• Semi-automatic segmentation of left atrium (LA), right ventricle (RV), left ventricle (LV) and myocardium, including identification of long axis and mitral valve boundaries across multiple phases
• Automatic calculation of RV/LV End Diastolic Volume (EDV), End Systolic Volume (ESV), Stroke Volume (SV), Cardiac Output (CO), 3-point LA metrics, LV/RV regurgitation fraction, cardiac index and myocardial mass
• Calculation of regional metrics including wall motion, percentage of wall thickening, regional ejection fraction and polar plots
• Key findings classification for consolidated reporting of cardiac workflows

• Semi-automatic chamber and myocardium segmentation
• Qualitative measurements, including Myocardial Mass, Myocardial Volume and Hounsfield Unit (HU) attenuation
• Polar map plots (contrast, transmural perfusion ratio, perfusion index) highlighting potential myocardium defects
• Defect scoring tool provides users an alternative way to:
  • Determine size of hypo-dense regions
  • Calculate percent of affected myocardium
• 17-segment or detailed perfusion polar maps
• Ability to view cardiac vessels over colored attenuation data using 3D fusion

• Single-click segmentation, with automatic centerline and lumen boundaries
• Quantify plaque burden and coronary remodeling non-invasively
• Visualize coronary vessel anatomy and disease with ease using defined HU ranges
• Characterize a lesion in the vessel wall as either calcified or non-calcified
• Automatic measurement and display of: lumen area and diameter; plaque area; plaque burden; ratio of wall area and lumen area; plaque volume; and plaque index

• Ability to load multiple volumes or series, allowing users to analyze and perform measurements in different phases of the cardiac cycle with combined reporting
• Automatic segmentation of aortic root, aortoiliac vessels with multiple viewing options including volume rendering, MIP, MPR, curved and straightened vessel MPR views
• Custom reporting templates with user guided automation assists with analysis and necessary measurements including:
  • Annulus with diameters, area and circumference
  • Right and left ostium measurements
  • Sinotubular Junction (STJ) diameter and size
  • Sinus of Valsalva width and height
  • Access route diameters, area and tortuosity
• Flexibility to enable planning for transfemoral, subclavian and transapical delivery approaches with display of C-Arm angles for device placement

• 2D and 3D visualization
• Report template autofills user selected scores and includes snapshots and graphs that can be exported
• Calculation of calcium score using Agatston, Volume or Mass
• The calcium percentile is displayed on a graph that compares the patient’s calcified plaque burden to that of other asymptomatic men or women of the same age range and/or ethnic group

• SPD denoising algorithm
• Customized filter, with reduced pixel noise and improved signal contrast to noise ratio (SNR)
• Real time toggle between original and denoised volumes
• Predefined image filter presets may be modified and saved for future use
• Interactive denoising preview capability
• Compatible with multi-phase and multi-volume datasets within select corresponding protocols

• The Vessel Probe tool creates a centerline through the vessel lumen
• Multiple image viewing formats including orthogonal MPR (multiplanar reformatted), oblique MPR, curved MPR, 3D and curved reformat views of the selected vessel
• Automated Stenosis Measurement tools that include single and dual reference, NASCET and average
• Automated internal and external lumen boundary detection, including maximum and minimum lumen diameters
• Automated stenosis measurement with a singleclick and drag movement across the vessel

• 3D models can be created from CT, MR, or XA images and exported from Vitrea in the form of stereolithography (STL). STL files are used in a wide variety of other applications
• 3D print on-demand
• Best-in-class 3D printing
• Ability to print 3D models in a wide range of materials and colors - from soft and dissectable to rigid and durable

• 2D and 3D fly-through visualization
• Segments the colon
• Extracts features from potential polyps based on shape, morphology, texture, contrast, brightness and other attributes
• Uses extracted features to classify detections as potential polyps or stool, normal tissue, fold, etc.
• Automated identification of regions of interest (ROI)
• Bookmark CAD markings
• CAD summary panel

Visia enables the detailed segmentation of anatomical pulmonary structures as well as the automatic detection of abnormalities (lung tumors, pulmonary embolism), their evaluation and quantification.

• Volume (mm³)
• Mean diameter (mm): average of the maximum diameter and short axis diameter
• Average/minimum/maximum densities (HU)

• Elapsed time in days
• Doubling time in day
• Percent (%) growth

• 2D Length, Angle and ROI measurements are available
• Panoramic and crosscut images can be saved as individual images or screen save images
• Ability to enter a series comment
• Create and save additional protocols for more detailed processing