04 - (Xelis Tutorial) 3D - Aorta Done

INFINITT
Xelis 3D - Aorta APM

User Tutorial
General Description
This is the INFINITT Xelis 3D user tutorial

© INFINITT Xelis 3D User Tutorial
Aorta – Xelis 3D
Contents
I. Load Study
 Select Study
 Choose Protocol
II. Make VR Image
 Remove CT Table
 Automatically Segment Bone
 Manually Segment Bone
 Capture
III. Make MIP Image
IV. Perform Analysis
 Make a Vessel Path
 Edit the Vessel Path
 Capture CPR and Endo Images
 Vessel Analysis
V. Report
VI. Additional Procedures
 Manual Sculpt
 Renal Volume Measurement
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© INFINITT Healthcare Co. Ltd.
All Rights Reserved

Aorta Lesson
I. Load Study
Refer to the Work List Tutorial to load an Aorta study for your Xelis type
(Xelis Stand Alone, Xelis Thin Client).
Follow one of these instructions:
Xelis Stand Alone
1. Click an Aorta study and select 3D protocol in the combo box.
2. Choose CT : Abdomen in the Review mode and click OK.
Xelis Thin Client
1. Click an Aorta study and click .
 If you use X-viewer, a downloading pop-up comes on. Choose correct
series.
Progress Bar below displays the DICOM Download of images
2. Select 3D protocol.
3. Choose CT : Abdomen in the Review mode and click OK.
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II. Make VR Image
Remove CT Table
1. Go to the tool and click
to remove CT Table automatically.
Automatically Segment Bone
2. Click .
3. Click to remove remain bone.
4. Select and click on the Aorta.
5. Click .
6. Click to fill one voxel more and click .
7. Click again to deactivate the Pick Object.
Manually Segment Bone
You can manually segment the bone if desired.
8. Click tab at the top of the window.
9. Click in the Segmentation Tool.
10. In the 2D View, click on the aorta.
The selected area is overlaid by blue color.
To deselect all, drag right mouse.
To deselect specific area, right click on the red cross and click Delete.
TIP Be sure the blue overlay is on vessel areas only. If it displays on bones,
deselect and decrease the Tolerance level in the Magic Wand Tool
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11. Find unselected vessels and click on the vessel again.
12. Continue to scroll and click on the unselected vessels until you reach the
last slice.
13. Check Fill Hole in the Segmentation Action box.
14. Select 1 Voxel and click Dilate.
The region is filled 1 Voxel more.
15. Click to protect vessels.
16. Click .
17. On the axial MPR images, drag left mouse on bones.
Drag
18. Repeat step 17 to segment all the bones in the view.
19. Click and then .
20. Go to the 3D tab.
21. Bones are removed.
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Capture
Refer to the Capture chapter in the Common Tasks Tutorial.
22. Click Reformat icon on the top right.
23. If there are the saved Reformat Options, click the List button and select
the option you want.
24. In the Interval dropdown, select or put down the interval degrees.
25. Take the image’s position to capture in the Start view.
TIP Click ‘A’ to start capture from anterior position.
26. In the End view, left click and drag to the right or top.
27. Click in the right bottom.
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III. Make MIP Image
1. Click VR on the top right and select MIP.
2. Click and adjust Window Width Level by dragging.
You can type the specific WWL by clicking on L/W.
IV. Perform Analysis
Make a Vessel Path
Use the Path function to view a CPR(Curve-Planer Reconstruction) view of the
vessel, Cross-Section MPR views, and an Endo view of the vessel.
1. Click in the tool.
2. Click on the vessel and select Vessel Center.
3. Make a vessel path by clicking along the vessel.
You can make a path in the MPR and Cube view also.
4. Double click at the end of the vessel.
5. Path view displays a Curved Planar Reconstruction (CPR) view, an Endo
view and several MPR views.
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6. Click and drag on the CPR view to rotate it.
7. Right click on the path and select Labels.
8. Select the vessel name or click Rename to type the vessel name.
Edit the Vessel Path
If you do not need to edit the path, skip this chapter.
Right click on the path and select Edit. You can edit the path in all 3D view,
CPR view, and Cube view.
Case1) Extend the path
1) 3D View : Click the end point of the path and drag.
2) CPR View : Drag to the right & left or up & down with left mouse in
the Orange box until you see the vessel to extend.
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Click on the vessel to extend.
3) Cube View : Click the end point of the path and drag. This view is
useful to extend a thin vessel.
Case2) Delete a point
If a point is not in the vessel, right click and select Delete this point.
Case3) Drag a point to the center
If a point is not in the center, drag the point to the center.
<CPR View> <MPR View>
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Capture CPR and Endo Images
9. Click Reformat icon on the top right in the CPR view.
10. If there are the saved Reformat Options, click the List button and select
the option you want.
11. In the Interval dropdown, select or type the interval degrees.
12. In the End view, left click and drag to the right or top.
14. Select Endo view and click Reformat icon.
15. In the Interval dropdown, select or type the interval millimeters.
16. Make a capture range by dragging yellow and green bars on the Scout
image or dragging on the start and end view.
17. Select 1 scout in Actions box to capture with scout image.
Vessel Analysis
18. After make a vessel path, click .
19. Put the Red(S) bar on the narrowed region and
put the Blue(R1) and Green(R2) bar on the reference region.
20. See the vessel analyzed result table.
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 Cur. : Maximum, minimum, average, cross-sectional area of vessel
diameter on the Red(S) bar.
 Ref. : Maximum, minimum, average, cross-sectional area of vessel
diameter of both Blue(R1) and Green(R2) bars.
 % Stenosis : Percentages of Cur. and Ref.
21. If necessary, edit the boundary.
Right click on the boundary and select Edit mode.
Draw curve mode : Draw along the boundary by clicking.
Push/Pull mode : Left click and push or pull the boundary by dragging.
<Draw curve> <Push/Pull>
TIP You can select the vessel boundary editing option.
Click in the tool bar and select the option in .
22. Click and click (or press F10) to take a Snapshot.
V. Report
The captured images are saved to the Report tab.
1. Click tab at the top of the window.
2. Click to DICOM Send to the PACS.
Refer to the Report chapter in the Common Tasks Tutorial.
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VI. Additional Procedures
Manual Sculpt
Remove larger fragments or other regions by manually sculpting them from
the 3D view.
1. Click tool and click .
TIP If necessary, rotate the 3D image.
2. Draw around areas to discard by clicking.
3. Click right mouse at the end point and click on the area you want to
discard.
Renal volume measurement
4. Click to remove remain bone.
5. Select OTF .
6. Click in the Misc tool.
7. Select and click on the kidney.
8. Click to fill one voxel more.
9. Click .
10. Draw around the kidney and select the other area to deselect.
TIP If necessary, rotate the 3D image.
11. Continue step 9 until you remain only the kidney.
12. Click then the kidney object is created as Objec2.
13. Click then you can see the volumes.
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04 - (Xelis Tutorial) 3D - Aorta Done

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INFINITT

Xelis 3D - Aorta APM

This is the INFINITT Xelis 3D user tutorial

II. Make VR Image

 Automatically Segment Bone

 Manually Segment Bone

III. Make MIP Image

IV. Perform Analysis

 Make a Vessel Path

 Edit the Vessel Path

 Capture CPR and Endo Images

VI. Additional Procedures

 Renal Volume Measurement

All Rights Reserved

(Xelis Stand Alone, Xelis Thin Client).

Follow one of these instructions:

Xelis Stand Alone

1. Click an Aorta study and select 3D protocol in the combo box.

2. Choose CT : Abdomen in the Review mode and click OK.

Xelis Thin Client

1. Click an Aorta study and click .

 If you use X-viewer, a downloading pop-up comes on. Choose correct

Progress Bar below displays the DICOM Download of images

3. Choose CT : Abdomen in the Review mode and click OK.

All Rights Reserved

II. Make VR Image

1. Go to the tool and click

to remove CT Table automatically.

Automatically Segment Bone

3. Click to remove remain bone.

4. Select and click on the Aorta.

6. Click to fill one voxel more and click .

7. Click again to deactivate the Pick Object.

Manually Segment Bone

You can manually segment the bone if desired.

8. Click tab at the top of the window.

9. Click in the Segmentation Tool.

10. In the 2D View, click on the aorta.

The selected area is overlaid by blue color.

To deselect all, drag right mouse.

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11. Find unselected vessels and click on the vessel again.

13. Check Fill Hole in the Segmentation Action box.

14. Select 1 Voxel and click Dilate.

The region is filled 1 Voxel more.

15. Click to protect vessels.

17. On the axial MPR images, drag left mouse on bones.

18. Repeat step 17 to segment all the bones in the view.

19. Click and then .

20. Go to the 3D tab.

21. Bones are removed.

All Rights Reserved

Refer to the Capture chapter in the Common Tasks Tutorial.

22. Click Reformat icon on the top right.

the option you want.

25. Take the image’s position to capture in the Start view.

TIP Click ‘A’ to start capture from anterior position.

27. Click in the right bottom.

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III. Make MIP Image

1. Click VR on the top right and select MIP.

2. Click and adjust Window Width Level by dragging.

You can type the specific WWL by clicking on L/W.