4DM Key Feature List
An overview of new and enhanced features inv2016
Feature
Description
Clinical Value
NEW
4DM Administration • Provides for the management of multi-site organizations and multiple 4DM users, in addition to licensing, global preferences, screen capture configuration, and 4DM’s Reporting module.
• IT/PACS Administrators and other non-physician 4DM users who handle configuration changes to 4DM can now edit site-specific settings independently from 4DM
• Changes to site-specific settings are made securely, as only
Administrators with usernames and passwords can access the 4DM Administration module.
PDF Viewer Screen • PDF Viewer screen displays DICOM format encapsulated PDF files for review within 4DM • Review EKG Summary reports, patient history forms, and technologist acquisition protocol information from the camera systems, all while within the 4DM application.
EKG Viewer Screen • The EKG Viewer screen displays 12-Lead and General EKG Waveforms from EKG systems capable of sending data in DICOM format
• Physicians can review EKG data within 4DM and generate time and amplitude measurements. Enter relevant information into the patient report on the EKG screen within 4DM Reporting.
Merge Patients • Consolidate two patient records into one, in the event that a duplicate has been created in error • In the event of a clerical error or if patient images were acquired under the wrong name, merging two patient records can be done with the click of a button.
SPECT-CFR Quantification • Quantify and review SPECT Coronary Flow Reserve (CFR) datasets from certain camera systems* • CFR reduces the potential to underestimate the full extent of disease by quantifying the absolute blood flow for each of the vascular territories and globally.
ASNC ImageGuide Registry • Export clinical data to ASNC ImageGuide Registry • Physicians can now export ASNC-compliant XML reporting results for participation in the ASNC ImageGuide Registry
Windows Support • 4DM Personal v2016 supports installation on Windows® 7, 8, and 10 as well as Windows® Server 2008 R2 and 2012 R2 • N/A
ENHANCED
4DM Reporting
• 4DM’s reporting interface is completely overhauled and includes:
» Automatic-sentence generation » Real-time preview & editing capability » Dragon dictation for speech-to-text input
• Fill-in patient information and EKG results in advance of imaging your patient
• 4DM Reporting includes multiple time-saving features to help physicians create, edit, and finalize reports.
• Reports can be started or edited independently from 4DM, and prior to images being acquired.
v2016
Feature
Description
Clinical Value
ENHANCED
New Normals Databases • Philips Astonish AC
• Ammonia (N-13)
• Perform quantification comparisons to normals databases for SPECT images taken by Philips Healthcare’s attenuation-corrected Astonish reconstruction software and PET images acquired using the Ammonia radiotracer.
Coronary Flow Reserve Screen
• Added ability to normalize the Rest MBF and CFR to Resting Rate Pressure Product (RPP)
• Added new processing algorithm
• Due to patients’ variation in heart rate and systolic blood pressure during stress and rest imaging, the RPP normalization tool enables physicians to ensure consistent absolute flow and CFR values.
v2015
Feature
Description
Clinical Value
NEW
Motion Correct Dynamic Cardiac PET Datasets
• Motion Correction for dynamic cardiac PET datasets is part of the Coronary Flow Reserve (CFR) option
• Manually correct dynamic datasets by adjusting individual frames to account for patient motion
• Provides correction of patient motion during dynamic cardiac PET dataset acquisitions, as part of the 4DM PET CFR option
• On the Reserve Screen, the technologist can increase accuracy of CFR quantification by correcting for patient motion
Display Rotating MIP for
PET and CT data • On the Fusion Screen, view rotating MIP screen objects for PET and CT datasets
• Provides physicians with a familiar display to review PET and CT datasets in a rotating MIP for dataset quality assurance and image review
ENHANCED
Synchronize Manual
Processing Adjustments • During manual processing on the MI Processing Screen, synchronize adjustments across all datasets displayed
• Provides technologists and physicians a faster way of manually processing a study by synchronizing any adjustments made to a single dataset for all displayed study datasets
MI Processing Screen • Manual normalization of SPECT and PET datasets on the MI Processing screen • Physicians can specify the pixels within polar maps to normalize SPECT or PET datasets if clinically indicated Improved Performance • Use multi-threading to improve startup performance on multi-CPU systems • 4DM takes advantage of advanced CPUs to save technologists and physicians valuable time processing and reviewing studies Coronary Flow Reserve
Screen • A cine display can be viewed for dynamic cardiac PET datasets as part of the Coronary Flow Reserve option • Display a cine of dynamic cardiac PET datasets to enhance the QA review of dynamic frames used for CFR quantification continued
v2015
Feature
Description
Clinical Value
ENHANCED
New Normals Databases • GE Evolution for Cardiac • Perform quantification comparisons to normals databases for GE Healthcare’s iterative Evolution reconstruction software
Comparison Study
Automatic Layouts • Review screens include pre-defined layouts for viewing current and previous studies simultaneously • Physicians can save time by selecting automatic study layouts when comparing a current study to a previous study.
v2013
Feature
Description
Clinical Value
NEW
FDG PET Standard Uptake Value (SUV) Calculation
• SUV displays in two formats:
» As a 2D/3D Polar map distribution of the LV on any quantification screen » Included in the information for any manually defined ROI of the body on
the Fusion screen
• SUV calculations aide physician diagnosis for the identification and localization of inflammation for FDG PET imaging protocols.
Auto-Selection of Report
Template • Automatically matches study protocol to appropriate report template
• Saves physician reporting time when exporting findings to 4DM reports by not having to manually select report templates as part of the reporting workflow
Motion Correction of SPECT datasets
• Motion Correction is part of the SPECT Reconstruction option • Automatically corrects gated and ungated tomographic SPECT
datasets, with manual adjustment options available
• Provides correction of patient motion during SPECT acquisitions, as part of the 4DM SPECT Reconstruction option
• Technologist now can perform all processing from within 4DM for SPECT studies – saves valuable time and increases efficiency
ENHANCED
New Normals Databases
• GE Alcyone (530C) • Philips Astonish
• Spectrum Dynamics D-SPECT
• Perform quantification comparisons to normals databases for images taken by GE Healthcare’s 530C Alcyone imaging system, Philips Healthcare’s iterative Astonish reconstruction software, and Spectrum Dynamics D-SPECT imaging system
View Radiation Exposure • Displays an estimation of a patient’s effective radiation dose • Provides reporting and monitoring of radiation exposure to patient
Faster Quantification • Increased throughput of patient study loading and processing • Saves technologists and physicians valuable time processing and reviewing studies continued
v2013
Feature
Description
Clinical Value
ENHANCED
Add Site Information • Site Information interface permits the site to enter location, contact information, and logo for display on screen captures and formatted reports
• Site information is part of the required structured elements for submission of patient medical records to databases and registries
Whole Body PET • Added support of whole body PET images for review and quantification on 4DM Fusion screen • Enables single environment for fusion display and quantification of cardiac and whole body PET studies
v2012
Feature
Description
Clinical Value
NEW
Multi-Monitor Support • Added support for 4DM to utilize multiple monitors
• Display one instance of 4DM on multiple monitors to make your workflow more efficient
• Compare images, quantifications, and reports side-by-side for thorough study interpretation
• Increase efficiency in reading studies by viewing any combination of 4DM screens at one time
• Input report information while reviewing study result screens
HL7 • Export 4DM reports to HL7 v2 and HL7 v3 (CDA) formats • Export reports that meet federal guidelines for EMR/EHR systems with HL7-compliant report templates
Auto-workflow Selector • 4DM determines the workflow to display based on the dataset(s) type loaded • Save time loading workflows and choosing screens by not having to manually match datasets to their workflows
ENHANCED
Software-based Licensing • 4DM now functions on a software-based floating license model • N/A
New Normals Databases • cardius X•ACT
• nSPEED
• Perform quantification comparisons to normals databases for images taken by Digirad’s cardius X•ACT imaging system and nSPEED
reconstruction software
Report Prioritization • Prioritize datasets to be utilized for report generation • Save time generating reports by prioritizing datasets as you review
Seven New Language
Translations • Product now available in seven additional langugages: Swedish, Norwegian, Portuguese, Russian, Danish, Dutch, and Finnish • Improves clinical use by mitigating potential errors as a result of language barriers continued
v2012
Feature
Description
Clinical Value
ENHANCED
Coronary Flow Reserve
Screen • Added support for Ammonia (N-13) tracer • Estimate absolute myocardial blood flow and Coronary Flow Reserve (CFR) for Ammonia (N-13) tracer
MI Processing Screen • Added manual processing mode to the MI Processing Screen • Improves workflow efficiency by allowing you to switch from QA Mode to Manual Mode by clicking the Manual Mode icon in the Toolbar
v2010
Feature
Description
Clinical Value
NEW
MUGA Screen • Quantify and review gated planar datasets
• Quantify the ejection fraction of gated planar datasets (8 – 32 frames)
• Process studies automatically or manually • Time Activity Curve: assess dropped counts
• Result Table: review quantitative information including diastolic function parameters
PET-CFR Quantification • Quantify and review PET Coronary Flow Reserve (CFR) datasets
• Reserve screen added to 4DM
• CFR reduces the potential to underestimate the full extent of disease by quantifying the absolute blood flow for each of the vascular territories and globally.
ENHANCED
Quantification Map • Perfusion Defect Severity Quantification • Quantifies the extent and severity of the perfusion defect size
Additional Normals
Databases • IQ•SPECT • Perform quantification comparisons to normals databases for images taken by the Siemens IQ•SPECT camera
PDF Export • Export 4DM reports to a PDF format • Provides additional flexibility and security to 4DM reporting capabilities
Screen Controls • Updated graphical user interface with icons and tool tips • Improves multiple-language support
• Provides consistent screen controls and better use of screen space continued
v7.0
Feature
Description
Clinical Value
ENHANCED
Data Export User Preferences
• Enhanced functionality and configurability for
» Save Data Preferences » Screen Capture Preferences
• Users can define global settings for saving data and taking screen captures, eliminating the need to define the same preferences for every patient study
Save Results • Enhanced format of 4DM saved result files • Improved compatibility with PACS • Improved compression for storage
v6.1
Feature
Description
Clinical Value
NEW
Dyssynchrony Screen
• Assesses the phases of contraction for the left ventricle:
» Contractility Histogram: Plots the time to peak contraction expressed as a percent of the R-R frame within the left ventricle
» Contractility 2D and 3D Polar Maps: Displays the quantitative time to peak contraction values
• Analysis of regional and global contraction patterns in the left ventricle can help identify those patients who may benefit from Cardiac Resynchronization Therapy
• Use retrospectively to analyze prior studies for dyssynchrony
ENHANCED
Polar Map and 3D Object Screen Controls
• Time to Peak Thickening: Displays the time to peak wall thickening for gated studies
• Time to Peak Contraction: Displays the time to peak contractility for gated datasets
• Assess dyssynchrony within standard 4DM review screens
Nuclear Medicine Viewer • Now supports Whole Body datasets • Single-application support for general nuclear medicine studies
Screen Control Panel
v6.0
Feature
Description
Clinical Value
NEW
Nuclear Medicine (NM) Viewer
• A new screen, labeled NM Viewer, displays up to 16 NM datasets at a time
• Allows review of non-cardiac NM datasets
• Review the following DICOM datasets: Tomo, Gated Tomo, Dynamic, Gated Planar, Static
• Calculate Lung/Heart ratios
Calcium Overlays on 2D and
3D Polar Maps • Integration of the calcium overlay options for all 2D and 3D Polar Map Screen Objects • Users can view the location of calcium deposits in relation to perfusion defects
CTA Overlays on 2D and 3D
Polar Maps • Integration of the Coronary Vessel Fusion Overlay options for all 2D and 3D Polar Map Screen Objects • Users can view the location of coronary vessels in relation to perfusion defects
Viability Screen • New screen for the review of SPECT and/or PET viability studies • Integrates the quantification of viable tissue in a single application for both PET and SPECT to provide a better noninvasive prediction of Cath results
Tomo Screen Object tools and controls
• Temporal and Spatial Filtering added to Tomo QA Screen (previously named the Raw QC Screen)
• ROI tools available on new NM Viewer Screen
• Apply filtering within 4DM to improve image visualization • Generate heart-to-lung ratios
ENHANCED
User’s Guide • Updated Corridor4DM User’s Guide • Now includes examples of commonly used workflows; an entire chapter dedicated to user controls; and user tips Native Language Support • Product now available in English, French, German, Spanish, Italian, Chinese, and Japanese • Improves clinical use by mitigating potential errors as a result of language barriers Colorbar Controls
• NM Colorbars brightness and background limits now extend beyond 0 and 150.
• CT Colorbars provide color selection
• Allows users greater control within the brightness and background slider.
Improves co-registration of two CT datasets
Additional Dataset Support
• Nuclear Medicine Tomographic (Tomo), Gated Planar, Dynamic, and Static datasets
• Dynamic PET data in transverse, SA, HLA, or VLA • GE Advance workstation CTA Coronary Vessel files
• Enhances the versatility of 4DM by increasing the number of accepted supported files
• May require the purchase of optional license
Additional Normals Databases
• C.Clear Sestamibi/Tetrofosmin Tc-99m databases • Flash 3D Sestamibi/Tetrofosmin Tc-99m databases
• Perform quantification comparisons to normals databases for C.Clear and Flash 3D Sestamibi/Tetrofosmin studies
Increased Screen Capture
v6.0
Feature
Description
Clinical Value
ENHANCED
Enhanced Integrated Reporting Features
• Includes Comparison Study Summary and SPECT MUGA Report Template
• 4DM sample report templates include more of the commonly-used report tags
• New tags added to support updated reporting guidelines and new stressing agents
• Continues to provide users with the most robust, compliant, and integrated reporting options
Updated Licensing Options • Floating Licenses • Through the use of USB dongles, users can now use a licensed copy of Corridor4DM on multiple computers
Workflow Customization
• Within Preferences:
» Screen Selection Panel can be easily configured according to user’s clinical workflow for MPI, AC MPI, CTAC MPI, SPECT Viability, PET Viability studies.
» Screen and Study Layout options now integrated on a single page (Study Layout renamed as Dataset Layout)
» Screens renamed to reflect the type of image review; screen templates reflect INVIA-defined display layouts
» Simplified the creation of user-defined screens and templates
» Additional dataset priorities and new assignment tool simplifies defining which datasets appear on each screen
• Minimizes the number of “clicks” required to activate a workflow tailored for datasets being reviewed
• Maximizes user-customization options
v5.2
Feature
Description
Clinical Value
NEW
Printing • Print secondary screen captures directly from Corridor4DM • No longer need to open additional applications to print 4DM images for patient file archival
Composite Result Files • Save a single result file • Access to all results in a single file for easy sharing, transferring and archiving
Reconstruction
Identification Strings • Match studies to normal databases based on reconstruction methods
• Match studies to normal databases even if the camera system or workstation does not store reconstruction methods in DICOM format
v5.2
Feature
Description
Clinical Value
NEW
FDG Viability Support • User-defined viability layouts and viability quantification in polar maps and segmental scoring • Determine viable heart tissue by generating scar and viability scores
ENHANCED
Region of Interest Drawing Tools
• Oval, square, and polygon drawing tools • Non-prioritized region drawing
• Enhanced drawing tools for more versatile and accurate regions of interest identification
• Distinct, layered region of interest drawing
Polar Map Valve Plane
Estimator • User-defined location for the basal valve plane for polar map generation (septal, lateral, or mid) • Increased user control for quantification results
v5.1
Feature
Description
Clinical Value
NEW
Slice Averaging
• A definable preference that averages multiple slices into an single image
• Average up to six slices in a single image
• Review an entire volume in a single splash display
Slice Numbering • Displays the slice number in the 2D splash object • Provides indication if slice averaging has been applied
Calcium Scoring Quantification
• Manual vessel assignment for quantification including seed point placement with region growing technique and ROIs with region growing technique
• Quantification of Agatston score, volume, and number of lesions • Definable Hounsfield unit threshold
• Fully integrated coronary calcium analysis for SPECT/CT, PET/CT, or stand alone CT studies.
• Requires the purchase of optional CaSc processing license
CT Viewer
• Image display types include MPR, MIP, and Thin MIP • Quantification: ROI and Ruler
• Quantify and report incidental findings in SPECT/CT, PET/CT, or stand alone CT studies in a single, accurate and comprehensive environment.
• Requires the purchase of optional CT processing license continued
v5.1
Feature
Description
Clinical Value
NEW
CT Reporting
• Report CT incidental findings • Report CT calcium scoring results
• Streamline reporting CT, SPECT, and/or PET findings in a single ICANL-compliant report.
• Requires the purchase of optional CT processing license
Transverse, HLA and VLA dataset support
• Import and quantify recon tomo and gated recon tomo files for
quantification regardless of image orientation • Enhance clinical workflow integration with additional dataset compatibility. • The ability to adjust image orientations ensures exact matching of
image reconstructions.
Auto Image Magnification • A definable preference that allows the splash and 3SA, HLA, and VLA images to automatically scale to fill 70% of image display area • Save time with automatic, optimal image magnification for the most advantageous display of studies regardless of small, normal, dilated, or massively dilated cardiac volumes.
ENHANCED
Polar Map Quantification • User definable valve plane placement (Septal Wall, Septal Wall – Mid Membranous Septum, Lateral Wall) • Correspond processing limits with quantification processing techniques for greater reproducibility of quantitative perfusion results.
Tomographic Quality
Control (Raw QC Screen) • Updated user interface with an interval slider for gating interval selection • Perform detailed analyses of EKG gating integrity on a frame-by-frame basis.
Fusion Screen • Support SPECT, PET, CT, and Attenuation Correction maps for registration • Verify image co-registration for accuracy and eliminate false positives or negative studies generated by image reconstruction defects.
Reporting Features
• Access to patient information when a single series is loaded
» For example, tomo, gated tomo, and/or a DICOM screen capture activates these corresponding screen of the reporting package: History and Demographics, Stress/Rest EKG Data, and Preferences
• Added delay export tags
• Complete ICANL-compliant reports in less time.
Accepted Data at Start-up • Ability to launch application with non-reconstructed files (tomo, gated tomo, or CT) • Use Raw QC screen to validate data prior to reconstruction
• Access applicable Patient Information fields prior to reconstruction continued
v5.0
Feature
Description
Clinical Value
NEW
Tomographic Quality Control (Raw QC Screen)
• Raw Cine Review • Sinograms • Count Histograms • Beat Histograms
• Perform detailed evaluations of the integrity of gated and ungated radionuclide tomographic image data.
Volumetric Registration
(Fusion Screen) • Perform manual volumetric registration for CT, PET and SPECT data • Align datasets to compare perfusion data and CT anatomy. DICOM Screen Capture
Review
• Display DICOM secondary screen captures
• Display and cine DICOM multi-frame screen captures
• Display screen captures from a previous study or review vendor-specific screen captures.
ENHANCED
Patient Information Screen • Updated workflow to abide by ASNC reporting matrix • Complete compliant reports in less time.
Additional Normals
Databases • Rb-82 databases • Complete a polar map analysis of Rb-82 PET perfusion studies.
User Interface
• Enhanced colorbar controls
• Enhanced screen designer with unlimited user definable screens • Added scrolling ability to screen selection panel
• Ability to generate user-defined study layouts
• Define user customized environments with increased control of algorithms, display screens, and features.
• Standardized colorbar control for all 2D display objects, including dual colorbars
• Unlimited user-defined display screens
Data Support
• Native PET and CT cardiac studies • Siemens Transformation/
Co-registration Matrices
• Siemens and Philips CTA extracted vessels files • 24-bit DICOM Static and Multi-frame Screen Captures
• Improve workflow integration with increased data support, especially related to PET and CT cardiac images.
v4.2
Feature
Description
Clinical Value
NEW
Fusion of CTA Coronary
v4.2
Feature
Description
Clinical Value
ENHANCED
Preferences Interface • Updated user interface • Define user customized environments with increased control of algorithms, display screens, and features. Increased Initialization
Speed • Launch application and studies faster • Minimize down time during application initialization.
v4.1
Feature
Description
Clinical Value
ENHANCED
DICOM Multi-Frame Screen
Capture (MFSC) Support • Capture and save cine loops in DICOM format • Review myocardial function in a PACS environment that doesn’t provide 4DM continued
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