Anzai Respiratory Gating: Setup and Use

Anzai Respiratory Gating – Setup and Use Description: This Step by Step document will assist the user through setting up the Anzai Respiratory Gating device in order to acquire a respiratory gated study with the Siemens Biograph PET/CT scanners. 1. Turn ON the main power switch in the rear panel of Sensor Port. - 2. Fix respiratory sensor to the patient a. Insert the Load Cell into the pocket of belt. b. Observe the patient’s breathing. Wrap the belt around the part of the chest where the patient has the most respiratory movement. Make sure the load cell is against a rib for better contact. Nous W www.usa.siemens.com/healthcare HealthIneers HRT# HOOD05162002645822 Effective Date: 08/25/2017 1 of 5 c. Adjust the fitting of Load Cell to the patient so "GOOD" LED of Amp. Box turns ON. If "LOOSE" turns ON, tighten the fitting. - If "TIGHT" turns ON, loosen the fitting. - LOADCELL (STANDARD) LOOSE GOOD TIGHT O O 3. Start CT and/or PET respiratory gated acquisition on the Biograph: radartest, reza EST. 131. 17.06 30-10:23:05-DST-1.3.1. ET Pisming FET Scan +01-Jan-1990, 0,27Y Bogren Horizon radartest, reza 17.06.30-10:23:05-DST-1.3.1. Excursion Horas AINDA 01-Jan-1920, 0, 27Y 1 PET Back a) 07-Jul-2017 H.SP 10:23:40 :47 DT-JU-2017 10:25:27.45 101 14 96 RTD 2 BP 386.2 LEN 2210 SP 109.0 For CE W 130 BILMAS 150 rof MAS 150 11 0.42 CT00 BL D.6 500 DID 512 DD 831 & L1 R0 M2 356 T2(Y SOPD 1 350 RespiratoryGated_RespMatching (Adult) radartest, reza 150 mAs 130 kV 75.87 $ 3.0 mm / 0.1 RespiratoryGated_RespMatching (Adult) radartest, reza 17.06.30-10-23:05-DST Total mas: 2043 Topogram RespirationRate(rpm] Min: 2 Max: 25 Avg: 13 Topogram Respiration Rate (rpm] Mir 13 Max 13 Avg 13 AR CT Lung 13 AR CT Lung Thase Sient RT Pause 13 Pause AR, PET Lung PET Lung Mitch CT Gates 8 Unit Gates Routine Auto Tasking Routine Scan Recon Auto Tasking Replay Trigger SIEMENS Healthineers www.usa.siemens.com/healthcare HRT# HOOD05162002645822 Effective Date: 08/25/2017 2 of 5 4. After the acquisition completes, one of 4 methods of reconstruction can be used to reconstruct the images. a. Single Phase: This method reconstructs a single phase at the specified location in the respiratory cycle. The phase start can be anywhere between 0 – 100%. RespGated_RespMatching (Adult) RespGated_RespMatching 12.11.16-16:41:34-STC Total mAs: 4560 Topogram Respiration Rate (rpm) Min: 15 Max: 15 Avg: 15 AA, CT Lung 15 15 in Pause AL, PET Lung 0000 36 38 40 42 44 46 48 Phase Start 0 Unit % Ex Original RESP Average CT Load Hold Recon Recon Routine Scar Recon Auto Tasking Trigger RespGated_RespMatching (Adult) RespGated_RespMatching 164.0 mm 1 min 6 mCi Topogram Respiration Rate (rpm) Min: 15 Max: 15 Avg: 15 Bed 1/1 AQ CT Lung 1000 15 15 15 Pause A PET Lung 2 30 32 34 36 38 40 42 44 18 Match CT 12 Phase Start 21 Unit % E> Phase Width 35 Load Hold Recon 15 17 19 21 23 26 27 29 1 33 3 37 39 41 43 45 rpm Recon Routine Scar Recon Auto Tasking Replay Trigger SIEMENS Healthineers www.usa.siemens.com/healthcare HRT# HOOD05162002645822 Effective Date: 08/25/2017 3 of 5 b. Multiphase: Allows the user to reconstruct multiple “single” phase reconstructions within a single reconstruction job. The Images are reconstructed and stored in one series. RespGated_RespMatching (Adult) RespGated_RespMatching 12.11.16-16:41:34-STC Total mAs: 4560 Topogram Respiration Rate (rpm) Min: 15 Max: 15 Avg: 15 A, CT Lung 15 15 15 15 000 Pause AA PET Lung 0000 36 38 40 42 44 46 48 100 90 80 70 60 50 40 30 20 10 Ex In 20 30 40 Original RESP Multiphase Average CT Load Hold Recon Recon Routine Scan Recon | Auto Tasking Trigger RespiratoryGated (Adult) RespGated 253.1 mm 4 min 10 mCi Topogram Respiration Rate (rpm) Min: 15 Max: 15 Avg: 15 Bed 1/2 CT Lung 15 15 15 Pause AL, PET Lung 2 0 2 6 10 12 14 Match CT 0 20 E Multipl 15 Phase Width 35 Hold Recor Recor 15 17 19 21 23 26 27 29 31 33 36 37 39 41 43 46 pm Routine Scar Recon Auto Tasking Replay Trigger Clicking on the Multiphase menu allows the user to change phase increments. 45 40 35 30 25 20 15 10 Ex In 10 15 20 : % Selected phases: 100% Ex 95% Ex 90% Ex 85% Ex 80% Ex 75% Ex 70% Ex 65% Ex 60% Ex 55% Ex 50% Ex 45% Ex 40% Ex 35% Ex 30% Ex 25% Ex 20% Ex 15% Ex 10% Ex 5% Ex 0% Ex SIEMENS Healthineers www.usa.siemens.com/healthcare HRT# HOOD05162002645822 Effective Date: 08/25/2017 4 of 5 c. Gates: This method utilized up to a maximum of 24 gates. CT respiratory gates are defined based on the time between respiratory cycles. The cycle time is divided evenly by the number of gates and the gate is placed in the center of each gate. RespGated_RespMatching (Adult) RespGated_RespMatching 164.0 mm 1 min 6 mCi Topogram Respiration Rate (rpm) Min: 15 Max: 15 Avg: 15 Bed 1/1 15 A CT Lung 15 15 Pause A PET Lung 000 2 :30 34 36 38 40 42 44 Match CT 12 Gates 8 Unit Gates Load Hola Recon Recon Routine Scar Recon Auto Tasking Replay Trigger d. HD – Chest (PET Only): This type of respiratory gating uses an amplitude-based method for respiratory gated reconstruction. The respiratory waveform is stored along with the list-mode data from the PET scanner. A computer program analyzes the entire waveform to determine the “optimal” or area of least respiratory motion within the waveform. The Phase Width allows the user to change the relative duration of the gate to accept more or less respiratory motion. Respiration Rete (rpm] Min: 12 Max 12 Avg 12 Bed 1/4 12 12 12 10 12 14 Match CT Amplitude Range 0-8% & 344 Unit Rest n'Ex Phase Width 35 OL Routine Scar Recon Auto Tasking Replay Trigger SIEMENS Healthineers www.usa.siemens.com/healthcare HRT# HOOD05162002645822 Effective Date: 08/25/2017 5 of 5