Aptio® Automation Troubleshooting Online Training

Une étude sur le débit sanguin myocardique est généralement réalisée en même temps qu'une étude sur la perfusion myocardique en imagerie TEP. Certains des isotopes utilisés dans l'estimation du débit sanguin myocardique comprennent l'ammoniac avec une demi-vie de 10 minutes, le rubidium avec une demi-vie de 75 secondes et l'oxygène 15 avec une demi-vie de 2 minutes. La procédure relative à l'imagerie du débit sanguin myocardique commence par l'acquisition TEP en mode liste dynamique, La formation de l'image TEP qui comprend la lecture en mode liste, l'assurance qualité puis la reconstruction.  Lorsque les données sont acquises et traitées, les études sont chargées dans l'application syngo MBF où les études sont réorientées, segmentées et les fichiers des résultats sont créés.  Enfin, l'analyse et l'interprétation des images et des résultats sont effectuées. Welcome to the Aptio™ Automation Troubleshooting Online Training course. This course provides you with an overview of troubleshooting tools and recovery techniques which can be used to resolve errors. Select Next to continue. Describe analyzer and module statuses including warnings and errors Describe how to manage samples in Priority Output Describe how to use guided error recovery Identify the areas of the Exceptions screen List the steps to perform a controlled power shutdown and startup List the steps to perform an emergency shutdown Upon successful completion of this course you will be able to: Select Next to continue. 心臓核医学とは何でしょうか。西欧諸国では、心臓疾患が死因の第1位となっています。米国では、年間約500,000人が冠動脈疾患で死亡しています。心臓疾患の診断と治療は、過去20年間で飛躍的に進歩しました。その進歩に大きく貢献してきたのが心臓核医学イメージングです。この画像診断法では、心筋血流および心機能の非侵襲的な解析が可能となります。患者が罹患する冠動脈疾患の診断、範囲の評価、転帰の予測において、心臓核医学はきわめて重要な役割を果たしています。 Congratulations. You have completed the Aptio Automation Troubleshooting online training course. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Describe analyzer and module statuses including warnings and errors On-line - Module is ready to process samples Off-line - Samples are not routed to the module Stand-by - Module is online but not accepting samples Warning - The operator should go to the module or analyzer to investigate further Error - There is an Error condition which requires operator intervention to recover Identify the areas of the Exceptions screen Module or analyzer Error code Error Type Sample ID Explanation of the error and recovery steps Describe how to use guided error recovery Select module or analyzer Select Recovery Review the error details Select Recovery again Follow step by step error recovery until the error is resolved If prompted, select the appropriate option Describe how to manage samples in Priority Output Monitor Priority Output Lane for samples Select the Input/Output Module lane button to view the list of samples Print the list Remove the sample rack Search for the Sample ID Review the sample error and follow guided error recovery steps If the error is resolved, reintroduce the sample to the track List the steps to perform a controlled power shutdown and startup Remove all racks from Input/Output and Refrigerated Storage Modules Confirm there are no modules in error status. Set modules to Off-line if needed From the system software, select System and then Shutdown Turn off the power (UPS) Restore the power (UPS) Turn on the system computer located in the Input/Output Module Login to the system List the steps to perform an emergency shutdown Turn off the power (UPS) Remove sample tubes from the Centrifuge module Remove sample tubes from the Refrigerated Storage Module worktable When power is restored, update the database for samples that were removed manually Select Next to continue.     SPECTイメージングとは何でしょうか。SPECTは、Single Photon Emission Computed Tomography（シングルフォトンエミッションCT）の略です。SPECTスキャンを受ける患者には、放射性トレーサーが注射されます。放射性トレーサーからの放出（壊変）によって、1つの光子が放出されます。放出された光子は、減衰する（つまり患者の解剖学的部位によって吸収される）か、散乱（別の方向に屈折）するか、カメラによって検出されるか、のいずれかとなります。散乱も減衰もしなかった光子が真の光子ということになります。エネルギーの異なるさまざまなトレーサーが数多く存在しています。   Module status: Overview screen displays a button for each module and connected analyzer Button colors indicate status and presence of Warnings or Errors Error recovery may require changing of the status Statuses Learn about the different statuses and button colors. Base ImageHotspotsText BlocksImage File On-line (Green)   The module is ready to process samples. Off-line (Grey)   Samples are not routed to the module. Stand-by (Pink)   Module is On-line but not accepting samples. Warning (Yellow)   There is a Warning condition. The operator should go to the module or analyzer to investigate further.   Error (Red)   There is an Error condition which requires operator intervention to recover. Off-line (Grey with an asterisk)   A yellow, red or pink asterisk (*) may appear on a grey button to indicate an Off-line module with a Warning or Error status or not accepting samples.   Change Status Learn how to change the status of modules and connected analyzers. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Select the module or analyzer Select the appropriate button from the Overview screen  System must be in Run mode  If the system is in Pause, select the Start button Select Next to continue.Note: If audio does not automatically start, select the play arrow in the top left to begin.To change a module or analyzer status, first navigate to the Overview screen and select the corresponding module or analyzer button. Please note that modules cannot be set to Off-line or On-line while the system is in Pause. Any module status changes will not take effect until the Start button is selected and the system is in the Run mode. Select Next to continue. 2 Confirm the action   Select the checkmark to open the Status screen   Select Next to continue. Select the checkmark to confirm. The Status screen opens. Select Next to continue.3 Status screen Current status displays at the top To change, select the desired status at the bottom  Select Next to continue. The current status displays in the top left section of the Status screen. To change the status, select the appropriate status button located at the bottom of the screen. Select Next to continue. 4 Confirm the action   Select the checkmark to confirm.   Select Next to continue. Select the checkmark to confirm the request to change the status. Select Next to continue.5 Status changes  Status changes to the requested one If unable to change, the command is displayed but no change occurs        When complete, select the X in the upper-right corner to close the window and continue.The status changes to the one that you selected. If the module or analyzer is unable to transition to the new status, the command will be displayed in parentheses but will not change. This occurs, for example, when the system is in Pause and not in the Run mode. When complete, select the X in the upper-right corner to close the window and continue. 放射性核種心室造影検査はトモグラフィ収集として撮影することもできるため、心臓の血液プールのスライスを作成することが可能です。これにより、心臓の充満と収縮がどの程度良好に機能しているかについて、より詳しい情報が得られます。   Exceptions screen: Select Exceptions to display error code information Exceptions screen can be filtered by module, error type and Sample ID Use the Explain function to display details for error codes   Exceptions screen Learn about the areas of the Exceptions screen. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Access the Exceptions Screen   To view warnings and errors, select the Exceptions button on the left navigation pane.    Select Next to continue.  Note: If audio does not automatically start, select the play arrow in the top left to begin.To view warning and errors, select the Exceptions button on the left side of the User Interface. Select Next to continue.2 Filter the view to locate specific errors. Areas include: Analyzer or module Error code Error type Sample ID   Select Next to continue. The view can be filtered by selecting the Filter button at the lower left portion of the screen. Filter options include module or analyzer, error code or error type such as Yellow Warning and Red Error and Sample ID. After selecting a filter, select the checkmark to confirm your action. Select Next to continue. 3 Error Explanation   Select the error for further explanation.   Select Next to continue.Select the error to view further information about it. Select Next to continue. 4 Explain Function Allows the operator to input a specific error code Opens Error Message window for that code  Select Next to continue.     To locate information regarding a specific error code, select the "Explain" button at the lower left. Select Next to continue.5 Error Message Window Details are displayed Select the Show Help button to see complete error recovery information  Select Next to continue.     The error message window opens displaying the error code, message, type and error recovery steps. To view complete details, select the "Show Help" button at the bottom of the window. Select next to continue. 6 Show Help   The Show Help button displays all steps of the error recovery process. When complete, select the X in the upper-right corner to close the window and continue.The Help view shows all the steps for the error recovery process for that error code. When complete, select the X in the upper-right corner to close the window and continue. 運動負荷試験が患者には適応しないと医師が判断した場合、もう1つの方法として薬物負荷試験が検討されます。これは代替手段となりますが、患者の準備は、運動負荷試験の場合と同じように行われます。患者には心電図と血圧計が装着され、また、薬剤と造影剤を投与するための静脈注射が挿入されます。患者に投与される薬剤は、運動の効果を模倣する血管拡張薬です。   Guided error recovery: Aptio system provides guided step by step error recovery Operator locates the error and follows instructions in the Explanation window Guided Recovery Learn how to follow the guided error recovery procedure. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90010171/sim_APT_Recovery_Rev3_800x600_9/sim_APT_Recovery_Rev3_800x600_9.swfHTML5 File:/content/generator/Course_90010171/sim_APT_Recovery_Rev3_800x600_9/index.htmlPDF File: イメージングプロトコルは4種類あります。こちらも、どれを使用するかは、医療機関と医師の好みにより異なります。負荷/安静2日法プロトコルは、1日目に患者に負荷を与えてスキャンを実施し、翌日、安静状態のスキャンを実施するものです。患者に不便を強いることになるため、このプロトコルを使用する医療機関はさほど多くありません。その他のプロトコルは、1日で終了します。安静/負荷および負荷/安静の1日法では、2回のスキャンの間の待ち時間が2～4時間です。2核種プロトコルでは、2種類の造影剤を使用するため、スキャン間に長い待ち時間はありません。   Samples with errors route to the Priority Output lane. Examples of errors are: Duplicate Sample ID Unreadable Sample ID System error that may affect results When samples are in the Priority Output lane, perform the following: Remove the sample Search for the Sample ID   Follow guided recovery steps to resolve the issue When samples have system errors that may affect results: Associated error is also sent to the CentraLink™ Data Management System Follow guided recovery steps to resolve the issue Do not report results directly from the analyzer Priority output Learn how to manage samples in the Priority Output lane. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Monitor the Priority Output lane for samples   If a sample tube is present in a lane, the lane button displays a sample tube icon in the bottom right corner.       Select Next to continue.    Note: If audio does not automatically start, select the play arrow in the top left to begin.To determine if there are samples in the Priority Output Lane, first select the Overview button. If a sample tube is present in a lane, the lane button displays a sample tube icon in the bottom right corner. Select Next to continue.2 Select the Priority Output Lane button Displays the list of tubes in the rack currently in the lane Displays associated sample errors Print the list before removing the rack Select Next to continue.  Select the Priority Output Lane button to display the list of sample tubes in the rack that is currently in the lane. The associated sample errors will also be displayed. Print the list of samples before removing the rack by selecting the Print button. Select Next to continue. 3 Remove the samples   Remove the rack of samples from the Priority Output Lane.   Select Next to continue.     Once the list has been printed, remove the rack of samples from the Priority Output lane. Select Next to continue.4 Perform a sample search   1. Select the Samples button 2. Select the Clear Search button   Select Next to continue.  To investigate the sample error, first perform a sample search. To do so, select the Samples button, then select the Clear Search button to remove previous selections. Select Next to continue.5 Enter the Sample ID  Enter the Sample ID using the keyboard Select the checkmark to confirm Select Next to continue. Enter the Sample ID using the pop-up keyboard. To do so, select the keyboard icon to the right of the Sample field and use the keyboard buttons to type entries. When the Sample ID has been entered, select the checkmark to confirm. Select Next to continue. 6 Samples screen displays Sample information and error display Select the Sample ID and then the checkmark to continue  Select Next to continue. The Samples screen displays the results of your sample search including the error. Select the Sample ID to highlight it and then select the checkmark. Select Next to continue.7 Access the Error Code Explanation window   Select the Error code to open the Error Code Explanation window.   Select Next to continue.   The Sample ID and the Error code now appear at the top of the window. Select the Error code to access the Error Code Explanation window. Select Next to continue. 8 Error Code Explanation window Displays error type and error recovery information Complete each step to resolve the error Select the Recovery button for step by step instructions Select Next to continue.   The Error Code Explanation window contains details about the sample error including the Error Type and the Error Recovery steps. To start the step by step guided recovery procedure, select the Recovery button and follow the instructions. Select Next to continue. 9 Reload the sample, if appropriate   If the error is resolved, reintroduce the sample to the system.       When complete, select the X in the upper-right corner to close the window and continue.If the error has been resolved, you may reintroduce the sample to the system. Bear in mind that not all sample errors will be resolved. This will depend on the error that is present and the condition of the sample. When complete, select the X in the upper-right corner to close the window and continue. 核医学心室造影とは、駆出率、つまり心臓の「ポンプ作用」を測定する目的で実施される検査のことです。この検査は、単体で実行することも、心筋パフュージョン検査と組み合わせて実行することもできます。この検査によって、右心室と左心室の心駆出率がパーセンテージで得られます。この検査は、その撮像方法から「心電図同期」と呼ばれることもあります。この検査には2種類あります。1つ目は心電図同期パフュージョンで、心筋のポンプ作用が明らかになります。2つ目は心電図同期心プールで、心室内の血流を描出するものです。 Controlled power shutdown and startup may be performed for: Routine maintenance Diagnostic troubleshooting Each system has a UPS connection. You will have one of the two options listed below: Internal  -  Located in the Input/Output Module below the Aptio Automation system computer.                  It has a power button located on the front. External -  A main disconnect switch located near the system that turns off the power. Controlled power shutdown Learn how to perform a controlled power shutdown and restart. Checklist TitleChecklist TypeChecklist ContentPurge all samplesHTML Refer to the Aptio Automation Operator's Guide when performing this procedure. In the system software, select System, then select Purge. Select each checkbox to learn more about performing a controlled power shutdown and restart. Remove all racks from IOMHTML    Remove all racks with sample tubes from the Input/Output Module.  Remove all racks from RSM worktableHTML    Remove all racks from the Refrigerated Storage Module worktable.  Verify modules are not in error statusHTML    All modules or analyzers in an error status must be recovered or set to Off-line. Shutdown the softwareHTML    Select System, then select Shutdown. Confirm shutdown request. Turn off the powerHTML   For an Internal UPS:   1. Pull the Input/Output Module access door outward to open it.    2. Press and hold the UPS power button until the green light flashes to indicate that the module is off. For an External UPS, turn off the main disconnect switch.   Restore the powerHTML Turn on the system main disconnect switch if it was turned off during shutdown. For systems with an internal UPS, press and hold the UPS power button for 3 seconds. When the self-test LED checkmark turns green, proceed to the next step.   Turn on the Aptio system computerHTML   Press and hold the Aptio system computer power ON button, then release. Close the Input/Output Module access door. Login to the Aptio softwareHTML  In the system software Overview screen, select the Login button and login to the system.  Start the systemHTML   Select the Start button to start the system. When complete, select the X in the upper-right corner to close the window and continue.   以上、SPECT/CT心臓イメージング手順について説明しました。それでは、PET/CTの話題に移りましょう。 Emergency shutdown is performed when: The system must be turned off immediately to ensure the safety of personnel and equipment Controlled shutdown is not possible After performing an emergency shutdown, samples may need to be removed from the following areas: Centrifuge Module Refrigerated Storage Module worktable Note: Samples removed from the system should be removed from the database when power is restored.   Emergency shutdown Learn how to perform an emergency shutdown. Checklist TitleChecklist TypeChecklist ContentTurn off the powerHTML   Refer to the Aptio Automation Operator's Guide when performing this procedure. For an Internal UPS:   1. Pull the IOM access door outward to open it.    2. Press and hold the UPS power button until the green light flashes to indicate that the module is off. For an External UPS, turn off the main disconnect switch.   Select each checkbox to learn more about performing an emergency power shutdown. Locate the centrifuge unlocking toolHTML   To remove any sample tubes that are inside the centrifuge, first locate the centrifuge lid unlocking tool. This tool is used to unlock and open the lid of the centrifuge when there is no power. Unlock and lift the safety coverHTML Select the play arrow to begin the video. Turn off centrifuge power switchHTML Turn off the centrifuge power switch. Remove tubes from loading areaHTML    Remove any sample tubes from the bucket inserts in the loading and unloading area.  Unlock the centrifuge lidHTML    Insert the centrifuge lid unlocking tool into the opening on the right side below the lid, and turn clockwise. Remove sample tubesHTML  Open the lid and remove all samples.  Close and lock centrifuge lidHTML    Close the centrifuge lid, and hold it down, while turning the centrifuge unlocking tool counterclockwise to lock the lid. Turn on centrifuge powerHTML    Turn on the centrifuge power switch.  Close and lock the coverHTML Select the play arrow to begin the video. Remove tubes from RSM worktableHTML If necessary for sample integrity, manually remove the sample tubes from the Refrigerated Storage Module worktable.    RSM database after power restoreHTML   Once the power is restored to the Refrigerated Storage Module, any tube removed from the worktable must be removed from the database. To do so, select Overview > Storage > Status > Remove Tube. Enter the sample ID of the tube and select the checkmark. Do this for all tubes that were manually removed. Centrifuge database after power restoreHTML   Once the power is restored to the Aptio system, sample tubes removed from the Centrifuge Module must be removed from the database. The Clear Tubes command will clear all samples that had been diverted to the Centrifuge Module, but did not complete processing. To clear all tubes, select Overview > Centrifuge Module > Status > Clear Tubes. Confirm your request. When complete, select the X in the upper-right corner to close the window and continue.