Biograph Horizon (VJ20) Turnover Workbook
This is a workbook that is to be used for Biograph Horizon turnovers with VJ20 software
SIEMENS Biograph Horizon (VJ20 s/w version) Turnover Workbook SIEMENS Healthineers www.siemens-healthineers.us I. Contact Information Summary Welcome to Siemens Healthineers Siemens Healthineers is dedicated to helping you get the Visit www.usa.siemens.com/clinicaleducation for more most out of your investment throughout the entire information regarding the current Siemens product life cycle and beyond. Our goal is to enable you Clinical Training and Continuing Education portfolio. to take technology further, profitability higher, and patient care to the next level. Find the information, resources, and Discover. Try. Buy. on webShop tools you need to get the most out of your recent investment and stay up-to-date. Do you want to “Discover. Try. Buy.” options, accessories, Visit https://new.siemens.com/us/en.html. and clinical education to make the most of your imaging equipment? Discover images, case studies, and video demonstrations with the latest clinical Clinical Training and Continuing Education applications. Try advanced applications utilizing Customer Care Center - Clinical Application Support: free software trials. Buy applications, coils, clinical education, and accessories, conveniently at any time. Call 1-800-888-7436 Visit www.usa.siemens.com/webShop today! Troubleshooting assistance • Siemens Training Centers Immediate assistance for software • applications and workflow issues Siemens Clinical Education Please provide the Functional Location Number when Training Center – TDC2 • calling for assistance. 110 Mac Alyson Court Cary, NC 27511 Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) Classroom Training (Offerings, Registration • & Scheduling) Educational Symposia • On-site Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships • 2 II. Contents I. Contact Information Summary........................................................................................................................... 2 II. Contents .................................................................................................................................................................. 3 III Course Description ............................................................................................................................................... 6 III Agenda..................................................................................................................................................................... 7 Day One ................................................................................................................................................................. 7 Day Two.................................................................................................................................................................. 7 Day Three............................................................................................................................................................... 8 Day Four................................................................................................................................................................. 8 1. Overview of your Biograph Horizon ............................................................................................................... 9 1.1 Objectives....................................................................................................................................................... 9 1.2 Gantry Components and Controls.......................................................................................................... 9 1.3 Gantry Control Panels...............................................................................................................................10 1.4 Display Panel ...............................................................................................................................................11 1.5 Laser Light Markers ...................................................................................................................................13 1.6 Patient Call System (Optional)................................................................................................................14 1.7 Patient Handling System (PHS)..............................................................................................................15 1.8 Computers....................................................................................................................................................16 1.9 System Control Box and E-Stop .............................................................................................................17 1.10 Safety...........................................................................................................................................................18 1.11 Controlling System Power.....................................................................................................................18 2. Quality Control Procedures..............................................................................................................................20 2.1 Phantoms and Sources.............................................................................................................................20 2.2 Daily Quality Control Schedule..............................................................................................................22 2.3 Restarting the Computers.......................................................................................................................22 2.4 Running CT Checkup ................................................................................................................................23 2.5 Calibrating the CT Scanner .....................................................................................................................24 2.6 CT Daily Quality ..........................................................................................................................................24 2.7 PET Quality Check ......................................................................................................................................25 2.8 Clearing the Scheduler.............................................................................................................................28 2.9 Clearing Network, Local, and Film Queues.........................................................................................28 2.10 Other Maintenance Procedures...........................................................................................................28 3 3. PET Examinaton Configuration.......................................................................................................................31 3.1 Dose Units Tab ............................................................................................................................................31 3.2 Pharmaceuticals Tab..................................................................................................................................31 3.3 PET Recon Priority Tab..............................................................................................................................31 3.4 Export Series Types Tab............................................................................................................................31 3.5 Image Statistics Tab...................................................................................................................................32 3.6 Changing the Time and Date..................................................................................................................32 4. Patient Browser Overview ................................................................................................................................33 4.1 Accessing the Patient Browser...............................................................................................................33 4.2 Patient Databases......................................................................................................................................34 4.3 Selecting Data in the Patient Browser .................................................................................................34 5. Registering a Patient..........................................................................................................................................35 5.1 Entering a New Patient.............................................................................................................................35 5.2 Accessing an Existing Patient.................................................................................................................36 5.3 Defining a Study.........................................................................................................................................37 6. Positioning the Patients for Exams ................................................................................................................38 6.1 Preparing the Patient Table.....................................................................................................................38 6.2 Preparing the Patient................................................................................................................................38 6.3 Setting the Table Height..........................................................................................................................38 6.4 Moving the Patient Toward the Gantry ...............................................................................................38 6.5 Using the Positioning Laser Light Markers ........................................................................................38 6.6 Monitoring the Patient.............................................................................................................................39 7. Acquring the Patient Scan................................................................................................................................40 7.1 Topogram Acquisition...............................................................................................................................40 7.2 Setting the Scan Range............................................................................................................................41 7.3 Acquiring the CT Scan ..............................................................................................................................42 7.4 Acquiring the PET Scan ............................................................................................................................43 7.5 Acquiring the PET ......................................................................................................................................44 7.6 Monitoring PET Acquisition ....................................................................................................................45 8. Reconstruction.....................................................................................................................................................46 8.1 From the Examination: .............................................................................................................................46 8.2 From the syngo MI Workplace................................................................................................................46 9. Viewing Images....................................................................................................................................................47 9.1 Viewing Task Card ......................................................................................................................................47 10. Viewing and Fusing Patient Data Using 3D Task Card............................................................................49 10.1 Loading the CT Images..........................................................................................................................49 10.2 Loading the PET Images........................................................................................................................49 10.3 Adjusting the CT/PET Balance Ratio ..................................................................................................50 11. Filming Images..................................................................................................................................................51 11.1 To Preview a Film......................................................................................................................................51 11.2 Exposing Images on Film.......................................................................................................................51 11.3 Deleting an Image from a Film Sheet................................................................................................51 12. Data Archiving, Retrieving, and Transfer....................................................................................................52 12.1 Exporting and Importing of Patient Data.........................................................................................52 12.2 Exporting Data .........................................................................................................................................52 13. syngo TrueD Lite ...............................................................................................................................................55 13.1 Launching TrueD Automatically..........................................................................................................55 13.2 Launching TrueD Manually ..................................................................................................................55 13.3 Loading Studies Manually.....................................................................................................................55 13.4 syngo TrueD User Interface...................................................................................................................55 13.5 syngo TrueD Common Controls..........................................................................................................56 13.6 Image Registration..................................................................................................................................57 13.7 Viewing Images........................................................................................................................................61 13.8 Navigating Images ..................................................................................................................................61 13.9 Image Display ...........................................................................................................................................63 13.10 Rotating MIP ...........................................................................................................................................67 13.11 Quantification Tools..............................................................................................................................68 13.12 Respiratory Gating and Dynamic Data ...........................................................................................69 13.13 Saving, Filming and Printing Images...............................................................................................70 14. Exercises..............................................................................................................................................................72 III Course Description Upon completion of this course, you will be able to: Correctly perform startup and shutdown procedures • Identify the key hardware features of the Biograph® Horizon • Describe the key features of the syngo® interface on the acquisition workstation • Learn how to correctly perform the quality control procedures for the scanner • Correctly perform a patient registration • Utilize the Examination task card to perform a patient acquisition • Know the steps to take when performing a reconstruction of the raw data • List the steps needed in order to archive patient data • Know the procedures to maintain the patient database • Reference troubleshooting step by step to solve common issues and problems • 6 III Agenda Day One Component Layout System Control Orientation PHS Orientation/Homing Emergency Stops System Safety System Restart Daily CT Quality Control Procedures Daily PET Quality Control Procedures System Shutdown and Cleanup PET Examination Configuration Day Two Daily Restart and QC Review Patient Browser Orientation Patient Positioning and Laser Positioning Review Patient Acquisition Protocols Patient Registration CT Acquisition Hardware CT Scan Acquisition and CT Task Card PET Exam Task Card Overview CT and PET Reconstruction PET•CT Acquisition Setup and Run Step and Shoot Acquisition Monitoring the PET Acquisition Enabling the PET Cine Tool Reconstruction of PET Images From the Examination Task Card From the syngo MI Workplace Viewing Images Viewing Task Card 3D Task Card Database Maintenance Exporting and Importing Sending Deleting Help manuals 7 Day Three Daily System Startup and QC review Acquisition and Processing Review Reconstruction Review Image Evaluation Image Quantitation Creating JPEG and AVI Files Day Four Acquisition Review Reconstruction Review Image evaluation Review Troubleshooting Contacting Uptime 8 Turnover Workbook | Biograph Horizon 1. Overview of your Biograph Horizon 1.1 Objectives Notes After this session, you will be able to: Know the component layout • Learn the functions and location of the system controls • Know how to operate and handle the PHS (Patient Handling System) • Know the location of the emergency stops • Know the location and function of the radiation lights • Gain knowledge of system safety • Perform the restart of your system • Perform the daily CT quality control procedures • Perform the daily PET quality control procedures • Perform the system shutdown and cleanup • 1.2 Gantry Components and Controls SIEMENS SOMATOM ( 1 ) (4) ( 1 ) -(2) (1) Gantry Operator Panels (2) Laser Light Markers (3) Display Panel or Touch Panel (4) STOP Keys 9 Turnover Workbook | Biograph Horizon 1.3 Gantry Control Panels Notes Located on the front left and right of the gantry are operator panels with keys for gantry and patient table control. (2) (2) (1) (1) (1) Radiation Warning Lamp (2) Operating Elements The operating elements on the left and right gantry panel are shown below. (7) 6) (8) (8) (6) (2)Q (5) (9) (9) (24) (5) Q(4) (12) "(10) (12) (11) (11) (1) Table Out (2) Table Up (3) Table In (4) Table Down (5) Table Out Fast (6) Laser Light Marker (7) Offset (8) Zeroing (9) Table In Fast (10) Predefined Table Position (11) Table Retraction (12) These buttons are not functional for Biograph Horizon PET∙CT 10 Turnover Workbook | Biograph Horizon 1.4 Display Panel Notes The display panels are located on the front of the gantry. The display provides information about system operation. 1.4.1 CT Examination Display Panel The gantry display is located at the front of the gantry. With this display you can observe your system operation. The displays indicates the vertical and horizontal position of the table and the angle of inclination of the gantry as well as the radiation data. 130 kV 180 mA 5,83 s ( 1) (2) (3) 160 -1886.5 (4) ( 5 ) (6) John Doe AccNr 905523692786 (1) Tube voltage (kV) (2) Tube current (mA) (3) Scan time (topograms or sequences) / Rotation time (spirals) (4) Table height (5) Horizontal table position (6) Patient information 1.4.2 ECG Monitor Integrated into Gantry Display 130 kV 180 mA 5.83 s (1) (2) bpm 68 160 -1886.5 John Doe AccNr 905523692786 (1) ECG signal (2) Heart rate 11 Turnover Workbook | Biograph Horizon 1.4.3 Delay Countdown Notes 130 KV 180 mA 5.83 s 160 -1886.5 (1)- 5s (1) Scan delay countdown 1.4.4 Radiation Warning Signal 130 KV 180 mA 5.83 s 160 -1886.5 -5s (1) Radiation warning (2) Scan time countdown 12 Turnover Workbook | Biograph Horizon 1.4.5 PET Examination Display Panel Notes During the PET scan, the following information is shown in the lower part of the gantry display panel. (1) (2) (3) (4) (5) (6) S 99999 P 9999 R 9999 T 9999 99/99 9999/9999s (7) 1886.5 - (9) 150.0 (10) (8) John Doe 905523692786 (1) Singles rate (in kilocounts per second) (2) Prompts rate (in kilocounts per second) (3) Randoms rate (in kilocounts per second) (4) Trues rate (in kilocounts per second) (5) Current bed number (n / n) (6) Elapsed time / Total time (7) Head/Feet first icons (8) Intervention icon (9) Horizontal table position (mm) (10) Table height (mm) 1.5 Laser Light Markers Laser light markers mounted within the gantry field of view indicate the location of the patient within the gantry port. The laser light markers indicate the position of the scan center and the slice plane in the middle of the detector rows for the inner scan level and the outer offset level. 13 Turnover Workbook | Biograph Horizon 1.6 Patient Call System (Optional) Notes Must be installed prior to use. (1) (2) (1) Hinged lid – close when not in use (2) Patient Call Trigger connector 1.6.1 Patient Call Button 1.6.2 Alert Box (1) (3) (2) (1) Flashing indicator lamp (2) 3-position mode selector switch: Position 1 alarm tone • Position 2 blinking light • Position 3 both alarm tone and blinking light • (3) Sliding volume control 14 Turnover Workbook | Biograph Horizon 1.7 Patient Handling System (PHS) Notes 1.7.1 Features: Table on Rails design • Supports 227 kg (500 lbs) • Reinforced table positioned on a pedestal that slides on • floor-mounted rails. • Maximum standard co-scan range with extensions is 195 cm • TrueV option co-scan range is 198 cm. • 1.7.2 Universal Physiological Measurement Module (UPMM) Purpose: Located near the pedestal end of the table • Receptacle for ECG electrodes • Push button changing for ECG measurement mode. • Single connection point for PET and CT cardiac gating • Patient call button • External trigger device connection • Moves with the patient • (1) (2) (3) (1) Hinged lid - close when the UPMM is not in use (2) ECG lead cable connector (3) Patient Call Trigger connector 15 Turnover Workbook | Biograph Horizon 1.8 Computers Notes The Biograph computer equipment includes the following main components. Equipment Name Function syngo Acquisition Workplace User system console for data ( ICS) acquisition and processing. Monitor syngo Acquisition Workplace monitor. Control box Provides operator control from outside the examination room. Molecular Acquisition Recon- Embedded computer for PET struction System(MARS) data acquisition, PET image reconstruction, storage of PET raw data (list mode), replay of list mode into sinograms, and control of PET Gantry. CT Image Reconstruction Sys- Embedded computer for CT tem (IRS) mage reconstruction. 1.8.1 Console and CT Acquisition Computer 1.8.1.1 syngo Acquisition Workplace Functions: Acquisition • Reconstruction • Scheduling • Protocol selection • Standard evaluation applications • Data transfer • Storage of syngo database • 1.8.1.2 Image Reconstruction System (IRS) Functions: Communicates with the scan system • Uses measured data of the detector system to calculate images for each CT slice. • Passes the data to the Acquisition Workplace • 1.8.2 PET Molecular Acquisition and Reconstruction System (MARS) Functions: PET data acquisition • Temporary storage of PET raw data (sinograms) • PET gantry service procedures • Reconstructs PET sinograms into images • 16 Final location of PET listmode data and sonograms from replay. • Turnover Workbook | Biograph Horizon 1.9 System Control Box and E-Stop Notes Functions: Starts acquisition • Moves the PHS horizontally • Communicates with the patient gantry • Interrupts the scan • Stops the scanner motions and radiation • Switches the CT and computers on/off • SIEMENS (7) (8) (6) TO (5) STOP (10) (4) (1) (2) (1) Move key: Use this key to move the patient table. (2) Unload Patient key: Use this key to unload the patient. (3) Start key: Use this key to trigger a scan. The radiation warning lamp on the CT control box lights up during the scan. (4) Radiation Warning Lamp: This display lamp lights up during radiation and a warning signal sounds. (5) Suspend key: Use this key to hold the scan procedure. This is the preferred method for interrupting a scan before completion. The user should not use the STOP key for this purpose. (6) Hear Patient key: Press this key if you want to hear what the patient is saying. The light diode indicates that the listening connection is active. Press the key again to release the listening connection. (7) Loudspeaker (8) Call Patient key: Hold this key down while speaking in to the microphone. (9) STOP key: Use this key to stop scanning altogether in an emergency. (10) Microphone 17 Turnover Workbook | Biograph Horizon 1.10 Safety Notes 1.10.1 Emergency Stops Stops: Bed and gantry motions • Radiation delivery • Will disrupt scan and result in data loss. Only use in emergency situations. Control Control Box Control Location Procedure Press the red E-Stop button on the Control Box to stop all scan- STOP ning functions. Control Gantry Control Location Procedure Press one of the red E-Stop but- -O tons on the gantry front to stop STOP all scanning functions. 1.11 Controlling System Power The Acquisition System – Controlled by the Line Connection Box (LCB) The Console – Controlled by the Computers button on the Power Distribution and Computer Cabinet (PDCC) 1.11.1 Switching on the System 1. Switch on the power switch at the LCB for gantry and table. SIEMENS 18 Turnover Workbook | Biograph Horizon 2. Press the power button on the Image Control System (ICS) also known as the Notes syngo Acquisition Workplace. syngo Acquisition Workplace-ICS Tower 128 FUJITSU 1.11.1.1 Boot phases: a. Startup of Operating System b. Startup of syngo. 19 Turnover Workbook | Biograph Horizon 2. Quality Control Procedures 2.1 Phantoms and Sources Notes A number of radioactive sources and phantoms are required for acceptance testing, maintenance, and routine operation of the scanner. Maintenance Procedure Source Used PET Procedures Daily quality check PET Uniform Phantom (CS-27) Partial detector setup PET Uniform Phantom (CS-27) PET time alignment PET Uniform Phantom ( CS-27 ) PET full system setup PET Uniform Phantom (CS-27) FOV offset calibration PET Twin Rod Phantom CT Procedures Daily quality tests Water Phantom (20 cm) Constancy test Water Phantom (20 cm) (see your CT Operator Manual) Slice Thickness Phantom Wire Phantom 2.1.1 PET Uniform Phantom (Ge68) Features and Uses: Sealed cylindrical source • Used with or without TrueV option • System testing • Detector normalization • Setup • Time alignment • Test scans • 20 Turnover Workbook | Biograph Horizon 2.1.2 Water Phantom Notes Features and Uses: Fillable uniform phantom • Can be filled with concentration of radioactivity • Used after specific service procedures • System acceptance testing • Detector normalization • System cross calibration • 2.1.3 Rod Source Features and Uses: 2 rods • Used to perform FOV offset calibration • 2.1.4 CT Quality Phantom Features and Uses: Consists of water, slice thickness and wire phantoms • Used CT Daily Quality and Constancy tests • 6) (5) (4) (2) (3) (1) (1) Patient table top (2) Water phantom (3) Slice thickness phantom (4) Wire phantom (5) Phantom holder bracket (6) Reference marking 21 Turnover Workbook | Biograph Horizon 2.2 Daily Quality Control Schedule Notes Action When Restart Computers Daily at startup CT Checkup Daily at startup CT Quality Daily at startup or after extended power off PET Daily Quality Check Daily at startup (prior to scanning patients) After extended power off After remote access service procedures Perform PET Full Setup and Time Alignment if this fails. PET Partial Setup Weekly Automatically after 7 days PET Full Setup and Time Alignment Quarterly Automatically after 90 days Archive Patient Data Daily Clear Scheduler Daily Clear Queues Four times daily Scanner Cross Calibration (optional) When Ge" phantoms are replaced NEMA Testing If required System PM and Inspection Every 6 months System Cleanup and Shutdown Once a week 2.3 Restarting the Computers 1. Exit all examinations and applications. Ensure PET and CT gantries are powered on. 2. Select System > End. 3. Select Restart System and click Yes. 4. System is ready for scanning when disk icons appear at lower right corner of screen. 73% 26% 22 Turnover Workbook | Biograph Horizon 2.4 Running CT Checkup Notes The Checkup dialog box should Checkup automatically appear after restart. If it For best image quality please run checkup procedure. doesn’t, pull down menu item Setup > Please leave the scan room. The table will move out of the gantry. Checkup. X-rays will be produced during the checkup procedure. Click on Checkup to start procedure. Click on Cancel to skip procedure. Time since last successful checkup: 05:42 Checkup Cancel Help 1. Click the Checkup button. 2. Press the Start button on the control box when prompted. 3. After a successful Checkup, the dialog box will automatically close. 4. If Checkup is unsuccessful, retry. If continues to be unsuccessful, contact service. 23 Turnover Workbook | Biograph Horizon 2.5 Calibrating the CT Scanner Notes CT scanner calibration guarantees optimum image quality. CT calibration occurs automatically as part of the checkup procedure performed after system startup. 2.6 CT Daily Quality 1. Position the CT Quality Phantom into the L-shaped phantom bracket at the head of the PHS. 1. Turn on the laser light markers. 1. Move the table forward until the etchings of the phantom are aligned with Inner lasers. Adjust the table height if needed. 2. On the Acquisition Console, Pull down menu item Setup > Quality. 3. The Quality Daily dialog box appears. Quality_Daily Quality Daily started. Position slice phantom in the gantry center Set vertical table height to 188 mm Click OK when ready_ OK Cance 4. Click the OK button. 5. Press the Start button on the control box when prompted. 6. When the calibration is finished, click the OK button. 7. If the test is out of tolerance, call for service. 24 Turnover Workbook | Biograph Horizon 2.7 PET Quality Check Notes 1. Insert the Ge68 Uniform phantom into the L-shaped bracket at the head of the PHS. 1. Align the phantom in the CT FOV, using the positioning lasers. 1. On the Acquisition Console, pull down Options > Quality. The PET Quality Dialog will appear. Y Alignment X, Z Alignment 2. Make sure that the data that appears in the win- PET Quality Check dow matches what is on the phantom. Perform and Monitor Configure 6315 (cc) 3. Select from the following: Phantom Volume Isotope Ge-68 4. Partial Setup: Performs Quality Check, Normal- Assay Activity 2.44 mCi Assay Time 12:00:00 ization and Partial Detector Setup. Time Align- Assay Date 11-Jan-2011 ment is optional to select. Cross Calibration 1 5. Full Setup: Performs Quality Check, Normaliza- Partial Setup Time Alignment Full Setup tion, Full Detector Setup and Time Alignment. Position phantom with laser Position phantom with last saved value 6. Time Alignment: Performs Quality Check, Nor- QC Schedule day malization and Time Alignment Mon Tue Wed Thu Pur QC Schedule time 6:30:30 7. Select phantom positioning method. Start View Cancel Help 8. Position phantom with laser (manual) 9. Position phantom with last saved value (automatic) With this method, you are able to enter days and time for automatic QC acquisition. 10. Click Start. PET Quality Check Perform and Monitor Configure 11. Position the phantom at the CT FOV using laser Quality Check procedure initiated ... Gathering system information .... and click OK to continue. Moving the bed to PET-FOV ... The bed is at PET-FOV. PET Checkup is being performed ... PET Checkup completed successfully. ACS Checkup is being performed ... ACS Checkup completed successfully. Partial Setup is being performed ... Partial Setup in progress. Total Time Remaining: 25min 54sec Start View Cancel Help 25 Turnover Workbook | Biograph Horizon 2.7.1 PET Quality Check Results Notes When the PET Quality Check procedure is complete, the results are displayed in the Report section of the dialog and an indication whether the procedure was successful, PASS, or if there was a problem with the process, FAIL. PET Quality Check Perform and Monitor QC Configure QC PET Checkup is being performed ... PET Checkup completed successfully. ACS Checkup is being performed ... ACS Checkup completed successfully. Partial Setup is being performed .. Partial Setup completed successfully. Setting energy thresholds on ACS .. Energy thresholds set successfully. Configuring ACS .. Configured ACS successfully. PET Acquisition is in progress ... PET Acquisition completed successfully. PET Image Reconstruction in progress. PET Image Reconstruction completed successfully. Report Computed ECF V PASS 2.887e+007 View Sinogram View Trend View/Print Report Save&Close Post process Start Load Cancel Help 1. To view the sinogram, click View Sinogram. PET Quality Check Perform and Monitor QC Configure QC Setting energy thresholds on ACS. Energy thresholds set successfuly. Configuring ACS Confinired ACC runcorn Sinogram Viewer DEA Block 20DE/ 12/05.13:36-28 14 45 Start Cancel Help 26 Turnover Workbook | Biograph Horizon 1. View and print the Quality Report, click View/Print Report Notes System Quality Report Detailed System Quality Report: Item Upper Bound Lower Bound Value Decision Sean Date: October 21, 2014, 18:50:56 Block Noise 3 [crystal] 0 [crystal] O Blocks PZEERD out of range Phantom Parameters Isotopo: Go-89 Block Efficiency 120 [% BO [%] 0 Blocks Passed Assay Activity: 2.137680 [mC] out of range Assay Date and Time: February 18. 2014. 00:30:30 Measured Passed Randame 115 [%] 85 [9] 102.5 [%] Volume: 8407 [ce] Calibration Factor: 1.000000 Scanner Efficiency 47.32 [opa/Bq'co] 25.48 [cpe/Bajoo] 40.2 [ops/Bq/oc] Passed Scatter Ratio 35.2 [%] 29.8 [%] 20.3 [9] Passed Input for Computation: Scanner efficiency correction factor 4e+007 [Bq's/ 3.004e+007 ECAT counts Bq'S/ECAT (ECF) ECAT counts] Passed counts] Daily Sinogram location WMIAND 1 000 PETOCDATA FETQCSinogram_21102014_100805 Image Plane Passed Proposed ECF Value 3.0046+007[Bq' Browser). 2. Click on the Scheduler icon. 3. From the main menu, select Edit > Clear Scheduler. 2.9 Clearing Network, Local, and Film Queues To clear the network or local job status: 1. Access the Patient Browser by selecting Patient > Browser. 2. Select Transfer > Network Job Status or Local Job Status. 3. Click Clear to clear all jobs. To clear the film queue: 1. Select Patient > Film Task Status in any task card or in the Patient Browser by selecting Patient > Browser. 2. Click Clear to clear all jobs. 2.10 Other Maintenance Procedures This section will outline some other procedures that need to be performed for optimum image quality. See your user manual for more details on system maintenance. Action When Restart Computers Daily at Startup CT Checkup Daily at Startup CT Quality Daily at startup or after extended power off Daily at startup (prior to scanning patients), PET Daily Quality Check after extended power off, or after remote access service procedures. Note: Perform a PET Full Setup and Time Alignment if the daily PET Quality Check fails. PET Partial Setup Weekly or Automatically after 7 days PET Full Setup and Time Alignment Quarterly or automatically after 90 days Archive Patient Data Daily Clear Scheduler Daily Clear Local, Network, and Film Queues Four times daily When PET Full Setup or Time Alignment fail Call Service OR When CT Quality test results are out of tolerance Scanner Cross Calibration ( optional) When Ge68 phantoms are replaced NEMA Testing (optional) If required System Preventive Maintenance and Inspection Every 6 months System Cleanup and Shutdown Once a week 28 Turnover Workbook | Biograph Horizon 2.10.1 System Cleanup and Shutdown Notes Recommended to be performed once a week on the syngo Acquisition Workplace for optimum performance. To perform system cleanup and shutdown: 1. Exit all examinations and applications. Make sure the system is in an idle state and that there are no active processes (e.g., acquisition, display and analysis, image transfer, archiving, etc.). 2. Remove all media from drives on the syngo Acquisition Workplace computer. 3. On the syngo MI Workplace console, select System > Run > System Cleanup and Shutdown. The system displays the syngo countdown screen for several seconds, after which the following window is displayed. System Clean Up and Shutdown The system clean up may take a few hours. After clean up the system will automatically shut down You may stop the system cleanup at any time by using the " Cancel " button . The system will then shut down Remember to turn off the power for the complete system at the control box button and then proceed with the normal start up procedure. Start [. Cancel 4. Click Start. 5. When cleanup is complete, the CT scanner, syngo Acquisition Workplace, IRS, and MARS will shut down. 6. After turning off the scanner, wait 5 minutes before proceeding to the next step. 7. Switch on the power switch at the LCB to power the gantry and patient table. Switch on the syngo Acquisition COMPUTERS Workplace. 29 Turnover Workbook | Biograph Horizon 2.10.2 Running PET Quality Check with Partial Setup Notes 1. Run the PET Quality Check procedure, including Partial Set-up of PET detectors, as described in PET Quality Check. 2. Position the phantom and select Options > PET Quality Check from the main menu to display the PET Quality dialog. Place a check in the Partial Setup box. PET Quality Check Perform and Monitor Configure Phantom Volume 9315 (cc) Isotope Ge-68 Assay Activity 2.44 mCi Assay Time 12:00:00 Assay Date 11-Jan-2011 Cross Calibration 1 Partial Setup Full Setup Time Alignment Position phantom with laser Position phantom with last saved value QC Schedule day Mon Tue Wed Thu Fri QC Schedule time 06:30:30 Start View Cancel Help 3. When the Quality Check and Partial Setup procedures have completed successfully, the results will be displayed in the Report section of the Quality Check dialog. 2.10.3 Running PET Quality Check with Full Setup and Time Alignment Follow the same procedure as Daily Quality Check and Partial Setup, but check the Full Setup and Time Alignment boxes 2.10.4 Scanner Cross Calibration Please follow the user manual for this procedure. 30 Turnover Workbook | Biograph Horizon 3. PET Examinaton Configuration Go to Options > Configuration and double-click on PET Examination in the new pop Notes window that comes up. 3.1 Dose Units Tab From the pull-down menu, select how dose units are displayed on the Routine subtask card: mCI - millicuries μCI - microcuries MBq – megabecquerels 3.2 Pharmaceuticals Tab To add a new pharmaceutical, click Add, then enter the name in the Pharmaceutical field. Next, select the Associated isotope, and click Add. Delete - removes the selected pharmaceutical. OK - closes the panel and applies the settings. Apply - applies the settings and keeps the panel open. 3.3 PET Recon Priority Tab PET Recon job is prioritized for the current patient - select to always move the current patient to the top of the reconstruction queue. Recon jobs already in progress will be interrupted until the current patient Recon is complete. Unselect to process Recon jobs in the order they were queued. OK - closes the panel and apply the settings. Apply - applies the settings and keeps the panel open. Default - resets to unselected. Cancel - closes the panel without making any changes. 3.4 Export Series Types Tab Select the series type to export when using the Export tool. See Managing Data for more information. OK - closes the panel and apply the settings. Apply - applies the settings and keeps the panel open. Default - resets to unselected. Cancel - closes the panel without making any changes. 31 Turnover Workbook | Biograph Horizon 3.5 Image Statistics Tab Notes Select the data series to display when creating an Image Statistics series. OK - closes the panel and apply the settings. Apply - applies the settings and keeps the panel open. Default - resets to unselected Cancel - closes the panel without making any changes. 3.6 Changing the Time and Date To change the date, time, or time zone on the syngo Acquisition Workplace (ICS): 1. Verify that the system is in an idle state and that there are no active processes running. 2. On the syngo Acquisition Workplace, select Options > Configuration. 3. Double-click the Date and Time icon. 4. The Date and Time Properties window will be displayed 2 Somaris/5 - Configuration Panel X Cm DynEva CT Examination Respiratory Scan Protocol Volume CT ImageText Gating Manager Editor Regional and Date and Language Time Date and Time Properties ? X SE Date & Time Time Zone Date Time August 2007 2 3 4 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ......... 11:38:39 NN - Current time zone: Eastern Standard Time OK Cancel Apply 5. On the Date & Time Tab, adjust the current local time. 6. Restart the ICS system by selecting System > End. Select Restart System. Click Yes. 32 Turnover Workbook | Biograph Horizon 4. Patient Browser Overview 4.1 Accessing the Patient Browser Notes The Patient Browser displays all the patient and examination data stored in each database or external archive medium. To access the patient browser, select Patient > Browser from the menu. The system displays the browser. Patient Browser (1) Patent Applications Transfer Edit PET View Eiker Evaluation Sort Options Help (2) ( 3) [502] Dose Report (4) [601] Raw Data Local Database PET HeadNeck (Ac [602] PET Raw Data (5) Scheduler CD_DVD fp3 ( 6 ) FP! UM_VG40_CUT_46 prots ctcharmvalidation Patient name FP4 Date of birth 23-Ocl 1972 Study description PET HeadNeck Adul) Study date 23:Oct-2 012 Patient ID fp4 Modality PT Instanc Instance Type | Instance Dice and ... / Instance Comment (7) 2000 [ORIGINAL][P123-Oct-2012 12:26:19 PET Scan 2 Count Rate [ORIGINAL] [P123-Oct-2012 12:16:11 PET Scan 2 Bed 1 Sinogram [ORIGINAL] [P123-Oct-20 12 12:16:01 PET Scan 2 - Protocol 1 [ORIGINAL] [P101-Jan-1910 00:00:00 PET Normalization Current Film Of (8) (9) (10) (1) Browser main menu (2) Browser Toolbar (3) Navigation area (4) Local database access (5) Patient scheduler access (6) External media access (7) Data list (8) Patient folders (9) Study folder (10) Data series 33 Turnover Workbook | Biograph Horizon 4.2 Patient Databases Notes The types of databases are symbolized on the left-hand side of the navigation area. Click an icon to see its contents displayed in the content area of the browser. Local Database: Basically, the system stores all patient and examination data in a large local database. Scheduler: This database contains all patients who have been preregistered. The content switches to a special list and displays all patients scheduled. Local Archive: This icon represents the selected external drive CD or DVD (disk currently inserted in that drive). 4.3 Selecting Data in the Patient Browser To select data in the Patient Browser: 1. Scroll through the list of patients in your local database or an attached device with the scroll bar. 11111 dok 40352 AlIT / OPEN ocal Database_ Franklin, James Thorax ThoraxPETCT1 CT Spiral 5 0 B40s JIJSI F OPEN IIIII 1 OPEN Scheduler Pearson, Ellen Raw Data 1/11/ 1 OPEN 1/11 / OPEN CD_RW_READ Powers, Richard Thorax ThoraxPETCT1 Topogram ///// / OPEN OF OPEN Sony_MOD Quality Assurance Patient (1talel / OPEN Reference Images ...... 2. When you find the patient you are looking for, click on the patient entry. Doe, John The system displays all the studies associated with that patient. 3. Click on the study entry you desire. Thorax ThoraxPETC 4. The system displays all the scan series associated with that study. 5. To access a scan series, double-click on the desired CT Spiral 5.0 B40s series icon. 34 Turnover Workbook | Biograph Horizon 5. Registering a Patient 5.1 Entering a New Patient Notes To enter a new patient: 1. Select Patient > Register from the menu. The system displays the Patient Registra- tion dialog (below). Patient Registration X PATIENT PROCEDURE Last name Patient Accession No 1011121314 First name My Requested BPET PETCT_Cardiac_Gated (Adt Patient ID 12345 procedure(s) Date of birth 9/12/1970 [M/d/yyyy] Sex · Male Female Other Study PET PETCT_Cardiac_Gated (A(+] Age 40 Years Weight 175.00 [b] Institution name Hospital HOSPITAL Referring physician Dr. Good Health . Performing physician Dr. P.E.T Diagnostics Admitting diagnosis Chest pain Ward East 1. Operator Diagnostician NOTInITISN! Admission ID 6789 Preregister Exam Search Cancel Emergency Help ISO_IR 100 2. Fill in the required fields (displayed in bold). The system requires the patient’s last name, first name, ID (which can be automati- cally assigned by the system), date of birth, sex and weight to generate Standard Uptake Values (SUVs). All but the last field are necessary to meet DICOM requirements. 3. Enter or select the Hospital and Physician/Operator information. 4. Select the study you wish to perform. 5. For PET and CT acquisition, always use a protocol with PET•CT in the name. Other protocol names correspond to CT acquisitions only 35 Turnover Workbook | Biograph Horizon 5.2 Accessing an Existing Patient Notes 1. Select Patient > Register from the menu. The system displays the Patient Registra- tion dialog. Patient Registration X PATIENT PROCEDURE Last name Franklin Accession No First name Requested Patient ID procedure(s) Date of birth [dd-MMM-yyyy] Sex Male Female Other Study Age Years Weight [b] Institution name HOSPITAL Referring physician 1. Performing physician Admitting diagnosis ward 1. Operator Admission ID Preregister Exam Search Cancel Emergency Help Patient Registration 2. Enter the patient’s last name, if known. 3. Click on the Search button. Patient Search Last Name First Name Patient ID Date of Birth James Location 07-May-1962 03.03.14-13:41:54-STD -. 03.03.14-13:41: .. 18-Nov-1958 Local Lathrop 234567 13-Mar-1974 Local TempPET TempPET 01-Jan-2001 Local 01-Jan-2001 Local OK Cancel Search completed. 5 Patients found. 4. Highlight the desired patient and click OK. 36 Turnover Workbook | Biograph Horizon 5.3 Defining a Study Notes 1. Access the Patient Registration dialog and enter the information as required. 2. Choose a PET·CT protocol, for example, PETCT•AC_WholeBody (Adult). Patient Registration X PATIENT PROCEDURE Last name Franklin Accession No First name James Requested 8 PET PETCT_AC_WholeBody (Ad Patient ID 08.09.08-16:07:21-DST-1.3.12.2.110 procedure(s) Date of birth 14-May-1965 [dd-MMM-yyyy] Sex . Male Female Other Study PETCT AC WholeBody (Adultd Age 43 Years Vascular B.PET Weight 175.00 [b] Institution name PETCT_GantryOffset (Adult; PETCT_WholeBody (Adult) PETCT_AC_WholeBody (A. HOSPITAL Private Referring physician 1. Performing physician m DT Admitting diagnosis Ward 1. Operator NOTInITISN! Admission ID Preregister Exam Search Cancel Emergency Help 3. Select Exam. The Patient Model dialog is displayed. Patient Model Dialog En Protocol & Replace Child C Append Topogram c Cut . Keep Auto reference lines None API Language English OK Cancel 4. Select the correct position for the patient. 5. Confirm your entries with OK. 37 Turnover Workbook | Biograph Horizon 6. Positioning the Patients for Exams 6.1 Preparing the Patient Table Notes 1. Lower the patient table until the patient can easily sit down on it or be placed on it. 2. Use any positioning accessories that might be necessary. This includes the use of a head holder (to be used only for the head of the patient), foot extender (to be used only for the feet of the patient), positioning mat, RTP pallet and towels, sheets, or immobilizing straps for securing the patient. 6.2 Preparing the Patient 1. Remove (or have the patient remove) jewelry, glasses,prostheses, etc., from the body region to be examined. 2. Now position the patient on the table using the necessary accessories. Positioning the patient with the arms up for lung, thorax, and abdomen scans, when he/she can tolerate it, will reduce beam hardening and scatter artifacts in the CT, reduce the potential for CT field-of-view truncation artifacts, and improve the quality of the PET images. 6.3 Setting the Table Height 1. Move the table to the appropriate height by using the vertical motion buttons on the gantry control panel 2. You can achieve the optimum setting by using the lateral position- * ing laser marker (see below). Make sure that the laser is marking the center of the measuring field, including the patient and the table. 6.4 Moving the Patient Toward the Gantry 1. Using the table positioning buttons on the gantry control panel, move the table with the patient toward the gantry. 2. Before starting the examination, make sure that table movement toward the gantry opening is not obstructed and that the patient cannot be injured by a movement of the table or gantry. 6.5 Using the Positioning Laser Light Markers The laser light markers are laser beams that emanate from three points in the gantry opening. These points are marked. The laser beams fan out so that you see lines as a mark or a cross at the intersection of the beams. 1. Switch on the light markers. 2. With the keys for horizontal table, adjust the longitudinal direction of the table such that the starting point for scanning is marked by the offset laser. 38 Turnover Workbook | Biograph Horizon 6.6 Monitoring the Patient Notes As long as the table or scanning unit is moving during scanning, the patient must always be visible and the intercom system must be switched on to hear the patient. 6.6.1 Stopping the System In critical situations, press an E-Stop push button to stop all system movements immediately and to shut down radiation. 39 Turnover Workbook | Biograph Horizon 7. Acquring the Patient Scan 7.1 Topogram Acquisition Notes 1. Position the patient on the table. 2. Align the patient in the CT field of view using the laser light marker. The laser should be positioned at the start of the imaging region. 3. Check the topogram parameters on the Routine subtask card of the Examination card. PETCT_Whole Body (Adult) Patient, My 12345 Total mAs: O Topogram Slice 0.6 mm CT WE MA 35 Length 1024 mm Pause Direction Craniocaudal PET WB kV 120 Tube position . Top . Bottom . Lateral Scan time 104s Scan start Start button Language English Delay API None Kernel T30f sharp window Topogram Body Load Hold Recor Routine Scan Auto Tasking 4. Check the topogram length and tube position. • “Top” provides anterior view of patient. • “Bottom” provides posterior view of patient. • “Lateral” provides lateral view of patient. If you want to adjust the topogram parameters, click on the Scan subtask card. PETCT_AC_WholeBody (Adult) Franklin. James 08.08.27-10:25:48-DST- Total mAS: Topogram Slice 1.6 mm , AC_CT_Bocy RT mA 36 2J Length 1024 mm Pause Direction Craniocaudal PET Acq KV 120 M Tube position To BottomLateral Scan time 10 Scan start Start button Language English Delay 4s= AFI None Kernel T80s sharp Window Topogram Body Load Hold Reco Routine Scan Auto Tasking To set up automatic viewing, filming, or transfer, set parameters on the Auto • Tasking subtask card. ETCT_Whole Body (Adult) Patient, My 12345 Total mAS Topogram Series description Topogram 0.6 T80f CT WB Pause Auto filming Auto viewing PET WB Auto transfer Auto Requested procedure Auto Auto AUTO Body part examined Abdomen Load Rep Hecon Routine Scan Auto Tasking 5. To load the topogram as defined, click Load. The system prompts you to press the Move button on the control box. 40 Turnover Workbook | Biograph Horizon Notes 1. Press and hold the Move button on the control box until the table stops moving and the Press START prompt is displayed. 2. The Start button on the control box will be lit and flashing. Press the Start button on the control box to begin the topogram. A radiation warn- ing alarm sounds as the topogram is acquired. 7.2 Setting the Scan Range (1) (2) pplications PET Edit Insert 36 Pasent, My 12345 TOP I (5) W 120 GTOE 1024 0/ TROY UOPO 14 M - 10242 PETCT_WholeBody_Dynamic (Adult) Patient, My Topogram Isotope F 18 Pharm Fluorodemygluco CT WB RT ] Dose 10.00 mc Pause Date 31-Aug-2012 Time 09 32:21 PET WB Dyn Scan range [ Match CT Range Bad Duration 3 Pas Range Table Postion Load Recon -1357 0 -7275 -1050.0 Recon (3) (4) (1) Drag to define the center of the scan range. (2) Drag the rectangular box to define scan range. (3) If applicable, drag the slider to select the Pass. In this example, 2 passes are defined. (4) Define the Duration for each bed for each Pass. (5) Observe the number of and position of beds. Beds are shown as rectangles with rounded corners. Each bed has a corresponding number on the Routine subtask card. 41 Turnover Workbook | Biograph Horizon 7.3 Acquiring the CT Scan Notes 1. Verify the routine CT parameters displayed on the Routine subtask card. PETCT_WholeBody (Adult) Patient, My 12345 Total mAs: 364 Topogram Eff. MAS 39 CARE DOSe4D CT WB KV 120 CTDMol (32cm): 2.88 mGy DLP: 230.9 mGy cm Pause Scan time 26.63 5 Delay 2 5 ET WB Slice 0 5.0 mm Acq. 16 x 1.2 mm No. of images 264 Comments Range: Begin End Table: Position Height 726.5 3 -1516.5 -1650.0 100.0 Craniocaudal Load Reco Routine Scan Recon Auto Tasking 2. Click to the Scan subtask card to verify the CT scan parameters. PETCT_Whole Body (Adult) Patient, My 12345 Total mAs: 364 Topogram CT WB RT CARE DOS84D MI CARE KV Off Slice 5.0 mm Acq. 16x 1.2 mm Pitch 08 Pause Eff. MAS 39 KV 120- Direction Craniocaudal PET WB Organ characteristic: Abdomen CTDIvol (32cm): 2.88 mGy DLP: 230.9 mGy*cm Scan time 26.63 s Scan start Start button Rotation time 0.55 Delay 2 s= Language English API None Load Recor ICH Routine Scan Recon Auto Tasking 3. Click on the Recon subtask card to verify the CT reconstruction parameters. 42 Turnover Workbook | Biograph Horizon 1. Click Load to continue. The system then prompts you to Press MOVE to position the Notes table for the CT scan. PETCT_AC_WholeBody (Adult) Franklin, James 08.08.27-10:25:48-DST-' Total mAs: 380 Topogram Eff. mAs 50 AC_CT_Body Press MOVE 120 CTDIvol 3.32 mGy Pause Scan time 13.64 s Delay , PET Acq Slice | 5.0 mm Acq. 32x 1.2 mm No. of images _263 Comments Range: Begin End Table: Position Height Load ance 1010.0 221.5 10.0 138.0 Craniocaudal Recon Routine Scan Recon |Auto Tasking 2. Press and hold the Move button on the control box until the table stops moving and the Press START prompt is displayed. 3. The Start button on the control box will be lit and flashing. Press the Start button on the control box to start the CT scan. A radiation warning alarm sounds as the CT is acquired. PETCT_AC_WholeBody (Adult) Franklin, James 50 mAs 120 kV 13.64 $ 5.0 mm / 0.8 Topogram Eff. mÁs 50 AC_CT_Body Press START KV 120 CTDIvol 3.32 mGy Pause Scan time 13.64 s Delay 25 2 PET Acq Slice 5.0 mm Acq. 32 x 1.2 mm No. of images _263 Comments Range: Begin End Table: Position Height 1010.0 11 221,5 1047.0 138.0 Craniocaudal Cancel Recon Routine Scan Recon Auto Tasking 7.4 Acquiring the PET Scan 1. Fill in the appropriate information for the radiopharmaceutical, dose, scan length and duration, and table position on the Routine subtask card. PETCT_WholeBody (Adult) Patient, My 787.7 mm 24 min 10 mCi Topogram Isotope F-18 Pharm. Fluorodeoxyglucose CT WB Dose 10.00 1 mc -CH Pause Date 26-Oct-2012 Time 15:12:18 PET WE T Scan range Match CT Range No. of beds Scan duration min Range: Begin End Table: Position Height Scan direction Load Reco -1454.0 -666.0 -600.0 100.0 Caudocranialv Rouune Scan Recon Auto Tasking 43 Turnover Workbook | Biograph Horizon 7.5 Acquiring the PET Notes 1. Fill in the appropriate information for the radiopharmaceutical, dose, number of beds and scan duration on the Routine subtask card. 2. Click the Residual Dose button to edit the residual dose, if applicable. PETCT_WholeBody (Adult) Patient, My 787.7 mm 24 min 10 mCi Topogram Isotope F.18 Pharm CT WB Dose 10.00 mCi Residual Dose Pause Date 26-Oct-2012 Time 15:12:18 EL PET WB 00 Scanrange _ Match CT Range No. of beds can duration 3 min Range. Begin End Teble: PosiDon Height Scan direction Load Reco -1454.0 -686.0 -600.0 100.0 Caudocranialy Routine Scan Recon Auto Tasking 3. Click on the Recon subtask card and set PET reconstruction parameters from the Recon method pull-down menu. PETCT_WholeBody (Adult) Patient, My 787.7 mm 24 min 0 mCi Topogram Recon job 1 2 3 4 5 6 7 8 Series description PET WB Uncorrected CT WB Recon range [bed) Begin 1 End 2 Attenuation correction CT Pause Output Image type Corrected AC CT WB (1-1) PET WB Recon method Iterative Registration Matrices Iterations 2 Backprolechon Iterative Iterative+TOF Image size 200 TrueX (HD-PET) TrueX+TOF (ultraHD-PET) Scatter correction Backprojection+TOF Filter Gaussian FWHM (mm) 5.0 Match CT slice location Save mu-map image Offset [mm] X 0.00 Y 0.00 Metal Artifact Reduction Comments Load Recor Volume Scaling Routine Scan Recon Auto Tasking 44 Turnover Workbook | Biograph Horizon 7.6 Monitoring PET Acquisition Notes To view the PET Acquisition Monitor, select Options > PET Monitor from the menu bar. Hunadly PJ D PPM 45 Turnover Workbook | Biograph Horizon 8. Reconstruction Notes 8.1 From the Examination: To create an additional PET or CT reconstruction job: Pause 1. Select the protocol entry in the chronicle for the 3 ThinSliceSpi acquisition series that you want to reconstruct 2. Select a new recon job (1 through 8) on the Recon Recon job 1 23 4 5 6 7 8 subtask card for either CT or PET 3. Change the description of the new reconstruction job so that it is unique 4. Change the reconstruction parameters as needed on the Recon and Auto Tasking subtask cards 5. Click on the Recon button to start reconstruction of the selected series 6. To delete the reconstruction job, click the reconstruction job icon in the chronicle DET Arn 7. Choose Edit 4 Delete 4 Yes. This is only required Add Recon Job if completed recon jobs are not automatically Delete Recon Job removed from the database Copy Recon Range Replace Recon Range 8.2 From the syngo MI Workplace 1. Select Patient > Browser to open the Patient Browser 2. Select the patient raw data series that you want to reconstruct 3. Select Patient > Reconstruction or double-click the PET or CT raw data series to load it into the Recon task card 4. Set the parameters for the reconstruction job or jobs 5. Click Recon to reconstruct images Patient Browser Patient Applications Transfer Edit PET View Filter Evaluation Sort Options Help Send SIM ? ? PET PET PETCT_Who [6] PET WB Uncorrected PET PETCT Wholi [4] PET WB Local Database Patient, My_ PET PETCT Wholi [8] PET WB - VS Schedule 602] PET Raw Data [2] AC CT WB 5.0 HD_FoV [601] Raw Data [1] Topogram 0.6 T80f Patient name Patient, My Date of birth 12 Sep. 1970 Patient ID 12345 Study description PET PETCT WholeBody (Adult) Study date 22-Oct-2012 Modality PT hstanc ... =hstance Type |Instance Date and ...- Instance Comment [ORIGINAL] [PI24-Oct-2012 13:21:33 AC CTWB 5.0 HD FoV [ORIGINAL] [PI24-Oct-2012 13:21:33 AC CTWB 5.0 HD_FOV ORIGINAL][PI24-Oct-2012 13:21:33 AC CTWB 5.0 HD FoV [ORIGINAL] [P124-Oct-2012 13:21:33 AC CTWB 5.0 HD_FOY (ORIGINAL] [P124-Oct-2012 13:21:33 AC CTWB 5.0 HD_Fo 46 Turnover Workbook | Biograph Horizon 9. Viewing Images Notes 9.1 Viewing Task Card Tools Image View The tool palettes are located beside the image display area of the Viewing task card. They are arranged as a stack of tab cards. Patient Eval 9.1.1 Loading and Displaying Images 1. Choose the Patient > Browser menu item on the Viewing task card 2. To load a single data object, double-click the object (for example, a series) in the navigation area or in the content area of the Patient Browser 3. To load several data objects into the Viewing task card: Press [Ctrl] and click on the images, series, studies, • or patients you want to load Drag and drop them into the Viewing task card window • 4. To select images, do the following: Single image segment Click on the image One or several images [Ctrl] Click the desired images All succeeding images Click the start segment and of a series Edit 4 Select on Succeeding An entire series Select one image with each desired series and choose Edit 4 Select Series 47 Turnover Workbook | Biograph Horizon 9.1.3 Zooming/Panning an Image Notes 1. Select the Viewing task card. 2. Click on the Image card in the card stack. 3. Click on the Zoom/Pan button on the Image card. Make sure no other button on the Image card is selected. 4. To pan, move the mouse pointer onto the image, and press and hold the left mouse button. The cursor changes as shown below. Move the mouse to pan. 5. To pan, move the mouse pointer onto the image, and press and hold the left mouse button. The cursor changes as shown below. Move the mouse to pan. 9.1.4 Saving an Image 1. Select the images or series that you want to save. 2. Select Patient > Save As. 3. To save a new series, enter a designation in the dialog box displayed next to Save images in new series and click OK. A new series is stored in the local database when stored for the first time. 4. To append images to a data set, select Append images to series, select the series name, and click OK. Save As X Patient Au1_6 Study Thorax^ThoraxPETCT1 Series CT Spiral 5.0 B40s Images 1 . Save images in new series 605 New Series · Append images to series 2, CT Spiral 5.0 B40s OK Cancel Help 48 Turnover Workbook | Biograph Horizon 10. Viewing and Fusing Patient Data Using 3D Task Card 10.1 Loading the CT Images Notes 1. On the syngo Acquisition Workplace or syngo MI Workplace, click on the 3D task card. 2. Open the Patient Browser (select Patient > Browser) and highlight the CT images you want to load. Patient Browser Patient Applications Transfer Edit View Eiter Evaluation Sort Options Heb × FREE / OPEN jobunique PET WB ** / OPEN Mukesh PET Raw Data ** ( OPEN Local Database_ Mukesh 1 PET PETCT_AC_ AC CT Schedule Froid ( OPEN MLKESH122 PET PETCT_AC_ Raw Data Foi / OPEN CD-Write Mukesh2 Topogram 0.6 T8Os "(){J / OPEN JJ(JS J IMPILOC MOD-Dicom Mukeshg4 "(){J / OPEN NORM ** * OPEN SCATFRAC 11JJ / OPEN Patient name Mukesh1 Date of birth 29-Dec-2004 AStudyof birth Patient ID 05.12.29-14:49:16-STD-1.3.12.2.1107.5.1.4.54434 Study description PET PETCT_AStudy date 04-Jan-2006 10 09:12.29-14:49:16. Modality CT mag ... - Image Type |Slice Width Sice Po .... ky MAS Gantry Tilt |Kemel Fov |Image Comm ... |Mark Status Work Status ky MAS SP SP 50 .70,5 120.00 50 0.00 [B191] 700 50 SPI -73.5 120.00 50 0.00 [B190] 700 50 SPI -76.5 120.0050 0.00 [B190] 700 SPI 50 -79.5 120.0050 0.00 700 5.0 SP -82.5 120.0050 0.00 [B190] 700 50 -85.5 0.00 [B190 700 SPI 120.0050 50 18.5 SP 120.0050 0.00 [B19h] 700 50 -91.5 120.0050 0.00 [B190] 700 -------- Current Fiter: Or EEEEEEE 3. Load the image series by double-clicking on it or dragging onto the 3D task card. 4. To change the window center, place the mouse on an image and press the middle mouse button while moving the mouse up or down. 10.2 Loading the PET Images 1. Open the Patient Browser (select Patient > Browser) and highlight the processed PET images (PET WB) to fuse with the CT images. Patient Browser Patient Applications Transfer Edit View Eiter Evaluation Sort Options Heb × + Neck /Carotid Cervical CA, demo Local Database Head Neck CA, de_ Thorax Thorax [606] PET WB Schedule MSKCC ling cal [607] CT Spiral 50 B40s CD_RW_READ UT LIVER CA lead Nock CA. domo Study description Thorax The Date of birth 216144 Patient ID pt0001.0302.upmc Modality PT 7 2 3 6 . 9 10 11 12 13 14 Querying database Current Filter: Off 2. Click the 3D Fusion button in the Patient Browser toolbar. 49 Turnover Workbook | Biograph Horizon 10.3 Adjusting the CT/PET Balance Ratio Notes 1. From the 3D task card menu, select Type > Fusion Definition. The system displays the Fusion Definition dialog. Fusion Definition x CT Mixing Ratio PT (1) 100% 50% 50% 100% 3 Color Lookup Table Gray Scale (8 Bit) Hot Body (8 Bit) Window Value SUV (2) (4) C 40 W 300 B 0.0003. 0.0103 Close Advanced >> Help (1) Alpha Blending Ratio Slider (2) CT Window (3) Color Table Selectors (4) PET Threshold 2. To adjust the CT image: a. Slide the Mixing Ratio slider at the top all the way to the left b. Manipulate the color range and max/min using the purple slider on the left and the bars that define it, or type values into the (C)enter and (W)indow fields and press [Return] usion Definition CT Mixing Ratio PT 100% 100% 0% 100% Color Lookup Table Orey Scale (8 Bit) Hor Body (8 Bic Window Valie C 300 B 0.0009 T 0.0109| Advanced >> Help 3. When you are satisfied with the CT image, move the Mixing Ratio slider over to the right so that you see 100% PET image. 4. Use the controls on the right side of the Fusion Definition dialog to adjust this image in the same way. 5. When satisfied with the PET image, move the Mixing Ratio slider to the desired mix of CT and PET. 50 Turnover Workbook | Biograph Horizon 11. Filming Images 1. Select the data in the navigation or content area in the Patient Browser (Patient > Notes Browser). 2. Select Patient > Copy to Film Sheet. 11.1 To Preview a Film 1. Select Patient > Film Preview to preview how the images will be filmed. 11.2 Exposing Images on Film 1. Select Patient > Expose Film Task to transfer all images in the film task to the camera. 2. Select one or more film sheets in the Filming task card. 3. Select Film > Expose Film Sheet from the main menu to process only the selected film sheet(s). 11.3 Deleting an Image from a Film Sheet 1. With the left mouse button, click on an image on the film sheet that you do not want to film. The image now has a blue dotted border. 2. Select Edit > Delete. 51 Turnover Workbook | Biograph Horizon 12. Data Archiving, Retrieving, and Transfer 12.1 Exporting and Importing of Patient Data Notes PET Export/Import Tool allows for exporting and importing of PET Raw data and PET and CT image data to and from a local disk or offline media. See section PET Examination Configuration to set up the export configuration. DVD or CD • USB drive • 12.2 Exporting Data 1. Open Patient -> Patient Browser 2. Locate the patient and select the Study folder. OR 3. Open the Study folder and select the individual series. 4. Pull down menu Patient -> Export PET/CT Data to open the Export Tool. Patient Browser Patient Registracion Trans Image Statistics Creation Auto Transfer Expert- Image Text Scan Protocol E-Logix Edtor Assistant Configur Recon Respiratory HeartView Intervention 30 Gaing Gabing Count Rate Filming Report DynEva Layout Editor Configuration Life VPCT Neuro VPCT Body Update Screen S CK Default Settings Cancel Help Add Printer Regional and PET Examination Opens PET Examination Configuration NUM 5. Choose Logical Name from the pull down menu. 6. Choose a path location for the data. 7. Check if you want to export anonymously. 8. Enter the anonymized name. 9. Click Export. 52 Turnover Workbook | Biograph Horizon 12.1.2 Importing Data Notes 1. Open Patient -> Patient Browser. 2. Locate the patient and select the Study folder. OR 3. Open the Study folder and select the individual series 4. Pull down menu Patient -> Import PET/CT Data to open the Import Tool. Resp Gated, Resp TOUT] Patient Protocol Local Database__ RESP GATED CE PET DualGall [4] PET Statistics Scheduler RESP GATING. R == PETCardiac IS PET Cardiac DTGDRGDF.FG> [602] PET Raw Data Patient name RESP GATED CBM, RE Date of birth 19 Nov-1989 Patient ID 12.11.19-15:56:17-STD-13 Study description PET DualGated ResStudy date 19-Nov-2012 Modality PT Instanc ... Instance Type | Instance Date and ... V Instance Comment 2002 [DERIVED] [SE 19-Nov-2012 17:17:10 PET Dual PET Cardiac Reconstruction Settings 2000 [DERIVED] [SE 19-Nov-2012 17:17:01 PET Dual Count Rate Statistics 5. Choose Logical Name from the pull down menu. 6. Choose a path location for the data. 7. Select the file type: All (*.*) for all of the stored exam data, .IMA for images .DCM for DICOM data .PTD for PET raw data. 8. Choose the files in the Import window to be imported. Shift-click to select multiple contiguous files. Ctrl-click to select non-contiguous files. 9. Click Import. 12.1.3 USB (For Data Under 4 GB) To transfer data under 4 GB in size to a USB device: 1. Insert the USB device into the USB port at the front of the computer. The operating system recognizes the USB device. 2. Export PET/CT Data. 3. In the Export to Offline dialog, select the desired parameters for the export. 4. Click OK. 5. Prior to removing the USB device, ensure that the series is fully exported (indicated by a message at the bottom of the task card). 6. Click the USB eject icon in the status bar. 53 Turnover Workbook | Biograph Horizon 12.1.4 USB (For Data Over 4 GB) Notes You can also store large data files over 4 GB in size (e.g.,list mode data) on USB devices such as an external hard disk. To provide maximum storage space, USB devices must be NTFS formatted. 1. Insert the USB device into the USB port at the front of the computer. The operating system recognizes the USB device. 2. Select Options > File Browser. 3. Select the desired file or directory. 4. Select File > Send to > USB Storage Device. 5. When reading from or writing to the USB device has been completed, eject the device as described above. 12.1.5 Sending Data through the Network 1. Select the patient, study, series, or images in the Patient Browser (Patient > Browser). 2. Select Transfer > Send To. 3. Select a network node from the list. 4. Click Send. 12.1.6 Deleting Data 1. In the Patient Browser (Patient > Browser), select the data you want to delete from the database. 2. Select Edit > Delete. 3. Click Yes to confirm or No to cancel. 54 Turnover Workbook | Biograph Horizon 13. syngo TrueD Lite syngo TrueD Lite is the recommended method of viewing and evaluating images. This Notes application supports functional data as well as anatomical data. 13.1 Launching TrueD Automatically 1. From the Examination task card in a patient study that is already selected, go to the Auto Tasking sub task card. 2. Select Auto Display > TrueD Recon job 1 2 3 4 5 6 7 8 Se v Auto recon Auto Display TrueD TrueD None Auto Cardiac Registration 13.2 Launching TrueD Manually 1. From the Examination task card, pull down Applications > TrueD. 2. Use the Patient Browser to select the desired study to evaluate images. 13.3 Loading Studies Manually 1. Select the patient folder, study or series in the Patient Browser. You can use the Ctrl or Shift keys to select multiple series. 2. Drag the selected icons onto the TrueD Task Card. OR 3. Click the syngo TrueD Lite button in the Patient Browser window. 13.4 syngo TrueD User Interface Menu Bar Patient Applications ET Wanster Edit View TrueD.J Timepoint Icons View/Layou Controls 20 % PET Blending ilming Visualization MIP PTAC, Thursday, January 27 ... 29 A225 Image Color Bar Tree D.3 Segment -424940 Display FUSCO 1Pm Area Subtask Simulation Play TrueD LA Quantification mage and Close Patient Buttons 2/8/2014 08:22:52 55 Turnover Workbook | Biograph Horizon 13.5 syngo TrueD Common Controls Notes 3 1 4 2 ...... 5 6 9 7 10 2-o- 11 12 8 13 (1) Show/hide reference lines (2) Enable/disable Zoom/Pan image mode (3) Change image segment view to coronal (4) Change image segment view to sagittal (5) Change image segment view to axial (6) Display the Layout Gallery, to change the layout format (7) CT window level preset A (8) CT window level preset B (9) CT window level preset C (10) Select CT window level extension presets to the currently selected CT window level preset; toggles between Window 1, Window 2; no preset window applied (11) Sphere VOI: Create a sphere VOI at the current reference line crosshair (12) Enable/disable the Pixel Lens to examine pixel quantification data (13) Enable/disable correlated cursors in image segments 56 Turnover Workbook | Biograph Horizon 13.6 Image Registration Notes 13.6.1. Automatic Rigid Registration Volume Registration Data Sets Baseline, Follow-up 1 Result *Custom12 (1) Automatic Registration (2) (3) (4) x (1) Selects Automatic Rigid Registration mode (2) Performs automatic registration according to current selection in Data Sets list (3) Registers the currently loaded data sets (4) Cancels the automatic registration operation. 57 Turnover Workbook | Biograph Horizon 13.6.2 Visual Alignment Using Task Cards (Rigid) Notes Volume Registration D Bete Prior 1, Cumont Custom (1) Visual Alignment (3) (2) Visual Alignment (1) Selects Visual Alignment mode (2) Shift along axis direction (3) Rotate around axis (4) Gross adjustments (5) Fine adjustments 13.6.3 Visual Alignment Cursors (Rigid) Cursor Panning To pan the model image relative to the reference image: Move the mouse over the image until the pan cursor appears, then click and drag using the left mouse button. Release the mouse button when the model image is at the desired position. 58 Turnover Workbook | Biograph Horizon Cursor Rotation Notes To rotate the model image relative to the reference image: Move the mouse to either side of the image (but still in thesegment) until the rotate cursor appears, then click and drag using the left mouse button. The model image will rotate around its center. Release the mouse button when the model image is at the desired position. 13.6.3 Cardiac Registration Cardiac registration is an optional license that can be purchased. Cardiac registration can only be performed on MI studies. Volume Registration Data Sets Baseline Result Default (1) auto Cardiac Registration (2) (1) Selects Cardiac Registration mode (2) Performs Cardiac Registration between a CT and a PET NAC or SPECT NAC series Cardiac Registration can be performed in one time-point with either CT+PET NAC or CT+SPECT NAC series loaded. Cardiac Registration aligns the heart image in the CT and PET or SPECT series. 59 Turnover Workbook | Biograph Horizon 13.6.3.1 Using the Cardiac Layout Volume Registration Notes Data Sets Baseline Result Default auto Cardiac Registration (1) (2) (3) (1) Orthogonal view (2) Cardiac view along patient axis (3) Cardiac view along cardiac axis 60 Turnover Workbook | Biograph Horizon 13.7 Viewing Images Notes 13.7.1 Layouts Selecting a Layout Click the Layout button in the control area to display the Layout Gallery window, and select the desired layout. Creating a Custom Layout 1. Select the layout grid, image segment orientations, and image types in each seg- ment (Anatomical MPR, Functional MPR, Fused MPR, Rotating MIP only) that you want to save as the custom layout. 2. Click the Layout button in the common control area to display the Layout Gallery window. 3. Click the Create New Layout button at the bottom of the Layout Gallery window. 4. Click the Save Layout button. A new icon for the layout displays in the Layout Gallery, with a default layout name. 5. Enter the name for the layout. 13.8 Navigating Images 13.8.1 Using the Segment Dog Ear Control to Display the Next or Previous Image Click the Dog Ear control at the top right corner of the segment to display the next or previous image. (1) A (2) Emotion D. (1) To view the next slice (“behind” the current one), click here (2) To view the previous slice (“in front of” the current one), click here 61 Turnover Workbook | Biograph Horizon 13.8.2 Using Parallel Shift to Scroll Through Images Notes To enable Parallel Shift mode, move the pointer over the layout segment, then press and hold the right mouse button until the Smart Select menu is displayed. Select Parallel Shift. Once in Parallel Shift Mode: Parallel Shift 1. To shift through the images, move the pointer over the seg- ment, then click and drag up and down using the left mouse button. 2. To leave Parallel Shift mode, move the pointer over the layout segment, then press and hold the right mouse button until the Smart Select menu is displayed. Select the menu’s Deselect square. 13.8.3 Using Reference Lines to Indicate Image Planes You can use the reference lines to step through the images in the orientation views. 1. Drag the intersection point (cross-hairs) to move both reference lines together. or – – 2. Drag the desired reference line with the cursor. or – – 3. Click at a desired position in an orientation segment to put the intersection there. 13.8.4 Using the Rotating MIP Image 1. With a rotating MIP image displayed, click on a pick point in the MIP image. 2. The image planes intersecting with the pick point are displayed in the MPR views. 13.8.5 Using the Stripe Layout Scroll Bar to Scroll Through Images In a Stripe layout, you can use the scroll bar at the bottom of the task card to navigate through the displayed image slices. 1. Click and drag the scroll bar at the bottom of the task card, as shown below. (1) (1) Stripe layout scroll bar 62 Turnover Workbook | Biograph Horizon 13.9 Image Display Notes 13.9.1 Segment Display and Windowing Controls in the Visualization Subtask Card Segment display and windowing controls are available in the Visualization subtask card. The following figure indicates the controls, with brief explanations of each. Visualization CT W/L Presets (1) Lung PET LUT (2) Invert Grayscale (16 Bit) Fused LUT (3) Hot Body (16 Bit) Masking (4) 0.0000 H 15.7968 -0. (5) (6) (8) (7) (9) (1) CT window level preset (2) PET or SPECT color LUT (3) PET or SPECT color LUT when fused with CT or MR (4) Mask tools for PET and SPECT images: Change top/bottom values using slider end handles or spin boxes; change center point of threshold range using slider middle handle (5) Home Zoom/Pan: Return image zoom/pan to default (6) Home Windowing: Return windowing to default (7) Volume Punch tool (8) Home Orientation: Return orientation views to defaults (9) Define Ranges: Create an output series of 2-D images 63 Turnover Workbook | Biograph Horizon 13.9.2 Orientation Cube Notes The cube sides are named as follows: A front view (Anterior-Posterior) P rear view (Posterior-Anterior) A L left view (Left-Right) R right view (Right-Left) H top view (Head-Feet); towards posterior a check mark is displayed below the H. F bottom view (Feet-Head) The orientation cube is always related to the patient coordinate system. 13.9.3 Zooming and Panning Click the Zoom/Pan button in the layout control area. Zooming In and Out 1. Move the cursor to the periphery of the image until the cursor turns into a zoom tool. 2. Click and drag up and down using the left mouse. Homing Zoom and Pan 1. Click the Home/Zoom/Pan button on the Visualization subtask card. 13.9.4 Blending Anatomical and Physiological Images .. Follow-up 2 50 % PET 50 % CT (1) (1) Blend bar for currently selected time-point PET and MuMap series can be fused and Alpha-blended. 64 Turnover Workbook | Biograph Horizon 13.9.5 VRT Controls in Visualization Subtask Card Notes Visualization CT W/L Presets Abdomen PET LUT Invert Grayscale (16 Bit) Fused LUT Hot Body (16 Bit) Masking 0.0000 H 9.8142 (2) (3) (4) ( 5 ) .342 341 1706 2389 (1) Slab: Toggle clip plane between normal/slab mode (2) VRT Gallery: Select image tissue class (3) Clip Plane Thickness: Set clip plane thickness (4) Set VRT image type to Fused VRT-MIP (5) Set VRT image type to Fused VRT-MPR (6) VRT Definition: Set VRT windowing 13.9.6 Windowing with the Mouse 13.9.6.1. Non-Fused Images Brightness: Click and drag up and down using the center mouse button in the display segment on either side of the image. Contrast: Click and drag right and left, using the center mouse button in the display segment below the image. Windowing: CT/MR Images: Click and drag in the left half of the segment. • PET or SPECT: Imaging: Click and drag in the right half of the segment • 65 Turnover Workbook | Biograph Horizon 13.9.7 PET and SPECT Windowing Bars (1) Notes ( 2) (1) N (3) 1% (1) AC windowing bar (2) NAC windowing bar (1) To adjust maximum window intensity (contrast), click and drag the upper handle (2) To adjust center window intensity (brightness) click and drag the center handle (3) To adjust minimum window intensity (contrast), click and drag the lower handle 13.9.7.1 Selecting an LUT from the Windowing Bar Right click on the windowing bar, then select the desired LUT from the pop-up • menu. 13.9.7.2 Extended Range in the Windowing Bar Right-click on the windowing bar, then select the Extended Range menu item. • The windowing bar will start displaying and using the extended range (that is, • -50% to 400%). 13.9.7.3 Advanced Windowing in the Windowing Bar 1. Right-click the windowing bar, then select the Advance Range menu item. 2. Click and drag the top or bottom handle of the slider. When you release the handle of the slider, the slider resets to the full windowing slider from 0 to 100%. The windowing top and bottom values are adjusted according to the newly specified top or bottom value. The windowing step size is automatically recalculated based on these new values [step size = (top value - bottom value)/100]. 66 Turnover Workbook | Biograph Horizon 13.10 Rotating MIP Notes 13.10.1 MIP Controls MIP MIP PTAC Friday, February 07, 2003 PTAC. Filday, February 07, 2003 (1) (2) (3) (4) 1% 196 (5) (6) (16) (7) (8) (9) (10) (11) (12) (13) (14) (15) (1) Click pick-point in image to move reference lines in image segments to that anatomical point (2) VOI IDs: Click on ID to navigate to that VOI in image segments (3) Indicates location of displayed axial MPR image slice (4) Change rotation direction (5) Pause the rotation (6) Change frames/sec (7) Refresh MIP (enabled only if PET gated or dynamic data images are loaded) (8) Save AVI file of rotating MIP (9) Show/hide MIP graphics (10) Home Zoom/Pan (11) Home Windowing (12) Start rotation (13) Step left (14) Move interactively through frames (15) Step right (16) Snap MIP image to orthogonal positions 67 Turnover Workbook | Biograph Horizon 13.10.2 Creating a MIP Series and Saving It Notes 1. Select the Image > Create MIP Ranges menu item. The MIP Ranges dialog box displays. 2. Optionally, enter a custom name for the MIP series. The default series name is MIP Collection. 3. Click the Start button. 4. Select the MIP segment and select the Patient > Save or Save As menu item. 13.11 Quantification Tools 13.11.1 Pixel Lens 1. Click the Pixel Lens button in the Common Control area. 2. Move the Pixel Lens over the image, and the values will be displayed for each modality. 13.11.2 Sphere VOI 1. Click the Sphere VOI button in the common control area. 2. Ctrl-click at the center point of the area of interest. 3. Select the Tools > Drop Sphere VOI menu item. 13.11.3 Deleting VOIs 13.11.3.1 Deleting a Single VOI 1. Select a contour of the VOI. 2. Select the Quantification > Delete Selected VOI menu item. 13.11.3.2 Deleting All VOIs 1. Select the Quantification > Delete All VOIs menu item. 68 Turnover Workbook | Biograph Horizon 13.12 Respiratory Gating and Dynamic Data Notes 13.12.1 Loading Respiratory Gated Studies The following loading combinations are supported: Gated PET study • Gated CT study • Gated PET with non-gated CT study • Gated PET with gated CT study • Non-gated PET with gated CT study • 13.12.2 Loading Dynamic Series The following loading combinations are supported: Dynamic PET (AC or NAC) data series • Dynamic PET data series with non-dynamic, non-gated CT or MR data series • 13.12.2 Using Cine (1) (2) (3) (4) (5) (6) (7) TrueD:Cine Control X TrueD: Cine Control Advanced Advanced FIG Cine 12 All Segments Selected Segment Modality Segments Fused Segments All Segments (8) (9) (1) Play backward (2) Previous gate (3) Slider for stepping through gates interactively (4) Next gate (5) Play forward (6) Stop playing (7) Show Advanced options (8) Frames per second (9) Which segments to cine: Selected Segment, Modality Segments, Fused Segments, All Segments 69 Turnover Workbook | Biograph Horizon 13.12.2 Displaying Cine Control To display the Cine Control if it has been closed, select the Type > Cine Control Notes • menu item. 13.13 Saving, Filming and Printing Images 13.13.1 Image and Close Buttons (3) (5) Oly HO (2) (4) (6) (1) Print currently displayed images; an option in the TrueD Configuration window determines whether the print job is sent to a paper printer or to a DICOM printer (2) Copy currently selected image to the Filming task card (3) Save currently selected image as new series and load to Viewing task card (4) Export display area or selected segment to bitmap file (5) Save currently selected image as new series (6) Close the patien 13.13.2 Creating 2D Ranges To configure the types of ranges you desire to be created, you have to first set this up in the TrueD Configuration Documentation tab. For more information on Configuration, refer to your user manual or online help. This will allow you to specify the modalities and the orientation of the output series. 1. To create the defaulted ranges, select the Image > Create Ranges menu item. 70 Turnover Workbook | Biograph Horizon 13.13.2.1 Creating Ranges Using the Define Range Function Notes 1. Select the segment and set the window levels. 2. In the Visualization card, click the Define Ranges button. or – – Select the Image > Define Ranges menu item. 3. The Define Ranges dialog box displays. 4. Optionally, modify the default name for the output series in the Range Series Desc field. The name can include alphanumeric characters and the special characters <, >, &, and - . 5. Optionally, load the range settings from an existing preset in the Presets list. 6. Click the Horizontal or Vertical Range button to set the range orientation. 7. Optionally, click the Swap Order button to swap the slice order of the range. 8. To set the number of images to be rendered, enter the value in the Number of images field (minimum value is 3). 9. To set the distance between images, enter the value in the Distance between images field. 10. Enter the image thickness of the range images in the Image Thickness field. 11. Click the Start button to initiate the creation of the output series. 12. Panning Range Interactively: Left click the mouse, and move the range to the desired position. 13. Setting the Number of Images to be Rendered Interactively: Drag the start or end line of the graphic to another position while the Constant Number of Images button is unpressed 14. Adjusting the Distance Between Images Interactive: Press the Constant Number of Images button, and drag the start or end line of the graphic range to another position. The distance between the images is adjusted. 71 Turnover Workbook | Biograph Horizon 14. Exercises Exercise 1: Patient Gantry Notes 1. The maximum weight the PHS will hold is __________ lb 2. Match the labels on the following: SIEMENS SOMATOM (3) ( 4 ) (2) 1. ____ a. Laser light markers 2. ____ b. Display panel or Touch Panel 3. ____ c. Gantry operator panels 4. ____ d. STOP keys 72 Turnover Workbook | Biograph Horizon Exercise 2: Daily QC Notes 1. Perform the daily scanner QC from start to finish. 2. List the steps for completing your daily QC. 3. Which QC procedure is recommended to be completed weekly? 73 Turnover Workbook | Biograph Horizon Exercise 3: Patient Registration Notes 1. Register a patient to acquire a routine whole body acquisition. 2. Which 4 fields of information are required to register a patient? 74 Turnover Workbook | Biograph Horizon Exercise 4: Acquisition Notes 1. Demonstrate how you would change the acquisition parameters on the CT study. 2. Demonstrate how you would change the acquisition parameters on the PET study. 3. Which task card in the Exam UI contains the CT and PET acquisition parameters? 4. If you get a warning message on the CT acquisition asking you to change the param- eters, this means that the CT tube will ____________ under these conditions. 75 Turnover Workbook | Biograph Horizon Exercise 5: Reconstruction Notes 1. On which task card will you find the reconstruction parameters? 2. How many reconstruction jobs will the Exam UI allow you to do at one time? 3. The extended field-of-view selection will allow you to reconstruct images up to ________ cm. 76 Turnover Workbook | Biograph Horizon Exercise 6: Patient Browser Notes 1. Match the icon with the name. 1. Scheduler 2. Local Database 3. Local Archive 2. Practice archiving patient data to your desired media. 3. Where can you see the status of jobs relating to sending data to another network node? 4. What are 3 types of media to which you can archive patient data to? a. b. c. 77 Turnover Workbook | Biograph Horizon Notes 78 On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. Local Contact Information The information in this document contains Siemens Medical Solutions USA, Inc. general technical descriptions of 40 Liberty Blvd. specifications and options as well as standard and optional features which do Malvern, PA 19355-9998 not always have to be present in individual USA cases. Telephone: +1-888-826-9702 siemens.com/healthcare Siemens reserves the right to modify the design, packaging, specifications and Legal Manufacturer options described herein without prior notice. Please contact your local Siemens Siemens Medical Solutions USA, Inc. sales representative for the most current Molecular Imaging information. 2501 N. Barrington Road Hoffman Estates, IL 60192 Note: Any technical data contained in this document may vary within defined USA tolerances. Original images always lose a Telephone: +1 847 304-7700 certain amount of detail when reproduced. siemens.com/mi Siemens Healthcare Headquarters Siemens Healthcare GmbH Healthcare Sector Henkestr. 127 91052 Erlangen Germany Phone: +49 9131 84-0 siemens.com/healthcare Published by Siemens Healthcare GmbH · Order No. HOOD05162003043152· Printed in USA ·10/23/2019 · ©Siemens Healthcare GmbH, 2019
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