Biograph Vision Quadra™ Routine Workflows Online Training

Continue Button Routine Workflows Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Biograph Vision Quadra™ Routine Workflows Online Training This course will provide an overview of the syngo MI Acquisition. The routine workflows covered in this module will include patient registration, study selection, positioning the patient, acquiring the scan, reconstructing the data, and auto tasking. 1 Describe the functions of reconstruction and auto tasking 4 Describe the procedure for acquiring a scan 3 Illustrate the steps for positioning a patient 2 Execute the steps of patient registration and selecting a study Welcome Welcome to the Biograph™ Vision Quadra, Routine Workflows, Online Training. This course will provide an overview of the syngo MI Acquisition. Upon successful completion of this course, you will be able to: execute the steps of patient registration and selecting studies, illustrate the steps for positioning a patient, describe the procedure for acquiring a scan, and describe the functions of reconstruction and auto-tasking. ? Patient Registration Before you can scan a patient, you must register the patient. A patient can be registered by: Registering a new patient with all of the required data Accessing an existing patient For hospitals operating with HIS/RIS, the patient data is entered at reception. The Patient Browser can also be used to search for the patient in the Scheduler database. Practice Patient Registration In this section, we are going to discuss how to register a patient to be scanned on the Biograph Vision Quadra system, and how to define a study. Before starting to scan a patient, the patient must be registered. A patient can be registered one of the following ways: either by entering a new patient with all the required data, or by accessing an existing patient. If the hospital is operating with HIS or RIS, and the patient data is entered at the reception area, the Patient Browser can be used to search for the patient in the Scheduler database. ? Patient Model Dialog Patient Model Dialog Let’s review the selections in the Patient Model Dialog window. Once the patient dialog displays, select the set of scan protocols by selecting adult or child in the top left of the window. Then, hover the mouse over the body area to select a different protocol. The protocol categories are also displayed under the icons along the right side of the body image. To display the PET/CT protocols, hover the mouse over the PET icon to display the list of available protocols. Click the desired protocol to load. The selected protocol will now display in the Examination task card. To change the protocol before the scan, select replace, and load a different protocol. Select append to add the protocol to the one that is already loaded. Select cut or keep to exclude or to include a topogram when appending a new protocol. Next, select if, and how, the reference lines will be applied to the scan. The buttons on the left side of the window allow you to select the correct position for the patient. Lastly, select the API or automatic patient instruction language on the bottom right of the window. To confirm the entries, click OK. ? Positioning the Patient Select the numbered steps below to learn more about the guidelines on how to position patients. 1 1 1 2 2 2 3 3 3 Positioning the Patient Positioning the Patient Layer: This page will discuss some guidelines on how to position patients for optimal image quality. These guidelines include preparing the Table, Preparing the Patient, and Using the Positioning Laser Light Markers. Select the numbered steps below to learn more about positioning the patient. Prepare the Table Layer: To position the patient, lower the patient table until the patient can easily sit down on it or be placed on it. Use any positioning accessories that might be necessary. Positioning accessories may include 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), knee support, Velcro straps and the RTP pallet which is an optional item. Prepare the Patient Layer: To prepare the patient, remove or have the patient remove any jewelry, glasses, prosthetics, etc., from the body region that will be examined. Position the patient on the table using the necessary accessories. The patient cant be positioned with arms up or arms down, depending on your preference, and clinical needs. Positioning the patient with arms up can reduce beam hardening and scatter artifacts, and reduce the potential for CT field-of-view truncation artifacts. It is very important to make sure that the patient is comfortable and immobilized if needed. You need to limit the patient’s motion as much as possible between the CT and the PET scan to avoid motion artifacts. Motion artifacts can result in poor attenuation correction. Make sure that IVs and patient leads are long enough to avoid tensile stress when the table is moved. Also, make sure that the tubes and leads can’t get caught anywhere. Laser Light Markers Layer: When the patient is positioned, move the table to the appropriate height by using the vertical motion buttons and move the patient horizontally into the gantry. The laser markers are laser beams that emanate from 3 points in the gantry opening. Turn on the laser markers using the button on the gantry. Use the lasers to center the patient in the field of view. Please note that you should not expose yours or the patient’s eyes to the lasers. From this point forward, the patient must remain still and the technologist should observe the patient at all times throughout the scan. Use the Laser Light Markers To use the positioning laser light markers: Move the table vertically, to the appropriate height Move the patient horizontally into the gantry Use the gantry button to turn on the laser markers Center the patient in the FOV Instruct the patient to remain still Technologist should observe the patient 3 Prepare the Patient Patient should remove jewelry, glasses, prosthetics, etc. Position patient in the table using any necessary accessories Patient can be positioned with arms up or arms down, depending on preference and clinical needs. Positioning with arms up can: Reduce beam hardening and scatter artifacts Reduce CT FoV truncation artifacts Make sure patient is comfortable and immobilized Avoids motion artifacts Avoids poor attenuation correction Make sure IVs and patient leads are long enough and can’t get caught anywhere 2 Prepare the Table Lower the patient table until the patient can easily sit down, or be placed on the table. Use any positioning accessories that may be necessary, including: Head holder Foot extender Knee support Velcro straps RTP pallet (optional) 1 ? Examination Workflows Acquisition Modes include: Whole Body Static Acquisition (106 cm) Whole Body Dynamic Acquisition (106 cm) Select the tab arrows to watch video tutorials on the exam workflows. Acquiring the Topogram Acquiring the CT Scan Acquiring the PET Scan Examination Workflows Data can be acquired in static and dynamic acquisition. The axial field of view for acquisitions is 106 centimeters. Select the tab arrows to view the procedural steps for various examination workflows. ? Ensure the laser is positioned at the start of the imaging region Check the topogram parameters for accuracy on Routine subtask card Adjust parameters on the Scan subtask card Click the Load button Press the Start button on the Control Box Acquiring the Topogram Acquiring the Topogram The topogram acts as a Scout scan and allows for positioning of the spiral CT and PET scan. Once you have completed registering the patient, positioning the patient, and selecting the study protocol, you can acquire the topogram. Then, click the Load button to load the topogram. You will be prompted to press the Start button on the control box after the study loads by the flashing Start button. Once the start button is pressed, the topogram will be acquired. Fill in the appropriate information for the radiopharmaceutical, dose, and duration on the Routine subtask card Verify or adjust the parameters in the Routine, Scan, Recon, and Auto Tasking subtask cards Select the Load button Select the Move button on the Control Box Press the Start button on the Control Box ? Acquiring the PET Scan Acquiring the PET Scan When the CT acquisition is complete, the system will automatically activate the PET Routine subtask card. The first step in PET acquisition is to fill in the appropriate information for the radiopharmaceutical, dose, and duration on the Routine subtask card. Next, click the Residual Dose icon on the Routine subtask card to enter or edit the residual dose. Then, click on the Recon subtask card and review or edit your reconstruction parameters from the Recon method pull down menu. Click on the Auto Tasking subtask card to set up automated tasks. When all the parameters have been set, click the Load button to activate the defined PET scan. The system will prompt you to move the patient table. Press and hold the Move button on the control box until the table stops moving. The system will then prompt you to Start the scan. Finally, press the Start button on the control box. ? Acquiring the CT Scan Verify routine CT parameters on CT Routine subtask card Verify CT scan parameters on Scan subtask card Verify CT reconstruction parameters on Recon subtask card Review the Auto Tasking subtask card Click the Load button Select the Move button on the Control Box Press Start button on the Control Box, when prompted Acquring the CT Scan After scan range is set, the CT scan can be acquired. The first step in this process is to verify the routine CT parameters defined in the CT Routine subtask card. When all the parameters have been set, you can click the Load button. When the system prompts you to move the table into position, select the Move button on the Control box. When prompted, press the Start button on the Control Box. ? Auto Tasking Auto Tasking can be used to set up automated tasks for PET reconstruction, postprocessing, and transferring images. The Auto Task setting can determine the default parameters for the following: Recon Job Radio Button Series Description Auto Recon Auto Display Image Order Auto Transfer Requested Procedure Body Part Examined Send to Taskflow for Processing Data Role CT PET Auto Tasking Auto Tasking Layer: Auto Tasking is a feature on the Siemens Biograph workstations that provides the ability to perform certain jobs automatically, such as sending data to another application and filming or transferring to another node. Depending on the type of study you are performing, the auto tasking subtask card will have different options and features. To set up automatic viewing, filming, or transfer after the scan is acquired, set the necessary parameters on the Auto Tasking subtask card. Select the buttons to learn more details specific to CT and PET Auto Tasking. CT Auto Tasking Layer: The image shown here depicts the CT Spiral Auto Tasking subtask cards. Here you can select options that allow you to autofilm and auto view. CT Spiral Auto Tasking also has options that allow you to automatically reconstruct the data and send it to a post processing application. You can select to automatically transfer to other nodes as well. PET Auto Tasking Layer: The below image shows an example of a typical PET Auto Tasking Subtask Card. It gives you the option to automatically reconstruct the data and display it in a selected application. Using this feature, it is also possible to send the data to other nodes. ? Reconstruction A reconstruction job defines a set of reconstruction parameters that the system uses for image reconstruction. Up to 8 reconstruction jobs can be executed at once If more than 8 jobs are required, you must delete a reconstruction job before defining an additional one CT PET To Delete a Reconstruction Job: Choose the reconstruction job icon in the chronicle Select Edit > Delete Recon Job from the main menu -or- Right click on the Reconstruction Job icon and choose Delete Recon Job Confirm the deletion by clicking Yes Reconstruction Reconstruction Layer: A reconstruction job defines a set of parameters that the system uses for image reconstruction. Every scan entry contains at least one predefined reconstruction job. Up to eight reconstruction jobs can be defined for each scan protocol entry (i.e. PET and CT). Reconstruction jobs can be conducted in the background without interrupting the current examination or reconstruction. Now let's look at the parameters and options used for reconstructing CT and PET datasets. Select the buttons to view the respective fields for reconstructing a CT and PET image. CT Recon Layer: A kernel is a reconstruction algorithm that can be used to manipulate the quality of your images. The window selection will allow you to select a predefined brightness and contrast that is specific to the organ that is being studied. Image order selects the slices to be displayed craniocaudal (pronounced “cray-knee-o-cau-dal”) or caudocranial (pronounced “cau-do-cray-knee-al”). The increment specifies the reconstruction spacing and the number of images that will be produced. The size of the field of view can be selected. HD FOV provides an extended FOV. Mirroring provides the opportunity to mirror images vertically or horizontally. Extended CT scale extends the windowing scale so the higher Hounsfield units of metal can be better visualized. Lastly, comments can be added to the images in the comment selection. Please note: some of the entries depicted here are optional and may not appear on your scanner. PET Recon Layer: On the PET reconstruction subtask card, you can select how many reconstruction jobs you would like to produce, and enter a series description name for each of the jobs. You can also choose to output the image type as corrected or uncorrected. The Recon method option has the ability to select the algorithm and the number of iterations and subsets. On the PET reconstruction subtask card, you can perform the following tasks: Select how many reconstruction jobs Enter a series description name Output the image type as corrected or uncorrected Select the algorithm Select the number of iterations and subsets The Reconstruction subtask card includes the following CT reconstruction settings: Kernel Window Image Order Field of View (FoV) Mirroring Extended CT scale Comments ? Course Review Congratulations. You have completed the Biograph Vision Quadra™ Routine Workflows course. Select the numbered buttons below to review the material before proceeding to the final assessment. Describe the functions of reconstruction and auto tasking Explain the procedure for acquiring a scan Illustrate the steps for positioning a patient List the steps of patient registration and selecting a study 1 1 2 2 2 3 3 3 4 4 4 Course Review Describe the functions of Auto Tasking and Reconstruction Auto Tasking Provides the ability to perform certain jobs automatically, including sending data to another application, filming, or transferring to another node Reconstruction Algorithms can be used to manipulate the quality of the acquired images Explain the procedure for acquiring a scan Acquisition Modes: Whole Body Static Dynamic Procedural Steps Ensure the laser is positioned at the start of the imaging region Check topogram parameters for accuracy on the Routine subtask card If necessary, adjust the parameters on the Scan subtask card Click the Load button Press the Start button on the Control Box Illustrate the steps for positioning a patient Preparing the Table Patient may require one or more of the following positioning accessories: Head Holder, Foot Extender, Knee Support, Velcro Straps, RTP Pallet Preparing the Patient Patient removes all jewelry, glasses, prosthetics, etc. Position patient in the table using any necessary accessories Position arms for lung, thorax, and abdomen scans Ensure region of interest is in the center of the measuring field Make sure patient is comfortable and immobilized Make sure IVs and patient leads are long enough to prevent getting caught anywhere Using the Positioning Laser Light Markers Move the table vertically to the appropriate height Move the patient horizontally into the gantry Use the gantry button to turn on the laser markers Center the patient in the FOV Instruct the patient to remain still Technologist should observe the patient List the steps of patient registration and selecting a study New Patient Registration Select Patient > Register from the main menu Fill in all of the entries marked in bold Additional entries are optional and depend on the site’s requirements Accessing an Existing Patient Select Patient > Register from the main menu Enter the Patient’s last name within the patient registration window Click the Search button at the bottom of the window Within the Patient Search window, click on the desired patient name Defining the Study Access the Patient Registration Dialog Choose a protocol from the Study drop-down menu -or- Press the Exam button to choose a study from the Patient Model Dialog Patient Model Dialog Choose Adult or Child Select the body image or icons of interest to choose the protocol Choose Replace or Append protocol If Appending a protocol, select Cut or Keep the topogram Select how to show reference lines Select Patient Position Select API Language Click OK to confirm entries Disclaimer Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Select the best answer. ? Question 1 of 5 The laser light marker illuminates from how many points in the gantry opening? 2 3 4 5 Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 2 of 5 Which of the following is the first thing that should be done when acquiring the topogram? Ensure the laser is positioned at the start of the imaging region Check the topogram parameters for accuracy on the Routine subtask card Click the Load button Press the Start button on the control box Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 3 of 5 Which of the following is important to remember when preparing the patient for an exam? The patient should be able to maintain mobility during the exam The patient’s arms are normally positioned across their chest Ensure the patient is centered vertically in the gantry bore The patient is allowed to keep on jewelry, glasses, and prosthetics during the exam Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 4 of 5 At what point is the patient data entered for hospitals that operate with HIS/RIS? During reception After the examination After the patient is positioned on the table During the examination Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 5 of 5 What is the purpose of the Auto Tasking subtask card? To configure the system to self-administer the exam To automatically adjust the necessary parameters in the subtask card To setup the laser light markers To setup automated tasks for the reconstruction, postprocessing, and transferring of images Multiple Choice Correct Incorrect Incorrect Incorrect Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the Biograph Vision Quadra™ Routine Workflows Online Training. Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Timeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon add subtitles Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Patient Registration ? Home Screen To register a new patient, begin by selecting patient, ? Patient Dropdown then register, from the Main Menu. ? Register New Patient The system displays the Patient Registration dialog. The entries marked in bold are required and must be entered before continuing the examination. These mandatory entries include, Last Name, Patient ID, date of birth, sex, and weight. Additional entries are optional and will depend on the site’s requirements. To register an existing patient to be scanned, enter the patient’s last name in the patient registration window, then select the search button. ? Existing Patient The system will display the patient search window. Highlight the desired patient from the list, then select OK. ? Select a Study To define a study, choose the study from the dropdown menu on the right-side of the Patient Registration dialog, after entering the required patient information. ? Exam You can also press the Exam button and enter the study from the Patient Model Dialog. ? End Select the x in the top right corner to continue on to learn more about the Patient Model Dialog. Question Bank 1 HOOD05162003206230 | Effective Date: 28-Jul-2021 1.1 Welcome 1.2 Patient Registration 1.3 Patient Model Dialog 1.4 Positioning the Patient 1.5 Examination Workflows 1.6 Acquiring the Topogram 1.8 Acquring the CT Scan 1.7 Acquiring the PET Scan 1.9 Auto Tasking 1.10 Reconstruction 1.11 Course Review 1.12 Disclaimer 1.13 Assessment 1.20 Completion