Cios Spin Software Overview Online Training

Welcome to the Cios Spin Software Overview Online Training.  This training module will introduce you to the software user interface and the features of the Cios Spin system.  Please note: The information in this online training relates to the software version VA30B or higher.    Upon successful completion of this course, you will be able to:  Select the application and the application group Register patients Select the operating mode Adjust examination parameters, for example magnification and collimation Identify post-processing tools Monitor the dose Save and export images Congratulations. You have completed the Cios Spin Software Overview Online Training. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Select the Application Applications contain individual sets of examination settings tailored to various medical application areas Applications are divided into application groups (for example Ortho/Trauma, Cardio, Gastro, etc.) and can be configured Application and application group are selected in the PREPARATION task card on the control panel  Register the Patient Manual registration For current examination Bold fields are mandatory Preregistration (for an examination at a later time) HIS/RIS query Possible, if your system is connected to a HIS/RIS Open the worklist and select the required patient Emergency registration for time critical cases  Operating Modes Can be selected on the control panel Selected operating mode is indicated by the white button Operating modes that are greyed out cannot be selected The following operating modes are available: Fluoroscopy enables real-time imaging Single image Enables instant image with best image quality Recommended for final exposures Ensure to make a fluoro exposure with > 2 fps before acquisition of a single image to achieve good image quality 3D Scan (optional) Enables the acquisition of a volume data Can be visualized using MPR and VRT Subtraction (Sub) Enables an isolated display of the vascular system Requires injection of contrast agent Roadmap enables the positioning of a catheter precisely in a blood vessel under fluoroscopy Digital Cine Mode (DCM) enables a digital cine series for vascular procedures  Examination parameters Examination parameters are adjusted in the PREPARATION task card (control panel) For example, you can change: Collimation: Rectangular and slot collimator When a certain C-arm position is saved via the motorization package on the control panel, the collimation settings are also saved Dose level: Low / medium / high Dose level currently set is displayed on the Dose button of the control panel and on the left monitor Metal correction: Designed for examinations with metal parts Adjusts contrast and brightness settings and automatic dose rate control is improved Magnification: Sets the input format for the subsequent image acquisition Three magnification levels / zoom levels are available Motion Noise filter Radiation lock Lock the radiation to prevent unintentional radiation release To lock and unlock radiation, press the button on the PREPARATION task card Radiation lock can be secured with a password  Post-processing Tools for post-processing of 2D images include: Change brightness and contrast Change brightness and contrast settings with the slider in the Brightness Contrast menu Change brightness and contrast settings with the mouse on the left monitor: Place the mouse pointer in the image and move the mouse with the center button pressed Rotate and flip the image Zooming and panning the image Setting image filters Resetting the image display Hold reference Display a particular image as the reference image on the right monitor If activated, the transfer of additional images and scrolling to other images is disabled on the right monitor  Dose monitoring During examination: radiation data is displayed on the control panel and on the left monitor Entire fluoroscopic time since the start of the examination Cumulative dose area product for current patient is displayed if the optional dose measurement chamber is installed After examination: radiation summary report Contains following information: patient and examination data, cumulative radiation data, detailed information on the acquired series and images, export button print button Radiation summary report can be generated and sent automatically after ending an examination  Save images You can save images at several times: Directly after radiation Possible as long as no new image has been acquired Press Store on the control panel Press the Store button on the hand switch Last image hold (LIH): less than 2 seconds Last scene hold (LSH): more than 2 seconds During post-processing To save the intermediate status of images, you must save the images manually in the required processing phase. Press Store on the control panel to save the current status After post-processing: After completing an examination, all changes in the images are saved automatically when you close the patient  Export images After completion of an examination or post-processing, images are stored on the local database Standard export: export images during the examination Automatic export: export images at the end of the examination Select the export destination (DICOM node, CD/DVD, or USB device) Select export format (Private, DICOM, TIFF, or AVI) Select image properties (processed, anonymized, or downsized) Select image type (subtracted, or native) Choose radiation summary report (DICOM dose report, or DICOM SC image) Provide DICOM viewer Select scope of data (selected, marked, or all) Set as default (if applicable) The software of the Cios Spin is accessed via the touchscreen control panel on the C-arm main unit, on the monitor trolley and on the optional remote control unit.  Depending on the function you would like to select, you can navigate the software in one of the following ways: Press on the button to select a function or setting  Press a button repeatedly to toggle through selections Keep a button pressed to select a function or setting Press on the button to select an option from a drop down menu Press on the button to open a window on the left monitor display You can register the patient in one of the following ways:  Manual registration for the current examination Preregistration for an examination at a later time HIS/RIS query if your system is connected to Hospital or Radiology Information System (HIS/RIS) Emergency registration for time critical cases  Register a patient manually Learn how to register a patient manually. Checklist TitleChecklist TypeChecklist ContentOpen preparation task cardHTMLSelect New patientHTMLEnter patient dataHTML Register patients from the HIS/RIS worklist Learn how to register patients from the HIS/RIS worklist. Checklist TitleChecklist TypeChecklist ContentInformation about the WorklistHTMLThe Worklist contains patients that were preregistered manually in your system and patients that were registered via the hospital or radiology information system (HIS/RIS).  The Worklist is updated via the HIS/RIS system at regular intervals, and when the Worklist is opened. Open the WorklistHTMLChange to PREPARATION task card, if necessary and press the Worklist button.  Select the patientHTMLThe Worklist opens on the left monitor. Select the patient that you want to examine and click the Exam button.  Start the examinationHTMLThe Worklist closes and the PROCESSING task card is displayed. You can start examining the patient.  You can select the operating mode in the left area of the control panel. The following modes are available:  Fluoroscopy Single Image 3D Scan (optional)  Subtraction (Sub) Roadmap Digital Cine Mode (DCM) The button of the selected operating mode is highlighted white.  Upon switching on the Cios Spin, the operating mode configured as the standard application is selected automatically by default.  Learn more about the operating modes Learn more about the operating modes. Tab TitleTextFluoroscopyThe Fluoroscopy operating mode enables real-time imaging which, for example, allows viewing of moving objects.  Single imageThe operating mode single image enables an electronic instant image with the best image quality. It is recommended for final exposures. On activation of single image, a short radiation pulse is released.   Please note: Ensure to make a fluoro exposure with > 2fps before you acquire a single image in order to set the exposure parameters and achieve good image quality.3D ScanThe optional 3D Scan operating mode enables a volume data set to be acquired that can be visualized using multiplanar reconstruction (MPR) and volume rendering technique (VRT). To learn how to perform a 3D scan, please watch the Cios Spin Retina 3D Workflow video on PEPconnect.Subtraction (Sub)The subtraction technique (sub) enables an isolated display of the vascular system after injection of the contrast agent by means of background subtraction.   RoadmapThe Roadmap technique enables the user to position a catheter precisely in a blood vessel under fluoroscopy. Digital Cine ModeThe DCM operating mode enables a digital cine series for vascular procedures. 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 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. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (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, 2019   You can adjust the examination parameters in the PREPARATION task card if this is necessary for the planned procedure.  Among other parameters, you can change the following settings:  Collimation Dose  Metal correction  Magnification Motion Noise filter  Radiation lock Adjust examination parameters Learn more about adjusting examination parameters. Tab TitleTextCollimationYou can collimate the X-ray beam with the following collimators:  Rectangular collimator: Provides radiation protection for the patient and all persons participating in the examination Slot collimator: Used for collimation of the extremities To set the collimator, open the collimation menu by pressing the button in the control area of the control panel.  Hint when using the save position function: The motorization package of the Cios Spin allows two C-arm positions to be saved. When saving a certain C-arm position, the collimator settings are saved at the same time.  When you return to a saved C-arm position, the collimator settings will change as well. If the collimator settings are no longer appropriate, you must change and save the settings manually.Dose levelPress the Dose button on the control panel to open the Dose menu and select the required dose.  You can choose between three dose levels:  Low  Medium High The dose level currently set is displayed on the Dose button of the control panel. The current setting is highlighted white. Additionally, you can find the information about the set dose level on the left monitor.  Metal correction The Metal correction function is designed for examinations with metal parts in the measurement range. When activated, the contrast and brightness settings are adjusted accordingly and the automatic dose rate control is improved. Magnification The magnification sets the input format for the subsequent image acquisition. The input format is the size of the detector area that is exposed and then fills the screen when displayed on the monitor.  Three magnification (or zoom) levels are available.Motion Noise filter By using noise filters with motion detection, you take into account the influence of movements when filtering noise.  Press the Motion Noise filter button to open the motion noise filter menu. Radiation lockTo prevent unintentional radiation release, for example by accidentally pressing the footswitch, you can lock the radiation.    To lock and unlock the radiation, press the button on the PREPARATION task card on the control panel. It is possible to secure the radiation lock with a password to allow only authorized persons to set the exposure parameters and release radiation.  You can find tools for image post-processing in the PROCESSING task card, for example:  Changing brightness and contrast  Windowing  Rotation of the image Zooming and panning the image Setting image filters (for example edge filter and spatial noise filter) Resetting the image display Post-processing tools for 2D images Learn more about the post-processing tools for 2D images. Base ImageHotspotsText BlocksImage FileChange brightness and contrast  Press the button to open the Brightness Contrast menu. You can change brightness and contrast settings with the slider, and with the mouse. For windowing using the mouse, place the mouse pointer in the required image on the left monitor and move the mouse with the center mouse button pressed.  Move up and down to change the brightness, move the mouse left and right to change the contrast.   Rotate and flip the image Press the button to open the Rotate Flip menu. You rotate the image by pressing the rotating buttons, and by using the mouse. To rotate the image with the mouse, place the mouse pointer on the edge of the required image on the left monitor and drag the mouse pointer in the required direction of rotation.  Flip the image vertically or horizontally by pressing the respective buttons.   Reset all Reset all changes and return to the image as acquired or last saved.Zoom Pan Shutter Open the Zoom Pan Shutter menu.Hold reference The Hold reference function allows you to select a particular image to display permanently as the reference image on the right monitor.  If the Hold reference function is active, the transfer of additional images and scrolling to other images is disabled on the right monitor. Cine replay The Cine replay function allows you to look at acquired scenes. Store Save the image.Store cine Save scene. You can save images at several points during and after a procedure:  Directly after radiation (as long as no new image has been acquired, you can save the image or scene currently displayed) During post-processing After post-processing    Learn how to save images Learn how to save images. Tab TitleTextDirectly after radiation To save an image after radiation, press Store on the control panel.    You can also save images with the hand switch:  Last image hold (LIH): Press and hold the key on the hand switch for less than 2 seconds. The displayed image is stored in the local database. The LIH is displayed on the right monitor as the reference image.    Last scene hold (LSH): Press and hold the key on the hand switch for more than 2 seconds to store the scene last recorded on the local database.  During post-processing If you want to save an intermediate status of a single image or of multiple images during post-processing, you must save the images manually in the required processing phase. The images are saved as copies of the original in the corresponding study.  Press Store on the control panel to save the current status.  After post-processing When you have completed post-processing of a prior examination, all changes in the images are saved automatically when you close the patient.    You can monitor the released dose during the examination and after the examination.  During the examination:  The radiation data is displayed on the control panel and on the left monitor.  After the examination:  The radiation summary report contains the cumulated values for the number of exposures, duration and dose over the course of an examination. The generation of this report is a fully automated process.  Monitor the dose during the examination Learn how to monitor the dose during examination. The radiation data is displayed on the control panel and on the left monitor during the examination. The information is updated with each release of radiation.  The entire fluoroscopic time since the start of the examination of a patient is displayed.  The cumulative dose area product for the current patient is displayed if the optional dose measurement chamber is installed.  Radiation summary report Learn more about the radiation summary report. The radiation summary report contains the cumulated values for the number of exposures, duration and dose over the course of an examination.  The automatically generated report contains the following information:    Patient and examination data ​Cumulative radiation data Detailed information on the acquired series and images Export button  Print button The system can be configured so that the radiation summary report will be sent automatically with the acquired images after ending an examination.  After you have completed the examination or post-processing, the saved images are stored on the local database with limited storage capacity. It is possible to export images during the examination (standard export) and at the end of examination (automatic export). If necessary, you can change the export settings and the export destinations. The system can be configured so that data already exported is deleted after a defined period of time to avoid the need to delete data manually. Data export Learn more about data export. Checklist TitleChecklist TypeChecklist ContentOpen Export dialog boxHTML Open the Export to... dialog box by selecting the respective button on the left monitor.  Select export destinationHTML Select the required destination medium from the Target Type selection list.  DICOM node: Another workstation, archive, PACS CD/DVD: Inserted CD or DVD USB device: Connected USB data medium  When selecting DICOM node: Select the respective network node from the Target selection list.  ​ Select export formatHTML It is possible to export data in different formats. Select the required data format in the Export Format selection list.  Private: Format that is only readable by FLC imaging systems  DICOM: Standardized file format in medical imaging  TIFF: PC graphics format  AVI: PC video format  Please note: When you have selected DICOM node as the export destination, you can only use the DICOM format.  Select image propertiesHTML Select the image properties in the Export images as area.  Processed: Changes in the image display compared to the original are used (for example brightness, contrast, image rotation, etc.) and evaluation graphics are "burned" into the image.  Anonymized: "Anonymous" appears in the image instead of the patient name. The remaining demographic data are hidden.  Downsized: The files are made smaller by reducing the image resolution 50% and the bit depth to 8 bits/pixel.  Select image typeHTML You can export images of a specific type or multiple image types from subtraction series. Select the image types in the Export subtracted images as area:  Subtracted: Images in subtracted display Native: Native images without mask and without Peak OP image  Choose radiation summary reportHTML Two different file formats are possible if the radiation summary report is exported in DICOM format. Select the file format in the Export Dose Report as area.  DICOM dose report: Structured Report (DICOM SR)  DICOM SC image: Image with "burned in" text  Provide DICOM viewerHTML When exporting to a removable device, a DICOM Viewer is saved to the CD/DVD or USB medium together with the image data. This allows the exported images to be viewed on any computer. The DICOM Viewer starts directly from the data medium (automatically after inserting/connecting). No installation of files takes place on the computer in question.  Deselect the "Provide DICOM viewer" option if you do not want to save the DICOM Viewer.  Select scope of dataHTML Specify the scope of the images to be exported.  Selected: All selected images (especially individually selected images)  Marked: All marked images (with white dot)  All: All images in the study  Set as defaultHTML Export jobs using the simplified procedure (standard export), automatic export, and sending the radiation summary report at the end of the examination are all performed using default settings.  Select the required settings in the Export to... dialog box.  Select the Set as default option.  Start the exportHTML Click the Export button to start the export job.  After successful completion of the export job to a network node, the selected images are marked as sent ("S" flag) or archived ("A" flag) in the Patient list.  Please note: If the system is configured to delete data automatically after the data export, the images are released for automatic deletion. Depending on how full the hard disk is, the images are deleted on the specified date.  Click the Close button to close the Export to... window. Changed default settings are stored.  The applications contain individual sets of examination settings tailored to various medical application areas. They are divided into application groups, for example Ortho/Trauma, Cardio, Gastro, General, Uro or Vascular and can be configured to your facilities' needs.  You can select the application group and the application according to your requirements in the PREPARATION task card on the control panel.  The exposure parameters including the operating mode are preset according to the selected application.