(D13) Build a New Dot Engine

(D13) Build a New Dot Engine Step 1 – Create Dot Engine Tree 1. Open > Exam Explorer > USER tree 2. Select > Region (Head) > Right mouse > New o Add New Exam > Type Exam name (e.g., Brain Dot) o Select > OK Exam Explorer - \USER\head Add New Exam X Object Edit Tools Insert Help Name SIEMENS USER Brain Dot he Open New. OK Cancel Help Find. Copy 3. Select Brain Dot > Right mouse > New o Add New Program > Type Program name (e.g., Pathology Protocols) o Select > OK Exam Explorer - \USER\head\Brain Object Edit Tools Insert Help Add New Program X SIEMENS 3 4 Nam Name USER head Brain Dot Engine Pathology Protocols clinical libraries advanced applications + programs library Brain Dot Open OK Cancel Help ..................................................................... c-spine New .. t-spine I-spine Find .. + whole-spine Copy 4. Select Pathology Protocols > Right mouse on right side of the window o Select Insert > Patient View Exam Explorer - \USER\head Brain Dot Pathology Protocols Object Edit Tools Insert Help + SIEMENS USER head Brain Dot Engine Paste + clinical libraries Save + advanced applications + Save As ... programs library Insert Pause. Brain Dot Pathology Protocols Sequence ... Program Steps + c-spine t-spine + Patient View. I-spine + inical decision point SIEMENS www.usa.siemens.com/healthcare Page 1 of 17 591 Effective Date: 09/06/2016 o Select > Dot add-in Tab > Dot add-in dropdown arrow > Patient View (e.g., Neuro Patient View) o Select > Edit Configuration > Setup button Dot Engine Step properties - Dot add-in - head X Standard Dot add-in Dot add-in: Basic Patient View Abdomen Patient View Angio Patient View Basic Patient View Breast Patient View Cardiac Patient View Hip Patient View Neuro Patient View Ortho Patient View Shoulder Patient View Spine Patient View TimCT Onco Dot View OK Cancel Help Dot Engine Step properties - Dot add-in - head X Standard Dot add-in Dot add-in: Neuro Patient View Edit Configuration. Reset Configuration OK Cance Help 5. Select > Strategies – editing options o Strategies field o Double left mouse on text field > rename button (e.g., select to edit text) > Type New Strategy name (e.g., Routine) o Add/Remove Strategies > Left mouse on Strategy Name > (+ / -) o Note: If a Strategy is removed it cannot be added back into an existing Dot Engine. o Note: Maximum number of Strategies = 4 o Move Strategies > Left mouse on strategy name > ( ^ / v) o Assign Default Strategy > Select > Default Radial button SIEMENS www.usa.siemens.com/healthcare Page 2 of 17 SIEMENS Dot Add-In Configurator X head EE Copy Paste Strategies Patient context decisions Strategies Strategy Name Default Decision Name Default Patient View Routine Contrast agent Resolution focus Queue Speed focus Motion-insensitive (BLADE) + GSP Clinical decision points Decision Name Default Show Preview - Close o Patient context decisions o Double left mouse on text field > rename button (e.g., select to edit text) o Add/Remove Patient Context decisions > Left mouse on Decision Name > (+ / -) o Adding a Patient Context decision > Select (+) > (e.g., MRA_COW; SWI) > select Enter o Note: Adds the decision in the Exam Task Card > Dot View > Strategy window (e.g., select Show Preview for example) SIEMENS Dot Add-In Configurator head EE Copy Paste Strategies Patient context decisions Strategies Strategy Name Default Decision Name Default Patient View Routine Contrast agent V Resolution focus COW MRA Speed focus + SWI Queue Motion-insensitive (BLADE) GSP o Move Patient context decision > Left mouse on patient context decision > (^ / v) o Assign Default Strategy > Select > Default box o Show Preview (Patient context decisions) – displays all modification to Strategies, Patient context decisions and Clinical decision points Hide Preview - Brain Exam Strategy Routine Decisions Contrast agent COW MRA SWI Close SIEMENS www.usa.siemens.com/healthcare Page 3 of 17 o Clinical decision points o Double left mouse on text field > rename button (e.g., select to edit text) o Add/Remove Clinical decision point > Left mouse on Decision Name > (+ / -“) o Adding a clinical decision point > Select (+) > (e.g., MPR Planning) Clinical decision points Default o Note: Adds the decision in the Decision Name Exam Task Card > Measurement MPR Planning Queue > Checkbox to activate Basic Decision sequence in queue + o Move Clinical decision points > left mouse on clinical decision point > (^ / v) T. o Assign Default Strategy > Select > Default box 6. Select > Close > OK > OK > Save Program Icon Exam Explorer - \USER\head\Brain Object Edit Tools Insert Help @ USER Del head Brain Dot Engine clinical libraries advanced application programs library Brain Dot Pathology Protoco Dot head Step 2 – Create Exam Strategy Branch(es) 1. Select Dot Engine created (e.g., Brain Dot > Pathology Protocols > Head) o Right mouse below Patient View (e.g., Head) right side of window o Right mouse > Insert > Program Steps > Head > library > Localizer > AAHEAD_Scout > Select insert > Close > Save o Select > Insert > Exam Strategy Exam Explorer - \USER\head Brain Dot\Pathology Protocols X Object Edit Tools Insert Help H - USER Dot head Neuro Patient View head Brain Dot Engine clinical libraries Paste advanced application programs Save library Save As .. Brain Dot 4 Pathology Protoco Insert Pause .. head Sequence .. ......... c-spine Program Steps t-spine ..... I-spine Patient View .. whole-spine Clinical decision point TimCT whole-spine Patient context decision .. neck_soft-tissue heart Exam Strategy thorax abdomen Insert Exam Strategy SIEMENS www.usa.siemens.com/healthcare Page 4 of 17 o Name – Enter weighting and/or orientation name (e.g., Localizer, T1, T2, Diffusion, etc.) > OK o Repeat until all Exam Strategy Branches are created Exam Explorer - \USER\head Brain Dot\Pathology Protocols X Object Edit Tools Insert Help head + Brain Dot Engine Dot head Neuro Patient View T1 + clinical libraries + advanced application T2 + programs library Diffusion + .... Brain Dot SWI Pathology Protoco Dot head T1 + T2 + + Diffusion + SWI ..... + c-spine + t-spine ..... + I-spine ... + whole-spine + TimCT whole-spine ..... neck soft-tissue ..... + heart ..... o Select > Save Program Icon Exam Explorer - \USER\head\Brain Object Edit Tools Insert Help 12 USER DO head Brain Dot Engine + clinical libraries + advanced application + programs + library Brain Dot Pathology Protoco Dot head ......................................................... SIEMENS www.usa.siemens.com/healthcare Page 5 of 17 Step 3 – Add Pulse Sequences to Strategy branches 1. Select Brain Dot Engine created (e.g., Brain Dot > Pathology Protocols > Head) 2. Select > Strategy brain (e.g., Localizer) Paste Save o Select Strategy > Standard Select > right side of viewer > right mouse Save As .. o >Select > Insert > Program Insert Pause. Sequence .. Program Steps .. Patient View .. Clinical decision point. Patient context decision ... Exam Strategy. o Steps > Select > Show Siemens button Insert Program Steps -Customer program steps- Region: head Exam: Brain Dot Program: Pathology Protocols Show Siemens Insert View protocol Close Help o Siemens Program Steps (right side) > Select the following: o Region > head o Exam > library o Program > Localizer o Sequence(s) > AAHead_Scout o Highlight AAHead_Scout > Select > Insert > Close o Note: Double click on sequences added > make any changes to parameters as needed (e.g., AutoAlign, TR, TE, etc.) > select OK 3. Select > Strategy Branch (e.g., T1) o Select Strategy > Standard o Select > right side of viewer > right mouse > Select > Insert > Program o Steps > Select > Show Siemens button o Siemens Program Steps (right side) > Select the following o Region > head o Exam > library o Program > T1 o Sequence(s) > t1_se_sag o Highlight T1 sequence > Select > Insert > Close o Note: Double click on sequences added > make any changes to parameters as needed (e.g., AutoAlign, TR, TE, etc.) > select OK SIEMENS www.usa.siemens.com/healthcare Page 6 of 17 Insert Program Steps X -Customer program steps -Siemens program steps Region: head Region: head Exam: Brain Dot Exam: library Program: Pathology Protocols Program: T1 t1_se_sag 04:54 4 3 t1_tirm_sag_dark-fluid_p2 04:38 2 3 t2_tse_tra_p2 01:26 t1_tse_sag_2mm_p2_180mm 04:44 t2_tirm_tra_dark-fluid 04:32 t1_f12d_sag_2mm 04:50 ep2d_diff_3scan_trace_p2 01:38 t1 se sag 04:54 t2_swi3d_tra_p2_1.5mm 8 transverse 6 1. t1_se_sag 04:54 t1_tirm_tra_dark-fluid_p2 04:56 + Hide Siemens Insert View protocol Close Help 4. Select > Strategy Branch (e.g., T2) o Select Strategy > Standard o Select > right side of viewer > right mouse > Select > Insert > Program Steps > Select > Show Siemens button o Siemens Program Steps (right side) > Select the following o Region > head o Exam > library o Program > T2 o Sequence(s) > t2_tse_tra_p2; t2_tirm_tra_dark-fluid (e.g., hold down ctrl key and select multiple sequences using left mouse) o Highlight T2 sequence(s) > Select > Insert > Close o Note: Double click on each sequence added > make any changes to parameters as needed (e.g., AutoAlign, TR, TE, etc.) > select OK 5. Select > Strategy Branch (e.g., Diffusion) o Select Strategy > Standard o Select > right side of viewer > right mouse > Select > Insert > Program Steps > Select > Show Siemens button o Siemens Program Steps (right side) > Select the following o Region > head o Exam > library o Program > epi_diff_perf_bold o Sequence(s) > ep2d_diff_3scan_trace_p2 o Highlight ep2d_diff_3scan_trace_p2 sequence > Select > Insert > Close o Note: Double click on sequences added > make any changes to parameters as needed (e.g., AutoAlign, b-values, etc.) > select OK o Select > Save Program Icon SIEMENS www.usa.siemens.com/healthcare Page 7 of 17 Step 4 – Copy Dot Add-in to Pulse Sequences 1. Select Siemens Tree > Head > Brain Dot Engine t1_sag > Standard > t1_fl2d_sag o Right mouse on sequence > Copy Dot add-in 2. Select USER Tree > Brain Dot Engine created > Brain Dot > Pathology Protocols > Head > t1 > Standard > t1_se_sag o Right mouse on sequence > paste o Generic Views Dot add-in is saved to sequence o Select > Save Program 3. Select Siemens Tree > Head > Brain Dot Engine t2 > Standard > t2_tse_tra o Right mouse on sequence > Copy Dot add-in 4. Select USER Tree > Brain Dot Engine created > Brain Dot > Pathology Protocols > Head > t2 > Standard o Select > t2_tse_tra_p2 > Right mouse on sequence > Paste o Select > t2_tirm_tra_dark-fluid > Right mouse on sequence > Paste o Select > Save Program 5. Select Siemens Tree > Head > Brain Dot Engine epi_diffusion > Standard > ep_2d_3scan_trace_p2 o Right mouse on sequence > Copy Dot add-in 6. Select USER Tree > Brain Dot Engine created > Brain Dot > Pathology Protocols > Head > diffusion > Standard > ep2d_diff_3scan_trace_p2 o Right mouse on sequence > paste o Generic Views Dot add-in is saved to sequence o Select > Save Program SIEMENS www.usa.siemens.com/healthcare Page 8 of 17 Step 5 – Add Contrast Agent (with and without) (Optional) 1. Open > Exam Explorer > USER tree 2. Select > Region (Head) > Exam (Brain Dot) > Program folder (Pathology) o Select > DOT (Head) on right side of viewer > right mouse below sequences o Select > Insert > Patient Context Decision Exam Explorer - \USER\head Brain Dot Pathology Protocols X Object Edit Tools Insert Help USER DOE head Neuro Patient View head Brain Dot Engine T1 clinical libraries T2 advanced application programs Dark Fluid TIRM library Diffusion Paste Brain Dot Pathology Protoco Save Dot head Save As .. T1 + I T2 Insen Pause ..... + mi Dark Fluid TIRN Sequence .. +mDiffusion Program Steps .. Brain Dot 2 L Pathology Patient View .. c-spine Clinical decision point. t-spine I-spine Patient context decision Exam Strategy Insert Patient context decision o Standard tab > change Name: "Patient context decision" to "Contrast Agent" o Select > Decision pull-down > Contrast agent > OK o Select > Save Program Icon Decision Branch properties - Decision Patient context decision X Standard Decision Decision: Contrast agent COW MRA SWI OK Cancel Help SIEMENS www.usa.siemens.com/healthcare Page 9 of 17 3. Select > Patient context decision > Contrast Agent > With Contrast o Select > right side of viewer > right mouse > select > Insert Pause o Standard > Name (e.g., contrast pause) o Contrast Agent > Contrast agent Administration > Check box o Insert > Exam Strategy Strategy Branch > T1 Post > Save o Double left mouse on T1 Post > Select Standard o Select > Insert > Program Steps > Show Siemens o Region > Head o Exam > Library o Program > e.g., SPACE o Select > e.g., t1_spc_sag_iso o Note: Double click on sequence(s) to open > make any changes to parameters as needed (e.g., AutoAlign, TR, TE, etc.) > select OK o Select Close o Right mouse click > Select Insert > Clinical decision point o Standard > MPR Planning o Dot add-in > drop down > MPR Planning o Select > Edit configuration > Setup o Select MPR Planning o Options: add and delete MPR ranges; set up parameters and guidance for each orientation o Select > Close > OK > OK > Save o Right mouse click > T1 SPACE > Properties o Select > Dot add-in o Select > MPR Assignment o Select > Edit configuration > Setup o Select MPR Assignment o Generate the following selected MPRs – check boxes for all orientations that apply o Select > Close > OK > OK > Save o Select > Save Program Icon SIEMENS www.usa.siemens.com/healthcare Page 10 of 17 Step 6 – Create Patient Context Decisions (Optional) Note: Complete this section only if patient context decisions should be added to the Dot Engine created. 1. Open > Exam Explorer > USER tree 2. Select > Region (Head) > Exam (Brain Dot) > Program folder (Pathology) o Select > DOT (Head) on right side of viewer > right mouse > Properties 3. Select > Dot add-in tab > Edit configuration Protocol properties - Dot add-in - 11_112d_sag x Standard Dot add-in Execution Auto load Copy References Dot add-in Generic Views Edit Configuration .. Reset Configuration QK Cancel Help 4. Select > Setup button WUSER\head\Brain Dot Engine\program\t1_sag\Standard\t1_f12d_sag Details Dot views TA: 2:28 PM: REF PAT: Off Voxel size: 0.7x0.7x4.0 mm Rel. SNR: 1.00 Slice group FoV read 220 mm Slices 25 FoV phase 100.0 % Dist. factor 30 % Slice thickness 4.0 mm Position Isocenter TR 440.0 ms Orientation Sagittal TE 2.46 Phase enc. dir. A >>> P 1 AutoAlign Head > Basis Averages ... Phase oversampling 30 % Concatenations 1 Filter Prescan Normalize, E Coil elements [HE1-4 Routine Contrast Resolution |Geometry System Physio Inline Sequence OK Cancel Virtual Coils. Setup. Help 5. Select > Strategies > Patient context decisions o Select (+) > Type patient context decision name (e.g., COW MRA, SWI) o Note: Type in multiple patient context decisions if additional decisions are needed. o Default > Check box(s) o Select > Close > OK > OK SIEMENS www.usa.siemens.com/healthcare Page 11 of 17 6. Select > Region (Head) > Exam (Brain Dot) > Program folder (Pathology) o Select > DOT (Head) on right side of viewer > right mouse below existing Exam Strategy branches o Select > Insert > Patient context decision > Decision Branch properties window opens o Standard tab > Change name Patient context decision to one created (e.g., SWI) o Decision tab > Decision pull-down > Select decision step created (e.g., SWI) Decision Branch properties - Decision - Patient context decision X Standard Decision Decision: Contrast agent COW MRA SWI OK Cance Help 7. Select > Patient context decision branch > (e.g., SWI > with SWI) o Select > right side of viewer > right mouse > Select > Insert > Program Steps > Select > Show Siemens button o Siemens Program Steps (right side) > Select the following o Region > head o Exam > library o Program > SWI o Sequence > t2_swi3d_tra_2_1.5mm o Highlight SWI sequence > Select > Insert > Close o Note: Double click on t2_swi3d_tra_2_1.5mm to open > make any changes to parameters as needed (e.g., AutoAlign, etc.) > select OK o Select > Save Program Icon 8. Test the Patient Context decision branch added o Select > Exam Explorer > Select > Simulation Mode Icon o Note: Icon is blue when in simulation mode o Single left mouse on (wrench) Patient View icon o Dot View dialog window opens o Decisions: all boxes checked will be displayed in simulation mode o Note: Check decision boxes if additional decisions should be displayed in the Patient View (Exam Task Card) or Simulation mode (Exam Explorer). o Select > OK > Save Program icon (e.g., if any changes were made) o Toggle back to Configuration mode (e.g., icon is gray) SIEMENS www.usa.siemens.com/healthcare Page 12 of 17 Step 7 – Create Clinical Decision Points (Optional) Note: Complete this section only if clinical decision points should be added to the Dot Engine created. 1. Open > Exam Explorer > USER tree 2. Select > Region (Head) > Exam (Brain Dot) > Program folder (Pathology) o Select > DOT (Head) on right side of viewer > right mouse > Properties 3. Select > Dot add-in tab > Edit configuration Protocol properties - Dot add-in - 11_112d_sag X Standard Dot add-in Execution Auto load Copy References Dot add-in: Generic Views Edit Configuration .. Reset Configuration OK Cancel Help 4. Select > Setup button WUSER\head\Brain Dot Engine\program\t1_sag\Standard\t1_f12d_sag Details Dot views TA: 2:28 PM: REF PAT: Off Voxel size: 0.7x0.7x4.0 mm Rel. SNR: 1.00 Slice group + FoV read 220 mm - Slices 25 FoV phase 100.0 % Dist. factor 30 % Slice thickness 4.0 mm Position Isocenter TR 440.0 ms Orientation Sagittal TE 2.46 ms Phase enc. dir. A>> P AutoAlign Head > Basis Averages 1 Phase oversampling 30 Concatenations % Filter Prescan Normalize, E Coil elements |HE1-4 Routine Contrast Resolution |Geometry System Physio Inline Sequence OK Cancel Virtual Coils Setup .. Help 5. Select > Strategies > Patient context decisions o Select (+) > Type Clinical Decision Point (e.g., DTI) o Note: Type in multiple patient context decisions if additional decisions are needed. o Default > Disable/Enable (Check box) o Select > Close > OK > OK SIEMENS www.usa.siemens.com/healthcare Page 13 of 17 6. Select > Region (Head) > Exam (Brain Dot) > Program folder (Pathology) o Select > DOT (Head) on right side of viewer > right mouse below existing Exam Strategy branches o Select > Insert > Clinical decision points > Decision Step properties window opens Exam Explorer - \USER\head\Brain Dot\Pathology Protocols X Object Edit Tools Insert Help E head DOt Brain Dot Engine head Neuro Patient View clinical libraries T1 advanced application T2 programs library Diffusion Brain Dot SWI Pathology Protoco head Contrast Agent Paste T1 Save + Save As. T2 Diffusion Pause ... SWI Contrast Agent Sequence ... c-spine Program Steps t-spine Patient View I-spine whole-spine Clinical decision point TimCT whole-spine Patient context decision. neck soft tissue Exam Strategy .. Insert Clinical decision point o Standard tab > Change name: Patient context decision to one created (e.g., DTI) Decision Step properties - Standard - Clinical decision point X Standard Dot add-in Decision Name DTI Description: Location: USER\head\Brain Dot\Pathology Protocols Value Designator Version Meaning Protocol coding: OK Cancel Help SIEMENS www.usa.siemens.com/healthcare Page 14 of 17 o Dot add-in tab > Decision > Basic Decision Decision Step properties - Dot add-in - Clinical decision point X Standard Dot add-in Decision Dot add-in: Basic Decision Edit Configuration ... Reset Configuration OK Cancel Help o Decision tab > Decision pull-down > Select decision step created (e.g., DTI) o Confirm decision before start – default box checked Decision Step properties - Decision - Clinical decision point X Standard Dot add-in Decision Decision: DTI M Confirm decision before start OK Cancel Help o Select > OK > Save Program SIEMENS www.usa.siemens.com/healthcare Page 15 of 17 7. Select > Clinical Decision point > (e.g., DTI > with DTI) o Select > right side of viewer > right mouse > Select > Insert > Program Exam Explorer - \USER\head Brain Dot Pathology Protocols \DTI\with DTI X Object Edit Tools Insert Help clinical libraries advanced application programs library Paste Brain Dot Save 4 Pathology Protocd Save AS. ..... Dot head Insert Pause .. ............. + T2 Sequence ... + Diffusion Program Steps. SWI + + M Contrast Agent Patient View ? Clinical decisio Clinical decision point DTI without DTI Patient context decision .. with DTI Exam Strategy. c-spine t-spine I-spine Insert Program Steps o Steps > Select > Show Siemens button o Siemens Program Steps (right side) > Select the following o Region > head o Exam > Advanced Applications libraries o Program > Diffusion and perfusion o Sequence > ep2d_diff_mddw_20_p2 o Highlight ep2d_diff_mddw_20_p2 sequence > Select > Insert > Close nsert Program Steps X Customer program steps- Siemens program steps- Region head Region: head Exam: Brain Dot Exam anced applications libraries Program: Pathology Protocols Program: diffusion and perfusion t1_se_sag 04:54 resolve_3scan_trace_tra_224_p2 03:18 2 t2_tse_tra_p2 01:26 5 Diffusion t2_tirm_tra_dark-fluid 04:32 ep2d_diff_3scan_trace_p2 01:38 ep2d_diff_3scan_trace_p2 01:38 ep2d_diff_mddw 20_p2 04:39 5 t2_swi3d_tra_p2_1.5mm 04:54 ep2d_diff_orth_p2 01:54 6 t1_se_tra 04:25 9 Perfusion 88 8 8 8 Hide Siemens Insert View protocol Close Help o Note: Double click on ep2d_diff_mddw_20_p2 to open > make any changes to parameters as needed (e.g., AutoAlign, Diffusion directions, etc.) > select OK. o Select > Save Program Icon SIEMENS www.usa.siemens.com/healthcare Page 16 of 17 8. Test the Clinical Decision point added o Select > Exam Explorer > Select > Simulation Mode Icon o Note: Icon is blue when in simulation mode. o Single left mouse on (wrench) Patient View icon o Dot View dialog window opens o Decisions: all boxes checked will be displayed in simulation mode. o Note: Check decision boxes if additional decisions should be displayed in the Patient View (Exam Task Card) or Simulation mode (Exam Explorer). o Select > OK > Save Program icon (e.g., if any changes were made) o Toggle back to Configuration mode (e.g., icon is gray) SIEMENS www.usa.siemens.com/healthcare Page 17 of 17