DSA Roadmap (CLEARmap) VC21-VD11 Job Aid

DSA Roadmap (CLEARmap) (VC21 – VD11) Job Aid Advanced Therapies – Artis Software VC21 to VD11. **There is an additional job aid availa- ble on PEPconnect to determine SW version of the system. DSA Roadmap allows the user to take a reference image of a DSA acquisition and convert it into a roadmap (subtracted fluoro). There are four workflows that could be implemented based on the order in which the user selects the icons. The overall idea is to use an existing DSA reference im- age with or without max opacification. There are four workflows that can be implemented for DSA Roadmap. 1. Perform a DSA acquisition. DO NOT move table or c-arm after this acquisition. 2. Perform Workflow #1 or #2. Workflow #1 (MAX OPAC is unchecked in organ program) • Select desired image (with or without manually applying MAX OPAC post pro- cessing) and create a Reference image. The reference image may be stored on the Assist monitor or the Reference monitor. It does not matter which monitor is used. The active monitor, if it has an image displayed, will be used for the DSA Roadmap. To change to a specific monitor, use the REF/AS icon on the touch screen or in the control room Examination taskcard. REF AS • Create a reference image by using the touch screen joystick middle mouse button, the touch screen icon, or from the control room Examination taskcard. REF Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/14/2020 | HOOD05162003116153 Healthineers Job Aid | DSA Roadmap (CLEARmap) Effective Date: 08/14/2020 | HOOD05162003116153 Workflow #2 (MAX OPAC is checked in the organ program) • If system is configured for MAX OPAC in organ program, a reference image will au- tomatically be selected and displayed after DSA Roadmap is selected. User can choose to store a different reference image and override automatic image. • This organ program configuration is not accessible by the user. Please contact Sie- mens representative to set this configuration if needed. 3. After the reference image is created or to create the automatic reference image, select DSA Roadmap icon from control room Examination taskcard or from the touch screen at tableside. Settings Exam Quant Physio 4D ? E A+B 000.0 Exam Set A FL(-) Neuro~ ... kV 81.0 DSA Fluoro Prog. Acq. Prog. mA 40.0 REF'S REF ! 15 p/s 3 f/s ms 5.7 REF Cu mm 0.3 AS BSA, B p/s 4 p/s 4. Perform fluoroscopy. Initial image displayed on the LIVE monitor will be a fluoro image. A blank screen will then display but STAY ON fluoro pedal until image subtracts with refer- ence image being displayed on the LIVE monitor. THIS WILL TAKE A COUPLE OF SEC- ONDS. 5. Continue to fluoro while advancing catheter, wire, devices, etc. When DSA Roadmap is no longer needed, deselect icon. Keep in mind that any movement of the c-arm and flat detector will automatically deactivate DSA Roadmap. User would then be required to perform another DSA acquisition in the new position and repeat above steps if DSA Roadmap is still needed. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/14/2020 | HOOD05162003116153 Healthineers Page 2 of 8 Job Aid | DSA Roadmap (CLEARmap) Effective Date: 08/14/2020 | HOOD05162003116153 If user does not want to perform another DSA acquisition, the user could use AUTOMAP to return to reference image position and utilize Overlay Reference. Automap will NOT work with DSA Roadmap. System will return to reference position BUT NO roadmap will be displayed. Workflows #3 and #4 These two workflows start with DSA Roadmap icon being activated BEFORE a DSA acquisition is performed. Again, the organ program parameter MAX OPAC is considered. 1. Select DSA Roadmap icon from control room Examination taskcard or from the touch screen at tableside. 2. Perform a DSA acquisition. DO NOT move table or c-arm after this acquisition. 3. A reference image is stored to the Assist or Reference screen from workflow #3 or #4. Workflow #3 (MAX OPAC is unchecked in organ program) • User manually selects a reference image (with or without manually applying MAX OPAC post processing). Workflow #4 (MAX OPAC is checked in the organ program) • Upon completion of the DSA acquisition, the system will automatically display a MAX OPAC reference image. • User can choose to store a different reference image and override automatic image. 4. Once a reference image is stored (automatically or manually), perform fluoroscopy. Initial image displayed on the LIVE monitor will be a fluoro image. A blank screen will then dis- play, but STAY ON fluoro pedal until image subtracts with reference image being displayed on the LIVE monitor. THIS WILL TAKE A COUPLE OF SECONDS. 5. Continue to fluoro while advancing catheter, wire, devices, etc. When DSA Roadmap is no longer needed, deselect icon. Keep in mind that any movement of the c-arm and flat detector will automatically deactivate DSA Roadmap. User would then be required to perform another DSA acquisition in the new position and repeat above steps if DSA Roadmap is needed. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/14/2020 | HOOD05162003116153 Healthineers Page 3 of 8 Job Aid | DSA Roadmap (CLEARmap) Effective Date: 08/14/2020 | HOOD05162003116153 If user does not want to perform another DSA acquisition, the user could use AUTOMAP to return to reference image position and utilize Overlay Reference. Automap will NOT work with DSA Roadmap. System will return to reference position BUT NO roadmap will be displayed. Additional Roadmap Functions When using DSA Roadmap, the below listed functions may be applied as needed. Vessel/Catheter Contrast Percentage (VC/CC%) • This function allows user to adjust the catheter (wire, device, etc.) and vessel contrast percentages independently. The percentages are displayed in the lower right corner of LIVE image. • Activate from the touchscreen icon or from the PostProc taskcard main menus in the control room. PostProc > Image main menu > Change Vessel / Catheter Contrast Settings Exam Image Quant 4D ILK vc % Contrast Previous Show Mask 5 Progress RM Neuro Reset Roadmap 15 p/s 7.5 f/s RDMP DSA RDMP ×2 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/14/2020 | HOOD05162003116153 Healthineers Page 4 of 8 Job Aid | DSA Roadmap (CLEARmap) Effective Date: 08/14/2020 | HOOD05162003116153 • Contrast can be adjusted with the touch screen joystick using last image hold or from the control room main menus, if needed. The percentage cannot be adjusted during live fluoro. • To adjust the vessel contrast, move the joystick up and down. VC% can be adjusted from 0 - 200%. • To adjust the wire/catheter contrast, move the joystick left to right. CC% can be adjusted from 50 - 200%. Vessel / Catheter Contrast ? X Vessel Contrast [%] 50 Catheter Contrast [%] 50 Apply OK Cancel Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/14/2020 | HOOD05162003116153 Healthineers Page 5 of 8 Job Aid | DSA Roadmap (CLEARmap) Effective Date: 08/14/2020 | HOOD05162003116153 Zoom x2 / Pan • The DSA Roadmap image can be zoomed x2 and panned to the area of interest. • Select the Zoom x2 icon from the touchscreen or the control room. Use the TSC joystick to pan the image. On biplane systems, both planes will be zoomed. Settings Exam Image Quant 4D [1% Anatom. /o Backgr. Previous Mask Show 5 Progress Review RM Neuro Reset Roadmap Pan Exit 15 p/s 7.5 f/s RDMP DSA x2 RDMP Show Progress • When Show Progress is activated, during a pause in radiation release, the current roadmap mask is replaced by the LIH. This allows the user to improve the visualization of the progression of the injection of any radiopaque material, like Onyx, or coil placement. • Show Progress subtracts out previously displayed coils or radiopaque material from the original roadmap. • Select the Show Progress icon from the touchscreen (it will NOT change to white to demonstrate that it is active; user will only receive message on LIVE monitor) or from the control room. • A message will display: Show Progress: a new mask will be acquired. • Step on fluoro for 2 seconds. Initial image will be live fluoro and STAY ON the fluoro pedal until the image subtracts. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/14/2020 | HOOD05162003116153 Healthineers Page 6 of 8 Job Aid | DSA Roadmap (CLEARmap) Effective Date: 08/14/2020 | HOOD05162003116153 Settings Exam Image Quant 4D of Anatom. 5º Backgr. Trog Previous Show Roadmap ? x Mask Progress RM Neuro Reset Roadmap G 15 p/s 7.5 f/s A Close Help RDMP DSA RDMP ×2 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/14/2020 | HOOD05162003116153 Healthineers Page 7 of 8 Job Aid | DSA Roadmap (CLEARmap) Effective Date: 08/14/2020 | HOOD05162003116153 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 co llectively “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 cautio ns. 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 comme rcially 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 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/14/2020 | HOOD05162003116153 Healthineers Page 8 of 8