How to Use and Configure FAST Adjust

How to Use and Configure FAST Adjust Computed Tomography FAST Adjust allows for one-button optimization of scan time and mAs values – within pre- configured limits – to quickly resolve scan parameter conflicts. 1. When a scan conflict occurs, the CARE Profile curve will display partially or totally yellow. 10.08.25-11:35:39-DST-Specials ... H Hospital 10.08.25-11:35:39-DST-Specials ... H Hospital MAS 10.08.25-11:35:39-DST-1.3.1 ... SOMATOM Definition Flash 9 10.08.25-11:35:39-DST-1.3.1 ... SOMATOM Definition Flash *18-Nov-1858, 0, 151Y CT 2011A.0.11_P03 MAS *18-Nov-1858, 0, 151Y CT 2011A.0.11 P03 25-Aug-2010 H-SP 25-Aug-2010 H-SP 14:33:34.77 14:33:34.77 1 IMA 1 1 IMA 1 ............ TOP 1 SP -666.5 SP 1 -174.5 TOP 1 SP122 -1113.5 SP-666.5 SP -774.5 SP122 -1113.5 LEN1 339.0 LEN1 339.0 0.0 0.0 FOV 500 500 CE 0/0 0/0 kv 120 mA 35 71 5.3 GT 0.0 GT D.D .......... ............. 512 0/0 350 A T2Of UOPO 1eva T20TUOPO 3 50 .................... 2. Under most circumstances, the FAST Adjust button will appear. Clicking the Adjust button will resolve the conflict Adjust Load Hold Recon Recon automatically. 3. When FAST Adjust is activated, the scanner will automatically adapt technical parameters to resolve the conflict:  First, the scan time will be increased/pitch will be decreased to allow for the necessary dose to be delivered  If the conflict cannot be resolved by increasing the scan time alone, only then will the maximum mAs for the scan be reduced. Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 SIEMENS Master Template: EFF Date 22 Aug 17 | HOOD/HILS HOOD05162002647849 Healthineers Jobaid: Effective Date: 11/08/2018 | HOOD/HILS HOOD05162002965560 Job Aid | How to Use and Configure FAST Adjust Effective Date: 11/08/2018 4. For most protocols, there are pre-configured limits to how much the scan time and maximum mAs will be adapted. These are set in the Scan Protocol Assistant and can be customized if necessary. Open the Scan Protocol Assistant from the top of the screen: Options > Configuration > Scan Protocol Assistant. Insert View Setup Image Options System Help Version. License. File Browser SOMATOM LifeNet Maintenance. Report Conversion e-Logbook Auto Expose Configuration Configuration Configuration Service Osteo CT Neuro PCT Scan Protocol Assistant Scan Protocol Assistant 5. Select Change Parameters and click the Next icon at the bottom. Select the protocols for which you wish to configure FAST Adjust limits. Scan Protocol Assistant X 2 3 4 5 What do you want to do? 2 3 4 5 Select the scan protocols you want to change Scan protocols Manipulate scan protocols (cut / copy / paste / delete) Change parameters O adult . child Import user scan protocols Head ~Select all - Spine Selected Child Prot HeadRoutine C-Spine Head · Export scan protocols HeadSeq Osteo Head Routine InnerEarHR SpineRoutine Head Seq InnerEarSeqHR SpineSeq InnerEarHR Dental InnerEarSecHR · Restore scan protocols to Siemens default. Osteo Vascular Dental Neck Thorax protocol a Neck protocol a protocol a protocolb protocol a protocol b protocol b protocol b protocol c Shoulder protocol c protocol d Shoulder Contrast protocols · Define contrast protocols protocol d protocole protocol a protocol a protocol b protocol b - Abdomen - specials protocol a Arms List / import / export contrast protocols Arms protocol a protocol a protocol b protocol b protocol b protocol a protocol c protocol c protocol b protocol d protocol d Legs protocol a ~ Legs protocol e protocol e protocol b protocol a - POMs Vascular protocol b protocol a protocol a protocol b protocol b protocol c protocol c protocol d < Back Next> Quit Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 4 Job Aid | How to Use and Configure FAST Adjust Effective Date: 11/08/2018 6. On the Scan step, FAST Adjust limits are displayed on the lower right:  Maximum scan time (Upper 1 limit max. scan time) is the 2 3 4 5 maximum time – in seconds – Change parameters that should be used to re- Protocol Topogram Scan Recon Auto tasking Trigger Intervention Contrast solve a scan conflict. This Including topogram Range number is important for Quality (Et) (ET) (EN) CARE Dose | Dose ef mas | ref mas(A) ref mas( mAS mAS(AmAs(E) type Quality Quality modu Cycle Rotation name Mode time| Colimati |Slice Thorax / ThoraxRoutine (Adult) those examinations, like a Topogram: 35mA, 512mm, AP, Craniocaudal Thorax Spiral 120 110 CARE Dose ... on 05s 0.6mm 5mm chest or CTA, where longer Abdomen / AbdomenRoutine (Adult) Topogram: 35mA, 512mm, AP, Craniocaudal M Abdomen Spiral 120 210 210 CARE Dose ... on 0.5 $ 0.6mm scan times might not be de- 5mm sirable.  Maximum mAs reduction Select all Sequence scans Spiral scans Multiscans Interventional scans (Lower limit max. mAs) is the Il j.Sequence Spiral Adaptive 4D spiral scans II i-Fluoro amount – in percentage – CARE Dose type CARD FAST Adjust Dose modulation Upper limit max. scan time that the mAs should be re- CARE KV -On Lower limit max. mAs 25 % duced to resolve a scan con- Quality ref. mAs Dose N Eff mAs TDIvol flict. This value is important Ref. kV 120 DLP when a reduction in mAs KV 120 CARE KV would result in undesirable min. kV -180 Dose saving optimized for: max. kV [-] image quality. Dose Parameter 7. Jump to Step 4 > Confirmation. Click the Yes icon to save the changes Scan Protocol Assistant X Do you want to save these changes? 2 3 4 5 ..... Confirmation Yes NOTE: The configured limits for FAST Adjust will be displayed in the tool tip of the FAST Adjust button. Adjus Hold configured upper limit scan time: 20.00 s / configured lower limit max. mAs: 342 mAs Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 4 Job Aid | How to Use and Configure FAST Adjust Effective Date: 11/08/2018 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 (herein- after 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 e xamples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2018 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 4