Luminos dRF version VC10 Turnover Workbook

SIEMENS Enema, Male 1973_J Patient Examination Send Postprocessing RAD Documentation MA 0.0 MA min 0:00 ms Image Protected study 12/21 Luminos dRF version VC10 Workbook www.usa.siemens.com/healthcare Answers for life. AXIOM Luminos dRF - 2 Table of Contents Day One . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Day Two . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Day Three . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Day Four . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Day Five . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Contact Information Summary . . . . . . . . . . . . 35 Overview Siemens Training Centers Learning Objectives Siemens Clinical Education After completing this training session, you will be able to: Training Center – TDC2 110 Mac Alyson Court 1. Correctly perform start-up and shutdown procedures. 2. Identify the key hardware features of the Luminos dRF system. Cary, NC 27511 3. Describe the key features of the FLUOROSPOT Compact Siemens Healthcare Training Center imaging system. at the University of Utah 4. Correctly perform a patient registration. 421 Wakara Way 5. Utilize the Examination task card to perform a patient procedure. 6. Utilize the Postprocessing task card to adjust an image. Suite 140 Salt Lake City, UT 84108 7. List the steps needed to archive a patient study. 3 Day One System Overview Notes • After this session, you will be able to: Correctly perform start-up and shutdown procedures. – Identify the key hardware features on the Luminos dRF system. – Describe the four steps of the workflow. – Program the PEX Editor. – Switching On/Start-Up • The Luminos dRF is started from the switched-off mode. • The X-ray room and FLUOROSPOT Compact are switched on and off by the same switch. Starting the system from the powered-down state If the Luminos dRF has been switched off for an extended period of time at the main circuit breaker, the detector requires a warm-up time between 60 and 120 minutes to achieve optimal image quality. Caution • Image acquisition is possible, but reduced image quality may occur. • Switch the main circuit breaker in the room ON. • Press the ON button on the generator ON/OFF console. The system performs a self-test of the FLUOROSPOT – Compact and Luminos dRF systems. • Reboot the system. Press the OFF button on the console. – When the FLUOROSPOT Compact has shutdown – (dark monitor), press the ON button. A daily re-boot of the system is recommended. 4 Day One Key Hardware Features Notes Overview This section will discuss key hardware features of the Luminos dRF system. Tableside Controls Emergency Stop • All system movements and release of radiation are disabled. Emergency Stop Button • Turn the Emergency Stop button clockwise and release. System movements and release of radiation are now enabled. 10 6 3 H & # # # 11 9 8 7 5 4 2 All of these functions are allowed only when the button is depressed. Releasing the button stops the function. 1. Tabletop movements. 2. Table vertical adjustment. 3. SID selector – must be at one or the other for release of radiation. 4. Longitudinal movement of the X-ray system (tube and detector). 5. Enable or disable tube/detector coupling. 6. Park Override – movement is available if Park Override is pressed and held for 5 seconds. 7. X-ray tube angulation and centering with digital display. 8. Table tilt with digital display. 9. Patient transfer horizontal. 10. Patient transfer vertical. 11. Collimator light and opening/closing of collimator blades. * Removal of the table grid is possible and recommended whenever called for by the organ program. To remove the grid, press both silver buttons and the grid will spring out. Grasp the handle and remove. 5 Day One Table-mounted X-ray Tube Notes O (7) (6) ( 5) (4) M (8) ( 3) (2) (9) (1) ( 1 ) (11) (10) 1. Accessory rails. 2. Collimator on/off. Recommendation is to allow the timer to turn off the collimator light. 3. Manual adjustment of transverse and longitudinal collimated field. 4. Motorized copper filtration button; 0.1, 0.2 and 0.3 mm are selectable. 5. Collimator field size will be displayed in inches. 6. Memory function. Recalls the last exposed collimated field size. 7. Stop lever for ±45º rotation of collimator. Stop position is 0º. 8. Buttons for entering free exposure SID (X or C organ program). 9. Tape measure for SID setting. 10. Slide cover for laser light localizer. The laser shuts off when the collimator light does. 3-D Tube with MaxTouch Display (optional) MaxTouch (Touch User Interface) Measure 66 6.3 Position 2.5 0.0 0.0 mm Cu ? Sampleman, John *15.05.1958 Humerus with shoulder, A.P. +B Ready 8 115 cm 115 cm # 20 cm # ACSS # 20 cm # The touch screen corrects its display orientation from portrait to landscape when the tube is angled from vertical to horizontal. 6 Day One Tab Cards Notes • Tape Measure SID Measurement – SOD Measurement – Magnification Display (SOD Mag = SID/SOD) – • Device Positions • Generator Copper filter selections. (Inserting cu filters – will harden the radiation beam. Note: exposure may need to be increased.) Extended exposure: used on thinner patients – to lower the mA and increase the exposure time. Top alignment: when collimating top to bottom – the tube will align itself to the center of the new collimated field. Good for smaller patient chest exams at the bucky wallstand. Directly accessible functions • Recall collimation – recalls collimated field from previous exposure. Park Position of the MaxTouch When park position of the MaxTouch overhead tube is reached it will be displayed on the front of the MaxTouch screen. Park position will allow full table tilt and tabletop movement. If park position is not reached, the table will tilt 10º and then stop (from horizontal position). Tape Device Measure Position Generator Tomo ? Sampleman, John *15 05 1050 7 Day One Cleaning the MaxTouch Notes Do not spray liquids or cleaners on the MaxTouch directly. • Wipe the MaxTouch only with a clean, damp cloth moistened with water. Vertix Wall Stand (optional) (3) P- (1) ( 2 ) - (4) (5) • System movements • Grid insertion/removal 115 cm and 180 cm focused grids – • Hand-held remote 1. Ysio® feature only 2. Ysio feature only 3. Tracking button (tube to detector) 4. Collimator light 5. Ysio feature only Docking Station (optional) • Detector placement/removal • Sensor • Backup cable attachment The wireless detector should remain in the docking station when not in use. wi-D in charging station Number 1 indicates system operation- 31(2) (1) al, number 2 indicates the wireless network status, and number 3 indicates battery status. The back side of the wireless detector includes electrical con- tacts to recharge the internal battery. Remove the wi-D™ slowly from the docking station so as not to damage the pins. 8 Day One The Remote Control Console Notes Since the Luminos dRF is a remote fluoro room, a great number of exams will be performed with the physician at the remote control console. (1) STOP (2) (3) The system remote control consol consists of three main parts: (1) Touchscreen User Interface TUI (2) Hardware buttons panel User Interface (3) Modular joystick User Interface (There are three different versions: one with a throttle instead of a joystick for the collimator settings, one without ST filters and one with ST filters.) TUI (Touchscreen User Interface) Exam Set 5 Tomo Program (1) Image Tools Setup 0.2 5.6 1.5 80 V In0 DVD 3.2 30º ? V Ready The TUI is separated into 3 sections: • The left hand side will show fluoro parameters. • The center section shows the acquisition/ radiographic parameters. • The right hand side is for image review and system setup. Fluoro Parameters Functions in this section include: • Fluoro mA, kV and cumulative fluoro time. • Store Fluoro (optional). Stores a dynamic loop of fluoro. Length of loop stored depends on pulsed fluoro rate used. 9 Day One Fluoro 5-minute alarm reset. Notes • • CARE Vision (Pulsed Fluoro). Pulse rates are 15, 10, 7.5 and 3 pulses per second. – 30 pulses per second is possible on Mag 2 only. – 15 p/s Setup Subtask Card The Setup Subtask Card has functions for image manipulation and tabletop movements. Image Tools Setup R R 50 1. Image flip horizontal and vertical. • Used depending on patient position on the table. 2. Reverse transverse and longitudinal movement of the table. 3. Table and display-related movements. • Used depending on how the operator works – either looking at the table or looking at the monitor. 10 Day One 4. CAREPosition (optional). Notes • Allows for repositioning of the patient without the use of fluoroscopy. Once active, it stays active for that patient. 5. The digital detector zoom modes are displayed along the bottom: • Full field, Mag 1, 2 and 3. • The field size will be displayed at the top center of the TUI. Image Subtask Card This tab allows you to: 1. Review images already acquired. 2. Save LIH (last image hold) fluoro images. 3. Initiate DVD recoding. 4. Re-mask and pixel shift on DSA images (optional). 5. Send images to reference monitor or folder (monitor optional). Image Tools Setup DVD REF 11 Day One Tools Subtask Card Notes This tab allows you to: 1. Review acquired images. Hardware Buttons Panel Interface STOP This panel includes: 1. Radiation “ON” indicator. 2. Exposure release button. 3. Block Radiation. This prevents the release of either radiographic or fluoro radiation. 4. Fulcrum Height for tomo (optional). The fulcrum height is displayed in the header of the TUI. Units indicated are millimeters. 5. SID selector. Choices are 1.15 meters (45'') and 1.5 meters (60''). Over-table tube must be at one or the other for release of radiation. 1,50 HO 1,15 6. Adjust table height. 12 Day One 7. Angulation of over-table tube cranial and caudal. Notes 8-7 8. Re-center over-table tube to 0º. +84 9. Enabling/disabling over-table tube/detector coupling. 10. ON/OFF buttons. O 11. Emergency Stop. STOP 12. Move button for system movement to initiate: • Tomography (optional). • Scanography (optional). 13. Patient Transfer Vertical and Horizontal. 14. Room lights on or off (on-site installation required). 13 Day One Modular Joystick User Interface Notes ( O) s 1. System movement and exposure release. • Exposure release (button on rear side of shaft). • Switch between over-table/tube and tabletop motion (button on top of shaft). 2. Table tilt. • Enable automatic stop in 0º position when button is pressed. 3. Collimator function with joystick. • Button for opening collimator completely. • Button for turning on/off the collimator light. 4. Compression Cone (optional). • Joystick will deploy compression cone and bring cone toward the table. Compression force is displayed (in Newtons) in the upper left corner of the TUI. • Button with LED will override motion blocking. 14 Day One 5. Wedge and finger filter controls (optional). Notes • Left and right wedge filters can be moved and rotated independently. • Finger filter can be deployed and moved using either joystick. • Button for removal of all filters from the imaging field. • Typically used with DSA. Workflow (High level overview. Discussed in detail on Day Two). There are four main steps to the workflow: • Patient Task Card Register a patient – • Examination Task Card Perform the patient examination – • Postprocessing Task Card Manipulate an image – • Documentation Task Card Archive the exam/study – PEX Editor Overview Programs and Exams Editor is divided into six task cards: • Exam Enter your RIS exam names and OGP views – • Organ Program Edit technical factors – • Fluoro program View and/or edit fluoro program parameters – • Film Layout Assign film layouts to programs – • Parameter Module (no function for this system) • Configuration Back up the OGPs – 15 Day One Exercises Notes Complete the following exercises. Exercise 1: 1. Turn the system on. 2. Perform table movements. 3. Attach any accessories to table. 4. Remove the grid from the table. 5. Put the table into transverse and vertical Patient Transfer positions. 6. On the MaxTouch, change the kV, AEC, and add 0.2 mm copper. 7. On the Vertix wallstand, change out the grid. 8. Adjust the vertical movements of the Vertix wallstand. 9. End session. 16 Day Two Day Two Notes Opening the PEX Editor On the Patient Task Card > Settings Subtask Card, click on this icon: The logon screen will appear. I PEX Editor Programs and Exams Editor password SEMENS Viewing only OK Close • Click the radio button next to Siemens. • Enter the password that your Siemens clinical education specialist gave you and click OK. Exam Tab The PEX Editor opens up to the Exam subtask card. Exam Organ program Fluoro program OGP View Examination View ABDOMEN ABDOMEN BREAST 1_TC_dRF_RAD_Alternative(d) CHEST Abdomen(d) CSPINE Insert OGP Barium_1_Swallow(d) DSA Barium_2_Meal(d) EXTREMITY Barium_3_Follow_through(d) IMPORTIERT Barium_4_Sm_Bowel(d) IQ PHANTOMS Barium_5_Enema(d) IQ TESTPROGRAMS Barium_6_Fistulogram(d) KNEE lodine_1_Swallow(d) LEG lodine_2_Enema(d) LSPINE PELVIS REMOVE QGP lodine_4_ERCP(d) lodine_6_IP(d) PMS CALIBRATION lodine_9_HSG(d) SCM CRFP Paediatric_BA_Bowel(d) SHOULDER Paediatric_BA_Swallo(d) Group by Name @ Body Part Acq. type Sort by @ Name . Body Part @ Acq. ty Default Exams ExamName Name for RIS DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam Level OGP LEVE Network Node 2 Fluoro Network Node 3 Rad Camera @ Auto Scale [Autosending =% 17 Day Two Entering Exam Names Notes On the right side of the screen, you see the Examination View. This is where you will modify or create the listed exam names to match your site’s RIS Exam Names. (You will need to have a copy of your RIS Exam Names supplied by the site.) 1. Left click on an Exam name that closely matches one of the exams on your RIS worklist. 2. Populate the Name for RIS and Exam Name fields with the correct name. 3. When finished click Store if you modified the name or Store as New if you created a new name. 4. Continue until all exams are entered. It is very important that you type in the name exactly as it appears on your list (letter-for-letter and spacing). If not, the study will not populate when you click on the patient to be examined. Modifying or Creating OGP View On the left side of the screen, you see OGP View. This is where you will modify or create a new view. Make sure you pick the correct prefix in front of the OGP View. • C = Cassette exposure (CR or film) • T = Table exposure • W = Wallstand exposure • X = Free exposure (the wi-D “external” from the table bucky) 1. Double left click on the OGP View you wish to modify. 2. The Organ Program subtask card will open. 3. In the Program Name field, backspace out the (d) and enter in the new or modified name. 4. Make any technical factor changes and either click Store if you modified the name or Store as New if you created a new name. Exam Organ program Body Part Examined TC TESTPROGRAMS Program Name 00_DFR_Ka (d) Acquisition Mode Series Native General Parameters Fluoro Program Set CP MVP MField Dose per Pulse 1.09 Exp Data from Flupro KV 70Auto Characteristic Curve (C) Dose Reduction 102 Focus Regulation Stop Max. Pulse Width 80m Blackening Correction |EP 18 Day Two Day Two Adding OGP View to Examination View Notes Highlight the desired Examination View and highlight the OGP View to be added, then click on Insert OGP. T Ankle Joint Lat. Right (d) Insert OGP ANKLE 2 VIEW BILATERA T Ankle Joint Obl. Left (d) T Ankle Joint a.p. Left (d) T Ankle Joint Lat. Left (d) ..... T Ankle Joint Obl. Right (d) T Ankle Joint a.p. Right (d T Ankle Joint Lat. Right (d X Ankle Joint a.p. Left (d) X Ankle Joint Lat. Left (d) X Ankle .Inint a n Right (d You are able to arrange the order of the views by clicking on the arrows. T Ankle Joint Lat. Left (d) T Ankle Joint a.p. Right (d) T Ankle Joint Lat. Right (d) X Ankle Joint a.p. Left (d) X Ankle Joint Lat. Left (d) Checking the box Automatically switch to next OGP after acquisition allows the next view to populate during the exam. Make sure to click Store to save. Ritamatinalhs awitch ta naid non Backup PEX Editor After you finish making changes in the PEX Editor, it is very important to do a backup. 1. Click on the Configuration tab. 2. Click on Backup/Export. 3. Click on the C drive and click Go. On the local hard disc (e.g., drive C and D) the number of backups is limited to 10. For more details and diagrams of the PEX Editor, please see the online User Manual located by pressing the F1 key on the Patient tab on the FLUOROSPOT Compact. 19 Day Two FLC and Performing Patient Exams Notes Objectives After this session, you will be able to: • Register a patient. • Perform patient exams. • Postprocess an image. • Archive patient data. During the Clinical Education Specialist training, you will also be doing patient exams. Study Lists On the FLUOROSPOT Compact (FLC), the main area of the monitor shows: 1. Preregistered Patient • List of patients from RIS 2. Examined Patients • List of patients that have been examined 3. Archiving Information • Patient data and image stamps of deleted or archived studies, if configured The Patient Task Card is divided into 3 subtask cards: 1. Patient 2. Settings Patient|Settings Service 3. Service Registering a Patient To select a patient from the Preregistered list: 1. Click on the Patient tab. 2. If your system has a RIS, click on the RIS icon to update. RIS 3. Double click on the patient’s name to be examined. 4. The Examination Tab opens with all exams ordered and the organ programs listed for each study. 20 Day Two Day Two To manually register a patient: Notes 1. Click on the Patient Tab. 2. Click on the Patient Registration icon (Create New Study). 3. Populate all fields in bold text. 4. If this is a patient with no data, click on the Emergency icon to start the examination. You will be able to populate the data later. Settings Subtask Card • User Settings Patient Settings | Service ? IF • View Job Status • PEX Editor • Clinical EXI log • Recycle Bin (if configured) Service Subtask Card 1. Rejected Image Statistics Exporting Data via USB You may export files using a USB memory stick. 1. Clinical EXI log 2. Reject Analysis log Exporting Data via CD/DVD You may export patient studies/images via CD/DVD. 21 Day Two Patient Resource Information Notes The patient loads with all OGPs for the exam ordered. If you have a large number of OGPs, click on the eyeglasses icon and it will expand the list. Right clicking on the OGP will show you a summary of the OGP setup in the PEX Editor. Emergency, 14 HGym2 Patient 299 0.0 *1 Series 8f/s 3-DSA_2_ 2 RAD AEC C D089 8 rad 2pt Exar Fluoro Rad Acquisition Parameters All Organ Programs will populate with predefined acquisition parameters. These are based on an average adult patient and should be adjusted for body habitus and pediatric patients. AEC Exposure: Sensitivity 400=Detector Dose 2.5 micro gray. Fluoro Rad 42.6 cm x 42.6 cm none 125 cm 115 cm 115 cm 8 kV 70 MAS Dose 0.89 S 0.0 mm Cu 0.0 Focus % 80 Exam Manager If the Exam Manager is displayed, you will need to select the correct exam on the left side, click Replace in the center so the accession number stays the same, and click Examination. The Exam Manager is displayed whenever the exam name from the RIS is not recognized by the PEX Editor, or that exam name has not yet been programmed. 22 Day Two Day Two Notes This happens because the Exam Name from the RIS does not match what you have entered into the PEX Editor. Remember to correct the exam spelling in the PEX Editor. Exam Manager Patient: Emergency, 97 Available Exams / Organ Programs Assigned Exams / Organ Programs @ alphabetic by nemo organ Prog sens in acquistion order alphabetic by body part region @ alphabetically by acquisition type E ABDOMEN 1_TC_GRF_All Acq_Types 1_RAD_allem_série 1_Series BV/'s 20_20_wall_verticel 2_RAD_AEC_C_DO89 DFR_&ps 8_rod_2pl DFR_Barium_1fps_BW 8_DSA_2 DFR_Barium_Single_BWV DFR.Single_1BC DFR_Barium_Swallow_2fps_BW SCA_0174_LgH2F_6cm_30ms DFR_HSG_Single_BW TOM_40_2500_P140 DFR_Jodine_2fps_BW DFR_Jodine_Single_BW RAD_FreeExp_43x43coll DFR_Peed Barium_2ips_BW DFR_Peed Barium_Single_BW DFR_Peed lodine_2fps_BWW DFR_Peed lodine_Single_BW DFR_Renal/Billery_Single_Bw P_Ductus chcleduchus P_Kidney BREAST CHEST Favorhos Orgen Frog Delete Details Accession Numb Details ... Home Examination Cancel Making an Exposure When all parameters are set and you are ready to make an exposure, make sure you see the Ready symbol on the bottom right of the FLC. Subtask Card You are able to crop the image and review all images. Tools Subtask Card You are able to review the Exam Protocol. Monitor Display The information that populates in the 4 corners of the image is configurable. The upper left side should show a white circle, meaning that the image is marked to be sent to the printer or PACS. To unmark the image, simply right click on it. The bottom left corner shows the Clinical EXI. This number has a low and high range (125-500) and is only one of the determining factors for checking if the image is under/overexposed. 23 Day Two Postprocessing Notes The Postprocessing task card lets you make changes to the acquired image. Postprocessing It is divided into three subtask cards: 1. Process 2. Graphics 3. Rad Process Subtask Card • Zoom/Unzoom image 1:1 pixel display • Invert grey scale • Flip image horizontal and vertical • Once an image has been flipped it is not possible to rotate it • Window – Contrast and Brightness adjustments Window Center – Brightness (move mouse up/down) – Window Width – Contrast (move mouse left/right) – • Rotate image – Images can be rotated 90º clockwise, or 90º clockwise/counterclockwise and 1º clockwise/counterclock- wise depending on software level Process. Graphics Rad (VC software) -O 11:1 R R R R 226 533 auto Graphics Subtask Card • Set Laterality label (R/L marker) • Draw arrow • Draw distance/calibrate Remember to store the image with the distance graphics – as a new image. The graphics are burned into the image. • Draw angle • Set view position and laterality • Enter Text and Comments Comments will always be at the bottom center of the monitor. – Text can be placed anywhere in the image. – You can build a list for Text and Comments and change – the Text font size. 24 Day Two Day Two Rad Subtask Card Notes LUT (look up table selection) Process. Graphics Rad Auto-cropping Set black Auto-window Amplification 12.0 Auto O VV. Gradation Curve • The LUT and Histogram chart is displayed. Optimize Imag LUT and HISTOGRAM radation Data Gradation ID Shape g_lut_12 Contrast 1.5 Center 3072 Offset 100 Amplification 120 DEFAULT GRADATION PARAMETERS 512 1024 1536 2008 2550 3072 3584 4096 Histogram ROI new @ Logarithmic C Fulrangelinear @ Zoom ! near C Zoom 2 ness SOR 3004 YLA 2374 Apply Cancel Image Gallery • If you change the LUT, Shape, Amplification or Diamond View parameters, the middle image shows the changes made. • The other images show the different Harmonization kernel and gain settings that are applied. You can then pick the image that is most pleasing for the Radiologist and set those parameters in the PEX Editor. Process. Graphics Rad Auto-cropping Ox Set black Auto-window Amplification 2.0 Auto QC linear processing 01 Thorax pa - high contrast Noise Reduction Edge. Gain 0.00 Kernel 7 Harm ain 0.00 Kernel 255: Filter Icon • Select Spatial Filtering parameters • Diamond View settings • Set Gain and Kernel for Edge Enhancement and Harmonization Make sure to click on the “Apply” icon to save processing changes. V 25 Day Two Documentation Mode Notes Documentation The Documentation task card is where you archive patient studies. It is divided into three subtask cards: 1. Select 2. Film 3. Send Select Subtask Card All images need to be marked with a white circle to be sent to the hardcopy camera or PACS. Said 1 D RAD • Mark all images • Unmark all images • Mark/Unmark single images • Delete images Film Subtask Card The Film subtask card can be set up with a default hardcopy camera and film size and layout per exam. • Film marked images • Preview marked images • Show film status Send Subtask Card The Send subtask card can be set up with three default network/PACS nodes. • Send marked images • Show send status • Send Exam Protocol as secondary capture image • Send Exam Protocol as a Structured Report • Override the configured Target Settings *Default target is last one sent Select Film Send Select Film Send (VC software) Target 1 DACSTORE store Target 2 Target 2 Targat 3 Target 3 Send Exam Protocol as. Send Exam Protocol as: SCimage SCimage DICOM Dose SR DICOM Dose SR Override configured 1 Override configured ? 26 Day Two Day Two Status Messages and Display Notes Ready LOUD - 2% hu (1) Message line for system messages (2) Status symbols General status Symbol Short description Ready for fluoroscopy and acquisition i Not ready C Free hard disk space 100% 0% Free DVD space DUD DHD DUD 100% 0% Detector temperature is not within required range. Detector calibration has expired. Software update is available Remote service is selected/active. 2 % hu Tube heat units Wireless detector status Symbol Color Short description Detector battery is well charged. yellow Detector battery is low. red Detector battery is empty. Detector battery is being charged. green Detector signal is good. yellow Detector signal is weak. Detector signal has been lost. Exercises Complete the following exercises. 1. Open the PEX Editor and create/modify Examination Views. 2. Create/modify OGP Views and insert OGP into Examination View. 3. Rearrange the order of the OGPs in the Examination View. 4. Back up the PEX Editor. 5. Manually register a patient. Make sure to add the accession # and Study description. 6. Set the room up for the exam. 7. Change the technical factors. 8. Make exposure and continue with the rest of the views. 9. Re-crop the image. 10. Add a laterality label to the image. 11. Enter Text and place in image. 12. Select the Text and erase it. 13. Unmark all images and change the order. 14. Send all images to PACS. 15. End current patient study. 27 Day Two Technical Data Sheet Notes Patient Table • Max. patient weight – 230 kg • Table tilt – +90º to -45º or +90º to -90º • Table height – 50 cm to 100 cm from the floor • Table grid – stationary, 15:1, 80 lines/cm, 125 cm focus, removable • SID – 115 cm or 150 cm, selectable Table Detector • Active detector size – 43 cm x 43 cm • Pixel size – 148 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bit • Data transmission – 5 sec. preview, 10 sec. full image Wallstand (Optional) • Tiltable from -20º to +90º with 0º detent • Grids – 115 cm focused, 180 cm focused Wi-D (Optional) • Active detector size – 35 cm x 43 cm • Pixel size – 144 microns • Semiconductor material – amorphous silicon • Scintillating layer – cesium iodide • Acquisition depth – 16 bit • Max. load capacity – 100 kg in one area, 135 kg distributed • Weight – 4.8 kg • Battery – lithium ion, rechargeable • Charging time – 90 minutes for 80% battery capacity • Battery operating time – 2 hours without recharging, typical at 90 images/hour • Charging site – wall charging station, wallstand • Grid – detachable, 15:1, 80 lines/cm, 115 cm focused • Backup cable – for connection with wall charging station, 7 meters long Imaging System • Image storage capacity – 50,000 images in 1k x 1k matrix and 2,000 images in 2840 x 2880 matrix • CARE Vision – pulsed fluoro at 3, 7.5, 10 or 15 pulses/sec • Acquisition – single image or series (0.5, 1, 2, 4 or 8 frames/sec) • LIH – storage capability for last image hold 28 Day Two Day Three Day Three Review of System Objectives Topic Objectives Today is a full work schedule and review: • Performing patient exams • Review patient images with Radiologists • Modify exam protocols in PEX Editor– continued • Review of all task cards and subtask cards • Questions Notes 29 Day Four Review of System Objectives Topic Objectives Today is a full work schedule and review: • Patient imaging – continued • Modify exam protocols in PEX Editor – continued • Questions Notes 30 Day Four Day Four Notes 31 Day Five Review of System and Sign-off Topic Objectives Today is a full work schedule and review: • Patient imaging – continued • Checklist sign-offs • Questions Notes 32 Day Five Day Five Notes 33 Notes 34 Notes Contact Information Summary Welcome to Siemens Healthcare Discover. 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