Mammomat Inspiration Software Overview Online Training - USA

Welcome to the Mammomat Inspiration Software Overview Online Training. This training provides a general overview of the software user interface available on the acquisition workstation of the Mammomat Inspiration as well as an introduction to the software tools.   Upon successful completion of this course, you will be able to: Identify the areas of the software user interface and available tools Navigate the task and subtask cards Recognize the different types of system messages Navigate the Patient Browser Congratulations. You have completed the Mammomat Inspiration System Overview Online Training course. 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 link below to view/print your review material before proceeding to the final quiz. Download and print a copy of the Course Review. Layout of the user interface Examination task card Layout: Menu bar, image and workspace of the task card, control area, information window Information window: Displays messages that guide through the examination Subtask cards in the control area Open patient: Display information about the current patient Acquisition: Acquisition mode, IPPG Tomo (only available with option Tomosynthesis): Reconstruction parameter, display slice images, display projection image, automatic movie, Display Insight 2D/3D images (only available with HD Tomo) Post processing: Select ROI, tools for image manipulation Close patient: End examination, Skip Auto-Transfer Rules, Open Scheduler, Open MPPS Dialog Projection views Recognize the information provided by the projection view buttons (selected views, order, status) Modify, add, insert and delete projection views Generator control field Exposure mode Compression thickness kV and mAs value Anode/filter combination Indicates settings in Advanced dialog Change the settings in the generator control field Status bar Displays examination specific information Warnings and messages Applications icons Capacity icon Viewing task card Designate areas as regions of interest (ROI) Tools for image manipulation, for example: windowing, zoom/pan, measure distances and angles, insert annotations and comments Change the layout of the image area Copy images to the film sheet Tools for patient data handling, for example: patient registration, scheduler Filming task card Change film sheet layout Select text and graphics to be printed on the images Select camera and available film sheets   Patient Browser Layout of the Patient Browser: tool bar, columns for data source, patients, examinations, area for detailed information Tools for patient data handling, for example: search, load, delete, archive, copy   Patient registration Configurable layout Bold fields indicate compulsory data entries   System messages Information messages Warning messages Error messages Questions messages After you log in, the user interface of the program appears on your screen. It is subdivided into different functional areas: Menu bar Task cards Control area with subtask cards Image area Generator control field Status bar Learn about the layout of the user interface. Learn about the layout of the user interface. Base ImageHotspotsText BlocksImage FileMenu barTask cardsControl area with subtask cardsImage areaGenerator control fieldStatus barProjection views Patient data management is performed in the Patient Browser. This includes: search for patient and examination data select patient and examination information re-enter examinations archive and store image data print images restore and delete image data manage repeated or rejected images Learn about the layout of the Patient Browser. Learn about the layout of the Patient Browser. Base ImageHotspotsText BlocksImage FileData sourceScheduled patientsScheduled examinations for the selected patientDetails about the selected item. The displayed content depends on the selected column. Learn about the tools in the Patient Browser. Learn about the tools in the Patient Browser. Slide NumberText BlocksCalloutsAudio ScriptImage File1The Patient Browser allows you to perform the following actions: search for patient data load patient data from different sources (DVD, RIS, etc.) enter and re-enter examinations print images archive or delete data manage repeated/rejected images View the text below that corresponds to the number in the image.CalloutsSearchLoad imagesRe-enter examinationUpdate worklistSchedulerDelete image dataCopy to the film sheetArchive in networkManage repeated/rejected imagesThe Patient Browser allows you to perform the following actions:•Search for patient data •Load patient data from different sources (DVD, RIS, etc.) •Enter and re-enter examinations •Print images •Archive or delete data •Manage repeated or rejected images The control area consists of different subtask cards and reflects the examination workflow. It contains information about the current patient, the examination settings and the protocol control. You can find four subtask cards: Open patient Acquisition Post processing Close patient The Tomo subtask card appears if the option Tomosynthesis is available on your system. Learn about the subtask cards. Learn about the subtask cards. Slide NumberText BlocksCalloutsAudio ScriptImage File1In the Open Patient subtask card, examination settings can be viewed and selected: load a patient dataset from the RIS/scheduler. register the patient manually. change the operator during an examination. change the procedure required for your examination, in case the default settings are not appropriate. see the reason for the requested procedure, if the patient was requested from the RIS. change the PV sequence, if necessary for your examination. set Display Markers, which will be saved with the image ("burned in") and their size will be scaled to the size of the image. View the text below that corresponds to the number in the image.CalloutsSelect patient data from the schedulerRegister a patient manuallyChange the operatorSelect the required procedureReason for the requested procedurePV sequence selection listSet Display Markers ("burned in")In the Open Patient subtask card, examination settings can be viewed and selected: •Load a patient dataset from the RIS/scheduler. •Register the patient manually. •Change the operator. •Change the procedure required for your examination. •See the reason for the requested procedure. •Change the PV sequence. •Set Display Markers. 2The corresponding acquistion mode and IPPG (Image Processing Parameter Groups) for the selected procedure are shown in the Acquisition subtask card.   Please note: New IPPGs can only be created by the local application specialist.CalloutsAcquisition mode for your procedureCorresponding IPPG for each procedureSelect a different IPPG, if it is requiredThe corresponding acquisition mode and IPPG (Image Processing Parameter Groups) for the selected procedure are shown in the Acquisition subtask card. Please note: New IPPGs can only be created by the local application specialist. 3Tomo examination images can be processed in the Tomo subtask card.  Please note: the Tomo subtask card is only visible if the option Tomosynthesis has been purchased. the buttons Display Insight 2D images and Display Insight 3D images are only visible if HD Tomo has been purchased. CalloutsInformation bar, projection and reconstruction parameter group (RPG)Display first view (when using 2D + Tomo examination display 2D image)Display slice imageDisplay projection imagePlay automatic movieDisplay Insight 2D imagesDisplay Insight 3D imagesReconstruct tomo imagesDelete selected reconstructed tomo imagesTomo examination images can be processed in the Tomo subtask card. Please note: The Tomo subtask card is only visible if the option Tomosynthesis has been purchased. The buttons Display Insight 2D images and Display Insight 3D images are only visible if HD Tomo has been purchased. 4You can process the examination images directly in the Post processing subtask card or the main menu. These post-processing tools correspond to those in the Viewing task card. Activating and deactivating tools To switch on a tool, select it from the menu or click on the relevant button. Deactivate the tool by reselecting it from the menu or by clicking on the activated button or press Esc on the keyboard if the tool is no longer required. (This helps you to avoid drawing graphic objects by accidentally clicking on an image.) Proceed to get further information about the different tools and functionalities that are available in the Post processing subtask card.  You can process the examination images directly in the Post processing subtask card. •To switch on a tool, select it from the menu or click on the relevant button. •Deactivate the tool by reselecting it from the menu or by clicking on the activated button or press Esc on the keyboard if the tool is no longer required. 5In the upper part of the Post processing subtask card you find tools for: designating questionable areas in images as regions of interest (ROIs) and evaluating them. inserting annotations directly in the image.  adding a comment to the entire image. measuring distances between two defined points.  determining the angle enclosed between two lines drawn in a clockwise direction. CalloutsRegion of Interest (ROI) - circleROI - freehandROI - rectangleDistance measurePixel lens (use for display the average value of the gray scales of an area)Add a commentAngle functionInsert an annotationIn the upper part of the Post processing subtask card you find tools for: •Designating questionable areas in images as regions of interest (ROIs) and evaluating them. •Inserting annotations directly in the image. •Adding a comment to the entire image. •Measuring distances between two defined points. •Determining the angle enclosed between two lines drawn in a clockwise direction. 6In the lower area of the Post processing subtask card, you find tools for performing the following tasks: zooming in and out with predefined zoom factors. magnifying the image with an adjustable zoom factor. magnifying a certain position in the image (zooming of point). magnifying image segments temporarily with the magnifying glass tools. getting a preview on the film. transferring images to the film sheet. If you want to return to the original size of the image as it was last stored in the database, click on the Home Zoom/Pan button (7).  CalloutsMinify by 0.5Magnify by 2.0Magnify with an adjustable zoom factorSmall magnifying glass (6,25%)Large magnifying glass (25%)Zooming of pointHome Zoom/PanFilm PreviewTransfer images to the film sheetIn the lower area of the Post processing subtask card, you find tools for performing the following tasks: •Zooming in and out with predefined zoom factors. •Magnifying the image. •Getting a preview on the film. •Transferring images to the film sheet. If you want to return to the original size of the image as it was last stored in the database, click on the Home Zoom/Pan button (7). 7After completing your acquisitions, the last acquired image is displayed on the monitor. You can now finish the examination of the current patient in the Close patient subtask card. Before you finish the examination, you can choose how you want to proceed by clicking on the check boxes. If you deselect the Skip Auto-Transfer Rules check box, the images will not automatically be sent to the configured nodes. Click on the Open Scheduler check box if you want to examine the next preregistered patient. Click on the Open MPPS Dialog (modality performed procedure step) check box if you want to edit the billing documentation later on. If you click on the End examination button, the comments are saved automatically. The examination of the current patient is now finished.  Please note: MPPS is available as an option.CalloutsEnd examinationAfter completing your acquisitions, the last acquired image is displayed on the monitor. You can now finish the examination of the current patient in the Close patient subtask card. Before you finish the examination, you can choose how you want to proceed by clicking on the check boxes. If you deselect the Skip Auto-Transfer Rules check box, the images will not automatically be sent to the configured nodes. Click on the Open Scheduler check box if you want to examine the next preregistered patient. Click on the Open MPPS Dialog check box if you want to edit the billing documentation later on. If you click on the End examination button, the comments are saved automatically. The examination of the current patient is now finished. The software on the acquisition workstation (AWS) allows you to perform the following actions: Registration and scheduling Preparation and examination Viewing the images for qualitiy checks Post-processing Documentation Please note: the monitor on the AWS is not approved for diagnostic reading purposes. the appearance of the task cards can vary depending on the size of the monitor. The buttons in the Images subtask card in the lower section of the control area provide the following information: selected projection views for a procedure order of their exposure status of the projection views You can identifiy the status of a projection view (modifications, exposure progress) by the corresponding symbols in the protocol control. For additional information about the status of projection views and common abbreviations of projection views have a look at the available Job Aids on PEPconnect > Mammography > Mammomat Inspiration.   Learn how to modify the projection views. Learn how to modify the projection views. In the Images subtask card you can modify, add, insert and delete projection views. Right click on the projection view you want to modify or delete and select Modify or Delete in the displayed popup menu. Right click on the projection view in front of which you want to insert an additional projection view and select Insert in the displayed popup menu. Right click on an arbitrary projection view and select Add in the displayed popup menu. The arrangement of the task cards reflects routine operation in the hospital or practice and their layout supports the examination procedure. For example, you can: perform the examination in the Examination task card. view the results and process them in the Viewing task card. print the images using the Filming task card. In the Viewing task card you find tools for: designating questionable areas in images as regions of interest (ROIs) and evaluating them windowing the images zooming and panning changing the layout of the image area patient data handling transferring images to the film sheet Most of the post processing tools in the Viewing task card correspond to those in the Post processing subtask card and the main menu. Learn about the tools in the Viewing task card. Learn about the tools in the Viewing task card. Slide NumberText BlocksCalloutsAudio ScriptImage File1The functions in the Tools subtask card allow you to perform the following actions: designate questionable areas in images as regions of interest (ROI) and evaluate them. measure the distances between two defined points. determine the angle enclosed between two lines drawn in a clockwise direction. insert annotations directly in the image. View the text below that corresponds to the number in the image.Please note: To deactivate a tool, you can always press Esc or click on the tool that you want to deactivate.CalloutsROI - circleROI - freehandDistance measurePixel lensAngle functionInsert an annotationThe functions in the Tools subtask card allow you to perform the following actions: •Designate questionable areas in images as regions of interest (ROI) and evaluate them. •Measure the distances between two defined points. •Determine the angle enclosed between two lines drawn in a clockwise direction. •Insert annotatons directly in the image. 2The tools in the Image subtask card allow you to perform the following actions: minify/magnify with the predefined factors of 0.5 and 2.0 magnifiy with an adjustable zoom factor adjust brightness and contrast by windowing CalloutsMinify by 0.5Magnify by 2.0Magnify with an adjustable zoom factorWindow 1Window 2Reference imageThe tools in the Image subtask card allow you to perform the following actions:•Minify/magnify with the predefined factors of 0.5 and 2.0 •Magnifiy with an adjustable zoom factor •Adjust brightness and contrast by windowing 3You can change the image display on the monitor in the View subtask card. You can: change the image arrangement: stripe/stack/multi view change the screen layout Please note: If you have the option Tomosynthesis, you can also select Automatic movie to watch the acquired images as a movie.CalloutsStripeStackMulti ViewScreen layout 1:1Screen layout 4:1Screen layout 16:1Screen layout 2:1Automatic movieYou can change the image display on the monitor in the View subtask card. You can: •Change the image arrangement •Change the screen layout If you have the option Tomosynthesis, you can also select Automatic movie to watch the acquired images as a movie.4In the Patient subtask card, you can perform the following actions: register a patient select a patient from the scheduler close the patient select data from the local database generate a film preview copy the images to the film sheet CalloutsPatient RegistrationSchedulerClose patientFilm PreviewCopy to film sheetLocal databaseIn the Patient subtask card, you can perform the following actions:•Register a patient •Select a patient from the scheduler •Close the patient •Select data from the local database •Generate a film preview •Copy the images to the film sheet In the Filming task card you can perform the following actions:  select the image display set the camera/printer and available film formats set the film sheet layout print images Learn about the tools in the Filming task card. Learn about the tools in the Filming task card. Slide NumberText BlocksCalloutsAudio ScriptImage File1In the upper-right area of the Filming task card, you can perform the following actions: select all images by clicking on the patient folder select individual images in the image area. (Keep the Ctrl key pressed and select the images.) Click on the corresponding buttons to: show status of film jobs expose/print film job delete images from the film sheet View the text below that corresponds to the number in the image.CalloutsSelect all imagesExpose film taskAuto exposeFilm task statusDeleteIn the upper right area of the filming task card, you can perform the following actions: •Select all images by clicking on the patient folder •Select individual images in the image area Click on the corresponding buttons to: •Show status of film jobs •Expose/print film job •Delete images from the film sheet 2In the Layout subtask card, you have two possibilities to change the film sheet layout: click on one of the icons to change the film sheet layout as shown on the icon click on the dropdown menu and select your preferred layout In the Layout subtask card, you have two possibilities to change the film sheet layout: •Click on one of the icons to change the film sheet layout. •Click on the dropdown menu and select your preferred layout. 3In the Images subtask card, you can perform the following actions: select text to be printed on film show or hide graphics (for example distance, angle measurement) fit image size to film segment (without clipping sides) image in original size (1:1 scale) image enlargement (shorter sides correspond to film segment, longer sides clipped, if necessary) CalloutsAll textCustomized textNo textShow graphicsHide graphicsFit to segmentOriginal imageClip documentIn the Images subtask card in the Filming task card, you can perform the following actions: •Select text to be printed on film •Show or hide graphics •Fit image size to film segment •Display image in original size (1:1 scale) •Enlarge images 4In the Camera subtask card, you can perform the following actions: select camera, if several cameras are configured see the camera status select available film formats In the Camera subtask card in the Filming task card, you can perform the following actions: •Select camera •See the camera status •Select available film formats 5In the lower right area of the Filming task card, you can perform the following actions: change brightness and contrast of the image zoom and pan the images return to the original size of the image as it was last stored in the database CalloutsWindow 1Window 2Zoom/PanHome Zoom/PanIn the lower right area of the Filming task card, you can perform the following actions: •Change brightness and contrast of the image •Zoom and pan the images •Return to the original size of the image The generator control field is located at the bottom of the Examination task card and displays the currently selected exposure parameters, such as: exposure mode compression thickness range and current compression thickness kV value mAs value anode/filter combination detail parameter settings in Advanced dialog box  focus The first settings displayed are those configured for the selected exposure procedure, the operating program and the exposure technique. If you want to use parameters other than the preset parameters, set them in the generator control field before you start the exposure. Learn about the generator control field. Learn about the generator control field. Tab TitleTextExposure mode Exposure mode You can choose among three exposure modes: OPDOSE (automatic function for optimized exposure parameters for kV and anode/filter combination based on current compression force and thickness) AEC (automatic exposure control) manual If possible, use the automatic modes AEC or OPDOSE to ensure that the exposure parameters are optimized. Compression thickness Compression thickness range (OPDOSE only) For optimized image quality: when using OPDOSE, ensure that the compression of the breast is carried out at least up to the optimized OPCOMP compression for optimized exposure parameters.   kV value kV value (+/-) If you change the kv value when using the automatic mode OPDOSE, the system will switch to AEC mode. If it is not possible to use OPDOSE for an examination, you can use the AEC mode to adjust the kv value manually.   mAs value mAs value (only manual) If it is not possible to use AEC or OPDOSE for an examination, you can use the Manual mode in order to adjust the kV and mAs values. The maximum mAs value that can be set depends on the set kV value. If the mAs value is further increased for a specific kV value, then the kV value is reduced to reach the mAs value.  Anode/filter combination Anode/filter combination If you cannot use the automatic functions AEC or OPCOMP, you can change the anode/filter combinaton here. The following options are available:  Mo/Mo Mo/Rh W/Rh   Detail parameter settings Detail parameter settings in Advanced dialog box You get a quick overview of the current settings of the detail parameters in the Advanced dialog box: grid position: in / out / auto auto decompression: on / off OPCOMP: on / off AEC segmentation: on /off dose level: low / medium low / normal / medium high / high       Currently set focus Currently set focus The focus changes automatically to small or large depending on the examination. small: 0.15 (IEC 60336) large: 0.3 (IEC 60336)   Current compression thickness Current compression thickness The value is displayed if the compression force is over 30 N. If the compression is below 30 N, for example for an examination of a breast with implants, you have to use the manual mode with manual settings. Advanced dialog box button Advanced dialog box button Click here to open the Advanced dialog box. Detail parameters preset for the currently set exposure technique can be changed in the Options fields here. The status bar is located at the bottom of the window and shows you messages and instructions. It also contains the storage capacity icon. The status bar is subdivided into three columns: examination-specific information warnings and messages application icons (displayed if applications are being executed in the background) and storage capacity icons Learn about the capacity icons. Learn about the capacity icons. The system monitors the memory usage and the storage capacity of the main database, the scheduler database and the exchange board. By observing the storage capacity icon, you can see how much space is taken up in the local database. The storage capacity icon is triggered by the "Auto Deletion Rules" and the details set up there. If the filled capacity rises above a configurable limit (default 95%), the icon changes color from green to red. Archive the patient and examination data soon and delete them in the Patient Browser to ensure that sufficient capacity is always available. Please note:   insufficient memory or disk space may lead to system instability or blocking and the risk of data loss. The interface of the Examination task card is subdivided into different areas: Menu bar Examination task card Image and workspace of the task card Control area Information window Learn about the Examination task card. Learn about the layout of the Examination task card. Base ImageHotspotsText BlocksImage FileMenu barExamination task cardImage and workspace of the task cardControl area Learn about the information window. Learn about the information window. Base ImageHotspotsText BlocksImage FileInformation window The messages displayed in the information window guide you through the examination. You can navigate through all steps of the examination step by step using the Previous and the Next screen button. Before you can start an examination, you must register the patient. You can enter information about the patient the hospital the procedure the institution You can configure the layout of Patient Registration and choose which data to collect. Bold fields are mandatory. It will not be possible to complete registration until the mandatory fields are completed. The data that you enter during registration is transferred for the pending examination. The new images are inserted in a newly created study. Useful hints for patient registration. Useful hints for patient registration. Please note: Incorrectly registered patient data can cause incorrect examination results. Please ensure before each examination that the patient in question is actually assigned to the patient data and examination procedure currently loaded in the system. Four different types of system messages can appear on the workstation monitor. You can identify the type of message by the corresponding symbol on the left: Information messages support you in continuing the examination procedure or in the database search. Warning messages request your special attention before continuing the procedure. Error messages refer to an abnormal operating situation. Questions messages require your confirmation of a step that was initiated by the system or the operator. 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 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. Functionalities described in the material or parts of this functionality may not yet be released for customers and not yet be commercially available in every country. Due to regulatory requirements, the future availability of said functionalities or parts thereof in any specific country is not guaranteed. Please contact your local Siemens 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 rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH