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MAMMOMAT Revelation: How to Perform a Tomo Wire Localization

MAMMOMAT Revelation: How to Perform a Tomo Wire Localization

How to Perform a TOMO Wire Localization MAMMOMAT Revelation 1. From the scheduler, select TOMO Wire Localization patient. 2. Register patient, insert initials, and begin exam, modifying views as needed. OC 3. Go to the Acquisition subtask card and select “Standard_no_seg” in the RPG dropdown. This will help better visualize the alpha numeric paddle. Open patient Acquisition Acquisition mode: Tomo PG: Standard Standard Standard Proj Standard Calc Standard no_seg EmpireCT Standard_Phantom 4. Attached Multi-hole biopsy paddle. (This will deactivate Auto Decompression) ...... 5. OpDose will be your default exposure mode which requires a minimum of 30N of compression. OPDOSEM hm 27 KV - + SIEMENS siemens.com/healthineers Healthineers Job Aid | How to Perform a Tomo Wire Localization Effective Date: 05/03/2019 | Quality HOOD05162003009736 6. Note that “Biopsy Localizer Image” is displayed on the image. 94 2 Recarsir mv 101 R.CC TOMO TOMO R.CC, Sta Standard_no_seg Scale 129% o.p Reconstruart Delete Reconstruction Los: 78 N ce Height: 34 mre a4 34 mm Thickress 1 mil Anode/Fiter: WIRh Entrance Dose: 7 4 mo duar Dose: 3.73 mby Institution; 49B 12150 Station ZAWS424. Streethio Street Cky District V BIOPSY LOCALIZER IMAGE OPDOSE- 30.33 mm 7. Adjust the bounding box and reconstruct IF NECESSARY for image impression or to better visualize the alphanumerics. NOTE: You will need to disable the next exposure to be able to reconstruct and you will need to select the correct RPG (Standard_No_Seg) from dropdown. tion of SE 2 Please select the reconstruction parameter group from the 1 st for the selected scan (projection view R.CC TOMO) and press OK Reconstruct ... Standard Delete Reconstruction parereter group : ame Reconstruction Standard Standard_Proj Post processing Close patient "OK Cancel Standard Calc Standard no seg cedure. Empire Toma Needle Loc EmpireCT Standard Phantom Empire Darker cc 8. Scroll to the slice where the area of concern is located. Right click, and select series. The dotted blue line that is around the image will change to a SOLID blue line. IMPORTANT: NOTE SLICE HEIGHT (Ex: 17 of 34 slices) Reject + Repest ... kV: 27 Correct. mAs: 232.0 Note slice Height at lasion Reconstruct Tomo Scan Delete Reconstruction Angle: -0.2 Select Senes Focus: large Select Al Graphics Comp. Force: 78 N Poste Slice Height: 17 mm of 34 mm Mark Slice Thickness: 1 mm Home Window Fitto Segment Anode/Filter: W/Rh Zoom From Point Entrance Dose: 7.4 mGy Zoom/Ban Home ZoomPien Glandular Dose: 3.23 mGy Edit Comment Institution: //98 1215/ 9. From the tools dropdown, select “CIRCLE.” Mark lesion with the circle. Edit View Image Tools Scroll Qptons Help 3.12.2 ... Magnification AEC region 2Istance Ereehand Distance Circle Rectangle Freehand ROI IQ ROI Histogram Profile Pixel Lense Crosshair Shutter Annctete Capture Area BIOPSY LOCALIZER IMAGE NOTE: select all graphics will NOT delete your circle on all slices. You ONLY Siemens Healthineers Services Page 2 of 5 © Siemens Healthcare GmbH, 2017 Job Aid | How to Perform a Tomo Wire Localization Effective Date: 05/03/2019 | Quality HOOD05162003009736 need to delete the circle on the skin level if you need to make an adjustment. 10.Note the slice height AGAIN (Ex: 17 of 34 slices)Navigate to the skin edge (ex. Slice height: 34mm of 34mm) 11. Confirm if the area of concern is displayed in one of the holes and achievable for localization. (You will see the circle and alpha-numerics) Scale 129% o.p. for notation at alpha CO numerispadde LO KV: 27 mAs: 232.0 Angle: -0.2 Focus: large Comp. Force: 78 N Slice Height: 34 mm of 34 mm Slice Thickness: 1 mm Anode/Filter: W/Rh Entrance Dose: 7.4 mGy Slice 34 of 34 slices Glandular Dose: 3.23 mGy 12. From the top dropdown, click on “TOOLS”, then “CROSSHAIRS” and mark the area of concern. Click on the area of concern. (This step is optional) Ereshand Distance Angle Rectangle Freeband ROI 1Q ROI HAogram Pigel Lense Crosshair Shucer Apnotate Capture Area 13. If needed, from the top dropdown, select “IMAGE” and “ZOOM FROM POINT”. Click on the area to enlarge to better visualize calcs. Windowing 2.2 Windowing on Selection Windowing on Succeeding Windowing on Series Color Lookup Table ... Iriswert Home Wincow Magnify by 2.0 Minify by 0 5 Fit to Segment Acquisition Size Zoom Factor ... Zoom From Point Home Zoom Pan Zoom Ben Zoom Pen on Selection Zoom.Pan on Series 14.Note the coordinates from the alphanumeric paddle and the depth (total number of slices - slice number= depth, ex. 34mm-17mm= 17mm). NOTE: When placing the needle, the needle has marks on it to assist with the depth. 15. Insert the needle and perform post needle insertion exposure: TOMO acquisi- tion. 16.Scroll through the slices locating the “tip of the needle” in each slice. Tip of the needle should stop at the noted slice where lesion was marked. NOTE: It might be helpful to go to the top dropdown and select “IMAGE” and Siemens Healthineers Services Page 3 of 5 © Siemens Healthcare GmbH, 2017 Job Aid | How to Perform a Tomo Wire Localization Effective Date: 05/03/2019 | Quality HOOD05162003009736 “ZOOM FROM POINT” for better visualization. 17. Perform 2D images confirming needle is placed correctly. Images oc CC. ml 18.Close exam. IMPORTANT: If adding views for repositioning change the RPG “STANDAR D_NO_SEG” on the Acquistion Sub-task card. If not selected, your image will be BLACK! Open patient Acquisition Acquisition mode: Tomo RPG: Empire @Insight 2D Insight 3D 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 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 examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH Siemens Healthineers Services Page 4 of 5 © Siemens Healthcare GmbH, 2017 Job Aid | How to Perform a Tomo Wire Localization Effective Date: 05/03/2019 | Quality HOOD05162003009736 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Siemens Healthineers Services Page 5 of 5 © Siemens Healthcare GmbH, 2017

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