PEPconnect

MAMMOMAT Revelation Biopsy System Overview Online Training

This training introduces you to the hardware components and the software of the biopsy option for the MAMMOMAT Revelation.

Welcome to the MAMMOMAT Revelation Biopsy System Overview Online Training. This training provides an overview of the hardware components for the biopsy option as well as an introduction to the software. Please note: The information in this online training relates to the software version VC10 or higher. Upon successful completion of this course, you will be able to: Identify the hardware components of the biopsy unit Mount the biopsy unit Navigate the Biopsy subtask card in the Examination task card Identify the icons in the Images subtask card Indication Light Overriding Button Needle Holder Compression Plate Handbox Biopsy Face Shield The standard needle holder can be used for vertical fine needle biopsies and core biopsies. It needs to be mounted at the front of the biopsy tower (as shown in the video below). Use the needle guides that fit the needle holder and the needle used. Learn how to attach the needle holder Learn how to attach the needle holder. The new biopsy compression plates with smooth and rounded edges allow the necessary compression of the breast with higher patient comfort. Two types of compression plates are available: Compression plate for vertical biopsy approach with the central window Compression plate for horizontal biopsy approach without window (option) Learn more about the compression plates Learn more about the compression plates. Tab TitleTextFor vertical approach The compression plate for vertical biopsies can be identified by the window. For horizontal approach The compression plate without window (option) can be used for horizontal biopsies. A thin line in the plastic tray indicates the field of view. Learn how to mount the compression paddle Learn how to mount the compression paddle.   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 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. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (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, 2018 The overriding buttons are located on both sides of the biopsy tower. Press one of the overriding buttons to allow the movement of the needle positioning device with the handbox in case the needle holder is mounted and automatic movements are therefore blocked. The following slides about the software will show and explain the Biopsy substask card and the Images subtask card only. For a general overview of the software of the MAMMOMAT Revelation, please visit the Software Overview Online Training on PEPconnect. The Biopsy subtask card provides information about the targets of a biopsy procedure.   Learn more about the Biopsy subtask card Learn more about the Biopsy subtask card. Slide NumberText BlocksCalloutsAudio ScriptImage File1The Biopsy subtask card provides information about the selected targets. For example: (1) A green checkmark indicates that this target has been completed. (2) A flag indicates that the target has been successfully transmitted and reached. (3) An "R" or an "L" indicates which side of the biopsy tower the Specimen cup should be placed. (4) The Z value indicates which slice number the target has been set when using tomo scout. CalloutsCompletedTarget transmitted and reachedPosition of the specimen cup Z value (indicates slice number)The Biopsy subtask card provides information about the selected targets. For example: - A green checkmark indicates that this target has been completed. - A flag indicates that the target has been successfully transmitted and reached. - An "R" or an "L" indicates which side of the biopsy tower the Specimen cup should be placed. - The z value indicates which slice number the target has been set when using tomo scout. 2During a tomosynthesis biopsy procedure, it is possible to toggle between the different images of a projection view. (1) First view (2) Reconstructed projection-based slices (3) Play automatic movie function for fast, automatic scrolling through the images of a series. CalloutsShow first viewShow slicesShow slices in movie modeDuring a tomosynthesis biopsy procedure, it is possible to toggle between the different images of a projection view. You can choose among the first view, the slices view and the play automatic movie function. In the Images subtask card, the exposures are shown in the order in which they are to be taken: Scout exposure or Tomo scout exposure Stereo pair Specimen exposure  The projection views are preset for a selected procedure. It is possible to modify the projection views. To learn how to modify the projection views, visit the Standard Examination and Tomosynthesis Workflow Online Training on PEPconnect. Learn more about the Images subtask card Learn more about the Images subtask card. Slide NumberText BlocksCalloutsAudio ScriptImage File1Stereotactic biopsy examination (1) Scout exposure  At the beginning of the examination a single exposure is taken as a reference (scout at 0°) to check if the region of interest is within the possible biopsy volume. (2) Stereo pair With the stereo exposure, the release of two exposures of a stereo pair is enabled. The two exposures are taken successively at an angle of -15° and +15°. These are used for setting the reference point, targeting as well as for pre- and postfire positioning control. (3) Specimen exposure The tissue samples collected during the biopsy are examined.CalloutsScout exposureStereo pairSpecimen exposureFor a stereotactic biopsy examination, you first have to perform a scout exposure at an angle of 0° as a reference to check if the region of interest is within the possible biopsy volume. With the stereo exposure, the release of two exposures of a stereo pair is enabled. The two exposures are taken successively at an angle of -15° and +15°. These are used for setting the reference point, targeting as well as for pre- and postfire positioning control. With the specimen exposure, the tissue samples collected during the biopsy are examined. 2Tomosynthesis biopsy examination (1) Tomo scout exposure At the beginning of the examination a tomo exposure is taken (first view at 0° and then -25° to +25°) to check if the region of interest is within the possible biopsy volume and to set the reference point. In addition, you can set the biopsy targets in the tomo scout slices. (2) Pair exposure With the stereo exposure, the release of two exposures of a stereo pair is enabled. The two exposures are taken successively at an angle of -15° and +15°. These can be used for pre- and postfire positioning control. (3) Specimen exposure The tissue samples collected during the biopsy are examined.CalloutsTomo scout exposurePair exposureSpecimen exposureFor a tomosynthesis biopsy examination, you first have to perform a tomo scout exposure as a reference. With the stereo exposure, the release of two exposures of a stereo pair is enabled. The two exposures are taken successively at an angle of -15° and +15°. With the specimen exposure, the tissue samples collected during the biopsy are examined. 3After the scout exposure has been taken, the scout image is displayed in the image area. Check whether the breast area for biopsy is within the possible biopsy volume or not. The lesion should be positioned as central as possible. If yes, click OK (1). If the biopsy volume is not completely visible, click New (2). The scout exposure is repeated. If necessary, re-position the breast and change the exposure parameters for the new scout exposure. CalloutsOK buttonNew buttonAfter the scout exposure has been taken, the scout image is displayed in the image area. Check whether the breast area for biopsy is within the possible biopsy volume or not. The lesion should be positioned as central as possible. •If yes, click OK. •If the biopsy volume is not completely visible, click New. The scout exposure is repeated. If necessary, re-position the breast and change the exposure parameters for the new scout exposure. The specimen cup is used to examine the collected tissue directly on the biopsy unit while the breast is still compressed.   The specimen cup can be attached to both sides of the biopsy tower. Please note that the side the specimen cup should be attached to is not determined by the examined breast. It is determined from the position of the needle positioning device. The system will automatically decide and inform the user via a system message where the specimen cup should be placed. The side of the exposure area will be illuminated as well. Learn how to attach the specimen cup Learn how to attach the specimen cup.   The handbox is used to control the needle positioning device. Movement in x direction (left/right) Movement in y direction (back/forth) Movement in z direction (up/down) Use the handbox holder for convenient storing. When the swivel arm is in a -90° or +90° position, ensure the handbox holder is mounted on the opposite side. Learn how to attach the handbox.   The indication light can be found on the top of the biopsy tower. The color-coding of the indication light provides the following information: If the needle holder is mounted If automatic movements of the needle positioning device are possible Learn more about the color-coding Learn more about the color-coding. Tab TitleTextYellow indication light When the indication light is yellow: The needle holder is not mounted.   Automatic movement of the needle positioning device is possible.   Movements to the transmitted targets will be automatically done. Green indication light When the indication light is green: The needle holder is mounted.   Automatic movement of the needle positioning device is not possible.   Movements to the transmitted targets will not be automatically done. The tower can only be moved with the overriding buttons. The face shield prevents the patient's head from moving into the beam path.   Use the biopsy face shield for stereotactic biopsy procedures. Use the tomosynthesis face shield for tomosynthesis biopsy procedures. Congratulations. You have completed the MAMMOMAT Revelation Biopsy System Overview Online Training. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Biopsy Hardware Overview Needle holder Mounted at the front of the biopsy tower If needle holder is mounted: Indication light is green Automatic movements, scout and tomo scout exposures are not possible To move the needle positioning device with the handbox, press one of the overriding buttons If needle is not mounted: Indication light is yellow Automatic movements, scout and tomo scout exposures are possible Ensure to use the needle guides that fit the needle holder and the needle used Indication light The indication light can be found on the top of the biopsy tower. Color-coding: Yellow: needle holder not mounted, automatic movement of needle positioning device is possible, movements to transmitted targets will be automatically done Green: needle holder is mounted, automatic movement of the needle positioning device is not possible, movements to transmitted targets will not be automatically done Overriding buttons Located on both sides of the biopsy tower Press one of the overriding buttons to allow movement of the needle positioning device with the handbox in case the needle holder is mounted and automatic movements are therefore blocked Compression plate New biopsy compression plates with rounded edges for higher patient comfort during compression Two types of compression paddles are available Compression paddle for vertical biopsy approach with opening Compression paddle for horizontal biopsy approach (option). Field of view is indicated by thin lines in the plastic tray. Attach the compression paddle at the holder: Mount the compression paddle from below and carefully move it upwards Detach the compression paddle: Carefully push the front edge down and remove it Handbox Used to control the needle positioning device manually in x, y and z direction in case automatic movements are blocked For convenient storing at the stand, insert the handbox into the handbox holder. Position the handbox in a way so that the buttons to control the movements of the needle positioning device are always on the right side In case the swivel arm is in -90° or +90° position, mount the handbox on the opposite side of the stand Specimen cup Used for temporarily storing and for examination of tissue samples collected during a biopsy procedure The system decides on which side of the biopsy tower you have to place the specimen cup The system tells you where to attach the specimen cup: with a system message with an "L" or an "R" next to the coordinates of the target in the Biopsy subtask card by illuminating the respective side of the biopsy tower Information provided by the inside of the specimen cup: "L" and "R" indicate which side of the specimen cup needs to be up A circle on the inside of the specimen cup, that is also visible on the acquired image, can be used for determing the order of the tissue samples collected Biopsy face shield Prevents the patient's head from moving into the beam path. Biopsy Software Overview Biopsy subtask card Provides information about coordinates of the targets Z value indicates which slice number the target has been set when using a tomo scout Provides information about the target status (transmitted and reached, completed) "R" or "L" indicates which side of the biopsy tower the specimen cup should be placed It is possible to toggle between the different images of a projection view when using a tomo scout. Choose among First view Slices view Play automatic movie Images subtask card Exposures are shown in the order in which they are to be taken Stereotactic biopsy examination: Scout exposure: Single exposure is taken as a reference in 0° position Stereo pair: Two exposures of a stereo pair taken successively at an angle of -15° and +15° Specimen exposure: Examination of the tissue samples collected during the biopsy Tomosynthesis biopsy examination Tomo scout exposure: Single tomo exposure is taken Stereo pair: Two exposures of a stereo pair taken successively at an angle of -15° and +15° Specimen exposure: Examination of the tissue samples collected during the biopsy After the scout exposure (tomo or 2D), check that the breast area for biopsy is within the possible biopsy volume

  • Women's health
  • breast
  • mamomat
  • mammography
  • biopsy
  • diagnostic
  • lesion