MAMMOMAT Revelation Software Overview Online Training

Welcome to the MAMMOMAT Revelation Software Overview Online Training. This training provides a general overview of the software user interface available on the acquisition workstation of the MAMMOMAT Revelation as well as an introduction to the most relevant 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 Register patients Congratulations. You have completed the MAMMOMAT Revelation Software Overview Online Training. Listed below are the key learning objectives presented. Select the link below to view/print your review material before proceeding to the final quiz. Download a copy of the Course Review. Activities with the software The software on the AWS allows you to perfom Patient registration and scheduling Preparation and examination Viewing the images for quality checks Documentation The monitor is not approved for diagnostic reading purposes The appearance of the task cards can vary depending on the size of the monitor Application program – Layout Menu bar Task cards Control area with subtask cards Image area Generator control field Status bar Task cards Arrangement reflects routine operation in the hospital Examination task card Examinations are performed in the Examination task card Examination settings are preset and can be changed, if necessary Layout of the Examination task card Menu bar Image area Control area with subtask cards Generator control field Status bar Control area with subtask cards Patient information is displayed in the upper corner Open patient subtask card: Load patient data, register the patient, Operator, PV sequence, Display Markers Acquisition subtask card: Acquisition mode, IPPG, Insight Breast Density (Insight BD, optional) Tomo subtask card: Is only visible, if the option tomosynthesis has been purchased Reconstruction, first view, projection image, slice image, Insight 2D and Insight 3D, play automatic movie Post processing subtask card: Tools for designating ROIs, adding annotations and comments, measuring distances, determing angles, zooming and panning, transferring to the film sheet Close patient subtask card: End examination, Skip Auto-Transfer Rules, Open Scheduler, Open MPPS Dialog (optional) Insight Breast Density (optional) Density grade for current patient, for example volume of fibroglandular tissue, volume of breast Images subtask card with projection views Icons provide information about selected projection views for a procedure and their order, as well as the status of the PVs PVs can be modified (modify, add, insert, delete) Generator control field Exposure mode: OpDose, AEC, Manual Compression thickness range and current compression thickness kV value mAs value Anode/filter combination: W/RH and W/Ti Detail parameter settings in Advanced dialog box: grid position, auto decompression, OpComp, AEC segmentation, dose level Currently set focus Status bar Examination-specific information Warnings and messages Application icons Storage capacity icon Viewing task card Most of the post processing tools correspond to those in the Post processing subtask card (Examination task card) and the main menu Filming task card Select Image display Set camera/printer and available film formats Set the film sheet layout Print images Patient Browser 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 Patient Registration If your system is not connected to a RIS, you have to register the patient manually Bold fields are mandatory System messages Information messages: support the user in continuing the examination procedure Warning messages: request special attention from the user before continuing Error messages: refer to an abnormal operating situation Question messages: require confirmation from the operator   The software on the acquisition workstation (AWS) allows you to perform the following actions: patient registration and scheduling preparation and examination viewing the images for quality 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. 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 Examinations are performed in the Examination task card. The examination settings are preset. If necessary, change the settings before you start the examination.  The layout of the Examination task card is subdivided into the following areas: Menu bar Image area Control area with subtask cards Generator control field Status bar   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. The control area contains information about the current patient, the examination settings and the protocol control. It also consists of the subtask cards. Their order reflects the examination workflow. In the Examination task card, you can find five subtask cards: Open patient Acquisition Post processing Close patient Images (showing the projection views) Please note: The Tomo subtask card appears if the option Tomosynthesis is available on your system. Learn more about the control area Learn more about the control area. Slide NumberText BlocksCalloutsAudio ScriptImage File1Patient information In the upper corner of the Examination task card, you can find information about the current patient: Patient name Patient ID Date of birth Patient information In the upper corner of the Examination task card, you can find the following patient information: •patient name, •patient ID, and •date of birth. 2Open patient subtask card You can view and select examination settings in the Open patient subtask card. You can: Load a patient dataset from the RIS/scheduler. Register the patient manually. Change the operator during an examination. Change the procedure required for the examination, in case the default settings are not appropriate.  Change the PV sequence, if necessary for the examination. Set Display Markers.  View the text below that corresponds to the number in the image.  CalloutsSelect patient data from the schedulerRegister a patient manuallyYou can view and select examination settings in the Open patient subtask card. You can: •Load a patient dataset from the RIS/scheduler. •Register the patient manually. •Change the operator during an examination. •Change the procedure required for the examination, in case the default settings are not appropriate. •Change the PV sequence, if necessary for the examination, and •Set Display Markers. View the text below that corresponds to the number in the image.3Acquisition subtask card You can view the Acquisition mode and the Image Processing Parameter Group (IPPG) for the selected procedure. If necessary, you can change the IPPG. Please note: New IPPGs can only be created by the local application specialist. Insight Breast Density If the option Insight Breast Density was purchased, you can find the information about the density of the examined breasts also in the Acquisition subtask card. For further details, click on the respective button.CalloutsInsight Breast DensityYou can view the Acquisition mode and the Image Processing Parameter Group (IPPG) for the selected procedure in the Acquisition subtask card. If necessary, you can change the IPPG. Please note: New IPPGs can only be created by the local application specialist. Insight Breast Density If the option Insight BD was purchased, you can find the information about the density of the examined breasts also in the Acquisition subtask card. For further details about the breast density, click on the respective button. 4Insight Breast Density The Insight Breast Density (Insight BD) window provides detailed information about the density grade for the current patient: Volume of fibroglandular tissue Volume of breast Volumetric Breast Density The Insight BD window provides detailed information about the density grade for the current patient, such as .Volume of the fibroglandular tissue •Volume of the breast, and the •Volumetric Breast Density 5Tomo subtask card Tomosynthesis images can be processed in the Tomo subtask card. You can choose how the images should be displayed (for example first view, slice images, etc.) You can also reconstruct tomo images or delete reconstructed tomo images. Please note: The Tomo subtask card is only visible if the option Tomosynthesis has been purchased. CalloutsFirst viewSlice imageInsight 2D imagesPlay automatic movieInsight 3D imagesTomosynthesis images can be processed in the Tomo subtask card. You can choose how the images should be displayed. You can also reconstruct tomo images or delete reconstructed tomo images. Please note: •The Tomo subtask card is only visible if the option Tomosynthesis has been purchased. 6Post processing subtask card You 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.) You 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. •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.) 7In 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 lensAdd 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 and evaluating them. •Inserting annotations directly in the image. •Adding a comment to the entire image. •Measuring distances between two defined points, and •Determining the angle enclosed between two lines drawn in a clockwise direction. 8In 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 (adjustable zoom factor)Small magnifying glassLarge magnifying glassZooming of pointHome Zoom/PanFilm previewTransfer images to 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 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, and •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.9Close patient subtask card After 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.  After 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. 10Before 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 examinationBefore 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. Please note: MPPS is available as an option. Menu bar Task cards Control area with subtask cards Status bar Generator control field Image area 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 Revelation. 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 generator control field is located at the bottom of the Examination task card and displays the currently selected exposure parameters: 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 more about the generator control field Learn more about the generator control field. Slide NumberText BlocksCalloutsAudio ScriptImage File1Exposure 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 OpDose or AEC to ensure that the exposure parameters are optimized.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), and •Manual If possible, use the automatic modes OpDose or AEC to ensure that the exposure parameters are optimized.2Compression 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 compression (OpComp) for optimized exposure parameters.   For optimized image quality: when using OpDose, ensure that the compression of the breast is carried out at least up to the optimized compression for optimized exposure parameters. 3kV 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.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.4mAs 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.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.5Anode/filter combination  You can also see the anode/filter combination in the generator control field.  You can also see the anode/filter combination in the generator control field. 6Detail paramter 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 in option - within the X-ray beam out option - outside the X-ray beam auto option - without grid and with PRIME algorithm Auto decompression: on / off OpComp: on / off AEC segmentation: on / off Dose level: low / medium low / normal / medium high / high To open the Advanced dialog window, click "Advanced".You get a quick overview of the current settings of the detail parameters in the Advanced dialog box, such as: •grid position, •auto decompression, •OpComp, •AEC segmentation, and the •dose level To open the Advanced dialog window, click "Advanced".7Currently set focus The focus changes automatically to small or large depending on the examination. Smalll: 0.15 (IEC 60336) Large: 0.3 (IEC 60336) The focus changes automatically to small or large depending on the examination. 8Current 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.The current compression thickness 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. Different types of system messages can appear on the workstation monitor. You can identify the type of message by the corresponding symbol.   Information messages support the user in continuing the examination procedure or the database search.   Warning messages request from the user special attention before continuing the relevant procedure.   Error messages refer to an abnormal operation situation.   Question messages require from the operator the confirmation of a step that was initiated by the system or the operator.   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) Learn about the capacity icon Learn about the capacity icon. 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. 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. 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 more about the Filming task card Learn more about the Filming task card. Slide NumberText BlocksCalloutsAudio ScriptImage File1In the upper-right area of the Filming task card, you can: 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 •select all images by clicking on the patient folder, or •Select individual images in the image area. Click on the corresponding buttons to: •Show the status of film jobs, •Expose or print film jobs, and to •Delete images from the film sheet. View the text below that corresponds to the number in the image. 2In the Camera subtask card, you can: Select a camera, if several cameras are configured See the camera status Select available film formats In the lower part of the Filming task card, you can find tools for Windowing Zooming and panning the images Returning to the original size of the image as it was last stored in the database CalloutsWindow 1Window 2Zoom/PanHome Zoom/PanIn the Camera subtask card, you can: •Select a camera, if several cameras are configured, •See the camera status, and •Select available film formats. In the lower part of the Filming task cards, you can find tools for •Windowing •Zooming and panning the images, and •Returning to the original size of the image as it was last stored in the database 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 more about the Patient Browser Learn more about the Patient Browser. Slide NumberText BlocksCalloutsAudio ScriptImage File1The layout of the Patient Browser is subdivided into the following areas: tool bar (1) columns for patient and examination information (2-5) area for detailed information about the selected item (6) Please note: The content that is displayed in the area for detailed information (6) depends on the selected column. View the text below that corresponds to the number in the image.CalloutsTool barData sourceScheduled patientsScheduled examinationsSeriesDetails about selected itemThe layout of the Patient Browser is subdivided into the following areas: •tool bar •columns for patient and examination information •area for detailed information about the selected item Please note: The content that is displayed in the area for detailed information depends on the selected column. View the text below that corresponds to the number in the image.2If your MAMMOMAT Revelation is connected to a Radiology Information System (RIS), the system can be configured to automatically update the DICOM worklist at certain time intervals. Patients who have not been examined will appear in the Scheduler of the Patient Browser. To start the examination, double click on the patient name. The patient data will be loaded in the Examination task card.If your MAMMOMAT Revelation is connected to a Radiology Information System (RIS), the system can be configured to automatically update the DICOM worklist at certain time intervals. Patients who have not been examined will appear in the Scheduler of the Patient Browser. To start the examination, double click on the patient name. The patient data will be loaded in the Examination task card.3In the tool bar of the Patient Browser, you can find tools that support easy patient data handling. You can perform the following actions in the Patient Browser: 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  CalloutsOpen "Patient search" dialogConnectLoad to viewingPatient registrationRe-enter examinationCopy to film sheetFilm task statusLocal job statusManage repeated/rejected imagesIn the tool bar of the Patient Browser, you can find tools that support easy patient data handling. You can perform the following actions in the Patient Browser: •search for patient data, •load patient data from different sources, •enter and re-enter examinations, •print images, •archive or delete data, and •manage repeated/rejected images. If there is no connection to a Radiology Information System (RIS), you have to register the patient manually. You can enter the patient data directly before the examination or pre-register the patient for a later time. Patient data is entered in the Patient Registration window. Please note: Bold fields are mandatory. It will not be possible to complete registration until the mandatory fields are completed.