MAMMOMAT Revelation Standard Examination and Tomosynthesis Workflow Online Training - USA

Welcome to the MAMMOMAT Revelation Standard Examination and Tomosynthesis Workflow Online Training. This training demonstrates how to perform a standard and a tomosynthesis examination workflow on the MAMMOMAT Revelation. Please note: The information in this online training relates to the software version VC10 or higher. Upon successful completion of this online training, you will be able to: Load patient data from the scheduler Prepare the system for acquisitions Position the patient at the X-ray stand Acquire images for a bilateral mammogram and a tomosynthesis examination with CC and MLO views Reconstruct and display tomosynthesis images Congratulations. You have completed the MAMMOMAT Revelation Standard Examination and Tomosynthesis Workflow 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. Patient Registration Load patient data from the RIS worklist If the system is not connected to a RIS, register the patient manually   Preparation of the X-ray stand Select the correct face shield and insert it Insert the compression plate appropriate to the examination   Preparation of the application program Examination settings are preset If necessary, settings can be changed in Open patient subtask card: operator, PV sequence, display markers Acquisition subtask card: exposure mode, anode/filter combination Generator control field: detail parameter (Advanced dialog box) Images subtask card: modify projection views   Patient positioning Patient can be positioned standing or seated Follow the steps: Adjust the height of the swivel arm by using the operation keys or the foot switches Adjust the angulation (with single touch button, adjust manually with the respective buttons of the operation keys, if necessary) Compress the breast by pressing the foot switches, adjust compression force manually with the control knobs (if necessary) Hints for compression with OpComp®: Precompress to 20-40 N by applying “pumping” technique Press and hold the foot switch until OpComp® interrupts the compression Force indicator at the stand display flashes when optimum compression is attained   Image acquisition Consider the color-coding of the exposure button at the control box Decompression is performed automatically If decompression is not performed automatically, release the breast by pressing the decompression button at the control box Monitor the progress of the acquisition by observing the respective icon in the Images subtask card   Post processing For a general overview of the available tools for standard 2D and tomosynthesis images, please visit the Software Overview Online Training on PEPconnect Bounding box Should enclose entire breast Can be modified to meet your requirements Reconstruct images after modifying the bounding box Tools in the Tomo subtask card: First view Slices Insight 2D Insight 3D Play automatic movie Reconstruct images (for image quality reasons, if necessary)   End examination End the current examination in the Close patient subtask card Start the examination by loading the patient data from the RIS worklist into the Examination task card. If your system is not connected to a RIS, you must register the patient manually. Learn how to load patient data Learn how to load patient data. Instructions:Flash File:/content/generator/Course_90024511/SIM_MM_Revelation_StandExamWF_LoadPatientData_1150x718/SIM_MM_Revelation_StandExamWF_LoadPatientData_1150x718.htmHTML5 File:/content/generator/Course_90024511/SIM_MM_Revelation_StandExamWF_LoadPatientData_1150x718/index.htmlPDF File: To be able to start the acquisition you must prepare the X-ray stand. Insert the correct face shield for the planned procedure and insert the compression plate.   Learn how to prepare the X-ray stand Learn how to prepare the X-ray stand. Checklist TitleChecklist TypeChecklist ContentSelect the correct face shieldHTML There are different face shields for different examination purposes. Select the face shield appropriate to the planned procedure.   Face shield for standard examinations Face shield for tomosynthesis examinations Insert the face shieldHTML Insert the face shield by pushing it into the holder. Insert the compression plateHTML Insert the compression plate into the receiver on the compression unit. The compression plate automatically locks in position. You can hear a clicking sound, when the compression plate has been locked. The collimator automatically adjusts the radiation field size to the size of the compression plate. Therefore, select the size of the compression plate as small as possible for optimum exposure and lowest possible radiation dose. When you have prepared the system, you can position the patient at the X-ray stand with the patient standing or seated. For seated positioning: Use a suitable fixable chair with a rigid back rest to fix the posture of the patient in relation to the swivel arm. Please note: The breast should not be able to slip due to movement of the patient. The patient's head must not lean against the face shield while the swivel arm is moving. Learn how to position the patient Learn how to position the patient. Checklist TitleChecklist TypeChecklist ContentAdjust the height of the swivel armHTML Use the operation keys or the foot switches to adjust the height of the swivel arm. Adjust the angulation of the swivel armHTML Use the operation keys for angulation adjustment. CC view Move the swivel arm to the correct position of 0°. MLO view You can either move the swivel arm to the desired position by pressing the single touch button briefly, or by adjusting the angulation manually by pressing the buttons with the curved arrows. If you had to adjust the projection angle for an examination manually, you can transfer the current angle to the opposite side for the MLO view of the second breast. Therefore, press the single touch button for a longer time. Compress the breastHTML You must make all preparations for the examination before you compress the breast. Use the foot switches to compress the breast. Release the pedal when you reach the desired compression force. The movement of the compression plate stops at the current height. The current compression force and the thickness of the compressed breast are indicated on the stand display. You can use the compression control knobs to adjust the compression manually. The breast must remain compressed until the exposure has been taken. Compression with OpComp®HTML When using OpComp® Precompress the breast to 20-40 N. It is recommended to carry out this precompression gradually by applying "pumping" technique on the foot switch, in order to maintain correct positioning of the breast and to avoid skin folds.   Perform compression by pressing and holding the foot switch until OpComp® interrupts the compression.   The force indicator on the stand display flashes when optimum compression is attained. When you have positioned the patient, you can make the acquisitions.   Learn more about image acquisition Learn more about image acquisition. Slide NumberText BlocksCalloutsAudio ScriptImage File1When the system is ready for exposure, the radiation release button at the control box lights up solid green.When the system is ready for exposure, the radiation release button at the control box lights up solid green.2To release radiation, press the exposure button and keep it pressed. The button lights up yellow during irradiation.   Standard examination: Keep the exposure button pressed until the beep sound stops. Tomosynthesis examination: While pressing the exposure  button, you hear a beep sound 25 times, while the tube moves. You can stop pressing the button, when all 25 projections have been completed. You can also use the accessories, such as the optional hand switch or the optional foot switch, to release radiation.To release radiation, press the exposure button and keep it pressed. The button lights up yellow during irradiation. For a standard examination: Keep the exposure button pressed until the beep sound stops. When you release radiation for a tomosynthesis examination, while pressing the exposure button, you hear a beep sound 25 times, while the tube moves. You can stop pressing the button, when all 25 projections have been completed. You can also use the accessories, such as the optional hand switch or the optional foot switch, to release radiation.3When the X-ray is finished, the breast will be decompressed automatically. Please note: In case decompression is not performed automatically, you can release the breast by pressing the "decompression" button at the control box.When the X-ray is finished, the breast will be decompressed automatically. Please note: In case decompression is not performed automatically, you can release the breast by pressing the "decompression" button at the control box.4You can monitor the progress of the acquisition of a projection view by observing the respective icon in the Images subtask card. The icon changes depending on the current status. After the last exposure, all icons show the images you have taken as thumbnails. To get a job aid about the status of projection views, please visit PEPconnect > Medical Imaging and Therapy > Mammography > MAMMOMAT Revelation.  You can monitor the progress of the acquisition of a projection view by observing the respective icon in the Images subtask card. The icon changes depending on the current status. After the last exposure, all icons show the images you have taken as thumbnails. To get a job aid about the status of projection views, please visit PEPconnect. Tomo examination images can be processed in the Tomo subtask card.   Learn how to reconstruct and display tomo images Learn how to reconstruct and display tomo images. Instructions:Flash File:/content/generator/Course_90024511/SIM_MM_Revelation_StandExamWF_Display_Process_Tomo_1150x718/SIM_MM_Revelation_StandExamWF_Display_Process_Tomo_1150x718.htmHTML5 File:/content/generator/Course_90024511/SIM_MM_Revelation_StandExamWF_Display_Process_Tomo_1150x718/index.htmlPDF File: The settings for a scheduled examination are preset. If necessary, you can change the settings according to the planned procedure before starting the examination. You can change examination settings in:  Open Patient subtask card Acquisition subtask card Generator control field Preparation for standard examination Preparation for standard examination. Instructions:Flash File:/content/generator/Course_90024511/SIM_MM_Revelation_StandExamWF_PrepareAppProgram_StandExam_1150x718/SIM_MM_Revelation_StandExamWF_PrepareAppProgram_StandExam_1150x718.htmHTML5 File:/content/generator/Course_90024511/SIM_MM_Revelation_StandExamWF_PrepareAppProgram_StandExam_1150x718/index.htmlPDF File: Preparation for tomosynthesis Preparation for tomosynthesis examination. Instructions:Flash File:/content/generator/Course_90024511/SM_MM_Revelation_StandExamWF_PrepareAppProgram_Tomo_1150x718/SM_MM_Revelation_StandExamWF_PrepareAppProgram_Tomo_1150x718.htmHTML5 File:/content/generator/Course_90024511/SM_MM_Revelation_StandExamWF_PrepareAppProgram_Tomo_1150x718/index.htmlPDF File: The icons in the Images subtask card show you the projection views for the planned procedure and their order. If necessary, you can modify the projection views. Learn how to modify projection views Learn how to modify projection views. Instructions:Flash File:/content/generator/Course_90024511/SIM_MM_Revelation_StandExamWF_ModifyPVs_1150x718/SIM_MM_Revelation_StandExamWF_ModifyPVs_1150x718.htmHTML5 File:/content/generator/Course_90024511/SIM_MM_Revelation_StandExamWF_ModifyPVs_1150x718/index.htmlPDF File: You can end the current examination in the Close patient subtask card.   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 application program at the MAMMOMAT Revelation offers a variety of tools for post processing, for example: Designating questionable areas as regions of interest (ROI) Measuring distances Measuring angles Adding comments and annotations Zooming and panning Magnifying with different zoom factors For an overview of the available tools in the Post processing subtask card, please visit the Software Overview Online Training on PEPconnect > Medical Imaging and Therapy > Mammography > MAMMOMAT Revelation.