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Multitom RAX Real 3D Workbook

Multitom RAX Real 3D On-Site Turnover Workbook SIEMENS Healthineers www.usa.siemens.com/education I. Contact Information Summary Welcome to Siemens Healthineers Siemens Healthineers is dedicated to helping you get the Visit www.usa.siemens.com/clinicaleducation for more most out of your investment throughout the entire information regarding the current Siemens product life cycle and beyond. Our goal is to enable you Clinical Training and Continuing Education portfolio. to take technology further, profitability higher, and patient care to the next level. Find the information, resources, and Discover. Try. Buy. on webShop tools you need to get the most out of your recent investment and stay up-to-date. Do you want to “Discover. Try. Buy.” options, accessories, Visit www.usa.siemens.com/Welcome2Healthcare. and clinical education to make the most of your imaging equipment? Discover images, case studies, and video demonstrations with the latest clinical Clinical Training and Continuing Education applications. Try advanced applications utilizing Customer Care Center - Clinical Application Support: free software trials. Buy applications, coils, clinical education, and accessories, conveniently at any time. Call 1-800-888-7436 Visit www.usa.siemens.com/webShop today! Troubleshooting assistance • Immediate assistance for software • applications and workflow issues Please provide the Functional Location Number when • calling for assistance. Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) Classroom Training (Offerings, Registration • & Scheduling) Educational Symposia • On-site Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships • 2 II. Contents I. Contact Information Summary.....................................................................................................................................2 II. Contents ............................................................................................................................................................................3 III Course Agenda .................................................................................................................................................................4 IV Course Objectives ............................................................................................................................................................ 5 1. Performing Real 3D Exams on the Multitom RAX...................................................................................................6 1.1 Objectives ....................................................................................................................................................... 6 1.2 Types of Real 3D Exams.............................................................................................................................. 6 1.3 Set Up and Acquisition of a Real 3D Exam ........................................................................................... 8 1.4 Performing the 3D Reconstruction on the Workstations ..................................................................12 1.5 Image Manipulation...................................................................................................................................13 1.6 Sending Images............................................................................................................................................15 1.7 Key Terms.......................................................................................................................................................15 1.8 Perform Patient Exams..............................................................................................................................18 2. Review and Ortho Training .......................................................................................................................................... 19 2.1 Objectives ......................................................................................................................................................19 2.2 Review............................................................................................................................................................19 2.3 Perform Patient Exams..............................................................................................................................19 3 III Course Agenda Day 1 Introduction to Real 3D includes: Tableside, lying, and weight-bearing positions • Steps for utilizing the Real 3D features on the Multitom RAX and sending the images to the workstation • Follow workflow to reconstruct and manipulate the 3D images on the workstation and sending to PACS • Perform patient exams • Day 2 System review of Day One • Review key terms and 3D workstation basics • Perform patient exams • 4 IV Course Objectives This training guide will enable the end user to affectively perform a Real 3D exam on the Multitom RAX. Additionally, the user will gain the necessary knowledge to reconstruct and manipulate 3D images on the workstation. Proper use of system functions and features will empower operators with precise workflow, quick patient through put and user satisfaction. Upon completion of this course, you will be able to: Identify the different types of Real 3D exams • Correctly perform a Real 3D exam on the Multitom RAX • Perform the reconstruction of the 3D images on the workstation • Utilize the workstation to manipulate and save images to send to PACS • Identify key terms associated with 3D imaging and the workstation • 5 Turnover Workbook | Multitom RAX Real 3D 1. Performing Real 3D Exams on the Multitom RAX 1.1 Objectives Notes Identify the Real 3D exams available • Utilize the Multitom RAX to perform a Real 3D exam • Send the Real 3D images to the workstation • Perform a reconstruction on the workstation • Manipulate the reconstructed images • Create images to send to PACS • 1.2 Types of Real 3D Exams Real 3D Tableside exams are performed with the patient lying on the table with the • desired extremity positioned (for example, a wrist). Once the Real 3D Tableside program is selected, the View Position window • will display. View Position Please define the image laterality Left Right None OK Cancel 6 Turnover Workbook | Multitom RAX Real 3D Real 3D “lying” exams are performed with the patient lying on the table and the Notes • desired anatomy positioned (for example, the spine). Select the appropriate Patient Position/View Position from the window. • atient Position / View Position Please define the patient position O Head First Feet First Please define the image laterality Left Right None OK Cancel Real 3D “weight-bearing” exams are performed with the patient standing (for • example, weight bearing ankles). 7 Turnover Workbook | Multitom RAX Real 3D 1.3 Set Up and Acquisition of a Real 3D Exam Notes Select the desired patient from the Pre-registered Patient tab or manually • register the patient. SERVICE Examination Flunrn Postprocessing 0 Fluoro Physics Series 3D 15 0 KV 60 Documentation 0.0 MAS 0.0 min 000.0 Dose 0.70 0.0 mmn Ou 0.2 mm Cu 0.1 30 0/B Focus maximin 0.0 0.0 Image Tools 1 Select organ program 9%HU Ensure the appropriate exam has been selected for the Real 3D acquisition. • If necessary, input the correct View Position/Patient Position information in • the pop-up box. View Position Patient Position / View Position Please define the image laterality Please define the patient position Left Right None OK Cancel Head First Feet First Err 5548 / 240: Insert grid - with 115 cm H Please define the image laterality Left Right None OK OK Cancel 8 Turnover Workbook | Multitom RAX Real 3D Verify the correct grid is inserted (115 cm H). Notes • For weight-bearing exams, place the stand in position before moving the • system. For tableside upper extremity work, move the system into place before • attaching the arm board to the table. To move the system to the Start Position of the 3D run, keep the OGP button • pressed on the hand-held remote control. i Keep OGP button pressed to move to the start position of the 3D run Adjust the anatomy as necessary to ensure isocenter is maintained for the entire • acquisition. To isocenter in the first position , use the hand-held remote control. • Move to the second centering position by pressing the lower right violet key on • the hand-held remote control. Press lower right violet key at the remote control to start the 3D-test-run Adjust the anatomy as necessary to ensure isocenter is maintained for the entire • acquisition. Continue to press the lower right violet key on the hand-held remote control to • move the system to the End position. The system will stop once the End position is reached. • H. 3D-test-run active. Please move forward to end position 9 Turnover Workbook | Multitom RAX Real 3D 4.1.2 Operating the control Units Notes Move the system toward the Start position by pressing the lower left violet • button on the hand-held remote control 1 Move back to start pos. by pressing lower left violet button at remote control The system automatically stops at the first required position to calculate the 3D • series dose settings. Engage fluoro at this position. The system will stop the fluoro automatically. • H. Invoke fluoro to acquire parameters and wait till fluoro stops automatically Press the lower left violet button on the hand-held remote control to continue • toward the Start position. i Move back to start pos. by pressing lower left violet button at remote control 10 Turnover Workbook | Multitom RAX Real 3D The system automatically stops at the second required position. Notes • Engage fluoro at this position. The system will stop the fluoro automatically. • i Invoke fluoro to acquire parameters and wait till fluoro stops automatically Press the lower left violet button on the hand-held remote control to continue • toward the Start position. To perform the 3D exam, engage the Acquisition button. • i Press Acquisition switch to start the 3D run Premature release of the Acquisition button will abort the spin. • 3D images will be sent to the workstation automatically for reconstruction once • the 3D run is finished. i 3D run finished. Want to repeat: Then move system first back to start position 11 Turnover Workbook | Multitom RAX Real 3D 1.4 Performing the 3D Reconstruction on the Workstations Notes Verify the 4D tab is selected on the workstation prior to opening the patient • images. Patient Browser Viewing Patent Applications Transfer Edt Ywww Eiber Sort Private Applications Spoons Help Emergency, 8 ? ? Review and Processing Review volumes loaded from the patent bepanter [1] 3007 FL Knee standing Vol Emergency. 13. [1) 3007 IL Knee standing Voll No bookmarks available Local Docscase| Emergency. B Chily quality cor fare DVD Service, Service BOR Service, Service Service, Service Service, Service Service, Service ston, d test. siemens Select Patient and then Browser to locate the Real 3D images sent from the • Multitom RAX. Patient Applications Transfer Edit View Image Tools Scroll Options Help Browser .. Num . Search Search Selected ... Composing Selector F3 Close Patient Save As ... Filming Layout .. Film Task Status ... Film Preview ... Expose Film Task Ctrl+P Copy to Film Sheet Num Enter Find the patient’s name on the local database then select the 3D image series. • Patient Browser X Patient Applications Transfer Edit View Filter Sort Private Applications Options Help 1111/5/ / Service, Service [1] AXIAL R//11/1 1 test, 35 [1] 3D010L Hand Vol default de Local Database Test Patient XR HAND LEFT [1] 3D010L Hand DVD BD-R 12 Turnover Workbook | Multitom RAX Real 3D Once the series is highlighted select the Send to Recon button and close the Patient Notes • Browser. Patient Applications Transfer Edit View Filter Sort Private Applications Options Help 1 2 ? The reconstructed images will display within the 4D tab. • 1.5 Image Manipulation To apply a preset look to the reconstructed images, open the Preset Gallery and • select the appropriate preset for the different image views (sagittal, coronal, axial, and VRT). Preset Gallery Type All Dual Volume Dyna3DBody Dyna3DHead DualVolume2 Dyna3DCar ... Dyna4D less Shading Table Light -661 61 783 1505 2227 2949 3670 Color Bar linked Auto Window Close Cancel Help 13 Turnover Workbook | Multitom RAX Real 3D To adjust the image look, use the following functions: Notes Window Level • Window center/ Brightness + Window width! Window width! Contrast - Contrast + Window center/ Brightness - VOI Punch • FOI Punching Draw punching curve. For image nanipulation without curve drawing, additionally press the SHIFT-key Zauto . Remove Inside . Remove Outside Apply to Volume Apply to Segmentation Auto Close Help 14 Turnover Workbook | Multitom RAX Real 3D Create Ranges from the desired planes to send images to PACS. Notes • Select the desired view from the images • Select the desired Range Type (typically Parallel Ranges) • Set the desired number of images • Set the Distance (mm) of the slice • Set the Thickness (mm) of the slice • Name the Range as desired. • Slice distance should never be greater than the slice thickness to avoid • missing information. Magical Can TOEPFER, SALLY.K. 5001CL Hand Vel datad TOEPFER, SALLY,K #11077009 15/12/2087 Review and Processing frage saved successfuly t arallol Ranges CORONAL UPR TNO LAO 9970 TOEPFER, SALLY. V. MamanMi Medical Center TOEPFER SALLY. F WHICHI DeTOL Hant Vol Jetau 811077003 11077009 High resolution Include reference image Number of images 45 Distance [mm] 20 LAF Thickness [mm] 3.0 Comment Series Name CORONAL 10 cm 9 Close Help Save the Range and close the patient profile. • 1.6 Sending Images To send the saved images from the 3D reconstruction, re-open the Patient • Browser. Patient Applications Transfer Edit View Image Tools Scroll Options Help Browser. Num Search Search Selected Composing Selector F3 Close Patient Save As. Filming Layout .. Film Task Status .. Film Preview ... Expose Film Task Ctrl+P Copy to Film Sheet Num Enter 15 Turnover Workbook | Multitom RAX Real 3D Open the Local Database and find the desired patient in the list. Notes • Locate the saved Ranges and highlight all images to send to PACS. • Select Transfer >> Send To and then select the correct PACS node. • 1.7 Key Terms Cross Sectional Views to remember: • Coronal Axial Sagittal Axial - Imaging from head to foot • Axial Sagittal - Imaging from side to side (lateral view) • Sagittal 16 Turnover Workbook | Multitom RAX Real 3D Coronal - Imaging from front to back (frontal view) Notes • Coronal VRT - Volume Rendering Technique • MPR - Multiplanar Reconstructions, viewed as the 3 cross sectional image • windows which represent a specific plane (i.e. Sagittal, Axial, and Coronal). 17 Turnover Workbook | Multitom RAX Real 3D Parallel Ranges - Used to create a specific series of 2D cross-sectional images Notes • from the MPR (sagittal, coronal, and axial) for sending to PACS. Parallel Ranges Presets O High resolution Include reference image Number of images 19 Distance [mm] 62 Thickness [mm] 20 Comment Series Name Close Help Reconstruction - the process of creating multi-plane data set (MPR) from the • image series acquired on the Multitom RAX. • Patient Applications Transfer Edit View Filter Sort ? Voxel - represents a point in a three dimensional space (512 x 512 x 512 voxels). • Also called a 3 dimensional pixel. Default of 0.5 mm represents a reconstruction that covers the entire field of • view. For high resolution images, reduce voxel size. • Smaller voxel size results in a smaller field of view. • 18 Classroom Workbook | syngo MR System with Numaris/X Software 2. Review and Real 3D Training 2.1 Objectives Review and use the Multitom RAX to set up Real 3D exams. • Perform Real 3D reconstructions at the workstation. • Utilize the workstation to manipulate 3D images. • Send images to PACS. • Utilize the room for Patient exams • 2.2 Review 2.3 Perform Patient Exams Notes 19 On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which Local Contact Information do not always have to be present in Siemens Medical Solutions USA, Inc. individual cases. 40 Liberty Blvd. Malvern, PA 19355-9998 Siemens reserves the right to modify the USA design, packaging, specifications and Telephone: +1-888-826-9702 options described herein without prior siemens.com/healthcare notice. Please contact your local Siemens sales representative for the most current information. Legal Manufacturer Imaging & Therapy Systems Magnetic Resonance Note: Any technical data contained in Henkestr. 127 this document may vary within defined DE-91052 Erlangen tolerances. Original images always lose Germany a certain amount of detail when Telephone: +49 9191 18-0 reproduced. siemens.com/healthcare Siemens Healthcare Headquarters Siemens Healthcare GmbH Healthcare Sector Henkestr. 127 91052 Erlangen Germany Phone: +49 9131 84-0 siemens.com/healthcare Published by Siemens Healthcare GmbH · Order No. HOOD05162002911517 · Printed in USA · ©Siemens Healthcare GmbH, 2017 20