MULTIX Impact Turnover Workbook

SIEMENS Healthineers SIEMENS seofchineers MULTIX Impact GEBD SIEMENS Healthineers MULTIX Impact On-site Turnover Workbook SIEMENS Healthineers www.usa.siemens.com/education I. Contact Information Summary Welcome to Siemens Healthineers Virtual Education (Offerings & Registration) • Siemens Healthineers is dedicated to helping you get the Workshops & Fellowships • most out of your investment throughout the entire product life cycle and beyond. Our goal is to enable you to take technology further, profitability higher, and patient Visit www.usa.siemens.com/clinicaleducation for more care to the next level. Find the information, resources, and information regarding the current Siemens tools you need to get the most out of your recent Clinical Training and Continuing Education portfolio. investment and stay up-to-date. Visit www.usa.siemens.com/Welcome2Healthcare. Discover. Try. Buy. on webShop Clinical Training and Continuing Education Do you want to “Discover. Try. Buy.” options, accessories, and clinical education to make the most of your Customer Care Center - Clinical Application Support: imaging equipment? Discover images, case studies, and video demonstrations with the latest clinical Call 1-800-888-7436 applications. Try advanced applications utilizing Troubleshooting assistance free software trials. Buy applications, coils, clinical • education, and accessories, conveniently at any time. Immediate assistance for software • Visit www.usa.siemens.com/webShop today! applications and workflow issues Please provide the Functional Location Number when Siemens Training Centers • calling for assistance. Siemens Clinical Education Training Center – TDC2 Clinical Education Offerings: 110 Mac Alyson Court Cary, NC 27511 Call 1-888-221-8010 (follow the prompts) Classroom Training (Offerings, Registration • & Scheduling) Educational Symposia • On-site Training • Printed Self-studies • 2 II. Contents I. Contact Information Summary.....................................................................................................................................2 II. Contents ............................................................................................................................................................................3 III Course Description ..........................................................................................................................................................4 Course Overview: .................................................................................................................................................4 1. System Hardware Overview........................................................................................................................................... 5 System Generator Console................................................................................................................................5 Emergency Stop Buttons....................................................................................................................................5 Patient Table.........................................................................................................................................................7 Overhead Tube .................................................................................................................................................... 8 Collimator...........................................................................................................................................................13 Bucky Wall Stand (BWS) .................................................................................................................................14 Remote Control (Optional).............................................................................................................................15 Wireless Detector...............................................................................................................................................17 Image Station .....................................................................................................................................................17 2. Software Overview......................................................................................................................................................... 18 Screen Layout.....................................................................................................................................................18 Tabs - Basic Modes............................................................................................................................................18 3. Icon Overview..................................................................................................................................................................22 Patient Tab ......................................................................................................................................................... 22 Examination Tab............................................................................................................................................... 29 Post-Processing Tab ......................................................................................................................................... 34 View Tab.............................................................................................................................................................. 40 Service Tab.......................................................................................................................................................... 45 4. Patient Workflow ...........................................................................................................................................................48 3 III Course Description Course Overview: Upon completion of this course, you will be able to: Turn the system on & off • Locate the Emergency Stop Buttons • Utilize the Tube/Detector/Table/Bucky Wall Stand • Utilize the system for patient exams • Define and utilize all functions of the Patient tab • Define and utilize all functions of the Examination tab • Define and utilize all functions of the Post processing tab and all sub tabs • Utilize the Wireless Detector • Utilize and understand the Help functions within the software • 4 On-Site Turnover Workbook | MULTIX Impact 1. System Hardware Overview System Generator Console Notes On/Off buttons System On - button with dot inside • System Off - button with dot outside • SIEMENS WARNING ! A daily reboot of the system is recommended. Press the OFF button on the console. • When the Image Station is shut down, press the ON button. • Exposure button on console. • Optional Exposure release hand switch. • Emergency Stop Buttons Located at the table, wall stand and generator Control Console. • All system motor drives are shut down and movements immediately stopped. • Radiation is not interrupted and can be released again even without cancelling • STOP. To disengage the STOP button, turn clockwise and pull the red emergency STOP • button. - 16 WARNING ,STOP Dn 5 On-Site Turnover Workbook | MULTIX Impact Additional Emergency STOP buttons are located below the table top and on the Wall Notes Stand. TO D 0 On the patient table On the wall stand 6 On-Site Turnover Workbook | MULTIX Impact Patient Table Notes Adjustable Height (20.3” to 35.4”) Max patient weight is 300 kg. Elevating Patient Table (1) 3 4) (2 (5) 16 Fixed Patient Table (1) (3) TOF (4) (2) (5) (6) (1) Tabletop (2) Accessory rails (3) Detector tray (4) Emergency STOP button (5) Brake knob for the detector tray (6) Foot kick switch for tabletop movements & table lift (elevating table only) 7 On-Site Turnover Workbook | MULTIX Impact Overhead Tube Notes Floor mounted X-ray tube with a touch screen (TUI) (3) (1) (2) (5) (7) (7) 6 (4) (1) Column stand with LED indicator (optional) LED Green: System is ready for exposure • LED yellow: Exposures are being performed • LED blue: System is not ready for exposure • (2) X-ray tube unit (5) Touch User Interface (TUI) (3) Tube unit support arm (6) Movement control elements (4) Multi-leaf collimator (7) Handles with movement controls TUI (1) Patient Test 201810081355151 ? Basic More Abdomen AP upright 40 KV mAs 0.89 0 Dose . (2) 0.1 mm Cu HO ( 3 ) - Ready 8 115 RHA: O # 10cm # cm # Manual # 16cm # (1) Patient information field (2) Control field (3) System status and information field 8 On-Site Turnover Workbook | MULTIX Impact Tube Tracking Control Field Buttons Notes SID Tracking with Elevating Patient Table Icon Description Disabled: Preconditions are not fully fulfilled. Not pressed: Inactive Pressed: Active and tracking on target Active but tracking target lost OR During tracking-movement Tube/Detector Tracking Icon Description Not pressed: Inactive Pressed: Active Active but Tracking: Active but tracking target lost. 9 On-Site Turnover Workbook | MULTIX Impact Top Alignment Notes Icon Description Disabled: Preconditions are not fully fulfilled. Not Pressed: Center-aligned Press the centering button to activate the center alignment. Pressed: Top-aligned. Press the centering button to activate the top-alignment Restore OGP Parameter Icon Description Restore the organ program parameters to default settings. Control Element Disable Function Icon Description Not pressed: Inactive 5 7 Pressed: Active All buttons for motorized movement of the tube stand & other components such as BWS & patient table are disabled. 10 On-Site Turnover Workbook | MULTIX Impact Generator Function Notes Icon Description Density Correction 2 Collimator Functions Icon Description Cu filter selection (only available with the O mm Cu motorized collimator) Restore collimator Collimator size selection 13x43 13x35 35x35 30×25 25x2 SID adjustment for free - SID 90 cm + exposures System Status Icon Description Status: Ready Status: Not Ready 11 On-Site Turnover Workbook | MULTIX Impact Centering Display Notes Icon Description Beam in center - or top aligned mode (Red) Beam not in center - or top aligned mode 12 On-Site Turnover Workbook | MULTIX Impact Collimator Notes Manual Collimator LO (9) (1) [ cm] [cm] (2) 8 (3) (7) (4) I # # 6 (5) (5) Automatic Collimator O (9) (4) H (7) 3) (6) inn (5) (5) (1) Slides for setting the pre-filtration (2) Format width scale (3) Adjusting knob for format height collimation (4) Button for full-field light localizer and laser line light localizer (5) Accessory rails with locking spring (6) Tape measure for SID setting (cm and inch) (7) Adjusting knob for format width collimation (8) Format height scales (9) Detent lever for +/- 45o 13 On-Site Turnover Workbook | MULTIX Impact Bucky Wall Stand (BWS) Notes (9) (4) (8) 3 (7) IT (5) (6) (1) Stand column with LED indicator (optional) on the top of the column LED green: System is ready for exposure. • LED yellow: Exposures are being performed. • LED blue: System is not ready for exposure. • (2) Front panel with imprint for detector position and measuring fields (3) Profile rails for accessories (on both sides) (4) Buttons for motorized vertical movement (optional) (5) Button for tube/detector tracking function with LED indicator (6) Button for centering tube to detector (7) Button for manual vertical movement (8) Detector tray (9) Emergency STOP button 14 On-Site Turnover Workbook | MULTIX Impact Remote Control (Optional) Notes The optional remote control can be used for adjusting the collimation field size and certain bucky wall stand movements. (1) (1) Display Area # (2) Operation Area + # (2) + P1 P2 SIEMENS Healthineers Display Area There are 3 LEDs showing the status of the remote control console. LED off: battery sufficiently charged, remote control not connected to the USB charging cable LED on red : battery needs charging, remaining capacity < 2.0V LED flashing yellow: remote control connected to the USB charging cable and batteries are being charged LED on yellow: remote control connected to the USB charging cable and batteries are fully charged LED off: The bluetooth signal strength is good. LED on: no bluetooth signal LED on: An operation button is being pressed 15 On-Site Turnover Workbook | MULTIX Impact Operation Area Notes On both sides of the remote control, there is a dead-man sensor. To carry out an operation using a button in the operation area, you must activate the deadman sensor with your hand at the same time. As soon as you remove your hand from the dead-man sensor, the current operation is stopped. (1) Dead-man sensor (1) Opening & Closing the Collimator Icon Description I Opening the collimator in vertical direction Closing the collimator in horizontal direction Closing the collimator in vertical direction H Opening the collimator in horizontal direction Turn laser light localizer on/off P1 P2 Default Position 1 & 2 Moving the detector unit up and down -> 16 On-Site Turnover Workbook | MULTIX Impact Wireless Detector Notes There are two options for wireless detectors; the MAX wi-D and Impact wi-D. Impact wi-D - wireless mobile detector without a handle ( • Can be shared between other MULTIX Impact systems • MAX wi-D - wireless mobile detector with a handle • The MAX wi-D as well as the Impact wi-D can be used in the patient table, Bucky wall stand, and for free exposures. Impact wi-D MAX wi-D' In-tray charging and advanced detector sharing Image Station The image station is a digital imaging system that manages patient studies, acquires, displays, post-processes, films, and archives X-ray images. Main component is an all-in-one computer • Windows 10 OS • - 17 On-Site Turnover Workbook | MULTIX Impact 2. Software Overview Screen Layout Notes (5) (6) Pre-registered Patients Examined Patients Archiving Information Recycle Bin Search ID Name: AccNos All The Time Search Clear Result List Status Name Sex Age Description Date Time Accession No of -] ty AnonymousMClinical Male 18Y Shoulder ap/Y 2018-03-20 13:44:25 1234 eg f +] t/ Anonymous MClinical Male 18Y Pelvis a.p. 2018-03-20 13:44:22 (4) of -] ty Anonymous"Clinical Male 18Y Knee apilat 2018-03-20 13:44:19 DO f +] t/ Anonymous "Clinical Male 18Y Paediatric Food 2018-03-20 13:44:17 -] > Anonymous"Clinical Male 18Y T Spine apflat 2018-03-20 13:44:12 [ -] fx AnonymousAClinical Buissesodisod | Male 18Y Shoulder ap/Y 2018-03-20 13:44:08 o -] ty AnonymousMnClinical Male 18Y Calcanius lat/axial 2018-03-20 13:44:07 of -] ty AnonymousAClinical Male 18Y Elbow apitat 2018-03-20 13:44:05 MOYA Total Patients: 1 Total Pages: 1 Patients Per Page: 15 Images Shoulder ap Shoulder Y Service (7) 8 0 2 0%HU 13:14:18 (3) (1) (2) (1) Display area for patient lists, images, and dialogs (2) Control Area (3) Login account and time (4) Tools (5) Tabs of the task cards for mode selection (6) Tabs for patient lists (7) Status Bar Tabs - Basic Modes The imaging system functions can be operated from the control room and some functions can be operated from the examination room as well. The application program includes various modes. Each mode is available on a task card. Modes include: Patient mode: Study lists, input of patient data, and archiving • Examination mode: Organ program and parameter selection, acquisition • Postprocessing mode: Image postprocessing • View mode: Image review • Print mode: Image hardcopy • Service mode: User settings, organ program editor, and service functions • 18 On-Site Turnover Workbook | MULTIX Impact Notes Patient Tab The 4 tabs within the Patient tab are Pre-registered Patients, Examined Patients, Archiving Information, and Recycle Bin. Pre-registered Patients includes the list of patients from the hospital work list • Examined Patients includes the list of performed patient exams that are still • actively on the system. Archiving Information includes deleted patient exams. • Recycle Bin includes images tat were not sent to PACS or that are rejected. • Pre-registered Patients Examined Patients Archiving Information Recycle Bi Patient Search Operation ID: Name: AccNo: 1 Day Search Clear Result List RIS Examination Postprocessing Status Name Sex Age Description Date/Time Accession No 201901171029181 Patient Test 3 Male 75Y Hip AP+Frog 2019-01-17 10:29:52 T33333 201901171028311 Patient Test 2 Male 25Y Chest PA+LAT 2019-01-17 10:29:06 122222 201901171025401 Patient Test 1 Male 50Y Hand PA+OBL+LAT 2019-01-17 10:27:20 T11111 201901171025401 Patient Test 1 Male 50Y Elbow AP+LAT 2019-01-17 10:26:17 T11112 View Display RIS update all result Total count: 22 Normal count: 17 alled count: 2 Remove repeated entries: 3 Images und Service O 1 0% HU 10:30:29 Examination Tab The Examination tab is where image acquisitions are made. Any adjustments to the technical aspect of the Organ Program (OGP) prior to acquisition can be made here. Patient Information OGP Lis Patient FFMATT Chest PA Chest PA Position 444444 Sex: Examination M 22Y DOB: 1996-08-09 Postprocessing Accession No.: 201808092202431 S Devices Information Grid Type: Grid Status: Grid Orientation: Guide KV - View 125 SID: Position Assistance K-Ray Parameter Collimator Size: mAs - Collimator Alignment: KV: 125 Dose: 2.5 mS - EC Density AEC Field : Left | Right Chamber Dose 2.5 Print Density Focus: Small Focus Cu Filter: 0.0mm Cu filter 0.0mm Tube Load: 80% Grid Type: 180 Tube Load 80% 17IN(43CM)X17IN( .. Image Flip: YES Service Rotation: 0 Label: @ 0 1 0% HU 22:06:22 19 On-Site Turnover Workbook | MULTIX Impact Post-Processing Tab Notes The Post-Processing tab is where post acquisition image adjustments are made. There are three sub tabs within this tab. They include Process, Flavor Setting, and Rad. Patient Information Name: Test 2^PatientAM Acquisition Date:2019-01-17 ID:201901171028311 Acquisition Time: 10:35:12 Opr: Mar Process Flavor Setting Rad Patient Patient Name: Age:025Y Patient Test 2 Sex:M Request ID: Label 201901171028311 L R T+ Tm AA Examination Male Windowing 25Y DOB: 1994-01-17 Cropping Postprocessing Accession No.: T22222 Adjust View Tool Print Cancel G KV: 125 mAs:0.00 Current EXI: 0.57 Service DI: -6.41 Matrix size:3008X3072 ProtocolName:Chest PA DAP: Accept Reject 11 0% HU Mgr 0:35:21 O View Tab The View tab includes functionality to determine what to send to PACS (e.g. images, dose report, etc.) for archive or to the Print tab. Patient Information Name: Test 2^Patient^0^ Acquisition Date:2019-01-17 ID:201901171028311 Patient Name: Age:025Y OprMe Patient Patient Test 2 Sex:M Request ID: 201901171028311 Male Adjust Examination Postprocessing 25Y Tool DOB: 1994-01-17 T22222 Measurement Images Current image index: 1/2 Select Protocol: Chest PA+LAT Chest PA Prev./next ,Next image MOIN Print Send Target ARCHIVESCP KV: 125 mAs:0.00 DICOM SR Current EXI: 0.57 SC image Service DI: -6.41 3008X3072 ProtocolName:Che DAP: WW . 1492 5 O 1 0% HU 0:42:13 20 On-Site Turnover Workbook | MULTIX Impact Print Tab Notes The Print tab includes option for printing images out on film. Patie Patient Information Fami Fama Operation Patient Patient Name: Layoutt Patient Test 2 201901171028311 10-201901171028314 Acquisition Time - 10-35-12 G Examination Postprocessing Male Request ID: 25Y Tool 1994-01-17 Accession No.: Adjust T22222 Images Print View Printer PRINTSCP Film Size 14INX17IN Copies 1 Anonymous Print Print exam protocol ProtocolName Chest PA Matrix size:300823973 Service j1 0% HU 6:45:27 Service Tab The Service tab includes functional options and requires an additional login. The main areas found within this tab include Tool, User Settings, and Service. Operation Patient OGP Editor Clean FD econnect RIS Mapping Statistics Audit Trail Test Image Examination Postprocessing Tube Load User Setting Site Info. Processing Exam Setting Properties Properties Image Register DICOM Disk Display Config. Properties Manager User name Mgr User Password ...... Manager Login Cancel Service PMS Remote Assistance Remote DICOM View Node Manager Sensitivity qund Service O 1 0% HU 10:58:02 21 On-Site Turnover Workbook | MULTIX Impact 3. Icon Overview Patient Tab Notes The Patient tab includes four sub tabs; Pre-registered Patients, Examined Patients, Archiving Information, and Recycle Bin. Pre-registered Patients Examined Patients Archiving Information Recycle Bin Patient Search Operation Name: AccNo : T 1 Day Search Clear RIS Result List Examination Postprocessing Status Name Sex Age Description Date/Time Accession No. 201901171029181 Patient Test Male 75Y Hip AP + Frog 2019-01-17 10:29:52 T33333 201901171028311 Patient Test 2 Male 25Y Chest PA+LAT 2019-01-17 10:29:06 T22222 201901171025401 Patient Test Male 50Y Hand PA+OBL+LAT 2019-01-17 10:27:20 T11111 201901171025401 Patient Test Male 50Y Elbow AP+LAT 2019-01-17 10:26:17 T11112 MOIN Display RIS update all result Total count: 22 Normal count: 17 ailed count: 2 Remove repeated entries: 3 Print Images Service O 12 0% HU 10:30:59 Pre-registered Patients Sub Tab The Pre-registered Patients sub tab includes the following areas: Search fields • Search ID : Name : AccNo: 1 Day Search Clear Result List • Result List Status ID Name Sex Age Description Date/Time Accession No. 201901171029181 Patient Test 3 Male 75Y Hip AP+Frog 2019-01-17 10:29:52 T33333 201901171028311 Patient Test 2 Male 25Y Chest PA+LAT 2019-01-17 10:29:06 T22222 201901171025401 Patient Test 1 Male 50Y Hand PA+OBL+LAT 2019-01-17 10:27:20 11111 201901171025401 Patient Test 1 Male 50Y Elbow AP+LAT 2019-01-17 10:26:17 T11112 Display RIS Update • Display RIS update all result Total count: 22 Normal count: 1 Failed count: 2 Remove repeated entries: 3 Images 22 On-Site Turnover Workbook | MULTIX Impact Operation Notes • Icon Description Manual Registration ‘n' + Manually enter patient information Emergency Registration Fast registration where patient information can be added later RIS RIS Update the Pre-registered Patients list Add Study + Add a study to a registered patient Correct (Edit) Study Data Correct or add to personal patient data Delete Study Protect Study Protect studies against accidental deletion Unprotect Study Remove protection from study FD Management Opens the wireless detector overview page MPPS When selected in the Pre-registered Patients tab, the selected study will be closed Quality Control Study Used for daily quality control image acquisitions Log Out 23 On-Site Turnover Workbook | MULTIX Impact Examined Patients Sub Tab Notes Pre-registered Patients Examined Patients Archiving Information Recycle Bin Patient Searc Operation Name : AccNo: 1 Day Search Clear Result List Examination Postprocessing Status ID Name Sex Age Description Date/Time Accession No. 201901171029181 Patient Test 3 Male 75Y Hip AP +Frog 2019-01-17 10:29:52 T33333 201901171028311 Patient Test 2 Male 25Y Chest PA+LAT 2019-01-17 10:29:06 T22222 MOIN Total Patients: 2 Total Pages: 1 Patients Per Page: 150 mages Ruud Service ֏ 0% HU 5% Mgr 0:54:44 The Examined Patients sub tab includes the following areas: Search fields & Results Lists - same as Pre-Registered Patients sub tab • Images - Acquired images for the study selected • Operation - Icons such as Edit Patient Information, Add Study, Delete Study, Protect/ • Unprotect Study, and Log Out will be the same as seen under the Pre-Registered Patients sub tab. Icon Description Import Single Image Used to import an image from CD/DVD or USB Import Multiple Images Importing a folder of images Export to an external drive Export files to a USB Exporting to CD/DVD Export images to a CD/DVD Sending/Archiving Studies/Images Select a target from a list as well as DICOM SR LAPR or SC Image based on needs Displaying Exam Protocol Used to visualize all acquisitions performed on the selected patient 24 On-Site Turnover Workbook | MULTIX Impact Archiving Sub Tab Notes The Archiving sub tab includes the following areas: Search fields & Results Lists - same as Pre-Registered Patients sub tab • Node Information - Where the desired DICOM node is selected. • Operation - Icons unique to the Archiving sub tab include: • Icon Description Test Connection After selecting the desired arcive from the DICOM Node list, select this icon to test the connection Import Images Used to import selected images to the system Recycle Bin Sub Tab The Recycle Bin sub tab includes the following areas: Search fields & Results Lists - same as Pre-Registered Patients sub tab • Images - same as Examined Patients sub tab • Space Information - Shows the capacity, free space, Recycle Bin space status of the system • Operation - Icons unique to the Recycle Bin sub tab include: • Icon Description Restore Study Restores studies or images from the Recycle Bin Delete Studies from the Recycle Bin Delete a study currently in the Recycle Bin Empty Recycle Bin Deletes all studies from the Recycle Bin 25 On-Site Turnover Workbook | MULTIX Impact Additional Icons Notes The following lists include additional icons found under the Patient tab. Patient List Status Icons Icon Description The study scheduled. The study come in via HIS/RIS and its status has not been switched to a local study. The study is in progress. The study is complete and closed. The patient information has been changed. The study has been imported. The study has been exported. +] The study has been retrieved from the network. The study has been burned on to CD/DVD. The study is protected from modification and deletion. The study is not protected from modification and deletion. Archiving in progress. Archiving succeeded. Archiving failed. X DICOM send is in progress. 26 On-Site Turnover Workbook | MULTIX Impact DICOM send succeeded. Notes DICOM send failed. x Print is in progress. Print succeeded. Print has failed. Detector Status Icons Icon Description Wireless signal strength of the 0 ... 40% selected detector 40 ... 60% 60 ... 80% 80 ... 100% Detector temperature within calibration temperature out of calibration temperature Do Detector temperature is not <-10ºC within required range. Do Acquisitions are blocked. >46ºC 27 On-Site Turnover Workbook | MULTIX Impact Battery charging condition of Notes 0 0 ... 10% the selected detector. Acquisitions are blocked when 10 ... 20% the battery level is less than 10%. 20 ... 40% 40 ... 60% E 60 ... 80% 0 80 ... 100% Detector calibration has expired. Flat Detector (FD) Management Detector Overview X Serial number Calibration Due Shock Sensor Default for free Table Wallstand Free PIXIUM3543DR 17282P 20191016 Detail Disconnect Newest D (1) 2 (3) 4) 6 (1) (8) (1) Type of detector currently connected; the wireless detectors are shown with Wi-Fi and battery status. (2) Serial numbers of the detectors help to identify the right detector. (3) Date when the next calibration should be done. (4) Current position of a detector. (5) Shock history (only for MAX wi-D). (6) Select which detector should be used for free exposures by default (not available for VA10 system). (7) Connection status of wireless detector. (8) Detector firmware version check. (Newest = up to date Update = click to install new firmware) 28 On-Site Turnover Workbook | MULTIX Impact Examination Tab Notes The Examination tab includes the following areas: (see annotation below) (5) Patient Information OGP List Patient Name: ER 201803311500241 Chest LAT Right Mode ER 201803311500241 queged Sex Examination O Age: DOB: (6). AEG (4) Accession No.: S 201803311500241 Devices Information Grid Focus: Bussesolco Grid Status: Grid Orientation: Guide View KV SID: Position Assistance Collimator Size: mAs Collimator Alignment: KV: 40 Dose: 2.5 ms Dose Information AEC Density: 0 AEC Field: Middle Chamber Dose Current Dose value: 0.00mGy.cm2 Cu Finer: 0.0mm Density Accumulated Dose value: 0.00mGy.cm2 Focus: Small Focus Cu filter 0.0mm Tube Load: 80% Grid Type: 115 Tube Load 80% .. + + + + + Collimation ... 17IN(43CM)X14IN( ... Image Flip: NO Rotation: Label: (7)- 8 0 2 0% HU 15:54:54 (3) (1) (2) (1) Display area for images and instructions (2) Control area (3) Login account and time (4) Tools (5) Tabs of the task cards for mode selection (6) Patient Information Area & Device Information (7) Status bar Additional Information Patient Information Area - all patient specific details • Devices Information Area - Grid, SID, Collimation information • Add/Delete/Copy (Repeat) OGP - located in the top right of the middle section • These functions are used with the OGP List. PA 29 On-Site Turnover Workbook | MULTIX Impact Mode - Location where the exposure position can be changed (table, BWS, table Notes • top, etc.) Icon Description Tube with wireless FD in tray (table) Tube with wireless FD in tray (wall stand) -1-5 Tube with wireless FD (free positioned) Tube with cassette (free positioned) Patient Size - used to adjust the parameters based on the patient’s size • Icon Description Small/thin patient size Medium patient size Large/thick patient size EI. AEC - set an extended exposure (this will extend the acquisition time for correct • exposures in 1-point technique) and/or adjust the measuring field (dominant) to be utilized for the selected OGP Icon Description S Extended Exposure Left Measuring Field 30 On-Site Turnover Workbook | MULTIX Impact Middle Measuring Field Notes Right Measuring Field Focus - select small or large • Icon Description Small Focus Large Focus Technical Factors - can be manually adjusted if needed • kV 40 + mAs + ms - + Dose 2.5 + Density O Cu filter 0.0mm Tube Load 80% Undo - To reject parameters that have been changed • Store Changed Parameters to Default • 31 On-Site Turnover Workbook | MULTIX Impact Exam Status Notes Icon Description Network status disconnected connected Free hard disk space <90% <87.5% <75% $50% <25% $10% Tube heat units 0% HU System messages Software update is available Status of image transfers 32 On-Site Turnover Workbook | MULTIX Impact Remote service access Notes standby ongoing DICOM send job status in progress Xx Failed Print job status in progress Failed 33 On-Site Turnover Workbook | MULTIX Impact Post-Processing Tab Notes Post-Processing Tab The Post-Processing tab is where post acquisition image adjustments are made. There are three sub tabs within this tab. They include Process, Flavor Setting, and Rad. Patient Informati Name:Test 2^Patienten D:201901171028311 on Date:2019-01-17 Ition Time: 10:35:12 Process Flavor Setting Rad Patient Ageson Opr:Mgr Patient Test 2 Label 201901171028311 L R T. T. AA Windowing Examination Male 25Y O 1994-01-17 Achust 1:1 R R ----- Buisseaoldisod 90 MOIN Q Q Cancel Print Service Matrix size:3008x3072 WW: 1492 Accept Reject O Mgr 10:35:21 Process Flavor Setting Rad Label L R T. TO AA Windowing auto Cropping Adjust O 90 (90 Tool Q Cancel 15 Process Sub Tab Sections and functionality found under the Process sub tab include: Label - Click on one of the icons and drag/drop in the corresponding location • within the image. L R 34 On-Site Turnover Workbook | MULTIX Impact Comment - Click this icon to select then enter text. Click the OK button then drag Notes • and drop the text to the required location in the image. Comment X Test OK Cancel Windowing - the current window values are shown in the bottom right-hand • corner of the image WC - Brightness/Window Center • WW - Contrast Window Width • Icon Description Increase window center/brightness values Decrease window center/brightness values Increase window width, decrease contrast. + Decrease window width, increase contrast. O The window values and current EXI are updated according to the current cropping auto mask. Cropping • Icon Description Remove the cropping mask. 35 On-Site Turnover Workbook | MULTIX Impact Crop a rectangular region; click this icon Notes and drag a region in the image to redefine the shutter area. Crop a rectangular region for a film size; click this icon and select a film size from the list to redefine the shutter area. To add a cropping mask; click this icon then + click the corners of the polygon region in the image. Double-click to finish. Fit the shutter to window. Adjust - use these icons to se the image to fit the display area reset the image • back to a 1:1 ratio, and flip/rotate the image Icon Description Fit Image to Display Area The image is resized so that the (cropped) image fits to the image display 1:1 Pixel Display 1:1 Resize the image so that each monitor pixel corresponds to one image pixel Gray Scale Invert the gray scale of the image (black/ white inversion - bones black to bone white or vice versa) Flip Image R R ----- Flip the image vertically or horizontally ----- ,90 90 Rotate Image 90 Degrees Rotate the image by 90 degrees in either direction Rotate the Image Continuously Manually rotate the image by entering a number or by using the +/- buttons 36 On-Site Turnover Workbook | MULTIX Impact Tool - Zoom/Pan and magnify the image Notes • Icon Description Pan Magnify Image R Click this icon then click in the area of the image you would like to enlarge Zoom Image Click and drag the mouse around an area to enlarge Cancel - Undo Changes - There are 2 icons that allow you to undo previous steps; • The Undo icon allows you to undo up to 10 sequential edits, one at a time. The Restore icon will return the image to its original state. 37 On-Site Turnover Workbook | MULTIX Impact Flavor Setting Sub Tab Notes The Flavor Setting sub tab includes functionality to change the flavor of the image Process Flavor Setting Rad Flavor Standard Smooth High Contrast Finely Detailed Customized Save as default Window WCShift WWShift This tab includes five options: Standard, Smooth, High Contrast, Finely Detailed, • and Customized To change the default flavor select the desired flavor for the organ program and • select the Save as default button Save as default Window WCShift WWShift Window Center and Window Width can also be adjusted using the arrows or by • dragging the circle 38 On-Site Turnover Workbook | MULTIX Impact Rad Sub Tab Notes If changes are made to the window value prior to saving within the Process tab, a confirmation box will appear when the Rad sub tab is clicked. Click the Yes button to save the changes. Confirmation After using the RAD tool, the image will be ? reset to its initial status with the default flavor parameters. Are you sure you want to start the RAD tool? Yes No To adjust a customized flavor, select Customized from the Set Property list and • adjust the parameters until the image reaches the desired requirements. To adjust, drag the slider or use the arrows. Contrast - Increasing the value amplifies the image therefore the difference of • grey levels is enhanced Detail - Increasing the value makes fine structures more visible • Latitude - Increasing the value reduces dynamic range and makes more grey • levels visible at the same time Noise - Increasing the value suppresses more noise and makes the image • smoother WC Shift - Increasing the value increases the brightness of the image • WW Shift - Increasing the value decreases the contrast of the image • 39 On-Site Turnover Workbook | MULTIX Impact Select the Save Params button to save the changes Notes • Process Flavor Setting Rad Chest PA Parameter Set Chest AP Set Property Standard LUT Curve Type SIGMOID Adjust Contrast Detail Latitude Noise WCShift WWShif 0 Reset Params Save Params View Tab The View tab includes options to view (adjust layout or display), measure, send, archive or print acquired images Operation Layout Adjust Tool Measurement Selec Prev./next image Send Target STORESCP With DICOM SR SC imag 40 On-Site Turnover Workbook | MULTIX Impact Options include: Notes Displaying DICOM information • Modifying the image display layout • Measurement • Icon Description Measuring Angles A Measuring Distances Delet Measurement Delete All Measurements Measurement Calibration • There are two types of calibration; Geometry and Fiducial (drawing a known distance in the image). To calibrate, select the icon and choose the desired method of calibration. Measurement Calibration Geometry Fiducial Tips: If you ..., please select Geometry to calibrate. If you ..., please select Fiducial to calibrate. Cancel 41 On-Site Turnover Workbook | MULTIX Impact Geometry Calibration Notes Geometry Calibration SID(cm): 0 + TOD(cm): 20 Tips: SID, Distance Source to Detector. TOD, Distance Object to Table Top(Corrected as Distance Object to Detector). Calibration Cancel Fiducial Calibration Fiducial Calibration Calibration Length: Please enter a positive number Tips: 1.Draw a calibrated line in current image; 2.Input "Calibrated Length", according to the calibrated line; 3.Click "Calibrate" to complete calibration of measurement; 4.Go back to View. Calibration Cancel Fiducial Calibration Calibration Length: 150 Tips: 10 1.Draw a calibrated line in current image; 2.Input "Calibrated Length", according to the calibrated line; 3.Click "Calibrate" to complete calibration of measurement; 4.Go back to View. Calibration Cancel 15 10cm .- 20 55.1 mm 42 On-Site Turnover Workbook | MULTIX Impact Displaying next or previous images Notes • Marking (Selecting) images • In order to send images they must first be marked. To mark an image click the Mark the displayed image icon. Marked images will have a small blue square in the center of the left side of the image. 15225/572. 201011120812419 *** Institution name Opr Emergency Referring physician Word Acquisition Date:2018-11-12 Request ID: Acquisition Time:10:44:07 Lescasion No .201814420042 Potlent position: Lalerality: KV: 40 MAS 0.00 Zoom 39% Reference EXI; 2.50 Matrix Blze-172 0x 1302 Current EXI: 0.57 type:DERIVEDAPRIMARY DI: -641 Fier Type:NONE OGP name:Chest PA WO.1623 W/W/:2106 Icon Description Store displayed image Mark the displayed image Unmark the displayed image Mark all images Unmark all images 43 On-Site Turnover Workbook | MULTIX Impact Sending images Notes • Send Target STORESCP With DICOM SR SC image There are 2 options for the DICOM Dose Report: DICOM SR (Structured Report) and DICOM SC (Secondary Capture) image. Send images to the selected target Display the Exam Protocol 44 On-Site Turnover Workbook | MULTIX Impact Service Tab Notes The Service tab includes configurable settings for organ programs, statistical evaluations, service functions as well as other options. Operation Patient FD FD Archiv ... Calibration Reconnect Statistics Audit Trail Test Image Examination Postprocessing User name Mor Password ...... Login Cancel View Operation O 2 0% HU # Tool OGP Editor Clean A FD FD Calibration Reconnect RIS Mapping Statistics Audit Trail Test Image Tube Load User Setting Site Info. General Processing Exam Properties Properties Image Register DICOM Disc Display Config. Properties Manager User Manager Service PMS Remote Remote DICOM Assistance Access Node FD Sensitivity Some of the key features include: Remote support options including Remote Assistance and Remote Access. • The User Setting section includes options for General Settings and DICOM • Properties. General Settings • General Setting General Patient Result Table Columns Screen saver Wait Time 0 min Use recycle bi Yes Use USB Yes Modality Image DX Patient list Single study mode Multi -Study mode The Default Position Of Mouse Cursor In Patient Mode Name AccNo. The Sample Of Date And Time Format Date 2000-01-01 Time 00:00:00 OK Apply Cancel 45 On-Site Turnover Workbook | MULTIX Impact DICOM Properties/General Notes • DICOM Properties X General Sending Filming Worklist query Waiting time min Enable time criteria Close study method Auto on entering Patient mode Manually with dialog Storage commitment Prepare Commitment 15 second Commitment TimeOut 1 Hour Try times 3 OK Apply Cancel DICOM Properties/Sending • DICOM Properties X General Sending Filming Auto-sending RAD Images Off When study is closed Default autosending destination Autosending dose information SC Image DICOM Dose SR Destination OK Apply Cancel Disc Management - At least one condition must be selected • Disc Management X Auto Delete V Enable auto delete Free space after delete more than 10 GB Activation time 13: 04 : 40 Activation date Daily Monday Tuesday Wednesday Thursda Friday Saturday Sunday Conditions Image sent Image filmed Image stored on C ... Disc Space Minitoring Disk monitor interval MIN Warning after free space less than 3 GB Locked after free space less than 2 GB OK Apply Cancel • 46 On-Site Turnover Workbook | MULTIX Impact The Tool section includes the Organ Program and Procedure Editor. The following Notes • modes for accessing the OGP Editor are available: In Customer mode, you have access rights for the customer data, and • additionally for viewing the default procedures and organ programs. Access to quality control and detector calibration organ programs is not possible. In Mgr mode, you have access for viewing and modifying the default procedures • and organ programs. In Siemens mode, special Siemens Healthineers image quality experts have • access for viewing and modifying the default procedures and organ programs as well as quality control and detector calibration organ programs. Click the Save icon to save changes made to parameters. • The Tool section also includes options for RIS Mapping. The MULTIX Impact • provides a learning mode in order to map scheduled procedures of the RIS (radiological information system) with local procedure names. Multiple RIS names can be mapped to one local procedure name. The steps include: 1. Once the system has been configured for a RIS, click the worklist and then click the Examination tab. The RIS Mapping dialog box will appear. RIS Code Mapping X RIS Protocol Code: Procedure Code Procedure Name Procedure Category NIX + ISO 2022 IR 87 NIX + ISO 2022 IR 87 Adult Match Adult Paediatric Procedure: By Order: Abdomen Upright Abdomen Acute with +Supine Chest Abdomen AP upright Abdomen AP supine Abdomen Lateral Abdomen Dorsal Decub Abdomen LAT Renal AP Decub Renal OBL Bladder AP Axial Bladder OBL IMP Abdomen Upright +Supine+Decub OGP LIST Cancel 2. Select a category; Adult or Pediatric. 3. Click the corresponding body part for the desired RIS procedure. 4. Double-click one or more local procedures that should be matched to the RIS procedure. 5. Click Match. The following message appears: “Do you want to continue? If ‘Yes’ is selected, the mapping result will be saved. If ‘No’ is selected, the mapping result will not be saved.” 6. Confirm the match by clicking Yes. The following message will display: “All studies have been mapped. Click ‘Yes’ to enter examination. Click ‘No’ to turn back to pre-register page.” 47 On-Site Turnover Workbook | MULTIX Impact 4. Patient Workflow In order to acquire images, a patient must first be registered. To register a patient Notes from a HIS/RIS, locate the patient in the Pre-registered Patients tab. If the patient’s name is not located, select the RIS icon to update the RIS work list. Once the patient is located, click to highlight the patient’s name then select the Examination tab. 1. Register the patient. Emergency Registration Manual Registration + Manually enter patient information when there is not a HIS/RIS system. All mandatory fields are indicated with an * . 2. Navigate to the Examination tab and verify the patient’s information and OGP List are correct. Patient Information OGP Lis Patient Patient Name: FFAATT Chest PA Chest PA Position 444444 Examination Patient Size Age: 22Y 1996-08-09 AEC Postprocessing Accession No.: 201808092202431 S Devices Information Focus Grid Type: Grid Status: Grid Orientation: Guide View KV SID: Position Assistance X-Ray Parameter Collimator Size: mAs Collimator Alignment: XV: 125 Dose: 2.5 mS - AEC Density: AEC Field: Left | Right Chamber Dose - Density - Focus: Small Focus Cu Filter: 0.0mm Cu filter 0.0mm Tube Load: 80% Grid Type: 180 Tube Load 80% Collimation ... 17IN(43CM)X17IN( ... Image Flip: YES Service Rotation: 0 Label : 0 4 0% HU 6 2 5 Siemens 22:06:22 3. Position the patient for the selected exam at the set location (table bucky, wall bucky , or table top). 4. Adjust the tube stand and collimation field according to the selected exam. 48 On-Site Turnover Workbook | MULTIX Impact 5. In the control room, make any needed changes to the Position, Patient Size, AEC, Focus, Notes and /or technical factors. To reset parameters to the Organ Program settings, select the • back arrow button. To save the newly set parameters to be the default parameters • for the active organ program, select the Save button. Patient Information OGP Lis Patient Patient Name: FFAATT Chest PA Chest PA 444444 Sex: Examination M Age: 22Y DOB: 1996-08-09 Postprocessing S 201808092202431 Devices Information Focus Grid Type: Grid Status: Grid Orientation: Guide View KV- 125 SID: Position Assistand X Ray Parameter Collimator Size: Collimator Alignment: kV: 125 Dose: 2.5 AEG Density: 1 AEC Field: Left | Right Chamber 2.5 Print Density Focus : Small Focus Cu Filter: 0.0mm Cu filter 0.0mm Tube Load: 80% Grid Type: 180 Tube Load 80% < < + + + + Collimation ... 17IN(43CM)X17IN( .. Image Flip: YES Service Rotation: 0 Label: O 1 0% HU 1 50 Siemens 22:06:22 6. Organ Program adjustments can be made at the TUI. Davina Beckham Female, 21/03/1964, ID 123456789 ? Basic More X01 Hand Medium Table 0000 0000 0000 KV ms MAS 0000 000 EI #. dose 0000 mm Cu A Remove the Grid for next Exposures! RHA : 0 # 20 cm # * ACSS * # 20 cm # 7. The green acquisition box in the top right of the screen indicates the system is ready for an exposure. 8. To make the exposure, use the Acquisition button located on the generator console. 49 On-Site Turnover Workbook | MULTIX Impact 9. Once the image is displayed, click the Accept button or the Reject button. Notes To accept an image, click the Accept button. • To reject an image, select the image • from the OGP List. The image will Reject Reason X now have a frame around it. Select or enter a reject reason and then Test click on the OK button. Test OK Cancel 10. The Post-processing tab is used for processing and annotating images. The Process sub tab contains the following tools: Label, Windowing, Cropping, • Adjust, Tool, and Cancel. Add any annotation or markers to the image • Crop/rotate/flip images • Adjust windowing • To adjust the image impression, select the Flavor Setting sub tab. Select the • desired Flavor setting then click on the Yes button to confirm. The newly selected flavor will display. The Rad tab includes options for additional adjustments to the Flavor Settings • Process Flavor Setting Rad Flavor Standard Smooth High Contrast Finely Detailed Customized Confirmation After using the RAD tool, the image will be ? reset to its initial status with the default flavor parameters. Are you sure you want to start the RAD tool? Yes No 50 On-Site Turnover Workbook | MULTIX Impact 11. The View tab is used for viewing acquired images, measuring & marking images as well Notes as Dose Reports. Patient Information Name: Test 2^Patient^^ Acquisition Date:2019-01-1 ID:201901171028311 Acquisition Time: 10:35:12 Operation Patient Name: Age:025Y Layout Patient Patient Test 2 Sex:M Request ID: 201901171028311 Acjust Examination Postprocessing Male Age: 25Y DOB: 1994-01-17 Accession No.: T22222 Measureme Images Current image index: 1/2 Protocol: Chest PA+LAT Chest PA Prev./next Image MBIA Print Send Target ARCHIVESCP KV: 125 DICOM SR mAs:0.00 Vscimage El @s Current EXI: 0.57 Service DI: -6.41 ProtocolName:Chest PA WC : 1810 DAP: Ww - 1409 O 12 0% HU Mgr 10:44:41 Process Flavor Setting Rad Label L R T. T. AA Windowing auto Cropping Adjust 90 Tool Cancel After selecting the desired images and/or dose reports for sending, verify the target • destination from the list then select the Send button. 51 Notes 52 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 do not always have to be present in individual cases. Local Contact Information Siemens Medical Solutions USA, Inc. Siemens reserves the right to modify the 40 Liberty Blvd. design, packaging, specifications and Malvern, PA 19355-9998 options described herein without prior notice. Please contact your local USA Siemens sales representative for the Telephone: +1-888-826-9702 most current information. siemens.com/healthcare Note: Any technical data contained in Legal Manufacturer this document may vary within defined Siemensstrasse 1 tolerances. Original images always lose a certain amount of detail when Forchheim, Germany 91301 reproduced. Phone: +49 9131 84-4746 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. HOOD05162003004365 · Printed in USA · 2019 · ©Siemens Healthcare GmbH, 2017