PEPconnect

Ortho Setup and Stitching on ArtPix

This Step by Step will guide users through the process of setting up the ArtPix
system for Ortho exams, as well as how to stitch the images post acquisition.

Ortho Set up and Stitching ArtPix 1. Register the patient, for the chosen ortho study via the “Registration” mode. ART . PIX 100% 1 -1% super userv + 01/23/2019 10:10:53 AM Registration Archive Wall Search Name v Advanced Search > Urgent New Patient Barcode Worklist DICOM Tags Register View Close Status First Name Last Name Exam Patient ID Age Gender Scheduled Date Accession Number Britney Anderson 435 80Y 10/30/2003 11:34:00 AM 11043480 ELBOW Madonna Bradley 331 61Y 10/30/2003 7:38:00 AM 829160799230 SHOULDER Sandy Candy 230 65Y 10/30/2003 7:38:00 AM 11041060 CSPINE V Barnet Lara 219 34Y 10/29/2003 1:58:00 PM 11037400 PELVIS KNEE TIB FIB Barbara Bea 217 35Y 10/28/2003 3:22:00 PM 11031690 ANKLE Woods Abegail 306 83Y 10/28/2003 2:23:00 PM 11030820 SHOULDER CHEST Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 SIEMENS Master Template: EFF Date 22 Aug 17 | HOOD/HILS HOOD05162002647849 Healthineers Jobaid: Effective Date: XX/XX/XXXX | HOOD/HILS Job Aid | Setup and Stitching Effective Date: 02/21/2019 | HOOD05162002995033 2. Once the patient exam is open, select the appropriate exam from the available “Views”. Note: Stitching exams will be grouped with a red box. 3. The “Stitching Parameters” window will automatically open. This is where the “Image Overlap”, “Patient to Detector Distance”, and “Source to Tube Distance” must be defined. Note: Ensuring measurements are accurate is crucial to the Stitching process. Lara Barnet 219 X 4. Select “Confirm” to move to the next phase. Actions V LONG LEG AP PELVIS KNEE Stitching Parameters STITCH AP Overlap : 5 (cm) < STITCH AP Direction : Head > Feet Patient to Bucky\Table : 15 (cm) SID : 180 (cm) Grid: AEC: On Off KV Density Confirm Abort 63 O 5. Verify appropriate exposure parameters are set on the “System Generator”, position the patient, tube and detector in the first top position, and then make the first exposure. Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 9 Job Aid | Setup and Stitching Effective Date: 02/21/2019 | HOOD05162002995033 6. The system will now display the first image. Choose “Reject” to repeat, or “Accept” to save the image and move to the next position. Note: Do Not apply any collimation to the vertical, top and bottom axis of the system. Collimation must remain fully open on the vertical axis throughout the Image series. Horizontal or side to side collimation is encouraged. Always ensure the desired anatomy is not clipped/cut-off. X. Lara Barnet 219 Body Size F, Age: 34Y K PELVIS STITCH AP Common Tools 01/23/2019 10:11:41 AM KV : 63 mAS : 12.5 L R DI 9.9 EI 5380 Zoom x1 12 HO Annotation Image Processing V View V Edit V Accept Reject 7. Once the first image is “Accepted” the system will automatically move to the next “View” in the Stitching exam. X. Lara Barnet 219 Body Size F, Age: 34Y Actions V KNEE STITCH AP ONG LEG AP Accession number: 11037400 Hospital examination name: KNEE SID: 180 Cm Patient to Bucky\Table: 15 Cm Stitching Overlap: 5 Cm Stitching Direction: Head > Feet PELVIS KNEE Orientation: Landscape Maximum exposure time: 1 sec STITCH AP STITCH AP Grid AEC: On Off Acquire KV mAS Select All 70 8 PELVIS STITCH Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 9 Job Aid | Setup and Stitching Effective Date: 02/21/2019 | HOOD05162002995033 8. Physically, move the detector and tube, allowing for the “Overlap” of the collimation field which was set in the “Stitching Parameters” window previously (step 3). 9. Ensure the correct exposure parameters are set on the “System Generator” and make the second exposure. 10. The second image will appear, either “Reject” and repeat the exposure, or select “Accept” and move to the next position.  Repeat the above process for the desired number of images needed to cover the patient’s anatomy.  Adjust shuttering and Reprocess image if necessary.  If this is the last image of the series, select the drop-down next to the “Accept” button, and select “Stitch”, then press on the “Stitch” button. Common Tools R HQ Edit Annotation V V Image Processing Stitch Reject V 4 View Edit V Accept Reject Accept Send Stitch 11. The system will begin stitching the series, defaulting to the “Auto Stitch” method. Note: The system will use the narrowest shuttering, and apply to all image during the “Stitching” process. To ensure patient anatomy is not “clipped” do not over-shutter. Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 9 Job Aid | Setup and Stitching Effective Date: 02/21/2019 | HOOD05162002995033 12. The software will stitch the images, and a fully stitched image with all images will display.  “Image Processing” changes if needed are made utilizing the slide bars for “Brightness”, “Contrast”, “Shadows”, “Highlights”, and “Mid Tone”.  “Reset” will take the image back to the original parameters.  Select “Accept”, to save the fully stitched image, as displayed, or “Close” to end the stitching process without saving. O Image Processing Patient Details Zoom Lara Barnet 219 F 65 Brightness + o Contrast + o Shadows + o Highlights + 0 Mid Tone 75 Reset Auto Stitch Accept Close 13. If adjustments to the stitch lines are necessary, switch to the “Semi Automatic” or “Manual” stitching modes. Auto Stitch VN Auto Stitch Semi Automatic Manual Accept Close Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 5 of 9 Job Aid | Setup and Stitching Effective Date: 02/21/2019 | HOOD05162002995033 14. In “Semi-Automatic” mode, drag the reference points to the same prominent feature of the anatomy on each image to make adjustments (utilize “Zoom” if needed). 15. This will define a new point of overlap, ensuring proper anatomical alignment of the final stitched image.  On the left side of the screen, select additional pairs of images to adjust, if necessary. Patient Details Lara Barnet 219 F 65 Patient Details Lara Barnet 219 F 65 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 6 of 9 Job Aid | Setup and Stitching Effective Date: 02/21/2019 | HOOD05162002995033 16. When all necessary adjustments are complete, select “Stitch” or “Restart” button to begin the re-stitching process. Stitch Restart Reset Close 17. For “Manual” mode adjustments, select “Manual” from the drop-down options. Select the desired pair of images from the side of the screen. Auto Stitch V Auto Stitch Semi Automatic Manual Accept Close 18. Changes are made to pairs of images (as in “Semi Automatic”); images can be manually shifted horizontally or vertically, using the arrows on the right side of the screen.  The amount of shift for each click is determined by the “Step” slider.  “10” will make a larger adjustment, while “1” will allow for finer, smaller movements.  After determining the desired “Step” size, use the arrows to shift the placement of the bottom image to align to the top image.  Make other adjustments to subsequent image pairs by selecting them on the left side of the screen. 19. Select “Stitch” or “Restart” to apply the new positions.  The “Reset” button in the middle of the arrows will restore the image series back to the original alignment. Shift Step 5 Reset Fine Coarse stitch Restart Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 7 of 9 Job Aid | Setup and Stitching Effective Date: 02/21/2019 | HOOD05162002995033 20. On the main stitching screen, select “Accept” to save changes and go back to “Study” mode. 21. Both the individual Images and the stitched image can now be sent once in “Study” mode.  Press the “Select All” button  At this point, any new changes can be saved, the stitching software can be restarted, or images can be sent to PACS. Select the desired function to start that process.  If sending images, alternative PACS nodes can be configured. ART . PIX 100% 1 4 -1% super userv 01/23/2019 10:19:48 AM Registration Study Archive 1 Wall X. Lara Barnet 219 Body Size F, Age: 34Y PELVIS STITCH AP KNEE STITCH AP Common Tools 01/23/2019 10:11:41 AM 01/23/2019 10:12:00 AM KV : 63 KV : 170 mAS : 12.5 mAS : 8 R DI DI 19 EI : 5380 EI 4037.333 Zoom x1 Zoom x1 HQ Annotation V TIB FIB STITCH AP Image Processing V 1/23/2019 10:12:18 AM KV : 60 mAS 6.3 View ROI-DI 19.9 ROI-EI : 5915.333 Zoom x1 Edit Save Close Save Select All Stitch PELVIS STITCH TIB FIB STITCH Send KNEE STITCH AD AD LONG LEG AD 22. “Close” or “Suspend” the study to begin other patient exams. Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 8 of 9 Job Aid | Setup and Stitching Effective Date: 02/21/2019 | HOOD05162002995033 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 (herein- after 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's 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. Certain products, product related claims or functionalities (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 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 9 of 9