Performing a SPECT/CT Hybrid Study (SPECT First/CT Second)

Performing a SPECT/CT Hybrid Study (SPECT First/CT Second) MI SPECT Symbia Bold, Intevo and Intevo Excel Description: This Step by Step is an example case on how to perform a hybrid scan on the Symbia Intevo, acquiring the SPECT study first followed by the CT. 1. Warming up the X-ray Tube Patient bed MUST be in CT Brain position before beginning CT Calibration (warm up) (on hand control, double click CT Index button and then hit the CT Brain Study Position but- ton) 1. CT Brain Study Position 2 3 2. CT Body Study Position 3. SPECT Study Position a. From the Examination Card, select Setup -> Calibration b. Start on CT Control Pad to start the calibration. c. Retract bed once Calibration is complete (on hand control, double click CT Index button and then hit the SPECT Study Position button) 2. Registering a Patient from the HIS/RIS a. Open Patient Browser b. Highlight Scheduler icon in the tree c. Double click on Scheduler to update if your patient list does not update automatically d. Highlight the current patient at either the Series or Study level e. Click Patient menu option -> Register f. Verify patient information, study name, technologist initials, institution name, etc. on Reg- istration page g. Click Exam SIEMENS siemens.com/healthineers Healthineers . Performing a SPECT/CT Hybrid Study Effective Date: 11/20/2017| Quality HOOD05162002725109 3. Position Patient for Exam and Launch Acquisition Workflow a. If the detectors are not in the right configuration, press the Reconfiguration tab from the PPM b. Choose the desired detector configuration -> Proceed SIEMENS 5 (1) (2) 90º 90º 76º 76º (3) (4) X (6) 09.05 c. Lower the patient table to patient access height by double pressing the Wheelchair Height button (1) (4) (2) (3) (5) (6) d. Position patient on bed e. Raise table to imaging height (Iso-Center) by double pressing the Gurney Height button and then adjust with up / down / in / out buttons to position patient in the NM Field of View (FOV) (1) (4) (2) (3) o (6) (7) f. PPM Plan the desired CT range on the PPM screen ->Proceed Siemens Healthineers Services Page 2 of 5 Performing a SPECT/CT Hybrid Study Effective Date: 11/20/2017| Quality HOOD05162002725109 g. On MI Apps Acquisition workstation, select the patient by single clicking on their name, then double click the desired acquisition workflow, update series information and hit Start. The SPECT acquisition will now begin 4. Perform CT Exam a. When the SPECT acquisition completes, click on the CT Acquisition Activity on the Workflow Navigator b. Click Prepare at the bottom of the screen. The table will automatically index into the CT scanner (be alert for any obstructions or patient collisions). c. Click Load to perform the Topogram. Press and hold the Move button on the CT Control Pad if instructed to. This will move the patient bed to the correct starting position. Load d. When instructed to, press Start button on CT Control Pad to begin Topogram. You can suspend the Topogram by hitting the Suspend button on the CT Control Pad once you have scanned the desired anatomy Topogram Press START Suspend Button - Start Button e. Adjust the CT range (purple box on the Topogram image) to include the desired anatomy Phantom, Siemens DEAD HospitalA1 C201 1234 6/21/1950, M, 55Y 6/21/2005 12:20:12.94 IMA 1 1 SP -1144.5 SP 1: -1125.5 SP 2: -965.5 LEN: 160.0 GT: 0.0 FoV: 500 CE: 0 10 ns SOPO 1 Siemens Healthineers Services Page 3 of 5 Performing a SPECT/CT Hybrid Study Effective Date: 11/20/2017| Quality HOOD05162002725109 f. Verify the settings of the CT acquisition and click Load. Press and hold Move button on the CT Control Pad if instructed to. This will move the patient bed to the correct starting position. g. When instructed to, press Start button on CT Control Pad. You can suspend the CT by hitting the Suspend button on the CT Control Pad once you have scanned the desired anatomy. h. The CT Recons will automatically start. Click Close Current Patient button (Red arrow below) i. The system will go back to the MI Applications user interface SPECT_AC_Cardat (Aout) Phantom, Siemens 1234 Total mÃs 282 Topogram Setes descrpose AC AC_Cardiac 5.0 940s NC_Cardiac Sice 50mm Recos begn -1125.5mm Kenel Recon end Window Modastrum mage order Craniocaudal Recor iscrerent Fov 500 mm a No of images 33 2 Cortar X Overview Carter Commones Meroring Noce Pecon Eseeded CT scae " Routine Scan Recon Auto Tasking Autorabc chechse procede completel successfuly 5. Check Image Registration a. Click the Image Registration activity in the Workflow Navigator b. Use the Image Registration activity to check if the registration of the SPECT and CT data are correctly aligned Settings Registration Object vs Target Object vs Target Matrix Optional vs Object Matrix Optional vs Object Default Default O Optional vs Target Transverse AC CT_BoneSPECT 5.0 808s, 7/7/2005 Coronal Bone SPECT-CT [Recon - NOAC 1. 1/12/2014 41 % 1. Move the 60 Alpha Blending tool to middle of scale 2. Scroll to select reference slices S. 4.8 808S 305.0 808S S: 1.0 6. 1.0 Compressed 307.6:508S Compressed : 309.6 316 Compressed O Transverse Sagittar Coronal ......................... Rotation Z 0 Rotation X 0 ...................... Rotation Y 0 Siemens Healthineers Services Page 4 of 5 Performing a SPECT/CT Hybrid Study Effective Date: 11/20/2017| Quality HOOD05162002725109 c. Click Complete to end exam 6. Unload Patient a. Unload patient from table by double clicking CT Index button on hand control and then clicking the SPECT Study Position button. You may have to hold the Table Out button to fully retract the SPECT Pallet once the CT Pallet is completely retracted. b. Lower the patient table to patient access height by double pressing the Wheelchair Height button 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 Instruc- tions 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's Manual shall be used as your main reference, in particular for relevant safety infor- mation 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. 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