PEPconnect

Perivision and Peristepping (VC21 to VE10)

Job aid describing the steps to setup a successful peri run.

Perivision and Peristepping (VC21-VE10) Job Aid Advanced Therapies – All ARTIS zee, Q, q.zen, zeego, and pheno SW versions (VC21 to VE10). **There is an additional job aid available on PEPconnect to determine SW version of the sys- tem. •Perivision = Subtracted •Peristepping = Unsubtracted Patient Setup • Register patient with correct patient position selected. • Position patient properly on table with or without external boluses around the legs. En- sure that patient is centered on table and head is all the way to the top of table if Head First Supine (HFS) or the feet are all the way to the top of the table if Feet First Supine (FFS). Tape toes together or position feet as needed per individual protocols. System Setup Ceiling, zeego, and pheno systems – c-arm moves System Position - Left side (ceiling) or Left side Table Rotated (zeego or pheno) 1. Flat detector all the way up – max SID. 2. Zoom 0 typically with flat detector Portrait or Landscape based on bilateral or unilateral pro- cedure and patient body habitus. 3. Raise table up to flat detector and maximum longitudinal distance from base. 4. Move c-arm over first position. Do not move table to c-arm!! 5. Fluoro and center anatomy for first position. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 07/01/2020 | HOOD05162003100709 Healthineers Job Aid | Perivision and Peristepping Effective Date: 07/01/2020 | HOOD05162003100709 6. Turn on Peri program. The program may have the default name (as shown) or it may have been changed to reflect user preference such as Runoff or Bolus Chase. Peri, Dyna Scan Extremities 1 Extremities 2 Extremities 4 Extr. evenflow I f/s 2 f/s 4 f/s VFR time Note: Default programs show frame Extr.1 CARE Extr. 2 CARE Extr.4 CARE rate for each step and if the acquisition 1 f/s 2 f/s 4 f/s will be subtracted or unsubtracted. For Example: P222111 P442211 S 222111 S 332211 P442211 = Perivision (subtracted) with VFR man VFR man VFR man VFR man steps 1 & 2 @ 4 f/s, steps 3 & 4 @ 2 f/s, and remaining steps @ 1 f/s. S332211 = PeriStepping (unsubtracted) with steps 1 & 2 @ 3 f/s, steps 3 & 4 @ DYNA 3.0 DYNA 4.5 DYNA 6.0 2 f/s, and remaining steps at 1 f/s. 7. Fluoro to verify correct position and to set filters and/or collimation for this first position. 8. Move to next position by compressing joystick and deflecting in the running direction of the c- arm. If standing on right side of table, typically deflect joystick to the right to move c-arm down the legs. Pheno 9. Clear filters and collimators. 10. Step on fluoro to get a last image hold (LIH) to use for positioning filters and collimators based on current position. 11. Repeat steps 8 – 10 for each position down the legs. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 07/01/2020 | HOOD05162003100709 Healthineers Page 2 of 7 Job Aid | Perivision and Peristepping Effective Date: 07/01/2020 | HOOD05162003100709 System Setup Floor or biplane systems – table moves System Position - Left side 1. Flat detector all the way up – max SID. 2. Zoom 0 typically with flat detector Portrait or Landscape based on bilateral or unilateral procedure and patient body habitus. 3. Raise table up to flat detector. 4. Move table to first position. 5. Fluoro and center anatomy for first position. 6. Turn on Peri program. Peri, Dyna Scan Extremities 1 Extremities 2 Extremities 4 Extr. evenflow I f/s 2 f/s 4 f/s VFR time Note: Default programs show frame rate for each step and if the acquisition will be subtracted or unsubtracted. Extr. 1 CARE Extr. 2 CARE Extr.4 CARE 1 f/s 2 f/s 4 f/s For Example: P442211 = Perivision (subtracted) with steps 1 & 2 @ 4 f/s, steps 3 & 4 @ 2 f/s, P222111 P442211 S 222111 S 332211 and remaining steps @ 1 f/s. VFR man VFR man VFR man VFR man S332211 = PeriStepping (unsubtracted) with steps 1 & 2 @ 3 f/s, steps 3 & 4 @ 2 f/s, and remaining steps at 1 f/s. DYNA 3.0 DYNA 4.5 DYNA 6.0 7. Fluoro to verify correct position and to set filters and/or collimation for this first position. 8. Move to next position by compressing joystick and deflecting in the running direction of the table. If standing on right side of table, typically deflect joystick to the left to move the table into the c-arm to image down the legs. (3) Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 07/01/2020 | HOOD05162003100709 Healthineers Page 3 of 7 Job Aid | Perivision and Peristepping Effective Date: 07/01/2020 | HOOD05162003100709 9. Clear filters and collimators. 10. Step on fluoro to get a last image hold (LIH) to use for positioning filters and collimators based on current position. 11. Repeat steps 8 – 10 for each position down the legs. Image Acquisition • Ensure injector is loaded, connected to catheter, and armed. • To acquire images, you may use either the foot pedal or the handswitch. Keep pressed the entire time!! • Once acquisition has been started, during Perivision, the c-arm or table will move, posi- tion to position, acquiring the masks. Set up Position 1 Mask run Inject Fill run Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 07/01/2020 | HOOD05162003100709 Healthineers Page 4 of 7 Job Aid | Perivision and Peristepping Effective Date: 07/01/2020 | HOOD05162003100709 • During Peristepping, the c-arm or table will move directly back to position 1 without ac- quiring masks. Set up Position 1 Return to start Inject Fill run • Once the system is at position 1, the injector will inject (if sync’d) automatically or staff can manually start the injection. • To move system from position to position requires use of the handswitch multifunction button. This button is the only way to trigger the system to move to the next position. It is a quick push and release function – DO NOT PRESS AND HOLD!! KK • There is approximately 1/3 image overlap. • Continue to push and release multifunction button until all positions have been imaged as needed. • Remember -- the acquisition pedal or button is being used the entire time. DO NOT release until image acquisition has been completed!!! Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 07/01/2020 | HOOD05162003100709 Healthineers Page 5 of 7 Job Aid | Perivision and Peristepping Effective Date: 07/01/2020 | HOOD05162003100709 Image Review • Image review can be performed at table side or in control room by selecting Scene Direc- tory or Scene + or Scene - . • Each position imaged will be an individual scene in directory. • Post process and archive as needed. 216 - 2 276 -4 LAO:O CRA:0 LAO:O CRA:0 LAO:O CRA:O LAO:O CRA:0 PERI Plane A PERI PERI Plane A Plane A SCENE CENE SCENE 2/6 - 5 2/6 - 6 3/6 - 1 3/6 - 2 LAO:O CRA:0 LAO:O CRA:0 IRAOO CAU O PERI EPERI RAOO CAU O PERI PERI Plane A Plane A I:Plane A Plane A SCENE SCENE I:SCENE SCENE 3/6. 3 3/6 - 4 3/6 . 5 RAOO C RAO:O CAU O RAO O CAU O PERI PERI PERI Plane A Plane A Plane A SCENE SCENE SCENE Automatic Reference Analysis 3/6 4/6 - 1 RAOO RAO:O CAU O RAO:31 CRA:0 PERI PERI DYNA Plane A Plane A Plane A SCENE QUANT REPO lane T REPORT SCENE /com///// //////H Patient Transfer Edit View Filter Sort Private Applications Options Help 336H IBT_ANEURYSM_ANALYS 20.05.26-06:39:00-STD 111111 1 Local Database 2D_Image_Collection Perivision 4] Pelvis_Dynavision Scheduler B DSA CO2, CO2 [3] RunOff 333222 R/// /// / /com/ / / / / / RecycleBin Q.zen CS_02_RCA_calci [2] Peri fast Pelvis R////// / /com/ / / / / / Ozan CC1 00 Caaffald Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 07/01/2020 | HOOD05162003100709 Healthineers Page 6 of 7 Job Aid | Perivision and Peristepping Effective Date: 07/01/2020 | HOOD05162003100709 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 co llectively “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 auth ority. 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 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 07/01/2020 | HOOD05162003100709 Healthineers Page 7 of 7

  • Perivision and Peristepping (VC21 to VE10)