PURE Needle Guidance

Needle Guidance for PURE Interventional Radiography: Cardiac 1. A 3D volume has been loaded or acquired into the 4D task card. 2. NOTE: Fusion can be performed and this volume can be loaded into the 4D task card. 3. From the workflow drop down select Needle Guidance. 4. Define Path: Review and Processing Needle Guidance X Define Path Define needle path by marking target and entry point in the planning volume (first loaded volume) Selection N1 (new) ... Progress Needle 5. Select TARGET. This icon will automatically be highlighted when the Needle Guidance workflow is selected. You may use any of the MPR views or the VRT to select your target. Left click to select target. A circle will appear at the target point. SIEMENS siemens.com/healthineers Healthineers Job Aid | Needle Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270014 6. Select ENTRY POINT. This icon will automatically be highlighted after the Target Point has been selected. You may use any of the MPR views or the VRT to select your entry point. Left click to select entry point. A cross will appear at the entry point. 7. When Target and Entry Points are selected, the needle path is displayed as a line. The length of the path is defined in centimeters. Both points can be moved by left clicking and dragging into different positions. 8. Progress Needle: Review and Processing Needle Guidance x Define Path Progress Needle Use Bull's Eye View to align needle. Use Progression Views to check needle position. Selection N1 ... Live Siemens Healthineers Services Page 2 of 7 Job Aid | Needle Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270014 9. The automatic drive to Bull's Eye icon is preselected. At this point, activate stand movement to drive system into position. Graphics are displayed on the Live monitor. Once position is reached; it is now ready to align the graphics so the ROI/Target is in isocenter. This is achieved by changing table height and/or longitudinal or lateral table position. General graphics Laser graphics (Artis without laser positioner) (Artis with laser positioner) Position not adjusted R R Position adjusted R R 10. Once system is in correct alignment, needle can now be placed. This can be done utilizing the laser light or under fluoroscopy. Advance needle in the Bull's Eye View and then proceed to Progression Views. The graphics will update with system movement and fluoroscopy. Siemens Healthineers Services Page 3 of 7 Job Aid | Needle Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270014 11. 3D Overlay is now also activated. Example of Needle placement under fluoroscopy in Bull's Eye View E8xample of Progression View 1 with distance graphics Example of Progression View 2 with distance graphics 12. Continue placement of needle, following graphic guides and utilizing Bull's Eye and Progression Views, until target point is reached. Large distance markers equal 1cm and small distance markers equal 0.5cm. Siemens Healthineers Services Page 4 of 7 Job Aid | Needle Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270014 13. Additional Information:  Multiple Needle paths: You can now plan as many needle paths as you need.  Under the "Define Path" menu select the drop down arrow under selection.  Select NEW  Then repeat your steps for needle path planning. Review and Processing Needle Guidance X Define Path Check needle path Option: Create a new needle path via the list entry "New". Selection N2 ... New N1 N2 Progress Needle Siemens Healthineers Services Page 5 of 7 Job Aid | Needle Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270014 ADV_DCT_NEEDLE_G ... H AXIOM-Artis ADV DCT NEEDLE G HPL AXIOM-Artis VC21A 130321WE52A VC21A 130321WVE52A Guide SoftTissue Nat Fi ... HFS Guide SORTissue Nat Fi HFS *11/8/1942 *11/8/1942 XA XA 8/15/2013 8/15/2013 8:33:39 AM 8:33:39 AM LLLLLLLLLl AR RP 143.09 mm 143.0 N2 LLLLL 133.82 mm 110 cm SL 2.0 SL 2.0 Thick MPR 1113 299 Thick MPR ~ 1113 299 LAO 65/0 RAO 25 / CRAN 7 ADV_DCT_NEEDLE_G AH AXIOM-Artis ADV_DCT_NEEDLE_G ... HLA AXIOM-Artis VC21A 130321WE52A VC21A 130321WE52A Guide SoffTiss HFS Guide SoftTissue Nat Fl ... HFS *11/8/1942 *11/8/1942 XA XA 8/15/2013 8/15/2013 8: 33:39 AM 8:33:39 AM RH LELLLLLLLLLLLLLLLLLy RPH 143.09 mm ILLLLLLLLLLLLLLLLLLLU N2 333.82 mm 10 cm SL 20 ETIT 4630 Thick MPR 299 VRT RAO 25/CAUD 83 RAO 12/ CRAN 1 Siemens Healthineers Services Page 6 of 7 Job Aid | Needle Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270014 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 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 ...... ........... Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Siemens Healthineers Services Page 7 of 7