RAPIDComm® Data Management System Daily Operations Online Training

Let's take a closer look at the dark blood pulse technique. A non-selective 180 degree inversion pulse excites all the tissues and blood within the entire heart when the R-wave trigger is detected at the beginning of the cardiac cycle.  Immediately following this, a slice-selective re-inversion pulse excites only the tissues and blood within the imaging slice. The result is that everything within the slice is flipped back to normal because it experienced both the inversion and re-inversion pulses. Everything outside the slice remains inverted.  Next, the systolic contraction forces the blood within the slice to be replaced by blood from outside the slice.  After enough time delay has occurred to allow the blood to be fully replaced within the slice, the image data is collected during mid to late diastole (dis-ta-lee) of the cardiac cycle.   Welcome to the RAPIDComm® Data Management System Daily Operations Online Training course. In this course, you will learn how to perform daily tasks using the system software. Select Next to continue. Describe how to document completed maintenance tasks Describe how to monitor system and device status Identify how to validate patient results Identify the steps to sign into the software Upon successful completion of this course, you will be able to: Select Next to continue. These examples of segmented TrueFISP demonstrate how it can be used for high resolution bright blood imaging. Each image was acquired in a single breath-hold consisting of several heartbeats. Congratulations. You have completed the RAPIDComm® Data Management System Daily Operations Online Training course. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Identify the steps to sign into the software Start the program from the desktop icon or the Start menu Enter the domain name and user name Enter the password and select the green arrow Describe how to monitor system and device status System Status: Review the System Alerts Manager icon in the status bar Select the System Alerts Manager icon to obtain an overview of the status of the RAPIDComm program and the devices, samples and operators that the program manages Device Status: Review the device icons in the status bar for a visual summary of the status of devices in your user view Select a device icon to open the Device Status Summary window Identify how to validate patient results Select Sample Validation from the Patients menu Select the device type Select a patient sample Click Validate Review and edit information as needed Select OK Describe how to document completed maintenance tasks Select Devices Select Maintenance Recording Select a device Select a task Double-click the cell under today's date for the task Select Apply Select Next to continue.   This image depicts a timing diagram of the double IR pulse sequence.  The black waveform shows the ECG signal with data collection occurring in mid to late diastole (dys-tol-lee).  The red waveform represents the signal of the blood that flows into the imaging slice.  The green waveform represents the signal of the myocardium within the imaging slice.  Note that the myocardium signal is initially inverted and then immediately reinverted and it remains positive during the cardiac cycle.  But the blood signal is initially inverted and then gradually recovers towards positive during the cardiac cycle, passing through zero at some point during diastole. The time delay required for the blood signal to pass through zero is known as the blood null time.  If the data acquisition is carefully timed to occur exactly when the blood signal is passing through the null point, the blood appears dark in the image.   To log into the system: Start the program from the desktop icon or the Start menu. Enter the domain name and user name. Enter the password and select the green arrow. System Login Learn about logging into the system.   Select the play arrow to begin. When complete, select the X in the upper-right corner to close the window and continue. You will need to setup the cardiac triggering and blood null delay time on the physio task card.  When you click on the captured cycle button, the acquisition window and TR are updated to values slightly less than the patient’s average cycle.  In this example the average cycle is 1000, so the acquisition window and TR are updated to 940. You will then need to move your cursor over the TR to see the corresponding blood null delay time, which is 688 in this example.  If you want to slightly increase or decrease the blood null delay time, you must slightly increase or decrease the TR. Monitoring Status: Device status icons in the status bar indicate the device status The Device Status Summary window for blood gas, urinalysis, and diabetes provides specific status information The System Alerts Manager window indicates the status of the RAPIDComm program and of any items the program manages Note: For more detailed information about device and system status, refer to the RAPIDComm User's Guide.     Monitoring System and Device Status Learn more about monitoring system and device status. Base ImageHotspotsText BlocksImage File The Device Status Summary window for Blood Gas includes information about the overall status of the device, device name and location, connectivity to RAPIDComm, sensor status, cartridge status, last patient result, last QC results, most recent calibration and software version.   The Device Status Summary window for Diabetes includes the overall status of the device, device name or serial number, device location, connectivity status, last patient result, last QC result and software version.  The Device Status Summary window for Urinalysis includes the overall status of the device, device name or serial number, device location, connectivity status, last patient result, last QC result and software version. The System Alert icon is used to open the System Alerts Manager window.  This window displays an overview of the status of the RAPIDComm program and any alerts for your devices, samples, results and operators that need your attention. When selected from the Toolbar, this button displays the information on the Device Status Summary as icons. Both bright blood and dark blood morphology pulse sequences can be acquired with either segmented k-space filling, which requires several heartbeats per image, or with the single-shot k-space filling, which requires only one heartbeat per image.  Single-shot techniques are very insensitive to breathing motion and should be used when breath-holds are problematic.  Turbo spin echo is an example of a segmented breath-hold sequence, and HASTE is an example of a single-shot dark sequence.  Both can be done either with our without dark blood pulses. Sample validation is required when: Samples are missing required information Samples meet the conditions of a rule requiring manual review Blood Gas samples are retransmitted from RAPIDLab® 248 or 348 devices with new sequence numbers Samples are duplicates of previous samples that were not automatically deleted or automatically processed   Validating Patient Results for Blood Gas Devices Learn about validating patient results for blood gas devices. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90009150/sim_RC_ValSampBG_800x492_swf/sim_RC_ValSampBG_800x492_swf.htmHTML5 File:/content/generator/Course_90009150/sim_RC_ValSampBG_HTML5_800x492/index.htmlPDF File: Validating Patient Results for Diabetes and UA Learn about validating patient results for diabetes and urinalysis devices. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90009150/sim_RC_ValSampUA_800x492_swf/sim_RC_ValSampUA_800x492_swf.htmHTML5 File:/content/generator/Course_90009150/sim_RC_ValSampUA_HTML5_800x492/index.htmlPDF File: Duplicate Samples Learn about duplicate samples. Duplicate samples are displayed on the Patient Sample Validation List window.  Duplicate samples are only held for manual review if RAPIDComm is not configured to automatically delete duplicates or, for blood gas, to automatically validate duplicates. To access this window, select Patients > Sample Validation.  A duplicate sample may be selected from the list and validated by selecting the Validate button or deleted by selecting the Delete button.  If you save the duplicate of a sample that was previously saved, the duplicate replaces the original sample in the RAPIDComm database.   Note: You must belong to a user group with the Application Administrator role to delete a duplicate sample. When complete, select the X in the upper-right corner to close the window and continue. Maintenance Activities: Review the status of maintenance tasks Document completed tasks in the Maintenance Recording window Record general comments to track the overall life cycle of events for an instrument Review Maintenance Tasks Learn about reviewing the status of maintenance tasks. Checklist TitleChecklist TypeChecklist ContentSelect Maintenance RecordingHTML On the Devices menu, select Maintenance Recording. Select each checkbox to learn more about reviewing the status of maintenance tasks.  Select DeviceHTML On the tree, select the device type, device model series, location or individual devices.  Select Task StatusHTML Select the task status on the Status drop-down list. Note: The calendar displays only when an individual device is selected in the tree.  Review StatusHTML Review the status selected. When complete, select the X in the upper-right corner to close the window and continue.   Record Maintenance Tasks Learn about recording maintenance tasks and general comments. Select the play arrow to begin. When complete, select the X in the upper-right corner to close the window and continue.