PEPconnect

SOMATOM go. platform Routine Scanning Workflow Online Training (VA20)

Routine Scanning Workflow Online Training includes routine scanning workflows for brain, thorax/abdomen, and pulmonary emboli scans and quality checks performed with the SOMATOM go. scanner family. Note, this online training reflects software version VA20.

Welcome to the SOMATOM go. Routine Scanning Workflow online training. In this training you will learn about the routine scanning workflow for SOMATOM go. scanners, including: Patient positioning and preparation 3 examination types starting from patient registration to the  closing of the examination: Brain, combined Thorax and Abdomen, and Pulmonary Emboli. Quality checks Upon successful completion of this course, you will be able to: Identify important areas of the Patient Browser as well as of the Exam User Interface, and describe their functions Position patients correctly and prepare them for different body region scans Perform the following routine examinations successfully: Brain, combined Thorax and Abdomen, and Pulmonary Emboli Name and define the four provided quality checks Adjust the quality check parameters according to your needs Patient positioning is an important part of preparing for the patient examination. Correct positioning ensures reproducible image quality. Below, you will learn to position patients correctly for brain, thoracic and abdominal examinations. It is very important that the patients are centered with regard to the isocenter. They should also feel as comfortable as possible while lying on the table waiting for the scan.   Examples of Patient Positioning Learn more about correct patient positioning. Tab TitleTextBrain Scan 1  Patient in head first, supine position. 2  Arms beside the body. Secure head well in the head holder. 3  Support lower legs. Please note: Position the patient in the isocenter of the scan field by using the lateral laser lights. Thorax/Abdomen & Pulmonary Emboli Scan   1  Patient in supine position, head first, arms over the head, and relaxed on the head support. 2  Support lower legs. 3  Please note: For all studies, it is very important to position the patient in the isocenter of the scan field. Use the lateral laser beams to ensure. SOMATOM go. user interface terms will be used throughout this online training. The SOMATOM go. user interface is made up of the Scheduler, Patient Browser and the Exam User Interface. On single monitor systems, you can toggle between Scheduler and Patient Browser (Local Data). On systems where the dual monitor option is available, the Scheduler is on the left hand side and the Patient Browser is on the right hand side. The Exam User Interface is the workspace utilized when conducting a scan. Please note: For more detailed information about the user interface, visit our SOMATOM go. User Interface Online Training on PEPconnect. Local Data within Patient Browser Learn more about the user interface of the Local Data tab of the Patient Browser. Base ImageHotspotsText BlocksImage File Search Area Work List Bar Results List Toolbar Series List Instances List Exam User Interface Learn more about the Exam User Interface. Base ImageHotspotsText BlocksImage File Patient Position Area Displays the current patient position and position control icons. Taskflow Control  Displays the examination tasks in chronological order: Protocol, Topogram, Scan, Reconstruction, Close. Execution Control Provides control buttons. CARE Profile Displays the dose curve. Topo Segment Displays the acquired topogram. Tomo Segment Displays the acquired tomogram (for example spiral). Recon Ranges Displays the recon ranges for each scan range. A recon range is indicated by a recon icon. Parameter Panel Displays the available scan and recon parameters. The parameter panel is not displayed by default. To display the panel, right-click the scan range on the time axis or the recon job icon in the Recon Ranges area, and select Show Parameters. Timeline Displays the scan ranges in the chronological order in which they appear on a time axis. You can enable an additional quality check (Check&GO) before scanning a range, allowing you to check the quality of the scan before the images are reconstructed. If the scan range contains automatic reconstruction jobs, a quality check ensures that the auto reconstructions are blocked as soon as the range has been scanned. After you confirm the check, the auto reconstructions are enabled. However, if no quality check is specified for a scan range containing automatic recon jobs, the recon jobs are started automatically as soon as the range has been scanned. You will learn in the following section of this online training how to activate the Check&GO parameters and specify the type of quality check before you start scanning. Using Check&GO, you can easily enable the following quality checks:   Contrast An algorithm automatically checks whether contrast medium was injected, the HU value, and whether a defined threshold of contrast medium in the images has been reached. Coverage An algorithm automatically checks if the scanned range on the reconstruction images matches the planned scan range on the topogram. Contrast and Coverage Combines both checks previously explained. Manual No check algorithms are applied. You must perform a visual check once you finished scanning the range. Please note: FAST Planning already checks the correct anatomical coverage on the topogram 2D image. Check&GO, however, uses the tomographic images for a more precise check of the coverage. Even though the first scan has already taken place, this second anatomical coverage check of the Check&GO algorithm prevents from further scanning with the wrong coverage (for example during multi-phase exams). Thus, additional dose for the patient and wrongly produced datasets can be avoided. How to Adjust Check&GO Parameters Learn how to adjust Check&GO parameters Slide NumberText BlocksCalloutsAudio ScriptImage File1Go to the Parameter Panel (green outline on the screenshot) of the Exam User Interface. Please note: The Parameter Panel is not displayed by default. You can display it by right-clicking a scan range on the time axis (blue outline on the screenshot), and selecting Show Parameters.Go to the Parameter Panel (green outline on the screenshot) of the Exam User Interface. Please note: The parameter panel is not displayed by default. You can display it by right-clicking a scan range on the time axis (blue outline on the screenshot), and selecting Show Parameters.2On the Paramater Panel, click the Config tab. On the Config tab, you will find three columns relevant for adjusting Check&GO parameters. From left to right: Check&GO Check&GO Image Type Check&GO Orientation On the Paramater Panel, click the Config tab. On the Config tab, you will find three columns relevant for adjusting Check&GO parameters. From left to right: Check&GO, Check&GO Image Type, and Check&GO Orientation. 3Check&GO Column Click the entry of the Check&GO column. A drop-down menu will unfold. You can select from the following quality checks here: Contrast An algorithm automatically checks whether contrast medium was injected, the HU value, and whether a defined threshold of contrast medium in the images has been reached. Coverage An algorithm automatically checks if the scanned range on the reconstruction images matches the planned scan range on the topogram. Contrast and Coverage Combines both checks previously explained. Manual No check algorithms are applied. You must perform a visual check once you finished scanning the range.  Check&GO Column Click the entry of the Check&GO column. A drop-down menu will unfold. You can select from the following quality checks here: Contrast: An algorithm automatically checks whether contrast medium was injected, the HU value, and whether a defined threshold of contrast medium in the images has been reached. Coverage: An algorithm automatically checks if the scanned range on the reconstruction images matches the planned scan range on the topogram. Contrast and Coverage: Combines both checks previously explained. Manual: No check algorithms are applied. You must perform a visual check once you finished scanning the range. [HU: Please pronounce as single letters "aitch you".]4Check&GO Image Type Column In addition, you can set the following parameters: Click the entry of the Check&GO Image Type column. A drop-down menu will unfold. Here you can select the image type of the images displayed for the quality check: MIP Thin or MPR Check&GO Image Type Column In addition, you can set the following parameters: Click the entry of the Check&GO Image Type column. A drop-down menu will unfold. Here you can select the image type of the images displayed for the quality check: MIP Thin or MPR. [MIP Thin: Please pronounce as entire words] [MPR: Please pronounce as single letters emm-pea-are] 5Check&GO Orientation Column Furthermore, you can set the following parameters: Click the entry of the Check&GO Orientation column. A drop-down menu will unfold. Here you can select the viewing orientation of the quality check image series: Axial Coronal or Sagittal Check&GO Orientation Column Furthermore, you can set the following parameters: Click the entry of the Check&GO Orientation column. A drop-down menu will unfold. Here you can select the viewing orientation of the quality check image series: Axial, Coronal, or Sagittal.6Display the Quality Check Image Series   The quality check image series is displayed in the Tomo Segment after the range has been scanned. Display the Quality Check Image Series The quality check image series is displayed in the Tomo Segment after the range has been scanned. When the patient is positioned on the table and registered via the Scheduler, the requested examination can start. Below, you will learn to successfully perform 3 examinations starting from  Patient Registration to the closing of the examination: Brain combined Thorax and Abdomen Pulmonary Emboli Simulation: Routine Workflow Brain Scan Simulate the routine workflow of a Brain scan. Instructions:Flash File:/content/generator/Course_90018971/sim_SOMgo_RSW_VA20_Pat_Exam_Brain_Scan_1150x719/sim_SOMgo_RSW_Pat_Exam_Brain_Scan_1150x719_FS.swfHTML5 File:/content/generator/Course_90018971/sim_SOMgo_RSW_VA20_Pat_Exam_Brain_Scan_1150x719/index.htmlPDF File: Simulation: Routine Workflow Thorax/Abdomen Scan Simulate the routine workflow of a Thorax/Abdomen scan. Instructions:Flash File:/content/generator/Course_90018971/sim_SOMgo_RSW_VA20_Pat_Exam_TA_Scan_1150x719/sim_SOMgo_RSW_Pat_Exam_TA_Scan_1150x719.swfHTML5 File:/content/generator/Course_90018971/sim_SOMgo_RSW_VA20_Pat_Exam_TA_Scan_1150x719/index.htmlPDF File: Simulation: Routine Workflow Pulmonary Emboli Scan Simulate the routine workflow of a Pulmonary Emboli scan. Instructions:Flash File:/content/generator/Course_90018971/sim_SOMgo_RSW_VA20_Pat_Exam_PE_Scan_1150x719/sim_SOMgo_RSW_Pat_Exam_PE_Scan_1150x719.swfHTML5 File:/content/generator/Course_90018971/sim_SOMgo_RSW_VA20_Pat_Exam_PE_Scan_1150x719/index.htmlPDF File: Congratulations. You have completed the SOMATOM go. Routine Scanning Workflow online training. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Select the link below to view/print your review material before proceeding to the final quiz. Download and print a copy of the Course Review. User Interface Overview Identify Local Data areas Local Data tab of Patient Browser - Work List Bar, Search Area, Results List, Procedure List, Instances List, Series List, Toolbar can be found here. Identify areas of the Exam User Interface and describe their function Taskflow Control - Displays examination tasks Patient Position Area - Displays current patient position and position icons Execution Control - Control buttons Timeline - Displays scan ranges Parameter Panel - Displays the available scan, recon and quality parameters (Check&GO) Recon Ranges - Displays the recon ranges for each scan range Tomo Segment - Displays the acquired tomogram (for example spiral) Topo Segment - Displays the acquired topogram CARE Profile - Displays the dose curve Patient Positioning Position patients correctly for different body region scans Brain scan: 1 - Patient in head first, supine position 2 - Arms beside the body. Secure head well in the head holder 3 - Support lower legs 4 - Please note: Ensure that the patient is positioned in the isocenter of the scan field by using the lateral laser lights Thorax/Abdomen scan & Pulmonary Emboli scan: 1 - Patient in supine position, head first, arms over the head, and relaxed on the head support 2 - Support lower legs 3 - Please note: For all studies, it is very important to position the patient in the isocenter of the scan field. Use the lateral laser beams to ensure Patient Examination Perform routine patient examinations successfully for Brain, combined Thorax and Abdomen, and Pulmonary Emboli scans in a step-by-step approach Initial workflow steps all of the three scans have in common: Step 1: Access CT examination from the Home screen as main access point Step 2: Select a registered patient from the Scheduler of the Patient Browser Step 3: Select the body region-specific scan protocol  Step 4: Check and, if necessary, correctly adapt patient position for the body region-specific scan on the Topogram taskflow card and center graphic Step 5: Activate and display a topogram scan for the body region-specific scan Further workflow steps specific to a Brain scan: Step 6: Perform the Brain scan Step 7: Perform the manual quality check which automatically starts after the Brain scan has completed Step 8: Start all configured reconstruction jobs Step 9: Close the current patient Step 10: Select the next patient from the Scheduler which opens up automatically after closing the previous patient, and continue with the next examination Further workflow steps specific to a combined Thorax and Abdomen scan: Step 6: Perform the first scan range of the thorax Step 7: Perform the manual quality check for the Thorax scan which automatically starts after the first scan range has completed Step 8: Perform the second scan range of the abdomen Step 9: Perform the manual quality check for the Abdomen scan which automatically starts after the second scan range has completed Step 10: Start all configured reconstruction jobs Step 11: Close the current patient Step 12: Select the next patient from the Scheduler which opens up automatically after closing the previous patient, and continue with the next examination Further workflow steps specific to a Pulmonary Emboli scan: Step 6: Prepare for and perform the Premonitoring scan Step 7: Place the ROI in the pulmonary trunk of the Tomo Segment and prepare for the Monitoring Scan Step 8: Start contrast injector and Monitoring scan at the same time to perform the PE scan Step 9: Perform the manual quality check which automatically starts after the Monitoring scan has completed Step 10: Start all configured reconstruction jobs Step 11: Close the current patient Step 12: Select the next patient from the Scheduler which opens up automatically after closing the previous patient, and continue with the next examination Quality Checks (Check&GO) Name and define the four provided quality checks and adjust the quality check parameters according to your needs Using Check&GO, you can easily enable the following quality checks: Contrast: An algorithm automatically checks whether contrast medium was injected, the HU value, and whether a defined threshold of contrast medium in the images has been reached. Coverage: An algorithm automatically checks if the scanned range on the reconstruction images matches the planned scan range on the topogram. Contrast and Coverage: Combines both checks previously explained. Manual: No check algorithms are applied. You must perform a visual check once you finished scanning the range. Please note: FAST Planning already checks the correct anatomical coverage on the topogram 2D image. Check&GO, however, uses the tomographic images for a more precise check of the coverage. Even though the first scan has already taken place, this second anatomical coverage check of the Check&GO algorithm prevents from further scanning with the wrong coverage (for example during multi-phase exams). Thus, additional dose for the patient and wrongly produced datasets can be avoided. In order to adjust the quality check parameters according to your needs, go to the Parameter Panel of the Exam User Interface. On the Config tab, you will find three columns relevant for adjusting Check&GO parameters. From left to right: Check&GO: You can select from the quality checks Contrast, Coverage, Contrast and Coverage, and Manual here (descriptions see above) Check&GO Image Type: Here you can select either MIP Thin or MPR as image type of the images displayed for the quality check. Check&GO Orientation: Here you can select the viewing orientation of the quality check image series: Axial, Coronal, or Sagittal. 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 2018 Please proceed to the final quiz.

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