Symbia S Turnover Workbook

SIEMENS SIEMENS Symbla Symbia S Turnover Workbook www.usa.siemens.com/healthcare Answers for life. Table of Contents Introduction. . . . . . . . . . . . . . . . . . . . . . . 3 Workflow Navigator . . . . . . . . . . . . . . 26 Pixon® Processing . . . . . . . . . . . . . . . . . 44 Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Launching a Workflow . . . . . . . . . . . . 27 Series Calculator . . . . . . . . . . . . . . . . . . 45 Learning Objectives. . . . . . . . . . . . . . . . 3 Acquisition Workflows . . . . . . . . . . . . 27 Masking. . . . . . . . . . . . . . . . . . . . . . . 45 Acquisition Types . . . . . . . . . . . . . . . . 27 Series Filter . . . . . . . . . . . . . . . . . . . . . . .46 Day One . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Acquisition Tab . . . . . . . . . . . . . . . . . . 27 Series Merge . . . . . . . . . . . . . . . . . . . . . 47 Overview of Symbia S . . . . . . . . . . . . . . . 4 Analyzer Tab . . . . . . . . . . . . . . . . . . . . 30 Series Extract . . . . . . . . . . . . . . . . . . . . 47 Camera Detectors . . . . . . . . . . . . . . . . . . 5 Display Analysis Tab . . . . . . . . . . . . . . 30 Flexible Display . . . . . . . . . . . . . . . . . . . 48 Patient Table (PHS). . . . . . . . . . . . . . . . . 6 Modifying and Saving Saving JPEG and AVI files . . . . . . . . . . . 49 Integrated Collimator Changer (ICC) . . 7 a Workflow Template. . . . . . . . . . . . . . 30 Dual-Monitor Support . . . . . . . . . . . . . . 49 Automatic Collimator Changer (ACC) . . 7 Patient Setup and Positioning. . . . . . . 31 Patient Browser . . . . . . . . . . . . . . . . . . .50 Hand Controller. . . . . . . . . . . . . . . . . . . . 8 Manually Registering a New Patient. . 31 Accessing the Patient Browser . . . . . . 50 Patient Bed Accessories. . . . . . . . . . . . . 9 Registering a Patient from HIS/RIS. . . . . 31 Patient Databases . . . . . . . . . . . . . . . . 50 Setting Gurney and Wheelchair Height . . 9 Manually Registering an Correcting Patient Name, ID Number, Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Existing Patient . . . . . . . . . . . . . . . . . . . 32 and Other Demographics. . . . . . . . . . .50 Patient Positioning Monitor (PPM) . . . . . 9 Positioning the Patient for Exams. . . . 33 Rearranging a Patient Series . . . . . . . . 51 Quality Control . . . . . . . . . . . . . . . . . . . . 10 Processing Workflows. . . . . . . . . . . . . . 34 Manually Transferring Data . . . . . . . . .51 Daily QC Flow Chart. . . . . . . . . . . . . . . . 11 Quality Control Activity. . . . . . . . . . . . . 34 Manually Archiving Data . . . . . . . . . . 51 Weekly QC Flow Chart. . . . . . . . . . . . . . . 11 Dynamic Correction. . . . . . . . . . . . . . . 35 Retrieving Data from Archival Device. .51 Monthly QC Flow Chart. . . . . . . . . . . . . .12 Tomo Correction. . . . . . . . . . . . . . . . . . 36 Ejecting a CD or DVD . . . . . . . . . . . . . .51 1. System Daily Shutdown and Startup.. 13 Tomo Reconstruction. . . . . . . . . . . . . . 36 Deleting Data . . . . . . . . . . . . . . . . . . . 52 2. Restarting Additional Workstations. . 14 AutoRecon Activity. . . . . . . . . . . . . . . .37 MI Apps Cleanup . . . . . . . . . . . . . . . . .52 3. Daily MN QC . . . . . . . . . . . . . . . . . . . 14 Flash 3D. . . . . . . . . . . . . . . . . . . . . . . . . 38 4. Weekly QC . . . . . . . . . . . . . . . . . . . . . 19 Day Four . . . . . . . . . . . . . . . . . . . . . . . 53 5. Monthly QC . . . . . . . . . . . . . . . . . . . . 20 Day Three . . . . . . . . . . . . . . . . . . . . . . 39 Week One Exercises. . . . . . . . . . . . . . . 53 Organ-Specific Processing . . . . . . . . . . .39 Day Two. . . . . . . . . . . . . . . . . . . . . . . . 25 Gastrointestinal Processing . . . . . . . . . .39 Contact Information Summary . . . . . . 55 Overview of MI Apps Workstation. . . . 25 Hepatobiliary Processing . . . . . . . . . . . .40 Command Module. . . . . . . . . . . . . . . . 25 Planar Gated (MUGA) Processing . . . . .40 Patient Browser. . . . . . . . . . . . . . . . . . 25 First Pass Processing . . . . . . . . . . . . . . . 41 Workflow Template Browser . . . . . . . .26 Lung Processing . . . . . . . . . . . . . . . . . . .42 Workflow Manager . . . . . . . . . . . . . . 26 Renal Processing . . . . . . . . . . . . . . . . . . 43 View PPM . . . . . . . . . . . . . . . . . . . . . . 26 Thyroid Processing . . . . . . . . . . . . . . . . .43 2 Introduction Purpose After this week, you will be able to: The purpose of this training session is to provide • Describe the function of the Symbia S components you with the skills and knowledge to operate • Demonstrate the operation of the gantry your system. • Demonstrate the operation of the Patient Handling System (PHS) • Demonstrate the operation of the Patient Positioning Monitor (PPM) Learning Objectives • Demonstrate the steps in changing the collimators The learning objectives for this workbook are: • Describe the workflow of the daily, weekly and monthly QC procedures • Demonstrate the system daily startup and shutdown Learning Materials • Demonstrate restart of additional workstations The following instructional materials are • referenced throughout this training session: Demonstrate the steps for the NM Daily Quality Control • System Owner Manual Demonstrate the steps for the Weekly Quality Control Provides the necessary knowledge and expertise • Demonstrate the steps for the Monthly Quality Control to accurately and safely operate the system. • Describe the function of the MI Apps Workstation Training Workbook • Describe the layout of the Command Module Supports the Systems Owner Manual through • Demonstrate the steps in patient selection and launching a workflow “big picture concepts”, examples, stories, • interactive exercises and references to online Demonstrate how to modify a workflow template and save it documentation. This book is yours to keep • Demonstrate how to setup and position a patient so you can write in the book. • Describe the purpose and demonstrate the use of the Step-by-Step processing workflows These documents provide quick reference tips • Describe the purpose and demonstrate the use of the to aid customers in “just-in-time” learning organ-specific workflows opportunities. • Demonstrate the basic operation of the Flexible Display activity • Demonstrate the steps for saving JPEG and AVI files • Demonstrate how to use dual monitors (if applicable) 3 Day One Day One: Topics Notes • Overview of Symbia S • System Control Orientation • PHS Orientation/Homing • Collimator Changing • Emergency Stops • Laser Lights • System Safety • MI Workstations • System Restart • Daily Nuclear Medicine Quality Control Procedures • System Shutdown and Clean Up • Weekly QC • Monthly QC Overview of Your Symbia S (2) (3) 7-(7) (8) (11) (13) (4)- ( 5 )- (6) (10) (12) 1. Emergency stop buttons 2. Hand Control 3. Gantry 4. Rear Bed 5. Siemens Nuclear Acquisition Controller (SNAC) 6. Power Switches 7. Patient Positioning Monitors (PPM) 8. Touch Pads 9. Detectors 10. Integrated Source Holders (retracted) 11. Pallet 12. Patient Bed 13. Pallet Handle 4 Day One (3) Notes (1) MAIN CAMERA MOTION (5) SNAC (6) (7) 1. Main System Power Switch 2. External ECG R-Wave Trigger Connection 3. Hand Control Connection 4. External ECG Power Outlet 5. SNAC Power 6. Camera Power Switch 7. Motion Power Switch Camera Detectors 1. Touch Pads on Detectors 2. Touch Pads on Yokes 3. A touch pad covers three sides of the detector’s yoke .. (2)- 1. Auto Infrared Body Contour System (Light Rails) 2. Detector Look-Ahead Sensor 3. Yoke Look-Ahead Sensors 4. Gantry Sensors 5 Day One Patient Table (PHS) Notes (5) (9) -(2) (3)- (10)- (2) --- 6-0 1. Patient Positioning Monitor (PPM) 2. Rear Bed 3. Foot End 4. Pallet with Pad 5. Patient Bed pivots way from gantry 6. Patient Bed Handles 7. Docking Pin (beneath bed) – Foot Pedal not shown 8. Stationary Pin (beneath bed) 9. Head End 10. Pallet Handle Weight limit: 227.2 kg or 500 lb Warning Do not exceed weight limit! Patient injury or system damage can result. The patient bed supports a patient weight of approximately 227 kg (500 lb). For the patient’s safety and to prevent pallet damage, do not exceed this weight limit. Pallet fully retracted measures 136.1 cm Pallet fully extended measures 214.0 cm 471 1. Manual Integrated Source Holder 2. Point Source Holder 3. Line Source Holder 4. AutoQC Shielded Storage Area 6 Day One Integrated Collimator Changer (ICC) Notes 1. Integrated Collimator Changer with Handles 2. Drawer opened 3. Collimator clamp raised for collimator removal Automated Collimator Changer (ACC) 1. Automated Collimator Changer (ACC) (2)- (5)- 1. Pinhole Collimator (not automated) 2. Collimator Cart Drawer Numbering 3. Collimator in drawer, which slides in and out 4. Collimator Cart Connector 5. Collimator Cart Leg slid into patient bed guide for docking 6. Collimator Cart Drawer Handle 7. Collimator Cart Handle 7 Day One Hand Controller Notes (2) (3) 1. Start/Stop Acquisition 2. Fast 3. Clear PPM (1) (8) (2) (9) (3) (10) (4) (11) (12) (5)- (13) - (14) 1. Detector 1 Counterclockwise 2. Detector 1 Toward White Orientation Dot 3. Detector 1 In 4. Gantry Counterclockwise 5. Detector 2 Toward White Orientation Dot 6. Detector 2 Out 7. Detector 2 Clockwise 8. Detector 1 Clockwise 9. Detector 1 Out 10. Detector 1 Toward Gray Orientation Dot 11. Gantry Clockwise 12. Detector 2 In 13. Detector 2 Toward Gray Orientation Dot 14. Detector 2 Counterclockwise (4) (2) (3) (5) (7) 1. Bed Up Button 2. Bed Out Button 3. Bed Down Button 4. Bed In Button 5. Gurney Height Button 6. Wheelchair Button 8 Day One Patient Bed Accessories Notes 1. Head Holder 2. Whole-body Armrests 3. Body Wraps 4. Patient Bed Ruler 5. Armrest 6. IQ•SPECT Armrest (Optional) 7. Integrated ECG Setting Gurney and Wheelchair Height 1. Dock Patient Bed 2. Press Bed Out on hand control 3. Press and hold the Bed Up or Bed Down button 4. Release the button once the appropriate height is reached 5. Press and hold Gurney or Wheelchair Height button for 5 seconds Cleaning 1. Do not pour liquids on system 2. Spray cleaning solution onto cloth and wipe where necessary 3. Touch Pads: Use caution and avoid scrubbing detectors and touch pad surfaces 4. Disinfection: Lightly wipe with bleach, alcohol, or other germicides 5. Do not use abrasive cleansers or organic solvents Patient Positioning Monitor (PPM) WWW ASPECT C X (7) 1. PPM Tab 2. Camera Configuration Tab 3. Reconfiguration Tab 4. ECG Tab 5. Offset Zoom/CT FOV Limit Tab 6. Collimator Change Tab 7. Setup Tab (1) (2) (3) 1. E-media Player (optional) (at right) e.media 9 Day One Quality Control Performed Quality Control Procedure Source Daily for NM • Intrinsic Verification, or • 35 μCi of 99mTc, or • Extrinsic Verification or • Co-57 sheet source Extrinsic Sweep • AutoQC source Weekly for NM • Intrinsic Verification • 35 μCi of 99mTc with Tune • AutoQC source Monthly for NM • Intrinsic Calibration • 35 μCi of 99mTc with Tune • AutoQC source Monthly for NM • Multiple Head Registration • 1-2 mCi of 99mTc per (MHR) 180° source (Match sources • Head Alignment Verification within 20% for 99mTc only) • AutoQC source Every 6 months or per • Perform a leak test of the • Gd-153 line source and Regulatory/License automated quality control Co-57 point source requirements device sources If the collimator is damaged • Intrinsic Calibration, and • See source strengths above or replaced • Extrinsic Calibration for collimator • MHR for collimator • Head Alignment Calibration for collimator Significant change to Head • Multiple Head Registration • 1-2 mCi of 99mTc per source Alignment values for the (MHR) 180° (Match sources within 20% reference of Low Energy • Head Alignment Calibration for 99mTc only) Parallel Hole collimator • AutoQC source Notes 10 Day One Symbia S Daily QC Flow Chart Symbia S Weekly QC Flow Chart Daily NM QC Weekly NM QC Auto QC? Auto QC? Yes No Yes No Intrinsic or Extrinsic? Intrinsic or Extrinsic? NM Intrinsic Verification NM Intrinsic Auto with Tuning Verification Performs Int. Manual with Tuning Verification Flood Performs Int. Int. Ext Int. Ext and Ext. Sweep Flood Verification Flood Co57 Point Gd153 Line Tc99m Point Co57 Sheet Source Source Source Source NM Intrinsic NM Extrinsic NM Intrinsic NM Extrinsic Verification Sweep Verification Verification Auto Auto Manual Manual Notes 11 Day One Symbia S Monthly QC Flow Chart Symbia S Monthly QC Auto QC Productivity Package? Yes No Monthly QC Suite: Intrinsic Calibration Performs: Performs: Tuning Tuning Int. Calibration Int. Calibration Int. Verification Int. Verification MHR Ext. Sweep MHR/COR 180º Config: Performed on most commonly used low energy collimator Notes 12 Day One 1. System Daily Shutdown and Startup Notes Shutdown 1.Ensure all workflows and data are saved, suspended or completed. 2.System > End 3.Select Shutdown. 4.Yes to confirm shutdown. 5.Go to PPM > Setup tab. 6.Shutdown. 7.Proceed. 8. When message appears to shutdown the SNAC, flip SNAC switches to OFF. Startup 1.Turn Main Power switch at the bottom of the left side of gantry to ON (I). 2. Press the UPS power button (if present) to ON. If UPS is not present, press the power button to the syngo® MI Workplace. Reset Emergency Stop 3. Above the emergency stop button and hand control holder on the gantry’s side, press the green Restart button. The light inside the red emergency stop button goes out indicating the button is reset. The syngo MI Workplace starts to power up. syngo MI Workplace At the syngo MI Workplace, the Log On to Windows® dialog appears. 4. Press Ctrl-Alt-Delete keyboard key combination. The user name and password fields appear. 5. Enter esoft for both the user name and password. 6. Press the keyboard’s Enter key. This will start the syngo MI Applications. The Command Module display screen will be shown. Homing the System 7. From the PPM, press the Setup tab, and then the Home button, followed by the Proceed button to home the system. 13 Day One 2. Restarting the Additional Workstations Notes (Processing, Reading Workstations) 1. Exit/Complete running all workflows and applications. Ensure that the Nuclear Medicine gantry is powered on. 2. On the syngo MI Workplace menu: System > End, Restart and Yes. 3. To log on: Ctrl, Alt, Delete keys. 4. Username and password: esoft 3. Daily NM QC Intrinsic Verification — Manual QC Setup 1. Home the system and remove collimators. 2. Prepare 20–35 uCi Tc99m point source. 3. On workstation, highlight current QC patient. 4. Double click the Intrinsic Verification workflow. 5. Cover the detector 2 surface with a protective material to avoid contamination. 6. Extend point source holder and place point source in vial holder, cap end in. Tuning the System 7. Tuning the system is only necessary on a weekly basis. If you do not need to tune, Skip to Next Activity and go to step 11. 8. On the first Tuning activity for Detector 1, select Start Tuning and Peaking. 9. On the second Tuning activity for Detector 2, select Start Tuning and Peaking. 10. When completed, a message appears for each activity above of success or failure. If fails, repeat Tuning and Peaking for each head. If repeated failures, place a Service Call. Peaking and Acquisition 11. Adjust table height to center the source so count rates are similar between heads. 12. If you skipped tuning activity, go to Static activity of the workflow and select Analyzer tab. Press the Begin Peaking button. 13. If peak shift exceeds before ±3%, you must exit the workflow, restart the workflow and Tune the system. Perform steps 8 and 9. 14. Go to the Static Acquisition activity, enter the date on series information tab and click the Start button to acquire the flood. 14 Day One Review the Results Notes 15. On the Flood Calculation Activity, visually inspect the flood and make sure the flood is uniform. Review the values. If the values are within limits, accept and save the values. Reject unacceptable values. These values are used for service trending purposes only. Uniformity CFOV UFOV Integrated 5% 6% Differential 2.5% 3% 16. Make appropriate selections in the Hard Copy activity. 17. Complete the workflow. 18. Remove source and retract the source holder, remove the protective cover and attach the collimators. Intrinsic Verification — Auto QC Scheduling Auto QC 1. Command Module > Options > Configuration Menu > MI Acquisition Settings 2. Adjust dates and time for AutoQC scheduled completion. 3. Click OK. Setup 1. On workstation, highlight current QC patient. 2. Double click the Intrinsic Verification workflow. 3. Enter tomorrow’s date on the series information tab. 4. Ensure that nothing is obstructing the motion of the detector heads. Acquisition 5. Return to Auto QC activity and press Start. Review the Results 6. On the Flood Calculation Activity, visually inspect the intrinsic verification flood and make sure the flood is uniform. Review the values. If the values are within limits, accept and save the values. Reject unacceptable values. These values are used for service trending purposes only. Uniformity CFOV UFOV Integrated 5% 6% Differential 2.5% 3% 7. Make appropriate selections in the Hard Copy activity. 8. Complete the workflow. 9. Attach the collimators. 15 Day One Extrinsic Verification — Manual QC Notes May be performed instead of intrinsic verification. However the intrinsic verifications should be performed once a week for detector tuning. Setup 1. Home the system. 2. Install appropriate collimators on the detectors. 3. Attach the sheet source holder (See users manual for more detailed instructions). 4. Center the sheet source within the sheet source holder defined source areas. 5. On workstation, highlight current QC patient. 6. Double click the Extrinsic Verification workflow. Acquisition 7. Check that the collimators have been installed and click the Start button. Review the Results 8. On the Flood Calculation Activity, visually inspect the flood and make sure the flood is uniform. Review the values. If the values are within limits, accept and save the values. Reject unacceptable values. These values are used for service trending purposes only. Uniformity CFOV UFOV Integrated 5% 6% Differential 3.5% 4% SMARTZOOM collimator floods will have a different appearance than those from a parallel hole collimator. See Users Manual for example of differences. 9. Make appropriate selections in the Hard Copy activity for save screens and hard copies. 10. Complete the workflow. 11. Remove the source and the source holder and reattach the pallet pad. 16 Day One Extrinsic Verification — Auto QC Notes May be performed instead of intrinsic verification. However the intrinsic verifications should be performed once a week for detector tuning. Scheduling AutoQC 1. Command Module > Options > Configuration Menu > MI Acquisition Settings 2. Adjust dates and time for AutoQC scheduled completion. 3. Click OK. Setup 1. Home the system. 2. Install appropriate collimators on the detectors. 3. Attach the sheet source holder (See users manual for more detailed instructions). 4. Center the sheet source within the sheet source holder defined source areas. 5. On workstation, highlight current QC patient. 6. Double click the Extrinsic Verification workflow. 7. Enter tomorrow’s date on the series information tab. 8. Ensure that nothing is obstructing the motion of the detector heads. Acquisition 9. Check that the collimators have been installed and click the Start button. Review the Results 10. On the Flood Calculation Activity, visually inspect the flood and make sure the flood is uniform. Review the values. If the values are within limits, accept and save the values. Reject unacceptable values. These values are used for service trending purposes only. Uniformity CFOV UFOV Integrated 5% 6% Differential 3.5% 4% SMARTZOOM collimator floods will have a different appearance than those from a parallel hole collimator. See Users Manual for example of differences. 11. Make appropriate selections in the Hard Copy activity for save screens and hard copies. 12. Complete the workflow. 13. Remove the source and the source holder and reattach the pallet pad. 17 Day One Extrinsic Sweep Verification — Auto QC Notes An automatic daily extrinsic sweep verification uses a gadolinium line source over collimated detectors to verify extrinsic detector performance. Setup 1. Home the system and leave the collimators on the detectors. 2. On workstation, highlight current QC patient. 3. Double click the Extrinsic Sweep Verification workflow. 4. Enter tomorrow’s date on the series information tab. 5. Ensure that nothing is obstructing the motion of the detector heads. Acquisition 6. Click the Start button in the AutoQCStart activity. Review the Results 7. On the Flood Calculation Activity, visually inspect the flood and make sure the flood is uniform. Review the values. If the values are within limits, accept and save the values. Reject unacceptable value. These values are used for service trending purposes only. Uniformity CFOV UFOV Integrated 5% 6% Differential 3.5% 4% SMARTZOOM collimator floods will have a different appearance than those from a parallel hole collimator. See Users Manual for example of differences. Make sure the SMARTZOOM Extrinsic Sweep uses the same QC result values as the extrinsic verification. 8. Make appropriate selections in the Hard Copy activity for save screens and hard copies. 9. Complete the workflow. 18 Day One 4. Weekly QC Notes 1. Follow the steps for the acquisition of Intrinsic Verification Manual QC or Intrinsic Verification Auto QC in Step 3 Daily QC. Tuning must be performed during this procedure. Review the Results of AutoQC (Consists of Intrinsic Flood Verification and Extrinsic Sweep floods) 2. On the first Flood Calculation Activity, visually inspect the intrinsic verification flood and make sure the flood is uniform. Review the values. If the values are within limits, accept and save the values. Reject unacceptable values. Uniformity CFOV UFOV Integrated 5% 6% Differential 2.5% 3% 3. Go to the second Flood Calculation Activity, visually inspect the Extrinsic Sweep Flood and make sure the flood is uniform. Review the values. If the values are within limits, click the button Accept These Calibrations and Make them Current to save the values. Uniformity CFOV UFOV Integrated 5% 6% Differential 3.5% 4% 4. If the values are not within the limits, click the button Reject These Calibrations. Review the Results of Manual QC (Consists of Intrinsic Flood Verification Only) 5. On the Flood Calculation Activity, visually inspect the intrinsic verification flood and make sure the flood is uniform. Review the values. If the values are within limits, accept and save the values. Reject unacceptable values. Uniformity CFOV UFOV Integrated 5% 6% Differential 2.5% 3% 19 Day One 5. Monthly QC Notes Monthly AutoQC This procedure should be used if you have the AutoQC Productivity package. Performs the Intrinsic Calibration, Intrinsic Verification, MHR and Extrinsic Sweep. Automatic head alignment calibrations are not supported for SMARTZOOM collimators. Setup 1. On workstation, highlight current QC patient. 2. Double click the Monthly QC Suite workflow. 3. Enter today’s date on the series information tab on the Intrinsic Calibration activity. 4. Enter today’s date on the series information tab on the Intrinsic Verification activity. 5. Enter today’s date on the series information tab on the Head Alignment activity. 6. Enter tomorrow’s date on the series information tab on the Extrinsic Sweep activity. 7. Ensure that nothing is obstructing the motion of the detector heads. Acquisition 8. Click the Start button in the AutoQCStart activity. Review the Results 9. Click on the Head Alignment Processing Activity. Review the head alignment calibration results. If the values are within limits, click the button Accept These Calibrations and Make Them Current to save the values. Head Alignment Calibration Results (Parallel Hole Collimators) |Center of Rotation| < 10 mm –offset of detector center relative to the system’s center of rotation |Axial Shift| < 5 mm –axial offset of detectors relative to each other |Back Projection Angle| < 0.8º –angular offset of detectors relative to each other Head Alignment Calibration Results (Fanbeam Collimators) |Center of Rotation| < 10 mm |Axial Shift| < 5 mm |Back Projection Angle| < 0.5 degrees |Principal Ray| < 8mm Focal Length = factory calibrated values 20 Day One 10. If the values are not within the limits, click the button Reject These Notes Calibrations and Use Existing Set. Neither the calibration database nor the internal quality monitors are updated. 11. On first Flood Calculation Activity, visually inspect the intrinsic verification flood and make sure the flood is uniform. Review the values. If the values are within limits, click the button Accept These Calibrations and Make them Current to save the values. Uniformity CFOV UFOV Integrated 5% 6% Differential 2.5% 3% 12. If the values are not within the limits, click the button Reject These Calibrations. Neither the calibration database nor the internal quality monitors are updated. 13. Go to the second Flood Calculation Activity, visually inspect the extrinsic sweep flood and make sure the flood is uniform. Review the values. If the values are within limits, click the button Accept These Calibrations and Make them Current to save the values. Uniformity CFOV UFOV Integrated 5% 6% Differential 3.5% 4% 14. If the values are not within the limits, click the button Reject These Calibrations. 15. To review intrinsic calibration flood, go to Flexible Display activity and visually inspect the extrinsic sweep flood and make sure the flood is uniform. Review the values. If the values are within limits, click the button Accept These Calibrations and Make them Current to save the values. If Calibration Integral Uniformity exceeds 7%, call service, system can be used with values up to 10%. 21 Day One Monthly Manual QC Notes Intrinsic Calibration with Fine Tune – 35 uCi Tc99m Performs an Intrinsic Calibration and Intrinsic Verification Setup 1. Remove objects that will interfere with gantry and PHS motion and home the system. 2. Remove the collimators. 3. Cover the detector 2 surface with a protective material to avoid contamination. 4. Extend point source holder and place point source in, cap end in. 5. On workstation, highlight current QC patient. 6. Double click the Intrinsic Calibration workflow. Tuning the System 7. On the first Tuning activity for Detector 1, select Start Tuning and Peaking. 8. On the second Tuning activity for Detector 2, select Start Tuning and Peaking. 9. When completed, a message appears for each activity above of success or failure. If fails, repeat Tuning and Peaking for each head. Acquisition of Intrinsic Calibration and Intrinsic Verification Floods 11. Go to the Static Acquisition activity, enter the date on series information tab and click the Start button to acquire the 200 Million Count Flood. Review the Results 12. On the Flood Calculation Activity, visually inspect the intrinsic calibration flood make sure the flood is uniform. Review the values, click the button Accept These Calibrations and Make them Current to save the values. 13. If unacceptable, click Reject These Calibrations. If Calibration Integral Uniformity exceeds 7%, call service, system can be used with values up to 10%. 14. Go to the second Static Acquisition activity, enter the date on series information tab and click the Start button to acquire the 10 Million Count Flood. 22 Day One Review the Results Notes 15. On the Flood Calculation Activity, visually inspect the intrinsic calibration flood to make sure the flood is uniform. Review the values, click the button Accept These Calibrations and Make them Current to save the values. Uniformity CFOV UFOV Integrated 5% 6% Differential 2.5% 3% 16. Make appropriate selections in the Hard Copy activity. 17. Complete the workflow. 18. Retract the source holder, remove the protective cover. 19. Attach the collimators, home the system and perform touch-pad test. Multiple Head Registration (MHR)/Center of Rotation (COR) – Manual Must be performed on most commonly used low-energy collimators at 180º configuration. Setup 1. Prepare 1-2 mCi Tc99m point sources. a. 3-Point Sources: EHE, MELP, HE, All Others b. 5-Point Sources: HRES, LEHR, LEAP, Fanbeam, SMARTZOOM 2. Home the system and remove the pad. 3. Mount the MHR phantom on top of the pallet and fasten (For more information on this, see the operator’s manual for your system). 4. Use MHR Phantom instructional screening to place point sources in the appropriate configuration. 5. On workstation, highlight current QC patient. 6. Double click the MHR/COR Calibration workflow. 7. Enter today’s date on the series information tab. 8. Ensure that nothing is obstructing the motion of the detector heads. 23 Day One Acquisition Notes 9. Prepare and Start Review the Results 10. On the Head Alignment Processing Activity, visually inspect the MHR/COR Calibration Results. Review the values. If the values do not meet system specifications, they will be displayed in red. a. If this occurs, click the Reject These Calibrations and Use Existing Set button, review point source placement and repeat calibration. b. If acceptable, click the button Accept These Calibrations and Make them Current to save the values. Head Alignment Calibration Results (Parallel Hole Collimators) |Center of Rotation| < 10 mm –offset of detector center relative to the system’s center of rotation |Axial Shift| < 5 mm –axial offset of detectors relative to each other |Back Projection Angle| < 0.8º –angular offset of detectors relative to each other Head Alignment Calibration Results (Fanbeam Collimators) |Center of Rotation| < 10 mm |Axial Shift| < 5 mm |Back Projection Angle| < 0.5º |Principal Ray| < 8mm Focal Length = factory calibrated values Head Alignment Calibration Results (SMARTZOOM) Collimators) The tolerances for the head alignment processing results for SMARTZOOM collimators are different from all other collimators because of the new IQ•SPECT reconstruction algorithm. Center of Rotation < ± 20.0 mm Axial Shift < ± 5.0 mm Back Projection Angle < ± 2.0 degrees Principal Ray X and Y < ± 10.0 mm Principal Ray Angle X and Y < ± 5.0 degrees Long Focal Length X = 4480 mm to 6268 mm Long Focal Length Y = 4703 mm to 5837 mm Short Focal Length X = 482 mm to 590 mm Short Focal Length Y = 472 mm to 604 mm 11. Make appropriate selections in the Hard Copy activity. 12. Complete the workflow. 13. Remove the MHR phantom, replace the pad and home the system. 24 Day Two Day Two Day Two: Topics Notes • Overview of MI Apps Workstation • Command Module • Launching a Workflow • Workflow Modification and Saving • Patient Setup and Positioning • Patient Registration • Acquisition Workflows • Processing Workflows Overview of MI Apps Workstation Command Module Areas of Command Module 1. MI Apps (e.soft) Patient Browser 2. Workflow Template Browser 3. Workflow Manager MI Apps (e.soft) Patient Browser Latina Column 25 Day Two Workflow Template Browser Notes Refresh Workflows- Category Local of Network- Auto Filter Template workflow Browser Area Workflow Manager Work Status Category Workstation Stage Launch - Complete Workflow Manager Area Suspend View PPM 1. Command Module > Utilities > View PPM. Workflow Navigator 26 Day Two Launching a Workflow Notes Step 2 Step Step 1 1. Highlight the patient from Patient Browser. 2. In the Workflow Template Browser > Select Category. 3. Double click the workflow desired. Acquisition Workflows Acquisition Types • Static • Dynamic • Whole Body • Tomo • Gated Planar • Gated Tomo • Dynamic Tomo Acquisition Tab Summary Tab Used to review the acquisition parameters. 27 Day Two Series Information Tab Notes Series name is required. The rest of the fields are optional. Camera Parameters Allows you to select matrix size, zoom, camera preset, detectors, apply uniformity correction, orientation and body position. Stop Conditions Allows you to modify the stop conditions, label the view and determine number of views. 28 Day Two Gate Notes Allows you to select gated parameters. Acquire with Statics Select Acquire with Statics on the Stop Conditions tab. Step 1 Allows you to modify stop conditions for the statics acquired during a dynamic study, modify views, and change matrix size. Start time for the static view Duration for to begin after the static view the Dynamic $:00. acquisition has begun Camara Parareality Sale Manie 54ne 128 X 128 Denclor ! Test AOS VOM Update View Www | Start Time | Duzaton |Stop Taw |Detector!" Desector 2 200 60309: 3:00 Test 29 Day Two Analyzer Tab Notes Verify the selection of the correct isotope, or make changes to this selection. Also, shows verification that the isotope is peaked. Display Analysis Tab Used to review images. Modifying and Saving a Workflow Template 1. Review the parameters in the current workflow template. 2) Make appropriate modifications. 3) Template > Save Workflow Template (to overwrite the current template) > OK 11/2001 Template > Save Workflow Template As (to create a new template) 1/2001 > Acquisition Analyror Enter the name, description, category and appropriate icon and click OK. 30 Day Two Patient Setup and Positioning Notes Manually Registering a New Patient 1. From Command Module > Patient > Register. 2. Fill in the following mandatory fields: Last Name, Patient ID, Date of Birth, Sex, and Study (optional). All other fields are optional. 3. Click the Exam button. Step 2 Step 3. Registering a Patient from HIS/RIS 1. Open Patient Browser from Command Module: Patient > Browser. 2. View > Update Worklist. 3. Set the Start/End Date and Start/End Time. 4. Click Get Worklist to update the browser. 5. Highlight Scheduler icon in the tree. 6. Highlight the patient at the Series level. Cardiac 2. Myo Pat 11Stoss MOVEWGATED GE 31 Day Two Notes 7. Patient > Register. Putunt Applications Transfor Emergency Load to Viewing Filming Layout Filmn Tank Status 8. Check patient and study information for correctness. Click Exam. = Manually Registering an Existing Patient 1. Open Patient Browser from Command Module: Patient > Browser. 2. Click the Local Database icon in the tree. 3. Highlight the patient name. 4. Patient > Register. Step 4 - Step 3. Step:2 - 32 Day Two 5. Select Study from pull-down menu. Click Exam. Notes PATIENT Date of the Bonsai bon Cancel Positioning the Patients for Exams 1. From the PPM, press the Reconfiguration tab. SIEMENS [2) 2. Choose detector configuration > Proceed. 3. To stop all system motions, press emergency stop button on gantry or any button on hand control. 4. Raise or lower the patient table to patient access height. OR 5. Press the Wheelchair Height button twice to automatically lower table. 6. Press the Gurney Height button twice to automatically raise the table. (1) (4) (2) (4) (2) 7. Select the patient and launch the workflow on the MI Workplace, and start the acquisition (see page26 for details in launching workflow) 33 Day Two Processing Workflows Notes Quality Control Activity (Motion Correction) Used on the following data types: • Cardiac Gated Tomo • Cardiac Non-Gated Tomo • Dynamic • Tomo • Dynamic Tomo Cardiac Gated Tomo and Non-Gated Tomo Correction 1. Select the Quality Control Activity in the workflow. 2. Pull down Series > Select appropriate series. 3. Select Beat Normalize if desired. 4. Click and drag red horizontal line to the center of the heart. 5. Click the Cine button to view image for motion. 6. If motion correction is needed, click Motion Correct Series button. Step 2 Step 4 Step 1 - Step 5- Step 3 Step 6 7. Drag the red ROI over the heart, centering the box over the heart. Resize and reposition if needed. 8. Review cine sonogram and linogram in the After section. 9. Click OK. 34 Day Two -- Notes Step 7 Step 8 Step 9 10. If satisfied, continue with processing. 11. If not satisfied, click Revert to Original button. 12. Repeat steps 2-9 on additional series if required. Dynamic Correction 1. Select the Quality Control activity in the workflow. 2. Pull down Series > Select appropriate series 3. Choose Correction Mode (Single or Multiframe) 4. Click the Position icon to position image 5. You can use the Shift tools to make adjustments to the position. The cursor changes to a hand. 6. Click inside the desired frame(s) and drag to shift the frame(s). 7. Review the cine and summed data to make sure the motion correction is acceptable. 8. Click the OK button to accept the changes. Stop Stop d Stop 8 Step 6 Stop 7 Stop 8 35 Day Two Tomo Correction Notes 1. Select the Quality Control activity in the workflow. 2. Pull down Series > Select appropriate series 3. Choose Correction Mode (Single or Multiframe) 4. Click the Position icon to position image 5. You can use the Shift tools to make adjustments to the position. The cursor changes to a hand. 6. Click inside the desired frame(s) and drag to shift the frame(s). 7. Review the cine and summed data to make sure the motion correction is acceptable. 8. Click the OK button to accept the changes. Stop Step 4 Stop 5 Shop 8 Stop 7 Stop & Tomo Reconstruction 1. Select the Tomo Reconstruction activity in the workflow. 2. Click the Settings tab. 3. Make adjustments in the reconstruction settings in needed. 4. Change the filter, if needed, using the Change Filter button 5. Click Apply Parameters to All Series to accept. Stop 5 - Sien 3 Stop 1 Stop 4 36 Day Two 6. Click the Reconstruction tab Notes 7. Click and drag the limits to adjust the range. Sap 0 Sap 7 - AutoRecon Activity 1. Select the AutoRecon Activity in the workflow 2. Go to the Settings Tab 3. In the Apply to Item field, pull down and select the series. 4. Make necessary adjustments to the Reconstruction Settings. 5. Make necessary adjustments to the Filter Settings. Sicp 1 6. Select the Reconstruction tab. 7. Adjust range. 37 Day Two Flash 3D Notes Flash 3D is a statistically based iterative reconstruction method based on OSEM, where the distance-dependent collimator blurring is accurately modeled in all 3 dimensions. Image is Possible Solution Too smooth Ensure Flash 3D is selected Decrease FWHM filter (guideline: roughly 2* pixel size). Check image quality with 0 mm. Increase iterations. Usually more than 6-8. Increase subsets. Check number of subsets, and change to next valid value. Check for any workflow connection changes Too noisy, Increase FWHM (in particular for Tl201 rest studies) or sharp Decrease subsets Decrease iterations Check for motion, and correct if needed 38 Day Three Day Three Day Three: Topics Notes • Organ-Specific Processing • Series Calculator • Flexible Display • Saving Jpeg and Avi files • Dual-Monitor Support • Patient Browser Organ-Specific Processing Gastrointestinal Processing 1. Select the Gastrointestinal Activity in the workflow, 2. Click the Cine tool 3. Check the ROI placement 4. Click ROI Tool to redraw the ROI 5. Drag the T0 to the Start of the empty 6. Drag the Tfit to the End of the empty 7. Drag T Empty to position desired for % of empty calculation Emptying Curves Step 5 Step 7 Stop 5 8. Review results. 9. See Settings tab to review or modify parameters for this activity. 39 Day Three Hepatobiliary Processing Notes 1. Select the Gastrointestinal Activity in the workflow 2. Click the Cine icon 3. Check the ROI placement 4. Click the ROI Tool to redraw ROI if required. 5. Drag the Start marker to the start of the calculation 6. Drag the End marker to the end of the calculation Stop 3 Stop 2 7. Review results. 8. See Settings tab to review or modify parameters for this activity. Planar Gated (MUGA) Processing 1. Select the Gated Bloodpool Activity and then the Processing tab of the workflow. 2. Center the LV in the box 3. Click Determine LV Center button 4. Mouse click the center of the LV 5. Click the Cine icon to review the ROI position Stop 1 Stop 5 . Step 4 Stop 2 Stop 3 40 Day Three 6. Click the ROI Tool buttons to modify the ROIs for V and background Notes if needed. Threshold: Step 6 7. Review results on Results and Fitting Results tabs. 8. See Settings tab to review or modify parameters for this activity. First Pass Processing 1. Select the Gated Bloodpool Activity and on the Dynamic > Gated tab of the workflow. 2. Click the Define Range button to set the range limits. 3. Click the first image in the range. 4. Click the last image in the range. 5. Review the cine. Repeat steps 2, 3 and 4 if needed. 6. Drag yellow lines to define acceptable beat range. Step 1 Step 3 Step 4 Stop 2 Step € Stop 5 41 Day Three 7. Select the RV Processing Tab. Notes 8. Click the ROI Tool to draw RV ROI in the Ventricular ROI field. 9. Click the ROI Tool to draw Background ROI in the Background ROI field. Step 7 Step 10 Stop 9 Stop 8 10. See Settings Tab to review or modify parameters for this activity. Lung Processing 1. Select the Lung Processing Activity on the ROI tab of the workflow. 2. Review the ROI placement. 3. Click the ROI Tool to modify ROIs. 4. Use slider bar to align Ant and Post view. 5. Click the Registration button when aligned. Stop 2 Step Step 1 2 6. See Regional Analysis tab to review or modify results for this activity. 7. See Settings tab to review or modify parameters for this activity. 42 Day Three Notes Renal Processing There are many parameters that can be modified on the Settings tab. There are several tabs on the Settings tab that may be selected. The tabs displayed depend upon which renal method has been selected. 1. Select the Renal Processing Activity and on the ROI tab of the workflow. 2. Review the ROI placements. 3. In the Edit ROI field, click and drag the slider bar to modify ROIs or click the ROI Tool button to redraw. 4. Click the Results tab to review the results. Step 2 Stop 4 Step 3 - Thyroid Processing 1. Select the Thyroid Processing Activity in the workflow. 2. Select the ROI tab. 3. Select the correct series from the Series pull down menu. 4. If necessary, drag the correct image to proper field. 5. Review ROIs and redraw if necessary using the ROI Tool buttons. 6. Click the kl. tab to view the results. Stop 2 Stejp 3 Stap4 Step 6 Step 5 7. See Settings tab to review or modify parameters for this activity. 43 Day Three Pixon® Processing (Optional Purchase) Notes Clinical value: The Planar Processing activity uses the patented Pixon® Method to enhance the quality of planar images as though they were obtained with higher counts. This enables you to produce planar images of comparable quality to those obtained using your current protocols from raw images acquired using either lower than standard acquisition time and/or lower than standard radiopharmaceutical dosage. Alternatively, you may elect to maintain the counts and enhance image quality, or both reduce counts and enhance image quality. 1. Click Activity 2. Select series from the pull down menu. 3. Adjust the alpha blending. 4. Check to make sure the QC is uniform Simp 1 Stap 1 44 Day Three Series Calculator Notes The Series Reformat activity is used to perform the following for data manipulation. Series Calculator: Masking 1. Select the image 2. Click on the ROI Tool button 3. Draw masking area using one of the tools available. 4. Select to Keep Outside or Keep Inside to apply. CIE Step 3 Stop 4 . 5. To remove masking, click Revert to Original button 45 Day Three Series Calculator: Series Filter Notes 1. Click on the Series Filter activity and the Series Filter tab. 2. In the menu bar, choose a filter. You can choose a Spatial Filter or a Frequency Filter. 3. Select desired filter from Filter Menu. 4. Click the button Trial Filter to apply the filter 5. Check the cine display to view the Before and After filter selection. 6. Select the desired filter and click OK. 7. See the Settings tab to review and modify parameters for this activity. 46 Day Three Static Merge Notes 1. Select the study and double click the workflow. --------- Series Calculator: Series Extract 1. Select the Series Extract activity in the workflow. 2. Select the Arithmetic tab. 3. Select the Series from the pull down menu. 4. Choose the phase or individual frames. 5. Click the Extract icon in the activity toolbar. 6. View the extracted phase or images in the result series. Stop 5 Step 2 D Stop 3 Stop 4 47 Day Three Flexible Display The Flexible Display activity is used to arrange and display all data acquired and processed in the MI Apps application. The Flexible Display activity can contain one or more display pages (tabs) with each page displaying one or more display objects. series Display This object is used to display all the images of a series. Image Display This object is used to cine data, specify a single image from a series to display, or select a subset of frames to Coplay. Slice Display This object is used to display up to fous reccontructed tomo Took series in a volumetric doplay. Test Display This object is used t cks of text, either froms study ime or series famel ce free beet. Fiat Area This object is used to insert print areas (such as processing BB AL resulti created from ccher activities. Curve Display This object is used to dipty curves associated with a series. A y 2ª eseMp Display This object is used for bitmap formatted graphic images. Multiple Statistic This object is daplay frame and nor statistics in a table Display format. Fusion Series Display yfused series data Fusion Sike Display this object is goed by futed ilice data. ID Display This object ine volume data. Three-slice Display cepetric series in a ingle window. od corpeuail virus in a Multi-roodality Display Below are examples of how different display objects are used. Text- Display Image Display BB A Slice - Display Curve Display Text Display me: Renal, MAG3 Absormal Patient Name: Renal. MAG3 Abnormal 2614 DOB: 8/26/1940 PASent ID: 614 Print Study Name: Renal Scan DOB: 8/26/15-40 Study Date: 12/1/2000 Study Name: Renal Scan Display Study Dale: 12/1/2000 - Curve Display Tty Courts sapere 3001 OME Series Display 2ª Multiple ---- ------- ------- Frame and ROI Statistics 48 Day Three Saving Pages as JPEGS and AVI Files Notes JPEGs 1. Click the Flexible Display activity. 2. To save or print a page, click the menu (Flexible Display activity), and then select the Save Page As menu item. The Save page-name Print Area As window is displayed. 3. Select a save location. 4. Type a file name. 5. Select a file type (.jpg, .bmp, .emf). 6. Click the Save button. AVIs 1. From within the Flexible Display activity, right click anywhere in the cine control bar. 2. From the pop-up menu, select the Save Cine As AVI menu item. 3. From the Save As window, select a location to save the file in. 4. Type a file name. 5. Select a file type. By default, the .avi file extension is the only selection. 6. Click the Save button. Dual-Monitor Support The dual-monitor option aids in positioning workflows across two monitors. Launching a Workflow on Left Monitor To launch a workflow on the left monitor: 1). Select the patient data. 2. Double click on the desired workflow. By default, all workflows will be launched on the left monitor, keeping the MI Apps Browser displayed on the right monitor. Launching a Workflow on Right Monitor To launch a workflow on the right monitor: 1. Select the patient data. 2. Hold down the Shift key. 3. Double click the desired workflow. When the Shift key is held down while launching a workflow, the workflow will be launched on the right monitor. This feature is useful if there is a workflow on the left monitor, and a side-by-side comparison is desired. * Workflows designed to be displayed across both monitors will have a DM in the workflow name. Press the ALT key when double clicking the DM workflow to use the DM feature. 49 Day Three Patient Browser Notes Accessing the Patient Browser The Patient Browser displays all the patient and examination data stored in each database or external archive medium. To access the patient browser, select Patient > Browser from the menu. The system displays the browser. Patient Databases The types of databases are symbolized on the left-hand side of the navigation area. Click an icon to see its contents displayed in the content area of the browser. The Local Database is where the patient data and results of the examinations performed on the local workstation are stored. The Scheduler contains the data on all pre-registered patients. One or more DVD or CD devices may be connected to MI Apps workstation. Correcting a Patient Name, ID Number, or Other Demographics If incorrect patient information was entered when registering the patient, it can be corrected using the following steps. 1. Access the syngo Patient Browser. 2. Click the Local Database icon. 3. Click the patient/study/series to be corrected. 4. Edit > Correct. 5. Make the needed corrections > Enter initials > OK. 50 Day Three Rearranging a Patient Series Notes The following steps may be used if data is acquired under the wrong patient name (for example, if Mr. Doe’s Rest series is acquired under Mrs. Smith’s name). 1. Access the syngo Patient Browser. 2. Select the Rest series under Mrs. Smith’s name. 3. Edit > Cut. 4. Click the appropriate study name under Mr. Doe. 5. Edit > Paste. Manually Transferring Data Patient data may be manually sent to another workstation using the following steps: 1. Access the syngo Patient Browser. 2. Click the Local Database icon. 3. Click the patient/study/series name to be sent. 4. Transfer > Send to. 5. Select the destination workstation. 6. Send 7. To check the status of the transfer, click the Transfer menu, and then select Network Job Status. Manually Archiving Data A patient, study, or series data may be manually copied to an archive device using the following steps. 1. Access the syngo Patient Browser. 2. Insert the media into the archival device. 3. Click the Local Database icon. 4. Click the patient/study/series to be copied to the CD or DVD. 5. Transfer > Archive To (name of the destination device). 6. If required, label the medium. 7. To check the status, pull down Transfer > Local Job Status . Retrieving Data from an Archival Device Data may be retrieved from DVD or CD devices and copied into the local database by using the following steps. 1. Insert CD media in the CD-ROM, CD_RW or DVD drive (located in the e.cam/ICS Tower). 2. Access the syngo Patient Browser. 3. Click the CD_ROM, CD_RW, or DVD icon. 4. Select the patient, study, or series to be imported. 5. Transfer > Import. Ejecting a CD or DVD The CD or DVD media must be ejected using the following method, or database errors may occur. 1. Access the syngo Patient Browser. 2. Click the Transfer menu, and then select Eject from CD_RW (or DVD, depending on the media). 51 Day Three Notes Deleting Data Patient, study, or series data may be deleted from the database by using the following steps. 1. Access the syngo Patient Browser. 2. Click the Local Database icon. 3. Click the patient, study, or series to be deleted. 4. Edit > Delete. 5. Yes Caution: Deleted data is gone when deleted cannot be restored. MI Apps Cleanup The MI APPS Cleanup activity is used when the system becomes unstable/ locks up. When using the MI Apps Cleanup activity, all data in currently running activities is lost. 1. From the Windows Start menu, select MI APPS > MI APPS > MI APPS Cleanup. 2. Choose Force Shutdown of High Level Processes. 3. YES to continue with Cleanup 4. When cleanup is complete you will be prompted to copy log files if necessary, if not choose Cancel. 5. If this step was unsuccessful, repeat Step 2 but choose Force High level Processes and Low Level Servers. 52 Day Four Day Four: Topics Notes • Troubleshooting • Review • Questions and Answers • Week One Exercises Week One Exercises Patient Gantry 1. The maximum weight the PHS will hold is __________ lbs. 2. Match the labels on the following: (3) F-(7) (8) (11) (13) (4)- (5)- (10) (12) Siemens Nuclear Acquisition Controller (SNAC) _______ Nuclear Medicine (NM) Subsystem _______ Touch Pads _______ Read Bed _______ Emergency Stop Buttons _______ Power Switches _______ Hand Control _______ NM Detectors _______ Patient Positioning Monitor _______ Quality Control 1. Perform the daily QC from start to finish. 2. List the steps needed to complete weekly QC. 3. List the Monthly Quality Control Procedures: a. b. c. d. e. 53 Day Four Patient Registration Notes 1. Demonstrate how to register a patient manually and through the scheduler to acquire a WB Bone Scan. 2. Which 4 fields of information are required to register a patient? a. b. c. d. Workflows 1. Modify the acquisition parameters on a Renal Scan. 2. Process a Renal Study. Patient Browser 1. Match the icon with the name. a. Scheduler b. Local Database c. Local Archive 2. Practice archiving patient data to your desired media. 3. Where can you view the status of jobs relating to sending data to another network node? 54 Contact Information Summary Welcome to Siemens Healthcare Discover. Try. Buy. on webShop Siemens Healthcare is dedicated to helping you get Do you want to “Discover. Try. Buy.” options, accessories, the most out of your investment throughout the entire and clinical education to make the most of your product life cycle and beyond. Our goal is to enable imaging equipment? Discover images, case studies, and you to take technology further, profitability higher video demonstrations with the latest clinical and patient care to the next level. Find the information, applications. Try advanced applications utilizing resources and tools you need to get the most out free software trials. Buy applications, coils, clinical of your recent investment and stay up-to-date. education, and accessories, conveniently at any time. Visit www.usa.siemens.com/Welcome2Healthcare. Visit www.usa.siemens.com/webShop today! Clinical Training and Continuing Education UPTIME Clinical Application Support: Call 1-800-888-7436 • Troubleshooting assistance • Immediate assistance for software applications and workflow issues Please provide the Functional Location Number when calling for assistance. Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) • Classroom Training (Offerings, Registration & Scheduling) • Educational Symposia • Onsite Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships Visit www.usa.siemens.com/clinicaleducation for more information regarding the current Siemens Clinical Training and Continuing Education portfolio. Siemens Training Centers Siemens Clinical Education Training Center – TDC2 110 Mac Alyson Court Cary, NC 27511 Siemens Healthcare Training Center at the University of Utah 421 Wakara Way Suite 140 Salt Lake City, UT 84108 55 On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications Local Contact Information and options as well as standard and optional Siemens Medical Solutions USA, Inc. features which do not always have to be 51 Valley Stream Parkway present in individual cases. Malvern, PA 19355-1406 Siemens reserves the right to modify the USA design, packaging, specifications and options Telephone: +1-888-826-9702 described herein without prior notice. Please www.usa.siemens.com/healthcare contact your local Siemens sales representative for the most current information. Global Business Unit Note: Any technical data contained in this Siemens AG document may vary within defined tolerances. Medical Solutions Original images always lose a certain amount Imaging & Therapy Systems of detail when reproduced. 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