syngo CT VB10 Software Update FAST 3D Camera Job Aid

SIEMENS Healthineers syngo CT VB10 Software Update FAST 3D Camera Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 FAST 3D Camera SIEMENS Healthineers Table of Contents 1. Fast 3D Camera – Benefits 3 ... 2. FAST 3D Camera – Protocol Setup 4 ... 3. Topogram Regions 6 4. Workflow Differences 7 5. FAST 3D Camera – Workflow 9 6. Overlapping Workflow (2 Technologists) 12 7. Consecutive Workflow (1 Technologist) 20 2 Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 FAST 3D Camera – SIEMENS Healthineers Benefits FAST 3D camera allows for fast and isocentric patient position through automatic detection of predefined body regions, making it easier for you to achieve high exam quality. SIEMENS Healthineers' Furthermore the system’s artificial intelligence learns from changes you make to the predefined body regions and adapts the topogram scan ranges accordingly to improve quality of planning. SOMATOM Force 3 1. Benefits Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 FAST 3D Camera – SIEMENS Healthineers Protocol Setup (Dos and Don‘ts) The FAST 3D camera looks for the body region in the patient that is indicated by the topogram. This means that topograms are not „New“ Topogram interchangeable between body regions any longer. Now To help you in this task, topograms in the Topo folder will contain integrated Scan 3D Camera the body region in their name, e.g. TopoNeck. parameters body region The region for which a topogram is intended is given by parameters non visible in the UI and not by the Topogram name. If you change the topogram name for a different anatomical area, the 3D camera will still look for the original region. This can lead to confusing results where the 3D camera will detect anatomical areas different to the one written in the protocol name. If you received syngo CT VB10 via an update/upgrade, all topograms in customer protocols were assigned a Topo region via an organ characteristics script. 2. Protocol 4 Setup Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 FAST 3D Camera – SIEMENS Healthineers Protocol Setup (Dos and Don‘ts) If you are creating a new protocol or altering an Patient Applications Edit Insert View Setup Image Options System Help Patient Model Dialog Examination existing protocol, please copy the necessary · Adult Dual Energy Protocol . Replace topogram for the same body region directly Child Append ardiac from the topogram folder (Topos / Sn_Topos)*, Topogram @ Cut scular · Keep 3D which can be found in the Special folder of the RT Auto reference lines None Patient Model Dialog. eci TurboFlash_Trauma Trauma Simulation PE TraumaThin PolyTrauma Please don‘t use topograms from other TurboFlash_HeadTrauma ThoraxUHR Sn NeuroVPCT Stroke ge German protocols as they may have other body regions NeuroPCT NeuroPCTSeq OK Cancel NeuroMultiPhase_VAngio NeuroMultiPhase_VAngio_long connected. Sn_Topos (Adult) 18.03.12-18:17:54-STD-Specials Pol BodyVPCT BodyPCT STC Total mAs: O BodyPCTSeq It is also advised to not alter the topogram TopoThorUpAbd mA 50 = BodyMultiPhase_VAngio ExtrMultiPhase_VAngio TopoTorAbd KV Sn150 - HeartVPCT names, so that the body region is easily TopoAbdomen Scan time Sn Topos 2.04 S recognizable. TopoPelvis Slice 0.6 mm TopoLegs Topogram length =256mm TopoSpine Tube position Top Bottom · Lateral TopoRunoff Comments TopoWholeBody Table: Position Height *depends on system Hold -400.0 100.0 Craniocaudal >04 Load Recon Recon Routine Scan Auto Tasking PNP Device Mounted - Drive(G:): Total Space(953834 MB) x 13-Mar-2018 14:33:57 2. Protocol 5 Setup Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 FAST 3D Camera – SIEMENS Healthineers Topogram Regions Topogram Regions available via touch panels and scan protocols Name of Topo Head Thorax / Upper Thorax / Region Abdomen Abdomen* Abdomen* Runoff Whole Body Topo Name TopoHead TopoThorUpAbd TopoThorAbd TopoAbdomen TopoRunoff TopoWholeBody Icon on the Touch Panel *Abdomen including upper abdomen and pelvis Topogram Regions available via scan protocols only Name of Topo Region Head / Neck Neck Thorax Shoulder Neck / Thorax Spine Pelvis Legs Topo Name TopoHeadNeck TopoNeck TopoThorax TopoShoulder TopoNeckThor TopoSpine TopoPelvis TopoLegs 3. Topgram 6 Regions Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Workflow Differences – SIEMENS Healthineers Overlapping Workflow (2 Technologists) Patient Patient positioning positioning Tech 1 Post Register Scan Post Register Scan processing patient patient processing patient patient Tech 2 Patient 1 Patient 2 • Workflow optimized for two technologists working simultaneously • Time efficient - allows positioning of patient while post-processing is still going on • Reduced number of available Topo regions via the Touch Panel 4. Workflow 7 Differences Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Workflow Differences – SIEMENS Healthineers Consecutive Workflow (1 Technologist) Patient Register Scan Post Register Patient Scan positioning patient patient processing patient positioning patient Patient 1 Patient 2 Greater versatility - access to all available Topo Regions via the scan protocol 4. Workflow 8 Differences Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 FAST 3D Camera – Workflow SIEMENS Healthineers General safety advise: No protocol loaded n/a For each exam, please make sure that the red frame matches the table borders as this an indication for correct camera calibration. If the red frame does not match the borders of the patient table, do not use the camera for Red frame indicates automatic patient positioning but position the patient table patient manually with the movement buttons and lasers. Call Siemens Service for recalibration of the 3D - camera. 294.0 255.5 5. FAST 3D 9 Camera - Effective Date: 05/15/2018 | HOOD05162002880079 Workflow Unrestricted © Siemens Healthcare GmbH, 2018 FAST 3D Camera – Workflow SIEMENS Healthineers Limitations The 3D camera workflow is intended for routine examinations of patients within the typical adult size range. It is not optimized for examinations with special equipment that could prevent the proper detection of body landmarks or the isocenter of a patient, for example: • Scanning pediatric patients • Scanning trauma patients • Scanning patients for radiotherapy treatment planning. FAST 3D Camera supports planning of the first topogram within the scan protocol in VB10. (All subsequent topos must be planned without 3D camera.) 5. FAST 3D 10 Camera - Effective Date: 05/15/2018 | HOOD05162002880079 Workflow Unrestricted © Siemens Healthcare GmbH, 2018 FAST 3D Camera – Gantry Operator Panel Overview SIEMENS Healthineers 1) Stop key 8 Press the STOP key to interrupt unit movements. Radiation is stopped immediately. 9 2) Touch Panel STOP (1 Displays scan parameters and can be used to control defined CT scanner functions. 3) Vertical patient table movement SIEMENS Press these keys to elevate or lower the patient table. 4) Horizontal patient table movement 2 Use these keys to move the patient table in or out of the gantry. 5) Move key Press the Move key to move the patient table to a predefined horizontal and vertical position. 6) Start key Press the Start key to trigger scanning. 3 7) Suspend key Press the Suspend key to interrupt the current scan. 4 8) Laser light marker key Use this key to switch the laser light marker on and off. It turns off automatically after 60 seconds. 5. FAST 3D 11 Camera - Effective Date: 05/15/2018 | HOOD05162002880079 Workflow Unrestricted © Siemens Healthcare GmbH, 2018 Overlapping Workflow (2 Technologists) – SIEMENS Healthineers Patient Positioning When using the Overlapping Workflow (2 Technologists), it‘s No protocol loaded not necessary to register the patient and select a protocol n/a prior to patient positioning. Please check that the last patient was unloaded successfully and no patient information is displayed above the live camera image (orange box). Position the patient comfortably and anatomically correct in the middle of the table top. For allowing the patient to rest calmly during the examination, please use positioning aids, if necessary. Shaded area indicates not Ensure that the region of interest is within the scanable range. scanable range The range that cannot be scanned is indicated by the shaded area. 294.0 255.5 6.Overlapping 12 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Overlapping Workflow (2 Technologists) – SIEMENS Healthineers Take Picture Once positioning and any additional work on No protocol loaded the patient (e.g. establishing vascular access, n/a connecting the injector, etc.) are finished, please take an image of the patient by tapping the camera icon at the bottom of the touch screen. The planning image can be taken at any table height. Please ensure that the entire patient is visible in the camera image with some margin. Avoid truncating the head or the legs, especially when these regions are to be examined. 294.0 255.5 6.Overlapping 13 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Overlapping Workflow (2 Technologists) – SIEMENS Healthineers Check Image Please check, if the taken image is of sufficient No protocol loaded quality. n/a If necessary, the image acquisition can be repeated by again tapping the camera icon in the lower right corner (orange box). This will take you back to the previous screen and allows you to retake the patient picture. The „whole body“ preset is applied by default. O & # 294.0 255.5 Press » to reach position 6.Overlapping 14 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Overlapping Workflow (2 Technologists) – SIEMENS Healthineers Choose Topo Region Depending on the exam, please choose the No protocol loaded most appropriate body region by touching the n/a corresponding icon on the left hand side (orange box). The background of the selected icon will turn blue and the scan range is highlighted on the Topogram scan range borders patient picture based on automatic landmark detection. The green line indicates the scan start position, and the white line indicates the scan end position. The arrows indicate the scan direction. V O * % º C 294.0 255.5 Press » to reach position 6.Overlapping 15 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Overlapping Workflow (2 Technologists) – SIEMENS Healthineers Adjusting Scan The topogram scan range can be adjusted by the No protocol loaded following methods: Top Tip: n/a • Use the zoom and pan 1. Touch within the scan range and drag the function to better scan range to move it vertically along the visualize the body planning image of the patient to your desired parts on the planning position image. or - - • On the Touch Panel, 2. Touch and drag the scan start line (green) or move two fingers away end line (white) to move them to your from each other to desired position. zoom in or touch and drag the image to pan. 3. To change scan direction, use the two arrows in the lower right corner (orange box). O • Tap and drag dots to % - 294.0 move lines more easily. 255.5 Press " to reach position 6.Overlapping 16 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Overlapping Workflow (2 Technologists) – SIEMENS Healthineers Moving Patient: Table and Check Positioning Once satisfied with the topogram scan range press and hold the “blinking“ Move key Top Tip: and • For automatic the table will move to the scan start position. Use the laser light marker to verify that the switching on the laser light markers once the starting position is correct and the patient is table has moved to the positioned in the isocenter. topogram scan start position, toggle the The patient position and the isocenter (table corresponding switch height) are calculated when the planning image in the touch panel's is captured. However, check whether the patient configuration menu. is correctly positioned and properly placed in the isocenter. Use the laser light marker. CAUTION Switch off the laser lights before leaving the Laser radiation! Possible loss of eyesight due to laser radiation. room and starting the scan. Do not look directly into the laser beam or at its reflection on smooth, mirror-like surfaces during adjustment. 6.Overlapping 17 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Overlapping Workflow (2 Technologists) – SIEMENS Healthineers At the Console: Register Patient and Load Protocol At the scanner console register the patient as Patient Applications Edit Insert View Setup Image Options System Help Patient Model Dialog Examination usual and choose an appropriate scan protocol. · Adult Dual Energy Protocol . Replace The topo length and the scan direction which Child Append Cardiac were defined at the touch panels (GPT) will be Topogram @ Cut iscula · Keep 3D applied. The scan range for the topogram is RT Auto reference lines None automatically entered from the FAST 3D camera pecial Simulation planning image. Continue with the exam as usual. PET API Language German OK Cancel ThoraxRoutine (Adult) 18.03.12-18:17:54-STD-Specials PolyTraun 18.03.12-18:17:54-STC Total mAs: O Topogram Eff. mAs CARE Dose4D Thorax KV CTDIvol (32cm): mGy DLP: mGy*cm Scan time 2.88 3 Delay 2 s Slice 5.0 mm Acq. 192 x 0.6 mm No. of images 61 Comments Range: Begin End Table: Position Height K Hold -504.0 -804.0 -400.0 100.0 Craniocaudal M Load Recor Recon Routine Scan Recon Auto Tasking No checkup performed so far. Select Setup/Checkup. 12-Mar-2018 18:18:44 6.Overlapping 18 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Overlapping Workflow (2 Technologists) – SIEMENS Healthineers After the Scan At the scanner console: Doe, John 01-Jan-80 O Perform image reconstruction as usual. ThoraxRoutine_IR (Adult) Head First - Supine No protocol loaded n/a n/a At the gantry: After necessary work on the patient (e.g. disconnecting CM line, etc.) is done and the patient is ready to get off the table, press the unload button (orange box). The Move key starts blinking. Press and hold the Move key until the table reaches a suitable position for the patient to get off. - Please note that using this process will clear the patient information from the gantry panel (with 773.0 116.0 4 - 308.0 295.0 Unload finished a 10 s delay) and sets up the FAST 3D workflow for the next patient. 6.Overlapping 19 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Consecutive Workflow (1 Technologist) – SIEMENS Healthineers At the Console: Register Patient and Load Protocol At the scanner console register the patient as Patient Applications Edit Insert View Setup Image Options System Help Examination Patient Model Dialog usual and choose an appropriate scan protocol. · Adult Dual Energy Protocol . Replace Continue with the patient in the scanner room. Child Append Cardiac Topogram @ Cut scular . Keep 3D RT Auto reference lines None ecia Simulation PET API Language German OK Cancel ThoraxRoutine_IR (Adult) Doe, John 0001 Total mAs: o Topogram mA 75 0 Thorax kV Sn100 -| Scan time 3.32 Slice 0.6 mm Topogram length 512mm Tube position · Top Bottom · Lateral Comments Table: Position Heigh 0.0 100.0 Craniocaudal >04 Load Hold Recor Recon Routine Scan Auto Tasking PNP Device Mounted - Drive(F:): Total Space(953834 MB) x 07-May-2018 12:54:48 20 7.Consecutive Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Consecutive Workflow (1 Technologist) – SIEMENS Healthineers Patient Positioning Doe, John O 01-Jan-80 When using the Consecutive Workflow, patient ThoraxRoutine_IR (Adult) Head First - Supine data is handed over from the console to the 3.32 s 20 mA 100 kV touch panels and preloaded into the 3D camera workflow. Please check that correct patient information and chosen protocol are displayed above the live camera image (orange box). Position the patient comfortably and anatomically correct in the middle of the table top. Please use positioning aids, as required, as this makes it easier for the patient to rest calmly during the examination. 308.0 295.0 7.Consecutive 21 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Consecutive Workflow (1 Technologist) – SIEMENS Healthineers Patient Positioning Doe, John O 01-Jan-80 Once positioning and any additional work on ThoraxRoutine_IR (Adult) Head First - Supine the patient (e.g. establishing vascular access, 3.32 s 20 mA 100 kV connecting the injector, etc.) are finished, please take an image of the patient by tapping the camera icon at the bottom of the touch screen. The planning image can be taken at any table height. Please ensure that the entire patient is visible in the camera image with some margin. Avoid truncating the head or the legs, especially when these regions are to be examined. 308.0 295.0 7.Consecutive 22 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Consecutive Workflow (1 Technologist) – SIEMENS Healthineers Scan Range Detection Doe, John O 01-Jan-80 Using the information from the selected scan protocol, ThoraxRoutine_IR (Adult) Head First - Supine Top Tip: the topogram scan range is automatically highlighted on 2.89 s 20 mA 100 kV • To ensure proper the patient image. automatic placement of A notification with the Topo Region Name will pop up for the scan range, please 3 seconds. make sure that the topogram with the The green line indicates the scan start position whereas correct associated body the white line indicates the scan end position. region was saved in the The arrows indicate the scan direction. protocol. For more information see Please also check if the image taken is of sufficient quality. chapter 2 and 3. The entire patient should be visible in the camera image with some margin. If necessary, the camera image be repeated by again tapping the camera icon in the lower right corner (orange box). This will take you back to the previous screen and O allows you to retake the patient photo. 308.0 295.0 Press " to reach position 7.Consecutive 23 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Consecutive Workflow (1 Technologist) – SIEMENS Healthineers Adjusting Scan Range Doe, John O 01-Jan-80 The topogram scan range can be adjusted by the ThoraxRoutine_IR (Adult) Head First - Supine following methods: Top Tips: 2.89 s 20 mA 100 kV • Use the zoom and pan 1. Touch within the scan range and drag the scan function to better range to move it vertically along the planning visualize the body parts image of the patient to your desired position on the planning image. dots or - • On the Touch Panel, - 2. Touch and drag the scan start line (green) or end move two fingers away line (white) to move them to your desired from each other to • position. zoom in or touch and drag the image to pan. 3. To change scan direction, use the two arrows in the lower right corner (orange box). • Use the dots to V improve grabbing of If necessary, the scan range can be selected using the the lines. topo regions on the right hand side (see also overlapping workflow). O % º C 308,0 295.0 Press - to reach position 7.Consecutive 24 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Consecutive Workflow (1 Technologist) – SIEMENS Healthineers Moving Patient Table and check Positioning Once satisfied with the topogram scan range, Top Tip: press and hold the “blinking “ Move key and • For automatic switching the table will move to the scan start position. on the laser light Use the laser light marker to verify that the markers once the table starting position is correct and the patient is has moved to the positioned in the isocenter. topogram scan start position, toggle the corresponding switch in The patient position and the isocenter (table the touch panel's height) are calculated when the planning image configuration menu. is captured. However, check whether the patient is correctly positioned and properly placed in À CAUTION the isocenter. Use the laser light marker. Laser radiation! Possible loss of eyesight due to laser radiation. Do not look directly into the laser beam or at its reflection on Switch off the laser lights before leaving the smooth, mirror-like surfaces during adjustment. room and starting the scan. 7.Consecutive 25 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Consecutive Workflow (1 Technologist) – SIEMENS Healthineers At the Console: Continue with Scan The scan range set on the patient image at the Patient Applications Edit Insert View Setup Image Options System Help Examination touch panels is automatically handed over to the scanner console and integrated into the protocol. 3D Therefore, the topogram can be scanned as usual without the need of further adjustment. Simulation ThoraxRoutine_IR (Adult) Doe, John 0001 Total mAs: o Topogram mA 75= 0 Thorax kV Sn100 Scan time 2.88 S Slice 0.6 mm TO Topogram length =45 Tube position O Top Bottom · Lateral Comments Table: Position Heigh Load Hold 0.0 100.0 Craniocaudal >04 Recon Recon Routine Scan Auto Tasking PNP Device Mounted - Drive(F:): Total Space(953834 MB) x 07-May-2018 12:56:02 7.Consecutive 26 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 Consecutive Workflow (1 Technologist) – SIEMENS Healthineers After the Scan At the scanner console : Doe, John 01-Jan-80 O Perform image reconstruction as usual. Close exam. This ThoraxRoutine_IR (Adult) Head First - Supine No protocol loaded will also clear the information on the touch panels. n/a n/a Let patient get off the table after moving table to a suitable position. At the gantry (alternative): After necessary work on the patient (e.g. disconnecting CM line, etc.) is done and the patient is ready to get off the table, press the unload button (orange box). The Move key starts blinking. Press and hold the Move key until the table reaches a - suitable position for the patient to get off. Please note that using this process will clear the patient -773.0 116.0 308.0 295.0 Unload finished information from the gantry panel and sets up the FAST 3D workflow for the next patient. Continue at console. 7.Consecutive 27 Workflow Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers 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 Global Siemens Healthineers Headquarters Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84 0 siemens.com/healthineers 28 Effective Date: 05/15/2018 | HOOD05162002880079 Unrestricted © Siemens Healthcare GmbH, 2018