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Table Positioning Strategy - Eline

The Table Positioning Mode Job Aid defines ISO, FIX, and REF Modes and provides guidance and applications used for each mode.

Table Positioning Modes – E-line Job Aid Table Positioning Modes – Eline Positioning Mode determines how the table is positioned for the selected protocol and which reference images should be loaded.  Positioning Modes: ISO, REF, FIX – located on “System > Miscellaneous” Parameter Card  Slice planning is only performed on DIS2D or DIS3D Distortion Corrected images, no unloading of images from GSP.  GSP can only display distortion corrected images (e.g., exception Spectroscopy).  Global Positioning Mode setting is located at the Region, Exam, or Program level in Dot Cockpit under Edit Properties.  Positioning Mode (PM) – always displayed top of Parameter Cards (e.g., PM: FIX) 1. Isocenter (ISO) – (e.g., Default Strategy) a. ISO table position calculated so measurement is performed at Isocenter i. Based on center point of all slice groups ii. Table moves to “Isocenter” of Slice/Slab Group after sequence applied  Like “Scan Region Center” or “Scan at Center” iii. Patient-specific Adjustments performed again after table move b. Set-n-Go Protocols always use ISO (e.g., Default) c. 2D Distortion Correction automatically activated when ISO Positioning Mode selected. i. Distortion Correction must be used in combination with ISO for all sequences or images will unload or disappear in GSP segments. d. ISO Positioning Mode cannot be used in combination with FIX or REF positioning modes when planning sequences within a protocol i. ISO Positioning Mode when combined with REF or LOC in a protocol results in images unloading or disappearing in GSP segments. ii. ISO Positioning Mode when combined with REF or LOC results in the inability to see reference lines on a PACS system. e. Applications – Larger anatomical regions (e.g., Spine, Abdomen, Pelvis, Long Bone) TA: 2:42 PM: ISO PAT: 2 Voxel size: 0.5x0.5x4.0mm Rel. SNR: 1.00 : qtse Routine Contrast Resolution Geometry System Physio Inline Sequence Coils Miscellaneous Adjustments Adjust Volume TX/RX Coil Combine Mode Adaptive .. Positioning mode |ISO Save uncombined Table position H 27 . mm Table position memory Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/09/2020 | HOOD05162003097199 Healthineers Job Aid | Table Positioning Modes – Eline Effective Date: 06/09/2020 | HOOD05162003097199 2. Fixed (FIX) – Fixed Table Position a. FIX Positioning Mode performs all measurements at a Set Table Position i. Table doesnt move ii. Distortion Correction not automatically selected b. Table can be moved manually to a specified position when using FIX Positioning Mode i. Table Position  Select from Dropdown Direction H/F; L/R; A/P (selections depend on orientation selected)  Enter Table Move in mm ii. Table moves after sequence is applied iii. Patient-specific Adjustments performed again if table moved manually c. Applications – Advanced Neuro, Brain, Angio, Whole Body and Whole Spine Exams TA: 2:42 PM: FIX PAT: 2 Voxel size: 0.5×0.5×4.0mm Rel. SNR: 1.00 qtse Routine Contrast Resolution Geometry System Physio Inline Sequence Coils Miscellaneous Adjustments Adjust Volume TX/RX Coil Combine Mode Adaptive .. Positioning mode FIX Save uncombined Table position H 27 : mm Table position H F 3. Reference (REF) – Linked to a Reference Image a. REF Positioning Mode Table Position is linked to a Reference Image i. Similar to “Scan at Current Table Position” ii. Table moves when Slices or FOV moved in Head>>Foot Direction iii. Patient-specific Adjustments performed again if table moves or as needed (e.g., fat saturation) iv. Distortion Correction not automatically selected b. Applications – Brain, Cardiac, Breast biopsies and Orthopedic exams TA: 2:42 PM: REF PAT: 2 Voxel size: 0.5×0.5×4.0mm Rel. SNR: 1.00 qtse Routine Contrast Resolution Geometry System Physio Inline Sequence Coils Miscellaneous Adjustments Adjust Volume TX/Rx Coil Combine Mode Adaptive .. Positioning mode REF Save uncombined Table position H 27 mm Table position memory Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 2 of 4 Job Aid | Table Positioning Modes – Eline Effective Date: 06/09/2020 | HOOD05162003097199 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 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 3 of 4 Job Aid | Table Positioning Modes – Eline Effective Date: 06/09/2020 | HOOD05162003097199 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 4 of 4