How to Use VSim for Reference Points

How to Use VSim for Reference Point Management Computed Tomography 1. From the Patient Browser, select the desired data set and load into VSim. 2. On the Structure subtask card, click the New Structure icon. Structure Display New 3. Choose the desired Category from the drop down menu, and then choose the Structure Name Skin. New Structure X Category Colo Name Skin Grouping < None > Skin Type Surgical Bed Target Density Original CT Volume Skin Jcm3 OK Cancel Help 4. From the Auto subtask card, click the Extract Skin icon. Contour Auto Adv.Seg. auto Extract Skin SIEMENS siemens.com/healthineers Healthineers Job Aid | How to Use VSim for Reference Point Management Effective Date: 12/07/2016 | Quality HOOD05162002255722 5. Adjust the contour using the threshold bar. Review and adjust the contour through all slices from above anticipated treatment volume to below. Click Apply and OK. AAPM. PANCREAS 240 2/10/1954 MPR Spin: o Extract Skin X Min Threshold Value Max Threshold Value .614 E 3071 OK Cancel Apply Apply All Help SP(mm]: x pat 0.5.y_pat -160,5 z_pat -519.5 6. Click the Reference Patient Management icon. Rel.Pt.Management 7. Move navigation bars to laser origin (zero point). 8. On the Reference Patient subtask card, click on the New icon. Ref.Pt. Display Manual LaserOrigin fi == * Siemens Healthineers Services Page 2 of 5 Job Aid | How to Use VSim for Reference Point Management Effective Date: 12/07/2016 | Quality HOOD05162002255722 9. Name the new reference point. New Ref.Pt. X Name VolumeCenter Dosimetric Type None . Patient (x,y.z) in cm 0 8.99 -55.97 · Structure Centroid Skin · Actual Centroid @ Geometric Center OK Cancel Help 10. Move navigation bars to new Isocenter, making sure the point is accurate in all three views. 11. Mark patient by clicking the Mark Patient icon. Position Field Auto |x_pat y_pat z_pat 0 -8.99 -55.97 cm x_Isr y_Isr z Isr O 0 0 cm Standard Fluoro SAD(cm) 100 Mark Patient 12. Open the Simulation tab card. G CH lation Plan 13. Name the plan and click OK. New Plan x Name New Plan Positioning Mode Plan Description · Absolute Radiation Type Non-lon . Relative to New Point Stereotactic OK Cancel Help 14. On the Beam subtask card, click the New icon. Beam Display New Siemens Healthineers Services Page 3 of 5 Job Aid | How to Use VSim for Reference Point Management Effective Date: 12/07/2016 | Quality HOOD05162002255722 15. Name the beam, choose the Irradiation device/treatment machine, and make sure that the correct iso is selected under Reference Point. Click OK. New Beam x General Name New Beam Number Description Color Irrad. Device TestARTISTE Group Radiation Type PHOTON Targets Energy 6.00MV Weight Beam Isocenter. Relative to (0.00 .- 16.52. - 51.84)(x_pat, y_pat, z_pat)cm . Coordinates x rel 0.00cm y_rel 0.00cm z_rel 0.00cm · Structure Skin Geometric Center > Reference Point New Point · Recall from Plan Beam OK Cancel Help 16. Repeat the process, using Beam setup subtask card to change gantry angle to either 90 or 270 degrees. 17. Click Save, then Close Patient. 18. From the Patient Browser, select the CT study and all Vsim files. Click Transfer > Send To > LAP and send. Siemens Healthineers Services Page 4 of 5 Job Aid | How to Use VSim for Reference Point Management Effective Date: 12/07/2016 | Quality HOOD05162002255722 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 ...... Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Siemens Healthineers Services Page 5 of 5