Urinalysis WAM Software Overview Online Training

During the exam, the operator remotely controls the table and gantry - as well as the radiation - with the control box at the main scanning console.  Buttons on the control box allow the operator to raise or lower  the table, or move it out completely to a parked position.  For gantries that tilt, the control box allows the user to angle the gantry in a positive or negative direction up to 30 degrees.  The control box also enables the user to start, stop, or pause the radiation in the scan room.  The patient communication system is also built into the control box, and the operator can listen to the patient and deliver necessary scanning instructions without being in the scan room.  **Note:  It is important to observe any motion of the table and gantry at all times in order to ensure patient safety. Welcome to the Urinalysis WAM Software Overview Online Training course. This course will introduce you to the location and navigation of the Urinalysis WAM (Work Area Manager) software. This software application manages results from both the CLINITEK Atlas analyzer and the Sysmex UF-1000i analyzer before the results are transmitted to the laboratory information system. Select Next to continue.   Describe results management in the CLINITEK AUWi system Describe the purpose of Query Order Locate the Urinalysis WAM software Navigate the WAM software Upon successful completion of this course, you will be able to: Select Next to continue. The scan unit is  comprised of the hardware that enables patient scanning.  This includes the gantry with its display, control panel and other components, as well as the patient table, which is available with  many different configurations and accessories Congratulations.  You have Urinalysis WAM Software Overview Online Training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz. Describe results management The Urinalysis WAM software application is a data management tool that consolidates data from the CLINITEK Atlas analyzer and the Sysmex UF-1000i analyzer. Features include: Rules based software to manage results, ability to print a consolidated report, option to validate results before sending the ID to the LIS, and ability to resend a sample ID to the LIS Results are transmitted from the WAM software to the LIS   Locate the Urinalysis WAM software Open UA WAM from the Start Menu or Open WAM by selecting the desktop icon Check the Task Bar to confirm there is only one session open Navigate the WAM software Locate screens on title bar drop down menus Use the menu bar with operational buttons Select fast button icons for routine functions Utilize function keys to perform specific operations  Describe the purpose of Query Order Search for a sample ID View the sample status Print a consolidated patient report View and/or print a pending list Resend sample ID results to the LIS Select Next to continue.   Siemens also offers a wide variety of optional accessories for scanning.  In the tabs below, you will find information on a few of these, including the table top foot extension, standard head holder, tiltable head holder, head and arm support cushion, foot pedal and positioning sponges. Click on the tabs below to learn more about the types of accessories for Siemens' CT Scanners. Click Tab 1 - Foot Extension The table top foot extension is used to extend the length of the patient table. This is especially helpful for feet-first patient positioning and for scanning extra long examinations, like runoffs.  Click Tab 2 - Head Holders To help ensure the best possible image quality when scanning head exams, it is very important to position the patient in a dedicated head holder for these studies.  Siemens offers a variety of head holders to meet all types of scanning needs.  The standard head holder serves to position and support the patient's head during virtually all types of head imaging. The tiltable head holder can be adjusted to a desired angle and helps when patients are unable to hold a desired position for dedicated neuro exams.  It is also useful on those scanners that do not have a tiltable gantry. The dedicated coronal prone head holder is useful when true coronal sinus exams are required. Click Tab 3 - Head and Arm Support Cushion The head and arm support cushion is a useful tool for scanning torso examinations like chests, abdomens, or spines, when the patient's arms are raised over their heads.  It can be placed in any position on the table and helps to comfortably position patient's head and arms during the scan. Click Tab 4 - Foot Switch The foot switch plugs into the gantry and allows the user to initiate radiation from inside the room.  This is especially useful during interventional CT procedures  when the physician wishes to remain tableside during the scan or if the fluoro option is being used.  The foot switch can also be used to start a scan from inside the room on those systems that do not have a scan start button on the control panel. Clic Tab 5 - Sponges, Straps, & Restraints In addition to all of the other hardware, a vast assortment of sponges, Velcro straps, and restraint devices are available for the positioning, comfort, and safety of patients on the scanner.  All are lightweight and easy to use and can help to optimize your patient examination. The Urinalysis WAM software application is a data management tool that consolidates data from the CLINITEK Atlas analyzer and the Sysmex UF-1000i analyzer. Key features of the WAM software include: Manage sample results in a rules based software Print consolidated reports Validate results before sending sample ID to the LIS  Resend sample IDs to the LIS   Data Flow Learn about data flow Slide NumberText BlocksCalloutsAudio ScriptImage File1 CLINITEK Atlas to WAM The CLINITEK Atlas analyzer runs samples and sends results to the WAM. Results from the CLINITEK Atlas analyzer are located in: Main Menu > Recall/Delete Results on the CLINITEK Atlas analyzer  Urinalysis WAM software Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin. The CLINITEK Atlas runs samples and then sends the results to the urinalysis WAM. Sample results are available in the CLINITEK Atlas software and in the Urinalysis WAM. 2Sysmex UF-1000i to WAM When the sample ID is read at the UF-1000i analyzer the options are to query the WAM for a workorder or to run all samples regardless of whether a workorder exits. The Sysmex UF-1000i analyzer results are located in the following software: IPU (Information Processing Unit) Urinalysis WAM Select Next to continue.When the sample ID is read at the UF-1000i analyzer the WAM is queried to locate a workorder. If the workorder does exist the sample is run on the UF-1000i analyzer. If the workorder does not exist the sample will not be run on the system. Results for the UF-1000i are located in the IPU and in the Urinalysis WAM software.3WAM to LIS All results pass through the WAM software to the LIS. Result validation can be performed in either the: WAM software or LIS  When complete, select the X in the upper-right corner to close the window and continue. The Urinalysis WAM sends the results to the LIS. The results are validated either in WAM before sending them to the LIS or at the LIS. Your system will be setup for one or the other. Earlier we talked about how some scanning and reconstruction parameters can be optimized to help generate a great dataset for post processing.  Now that we've learned a little about MPRs, let's take a closer look at how a few of these parameters - like image slice thickness, overlap and kernel - can affect the way our MPR images look. Tab 1  - Since the voxel is a product of Pixel size and slice thickness, it is important to reconstruct source images as thin as possible, with isotropic voxels in mind. Thicker images  typically result in what we commonly call stair-step artifact.  You can see in this example how a sagittal MPR of the thorax and abdomen looks different when our source images are 5mm compared to 1mm.  You can really appreciate the difference in quality if you look at the spine, the sternum, the liver border and soft tissues in the abdomen. Tab 2 - Image incrementation is the distance between reconstructed slices in the Z direction. When the increment chosen is smaller than the slice thickness, the images are created with overlap, and overlap eliminates data gaps.  Just think of our brick wall from earlier.  Image overlap reduces partial volume effect, improves the detail of the anatomy, and improves the 3D post processing.  If 3mm images are reconstructed  with a 1.5mm incrementaton, the result is a 50% overlap  - and you can see how that improves the results of post-processing in the example below. Tab 3 - As we touched on before, kernels are mathematical formulas that are applied to raw data to  intentially add a controlled level of noise to the final image.  This sounds strange, because In most cases in CT, we're actually trying  to *eliminate* noise; however, some noise is important, especially  when looking at high contrast stuctures, like bones or lung tissues.  In general, the higher the kernel or algorithm, the more noise in the image.  You can always reconstruct your images using another kernel - and for some studies like spines, bone and soft tissue are both expected - but keep in mind that these recons require raw data, so once that's been deleted, you're stuck with what you've got. When discussing kernels we must also mention window and level settings, as there are preferred ranges to view both soft tissue and bones. In the spine MPRs below, the top two images are reconstructed in a standard or soft tissue *kernel*.  The bottom images are reconstructed in a sharp or high resolution kernel.  You can also see the effect that windowing has - the two left imiages are in a soft tissue WINDOW, and the ones on the right are for bone. The Urinalysis WAM software is an application running on the same computer as the UF-1000i software. Open WAM and then log on to view the functions available the Urinalysis WAM.  Navigate the software by using: A title bar with drop down menus A menu bar with operational buttons Fast button icons for routine functions Function keys to perform specific operations  Select Next to continue.     There are several advantages and disadvantages to post processing with Maximum Intensity Projections.   The advantages include: * excellent representation of contrast-filled vessels for CTA examinations * MIPs are relative easy to create - there are no complicated settings or user-defined thresholds - so results are reproducible among different operators.  * Since MIP programs are a very basic 3D tool, there are usually no expensive stand-alone software packages to buy.  And since they are so easy to create, they can be done quickly without a lot of time investment. Some of the disadvantages include: * MIPs can misrepresent the spatial relationships between anatomic structures - even though they are volumes they can be three dimensionally ambiguous. * Without dedicated bone removal software, manual removal of superimposed bony structures can be tedious and time consuming Query Order is located on the main menu screen in the WAM software. The functions available in Query include:  Search for a sample ID View the sample ID status Print a consolidated report View and/or print a pending list Resend a sample ID to the LIS Query Orders Learn about the various functions in Query Order. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Query Order   To open Query Order:  Select Query Order Identify the search criteria Select Next to continue.Note: If audio does not automatically start, select the play arrow in the top left to begin. Open Query Order from the WAM software main menu screen. Select the criteria for sample ID, patient demographics, test status or just select All Orders and All. 2 Query Order  Display Selection criteria Patient data Data Display Print/Resend options Result status color legend Select Next to continue. Select each number to view the corresponding text.Callouts Selection Criteria Patient Data Data Display Print/Resend Options Results Status Color Legend The query order display screen includes a box with the selection criteria chosen on the previous screen. There are multiple columns of patient data including sample id, patient name, demographics and sample status. The columns on the right, display the status of results according to the results status color legend located on the bottom right corner. Below the data display are the buttons used to print or resend results.3 Query Order   Patient Data Select the column header to sort results Select check boxes in the Sel All to identify samples to print or resend Identify the status of results on the R-ST column Use the selp bar to view results R-St column Result Status: 0 - a sample was ordered but not run 1 - a sample was run but not validated 4 - the sample is validated and waiting to be transmitted to the LIS 5 - the sample was transmitted to the LIS Select Next to continue. Select each number to view the corresponding text.Callouts Column Header Check boxes R-St column Selp Bar Columns are sorted in ascending or descending order by selecting the column header. The check boxes on the left are selected to identify those samples that are to be printed or resent to the LIS. The status of the results is displayed with a number in the R-st column. Earlier in the course you learned that a zero indicates a sample that was ordered but not run, a one indicates a sample that was run but not validated, a four indicates the sample is validated and waiting to be transmitted to the LIS, and a five indicates that the sample was transmitted to the LIS. Identifying the status of a sample is important when trying to locate sample results that did not cross over to the LIS. The selp bar is used to view sample results.4Query Order Data Display Select a row of data to view status of results related to that sample Yellow highlighting indicates the row selected Select Next to continue. The data display identifies the status of the sample results by the color coding used. Grey indicates which sample results were validated. A white background indicates the results that are either pending or waiting to be validated.5 Query Order   Print/Resend Options Print List of Selection Print Results of Selection Resend Selection to LIS  Select Next to continue. Select each number to view the corresponding text.Callouts Print a list of pending samples Print consolidated patient reports Resend sample ID's to the LIS The Urinalysis WAM provides different options for printing and resending orders to the LIS. The print list of selection can be used to print a pending list of samples. Resend a sample to the LIS if the results for a sample need to be retransmitted. The samples to print or send are determined by the checkboxes selected. The resend to instrument is not used.6 Query Order   Result Status Color Legend indicates the status of results for a selected sample. When complete, select the X in the upper-right corner to close the window and continue. The legend indicates the color coding used to indicate the status of the results. The h's and L's for high and low results are not commonly used. Access to the WAM software is available by selecting either: Start from the Start Menu and then WAM or The WAM icon on the desktop Access the UA WAM Software Learn about accessing the Urinalysis WAM software. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Accessing the WAM software   To open the WAM software:  Select Start and then select the WAM icon or Select the WAM icon on the desktop    Select Next to continue.   Note: If audio does not automatically start, select the play arrow in the top left to begin.Select each number to review the corresponding text.Callouts WAM icon in Start menu WAM icon on Desktop To open WAM select Start from the start menu and then select the WAM icon. It may take a few seconds for the user interface to appear. Another option is to select the WAM icon directly on the desktop. Check the task bar to confirm there is only one WAM session open.2 Accessing the WAM software   Log on to WAM using: Username: usr  Password: wam When complete, select the X in the upper-right corner to close the window and continue. Log on to WAM by typing in lower case u s r as the username in the small field of the user name and w a m as the password. The software displays the username in capital letters. User names and passwords can be customized in WAM. Software navigation is controlled by the: Mouse  Function keys. Software Navigation Learn how to navigate the software Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90007048/sim_WAM_SWOverview_800x600/sim_WAM_SWOverview_800x600.htmHTML5 File:/content/generator/Course_90007048/sim_WAM_SWOverview_HTML5_800x600/index.htmlPDF File: