How to Perform a Wire Localization - VC20 and Higher Job Aid

How to Perform a Wire Localization MAMMOMAT Revelation VC20 and Higher The fenestrated compression plate and the laser crosshair device can be used to localize sus- pected/suspicious areas of the breast. A wire localization can then be performed in these areas. The fenestrated compression plate immobilizes the breast and has a biopsy window. The biopsy window contains an alphanumeric coordinate scale that is visible in the X-ray image. SIEMENS Mostheneers ? Fenestrated Compression Plate Laser Crosshair Device 1. Remove the face shield and mount the laser crosshair device by sliding it onto the rails and securing the latch at the back, then switch it on by pressing the ON/OFF button at the back of the battery compartment. 2. Attach the fenestrated compression plate. NOTE: when the fenestrated paddle is selected, the system automatically chooses Auto decompression OFF. Auto decompression will remain off for the entire study. OPDOSE 50-59 mm 29 kV - + WIRh . . . 50 mm Adv. Automatic decompression 3. Register the patient at the acquisition workstation.  Adjust the projection angle.  Position and compress the breast 4. Perform "scout" exposure. The Radiologist will review the image and localize area of concern. 5. To use the crosshair tool- select "Tools" from the top menu bar. Select "crosshairs" in dropdown. SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 How to Perform a Wire Locaiization, VC20 and Higher| Effective Date: 06/28/2021 | HOOD05162003203814 Healthineers Job Aid | How to Perform a Wire Localization MAMMOMAT Revelation VC20 and Higher Effective Date: 06/28/2021 | HOOD05162003203814 6. Place the cursor on the image on the AWS where the Radiologist wants to insert the needle. Left click on image"crosshairs" will appear. NOTE: to change location of crosshairs: Right clickselect all graphicsRight clickdelete. Imbow 2 Distance: 13.93 cm 2 Min/Max: 535 /1863 Distance: 7.62 cr 1 Min/Max: 557 /3346 2 3 4 5 6 7 8 9 10 Imwow 7. Slide the laser beams on each side of the laser cross device to the desired position according to the coordinates of the compression plate. Note: The laser positioner is manually moved to align to the paddle coordinates where the lesion is seen on the X-ray image. 8. The intersection point of the cross indicates the position of the suspect area. 9. Continue with the wire localization. When changing to FULL breast image and standard paddle, you DO NOT need to select Decomp OFF in Advanced settings and the laser crosshaire device does nto need to be removed. SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 How to Perform a Wire Localization, VC20 and Higher| Effective Date: 06/28/2021 | HOOD05162003203814 Healthineers Page 2 of 3 Job Aid | How to Perform a Wire Localization MAMMOMAT Revelation VC20 and Higher Effective Date: 06/28/2021 | HOOD05162003203814 (2) (6) (7) (2) (3) (1) (4) (5) (1) Battery compartment- At the back side of the compartment: On/off switch (not shown) (2) Laser beam 2 (3) Locking arm (4) Laser beam 1 (5) Face shield (6) Lock release (7) Sliding arch 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 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 How to Perform a Wire Localization, VC20 and Higher| Effective Date: 06/28/2021 | HOOD05162003203814 Healthineers Page 3 of 3