MAMMOMAT Inspiration Tomosynthesis Turnover Workbook

SIEMENS Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Healthineers SIEMENS MAMMOMAT Inspiration MAMMOMAT Inspiration with Tomosynthesis Option Turnover Workbook usa.healthcare.siemens.com/education Answers for life. Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Table of Contents Day Two: System Operation ...............................20 Objectives ........................................................20 Introduction.........................................................4 Patient Procedures – Additional Functions .........20 Agenda ................................................................5 Image Attributes ...........................................20 Topics ................................................................5 Repeat ..........................................................20 Day One..........................................................5 Reject and Repeat..........................................20 Day Two..........................................................5 Correct .........................................................20 Day Three .......................................................5 Reprocessing Image Processing ......................20 Day Four .........................................................5 Reconstruct Tomo Scan (Tomo Option)...........20 Day One: System Overview ..................................6 Sending Images to Filming.............................21 Objectives ..........................................................6 Archive Data .................................................21 Switching On/Start-up ........................................6 Query or Retrieve Patient Data .......................21 Calibration .......................................................22 Day One: Key Hardware Features.........................7 Preparing the swivel arm ...............................22 Overview ...........................................................7 Calibration procedure ....................................22 Emergency Stop .................................................7 Magnification Calibration Procedure...............22 Swivel Arm.........................................................7 Cleaning and Disinfection .................................23 Single Touch Feature ..........................................8 Overview ......................................................23 Compression Plate ..............................................8 Cleaning .......................................................23 Stand Display .....................................................8 Status Symbols .................................................24 Force Conversion Chart.......................................9 Work Status Information ...................................25 Magnification Table .........................................10 Technical Data..................................................27 OpComp ..........................................................10 Emergency Compression Release.......................11 Day Two: Exercises System Set-Up .....................29 Inspiration Plates ..............................................11 Day Three: System Set-Up ..................................31 Day One: Acquisition Workstation......................12 Objectives ........................................................31 Overview .........................................................12 Patient Procedures............................................31 Control Box ......................................................12 Logging-in and Logging-off...............................12 Day Four: syngo.Breast Care............................32 Configuring New Users .....................................13 Objectives ........................................................32 syngo.Breast Care.............................................32 Day One: Examination Task Card........................14 Generator Control Field.....................................14 Acronym Chart...................................................33 Exposure Parameters Used ................................15 Contact Information...........................................34 Advanced Dialog Box ........................................15 syngo Patient Browser ......................................16 Day One: Registering a Patient ..........................17 Registering a Patient using Scheduler ................17 Day One: Exercises.............................................18 Patient Transfer Examination Edit View Image Tools Scroll Options Help R.CC 18 2848 10985 Fletcher R-CC Examination Mae Scale 102% o.p. 1265 Open patient 2 Viewi Procedure: Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Learning Materials The following instructional materials are referenced throughout this training session: System Owner Manual Provides the necessary knowledge and expertise to accurately and safely operate the system. Training Workbook Supports the System Owner Manual through “big picture concepts,” examples, stories, interactive exercises, and references to online documentation. This book is yours to keep, so you can write in the book. Step-by-Step These documents provide quick reference tips to aid customers in “just-in-time” learning opportunities. 3 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Introduction The purpose of this training session Learning Objectives is to provide you with the skills and After completing this training session, you will be able to: knowledge to operate your system. • Correctly perform start-up and shutdown procedures. • Identify the key hardware features of the Inspiration system. • Identify the differences between the available paddles. • Describe the key features of the syngo® interface on the acquisition workstation. • Correctly perform a patient registration. • Utilize the examination task card to perform a patient procedure. • List the steps needed to archive patient data. • Follow the steps necessary to complete a patient procedure. • List and perform Quality Control procedures. • Perform the Quality Control needed for the Reading Stations (if applicable). 4 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Agenda Agenda The training program occurs over a three or four-day period; a total of 24 or 32 hours. Further details on location and specific times are included in your registration confirmation. Topics Day One Day Three Inspiration Intro • Patient Imaging • • Review Patient Images with Radiologist(s) • Start-Up/Shutdown Procedure • Review of Gantry and Console • Checklists • • Image Receptor Review of all QC Procedures Accessories • Questions • • Magnification • Integrated Control Panel Day Four Acquisition workstation (AWS) (for sites with Reading Stations) • • Registering a Patient • syngo.Breast Care with radiologist(s) Performing a Patient Study • syngo.Breast Care QC • • PACS Retrieval at syngo.Breast Care Day Two • Questions • Archiving • Patient Imaging Continued • Perform QC tests • Cleaning and Disinfection • Status Symbols • Work Status Information • Technical Data • Review Patient Images with Radiologist(s) 5 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – System Overview Objectives Notes After this session, you will be able to: • Correctly perform shutdown procedures. • Identify the key hardware features of the Inspiration system. • Identify the differences between the available paddles. • Describe the key features of the syngo interface on the acquisition workstation. • Correctly perform a patient registration. • Utilize the examination task card to perform a patient procedure. Switching On/Start-Up The MAMMOMAT® Inspiration system is started from the switched off mode. Starting the system from the switched off mode. • Press the power ON button on the Control Panel. Once the HIPPA screen appears, click the OK button. Sign in with your User Name and Password. Please note, both are case sensitive. • This process takes approximatel 5-10 minutes to be completed. Wait until the RED X is gone in lower right corner between the pie and the computer. This means your system has completed start up. Complete the 90 - 90 “Single Touch” activation. Switching Off/Shutdown • Go to the top Menu Bar, and click on Options, then select End Session and choose Shutdown System. • Confirm by clicking YES • System will automatically shutdown to a Standby Mode • Once the system has shut down, press the Off button on the Control Pad. The system will then completely shut down. For detailed start-up instructions and a visual diagram of the system, please see: • Online User Manual located in the Help dropdown of your acquisition workstation (AWS) 6 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Key Hardware Features Notes Overview This section will discuss key hardware features of the biopsy unit and the Hand Box. Emergency Stop Depressing (in an emergency): All system movements and X-ray radiation are stopped. Turning clockwise (when situation has been rectified): Unit drives and X-ray radiation are enabled again. Swivel Arm (1) (4) (2) (5) (3) (6) (1) Raise swivel arm (height adjustment) (2) Turn swivel arm counterclockwise (angle adjustment) (3) Lower swivel arm (height adjustment) (4) Turn swivel arm clockwise (angle adjustment) (5) Single touch button a) Depress briefly: Press automatic movement to the preset angle position for the next projection view. b) Press for a long time: Transfer angle position to the opposite side. (6) Object illumination On, Off automatic (automatic On when the foot switch compression pedal is activated) 7 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Key Hardware Features (continued) Single-Touch Feature Notes Briefly press the single-touch button. • The swivel arm automatically moves to the preset angle position for the next projection view. • The angle position is displayed on the stand display. • Press any keypad to stop movement. • The rotation movement stops in the current angle position. • Press the single-touch button again to resume movement. • The single-touch function has to be activated per working day. • Move the swivel arm with the setting buttons for rotation movements to between - 90° and + 90°. The single-touch function is then active for 24 hours after this. If the system is re-booted any time during the day, the single touch will need to be reactivated with the swivel arm rotation movements between 90° and + 90°. • Height adjustments are located on either side of the tube head and on foot pedals. Compression Plate Mounting the compression plate • Insert the guide of the compression plate into the receiver on the compression unit. • The compression plate automatically locks in position. Removing the compression plate • Press the release button on the compression plate receiver and pull the compression plate out. The plastic inserts in the compression plates can be re-ordered if there are cracks on the plate. The plastic trays can be removed from the holder to simplify cleaning. Stand Display The stand display is located at the base of the X-ray stand. From here you can view projection angle, thickness of compressed object, compression force 219 O O mm N Fletcher Mae 8 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Key Hardware Features (continued) Force Conversion Chart Notes Force in Kilograms (kg) Pounds (lbs.) Newtons (N) 1 2.2 9.81 2 4.4 19.61 3 6.6 29.42 4 8.8 39.23 5 11 49.03 6 13.2 58.84 7 15.4 68.65 8 17.6 78.45 9 19.8 88.26 10 22 98.07 11 24.2 107.87 12 26.4 117.68 13 28.6 127.49 14 30.8 137.29 15 33 147.1 16 35.2 156.91 17 37.4 166.71 18 39.6 176.52 19 41.8 186.33 20 44.1 196.13 9 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Key Hardware Features (continued) Magnification Table (optional) Notes Using the magnification table obtains a 1.5x or 1.8x magnification of the object. The desired magnification must be selected upon ordering the system. OpComp Note: • OpComp will function with flex paddles. OpComp should not be used with spot magnification, implant views, or on • patients who have had recent breast surgery. OpComp is not activated by manual compression. • OpComp is regarded as a recommendation but all patients may not be able • to tolerate it. If breast is not taut, additional compression may be given. Procedure: 1. Set the object table to the correct height. 2. Position the breast and lower the compression plate onto the tissue. 3. Pre-compress the breast to 20-40 N (2-4 kg). “Press” on the foot switch until plate rests on the breast. 4. Perform optimized compression by pressing the foot switch again and keeping it steadily pressed, until the stand display signals and compression automatically stops. 5. Do not use the “pumping” technique to perform or this may override the OC. 10 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Key Hardware Features (continued) Emergency Compression Release Notes • Firmly press the emergency unlock mechanism if decompression is not possible (e.g., in the case of power outage). • Compression is mechanically unlocked. Compression plate must be pushed up. MAMMOMAT Inspiration O Inspiration Plates There are a variety of compression plates (formerly “paddles”) for this system. Plates vary on flexibility and size. Available paddles at your facility will be discussed. For a detailed list of plates available for the Inspiration system please see: • Online User Manual located in the Help dropdown of your acquisition workstation (AWS) 11 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Acquisition Workstation Overview Notes This section will discuss design and function of the acquisition workstation and the syngo interface. Control Box (1) STOP (2) Ò (5) (3) (6) (4) (1) Emergency Stop All system movements and X-ray radiation are stopped. (2) Not used (3) Raise compression plate (decompression) Press and hold the button. Decompression begins (to 80mm). (4) Start radiation (exposure button) The button lights up yellow during irradiation (radiation display). MAMMOMAT readiness: Button flashes green. Exposure readiness: Button lights up solid green. (5) System Off (6) System On When the system is ready for operation, the button lights up green. Logging In and Logging Off (If HIPPA is activated) To log in, type your unique username and password on the “log in user screen.” To log off: 1. Options (top tool bar not patient browser) 2. End Session 3. Log Off (click on 2nd icon) 12 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Acquisition Workstation (continued) Configuring New Users Notes • Log in as administrator or as user with administrator rights (username: syadmin, password: adm$pwd$4$med plus the last 4 digits of the dongle). • Go to Menu bar, Options, Security Configuration • Select User Management • Right-click on New select User • User of tab card: Name – Name of the user account (= logon name). – Note, that the name has to be unique within the system. Full name – Information that helps identify the user – (for example, first name, last name and title of the user). Description – Further information about the user – (for example, his/her department). New password – The password that has to be entered by the user – in order to log on to a workstation. • Password Requirements” USERNAMES – have no minimal character requirements and are not case sensitive PASSWORD Requirements - (Must be at least 8 characters and consist of at least - 2 Upper Case, 2 Lower Case, 2 Numbers, 2 Special Characters)(Special characters – “ ? / \ [ ] : ; | = , + * ? < > are not allowed) Username and password cannot contain the same characters or your name. Initials are acceptable. Password Examples: Jane Smith (JSmi1950!!) (JaSm1950!!) Confirm password – For validation purposes, the password has to be – entered a second time. • Member of tab card: Lists all groups (for data access) this user is assigned to. – For the Super user select the “Administrators” and “Security Admins” Groups. – When you select “Security Admins” a pop-up window will display. – Click YES – • Owner of tab card: Lists all roles (for use cases or functional privileges) this user owns. – Select “Role Doctor” and “Role MTA”. Click Apply – This is automatically selected under the Member of tab when YES is selected. – For more details and actual steps on this topic, please see: • Online User Manual located in the Help dropdown of your acquisition workstation (AWS) 13 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Examination Task Card The examination task card is subdivided into the following areas: Notes 1. Menu bar 2. Control area 3. Image area 4. Generator control field 5. Status bar 6. Info bar For a complete diagram of the examination task card, please see: • Online User Manual located in the Help dropdown of your acquisition workstation (AWS) Generator Control Field OPDOSE 50-59 mm 29 KV WIRh 50 mm Adv. (1) (2) (3) (4) (5) (6) (7) (8) (9) (1) Display and selection of exposure mode (manual, AEC, OPDOSE) (2) Display and selection of compression thickness range (OPDOSE only) (3) Display and selection of +/- kV (4) Display and selection of +/- mAs (only manual) (5) Display and selection of anode/filter combination (6) Overview of current detail parameter settings in Advanced dialog box (7) Display of currently set focus Small focus – Large focus – (8) Display of current compression thickness up to 30 N decompression – over 30 N of current compression thickness – (9) Button to call up Advanced dialog box to change detail parameters 14 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Examination Task Card (continued) Exposure Parameters Used Notes 27 kV 30.6 mAs W/R 0.6 mGy 0 deg 20 mm 46 N (1) (2) (3) After irradiation is completed, the exposure parameters used are displayed for your information. As soon as the completed image appears in the image area, these data are hidden again. (1) Exposure parameters (kV, mas, anode/filter combination, dose value) (2) Angle of rotation of the swivel arm (3) Compression parameter (thickness, compression force) Advanced Dialog Box After clicking the Adv. button on the screen, the Advanced dialog box is displayed. Detail parameters preset for the currently set exposure technique can be changed in the Options fields here. The standby mode of the exposure technique determines which options are available. Advanced (2) (3) (4) (5) (6) Grid Position Auto Decompression OPCOMP AEC Segmentation Dose Level o In o On @ On › On Normal @ Out c Off Off ‘ Off Low Medium Low @ Out + PRIME Normal Medium High High ..... (1) OK Cancel a) Option On or Active b) Option Off or Not active c) Option not available (dependent on the exposure mode) (1) Overview of current settings of the detail parameters (same as generator control field) (2) Grid Position In and Out Out: for magnification and PRIME (3) Automatic Decompression On/Off On: if unit should automatically decompress following the exposure (4) OPCOMP (Optimized compression) On/Off (5) AEC segmentation On/Off (measurement range for automatic exposure control) On: for dynamic measurement of pixel values over the entire breast Off: to limit to small, predetermined measurement range (6) Low Dose Mode Five dose levels available. Default: Normal 15 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Examination Task Card (continued) syngo Patient Browser Notes The Patient Browser supports you with administration of the patient and examination data that are stored in the databases of your system. With the Patient Browser you can search for data in a fast and uncomplicated way and then process that data in the browser or in the task cards. For a complete description and explanation of patient browser functionality, please see: • Online User Manual located in the Help dropdown of your acquisition workstation (AWS) 16 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Registering a Patient Registering a Patient Using Scheduler Notes To register a patient: 1. Click on Scheduler 2. Click on Worklist, then select Update Worklist (if worklist is not scheduled to update automatically) 3. Click on folder with patient’s name 4. Click on Patient, Register 5. Verify patient information and insert initials in the operator box 6. Click on Exam For more details and actual steps on this topic, please see: • Online User Manual located in the Help dropdown of your acquisition workstation (AWS) 17 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Exercises Notes Day One Complete the following exercises. Exercise 1: 1. Register a patient 2. Disable the first exposure 3. Pick screening procedure 4. Create a PAO that is RCC, RMLO, LMLO, LCC 5. Choose OpDose 6. Verify that auto decompression is on 7. Take first exposure 8. Insert an exaggerated RCC after the RCC 9. Take next exposure 10. Repeat RMLO taken and then make it your next image • Will have to disable exposure • Double click on the on the icon added at the end of the PAO 11. Take remaining exposures 12. LCC is marked wrong, correct to LXCC 13. Verify images are marked correctly 14. Close patient and end examination 15. Open browser 16. Check network job status 17. End session 18 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day One – Exercises (continued) Notes Complete the following exercises. Exercise 2: 1. Reenter study of a patient on the local database 2. Correct image previously acquired (notice KOS file) 3. Change the view from a LCC to a RCC 4. Add a RML 5. Take image 6. Verify images are marked correctly 7. Copy to film sheet all images 8. Go to filming 9. Delete the right-sided images 10. Find expose film task and expose images 11. Go back to examination 12. Skip transfer rules 13. Close patient 14. End examination 15. Manual send/archive from browser raw and processed data 16. Check network job status 17. End session 19 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation Objectives Notes After this session, you will be able to: • List the steps needed to archive patient data. • Perform a patient procedure utilizing advanced functionality. • List and correctly perform the recommended quality control procedures. Patient Procedures – Additional Functions Image Attributes To locate technical, clinical, and patient factors: 1. Right click on image. 2. Factors are displayed. Repeat To repeat a selected view: 1. Right click and select Repeat from the dropdown menu. 2. Select reason for repeat. 3. Additional image is provided and can be acquired. 4. Both images will be sent to the Radiologist. Reject and Repeat To reject and repeat an image: 1. Right-click on and select Reject and Repeat from the dropdown menu. 2. Image selected will be rejected 3. Additional image is provided and can be acquired. Correct To correct a projection view: 1. Right-click on the affected image in the Images subtask card. 2. A pop-up menu is displayed. 3. Select the desired projection view. 4. Click on Yes to confirm the changes. Reprocessing Image Processing To reprocess an image: 1. Right-click on the affected image in the Images subtask card. 2. Confirm IP Set name is correct. Select the new image processing parameter group that is desired. 3. In the Display Markers selection list, select whether the projection view used is displayed in the acquired image. 4. Click on OK. 5. Click on Yes to confirm the changes. Reconstruct Tomo Scan (Tomo Option) To select a different reconstruction parameter group (RPG): 1. Right click on affected image in the images subtask card. 2. Choose new RPG desired. 20 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation (continued) 3. Click OK. Notes 4. Delete any unwanted reconstructions prior to closing exam. Slect/De-select Insight 2D or Insight 3D To select/de-select Insight 2D or Insight 3D: 1. Navigate to the Acquisition subtask card. 2. Check or uncheck the boxes accordingly. Archive Data to a DVD To archive patient data: 1. Open Patient Browser 2. Select Transfer, Eject from DVD 3. Insert DVD-R into tray and close 4. Select Study in Patient Browser 5. Select Transfer, Archive to 6. Choose destination and click Archive 7. To see all pre-selected cases, Click Transfer, Local job status 8. Once the recording starts, in the bottom right-hand corner of the monitor, the recording icon will be displayed 9. Once the recording is complete, the icon will no longer be displayed To verify study has been recorded on the DVD-R: 1. Click on CDRW and the patient’s name will display Query or Retrieve Patient Data To retrieve studies from a PACS that have been deleted from the local database: 1. Open patient browser 2. Select patient 3. In dropdown, select Search and the Patient Search screen will display 4. Type in any information in the search fields and select the Node or PACS to search from 5. Click on the Search button to begin the search 21 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation (continued) 6. All patients found will display Notes 7. Click on the study you want to import 8. Once the studies are imported, a message will display that studies have been imported successfully For more details and complete calibration procedures, please see: • Quality Control Manual • For a complete list and detailed instructions on how to perform each of the Quality Control Procedures please reference the Quality Control manual. 22 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation (continued) Cleaning and Disinfection Notes Overview When cleaning the parts that come into contact with the patients during an exam, it is not necessary to turn off the system. These parts are: • Compression plates • Object table • Patient handles • Face shield Cleaning All parts of the unit that come into contact with the patient must be cleaned prior to examination. The plastic trays can be removed from the holder to simplify cleaning. Clean the dust from the ventilation slots on the detector on a regular basis. Caution: Using incorrect cleaning agents can accelerate the aging process of the plastics. Caution: Cleaning agents must not penetrate into the equipment. For more details and complete cleaning and disinfection procedures, please see: • Online User Manual located in the Help dropdown of your acquisition workstation (AWS). 23 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation (continued) Status Symbols Notes Status The status of a projection view (modifications, exposure progress) is identified by corresponding symbols in the protocol control. Icon Definition Icon Definition Projection view according to default, Radiation is released exposure scheduled Caution: X-ray radiation! Projection view changed, exposure Projection view acquired, image scheduled transmission runs I Projection view according to default, Projection view acquired, image magnification exposure scheduled processing ongoing Projection view changed, magnification exposure scheduled Image finally acquired Projection view selected for exposure, waiting for system to be Exposure interrupted ready for exposure Projection view selected for exposure, system is ready Image rejected Projection view selected for exposure, system is ready 80 Note: Some prerequisites have not been fulfilled (e.g., magnification exposure without magnification tablet) exposure is possible. Projection view selected for exposure, system is ready Problem with the MAMMOMAT Note: Some prerequisites have not (e.g., no connection), exposure been fulfilled (e.g., compression not possible. plate not installed) exposure not possible. If the red or yellow icons light up, your intervention or appropriate safety measures are required. 24 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation (continued) Work Status Information Notes The work status indicates the process or editing stage that the patient and the examination data (for example, images) has reached. The work status is only displayed for data stored in the local database. In tree view, it is displayed beside the object icon in the navigation area of the Browser. When image stamps are switched off, it is additionally displayed in a column of the contents area (depends on configuration). The work status consists of a 7-part string (as follows): Received/Workflow/Printed/Archived/Exported/Sent/History available Received: The 1st part shows whether data has been received over the network from other nodes or imported from a local drive. /R/: All data received or imported /r/: Only parts received or imported / /: No data received Workflow: the 2nd part shows how far the examination and the edits have progressed. You can edit the workflow status. It is only available for the studies and series. /com/: Study or series has been completed /rea/: Study or series has been read or reassessed /ver/: Study or series has been verified Printed: The 3rd part shows whether the data object (e.g., study or series) has been printed or exposed on flim or printer. /P/: All data printed /p/: Only partly printed / /: No data printed Archived: The 4th part shows whether data has been archived on a network node or to local archive media. /AC/: Archived and committed from an archive node /AF/: Archived but commitment failed /A?/: Archived and waiting to be committed from an archive node /AV/: Archived and verified on a local device (DVD, MOD, CD-R) /A/: All data Archived /a/: Only partly Archived / /: Not Archived Exported: The 5th part shows whether data has been exported to a local device or to other nodes. /E/: All data exported /e/: Only partly exported / /: Not exported 25 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation (continued) Work Status Information (continued) Notes Sent: The 6th part shows whether data has been sent over the network or to other nodes (e.g., report stations or wards). /SC/: Sent and committed from a network node /Sf/: Sent but commitment failed /S?/: Sent and waiting to be committed from a network node /S/: All data sent /s/: Sent / /: No data sent History available: The 7th part shows whether changes have been made to the data record, thereby creating a history. For instance, modifying the patient’s name or rearranging images will create a history record. /H/: History available / /: No history available, no changes have been made 26 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation (continued) Technical Data Mammography Unit Manufacturer Siemens Model Name MAMMOMAT Inspiration Type of recording system used with this unit Full Field Digital Is the unit specifically designed for and dedicated to Mammography? Yes Tube Target Material Molybdenum/Tungsten Tube Filter Material Molybdenum/Rhodium Exposure Control Manual or AEC Is kVP and mAS indicated on the AEC exposure? Yes Is the unit equipped for magnifiation mammography? Yes Nominal focal spot size for magnification .15 Nominal focal spot size for screening .3 Image receptor sizes available Other - 24x30 Grid (Bucky) sizes available Other - 24x30 Grid Type Moving grid Grid Ratio 5:1 Grid Frequency 31 lines per cm Is a compression paddle available for each bucky size? Yes Is initial power driven compression available? Yes Does the system have fine adjustment compression controls? Yes Compression force 3kg(6.5lbs) to 20kg(44lbs) 27 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – System Operation (continued) Image Receptor and Display Type of Detector Siemens Amorphous Selenium Pixel Format (Matrix size) of Image x=2816, y=3584 (24x30) Detector Element Size 85 microns Is film screen used with this unit? No Pixel format of monitor 2816x3584 28 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – Exercises Notes Day Two: System Set-up Complete the following exercises. Exercise 1: Hands-On 1. Register a patient 2. Pick a procedure 3. Create a PAO – RCC, LCC, LMLO, RMLO 4. Take first two images 5. Correct LCC to be RXCC 6. Reprocess RXCC to take markers on or off 7. Verify all images are marked correctly 8. Copy both images to film sheet 9. Go to filming and find expose film task – do not print but shred all images 10. Go back to examination 11. Skip transfer rules 12. Close patient/End examination 13. Manually send/archive raw and processed data to the appropriate destination 14. Check network job status 15. End Session 29 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Two – Exercises (continued) Notes Complete the following exercises. Exercise 2: Hands-On 1. Verify that auto-enable first exposure is active 2. Choose patient from scheduler (double click) 3. Disable first exposure 4. Choose tomo procedure 5. Take two exposures 6. View tomo slices 7. Click on “First view” 8. Adjust bounding box 9. Perform reconstruction using a different RPG 10. Delete unwanted reconstructions 11. Verify all images are marked correctly 12. Close patient/skip auto transfer 13. End examination 14. Open browser 15. Manual send/archive data to appropriate destinations (Cad, PACS, Reading station) 16. Check network job status 17. End session 30 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Three – System Set-Up Objectives Notes After this session, you will be able to: • Follow the steps necessary to complete a live patient procedure. • List and perform QC procedures. • Complete necessary paperwork to conclude twenty-four (24 hour) applications visit. Patient Procedures This day is reserved for patient procedure hands-on training including: • Patient Imaging Display • Review patient images with radiologist(s) • Checklists • Review of all QC procedures • Questions 31 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Day Four – syngo.Breast Care Objectives Notes After this session, you will be able to: • Perform the Quality Control as indicated syngo.Breast Care This day is reserved for syngo.Breast Care hands-on training with the radiologist(s) including: • syngo.Breast Care with radiologist(s) • syngo.Breast Care QC • PACS Retrieval at syngo.Breast Care • Patient Imaging continued 32 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Acronym Chart Term Description Notes AEC Automatic Exposure Control Auto decomp Auto decompression AWS Acquisition Workstation C Celsius Cm Centimeters DD Detector name Exp Exposure mode FFDM Full-Field Digital Mammography HIPAA Health Insurance Portability and Accountability Act imp implant IP Image Processing kV Kilovoltage MAG Magnification mAs Milliamperage per second Max. Comp. force Maximum compression force mm Millimeters MPPS Modality Performed Procedure Step MU Mammounit N Neutrons Opcomp Optimum Compression OpDose Optimal Dose OpView 2 Siemens Image Processing PAO Procedure Acquisition Order PV Projection View PVS Projection View Sequence RIS Rad ROI Region of Interest sec Second UI User Interface WH Women’s Health 33 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Contact Information Clinical Training and Continuing Education Customer Care Center Call 1-800-888-7436 • Troubleshooting assistance • Immediate assistance for software applications and workflow issues Please provide the Functional Location Number when calling for assistance. Clinical Education Offerings Call 1-888-221-8010 (follow the prompts) • Classroom Training (Offerings, Registration & Scheduling) • Educational Symposia • Onsite Training • Printed Self-Studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships Visit usa.healthcare.siemens.com/education for more information regarding the current Siemens Clinical Training and Continuing Education portfolio. 34 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis Notes 35 Turnover Workbook | MAMMOMAT Inspiration Tomosynthesis On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which do not always have to be Local Contact Information present in individual cases. Siemens Medical Solutions USA, Inc. Siemens reserves the right to modify the 40 Liberty Boulevard design, packaging, specifications and options Malvern, PA 19355-9998 described herein without prior notice. Please USA contact your local Siemens sales representative Telephone: +1-888-826-9702 for the most current information. www.usa.siemens.com/healthcare Note: Any technical data contained in this document may vary within defined tolerances. Global Business Unit Original images always lose a certain amount Siemens AG of detail when reproduced. Medical Solutions X-ray Products Henkestr. 127 Order No. A914CX-CS-15892-P1-4A00 DE-91052 Erlangen Printed in USA 03-2017 | All rights reserved Germany © 2017 Siemens Medical Solutions USA, Telephone: +49 9131 84-4746 Inc. www.siemens.com/healthcare Global Siemens Headquarters Global Siemens Healthcare Legal Manufacturer Siemens AG Headquarters Siemens AG Wittelsbacherplatz 2 Siemens AG Wittelsbacherplatz 2 80333 Muenchen Healthcare Sector DE-80333 Muenchen Germany Henkestrasse 127 Germany 91052 Erlangen Germany Telephone: +49 9131 84-0 www.siemens.com/healthcare www.siemens.com/healthcare