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MAMMOMAT Inspiration VB60D: How to Perform a Tomo Wire Localization

MAMMOMAT Inspiration VB60D: How to Perform a Tomo Wire Localization step by step

MAMMOMAT Inspiration VB60D: How to Perform a TOMO Wire Localization Women’s Health/Mammography 1. Go to the scheduler and select TOMO Wire Localization patient. 2. Register patient, insert initials, and begin exam. 3. Modify views as needed. 4. Go to the Acquisition subtask card, and in the RPG dropdown select Stand- ard_no_segmentation. This will help better visualize the alpha numeric paddle. Open patient Acquisition Acquisition mode: Tomo RPG: Standard Standard Standard Proj Standard Calc Standard no_seg Empire EmpireCT Standard Phantom 5. Attached Multi-hole biopsy paddle. (This will deactivate Auto Decompression.) tomo neede loc bout 1234567800 LOpes Dellete Acquisition mode uoHeutUNIX RPG Standard_- Standard Standard_Proj Standard Cak Standard no_seg Empire EmpireCT Standard_Phantom C_Empire Chiss patient Mano neese loc Oridpocson OPCOMP ACC Segnareation Dose Level Normal ..... R-CC TOMO 6. OpDose will be your default exposure mode. OPDOSE 30-39 mm 27 kV - + WIRD SIEMENS siemens.com/healthineers Healthineers . Job Aid | MAMMOMAT Inspiration VB60D: How to Perform a TOMO Wire Localization Effective Date: 9/13/2017 | HOOD05162002660040 7. Position patient, compress to a minimum of 30N, and make exposure NOTE: A P will be displayed on the tube stand next to the N (Newtons) stating that the tube is locked and protected. 0 44 41 mm o 8. Note that the image has Biopsy Localizer Image displayed on the image. Tomo Needle Loc Best 17/05 09-10-04:34-STD-1.3.12.2 @2017 17:05 09 10 04 34 10:09:32 AM 2 Recontr, evalable quoteuwex] 101 R-CC TOMO TOMO R.CC, Sta - Standard_no_seg Scale 129% o.p. Reconstruct Delete Reconstruction 20 Focus: large comp. Force: 78 N ce Height: 34 mm of 34 mil- Sice Thickness: 1 mm Anode/Fiter, WRN Ererance Dose: 7 4 mGy Glandujar Dose: 3 23 may Institution: #9812150 Station: ZAWS42 StreetNo Street Cty District V. BIOPSY LOCALIZER IMAGE OF DOSE 9. Adjust the bounding box, and reconstruct to save the adjustments to the bounding box ad- justment. NOTE: This step ONLY needs to be completed if necessary for Image Impression! NOTE: You will need to disable the next exposure to be able to reconstruct. Also, when you reconstruct, you will need to select the correct RPG. (Standard_No_Seg) from dropdown. Recos Standart Seandard Standard Proj Paid processing Close Dilicat OK Cancel Emorro Toma thede Loc EmpireCT Standard Phantom Emoro Darker Siemens Healthineers Services Page 2 of 6 © Siemens Healthcare GmbH, 2017 Job Aid | MAMMOMAT Inspiration VB60D: How to Perform a TOMO Wire Localization Effective Date: 9/13/2017 | HOOD05162002660040 10. Go to the slice where the area of concern is. KV: 27 mAs: 232.0 Note slice Height at lesion Angle: -0.2 Focus: large Comp. Force: 78 N Slice Height: 17 mm of 34 mm Slice Thickness: 1 mm Anode/Filter: W/Rh Entrance Dose: 7.4 mGy Glandular Dose: 3.23 mGy Institution: //981215// 11. Right click, and select series. The dotted blue line that is around the image will change to a SOLID blue line. IMPORTANT- Repeat- Reject + Repost ... Reconstruct Tomo Scan Delete Reconstruction Select Series Select Al Graphics Paste .Mark Home Window Fitto Segment Zoom From Point Zoom/Dan Home ZoomPen Edit Comment 12. Note slice height (Ex: 17 of 34 slices) 13. From the tools dropdown, select CIRCLE. Ecit View Image Tools Scroll Qptons Help Magnification 3.12.2 .... AEC region Distance Freehand Distance Angle Circle Rectangle Freehand RO Q ROI Histogram Profile Pixel Lense Crosshair Shutter Annctete Capture Area Siemens Healthineers Services Page 3 of 6 © Siemens Healthcare GmbH, 2017 Job Aid | MAMMOMAT Inspiration VB60D: How to Perform a TOMO Wire Localization Effective Date: 9/13/2017 | HOOD05162002660040 14. Mark lesion with the circle. NOTE: select all graphics will NOT delete your circle on all slices. You ONLY need to delete the circle on the skin level if you need to make an adjustment. 101 A-CC TOMO Scale 129/'% s.p. BIOPSY LOCALIZER IMAGE 15. Note again the slice height. 16. Navigate to the skin edge. IMPORTANT: If adding views for repositioning, be SURE to click on the slices, and go to Ac- quisition Subtask card and select the correct RPG “STANDARD_NO_SEG.” If not selected, your image will be BLACK! Open patient Acquisition Acquisition mode: Tomo RPG: Empire Insight 2D Insight 3D 17. Confirm if the area of concern is displayed in the hole and achievable for localization. 18. Go to the first slice, and still see circle and alpha-numerics. Scale 129% o.p Most superior stice for nocation of a'pha- numeric paddle KV: 27 mAs: 232.0 Angle: -0.2 Focus: large Comp. Force: 78 N Slice Height: 34 mm of 34 mm Slice Thickness: 1 mm Anode/Filter: W/Rh Entrance Dose: 7.4 mGy Glandular Dose: 3.23 mGy Slice 34 of 34 slices Siemens Healthineers Services Page 4 of 6 © Siemens Healthcare GmbH, 2017 Job Aid | MAMMOMAT Inspiration VB60D: How to Perform a TOMO Wire Localization Effective Date: 9/13/2017 | HOOD05162002660040 19. Know what the depth is (EX: Slice 17). 20. From the top dropdown, click on TOOLS, then CROSSHAIRS and mark the area of concern. Click on the area of concern. Ereshand Distance Anche Orde Rectangle Freeband RCI HAogram PLAN Lense Crosshair -6.0 Shuper Apnotato Capture Area 21. If needed, from the top dropdown, select IMAGE and ZOOM FROM POINT. Click on the area to enlarge to better visualize calcs. Eat View Image Tools Scroll Qotens Help Mindowing 12.2 .... Windowing on Selection Windowing on Succeeding Windowing on Series Color I Dolaip Table Home Window Magnify by 2.0 Mnily by 0 5 Eit to Segment Acquisition Size Zoom Factor. . Zoom From Point Home Zoom Pan Zoom-Bon Zoom Pan on Sejection Zoom-Pan on Series 22. Note the coordinates from the alphanumeric paddle, and also the depth ( slice number). NOTE: When placing the needle, the needle has marks on it to assist with the depth. 23. Insert the needle 24. Perform post needle insertion exposure. 25. Scroll through the slices locating the “tip of the needle” in each slice. Tip of the needle should stop at the noted slice where lesion was marked. NOTE: It might be helpful to go to the top dropdown and select IMAGE and ZOOM FROM POINT for better visualization. 26. Perform 2D images confirming needle is placed correctly. imagos CC 8 ml 27. Close exam. Siemens Healthineers Services Page 5 of 6 © Siemens Healthcare GmbH, 2017 Job Aid | MAMMOMAT Inspiration VB60D: How to Perform a TOMO Wire Localization Effective Date: 9/13/2017 | HOOD05162002660040 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 6 of 6 © Siemens Healthcare GmbH, 2017

  • Mammography and Women's Health
  • MAMMOMAT Inspiration PRIME Edition