myExam Companion Workflow - USA

SIEMENS Healthineers myExam Companion Workflow Job Aid Template Effective Date: 05/27/2019 | HOOD05162003010284 Job Aid Effective Date: 02/07/20 | US - HOOD05162003062223 Unrestricted © Siemens Healthineers, 2019 Unrestricted myExam Companion Workflow Job Aid SIEMENS Healthineers Table of Contents Learning Objectives 3 myExam Companion: Introduction 4 myExam Compass Workflow: Example 1: Thorax Examination 6 Example 2: Hip Examination 17 Example 3: Thorax and Abdomen (combined) 21 myExam Cockpit: View and Modify Decision Tree Parameters 30 Examination Configuration: View available Patient Categories 36 Disclaimer 41 2 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Companion Workflow Job Aid SIEMENS Healthineers Learning Objectives After reading this Job Aid, you should be able to: • Understand the concept of myExam Companion • Perform routine examinations with myExam Compass (software version VA30) • Understand the influence of patient characteristics and patient questions on the examination workflow • View decision tree parameters with myExam Cockpit Please note: The information presented in this Job Aid refers to scanners with the software version VA30. 3 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers myExam Companion Introduction 4 Click to add footnote Effective Date: 11/30/2019 | HOOD05162003042440 second line Unrestricted © Siemens Healthineers, 2019 myExam Companion SIEMENS Healthineers Introduction myExam Companion myExam Compass: myExam Cockpit: User mode for operating CT protocols Expert mode for configuration with basic license • You are prompted to answer questions referring • Modify parameters of the preset scan strategies to the examination during the workflow • Specific values are retrieved from the RIS/HIS Expert mode for configuration with advanced license • If required, myExam Compass retrieves • Add completely new scan strategies measurement like heart rate from the ECG • Create new decisions trees module connected to the CT scanner • Create new questions to be used within the decision trees 5 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers administrator ? h 2 Craig, Edith Exam Designer 11/27/1933 (85) F 0a8a109a-5657-4f47-9b myExam Compass Recon Ranges Patient Characteristics Topogram Gender Female horax Questions myExam Compass Workflow What is the breathhold capability of the patient? above 5 s Example 1: X Scan Favorites General Scan & Dose Timing Config Physio Scan Contrast Thorax - - Scan/Recon Scan Mode KV Eff. mAs CTDIvol [mGy] DLP [mGy*cm] Acquisition [mm] Pitch Rot. Time [s] Thora RoutineSpiralAdult ThoraxXcare 70 38 (32 cm) 0.65 18.1 64 x 0.6 0.60 0.33 Examination TO Workflow 3.3s 5.2s 6 O 10 10 6 Click to add footnote Effective Date: 11/30/2019 | HOOD05162003042440 second line Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow Healthingers administrator ? 1 = = = Scan 10 = Recon 2 For an examination of the thorax, follow : 11/27/1933 (85) F Dalla 109a-5857-4147-9b ... Exam Designer the workflow steps as usual: Protocol Protocol Selection Protocol Parameters Browse Protocols Physiological Signal 1. Position the patient Requested Procedure 2. Select patient from the scheduler or Scan ECG Demo Reconstruction ThoraxRoutine register the patient Patient Type Close 4 Protocol: Thorax [factory] Contrast Protocol Indications masses, tumor, metastases Topogram 3. Select body region to be scanned syngo via an lymphoma, lymph nodes, tuberculosis, empyema infection, early visualization of pulmonary Thorax nodules, screening of the lung, wwwo CM Scan modes RoutineSpiralAdult Thorax 4. Select the respective scan protocol 3 Adult Child Protocol: Thorax Dynamic [factory] 5. Select OK -Indications: abnormalities, upper airway obstruction, trachea bronchomalacia, pulmonary Topogram air trapping, abnormal diaphragmatic motion, tumor Premonitoring invasion, routine scan in inspiration w CM, dynamic scan during full breathing wo CM Monitoring -Scan modes: PremonitoringSequenceAdult2d. MonitoringSequenceAdult2d, Thorax RoutineSpiralAdultThorax, DynamicSequenceAdultBody. Dynamic in free breathing Trauma DynamicSequenceAdultBody. Dynamic in free breathing DynamicSequenceAdullBody. DynamicSequenceAdultBody Dynamic in free breathing RIP Dynamic in free breathing Intervention Protocol: Thorax and Abdomen [factory] Indications: masses, tumor, lymphoma, lymph Apply protocol Topogram nodes of the lung, liver, pancreas, gall bladder, spleen, kidneys, w CM Premonitoring -Scan modes: PremonitoringSequenceAdult2d, MonitoringSequenceAdult2d, Monitoring RoutineSpiralAdultAbdomenFlexdose Thorax and Abdomen Confirm OK Cancel Add Replace 5 EN 9:32 AM 7 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow SIEMENS Healthincers administrator ? 1 6. Check that the patient‘s position on Scan 10 = Recon 2 Craig, Edith · 11/27/1933 (85) F 0a8a 109a-5657-4147-9b .. Exam Designer Thorax [factory] (Adult) jom Recon Ranges the table corresponds to the displayed myExam Compass Topogram position at the workstation Topogram 6 If necessary, adjust the patient‘s HF supie HF prote HF right HF let Thorax position FF supine FF prone FF night FF ent 7. Click GO to activate the topogram scan Length 512 8. Press the Start key on the control box SPR (32 cm) 0,01 OLD 0.5 mGy cm or the RSC (remote scan control) to 60 Sn 100 Exposure Time 3.32 start the topogram scan Check metal detection Thorax CA Reconstruction Close + 8 Confirm patient position Activate Topogram scan Confirm OK Cancel 7 3.3s 4.2s 6 6 Confirm GO Cancel 10 OOLHO EN 9:34 AM 8 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow If a decision tree is linked to a scan Craig, Edith Exam Designer CH * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b .. protocol, the myExam Compass task is myExam Compass added to the taskflow control Patient Characteristics For this example of a thorax scan, the Gender Female following patient information is of crucial importance: Questions • Patient‘s gender What is the breathhold capability of the patient? • Patient‘s breathhold capability above 5 s below 5 s 9 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow Patient Characteristics: gender 2 Craig, Edith Exam Designer * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b ... • myExam retrieves the information from myExam Compass the HIS/RIS Patient Characteristics • If applicable, you can overwrite this information manually Gender Male Female Other • For a thorax scan, X-CARE technology may be activated if the patient is Questions female What is the breathhold capability of the patient? above 5 s below 5 s 10 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow Question: breathhold capability 2 Craig, Edith Exam Designer * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b. • You are prompted to answer if the myExam Compass patient is able to hold the breath more Patient Characteristics than 5 seconds or not. Gender Male Female Other Questions What is the breathhold capability of the patient? above 5 s below 5 s 11 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow administrator ? H # # Craig, Edith Depending on your answer to the question * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b. Exam Designer about the patient‘s ability to hold the myExam Compass Recon Ranges Patient Characteristics breath, myExam Compass will adapt the Topogram scan parameter, for example the scan time, Gender Female Thorax accordingly. Questions What is the breathhold capability of the patient? below 5 s For example: If you select below 5 s, the scan time will change to 3,8 seconds and the X-CARE technology will be deactivated. Ci x Scan Favorites General Scan & 1 Dose Timing Config Physio Scan Contrast - Scan/Recon Scan Mode KV Eff. mAs CTDIvol [mGy] DLP [mGy*cm] Acquisition [mm] Pitch Rot. Time [s] The scan parameters that are affected by Thorax RoutineSpiralAdult Thorax 70 39 64 × 0.6 1.50 0.33 myExam Compass are highlighted green. 20.2 3.3s 3.8s 6 6 10 OOLHO EN 9:43 AM 12 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow administrator ? HO = If you select above 5s, the scan time will Craig, Edith 2 * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b ... Exam Designer change to 5,2 seconds and X-Care will be myExam Compass Recon Ranges Patient Characteristics activated for female patients. Topogram Gender emale Thorax The scan parameters that are affected by Questions myExam Compass are highlighted green. What is the breathhold capability of the patient? above 5 s X Scan Favorites General Scan & | Dose Timing Config Physio Scan Contrast - - Scan/Recon Scan Mode KV Eff. mAs CTDIvol [mGy] Acquisition [mm] Pitch Rot. Time [mGy*cm] [s] Thorax RoutineSpiralAdult ThoraxXcare 70 38 (32 cm) 0.65 18.1 64 x 0.6 0.60 0.33 3.3s 5.2s 6 6 10 10 O 9:42 AM 13 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow SIEMENS administrator = Scan 10 = Recon 2 10. Select the topogram from the taskflow Craig, Edith Exam Designer * 11/27/1933 (85) F 0a8a 109a-5857-4147-9b. Thorax [factory] (Adult) jm Craig, Edith SOMATOM OO TOP Recon Ranges control to check the acquired image. If MAS '11/27/1933 F. 85Y Syrigo CT VAXDA 9.6/2019 HS myExam Compass 9.35:53.95 AM Topogram necessary, you can adjust the recon 1. MA 1 Topogram TOP 100 IP 375 Preconditions range. Select GO to continue. Thorax horax CTUNvol (32 cm) 0.65 mGy DLP 18.1 MGV'cin EIT MAG 38 KV 70 Exposure Time 4.33 Check image quality ............................. Reconstruction Close KV 5n100 ma co 113.32 + 51200 150 Tr201A:n.:0000A 1A! ES134A Activate Thorax scan Confirmy GO Cancel 3.3s 5.25 6 10 OOLHO EN 9:45 AM 14 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow Healthingers administrator ?) = Scan 10 = Recon 2 11. Select GO to load the scan range Craig, Edith Exam Designer 11/27/1933 (85) F 0a8a 109a-5857-4147-9b. Thorax [factory] (Adult) jm AMDO CT VAIA Recon Ranges 12. Press the Start key on the control box MAS 11/27/1933; F 85Y WS myExam Compass 96/2019 9:35:53.95 AM Topogram or the RSC to start the tomogram scan 1 MA 1 Topogram TOP 100 TP2 216 3 JP 37.5 LEN ZeAT Preconditions Thorax hora CTONO) (32 cm) 0.65 mGy OLP 18.1 mCycin Ent. MAs 38 KV 70 ExDOSIS TIME 4.33 Check image quality Reconstruction kV Sn100 Close MA DO [A 11 3.32 SL 51200 Tr201A n.:0000A 1A: ES1824 50 ..................... CH X Scan Favorites General Scan Dose Timing Config Physio Scan Contrast - Scan/Recon Scan Mode kV Elf. mAs CTDIvol [mGy] DLP [mGy"cm] Acquisition [mm] Pitch Rot. Time [s] Thorax RoutineSpiralAdultThoraxXcare 70 3.8 (32 cm) 0.65 18.1 4x0.6 0.60 0.33 12 Activate Thorax scan Confirm GO Cancel TO 3.3s 5.2s 11 EN 9:46 AM 15 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 1: Thorax Examination Workflow SIEMENS Healthineers administrator ? After the tomogram has been acquired, = Scan 10 = Recon 2 Craig, Edith Exam Designer 11/27/1933 (85) F 0a8a109a-5657-4147-96 Thorax [factory] (Adult) jum Craig. Edith H you can decide if you want to reconstruct 05091099-5657-4147-96d2:5197c08-0geb SOMATOM 00 TOP Craig. Edith MAS '11/27/933. F. USY $YnoP CT VASOA 058a1099-5657-4147-9bd2-519700009eb Recon Ranges INS "11/27/1933, F. OSY myExam Compass 9.6/2019 96/2019 9.35 5395 AM 9:49:40.62 AM Topogram all recon ranges by a single click or if you 10A1 MAR 200 Topogram TOP 100 LEN 204 1 TP 37 5 Preconditions want to check and adjust the recon ranges. Thorax ... Thorax CTONgl (32 cm) 1.04 mGy 31.2 may cm Elf MAS 60 13. Click Recon All to start the KV 70 Exposure Time 33 reconstruction Check image quality ... Coverage check result Scanned volume is sufficient. or - - Click Next to be able to check and adjust the recon ranges Repeat Scan Start Auto Tasking 14. After the reconstruction select Close AY Sn100 MA 60 A A 11 3:32 51200 Ir201An . 0000A TAL ESTOMA Fier Sn SL 4.0 Start reconstructions Switch to Reconstruction Recon All Next Concel 3.3s 5.2s 13 6 10 COMO EN 9:50 AM 16 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers administrator ? Harmon, Tina Exam Designer CH 1/27/1991 (28) F 2813cef3-82a6-458f-9b3 .. myExam Compass Recon Ranges Topogram Questions Which recon do you want to perform? left Hip Do you see any metal implants on the topogram? yes myExam Compass Workflow Example 2: Hip Examination CH 8.4s 5.5s 5 10 17 Click to add footnote Effective Date: 11/30/2019 | HOOD05162003042440 second line Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 2: Hip Examination SIEMENS Healthingers administrator ?) E Scan 9 E Rocon 2 For the examination of a hip, acquire the Hartion, Tina 1/27/1991 (28) F 2813cel3-82a6-4581-963. Exam Designer Hip [factory] (Adult) topogram scan as usual. myExam Compass Recon Ranges myExam Compass Topogram Topogram Questions myExam Compass will ask you two Hip Which recon do you want to perform? Reconstruction both right left Hip predefined questions: Close Do you see any metal implants on the topogram? yes no • Which recon do you want to perform? • Do you see any metal implants on the topogram? 18 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 2: Hip Examination administrator ? HO = Question: Which recon do you want to Harmon, Tina Exam Designer CH * 1/27/1991 (28) F 2813cef3-82a6-458f-9b3 ... perform? myExam Compass Recon Ranges Depending on your answer, the recon Topogram Questions ranges will be adapted accordingly. Which recon do you want to perform? both right left Hip In this example, only the images of the left Do you see any metal implants on the topogram? hip shall be reconstructed. yes no myExam Compass automatically deletes the reconstructions of the right hip. myExam Compass Recon Ranges Topogram Hip Questions Which recon do you want to perform? left Hip Do you see any metal implants on the topogram? yes no auto auto auto auto auto auto 19 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 2: Hip Examination administrator ? HO = Question: Do you see any metal implants Harmon, Tina Exam Designer * 1/27/1991 (28) F 2813cef3-82a6-458f-9b3 ... on the topogram? myExam Compass Recon Ranges Topogram Questions Which recon do you want to perform? left Hip Do you see any metal implants on the topogram? yes no auto luto auto myExam Compass Recon Ranges If you select „yes“, myExam Compass will Topogram Questions add iMAR (iterative metal artifact reduction) as the fourth recon range. Which recon do you want to perform? left Hip Do you see any metal implants on the topogram? yes Hip 20 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 2: Hip Examination SIEMENS Healthineers Please note: = Scan 9 = Recon 2 Harmon, Tina Exam Designer * 1/27/1991 (28) F 2813cef3-82a6-458f-9b3 ... Some questions require checking the Hip [factory] (Adult) myExam Compass topogram, for example if the patient has myExam Compass Topogram Questions metal implants. In this case you can Hip Which recon do you want to perform? left manually switch between myExam Reconstruction Compass and the topogram by clicking on Close Do you see any metal implants on the topogram? yes no the respective task in the taskflow control. 21 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers administrator ? M ** Harrell, Wilford 3/10/1983 (36) M 5157b977-f7b1-4cc5-ad7 ... Exam Designer myLogix Compass Recon Ranges Patient Characteristics Topogram Gende Male Thorax Questions myExam Compass Workflow What is the breathhold capability of the patient? above 5 s Abdomen Would you like to apply contrast medium? yes auto Example 3: Thorax and Abdomen (combined ) 5.9s 4s B 25 6 6 O 10 10 O 5 10 15 20 25 30 35 22 Click to add footnote Effective Date: 11/30/2019 | HOOD05162003042440 second line Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 3: Thorax and Abdomen (combined) Healthinters administrator Y = Scan 7 = Recon 2 When you combine two scans in one Harrell, Witford *3/10/1983 (36) M 51575977-1761-4cc5 ad7 Exam Designer Thorax [factory] (Adult) im examination workflow, the scans and the Recon Ranges myExam Compass Topogram recon ranges are color-coded to indicate Topogram which examination they belong to. HF supine HF prone HF right HF el Thorax FF lupine FF prone IT right In this example: Abdomen Length 1.024 • Orange for Thorax CTOIVO SPR (32 cm) 0.01 MGy 0.9 may cm • Purple for Abdomen 60 KV Sn 100 Expositie Time 5.88 Check metal detection 18 Thorax Abdomen O Reconstruction + Confirm patient position Confirm OK Caticel 5.9s 4.2s 6 O 125 30 35 LHO EN 10:45 AM 23 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 3: Thorax and Abdomen (combined) SIEMENS Heolthineers administrator ?) E Scan 7 = Recon 2 myExam Compass adapts the color-coding Harrell, Witford Exam Designer 3/10/1983 (36) M 51576977-17b1-4cc5-ad7 Thorax [factory] (Adult) im myExam Compass Recon Ranges for the patient characteristics and the myExam Compass Patient Characteristics Topogram questions to indicate which scan they = Topogram =Thorax Gender Male belong to. Abdomen Thorax Reconstruction Questions Close What is the breathhold capability of the patient? bove 5 s Thorax Abdomen Would you like to apply contrast medium? yes • Gender auto • What is the breathhold capability of the patient? Abdomen • Would you like to apply contrast medium? Amth Contin Cancel 5.9s 4s 16 16 Press MOVE O 10 25 35 45 10 EN 10:52 AM 24 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 3: Thorax and Abdomen (combined) Healthincers administrator ?) = Scan 7 = Recon 2 The questions appear at the right time Harrell, Witford Exam Designer * 3/10/1983 (36) M 51576977-1761-4cc5 ad7 Thorax [factory] (Adult) im myExam Compass Recon Ranges during the examination workflow. myExam Compass Patient Characteristics Topogram You can choose to either answer all =Topogram Thorax Gender Male questions directly after the topogram scan = Abdomen Thorax or to answer the respective question Reconstruction Questions Close directly before the corresponding What is the breathhold capability of the patient? above 5 5 below 5 s Abdomen topogram. auto Would you like to apply contrast medium? yes no Check myExam Compass Activate Thorax scan Confirm GO Caticel DO 5.9s 4s 125 30 35 LHO EN 10:48 AM 25 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 3: Thorax and Abdomen (combined) myExam Compass Recon Ranges myExam Compass retrieves the patient Patient Characteristics Topogram characteristics, in this example gender, Gender Male from the HIS/RIS. horax Questions Your answer regarding the patient‘s What is the breathhold capability of the patient? above 5 s Abdomen breathhold capability influences the scan Would you like to apply contrast medium? yes auto time of the thorax. In this example, the patient can hold the breath for more than 5 seconds. myExam Compass therefore sets the scan time to 4 seconds for the thorax scan. The scan time of the abdomen remains unchanged. 4 ml/s 5.9s 4s 6 25 6 6 10 o 10 10 15 20 25 30 35 45 O ILMOEN 10:52 AM 26 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 3: Thorax and Abdomen (combined) Healthincers administrator = Scan 7 = Recon 2 Your answer regarding the use of contrast Harrell, Witford Exam Designer * 3/10/1983 (36) M 51576977-1761-4cc5 ad7 Thorax [factory] (Adult) im medium for the abdomen scan influences myExam Compass Recon Ranges myExam Compass Patient Characteristics Topogram the workflow procedure. =Topogram Thorax Gender Male Abdomen Thorax Reconstruction Questions Close What Is the breathhold capability of the patient? above 5 s Abdomen Would you like to apply contrast medium? yes no Confirm 60 Cance 5.9s 4s 6 Press MOVE 10 25 30 35 0 LHO EN 10:52 AM 27 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 3: Thorax and Abdomen (combined) myExam Compass Recon Ranges When you select „yes“, myExam Compass Patient Characteristics Topogram sets the injection and preconfigured delay Gender Male time for the abdomen scan. Thorax Questions Please note: What is the breathhold capability of the patient? above 5 s Abdomen The injector coupling (option) needs to be Would you like to apply contrast medium? yes activated for that procedure. auto 4 ml/s 5.9s 4s 6 10 5 10 15 15 20 25 30 35 0 4S O O EN 10:52 AM 28 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 3: Thorax and Abdomen (combined) myExam Compass Recon Ranges When you select „no“, myExam Compass Patient Characteristics Topogram deletes the injection and delay time for the Gender Male abdomen scan. Thorax Questions What is the breathhold capability of the patient? above 5 s Abdomen Would you like to apply contrast medium? no auto 5.9s 4s 6 16 5 10 10 10 15 O O EN 10:54 AM 29 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Compass Workflow SIEMENS Healthineers Example 3: Thorax and Abdomen (combined) Patient registered X Mobile Workflow myExam Compass You can also operate myExam Compass using the scanner tablet, which allows Breathing Instruction Practice you to stay right next to your patient. Audio Control Patient Characteristics Gende Male Female Other Questions What is the breathhold capability of the patient? above 5 s Would you like to apply contrast medium? ves OK X -128.5 125.0 0º 30 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers Exam Designer x myExam Cockpit Modify Decision Trees 3. Confirm Decision Trees Select all Side [factory] Extremity CTA TwinBeam DE possible [factory] Metal implant [factory] Coronary Calcium Scoring HR variability [factory] myExam Cockpit Sinus sinusitis or soft tissue [factory] Coronary CTA HR variability and HR [factory] C-Spine disc or bone [factory] Coronary CTA image quality and calcium [factory] T- and L-Spine disc or bone [factory] Thorax Coronary CTA HR variability and HR [factory] Pelvis soft tissue or bone [factory] View and ELLLE Whole Body soft tissue or bone [factory] Thorax routine or screening [factory] LE Thorax FoV [factory] Thorax breathhold and X-CARE [factory] Thorax contrast medium necessary [factory] Modify Decision Abdomen contrast medium necessary [factory] Pelvis contrast medium necessary [factory] Abdomen CTA contrast medium sensitive [factory] K Kidney TwinSpiral DE possible [factory] Pelvis TwinSpiral DE possible [factory] Tree Parameters Spine TwinSpiral DE possible [factory] Spine TwinSpiral metal DE possible [factory] Abdomen VNC TwinBeam DE possible [factory] Brain CTA TwinBeam DE possible [factory] Neck CTA TwinBeam DE possible [factory] Pulmonary and Body CTA TwinBeam DE possible [factory] Delete Export for Viewing Modify Tree 31 Click to add footnote Effective Date: 11/30/2019 | HOOD05162003042440 second line Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers View and Modify Decision Tree Parameters administrator › ? If you have the appropriate user rights, you Configuration Panel can view and/or modify decision tree Administration Portal Administration Portal [EN] parameters. Clinical Configuration Check up To do so, you need to open the Exam Daily QA Designer. Medical Information Exam Information Calibration Resume Click the Settings icon and select Exam Admitting Diagnosis TestVisit ThoraxRoutine syngo Remote Assist Designer from the Settings menu. Requested Proced Screen recorder SaveLog Description Remote Service Alerts Accession No Exam Designer ID Create Screenshot Medical Alerts Fast Contact 5c-96d2-c56fc Comments Audit Trail M/d/yyyy Allergies File Browser Load Service Pack fear(s) Direct Laser Check What is New 32 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers View and Modify Decision Tree Parameters SIEMENS administrator 1 1 = Scan 4 = Recon 0 From the Exam Designer, navigate to Ayers, Tamika 55ed517c-40fa-4032-b880-b43090969bf7 Exam Designer Exam Designer myExam Cockpit. Scan Protocols Examination Configuration Contrast Protocols myExam Cockpit 3 HOOHOD EN 11:09 AM 33 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers View and Modify Decision Tree Parameters ealthineers administrator E Scan 4 = Recon Q In myExam Cockpit, you can find a list of all Ayers, Tamika 55ad617c-dofa-4032-6880-b43090969617 Exam Designer CH X available decision trees. Exam Designer myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Select Decision Trees Select the decision tree that you are Factory Trees (34) Select all interested in, for example Thorax Imar-Typ [Abdomen] Spine TwinSpiral metal DE possible [factory] BMI Adaption [Thorax] Brain CTA TwinBeam DE possible [factory] breathhold and X-CARE (factory)“, and click Side [factory] Neck CTA TwinBeam DE possible [factory] Metal implant [factory] Pulmonary and Body CTA TwinBeam DE possible [factory] Modify Tree. Sinus sinusitis or soft tissue [factory] Thorax Coronary CTA HR variability and HR [factory] Neck FoV [factory] Coronary Calcium Scoring HR variability [factory] Thorax routine or screening [factory] Coronary CTA HR variability and HR [factory] Thorax breathhold and X CARE [factory] Abdomen CTA contrast medium sensitive [factory] Thorax contrast medium necessary [factory] Extremity CTA TwinBeam DE possible [factory] Thorax FoV [factory] Brain template [factory] Thorax and Abdomen FoV [factory] Brain CTA template [factory] Abdomen contrast medium necessary [factory] Neck CTA template [factory] Abdomen FoV [factory] Body CTA template [factory] Abdomen VNC TwinBeam DE possible [factory] Extremity CTA template [factory] Kidney TwinSpiral DE possible [factory] Whole Body soft tissue or bone [factory] Pelvis soft tissue or bone [factory] Pelvis contrast medium necessary [factory] Pelvis TwinSpiral DE possible [factory] C-Spine disc or bone [factory] T- and L-Spine disc or bone [factory] Spine TwinSpiral DE possible [factory] Delete Export for Viewing Modify Tree 4BOOHOO EN 11:11 AM 34 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers View and Modify Decision Tree Parameters SIEMENS administrator » ? ) Healthineers Scan Strategies: = Scan 10 = Rocon 3 Exam Designer X View the scan strategy for the selected Exam Designer myExam Cockpit decision tree, in this example „Thorax 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees breathhold and X-CARE (factory)“. Modify Decision Trees Scan Strategies Decision Tree Thorax breathhold and X-CARE [factory] standard acquisition wo X -... standard aquisition w X-C .... fast acquisition wo X-CARE Info Level None None None Info Tex Scan Mode RoutineSpiralAdult Thorax RoutineSpiralAdult ThoraxXcare RoutineSpiralAdultThorax Pitch 1.20 0.60 1,50 Decision Tree Filter (Routine_AND_(Thorax_AND_Adult))_AND_NOT_((Angio_OR_Average)) Edit Trees Select Decision Trees Confirm Changes 1DEN 9:56 AM 35 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers View and Modify Decision Tree Parameters SIEMENS administrator ? H . ERA E Scan 10 = Recon 2 Decision Tree: Exam Designer X • You can view the details of the selected Exam Designer myExam Cockpit 1. Select Decision Trees 2 Modify Decision Trees 3. Confirm Decision Trees decision tree with the basic license Modify Decision Trees • With the advanced license, you can also Scan Strategies Decision Tree modify the details of the selected decision tree and add new branches Thorax breathhold and X-CARE [factory] standard acquisition wo X-CARE Breathhold >5 s - above 5 s below 5 s standard acquisition wo X-CARE fast acquisition wo X-CARE In this example, the relevant details are: Gender Male Female Other standard acquisition wo X-CARE + standard aquisition w X-CARE The patient‘s breathhold capability standard aquisition w X-CARE • (above/below 5 seconds) • The patient‘s gender Edit Strategies Select Decision Trees Confirm Changes 10 EN 10:00 AM 36 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers administrator Recon 2 Harrell, Wilford 5157b977-f7b1-4cc5-ad79-da9b3d87c246 Exam Designer X Examination Configuration Patient Categories Patient Characteristics Patient Questions Examination Configuration Age (Years) Weight (kg) Side 35 60 60 100 Which recon do you want to perform? Young Adult Adult Senior Slim Average Obese View available Answer 1: both CREA (mg/dl) (e)GFR (ml/min/1.73m2) Answer 2 right 1.5 60 30 Answer 3 left Normal Elevated High Normal Decreased Severely decreased Metal implant Patient Heart Rate (bpm) Heart Rate Variability (bpm) Do you see any metal implants on the topogram? 62 69 12 Low Moderate High Regular Unstable Arrhythmic Answer 1: yes Answer 2 no Sinus Sinusitis/soft tissue Categories Is your focus on sinusitis with lower dose or soft tissue with standard dose? Answer 1: sinusitis Answer 2: soft tissue Spine disc/bone s your focus on bone with lower dose or spine disc with standard dose? Cancel Save 37 Click to add footnote Effective Date: 11/30/2019 | HOOD05162003042440 second line Unrestricted © Siemens Healthineers, 2019 Examination Configuration SIEMENS Healthineers View available Patient Categories administrator › ? To get an overview of all available patient Configuration Panel categories, open the Exam Designer. Administration Portal Administration Portal [EN] Clinical Configuration Click the Settings icon and select Exam Check up Designer from the Settings menu. Daily QA Medical Information Exam Information Calibration Resume Admitting Diagnosis TestVisit ThoraxRoutine syngo Remote Assist Requested Proced Screen recorder SaveLog Description Remote Service Alerts Accession No Exam Designer ID Create Screenshot Medical Alerts Fast Contact 5c-96d2-c56fc Comments Audit Trail M/d/yyyy Allergies File Browser Load Service Pack fear(s) Direct Laser Check What is New 38 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 Examination Configuration SIEMENS Healthineers View available Patient Categories SIEMENS administrator 1 1 = Scan 4 = Recon 0 From the Exam Designer, navigate to Ayers, Tamika 55ed517c-40fa-4032-b880-b43090969bf7 Exam Designer Exam Designer Examination Configuration. Scan Protocols Examination Configuration Contrast Protocols myExam Cockpit HOOHODE 11:09 AM 39 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 Examination Configuration SIEMENS Healthineers View available Patient Categories SIEMENS Heolthineers administrator + ? M == The Patient Categories are subdivided into Scan 7 = Recon 2 Harrell, Wilford 51576977-1/b1-4cc5-ad79-da9b3d87c246 Exam Designer X Patient Characteristics and Patient Exam Designer Examination Configuration Patient Categories Questions. Patient Categories Patient Characteristics Patient Questions Age (Years) Weight (kg) Side The information about Patient 35 60 60 100 Which recon do you want to perform? Young Adult Characteristics is retrieved from the Adult Senior Slim Average Obese CREA (mg/dl) (e)GFR (ml/min/1.73m2) Answer 1: both HIS/RIS and from medical equipment that Answer 2 right 1.5 2 60 30 Answer 3: left is connected to the scanner. Normal Elevated High Normal Decreased Severely decreased Metal Implant Heart Rate (bpm) Heart Rate Variability (bpm) Do you see any metal implants on the topogram? 62 69 12 Low Moderate High Regular Unstable Aurhythmic Answer 1. The information is also classified. It is yes Answer 2; no possible to change the classification. Sinus Sinusitis/soft tissue Is your focus on sinusitis with lower dose or soft tissue with standard dose? For example: Age Answer 1 sinusitis If you consider a 30 year old person as an Answer 2: soft tissue adult person instead of a young adult, you Spine disc/bone Is your focus on bone with lower dose or spine disc with standard dose? can change the margin accordingly. Cancel Save EN 11:06 AM 40 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 Examination Configuration SIEMENS Healthineers View available Patient Categories SIEMENS Heolthineers administrator - ? M @ == In Patient Categories, you get a list of all Scan 7 = Recon 2 Harrell, Wilford 51576977-f/b1-4cc5-ad79-da9b3d87c246 Exam Designer X available Patient Questions and their Exam Designer Examination Configuration answer possibilities. Patient Categories Patient Categories Patient Characteristics Patient Questions Age (Years) Weight (kg) Side 35 60 60 100 Which recon do you want to perform? Young Adult Adult Senior Slim Average Obese CREA (mg/dl) (e)GFR (ml/min/1.73m2) Answer 1: both Answer 2 right 15 2 60 30 Answer 3: left Normal Elevated High Normal Decreased Sovorely decreased Metal Implant Heart Rate (bpm) Heart Rate Variability (bpm) Do you see any metal implants on the topogram? 62 69 12 Low Moderate High Regular Unstable Aurhythmic Answer 1: yes Answer 2; no Sinus Sinusitis/soft tissue Is your focus on sinusitis with lower dose or soft tissue with standard dose? Answer 1 sinusitis Answer 2 soft tissue Spine disc/bone Is your focus on bone with lower dose or spine disc with standard dose? Cancel Save EN 11:06 AM 41 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers 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 2019 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 42 Effective Date: 11/30/2019 | HOOD05162003042440 Unrestricted © Siemens Healthineers, 2019