syngo® MI Applications Basic Online Training for SPECT

Welcome to the syngo® MI Applications Basic Online Training for SPECT systems.  MI Apps is the software application used on Siemens SPECT camera systems.  This online training is designed for a new user of syngo MI Applications to provide a basic overview of the camera system and how to use the syngo MI Applications software. Upon successful completion of this course, you will be able to: Describe the different components of the system Understand the patient positioning monitor (PPM) Identify the syngo MI Applications software Perform a system Shutdown/Startup sequence Navigate and complete a workflow Perform an acquisition Congratulations. You have completed the syngo MI Applications Basic Online Training course for SPECT systems. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Describe the different components of the system Patient Positioning Monitor (PPM) Patient Bed SPECT gantry Detectors Understand the Patient Positioning Monitor (PPM) PPM Tab Camera Info Tab Reconfiguration Tab ECG Tab Offset Zoom/FOV Limit Tab Collimator Change Tab Setup Tab Identify the syngo MI Applications software There are three tiers to the MI Applications software platform, starting with the foundation they are: Windows syngo MI Applications Perform a system Shutdown/Startup sequence The system should be restarted daily to keep all components in sync. Navigate and complete a workflow Understand the icons within the Workflow Navigator Different types of activities include: data selector, acquisition, processing, flexible display, and hard copy Perform an acquisition  Setup the parameters within in acquisition activity View the data within Flexible Display 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 Please proceed to the assessment. There are several main parts of a SPECT System.  Components of the System Learn more about the four key components of the system. Instructions:Flash File:HTML5 File:/content/generator/Course_90021820/MI_Parts_Gantry_Interactive-NoCoverPage_SPECT/index.htmlPDF File: The Patient Positioning Monitor (PPM) is a touch screen monitor mounted on an arm extended from the top of the gantry. The PPM can also be viewed at the ICS computer. This monitor can be used to position the patient as well as reconfigure the detectors and change the collimators. View the PPM from the ICS Computer Learn how to View the PPM from the ICS Computer. The View PPM window can be opened on the ICS computer by navigating to Utilities then to View PPM.   Within the View PPM window, the user can interact with the PPM without having to be at the system. Tabs of the PPM Learn more in-depth about the PPM.   The command module consists of three main areas: MI Apps Patient Browser Workflow Template Browser Workflow Manager   Command Module Main Areas Learn more about the three main areas of the Command Module. Slide NumberText BlocksCalloutsAudio ScriptImage File1The command module consists of three main areas:  1) MI Apps Patient Browser  2) Workflow Template Browser  3) Workflow Manager  CalloutsMI Apps Patient BrowserWorkflow Template BrowserWorkflow ManagerThe command module consists of three main areas: The MI Apps Patient Browser, the Workflow Template Browser, and the Workflow Manager.2The MI Apps Patient Browser contains all the patients and studies within your database.  Data within this section can be displayed and filtered in various ways using the icons and dropdowns at the top. The patient browser can be filtered by either study name or study date. Note: If you are in the Study or Series level and a patient does not have any data acquired, the patient will not show up in the list.  The view will need to be changed back to Patient Level to see all the patients.The MI Apps Patient Browser contains all the patients and studies within your database. Data within this section can be displayed and filtered in various ways using the icons and drop-downs at the top. The patient browser can be filtered by either study name or study date.31. Refresh – causes the patient browser to search which ever database is listed in the Database dropdown and redisplay the patient list, updating it with any recent changes, additions, or deletions 2. Patient Browser – shortcut button to launch the syngo Patient Browser 3. Patient Registration – shortcut button to register a patient 4. Patient Level – displays the data so the user can see each patient number 5. Study Level – displays the data so the user can see each study for each patient 6. Series Level – displays the data so the user can see each individual series for each patient  CalloutsRefreshPatient BrowserPatient RegistrationPatient LevelStudy LevelSeries LevelThe refresh button causes the patient browser to search which ever database is listed in the Database dropdown and redisplay the patient list, updating it with any recent changes, additions, or deletions. The Patient Browser icon is a shortcut button to launch the syngo patient browser. The Patient Registration icon is a shortcut button to register a patient. The Patient Level displays the data so the user can see each patient number. The Study Level displays the data so the user can see each study for each patient. The Series Level displays the data so the user can see each individual series for each patient.4Workflow Template Browser The Workflow Template Browser is used to locate workflow templates, sort workflow templates by categories, and launch workflow templates. The Auto Filter feature allows MI Apps to automatically display the workflow Category that corresponds to the Study type of the selected patient. The workflow template list can be viewed in either Icon View or Detail View. The refresh icon allows the user to view all the workflow templates that have been recently added to the system. The Category dropdown allows the user to filter the workflow templates into different categories for easier management. All workflow templates are assigned to a category when they are created.The Workflow Template Browser is used to locate workflow templates, sort workflow templates by categories, and launch workflow templates. The Auto Filter feature allows MI Apps to automatically display the workflow Category that corresponds to the Study type of the selected patient. The workflow template list can be viewed in either Icon View or Detail View. To delete a template, right click on the workflow and select Delete Template from the pop-up menu. The Local button allows the user to view all the workflows on that particular system whereas the Network button allows the user to see all the workflow templates that reside on the network. The refresh icon allows the user to view all the workflow templates that have been recently added to the system. The Category dropdown allows the user to filter the workflow templates into different categories for easier management. All workflow templates are assigned to a category when they are created.5Workflow Manager Green Border - Currently open and in use resources Yellow Border - Not launched, patient and workflow paired Red Border - Not in use, workflow can be resumed CalloutsGreen BorderYellow BorderRed BorderThe workflow manager lists all the workflows that are currently being used on the system. Workflows will be displayed with either a green, yellow or red border. - Green border indicates that the workflow is currently in use by the system and using resources to acquire, process, or display data. - Yellow border indicates the workflow has not been launched yet, but the patient and workflow have been paired up. - Red border indicates the workflow is not in use by the system but can be resumed by double clicking on the icon. Before an acquisition can be performed, a patient must be registered into the database. There are three ways to register a patient: Manual registration Register an existing patient Register a patient from HIS/RIS Registering A Patient Learn more about the three ways to register a patient.   Activity 1 Tomo Acquisition Activity 2 Tomo Reconstruction Activity 3 Flexible Display Input 1 Input 2 Input 3 Output 1: Tomo Raw Data Output 1 = Input 2 Output 2: Reconstructed Data Output 2 = Input 3   Data Selector Acquisition Processing Flexible Display Hard Copy Learn how to set up the parameters within each acquisition activity. Acquiring an Acquisition Learn more about Acquiring an Acquisition. Instructions:Flash File:HTML5 File:/content/generator/Course_90021820/MI_AcquiringAcquisition_Interactive_3Aug2021/index.htmlPDF File: There are several different types of acquisition activities available within MI Apps. All acquisition activities accept a study and acquire raw patient data as a series for the output. The parameters can be modified and saved for specific site protocols. Acquisition activities include: Static, Dynamic, Planar Gated, Wholebody, Tomo, Gated Tomo, Whole Body Tomo, and Dynamic Tomo. User Interface and Acquisition Activities Learn more about the User Interface of Acquisition Activities.   MI Apps offers several options for processing data including: Dicom Toolbox 3D Orientation Series Reformat Quality Control AutoRecon The Flexible Display Activity exists in all workflows where data needs to be displayed, reviewed, printed, or captured as a save screen. The Hard Copy activity exists in any workflow where data can be printed or a save screen created. Processing Activities Learn more about Processing Activities. Element HTML Sound File Audio ScriptMI Apps offers several options for processing the data. Discussed here are the main, non-organ specific processing activities. For additional details on using processing activities, complete the Advanced online training. Dicom Toolbox has 4 primary functions: Remove flood corrections from nuclear medicine data prior to transferring to other vendors’ workstations Display a Siemens nuclear medicine static or whole body series in order to edit the view name for all the frames belonging to the same detector Convert Siemens nuclear medicine dual detector representation of Tomo and Gated Tomo data into a single detector representation so that other vendors can accept syngo MI Applications data formats prior to processing Convert Siemens PET DICOM formatted data into a nuclear medicine DICOM format to aid interpretation on workstations that do not recognize PET DICOM formats. ​3D Orientation is used to rotate and zoom volume data. It has two operating models. In the first, or automatic mode, angles and zoom factors can be automatically applied without interaction. In the second, or interactive mode, angles and zoom factors can be interactively applied. Series Reformat allows you to manipulate the pixel data of a series and then save the results as a new series. Data can also be masked using this activity. Quality Control allows the user to access raw data for motion, apply manual motion correction for all data types (except gated and whole body), perform automatic motion detection and correction for tomo and gated tomo data, output the corrected data and the quality control data to the patient database, remove uniformity correction from acquired series data, and create a Tomo series from a dynamic Tomo series (quick SPECT). AutoRecon is a multipurpose activity that reconstructs any compatible tomo data. A single instance of the activity can correct input data for scatter and attenuation, reconstruct the data, and output both corrected and uncorrected volumes. Flexible Display Learn more about Flexible Display. Element HTML Sound File Audio ScriptThe Flexible Display Activity exists in all workflows where data needs to be displayed, reviewed, printed, or captured as a save screen. Flexible Display is used to arrange and display all data acquired and processed in M.I. Apps. This activity allows you to customize the presentation of clinical results by viewing or creating display pages in one of two formats: layout and hard copy. The user can create as many display pages as desired and these pages are made up of components called objects. Flexible Display accepts any raw or processed data generated within the workflow. It also accepts the following non-N.M. type data: PET (pronounced pet) slice, M.R. slice, C.T. slice, and 3.D. images. For more information on configuring pages within Flexible Display, complete the Advanced online training. Hard Copy Learn more about Hard Copy. Element HTML Sound File Audio ScriptThe Hard Copy activity exists in any workflow where data can be printed or a save screen created. Hard Copy activity is used to save print areas to the database, create save screens, configure print area properties, and generate hard copy outputs to film or paper. There are three types of computers that may come with a SPECT system. To keep the system running efficiently, it is recommended to restart the system once daily. Learn more about the three computers, restarting the system and software, and the syngo MI Applications software below. Restarting SPECT Computers Learn how to Restart SPECT Computers. SPECT Computers Learn about the different types of SPECT Computers. Element HTML ICS Image Control System SNAC Siemens Nuclear Acquisition Computer DRS Dedicated Reconstruction System Main acquisition console Located inside the gantry; sends information of photons detected to the ICS for an image to be displayed Used for reconstruction of IQSPECT data (optional) Sound File Audio ScriptThere are 3 computers used with a SPECT system.  The image control system, or ICS, is the main acquisition console.  This is the computer the user will use to launch and start acquisitions. The Siemens nuclear acquisition computer, or SNAC, is located inside the gantry.  This computer sends information on the photons detected by the detectors to the ICS computer.  This information is used to display an image. The dedicated reconstruction system, or DRS, is used specifically for reconstruction of IQSPECT data.  This is an optional high performance computer used for reconstruction only. syngo MI Applications Learn more about syngo MI Applications. Element HTML Windows syngo MI Apps   Sound File Audio Scriptsyngo MI Applications, or MI Apps, is the Siemens SPECT software that allows you to acquire, process, display, print, and archive images.  There are three tiers to the MI Apps software platform. Siemens MI Apps software is built on a Windows operating system which allows many of the windows shortcuts to function the same on MI Apps.  The second layer of software is called syngo which is a multi-modality software platform.  This software is used for managing, viewing, and printing to film patient information.  For more details on syngo, complete the Advanced web-based training. The top level software is MI Applications which is specific to the use of the SPECT system for acquiring and processing patient data.  The home screen of MI Apps is called the Command Module. Daily Shutdown and Startup Sequence Learn the steps of the Daily Shutdown and Startup Sequence. Select the link to download or print the Daily Shutdown/Startup Sequence Job Aid ​