syngo MR BreVis Biopsy - E-Line

syngo BreVis Biopsy – E-Line Job Aid syngo BreVis Biopsy – E-Line This Job Aid provides Breast Biopsy workflow steps to process depth calculation based on skin sur- face using syngo BreVis software on MR MAGNETOM Systems with E-Line software. 1. Scan Patient with Fiducial Placement in C4 Grid a. Note: Only fits into C4 grid when using the Sentinelle coil 2. Open Patient Browser Patient Applications Transfer Register ... Num 0 Browser ... Num . Schedule ... Close Patient 3. Select Patient Study (entire Patient) Local Database MEDIAL BIOPSY_CASE3 Medial biopsy [1] lo /com/ /111 : DVD-ROM [2] fl3d t1 sag /com/ /1/1 1 4. Select Applications > BreVis Note: Separate series cannot be selected Patient Browser a. when using BreVis. Patient Applications Transfer b. HINT: If you repeated a series, delete the Report Open duplicate series before loading the patient Report Tools study to BreVis. c. Note: If Patient Browser reopens after LT Mosaic loading study, close Patient Browser. 3D Argus BreVis BOLD BOLD Evaluation SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Job Aid | syngo BreVis Biopsy – E-Line Effective Date: 01/26/2021 | HOOD05162003158277 5. BreVis image segments default a. Coronal – Upper Left segment b. Sagittal – Upper Right segment c. Axial MIP – lower Left segment i. Note: If the biopsy software is on the scanning console then key commands will not work. BIOPSY LACAPA CCT BICPSY La CCP H Anonymous Espre Syfiod MR BL? HFF HEP 4/19/2011 4/1962511 :0:30:37 10:30:37 [2] IMA 1201256 Left tires [2]1MA 81/100 aft traest MF 1.62 MF 1.62 4 D.E E 1.33 TP O TA 01 :00 TAC1:00 SP 199.41 BW 301.00 HOY 301 CD 9.1.0 p2 WNORM DISZD A1/PFPI PS Fol' 200-200 CELL;BRI 1920 2305 -118d: 10.00% red TL 580 lerpr's TIJLI T 1/1: CFP 746 at 899. 4 820. 9.HIJ.P CTP 745 A L99. 4.220.9, 103.9 BICPSY Lateral Anonymous No Beth Date O Ancheicus Espres Dressti Not get AcESS: hot sat 1/19/2011 :0 32:08 (3) IMA 1292756 Left firwant MP F 1.62 TR 4 £ 1.35 TA 01 00 BW 391.00 p2 MNORM [15 20 A1/PFPIPS CELL;TRI -113d: 10.00% 502 T 2-LAI 01:09 PP 154t 499.4 820. P.H13.9 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Healthineers Page 2 of 9 Job Aid | syngo BreVis Biopsy – E-Line Effective Date: 01/26/2021 | HOOD05162003158277 6. Select Coronal Segment (replace with Axial) a. Select Viewing Tab b. Select Rotation Icon > Right Mouse > select Transversal Orientation Viewi .. Proce .. Tools Inter .. H13.96 SL 1.61i Viewi .. Proce .. Tools Inter. 390+390 Sp*4485 | Transversal Orientation Coronal Orientation auto auto Sagittal Orientation auto 30 % 20 % 7. Select Intervention Tab – (walks user through Biopsy steps) Viewi .. Proce .. Tools Inter. Viewi .. Proce .. Tools Inter .. a. Select Device Selection Icon i. Device dropdown > Select Coil used from dropdown list ii. Intervention Method > select Post/Pillar or Device Grid Method Sentinelle Vanguard iii. Default Selection > Check Box Intervention Method iv. Select Confirm button O Post / Pilar O Grid _ Default Selection Confirm Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Healthineers Page 3 of 9 Job Aid | syngo BreVis Biopsy – E-Line Effective Date: 01/26/2021 | HOOD05162003158277 b. Instrument Selection Icon Viewi .. Proce .. Tools nter i. Instrument / Needle Block > select Needle Device for biopsy from dropdown ii. Default Selection > Check Box (only if the same biopsy device is used) Instrument , Needle Block iii. Select Confirm button Suros ATEC, disposable EX Default Selection Confirm c. Device Calibration Icon > Fiducial Marker Detection Icon i. Scroll through images for Fiducial Location ii. Select Fiducial with Left Mouse (Mark Fuducial at skin surface) • All image planes can be used for this step a. Note: If Sagittal image used, confirms Fiducial Marker is placed at center of Grid. BIOPSY Lateral CCF A BIOPSY_Lateral_CCF H Anonymous * O, Anonymous Espree *, O, Espree syngo MR B17 syngo MR B17 HFP HEP 4/19/2011 +LPH 4/19/2011 +LPH 10:30:37 10:30:37 [2] IMA 140/256 Left Breast [2] IMA 134/160 Left Breast MPR MPR R P MF 1.62 MF 1.62 LILLI 3 cm IL 3 cm TR 4.44 D/E TR 4.44 DIE TE 1.35 TP O TE 1.35 TP O TA 01:00 TA 01:00 SP L152.41 BW 391.00 BW 391.00 SL 1.01 p2 M/NORM/DIS2D A1/PFP/FS p2 M/NORM/DIS2D AL/PFP/FS FoV 200*200 C:BL1;BR1 C:BL1;BR1 192p*256s *f13d1 10.00% Tra *f13d1 10.00º Sag W 1086 W 1086 C 543 C 543 Fl3d T1 sag T 1/11 fl3d T1 sag T 1/11 PFP\FS CFP 411 at L152.4, A33.8, H22.2 PFP\FS CFP 411 at L152.4,A33.8, H22.7 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Healthineers Page 4 of 9 Job Aid | syngo BreVis Biopsy – E-Line Effective Date: 01/26/2021 | HOOD05162003158277 d. System Places Fiducial > select Set i. Note: Fiducial Marker placed in Grid at C4 automatically (only when Sentinelle Coil used) BIOPSY_Lateral_CCF Sentinelle Vanguard Suros ATEC No Birth Date O Anonymous Breast: Left Access: Lateral P (chest wall) 1 2 3 4 5 6 7 8 A B C D E A (nipple) e. Angle > Enter 0 > select Confirm i. Note: If the grid is angled in the image, an offset can be entered to compensate ii. Warning: Marker Center not determined – set center manually (may not always appear) Viewi .. Proce .. Tools Inter. Fiducial Marker Detection O Manual Fixed C4 Set Opt. Opt. Angle 0 Reset Confirm Warning: Marker center not determined - set center manually Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Healthineers Page 5 of 9 Job Aid | syngo BreVis Biopsy – E-Line Effective Date: 01/26/2021 | HOOD05162003158277 8. Other Settings for Device Calibration (Planning Needle Depth) a. Scroll through Sagittal Images until impression of grid is seen against skin i. Look at Grid Position Number (e.g., L: 67.6) • Confirms location of skin surface • Note: select Reset only if you need to adjust the grid and place at skin surface b. Select Approach (e.g, check to ensure approach and correct breast is selected) i. Select Right or Left Breast ii. Select Laterial or Medial iii. Select Confirm 58Y Espree Viewi .. Proce .. Tools Inter .. syngo M Left Grid R Position _: 67.6 Reset Confirm SP L1 Foy 20 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Healthineers Page 6 of 9 Job Aid | syngo BreVis Biopsy – E-Line Effective Date: 01/26/2021 | HOOD05162003158277 c. Path Planning Icon i. Place Crosshair on Lesion > select Lock Target | BIOPSY_Lateral_CCF BIOPSY_Lateral_CCF Anonymous Espree O -syngo MR B17 syngo MR B17 Viewi .. Proce .. Tools Inter .. HFP HEP 4/19/2011 +LPH 4/19/2011 10:32:08 10:32:08 [3] IMA 103/256 Left Breast [3] IMA 105/160 Left Breast MPR MPR Navigate the crosshairs to the jogos Target 293 AU target point MF 1.62 MF 1.62 LLLLLL1 3 cm Lodied Target 293 AU LLLLLL3 3 cm TR 4.44 DJE TR 4.44 DIE Lock Target TE 1.35 TP O TE 1.35 TP O TA 01:00 TA 01:00 SP L123.41 BW 391.00 BW 391.00 SL 1.0 p2 M/NORM/DIS2D A1/PFP/FS p2 M/NORM/DIS2D A1/PFP/FS FoV 200*200 C:BL1;BR1 C:BL1;BR1 *f13d1 10.00% 192p*256s Tra *f13d1 10.00% Sag W 786 W 786 C 354 C 354 [ Rad T1 sag T 2-1/11 f13d T1 sag T 2-1/11 CFP 293 at L123.6,A6.8,F6.4 PFP\FS CFP 293 &t L123.6,A6.8,F6.4 BIOPSY_Lateral_CCF BIOPSY_Lateral_CCF Anonymous antinelle Vanguard SurOS ATEC No Birth Date O Anonymous Magnified Needle Block syngo MR B17 Access: Later a HFP /19/2011 P (chest wall) +LPH 10:32:00 1 2 31 IMA 103/256 Left Breast MF 1.62 LLLLLL3 3 cm TR 4.44 TE 1.35 TA 01:00 A (nipple) BW 391.00 P2 M/NORM/DIS C:BL1;BR1 Grid Cell: B6 *f13d1 10.00% Tra Needle Block: al W 582 Depth: 1.8 cm C 291 Al3d T1 sag T 2-1/11 Needle Offset: (H3; PO) mm PFPIES CFP 293 at L123.6,A6.8, F6,4 Target Point: Locked d. Select Camera button to capture images for targeted lesion Lock Target Camera Printer Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Healthineers Page 7 of 9 Job Aid | syngo BreVis Biopsy – E-Line Effective Date: 01/26/2021 | HOOD05162003158277 9. Save Results a. Select Results Tab > Name (e.g., Right Lateral Biopsy) b. Right Mouse > Save all Snapshots c. Select Report Tab > Double-click Intervention Report Folder d. Select Save Tab i. Note: Results and Report (intervention) are stored in the Patient Browser and can be sent to PACS. Results Report [601] Bre Vis Intervention SC 1 /// // / / Intervention Report 5/10/2011 [602] BreVis Intervention SC 2 08:51:23 10. Starting Biopsy Planning Over (Return to Beginning) a. Select Layout Tab > Right Mouse > Reapply Layout Study Layout Reapply Layout Set as default Layout A 5 + U 9 1/2 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Healthineers Page 8 of 9 Job Aid | syngo BreVis Biopsy – E-Line Effective Date: 01/26/2021 | HOOD05162003158277 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/26/2021 | HOOD05162003158277 Healthineers Page 9 of 9