Siemens Healthineers Academy

Add Bolus Tracking Before Contrast Scan in Radiation Therapy

There may be an occasion when a patient needs IV contrast and Bolus Tracking is desired.  Bolus tracking can be manually added to an existing scan protocol.

Add Bolus Tracking Before Contrast Scan in Radiation Therapy SOMATOM go.Sim, SOMATOM go.Open Pro There may be an occasion when a patient needs IV contrast and Bolus Tracking is desired. Bolus tracking can be manually added to an existing scan protocol. 1. Once the scan protocol has been loaded, navigate to the Timeline and right-click on the scan you wish to add Bolus Tracking. 2. A Context Menu will open. Select Open Edit Mode. RTP Abdomen [fact ... += Topogram HF spina HF prone HF righe HF left FF supine Fif prone Ft right FFaut Length 512 mm CTDIvol SPR (32 cm) 0.01 mGy DUP 0.47 mGy*cm MA sn 100 Exposure Time . Non-Contrast Abdomen Reconstruction Patient Marking Close 15 Show Parameters Confirm patient position Delete Repeat Open Edit Mode Confir OK Cancel Create Image with Reference Lines L 3.3s 3. The Edit Toolbar will open. Select the Bolus Tracking icon with a left mouse click and hold. Instruction Language Mute Exam Audio Control English . Contrast Connect Ranges Pause Comman Patient Instruction Apply to all Bolus Tracking Test Bolus Injector Coupling Contrast Protocols Expiration Injector [factory] -CH TO 3.35 6.55 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 04 April 2025 | QR700020617 Healthineers 4. Drag the Bolus Tracking icon into the grey box in front of the scan. us Tracking Test Bolus Injector Coupling Co 5. The system will automatically add the premonitoring and monitoring ranges to the scan. 6. Right-mouse click on the Monitoring scan and select Show Parameters. HU 130 50 15 20 35 Exam Audio Control Instruction Language Mute English Contrast Connect Ranges Pause Command Patient Instruction Apply to all Bolus Tracking Test Bolus Injector Coupling Contrast Protocols Expiration Show Parameters Injector [factory] Delete Repeat Open Edit Mode Create Image with Reference Lines L 3.3s 0.4s 10.95 5s 10 13.9 10 15 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 04 April 2025 | QR700020617 Healthineers Page 2 of 4 7. A new toolbar will appear. Navigate to the Timing Tab. 50 10 15 20 25 35 Scan Favorites General Scan Dose Timing Config Physio Scan Contrast CH Scan/Recon Rot. Scan Time Exam Time Cycle Time [s] [s] [s] Time [s] Patient Instruction Absolute Start FAST ROI Trigger Level Auto Delay: Actu ... @120kV [ ... Trigger Monitoring 0.35 Full 0.35 26.45 0.90 None 10.0 | 10 Aorta 100 On Instruction Language Exam Audio Control Mute English Contrast Connect Ranges Pause Command Patient Instruction Apply to all Bolus Tracking Test Bolus Injector Coupling Contrast Protocols Expiration Injector [factory] 3.3s 0.4s 0.9s 55 10 13.9 10 15 O 8. Under the Timing tab, set the Absolute Start Delay, choose ROI position in FAST ROI, and set the Hounsfield Unit (HU) in the Trigger Level subtask card. NOTE: The trigger graph may not demonstrate the HU chosen. This is because the pre- monitoring and monitoring scans are being performed at 100 kV, whereas the Trigger Level is configured for 120 kV. 9. Continue the scanning process. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 04 April 2025 | QR700020617 Healthineers Page 3 of 4 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 2025 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Siemens Shanghai Healthcare Sector Henkestr. 127 40 Liberty Blvd. Medical Equipment Ltd. 91052 Erlangen Malvern, PA 19355-9998 USA 278 Zhou Shu Road Germany Telephone: +1-888-826-9702 Shanghai 201318 Phone: +49 9131 84-0 Customer Care Telephone: P.R. China https://www.siemens-healthineers.com +1-800-888-7436 Telephone: +1 847 304 7700 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 04 April 2025 | QR700020617 Healthineers Page 4 of 4