ARTIS icono/pheno VE21: myNeedle Companion Job Aid - USA

SIEMENS Healthineers HFP CT HPR HFP PR 5 cm 5 cm myNeedle Companion SL 1.0 1073 SL 1.0 MPR MER RAO 61 / 0 293 RAO 151 / CAUD 5 AH HFP CT HPR HEP ARTIS icono/pheno VE21 and 97.80 mm syngo Application Software VE21 RF Version 2021 L 1.6 AO 29 / CAUD 85 W 1073 C 293 VRT RAO 151 / CAUD 5 Template Effective Date: 10 Aug 2021| HILS 2223 Job Aid Effective Date Jan 28, 2022 | HOOD05162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Companion SIEMENS Healthineers Table of Contents Introduction 3 myNeedle Guide Workflow Overview 4 myNeedle Guide Workflow Steps 5 myNeedle Guide Configurations 13 Load the Planning Volume to 3D Sharing 14 Select the myNeedle Guide Workflow 16 2 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 Introduction SIEMENS Healthineers The myNeedle Guide application allows you to Live A 3D Sharing Q o CT HFR HEP Application Control H HFP CT plan the paths of needles or other puncture or 3D Sharing ? O drilling instruments in the 3D volume. The Application planned paths can be displayed on the live image myNeedle Guide XE to provide guidance for insertion procedures. Check needle path using Auto Flight. Optionally: Create a new needle path in the planning volume. One or more needle/puncture paths can be Define Path Progress Needle Tools Bookmarks Layouts planned either on a 3D volume that has just been Plan. acquired (basic workflow) or on a 3D volume of Needle Path L 1.6 MPR 1373 9. 1.0 RAO 81 10 293 MBR RAD 151 / CAUD 5 N1 HFP CT HER HED the same patient from another examination (advanced workflow) (for example a prior XA, CT, MR, or PET volume). With syngo 3D Roadmap, the live image is overlaid to the 3D image including the needle F paths. While adjusting and progressing the 1873 LAO 29 / CAUC 85 VRT needle, the position can be controlled in needle RAO 151 / CAUD 5 direction (Bull's Eye View) as well as in two predefined views lateral to the needle path (Progression View 1/2). 3 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Overview 1. Planning 2. Registration 3. Progress Needle Define path: 1. Select the Progress Needle Using syngo 3D Roadmap, the live image is Basic workflow: Use a planning volume workflow step. overlaid to the 3D image, including the which has a valid registration to the 2. If required, use syngo 3D registration needle path. current examination (for example a newly to register the 3D planning volume The C-arm can be adjusted to needle- acquired XA volume). with the examination patient, so that specific angulations: Bull's Eye View, Advanced workflow: Use a pre-procedure it can be used for overlay. Progression View 1/2. 3D volume which needs to be registered to the examination patient (for example a Please note: previously acquired CT, MR, or XA 3D Registration is required when using a 3D volume). volume from another examination (advanced workflow). 4 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Steps Basic Workflow Advanced Workflow Using an in-procedure DynaCT volume for planning Using a pre-procedure 3D volume for planning Acquire a 3D volume acquisition: Load the 3D volume: 1. Select a Dyna3D/DynaCT acquisition program. Load the planning volume to the 3D Sharing segment (see Optional: Attach a radio-opaque grid on the skin of pages 14 and 15). the patient at the expected region of the skin entry point. 2. Perform the acquisition. The images are automatically loaded to 3D Sharing. Start Needle Guidance: Define Path 1. Select the Needle Guidance workflow from the Workflow Header Progress Needle or from the Application Control window (see pages 17 and 18). 2. The Define Path workflow step is automatically selected. 5 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Steps Define Path Define Path Progress Needle Tools Bookmarks Layouts Needle Path + Define one or more needle paths and verify them. + N1 1. Select the Add Needle icon or select a needle in the Needle list. 2. In an MPR or VRT view, click the target point and the entry point. • The target point is marked by an arrow. In the Bull's Eye View, it is indicated by a circle. • The entry point is marked by a line. In the Bull's Eye View, it is indicated by a cross. Hint: It can be configured which point RA N.3 WS is set first, the target point or the 27.74 mm 1 cm 27.74 mm entry point (see page 13). 6 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Steps 1 C130 08175PE CTA DBI-ORMAI FIL HU .. HPL 3 In-plane View Select the In-plane view. All three MPRs and the VRT segment are automatically aligned to the defined path. 26 SL 2.0 MPR Thicil 926 RAO 13/ CRAN 8 STA.09%-OR NatFILIHU ... AXIOMHATOB HPL • The upper right image (3) segment shows an MPR view that contains the target VC130 081121-2 CTA_08:-DR Na Fil HU C130 08115. 2 4 point in direction of the planned path. • The upper left image segment (1) and the lower left (2) image segment show MPR CH . views orthogonal to each other that contain the defined path completely. • The lower right image segment (4) shows a VRT view in the same orientation as MER INOS AUD 82 Plan RAO 13 / CRANS the upper right MPR (Bull's Eye View). 7 Make sure that the C-arm symbol is not red in the VRT view. Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Steps Define Path Define Path: Flight Along Needle Path Progress Needle Tools Bookmarks Layouts You can watch the flight along the needle path in the upper right MPR segment. Needle Path 1. Click the Auto Flight icon. + N1 2. You can stop the flight by clicking the Auto Flight icon. You can correct the target and/or entry point by drag and drop. 3. To restart the flight, click the Auto Flight icon again. Hint: It can be configured that the auto flight starts automatically. Please check with your Siemens Healthineers Service representative. Define Path Select the Progress Needle workflow step Progress Needle Advanced Workflow Using a pre-procedure 3D volume for planning Perform syngo 3D Registration • Select the syngo 3D Registration icon. Select 3D/3D Registration (syngo 3D Fusion) or select 2D/3D registration • (syngo 2D/3D Fusion). 8 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Steps Application Control 30 Sharing ? 0 Progress Needle In the Progress Needle workflow step, you can: Application myNeedle Guide XE • Overlay the live image to the 3D volume. Use Bull's Eye View to align needle. Use Progression Views to • Overlay the 3D Objects to the live image. check needle position. Define Path To perform and monitor the planned needle procedure, three system positions are Progress Needle Tools Bookmarks Layouts necessary: Needle Path • Bull's Eye View: In this system position, the C-arm is angulated in the same direction as N1 the active needle path. This view is used to determine the skin entry point and to align LAO the needle. CRAN • Progression View 1 and Progression View 2: These two system positions are computed LAO 90º CAUD automatically and are used for monitoring the needle progression. They provide two RAO CAUD lateral views to the planned needle path taking system restrictions into consideration. 9 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Steps (con‘t) Application Control 30 Sharing ? @ Adjusting the C-arm to the Bull's Eye View or to the Progression View 1 or 2 Application XE 1. Select the needle, if necessary. myNeedle Guide Use Bull's Eye View to align needle. Use Progression Views to 2. Select the required view, if necessary. check needle position. 3. Select the icon to adjust the C-arm to Bull's Eye View (selected as default). Define Path Progress Needle Tools Bookmarks Layouts 4. Select the icon to adjust C-arm to Progression View 1. Needle Path 5. Select the icon to adjust C-arm to Progression View 2. N1 6. Move the system to the position by activating the desired operating element. For LAO example, press down and deflect the C-arm joystick. CRAN 7. When the position is reached, the following message is displayed Automatic run: LAO 90º CAUD Position reached. RAO CAUD 10 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Steps Progress Needle Adjust the position in the Bull's Eye View • When the C-arm reaches the Bull's Eye View, additional graphics appear on H the live image. • Adjust the tabletop position, so that the graphics are aligned. P P • The arrows indicate the tabletop movements required in order to align the triangle and Tri-Star symbol. F F F • The Bull’s Eye View has been reached when the arrows disappear, and the triangle and Tri-Star symbol are aligned. Positioning the Needle Using the Laser Positioner • If configured, the laser positioner will turn on automatically when the Bull’s Eye View is reached. If automatic switch-on is disabled: you can switch on the laser manually. Press the membrane key on the FD. • A crosshair is displayed on the skin of the patient. • Point with the tip of the syringe or biopsy needle to the skin of the patient in the center of the crosshair. • Position the proximal end of the plunger handle so that it is also centered in the crosshair. • Perform fluoroscopy to check needle position/direction. Prick the needle. 11 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Workflow Steps Progress Needle Progress the needle under fluoroscopy. Ensure that: • The stand/table is still in the position for Bull's Eye View. • The entry point has been marked on the skin. 1. Hold the needle with a needle holder to avoid direct X-ray exposure to your fingers. 2. Adjust the direction of the needle under fluoroscopy. 3. Insert the needle. 4. Select Progression View 1. 5. Drive the C-arm to Progression View 1. 6. Start to progress the needle under fluoroscopy control. 7. The live image shows the live fluoro or roadmap image together with the overlaid objects. 8. If required, you can drive the system to Progression View 2 to confirm the needle position. Control Scan To verify the current needle position, you can perform a control scan. A control scan can be a Dyna3D or DynaCT acquisition. 12 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 myNeedle Guide SIEMENS Healthineers Configurations You can configure options for Needle Guidance in the Configurations configuration panel. To open the configuration panel select: Automatic switch- You can configure whether the laser is 1. Settings > User Configuration. on laser switched on automatically when Bull’s ? Eye View is reached, and the table is Settings positioned correctly. User Configuration Target first or entry first You can configure which point is set Service Portal as needle direction first, the target point or the Expert-i Remote Connect entry point. Interventional View You can configure the orientation 2. Select the 3D tab. Workflows Orientation or according to the registered patient 3. Select the Workflows blind. Select Workflow Radiological View position of the examination patient 4. Select the workflow from Aneurysm Analysis Orientation (Interventional View Orientation) or the Select Workflows list. Aneurysm Analysis the standard radiological orientation Aortic Valve Guidance (Radiological View Orientation). Embolization Guidance EVAR Guidance myNeedle Guide Registration Segmentation 13 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 Load the Planning Volume to 3D Sharing SIEMENS Healthineers If you are using a pre-procedure 3D volume for planning, 3D Sharing Browser La Source Images Settings Menu Close Im Save Bo D Polyli ... Interacti ... Export t .. Parallel .. import the data to the Patient Browser before starting Viewing Review loaded or acquired volumes. Review and Processing New acquisitions will replace existing volumes. Bookma Layouts Undock Overlay. Image Directory 3D Sharing ? x V Send To Select All Deselect Multiple Load the planning volume to the 3D Sharing segment All Scenes + 3D 3D REF/ Bookmarks Key Images Custom If the patient is the currently registered examination: February 05, 2018, CT Facette 2 VOLUME CT AN VOLUME 1. Open the Image Directory in 3D Sharing. AN VOLUME AN 3D Sharing Q E Source Browser Images Settings Menu Close Im ... Save Do .. Snapsho .... 1/6: Topogramm 1.0 Tr60 2/6: WS KF 1.0 Br62 3/6: WS Bandscheibe 1.0 .. Viewing Review loaded or acquired volumes VOLUME CT 2. Select the exam data, when the 3D volume was created. AN VOLUME VOLUME AN AN 4/6: WS Bandscheibe 1.0 .. 5/6: i-Sequence 2.4 Br38 7/6: Schlüsselbilder 14 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 Load the Planning Volume to 3D Sharing SIEMENS Healthineers Do the following if the 3D volume data is not under 3D Sharing Q SHlings viewing Review loaded or acquired volumes. New acquisitions will replace existing volumes. Layouts E the current examination (for example, if the data is Patient Browser from another hospital and not matched to the Loost Date test 2 (4) Test 1 (3) Sesich py Name, ID. Date, Desemption and Modelty (Cup) Q More Filters DICON current patient): IT Results (20 results. 1:50:15 AM) Series Patient Study Description Study Date and Time + Series Number Series Description Modaly Series Date and Time Series Art + Embolization_Guidance, Patient 1 Topogramm 1.0 Tr60 2/5/2018 11:21:28 AM *1/1/1957, M. 2 WS KF 1.0 Br62 2/5/2018 11:23:07 AM bulBde 3 WS Bandscheibe 1.0 für 30 2/5/2018:11:23:21 AM TACE -Transarterielle Chempembolisation 8/24/2017 7:19:17 AM WS Bandscheibe 1.0 für 3D 2/5/2018 11:29:02 AM 1. Select the Patient Browser in 3D Sharing. Patient, Cardiac 5 -Sequence 2.4 Br38 2/5/2018 11:43:13 AM 7 Schlüsselbilder 2/5/2018 11:44:19 AM '11/11/1911. M 501 Dosisbericht 2/5/2018 11:49:44 AM 0020320995 950 3D Objects 2/5/2018 11:34:00 AM Patient, Cardiac 3D Sharing Q *2/12/1959, F 234587B Patient, Healtineers *11/10/1960, M SQUICO Browser 2019.02.12-20:48:41-STD-1.3.12.2.1107.5.99.3 Patient, Needle Guidance Instances *1/1/1934, M DL Facette 2/5/2018:11:24:32 AM DL Facette 2/5/2018 11:24:32 AM Double-click on the required volume to open CT Facette 2/5/2018 11:19:28 AM 2. Patient, Neuro "2/12/1964, M 577889800-0 the volume in 3D Sharing. Confirm that the Patient, Neuro Examination 41/1/1949, F 111:5878 data is for the current patient. Search successfully completed Series Series Number Series Description Modalily Series Date and Time Series Art + 1. Topogramm 1.0 TrBD CT 2/5/2018 11:21:28 AM 2 WS KF 1.0 Brü2 CT 2/5/2018 11:23:07 AM 3 WS Bandscheibe 1.0 für 3D CT 2/5/2018 11:23:21 AM 4 WS Bandscheibe 1.0 für 3D CT 2/5/2018 11:29:02 AM -Sequence 2.4 Br38 CT 2/5/2018 11:43:13 AM Schlüsselbilder CT 2/5/2018 11:44:19 AM 501 Dosisbenicht SR 2/5/2018 11:49:44 AM 950 3D Objects SEG 2/5/2018 11:34:00 AM 15 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 Select the myNeedle Guide Workflow SIEMENS Healthineers You select the Needle Guidance workflow from the 3D Sharing Q Ca Source Browser Images Settings Menu Close Im. Save Bo ... Snapsho. 30 Polyli ... Interacti .... Exportt ... Paratel. Viewing Review loaded or acquired volumes. Application Control. Review and Processing New acquisitions will replace existing volumes. Bockma. Layouts Undock Viewing HFP CT HFP Overlay Active Workflows The Application Control may be docked (fixed) in the Workflow Embolization Guidance Header or undocked. You can undock the Application Control in EVAR Guidance the top-right corner of the 3D Sharing segment. my Needle Guide 10 cm SL 1.0 SL 1.0 MPR 586 MPR 586 LAO 90 / 0 56 0 /0 nz CT HFP CT HFP 10 cm SL 1.0 MPR 586 0 / CAUD 90 56 RAO 1 / CRAN 10 364 16 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 Select the myNeedle Guide Workflow SIEMENS Healthineers When the Application Control is Docked Select the myNeedle Guide workflow step in the Workflow Header. 3D Sharing SOUce Q Co Q Browser Images Menu Cose Im. Save Bo ... Snapsho. 30 Polyi ... Interacti ... Export t .... 3D Sharing Viewing Review loaded or acquired volumes. Review and Processing New acquis ons will replace existing volumes. Bockma .. Layouts Undock Source Browser Images Settings Viewing HFP CT HFP Overlay Viewing Review loaded or a Active Workflows Review and Processing New acquisitions w Embolization Guidance Viewing EVAR Guidance Overlay myNeedle Guide Active Workflows 10 cm L Embolization Guidance SL 1.0 SL 1.0 MPR 586 LAO 90 / 0 56 MPR 0/0 HFP CT HER EVAR Guidance myNeedle Guide 10 cm SL 1.0 MPR 586 0 / CAUD 90 RAO 1 / CRAN 10 17 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 Select the myNeedle Guide Workflow SIEMENS Healthineers When the Application Control is Undocked Select the myNeedle Guide in the application workflow step in the Application Control. Application Control 3D Sharing ?0 Application PATIENT, Needle Guidance IN 1.CARD program (15 #/s) may .. 08 MOYm' IO 000.0 @ Detector calibration needed plane B. SC myNeedle Guide X E Male, 1/1/1934 (85), ID 11. 1.CARD Exam Set p. 6.DSA program (VFR) TO 000.0 5.fluoro normal (15 p/s) Live A T 3D Sharing Q Review and Processing CT HFP CT Aneurysm Analysis aded volume is the Application Control 3D Sharing Aortic Valve Guidance Application XE Congenital Heart Disease Guidance myNeedle Guide Review and Processing Aneurysm Analysis aded volume is the CTO Guidance Aortic Valve Guidance Congenital Heart Disease Guidance CTO Guidance TrueFusion Layouts TrueFusion marks Layouts okmarks EP Planning Embolization Guidance EP Planning EVAR Guidance myNeedle Guide MPR Spine Guidance LAO 80 / 0 556 MPRO Embolization Guidance Stenosis Analysis EVAR Guidance myNeedle Guide Spine Guidance Stenosis Analysis OF CAUD 90 56 RAO 1 / CRAN 10 2 18 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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. © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 19 Effective Date: 01-28-22| HOOD02162003250778 Unrestricted © Siemens Healthineers, 2021