ARTIS icono VE21/VE23 Software Overview Online Training

Continue Button Continue Continue Continue Continue Continue ARTIS icono Software Overview Online Training Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? ARTIS icono Software Overview Software Version VE21/23 This training will introduce you to the software of your ARTIS icono. This online training is for software version VE21/23. Identify the common features of the user interface 1 4 Recall the steps to store and load images Understand the purpose of Case Flows 3 ​Recall the steps for patient registration 2 5 Recognize the common postprocessing features 6 ​Recall the steps for image export Welcome [artis_icono_VE23_swov_olt_en_welcome.mp3] Welcome to the ARTIS icono VE21/23 Software Overview Online Training. This training will introduce you to the software of your ARTIS icono. Please note: This Online Training is valid for software version VE21/23. ? Navigation Hints Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 4 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Some pages show an X button in the upper right corner. Select the X button to return to the overview page and not miss any information provided. Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Enjoy the course! ? Navigation Hints User Interface ? User Interface This lesson introduces the user interface and how to access it. You will learn about the following topics: Examination user interface Info Area Segments Segment header User Interface ? This video gives you a brief overview about the user interface. Select play to start the video. Please note: This video shows a VE20 system. The user interface is similar to a VE21 and VE23 system. Examination User Interface Examination User Interface HOOD05162002988829 (not part of this HRT artifact) 01_vid_ARTIS_icono_VE20_SW_Overview_user_interface_introduction_FINAL.docx Welcome to the ARTIS icono User interface introduction video. This video will introduce you to the user interface and demonstrate how you can access functions in the control room. Your ARTIS icono is equipped with either a 24 inch or 32-inch monitor display. You select the items on the user interface with the mouse. If you have the optional 32-inch touchscreen monitor, you can select functions via touch with your fingertip in addition to selecting functions with the mouse. The user interface display is divided into the Info Area, the Image Area, the Segment Header, the review controls and the area for guidance messages. The Info Area displays the most important patient and examination information. Here you can select options related to patient management, for example, register a patient, close the patient, change the selected examination program, open the dose report and check the current position of the C-arm and table. If you are using the mouse, select the item with a left mouse click. If you have the optional touchscreen, press on the item. When you select an item, a window opens. For example, when you select the Scheduler, a window opens with a patient list to select a patient. The window may be docked to the user interface or you can undock the window to move it to another position on the display. After system start-up all windows will be docked. Images are displayed in segments in the image area. The image displayed depends on the segment type. The following segment types are available in the control room: The Live segment displays the current live image, the last image hold or the previous image from the current patient. The Ref 1 or Ref 2 segments display the reference images. The Viewer displays 2D Angio or 3D volume images for a review patient. The Viewer is displayed in the control room only. 3D Sharing displays 3D volume images that can also be displayed in the exam room. Additionally, an external source, for example PACS, can be configured to display in the External segment. The segments are arranged into layouts. A default layout is automatically selected after system start-up. You can change the layout manually by selecting the Layout Gallery in the Info area. In the layout gallery you can select a layout for the control room display. Additionally, you can access the Display layout Configurator. Here you can configure layouts for the control room and exam room displays. Alternatively, you can change the segment type in the Segment Header. Select the current segment type in the Segment Header. A drop down menu opens with the segment types. Select the required segment type. Other items are available in the Segment Header including the Patient Browser, the image directory, the segment settings and the segment menu for imaging functions. You can add your most frequently used items to the Segment Header as favorites. Select an item from either the segment menu or the settings menu. Right click on the item to add it to the favorites. You can store different favorites for each segment type. Please note: Depending the displayed image (DSA or native image) the items in the favorites may change to correspond to currently displayed image type. When an image is displayed, there are controls to review images at the bottom of the segment. You can review scenes at the same frame rate as the scene was acquired, or you can change the speed. Please note: For variable frame rate acquisitions, the review speed cannot be changed. ? Info Area Select the colored callouts and marker for more information. Info Area [artis_icono_VE23_swov_olt_en_info-area.mp3] Now that you have a brief overview about the user interface, let’s take a closer look to the Info Area. The Info Area is at the top of the control room user interface. The Info area shows the most important patient and examination data. When you click on the items in the Info Area, you can change the data and administrate patients and the system. Select the colored callouts and marker for more information. [artis_icono_VE23_swov_olt_en_info-area_layout-gallery.mp3] The icon for the Layout Gallery is in the info area. Select the icon to change the layout for the control room display. You can also change the layout for the exam room here. Additionally, you select the icon to open the Display Layout Configurator. In the Display Layout configurator, you can configure the display layouts for the exam room display and the control room display. Home Examination Return to the examination user interface. System Messages Displays system messages. Lock Locks the workplace. Power icon Provides options to shut down or restart the system After system startup, you come to the home screen. You can access the home screen anytime by selecting the Home icon in the Info Area. Options Info Area In the corner of the Info Area, you can access the Options menu. Here you can find the following items: Online Help Remote Assistance Information about the system Job View User Configuration Service Timer Info Area An analog clock is displayed in the Info Area. If you place the mouse over the clock the time is displayed in digital format. When you select the clock, a timer is displayed. Timer Press the Start icon to start the timer. Press Stop to pause the timer. When you press Start again, the timer is reset and starts timing from zero. The timer can also be started from the Pilot control module (PCM). Message History Info Area The system keeps you updated with the status of the system. Select the User message on the Info Area to open the Message History. Message History The messages in this area are particularly important when a system error occurs. Positions Editor Info Area The C-arm position and the table position are displayed in the Info Area. Select this area to open a more detailed view of the system position and to access the Positions Editor (Organize Stored Positions). In the Positions Editor, you can view and rename the anatomical positions and system positions. You save the customized system positions from the touchscreen on the Pilot Control Module (PCM). Slide maybe needs to be replaced Dose Report Info Area Dose data for the current patient is displayed here. When you select the dose data, the Dose Report opens. Please note: you can check in the Info Area if the grid is inserted or not. Dose Report Here you can view the preliminary dose report. Comments Here you can add comments to the dose report. Program Selection Info Area The currently selected acquisition protocol, fluoroscopy protocol and acquisition parameters are displayed in the Info Area. When you select this area of the Info Area, the Program Selection window opens. Program Selection Here you can change the currently selected: Acquisition plane for biplane systems Body region Procedure Acquisition protocol Fluoroscopy or roadmap protocol Acquisition frame rate Fluoroscopy pulse rate Acquisition scene length Measure field Block X-ray In addition, you can also select Block X-ray. This is the only location on the control room user interface to block X-ray. Layout Gallery Display Layout Configurator Layout Gallery Patient Management Patient Data The data for the current patient is displayed in the Info Area. When you select the patient data, the Patient Management window opens. Patient Management Here you can register a new patient or close the patient. Select the Scheduler in the Info Area to register patients. In the Scheduler you can: Register an emergency patient Register a patient manually Register a patient from the HIS/RIS Scheduler ? Segments Segment Types Live segment Ref segment Viewer 3D Sharing Apps External Segment Header Contains the Patient Browser, the Image Directory, the Segment Settings and the Segment Menu. Image Area Displays the image. The type of image that can be displayed depends on the selected segment type. Review Controls Controls to review images Segments [artis_icono_VE23_swov_olt_en_segments.mp3] Images and other information are displayed in segments. A segment consists of these three main areas: - the Segment header, which contains the Patient Browser, the Image Directory, the segment Settings and the Segment Menu. - the image area, which displays the image - and the Review controls to review images. The type of image that can be displayed depends on the selected segment type. You can change the segment type by clicking the Segment Header Source and selecting the new source in the list. The Live segment displays the current live image, the last image hold or the previous image from the examination patient. The Ref 1 and Ref 2 segments display the reference images. The Viewer displays 2D Angio or 3D Volume images for a review patient. 3D Sharing displays 3D Volume images that can also be displayed in the exam room. Additionally, an external source, for example PACS, can be configured to display in the External segment. Each segment type is demonstrated by a different color. The currently selected segment is outlined with the color of the segment. ? Segment Header The segment header provides access to the Patient Browser, the Image Directory, the Segment Settings and the Segment Menu. Select the tab arrows to learn more about these controls. Open the Patient Browser Open the Image Directory Change Segment Settings Open the Segment Menu Add Favorites Patient Browser Image Directory Segment Settings Segment Menu Segment Header Favorites You can add your most frequently used icons from the Segment Menu or Settings to the Segment Header. Right-click on the icon to add it to the favorites. To remove an icon from the favorites, right-click on the icon in the Segment Header. ​Please note: The favorites are specific for each segment type. Segment Menu There are many functions related to image postprocessing and storing images in the Segment Menu. The options available change depending on the currently displayed image. Segment Settings The options available in the Segment Settings depend on the current image type. You can set the Review mode of the images in the Segment Settings. That is, if the scene should loop or display the last image hold (LIH). Image Directory Images for the currently displayed patient are found in the Image Directory. If the patient has had more than one examination on the system, first filter the date of the examination. Select the image type: All Scenes + 3D 3D REF/Bookmarks Key Images (3D snapshots and store monitor images) Custom image display Select Send To to send images to the PACS. When a study has been archived to PACS, a green check mark appears. Patient Browser The Patient Browser has filter functions to search for patients. Enter the patient name in the search bar. Use an asterisk (*) before or after the entry for a wild card search. This will include entries in the search with additional characters at the beginning or the end of the search term used. Empty the search field by selecting the cross in the search box or by deleting the characters. To return to the full list, press enter again to search all entries. 1 1 2 2 2 Search Bar Patient Browser 1 1 2 2 1 In the Patient Browser, you can access functions related to patient data management. When loading patient images from the Patient Browser, make sure that you open the browser from the segment that you would like to open the images in. When a study has been archived to PACS, a green check mark appears. Select step 2 to continue. Patient Registration ? Now let’s see how you register patients. Select play to start the video! Please note: This video shows a VE20 system. The user interface is similar to a VE21 and VE23 system. Patient Registration Please note: Depending on the software version, the color of the Exam button is different. VE20: Green Exam button VE21/VE23: Orange Exam button Exam Exam Patient Registration This video is part of HOOD05162002988829 (not part of this HRT artifact) 02_vid_ARTIS_icono_VE20_SW_Overview_patient_registration_FINAL.docx Welcome to the ARTIS Icono Patient Registration video. This video will guide you through the workflow to register a patient via the Scheduler, via HIS/RIS patient registration, manual patient registration and via emergency patient registration. To register a patient, select the Scheduler from the Info Area. Alternatively, you can open the scheduler by pressing the scheduler key on the keyboard. If your system is connected to a Radiology information system (RIS), the patients scheduled for the system are displayed on the left. To select a patient, click on the entry in the Scheduler. If your monitor is the optional touchscreen, you can also select the patient with your fingertip. The Patient Registration window opens. Check that all the information is correct. Please note that fields marked with an asterisk are mandatory. You cannot continue with the examination until these fields are completed. Select the body region. Select the procedure type. Select the patient position. If required, select the correct head holder. Please note, if your system does not have a head holder configured, the option to select a head holder will not appear. When you have confirmed that the information is correct, click on the green Exam button in the bottom right corner. Alternatively, you can select exam in the toolbar of the scheduler. To register a patient manually, open the scheduler and select Register Patient from the toolbar. Fill in all required fields, in particular the mandatory fields marked with an asterisk. Select the body region, the procedure type, confirm the patient position and select the correct head holder, if required. Click on the Exam button to start the examination. In time critical cases, it is possible to register an emergency patient. Open the Scheduler and select Emergency Patient from the toolbar. The mandatory fields are filled with default values. You can update information in any of the fields depending on the information available. Select the procedure type, confirm the patient position and select the correct head holder, if required. Click on the Exam button to start the examination. ? You select your program during patient registration. It is also possible to change the program settings during the examination. To learn more about program selection, select play to start the video! Please note: This video shows a VE20 system. The user interface is similar to a VE21 and VE23 system. Program Selection Program Selection This video is part of HOOD05162002988829 (not part of this HRT artifact) 03_vid_ARTIS_icono_VE20_SW_Overview_program_selection_FINAL.docx Welcome to the ARTIS icono Program selection video. This video demonstrates how to change a selected program from the control room. In addition, you will learn how to activate block X-ray from the control room user interface. During patient registration, you select the procedure type. The procedure includes an acquisition protocol and a fluoroscopy or Roadmap protocol. Additionally, a Case Flow may be assigned to a procedure. If you need to change the selected procedure or protocol, select Program Selection from the Info Area. The procedures are organized into Body regions. If required, select the required body region. The procedures are in a list on the left. Use the scroll bar if necessary, to see all of the procedures. If required, select the procedure. If you have the optional touchscreen monitor, you can select the procedure via touch with your fingertip. You can select the current acquisition protocol and the fluoroscopy protocol. The fluoroscopy protocols are arranged into set of three, known as fluoroscopy triplets. You can change the current fluoroscopy set. Additionally, you can change the following parameters: Acquisition frame rate, Fluoroscopy pulse rate, Acquisition scene length and the measure field. To block X-ray from the control room, select Block X-ray in program selection. Case Flow ? Case Flows To assign specific preferences of a user to a procedure These settings are automatically applied: X-ray and imaging parameters Exam room display layout C-arm start position Table position Collimation Zoom size Overlay state The pre-selection of settings with Case Flows can: Improve operational efficiency Standardize procedure execution Concentrate on the clinical procedure and the patient Case Flows [artis_icono_VE23_swov_olt_en_case_flows.mp3] Case Flows allow you to assign specific preferences of a user to a procedure. After you select Case Flows, the following settings are automatically applied: The X-ray and imaging parameters, the exam room display layout, the C-arm start position, the table position, the collimation, zoom size and the overlay state. The pre-selection of settings with Case Flows can improve operational efficiency, standardize procedure execution and allow you to concentrate on the clinical procedure and the patient. ? Selecting Case Flows Selecting Case Flow [artis_icono_VE23_swovw_selecting_case_flows_en.mp3] You select Case Flows from the touchscreen on the Pilot control module. Each Case Flow is linked to a procedure. When you select Case Flows on the touchscreen, the Case Flows that are available for the currently selected procedure are displayed. ? Case Flows Viewer In the Program Selection, you can open the Case Flows Viewer. With the Case Flows Viewer, you can view the parameters of the available Case Flows. Select the steps below to learn how to open the Case Flows Viewer in the control room. 1 1 1 2 2 2 Case Flows Viewer Open the Case Flows Viewer In the Program Selection, select the Case Flows Viewer icon to open the Case Flows Viewer. Case Flows Viewer icon 2 Select the protocol field in the Info Area to open the Program Selection. Open the Program Selection 1 Store Images ? Image Storage Images acquired as an acquisition are automatically stored. Fluoroscopy images are not stored automatically. You can manually store fluoroscopy and roadmap images as a store monitor image, a reference image or as a scene. To learn more about this topic, select play. Please note: This video shows a VE20 system. The user interface is similar to a VE23 system. Image Storage This video is part of HOOD05162002988829 (not part of this HRT artifact) 04_vid_ARTIS_icono_VE20_SW_Overview_store_images_FINAL.docx Welcome to the Artis Icono Store images video. This video will guide you through the workflow to store a single image, a fluoroscopy or Roadmap scene and a reference image from the control room. You can store any 2D Angio (DR, DSA, fluoroscopy and Roadmap) image which is currently displayed as a new image, known as a Store Monitor image. Select the Menu icon in the Segment Header. Select the Storing tab. Select the Store Monitor icon. The current frame of the scene or single image is stored. All post processing will be saved to the image. If configured as a favorite in the segment, the store monitor icon may appear in the Segment Header. To add the Store monitor icon as a favorite, right click on the icon in the Segment menu. When fluoroscopy is no longer active you can store the previous fluoroscopy or Roadmap scene. Select the Menu icon in the Segment Header. Select the Storing tab. Select the Store Fluoro icon. Please note: The most recent fluoroscopy or roadmap scene is stored on a temporary buffer. You can only store the most recent scene. Previously acquired scenes are already overwritten and no longer available on the system. The length of the scene that can be saved can be configured in the user settings. You can store any image that is currently displayed as a reference image. Select the Menu icon in the Segment Header. Select the Storing tab. Select the Store Ref 1 or store Ref 2 icon. Depending on the selected display layout, the respective images are displayed in the Ref1 and Ref2 segments. Load Images ? Load images from the current examination or previous examinations Load images to the Live, 3D Sharing or Viewer segments For more information, select the orange markers. Load Images Segments You can load images to the Live, 3D Sharing or Viewer segments. The type of image that you can open in a segment depends on the segment type. For example, the Live segment can only display images from the current examination. Patient Browser You load images from the Patient Browser. Each segment has an icon to open the Patient Browser in the Segment Header. Select the icon to open the Patient Browser in the segment that you want to load the images into. Load Images [artis_icono_VE23_swov_olt_en_load_images.mp3] You can load images to the segments from the current examination or from previous examinations. You can load images to the Live, 3D Sharing, or Viewer segments. For more information, select the orange markers. ? Rules for Loading Images 3D Sharing 3D Sharing Viewer Viewer Live Segment Live Segment Live Segment Further Rules Further Rules In the Live segment you can only load images from the current patient. This includes images from current examination and previous examinations. You cannot load images from another patient to the Live segment. Rules for Loading Images Tab Slide Please click on one of the tabs to display the corresponding content on this page. Further Rules When loading images, you should also consider the following: You can open a maximum of two different patients in parallel. You can open a maximum of two 2D images at the same time. You can open a maximum of two 3D images at the same time. All of the above rules include the Live image. If no image has been acquired, one Live image is still accounted for. 3D Sharing The images displayed in 3D Sharing in the control room are synced with the 3D Sharing segment on the exam room display. You can load 3D images from the current examination or from a previous examination to 3D Sharing. When loading images from a previous examination, you will see a message that the images will be merged to the current patient. Accept the message to proceed. Additionally, you can load a 2D secondary capture image of a 3D image in 3D Sharing. Viewer The Viewer is seen in the control room only. You can load all image types to the Viewer: 2D Angio And 3D volume images You can load images from the current patient or images from another patient. It is not possible to load 3D images from the current examination to the Viewer. In this case, you will need to open the images in 3D Sharing. Postprocessing ? Postprocessing In this lesson, we will talk about postprocessing 2D and DSA images. The following topics will be covered: 2D image review and postprocessing DSA postprocessing Annotations and measurements When you’re ready, move on to the next slide. Postprocessing ? This video explains how to review and postprocess 2D images. Select play to start the video! Please note: This video shows a VE20 system. The user interface is similar to a VE21/VE23 system. 2D Image Review and Postprocessing 2D Image Review and Postprocessing This video is part of HOOD05162002988829 (not part of this HRT artifact) 05_vid_ARTIS_icono_VE20_SW_Overview_2D_image_review_post_processing_FINAL.docx Welcome to the Artis Icono 2D post processing basics video. This video will guide you through the workflow to window images, scroll through images, loop through all scenes and access functions to post process images. You can access basic imaging functions with a right mouse click on the image. The options available depend on the selected image type. You can find further functions for adjusting the views of a scene or image in the Image tab of the Segment menu. For example, adjust the edge enhancement, shutter an image, zoom and pan, flip the image vertically or horizontally and invert the image. You find the controls to review images at the bottom of the image segment. You can review scenes at the same frame rate as they were acquired, or you can slow down or speed up scene review depending on the acquisition frame rate and system configuration. Please note: For variable frame rate acquisitions, the review speed cannot be changed. The acquisition mode and the acquired frame rate are displayed beneath the scroll bar. Press play to start the scene. Select the previous or next frame in the scene. Or use the slider to move to a point in the scene. Using the controls on the bottom left, you can select the previous or next scene or image. You can review the study so that scenes are played one after the other. To loop the scenes, select Loop in the Image tab of the Segment menu. With contrast and brightness windowing you can adapt the image to display the gray scale region of interest with optimal contrast conditions. There are several methods available for windowing images in the control room. To window the image using the mouse, press and hold the middle mouse button in the required image. To adjust the window center (image brightness), move the mouse up and down. To adjust the window width (image contrast), move the mouse left and right. You can also use your keyboard to adjust the window values. Press on the keys to adjust the image contrast and brightness. Additionally, you can adjust the window values from the Image tab in the Segment menu. Select the windowing icon. Drag the sliders to adjust image brightness and contrast. ? Image Tab On the Image tab of the Segment Menu, you can find various tools for adjusting the view of the image. Select the colored callouts for more information. Image Tab Invert Select this icon to invert the image gray scale, where bones black become bones white and vice versa. Looping through all scenes Select this icon to review the study so that scenes are played one after the other. Acquisition Size Select this icon to zoom the image to the acquisition size. Vertical Flip Select the Vertical Flip icon to flip the image in the vertical direction. Take care when using image flip to ensure the correct labeling of images. Horizontal Flip Select the Horizontal Flip icon to flip the image in the horizontal direction. Take care when using image flip to ensure the correct labeling of images. Zoom/Pan Select the Zoom/Pan icon to zoom by a factor of two. To pan the image when Zoom/Pan is active, click on the image and drag to position. Shutter Select the Shutter icon to hide unimportant details outside the center of the image. Edge enhancement Use the slider to adjust the value from 0% to 100%. Greater edge enhancement creates sharper edges and more noise. Reduce the edge enhancement value for softer edges and less noise. Windowing Select the icon to open sliders to adjust the window values. You can also window images using the mouse or your keyboard. ? Flip Fluoroscopy Images Flip Fluoroscopy Images [artis_icono_VE23_swov_olt_en_image_tab.mp3] You can find the icon to flip real-time fluoroscopy images on the touchscreen of the pilot control module under Settings. ? This video explains how to postprocess DSA images. Select play to start the video! Please note: This video shows a VE20 system. The user interface is similar to a VE23 system. DSA Postprocessing DSA Postprocessing This video is part of HOOD05162002988829 (not part of this HRT artifact) 06_vid_ARTIS_icono_VE20_SW_Overview_DSA_post_processing_FINAL.docx Welcome to the ARTIS Icono DSA post processing video. This video will guide you through the workflow for DSA post processing, including: Setting a new mask image Displaying a scene native or subtracted Adjusting the anatomical background Pixel shift Averaging Replacing the maximum fill image and Opacification You can access the functions for adjusting the DSA image in the DSA tab of the Segment menu. Please note: The DSA tab will only appear in the segment menu when a DSA image is loaded. During DSA or Roadmap, the mask is set automatically. If required, for example because of patient movement, you can change the automatically set mask. Setting a new mask can be done via Move mask or Replace mask. Depending on your user configuration either the Replace Mask icon or the Move Mask icon will be available in the DSA tab of the Segment menu. If Move mask is configured, to change the mask image, select the Move mask icon in the DSA tab of the Segment menu. Use the review controls to scroll through the mask images one by one. When you reach the frame that you want to select as a mask, select the Move mask icon again. If image text is not shown on the screen, right click on the image and select Image text. The number of the selected frame is displayed on the top left edge of the image area next to the letter M. If Replace Mask is configured, to change the mask, first scroll through the scene frame by frame. When you reach the frame that you want to be the new mask, select the ‘Replace mask’ icon. The selected frame will be used as the mask. A DSA scene is normally displayed subtracted. However, each subtracted scene can also be displayed un-subtracted, that is, native. Select the Native icon in the DSA tab of the Segment menu. You can also select native display by right clicking on the image. Select Native from the menu. You can adjust the anatomical background between zero per cent (subtracted display) and 100 percent (native display). Select the Anatomical background icon in the DSA tab of the Segment menu. The anatomical background slider will appear in the workflow header. Select Show and drag the slider to adjust the anatomical background. If you know the percentage of background that you want, you can enter the value into the percentage field. If the patient has moved, the mask and the fill images of DSA may not correspond accurately. Using Pixel shift, you can align the mask and fill images. Select the Pixel shift icon in the DSA tab of the Segment menu. After selection of pixel shift, Auto pixel shift is automatically selected. With Auto pixel shift, you define the region of interest for which you want to optimize the pixel shifting. The computer automatically calculates the best result. This result is applied to all subsequent frames in the scene. Drag the square icon to the region of interest. The mask is shifted to optimize subtraction for that region. If you are not satisfied with the result, you can make further adjustments with Manual pixel shift. Select the Manual pixel shift icon in the Pixel shift menu. Drag the image area to align the mask and the fill image. It is also possible to use the arrow keys on your keyboard. Another option you can use for pixel shift is Flexible pixel shift. Select the Flexible pixel shift icon in the Pixel shift menu. The mask image is divided into squares, like on a chess board. The optimal pixel shift is automatically applied to each square. Please note: the calculation may take a few seconds. The pixel shift calculation is applied to the current frame only. To store the result, save the image as a Store Monitor image. To reset the pixel shift to zero, select the Reset icon in the pixel shift menu. Selecting the Home icon will restore the pixel shift to the last saved values. Averaging can be used to improve the image impression by reducing noise. Select the Averaging icon in the DSA tab of the Segment menu. Mask averaging can be used in subtracted scenes to reduce noise. You can specify the number of frames used for the calculation of the mask image. Please note: The number of frames you can use for averaging is limited by the number of frames available in the scene. The Fill Averaging function allows you to specify the number of frames the system uses to average into a single fill frame. Please note: Fill averaging should only be applied to display non-pulsating vessels as otherwise vessel edges will be blurred. For DSA scenes it is recommended to perform both mask averaging and fill averaging. Select the number of frames to be used from the Fill averaging list. The higher the number of images used for averaging, the better the noise suppression. Select the number of frames to be used from the Mask averaging list. The calculation is carried out immediately and applied to the scene. During acquisition, the system automatically selects the maximum fill image, or in the case of CO2 DSA, the minimum fill image. This image is used as the scene representative and it is displayed in the image directory. If you want to use another image as the scene representative, you can replace the image. Scroll through the frames to select the new fill image. When you reach the desired frame, select the Max fill override icon in the DSA tab of the Segment menu. The currently displayed frame is referred as the new scene representative. Usually the contrast medium does not fill the vessels uniformly after injection, the contrast medium travels through the vessels. The Opacification function combines the frames from the fill phase. The path taken by the contrast medium is displayed in one image. Scroll through to the frame in which the contrast medium is visible for the first time. With the frame selected, select the OPAC icon. Every frame from this point will be added to the OPAC image. Scroll through frame by frame. The image with the maximum contrast filling is calculated. You can save the image as a reference image or a store monitor image. The OPAC function remains active until deactivated. To deactivate OPAC, select the OPAC icon again. After OPAC is deselected, the scene is displayed normally. Annotations ? Annotate with Text Annotate with Lines and Shapes Hide/Show Annotations For more information, select the tab arrows. You can add text and graphical elements to be overlaid to the scene or image. You can access the tools for adding annotations in the Segment Menu. Annotations Hide/Show Annotations If you do not want to see the annotations or graphics on the images, you can hide them. Hide/Show Select the Hide/Show annotation icon in the Annotation tab of the Segment menu. Deselect the Annotation Alternatively, you can right-click on the image and deselect the annotation. Annotate with Lines and Shapes You can emphasize image details using lines, arrows, or shapes. Select the required annotation in the Annotation tab in the Segment Menu and select the area of interest on the image. You can also use the Pointer function in the control room to place a pointer on the image so that it appears on the exam room display. Select the Pointer icon in the Annotation tab in the Segment Menu. To add a free text: Select the Free Text icon in the workflow header. Select the required position on the image. Enter the text via the keyboard. ​Press Enter on the keyboard to confirm the text. To add a pre-defined text: Select the text from the Text annotation list. Select the required position on the image. Annotate with Text Select the Annotation Text icon in the Annotation tab of the Segment Menu. Measurements ? To select a measurement tool, do the following: Open the Segment Menu. Click the Measurement tab. Choose one of the measurement tools. Please note: Distance measurements are only possible for calibrated images. Measurements [artis_icono_VE23_swov_olt_en_measurements.mp3] You can perform simple measurements on scenes or single images, such as distances or angles. Open the Segment Menu, click the Measurement tab and choose one of the measurement tools. Please note: Distance measurements are only possible for calibrated images. On the following slides, we will go into more detail about the different calibration methods and how to perform measurements. Calibration Methods ? Before you measure an object on the image, you must make sure that the image is calibrated. There are three methods of calibration: Automatic Isocenter Calibration Automatic TOD Calibration Distance Calibration Please note: If the image is calibrated incorrectly, inaccurate results are possible. Perform the calibration carefully. If no calibration is stored for an image with distance measurements, two ?? will be displayed instead of a distance value. Calibration Methods ? Isocenter Calibration If the organ of interest was placed in the isocenter (the center of rotation) during the acquisition, the system can perform an automatic isocenter calibration. To re-calibrate an image, you can manually start the automatic isocenter calibration. Select the tab arrows for more information. Automatic Isocenter Calibration Manual Isocenter Calibration Isocenter Calibration Manual Isocenter Calibration To re-calibrate an image, you can manually start the automatic isocenter calibration. To do that, select the Auto ISO Cal icon in the Measurement tab of the Segment Menu. ​​ Please note: This method of calibration should only be used if you are certain that the organ of interest was in the isocenter during the acquisition. Otherwise there can be significant measuring uncertainties. Automatic Isocenter Calibration Isocenter calibration is automatically preselected by the system for image angles 50° to 130°. The system is ready for calibration as soon as you click on the image. A message is displayed in the workflow header. Confirm with Accept. The automatic calibration is then performed immediately and displayed. ? TOD Calibration If the organ of interest is at a defined distance from the tabletop, you can use the table-object distance (TOD) calibration. The system calculates the calibration factor based on the image geometry. To re-calibrate the image, you can manually start the Automatic TOD Calibration. For more information, select the tab arrows. Automatic Preselection of TOD Calibration Start the TOD Calibration Manually TOD Calibration Start the TOD Calibration Manually To re-calibrate the image, you can manually start the automatic TOD calibration. To do that, select the Auto TOD Cal icon in the Measurement tab of the Segment Menu. Automatic TOC Calibration TOD calibration is automatically pre-selected for images with angles 0° – 50° and 130° – 180°. For images with angles 0° – 15° and 130° – 165°, enter the TOD and confirm with Accept. For images with angles 15° – 50° and 130° – 165°, you are prompted by the system to first click on the Region of interest (ROI) in the image. Then, enter the TOD and confirm with Accept. ? Manual Distance Calibration If there is an object on the image with a known distance, you can use the object to calibrate the image. The calibration object should be… Located in the same plane as the object to be measured. Larger than the object to be measured. Calibrate over a distance of at least 3 cm. Check that the contrast between the calibrating object and the background is good. 1 1 1 2 2 2 3 3 3 Manual Distance Calibration [artis_icono_VE23_swov_olt_en_manual-distance-calibr.mp3] If there is an object on the image with a known distance you can use the object to calibrate the image. The calibration object should be located in the same plane as the object to be measured, and it should be larger than the object to be measured. For distance measurements, it is advisable to calibrate over a distance of at least 3 centimeters. Check that the contrast between the calibrating object and the back ground is good. When the contrast is too low, the pixel size will be inaccurate. To learn how to calibrate the distance manually, select the steps below. Enter the Length Enter in the length of the distance (in mm) and confirm with Accept. 3 Select the Starting Point Click on the image to select the starting point and drag the line to the end point. 2 Select Distance Calibration Select the Distance Calibration icon in the Measurement tab of the Segment Menu. 1 ? Measuring Distances You can measure distance lines and polylines. For more information, select the tab arrows. Measuring Distance Lines Measuring Distance Polylines Measuring Distances Measuring Distance Polylines Select the Measure Distance icon in the Measurement tab of the Segment Menu. Click on the image to set the starting point. Drag the line to the first point. Click further points. Double-click on the end point. As soon as the end point is set, a polyline curve and the distance are shown. Measuring Distance Lines Select the Measure Distance icon in the Measurement tab of the Segment Menu. Click on the image to set the starting point. Drag a line to the end point. The distance line is drawn showing a number and the distance. ? Drawing and Measuring Angles You can draw and measure angles. For more information, select the tab arrows. How to Measure Angles Draw an Angle Drawing and Measuring Angles Draw an Angle To draw an angle, do the following: Select the Angle icon in the Measurement tab of the Segment Menu. Click on the image in the start point and drag the line to the end point of the first line. Click on the image in the start point and drag the line to the end point of the second line. How to Measure Angles The system determines the angle between the two drawn lines clockwise (Angle A). If the angle is > 180°, the program subtracts 180° from the angle (Angle B). If both sides have been drawn in the direction of the point of intersection, angle A is displayed. If both sides have been drawn away from the point of the intersection, angle A is displayed. Otherwise, angle B (angle A minus 180°) is displayed. 1 2 3 Export Images ? In this video, you will learn how to export images. Select play to start the video. Please note: This video shows a VE20 system. The user interface is similar to a VE23 system. Exporting Images Exporting Images This video is part of HOOD05162002988829 (not part of this HRT artifact) 07_vid_ARTIS_icono_VE20_SW_Overview_exporting_images_FINAL.docx Welcome to the Artis Icono exporting images video. This video will guide you through the workflow to: Export images to the DICOM network node. Export images to CD or DVD. Export images to a file system on the system including USB. Images can be exported from the patient browser or from the image directory. From the patient browser, you can export: The complete data set of a patient. Selected studies or series. Single images or image stacks. Select the images required for Export. Select the Export icon on the toolbar of the Patient Browser. The Export data dialog box opens. The export dialog box consists of: The data selection area The export target area. The export settings area. An indicator of the amount of data to be exported. Check the data to be exported in the data selection area. To remove data from the export, select the check mark next to the item. To export data to a network node: Select Network. Select the target (either the PACS or another pre-defined network node). Select Export. If a CD/DVD drive is available on your system, you can export images to a CD or DVD. Please note: It is only possible to burn single sessions to CD/DVD. Select CD/DVD in the export dialog box. Select the target and view the profile. The profile defines the export settings. For example, the compression, anonymization of data or the addition of a viewer. Select the Action. In the Media label field, enter the label for the CD/DVD. Only letters, numbers and underscores are permitted. There is a maximum of 6 characters. Select the Export button. You can export files to your local file system, to shared network drives or USB. Select the target file system in the export dialog. Use the Browse function if necessary. Select the properties and the Export icon. It is also possible to send images to the DICOM network node from the image directory. To send a single image, select the image and select Send to from the toolbar. To send multiple images, first select Multiple Selection and then select the images. Select Send to to send the images to the DICOM network node. Outro ? Course Review Congratulations. You have completed the ARTIS icono VE23 Software Overview Online Training course. Select the numbered buttons below to review the material before proceeding to the final assessment. 1 1 Recognize the common features of the user interface 2 2 2 Recall the steps for patient registration 3 3 3 Understand the purpose of Case Flows 4 4 4 Recall the steps to store and load images 5 5 5 Recognize the postprocessing features 6 6 6 Recall the steps for image export Course Review Recall the Steps for Image Export In the Patient Browser, select the Export icon to open the Export dialog. You can export images via the following methods: Export images to the DICOM network node Export images to CD or DVD Export images to a file system on the system including USB Recognize the Postprocessing Features Review Controls In the Segment Menu, you can access the 2D and DSA postprocessing functions. On the Image tab, you can find various tools for adjusting the view of the image segment (such as windowing, flip, zoom, pan). On the DSA tab, you can find various tools for adjusting the view of a scene/image which is displayed subtracted. The DSA tab is only available when the DSA image is loaded. Use the review controls to review images. Text and graphical elements can be added via the tools in the Annotations and Measurements tab. Please calibrate the image before performing measurements. Segment Menu Recall the Steps to Store and Load Images Only acquisition images are automatically stored. Fluoroscopy and roadmap images must be stored manually. Store Fluoro Select this icon to store the fluoroscopy or roadmap scene. Store Monitor Select this icon to store a Store Monitor image. Store Ref1/Store Ref2 Select this icon to store a reference image in the respective segment. Patient Browser Load images from the Patient Browser. You can load images to the Live, 3D Sharing or Viewer segments from the current examination or from previous examinations. The type of image that you can open in a segment depends on the segment type. Understand the Purpose of Case Flows Case Flows allow you to assign specific preferences of a user to a procedure. After you select Case Flows, the following settings are automatically applied: X-ray and imaging parameters Exam room display layout C-arm start position Table position Collimation Zoom size Overlay state Recall the Steps for Patient Registration Scheduler Patients are registered via the Scheduler. You can open the Scheduler from the Info Area or by pressing the Scheduler key on the keyboard. Patients List If your system is connected to a RIS, the patients scheduled for the system are displayed here. Patient Registration Window The patient information is displayed in the Patient Registration window. All mandatory fields marked with an * must be filled to complete the registration. Manual and Emergency Registration Select one of these icons to register a patient manually. For time-critical cases, use the emergency registration. Program Selection If you need to change the procedure during an examination, select program selection. Program Selection During patient registration, you select the procedure type here. Recognize the Common Features of the User Interface Home Screen You can access the Home screen anytime by selecting the Home icon in the Info Area. User Interface The user interface is divided into: The Info Area The Segment header The Image Area Review controls Area for guidance messages Info Area The Info Area shows the most important patient and examination data. When you click on the items in the Info Area, you can change the data and administrate patients and the system. Segments Images and other information are displayed in segments (Live segment, Ref segment, 3D Sharing, Viewer, External). Each segment type has a different color. The currently selected segment is outlined with the color of the segment type. You can add and remove icons to the Segment Header as favorites. Disclaimer 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 ? Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Select the best answer. ? Question 1 of 6 Which icon opens the Scheduler? 1 2 3 1 2 3 Multiple Choice Correct This is not the correct answer. Incorrect Incorrect This is not the correct answer. Select the image to magnify it. ? Question 2 of 6 When registering a patient, what should you check if the Exam icon is not available to start the exam? Check that all fields marked with an * are filled. Close the patient registration and start again. Wait a few minutes until the Exam icon appears. Exam Multiple Choice Incorrect This is not the correct answer. Incorrect This is not the correct answer. Correct Select the best answer. ? Question 3 of 6 How can you change the acquisition or fluoroscopy protocol during the examination from the control room user interface? You cannot change the acquisition or the fluoroscopy protocol from the control room user interface. You can change the acquisition or the fluoroscopy protocol in the Patient Browser. You can change the acquisition and the fluoroscopy protocol from the Program Selection menu. Multiple Choice Incorrect Incorrect This is not the correct answer. Incorrect This is not the correct answer. Select the best answer. ? Question 4 of 6 What type of image can be stored as a Store Monitor image? Only roadmap and fluoroscopy images Only 2D Angio images including DSA, fluoroscopy and roadmap Only 3D images Multiple Choice Incorrect This is not the correct answer. Correct Incorrect This is not the correct answer. Select the best answer. ? Question 5 of 6 Where can you find the tools to add text and graphic annotations to the image? 1 2 3 4 4 4 1 2 4 3 Multiple Choice Correct Incorrect This is not the correct answer. Incorrect This is not the correct answer. Incorrect This is not the correct answer. Select the best answer. ? Question 6 of 6 Where can you select Case Flows? On the touchscreen control on the Pilot control module From the Info Area in the control room From the Image Directory in the control room Multiple Choice Incorrect This is not the correct answer. Incorrect This is not the correct answer. Incorrect Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%Results.ScorePoints%% %Results.PassPercent%Results.ScorePoints%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the ARTIS icono VE23 Software Overview Online Training. Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 HOOD05162003288157 I Effective Date 19 Sep 2022 1.1 Welcome 1.2 Navigation Hints 2.1 User Interface 2.2 Examination User Interface 2.3 Info Area 2.4 Segments 2.5 Segment Header 3.1 Patient Registration 3.2 Program Selection 4.1 Case Flows 4.2 Selecting Case Flow 4.3 Case Flows Viewer 5.1 Image Storage 6.1 Load Images 6.2 Rules for Loading Images 7.1 Postprocessing 7.2 2D Image Review and Postprocessing 7.3 Image Tab 7.4 Flip Fluoroscopy Images 7.5 DSA Postprocessing 7.6 Annotations 7.7 Measurements 7.8 Calibration Methods 7.9 Isocenter Calibration 7.10 TOD Calibration 7.11 Manual Distance Calibration 7.12 Measuring Distances 7.13 Drawing and Measuring Angles 8.1 Exporting Images 9.1 Course Review 9.2 Disclaimer 9.3 Assessment 9.11 Completion