Biograph™ Varian RPM Respiratory Gating: Patient Setup and Use Job Aid

Varian RMP Respiratory Gating: Patient Setup and Use Job Aid Biograph™ mCT, Vision, and Horizon This step-by-step procedure will assist the user in setting up the Varian RPM Respiratory gating system and using it to acquire the study. 1. Power on the Varian computer by pressing the red power button on the back of the com- puter. -- 2. Using mounting screws, affix infrared camera to the RT pallet. 3. Place the 2-Dot marker block on the patient. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 SIEMENS Master Template Effective Date: 05 Mar 2020 | HOOD05162003074494 Job Aid Effective Date: 7-Jun-2021 | HOOD05162003185770 Healthineers Job Aid | Varian RPM Respiratory Gating: Patient Setup and Use Effective Date: 7-Jun-2021 | HOOD05162003185770 • Take care to place the marker on the patient in a reasonably flat location • Marker should not tilt more than 25 degrees • Use medical tape or appropriate means to secure to the patient 4. Varian is supported by the Open Interface option. • Open Interface essentially informs the software that an external gating device will be used for gating • To activate Open Interface, from Options > Configuration > Respiratory Gating, select Open Interface Respiratory Gating General General settings Il Respiratory Gating Demo Mode Respiratory Synthetic Sync Open Interface (or Average CT without gating device) OK Apply Default Settings Cancel Help 5. After enabling Open Interface, you will get the following message when loading a respira- tory gating protocol: SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date 05 Mar 2020 | HOOD05162003074494 Healthineers Page 2 of 8 Job Aid | Varian RPM Respiratory Gating: Patient Setup and Use Effective Date: 7-Jun-2021 | HOOD05162003185770 Respiratory Gating X No communication with Respiratory Gating system. X Please check the Respiratory Gating system and try again or continue without CT Respiratory Gating system. If you press CANCEL, Respiratory ranges will not be scanned. Try Again Continue Cancel • Selecting Continue will allow the user to continue with the protocol 6. Launch RPM software using the icon on the desktop. RPM Respir atory ... 7. On the RPM computer, click the New Patient button or select one from the list. X Last Name First Name ID 4365g bkn nkb New Patient Delete X DDonP dsfh Patient ID: Edit Patient fft 007 foh fout Last Name: futoujv Bond Delete Patient QAu Lutz oik hof First Name: qwere James rter Middle Name or Initial seq seq six OK Cancel 1) Use File\Archive Database to archive ununed patient records. Select Close 8. Select Add New Field and define a new field (this will not have any influence on the ex- amination). SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date 05 Mar 2020 | HOOD05162003074494 Healthineers Page 3 of 8 Job Aid | Varian RPM Respiratory Gating: Patient Setup and Use Effective Date: 7-Jun-2021 | HOOD05162003185770 at Fields and Sessions First Nome: Jaunes Show: Reference sessions only " Last Name: Bond Field Session Type Session Date Add New Field Add a treatment field for CT Simulation Delete Session by either selecting it from the list or typing its name and clicking OK. CT Scan OK Cancel Select Close 9. Track is selected and RPM detects the 2-dot marker. Observe the blue bar until only 3-4 blue boxes are visable -- --- ----- 10. Select Record and the breathing curve will be displayed and recorded. - = --- ----- SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date 05 Mar 2020 | HOOD05162003074494 Healthineers Page 4 of 8 Job Aid | Varian RPM Respiratory Gating: Patient Setup and Use Effective Date: 7-Jun-2021 | HOOD05162003185770 11. Start the PET or CT scan. 12. After scan completion, select Stop. 13. Define an Exam Number and Series Number (at the scanner, the RPM file will be identi- fied by these numbers). 14. To perform CT and/or PET gating reconstructions, the Varian.vxp waveform file must be imported. When the acquisition is complete, import the file through the trigger card UI. OPEN INTERFACE - Pleine report neigestory dita the Import -- [ASit) Bergier, on-site gering Verian Routine Recon Replay Trigger SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date 05 Mar 2020 | HOOD05162003074494 Healthineers Page 5 of 8 Job Aid | Varian RPM Respiratory Gating: Patient Setup and Use Effective Date: 7-Jun-2021 | HOOD05162003185770 15. Once the .vxp file has been imported, it will populate the trigger card. Reconstruct the data with the desired outcome. Reconstruction Reconstruction can be performed with one of the three methods- Single phase/ Multiphase, Gates or OncoFreeze (PET only). Single Phase This method reconstructs a single phase at the specified location in the respiratory cycle. The phase start can be anywhere between 0 – 100%. RespGated_RespMatching (Adult) RespGated_RespMatching 164.0 mm 1 min 6 mC Topogram Respiration Rate (rpm) Min: 15 Max 15 Avg: 15 Bed , CT Lung 1000 15 15 15 Pause 4, PET Lung 42 ~ Match CT Phase Start 21 Unit % Ex Phase Width 35 Hold Recon Routine Scar Recon Auto TaskingI Replay RespGated_RespMatching (Adult) RespGated_RespMatching 12.11.16-16:41:34-STC Total mAs: 4560 Topogram Respiration Rate (rpm) Min: 15 Max 15 Avg. 15 4 CT Lung 1000 15 15 Pause A PET Lung Phase Start Unit % Ex Fo Original RESP Average CT Load Hold Recon Routine Sca Recon Auto Tasking Trigger SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date 05 Mar 2020 | HOOD05162003074494 Healthineers Page 6 of 8 Job Aid | Varian RPM Respiratory Gating: Patient Setup and Use Effective Date: 7-Jun-2021 | HOOD05162003185770 Multiphase Allows the user to reconstruct multiple “single” phase reconstructions within a single recon- struction job. The images are reconstructed and stored in one series. RespGated_RespMatching (Adult) RespGated_RespMatching 12.11.16-16:41:34-STC Total mAs: 4560 Topogram Respiration Rate (rpm) Min: 15 Max 15 Avg: 15 AD, CT Lung 1000 15 15 15 15 Pause A, PET Lung 0000 Original RESP Mutichase Average CT I Load Recon Routine Scan Recon I Auto Tasking Tringer OncoFreeze (PET Only) This type of respiratory gating uses an amplitude-based method for respiratory gated recon- struction. The respiratory waveform is stored along with the list-mode data from the PET scan- ner. A computer program analyzes the entire waveform to determine the “optimal” or area of least respiratory motion within the waveform. The Duty Cycle allows the user to change the relative duration of the gate to accept more or less respiratory motion. Respiration Rate (rpm) Min: 12 Max: 12 Avg: 12 Bed 1/1 12 12 0 8 10 12 14 9 Match CT 3 Amplitude Range 0-8% 2 Unit Rest In/Ex 1 4 Duty Cycle 35 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 rpm Routine Scan Recon Auto Tasking Replay Trigger SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date 05 Mar 2020 | HOOD05162003074494 Healthineers Page 7 of 8 Job Aid | Varian RPM Respiratory Gating: Patient Setup and Use Effective Date: 7-Jun-2021 | HOOD05162003185770 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 (here- inafter 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 Phone: +49 9131 84-0 siemens-healthineers.com SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date 05 Mar 2020 | HOOD05162003074494 Healthineers Page 8 of 8