Biograph Vision Quadra Hardware Overview - USA

Continue Button Untitled Scene Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Biograph Vision Quadra™ Hardware Overview Online Training This online training will provide an overview of the physical scanner and its components. Identify the gantry operating components and describe the purpose of each Describe the purpose of the Control Box List the workstations and their main functions State the purpose of the Patient Handling System and describe its functionality 1 4 3 2 Welcome Welcome to the Biograph Vision Quadra, Hardware Overview online training. This online training will provide an overview of the physical scanner and its components. The topics covered in this course will include the gantry, the Patient Handling System or PHS, the control box, and the workstation computers that are used with the scanner. Upon successful completion of this course, you will be able to: identify the gantry operating components and describe the purpose of each, (slight pause) state the purpose of the patient handling system and describe its functionality, (slight pause) list the workstations and their main functions, (slight pause) and describe the purpose of the control box. ? Hardware Components Display Panel located in both the front and rear, provides information about the system Gantry Control Panels control the gantry and patient table motion Patient Table Universal Physiological Measurement Module (UPMM) receptacle for the ECG electrodes Start Scan & Interrupt Scan Keys start or temporarily halt the bed and gantry motion in non-emergency situations Emergency E-Stop Key Stops all gantry motions, prevents the exam from loading, and frees the table for horizontal motion Laser Light Markers one of three total laser light markers that locate the patient in the gantry port Patient Communication speaker and microphone that allow for communicating with the patient Hardware Components Select each marker to see a brief description of the hardware components on the Biograph Vision Quadra. ? Gantry Operating Components Select the tab arrows to learn more about each component of the gantry. Control Panels Laser Light Markers Display Panels Patient Communication Gantry Operating Components In this section, we are going to explore the gantry components of your scanner. The items covered include the gantry control panels, laser light markers, the display, or touch panel, and the patient communication. Select each tab arrow to learn about the gantry components. ? Control Panels The operator control panels are found on the left and right sides of the gantry at the front and back of the system. Each control panel includes buttons, or keys, for the gantry and patient table motion controls. Illuminated buttons indicate operations that are available for the system Blinking buttons indicate the next required operation Hover over each button to learn about its function. Control Panels The operator control panels can be found on the gantry on the left and right sides, at both the front and back of the system. Illuminated buttons indicate operations that are available for the system. Blinking buttons indicate the next required operation. The red emergency E-STOP buttons are located above the panels and you can press STOP at any time. The gantry control panel has buttons, or keys, that allow the operator to move the patient table up, down, in and out as needed. In addition, there are buttons available to increase the speed of the table movement in and out. There are also buttons that perform additional movements of the patient table, such as retracting and lowering the table. Also located on the panel is the switch to turn on and off the laser light markers. Hover over each button to see a brief description of its function. Move table to predefined positions A and B respectively Retract and lower patient table Set table begin/end position Move table from offset laser position to CT field of view Switch on/off for laser light markers Set display for horizontal position to zero Increase speed of table movement out Note: increase speed by holding button Increase speed of table movement in Note: increase speed by holding button Move table in Move table down Move table out Move table up ? Laser Light Markers There are 3 laser light markers that indicate the following: The location of the patient in the gantry port Position of the scan center Slice plane in the middle of the detector rows Inner scan level Outer offset level Laser Light Markers Laser light markers mounted within the gantry field of view indicate the location of the patient within the gantry port. The laser light markers indicate the position of the scan center and the slice plane in the middle of the detector rows for the inner scan level and the outer offset level. Use the laser button on the gantry control panel to switch the laser markers on or off. ? Display Panels The display panels are located at the top of the gantry, at the front and the rear. The display provides information about the system operation. White icons indicate operations available Blinking icons indicate next required operation Select the numbered steps below to learn more about the CT and PET examination displays. 1 1 1 2 2 2 3 3 3 4 4 4 Display Panels Display Panel Layer: The display panels are located at the top of the gantry, at both the front and on the rear. The display provides information about the system operation. For user guidance, color indicators help to inform about the current operation. The white icons indicate the operations that are available and, when blinking, indicate the next required operation. Select the numbered steps to learn about the CT and PET examination displays. PET Exam Display Layer: Select each marker to learn about the PET Examination Display. CT Exam Display – Patient Name Layer: When a patient name displays at the bottom of the CT Examination Display, the scanner is inactive. CT Exam Display – Delay Time Layer: The countdown for the delay displays at the bottom of the CT Examination Display, before the scan begins. CT Exam Display – Radiation Warning Layer: When the radiation warning displays at the bottom of the CT Examination Display, the scanner is emitting radiation. Select each marker to learn more about the CT Examination Display. CT Examination Display – Delay Time The countdown for the delay displays at the bottom, before the scan begins. 3 CT Examination Display – Radiation Warning When the radiation warning displays at the bottom, the scanner is emitting radiation. Select each marker on the left to learn about the radiation display details. 4 Tube Voltage (in kV) Tube Current (in mA) Scan Time (topograms or sequences)/Rotation Time (spirals) Table Height (in mm) Relative to the center axis of the gantry (center of field view) Relative Horizontal Table Position (in mm) With reference to a zero position, usually an anatomical marking. Negative value indicates motion toward gantry. Gantry Tilt (always 0.0 in Biograph) CT Examination Display – Patient Name When the patient name displays at the bottom, the scanner is inactive. 2 PET Examination Display 1 Singles Rate (in kilocounts per second) Prompts Rate (in kilocounts per second) Randoms Rate (in kilocounts per second) Trues Rate (in kilocounts per second) Current Bed Number (n / n) Elapsed Time/Total Time ? Patient Communication The equipment for communicating with the patient consists of a speaker and a microphone that are located in the top of the gantry tunnel, on the front and back of the system. Allows you to talk with the patient and to play pre-recorded Automatic Patient Instructions (API) Provides delay warnings and the instruction for normal breathing and extraction of the Patient Handling System (PHS) out of the PET field of view to the patient unload position May have an optional patient call system consisting of a patient squeeze bulb and a control room Alert Box (pictured to the right, respectively). Microphone Microphone Loud Speaker Loud Speaker Gantry Front Gantry Back Flashing Indicator Lamp 3-Position Mode Selector Switch Position 1: alarm tone Position 2: blinking light Position 3: both alarm tone and blinking light Sliding Volume Control Patient Communication The equipment for communicating with the patient consists of a speaker and a microphone. It allows you to talk with the patient, and to play pre-recorded Automatic Patient Instructions in a selected language. The automated audio message is intended to provide a warning about delay due to the PHS movement from the CT field of view, or FOV, (slight pause) to the PET FOV. It will also provide the instruction for normal breathing and extraction of the PHS out of the PET FOV, to the patient unload position. The scanner may be equipped with an optional patient call system consisting of a patient squeeze bulb and a control room Alert Box. This system is especially useful for patients unable to communicate verbally during a scan. The equipment for communicating with the patient is located at the top of the gantry tunnel, on both the front and back. Select each marker to learn more about the Patient Communication equipment. Reinforced table is positioned on a pedestal that slides on floor-mounted rails Designed for full body imaging of the patient Scanner comes with positioning accessories to assist with patient comfort Optional Radiation Therapy Positioning (RTP) pallet available Select the tab arrows to learn more about the Patient Handling System (PHS). ? Patient Handling System Patient Table Features PHS Motion Universal Physiological Measurement Module Accessories Patient Handling System Siemens Healthineers has a uniquely designed patient table called the patient handling system, or PHS. The reinforced table is positioned on a pedestal that slides on floor-mounted rails, and is designed for full body imaging of the patient. The scanner comes with positioning accessories to assist with patient comfort plus an optional Radiation Therapy Positioning pallet, or RTP. Select the tabs on the right to learn more about the Patient Handling System. Patient Table Features Layer: The patient table is a table-on-rails design for full-body imaging of a patient. It supports 227 kilograms, or 500 pounds, and is positioned on a pedestal that slides on floor-mounted rails. Horizontal and vertical table positioning can be achieved using the motion control system on the front of the gantry. PHS Motion Layer: We will now discuss guidelines for the motion of the PHS. To avoid possible personal injury or damage to equipment, do not allow the patient to touch any controls on the gantry. Observe that the PHS always moves in the desired direction whether cranial to caudal, or caudal to cranial. Lastly, observe the patient and gantry at all times during a scan. UPMM Layer: The Universal Physiological Measurement Module, or UPMM, is located near the pedestal end of the patient table. The UPMM provides the receptacle for the ECG electrodes and a push button for changing the ECG measurement mode. It provides a single connection point for PET and CT cardiac gating, and also provides a connection for an external trigger device. The UPMM moves with the patient, which promotes patient comfort and reduces the risk of lead entanglement. It consists of a hinged lid containing the lead selector button which the operator pushes to change which two leads are used to generate the ECG signal, and also contains the ECG lead cable connector. The respirator trigger connector and the external trigger connector are not currently used. Accessories Layer: Your scanner comes with positioning accessories to assist with patient comfort, plus an optional Radiation Therapy Positioning pallet, or RTP. The head holder is used to immobilize the patient's head. It contains a release button and Velcro® straps. The knee support can be used to support the patient’s knees and legs to increase comfort. The foot extender attachment for the patient table consists of two pieces, a long piece and a short piece. It also comes with a knee pad to support the knees and lower legs of the patient. And the RTP pallet is an optional accessory for the patient bed. This pallet allows the positioning of patients during exams to closely match positioning during radiation therapy Patient Handling System Motion PHS Motion Guidelines: Do not allow the patient to touch any controls on the gantry Observe that the patient table always moves in the desired direction Observe the patient and gantry at all times during a scan Positioning Accessories and RTP Pallet Head holder – immobilizes the patient’s head Knee support - increases comfort Foot extender attachment – lengthen the table RTP Pallet – allows positioning of patient during exams to match positioning during radiation therapy Universal Physiological Measurement Module The UPMM is located near the pedestal end of the patient table. Receptacle for the ECG electrodes Push button for changing ECG measurement mode Single connection for PET and CT cardiac gating External trigger device connection (not currently used) Moves with the patient Hinged Lid closed when the UPMM is not in use Lead Selector Push Button Push to change which two leads are used to generate the ECG signal ECG Lead Cable Connector Respiratory Trigger Connector (not currently used) External Trigger Connector (not currently used) Patient Table Features Table-on-rails design Supports 227 kg (500 lb) Horizontal and vertical table positioning (achieved using the motion control system on the front of the gantry) ? Workstations Because your system is a hybrid scanner, there are several computers and workstations associated with it. Some are interactive, some are embedded Dual high resolution LCD monitors View two images, applications or task cards at the same time Select the tab arrows to learn more about the PET and CT computers and workstations. PET Molecular Acquisition & Reconstruction (MARS) syngo Acquisition Workplace (ICS) Image Reconstruction System (IRS) PET CT Workstations Because your system is a hybrid scanner, there are several computers and workstations associated with it. Some require user interaction and others are embedded and require no user interaction. There are dual high resolution monitors which allow viewing of two images, applications or task cards at the same time. Select the tabs to learn about the PET computer and the CT computers and workstations. ICS Layer: The syngo Acquisition Workplace, also known as the Image Control System, or ICS, is an interactive CT workstation. The ICS stores the syngo database, and also controls most of the system functions such as: scan acquisition, reconstruction, registration and scheduling of a patient, protocol selection, standard evaluation applications, and data transfer. IRS Layer: The Image Reconstruction System, or IRS, is an embedded CT computer, that communicates with the scan system. The IRS uses the measured data of the detector system to calculate the images for each CT slice, and passes the data to the syngo Acquisition Workplace, or ICS. It does not require direct operation as it is controlled by the syngo Acquisition Workplace. MARS Layer: The PET Molecular Acquisition and Reconstruction system, or MARS, also does not require direct operation, and is typically stored in the utility room. The MARS integrates the Acquisition Control System, and the PET Reconstruction System, and operates under the control of the syngo Acquisition Workplace, or ICS. It is used for PET data acquisition, temporary storage of PET raw data, and PET gantry service procedures. It is also used to reconstruct PET sinograms into images, and is the final storage location for PET list mode data and sinograms, generated from list mode replay. PET Molecular Acquisition and Reconstruction Integrates Acquisition Control System (ACS) and PET Reconstruction System (PRS) Operates under the control of the syngo Acquisition Workplace Used for PET data acquisition, temporary storage of PET raw data (sinograms), and PET gantry service procedures Used to reconstruct PET sinograms into images, and is the final storage location for PET list mode data and sinograms generated from list mode replay Does not require direct operation and is typically stored in the utility room Image Reconstruction System Communicates with the scan system Uses the measured data of the detector system to calculate the images for each CT slice Passes the data to the syngo Acquisition Workplace Does not require direct operation as it is controlled by the syngo Acquisition Workplace syngo Acquisition Workplace Also known as the Image Control System (ICS) Controls most system functions such as: scan acquisition reconstruction registration scheduling protocol selection standard evaluation applications data transfer Stores the syngo database ? Control Box The control box is located in the control room, and is used to operate the scanner. From the control box, you can: Start acquisition Move the table horizontally Communicate with the patient Interrupt the scan Stop the scanner motions and radiation Switch the CT and computers on/off LED indicates system OFF LED indicates computers only ON LED indicates system ON Microphone Loudspeaker Control Box The control box is located in the control room and is used for multiple functions to operate your scanner. From the control box, you can start the acquisition, move the table horizontally, communicate with the patient, interrupt the scan, stop the scanner motions and radiation, switch the CT and computers on or off, and perform other functions. Use the appropriate buttons to start or pause the scan. The loudspeaker allows you to communicate with the patient, and you can adjust the volume as needed. The LED's, at the top right of the control box, indicate system status. The call patient key allows you to speak to the patient. Select the appropriate buttons on the control box to move the table to the desired position. The emergency stop button will halt the bed and the gantry motions, and stops radiation delivery. Using the E-stop button can result in the loss of data, so it should only be used in an emergency situation. Hover over the orange circles, and select the markers to learn more about the control box functions. Emergency Stop (E-Stop) Button Press to stop all system motions and radiation. Step Out Button Press to move the table stepwise away from the gantry. Unload Button Press to move the table out of the gantry and lower it. Step In Button Press to move the table stepwise toward the gantry. Move Button Press and hold until the table reaches the next scanning position. Loudspeaker Volume (speaking to patient) Press the + or – to adjust the volume when speaking to the patient. Call Patient Hold down and speak into the microphone to talk to the patient. Gantry Loudspeaker Volume (hearing the patient) Press the + or – to adjust the volume when hearing the patient. Hear Patient Press to listen to the patient, press again to stop. Hold Button Press to pause a scan procedure. This is the preferred method for interrupting a scan before completion. You should not use the STOP key for this purpose. Start Button Press to start scanning. ? Course Review Congratulations. You have completed the Biograph Vision Quadra™ Hardware Overview course. Select the numbered buttons below to review the material before proceeding to the final assessment. Describe the purpose of the Control Box List the workstations and their main functions State the purpose of the Patient Handling System and describe its functionality Identify the gantry operating components and describe the purpose of each 1 1 2 2 2 3 3 3 4 4 Course Review Describe the Purpose of the Control Box The control box is located in the control room, and is used to operate the scanner. From the control box, you can: Start acquisition Move the table horizontally Communicate with the patient Interrupt the scan Stop the scanner motions and radiation Switch the CT and computers on/off List the Workstations and their Main Functions PET PET Molecular Acquisition & Reconstruction (MARS) - used for PET data acquisition, temporary storage of PET raw data (sinograms) and PET gantry service procedures. In addition, it is used to reconstruct PET sinograms into images and as the final storage location for PET list mode data and sinograms generated from list mode replay CT syngo Acquisition Workplace (ICS) - controls most system functions such as acquisition, reconstruction, registration, scheduling, protocol selection, standard evaluation applications, and data transfer Image Reconstruction System (IRS) - uses the measured data of the detector system to calculate CT slice images State the Purpose of the Patient Handling System and Describe its Functionality Reinforced table positioned on a pedestal that slides on floor-mounted rails Designed for full body imaging of the patient Positioning accessories are provided to assist with patient comfort Identify the Gantry Operating Components and Describe the Purpose of Each Gantry operator panels controls gantry and patient table motion Laser light markers locate the patient in the gantry port Display panel provides information about the system operation Emergency E-Stop buttons halt the bed and the gantry motions and stops radiation delivery in an emergency situation Start Scan buttons start the scan Interrupt Scan buttons temporarily halt the bed and gantry motion in non-emergency situations 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'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 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 5 Which hardware component indicates the location of the patient in the gantry port? Patient call system Display panel Patient communicator Patient communicator Patient communicator Laser light markers Laser light markers Laser light markers Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 2 of 5 Which computer is the only one that requires user interaction? syngo Acquisition Workplace (ICS) Image Reconstruction Computer (IRS) Desktop Computer Desktop Computer Desktop Computer Molecular Acquisition and Reconstruction (MARS) Molecular Acquisition and Reconstruction (MARS) Molecular Acquisition and Reconstruction (MARS) Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 3 of 5 Choose the hardware component that is used to start/stop acquistions and control the horizontal movement of the PHS. syngo MI Workplace UPMM E-stop E-stop E-stop Control box Control box Multiple Choice Correct Incorrect Incorrect Incorrect Select the best answer. ? Question 4 of 5 The E-stop buttons stop which functions? Bed motions only Radiation delivery and patient motion Bed motions, radiation delivery and patient motion Bed motions, radiation delivery and patient motion Bed motions, radiation delivery and patient motion Bed motions and radiation delivery Bed motions and radiation delivery Bed motions and radiation delivery Multiple Choice Correct Incorrect Incorrect Incorrect Select the best answer. ? Question 5 of 5 Which of the following statements is true? The patient can freely exit the PHS (patient table) when the exam is finished It is not necessary to observe the patient and gantry during a scan Do not allow the patient to touch any controls on the gantry Do not allow the patient to touch any controls on the gantry It is not necessary to observe that the patient table moves in the desired direction It is not necessary to observe that the patient table moves in the desired direction Multiple Choice Incorrect Incorrect Incorrect Incorrect Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? 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 Biograph Vision Quadra™ Hardware 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 Timeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon add subtitles 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 Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 HOOD05162003204226 | Effective Date: 19-Jul-2021 1.1 Welcome 1.2 Hardware Components 1.3 Gantry Operating Components 1.4 Control Panels 1.5 Laser Light Markers 1.6 Display Panels 1.7 Patient Communication 1.8 Patient Handling System 1.9 Workstations 1.10 Control Box 1.11 Course Review 1.12 Disclaimer 1.13 Assessment 1.20 Completion