Cios Select VA21 Operating Modes and Applications Online Training

Continue Continue Continue Continue Continue Continue Continue Continue Continue Untitled Scene 4 Master Template HILS2218 | Effective Date: 29-Jul-2021 ? Cios Select Operating Modes and Applications Software Version VA21 In this online training, you will learn how to select the operating modes and applications, and what you need to consider for pediatric examinations and imaging thicker body regions. This training is for software version VA21 and higher. Select the operating modes Remember the adjustments for pediatric examinations Select the applications 1 3 2 Position the C-arm for common surgical procedures 5 Remember the adjustments for imaging thicker body regions Welcome [cios_select_olt_opmodes_en_1-1_welcome.mp3] Welcome to the Cios Select Operating Modes Online Training. In this online training, you will learn how to select the operating modes and applications, and what you need to consider for pediatric examinations and imaging thicker body regions. Please note: This training is for software version VA21 and higher. 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. ? Navigation Hints Before you start, we would like to give you a few tips on how to navigate: Enjoy the course! ? Navigation Hints ? Select the Operating Modes Select the Operating Modes [cios_select_olt_opmodes_en_1-3_opmodes.mp3] First, let’s talk about the operating modes. The imaging mode depends on the selected operating mode. The standard operating modes are fluoroscopy and single image. If your system is licensed, subtraction and roadmap are available. You select the operating modes on the main unit’s keyboard by pressing the respective button. Hand Switch and Foot Switch Settings Please note: Always perform fluoroscopy prior to acquiring an image in single image, subtraction, or roadmap mode. ? Hand Switch and Foot Switch Settings [cios_select_olt_opmodes_en_1-4_handswitch.mp3] When you have selected an operating mode, you can use the hand or foot switch to release radiation. When the foot switch is connected, use the left pedal on the foot switch to acquire images in the selected operating mode. You can check the current allocation of the foot pedal functions in the control area on the left monitor display. If preferred, you can release radiation with the hand switch. The top yellow button on the hand switch releases radiation for the selected operating mode. If the foot switch is not connected, you can check the current allocation of the hand switch button on the left monitor display. Please note: Always perform fluoroscopy prior to acquiring an image in single image, subtraction, or roadmap mode. Now that you know how to select an operating mode and release radiation, let’s take a closer look to the operating modes starting with fluoroscopy. ? Fluoroscopy Fluoroscopy Operating Mode Pulsed X-ray to produce real-time imaging of the patient. Images are acquired in different pulse rates from 0.5 pulses per second up to 30 pulses per second (continuous fluoroscopy). Automatically selected after system start-up and with the start of each examination. Please note: To ensure adequate image quality, you should always perform fluoroscopy before acquiring images with another operating mode. Why are there different fluoroscopy pulse rates? Changing the pulse rate Storing fluoroscopy images Fluoroscopy [cios_select_olt_opmodes_en_1-5_fluoro.mp3] Fluoroscopy uses pulsed X-ray to produce real-time imaging of the patient. In fluoroscopy, images are acquired in different pulse rates from 0.5 pulses per second up to 30 pulses per second, also known as continuous fluoroscopy.  Fluoroscopy is automatically selected after system start-up and with the start of each examination. If required, another operating mode can be configured as the default operating mode. Please note:  To ensure adequate image quality, you should always perform fluoroscopy before acquiring images with another operating mode. Select the tab arrows for more information about the fluoroscopy operating mode. Changing the Pulse Rate The pulse rate is set automatically by the selected application. The current pulse rate is displayed on the main unit keyboard. To change the pulse rate, press the Pulse rate key several times if necessary. The button toggles through the available pulse rates. Pulse Rate Key Pulse Rate Key Pulse Rate Display If continuous is set, co (continuous) appears. Why are there Different Fluoroscopy Pulse Rates? In fluoroscopy, images are created with pulsed X-ray with pulse rates ranging from 0.5 pulses per second (p/s) up to 30 p/s (continuous fluoroscopy). Each X-ray pulse represents an image in the scene. Increasing the pulse rate increases the number of images in the scene. In general, increasing the pulse rate also equates to an increase in imaging dose. Table with 8 columns and 1 rows 0.5 1 2 3 5 7.5 10 Continuous (30 p/s) In examinations involving dynamic anatomy or equipment, a higher pulse rate may be necessary to clearly visualize subtle changes. For static areas, a lower pulse rate may be sufficient. The pulse rate is set in the Application with the pulse rate generally required for the examination type. This can be changed during the examination based on the imaging needs. Storing Fluoroscopy Images In order to save space on the hard drive, fluoroscopy images are not automatically stored. They can be stored using the hand switch and both keyboards. Press the Store key for… Less than two seconds to store a single image (last image hold = LIH). More than two seconds to store a fluoroscopy scene (last scene hold = LSH). The stored image or scene is displayed on the right monitor. Keyboard Keyboard Keyboard Store Key Hand Switch Hand Switch Storing Fluoroscopy Images In order to save space on the hard drive, fluoroscopy images are not automatically stored. They can be stored using the hand switch and both keyboards. Press the Store key for… Less than two seconds to store a single image (last image hold = LIH). More than two seconds to store a fluoroscopy scene (last scene hold = LSH). The stored image or scene is displayed on the right monitor. Keyboard Keyboard Keyboard Keyboard Hand Switch Hand Switch Store Key Storing Fluoroscopy Images In order to save space on the hard drive, fluoroscopy images are not automatically stored. They can be stored using the hand switch and both keyboards. Press the Store key for… Less than two seconds to store a single image (last image hold = LIH). More than two seconds to store a fluoroscopy scene (last scene hold = LSH). The stored image or scene is displayed on the right monitor. Keyboard Keyboard Keyboard Keyboard Hand Switch Store Key ? Single Image When you acquire an image in the Single Image operating mode, the image is automatically stored to the local database. The image appears on the right monitor display. In comparison with fluoroscopy, the dose setting may be higher than a single fluoroscopy frame. As a result, the image quality may be higher. For this reason, the Single Image operating mode is recommended for final images. Single Image Operating Mode The Single Image operating mode provides an instant single image of the patient on the monitor. Right Monitor Left Monitor Single Image [cios_select_olt_opmodes_en_1-6_single-image.mp3] The Single Image operating mode provides an instant single image of the patient on the monitor. In comparison with fluoroscopy, the dose setting may be higher than a single fluoroscopy frame. As a result, the image quality may be higher. For this reason, the Single Image operating mode is recommended for final images. When you acquire an image in the Single Image operating mode, the image is automatically stored to the local database and appears on the right monitor display. Subtraction Operating Mode Contrast medium is injected. Pre-contrast images (the mask) are subtracted from the images with contrast medium (fill images). Subtracted view demonstrating only the contrast-filled vessels. Automatically stored images can be displayed in subtracted or in nonsubtracted (native) display. ? Subtraction (Optional) 1 1 1 2 2 2 3 3 3 4 4 4 Subtraction (Optional) [cios_select_olt_opmodes_en_1-7_sub.mp3] Subtraction is used to demonstrate vessels. In subtraction mode, a contrast medium is injected. The pre-contrast images (the mask) are subtracted from the images with contrast medium (fill images). The result is a subtracted view, demonstrating only the contrast-filled vessels. The images that are acquired in this mode are automatically stored to the local database. They can be displayed in subtracted or in nonsubtracted (native) display. Select the steps below to learn how to perform subtraction. Postprocessing The following functions are available to postprocess subtraction images during or after an examination: Select Mask: Press the button to select a new mask image. Landmark: There is a button available to increase or decrease the amount of anatomical background. Pixel shift: In case of a displacement of the mask image in relation to the fill image, there is a button available to move the mask image with the help of the arrows so that the images are aligned. 4 Fill Image When all of the vessels of interest have been filled with contrast, let go of the radiation release. The maximum fill image is calculated and displayed on the left monitor. The maximum fill image is a summation of the images in the fill phase, demonstrating the path taken by the contrast during injection. The right monitor displays the native image. Please note: The display of the images on the left and right monitor can be changed by pressing the Sub/Native key on the monitor trolley’s keyboard. Other options for display include displaying the native image on both monitor display or the subtracted image on both monitor displays. 3 Phase B Phase B involves the injection of contrast medium. When the creation of the mask image is complete, the image is displayed subtracted and an injection symbol appears on the left monitor. Keep the exposure button pressed and inject the contrast medium as soon as the injection symbol appears on the monitor. The subtracted image appears on the left, and the native image on the right monitor. 2 Phase A Phase A of subtraction involves the creation of the mask image. The mask image is acquired in the area of interest before the contrast medium is injected. Each subsequent image following phase A has the mask image subtracted. To start phase A, select the Sub key on the main unit keyboard. Start the acquisition by pressing the left pedal on the foot switch or the yellow button on the hand switch. During generation of the mask image, the native image (unsubtracted image) is displayed on both monitor displays. Keep the exposure button pressed. 1 Select the steps to learn how to perform roadmap. The subtracted image is then inverted and overlaid on the live fluoroscopy image. Roadmap Operating Mode Roadmap is an optional operating mode to support guidewire and stent placement. During roadmap, contrast is injected and the fluoroscopy images are subtracted from one another to create a subtracted image of the contrast-filled vessel. ? Roadmap (Optional) 1 1 1 2 2 2 3 3 3 Roadmap (Optional) [cios_select_olt_opmodes_en_1-8_roadmap.mp3] Roadmap is an optional operating mode to support guidewire and stent placement. During roadmap, contrast is injected and the fluoroscopy images are subtracted from one another to create a subtracted image of the contrast-filled vessel. The subtracted image is then inverted and overlaid on the live fluoroscopy image. Select the steps to learn how to perform roadmap. Phase C After radiation is released, the maximum fill image is displayed. With the next release of fluoroscopy, the fill image is inverted and overlaid on the live fluoroscopy image. The right monitor displays now the native image, and the left monitor displays the subtracted Roadmap image. Position the catheter or guidewire under fluoroscopy. You can repeat fluoroscopy as often as required. To deactivate roadmap, press the Road key on the keyboard again. 3 Phase B Phase B involves the injection of contrast medium. When the creation of the mask image is complete, the image is displayed subtracted and an injection symbol appears on the left monitor. Keep the exposure button pressed and inject the contrast medium as soon as the injection symbol appears on the monitor. The subtracted image appears on the left, and the native image on the right monitor. 2 Phase A Phase A of the roadmap mode involves the creation of the mask image. The mask image is acquired in the area of interest before the contrast medium is injected. Each subsequent image following phase A has the mask image subtracted out. To start Phase A, select the Road key on the main unit keyboard. Start the acquisition by pressing the left pedal on the foot switch or the yellow button on the hand switch. During the generation of the mask image, the native (unsubtracted) image is displayed on both the left and right monitor displays. Keep the exposure button pressed. 1 Select the Application Applications contain individual set of examination settings Available applications are divided into application groups Applications set the parameters for the examination (dose, kV, mA, postprocessing parameters) Monitor Trolley: Application Selection Dialog opens Main Unit: Choose between four default applications Select the keyboards on the left for more information. Monitor Trolley Keyboard Main Unit Keyboard ? Select the Application [cios_select_olt_opmodes_en_1-9_applications.mp3] You can select the application on both keyboards. The applications contain individual sets of examination settings tailored to various medical application areas, such as General and Ortho. The available applications are divided into application groups, for example, according to hospital-specific requirements. The selected application sets the parameters for the examination, meaning the dose, kV, mA, and postprocessing parameters. When pressing the Application key on the monitor trolley, the Application Selection dialog opens on the left monitor. Select the required application group and application in the relevant selection list. On the main unit’s keyboard, you can choose from four default standard applications. The LED of the selected application lights up and the application is displayed on the left monitor. Select the keyboards on the left for more information. Monitor Trolley Keyboard Application Select the required application after selecting the application group. Application Group Select the required application group. Main Unit’s Keyboard Selected Application The selected application is displayed here. ? Adjustments for Pediatric Examinations Default pediatric applications available for patients up to 14 years. Remove the anti-scatter grid for patients less than seven years. Use the grid for patients older than seven years to ensure adequate image quality. Consider additional dose-saving measures. Select the tab arrows for more information. Adjust Parameters Dose Comparison Settings for Pediatric Patients Anti-scatter Grid Adjustments for Pediatric Examinations [cios_select_olt_opmodes_en_1-10_pediatric.mp3] To ensure that radiation dose is kept to a minimum, care must be taken when performing examinations with pediatric patients. There are individual pediatric applications available. These default pediatric applications may be used for all pediatric patients up to fourteen years of age. For patients less than 7 years of age, it is recommended to remove the anti-scatter grid. To ensure adequate image quality, it is recommended to use the scatter radiation grid for patients older than 7 years of age. When appropriate, additional dose-saving measures should be considered, for example, reducing the fluoroscopy time and frame rate as much as possible. Select the tab arrows for more information about what you can adjust. Anti-scatter Grid As in pediatrics, the grid can be removed since the dose awareness is high and the scatter created by small patients is low. It is recommended to remove the grid for patients up to seven years of age. Please keep the grid inserted for all other cases to maintain sufficient image quality. To remove the grid, loosen the knurled screw and carefully pull out the grid from the holder. Store it in a safe place. Once the examination is completed, re-attach the anti-scatter grid. Please note: Damage to the grid can reduce image quality. Settings for Pediatric Patients Table with 5 columns and 3 rows < 2 years 2 – 6 years 7 – 16 years >16 years Application Pediatric Pediatric Pediatric Pediatric/Adult Grid No No Yes Yes Dose Comparison For orientation of the dose savings, please see the table below which compares the dose with pediatric and standard protocols. Object: 10 cm PMMA directly located on the FD cover (without anti-scatter radiation grid for pediatric programs) Table with 5 columns and 8 rows Fluoro Sub Application (Group) Standard - Dose rate (mGy/min) Pediatrics - Dose rate (mGy/min) Standard - Dose rate (mGy/min) Pediatrics - Dose rate (mGy/min) Card 1.4 0.2 1.6 0.4 Gastro 1.4 0.2 1.5 0.2 General information 0.8 0.2 1.1 0.2 Ortho 0.8 0.2 1.1 0.2 Uro 0.8 0.2 1.1 0.2 Vascular 0.8 0.2 1.0 0.2 Adjust Parameters When appropriate, you can adjust the parameters in pediatric examinations to reduce the dose. For example, you can reduce the pulse rate. To reduce the pulse rate, press on the Pulse rate button repeatedly to toggle through the available pulse rates. Pulse Rate Key ? Position the C-arm for Common Surgical Procedures The body region to be examined The type of surgery The Table type The range of the C-arm movement required Possible obstructions to movement on the table and on the floor Position the C-arm for Common Surgical Procedures [cios_select_olt_opmodes_en_1-11_position.mp3] To acquire images in good quality, you need to consider different aspects. Therefore, prior positioning the C-arm, consider the following: The body region to be examined (e.g. thicker body regions or extremities) The type of surgery The table type The range of C-arm movement required Possible obstructions to movement on the table and on the floor In general, the Image Intensifier is positioned at the top of the C-arm. However, some examinations require to be positioned at the bottom. On the following slides, you will learn how to position the C-arm for an examination of the body and the hand, and how to position the C-arm for spine and hip surgery. ? For Hand Examinations Image Intensifier X-ray Tube Yellow Brake Position the C-arm for Body and Hand Examinations For Body Examinations X-ray Tube Image Intensifier Horizontal Axis Before moving the C-arm towards the table, check that the horizontal axis is centrally positioned to allow for additional movements. Position the C-arm for Body and Hand Examinations [cios_select_olt_opmodes_en_1-12_positionbody.mp3] For examinations of the body, the C-arm is generally positioned with the Image Intensifier at the top. The C-arm approaches the table laterally. Before moving the C-arm towards the table, check that the horizontal axis is centrally positioned to allow for additional movements. When imaging the distal upper extremities, in order to reduce image magnification, the C-arm can be positioned with the Image Intensifier at the bottom. To rotate the C-arm, release the yellow brake lever on the top of the horizontal axis and rotate the C-arm. Lock the brake lever when the C-arm is in position. ? Position the C-arm for Spine and Hip Surgery Spine Surgery Video Spine Surgery Video Hip Surgery: Patient Lateral Video Hip Surgery: Patient Lateral Video Hip Surgery: Patient Supine Video Hip Surgery: Patient Supine Video Introduction Introduction Introduction Please note: All videos show the Cios Select flat detector system. All steps are also valid for the Cios Select Image Intensifier system. Select the tabs on the left to learn how to position the C-arm for spine and hip surgery. Position the C-arm for Spine and Hip Surgery Select the tabs on the left to learn how to position the C-arm for spine and hip surgery. Please note that the videos show the Cios Select flat panel detector system. However, all steps are also valid for the Cios Select Image Intensifier System. [Reuse of videos for Cios Select (with FD) VA20 Operating Modes Online Training: Effective Date: 26 Aug 2022 – HOOD05162003288646 Spine Surgery Video: Effective Date: 06/13/2018 – HOOD05162002894423 Video_Script_Cios_Select_Operating_Modes_positioning_spine_FINAL Hip Surgery: Patient Lateral Video: Effective Date: 06/13/2018 – HOOD05162002894423 Video_Script_Cios_Select_Operating_Modes_positioning_hip_lateral_FINAL Hip Surgery: Patient Supine Video Effective Date: 06/13/2018 – HOOD05162002894423 Video_Script_Cios_Select_Operating_Modes_positioning_hip_supine_FINAL] Hip Surgery: Patient Supine Video Hip Surgery: Patient Lateral Video Spine Surgery Video ? Adjustments for Imaging Thicker Body Regions Position the C-arm correctly Use the adipose application Use the Anti-scatter Grid Select the Single Image Mode Collimate the Image Position the Image Intensifier Close to the Patient Use Tech Lock Adjustments for Imaging Thicker Body Regions [cios_select_olt_opmodes_en_1-14_thickerbody.mp3] When imaging thicker body regions, image unsharpness may become an issue. This might happen if you use an incorrect C-arm position and, if you use incorrect parameters. Therefore, to ensure adequate image quality, you must not only position the C-arm correctly, but also select the correct application for the body region. For imaging thicker body regions, select the adipose application when applicable. To select the adipose application, select the Application key on the monitor trolley’s keyboard. Then you can select the adipose application on the left monitor. Additionally, you can use the anti-scatter grid, use the single image mode, collimate the image, position the Image Intensifier close to the patient, or use Tech Lock. For more information, select the tab arrows. Use Tech Lock In some cases, Tech Lock can be used to stabilize the imaging parameters, particularly when moving the C-arm in and out of position. Position the Image Intensifier Close to the Patient Decrease the distance of the object to the Image Intensifier to help reduce image unsharpness. When possible, position the Image Intensifier close to the anatomy of interest. Collimate the Image Collimation reduces the scatter radiation to the Image Intensifier. To improve image quality and reduce radiation dose, you should collimate to the region of interest as much as possible. Select the Single Image Mode The Single Image mode can provide a higher quality image than fluoroscopy. You can select this operating mode for critical and final images. Please note: Always perform fluoroscopy prior to acquiring an image in Single Image mode. Use the Anti-scatter Grid The anti-scatter grid filters scatter radiation from the image, resulting in a sharper image appearance. In thicker body regions, there is more scatter radiation. The image quality will be compromised if the scatter radiation grid is not used. ? Course Review Congratulations. You have completed the Cios Select Operating Modes and Applications course for Software Version VA21. Select the numbered buttons below to review the material before proceeding to the final assessment. Remember the Adjustments for Pediatric Examinations Select the Applications Select the Operating Modes 1 1 1 3 3 3 2 2 2 4 4 4 5 5 5 Position the C-arm for Common Surgical Procedures Remember the Adjustments for Imaging Thicker Body Regions Course Review Remember the Adjustments for Imaging Thicker Body Regions To ensure adequate image quality, you must not only position the C-arm correctly, but also select the correct application for the body region. For imaging thicker body regions, select the adipose application when applicable. Additionally, you can use the anti-scatter grid, select the Single Image mode, collimate the image, position the Image Intensifier close to the patient or use Tech Lock. Select the images to have a better look at the keys. Position the C-arm for Common Surgical Procedures To acquire images in good quality, you need to consider different aspects. Prior positioning the C-arm, consider the following: The body region to be examined (e.g. thicker body regions or extremities) The type of surgery (e.g. hip or spine surgery The table type The range of C-arm movement required Possible obstructions to movement on the table and on the floor In general, the Image Intensifier is positioned at the top of the C-arm. However, some examinations require the Image Intensifier to be positioned at the bottom (e.g. examinations for the hand. Remember the Adjustments for Pediatric Examinations For pediatric patients up to 14 years, consider using the default pediatric examinations. Additionally, consider removing the anti-scatter grid. It is recommended to remove the grid for patients who are younger than seven years. For older patients, insert the grid. When appropriate, additional dose-saving measures should be considered, for example, reducing the fluoroscopy time and pulse rate as much as possible. For further information, please refer to your operator manual. Select the Applications The applications contain individual sets of examination settings tailored to various medical application areas (e.g. General and Ortho). The selected application sets the parameters for the examination, meaning the dose, kV, mA, and postprocessing parameters. By pressing the Application key on the monitor trolley’s keyboard, you can select the applications and application group on the left monitor. The C-arm’s keyboard provides 4 default applications. Select the images to have a better look at the keys. The imaging mode depends on the selected operating mode. The standard operating modes are fluoroscopy and single image. If your system is licensed, subtraction and roadmap are available. Always perform fluoroscopy prior to acquiring an image in single image, subtraction, or roadmap mode. Depending on your selected operating mode, you can release radiation by using the left pedal of the foot switch or the yellow button on the hand switch. You can check the current pedal allocation on the left monitor display. Select the Operating Modes 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 2022 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment Start ? 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 . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment Select the correct designated area, then select Submit below. Question 1 of 6 Where do you select the fluoroscopy operating mode? ? Hotspot Incorrect Here you cannot select the fluoroscopy operating mode. Incorrect Here you cannot select the fluoroscopy operating mode. Correct Incorrect You did not select a designated area. Select the best answer. ? Question 2 of 6 Where can you check the current pedal allocation of operating mode for the foot switch? On the left monitor On both keyboards On the display of the foot switch Multiple Choice Incorrect There is no such display on the foot switch. Incorrect You cannot check the pedal allocation of the operating modes here. Correct Select the best answer. ? Question 3 of 6 How do you open the Application setting menu on the left monitor? By pressing the Application key on the monitor trolley’s keyboard By pressing Application 1 on the C-arm’s keyboard Right-click on the left monitor and select the Application menu Multiple Choice Incorrect This is not how you can open the Application setting on the left monitor. Incorrect This is not how you can open the Application setting on the left monitor. Correct Select the best answer. ? Question 4 of 6 What should you consider for pediatric patients which are younger than 7 years? Reduce the pulse rate Insert the grid Only use fluoroscopy Multiple Choice Incorrect You can use any operating mode for pediatric patients. Incorrect For pediatric patients, you should remove the grid. Correct ? Select three (3) answers. Question 5 of 6 What should you consider for adipose patients? Remove the grid Reduce the pulse rate Collimate the image Decrease the distance to the object Multiple Answer Incorrect One or more answers are incorrect. Correct Select the best answer. ? Question 6 of 6 When is the Single Image operating mode recommended? For acquiring final images Before acquiring images in any other operating mode For pediatric examinations Multiple Choice Incorrect Single Image is recommended for adipose patients. Incorrect Always use fluoroscopy before acquiring images in any operating mode. Correct 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 Cios Select Operating Mode Online Training for Software Version VA21. 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 buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. 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Assessment Slide Question Bank 1 HOOD05162003289306 | Effective Date: 22 Aug 2022 1.1 Welcome 1.2 Navigation Hints 1.3 Select the Operating Modes 1.4 Hand Switch and Foot Switch Settings 1.5 Fluoroscopy 1.6 Single Image 1.7 Subtraction (Optional) 1.8 Roadmap (Optional) 1.9 Select the Application 1.10 Adjustments for Pediatric Examinations 1.11 Position the C-arm for Common Surgical Procedures 1.12 Position the C-arm for Body and Hand Examinations 1.13 Position the C-arm for Spine and Hip Surgery 1.14 Adjustments for Imaging Thicker Body Regions 1.15 Course Review 1.16 Disclaimer 1.17 Assessment