Trauma Workflow: Brain Hemorrhage and Skull Unfolding in CT Recon&GO Simulation (VA40)

Continue Continue Welcome Welcome to this simulation of Brain Hemorrhage and Skull Unfolding in CT Recon&GO (VA40). On the following pages, we will guide you through the typical steps for using the Brain Hemorrhage and Skull Unfolding features in an emergency examination. Trauma Workflow Brain Hemorrhage and Skull Unfolding in CT Recon&GO Simulation ? Practice Practice To start the simulation, select Practice. If you need help for navigating through the simulation, select this button. Welcome [Audio file audf_ct_va40_brain_hem_skull_unfold_welcome.mp3] Welcome to this simulation of Brain Hemorrhage and Skull Unfolding in CT Recon&GO (VA40). On the following pages, we will guide you through the typical steps for using the Brain Hemorrhage and Skull Unfolding features in an emergency examination. If you need help for navigating through the simulation, select this button. To start the simulation, select Practice. Simulation Brain Hemorrhage & Skull Unfolding Recon&GO (VA40 software version): Brain Hemorrhage and Skull Unfolding Step 1: Select the Head Trauma [factory] Scan Protocol Preconditions: Head Trauma [factory] Scan Protocol + Topogram Scan [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_prot_01.mp3] In emergency imaging, time is brain when it comes to the detection of a suspected intracranial hemorrhage or of skull fractures and thin brain surface hematomas. With the Brain Hemorrhage and Skull Unfolding features, the VA40 software includes two dedicated features to speed up the workflow in emergency procedures. There are two steps necessary before using the Brain Hemorrhage and Skull Unfolding features. We will quickly show you how to perform these two steps. The first step is that you select the Head Trauma [factory] protocol for the current patient in the Scan Protocol Selection. You can also select other scan protocols which contain the scan mode RoutineSpiralAdultHead. Prepare for Topogram Scan 1 [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_prot_02.mp3] In the Head Trauma [factory] scan protocol, the correct tube position Top is already set which is different from routine head scans. Step 2: Perform the Topogram Scan Prepare for Topogram Scan 2 [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_prot_03.mp3] The second step is that you perform the Topogram scan with the Head Trauma [factory] scan protocol. Select the Brain Hemorrhage icon to open the Recon Parameter Panel. Open the Recon Parameter Panel [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_recon_range_01.mp3] Let’s check the trauma parameters after the Topogram scan is done. Icons for the Head recon jobs get displayed in the Recon Ranges area. [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_recon_range_02.mp3] By hovering over the head icons with your mouse, tool tips display the name of and further information about the recon job. [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_recon_range_03.mp3] To open the Recon Parameter Panel, double-click one of the recon job icons in the Recon Ranges area, for our purposes the Brain Hemorrhage icon. [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_recon_range_04.mp3] Select the Brain Hemorrhage recon job icon to open the Recon Parameter Panel. This interaction simulates a double-click in the VA40 software. Please select the Brain Hemorrhage icon to continue. Select the Recon&GO tab. Select Recon&GO [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_recon_go.mp3] On the Recon Parameters Panel, select the Recon&GO tab, if not already active. Select the Recon&GO tab to continue. Select this drop-down menu. Select the Inline Results Drop-Down Menu [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_inline_res.mp3] Then select the drop-down menu in the Inline Results column. Please select this drop-down menu to continue. Select the Inline Results Drop-Down Menu 1 [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_inline_res_dd1.mp3] After selecting the Applications menu item to expand it, you will have the options to select Brain Hemorrhage or Skull Unfolding. In this recon job, Brain Hemorrhage is pre-selected. Select the Inline Results Drop-Down Menu 2 [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_inline_res_dd2.mp3] For the Skull Unfolding recon job, the menu item Skull Unfolding is pre-selected accordingly in the Recon&GO Inline Results drop-down menu. Select the Inline Options tab. Select the Skull Unfolding Inline Options [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_inline_opt_01.mp3] There are further options available for the Skull Unfolding recon job. To view them, select the Inline Options tab on the Recon Parameter Panel. Please select the Inline Options tab to continue. Select Close to close the Recon Parameter Panel. Please note: Skull Unfolding MIP images do not support linear measurements. Select the Inline Options Hematomas or Fractures [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_inline_opt_02.mp3] The Skull Unfolding recon job supports you in visualizing the skull and brain surface at a glance. Please note: Skull Unfolding MIP images do not support linear measurements. From the drop-down menu of the Unfolding Type column, you can select either Hematomas or Fractures according to your clinical needs. Select Close to close the Recon Parameter Panel. Please select Close to continue. Select GO to perform the tomo scan. Select GO to Perform the Tomo Scan [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_go_tomo_scan.mp3] Select GO to perform the tomo scan. Please select GO to continue. Start the Tomo Scan [Audio file audf_ct_va40_brain_hem_skull_unfold_start_tomo_scan_01.mp3] Then press and hold the Move button on the Control Box until the start position for the tomo scan is reached. [Audio file audf_ct_va40_brain_hem_skull_unfold_start_tomo_scan_02.mp3] To start the tomo scan, press the Start button on the Control Box afterwards. [Audio file audf_ct_va40_brain_hem_skull_unfold_start_tomo_scan_03.mp3] After the tomo scan, as Auto Recon is activated in the Trauma factory protocols, all of the recon jobs start automatically. [Audio file audf_ct_va40_brain_hem_skull_unfold_start_tomo_scan_04.mp3] Their creation is indicated by a change of the recon job icons and might take a while. Select the Brain Hemorrhage Recon Job [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_bh_recon_job_01.mp3] From left to right, the order of the created brain recon jobs is as follows: The first three recon jobs contain reconstructions of routine diagnose images in axial, sagittal and coronal orientation. [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_bh_recon_job_02.mp3] The next two recon job icons contain the reconstructions of the Trauma Inline Results for Brain Hemorrhage and Skull Unfolding. [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_bh_recon_job_03.mp3] The Brain Hemorrhage recon job supports under-pressure radiologists in prioritizing cases of suspected intracranial hemorrhage. If a potential intracranial hemorrhage has been detected by the system, the Brain Hemorrhage icon contains a white exclamation mark in a red hexagon. When there is no suspected finding detected by the system, a different symbol is displayed. Select the Brain Hemorrhage recon job. Select the Brain Hemorrhage Recon Job 2 [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_bh_icon.mp3] Select the Brain Hemorrhage recon job to continue. Please select the Brain Hemorrhage icon to continue. Please note: There is no reconstructed image indicating the location of the suspected intracranial hemorrhage. The suspected finding needs to be verified and checked by the radiologist. Brain Hemorrhage Recon Job Select the Brain Hemorrhage Recon Job 3 [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_bh_tomo_segm_01.mp3] In the Tomo Segment and our example, the symbol containing a white exclamation mark in a red hexagon gets displayed which signalizes a suspected intracranial hemorrhage. Please note: There is no reconstructed image indicating the location of the suspected intracranial hemorrhage. The suspected finding needs to be verified and checked by the radiologist. Select the Skull Unfolding recon job. Select the Skull Unfolding Recon Job [Audio file audf_ct_va40_brain_hem_skull_unfold_sel_su_icon.mp3] Select the Skull Unfolding recon job to continue. Please select the Skull Unfolding icon to continue. Skull Unfolding Recon Job: Hematomas Skull Unfolding Recon Jobs Scroll through Hematomas Recons [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_hemat_recons_00.mp3] To understand the visualization of the unfolded skull reconstructions, think of them as looking on the inside of an umbrella that has been opened up. [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_hemat_recons_01.mp3] If Hematomas were reconstructed, 4 images get displayed in the Tomo segment through which you can scroll by using the middle mouse button or scroll wheel of your mouse. [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_hemat_recons_02.mp3] The first image displays the unfolded skull cap as a thin curved MIP. [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_hemat_recons_03.mp3] Image number 2 displays the unfolded skull cap as a thick curved MIP. [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_hemat_recons_04.mp3] The third image displays the unfolded skull base as a thin curved MIP, whereas the last image displays the unfolded skull base as a thick curved MIP. Skull Unfolding Recon Job: Fractures Congratulations! You have successfully completed the simulation. You can try the simulation again or click Next to read the Disclaimer and exit the learning activity. Retry Next Scroll through Fractures Recons [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_fract_recons_01.mp3] If Fractures were reconstructed, two images get displayed in the Tomo segment through which you can scroll by using the middle mouse button or scroll wheel of your mouse. [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_fract_recons_02.mp3] Here, the first image displays the unfolded skull cap as a curved MIP. [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_fract_recons_03.mp3] And the second image displays the unfolded skull base as a curved MIP. [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_fract_recons_04.mp3] Use the Brain Hemorrhage and Skull Unfolding features of Recon&GO to speed up the workflow in your emergency procedures. [Audio file audf_ct_va40_brain_hem_skull_unfold_scroll_fract_recons_05.mp3] Congratulations. You have successfully completed the simulation. You can try the simulation again or click Next to read the Disclaimer and exit the learning activity. 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 Disclaimer 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 the X in the upper right corner to exit the navigation help. Timeline HOOD05162003220120 | Effective Date: 21 Sep 2021 1.1 Welcome 2 Simulation Brain Hemorrhage & Skull Unfolding 2.1 Preconditions: Head Trauma [factory] Scan Protocol + Topogram Scan 2.4 Open the Recon Parameter Panel 2.5 Select Recon&GO 2.6 Select the Inline Results Drop-Down Menu 2.9 Select the Skull Unfolding Inline Options 2.10 Select the Inline Options Hematomas or Fractures 2.11 Select GO to Perform the Tomo Scan 2.12 Start the Tomo Scan 2.13 Select the Brain Hemorrhage Recon Job 2.16 Select the Skull Unfolding Recon Job 2.17 Scroll through Hematomas Recons 2.18 Scroll through Fractures Recons 3.1 Disclaimer