CT Scan&GO VB10 Mobile Workflow - Thorax CTA Examination Simulation

Continue Continue Welcome CT Scan&GO Mobile Workflow Thorax CTA Examination (VB10) Simulation Welcome to the VB10 CT Scan&GO mobile workflow simulation. This simulation will guide you through the typical steps for performing a Thorax CTA examination on the tablet. ? Practice Practice Start the simulation by selecting Practice. If you need help for navigating through the simulation, select this button. Welcome [Audio file: 0101_audf_ct_vb10_scan+go_welcome.mp3] Welcome to the VB10 CT Scan&GO mobile workflow simulation. This simulation will guide you through the typical steps for performing a Thorax CTA examination on the tablet. If you need help for navigating through the simulation, select this button. Start the simulation by selecting Practice. Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide You can track slide progress on the timeline. Slide the orange bar backwards to rewind the timeline. Click the X in the upper right corner to exit the navigation help. Timeline Simulation Thorax CTA Examination Select Examination to perform a CT examination. Home Screen [Audio file ] After starting the CT Scan&GO examination workflow, you will see the start screen. Select the Examination icon to perform a CT examination. Please click Examination to continue. Register Jane Doe by selecting her name. Select a Scheduled Patient [Audio file 03_02_audf_ct_vb10_Scan_go_wf_sim_thorax_select_pat1_01.mp3] Your screen will list all scheduled patients if connected to a RIS. [Audio file 03_02_audf_ct_vb10_Scan_go_wf_sim_thorax_select_pat1_02.mp3] In the header, you will see the Home icon, the Scheduler button and the Live Indicator. To return to the Home screen, tap the Home icon from any screen during the examination. You can open the Patient Selection screen at any time using the Scheduler icon. The Live Indicator informs you about the connection status of your tablet with the portal. Use the Refresh button to ensure that the displayed patient list is always up to date. [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_pat1_03.mp3] For example, register your patient locally via the tablet if you are not connected to RIS. In this case, you do not send the data to the RIS. [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_pat1_04.mp3] Register a patient by selecting a patient name. For this simulation, we will select Jane Doe. Please click the marked patient to continue. Select GO to load the selected patient. Select GO to Load the Selected Patient [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_pat2_01.mp3] After selecting a patient, you can check the patient details and modify patient information by tapping Patient Details. [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_pat2_02.mp3] If applicable, modify patient information and tap Save to save your changes. Otherwise, tap Cancel. [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_pat2_03.mp3] Select GO to load the selected patient. Please click GO to continue. Select Vascular as desired examination type. Select Examination Type [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_thx1_01.mp3] Depending on the patient type, Adult or Child, and the examination type, Anatomy or Vascular, tap the corresponding buttons. [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_thx1_02.mp3] In this simulation, select the vascular model as the appropriate exam type. Please click Vascular to continue. Select Thorax from the body region. Select Thorax Body Region [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_thx2_01.mp3] Select the thorax as the desired body region on the schematic vascular body map. You will then see all the selectable scan protocols. Please click on the Thorax to continue. Thorax CTA protocol: - Topogram - Pre-monitoring scan - Monitoring scan - Thorax CTA scan Select GO to continue with the examination. Select GO to Confirm the Selected Scan Protocol [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_thx_prot_01.mp3] You can select the appropriate protocol here. In our case, the Thorax CTA scan protocol applies. [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_thx_prot_02.mp3] With the CTA scan, you use the automatic bolus tracking tool. This allows you to monitor the flow of the injected contrast agent in the vessel and trigger the scan at the predefined HU value. Consequently, you customize the start of the scan for each patient. [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_thx_prot_03.mp3] The Thorax CTA protocol consists of - a topogram, - pre-monitoring scan, - monitoring scan - and the Thorax CTA scan. [Audio file audf_ct_vb10_scan_go_wf_sim_thorax_select_thx_prot_04.mp3] Select the "Go" button to continue the examination. Please click GO to continue. Select the CARE Breathe icon. Select CARE Breathe for practicing the breathing instructions [Audio-File 03_07_audf_ct_vb10_scan_go_wf_sim_thorax_myExam_dectree_01.mp3] If the Scan Protocol is linked to a decision tree, and the myExam Compass contains a warning, you will see the myExam Compass page. This page informs you about · Physiological Signal display · Practicing the breathing instructions with the patient · Patient Characteristics displays · Questions display · Information Display In this protocol, you see only Breathing instruction practice and questions. The CTA Thorax scan protocol is linked to a decision tree. To answer the question, you need to practice the breathing instruction with the patient first. [Audio-File 03_07_audf_ct_vb10_scan_go_wf_sim_thorax_myExam_dectree_02.mp3] You can also select the instruction language and switch the audible and visual patient instructions on or off. The Play icon starts the practice of the breathing instructions. Let's listen to the instructions. [Audio-File xxxxxxx] Current machine instruction from the simulator. 2023-11-20 [Audio-File 03_07_audf_ct_vb10_scan_go_wf_sim_thorax_myExam_dectree_03.mp3] By tapping this icon, you can show the patient the visual patient instructions prior to the examination. These animated images help the patient better understand each breathing phase. Select the CARE Breathe icon. Please select the CARE Breathe icon to continue. Select Close. Show Visual Patient Instructions to the Patient [Audio file 03_08_audf_ct_vb10_scan_go_wf_sim_thorax_ check_conf_pat_pos2_vpi_01.mp3] The green animation signals the patient to breathe normally. [Audio file 03_08_audf_ct_vb10_scan_go_wf_sim_thorax_ check_conf_pat_pos2_vpi_02.mp3] The yellow animation signals the patient to prepare to hold their breath. [Audio file 03_08_audf_ct_vb10_scan_go_wf_sim_thorax_ check_conf_pat_pos2_vpi_03.mp3] And the red animation signals to the patient not to breathe or swallow for the duration of the animation. [Audio file 03_08_audf_ct_vb10_scan_go_wf_sim_thorax_ check_conf_pat_pos2_vpi_04.mp3] Close the popover to continue the examination. Please click Close to continue. Select GO to continue with the examination. Select GO to Confirm settings in myExam Compass [Audiofile 03_09_audf_ct_vb10_scan_go_wf_sim_thorax_myExam_dectree2_01.mp3] Based on these questions, you can assess the patient's ability to follow instructions. If you answer the question with 'no,' it will impact the table speed, leading to an increase. In such cases, we recommend a test run. In our case, we answer the question with yes. Select GO to continue with the examination. Please click GO to continue. Select GO to confirm the patient position. Check and Confirm Patient Position [Audio file 03_10_audf_ct_vb10_scan_go_wf_sim_thorax_ check_conf_pat_pos1_01.mp3] Parameters are now loaded. You can reflect the Thorax CTA topogram. [Audio file 03_08_audf_ct_vb10_scan_go_wf_sim_thorax_ check_conf_pat_pos1_01.mp3] This is the Confirm Patient Position screen. It displays the patient data Patient Orientation Table Movement Topogram Length Tools area and Execution control area. [Audio file 03_10_audf_ct_vb10_scan_go_wf_sim_thorax_ check_conf_pat_pos1_03.mp3] If necessary, you can change the Patient Orientation, the Table Movement and the default Topogram Length. Please note: You can now consider different patient positions within one exam study via the tablet. [Audio file 03_10_audf_ct_vb10_scan_go_wf_sim_thorax_ check_conf_pat_pos1_04.mp3] Also at this point, you can select the instruction language, turn the audible and visual patient instructions on or off, and show the visual patient instructions to the patient before the exam. Select go to confirm the patient position. Please select GO to continue. Select GO to activate the topogram scan. Activate Topo Scan [Audio file 03_11_ 01_audf_ct_va40_scan_go_wf_sim_thorax_activ_topo_scan.mp3] The Ready to load Topogram screen displays. Select GO to activate the topogram scan. Please click GO to continue. Please note: The Remote Scan Control (RSC) can be used as long as the operating range is guaranteed. Select the Start key on the Control Box to start the topogram scan. Start Topo Scan [Audio file audf_ct_va40_scan_go_wf_sim_thorax_start_topo_scan_01.mp3] The topogram range is now loaded. [Audio file 03_12_ audf_ct_va40_scan_go_wf_sim_thorax_start_topo_scan_02.mp3] Please note: Step-by-step instructions appear at the bottom of the tablet screen. These will guide you through the examination. [Audio file 03_12_ audf_ct_va40_scan_go_wf_sim_thorax_start_topo_scan_03.mp3] Press the Start button on the control box or the Remote Scan Control to start the topogram scan. Please click the Start key on the Control Box to continue. Select GO to load the premonitoring scan. Adjust Scan Range of Premonitoring Scan [Audio file 03_13_ audf_ct_va40_scan_go_wf_sim_ thorax_adj_prem_scan_range_01.mp3] A countdown indicates that the remaining Delay Time until the scan is started. [Audio file 03_13_ audf_ct_va40_scan_go_wf_sim_ thorax_adj_prem_scan_range_02.mp3] With the start of the scan process, you will see the examination time in seconds. [Audio file 03_13_ audf_ct_va40_scan_go_wf_sim_ thorax_adj_prem_scan_range_03.mp3] The topogram scan is complete and you will see the topogram. [Audio file 03_13_audf_ct_va40_scan_go_wf_sim_thorax_adj_prem_scan_range_04.mp3] You want to repeat the topogram? To do so, tap the Topogram range in the Scan Browser and then tap the Repeat Topogram button that appears. [Audio file 03_13_audf_ct_va40_scan_go_wf_sim_thorax_adj_prem_scan_range_05.mp3] Once the topogram is acquired, you can plan the next scan range on it. [Audio file 03_13_audf_ct_va40_scan_go_wf_sim_thorax_adj_prem_scan_range_06.mp3] Please note, the arrow on the right indicates the scan direction of the next scan range. By clicking this Window Presets icon, you can switch between the below 3 window presets: Soft Tissue, Bone, Lung. [Audio file 03_13_audf_ct_va40_scan_go_wf_sim_thorax_adj_prem_scan_range_07.mp3] The Scan Browser provides an overview of all scan ranges of the loaded protocol. [Audio file 03_13_audf_ct_va40_scan_go_wf_sim_thorax_adj_prem_scan_range_08.mp3] You are now in the Premonitoring step. [Audio file 03_13_audf_ct_va40_scan_go_wf_sim_thorax_adj_prem_scan_range_09.mp3] Would you like to adjust the pre-monitoring scan? Select the blue dot area and drag it to the correct position. For this simulation, we will drag it just above the bifurcation. [Audio file 03_13_audf_ct_va40_scan_go_wf_sim_thorax_adj_prem_scan_range_10.mp3] Select GO to load the Premonitoring scan. Please click GO to continue. Press the Move key on the Control Box until the table reaches the start position of the premonitoring scan. Press the Move Key on the Control Box [Audio file 03_14_audf_ct_vb10_scan_go_wf_sim_thorax_press_mov_key_01.mp3] The Move key flashes when a table movement is requested. Follow the instructions to press and hold the Move key on the control box or the Remote Scan Control, until the table reaches the start position of the Premonitoring scan. Please click the Move key on the Control Box to continue. Press the Move Key on the Control Box no Audio Please click the Move key on the Control Box to continue. Select the Start key on the Control Box to start the premonitoring scan. Start the Premonitoring Scan [Audio file audf_ct_va40_scan_go_wf_sim_thorax_start_prem_scan.mp3] The table is now in the start position for the premonitoring scan. You can recognize this by the solid grey line. Press the Start key on the control box or the Remote Scan Control and the scan process starts. Please click the Start key on the Control Box to continue. Select the CTA scan range. Place the ROI on monitoring scan [Audio file 03_17_audf_ct_vb10_scan_go_wf_sim_thorax_timeline_cta_scan_range_01.mp3] The pre-monitoring image is displayed. [Audio file 03_17_audf_ct_vb10_scan_go_wf_sim_thorax_timeline_cta_scan_range_02.mp3] You are now in the Monitoring step. [Audio file 03_17_audf_ct_vb10_scan_go_wf_sim_thorax_timeline_cta_scan_range_03.mp3] In this case, you have activated the option for automatic ROI recognition (FAST ROI) at the syngo Acquisition Workplace. It automatically places the ROI on the pre-Monitoring image. If the ROI does not appear automatically, you will have to place it manually on the tablet. To do this, tap the inside of a vessel on the preview image. This will place the ROI. The color of the ROI corresponds to the color of the diagnostic range. Optional: If you want to enlarge or reduce the ROI, tap and drag the edge of the ROI. [Audio file 03_17_audf_ct_vb10_scan_go_wf_sim_thorax_timeline_cta_scan_range_04.mp3] You need to identify the region of interest now. Confirm the region of interest, for example, in the aorta for the monitoring scans. [Audio file 03_17_audf_ct_vb10_scan_go_wf_sim_thorax_timeline_cta_scan_range_05.mp3] Confirm the thorax CTA scan range and the delay time before loading the monitoring scan. To do this, select the CTA scan range in the scan browser. Please click the CTA scan range to continue. Select the monitoring scan range to continue. Adjust CTA Scan Range and Return to Monitoring Scan [Audio file 03_17_audf_ct_vb10_scan_go_wf_sim_thorax_adj_cta_scan_range_01.mp3] By using alpha technology, the scan range is placed automatically on the topogram according to the pre-configured organ range in FAST planning. [Audio file 03_18_audf_ct_vb10_scan_go_wf_sim_thorax_adj_cta_scan_range_02.mp3] If you desire to make additional adjustments to the CTA scan range, feel free to grab any of the purple dots and modify the scan range accordingly. [Audio file 03_18_audf_ct_vb10_scan_go_wf_sim_thorax_adj_cta_scan_range_03.mp3] Also, check the absolute delay times for both the monitoring scan and the CTA scan range. [Audio file 03_18_audf_ct_vb10_scan_go_wf_sim_thorax_adj_cta_scan_range_04.mp3] To return to the Monitoring scan, select the Monitoring scan range in the Scan Browser. Please click the monitoring scan range to continue. Select GO to activate and load the scan. Activate Monitoring Scan [Audio file 03_19_audf_ct_vb10_scan_go_wf_sim_thorax_activ_monit_scan_01.mp3] You will see the contrast protocol for the monitoring scan. The prerequisites for this are: CARE contrast license, Injector Coupling is turned on, and A contrast protocol has been added to the scan range. [Audio file 03_19_audf_ct_vb10_scan_go_wf_sim_thorax_activ_monit_scan_02.mp3] The injection phases are color-coded. The first injection is Contrast medium, the second is Saline. The display informs you of the Volume, Flow and Duration for each injection phase. [Audio file 03_19_audf_ct_vb10_scan_go_wf_sim_thorax_activ_monit_scan_03.mp3] Select GO to activate and load the scan. Please click GO to continue. Select the Start key on the Control Box to administer the contrast and start the monitoring scan at the same time. Start Monitoring Scan [Audio file 03_20_audf_ct_vb10_scan_go_wf_sim_thorax_adj_scan_range_01.mp3] If still necessary, connect the patient to the contrast injector and arm the injector. [Audio file 03_20_audf_ct_vb10_scan_go_wf_sim_thorax_adj_scan_range_02.mp3] With the optional CARE Contrast license, you can start the intravenous contrast injection and the CT scan at the same time. To do this, simply press the Start key on the Control box or the Remote Scan Control. [Audio file 03_20_audf_ct_vb10_scan_go_wf_sim_thorax_adj_scan_range_03.mp3] If CARE contrast is not available, manually press the start buttons on the injector and on the control box at the same time. Please click the Start key on the Control Box to continue. Select Recon to start all configured reconstruction jobs. Check Quality of CTA Images [Audio file 03_21_audf_ct_vb10_scan_go_wf_sim_thorax_check_cta_images_01.mp3] The countdown begins and the monitoring scans will be repeatedly performed. [Audio file 03_21_audf_ct_vb10_scan_go_wf_sim_thorax_check_cta_images_02.mp3] Once the CT value in the ROI reaches the pre-configured threshold, the thorax CTA scan starts automatically. [Audio file 03_21_audf_ct_vb10_scan_go_wf_sim_thorax_check_cta_images_03.mp3] Complete the scan by checking the scan quality: [Audio file 03_21_audf_ct_vb10_scan_go_wf_sim_thorax_check_cta_images_04] To toggle between Quality Check images and Real-Time Images, tap this icon. Use the slider or right-hand side arrows to scroll through the acquired images. [Audio file 03_21_audf_ct_vb10_scan_go_wf_sim_thorax_check_cta_images_05] By clicking this Window Presets icon, you can switch between the below 3 window presets: Soft Tissue, Bone, Lung and default value to review the real-time display images. [Audio file 03_21_audf_ct_vb10_scan_go_wf_sim_thorax_check_cta_images_06] To change the window width and center, tap the Windowing icon and swipe horizontally or vertically over the screen. [Audio file 03_21_audf_ct_vb10_scan_go_wf_sim_thorax_check_cta_images_07.mp3] If you are satisfied with the quality of the image, select Recon to start all configured reconstruction jobs. Please click Recon to continue. Select Close to close the current patient. Close the Patient [Audio file 03_22_audf_ct_vb10_scan_go_wf_sim_thorax_contin_recon_01.mp3] You have now reconstructed all images according to the programmed protocol. Please note: Before you close the patient, we recommend checking the reconstructed images on the main screen. [Audio file 03_22_audf_ct_vb10_scan_go_wf_sim_thorax_contin_recon_02.mp3] Select the Close button to close the current patient and return to the Patient Selection screen. Please click Close to continue. 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 Select Next Patient [Audio file 03_23_audf_ct_vb10_scan_go_wf_sim_select_next_pat_01.mp3] The scan is now complete. Now, you can select the next patient to continue with the next examination. [Audio file 03_23_audf_ct_vb10_scan_go_wf_sim_select_next_pat_02.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. 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Disclaimer Effective Date: 20 Feb 2024 | QR700003150 1.1 Welcome 3 Simulation Thorax CTA Examination 3.1 Home Screen 3.2 Select a Scheduled Patient 3.3 Select GO to Load the Selected Patient 3.4 Select Examination Type 3.5 Select Thorax Body Region 3.6 Select GO to Confirm the Selected Scan Protocol 3.7 Select CARE Breathe for practicing the breathing instructions 3.9 Select GO to Confirm settings in myExam Compass 3.10 Check and Confirm Patient Position 3.11 Activate Topo Scan 3.12 Start Topo Scan 3.13 Adjust Scan Range of Premonitoring Scan 3.14 Press the Move Key on the Control Box 3.16 Start the Premonitoring Scan 3.17 Place the ROI on monitoring scan 3.18 Adjust CTA Scan Range and Return to Monitoring Scan 3.19 Activate Monitoring Scan 3.20 Start Monitoring Scan 3.21 Check Quality of CTA Images 3.22 Close the Patient 3.23 Select Next Patient 4.1 Disclaimer