Trauma Workflow: Trauma Layouts in CT View&GO Simulation (VA40)

Continue Continue Welcome Welcome to this simulation of the Trauma Layouts in CT View&GO (VA40). On the following pages, we will guide you through the typical steps for using Trauma Layouts in an emergency examination. Trauma Workflow Trauma Layouts in CT View&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_trauma_layouts_sim_welcome.mp3] Welcome to this simulation of the Trauma Layouts in CT View&GO (VA40). On the following pages, we will guide you through the typical steps for using Trauma Layouts in an emergency examination. If you need help for navigating through the simulation, select this button. To start the simulation, select Practice. Simulation Trauma Layouts Select the More icon, to open the Tool Gallery. Opening the Trauma Layouts [Audio file audf_ct_va40_trauma_layouts_sim_open-tool-gallery_01.mp3] To improve polytrauma outcomes, everything has to happen fast. Workflow, diagnosis and treatment. [Audio file audf_ct_va40_trauma_layouts_sim_open-tool-gallery_02.mp3] As polytrauma cases often consist of a long list of image series from different body positions, it can be time-consuming to read each of these series image data. [Audio file audf_ct_va40_trauma_layouts_sim_open-tool-gallery_03.mp3] Trauma layouts offers fast access to - and ordering of - key anatomies by automatically loading datasets into dedicated layouts that correspond to anatomical regions. [Audio file audf_ct_va40_trauma_layouts_sim_open-tool-gallery_04.mp3] In time-critical emergency situations, this gives the radiologist easy access to well-structured data – right next to the scanner. The laborious manual retrieval and evaluation of multiple, unstructured images and anatomical regions is no longer necessary. [Audio file audf_ct_va40_trauma_layouts_sim_open-tool-gallery_05.mp3] To open the trauma layouts, do the following. Select the More icon, to open the Tool Gallery. Please select the More icon to continue. Select Trauma Tools, to open the Trauma layouts. Opening the Trauma Layouts [Audio file audf_ct_va40_trauma_layouts_sim_select-trauma-tools_01.mp3] Scroll down the Tool Gallery… [Audio file audf_ct_va40_trauma_layouts_sim_select-trauma-tools_02.mp3] …and select Trauma Tools, to open the Trauma layouts. Please select Trauma Tools to continue. Select Close, to close the Tool Gallery. Opening the Trauma Layouts [Audio file audf_ct_va40_trauma_layouts_sim_close-tool-gallery_01.mp3] When you activate the Trauma tools, the layouts in the CT View&GO window change. The original default layouts for routine reading are being replaced by special trauma layouts. [Audio file audf_ct_va40_trauma_layouts_sim_close-tool-gallery_02.mp3] Select Close, to close the Tool Gallery. Please close the Tool Gallery to continue. Select the Brain Hemorrhage layout. Trauma Layouts Introduction [Audio file audf_ct_va40_trauma_layouts_sim_overview_01.mp3] The trauma layouts include predefined layouts for Brain Hemorrhage, Skull Unfolding, Spine Unfolding, and Rib Unfolding. As well as other anatomical regions including head, neck, thorax, abdomen, and pelvis. [Audio file audf_ct_va40_trauma_layouts_sim_overview_02.mp3] You can go through these layouts one by one in order to perform a structured reading. Let's start with the question of whether there is an intercranial hemorrhage. Please select the Brain Hemorrhage layout to continue. Select the Skull Unfolding Hematomas layout. Brain Hemorrhage Layout [Audio file audf_ct_va40_trauma_layouts_sim_hemorrhage_01.mp3] The Brain Hemorrhage layout automatically loads the soft reconstruction of the head and the Brain Hemorrhage inline result. This notification provides automated support for emergency triage of suspected intracranial hemorrhage. In our case, it signals the radiologist: a suspected brain hemorrhage has been found. The radiologist can now scroll through the images to verify this indication. [Audio file audf_ct_va40_trauma_layouts_sim_hemorrhage_02.mp3] The next question regarding our emergency patient is: are there surface hematomas in the head? To clarify this, select the Skull Unfolding Hematomas layout. Please select the Skull Unfolding Hematomas layout to continue. Video: click on the 2D MIP to clarify hemorrhage. Data set on the left is automatically scrolled and reference lines are positioned correctly in all segments. Select the Skull Unfolding Fractures layout. Skull Unfolding Hematomas Layout [Audio file audf_ct_va40_trauma_layouts_sim_hematomas_01.mp3] This layout loads the soft reconstruction of the head on the left, and the Skull Unfolding Hematomas inline result on the right. The inline result consists of four different images that can be scrolled through: [Audio file audf_ct_va40_trauma_layouts_sim_hematomas_02.mp3] A thin curved MIP and a thick curved MIP of the skull cap. [Audio file audf_ct_va40_trauma_layouts_sim_hematomas_03.mp3] And a thin curved MIP and a thick curved MIP of the skull base. [Audio file audf_ct_va40_trauma_layouts_sim_hematomas_04.mp3] The layout also offers navigation. As the segments are synchronized, it is possible to click on the 2D MIP to clarify a hemorrhage, for example. The data set on the left is then automatically scrolled and the reference lines are positioned correctly in all segments. [Audio file audf_ct_va40_trauma_layouts_sim_hematomas_05.mp3] Next, let us look for skull fractures. To do this, select the Skull Unfolding Fractures layout. Please select the Skull Unfolding Fractures layout to continue. Select the Head Soft layout. Skull Unfolding Fractures Layout [Audio file audf_ct_va40_trauma_layouts_sim_fractures_01.mp3] The Skull Unfolding Fractures layout has a similar concept to the one you just saw. It loads the sharp reconstruction of the head on the left, and the Skull Unfolding Fractures inline result on the right. The inline result consists of a curved MIP of the skull cap, and a curved MIP of the skull base, that can be scrolled through. [Audio file audf_ct_va40_trauma_layouts_sim_fractures_02.mp3] The segments are also synchronized in this layout. You can click on the 2D MIP to clarify a fracture, for example and the data set on the left is updated automatically. [Audio file audf_ct_va40_trauma_layouts_sim_fractures_03.mp3] The three layouts Brain Hemorrhage, Skull Unfolding Hematomas, and Skull Unfolding Fractures are based on the new Inline Results, which were specially developed for trauma cases. Additional layouts are available for treating trauma patients. Select the Head Soft layout, to learn more. Please select the Head Soft layout to continue. Select the Layout Gallery icon, to open the Layout Gallery. Further Trauma Layouts in the CT View&GO Panel [Audio file audf_ct_va40_trauma_layouts_sim_layouts_01.mp3] Sorted according to anatomical regions, further layouts are available. These layouts include: << please add a pause of 2 seconds after each bullet point >> Head Soft Head Soft and Sharp Neck Soft Neck Soft and Sharp Thorax Soft and Sharp Abdomen Soft and Sharp and Pelvis Soft and Sharp [Audio file audf_ct_va40_trauma_layouts_sim_layouts_02.mp3] In this way, you can go through the trauma data, structured according to body regions, and evaluate the soft reconstruction and the sharp reconstruction in parallel. The segments on the left are synchronized with the segments on the right so that you can navigate to findings and compare their appearance on the sharp and soft reconstruction. The layouts are also available for a dual monitor setup. [Audio file audf_ct_va40_trauma_layouts_sim_layouts_03.mp3] You can find more trauma layouts in the Layout Gallery. Select the Layout Gallery icon, to open the Layout Gallery and see which Trauma layouts you can find there. Please select the Layout Gallery icon to continue. Select the Neck 2 Phases layout. Further Trauma Layouts in the Layout Gallery [Audio file audf_ct_va40_trauma_layouts_sim_further-layouts_01.mp3] When Trauma Tools is active, a set of trauma-specific layouts are added to the Layout Gallery. These appear below the layouts, that are available in the Viewer by default. [Audio file audf_ct_va40_trauma_layouts_sim_further-layouts_02.mp3] In addition to the layouts that you already know from the CT View&GO panel, you will find more soft, sharp and multi-phase layouts for the different body regions, e.g. Neck 2 Phases, or Pelvis 3 Phases. [Audio file audf_ct_va40_trauma_layouts_sim_further-layouts_03.mp3] But how is the correct image data automatically selected in the layout segments? Let's take a look at the correct assignment of data role definitions to understand this. Select the Neck 2 Phases layout. Please select the Neck 2 Phases layout to continue. Select Close, to close the Layout Gallery. Further Trauma Layouts in the Layout Gallery [Audio file audf_ct_va40_trauma_layouts_sim_close-layout-galery.mp3] Select Close, to close the Layout Gallery. Please close the Layout Gallery to continue. Neck >NonEnhanced >Soft Select the Neck >NonEnhanced >Soft data role. Assigning View&GO Dataroles [Audio file audf_ct_va40_trauma_layouts_sim_data-roles_01.mp3] In this layout, three of the segments are empty. This can be the case because the required image data was not reconstructed or the assignment of the required data role was incorrect. In our case we need to check the data role Neck – NonEnhanced – Soft. [Audio file audf_ct_va40_trauma_layouts_sim_data-roles_02.mp3] You can assign the data roles for Trauma layouts at the CT console. Open the parameter panel and select the Auto Tasking tab. [Audio file audf_ct_va40_trauma_layouts_sim_data-roles_03.mp3] Then assign a View&GO Datarole to a recon range, to enable the result series to be displayed in the Trauma layouts. [Audio file audf_ct_va40_trauma_layouts_sim_data-roles_04.mp3] Open the dropdown menu and select the Neck – NonEnhanced – Soft data role. Please select the Neck >NonEnhanced >Soft data role. 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 Assigning View&GO Dataroles [Audio file audf_ct_va40_trauma_layouts_sim_end_01.mp3] After you have successfully assigned the required data role and finished the reconstruction, you need to reopen the Trauma Tools in CT View & GO and navigate to the Neck 2 Phases layout. The reconstruction is now loaded correctly, and you can continue with your examination. [Audio file audf_ct_va40_trauma_layouts_sim_end_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. 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 HOOD05162003210757 | Effective Date: 17-AUG-2021 1.1 Welcome 2 Simulation Trauma Layouts 2.1 Opening the Trauma Layouts 2.4 Trauma Layouts Introduction 2.5 Brain Hemorrhage Layout 2.6 Skull Unfolding Hematomas Layout 2.7 Skull Unfolding Fractures Layout 2.8 Further Trauma Layouts in the CT View&GO Panel 2.9 Further Trauma Layouts in the Layout Gallery 2.11 Assigning View&GO Dataroles 3.1 Disclaimer