Decision Trees: C-spine disc or bone, T and L spine disc or bone Job Aid

Decision Tree: C-spine disc or bone, T and L spine disc or bone Somaris 10 / SOMATOM go. & SOMATOM X. Systems This job aid will walk you through the steps to customize and assign the C-spine disc or bone, or T and L spine disc or bone Decision Tree to a spine protocol. This Decision Tree will help to stream- line the default Spine protocol by creating one protocol but allowing for the correct parameters for a soft tissue versus a bone exam. These steps require you to be signed in as a SuperUser, the password for this user was created during your initial turnover and will help you gain access to the Exam Designer. 1. Select the cog wheel in the upper right corner to open the Exam Designer. In the Exam Designer, select myExam Cockpit. Exam Designer Scan Protocols Examination Configuration Contrast Protocols myExam Cockpit 2. Select the default C-Spine/T+L Spine disc or bone Decision Tree then select Modify Tree. - Back to Exarm Designer myExam Cockpit 1. Select Decision Trees . Modify Decision Trees 3. Confirm Decision Trees Search Decision Trees: |Enter name or description Filter By: Type all Show: Factory Trees (47) Customer Trees (3) . Select a + Add folder Abdomen (5) - Spine (5) Abdomen FoV [factory] C-Spine disc or bone [factory] Vascular Abdomen contrast medium necessa ... C-Spine disc or bone [factory] Ind X CARF [fact .. Abdomen VNC TwinBearn DE possibl T- and L-Spine disc or bone [fac Kidney TwinSpiral DE possible [facto ... Spine TwinSpiral DE possible [ta Templates jium necessary [ ... Whole Body soft tissue or bone [fact ... Spinc TwinSpiral metal DE poss en FoV [factory] Unsorted Decision Trees an contrast medl ... Pelvis (3) Upper Extremities (0) en VNC TwinBea ... tory! Pelvis soft tissue or bone [factory] ithhold and X-C ... Pelvis contrast medium necessary |f ... Lower Extremities (0) Pelvis TwinSpiral DE possible [factory] Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers 3. Under Scan Strategies: • Standard Dose: Routine Spiral Adult Neck/Spine • Standard acquisition with full dose • Low Dose: Routine Spiral Adult Neck/Spine Sn • Low dose acquisition with Sn(tin) filter and lower mAs (CARE kV IQ level) myExam Cockpit 2. Modify Decision Trees 3. Confirm Decision Trees Scan Strategies Decision Tree C-Spine disc or bone [factory] - Copy standard dose low dose + Add Strategy Info Level None None Info Text Scan Mode RoutineSpiralAdultNeck RoutineSpiralAdultNeckSn CARE Dose4D & CARE KV Full Full CARE KV optimized for Non-Contrast Bone/Calcium CARE KV IQ level 195 97 + Add Parameter 4. To edit the Decision Tree itself, Click Edit Trees or the Decision Tree tab. 2. Modify Decision Trees 3. Confirm Decision Trees Scan Strategies Decision Tree C-Spine disc or bone [factory] - Copy standard dose Spine disc/fracture? spine disc fracture standard dose v low dose Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 2 of 8 5. Confirm Changes: Soft Tissue is standard dose and Bone is low dose. Save Decision Trees. 2. Modify Decision Trees 3. Confirm Decision Trees Scan Strategies Decision Tree C-Spine disc or bone [factory] - Copy standard dose Spine disc/fracture? spine disc fracture standard dose low dose Confirm Changes Save Decision Trees 6. Once you have saved your Decision Tree, close the Exam Designer and re-open it for the modified Decision Tree to be available for you to use. Save Changes × ? You need to close Exam Designer and reopen it for the changes to take effect in the linked protocols. OK Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 3 of 8 7. Rename the Decision Tree to be added to the appropriate protocol. The modified Decision Tree will populate at the top of the Spine list. Right-mouse click to choose Rename. - Spine (5) Spine (5) Rename or bone [factory] - Copy SPINE C- C-Spine disc or bone [factory] Cut r bone [factory] T- and L-Spine disc or bone [factory] T- Copy disc or bone [factory] Sp Paste ral DE possible [factory] Spine TwinSpiral DE possible [factory] Sp Delete iral metal DE possible [ ... Spine TwinSpiral metal DE possible [ ... Upper Extremities (0) Upper Extremities (0) Lower Extremities (0) Lower Extremities (0) 8. Open Exam Designer, and choose Scan Protocols. Exam Designer Scan Protocols Examination Configuration LOSS Contrast Protocols myExam Cockpit Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 4 of 8 9. Select the desired protocol to add this new Customized Decision Tree to modify the protocol. Back to Exam Designer 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Search Protocols: Enter protocol name or description Q Filter by: Patient Type all Show: Factory Protocols (145) Customer Protocols (3) Decision Tree all . Adult Spine (7) C-SPINE + Add folder + Add folder [factory C-Spine [factory] Ion Con ... T-Spine [factory] y] L-Spine [factory] Trauma ory] Spine DE Bone Marrow [facto ... Trauma ry] Spine DE Metal [factory] RTP Osteo [factory] RTP Specials Specials Baby [facto ... Intervention Modify Protocols Intervention 10. Under the General Scan Tab, uncheck the default Decision Tree (C-Spine disc or bone [factory]) and select the customized Decision Tree. Strategy Review Decision Trees Scan Strategies Tilt Off Off SPINE SPINE.standard dose Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 5 of 8 11. Under the General Recon tab, confirm what reconstructions will populate according to what was chosen; standard dose or low dose. Find/Replace can/Recon General Recon Scan/Recor Slice Thickness Increment [mm] No . of Images Comment 1 Comment Recon Strategies C-SPINE (Adult) Topogram Topogram 0.60 Tr20 sag C-Spine C-Spine 2.00 Br40 A3 ax C-Spine 2.00 Br60 A3 ax 2.00 2.00 SPINE.standard dose, low ( C-Spine 2.00 Br40 A3 ax Spine 2.00 2.00 Automatic Result SPINE C-Spine 2.00 Br40 A3 sag Spine 2.00 2.00 Automatic Result standard dose C-Spine 2.00 Br60 A3 ax M low dose C-Spine 2.00 Br40 A3 ax 2.00 2.00 SPINE. standard dose, low d ... C-Spine 2.00 Br60 A3 ax Spine 2.00 2.00 Automatic Result 2.00 60 SPINE. standard dose, low d ... C-Spine 2.00 Br60 A3 sag Spine 2.00 60 Automatic Result SPINE. standard dose, low d ... C-Spine Br40 A3 sag Radial 19 Automatic Result SPINE.standard dose, low d ... 12. Select Confirm Changes, then Save Protocols. Confirm Changes Validate Strategy Validate Scan Mode Save Protocols 13. Test the customized Decision Tree by loading it to scan. Confirm that the Question populates under myExam Compass. myExam Compass Questions Is your focus on bone with lower dose or spine disc with standard dose? spine disc fracture Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 6 of 8 14. Confirm the scan parameters change accordingly. A customized Decision Tree for SPINE disc or bone is ready for use. Notice that the recons change depending on whether you are optimizing the scan for soft tissue (spine disc), or bone (fracture). myExam Compass® Recon Ranges Questions Topogram Is your focus on bone with lower dose or spine disc with standard dose? spine disc yExam Compass Recon Ranges Topogram Question Is your focus on bone with lower dose or spine disc with standard dose? fracture C-Spine Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 7 of 8 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 2023 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 8 of 8