Decision Trees: Pelvis Soft Tissue or Bone Job Aid

Decision Tree: Pelvis soft tissue or bone Somaris 10 / SOMATOM go. & SOMATOM X. Systems This job aid contains the steps to customize and assign the Pelvis Soft Tissue or Bone Decision Tree to a Pelvis Protocol. This Decision Tree will help to streamline the default Pelvis protocol by creating one protocol but allowing for the correct parameters for a bony pelvis acquisition versus soft tissue pelvis acquisition. 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 Exam Designer. In Exam Designer select myExam Cockpit. Exam Designer Scan Protocols Examination Configuration Contrast Protocols myExam Cockpit 2. Select the default Pelvis Soft Tissue or Bone Decision Tree. Select all Add folder Abdomen (5) Spine (4) Vascular (6) Vascula Ictory] Abdomen FoV [factory] C-Spine disc or bone [factory] Brain CTA Tw old and X-CARE [fact ... Abdomen contrast medium necessa ... T- and L-Spine disc or bone [factory] Neck CTA Tw Vascular Cardiac tory] Abdomen VNC TwinBeam DE possibl Spine TwinSpiral DE possible [factory] Pulmonary a General medium necessary [ ... Kidney TwinSpiral DE possible [facto ... Spine TwinSpiral metal DE possible [ ... Thorax Coror omen FoV [factory] Whole Body soft tissue or bone [fact ... Abdomen CT Templates omen contrast medi ... Upper Extremities (0) Extremity CT. omen VNC TwinBea ... Unsorted Decision Trees Pelvis (3) [factory] breathhold and X-C ... Pelvis soft t sue or bone [factory] Lower Extremities (0) Pelvis contrast medium necessary [f ... Pelvis TwinSpiral DE possible [factory] formation 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. To create a duplicate of the Decision Tree, right-mouse click and select Copy. Then, right- mouse click to Paste. Rename the copy of the Decision Tree in order to identify it. To rename, right-mouse click and select rename. You can also do this after you save the Decision Tree. A duplicate DT will automatically populate once a DT is saved with modifcations applied. Abdomen VNC TwinBeam DE possibl SPI I ... Kidney TwinSpiral DE possible [facto ... Spi Whole Body soft tissue or bone [fact ... Pelvis (4) Upper Extrem di ... Uppe ctory] Rename sue or bone [factory] Pelvis (3) t medium necessa ... cins sue or bone [factory] Lower Extremi inBeam DE possibl Copy t medium necessary [f ... Pelvis soft tissue or hone Mfactory] Lowe DE possible [facto ... Paste iral DE possible [factory] Pelvis contrast med Rename Cut ary [f ... tissue or bone [fact ... Delete Pelvis TwinSpiral DE NOY actory] Spine (4) Paste C-Spine disc or bone [factory] Delete T- and L-Spine disc or bone [factory] Spine TwinSpiral DE possible [factory] Spine TwinSpiral metal DE possible [ ... 4. Select the renamed Decision tree, then select Modify Tree in the lower right corner. Modify Tree 5. Under Scan Strategies, it is possible to change the CARE kV IQ level or Scan mode if needed. odify Decision Trees 3. Confirm Decision Trees Scan Strategies Decision Tree TEST Pelvis soft tissue or bone [factory] - Copy standard dose low dose + Add Strateg Info Level None None Info Text Scan Mode RoutineSpiralAdultPelvis RoutineSpiralAdultPelvisSn CARE Dose4D & CARE KV Full Full CARE kV optimized for Non-Contrast Bone/Calcium CARE KV IQ level 170 85 + Add Parameter 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 6 6. Once all the changes are completed, select Confirm Changes. Then, select Save Decision Tree. After the Decision Tree is saved, close the Exam Designer and re-open it for the modified Decision Tree to be available for use. Confirm Changes Save Decision Trees Save Changes × ? You need to close Exam Designer and reopen it for the changes to take effect in the linked protocols. OK 7. Open Exam Designer, select Scan Protocols. Exam Designer Scan Protocols Examination Configuration X KIOSK Mode (restart r- Add New Patients Explorer License file Exam Designer Simulator Scan and GO Patient Marking Sim RunSomaris INIT 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 3 of 6 8. Choose the protocol you wish to add the new customized Decision Tree, then select Modify Protocol. Decision Tree Pelvis (3) Up Pelvis [factory] Modify Protocols Pelvis DE Bone Marrow [facto ... Hip [factory] Spine (6) C-Spine [factory] T-Spine [factory] L-Spine [factory] 9. Under the General Scan Tab, uncheck the default Decision Tree (Brain contrast medium necessary [factory]) and select the customized Decision Tree. ble Scan Modes Strategy Review Decision Trees Scan Strategies ning TopoAdultSn Of alAdultPelvis; Routi ... TEST Pelvis soft tissue or bo .... TEST Pelvis soft t TEST Pelvis soft tissue or bone [factory] - Copy Info template [factory] Metal implant [factory] Patient Instruction TAVI [factory] Pelvis contrast medium necessary [factory] Pelvis soft tissue or bone [factory] Side [factory] Test Rein [factory) TwinSpiral contrast medium [factory] 10. Rename the protocol when using a default protocol. Recon Favorites General Recon Recon&GO Image In Find/Replace Scan/Recon General Scan Scan/Recon Patient Type Organ Characteristic Target Regio Pelvis [factory] Topogram Adult Pelvis Topogram 0.60 Tr20 cor Pelvis Adult Pelvis Pelvis Pelvis 5.00 Br40 A3 sag Pelvis 5.00 Br40 A3 cor Pelvis 5.00 Br40 A3 ax Pelvis 5.00 Br60 A3 ax Pelvis 5.00 Br60 A3 sag Pelvis 5.00 Br60 A3 cor Pelvis 5.00 Br60 A3 ax Pelvis 5.00 Br40 A3 ax Pelvis Br40 A3 cor Radial Pelvis 5.00 Br40 A3 sag Pelvis 5.00 Br40 A3 cor Pelvis 5.00 Br40 A3 ax 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 6 11. Under the General Recon tab, it is possible to change what recons will populate when soft tissue (standard dose) or bone (low dose) is chosen. Scan/Recon General Recon Image Impression Scan/Recon Slice Thickness Increment No. of [mm] Com [mm] me" Comm ent 2 Recon Strategies Image Type Window@120kV FAST Window Images Kernel ADMIRE ADMIRE Strength IBHC iMAR MAR Ty TEST PELVIS (Adult) Topogram Topogram 0.60 Tr20 cor Topogram Body Tr 20 Pelvis Pelvis 5.00 Br40 A3 sag Pelvis 5.00 Br40 A3 cor 5.00 5.00 TEST Pelvis soft tissue or b MPR Pelvis On Br40 On Off Off Pelvis 5.00 Br40 A3 ax TEST Pelvis soft tissue or bone [factory] - Copy Pelvis 5.00 Br60 A3 ax 5.00 5.00 standard dose Bone On Br60 Off Pelvis 5.00 Br60 A3 sag low dose Pelvis 5.00 Br60 A3 cor 5.00 5.00 Metal implant [factory] Bone On Br60 On Off Off Pelvis 5.00 Br60 A3 ax wo iMAR w Pelvis 5.00 Br40 A3 ax 5.00 5.00 WIMAR Pelvis On Br40 Off Off Pelvis Br40 A3 cor Radial Automa. TEST Pelvis soft tissue or bo ... VRT Pelvis On Br40 On Off ww Pelvis 5.00 Br40 A3 sag Pelvis 5.00 Br40 A3 cor 5.00 5.00 76 EST Pelvis soft tissue or bo. MPR Pelvis On Br40 On Off On Hip Impl Pelvis 5.00 Br40 A3 ax 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. Confirm the Scan parameters and recons change accordingly. The Customized Decision Tree for Pelvis Soft Tissue or Bone is ready for use. 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 6 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 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. syngo Healthcare Sector Henkestr. 127 40 Liberty Blvd. Henkestr. 127 91052 Erlangen, Germany Malvern, PA, USA 19355-9998 91052 Erlangen, Germany Phone: +49 9131 84-0 Telephone: +1-888-826-9702 Phone +49 9131 84-0 siemens-healthineers.com Customer Care Telephone: siemens-healthineers.com/medical-imaging-it +1-800-888-7436 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 6