Decision Trees: Sinus Sinusitis or Soft Tissue Job Aid

Decision Tree: Sinus sinusitis or soft tissue Somaris 10 / SOMATOM go. & SOMATOM X. Systems This job aid contains the steps to customize and assign the Sinus sinusitis or soft tissue Decision Tree to a Sinus protocol. This Decision Tree will help to streamline the default Sinus protocol by creating one protocol but allowing for the correct parameters for a bone versus soft tissue optimization. These steps require you to be signed in as a SuperUser. The password for this user was created during the 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. lecithineert Exam Designer Scan Protocols Examination Configuration Contrast Protocols myExam Cockpit 2. Select the default Sinus sinusitis or soft tissue Decision Tree and Modify Tree. Back to Eram Designer my Exam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Search Decision Trees: inter rame er descrip Finer by: lypc all Short: M Factory Inces (44) Customer Irees (0) Ilead (3) Shoulder (0) Thorax (9) Brain contrast medium necessary [f .... Thorax multi [factory] Sinus sinusitis or soft tissue |factory] I horax breathhold and X LARE [ fact ... RTP Brain [factory] Thorax rov [factory] Thorax contrast medium necessary [ ... Neck (3) Thorax and Abdomen FoV [factory] Thorax and Abdomen contrast medi ... Unserted Decision Trees Neck FoV [factory] Thorax and Abdomen VNC TwinDea ... Neck contrast medium riecessary [fa .. Lung screening [factory] Nock VNC PwinBeam DJF posible [ fa ... Lung Low Dose breathhold and X-C ... Intermatten Export for Viesesing 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: • Low Dose (Sinusitis): Routine Spiral Adult Head SN Xcare (spiral scan with SN(tin) filter to lower dose and optimize bone image quality) • Standard Dose (Soft Tissue): Routine Spiral Adult Head Xcare (spiral scan without SN(tin) filter to optimize soft tissue with sstandard dose) O. Exam Designer - Back to Fram Designer myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Modify Decision Trees Scan Strategies Decision Tree Sinus sinusitis or soft tissue [factory] low dose standard dose @ + Add Strategy Info Level None None Info Text Scan Mode RoutineSpiralAdultHeadSnXcare RoutineSpiralAdultHeadXcare CARE Dose1D & CARE KV Full Full CARE KV optimized for BonefCalciumn Non-Contrast CARE KV IQ level + Add Parameter Decision Tree Filter |RoutineHeadAdult Edit Trees Select Decision Trees Confirm Changes 4. To edit the Decision Tree itself, Click on Edit Trees or the Decision Tree tab. (You should not have to change anything in this step) Healthineers Back to Liam Deagner myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Madity Decision Ires Scan Suelegies Decision Tree Sinus sinusitis or soft tissue [factory] low dose Y Sinus Sinusitis/soft tissue? - sinusitis soft tissue low dose standard dose v Edit Strategies Select Decision Trees Confirm Changes 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 7 5. Confirm: sinusitis with low dose and soft tissue with standard dose. Save Decision Tree. Shineers - Back to Exam Designer myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Modify Decision Trees Scan Strategies Decision Tree Sinus sinusitis or soft tissue [factory] law dose Y Sinus Sinusitis/soft tissue? v sinusitis soft tissue low dose standard dose v Fait strategie Select Decision Trees Confirm Ciences Confirm Changes Save Decision Trees 6. After 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 7 7. Rename the Decision Tree so it is more easily recognizaed for the appropriate protocol. The modified Decision Tree will display at the Top of the Head list. Right-mouse-click to choose Rename, this will allow you to rename it. SIEMENS Healthineers 10 O ney Learn Cockpit myExart Cockp 1. Select Dechien Trees 2. Modify Decken Thees 3.Confien Deckion Tiers 1. Snkct Duckies Tours 3. Conform Decision Trees Search Decision Ireest Enteria me or description Customer Thees (1) Search Wedatan frees: Enter anno Show: - Factory Trees (47) SIune M Factory times (62) Customer trees (1) * Select all Select all Head (4) Shoulder (0) Thorax (2) Abdomen (5) Sinus shushi e Iractory ... Thorax muki [factory] Abdomen Fov [factory - Head (4) Shoulder (O) Thorax (9) Brain contrast cersary If. Thorax breathhold and X CARE |fact ..... Abdomen contrast medium necessa. SINIS RONF OR SOFT TISSLIF Thorax multi [factory] Sinus shmusik Copy e |factoryl Thorax Fol [factory] Abdomen VNC Tal Ecam DE possibl Kidney TeinSpiral DE possibile ffacto ... Urein contrast medium necessary It .... Thorax breathhold and X-CARL |fact ... RTP Brain [fact Piste Therak contrast medium necessary [ ... Thatax and Abdamen Fol [factory] Whole Body soft thsue or bone ffact .. Sinus sinusitis ar soft tivas [factory] Thorax Fol [farsory] Delete Vascular Cardine I horax contrast medium necessary [ ... General Pelvis (3) Thorax and Alalumen FuV [fartary] Pelvis soft tissue or borte ffactory] Templates . Neck (3) Thorax and Abdomen contrast medl ... Pelvis contast medum necessary ft ... Unsorted Decision Trees Neck Fol [factory] Thorax and Alarhunnen VNC Twinflows ... Phi TwinSpinal DF porwitde [Sielmary] Lung screening Itactoryl Neck contrast meclum necessary Its .... Neck VNC Twirdesm DE possible [[ .... Lung Low Dose Inwalkhell und X-C. 8. Open Exam Designer and choose Scan Protocols. Exam Designer Scan Protocols Examination Configuration Contrast Protocols myExam Cockpit 9. Select the protocol you would like to add this new Customized Decision Tree to and then Modify Protocols. . Adult Head (10) SINUS Brain [factory] Brain Multi Phase [factory] Modify Protocols Brain DE Hemorrhage Post Int ... Brain Perfusion [factory] Brain Perfusion Prolonged [fa ... Inner Ear [factory] Sinus [factory] Orbit [factory] Dental [factory] 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 7 10. Under the General Scan Tab, uncheck the default Decision Tree (Sinus sinusitis or soft tissue [factor]) and select the customized Decision Tree. Scan Pratoenk 1. Select Protoc 2. Modify Protocols 3. Confirm Ouriges Pretocal Scan Favorites General Scan Dose Tinting Cantia Riccon Favorites General Rocon Recon&GO Image Impression Recon Box Physio Rscan Auto Tas can/Recon D. Scan Favorites Donc bitte Treves Scanphoning Topofduitsn SINUS DONE OR SUFI TISSUE E SNUS DONC OR SOFT ISSUE" Roin contrast median nerevary ffarinry] Into template [factory] Metal Implant [factory Patient Instruction TAMI [factory] INTP Armin [astory] Sinus cinusit's or soft tissue factoryl Test Bun (lastory] TwinSpital : unhast mueslium [ler key] 11. Under the General Recon tab, confirm what reconstructions will populate according to what was chosen, low dose or standard dose. Recons will most likely go for both recon strategies. Low dose will be optimized for bone, whereas standard dose will be optimized for soft tissue. Scan Protocols 3. Confirm Changes | Scan Dose Timing Contra Physio Scan Contrast on&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options x General Recon OLP Pitch Rot. Time Absolute Start Slice Thickness Increment No. of Comment 2 econ Strategies mGy*cm] Delay [s] [mm] Images Comment 1 2.87 2.0 62.7 0.55 1.00 2.0 3.00 3.00 SINUS BONE OR SOFT TISS 3.00 SINUS BONE OR SOFT TISSU low dose 3.00 3.00 standard dose 3.00 3.00 Automatic 12. Select Confirm Changes, then Save Protocol. Confirm Changes Validate Strategy Validate Scan Mode Save Protocols 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 7 13. Test customized Decision Tree by loading it to scan. Confirm that the Question populates under myExam Compass. myExam Compass ® Questions Is your focus on sinusitis with lower dose or soft tissue with standard dose? sinusitis soft tissue 14. Confirm the Scan parameters change accordingly. Customized Decision Tree for Sinus is ready for use. Exam Compass ® Recon Ranges estions Topogram Is your focus on sinusitis with lower dose or soft tissue with standard dose? sinusitis yExam Compass Recon Ranges Questions Is your focus on sinusitis with lower dose or soft tissue with standard dose? soft tissue Sinus 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 7 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 7 of 7