Decision Trees: Thorax Abdomen Medium Necessary Job Aid

Decision Tree: Thorax Abdomen Medium Necessary Somaris 10 / SOMATOM go. & SOMATOM X. Systems This job aid will walk you through the steps to customize and assign the Thorax Abdomen Me- dium Necessary Decision Tree to a Chest Abdomen Pelvis (CAP) protocol. This Decision Tree will help to streamline the default Thorax Abdomen protocol by creating one protocol but allowing for the correct parameters for a non-contrast exam versus a contrasted 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 protocol you wish to modify. Thorax (9) Abdomen (5) Spine (4) Vascu Thorax multi [factory] Abdomen FoV [factory] C-Spine disc or bone [factory] Brain Thorax breathhold and X-CARE [fact ... Abdomen contrast medium necessa ... T- and L-Spine disc or bone [factory] Neck Thorax FoV [factory] Abdomen VNC TwinBeam DE possibl Spine TwinSpiral DE possible [factory] Pulm Thorax contrast medium necessary [ ... Kidney TwinSpiral DE possible [facto ... Spine TwinSpiral metal DE possible [ ... Thor Thorax and Abdomen FoV [factory] Whole Body soft tissue or bone [fact ... Abdo Thorax and Abdomen contrast medi ... Upper Extremities (0) Extre Thorax and Abdomen VNC TwinBea ... Pelvis (3) Lung screening [factory] Lung Low Dose breathhold and X-C ... Pelvis soft tissue or bone [factory] Lower Extremities (0) Pelvis contrast medium necessary [f ... Pelvis TwinSpiral DE possible [factory] Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers 3. The following options can be found under the Scan Strategies tab. • The woCM aligns the Scan Mode (RoutineSpiralAdultPelvis), CARE Dose4D & CARE kV (Full), CARE kV optimized for (Non-Contrast), Injector Coupling (Off), and Absolute Start Delay (Default to API Time). • The wCM aligns the Scan Mode Mode (RoutineSpiralAdultPelvis) , CARE Dose4D & CARE kV (Full), CARE kV optimized for (Soft Tissue with Contrast), Injector Coupling (On), Contrast Protocol (Abdomen [factory]), and Absolute Start Delay (Customize to whatever is needed for delay, e.g. 60.0). Scan Strategie Decision Tree Thorax and Abdomen contrast medium necessary [factory] WO CM W CM + Add Strategy Info Level None None Info Text Scan Mode RoutineSpiralAdultAbdomenFlexd ... RoutineSpiralAdultAbdomenFlexd ... CARE Dose4D & CARE KV Full Full CARE KV optimized for Non-Contrast Soft Tissue with Contrast Injector Coupling Off On Contrast Protocol Abdomen [factory] Absolute Start Delay 2.0 20.0 Add Parameter Decision Tree Filter RoutineAbdomenFlexdoseAdult Please note that if you do not have Injector Coupling or Contrast Protocols, they can be deleted by selecting the trash can icon next to the parameter. 4. Select the Decision Tree tab or the Edit Trees button to edit the Decision Tree itself. Scan Strategies Decision Tree Thorax and Abdomen contrast medium necessary [factory WO CM WCM + Add Strategy Info Level None Info Text Scan Mode RoutineSpiralAdultAbdomenFlexd ... RoutineSpiralAdultAbdomenFlexd ... CARE Dose4D & CARE KV Full Full CARE kV optimized for Non-Contrast Soft Tissue with Contrast Injector Coupling Off On Contrast Protocol Abdomen [factory] Absolute Start Delay 2.0 20.0 + Add Parameter Decision Tree Filter RoutineAbdomenFlexdoseAdult Edit Trees Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 2 of 6 5. Verify yes is wCM and no is woCM then select Confirm Changes. Once confirmed, select Save Decision Tree. Scan Strategies Decision Tree Confirm Changes Thorax and Abdomen contrast medium necessary [factory WO CM Contrast medium? Save Decision Trees yes no N CM Y WO CM 6. Once you have Saved the Decision Tree, close the Exam Designer and re-open it for the modified Decision Tree to be Available for use. It is recommended to rename the Deci- sion Tree to be easily identified to add to the appropriate protocol. Save Changes × ? You need to close Exam Designer and reopen it for the changes to take effect in the linked protocols. OK 7. The modified Decision Tree will display at the top of the Thorax list. To rename the mod- ified Decision Tree, right-mouse-click on the modified Decision Tree and select Rename. Thorax (10) Thorax (10) Thok Rename contrast medi ... CAP Contrast Thorax m Cut Thorax multi [factory] Thorax br Copy nd X-CARE [fact ... Thorax breathhold and X-CARE [fact ... Thorax Fo Paste Thorax FoV [factory] Thorax co Delete um necessary [ ... Thorax contrast medium necessary [ ... Thorax and Abdomen FoV [factory] Thorax and Abdomen FoV [factory] Thorax and Abdomen contrast medi ... Thorax and Abdomen contrast medi ... Thorax and Abdomen VNC TwinBea ... Thorax and Abdomen VNC TwinBea ... Lung screening [factory] Lung screening [factory] Lung Low Dose breathhold and X-C ... Lung Low Dose breathhold and X-C ... Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 3 of 6 8. Open Exam Designer and select Scan Protocols. Select the protocol you would like to add the new customized Decision Tree to. Thorax (8) CAP Thorax [factory] Thorax Dynamic [factory] Thorax and Abdomen [factory] Thorax and Abdomen DE Virt ... Thorax and Abdomen Multi P ... Lung Screening [factory] Lung Low Dose [factory] 9. Select Modify Protocols. Modify Protocols 10. Assigned Decision Trees can be found under Scan Favorites or the General Scan tab. De- select the default Decision Tree (Pelvis contrast medium necessary [factory]) and se- lect the new customized Decision Tree. Soviely Review Decision Trees Scan Strategies Tilt [0] Off OFF CAP Contrast CAP Contrast.wo CM O CAP Contrast Info template [factory] Metal implant [factory] Patient Instruction TAVI [factory] Side [factory] Test Run [factory] Thorax and Abdomen contrast medium necessary [factory] Thorax and Abdomen FoV [factory] TwinSpiral contrast medium [factory] 11. Recon Strategies (located under the General Recon tab), should be added to Recon Fa- vorites to easily navigate reconstructions when assigning recon strategies. Confirm which reconstructions will populate, based on selections (e.g., woCM or wCM). General Recon X Slice Thickness Increment No. of [mm] Images Comment 1 Comment 2 Recon Strategies 5.00 5.00 120 CAP Contrast.wo CM, w CM 60 CAP Contrast 5.00 5.00 60 wo CM 60 Y W CM 1.00 0.70 428 Automatic Result CAP Contrast.wo CM, w CM; Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 4 of 6 12. Select Confirm Changes, then Save Protocols. Confirm Changes Save Protocols 13. Test the customized Decision Tree by loading it to scan. Confirm that the Question populates under myExam Compass. myExam Compass Questions Would you like to apply contrast medium? yes no 14. Confirm the scan parameters and recon parameters update accordingly. The customized Decision Tree for CAP contrast medium necessary is ready for use. myExam Compass Recon Ranges Topogram Questions Would you like to apply contrast medium ? Thorax and Abdomen 5.95 7.65 60 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 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. Siemens Shanghai Healthcare Sector Henkestr. 127 40 Liberty Blvd. Medical Equipment Ltd. 91052 Erlangen Malvern, PA 19355-9998 USA 278 Zhou Shu Road Germany Telephone: +1-888-826-9702 Shanghai 201318 Phone: +49 9131 84-0 Customer Care Telephone: P.R. China https://www.siemens-healthineers.com +1-800-888-7436 Telephone: +1 847 304 7700 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 30 June 2023 | HOOD05162003360781 Healthineers Page 6 of 6