MAMMOMAT B.brilliant - Breast biopsy - Lateral tomo biopsy (USA)

In this video you will get to know a typical Lateral tomo biopsy examination. The examination is controlled at the workstation with preset examination parameters. The lateral TOMO biopsy process is very similar to the vertical TOMO biopsy process. To see the process in more detail, please watch the TOMO biopsy video on PEP Connect. To rotate the system, use the rotational keys on the swivel arm. Select the required horizontal biopsy procedure, both the words horizontal and. Lateral are. Used interchangeably for these. Kinds of. Procedures. If necessary, it is possible to change from a vertical to a lateral procedure during the process. If possible, use the non fenestrated biopsy paddle for a lateral tomo biopsy. In the pop up select. The appropriate. Response regarding the use of a spacer plate. After you have compressed the breast, the scout exposure. Icon turns white. The first exposure is a Tomo Scout exposure, a 3D Scout image. Press and hold the exposure button as long as the signal is audible. The swivel arm moves automatically during the exposure. There is a short delay. While the tomo images are reconstructed. Once they have appeared, scroll through the slices to check that the region of interest is in the field of view. Click OK to confirm that the region of interest is in the targetable. Field of view the. System shows. The first view of the. Lateral TOMO biopsy. Next you set the reference cross. Check the reference points. The reference points and reference crosshairs must be aligned. To move the crosshair, hover the mouse cursor over the cross. The icon changes to compass points. Click and drag the crosshair to align with the T reference point. Confirm the reference point with the Confirm selected target mark icon. Next, you define the Biopsy target points mark. The biopsy target point with a click on any of the tomo slices. Choose the slice where the lesion is shown clearly. The target point position is identified in the image by a marker cross. If necessary, reposition the target marker cross with the mouse. Open the biopsy navigator to see the position of the target relative to the needle. For the lateral approach, you may use the virtual paddle hole display as a reference of the biopsy area. Select View and show Virtual. Paddle hole in the main menu, Please note. The virtual paddle hole is for reference only. It displays the approximate region where the targets can be set. Click Confirm to confirm your target and to close the biopsy navigator. A default needle is configured for the procedure that you selected at the start of the examination. The. Needle and needle holder can be changed in the acquisition subtask. Card. In our example, we use an Encore 10 gauge horizontal needle with a dedicated needle holder. With this setup we can select the pre imposed fire option. With the fire option you can check the accuracy of the target. Click the Transmit Selected Target mark icon to transfer the targets to the system. The system drives to the transmitted coordinates. To prepare for biopsy, first attach the needle holder. When it is securely attached, the LED on top of the needle driver changes from orange to green. Next, administer the local anesthetic. You can use the needle guide for guidance when a target has been transmitted and the needle holder has driven to the target. The hand box displays 3 numbers. The target number of the transmitted target. The configured length of the needle. And the safety distance between the needle and the detector as. Soon as you press any button on the hand box, the display shows only zeros. This means that you are at your transmitted target. Next, install the needle. Make sure that the needle is in the pre fire position slide. The needle into the needle holder and through the needle guide. Ensure that the needle is connected securely onto the adapter plate or firing mechanism. Press and hold the exposure button on the control box until the Tomo acquisition has been acquired. The system moves automatically during the pre fire exposure. Check that the needle tip is close. To your target fire. The needle into the breast. If required, a post fire toma synthesis image can be acquired to confirm position of the notch relative to the target. This can also be used after sampling the tissue to ascertain if there is still residual calcification. Activate the Inspect view tile. Place the. Specimen in the specimen tray. Close the specimen tray and insert it into the inspect bracket on the biopsy tower. Both the workstation monitor and the comfort guide display indicate on which side of the biopsy unit you need to insert the tray. Press the exposure button. The swivel arm moves. 6° to the side of the specimen tray. Only the. Specimen tray is exposed. Check the. Specimen image for calcification. Additional tissue samples can be taken if required. To learn how to dismount the biopsy unit, see the relevant learning object on PEP Connect.

1/1/1955 12 2/9/2024 1002 2/9/202 1.000 20 15 10 37 23.4 39.0 11 19800719 48 62 9.8 Mammomat B.brilliant Breast biopsy - Lateral tomo biopsy Patient Transfer Patient Transfer Examination Edit View Image Tools Scroll Qptions Help PEP Connect Examination TomoBiopsy Horz Training3 Open patient Operator: Viewing Procedure: Mammogram - bil PV sequence: Filming Display M .: Except mag/spot Auto Filming Auto Expose Acquisition Post processing Close patient Mammogram - bilateral -... Images CC mlo Collimation ongoing. OPDOSE 60-69 mm 27 kV - + 65 mm Adv Mammogram - bilateral - Standard TiCEM - bilateral TiCEM - right TiCEM - left Mammogram + Mag - bilateral - Standard Mammogram + Spot - bilateral - Standard Mammogram - right - Standard Mammogram - left - Standard Magnification - bilateral Spot - bilateral Implant - bilateral Implant + Implant displaced - bilateral Constancy Test QC-raw QC-processed Tomo Biopsy Left - Stereo Biopsy Right - Stereo Biopsy Left Tomo + Stereo Biopsy Right Tomo + Stereo Biopsy Left 2D + Tomo + Stereo Biopsy Right 2D + Tomo + Stereo Tomo - bilateral Tomo + 2D Standard - bilateral Tomo + 2D PRIME - bilateral QC-raw Tomo Mammogram - bilateral - PRIME Biopsy Left Tomo - horizontal Biopsy Right Tomo - horizontal Konstanz taeglich Patient Transfer cC Procedure: Biopsy Left Tomo - horizontal Biopsy Left Tomo - L-CC TOMO SC, L-F Needle: Encor_10G_horz Auto Exp. InSpect Biopsy 28 kV Advanced spec Tomo Examination Edit L-CC TOMO SC WH AWS Is the spacer plate in use? Yes No Acquisition mode: Tomo Biopsy IPPG: F1 Metal in Breast RPG: Premia1_Bi Spacer Plate Encor 10G Encor Horz Holder: Scan (L-CC TOMO SC) is in progress ... STOP Projection processing for L-CC TOMO SC is in progress ... 100% Help PREVIEW Examination Edit View Image Tools Scroll Qptions 89.5 mAs -25 deg DE Edit PEP Connect, TomoBiopsy Horz Traini Scale 239% o.p. mAs: 3.6 mAs Thickness: 65 mm Entrance Dose: 0.3 Glandular Dose: 0.06 mGy Station: X 3a Rainbowstreet Unicorn City District 91052 DE Reconstruction is in progress. 41% finished. KV: 28 Station: XPAWSBB1 OK :08:25 PM New perator Reconstruction of L-CC TOMO SC is in progress: storing volume ... Scale 274% o.p. mAs: 95.0 mAsi np. Force: 3 Slice Thickness: 1.0 mm Slice Height: 65 mm of 65 mm Entrance Dose: 7 4 mGy Glandular Dose: 1.65 mGy OX Y Z Need auto Operator Transfer Examination Glandular Dose: 1. Slice Height: 40 mn ht: 40 mm of 65 mm Slice Height: 33 mm of 65 mm Edit View View Slice Height: 32 mm of Image Comp. Force: 38 N. 1.65 mGy Edit View Image Focus: large nce Dose: 0.3 Image accepted. kV: 28 Entrance Dose: 0.3 mGy OX Y # OX Y Z Set Reference point. Tools 5:08:25 PM Windowing Windowing on Selection Windowing on Succeeding Invert Reject InBD Values Home Window Magnify by 2.0 Minify by 0.5 Eit to Segment Zoom Factor .. Zoom From Point Home Zoom/Pan Zoom/Pan Zoom/Pan on Selection Zoom From Target Mark Y Z kV: rator Magn. Comp. Fo Inver Comp. Force: 38 N dvanced Zoom Factor Transfer Examination Edit View Image np. Force: 38 large np. Force: 38 N V: 28 mAs: 95.0 mAs Slice Height: 35 mm of 65 mm Angle: -0.0 PA view Biopsy Navigator Comp. Force: 3 Patient Transfer Examination Tools Scroll Qptions Help Thickness: 1.0 Tools Scroll Qptions np. Force: 38 N. X Biopsy Navigator First view Tomo projections Slices insight 2D Insight 3D TICEM Jow Insight CEM TICEM twin view Display preview Display targeting aid Show scout for targeting Show Virtual Faddle Hole No Text Customized Text All Text mm of 65 mm Confirm Comp. Force: 1 R -9.8 23.4 39.0 L-preCC TOMO SC Needl of 65 mm Encor_10G Encor Horz L Slice Thickness: 1 R -9.8 23.4 39.0 Will this needle and needle holder be used for the target in transmission (Encor_10G_horz (Core/Vacuum core Thickness: The needle holder is moving to position. R -9.8 23.4 39.0 Encor SIEMENS Station: XPAWSBB 3a Rainbowstreet Unicom City District 91052 DE Encor MAMMOMAT B.brilliant Healthineers InSP L-S SIEMENS . Glandular Dose: Slice Thickness: 1.0 L-preCC TOMO SC] Manual No image to display Scan (L-preCC TOMO SC) is in progress ... Projection processing for L-preCC TOMO SC is in progress ... 100% L-preCC TOMO SC - Reconstruction in progress .. Please release the X-ray button after finished exposure 89.6 mAs 25 deg 38 N 5:13:26 PM T_PR L-preCC SC mAs: 3.6 mAS 23.4 39.0 Encor IP Reconstruction of L-preCC TOMO SC is in progress: storing volume ... mAs: 90.0 mAs Slice Height: 65 mm of 65 mm: Entrance Dose: 70 mGy 1.57 mGy MAMMOMA Slice Height: 39 mm of 65 mm Operator. MAM MAMMOMAT E MAMMOMAT B.briLl # OX Y e Thickness: 1.0 mm L-postCC TOMO SC Examination Edit View Image Tools Scroll Qptions Help Scan (L-postCC TOMO SC) is in progress ... Projection processing for L-postCC TOMO SC is in progress ... 100% 1.6 mGy Reconstruction of L-postCC TOMO SC is in progress: calculating slices ... 5:14:31 PN T_PR L-postCC SC mAs: 3.6 mA Comp. Force: 38 Station: XPAWSBE City District 91052 DE 3a Rainbowstreet Unicom City Dist Reconstruction of L-postCC TOMO SC is in progress: storing volume ... KV: Focus: larg Scroll 23.4 3 46 mm of 65 mm: Slice Height: 44 m 43 mm of 65 mm: Slice Height: 43 mm of 65 mm Glandular Dose: 1.57 Angle: -0.3 # OXY PEC InSpect 63.0 mAs L -SPEC InSpect InSp L-SPEC InSpect Please insert Specimen cup according to Angle the side indicated on stand display. Name Patient e: -0.3 Attach inspect box on the right side. OPCOMP MIN TUBE Compression (N) Thickness (mm) TABLE Rotation (") R -9.8 63.0 mAs -+ 0.0 mGy Image processing is in progress ... Tools Scroll Options Help 5:15:27 PM Scale 346% o.p. mAs: 63.0 mAs: Entrance Dose: 0.0 mGy Glandular Dose: 0.00 mGy Oper View Image Tools Scroll Options Help Image Tools Patient Transfer Examination Edit View Image Examination Edit View Image 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. 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