MAMMOMAT B.brilliant - Tomosynthesis workflow (USA)

With the tomosynthesis workflow, 3 dimensional information is obtained by taking exposures from different angles. This reduces the tissue overlap problem, which limits diagnosis in conventional mammography. In tomosynthesis, the X-ray tube rotates in an angular range for several X-rays from different directions. During Atoma synthesis acquisition, the swivel arm covers an angular range from plus 25° to -25° it. Acquires. 25. Views in total, Each of these single exposures uses a very low dose this. Set of two-dimensional X-ray images creates 3D information which allows the reconstruction of the volume of the breast. When you register a patient, select the required Tomo study, the selected Tomo procedure appears. In the procedure list. On the Open Patient subtest card, check the. Projection sequence preset for the procedure in the projection view or PV sequence list. In our video, the. Auto enable. First PV. Function is active. Hence the first PV is automatically active, shown by the yellow color of the icon. The system has also loaded the detector parameters if the. First, PV is not automatically active. Activate the Tomo exposure by double clicking the CC projection view icon. In the images subtask. Card check the. Exposure parameters and adapt them if necessary. You can adjust the parameters in the Acquisition subtask card. You can see the acquisition mode and reconstruction parameter group RPG for the selected procedure. If required, select a different or customized RPG. After the acquisition, you can do a reconstruction with a different RPG. Inform the patient about the details of the examination procedure. The patient should know about the required time and the automatic movement of the swivel arm. Position the patient and the breast according to the selected projection view. Next, you compress the breast. The breast must remain compressed until all exposures of the first PV are done. Lower the compression plate. Compress the breast with a force of at least 30 Newton to prevent the breast from moving. The PV icon turns white once you have compressed the breast. Please note we recommend using Opcom for tomosynthesis acquisitions. Do not expose patients with implants or patients who recently have had breast surgery to Opcom. Procedures with optos for Tomo implant are available. The comfort guide display indicates that the system is ready. Press the. Ready button on the operation keys. The tube unit moves to the Tomo start position, press and hold. The exposure button on the control box as long as the signal is audible. The tube unit moves automatically during acquisition. The system releases radiation to acquire 25 Tomo images. Check the results of the exposure in the Images subtask card of the Examination task card. You can see the individual projection views in sequence. The reconstructed slices are displayed on the acquisition workstation monitor. After acquiring the last image, the tube remains in the end position. The paddle lifts automatically after each acquisition. While the system is post processing the images of the first acquisition, you can start the second acquisition you. Acquire LCC in the same manner as RCC after completing the 2nd projection view. Press the. Ready button to move the tube. Come press the breast again for the RMLO. As soon as the icon turns white, you can press the exposure button on the control box again. The tube moves to acquire the set of images. Repeat the same steps for the LMLO exposures. The paddle lifts automatically once the exposure is completed. To move the tube unit to the 0° position, press the Ready button again. In Tomo you can switch between views in the sidebar. The First view, Insight 2D and Slices views are. Available in the Slices view, you can scroll. Through the slices on the Tomo Subdus card, you can also select the Inside 2D in Slices views. When you click the auto icon, the Movie properties window opens. Select. The play icon to see a movie of the slices. You can reconstruct A Tomo scan by right clicking the appropriate PV in the images card and selecting Reconstruct Tomo Scan. A dialogue box opens. Choose the appropriate flavor. And the reconstruction parameter group name from the drop down list. You can also choose the appropriate Insight 2D flavor from the drop down list. If you want to reconstruct the Insight 3D, follow the same steps, then press OK. If we now look at the PV, you can see that the image impression has changed and that the reconstruction is Premium 1. The slices in the Tomo volume that we didn't reconstruct have a different image impression with different window values.

19660424 30 17 22 12 -8 -18 -28 -30 +250 *6/7/1978 6/7/1978 331 2269 45 23.06.07-15:57:19- 19781215 80 53 96% 100% 6/7/2023 60% 2048 72% .96% 4096 56 MAMMOMAT B.brilliant Tomosynthesis workflow Jane Doe L-ML TOMO Bilateral TiCEM Ready for positioning. OPCOMP MIN TUBE Compression (N) Thickness (mm) MIN . SIEMENS Patient Transfer Examination View Scroll Options Help jane doe 3 23.06.07-15:57:19-DST-1.3.12.2 .... Open patient Acquisition Tomo Post processing Close patient Viewing R-CC TOMO Scale 105% o.p. Breast Density per Image Vfg: 43.0 Vb: 851.0 Vbd: 5.0% DGI: b Filming Skip EndExam Transfer Rules Open Scheduler Procedure Bilateral Tomo kV: 27 mAs: 130.0 mAs Angle: -1.8 Focus: large Comp. Force: 50 N Slice Thickness: 1.0 mm Slice Height: 56 mm of 56 mm Entrance Dose: 8.0 mGy Glandular Dose: 2.03 mGy Operator: Institution: /W6VG7-X9HEG/ Station: XP-AWS-TIG7 StreetNo Street City District ZIP OPDOSE 50-59 mm 27 kV 53 mm Adv. Patient Transfer Examination Edit View Image Tools Scroll Options 23.06.07-15:57:19 -... Edit View Image Tools Scroll Options H Transfer Tools Image Scroll Edit Patient Registration Procedure: Last name Accession No First name Request ID Middle name Requested procedure(s) Title Suffix Other patient name(s) Other patient ID(s) Study list Ethnic group ocedure: Military rank 23.06.07-15:57:19-DST-1.3.12.2.110 Add Delete / sequence: Patient ID Date of birth [M/d/yyyy] Study Female Study comment Sex Age Years Auto Filming in Weight Metric Patient position Address INSTITUTION Institution name Additional info 1. Performing physician HOSPITAL 1. Operator Referring physician Requesting physician Admitting diagnosis Ward Admission ID Preregister Exam Search Cancel Edit View ft Study Bilateral Mammogram -Bilateral TiCEM Prime R - TICEM Prime Stud -Bilateral Mammogram+Mag Bilateral Mammogram+Spot R Mammogram -L Mammogram R Mammogram+Mag R Mammogram+Spot Magnification Spot -Implant Bilateral Constancy Test QC-raw QC-processed -Biopsy Calibration BiopsyLeft BiopsyRight BiopsyLeft Tomo BiopsyRight Tomo -BiopsyLeft Tomo Plus BiopsyRight Tomo Plus Study list Bilateral Tomo Study Bilateral Tomo 23.06.07-15:57:19 -.. Acquisition mode: RPG: INBD n.a Insight 3D CC mlo Detector busy. Please wait Patient Transfer Examination Tools Scroll Images RPG: Premia0 Tom 27 kV - 27 kV -+ Adv Tomo - bilateral x-ray release. 27 kV - + PREVIEW Projection processing for R-CC TOMO is in progress. 125.0 mAS 2.0 mGy 25 deg 50 N Reconstruction is in progress. 7% finished. Decomp Reconstruction of R-CC TOMO is in progress: calculating slices. 3:58:19 PM R-CC T_PR R-CC Scale 98% o.p. Reconstruct ... Reconstruction mAs: 5.0 mAs Angle: -1.7, 0.0 Magn. factor: 1.000 Thickness: 56 mm Entrance Dose: 0.3 mGy Glandular Dose: 0.08 mGy nstitution: /W6VG7-X9HEG/ Reconstruction is in progress. 17% finished Insight 2D The compression thickness is above 100mm, only the slices from 0 to 100 will be created. The compression thickness is greater than 120mm, please use manual exposure mode You have to compress the breast first if you want to do an OPDOSE exposure. Compression ongoing cc No image to display Projection processing for L-CC TOMO is in progress ... 100% R-MLO TOMO The compression thickness is greater than 120mm, please use manual exposure mode. Examination Edit View Image 23.06.07-15:57:19-DST-1.3.12.2 ... To L-CC 3:58:58 PM T_PR L-CC Breast Density per Image: Vfg: 53.9 Vb: 588.4 Vbd: 9.1% DGI: Angle: -1.6, 0.0 Comp. Force: 58 N Glandular Dose: 0.09 mGv IP StreetNo Street City District ZIP . Reconstruction of L-CC TOMO is in progress: storing volume. Examination Edit View Projection processing for R-MLO TOMO is in progress ... 100% Patient Transfer Examination Edit View Image 279.2 mAs 4.3 mGy 70 deg 97 N Reconstruction of R-MLO TOMO is in progress: calculating slices .. 3:59:40 PM R-MLO T_PR R-MLO Vfg: 164.2 Vb: 760.1 Vbd: 21.6% DGI: d mAs: 11.2 mAs Angle: -46.7, -45.0 Comp. Force: 97 N Thickness: 57 mm Entrance Dose: 0.7 mGy Glandular Dose: 0.17 mGy 47 mm 26 kV - Projection processing for L-MLO TOMO is in progress ... 96% Reconstruction of R-MLO TOMO is in progress: storing volume. 26 kV 2.1 mGy +70 deg 45 N Reconstruction is in progress. 17% finished. L-MLO 4:00:22 PM T_PR L-MLO Vfg: 185.0 Vbd: 22.2% kV: 26 mAs: 5.7 mAs Angle: 46.7, 45.0 Comp. Force: 45 N. Entrance Dose: 0.3 mGy: Edit View Image L-MLO TOMO Scale 125% o.p. mAs: 147.0 mAs Angle: 46.8 Slice Height: 47 mm of 47 mm Glandular Dose: 2.17 mGy Glandular Dose: 0.08 mGv st view iz mAs: n.a. Angle: 0.0 INSIGHT 2D 1 Reconstr. available TOMO R-CC, Pre Slice Height: 46 mm of 56 mm Movie Properties -1.3.12.2 .... From Show graphics Show Curve 8 F/s ge Yoyo User Defined Frame rate 8 F/s Automatic movie start is in progress .. Forward Stop Scale 100% o.p. Entrance Dose: 0.0 mGy Glandular Dose: 0.00 mGy Image Attributes ... Repeat .. Reject + Repeat ... Correct ... Reject InBD Values Recorstruct Tomo Scan .. Repeat Repeat ... Reconstruction of scan Please select the reconstruction parameter group from the list for the selected scan (projection view. R-CC TOMO) and press OK. IP Set name: Reconstruction parameter group name: IPPG for insight 2D: OK Premia1 Premia1_Bio Premia1_Biolmp F_InSpec Tomo_proj CEM_A_MC Entrance Dose: 8.4 mGy. StreetNo Street City District ZIP ... Edit View In L-CC TOMO DGI: c Slice Height: 51 mm of 51 mm Glandular Dose: 2.31 mGy Comp 300 Contact 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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 expfess 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. Unrestricted | Published by Siemens Healthineers AG | C Siemens Healthineers AG, 2024 Siemens Healthineers HQ | Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 Please note that the learning material is for training purposes only. siemens-healthineers.com Hea Healthineers