MAMMOMAT B.brilliant Wire Localization Quick Guide

MAMMOMAT B.brilliant Wire Localization Le SIEMENS Quick Guide MAMMOMAT B.brilliant Welcome to Siemens Healthineers This quick guide will cover wire localization procedures on your MAMMOMAT B.brilliant. The following job aids provide steps to navigate through 2D and 3D procedures on your system. SIEMENS Healthineers Table of contents How to perform a tomo wire localization 3 How to perform a 2D wire localization 6 How to Perform a Tomo Wire Localization Quick Guide I MAMMOMAT B.brilliant Wire Localization How to perform a tomo wire localization MAMMOMAT B.brilliant 1. From the scheduler, select the Tomo Wire Localization procedure. 2. Register the patient, insert initials, and begin the exam. Modify views as needed. Cc 3. Go to the Acquisition subtask card and select Premia0_no seg in the RPG dropdown. This will help better visualize the alphanumeric paddle. Open patient Acquisition Acquisition mode: Tomo RPG: Premia0 INB Premia0 Premia0_Imp Premia0_Bio Premia0_Biolmp Premia1 Premia1_Imp Premia1_Bio Premia0_noSeg Premiau TIOAR 4. Attach the multi-hole biopsy paddle. (Auto Decompression is deactivated). OpDose will be your default exposure mode, requiring a minimum of 30N compression. OPDOSE 60-69 mm 27 kV + -+ W/AI1.0 Auto decompression OFF 5. Position the breast and acquire the image. 6. Note that the Biopsy Localizer Image is displayed on the image. 2247981 2450 ₼¢ 2500 1038 R-CC TOMO Premia1 Scale 145% o.p. Breast Density per Image 00 Vig: 7.1 Vb: 558,4 Vod: 1.2% DGI: a mAs: 90.0 mAs Angle: -0 0 Focus: largo Comp. Force: 54 N OOOOO Slice Thickness: 1.0 mm Slice Height: 44 mm of 44 mm Anodo'Filter: V:A10.7 Glandular Dose: 1.47 mGy Operator isttution TO USAT39-VBKAJ 221 Gregson Enue cary NC 275. BIOPSY LOCALIZER IMAGE Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/04/2025 | QR700018478 3 Wire Localization Quick Guide I MAMMOMAT B.brilliant 7. If necessary, adjust and reconstruct the bounding box to visualize the alphanumerics better. Select the First View icon, and open the bounding box. Then, select the Slices icon and reconstruct with RPG: Premia0_noseg Tomo Tomo 1 Reconstr. available 1 Reconstr. available TOMO R-CC, Pre auto TOMO R-CC, Prev auto Reconstruct. Delete Reconstruction Reconstruct .. Delete Reconstruction DC 8 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: Flavor Reconstruction parameter group name: Premia1 Insight 2D IPPG for insight 2D Premia0 Insight 3D IPPG for insight 3D: Premia0_Imp Premia0_Bio Premia0_Biolmp OK Cancel Premia1 Premia1_Imp Premia1 Bio Dromia1 Rialmn Premia0 noSeg Premiau TUAR 2 3 4 5 6 7 8 9 8. Scroll to the slice where the area of concern is located. Right-click and select series. The dotted blue line around the image will change to a solid blue. IMPORTANT: note the slice height (Ex. 20 of 34) Total Compression (mm) – slice height (best slice) = wire loc depth 34mm – 17mm = 17mm (wire loc depth) Repeat Reject + Repest. KV: 27 Correct mAs: 232.0 Nate slice Height at lesión Reconstruct Tomo Scen. Delate Reconstruction Angle: -0.2 Select Senes Focus: large 78 Poste Slice Height: 17 mm of 34 mm Mark Home Window plice Thickness. 1 mm Fitto Segment Anode/Filter: W/Rh Zoom From Point Entrance Dose: 7.4 mGy Zoom/Dan Home Zoom Pan Glandular Dose: 3.23 mGy Edit Comment matitution: /081215/ Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/04/2025 | QR700018478 Page 2 of 4 4 Wire Localization Quick Guide I MAMMOMAT B.brilliant 9. From the Tools dropdown, select Circle. Mark the lesion with the circle. Edit View Image Tools Scroll Qotons Help Needle Los frit Magnification .3.12.2 .. AEC region 101 Freehand Distance A-CC TOMO ONE Standard to_14g Angle Circle Rectangle Freehand ROI Q ROI Histogram Profila Pixel Lense Crosshair Shutter Annotete Capture Area BUOPSY LOCALIZER IMAGE 10. Scroll to the top and confirm that the area of concern is displayed in one of the holes and that localization is achievable. Note the coordinates and depth from the alphanumeric paddle. Scale 129% o.p Most superior slice - numeric paddle kV: 27 mAs: 232.0 Angle: -0.2 Focus: large Comp. Force: 78 N Slice Height: 34 mm of 34 mm Slice Thickness: 1 mm Anode/Filter: W/Rh Entrance Dose: 7.4 mGy Glandular Dose: 3.23 mGy 11. Insert the needle and perform post-needle insertion exposure: Tomo acquisition. 12. Scroll through the slices, locating the needle tip in each slice. The needle tip should stop at the noted slice where the lesion was marked. 13. Perform 2D images confirming that the needle is placed correctly. 14. Close exam. Unrestricted | Published by Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/04/2025 | QR700018478 Page 3 of 4 5 Wire Localization Quick Guide I MAMMOMAT B.brilliant How to Perform a Wire Localization How to perform a 2D wire localization MAMMOMAT B.brilliant The fenestrated compression plate and the laser crosshair device can be used to localize suspect- ed/suspicious areas of the breast. A wire localization can then be performed in these areas. The fenestrated compression plate immobilizes the breast and has a biopsy window. The biopsy win- dow contains an alphanumeric coordinate scale visible in the X-ray image. Fenestrated compression plate Laser cross-device HABEMENS 1. Remove the face shield and mount the laser crosshair device by sliding it onto the rails and securing the latch at the back, then switch it on by pressing the ON/OFF button at the back of the battery compartment. 2. Attach the fenestrated compression plate. NOTE: The system automatically chooses Auto decompression OFF when selecting the fenestrated paddle. Auto decompression will remain off for the entire study. OPDOSE- 50-59 mm ] 29 kv - + Mikh . . . . 50 mm Acv. Automatic Decompression 3. Register the patient at the acquisition workstation. • Adjust the projection angle. • Position and compress the breast 4. Perform scout exposure. The Radiologist will review the image and localize the area of concern. 5. Select Tools from the top menu bar to use the crosshair tool. Select crosshairs in the dropdown. Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 09/04/2024 | QR700012699 6 Wire Localization Quick Guide I MAMMOMAT B.brilliant 6. Place the cursor on the image on the AWS where the Radiologist wants to insert the needle. Left-click on the imagecrosshairs will appear. NOTE: to change the location of the crosshair: Right-click select all graphics Right clickdelete. ! 2 3 4 5 6 7 8 9 10 7. Slide the laser beams on each side of the laser cross-device to the desired position according to the coordinates of the compression plate. Note: The laser positioner is manually moved to align with the paddle coordinates where the lesion is seen on the X-ray image. 8. The intersection point of the cross indicates the position of the suspect area. 9. Continue with the wire localization. When changing to FULL breast image and standard paddle, you DO NOT need to select Decomp OFF in Advanced settings, and the laser crosshair device does not need to be removed. (2) (6) (7) (2) (1) Battery compartment- At the back side of the W compartment: (1) On/off switch (not shown) (2) Laser beam 2 (4) (3) Locking arm (4) Laser beam 1 ( 5 ) (5) Face shield (6) Lock release (7) Sliding arch Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 09/04/2024 | QR700012699 Page 2 of 3 7 Wire Localization Quick Guide I MAMMOMAT B.brilliant 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 Operators 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 Healthineers AG 2025 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthineers AG Siemens Medical Solutions USA, Inc. Siemensstrasse 1 Siemensstraße 3 91301 Forcheim, Germany 40 Liberty Blvd. Forchheim, Germany 91301 Malvern, PA, USA 19355-9998 Phone: +49 9131 84-4746 Phone: +49 9191 18-0 Telephone: +1-888-826-9702 siemens-healthineers .com/radiography siemens-healthineers.com siemens-healthineers .com/en-us 8