MAMMOMAT B.brilliant - TiCEM workflow (USA)

The Tisem or Titanium Contrast Enhanced Mammography option is. Designed to. Enhance breast. Lesions with. Tisem The system takes 2 images using two different KV settings for each projection view or PV. A low energy image and a high energy image. The system generates a combined image the insights SEM out of both images. You can use this imaging technique to localize a known or suspected lesion. As a supplementary procedure, it should follow mammography and ultrasound examinations. As per local guidelines, please establish patient eligibility and consent before the procedure your. Siemens Application Specialist does the overall system preparation during installation. This includes configurations regarding IPPGDPPG and contrast agent. For the. Procedure preparation Register the patient and adapt. The PV sequence according. To the clinical indication. We recommend starting the procedure sequence with the suspected breast with an MLO and ACC projection. View the. Example examination in our video follows a different projection order. Please consult the available literature for Titanium Contrast Enhanced Mammography guidelines. The Contrast condition box opens automatically when you start the examination. Fill in the relevant fields. Prepare everything that you need for the Iodine contrast administration. After you have completely injected the contrast media, start the timer by clicking OK. In the contrast conditions box, the timer shows the time since you finalized the injection. Detach the power injector tubing from the patient. Activate. The first PV. If the system does not do so automatically, the system shows the exposure parameters. We recommend using the Optos exposure mode for Tysm image acquisition. When the. Timer reaches one minute start positioning and. Compressing the breast. So that you can acquire. The first low energy image after approximately 90. Seconds release. The exposure Keep the exposure button pressed until the system has finished both the low and high energy exposure. The breast must remain compressed until you have released both exposures. Make sure that the breast is decompressed automatically or manually immediately. After. Exposure Immediately position the breast for the next PV. Acquire the next TICEM exposures and continue until you have executed all the PVS. There will be a short delay between the release of the compression and the appearance of the Insight SIM image. During the image acquisition, monitor the patient for any sign of adverse reaction to the contrast agent. The hourglass icon on the TIE SIM subtask card indicates the status of the exposures. You can view and process the images on the TIE SIM subtask card immediately, or come back to them later. Click to see the low energy image, the Insight SIM image, or both images in the TIE SIM twin view. You can change the IPPG. For the. Low energy image and the. DPPG. For the Insight SIM To do so, click Recombine on the Tie SIM subtask card. The recombination of image dialogue opens. Select the relevant customer. IP set. The required IPPG. For the low energy image and the. DPPG for. The insight SIM image. Click OK and then Yes on the confirmation pop up box to start the recombination. When the recombination is complete, the processed low energy image and the recombine Tyson image are displayed. You only need to recombine an image if you would like to modify it. The system will already be configured to your preferred image impression. You can now end the examination. Depending on your configuration, the image transfer starts. Automatically. Alternatively, you can start a manual transfer of the images from the local database.

9/8/1979 309 03:16 00:00 08 00.00 01:30 100.00 3.00 00:02 00:03 00:04 00:05 00:06 00:07 00:08 00:09 00:10 00:11 00:12 00:13 00:14 00:15 00:16 00:17 00:18 00:21 00:22 00:23 00:24 00:25 01:00 01:01 01:02 01:03 01:04 01:05 01:06 01:07 01:08 01:35 01:36 01:37 01:38 01:39 01:40 01:41 01:42 01:43 01:44 01:45 01:46 01:47 01:48 01:49 01:51 01:53 01:55 01:57 01:59 02:01 02:02 02:04 02:06 02:08 02:10 02:12 02:14 02:16 02:20 02:21 02:22 02:23 02:24 02:25 02:26 02:27 02:28 02:29 02:30 02:31 02:32 02:33 02:34 02:49 02:50 02:51 02:52 02:53 02:54 02:55 03:17 03:18 03:27 03:28 03:29 03:30 03:20 03:21 03:22 03:23 03:32 03:33 03:34 03:38 MAMMOMAT B.brilliant Patient Transfer Examination Edit View Image Tools Scroll Help TICEM Workflow 3:56:34 PM L-CC CEM Open patient Acquisition Viewing L-CC Recombine Filming Post processing Close patient Procedure: TICEM B mages Low energy Vot 100 ml Time Int 02:50 min:sec KV: 27 mAs: 160.5 mAs OPDOSE 50-59 mm 49 kV - + 50 mm Adv Images 23 mGy Edit View services engineer to instruct the customer on contrast policies. The workflow here is a typical example of a TiCEM workflow. The ACR offers guidelines for Disclaimer: It is not the responsibility of the Siemens Healthineers application specialist / administrating iodinated contrast. TiCEM Acquisition mode: IPPG: F1 DPPG: CEM_A cc mlo R-CC CEM 27 kV - + 51 mm Patient successfully registered. Operator: PV sequence: Display Markers: Except mag/spot Auto Filming Contrast Conditions EM B sequence play Markers: Contrast Agent Configuration Timer settings Contrast Agent Time since injection min sec n.a. Delay time Auto Expose Volume ml Flow rate ml/s Reset time OK Cancel Detector busy. Please wait 27 kV -+ NA n.a lodine 27 kV ma/m Please keep the exposure button pressed to acquire the TiCEM images: 50% 2.1 mGy 71 N R-MLO CEM 3:55:24 PM R-CC Vot 100 mll Thickness 51 mm Contrast: lodine 49 kV 0.3 mGy 49 kV - Please keep the exposure button pressed to acquire the TiCEM images: 0% IP 2.0 mGy 45 deg 95 N 27 kV - 3:55:47 PM R-MLO CC mAs 164.4 mAs 37.2 mAs 46 mm 26 kV 1.6 mGy +45 deg 96 N 35.6 mAs L-MLO CEM L-MLO mAs: 157.7 mAs Please keep the exposure button pressed to acquire the TiCEM images 50% 160.5 mAs 1.9 mGy 83 N Loading image (projection view. L-CC CEM) 49 kV -+ Options L-CC# Skip EndExam Transfer Rules Open Scheduler Flow: 3 ml/s Vot 10 Recombination of image IP Set name Flavor1 Select new IPPG for the low-energy image Select new DPPG for the Insight CEM image: CEM_A WIT No padde F1_Imp F Mag Tomo_proj F_InSpec Tomo pro CEM A CEM_A_MC Stereo WH AWS Are you sure you want to recombine the image (projection view L-CC CEM)? Yes No 3:56:07 PM Transfer Examination Edit View Transfer Examination AN End Examination Examination successfully ended Archive request accepted. 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. 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 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. Unrestricted | Published by Siemens Healthineers AG | C Siemens Healthineers AG, 2024 Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com SIEMENS Healthineers