MI PET Biograph Horizon™ VJ30 SmartSimulator Workbook USA

SIEMENS Healthineers SmartSimulator Workbook MI PET Biograph™ Horizon VJ30 smartsimulator.siemens-healthineers.com/ SIEMENS Healthineers BIOGRAPH Vision SIEMENS Healthineers .. Unrestricted | Published by Siemens Healthineers AG © 2024 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Effective Date: 26 Aug 2024 | QR700011883 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Table of Contents Foreword 3 Disclaimer 4 Logging into MI SmartSimulator 5 Start-up 6 Patient Registration 9 Acquiring a Simulated Scan 10 Viewing Patient Data in TrueD 15 Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 2 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Foreword Dear participant, Welcome to the SmartSimulator workbook. This workbook guides you through your lab sessions with Biograph™ Horizon VJ30 in the SmartSimulator. You will have a maximum of 8 hours with your SmartSimulator. Make the most of it! Have some fun and explore what it can do. Good luck and we hope you enjoy your SmartSimulator time! Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 3 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Disclaimer 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 be regarded as a substitute for 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 these Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the latest 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. © Siemens Healthineers AG 2024 Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 4 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Logging into MI SmartSimulator Log on to the MI SmartSimulator by navigating to the login webpage: https://smartsimulator.siemens- healthineers.com/#/ SIEMENS Healthineers SmartSimulator EN My Subscriptions .... SmartSimulator Your simulated hands-on experience with your medical equipment. Once logged in, go to My Subscriptions, and select View Details. SIEMENS Healthineers". Smart Simulator Home My Subscriptions Contact Us All Subscriptions (5) $169982 Subscription ID : 5169982 Start Date : 26 September 2023 Owner : pralhad.joshi@siemen .. Total Hours : 171 Hours Available : 70 hr 28 min No of Users : 25 Storage : 25 GB Valid Until : 25 September 2024 Subscription Active View Details Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 5 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Select the simulator you want to use and choose Launch. Simulators (1) MI PET Biograph Horizon VJ30A Launch After you enter the simulator for the first time, you may need to wait a few minutes until the software is fully booted up and ready. Then select Connect. Refresh State Start Datetime Action running 12:57 PM, 20 Jun 2024 X Connect The simulator will launch into a new window. You are now ready to begin. Start-up You are now in the PETsyngo user interface. There may be some system generated nuisance windows. Click X or OK to close them. Also, click Cancel when the checkup screen appears. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 6 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Examination C:\Windows\SYSTEM32\cmd.exe 3:\Windows \system32>met use /del . /Y There are no entries In the List. BUIMOIA C:\Windows \system)2>set use x: 1110.10. 10. 161582213af26454098af73df53b549cdfd /user :5422134f2b454d98af73df53b5aPcdfd 5a2 2134f264540984f73df5365amdfd The command completed successfully. 2:\Windows \system32> pau Quatity Hint ming ress any key to contin Quality constancy has to be performed Please run Quality Constancy OK Simulation Checkup ST For best image quality please run checkup procedure. B2>n Les Please leave the scan room. The table will move out of the gantry automatically and the 32> n gantry will automatically tilt back to zero position. bd7f 170f X-rays will be produced during the checkup procedure. eted Click on Checkup to start procedure. 32>p cont Click on Cancel to skip procedure. Checkup Cancel Help Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 7 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Startup Error Failed to start processes: stu_server OK Help Quality Hint Quality monthly has to be performed. Please run quality monthly. OK The gantry controls will be accessed by the following dialog box. Please do not close out of this, as you will need to restart the simulator to get the controls back. Simulat ... x START MOVE Ful Mode Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 8 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Patient Registration Exercise: Registering a Patient In this exercise, you will learn how to register a patient. There are several ways to register a patient. One way is to: 1. Select Register under the Patient dropdown in the main menu bar at the top of the screen. 2. Enter the patient information. Only the fields in bold are required: Patient Registration PROCEDURE Last name Test Accession No 2 First name Joe Requested Patient ID 12312 procedure(s) Date of birth 27-Jun-1979 [dd-MMM-yyYY] Sex . Male Female Other Study 45 INSTITUTION Age Years Height in Institution name Weight 144 Ibs oz . Metric 1. Performing physician HOSPITAL Referring physician Admitting diagnosis 1. Operator Ward Admission ID 3 Exam Search Cancel Emergency Help ISO R 100 (1) Last Name (2) Patient ID (3) Date of Birth (Hint: Enter an age and the DOB will automatically populate) (4) Sex (5) Weight 3. Click Exam to continue. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 9 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 4. You can now choose an acquisition protocol. For this example, select the Onco_LowDose protocol. 5. Click OK on the Patient Model Dialog. Setup System Examination Simulat START MOVE Ful Mode Viewing Patient Model Dialog Adult Protocol . Replace Child Append Filming Topogram · Cut SCU · Keep RT Auto reference lines .None 3D Card o O CardioGated_CardioMatching CardioGatedMFL PE CardioGatedMFL_CardioMatching CardioGatedRestStress CrossCalibration English Gantry_Offset NEMA_Coregistration_Accuracy NEMA_Countrate_Accuracy OK Cancel Neuro Onco LowDose 0.0. OncoCBM_LowDose OncoDynamic OncoDynamicCBM OncoDynamicCBM_Patlak OncoHeadNeck OncoListmode OncoPETonly_Topo Load Recom OncoRespGated OncoRespGated_RespMatching Routine OncoRespGatedCBM No checkup performed so far, Select Setup OncoRespGatedCBM_RespMatching eRabo OncoRespGatedCBMDDG 27-Jun-2024 18:35:45 Acquiring a Simulated Scan Exercise: Acquire a PET/CT Scan In this exercise, you will learn how to acquire a PET/CT scan. Each protocol will have a chronicle (or steps) that will be performed. The first step is the Topogram. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 10 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Test. Joe 12312 Total mAs: Topogram MA 25 O CT LowDose 130 Pause Scan to 97 = PET Sice 0 6 mm Topogram length =1024mm Tube position OTOP Comments Table Postion Direction ℮ Load -11780 - 1250 Craniocaudal - >04 Scar Auto Tasking 1. Click Load and then click the Start button to begin the Topogram acquisition. Onco_LowDose (Adult) Topogram CT LowDose Simulat ... X Pause PET START MOVE ℮ Load Hold Full Mode Recor Recon 2. Once the Topogram is acquired, adjust the FoV (purple box) over the patient. If purple box is missing or off the image, zoom out on the image using the mouse. Now adjust the purple box by clicking on the circle in the center to move the FoV to the start position in the head and then click the small box in the bottom to extend or shorten the FoV. Click the Load button to begin the CT acquisition. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 11 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Patient Applications PET Edit Insert View Setup Image Opt Test, Joe Hospital 12312 Simulat .. Biograph mCT 20 Excel *27-Jur VJ30A 27-Jun H-SP 18:51 1 IMA 1 START TOP SP-11 SP 1: -1199 5 SP 2: -1542 0 MOVE 342.5 GT; 0.0 FoV CE 700 0 /0 Full Mode KV 130 MA 25 TI 9.8 GT 0.0 SL 0.6 1024 0/0 T201 SOPO SENSITIVE i Onco_LowDose (Adult) Test, Joe Topogram i Eff. mAs CT LowDose KV Pause Scan time Delay PET 2 Range e Load Hold Recor Recon Routin No checkup 3. An additional Load button will appear. Click Load. Scan Controller x The recon job running during measurement or a recon job starting after measurement (auto recon) contains HD FoV. Reconstruction with an HD FoV can yield to image artifacts. Load Cancel 4. Click and hold the Move Table button to move the table. It will stop when it is in the optimal position. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 12 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Onco_LowDose (Adult) Test, Joe Topogram Eff. MAS CT LowDose Press MOVE KV Pause Deley PET Simulat ... x START Range MOVE e Load Cancel Move Recon Routin Ful Mode Mode loading. No checkup 5. Click Start to begin the CT scan. Onco_LowDose (Adult) Test, Joe Topogram Eff. MAS CT LowDose Press START KV Pause Delay PET 2 Simulat ... X START Range: MOVE e Lond Cancel Routing Ful Mode No checkup p 6. When the CT is finished, you will need to enter a Dose value for the PET to continue (entering an injection time is optional). Click OK on Invalid Dose dialog box and enter the dose in the PET chronicle. PET Scan Controller X Invalid dose value. Please make sure that dose, date and time are correct. OK Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 13 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Onco_LowDose (Adult) Test, Joe 12312 Total mAS: 766 Topogram Isotope F-18 Pharm Fluorodeoxyglucose CT LowDose Dose 10.00 mCi Pause Date 27- Jun-2024 Time 18:41: 17 PET 00 Scanrange _ Match CT Range No. of beds Scan duration 3 min Range: Begin End Table: Position Height Scan direction Load Hold Recon 1542.0 -1199.5 -1584 3 - 125 Rador Caudocranial Routine Scan Recon Auto Tasking 7. Click and hold the Move button. Onco_LowDose (Adult) Test, Joe Topogram Isotope CT LowDose Dose E Pause Date PET Press MOVE Simulat ... x START MOVE Range Load Cancel Ful Mode Routing 8. Click Start on the control box. i Onco_LowDose (Adult) Test, Joe Topogram Isotope CT LowDose Dose Pause Date PET Press START 2 Simulat ... START MOVE Range: Load Cancel Recon Ful Mode Routine 9. Once the PET acquisition has completed, the PET and CT datasets will load into the TrueD task card. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 14 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Please note: There may be some screen flickering and slight delay before the data loads into the TrueD task card. This behavior is only seen on the simulator in the cloud environment. In addition, the PET data is from a phantom scan and is a limitation of the cloud simulator. 10. To close the patient in the Examination task card, click the Close Current Patient icon on the bottom left. Patient Applications PET Edit Insert View Setup Image Options System Help Test, Joe 234234 Simulat H Blograph mCT 20 Excel Test, Joe Hospital Examination Biograph mCT 20 Excel VJJOA "28- Jun-2001. M. 27Y 28 Jun HSP 24-Jun-2024 H SP-CR 02:02 MA 1 START 02:05:32 00 JIMA1 TOP 1 AC 2003 SP-11 SP-1208.5 HOME Ful Mode Viewing R 10cm Filming KV 130 MA 25 119 8 OTOO T200 SOPO 1 BENSITIVE SENSITIVE Onco_LowDose (Adult) Test, Joe 234234 Total mAs: 766 3D Topogram Isotope F.18 Pharm Fluorodeoxyglucose CT LowDose Dose 10.00 mCi Pause Date 28- Jun-2024 Time 02 02:27 PET Scan range _ Match CT Range TrueD No. of beds Scan duration 30 sec Range: Begin End Table Position Height Scan direction Hold Reco Recor -16310 -1288 5 -1989.0 125 0 Caudocranial Routine Scan Recon Auto Tasking 28-Jun-2024 02: 10:52 Viewing Patient Data in TrueD Exercise: Load a Patient into TrueD Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 15 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 In this exercise, you will learn how to load a patient into TrueD. 1. If you would like to manipulate actual patient data in the TrueD card, open the Patient Browser under the Patient dropdown. Patient Applications PET Edit Insert View Setup Image Options System Help E-Logbook F12 ................ Register. Num O Emergency Browser .. Num Close Patient Filming Layout ... Film Task Status .. Film Preview ... Expose Film Task Ctrl+P 2. Select the AC CT and the PET series of any dataset. Click the Load to TrueD icon. You can now return to the TrueD task card to manipulate the data. Patient Browser Patient Applications Transter Edit PET View Eiter Evaluation Sort Options Help X RESPGATING PET 4 LEGS L [604] CAP PET MIP Test, Joe PET 2 HN DX( [12] PET CAP NAC Local Database WB_CUT_5_EH PET 2_CAP [11] PET CAP AC Scheduler WB_CUT_8_SG 110JUI CAF OUR SI [9] CT CAP SAG BONE [8] CT COR LUNG [7] CT AXIAL LUNG [6] CT CAP AXIAL ST [603] CAP AXIAL FUSED [602] PET Raw Data [5] AC CT CAP 50 @FoV [4] Topograin v.Q 3. The dataset will load into the TrueD tab. This is the 2x2 Combined layout. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 16 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Patient Applications PET Transfer Edit View Image Orientation VRT Type Quantification Tools Reports Options System Help WO_CUT_S_EH Areremous Bograan renzo YID_CUT_S_EN WB_CUT_5_EH Examination 01-Jan-1993 01-Jan-1900 CT. Wednesday, June 22.2015 22-Jun-2016 22-Jut> 2015 PTAC, Wednesday, June 22. 2016 09:27:04 09:30:50 MFR PT AC Viewing Baseine 50 % PET 50 % CT Volume Registration Filming F Visualization CO MIP Image No 96,95 T 287 SUV bw SP 1968.0 SL 5.000 SENSITIVE EaEinve WO_CUT_S_EH Ancriyitious 01-Jan-1993 Biograph Horizon VJIOA 22-Jun-2016 3D 09:27:04 FUSED MFR TrueD F Quantification CO 300 1 2 07 SUV TrueD: MIP Report SP HOC0 0 359 270000 M/ C 40 D 0 00 SUVBW SL-5.000 SENSITME F/ 10 27a lun-2024.18:41:35 4. You can change the layout to a 2x2 Fused layout to see all three orthogonal views. Select the Layout Gallery from the Common Tool Area. ...... .... A B Layout Gallery 5. Now click the 2x2 Fused layout. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 17 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 TrueD: Layout Gallery One time-point Layouts 1x1 2×2 2x2 Fused HH 2X2 2×2 2×3 Combined Navigator 3x3 Stack 3x3 Stripe 6. This will change the layout to display all three fused orthogonal views. Patient Applications PET Transfer Edit View Image Onentation VET Type Quantification Tools Reports Options System Help WO_CUT_S_EH WB_CUT_S_EH Examination Anonymous ENograph Horizon Bograph Horizon WB_CUT 5_EH 401-Jan-1993 Anonymous "01-Jan-1993 VIDA CT. Wednesday, Jurw 22. 20%5 22-Jun-2016 PT AC, Wednesday, June 22. 2016 09 27:04 22-Jun-2016 03:27:04 FUSED MOR FUSED MPR Viewing 50 % PET Bisseine 30 % CT Volume Registration Filming F A Visualization CT/PT : 50/50 CQI MIP W 300 T 2.87 SUY bw SP H945.2 359 270000 MDA C 40 8 0:00 SUV DAY SPA161.8 SL: 5.000 SL: 5.000 SOGITIME 40 B 0.DD SUV DW Quantification WO_CUT_S_EH O Anonymous Bogingh Horizon "01-Jan-1993 WHOA 22-Jun-2016 3D 09:27:04 FUSED MAR TrueD Iso-Contour Threshold CT L Report SP RUZ 359 270000 ME C 40 8 000 SUY AN SL: 5.000 27- lun-2024 18:43:47 7. You can now scroll through the images using your left mouse button while pushing the mouse forwards and backwards. On the Coronal view, find an image where the liver is fully visible. Check your SUV values to be sure the quantification Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 18 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 is correct. In the Common Tool Area, select the Sphere VOI. -O- -O- -O- A B C S phere VOI Please note: Normal healthy liver Average SUV values are typically between 2.0 – 2.5. This is a great way of verifying quantification prior to the Physician reading. If normal healthy liver Average SUV values are way off, check that the user entered the dose and weight correctly for the patient. 8. Hover your mouse over the center of the healthy liver and click once with the left mouse button. This will drop a pre-defined 5 cm sphere VOI in that area. Verify your patient’s Average SUV. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 19 of 20 SmartSimulator Workbook | MI PET VJ30 Workbook Effective Date: 26 Aug 2024 | QR700011883 Demo Vision 600 WD CD H nonymous 401-Jan-1950 YO75A 13-Jun-2018 11:21:09 FUSED MPR A CIPI: 50/50 SP A141.4 300-1 4.92 SUV bw SL 2.000 191 500000 M6a 40 B 0.00 SUY bw 9. Once you have completed reviewing your image data, you can close the patient using the Close Current Patient button in the bottom right corner of the display. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2023 Master Template Effective Date: 14 Dec 2023 | HILS 2351 Page 20 of 20