MM Radiation Therapy Image Suite (RTiS) - Basic Configurations

RTiS and Sim&Go Basic Configuration MM Radiation Therapy Image Suite (RTiS) VA 40 Sim&GO VA40 and syngo.via VB60 MM Radiation Therapy Image Suite (RTiS) and/or Sim&Go can be configured to fit the workflow of your department. Note: Availability of functions is based on licenses purchased. This example uses the RTiS program. 1. Log into the system using a Clinical Administrator user right such as Superuser (usually defined during initial training). 2. From the Patient Browser, open any series using the RTiS workflow. Note: You can open a series in Sim&GO as well. 3. In the Navigation Panel, select the Configuration cog wheel on the RT Image Suite tab. A new popup box will appear. MM RT Image Suite RT Image Suite RT Configuration ? > Patient Marking Registration Workflow Configuration Laser Configuration POI Configuration Machine Configuration Contouring Series Available Workflow Steps Selected Workflow Steps Patient Marking Registration Contouring Dose Evaluation 4D and MR Data Management Beam Placement RT Navigator Findings · Active step when entering the application Structures POI Name Type Tools OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers 4. On the Workflow Configuration tab, Use the arrow keys to have certain workflows available, reorder the list and define the workflow the program opens in. Note: Selecting OK now will close the RT Configuration box. You can wait until all configurations are complete before selecting OK. RT Configuration ? X Workflow Configuration Laser Configuration POI Configuration Machine Configuration Available Workflow Steps Selected Workflow Steps Patient Marking Registration Contouring Dose Evaluation 4D and MR Data Management Beam Placement Active step when entering the application OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 2 of 8 5. On the Laser Configuration tab, you can define Patient Marking workflow and laser communication. The Siemens default Workflow Type is Markerless workflow. With Workflow Setup, the names and colors can be adjusted from the default. On the Laser System Properties, most facilities use the 2 movable laser axis choices as the lasers move in the lateral and vertical planes. The longitudinal shift is done by physically moving the tabletop to the calculated position. RT Configuration ? X Workflow Configuration Laser Configuration POI Configuration Machine Configuration Workflow Type .Markerless workflow . Marker workflow Workflow Setup Create Laser Origin on Startup Default Color and Name of Laser Origin LaserOrigin Create Isocenter on Startup Default Color and Name of Isocenter IsoCenter Laser System Properties 2 movable laser axes Calibration Offset 326.0 - mm O The calibration offset directly impacts the Export to Laser System calculation of the treatment isocenter coordinates. A change in this value can lead to incorrect patient Export as LAP File Format 2.0 marking. Export Path Export as RT Plan PlanName Network Node . Enable Direct Laser mode IP Address localhost Port 2000 Offset Unit cmmm OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 3 of 8 6. The Calibration Offset is defined at the time of scanner installation and/or 3rd party laser installation. This should not be changed without the assistance of a Siemens Healthineers authorized engineer, as the incorrect value can lead to incorrect coordinate values. Note: When using the Siemens Healthineers-mounted gantry lasers, the Calibration Offset value must also be entered on the scanner in Laser Calibration. The Export to Laser System should be set up with the assistance of a Siemens Healthineers authorized engineer, facility Information Technology (IT) department, and the 3rd party laser vendor (LAP, Gammex, etc.) at the time of installation. RT Configuration ? x Workflow Configuration Laser Configuration POI Configuration Machine Configuration Workflow Type Markerless workflow Marker workflow Workflow Setup Create Laser Origin on Startup Default Color and Name of Laser Origin LaserOrigin Create Isocenter on Startup Default Color and Name of Isocenter soCenter Laser System Properties 2 movable laser axes Calibration Offset 326.0 ¢ mm The calibration offset directly impacts the Export to Laser System calculation of the treatment isocenter coordinates. A change in this value can lead to incorrect patient Export as LAP File Format 2.0 marking. Export Path . Export as RT Plan PlanName Network Node Enable Direct Laser mode IP Address localhost Port 2000 Offset Unit 0 cm mm OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 4 of 8 7. On the POI Configuration tab, the Siemens Healthineers default is Snap to Original Slice Position. The program displays the images in an MPR (Multi Planer Reconstruction) volume, which includes interpolated data between slices. Selecting the Snap to Original Slice Position will place the POI on a true slice. RT Configuration ? X Workflow Configuration Laser Configuration POI Configuration Machine Configuration . Snap to Original Slice Position Free Placement OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 5 of 8 8. Under the Machine Configuration tab, you can commission your Linear Accelerators in the program for use in the Beam Placement workflow. Refer to the Instruction for Use (IFU) manual for more information on this configuration. Note: There are tabs for Linac Configuration and MLC (Multileaf Collimator) Configuration. RT Configuration ? X Workfi onfiguration er Configuration POI Configuration Machine Configuration Se Treatment Machine Machine Manufacturer no Manufacturer Linac Configuration MLC Configuration Available Energies 6 MV Asymmetric Source to Axis Distance 100 X-Jaws cm None Gantry Rotation [deg] X-Jaw Max. Retraction 20 cm Min 0 Default o X-Jaw Max. Overtravel 20 cm Max 359 Step Size YJaws . Asymmetric Table Rotation [deg] Y-Jaw Max. Retraction 20 cm Min Default 0 Y-Jaw Max. Overtravel 2 cm Max 359 Step Size 5 Collimator Rotation [deg] Min Default 0 Max 359 Step Size 5 OK Cancel 9. When all configurations are completed, select OK. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 6 of 8 10. If the Synthetic CT license has been purchased and installed, there is an additional tab available. Select the Synthetic CT tab and choose the desired options. Select OK to save. RT Configuration ? X Workflow SyntheticCT Configuration Laser Configuration POI Configuration Machine Configuration Configuration The following result images shall be created by the SyntheticCT feature (check at least one option): CT-like image Relative electron density Relative mass density OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 7 of 8 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's 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 Healthcare GmbH 2023 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Siemens Shanghai Healthcare Sector Henkestr. 127 40 Liberty Blvd. Medical Equipment Ltd. 91052 Erlangen Malvern, PA 19355-9998 USA 278 Zhou Shu Road Germany Telephone: +1-888-826-9702 Shanghai 201318 Phone: +49 9131 84-0 Customer Care Telephone: P.R. China https://www.siemens-healthineers.com +1-800-888-7436 Telephone: +1 847 304 7700 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 8 of 8