Multitom RAX Real 3D Workbook

Multitom Rax Real 3D® Turnover Workbook Education & Workforce Solutions SIEMENS Your potential is calling. Healthineers 1 Welcome A Message from Nanci Wozniak Welcome to your training experience with Education & Workforce Solutions. I want to personally thank you for choosing Siemens Healthineers. We are honored to have you as our partner and hope you will enjoy this course. Our teams strive to ensure your priorities and needs are met. We sincerely appreciate your hard work around what really matters - the human side of health care. You are our heroes. Thank you for being part of the Siemens Healthineers family and we look forward to our partnership with you. Nanci Wozniak Vice President, Education & Workforce Solutions CX SV USA – Customer Service Organization Siemens Healthineers Clinical Training and Continuing Education Contact Information Customer Care Center - Clinical Application Support: Call 1-800-888-7436 PEPconnect https://pep.siemens-info.com/en-us 2 Contact Information Summary Welcome to Siemens Healthineers Siemens Training Centers Siemens Healthineers is dedicated to helping you get Siemens Clinical Education the most out of your investment throughout the Training Center – TDC2 entire product life cycle and beyond. Our goal is to 110 Mac Alyson Court enable you to take technology further, profitability Cary, NC 27511 higher, and patient care to the next level. Find the information, resources, and tools you need to get the most out of your recent investment and stay up to date. Visit https://www.siemens-healthineers.com Clinical Training and Continuing Education Customer Care Center - Clinical Application Support: Call 1-800-888-7436 • Troubleshooting assistance • Immediate assistance for software applications and workflow issues • Please provide the Functional Location Number when calling for assistance. Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) • Classroom Training (Offerings, Registration & Scheduling) • Educational Symposia • On-site Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships Visit https://www.siemens-healthineers.com/en-us/ education/personalized-education-by-solution for more information regarding the current Siemens Healthineers Clinical Training and Continuing Education portfolio. 3 Contents Welcome......................................................................................................................... 2 Contact Information Summary ......................................................................................... 3 Contents ........................................................................................................................ 4 Course Agenda ................................................................................................................ 5 Course Objectives ............................................................................................................ 6 1. Performing Real 3D Exams on the Multitom Rax ............................................................ 7 1.1 Objectives ............................................................................................................ 7 1.2 Types of Real 3D Exams ......................................................................................... 7 1.3 Performing Real 3D examinations .......................................................................... 9 1.4 Reconstructing Real 3D images using syngo View&GO...........................................13 1.5 Key Terms............................................................................................................22 1.6 Perform Patient Exams .........................................................................................23 2. Review and Real 3D Training........................................................................................24 2.1 Objectives ...........................................................................................................24 2.2 Review ................................................................................................................24 2.3 Perform Patient Exams .........................................................................................24 4 Course Agenda Day 1 Introduction to Real 3D includes: • Tableside, lying, and weight-bearing positions • Steps for utilizing the Real 3D features on the Multitom Rax and sending the images to the workstation • Follow workflow to reconstruct and manipulate the 3D images on the workstating and sending to PACS • Perform patient exams Day 2 • System review of Day one • Review key terms and 3D workstation basics • Perform patient exams 5 Course Objectives This training guide will enable the end user to affectively perform a Real 3D exam on the Multitom Rax. Additionally, the user will gain the necessary knowledge to reconstruct and manipulate 3D images on the workstation. Proper use of system functions and features will empower operators with precise workflow, quick patient through put and user satisfaction. Upon completion of this course, you will be able to: • Describe the different types of Real 3D exams • Correctly perform a Real 3D exam on the Multitom Rax • Perform the reconstruction of the 3D images on the workstation • Utilize the workstation to manipulate and save images to send to PACS • Identify key terms associated with 3D imaging and the workstation 6 Turnover Workbook | Multitom Rax Real 3D 1. Performing Real 3D Exams on the Multitom Rax 1.1 Objectives Notes • Identify the Real 3D exams available • Utilize the Multitom Rax to perform a Real 3D exam • Send the Real 3D images to the workstation • Perform a reconstruction on the workstation • Manipulate the reconstructed images • Create images to send to PACS 1.2 Types of Real 3D Exams • Real 3D Tableside exams are performed with the patient lying on the table with the desired extremity positioned (for example, a wrist). • Once the Real 3D Tableside program is selected, the View Position window will display. View Position Please define the image laterality Left Right None OK Cancel 7 Turnover Workbook | Multitom Rax Real 3D Notes • Real 3D lying exams are performed with the patient lying on the table and the desired anatomy positioned. • Select the appropriate Patient Position/View Position from the window. Patient Position / View Position Please define the patient position Head First Feet First Please define the image laterality Left Right None OK Cancel • Real 3D weight-bearing exams are performed with the patient standing (for example, weight bearing ankles). 8 Turnover Workbook | Multitom Rax Real 3D 1.3 Performing Real 3D examinations Notes 1.Open the patient in the Examination tab on the Fluorospot Compact (FLC). Ecsm nason K 646824 156334 uGy"m2 O.co Examination 3D Examination, Knee 040822_150334 Sales 30 15 0:00 0.2 FooUS réginin 0.0 i Press SmartViave bution und pifiant transfer position is 2. Select the desired 3D OGP view for the wam. If necessary, make the suggested table adjustment. Select the image laterality. Verify that the correct grid is inserted. Please note: a) For standing 3D exams, place the RAXstand into the pre-defined position before moving the system into place (remove the tabletop from the table if necessary)/ b) For table-side upper extremities, move the system into place before attaching the arm board to the table. View Position Patient Position / View Position Please define the image laterality Please define the patient position Left Right None OK Cancel Head First Feet First Err 5548 / 240: Insert grid with 115 cm H Please define the image laterality Left Right None OK OK Cancel 9 Turnover Workbook | Multitom Rax Real 3D 3. If a transfer position is configured, press and hold the SmartMove button Notes on the wireless remote control to move the system to the patient transfer position. i Press SmartMove button until patient transfer position is reached 4. Keep the SmartMove button on the wireless remote control pressed to move to the start position of the 3D run. i Keep SmartMove button pressed to move to the start position of the 3D scan 5. Check the region of interest of the patient lies in the light field and make sure that no collisions of the system with the patient occur. 6. Press and hold the SmartMove button on the wireless remote control to move to the second centering position. The system performs the 3D test run and moves the tube stand and detector stand along the programmed trajectory.. i Press SmartMove button on the remote control to start the 3D test run 10 Turnover Workbook | Multitom Rax Real 3D Notes 7. Make any necessary anatomy adjustments to set the center of the anatomy in the second position. Check whether the region of interest is positioned correctly in the light field.This will ensure that the object is in the isocenter. 8. Continue by pressing and holding the SmartMove button on the wireless remote control. The system will move back to the start position of the 3D run. i Press SmartMove button on the remote control to start the 3D test run 9. If the prerequistites for the 3D scan are fulfilled, the following message is displayed: i Position reached. Disengage button at remote control 10. Press the acquisition push button fully down and hold it pressed until all the acquisitions are finished. Please note: If you prematurely release the acquisition, you will abort the spin. i Press Acquisition switch to start the 3D run 11 Turnover Workbook | Multitom Rax Real 3D Notes 11. After the 3D run is finished, please disengage the x-ray switch. i 3D run finished - Disengage X-ray switch You now have the possibility to repeat the examination again. • If you press the SmartMove button, the system will move back to the patient transfer position. • If you press the lower left purple button, the system will move back to the start position. i 3D finished. Move to Pat. Transfer Pos by SmartMove button, or back to Start by lower left purple button 11. All the images are transferred to the syngo.via View&GO automatically. 12 Turnover Workbook | Multitom Rax Real 3D 1.4 Reconstructing Real 3D images using syngo View&GO Notes The images are automatically sent to the syngo View&GO and will appear on the Patient Browser list. Use the search field to filter results to a specific patient name. 1. Double click on the image series received. SIEMENS .... Healthineers Patient Browser test X Q DICOM Import Export Delete Results (7 results, 12:41:33 PM) Series Patient Name Date of Birth Patient ID Modality Study Date and ... Study Description Syngo, Validation Test 2/19/1963 18.02.19-15:46: ... CT, OT, PR 2/19/2018 3:46: ... Syngo Validation V1 Test , Siemens 11/8/2000 11082021 CT, XA 11/8/2021 3:16: ... UPRT, TEST 11/11/1999 11111111 CT. XA 11/16/2021 12:5 ... 3D HAND TEST, REAL3D 11/11/1999 11111111111111 CT. XA 11/16/2021 1:28 ... TESTFOOT3D, TEST AGAIN 11/11/1989 222222222222 CT, XA 11/16/2021 1:55 ... ..... 30 UL Spine L TEST, TEST 1/1/1999 111111111111 ... CT, XA 11/16/2021 2:17 ... Test, Test 11/11/1900 636336 XA 11/17/2021 10:4 ... DR Spine Lumbar 2 or ... 2. The reconstruction of the series starts while the following screen is displayed. Note: If an additional box displaying information about updates pops up, click OK and follow up with local service if network configurations are needed. SIEMENS ... Test, Test Healthineers 11/11/1900 F 636336 Viewing Series Viewing MPE VIT Stack 3x2 Stack 4x4 Current 217 249 MPRMP - XA, 11/17/2021 DR Spine Lumbar 2 or 3 Vie ... Favorite Tools Please drag data from Sedes Navigator Please diag data from Series Navigator Series Favorite Tools bunund Please drag data from Sedes Navigator Please diag data from Series Navigator 13 Turnover Workbook | Multitom Rax Real 3D 3. A message will display once the reprocessing is complete. Select OK to Notes acknowledge. The screen will display three MPR images (axial, coronal, & sagittal), along with the VRT displayed in the bottom right box. SIEMENS Healthineers 7 - 11/11/1900 F 636336 ?6A * Viewing Series X Test, Test SHB.forworth Test, Test SH Butterworth Viewing 636336 636316 *11/11/1900, F.1219 uprospot Compact FD *11/11/1900. F.123% Fluorospot Compact FD CURRENT CURRENT Current STUDY 11/17/2021 STUDY 11/17/2021 30 UL-Spne L medur [1] 1.2 SOUL-Sore L CT XA. 11/17/2021 DR Spine Lumbar 2 or 3 Vie ... 1 MA-246 MANS FRM X-Ray Reprocessing Series i Reprocessing successfully finalized . Favorite Tools Test, Test Hafer worth 636336 Distance ROI Circle Parales $11/11/1800. F. 121Y OK Printing 3D CURRENT STUDY 11/17/2021 30 UL-Spne L'modus jij- 25 1 MAna.FRMn.a. A 12:42 PM 4. Select one of the MPR images by single clicking on a box, then selecting Parallel Ranges in the Favorite Tools on the left. SIEMENS Healthingers Verwing RESTROGENO, TEST AGA Ferrie Tous TE STP DOTIO, TEIS ACAJE ESTROGENO, TE IT AGAIN 14 Turnover Workbook | Multitom Rax Real 3D 5. Within the Parallel Ranges tool, a new layout will display. Create each Notes necessary range set by clicking on the Complete Coronal, Complete Axial, and Complete Sagittal presets. SIEMENS lthineers Test, Test x . 11/11/1900 F 636336 Viewing Test, Test Series Test, Test Test, Test Viewing 636336 636336 ha Schaue *11/11/1900, F. 121Y *11/11/1900, F. 121Y -11/11/1900, F. 121Y CURRENT CURRENT STUDY 11/17/2021. STUDY 11/17/2021 30 UL-Spine @ medum' [ 30 UL-Spine Ledum [1] 1. 2 STUDY 11/17/2021 Current 30 UL-Spine Lhedyn DR Spine Lumbar 2 or 3 Vie ... 1 MAnd 1 MA-245 MAn.a. FRMn Favorite Tools R AL MPR MPR SL 0.5 SL 0.5 SPC SPC 05 UL Spie L. F ........ 512-513 Distance between images: 0.5 mmSP H102 9 Slice Thickness: 0.5 mm 5124512 5129512 2000 300 Series Parall Radial Curve Spine Favorite Tools Test, Test 636336 -11/110900. F. 121V11 Preview SH Butterworth Preset Select the Prese O. Distance ROI Circle STUDY 11/1 7/2021 Image Thickness 0.5 mm Printing 3D Distance between Images 0.5 mm lumber of Images 256 Field of View 256.0 = x 256.0 - mm Presets Orientati. Image Series Start Accept Close 12:43 PM 6. Adjust the region of interest by dragging the box size and locations in the three windows across the top. Angulation of the 3D axis can also be adjusted. SIEMENS .... Test, Test Healthineers * 11/11/1900 F 636336 Viewing HLP Series Test, Test Test, Test 636336 Viewing 636336 *11/11/1900. F. 121Y "11/11/1900, F. 121Y $11/11/1900, F. 121Y MPR VRT Stack 3x2 Stack 4x4 CURRENT CURRENT CURRENT STUDY 11/17/2021 STUDY 11/17/2021 STUDY 11/17/2021 Current 30 U L-Spine L medium [1] 30 UL-Spine L medium [1], 30 UL-Spire L'medium [ . 2 COMER - 6 6 11/17/2023 MAna. FRM n.a. -Mania.FRMno MAN Favorite Tools ------- Distance between Images: 0.5 mnSP H102.7 PR11.7 Slice Thickness: 0.5 mm 512 512 512-512 W 2000 200 300 30 U L-Spine L Series medium [1] [1] Parall Radial Curve Spine Favorite Tools Test, Test SH Butterworth -11/11/1900. F. 121Y Preset Complete ParaCor MPR 0.5mm STUDY 11/17/2021 Image Thickness 0.5 Range [1004] [ Distance ROI Circle Parallel mm Printing Line Ranges 3D Distance bety between Images 0.5 mm Show in Number of Images Image 279 Field of View 245.0 X 256.0 mm Presets Orientati Image Series Applies complete axial volume organ Aj 2000 Start Accept Close 15 Turnover Workbook | Multitom Rax Real 3D 7. Adjust the Image Thickness and Image Distance as required by your Notes facility’s protocols. Paralk Curve Spine Parall ‘Curve Spine Preset Select the Preset Preset Select the Preset mage Thickness 0.5 Image Thickness 0.5 mm Distance between Images 0.5 Images Imm 1.0 Number of Images 1.5 Number of Images Image Thickness 0.5 Field of View 2.0 3.0 256.0 = mm Field of View 1.0 256.0 - mm 1.5 5.0 Presets Orientati ... Series Orientati. 2.0 Series 3.0 5.0 Comohal Completa Complex Start Accept Cloer Start Accept Close 8. Select Start to create the series. Once the series creation is complete, select Accept to save. Paralk Radial Curve Spine Paralk )Radial Curve Spine Preset Complete Para Tra Preset Complete Para Tra Image Thickness 0.5 mm Image Thickness 0.5 mm Distance between Images 0.5 mm Distance between Images 0.5 mm Number of Images 491 Number of Images 491 Field of View 256.0 ¢ x 256.0 mm Field of View 256.0 256.0 mm Presets Orientati ... Image Series Presets Orientati ... Image Series Range Series Name MPR 0.5mm Range[2] Complete Complete Complete Create Sagittal Preset Image Comment Include Reference Image Start Accept Close Reject Accept Close 9. Select Close to exit Parallel Ranges. Start Accept Close 16 Turnover Workbook | Multitom Rax Real 3D 10. You should now see 5 objects in the right Series panel: Notes a. Original Images acquired at the system b. Reconstruction Data Set c. Coronal Series d. Axial Series e. Sagittal Series SIEMENS Healthingers Viewing THY 17 Turnover Workbook | Multitom Rax Real 3D Creating Radial Ranges (Spin and Tumble) Notes If Radial Ranges are not needed, skip to step 15 – Sending to PACS. 11. Select (single-click) bottom right window displaying Volume Rendering Technique (VRT) and select Parallel Ranges from the Favorite Tools on the right. Healthinger ? Priming 12. Select the Radial tab, Presets, and Long Axis. Start and accept the series. Repeat process for Preset > Short Axis. SIEMENS X Healthineers - 15/1 1/1900 F 636336 Viewing Series STUDY Cument ....... SHAS Favorite Tools 10.0 245.0 716.0 One 12:45 18 Turnover Workbook | Multitom Rax Real 3D 13. You should now see seven objects in the right Series panel: Notes a. Original Images acquired at the system b. Reconstruction Data Set c. Coronal Series d. Axial Series e. Sagittal Series f. Long Axis Series g. Short Axis Series PREMENS Healthineers Test, Test * 11/1 1/1900 F 636336 Viewing Stries FAY CURRENL . CUBRE C STUDY 18 872 OULA Favorite Too's Paral Favorite Tools Preset Complete Macversal STUDY 11 A7.0005 Angle between images Neither of images ed of view 236.0 = x 256.8 mm PreSECS Orientar mage Seres Range Seres Nome Vil Range[3] Image Comment w Include Reference irrage Start Close 19 Turnover Workbook | Multitom Rax Real 3D Sending to PACS Notes 14. Series can be sent to PACS by either right-clicking on the individual series within the patient, or by exiting the patient and selecting the study from the Patient Browser and then selecting Export. MCMENS Healthingers Serles WHY SILMENS Healthingers Patient Browser test X Q Results Bre of Birth TUST, TEET 20 Turnover Workbook | Multitom Rax Real 3D 15. Select the desired destination from the Export to Network tab and Notes press Send. SIEMENS .. Healthineers ... ? Patient Browser test X Q DICON Delete Results (7 results, 12:48:52 PM) Series Patient Name Export ? X Syngo, Validation Test Test , Siemens UPRT, TEST TEST, REAL3D Export to Network Export to File System 30 UL-Spine L TESTFOOT3D, TEST AGAIN TEST, TEST Choose where to export to Test, Test ALL_STORE_SCP BWDR4 ange MPR O.5mm Range[2] VRT Range[3] Send Cancel 12:48 PM 16. All selected series will be sent to PACS. 21 Turnover Workbook | Multitom Rax Real 3D 1.5 Key Terms Notes Cross Sectional views to remember: Coronal Axial Sagittal • Axial - Imaging from head to foot Axial • Sagittal - Imaging from side to side (lateral view) Sagittal 22 Turnover Workbook | Multitom Rax Real 3D Notes • Coronal - Imaging from front to back (frontal view) Coronal • VRT - Volume Rendering Technique 1.6 Perform Patient Exams 23 Turnover Workbook I Multitom Rax Real 3D 2. Review and Real 3D Training 2.1 Objectives • Review and use the Multitom RAX to set up Real 3D exams. • Perform Real 3D reconstructions at the workstation. • Utilize the workstation to manipulate 3D images. • Send images to PACS. • Utilize the room for patient exams 2.2 Review 2.3 Perform Patient Exams Notes 24 On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and Local Contact Information products described herein may not Siemens Medical Solutions USA, Inc. be available in the United States. 40 Liberty Blvd. Malvern, PA 19355-9998 USA The information in this document Telephone: +1-888-826-9702 contains general technical Customer Care descriptions of specifications and Telephone: +1-800-888-7436 options as well as standard and optional features which do not https://www.siemens-healthineers.com/en-us always have to be present in individual cases. Legal Manufacturer Siemensstrasse 1 Siemens reserves the right to modify Forchheim, Germany 91301 the design, packaging, specifications and options described herein without Phone: +49 9131 84-4746 prior notice. Please contact your local https://www.siemens-healthineers.com/radiography Siemens sales representative for the most current information. Siemens Healthcare Headquarters Siemens Healthcare GmbH Note: Any technical data contained in Healthcare Sector this document may vary within Henkestr. 127 defined tolerances. Original images 91052 Erlangen always lose a certain amount of Germany detail when reproduced. Phone: +49 9131 84-0 https://www.siemens-healthineers.com Published by Siemens Healthcare GmbH · HOOD05162002911517 · Printed in USA · 0000.2 · ©Siemens Healthcare GmbH, 2022 25