Multitom Rax Real3D – Application Guide

SIEMENS Healthineers Multitom Rax Real3D Application Guide Template Effective Date: 10 Aug 2021 | HILS 2223 Job Aid Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Multitom Rax Real3D Application Guide – SIEMENS Healthineers Table of Contents Real3D of the hand/wrist 4 Real3D of the elbow 5 Real3D of the head 7 Real3D of the knee 8 Real3D of the foot/ankle 9 Real3D of the l-spine standing 11 Real3D of the knee standing 13 Real3D of the hip standing 14 Real3D of the foot/ankle standing 15 2 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 SIEMENS Healthineers Multitom Rax Real3D Tableside trajectory 3 Click to add footnote Effective Date: 26 Mar 2025 | QR700020774 second line Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the hand/wrist – SIEMENS Healthineers Workflow 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Attach the arm board at the predefined position. 3. Position the patient head-first for the left hand/wrist or feet first for the right hand/wrist. 4. Position the arm so that the region of interest lies in the light field. 5. Fixate the arm and hand of the patient. Patient motion during the scan will decrease the image quality. 6. Move the system to the first soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. 7. Check if the region of interest is correctly positioned in the light field. The hand must be covered by the light field. 8. Move the system to the second soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 9. Adapt the lateral collimation in a horizontal direction and adjust the table height if necessary. 10. Instruct the patient not to move. 11. Start the scanning procedure. 4 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the elbow – SIEMENS Healthineers Workflow 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Attach the arm board at the predefined position. 3. Position the patient head-first for the left elbow or feet first for the right elbow. 4. Position the arm so that the region of interest lies in the light field. 5. Fixate the arm and hand of the patient. Patient motion during the scan will decrease the image quality. 6. Move the system to the first soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. 7. Check if the region of interest is correctly positioned in the light field. The elbow must be covered by the light field. 8. Move the system to the second soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 9. Adapt the lateral collimation in the lateral direction and adjust the table height if necessary. 10. Instruct the patient not to move. 11. Start the scanning procedure. 5 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 SIEMENS Healthineers Multitom Rax Real3D Table trajectory 6 Click to add footnote Effective Date: 26 Mar 2025 | QR700020774 second line Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the head – SIEMENS Healthineers Workflow 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Position the patient headfirst on the table. 3. Use proper positioning aids to assure stability of the head as patient motion during the scan will decrease image quality. 4. Move the system to the first soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. 5. Check if the region of interest is correctly positioned in the light field. 6. Move the system to the second soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 7. Adjust the table height, if necessary. Ensure that the light field covers the head. 8. Instruct the patient not to move and to hold their breath or to breathe shallow. 9. Start the scanning procedure. 7 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the knee – SIEMENS Healthineers Workflow 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Attach the tabletop extension. 3. Position the patient feet first on the table. 4. Use proper positioning aids and fixate both feet to assure stability of the knee joint. Patient motion during the scan will decrease the image quality. 5. Move the system to the first soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. 6. Check if the region of interest is correctly positioned in the light field. The knee joint must be covered by the light field. Align the horizontal line just below the patella. 7. Move the system to the second soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 8. Use proper positioning aids to position the knee and adjust the table height, if necessary. Ensure that the light field covers the foot. 9. Instruct the patient not to move. 10. Start the scanning procedure. 8 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the foot/ankle – SIEMENS Healthineers Workflow 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Position the patient feet first on the table. 3. Position the arm so that the region of interest lies in the light field. 4. Stabilize the patient and fixate the foot. Patient motion during the scan will decrease the image quality. If possible, position the other foot out of the field of view. 5. Move the system to the first soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. 6. Check if the region of interest is correctly positioned in the light field. The foot/ankle must be covered by the light field. 7. Move the system to the second soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 8. Use proper positioning aids to position the foot and adjust the table height, if necessary. Ensure that the light field covers the foot. 9. Instruct the patient not to move. 10. Start the scanning procedure. 9 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 SIEMENS Healthineers Multitom Rax Real3D Upright trajectory 10 Click to add footnote Effective Date: 26 Mar 2025 | QR700020774 second line Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the l-spine standing – SIEMENS Healthineers Workflow (1/2) Please only use Real3D of the l-spine for patients with a BMI < 30 kg/m². 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Position the RAX stand on the marks on the floor. 3. If necessary, position additional platforms on the RAX stand. 4. Position the patient with the back to the RAX stand. 5. Position the patient's left foot on the outer left dashed line and the right foot on the outer right-dashed line. The heels must be close to the rearmost horizontal line. 6. If necessary, raise the hand grip of the RAX stand to a higher position. 7. Instruct the patient to stand comfortably and have the patient put their hands on their head or use the hand grip. 8. Have the patient lean on the back wall of the RAX stand, if possible. 9. Move the system to the first soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 11 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the l-spine standing – SIEMENS Healthineers Workflow (2/2) 10. Check if the region of interest is correctly positioned in the light field. The lumbar spine must be covered by the light field. Use the blue up/down buttons on the Wireless Remote Control to adjust the position of the light field. 11. Move the system to the second soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. 12. Check if the region of interest is positioned correctly in the light field. Use the blue up/down buttons on the Wireless Remote Control to adjust the position of the light field. 13. Instruct the patient to stand still and to hold their breath. 14. Start the scanning procedure. 12 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the knee standing – SIEMENS Healthineers Workflow 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Position the RAX stand on the floor markings. 3. If necessary, position additional platforms on the RAX stand. 4. Position the patient with the back to the RAX stand. 5. Position the patient's left foot on the outer left dashed line, if the left knee is to be scanned. For the right knee, position the foot on the outer right-dashed line. The heel must be close to the rearmost horizontal line. 6. Instruct the patient to stand comfortably and hold on to the hand grip for support and stability. If necessary for additional patient support, the leg support can be used. 7. Move the system to the first soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 8. Check if the region of interest is correctly positioned in the light field. The knee joint must be covered by the light field. Align the horizontal line just below the patella by using the blue up/down buttons on the Wireless Remote Control. 9. Move the system to the second soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. 10. Ensure that the light field covers the knee and instruct the patient not to move. 11. Start the scanning procedure. 13 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the unilateral hip standing – SIEMENS Healthineers Workflow Please only use Real3D of the unilateral hip for patients with a BMI < 30 kg/m². 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Position the RAX stand on the floor markings. 3. Position the patient with the back to the RAX stand. 4. Position the patient's left foot on the outer left dashed line if the left hip joint is to be scanned. For the right hip joint, position the right foot on the outer right-dashed line. The heel must be close to the rearmost horizontal line. 5. Instruct the patient to stand comfortably and hold on to the hand grip for support and stability. 6. Move the system to the first soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 7. Check if the region of interest is correctly positioned in the light field. The hip joint must be covered by the light field. 8. Align the horizontal line just below the femoral head by using the blue up/down buttons on the Wireless Remote Control. 9. Move the system to the second soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. Ensure that the light field covers the hip joint. 10. Instruct the patient not to move and start the scanning procedure. 14 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the foot/ankle standing – SIEMENS Healthineers Workflow (1/2) 1. If necessary (defined in the organ program), move the system to the patient transfer position: Press and hold the SmartMove button on the Wireless Remote Control. 2. Position the RAX stand on the marks on the floor. 3. Position two additional platforms on the RAX stand. 4. Position the patient with the back to the RAX stand. 5. Position the patient's foot on the central marking of the additional platform and the patient's back to the wall of the RAX stand. The heel must be close to the rearmost horizontal line. 6. Instruct the patient to stand comfortably and hold on to the hand grip for support and stability. If necessary for additional patient support, the leg support can be used. 7. Depending on the patient or required scan procedure, have the patient lift the other foot to take it out of the field of view. or – – If a natural weight-bearing scan is required, have the patient place the second foot close to the other foot. 15 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Real3D of the foot/ankle standing – SIEMENS Healthineers Workflow (2/2) 8. Move the system to the first soft stop (lateral position): Press and hold the SmartMove button on the Wireless Remote Control. 9. Check if the region of interest is correctly positioned in the light field. The ankle must be covered by the light field. Use the blue up/down buttons on the Wireless Remote Control to adjust the position of the light field. 10. Move the system to the second soft stop (a.p. position): Press and hold the SmartMove button on the Wireless Remote Control. 11. Check if the region of interest is positioned correctly in the light field. Align the vertical line on the height of the joint. Use the blue up/down buttons on the Wireless Remote Control to adjust the position of the light field. 12. Instruct the patient not to move. 13. Start the scanning procedure. 16 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 SIEMENS Healthineers Please note this 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. Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com 17 Effective Date: 26 Mar 2025 | QR700020774 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025