Multitom Rax - True2scale Body Scan Online Training

Continue Button Continue Continue Multitom Rax - True2scale Body Scan OLT Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Know the Technology Behind True2scale Body Scan Understand the Clinical Routine Learn about True2scale Body Scan from Experiences of Clinical Experts 1 3 2 Multitom Rax - True2scale Body Scan Online Training This online training covers technical basics and workflow videos from the clinical routine for Multitom Rax’s True2scale Body Scan application. Welcome audf_mtr_olt_welcome_1.mp3 Welcome to the Multitom Rax – True2scale Body Scan online training. This online training covers technical basics and workflow videos from the clinical routine for Multitom Rax’s True2scale Body Scan application, and will cover the following three learning objectives: ? True2scale Body Scan True2scale Body Scan is a slot-scanning technique: System moves along the patient, while acquiring a series of images with narrow collimation, which will be reconstructed to one single image. Acquisition starts with frontal view where system moves from feet to head. → Turning through 90 degrees, for lateral view from head to feet. During preparation phase, user can set upper and lower bounds of the image. → Radiation will be applied only in the specified area. Possible for standing and lying patients. Acquisitions of only one view, a.p. or lateral, is also possible. Even more coverage Even lower dose Even greater precision True2scale Body Scan audf_mtr_olt_true2scale_2.mp3 Here, you can see how a True2ccale Body Scan acquisition looks. True2scale Body Scan is a slot-scanning technique. The system moves along the patient while acquiring a series of images with a narrow collimation, which will be reconstructed to form one single image. The acquisition starts with the frontal view. The system moves from feet to head. Then it turns through 90 degrees and acquires the lateral view from head to feet. During the preparation phase of the acquisition, the user can set the upper and lower bounds of the image that should be acquired. Radiation will be applied only in the specified area. As you can see, it is possible to perform the True2Scale Body Scan for standing as well as for lying patients. Of course, acquisitions of only one view, a.p. or lateral, are possible as well. Now, let's look at the details: how do we achieve even more coverage, even greater precision and even lower dose? ? How do we Achieve Even More Coverage? Make Every Centimeter Count Even more Coverage With a smart combination of slightly asynchronous detector and tube movement, we make full use of the potential patient coverage. By moving the collimated beam along the detector during the scan movement, we gain some extra centimeters for even more coverage. This technology delivers a scan range of 190 cm in a supine position and 170 cm in natural, weight-bearing conditions. How do we Achieve Even More Coverage? audf_mtr_olt_coverage_3.mp3 The slot is not always centered on the detector. Instead, it moves over the detector during the scan. This gives up to 40 cm more patient coverage than a slot-scan acquisition, where the slot is centered on the detector. This technology delivers a scan range of 190 cm in a supine position and 170 cm in natural, weight-bearing conditions. ? True2scale Body Scan Workflow Upright Select the OGP and push the SmartMove button on remote control. System moves to transfer position (tube on the side). Position the patient on the RAX stand, arms bent with fingertips to the forehead! Press SmartMove button, system will move table and detector in correct position. Move the tube to the start position of the scan (use the laserlight for orientation). Press the “1” button on the TUI or the SmartMove button on the WRC (without DMG) to define the start position. Move the tube to the end position of the scan (use the laserlight for orientation). Press the “2” button on the TUI or the SmartMove button on the WRC (without DMG) to define the end position. Press the SmartMove button (with DMG) to move the system into the start position. Start the True2scale Body Scan by pressing (and keep pressing) the radiation release switch. After successful run, push the SmartMove button, system will move in transfer position. True2scale Body Scan Workflow - Upright audf_mtr_olt_upright_4.mp3 This is how a True2scale Body Scan Workflow for upright looks like: Select the OGP and push the SmartMove button on remote control. System moves to transfer position (tube on the side). Position the patient on the RAXstand, arms bent with fingertips to the forehead! Press SmartMove button, system will move table and detector in correct position. Move the tube to the start position of the scan (use the laserlight for orientation). Press the “1” button on the TUI or the SmartMove button on the WRC (without DMG) to define the start position. Move the tube to the end position of the scan (use the laserlight for orientation). Press the “2” button on the TUI or the SmartMove button on the WRC (without DMG) to define the start position. Press the SmartMove button (with DMG) to move the system into the start position. Start the True2scale Body Scan by pressing (and keep pressing) the radiation release switch. After successful run, push the SmartMove button, system will move in transfer position. ? True2scale Body Scan Workflow Lying Select the OGP and push the SmartMove Button on the remote control. System moves to transfer position (tube on the side). Position the patient on the table, arms lying down over the head! Press the SmartMove button, system will move table and detector in correct position. Move the tube to the start position of the scan (use the laserlight for orientation). Press the “1” button on the TUI or the SmartMove button on the WRC (without DMG) to define the start position. Move the tube to the end position of the scan (use the laserlight for orientation). Press the “2” button on the TUI or the SmartMove button on the WRC (without DMG) to define the end position. Press the SmartMove button (with DMG) to move the system into the start position. Start the True2scale Body Scan by pressing (and keep pressing) the radiation release switch. After successful run, push the SmartMove button, system will move in transfer position. True2scale Body Scan Workflow - Lying audf_mtr_olt_standing_5.mp3 And this is how a True2scale Body Scan Workflow for lying looks like: Select the OGP and push the SmartMove Button on the remote control. System moves to transfer position (tube on the side). Position the patient on the table, arms lying down over the head! Press the SmartMove button, system will move table and detector in correct position. Move the tube to the start position of the scan (use the laserlight for orientation). Press the “1” button on the TUI or the SmartMove button on the WRC (without DMG) to define the start position. Move the tube to the end position of the scan (use the laserlight for orientation). Press the “2” button on the TUI or the SmartMove button on the WRC (without DMG) to define the start position. Press the SmartMove button (with DMG) to move the system into the start position. Start the True2scale Body Scan by pressing (and keep pressing) the radiation release switch. After successful run, push the SmartMove button, system will move in transfer position. ? How do we Achieve Even More Precision? Slot-Scanning Technique Without Magnification Effects An ultra-small-angle tomosynthesis reconstruction is performed on the acquired slot images. Magnification effects do not occur. This also results in a faster and easier workflow compared to the conventional source-tilt technique – and more certainty, even for less experienced staff. [1] Distance Line a.p. 20.00 cm How do we Achieve Even More Precision? - Slot-Scanning audf_mtr_olt_precision_6.mp3 An ultra-small-angle tomosynthesis reconstruction is performed on the acquired slot images. Magnification effects do not occur. Let's look at this image of a ruler that was acquired with the T2S Body Scan. A measurement directly in the image yields the correct distance. This also results in a faster and easier workflow than the conventional source-tilt technique – and more certainty, even for less experienced staff. ? How do we Achieve Even More Precision? Corresponding Images in two Planes Bilateral Images without Repositioning of the Patient Patient Comfort The RAX stand with its open, L-shaped design, can help to reduce the patient’s anxiety level and motion artifacts. It contains attachable handles and positioning aids for secure patient positioning. Flexible positioning allows to scan every patient: Standing scan for precise information in weight-bearing condition. Supine position scan for patients with trauma or severe disability who cannot stand upright. System automatically rotates from the frontal scan (as shown here) to the lateral scan while the patient remains still. How do we Achieve Even More Precision? - Corresponding Images audf_mtr_olt_twoplanes_7.mp3 The True2Scale imaging technique allows sequential biplanar images to be acquired. It is not necessary to reposition the patient between the frontal and the lateral view, because the system moves automatically from the frontal to the lateral position while the patient remains still. For scans in a standing position, the RAX stand is used to support the patient. It has an open, L-shaped design that can help to reduce the patient's anxiety level. The RAX stand contains attachable handles and positioning aids that can be used for secure patient positioning and help to avoid motion artifacts. For patients who are able to stand, the T2S Body Scan can be performed to obtain. precise information in weight-bearing conditions. For patients who cannot stand upright, for example patients with trauma or severe disability, the True2Scale Body Scan can be performed in a supine position. ? How do we Achieve Even Lower Dose? Native Scatter Reduction Through High Beam Collimation Scattered radiation impairs image quality in terms of Image contrast Signal-to-noise ratio Collimation reduces scatter radiation compared to full-field acquisitions as Less scatter events take place Some scattered photons hit the detector outside the relevant area Dose saving potential of collimated beam due to less scattered radiation allows  To reduce dose while maintaining signal-to-noise ratio  A gridless acquisition How do we Achieve Even More Precision? - Native Scatter Reduction audf_mtr_olt_lowerdose_8.mp3 Furthermore, the highly collimated beam is a native scatter reduction method that allows less dose to be used. Scattered radiation impairs image quality, as it decreases image contrast and the signal-to-noise ratio. To explain why the slot-scanning method with the high beam collimation reduces scatter radiation compared to a full-field acquisition, let's look at this image. Here we can see the X-ray source and the detector. The red points represent scatter events. The bold black lines represent the beam collimation. Now, when compared to the full-field acquisition, there are fewer scatter events. In addition, out of all the scatter events that take place, not all scattered photons end up in the relevant detector area, and thus do not affect the image. This reduced scattered radiation allows dose to be reduced while maintaining a good signal-to-noise ratio. And it allows us to do a gridless acquisition – regardless of the patient's size. ? How do we Postprocess the Acquired Images? Postprocessing is performed on the workstation of syngo.via View&Go. The images on the FLC system are transferred to the syngo.via View&Go workstation. After that, the final image can be assessed. To get more information on postprocessing, please take a look at the training content for syngo.via View&Go on PEPconnect. How do we Postprocess the Acquired Images? audf_mtr_olt_lowerdose_6.mp3 Postprocessing is performed on the workstation of syngo.via View&Go. The images on the FLC system are transferred to the syngo.via View&Go workstation. After that, the final image can be assessed. To get more information on postprocessing, please take a look at the training content for syngo.via View&Go on PEPconnect. ? How do we Achieve Even Lower Dose? Impressions From a Phantom Study – BMI 22 OGP S – AP 81 kV 0.3 mm Cu No Grid DAP 6.8 µGy*m² OGP S – LAT 117 kV 0.3 mm Cu No Grid DAP 16.3 µGy*m² Study ID 5aac682 Study ID 5aac682 ? How do we Achieve Even Lower Dose? – BMI 22 audf_mtr_olt_bmi22_10.mp3 These are phantom images that were acquired at our lab at different dose levels. The phantom represents an adult with a BMI of 22. ? How do we Achieve Even Lower Dose? Impressions From a Phantom Study – BMI 32 OGP M – AP 81 kV 0.3 mm Cu No Grid DAP 25.9 µGy*m² OGP M – LAT 117 kV 0.3 mm Cu No Grid DAP 74.4 µGy*m² Study ID 5aac681 Study ID 5aac681 ? How do we Achieve Even Lower Dose? – BMI 32 audf_mtr_olt_bmi32_11.mp3 The phantom has attachable plates that increase the BMI to 32 or even 40. Here are the images for the phantom with a BMI of 32. As you can see, the image contrast is still very good. ? How do we Achieve Even Lower Dose? Impressions From a Phantom Study – BMI 40 OGP L – AP 81 kV 0.3 mm Cu No Grid DAP 72.1 µGy*m² OGP L – LAT 117 kV 0.3 mm Cu No Grid DAP 133.8 µGy*m² Study ID 5aac679 Study ID 5aac679 ? How do we Achieve Even Lower Dose? – BMI 40 audf_mtr_olt_bmi40_12.mp3 In addition, for the phantom with BMI 40, the bones are still clearly visible. Select the applicable image. ? Which image best illustrates the beam-detector architecture and movement of the True2scale Body Scan body scan? Knowledge Check 1 of 2 Knowledge Check Beam-Detector Incorrect This is the correct image: Correct Incorrect This is the correct image: Explanation of the Correct Answer Continue With a smart combination of slightly asynchronous detector and tube movement, Multitom Rax makes full use of the potential patient coverage. By moving the collimated beam along the detector during the scan movement, this technology delivers a scan range of 190 cm in a supine position and 170 cm in natural, weight-bearing condition. ? Explanation of the Correct Answer Select the best answer. ? Knowledge Check 2 of 2 How can we achieve lower dose? Collimation reduces scatter compared to full-field acquisitions. Scattered radiation improves image quality in terms of image contrast and signal-to-noise ratio. A collimated beam has no dose saving potential. Knowledge Check Lower Dose Incorrect The solution: Collimation reduces scatter compared to full-field acquisitions. Incorrect The solution: Collimation reduces scatter compared to full-field acquisitions. Correct Explanation of the Correct Answer Continue Native scatter reduction through high beam collimation: Collimation reduces scatter compared to full-field acquisitions as less scatter events take place and some scattered photons hit the detector outside the relevant area. Due to less scattered radiation the collimated beam technology facilitates reduced doses with a gridless acquisition, while maintaining signal-to-noise ratio. ? Explanation of the Correct Answer ? Dr. Frank Schellhammer, Radiologist The Clinical Experts Raimund Abendroth, Technologist Dr. Michael Euler, Surgeon Hospital of the Augustinian Sisters, Academic Teaching Hospital / Cologne, Germany The Clinical Experts ? Films from the Clinical Routine Click on the three tabs on the right to watch the typical musculoskeletal (MSK) imaging scenarios with Multitom Rax True2scale Body Scan. Full Body Standing Full Body Lying True2scale Body Scan Long Leg and Weight-Bearing Real 3D Films from the Clinical Routine audf_mtr_olt_films_18.mp3 Click on the tabs on the right to watch the three typical musculoskeletal (MSK) imaging scenarios with Multitom Rax True2scale Body Scan. True2scale Body Scan Long Leg and Weight-Bearing Real 3D Full Body Lying Full Body Standing ? Course Review Congratulations. You have completed the Multitom Rax - True2scale Body Scan Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Understand the Clinical Routine Learn about True2scale Body Scan from Experiences of Clinical Experts Know the Technology Behind True2scale Body Scan 1 1 2 2 3 3 Course Review Understand the Clinical Routine Full Body Standing Full Body Lying Lying Long Leg and Weight-Bearing Real 3D The following clinical examinations, that were shown in video snippets during this training in detail, are important to understand: Learn about Experiences of Clinical Experts Clinical experts show the variability of the examinations that can be performed with the Multitom Rax True2scale Body Scan.   The offered video helps to get a deeper understanding of the experiences of a radiologist, technologist and a surgeon, working with True2scale Body Scan in their daily routine. Know the Technology Behind True2scale Body Scan True2scale Body Scan is a slot-scanning technique, which means the system moves along the patient while acquiring a series of images with a narrow collimation. Later, in the postprocessing step, one big image will be reconstructed from these single images.   It is possible for standing and lying patients Frontal and lateral views depending on the selected OGP Upper and lower ends are defined by the user in preparation The slot is not always centered on the detector, which gives 40 cm more coverage The scan range reaches 190 cm in supine and 170 cm in natural, weight-bearing conditions 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 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 Healthcare GmbH 2022 Siemens Healthineers Headquarters | Siemens Healthcare GmbH Henkestr. 127 | 91052 Erlangen | Germany Telephone: +49 9131 84-0 siemens-healthineers.com ? Disclaimer (1/2) Disclaimer The herein illustrated statements made by Siemens-Healthineers customers and physicians are based on their own and discrete opinion. The speaker is responsible for obtaining permission to use any previously published figures or tables. The speaker is also responsible for obtaining permission to reproduce any photograph showing recognizable persons. The statements by Siemens-Healthineers customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" setting and many variables exist there can be no guarantee that other customers will achieve the same results. Some products/features (here mentioned) are not necessarily commercially available in all countries. Due to regulatory reasons their availability cannot be guaranteed. Please contact your local Siemens-Healthineers organization for further details. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters | Siemens Healthcare GmbH Henkestr. 127 | 91052 Erlangen | Germany Telephone: +49 9131 84-0 siemens-healthineers.com ? Disclaimer (2/2) Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Select the best answer. ? Question 1 of 5 How can we achieve lower doses using True2scale Body Scan? Collimation reduces scatter compared to full-field acquisitions. Scattered radiation improves image quality in terms of image contrast and signal-to-noise ratio. A collimated beam has no dose saving potential. Question Incorrect The solution: Collimation reduces scatter compared to full-field acquisitions. Incorrect The solution: Collimation reduces scatter compared to full-field acquisitions. Correct Select the wrong answer. ? Question 2 of 5 Which of the following is not correct in regards to True2scale Body Scan? True2scale Body Scan is a slot-scanning technique. A series of images are acquired and reconstructed into one single image. A series of images are acquired and reconstructed into one single image. A series of images are acquired and reconstructed into one single image. True2scale Body Scan is only possible in the standing position. For the frontal view, acquisitions move from foot to head. For the frontal view, acquisitions move from foot to head. For the frontal view, acquisitions move from foot to head. Question Incorrect This answer is not correct. Please try again. Incorrect Incorrect This answer is not correct. Please try again. Incorrect This answer is not correct. Please try again. Select the best answer. ? Question 3 of 5 What is the maximum scan range of supine? 190 cm 200 cm 170 cm 180 cm 180 cm 180 cm Question Incorrect This is not the correct answer. Please try again. Incorrect This is not the correct answer. Please try again. Incorrect This is not the correct answer. Please try again. Correct Select the applicable image. ? Which image best illustrates the beam-detector architecture and movement of the True2scale Body Scan? Question 4 of 5 Question Incorrect This is the correct image: Correct Incorrect This is the correct image: Select the best answer. ? Question 5 of 5 What is the maximum scan range of upright? 170 cm 190 cm 160 cm 180 cm 180 cm 180 cm Question Incorrect This is not the correct answer. Please try again. Incorrect This is not the correct answer. Please try again. Incorrect This is not the correct answer. Please try again. Correct Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit ? You have completed the Multitom Rax - True2scale Body Scan Online Training. Thank you for your Attention! Completion audf_mtr_olt_end_28.mp3 Thank you for your attention! You have completed the Multitom Rax – True2Scale Body Scan Online Training. Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Timeline Select the buttons to learn more about a topic. 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Assessment Slide Question Bank 1 HOOD05162003257832 | Effective Date: 22-Apr-2022 Technology behind True2Scale Body Scan a.p. anterior posterior AC Acromio Clavicular ACSS Automatic Cassette Size Sensing AEC Automatic exposure control AI Artificial Intelligence AIM AI Mapping: optimal path from one position to the next CBCT Cone Beam Computed Tomography CTDI Computed Tomography Dose Index DAP Dose Area Product DLP Dose Length Product DVT Digital Volume Tomography FAST Free Axis Simultaneous Travel = RAXdetector + RAXalign FLC Fluorospot Compact Hi-Res High-Resolution lat. lateral Low Dose Scoliosis SmartOrtho Mode for continuous follow-up examinations lp line pairs MAR Metal artifact reduction MCU Urology - Micturating Cystourethrogram MDCT Multidetector Computed Tomography MPR Multiplanar Reconstruction MSK Muskuloskeletal OGP Organ program RAXalign Function for right focus distance and orthogonal alignment of tube and detector RAXconfirm Function for fluoro-scopic guided positioning RAXdetector Dose-saving fixed detector for auto-tracking and centering, AEC, and inserted grids RAXortho Modes for extended longitudinal, transversal or lateral examinations (long leg, shoulder/hip panorama, full spine) RAXtrack Wireless unit stays aligned when repositioning the system: If the built-in detector is moved, the tube head follows, and vice versa Real 3D Extremities lying Image acquisition in natural and comfortable position for the patient - similar image quality as MDCT at a lower dose Real 3D Hi-Res upper extremities Isotropic resolution capabilities of up to 150 µm3 for hand, wrist and elbow Real 3D Weight-bearing imaging Information such as exact positioning of the joints for implant and prosthesis planning, malposition of anatomical structures, or dimensions of complicated fractures SmartOrtho Fully automated titling technique for long leg and full spine; aquires up to 4 images and automatically composes them to one view SmartOrtho, Cross-table For lateral full spine imaging (up to 143 cm) with patient in a supine position SmartOrtho, Low-dose scoliosis Low-dose and pediatric organ programs to decrease dose in follow-up scoliosis exams SmartOrtho, Lying SmartOrtho for patients in supine position SmartOrtho, Standing SmartOrtho for patients in standing position SmartOrtho, Transversal For stitching images along the transversal body axes (up to 80 cm): shoulders, hips panorama U-arm, Virtual System movement for automatically shifting the tube and detector 90° from a.p. to lateral VRT Volume Rendering Technique 1.1 Welcome 1.2 True2scale Body Scan 1.3 How do we Achieve Even More Coverage? 1.4 True2scale Body Scan Workflow - Upright 1.5 True2scale Body Scan Workflow - Lying 1.6 How do we Achieve Even More Precision? - Slot-Scanning 1.7 How do we Achieve Even More Precision? - Corresponding Images 1.8 How do we Achieve Even More Precision? - Native Scatter Reduction 1.9 How do we Postprocess the Acquired Images? 1.10 How do we Achieve Even Lower Dose? – BMI 22 1.11 How do we Achieve Even Lower Dose? – BMI 32 1.12 How do we Achieve Even Lower Dose? – BMI 40 1.13 Knowledge Check Beam-Detector 1.15 Knowledge Check Lower Dose 1.17 The Clinical Experts 1.18 Films from the Clinical Routine 1.19 Course Review 1.20 Disclaimer (1/2) 1.21 Disclaimer (2/2) 1.22 Assessment