MULTIX Impact Family VA21E_SP01

Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue ? Unrestricted © Siemens Healthineers, 2023 Effective Date: DD MMM YYYY| HILS/HOOD# Continue Continue Continue Continue Continue ? Welcome Master Template HILS2218 | Effective Date: 25 Mar 2022 ? MULTIX Impact Family VA21E_SP01 Online Training In this training, users who are already familiar with previous versions of the MULTIX Impact Family VA20G and VA20G_SP01 will learn more about the software and hardware differences and the new features available in version VA21E_SP01. New Features in patient & examination workflow 1 Miscellaneous 4 System configuration 3 New Features in postprocessing workflow 2 Welcome In this training, users who are already familiar with previous versions of the MULTIX Impact Family VA20G and VA20G_SP01 will learn more about the software and hardware differences and the new features available in version VA21E_SP01. Navigation hints Before you start, we would like to give you a few tips on how to navigate: Enjoy the course! Table with 2 columns and 3 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages show a ? button in the lower right corner. Select the ? button to get a quick guide through the navigation elements. Select the menu in the upper left corner to display or hide the menu. ? ? Navigation hints 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 Tmeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Videos should default to the optimal resolution. However, to change the video resolution select the gear icon. Click Next to continue. Next Video Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Patient examination workflow Study Description as query filter You can now filter your patient list using the Study Description query field. This applies to both Pre-registered Patients and Examined Patients. ? Study Description as query filter [audf_mxi_va21e_3.1.mp3] You can now filter your patient list using the Study Description query field. This applies to both Pre-registered Patients and Examined Patients. Disable auto RIS query If you activate the Disable auto RIS query option, the pre-registered patient list will not be updated automatically when the system switches to the Patient mode. To activate the Disable auto RIS query open the DICOM Properties - General. Select Yes for Disable auto RIS query when entering patient mode. ? Disable auto RIS query If you activate the Disable auto RIS query option, the preregistered patient list won’t be automatically updated when the system switches to the Patient mode. To activate the Disable auto RIS query open the DICOM Properties - General. Select Yes for Disable auto RIS query when entering patient mode. DICOM Tag “Physician” You can now fill the DICOM Tag Physician during Patient Registration. This field can be configured in the Patient Registration Configuration of the User Settings. ? DICOM Tag "Physician" You can now fill the DICOM Tag Physician during Patient Registration. This field can be configured in the Patient Registration Configuration of the User Settings. Adding a new study Previous software versions After selecting New Study, the Accession No. field is dimmed and it is not possible to modify it. Demographic data cannot be changed in Edit Patient after a new study was created. VA21E_SP01 In VA21E_SP01 you can now change the Accession No. immediately when creating a New Study. ? Adding a new study Prior to VA21E_SP01, users were not able to adapt the Accession Number after creating a New Study. In VA21E_SP01, you can now change the Accession Number immediately when creating a New Study. Resuming an examination You can now resume the examination of a closed study using the new function in the Examined Patients tab in patient mode. Select desired closed study under Result List. Click under the Operation tab. The selected study will be transferred to the Pre-registered Patients tab. The study can be resumed for examination. Please note: The resume button is not available for imported or retrieved studies. Video ? Resuming an examination [audf_mxi_va21e_3.2.mp3] You can now resume the examination of a closed study using the new function in the Examined Patients tab in patient mode. To do so, select the desired closed study under Result List and click the resume icon under the Operation tab. The selected study will then be transferred to the Pre-registered Patients tab and the study can be resumed for examination. Please note: The Resume button is not available for imported or retrieved studies. Layer: [resume examination.mp4] Resuming an examination – Video Please note: This video does not contain audio. Organ programs (OGP) layout improvement 1 1 1 2 2 2 3 3 3 4 4 4 Please select the numbered steps below to learn more about the improvements of the OGP layout. ? Organ programs (OGP) layout improvement [audf_mxi_va21e_3.3.mp3] Please select the numbered steps below to learn more about the improvements to the OGP layout. Layer 1: You can now sort OGPs by their Accession Number, if multiple studies are selected. Any OGPs arranged in the same row contain the same accession number. You can also change the order of the OGPs within the same Accession Number by dragging and dropping the tiles. The new layout also applies to Ortho OGP. Please note: A changed order will remain even after closing and re-opening the exam, but the new order cannot be saved as a default in the database. Layer 2: The Study and OGP information is displayed in the user interface. It indicates the current and selected study along with the corresponding OGP. Layer 3: There is a new option in the User Settings to enable this new OGP layout: Go to: User Setting, General Setting, and Enable accession number group Once you select Yes, the new OGP layout is available. If you do not check the checkbox, the same OGP layout as in the previous version will be applied. By default, the checkbox is not checked. Layer 4: [OGP LAYOUT improvement.mp4] ? 4 OGP layout improvement – workflow video Please note: A changed order will remain even after closing and re-opening the exam, but the new order cannot be saved as a default in the database. Please note: This video does not contain audio. 3 Enable accession number group There is a new option in the User Settings to enable this new OGP layout: User Setting > General Setting > Enable accession number group Once you select Yes, the new OGP layout is available. If you do not check the checkbox, the same OGP layout as in the previous version will be applied. By default, the checkbox is not checked. 2 Study & OGP information The Study and OGP information is displayed in the user interface. It indicates the current and selected study along with the corresponding OGP. 1 Accession Number & OGP order You can change the order of the OGPs within the same Accession Number by dragging and dropping the tiles. The new layout also applies to Ortho OGP. Please note: A changed order will remain even after closing and re-opening the exam, but the new order cannot be saved as a default in the database. You can now sort OGPs by their Accession Number, if multiple studies are selected. Any OGPs arranged in the same row contain the same accession number. Exposure Parameters You can adjust the exposure parameters (kV, mAs etc.) by scrolling up and down. This allows for faster selection of the desired examination parameter. Please note: Incremental step adjustment by clicking the + and – icons is still available. Video ? Exposure Parameters [audf_mxi_va21e_3.4.mp3] You can adjust the exposure parameters (kV, mAs etc.) by scrolling up and down. This allows for faster selection of the desired examination parameter. Please note: Incremental step adjustment by clicking the + and – icons is still available. Layer: [generator parameter adjustment.mp4] Exposure Parameters – Video Please note: This video does not contain audio. Patient Size and Mode Changes made to adapt the Patient Size or the Mode will also apply to other OGPs: A change to the Patient Size for one OGP within a study (for example, from Medium to Small) will also be applied to the rest of the OGPs within all the studies. A change to the Mode for one OGP (for example, from Wall to Table) will also be applied to the rest of the OGPs within the same accession number. Please note: If changes are made to the Patient Size or Mode, clicking the Reset parameters button at the bottom right will not reset either of these selections back to the default values preset in the OGP editor. Video ? Patient Size and Mode [audf_mxi_va21e_3.5.mp3] Changes made to adapt the Patient Size or the Mode will also apply to other OGPs. A change to the Patient Size for one OGP within a study (for example, from Medium to Small) will also be applied to the rest of the OGPs within all the studies. A change to the Mode for one OGP (for example, from Wall to Table) will also be applied to the rest of the OGPs within the same accession number. Please note: If changes are made to the Patient Size or Mode, clicking the Reset parameters button at the bottom right will not reset either of these selections back to the default values preset in the OGP editor. Layer: [change paitent size and workplace.mp4] Patient Size and Mode Please note: This video does not contain audio. Collimation size adjustment The collimation size can be automatically reset to the default size according to the settings in the OGP Editor. This can be done in the following scenarios: Activate centering Changing the acquisition type + centering Changing the orientation of the detector + centering Portable detector inserted into tray when tube is aligned + centering Select the numbered steps below to learn more about four different scenarios. Please note: This is only possible if ACSS (Automatic Collimation Size Sensing) is active. 1 1 1 2 2 2 3 3 3 4 4 4 ? Collimation Size Adjustment The collimation size can be automatically reset to the default size according to the settings in the OGP Editor. This can be done in the following scenarios: Activate centering Changing the acquisition type and centering Changing the orientation of the detector and centering Portable detector inserted into tray when tube is aligned and centering Select the numbered steps below to learn more about four different scenarios. Please note: This is only possible if ACSS (Automatic Collimation Size Sensing) is active. Video Layer 1: When the tube is not aligned with the detector, activating the centering function will trigger automatic adjustments of the collimation size according to the OGP settings. Video Layer 2: You can switch the acquisition type between table and Bucky Wall Stand. Activating the centering function afterwards will trigger automatic adjustments of the collimation size according to the OGP settings. Video Layer 3: When the orientation of the detector is switched between landscape and portrait in the table or Bucky Wall Stand tray, activating the centering function will trigger automatic adjustments of the collimation size according to the OGP settings. Video Layer 4: When the tube is aligned with the table or Bucky Wall Stand and the centering function is activated, the insertion of a portable detector will trigger automatic adjustments of the collimation size according to the OGP settings. Portable detector inserted into tray when tube is aligned + centering 4 Inserting a portable detector into the table or bucky tray, after the tube has been centered to the Bucky wall stand or the table, triggers the automatic adjustment of the collimation size according to the OGP settings. Changing the Orientation of the Detector + Centering 3 Switching the orientation of the detector between portrait and landscape in the table or Bucky wall stand tray and using the Centering function will trigger the automatic adjustments of the collimation size. Changing the Acquisition Type + Centering 2 When the acquisition type is switched between table and Bucky wall stand, activating the Centering function will trigger automatic adjustments of the collimation size according to the OGP settings. Activate Centering 1 When the tube is not aligned with the detector, activating the centering function will trigger automatic adjustments of the collimation size according to the OGP settings. OGP name modification 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 1 ? 1 OGP name modification [audf_mxi_va21e_3.6.mp3] You can edit the name of the OGP on the thumbnail image before and after acquisition. Before acquisition, you can edit the name of the OGP on the thumbnail image by single-clicking the name field in examination mode. After acquisition, you can edit the name of the OGP on the thumbnail image by double-clicking the name field in patient mode or examination mode. Layer 1: The OGP name of the Ortho group can be edited under Ortho OGP list in examination mode before acquisition. Once it has been edited, the names of all the individual Ortho OGPs in this group will be changed accordingly. Layer 2: The names of all the single Ortho OGPs can be edited on the thumbnail image by double-clicking the name field in patient mode after acquisition. In this case, if the name of one individual Ortho OGP is changed, the names of the rest of the individual Ortho OGPs will also be changed accordingly. Layer 3: If the name of the OGP has been edited, an asterisk appears in front of the new OGP on the thumbnail image in both patient mode and examination mode. Layer 4: If Hybrid Image Documentation (HID) is enabled, editing the name of the OGP will cause the name of the HID image to be modified accordingly as well. Layer 5: There are a few limitations when changing the OGP name. You cannot edit the name of the composed image called Ortho_Finished in an ortho study. And you can never include an asterisk as the first letter or the string Ortho_Finished as a new name. Layer 6: [OGP name change fina Project.mp4] 7 OGP name modification – video Please note: This video does not contain audio. 6 Limitations You cannot edit the name of the composed image called Ortho_Finished in an ortho study. You can never include an asterisk (*) as the first letter or the string Ortho_Finished as a new name. 5 Hybrid Image Documentation (HID) If Hybrid Image Documentation (HID) is enabled, editing the name of the OGP will cause the name of the HID image to be modified accordingly as well. 4 Labeling If the name of the OGP has been edited, an asterisk appears in front of the new OGP on the thumbnail image in both patient mode and examination mode. 3 Single Ortho OGP The names of all the single Ortho OGPs can be edited on the thumbnail image by double-clicking the name field in patient mode after acquisition. In this case, if the name of one individual Ortho OGP is changed, the names of the rest of the individual Ortho OGPs will also be changed accordingly. In this example, the new names are FullSpine lat_w180_t130_1, FullSpine lat_w180_t130_2 and FullSpine lat_w180_t130_3. 2 Ortho OGP list The OGP name of the Ortho group can be edited under Ortho OGP list in examination mode before acquisition. Once it has been edited, the names of all the individual Ortho OGPs in this group will be changed accordingly. OGP name modification 1 You can edit the name of the OGP on the thumbnail image both before and after acquisition. You can edit the name of the OGP on the thumbnail image by single-clicking the name field in examination mode. You can edit the name of the OGP on the thumbnail image by double-clicking the name field in patient mode or examination mode. Before acquisition After acquisition ? 1 Improvements in postprocessing Auto-window 1 1 1 2 2 2 3 3 3 4 4 4 1 ? Auto-window [audf_mxi_va21e_4.1.mp3] Auto-windowing has been improved to optimize the post-processing workflow. Once enabled in the User Settings, the window value is automatically calculated based on the desired planning area. The window value and the exposure index (EXI) value are calculated automatically once the mask has been adjusted manually (without pressing the auto-window button). Layer 1: Auto-Window can be enabled in the User Settings. Go to: User setting, Image Processing Properties, and Auto-window with selection Select Yes to enable the Auto-window functionality. Per default, Auto-window with selection is disabled. Layer 2: [auto window.mp4] Layer 3: [auto window with manual mask.mp4] 4 Auto-window with mask – video This video shows the Auto-window functionality with an actual mask. Please note: This video does not contain audio. 3 Auto-window – video This video shows the Auto-window functionality. Please note: This video does not contain audio. 2 Settings Auto-window can be enabled in the User Settings. This setting is located in: User setting > Image Processing Properties > Auto-window with selection Select Yes to enable the Auto-window functionality. Per default, Auto-window with selection is disabled. Auto-window 1 Auto-windowing has been improved to optimize the post-processing workflow. Once enabled in the User Settings, the window value is automatically calculated based on the desired planning area. The window value and the exposure index (EXI) value are calculated automatically once the mask has been adjusted manually (without pressing the auto-window button). ? Stitching algorithm The stitching algorithm for orthopedic scans has been improved. ? Ortho stitching The stitching algorithm for Orthopedic scans has been improved. This provides more accurate stitching results to our customers. Composing Display The display of composed images has been improved. Left: Image borders are indicated by grey bars on stitched images Right: The active image border is indicated by two triangles on both sides during the composing workflow ? Composing Display The display of composed images has been improved as well. Grey bars now indicate the image borders on stitched images. During the composing, two triangles indicate the active image border. Arrow tool You can now draw an arrow in post-processing mode. This allows you to highlight important landmarks in the image. To delete the arrow, right-click and select delete. ? Arrow tool [audf_mxi_va21e_4.2.mp3] You can now draw an arrow in post-processing mode. This allows you to highlight important landmarks in the image. To delete the arrow, right-click and select delete. Left and right (L/R) label 1 1 1 2 2 2 3 3 3 4 4 4 1 ? Left and right (L/R) label [audf_mxi_va21e_4.3.mp3] The default font size for the L/R label has been enlarged for better visibilty and easier handling. The font size for L/R labels and text can now be adjusted individually. This is done by selecting the L/R label or the text and then clicking on the size adjustment button. Adjust the size according to your preference. Layer 1: You can pre-set the default font size for annotations and labels in the User Settings: Go to User Settings, Image Processing Properties, and General. Layer 2: An L or R label can be set as follows: Enable the L or R label in the Label tools. Move the mouse to the desired location on the image and confirm the location with a left mouse click. [label operation.mp4] Layer 3: The same workflow applies for stitched images. [Ortho IMAGE with label.mp4] 4 Stitched images workflow – video The same workflow applies for stitched images: Enable the L or R label in the Label tools. Move the mouse to the desired location on the image. Confirm the location with a left mouse click. Please note: This video does not contain audio. 3 RAD workflow – video An L or R label can be set as follows: Enable the L or R label in the Label tools. Move the mouse to the desired location on the image. Confirm the location with a left mouse click. Please note: This video does not contain audio. 2 Settings You can pre-set the default font size for annotations and labels in the User Settings: User Settings > Image Processing Properties > General Left and right (L/R) label 1 The default font size for the L/R label has been enlarged for better visibility and easier handling. The font size for L/R labels and for text can now be adjusted individually: Select the L/R label or the text. Click the size adjustment button . Adjust the size according to your preference. Free rotation With VA21E_SP01, you can now rotate images freely without using the 1° or 90° increments: Enable the Rotate Custom button. Click and hold the left mouse button. Rotate the image by moving the mouse up and down. Video ? Free rotation With VA21E_SP01, you can now rotate images freely without using the 1° or 90° increments: To do this, enable the Rotate Custom button and click and hold the left mouse button. Rotate the image by moving the mouse up and down. Layer: [free rotation mode.mp4] Free rotation – video Please note: This video does not contain audio. Image rejection Rejected images are not selected by default. This prevents accidentally sending them to the PACS. Rejected images are crossed out. This is displayed in Patient Registration, View mode, and Print mode. Please note: Show reject image needs to be enabled in the User Settings. Patient Registration View mode Print mode ? Image rejection [audf_mxi_va21e_4.5.mp3] Rejected images are not selected by default. This prevents accidentally sending them to the PACS. Rejected images are crossed out. This is displayed in Patient Registration, View mode, and Print mode. Please note: Show reject image needs to be enabled in the User Settings. System configuration Auto Accept And Show Image VA21E_SP01 offers a new option for accepting images: Auto Accept And Show Image If Auto Accept And Show Image is enabled: After acquisition, the image will be displayed at full size. All post-processing functionalities and reject/accept buttons are dimmed. The imaging system automatically accepts the image and switches to the next organ program (OGP) in examination mode after 3 seconds. Please note: Auto Accept And Show Image can only be enabled if Auto Accept Image is selected in the Examination Properties. Video: Auto Accept Image Video: Auto Accept And Show Image ? Auto Accept And Show Image VA21E_SP01 offers a new option for accepting images: Auto Accept And Show Image If this feature is enabled, this is what happens: After acquisition, the image will be displayed at full size. All post-processing functionalities and reject and accept buttons are dimmed. The imaging system automatically accepts the image and switches to the next organ program (OGP) in examination mode after 3 seconds. Please note that Auto Accept And Show Image can only be enabled if Auto Accept Image is selected in the Examination Properties. Layer 1: [auto acceptnew.mp4] Layer 2: [auto accpet with show update.mp4] Auto Accept And Show Image – Video Please note: This video does not contain audio. Auto Accept Image – Video Please note: This video does not contain audio. Closing a study without MPPS 1 1 1 2 2 2 3 3 3 1 ? Closing a study without MPPS In previous software versions of the Multix Impact family, if MPPS was not configured, there was no pop-up dialogue when switching back to the patient list. This meant that if there were unacquired OGP tiles after finishing the examination, the study with unacquired OGPs remained in the Pre-registered Patients tab card. With VA21E_SP01, there are multiple options in the User Settings to customize system behavior according to your preferences. Layer 1: This overview provides an explanation of the Show study status dialog options. Layer 2: Please note: If the MPPS node is configured, the Show study status dialog option in the User Settings is dimmed and not available. By default, the option No, the study with unacquired OGP will not be closed is selected. 3 Show study status dialog – default settings Please note: If the MPPS node is configured, the Show study status dialog option in the User Settings is dimmed and not available. By default No, the study with unacquired OGP will not be closed is selected. 2 Show study status dialog – options Table with 3 columns and 2 rows Yes No, the study with unacquired OGP will be closed automatically No, the study with unacquired OGP will NOT be closed The study status dialog is displayed. If “In progress” is selected, the study will remain in the Pre-registered Patients. If “Closed” is selected, the study will be closed and transferred to the Examined Patients tab. The study status dialog is not displayed. All studies will be closed automatically, independent of the OGP status (acquired or un-acquired). The study dialog is not displayed. Studies, where all OGPs have been acquired are closed and transferred to the Examined Patients tab. Studies, where not all OGPs have not been acquired, will not be closed. Closing a study without MPPS 1 Previous software versions: If Modality Performed Procedure Steps (MPPS) was not configured, there was no pop-up dialog when switching back to the patient list. This meant that if there were unacquired OGP tiles after finishing the examination, the study with unacquired OGPs remained in the Pre-registered Patients tab card. With VA21E_SP01: There are multiple options in the User Settings to customize system behavior according to your preferences. ? Detent engagement Please note: This improvement only applies to the Multix Impact C systems. Floor-mounted systems are not affected. Previous software versions: The tube unit always moves into the transversal detents at the wall and table sides irrespective of the acquisition type selected (Wall, Table, or Free). With VA21E_SP01: The transversal detent is now engaged according to the acquisition type currently selected. Acquisition type Wall is selected: Only the transversal detent at the BWS side is active, while the transversal detent at the table side is inactive. Free or Cassette mode is selected: All detents (including the longitudinal direction) are inactive. Please note: All detents are active if you exit examination mode. Wall mode Wall mode Table mode Table mode Free mode Free mode Detent engagement Detent engagement Detent engagement Acoustics Acoustics Overview Overview ? Detent engagement Please note that detent engagement optimization only applies to the Multix Impact C. Floor-mounted systems are not affected. In previous software versions, the tube unit always moves into the transversal detents at the Wall and Table sides irrespective of the acquisition type selected (Wall, Table, or Free). With VA21E_SP01, the transversal detent is now engaged according to the acquisition type currently selected. For example, if the acquisition type Wall is selected, only the transversal detent at the BWS side is active, while the transversal detent at the table side is inactive . If Free or Cassette mode is selected, all detents (including the longitudinal direction) are inactive. Please note: All detents are active if you exit examination mode. Please navigate through the tabs on the left for more information on detent engagement. Tabs: [Wall detent.mp4] [Table detent.mp4] [Free mode.mp4] [logitudinal detent.MP4] Overview Table with 5 columns and 8 rows Workplace Transversal detents Longitudinal detents Table detent BWS detent Table center detent SID detents (115,150,180,300 cm) Table enabled disabled disabled disabled Bucky wall stand disabled enabled disabled enabled Free/Cassette disabled disabled disabled disabled Table (Ortho mode) enabled disabled enabled* disabled BWS (Ortho mode) disabled enabled disabled enabled Exit patient enabled enabled enabled* enabled *Please make sure Table center detent is installed in the center of table along with longitudinal direction, otherwise, it is always disabled. Additionally, an acoustic signal notifies you when you are approaching a detent or when you are moving out of a detent. This acoustic signal applies to Multix Impact and Multix Impact C. Acoustics Free mode Please note: This video does not contain audio. Table mode Please note: This video does not contain audio. Wall mode Please note: This video does not contain audio. Potentiometer* drift A potentiometer drift is present when the transversal detent (y-axis) is reached, but the potentiometer value itself deviates. This issue only applies to Multix Impact C. It can occur in the following clinical scenarios: Patient table Patient table with tray out BWS with tilted detector BWS Previous Versions Previous Versions VA21E_SP01 version VA21E_SP01 version Configuration Configuration Clinical Scenarios Clinical Scenarios Clinical Scenarios *applies only to Multix Impact C ? Potentiometer drift Potentiometer drift issues have occurred in previous versions of MULTIX Impact C systems from time to time. It can occur in different clinical scenarios: Bucky Wall Stand, Bucky Wall Stand with tilted detector, table, and table with tray-out. Once it happens, exposure isn’t possible. Toggle through the chapters to gain detailed information on the previous system behavior, the improvement within VA21E_SP01 and where to find the configuration. Configuration A new configuration is available in PMS: Configuration - Stand Control Unit - Motion Configuration - Flexible exposure for transversal detent It is possible to switch between two configurations: No = Same behavior as the previous version. The system is not ready for use as long as potentiometer is drifted. Service must be called. Yes = New setting in VA21E_SP01 version. The system is ready for use if there is no potentiometer drift or drift within the limit tolerance. VA21E_SP01 version In VA21E_SP01, the system behavior has been changed: The system is ready if: The transversal position drift is recognized within limited tolerance. The tube stand moves into the detents belonging to the same acquisition type (e.g. patient table and patient table tray-out detents). You will see this message: The system is not ready if: The tube stand moves into the detents belonging to different acquisition types of the selected Organ Program (OGP). The message below is still displayed even though the tube is in the correct position. In this case, please call Service. You will see this message: Previous Versions If the potentiometer drifts within a limited tolerance, you can continue to use the system with the VA21E_SP01 version. The limited tolerance ensures that there is no risk of collision during movement. When a potentiometer drift occurs, there are different indications on the user interface of the TUI or the imaging system between VA21E_SP01 and previous versions. A message Pull the detector to the out position pops up on the TUI after you check that the tube unit is in the table detent. Or the message Tube is not aligned to the detector pops up on the TUI after you check that the tube unit is in the BWS detent. Calling the service is necessary. Auto Tracking In the VA20G and VA20G_SP01 software version, auto tracking was activated in the following way: Auto-tracking inherits the status of the last exposed OGP as long as the acquisition type remains the same, whether on the same patient or between two patients. Auto-tracking is activated as soon as Smart Move* is applied to move the tube to a predefined position while tracking is Active in the OGP editor. * optional VA21E_SP01 VA21E_SP01 Configuration Configuration Previous Version Previous Version Previous Version ? Auto Tracking Auto Tracking is further improved in VA21E_SP01. Select the tabs to learn more about the Auto Tracking functionality in VA21E_SP01. You can find the configuration for Auto tracking in PMS: Configuration - Stand Control Unit - Movement Configuration - Disable tracking when exit exam mode, then enable it according to OGP setting It is possible to switch between two configurations: Yes No Configuration With the VA21E_SP01 version, further configurations of automatic tracking can be set up in service mode, depending on the customer's requirements. Configuration as No: Same behavior as with software version VA20G and VA20G_SP01. Configuration as Yes: Auto tracking is active as soon as Smart Move* is applied to move the tube to the predefined position, or… … the alignment between tube and detector is achieved by Centering while tracking is Active in the OGP editor. * optional VA21E_SP01 DICOM tag for worklist query The modality worklist (MWL) node in the DICOM nodes now offers RF as a modality filter. You can configure this in: Service > DICOM nodes > MWL node > RF ? DICOM tag for worklist query [audf_mxi_va21e_5.4.mp3] The modality worklist (MWL) node in the DICOM nodes now offers RF as a modality filter. You can configure this by navigating through Service, DICOM node, and MWL node. Miscellaneous Date of birth on TUI By default, the patient’s date of birth is now displayed on the Touch User Interface (TUI) of the tube. Previous software versions VA21E_SP01 ? Date of birth on TUI There are further smaller changes in VA21E_SP01 which you can find on the following slides. By default, the patient’s date of birth is now displayed on the Touch User Interface (TUI) of the tube. Image Processing message During the processing of an image, you can now see the message Image Processing at the bottom of the image. ? Image Processing message [audf_mxi_va21e_6.2.mp3] During the processing of an image, you can now see the message Image Processing at the bottom of the image. Database import You can import older database versions (VA20 or VA21) into a VA21E_SP01 Multix Impact system. However, you cannot import a VA21E_SP01 database into older system versions. After importing a database into a VA21E_SP01 Multix Impact family system, you will see a pop-up message: Import successful. Please reboot system! This indicates that you need to reboot the Multix Impact family system. Please note: Do not perform any other adjustments before rebooting. ? Database import You can import older database versions (VA20 or VA21) into a VA21E_SP01 Multix Impact system. However, you cannot import a VA21E_SP01 database into older system versions. After importing a database into a VA21E_SP01 Multix Impact system, you will see a pop-up message: Import successful. Please reboot system! This indicates that you need to reboot the Multix Impact system. Please note: Do not perform any other adjustments before rebooting. Outro ? Course review Congratulations. You have completed the MULTIX Impact Family VA21E_SP01 Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Miscellaneous Improvements in Post-Processing System configuration Patient & Examination Workflow 1 1 2 2 2 3 3 3 4 4 4 Course review Miscellaneous Date of birth on TUI: By default, the patient's date of birth is now displayed on the Touch User Interface (TUI) of the tube. Image Processing message: During the processing of an image, an Image Processing message is now displayed at the bottom of the image. Handgrip: A new lateral handgrip has been introduced that is tiltable and adjustable for correct patient positioning. This handgrip is optional, and the previous handgrip remains available in the pricebook. Database import: Older database versions (VA20 or VA21) can now be imported into a VA21E Multix Impact system. However, a VA21E_SP01 database cannot be imported into older system versions. After a database has been imported into a VA21E_SP01 system, a pop-up message will indicate that the import was successful and will prompt a system reboot. System configuration Auto Accept And Show Image: This new feature automatically accepts and displays the image in full size after acquisition. All post-processing functionalities and reject/accept buttons are dimmed, and the system switches to the next organ program (OGP) in examination mode after 3 seconds. The feature can only be enabled if Auto Accept Image is selected in the Examination Properties. Closing a study without MPPS: The VA21E_SP01 version offers multiple options in the User Settings to customize system behavior when MPPS is not configured. This includes a pop-up dialog when switching back to the patient list, which was not available in previous versions. Detent engagement optimization: This optimization applies only to the Multix Impact C. The transversal detent is engaged according to the currently selected acquisition type (Wall, Table, or Free). All detents are active when the examination mode is exited. DICOM tag for worklist query: The modality worklist (MWL) node in the DICOM nodes now offers Radio Frequency (RF) as a modality filter. Post-processing Auto-window enhancement: Once enabled in the User Settings, the window value is automatically calculated based on the desired planning area. This includes automatic calculation of the window value and exposure index value after the mask has been adjusted manually. Arrow tool: A new arrow tool has been introduced in the post-processing mode, allowing users to draw arrows to highlight important landmarks in the image. To delete an arrow, simply right-click and select delete. L/R label font size adjustment: The default font size for the left and right (L/R) labels has been enlarged to improve visualization. Users can now individually adjust the font size for L/R labels and other texts. This can be preset in the User Settings under Image Processing Properties. Free rotation: Images can be rotated freely and are no longer restricted to 1° or 90° increments. Enable the Rotate Custom button and move the mouse to rotate the image. Image rejection: Rejected images are not selected by default, to prevent them being sent accidentally to the PACS. Rejected images are crossed out in the Patient Registration, View mode, and Print mode. This feature needs to be enabled in the User Settings. Patient & Examination Workflow Study Description filter: You can now filter your patient list using the Study Description query field, which applies to both pre-registered and examined patients. Resuming examinations: It is now possible to resume the examination of a closed study using the new function in the Examined Patients tab in patient mode. OGP layout improvement: Sorting by Accession Number and rearranging the order of OGPs within the same Accession Number is possible, and information on the corresponding study can be found. Exposure Parameters adjustment: You can adjust exposure parameters (kV, mAs, etc.) by scrolling up and down for faster selection. Incremental step adjustment is still available by clicking the + and – icons. Patient Size and Mode adaptation: Changing the Patient Size or Mode for one OGP will apply the change to the rest of the OGPs within the same study or accession number. OGP name modification: You can edit the name of the OGP on the thumbnail image before and after acquisition, with specific steps for Ortho OGPs. 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. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 Siemens Healthineers HQ | Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com ? Disclaimer Assessment Start ? 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 . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment ? Select the best answers. Question 1 of 7 Which of the following statements are correct in VA21E_SP01? There is a new Study Description filter for patient query available in patient mode. It is possible to resume closed studies in patient mode. It is possible to resume retrieved studies. It is possible to resume imported studies. Multiple Answer One or more answers are incorrect. ? Select the correct answers. Question 2 of 7 Which of the following statements are correct in VA21E_SP01? Generator parameters like kV and mAs can be adjusted by clicking the + and – icons. Generator parameters like kV and mAs can be adjusted by typing the desired value. Generator parameters cannot be adjusted. Generator parameters like kV and mAs can be adjusted by scrolling up and down. Multiple Answer One or more answers are incorrect. ? Select the best answers. Question 3 of 7 Which of the following statements are correct in VA21E_SP01? A change to the patient size of one OGP in a study will also apply to the rest of the OGPs from all the studies. A change to the patient size of one OGP in a study will also apply to the rest of the OGPs from the same accession number. A change to the workplace (Mode) of one OGP in a study will also apply to the rest of the OGPs from the same accession number. A change to the workplace (Mode) of one OGP in a study will also apply to the rest of the OGPs from all the studies. Multiple Answer One or more answers are incorrect. ? Select the best answers. Question 4 of 7 Which of the following statements are correct in VA21E_SP01? The normal OGP name can be edited before an exposure in the examination mode. The normal OGP name can be edited after acquisition in the patient mode or in the examination mode. The name of the composed image can be edited. The OGP name of the Ortho group can be edited in the examination mode before acquisition. Multiple Answer One or more answers are incorrect. ? Select the best answers. Question 5 of 7 Which of the following statements are correct in VA21E_SP01? The arrow tool is available in postprocessing mode. The font size of the labels and texts can only be adjusted globally. Rejected images are displayed with a big cross on top. Image free rotation is not allowed in postprocessing mode. Multiple Answer One or more answers are incorrect. ? Select the best answers. Question 6 of 7 Which of the following statements are correct in VA21E_SP01? A new setting is available without MPPS configuration for Show study status. There is a new DICOM tag called “XA” available in the worklist configuration. It is possible to enable Auto Accept Image And Show Image after exposure. It is possible to display the date of birth information on the TUI. Multiple Answer One or more answers are incorrect. ? Select the best answers. Question 7 of 7 Which of the following statements are correct in VA21E_SP01? There is a new setting to enable or disable the new Auto-window function. The Auto-window function is available in the viewing mode. The window value is automatically calculated if Auto-window is active. The Auto-window function works for manual mask cropping. Multiple Answer One or more answers are incorrect. Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Quiz2.ScorePercent%% %Quiz2.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 To access your Certificate of Completion, select the Certificates tab from the learning activity overview page. You can also access the certificate from your transcript. ? You have completed the MULTIX Impact Family VA21E_SP01 Online Training. Completion details, certificates tab Question Bank 1 QR700026376 | Effective Date: 12 Aug 2025 Siemens Healthineers Hier finden Sie ein paar nützliche Links und Dokumente: 1 Welcome 1.1 Welcome 1.2 Navigation hints 3 Patient examination workflow 3.1 Study Description as query filter 3.2 Disable auto RIS query 3.3 DICOM Tag "Physician" 3.4 Adding a new study 3.5 Resuming an examination 3.6 Organ programs (OGP) layout improvement 3.7 Exposure Parameters 3.8 Patient Size and Mode 3.9 Collimation Size Adjustment 3.10 OGP name modification 4 Improvements in postprocessing 4.1 Auto-window 4.2 Ortho stitching 4.3 Composing Display 4.4 Arrow tool 4.5 Left and right (L/R) label 4.6 Free rotation 4.7 Image rejection 5 System configuration 5.1 Auto Accept And Show Image 5.2 Closing a study without MPPS 5.3 Detent engagement 5.4 Potentiometer drift 5.5 Auto Tracking 5.6 DICOM tag for worklist query 6 Miscellaneous 6.1 Date of birth on TUI 6.2 Image Processing message 6.3 Database import 7 Outro 7.1 Course review 7.2 Disclaimer 7.3 Assessment