myNeedle Guide 3D Workflow Video without myNeedle Laser (USA)

Welcome to the My needle guide 3D workflow video without my needle laser. My needle guide 3D simplifies all interventional procedures with powerful 3D guidance. It enables you to plan and navigate double angulated and multiple needle procedures in 3D. Needle paths can be planned in all three dimensions by interacting with NPR's in real time. Switch quickly between patient and path aligned views. In this video we will introduce to you how to perform an interventional procedure with my needle guide 3D without my needle laser. Please watch the my needle guide 2D workflow video to be familiar with the setup of the hardware required for an intervention. If you use my needle laser on your system, please watch the my needle guide 3D workflow with my needle laser video. We will now start the my needle guide 3D workflow from the console on the control room. On the examination monitor, first register a patient as usual. Then select a desired intervention scan protocol in a dedicated folder. 3 factory protocols comprising 3D in the protocol names are available for interventional procedures. In this video we select the abdomen, 3D intervention, factory protocol, press OK to confirm the selection. After selecting one of the intervention protocols, the My Needle Guide application opens on the second monitor. For demonstration purposes, we will use an intervention Phantom that is correctly placed on the table. We can now perform a Topa scan. In the 3D workflow and I spiral scan can be used for needle path planning which is already included in the factory protocol. You can also change the scan parameters. For example the dose parameters and slice thickness. Adjust the scan range of the eye spiral to cover the area of interest. Perform the eye spiral scan. The reconstructed I spiral images are automatically loaded into the mind needle guide application on the second monitor. The top row on the second monitor shows that 2D axial segments where thick slice images are displayed as in the mind needle. Guides who D application. In addition, thin slice images are produced and loaded into the NPR segments in the bottom row. If you would like to work with vert images, you can select the 3D plus vert layout from the layout gallery. After selecting this layout and additional vert images displayed in the segment at the bottom row to manipulate the 3D images, you can use the standard 3D interaction functionality's like zoom pan. NPR ref lines to move or rotate the reference lines. And scrolling with the mouse wheel. Or by dragging the right mouse button. You can find more functions in the tools and objects menu. Or you can use the context menu in the 3D segments to select for example switching between different 3D types. Or reset all orientations. Let's keep this 3D plus vert layout and continue with the next step of the 3D workflow. Unlike the 2D workflow, the mind needle guide 3D workflow contains 2 steps in the workflow define path and progress needle. Now we're all set for the first workflow step defined path. You can draw the needle path either on the axial image in the 2D segments or on the Murray mentioned. The 3D segments in this video we will show it in the 3D segment. Scroll through the axial Mer images to find the lesion. Move the crossing point of the reference line to the target position. Rotate the orange reference line in the lateral NPR image to find the best plane for the needle path. Click the add needle path icon on the workflow header. Please note the first click point to find your target. The second click the entry point for the needle path. This order can be changed in the configuration if needed. Click one time to define the target point. Then drag the line like a rubber band and click a second time on the skin to define the needle entry point. As a result on the label you can see the length of the needle, the X angle, which is the angle inside the axial. Can plane as well as the angle which is the angle in the direction. If you randomly scroll to some other images in 3D segments. You can always click the switch to the in Plainview needle, orients it view icon to jump back to the plane where the entire needle path is displayed, whereas in 2D segments you use the same icon to jump to the plane where the entry point is located. To locate the needle entry point, the next step is to measure the distance between the entry points and the centerline which corresponds to the central gantry. Positioning laser laser light marker. Simply select the center segment of the top row and click the switch to the. In Plainview needle oriented view icon on the workflow header, the segment automatically jumps to the slice containing the entry point. Switch on the laser crosshair by clicking the corresponding icon if needed. Then click add distance measurement on the workflow header and a sub task relevant to this tool opens up on top of the segments. By two clicks on the image only you can now define the distance on the sub task toolbar. There are functions like. Select all objects, delete objects, etc. Now that we have defined the needle path and measured entry points in the previous steps, we would like to go to the entry point to do this, first select the progress needle workflow step. To make sure the sensor image contains the entry point, select the center segment of the top row and click the switch to the. In Plainview needle oriented view icon on the workflow header, click the move to selected axial slice position icon. The system will then ask you to press the move button on the control box to move the table to the target position, which is now the slice position containing the planned needle entry point. You can also use the same icons here on the iPad, like on the second monitor to move the table to the entry point position. Use the move button on the joystick to trigger the table movement to this defined position. The distance measurement is also visible here on the big inroom monitor. Normally you should do the following under sterile conditions, but we will just use a ruler, measure the distance and insert the needle at the entry point on the Phantom. Check the images of the recent scans for orientation on the in room monitor while piercing the needle into the skin of the patient. Here at the Phantom at the marked entry point. As we are now in the examination room, let's show you how to perform the control scan using the iPad above the image segment to the right side of the dose information area there is an icon representing the currently selected scan mode. With this button you can switch from the regular mind needle guide screen so the parameter screen on the tablet which gives the user in room control for the next CT control scan. Here you have scan mode selection scan parameters to program with gantry. And range position displayed. It basically provides a subset of the examination UI for in room control. On the system presented the I sequence I spiral and DIFLUORO scan modes are available. Tap on each scan mode. It's a switch between the three intervention scan modes. When switching between the different scan modes, the center of the scan ranges will be kept at the same position, but the scan coverage will be adapted according to the selected mode and slice parameter. You can of course repeat and I spiral scan for the control scan, but to achieve a better dose efficiency. You can use the I sequence scan mode in the slice parameter you can select the desired slice thickness and image number combinations under half or full detector size. Use full detector size to have a bigger coverage. Use half detector size to save more dose. In this demo we will select 13 * 3 millimeter under acquisition. 128 * 0.6 millimeters. You can also change some scan parameters directly on the iPad. Such as mass, KV, slice, thickness in the area above the image segment on the top, a gram. You can also change, for example the fields of view of the scan range. Tap the button above the scan modes. You can switch back to the regular. My needle guide tablet UI. Since the scan mode has been changed to, I sequence, the scan position needs to be defined. Usually a control scan is needed to check the distance from the needle tip to the target lesion, so the center of the eye sequence scan should be positioned at the target lesion. To do so, select the center 2D Axial segment, scroll to the target lesion position. Tap the move to selected axial slice position icon under progress needle step. Tap go to load the scan mode. Now you can press and hold the move button on the joystick until the table stops. To start the sequence can you can go back to the control room and press the start button. As an alternative, the scan can be started also from inside the examination room with the X ray foot switch if available. For each control scan both the thick slice images in the top row and the thin slice images in the MERS are updated and show the recent position of the needle. Scroll through the images to check the needle position. The next step is to adjust the needle. Use the eye joystick to move the table out of the gantry so that you can operate the needle at a comfortable position. Check the image on the in room monitor. Adjust the angle of the needle according to the image display if needed, and then push the needle forward. Press the move button on the AI joystick to move the table back to the last scan position. Repeat the control scan. And adjust needle steps until the needle tip reaches the target lesion. By tapping the finalized icon on the iPad, you've finished the mind needle guide workflow. Thank you for watching the mind needle guide 3D workflow video.

SIEMENS SIEMENS • SIEMENS SIEMENS . SIEMENS SIEMENS • Doe, John Doe. John SIEMENS • SIEMENS . SIEMENS Doe, John Doe. John Abdomen Interventio... patient Registered • (32) Healthineers Healthineers••:• Healthineers • 12345678 12345678 Healthineers SIEMENS 8/1811988 SIEMENS Patient Registered Healthineers Healthineers SIEMENS SIEMENS ... SIEMENS SIEMENS . SIEMENS SIEMENS • Healthineers Abdomen Interventio... Protocol '2345878 Recon Ranges Healthineers Protocol Parameters Healthineers rnyNeedle Laser Topogram [mGyl [m Gyl [mc;yl [mG;yl [mGy•cml [mG;y/sml [mGy/sl [mGyl [mGy)cml [m Gyl [mGyl [mG;yl [mGy•cml 1mGy•cml [mGyl [mGy•cml [mGy1 ImGy•cml [mGyl ImGy•crnl ImGy•cml ssDE DLP SSDE DLP Abdomen Interventio... Recon Ranges Path path [mGy•cml IrnGyl [mGyl myNeedIe Laser mnyNeedIe Laser La ser Laser (32 cm) (32 cm) 3.30 (24 cm) (32 cm) 3.230 (32 cm) 2.88 (23 cm) (32 cm) 4.59 (32 cm) 3.23 3.30 3.35 5.44 2.88 4.59 2.25 4.41 12.2 18.2 11.0 512.2 (23 cm) (24 cm) (32 cm) ssDE 4.41 7.03 12.2 7.24 1.24 2.3s 7.203 2.25 5.44 DLP 51.2 512.2 51.20 11.0 17.6 12.2 18.3 11.20 SIEMENS • (32 cm) 3.23 (32 cm) (23 cm) (32 cm) 4.59 4.59 (23 cm) (23 cm) (32 cm) 7.24 5.44 17.24 2.2s 2.24 17.6 5.80 54.5 4.59 Topwarnm Topogram Topw"rarnm Topwarn Topw4rarn Browse Protocols Physiological Signal (32 cm) 3.23 (32 cm) (23 cm) 5.80 54.5 Topogram Doe, John Doe. John 8W5QM.WU16R 8W5QM.WU16R 8W5QM.WU16R '-Spiral Abdomen CARE quality ge quality 123456 Doe, John Precondition Planni Abdomen S Planni Abdomen S On. syngo CT vA40A 43 86 90 Plannina Abdomen 5.0.„ syngo CT vA40A syngo CT VA40A 86 •8/8/19ä8 •8/8/19ä8 •8/8/19M Laser HFS U Requested Procedure Requested Procedure Recon Ranges i-SpiraI i-Spiral i-SpiraI '-Spiral Abdomen I-spiral Abdomen i-Spiral Abdomen 5/17/2021 Slice Slice Imml Slice I mml Slice [mm' Slice I mm' Exposure lime Isl Exposure Time Time rime 5/17/2021 Time Abdomen 512 • Doe, John Doe. John PM PM 13 x 3.0 27 13 x 3.0 27 x 5.0 7 x 5.0 13 x 5.0 3 x 5.0 47 x 1.0 4.59 procedure Doe, John -1248.363 -1253.363 TP -1258363 • 12345678 mgNeedLe Guide i-Spiral Abdomen 0.60 i•Spiral Abdomen Doe, John Acquisition Sequence in dReference* < Reference > deference* < Reference* < Reference' dReference' Reference > < Reference> (Reference' I-spiral Thorax i-SpiraI Thorax < Reference > 7/16/2021 Exposure Time 3.32 512 Needle SIEMENS 20 Time 47 x 5.0 19 x 2.2 rnGy i•FluOtO Check metal detection 2.88 0.89 3D Workflow < Intervention) 27xs.0*3D mm 9xs.o.3D mm 13 x 3.0 Time rime Sn 100 i-Spiral Abdomen i•Spiral Abdomen i-SpiraI Abdomen I-spiral Abdomen ssaE 512.2 1.20 Healthineers Control Box Check metal detection 51.2 without Abdomen Precondiruction Cancel cr CT (Intervention > < Reference > in mgNeedLe Laser 10 cm Slice CT n 332 "332 < Intervention> Start Topogram scan Activate Abdomen scan Sta rt Spiral scan Define path Progress Needle Define path Define Path Define Define Path path Progress Needle Define Confirm Cancel step IS Cancel Center Needle s. Needle Needle 51.2 Step 4: Perform a Planning Scan Perform step 11: step 13: step 12: Step 3: Perform a Topo Scan Step Needle 51.2s 2.24 2.2s 3.35 5.75 7.24 2.3s 2.35 51.20 3.3s 12.25 3.3S 3.35 2.35 3.75 2.25 3.3s 3D Workflow Intervention > press MOVE Press MOVE Press START START Center Cancel Center -1302.0 -975.0 -304.0 Fina lize -304.0 -975.0 -577.5 Finalize Cancel -1302.0 Multiple scans at the same Multiple scans at the same position Multiple Multiple at the same Press Press MOVE Time 10:19 10:20 10:28 10:29 10:33 10:13 10:22 10:23 10:132 10:32 10:232 4:16