NAEOTOM Alpha myExam Companion Decision Trees Video

Neotoma Alpha update for my exam companion and decision trees. Topics to be covered in this video include. And update of my exam companion decision trees. With the introduction of the VA 40 software and that are included on the NEO Tom Alpha, there are now new options available that can be controlled in the decision tree. The new parameters available include. Absolute start delay post. Bolus delay post instruction delay and dose notification settings for ctdi Vol. And DLP. The new attributes introduced include. Flash check for Calcium score as well as cardiac CTA. New questions that were added include. A more general question regarding the use of flash mode. And a more specific question to combine different extremity protocols and exam types. As well as the new options available inside the decision trees, there are new factory trees available for use. The first of these trees is. The brain and neck contrast tree. These trees will ask the question if contrast medium should be applied. Depending on the answer, injector coupling and a contrast protocol is toggled on or off. The parameter for the absolute start delay is also additive. Contrast is to be used. This tree will make having multiple protocols unnecessary when scanning with or without contrast. The next new tree for the Neo Tom Alpha is the lung screening tree. This tree will ask the question, is this exam supposed to be focused on low dose or high resolution? Depending on the answer to this question, the scan strategies will automatically switch the scan mode from a high resolution exam to a tin filtered lower dose screening exam. Again, eliminating the need for multiple protocols. Another lung tree that is new. Is the lung low dose X care and breath holtry? This tree will automatically answer the patient characterization question for the patient gender. This information is inserted from the wrist system. Male gender patients will not have X care applied, while female and other genders will have X care applied to their routine thorax examination. Then the question what is the breathhold capability of the patient is asked. If the answer is below 5 seconds, the scan mode is automatically changed to a high pitch flashscan. The Flashscan will not have X care applied. The thorax multitree expands on the previous one by adding the question if contrast should be applied. This tree will again switch between X care or flash mode, but now can add contrast injector coupling, a contrast protocol and an absolute start delay to all options. If contrast is to be applied. This tree again eliminates the need for many different protocols by answering 2 easy questions and by pulling information from the risk. Now let's look at a tree for specific scan and reconstructions. The extremity fracture, gout, or metal tree. This tree will ask the question for which purpose is the exam intended for. Fracture, gout or loosening of metal? Answering this question, the possibility of changing the scan modes between high resolution for fracture or quantum plus for gout and metal can be assigned. The other question asked is for site specific scanning and reconing. Depending which side is chosen, the fast planning and Recon strategy can be assigned to just the particular side. This means that potentially we do not need to set up 3 extremity protocols in order to get three different reconstruction sets for three different clinical indications. The next new trees are thorax and abdomen, CTA breathhold trees. These two trees are the same as the breathhold trees as before. Only this time the angio scan modes are used. The routine angio spiral for patients able to hold their breath and angio flash scans for those patients unable to. The last trees to discuss are the information trees. Factory information trees are. Test run and patient instruction for TAVI scans. These trees do not change scan or Recon parameters. Only the information text is shown to notify the user. For the test run tree, a button to start the test run is provided on the tablet and scan and go. A table test run is recommended for high pitch exams. Due to fast table speeds, this will perform collision checks and also to make sure any peripheral lines will clear the distance. The patient instruction tree is used to remind the user to give manual breathing instructions to the patient during this exam. This is because the TAVI protocol has two skin ranges connected to each other. The inspiration instruction will then need to be given before the 1st SCAN is started and the brief normally command will need to be given after the completion of the second scan range. A factory information Template tree is provided as well. This tree can be modified and configured to specific site requirements. These can be used to give critical information and reminders to the user in certain studies and exam types. If it is important information, this can be automatically displayed on the screen for the user to accept before advancing. Decision trees are implemented into the factory protocols and are ready for use. The user can edit any of the settings in a factory decision tree. They would just need to re save the tree as new. They may even add new scan strategies and new parameters to suit their needs. Users may build an entirely new tree for specific site needs. They can add strategies and parameters to their branches to suit their own requirements. After building a new tree and assigning it to the chosen protocol. There is a validation tool to check the accuracy of the tree and decisions. This check will ensure that all branches have a successful outcome of possibilities. It is recommended to test the protocol with the decision tree in the exam UI. The user should answer all question combinations to ensure that the decisions made are correct. Decision trees do not have to be used. If the user wishes they can be turned off for all protocols or just individual protocols. Each individual reconstruction can be assigned to a specific branch in the tree, or to all branches if needed. The example shown in the video. You can see that the scan modes are not available to select if a decision tree is turned on. For this protocol, the tree is what controls the scan mode. If the user wishes to freely select a scan mode, they must first turn the decision tree off. They are then able to access the available skin modes for the protocol.

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