ReZero Scans on .go CT Scanners Job Aid

Unsync/Unlink or Re-zero Scans on .go CT Scanners go.Open Pro VA40 / go.Sim VA40 The Change Patient Position icon has several functions. When performing CT Simulations for Radiation Therapy planning, it is sometimes necessary to set the CT table reference to zero (0) a second time during the examination. This may be due to repositioning the patient after the original topogram was acquired (repeat without starting over as the zero button is not available after the first topogram) or if there is a second treatment area to be scanned in the same study, and there is a desire to have the different scans unsynced or unlinked when they are exported to a Treatment Planning System (TPS). The process of the Change Patient Position will create a different Unique Identification number (UID) which the TPS will recognize as different scans. ReZero Table Workflow 1. Load the scan protocol and acquire the topogram. Position, Change SOMATOM go.Open Pro play *11/24/1973, 50Y HFS 11/24/2023 2:02.58.29 PM 1 IMA 1 TP1 -732.9 TOP 101 TP2 -1.032.9 TP - 299.5 LEN 300.0 FOV 600x600 .......................................................................................... Simulator Filter En 4.65 55 SIEMENS Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 15 Mar 2024 | QR700006386 2. If alignment is not as expected and a new topogram is desired, right-mouse click on the topo- gram in the timeline and select Repeat. kV Sn100 MA & T1 4.6 513.0 0/0 Simulator Filter Sn Show Parameters Delete -CH Repea Open Edit Mode 4.65 L SS 3. The Change Patient Position icon will become available. Thorax Reconstruction Patient Marking Close Activate Topogram scan Confirm GO Cancel L 4.65 4.65 55 o Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 15 Mar 2024 | QR700006386 Healthineers Page 2 of 5 4. Left-mouse click on the icon. It will stand the patient up, allowing you to select a new topogram position. RTP Thorax [factory] ( ... Topogram Topogram HF supine MF prone HFright HF left FF supine FF prone FF right FF left Length 768 mm CTDIvol SPR (32 cm) 0.01 mGy DLP 0.66 mGy *cm MA 80 KV Sn 100 Exposure Time 4.60 5 . Thorax Reconstruction Patient Marking Close Select patient position Confirm GO Cancel L 4.6s 4.6s 5s 5. Select the same or a different position, if desired. 6. If the same position is chosen, a pop-up box will appear stating that the same position has been chosen. Patient Position X ? Selected patient position is identical to the patient position in the previous scans. Do you want to use the previous planning image? If yes, press Cancel in the Execution control. If no, press Confirm in the Execution control. OK Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 15 Mar 2024 | QR700006386 Healthineers Page 3 of 5 7. The diagram will again display the patient in the requested position. Select Confirm in the bottom left corner, and the zero button will become available. SIEMENS Healthineers RT Button 1 12/5/1973 RTP Thorax [factory] ( ... * m Topogram RTP Thorax [factory] (Adult) Head First - Supine Topogram Patient Orientation Head First Supine HF agire HF prone HF right HF left Bol C Table Movement In FF supine FF prone FF righe Topogram Length [mm] Length 765 512 CTDivol SPR (32 cm) 0.01 mGy DLP 0.66 mGY *cm Audio Control in 100 Sn 100 4.60 Instruction Language English Thorax O Audio Reconstruction Patient Marking Close Confirm patient position Confirm Cancel L 4.65 0.0 Back GO 8. Continue with the scanning workflow as usual. Unsync/Unlink Scans 1. Perform the initial scan as usual. 2. Repeat the steps above for re-zeroing (if needed). 3. After repeating the topogram, repeat the scan. Remember to set scan borders. RTP Thorax [factory] ( ... #m Recon Ranges Topogram Thorax Topogram CIDNo) [32 cm) 4.20 moy 72 12 3.82 Checkimage quality Reconstruction ........................ Patient Marking ............................. Close ............................. e Thorax scan 4. Continue the scanning workflow as usual. The scans should appear in the TPS unsynced/unlocked. Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 15 Mar 2024 | QR700006386 Healthineers Page 4 of 5 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's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. 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. Copyright © Siemens Healthineers AG 2024 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthineers AG Siemens Medical Solutions USA, Inc. Siemens Shanghai Siemensstraße 3 40 Liberty Blvd. Medical Equipment Ltd. 91301 Forcheim, Germany Malvern, PA 19355-9998 USA 278 Zhou Shu Road Phone: +49 9191 18-0 Telephone: +1-888-826-9702 Shanghai 201318 siemens-healthineers.com Customer Care Telephone: P.R. China +1-800-888-7436 Telephone: +1 847 304 7700 Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 15 Mar 2024 | QR700006386 Healthineers Page 5 of 5