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RO MMRTiS Image Orientation Job Aid

This job aid provides guidance on how to modify the default image orientation in MM Radiation Therapy Image Suites (MMRTiS) for the SOMATOM go.Sim and go.Open Pro for software versions VA30 or VA40.

Modifying the Default Image Orientation SOMATOM go.Sim, go.Open Pro (VA30/VA40) MM Radiation Therapy Image Suites and Sim & Go The default layout in MM Radiation Therapy Image Suites (MMRTiS) and Sim & Go is axial in the large window. There may be an occasion when the area of interest is best seen and identified us- ing a different projection. When you double-click to enlarge the image, the crosshairs disappear. This can make it difficult to see or mark the area of interest. This job aid will demonstrate how to change the default image orientation in the large window. 1. Load the patient into MM RT Image Suite or Sim & Go. MM RT Image Suite Patient Marking 2 IMA ~83 SP F249.0 SPA192.1 Lunge 3.00 Br40 83 Lunge 3 00 8:40 83 Laser Offset in IEC(cm) Table (mm) 01/19/2021 01/1 9/2021 9:39:14 AM 9:39:14 AM Y Position Height Structure Set_1 UNAPPROVED +0+ Later Zero V 11 RT Navigator Findings Structures POI Name Type O IsoCenter ISOCENT ... IF 400 Absolute Offset IEC 4 Z cm Create at Set To Manual Crosshair Crosshair Move 2 Mana. FRM DO Stage 3.00 Br 40 93 pMMA mia FRM n.a SP RO.1 SP R0 1 Lunge 3.00 Br40 S Lunge 3 00 01/1 9/202 01/19/2021 01/19/2021 9:39:14 AM 12 9:39:14 AM Tools 9:39:14 AM 9:39-14A 2 A P Synch Align Graphics Hide Lines Reset 10cm L Edit Snapshot Print Export 400 400 Layout Image Image 40 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 7 Nov 2022 | HOOD05162003308304 Healthineers 2. Right mouse click on the Orientation Cube. A menu will display but do not make a selection at this time. MM RT Image Suite Patient Marking 2 IMA~83 SP F249.0 Lunge 3.00 Br40 83 Laser Offset in IEC(cm) Table (mm) 01/19/2021 9:39:14AM X Y Position Height Structure Set_1 UNAPPROVED V II RT Navigator Findings Structures POI Name Type ISOCENT ... A 400 Absolute Offset IEC 2 IMAn.a. FRM mi 2 1MAna FRMn.a SP RO.1 SPA 92.1 SP RO.1 Lunge 3.00 Br40 83 Lunge 3 00 P 40 53 Lunge 3.00 B Lunge 3.00 01/19/2021 01/19/2021 01/19/2021 01/19/2021 Tools 9:39:14AM 9:39:14AM 9:39:14AM 9:39:14 AM P Synch Align Graphics Hide Lines , Reces Ocm L Lafaie snapshot Page Export Undo Redo 40 2 IMA ~83 SP F249.0 SPA192.1 Lunge 3.00 Br40 83 Lunge 3.00 Br40 83 01/19/2021 01/19/2021 9:39:14 AM 9:39:14 AM Structure Set_1 UNAPPROVED T Text R Clip Box R Fit to Segment 10cm O.T. ROI Circle 3D Reference Point Distance Line Marker III Exclude Series400 . Absolute Offset IEC cm Create at Set To Manual Crosshair Crosshair Move H H H 2 IMAn.a. FRM mia. 2 IMAn.a. FRM n.a. SP R0.1 SPA192.1 SP RO.1 Lunge 3.00 Br40 83 Lunge 3. Lunge 3.00 Br40 S3 01/19/2021 01/19/2021 01/19/2021 9:39:14 AM 9:39:14 AM 1 9:39:14 AM Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 7 Nov 2022 | HOOD05162003308304 Healthineers Page 2 of 7 3. In the top left corner of the navigation area, scroll down and select Beam Placement. MM RT Image Suite Q. + 2 IMA ~83 +0+ SP F249.0 SPA Laser Laser Zero Mark Breast Left Lunge 3.00 Br40 S3 On/Off Patient 01/19/2021 9:39:14 AM 9:39 Registration Structure Set_1 Contouring UNAPPROVED Dose Evaluation 4D and MR Data Management Beam Placement LR R RT N gator Findings 10cm Structures POI O Name Type + IsoCenter ISOCENT ... F 400 Absolute Offset IEC = cm Create at Set To Crosshair Crosshair Move H 2 IMAn.a. FRM na. 2 IMAn.a. FRM n.a. SP RO.1 SPA192.1 SPR Lunge 3.00 Br40 S3 Lunge 3.00 Br40 S3 Lung 01/19/2021 01/19/2021 01/19 9:39. Tools 9:39:14 AM 9:39:14 AM Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 7 Nov 2022 | HOOD05162003308304 Healthineers Page 3 of 7 4. Do not select anything at this time. MM RT Image Suite 2 IMA ~83 SP F249.0 Beam Placement Lunge 3.00 Br40 83 SP A191.5 01/19/2021 Lunge 3.00 Br40 S3 Plan Label 9:39:14 AM 01/19/2021 9:39:14 AM - 8 Structure Set_1 UNAPPROVED 10cm Beam Isocenter [cm] F X y SL min 400 V 11 RT Navigator Findings 2 IMAn.a. FRM n.a. SP RO.1 Lunge 3.00 Br40 83 01/19/2021 9:39:14 AM Structures POI Name Type IsoCenter ISOCENT .. 2 IMAn.a. FRM n.a. SP A192.1 Lunge 3.00 Br40 83 01/19/2021 Tools 9:39:14 AM Lynch Align Full Text Hide Hide Lines Rezet A Graphics Timepoi ... 5cm A Snapshot Print Export Image Image Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 7 Nov 2022 | HOOD05162003308304 Healthineers Page 4 of 7 5. Select Patient Marking in the navigation area. MM RT Image Suite 2 IMA ~83 RT Image Suite SP F249.0 Lunge 3.00 Br40 83 SPA191.5 50 01/19/2021 Patient Marking Lunge 3.00 Br40 83 9:39:14 AM 01/19/2021 9:39:14 AM Registra Structure Set_1 Contou 40 UNAPPROVED Dose Eval on 10cm LILIALALAIN 4D and MR Data Management F Beam Placement SL min 400 40 V RT Navigator Findings 2 IMAn.a. FRM n.a. SP R0.1 Lunge 3.00 Br40 93 01/19/2021 Stru 9:39:14 AM Structures Name Type IsoCenter ISOCENT ... 2 IMAn.a. FRM n.a. SP A192.1 Lunge 3.00 Br40 83 01/19/2021 Tools 9:39:14 AM Synch Align Full Text Highne Ti Reset A Snapchot Import Rado Edit Print Layout Image 6. Once again, right mouse click on the Orientation Cube. A new menu will display. MM RT Image Suite Patient Marking 2 IMA -83 SP F249.0 Lunge 3.00 Br40 63 Laser Offset in IEC(cm) Table (mm) 01/19/2021 9:39:14 AM Y Position Height Structure Set_1 UNAPPROVED +0+ regst Lek R RT Navigator Findings Structures POI O Name Type IsoCenter ISOCENT ... Ortho Sync F (feet-head) SL min 400 40 A (anterior-posterior) L (left-right) H (head-feet) 2 IMAn.a. FRM na 2 IMAma. FRM n.a. SP RO.1 SPA192 0 P (posterior-anterior) SP RO.1 Lunge 3.00 Br40 83 Lunge 3.00 Er40 S Lunge 3.00 Br40 01/19/2021 01/19/2021 R (right-left) 01/19/2021 9:39:14 AM 9:39:14 AM 9:39:14 AM Tools Reset position in all L Synch A Align Full Text Hide Hide Linea Recet Graphics Timepoi .. Edit Snapshot Print Export Undo Redo SL mi Layout Image Image Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 7 Nov 2022 | HOOD05162003308304 Healthineers Page 5 of 7 7. Select the desired orientation for loading the image into the larger window. MM RT Image Suite Patient Marking 2 IMAn.a. FRM SP A192.1 SPA1921 Lunge 3.00 Br40 S Lunge 3:00 @r40 93 Laser Offset in IEC(cm) Table (mm) 01/19/2021 01/1 9/2021 9:39:1 1AM 9:39:14AM X Position Height Structure Set_4 UNAPPROVED +0+ V T Navigator Findings 10cm Structures POI Name Type IsoCenter ISOCENT ... 2 IMAn.a. FRM ne 2 IMA -83 SP R0.1 SP F 249.0 SP RO.1 SP RO.1 Lunge 3.00 Br40 83 Lunge 3.00 Br40 83 Lunge 3.00 Br40 83 Lunge 3.00 01/19/2021 01/19/2021 01/19/2021 01/19/2021 9:39:14 AM 9:39:14 AM Tools 9:39:14 AM 9:39:14 AM Synch Align Graphics Hide Lines Roger Sem napshot Export Undo 8. To view all orientation options, left mouse click on the Orientation Cube. NOTE: These steps are only applicable for the current session. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 7 Nov 2022 | HOOD05162003308304 Healthineers Page 6 of 7 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 Healthcare GmbH 2022 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Siemens Shanghai Healthcare Sector Henkestr. 127 40 Liberty Blvd. Medical Equipment Ltd. 91052 Erlangen Malvern, PA 19355-9998 USA 278 Zhou Shu Road Germany Telephone: +1-888-826-9702 Shanghai 201318 Phone: +49 9131 84-0 Customer Care Telephone: P.R. China https://www.siemens-healthineers.com +1-800-888-7436 Telephone: +1 847 304 7700 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 7 Nov 2022 | HOOD05162003308304 Healthineers Page 7 of 7

  • image orientation
  • mmrtis
  • axial
  • large window
  • area of interest
  • mm rt image suite