Roadmap & Overlay Reference (VExx)

Roadmap & Overlay Reference (VEXX) job aid Angiography – Artis software VEXX An additional job aid is available on PEPconnect to determine the software version of the system. The Roadmap (RDMP) function allows you to view the region of interest with subtracted fluoros- copy for dynamic navigation during procedures such as angioplasty, catheterization, or plaque re- moval. There are several ways of achieving the roadmap: the Classic Roadmap, the DSA Roadmap, and the Subtracted Fluoro. • You can pan and zoom during roadmap options. • Activate via exam room Only. • You can activate Roadmap options via the main menu on the Pilot touchpad or Direct Ac- cess bar. ARTIS Roadmap Glue Mode Examination Display Roadmap Subtr. Fluoro DSA RDMP Reset C-Arm Position Table Reset Display Contrast Zoom Detector RDMP & Overlay Tools RT Pixel Sh. Native Vessel Case Flows Tools Progress Show Progr. Dyn. Progr. Favorites RDMP Set GI My Th Glue My RDMP Set Third RDMP ... RDMP Sets Sys. Pos. Case Flows Display Exam Favorites Favorites Case Flows Roadmap Tools Exam Classic Roadmap 1. Select the Roadmap button via the Pilot touchscreen. 2. Select or change the Roadmap protocol set. 3. Step and hold fluoro pedal. a) Phase 1: Native b) Inject symbol appears > Inject contrast media c) Phase 2: Subtraction 4. Step off Fluoro. 5. Step and hold fluoro, a Roadmap will appear. Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/15/2025 | QR700017513 Healthineers DSA Roadmap 1. Acquire a DSA scene. 2. Stop scene playback on the desired frame and create Ref. image. 3. Select the DSA Roadmap button. 4. Step and hold fluoro, a Roadmap will appear. Subtracted Fluoro Fluoroscopy with a single subtraction out of the device phase only (no vessel tree displayed). Used for embolization procedures where glues and onyx are used. 1. Start Subtr. Fluoro. 2. Select or change the roadmap protocol set. 3. Step and hold the fluoro pedal. Additional Roadmap Features Feature Description Reset Set a new mask. Contrast Change of vessel/catheter contrast or anatomical background. Zoom Zoom the image by a factor of 2 and panning RT Pixel Shift Automatic pixel shift during Roadmap Native Display of native scene Vessel Display of vessel map Show Progr./Dyn. Prog. Subtracts out previously displayed coils/radio- paque material from original rdmp. Dynamic will be performed with every footswitch action with- out time offset. Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/15/2025 | QR700017513 Healthineers Page 2 of 5 Overlay Reference, a.k.a. Fluoro Fade, Overlay Ref, or Reference overlay, allows the user to over- lay a reference image onto the LIVE fluoro image. • Reference images can be created from a Store FL, DSA acquisition, or a DR acquisition. • Graphics will always be displayed as part of the overlay reference when activated and are not affected by the overlay percentage. • No additional roadmap functions available with Overlay Ref. • Overlay Ref. images could be stored as Store Fluoro and Store Monitor. • Overlay Options can be added to the Favorites Tab on a touchscreen. Overlay Reference 1. Select the image you want to overlay. 2. Create a reference for that image. 3. Tap RDMP & Overlay in the main menu of the touchscreen. ARTIS Examination Display C-Arm Position Table Detector RDMP & Overlay = Case Flows Tools Favorites ys. Pos. Case Flows Display Exam Favorites 4. Tap Overlay Ref. from the top drop down. Overlay Ref Overlay Ref Roadmap Overlay 3D Appl. REFZ Adjust C.Arm to Ref2 Ref1 follows C.Arm Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/15/2025 | QR700017513 Healthineers Page 3 of 5 5. Tap Overlay Ref1 or Overlay Ref2. This depends on which source your reference image is saved to. Overlay Ref Overlay Ref1 Overlay Ref2 REF 1 Adjust C-Arm to Ref1 REF2 Adjust C-Arm to Ref2 Ref1 follows C.Arm 6. Step on fluoro. 7. The overlay image will be displayed on the LIVE fluoro image as an overlay. 8. The overlay percentage on the LIVE fluoro image can be adjusted by using the jog wheel up and down. This can be done while on and off the fluoro pedal. The percentage number will be displayed in the lower right corner of the live image. OK Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/15/2025 | QR700017513 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 soft- ware 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 con- tact 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 2025 Siemens Healthineers Headquarters Siemens Healthineers AG Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/15/2025 | QR700017513 Healthineers Page 5 of 5