Scan&GO Workflow (syngo CT VA40) Workbook

Scan&GO Workflow (syngo CT VA40) Workbook SOMATOM go. platform, SOMATOM X. platform Content Foreword 2 1 syngo CT VA40 Simulator 4 1.1 Display menus 6 1.2 Display ConTobo 8 1.3 Display Simulator 9 1.3.1 Body Image 9 1.3.2 Cardio Config 11 2 Scan Workflow on Tablet (Scan&GO) 12 2.1 Thorax CTA Scan 12 2.1.1 Image Data Preparation 12 2.1.2 Scan Workflow 15 SIEMENS Healthineers Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date: 10 Aug 2021 | HILS 2224 Job Aid Effective Date: 21 Nov 2022 | HOOD05162003313817 Foreword Dear Participant, Welcome to the SmartSimulator Workbook! This workbook will take you through your lab sessions on a self-guided journey with syngo CT VA40 in the SmartSimulator. You will have a maximum of 2 hours with your SOMATOM go. VA40 SmartSimulator – so make the most of it, have some fun and explore what it can do. 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 2 of 22 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. © Siemens Healthcare GmbH 2022 Good luck and we hope you enjoy your SmartSimulator time! Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 3 of 22 1 syngo CT VA40 Simulator Enter the syngo CT simulator. After you enter this system for the first time, you may need to wait for about 8-10 minutes until the syngo CT software is ready. You may need to: Close the System Malfunction window by clicking the OK button. - Do not le System Malfunction sses! SYSTEM MAL FUNCTION DETECTED THE SYSTEM IS NOT READY TO PERFORM EXAMINATIONS 1. inskate the shalloun'of the system by clicking he SHUTDOWN icon on the HOME icms Dit by primaang ther ONOff turtan ins Sie Dartry x Connector Box in the night gantry starat. 3 Puerta a MANUAL nestert by piesarag the CNICS F taation in the Cartry Connectty Ilne Ia system mafunction reoccurs, please contact the Customer Care Contet OK Click OK again to close the System Monitor window. System Monitor ? i System Monitor NORMAL condition (UPS): Communication with the IRS, gantry, and UPS is established. The main power line is operational. By pressing OK, the system monitor attempts to grant permission to ? start the scan. This may result in a loaded scan starting automatically. OK Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 4 of 22 Please note: If you are familiar with the simulator tools, please go to Chapter 2 directly. Otherwise, go to the next page. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 5 of 22 1.1 Display menus You are now in the syngo CT software user interface. SIEMENS Healthineers X And New Paberes Explorer Exam Despier Licenze tle Scan and GO Pzdent Working Sim RunSchans INIT Examination System Check Restart Lock There are two Display menus available to define some settings on the simulator. Both menus can be hidden at the left lower edge of the window. Click to hide the menu already open. You can hover the mouse over the blue or orange area to display the corresponding icons and click the icon to open the menu. CH Examination Display Simulator Click to display simulator Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 6 of 22 Please note: Please be aware that both menus exist only on the simulator software and not on a real CT scanner software user interface. Please note: Only minimize the platform/menu by clicking the – button. Do NOT close it by clicking x. × Help × KIOSK Mode (restart n RunSomaris INIT If the ConTobo window Display ConTobo is closed, it will be reopened automatically in a few seconds. If the Simulator window Display Simulator is closed, you can reopen it from the ConTobo menu → Simulator. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 7 of 22 1.2 Display ConTobo Some interesting tools to try out: Display X ConTobo KIOSK Mode (restart n RunSomaris INIT Simulator Add New Patients Explorer Admin SyngoShell Exam Designer Scan and GO Patient Marking Sim • RunSomaris INIT (please do not click on it now): Restarts Somaris in the event of software problems. It takes about 3 minutes to restart the syngo software UI. • Simulator: Reopens the Simulator window. • Add New Patients: Automatically creates new patients in the scheduler for the examination. • Scan and Go: Starts the tablet user interface. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 8 of 22 1.3 Display Simulator Display Simulator 1.3.1 Body Image You will mainly use the Body Image area: Gantry and IRS simulator (ver. 2.2.9.2) on P60A (impaCT / X.cite) with Vario2 Test Image State: Activated Body Image Body Image Install Image data Phantom Image Topogram parameter Topogram image file Cardio Config Length [mm]: 0 0 Start position [mm]: 0 Table height [mm]: 0 Respiratory Config Synchronize table position to topogram start position during loading patient AutoPos Topo start Error Configuration Tomogram parameter Source path E\SimulatorimageData\Fullbody Gantry Configuration Length [mm]: 1504 Start position [mm]: -750 Table height [mm]; 125 Gantry Positioning AutoPos Tomo start Bolus image parameter Gantry Lighting Source path I:\SimulatorimageData\Monitoring_Aorta Injector Configuration Twin beam parameter Source path ... x IRS Parameter Common parameter SimCom Configuration X-Offset [mm] 0 Y-Offset [mm] 0 Z-Offset [mm] 0 Timing Configuration Fake Images Image quality Low Trace Config Control box Gantry remote control Wall switch X-ray foot switch Movement foot switch External Trigger Anzai Sensor Port control Gantry panel P6X Simulator Controls E ? Reset Apply • Tomogram parameter: Select your source path for the simulated scan. Fullbody is predefined. • AutoPos Tomo start: To get your patient positioned correctly for your scan, please click on this every time before loading the topogram. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 9 of 22 • Simulator Controls: You can open the control boxes below manually at any time: • Controlbox • Gantry remote control • Wall switch (do not click, or the system will be shut down) • Footswitch • Etc. Controlbox Gantry remote Wall switch (don’t Footswitch control click it, or the system will be shutdown) Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 10 of 22 1.3.2 Cardio Config Gantry and IRS simulator (ver. 2.3.0.1) on P60A (impaCT / X.cite) with Vario2 Test Image Open Cardio Config Window Open CCQ Window Body Image Phantom Image ECG Curve Default Pulse Rate 60 Cardio Config Userdefined Filename: Respiratory Config Cardiac Flags ECG leads off Error Configuration No PMM []Synthetic trigger InvalidCommand Scan repetition ECG channel high Gantry Configuration Connection states of electrodes and signal strength Ground electrode VI F-electrode [y] R-electrode Gantry Positioning ECG signal strength 3 Gantry Lighting Scan to repeat for i-triggered sequence Injector Configuration IRS Parameter SimCom Configuration Timing Configuration Trace Config To enable different Heart Rates for Cardiac scans, use the Cardio Config. • ECG Curve: User-defined HR can be configured. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 11 of 22 2 Scan Workflow on Tablet (Scan&GO) 2.1 Thorax CTA Scan 2.1.1 Image Data Preparation Exercises 1. Open the Display Simulator Display Simulator . 2. Go to Body Image. For this examination, the image data Thx_Abd_Pel_CTA_Xcite_202 can be used. If it is not displayed by default, click the three dots icon in the Tomogram parameter and find Thx_Abd_Pel_CTA_Xcite_202 in the SimulatorImageData folder. Browse For Folder × Head_Neck_C_Xcite_182 HeadTrauma_Xceed_016 LungCAD_goTop_48 Neck_C_goTop_91 Neck_NC_goTop_91 Old_Image_data Thx_Abd_Pel_CTA_Xcite_202 Temporary Storage 1 (Z:) n Libraries Network Control Panel OK Cancel Click OK and then click Apply . Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 12 of 22 3. Wait until Loading Data finishes. To make sure that the table is moved to the right starting position, click AutoPos Tomo start . 4. Check the bolus image data in the Bolus image parameter Bolus image parameter For this . examination, Aorta_Monitoring_Xceed_112 can be used. If it is not displayed by default, click the three dots icon under Bolus image parameter, select Aorta_Monitoring_Xceed_112 in the SimulatorImageData folder, click OK and then click Apply This image data will be . used for the Bolus tracking in the Thorax CTA examination. Browse For Folder × SimulatorImageData Aorta_Monitoring_Xceed_112 Calvicle_Fracture_Xcite_288 DE_Thx_Abd_Pelv_C_Xceed_64 Dental_goTop212 Head_C_Xcite_182 Head_NC_goAll_229 Head_NC_Xcite_182 Head_Neck_C_Xcite_182 HeadTrauma_Xceed_016 LungCAD_goTop_48 OK Cancel 5. Set up Injector: Go to Injector Configuration Injector Configuration . Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 13 of 22 6. Select the checkbox in front of Injector connected, and click Apply → Injector Connected . 7. Minimize the simulator window. 8. If there is no patient in the Scheduler, go to Display ConTobo Display and click Add ConTobo New Patients. X KIOSK Mode (restart n Add New Patients Explorer Please note: The above steps are only available and necessary on the simulator, not on a real scanner. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 14 of 22 2.1.2 Scan Workflow Exercises 1. Open the ConTobo menu, then select Scan and GO to open the tablet UI. X KIOSK Mode (restart n RunSomaris INIT Simulator Add New Patients Explorer Admin SyngoShell Exam Designer Scan and GO Patient Marking Sim 2. CT Scan&GO O X File Device Edit View Window Help SIEMENS Healthineers Scheduler 2. Click Scheduler to access the patient list. 3. Patient registration: Select a patient from the Scheduler and click GO . Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 15 of 22 4. Protocol selection: Select Vascular to switch to schematic vascular body map. SIEMENS Healthineers". Alford, Alyson 9/9/1958 Adult Child Anatomy Vascular Others Vascular Thorax V Thorax CTA [factory] -Indications: vascular anomalies, aneurysms, dissection, ruptures of the thoracic aorta, w CM -Scan modes: PremonitoringSequenceAdult2d, MonitoringSequenceAdult2d, RoutineSpiralAdultAngioBody -Contrast Protocol: CTA [factory] Topogram > Thorax Dynamic CTA [factory] > Thorax Coronary CTA [factory] > Pulmonary CTA [factory] > Pulmonary DE CTA [factory] # 1262.0 - Back GO 5. Select Thorax as the desired body region, then you can select the Thorax CTA [factory] protocol. 6. Click GO to load the protocol. Please note: If you are in the examination process and would like to close the current patient, click the little x next to the patient name, then select Close. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 16 of 22 SIEMENS, X Healthineers Alford, Alyson 9/9/1958 Adult Child Anatomy Vascula Others Vascular Thorax Thorax CTA [factory] -Indications: vascular anomalies, aneurysms, dissection, ruptures of the thoracic aorta, w CM -Scan modes: Close Patient × Are you sure you want to close the patient? Cancel Close 7. Confirm the topo settings by clicking GO again. 8. As there is no 3D camera connected, click GO to skip the 3D camera step. 9. Click GO again to load and perform the topogram. 10. Click the Start button in the pop-up Control Box UI. SIEMENS Healthineers KI> 11. The topogram image will be displayed in the image segment. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 17 of 22 Alford, Alyson H 1c446080-d618-4cad-9c53-cdcb5f6ab0c0 SOMATOM X.cite *9/9/1958, F syngo CT VA40A 10/6/2022 HFS 3:16:01.65 PM 3 IMA 1 TOP 101 TP -750.0 10cm KV Sn100 mA 55 A TI 3.32 512.0 0/0 350 Simulator Filter Sn 50 nE 12. The blue dot range shows you the position of the next scan range, in this case the premonitoring scan. Select the blue dot range by clicking on it and drag it to the desired location on the topogram. For this simulation we will drag it just above the bifurcation. 13. Click GO to activate and load the premonitoring scan. Follow the instructions next to the GO button to perform the scan (hold down the Move button and then click Start ). Press START " Feed - 0 Cancel GO 14. After the premonitoring image is displayed in the image segment, an ROI is automatically placed in the aorta (FAST ROI function). Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 18 of 22 Please note: The ROI cannot be adjusted on the tablet UI. You can only adjust it on the console UI. 15. Monitoring step: Go to the console UI, check the trigger level, left-click on the magenta line and drag it down to a place lower than 100. HU 90 50 0 10 (Because the simulation image data does not support a level higher than 100, if the level is set above 100, the following spiral CTA scan cannot be triggered. During a real scan, the trigger level should be defined by an expert tech or predefined in the protocol.) 16. Before loading the monitoring scan, click the spiral CTA scan on the scan browser to check the scan range on the topogram. A X 512.0 0/0 80ml 4.0ml/s 4.0ml/s 20s 40ml 10s Simulator 3.3 5 0.3 5 10 s Topogram Premonitoring Monitoring CTA Thorax -846.5 Back GO Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 19 of 22 17. Usually, the scan range is defined automatically by the system using the FAST Planning function. You can also adjust the scan range on the topogram manually. Adjust the range by moving the pink points on the frame. Thorax CTA, Demo 123456 SOMATOM go. Top *1/1/1992, 30Y syngo CT VA40A 10/11/2022 HFS 2:12:14.53 PM 1 IMA 1 TOP 101 TP -750.0 R 18. Select GO to load the monitoring scan. As an injector is coupled for this scan (CARE Contrast function), the system instructs you to Check injector. Check injector Cancel GQ 19. Open the Injector panel on the simulator by right-clicking on Display Simulator then select Bolus injector , panel. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 20 of 22 Close simulator Control box Gantry remote control Wall switch X-ray foot switch Movement foot switch External Trigger Gantry panel P6X Cardio configuration window Cardio connection quality window Respiratory configuration window Anzai Sensor Port control Bolus injector panel Advanced settings License information Gantry status bar Dock (On a real scanner, steps 19 and 20 should be carried out on the control panel of a real injector. The UI will be different from what you have seen on this simulator.) 20. Click Enable. Start Enable AAA Phase Type Flow Volume Ratio Duration Contrast [ml] [ml/sec] [ml] [%] [sec] 500 1 Contrast 5 Saline [ml] 65 100 13 X 500 2 Saline 5 40 8 X Pressure [kPa] 1000 Edit 21. As soon as the injector is enabled, the CT Control Box pops up. Press the Start button to start the monitoring scan. The system will measure the CT value in the ROI for each monitoring scan and trigger the CTA spiral as soon as the value reaches the predefined magenta line. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 21 of 22 22. After the scan, you can scroll through the images to check the real time image in the tomo segment by moving the slider. Thorax CTA, Demo H 123456 *1/1/1992, 30Y 10/11/2022 2:17:40.25 PM MIP THIN 401 R 66 10cm A 190 SL 10.0 265 23. Click Recon to start the reconstructions. 24. Close the examination. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Master Template Effective Date 10 Aug 2021 | HILS 2224 Page 22 of 22