SmartSimulator Workbook - Basics: Scan UI XA61

SIEMENS Healthineers SmartSimulator Workbook Basics: Scan UI MAGNETOM systems XA61 smartsimulator.siemens-healthineers.com/ SIEMENS . Healthineers MAGNETOM Altea Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Effective Date: 12 Nov 2024 | QR700015740 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Table of contents Table of contents 2 Foreword 3 Disclaimer 4 MR system overview 5 Examination user interface 5 Home screen 5 User interface 8 User interface: Examination UI screen 22 Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 2 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Foreword Dear participant, Welcome to the SmartSimulator Workbook. This workbook guides you through your lab sessions with MAGNETOM systems based on XA61 in the SmartSimulator. The content of this workbook might take you approx. 8 hours practicing with your MAGNETOM SmartSimulator. Make the most of it! Have some fun and explore what it can do. The material in this Basics: Scan UI workbook is based on the Numaris X platform’s general features and includes a description of the scan user interface. Good luck and we hope you enjoy your SmartSimulator experience! Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 3 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Disclaimer 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 be regarded as a substitute for 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 these Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the latest 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. © Siemens Healthineers AG 2024 Siemens Healthineers HQ | Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 4 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 MR system overview Examination user interface Before you undertake the following exercises, please go to PEPconnect to learn more: Outside US: System start-up and Home screen US: System start-up and Home screen Home screen Home screen icons are visible as soon as the MR system is up and running. SIEMENS Healthingers CH System Check myExam Cockpit Examination Lock (1) System Check icon: Status of the MR system to open the Customer Service Portal: Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 5 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 X MR System Ready MR System Warning MR Maintenance Required Operational - No Errors Possible Errors Errors Occurred Please make sure that MR System Ready is available before carrying out any examinations. The System Check icon provides quick access to the System Status Overview tab of the Administration Portal. (2) Status overview of the entire MR system: • Startup Reports • Customer Environment • Periphery Groups • Host Infrastructure • Licenses • Quality Assurance (3) myExam Cockpit icon: Ability to create and manage examination programs. (4) Examination icon: Open the examination user interface to access Scheduler and Patient Registration. (5) Lock icon: Lock/Unlock the workplace. Within the Home screen in the lower-right corner, you can find the Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 6 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Restart button to carry out the following operations: • Restart MR system • Shut down MR system • Restart workplace • Standby system Restart System Shut Down System Restart Workplace Standby System Exercise: Explore the Home screen The Home screen is visible. 1. Click on the Examination icon. 2. Return to the Home screen. The Home icon can be found in the Search field and Results list area. SIEMENS Healthineers O Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 7 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 User interface Scheduler The Scheduler is the entry point to the examination workflow at the syngo Acquisition Workplace. To learn more about the Scheduler, please take the following training on PEPconnect: Outside US Scheduler US Scheduler Within this chapter, you will practice and get familiar with the following functions: • Visualizing/retrieving planned procedures and corresponding patient data • Adding, deleting, and correcting planned procedures and corresponding patient data before the examination starts • Searching for and retrieving prior studies • Procedure status visualization • Starting the examination Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 8 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 • Managing the procedure status (MPPS) Exercise: Explore the Scheduler 1. Click on the Examination icon on the Home screen. System Check myExam Cockpit Examination Lock General overview of the areas within the Scheduler: SIEMENS Healthineers O 2 Scheduler 1 3 Patients Medical Information Examination Information Mama Mia ---- Fil, An Alerts Baby Copyto Fil, An 5 4 Jack, Daniels Melbourne, Bob nstitution Gaga, Lady Clooney, George Program Selection 12000. 14:30 Gaga, Lady Lead Nogars to Qusus JASOOOOCHE RF Transmit Mode Melbourne, Bob Patient Orientation wy wwast normacon Cancel (1) Search and filter area (2) Patient Registration and Program Selection tabs (3) Toolbar (4) Content area of patient, Registration or Program Selection tabs (5) Patients list Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 9 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 2. Go to the Patients list area and select Procedures to change the Display list. SIEMENS Healthineers Scheduler Search by Name, ID, DoB, Description, Procedure Date, Acc No. and Modality (Ctrl+F) Q Patients (O result(s), 10:02:33 AM) Scheduled, Today Patient Procedure Date and Time Display list of Procedures. Overview of the Scheduler concepts Below you can find an overview of the possibilities available in the Scheduler and how to use them for your clinical routine. • The Patients list is the worklist for your daily work and represents one or more planned procedures for a registered patient. • In the Scheduler, change the patient and procedure data before you start the examination. • If connected to an RIS, the syngo Acquisition Workplace retrieves data from the RIS at regular intervals. • The Patients list view switch gives the option to switch between the Patients view and Procedures view in the Patients list. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 10 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Scheduler Search by Name, ID, DoB, Description, Procedure Date, Acc No. and Modality (Ctrl+F) O Patients (O result(s), 10:02:33 AM) Scheduled, Today Patient Procedure Date and T Patients [1] Procedures Exercise: Switch between the Patients and Procedures view Select the Patients list and switch between the following: 1. Patients view 2. Procedures view Patients list options The following options are available in the Patients list. • Procedures (default) o List of procedures o List of patients with assigned procedures • Patient o Shows one or more procedures for a registered patient. o Shows available procedure data and patient data. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 11 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Exercise: Sort the Patients list Sort the Patients list by: 1. Sort by 2. Filter by time 3. Filter by status Sort by Patients (2 result(s), 1:09:17 PM) Scheduled, Today JustDicomRIS Patient Sort by Patient Name ascending 2024.04.16-1 Filter by Time Patient Name descending *4/16/1957, Other 2024.04.16-11:45:28- Filter by Status Patient ID ascending Test Patient ID descending *4/16/1946, Male Date of Birth ascending 2024.04.16-11:30:07 -... Date of Birth descending Filter by Time Patients (2 result(s), 1:09:17 PM) Scheduled, Today JustDicomRIS C Patient Sort by Date and Time 2024.04.16- CH Filter by Time Today *4/16/1957, Other 2024.04.16-11:45:28- Filter by Status Tomorrow Test Yesterday *4/16/1946, Male Last 2 Days 2024.04.16-11:30:07 -... Last Week Last 2 Weeks Anytime Filter by Status Patients (2 result(s), 1:09:17 PM) Scheduled, Today JustDicomRIS Patient 2024.04.16-1 Sort by Date and Time Filter by Time uma *4/16/1957, Other 2024.04.16-11:45:28 Filter by Status Scheduled Test Scanned *4/16/1946, Male All Scheduler: Search field Overview of the search criteria within the search field option. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 12 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Search by: 1. Patient name 2. Date of birth 3. Patient ID 4. Accession number 5. Procedure description 6. Procedure start date 7. Modality Scheduler Search by Name, ID, DoB, Description, Procedure Date, Acc No, and Modality (Ctrl+F) Q Patients Scheduled, Today (15 result(s), 9:21:18 PM) C Patient Procedure Date and Time Mama Mia *1/1/1965, Female SAS000026 MR Scan Brain Angiogram g/14/2020, 10:26 Fil, An *1/1/1965, Female SAS000032 MR Scan Prostate 8/14/2020, 10:34 Fil, An *1/1/1965, Female SAS000032 MR Scan Pelvis 8/14/2020, 10:34 Please note: • Wildcards are supported [*] before or after the search word. • Date and time formats may depend on the following criteria: DICOM format (YYYYMMDD) and Windows regional settings. Exercise: Continue an examination 1. Please perform the following steps within the Scheduler: Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 13 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 • Select Filter by Status > Scanned items. • Select the patient and complete the registration again. 2. Select the Patient Browser icon. Defaults to Local Database. 3. Select an existing patient from the list. 4. Right-click and select New Examination. A new study is generated. 5. Complete and confirm the registration. 6. Select the Patient Browser icon. 7. Select the same patient. Right-click with the mouse and select Resume Examination. 8. Complete and confirm the registration. The study already examined is resumed within the same study. Correcting patient data Before we proceed with the patient registration, keep in mind the following information about correcting patient data: • Modify local patient data before starting the examination. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 14 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 o It is possible to change any patient data. o Correcting the height and weight attributes only affects the selected procedure. o If more than one procedure for the same patient exists, you have to change the height and weight attributes separately for every procedure. o Correcting attributes that are used for patient identification by the Scheduler only affects the selected procedure. Example: Patient ID • Constraints on patient data received from the RIS: o Only empty fields can be adapted. o Height and weight attributes can be updated even if the field has been filled out in the RIS. • Please note: Patient data is only saved locally when it is updated on the MR scanner. If the patient data is used across modalities, change the patient data in the central information system (RIS). Then refresh the data on the scanner. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 15 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Patient registration process Before you undertake the following exercises, please go to PEPconnect to learn more: Outside US Patient Registration US Patient Registration Exercise: Register a patient manually 1. Click the Register Patient icon. The Patient Registration tab of the Scheduler is shown. 2. View and enter the examination data for the patient. All fields marked with an * are mandatory. 3. Select the orange Exam button. The button is active once all mandatory fields are completed. Please note: If you select the Exam button at any time during the registration, any mandatory fields that are missing will be highlighted. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 16 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Healthineers O Scheduler Q Medical Information Examination Information Alerts More Nine Souly coffre 10 200241.07-145705-510-1.3 -- Institution Program Selection Lood Program la Quese RF Transmit Mode Patient Orientation Seleci Dewhy If any unusual values have been added by mistake, the system will show you a warning Plausibility Check dialog. Additionally, it will notify you by marking what is not set correctly in yellow. Plausibility Check ? x The entered patient values are not plausible. Please confirm or correct the values. Date of Birth 4/16/1985 i M/dlyyyy Age 39 Year(s) Height 6 - ft 0 in Weight 20 Ibs This is an unusually low weight. Confirm Cancel | Safety relevant information needs to be validated and confirmed Mandatory information Save Cancel Delete Local Please confirm or correct the unusual values. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 17 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Program Selection tab PEPconnect training Please go to PEPconnect to learn more about the Program Selection tab. Outside US Program selection video US Program selection video Overview of the Program Selection tab All Programs Examination Information Last Name SIEMENS Procedure First Name Accession Nr. Middle Name Req. Proc. ID . Patient ID > [ head Study Description . Date of Birth [Mid/yyyy] c-spine Study Comment Age [ t-spine > [ +-spine Sex . [ whole-spine . Height | ft in > [ neck soft tissue Weight | Ibs > [ thorax > [ heart Medical Information > [ breast abdomen Admitting Diagnosis . [ pelvis female > [ pelvis male Alerts › 0 tmj Program Selection > [ shoulder Select Medical Alerts elbow Load Program to Queue Allergie > O wrist > [ hand RF Transmit Mode hip Any Polarization > [ knee ankle Patient Orientation [ foot Select Isafety relevant information needs to be validated and confirmed * Mandatory information Save Cancel Delete Local Data Prior Studies Exam • Patient Data: Displays data that is entered in the Patient Registration tab. • All Programs: Here you can access all examination programs stored on the system (for example Siemens, User Programs). Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 18 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 • Examination Information: Displays specific settings from the Patient Registration tab. Exercise: Program selection When you open the Program Selection tab, the top 10 programs are displayed for selection. 1. Open the selection list and choose one of the appropriate programs (if any are available). 2. To delete items, right-click on the item and select Remove item from list (if any programs are available within the pre-selected list). 3. To select another examination, go to the All Programs section and choose an examination program from the list. All Programs Examination Information SIEMENS Procedure Accession Nr. Req. Proc. ID head Study Description c-spine Study Comment › t-spine I-spine whole-spine > neck soft tissue thorax > heart breast abdomen pelvis female › wrist Program Selection pelvis male tmj Select › shoulder Load Program to Queue elbow RF Transmit Mode hand hip Any Polarization knee Patient Orientation ankle foot IT select Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 19 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Exercise: Patient orientation The standard patient orientation positions are: • Head First Supine • Feet First Supine • Head First Prone • Feet First Prone • Head First Left Lateral • Feet First Right Lateral • Head First Right Lateral • Feet First Left Lateral 1. Select Head First Supine for a head examination. Head First Feet First Supine Supine Head First Feet First Prone Prone Head First Feet First Left Right Lateral Lateral Head First Feet First Right Left Lateral Lateral Special Orientations ... 2. Go to Special Orientations. You can find the following orientations there: • Superman Wrist Supine • Superman Wrist Prone • Superman Elbow Supine • Superman Elbow Prone Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 20 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 3. Select Superman Wrist Prone for a hand/wrist examination. Superman Superman Wrist Supine Wrist Prone O Superman Elbow Superman Supine Elbow Prone Standard Orientations ... Toolbar The toolbar is located on the right side above the patient and contains the following options: • Emergency Patient Registration • Register Patient/Add Examination • Delete Procedure Emergency Register Delete Patient Patient Procedure Exercise: Register Emergency Patient 1. Click on the Emergency Patient icon. 2. Complete only the missing mandatory fields for fast registration. Exercise: Add Examination 1. Select the Scheduler. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 21 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 2. Select the previous registered patient (for example emergency). 3. Right-click and select Add Examination. Exercise: Delete Procedures 1. Click on the Delete Procedure icon. 2. Select a locally registered patient from the Patients list. You can delete a locally registered patient from the Patients list as long as the exam has not started. User interface: Examination UI screen The Examination screen manages all individual tasks throughout the examination. It provides a general overview including the following features: • Patient Tab • Protocol Info Line • Queue • GSP Segments • Stamp Segments • Flyout Toolbar • Exam Toolbar • Parameter Card Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 22 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 • Status Bar SIEMENS Healthineers Brain Assist >LOC / . * + HAR AAhead stout 02-1094 16 14:05:32 DBT 1.3.12 3.1107 599.3 202404.19 14 03:32 087 1.3:122/19/ 5.993 2 8 th_quse_dark fuid_sag_p2 t2_qse_tra_p) 01:31 12_ghe dark luid tra 04:14 02:15 Queue & Add-In Area GSP Segments TRECON 4 4:38 min < Auto G2 @ 0.7-07-4.0mm) 1.00 Londrast Masolation Slice Group . . - FOY Reed 220 Shoes 29 TOV Plisse 100.0 Slice Thickness Distance Factor 30 TR 2000.0 Ms Exam Toolbar Pyrution BI.7 A1-4 F27.n 11.00 Orientation 5> C30 Averages rfune Intodire Dit. Stamp Segments Stime Parameter Card Area Status Bar Exercise: myExam Brain Assist 1. Register a patient. 2. Select the exam program myExam Brain Assist. 3. Click on Exam. 4. A simulated myExam Brain Assist workflow is loaded. Click GO to start the localizer. 5. During the acquisition, go to the Exam toolbar and open the Inline Display. 6. Enlarge the GSP overview segment as soon the localizer image is loaded to it. 7. Open the flyout toolbar and switch from Line Mode to Package Mode. 8. If you would like to keep the flyout toolbar always visible, you can click on the pin on the right side. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 23 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 024.04.16-14:05:32 -... ? MR View&GO Flyout Toolbar GSP Overview Segment @ 4:38 min 4 Auto @ 2 @ 0.7x0.7x4.0 mm3 1.00 Guidance Parameters Inline Display Slices are aligned by AutoAlign, Note that if you change slice positions manually, it might be impossible to reproduce these exact slice positions for Step 1 - AAhead_scout subsequent protocols and follow-up examinations. Pause Stop Carrent Display Copy Continue Position ¿ O EN 2:16:36 PM Exercise: Explore the stamp segments While the examination is running, do the following: 1. Hover the mouse over the stamp segment. The thumbnails will be automatically shown in enlarged format. Each stamp segment represents one series. 2. Check the series information displayed. Step 14 - 12_qtse_tra_p3 2 MAONINORMO _qise_tra_p3 22_qtse_tra_p3 IP HO Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 24 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Exercise: Explore the GSP segments The acquired protocols are done and loaded into the GSP (graphical slice positioning). 1. Perform a multi-selection of GSP segments. Press down Ctrl and select several GSP segments with the mouse. 2. Window the multi-selected segments. 3. Scroll through the multi-selected segments. 4. Zoom/Pan the multi-selected segments. 5. Enlarge the GSP segment by double- clicking on it with the left mouse button. Load a series from the Stamp Segments using drag and drop. 6. In the measurement queue, press and hold the left mouse button on a Series icon, and drag the series into one of the GSP segments. t1_mprage_sag_p2_iso GSP corner menus The corner menus provide specific interactive tools and other user interface elements to support individual tasks throughout the examination. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 25 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 The corner menus are available in all corners of the GSP segments. The lower-left corner menu is visible but is not activated in GSP. HPL 2020.09.25-21:03:00-DST-1.3.12.2.1107-5.99.3- 1 IMA1 FRM 1/1 RPH 5cm A TP O SP P19.6 FoV 259*259 .. /MPR/RESAMP/NORM/DIS3D Cor>Tra(3)>Sag(-3) AAhead_scout_MPR_cor W 563 276 Not for diagnostic use Exercise: Explore the upper-left corner menu 1. Select the upper-left corner menu. HPL 2020.09.25-21:03:00-DST-1.3.12.2.1107-5.99.3- 1 IMA1 FRM 1/1 Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 26 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Zoom/Pan HAR Windowing Rotate Scroll Il Movie Fit to Segment R : A Flip Horizontal 2. Zoom/Pan: Magnify or move the image within the planning segment. 3. Windowing: Adjust the image brightness and contrast. 4. Rotate: Image rotation 5. Scroll: Page through images in the planning segment. 6. Fit to Segment: The image size is adapted to the segment size. 7. Movie: Opens the Movie panel. Here you can scroll images interactively (for example Cardiac movie/real‐time movie support). B 1 60 FIS no skip Please note: Use the middle mouse button/wheel to window or center images. Press and hold the right mouse button and drag up or down to scroll through the images. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 27 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Exercise: Explore the upper-right corner menu 1. Select the upper-right corner menu. HPL 2020.09.25-21:03:00-DST.1.3.12.2.11.07-5.99.3- 1 IMA1 FRM 1/1 2. Pixel Coordinates: Activate pixel lens. HAR Pixel Coordinates Exercise: Explore the lower-right corner menu 1. Window the images. 2. Then left-click on the lower-right corner menu and select Auto Windowing. The window width and center for the images or series in the selected segments are reset to the original window values automatically. Auto Windowing auto Anatomical Display Order As Numbered # Chronological --- + Triggered M Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 28 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 3. You can arrange the appearance of images. Images displayed in the graphical planning segment (GSP) can be ordered in several ways. Select the possibilities of the Display Order function: • Anatomical appearance (image position and orientation) • As Numbered (image number) • Chronological (acquisition time) • Triggered (trigger time) Auto Windowing auto Anatomical Display Order Te As Numbered # Chronological Triggered Exercise: GSP context menu – Clear All Segments & Perpendicular 1. Open the GSP context menu. 2. Right-click on the planning segment. • Clear All Segments: Only clears planning segments. The stamp segments remain the same. • Perpendicular: Aligns object perpendicular to the reference plane. o Select the object to be aligned. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 29 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 o Right-click with the mouse and select Perpendicular from the context menu of the planning segment. DOD Clear All Segments Shift to Image Plane D-1.3.12.2.1107.5.99.3 5 Group Graphics Perpendicular Orthogonal- Align Parallel ARF Align FoV Copy Image Position 5cm ] Find Localizer Repeat Step TP 0 SP RO.7 Repeat & Open Step FoV 220*220 p2 MAGN/NOR Sag Cor(3)>Tra(1) t1_qtse_dark-flu Copy Parameters W 1144 503 Create Snapshot Exercise: GSP context menu – Copy the image position The Copy Image Position function copies the position and orientation of the image currently displayed in the GSP segment into an open target sequence in the measurement queue. 1. Open the target sequence in the measurement queue. 2. Select the reference image in the GSP segment. 3. Right-click and select Copy Image Position from the context menu. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 30 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 DOD Clear All Segments HAL 32 STD-1.3.12.2.1107.5.99.3 shift to Image Plane 5 5 Group Graphics Perpendicular Orthogonal- Align Parallel ARF Align FoV Copy Image Position 5cm Find Localizer L ER Repeat Step TP 0 SP RO.7 Repeat & Open Step FoV 220*220 p2 MAGN/NOR Sag-Cor(3)>Tra(1) t1_qtse_dark-flu Copy Parameters W 1144 503 Create Snapshot -or- Right-click on a stamp segment and select Copy Image Position. 5cm LLLLL Copy Image Position TPU SP H2.4 220*220 Sag(-1) 1330 613 Exercise: GSP context menu – Find Localizer Make sure that images are loaded into GSP planning segments. You can search for reference images acquired with the current table position using the Find Localizer function: Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 31 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 1. Open sequence pending – sequence marked with the working man – in measurement queue. 2. Right-click and select Find Localizer from the context menu of the planning segment. 3. Images of a series with the smallest deviation from the protocol table position in the Z‐direction are displayed (for example a deviation cannot exceed a system‐internal tolerance value). Exercise: GSP context menu – Shift to Image Plane Shift to Image Plane moves the center of all slices and slab groups into a defined reference plane. 1. Select a reference image in the GSP planning segment to be used as a reference plane. 2. Right-click and select Shift to Image Plane from the context menu of the planning segment. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 32 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 HAL Brain 2023.01.11-12:03:09-STD-1.3.12.2 1107.5 99.3 5 IMA 1 FRM 15/29 Dol Clear All Segments shift to Image Plane ARF 47 Group Graphics Perpendicular Orthogonal Align Parale 5cm Align Fav [DCopy Image Position Find Localizer Repeat Step Repeat & Open Step TP O SP R0.7 p2 MAGN/NORM/DIS2D Copy Parameters FoV 220*220 Sag>Cor(3)>Tra(1) ti_qtse_dark-fluid_sag_p?? Create Snapshot W 1188 C 529 Not for diagnostic use The center of the graphical object is moved into the reference plane and into the visible area of the image. Examination UI: Measurement Queue Please go to PEPconnect to learn more about the exam workflow. Outside US Exam Workflow US Exam Workflow Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 33 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Overview of the measurement queue: Part 1 5 Brain Assist LOC › › + AAhead_scout 1 2 t1_qtse_dark-fluid_sag_p2 3 t2_qtse_tra_p3 3 01:26 4 t2_qtse_dark-fluid_tra 3 04:14 5 ep2d_diff_3scan_trace_p2 3 01:42 6 t1_f12d_tra + 3 01:19 7 inject contrast agent 8 t1_f12d_tra 01:19 t1_f12d_cor 01:22 2 4 E 11:22 3 DI Go Cancel Delete Skip Stop Pause Continue Copy&Go (1) Series icon (2) Measurement time of sequence (3) Remaining overall measurement time (4) Toggle between Normal & Extended queue size. (5) Opened protocol Exercise: Working man icon 1. Select a sequence in the queue. 2. Select the Working Man icon to toggle on or off. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 34 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 • Working Man off: A sequence runs automatically if it is next in the queue. • Working Man on: Protocol icon indicates that the protocol still needs to be planned. Overview of the measurement queue: Part 2 Brain Assist LOC + 3 AAhead_scout 2 t1_qtse_dark-fluid_sag_p2 2 t2_qtse_tra_p3 3 01:26 W 1 4 t2_qtse_dark-fluid_tra 3 04:14 5 ep2d_diff_3scan_trace_p2 3 01:42 16 t1_f12d_tra 3 01:19 4 5 (1) Selected Protocol: Bordered with white box (2) Measurement in progress: Green (3) Completed measurement: Black (4) Sequence not executed in queue (5) Copy reference flags Exercise: Measurement queue – Contrast agent 1. Register a patient and select myExam Brain Assist from the Workflow Simulation Tree. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 35 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 2. Under contrast agent, select with contrast agent. Exam Strategy Standard contrast agent with contrast agent Exercise: Contrast Agent Pause and Contrast Agent icon in the toolbar 1. The Contrast Agent window opens once you reach the inject contrast agent step. Enter the information about the contrast agent being administered. Brain Assist LOC + HAR Doe, Jane Doe, Jane 1 AAhead_scout 2/23/2023 2/23/2023 2 t1_qtse_dark-fluid_sag_p2 16 IMA 1 FRM 12/23 21 IMA 1 FRM 11/22 t2_qtse_tra_p3 W 4 t2_qtse_dark-fluid_tra ep2d_diff_3scan_trace_p2 t1_f12d_tra RPH inject contrast agent 18 t1_12d_tra 01:19 Exam Paused t1_112d_cor 01:22 Patient has Contrast Agent (Vol. 0.00) Agent Name Catalog ... IS 20 2 02:41 Volume 0.00 ml Total Dose ml Active Ingredient Delete Stop Go Cancel Stop Pause Continue Copy&Go Dilution Concentration mg/ml Timing Injector Control Continue Close 2. Click on the Contrast Agent icon. This opens the Apply Contrast Agent dialog window. 3. Enter the information about the contrast agent being administered. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 36 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 LOC General information about Contrast Agent entries: • Contrast Agent Flag: Set for selected and all succeeding sequences in queue. • Agent Name: Choose Contrast Media from the list (Catalog is used to create entries for the Contrast Agent Names for example created by a customer). - • Volume of Contrast Agent administered Exercise: Add measurement program or program steps 1. Register a patient with the myExam Brain Assist Workflow. 2. Select the (+) icon on the toolbar. 3. The Add Program/Steps Card opens. 4. Select the Siemens or customer exam database. 5. Select Program Tree > Region > Exam > Program. 6. Press and hold the left mouse button on a sequence and drag it into the queue. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 37 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Brain Assist LOC + 1 AAhead_scout 2 11_qtse_dark-fluid sag_p2 t2_qtse_tra_p3 3 01:26 14 t2_qtse_dark-fluid_tra 3 04:14 ep2d_diff_3scan_trace_p2 3 01:42 6 t1_f12d_tra 01:19 7 inject contrast agent 8 t1_f12d_tra 01:19 9 t1_f12d_cor 01:22 8 11:22 Go Delete Cancel Skip Stop Pause Continue Copy&Go Exam UI queue: Toolbars Exercise: Queue – Protocol Control toolbar 1. Register a patient and select the myExam Brain Assist examination program. The measurement protocols are loaded to the queue. E 02:41 Go Cancel Delete Skip Stop Pause Continue Copy&Go 2. Go to the Program Control toolbar icons below the protocols loaded. 3. Select a protocol in the queue and press Delete on the keyboard or grab the protocol and drag and drop it into the bin. This will eliminate that protocol from the queue. 4. Right-click on sequence three and select Remove Copy References. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 38 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 5. Hover with the mouse between protocol number and protocol name. Left-click on the appearing light-grey Working Man icon to activate it. Please perform this step for the sequences three to six and add the Working Man icon. 6. Select Go to run the localizer. 7. Select a sequence and press the Skip button to skip the sequence and continue to the next measurement. 8. Select the protocol in the queue, and select Copy&Go to duplicate the protocol. Start the scan. 9. Prepare all protocols for measurement. Press Go to apply the changes that you made in the opened protocol. 10. Open a protocol in the queue and select Cancel to discard all changes that you made in the opened protocol. Exercise: Queue – Examination Toolbar: Inroom Settings 1. Register a patient and select the myExam Brain Assist program. 2. Go to the Examination toolbar icons and review the icons. O SAR Stimu Inroom Exam Physio Inline myExam Injector Settings Settings Display Display Cockpit Control First Normal Level Mode Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 39 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 3. Select the Inroom Settings icon on the Examination toolbar. O Inroom Settings Inroom Settings Inform the patient about remote table movement. Monitor the patient during remote table movement. Current Position 142 mm Position Move Table by 0 mm Lock Table Close 4. Click on Lock/Unlock table. 5. Select Table Stop. The icon is active only when the table is moving 6. Add a table value, for example 270. Now the patient table is moved precisely to the center of the measurement field. 7. Press the Home Position icon to move the table outside the magnet. 8. Select the Reset Position button to reset the current table position to zero. 9. Change the magnet bore ventilation by sliding the marker up and down. 10. Adjust the loudspeaker volume on the scanner. 11. Adjust the headphone volume on the scanner. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 40 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 12. Adjust the lighting on the scanner. • Bore lighting • Ring lighting (additional license) • Funnel lighting (additional license) 13. Close the Inroom Settings window. Exercise: Queue – Examination Toolbar: Exam Settings 1. Select the Exam Settings icon on the Examination toolbar. Exam Settings Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 41 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Exam Settings ? x Table Move Show Notification Automatic Voice Commands Command Language English (United Stat ... Commands Duration Breathe evenly 3.85 Continue breathing. 2.75 Hold breath (exhaled). 6.3s Hold breath (inhaled). 8.99 Hold breath as long as possible 9.75 Hold breath as long as possible ( 10.5s Shallow breathing 3.0s Sharp exhale 5.65 Short: Hold breath (exhaled). 3.0 Short: Hold breath (inhaled). 3.1s Play Stop Playback 4 40 Close 2. Select Table Move to enable Show Notification. This triggers a display of a warning message in the Examination UI when the table is moved automatically. The user then has to confirm for the table movement when the measurement will be started. 3. Select the language of your preference for Automatic Voice Commands. There are 14 languages available. Please note: If an instruction is not available in the selected language, the speaker symbol and duration time are not displayed. 4. Press Start/Stop playback of selected instructions. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 42 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 5. Adjust the voice output playback volume using the playback volume slider. Exercise: Queue – Examination Toolbar: Physio Display 1. Select the Physio Display icon to display the signal type and number of signal tracks. Physio Display If you click on the arrow next to the ECG I or ECG II label, you can change the signal type and number of signal tracks. ECG IV 60 /min RR-1 1000 ms ECG II O SAR Stimu Inroom Exam Physio Inline Display myExam Injector Settings Settings Display Cockpit Control First Normal Level Mode 2. Modify the triggering view displayed: • Click on the arrow next to the ECG label. Select ECG I, II, or III for physio triggering. • One or two signals: Click on the arrow next to the ECG. Remove Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 43 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 signal or select Two Signals (for example ECG, ECG + Pulse). 3. Physiological signal curves: • Click on the arrow next to the gear wheel icon (Settings menu) in the top right corner - Available options • Triggering procedure for individual signal curves • Display rate of all signal curves • Display of statistical values AII ECG ECG I ECG II ECG III PULSE Beat Sensor Cardiac RESP External Signal External Signal II Two Signals If you wish to learn more about ECG triggering, please follow the link on PEPconnect: Outside US MR Cardiac ECG Triggering Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 44 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Exercise: Queue – Examination Toolbar: Inline Display 1. Select the Inline Display icon to automatically display inline images: Inline Display 2. Go to Queue. Start one of the scanning protocols by clicking the Go button to run it. 3. Observe the images appearing in the Inline Display window. You will see the following in there: • Images reconstructed from a scanner • Graphics of a measurement Please note: Scrolling through images within the Inline Display window is not possible. Exercise: Heart examination with Ventricular Function workflow steps Please note: This exercise is not applicable to MAGNETOM Free.Max and MAGNETOM Free.Star systems. 1. Register a patient and select Heart > Heart > Ventricular Function. 2. Select Go to run the localizer and series two to five. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 45 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 3. Open Inline Display to see the real acquisition of CINE images. 4. Right-click in the image area. The Inline Display context menu opens. 5. Perform zoom/pan with the middle mouse wheel. Then select Fit to Segment. This will reset the zoom/pan values of images displayed to fit the segment size. 6. Select Image Text (on/off) to remove or add image text. Please note: Off is recommended for real‐time scanning. 7. Click on Clear Segment to empty the image area of Inline Display. Fit to Segment Image Text (on/off) Copy Image Position 000 Clear segment Step - - - ? X Auto Save ave Pause COPY Continue Current Display Continue Position 8. Select the myExam Cockpit icon. myExam Cockpit Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 46 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 9. Open/close myExam Cockpit. Here you can find all the available examination trees and protocols. myExam Cockpit - Program Editor (Program Path - SIEMENS/head/Brain Assist/program) ? 0 x Explorer Program Editor Browse Import Export Edit Simulate >> Standard Browse Search Default SIEMENS >> head >> Brain Assist >> program myExam Autopilot USER Brain Assist| Neuro Patient View V Standard Resolution focus Speed focus AAhead_scout 00:14 AAhead_scout 00:14 AAhead_scout [ c-spine AutoAlign Scout AutoAlign Scout AutoAlig [ Female Pelvis t1_qtse_dark-fluid_sag_p2 04:38 t1_space_fs_sag_p2_iso 06:06 t1_f12d_sag_p2 Generic Views [ Head 2 O MPR Assignment Gener t2_qtse_tra_p3 01:08 t2_space_sag_p3_iso 05:57 t2_haste_tra_p2 › Hip Generic Views 22 MPR Assignment 3 Gener [ Knee t2_qtse_dark-fluid_tra 04:14 t2_space_dark-fluid_sag_p2_ns-t2prep 06:13 t2_qtse_dark-fluid_tra_p3 Shoulder Generic Views O MPR Assignment Gener > Shoulder (2) ep2d_diff_3scan_trace_p2 01:42 ep2d_diff_4scan_trace_p2 01:54 ep2d_diff_3scan_trace_p2_130 Shoulder (3) O Generic Views Generic Views 3 Gener MPR planning MPR Planning t1_f12d_tra 01:19 t1_f12d_tra_p2 O Generic Views O Gener contrast agent contrast agent contrast agent with contrast agent with contrast agent with contrast agent inject contrast agent inject contrast agent inject contrast agent t1_f12d_tra 01:19 t1_space_fs_sag_p2_iso 06:06 t1_f12d_tra_p2 00 1 Generic Views MPR Assignment Generic Vie t1_f12d_cor 01:22 t1_f12d_cor_p2 00 O Generic Views Generic Vie Select a Program or Library Strategy Decision Interaction Pause To learn more about myExam Cockpit, please follow the link on PEPconnect: Outside US myExam Cockpit and myExam Assist (Dot Cockpit and Dot Engines) US myExam Cockpit and myExam Assist (Dot Cockpit and Dot Engines) Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 47 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 Check the Status Bar icons in the lower- right corner of the exam UI. EN 9:56:39 PM Exercise: Explore Status Bar 1. Click on Server Load – Degree of utilization for available system resources – click to open the Job View dialog window. 2. Select Storage Capacity – hard disc fill level. Float the mouse over the icon to display the percentage value. To learn more, please follow the link on PEPconnect: Outside US System Messages and Message History US System Messages and Message History (XA30) Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 48 of 49 SmartSimulator Workbook | Basics: Scan UI Effective Date: 12 Nov 2024 | QR700015740 To test your knowledge of Scan UI, we recommend taking an online self- assessment on PEPconnect: Outside US Scan UI Online Self-Assessment Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, Page 49 of 49