SmartSimulator Workbook - Basics: Examination of the Lumbar Spine VA10F

SIEMENS Healthineers SmartSimulator workbook Basics: Examination of the lumbar spine YSIO X.pree VA10F smartsimulator.siemens-healthineers.com/ Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Effective Date: 9 Jan 2024 | QR700004089 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 Table of contents Foreword 3 Disclaimer 4 Examination of the L-spine in two views 5 Scheduler 6 Examination 8 Viewing 11 Distribution 14 Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 2 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 Foreword Dear participant, Welcome to the SmartSimulator workbook. This workbook will guide you through your lab sessions with YSIO X.pree VA10F in the SmartSimulator. You will have a maximum of 8 hours with your YSIO X.pree SmartSimulator. So make the most of it! Have some fun and explore what it can do. The material in this workbook is based on the syngo XR platform’s general features and includes a workflow guide for lumbar spine examinations in two views. Good luck and we hope you enjoy your SmartSimulator time! Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 3 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 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 Headquarters 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, 2024 Page 4 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 Examination of the L-spine in two views Before starting this workbook, please complete the following trainings on PEPconnect: Outside US: syngo XR Software Overview Online Training (Part 1) syngo XR Software Overview Online Training (Part 2) syngo XR Software Overview Online Training (Part 3) syngo XR Software Overview Online Training (Part 4) US: syngo XR Software Overview Online Training (Part 1) syngo XR Software Overview Online Training (Part 2) syngo XR Software Overview Online Training (Part 3) Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 5 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 syngo XR Software Overview Online Training (Part 4) Scheduler You would like to register or select a patient in the imaging software of your system. Patient data can be provided by a RIS worklist or a manual registration. Creating an emergency patient or querying with the barcode reader is also possible. To register a new patient, you can enter patient data manually if the data is not supplied by the HIS or RIS. Exercise: Manual Patient Registration 1. Unlock the screen by clicking on Unlock Screen. 2. Click on the Patient Browser icon. SIEMENS Healthineers 3. Make sure you have selected the Scheduler tab. 4. To register a new patient manually, select the Add Patient icon. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 6 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 5. Enter the following demographic data of the patient into the data fields that are marked with an asterisk. Apart from the mandatory fields, also put in the first name and gender. o Last Name: Doe o First Name: John o Gender: Male o Patient ID: DJ_12041995 o Date of Birth: December 4, 1995 (mm/dd/yyyy) 6. Select the Clinical Protocols tab. 7. Select the body region Spine in the illustration. 8. Scroll down the Available Clinical Protocols and select L-Spine 2 views. 9. Select the plus icon next to the L- Spine 2 views to assign this clinical protocol to the patient John Doe. 10. Select Exam to continue. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 7 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 Examination The Patient John Doe has now been registered with an L-Spine 2 views examination successfully. In this scenario, after the registration, you have already entered the examination room and centered the X-ray tube to the patient table. The patient is positioned correctly in a supine position and proper collimation to the L- spine has been applied. Lead protection has been provided to the patient as well. SIEMENS Healthingers After instructing the patient to keep still, you now return to the control room to adjust the exposure parameters and release the radiation. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 8 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 Exercise: L-spine examination John Doe is a larger patient, which means you have to adjust the exposure parameters to acquire a good clinical image. However, you also have to follow the ALARA principle (As Low As Reasonably Achievable). Seek to reduce the radiation dose to only the amount necessary. 1. First of all, check that the Clinical Protocol Step L-Spine a.p. is selected. 2. Change the Patient Size from M to XL. 3. Make sure that the Acquisition Type is Table. 4. Check that the middle Measuring Field is selected. All preconditions for the examinations are now met. We are ready to expose. 5. Select the StartRad icon within the simulation. x StartRad | Start Ortho Shutdown 3_1_MERCURY_C168726_20220215.1 6. The simulated L-spine a.p. image is now displayed. You do not want to repeat the exposure, but switch to the L-spine lat. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 9 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 7. Select the Clinical Protocol Step L- spine lat. on the left side of your examination screen. After selecting the L-spine lat., you now go back into the examination room. Position the patient in the correct lateral position. Proper collimation has been applied and lead protection has been provided to the patient as well. 8. Repeat steps 2 to 4. 9. Select the StartRad icon. A 4 X StartRad | Start Ortho Shutdown 3_1_MERCURY_C168726_20220215.1 10. The simulated L-spine lat. image is now displayed. You do not want to repeat the exposure. You are now finished with the examination workflow of the L-spine. Before switching to the Viewing tab to post-process your L-spine images, you head back to the examination room to help your patient off the table. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 10 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 Viewing Various tools are offered to change the acquired images. For this scenario, we want to crop the image, and add a laterality label and an annotation. Layout The Viewing tab is divided into the Viewing Tools, the Static Tools, and the Series Navigator. The Viewing Tools are separated into four subcards: Favorite Tools, Image Manipulation, Measurement and Annotation, and Image Visualization. The layout of the Favorite Tools may vary between the SmartSimulator and your system configuration. Exercise: Image Manipulation The Image Manipulation card offers different tools to manage your image. You can rotate, change the contrast and brightness windowing, flip the image horizontally or vertically, and crop the image. We want to adjust the cropping. 1. Make sure that the L-spine a.p. image is selected in the bottom-right corner. 2. Select the Image Manipulation tab card. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 11 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 3. Click the Crop icon. 4. To crop the image, drag the blue frame to where you want it to be. Slightly change the left side of the collimation. 5. Confirm your changes by tapping the check mark icon on the bottom of the image. Exercise: Measurement and Annotation The Measurement and Annotation tab card offers tools to add laterality labels or annotations, and to perform different measurements. We want to add a laterality label and an annotation. 1. Select the Measurement and Annotation tab card. 2. Select the L Label icon. 3. Choose the desired location in the image and click in the image. You can reposition the laterality table with drag-and-drop. 4. Confirm your choice of location by selecting the check mark on the bottom of the image. 5. Select the annotations icon to continue. 6. Choose + Add free text. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 12 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 7. Next, you click the L-spine image where you want the text to appear. We want the text to appear below the label L. Click the desired image area. 8. A text field appears in the location that you have chosen. Please type in Supine. 9. Confirm your text with the check mark. 10. Select the L-spine lat. image in the bottom-right corner and repeat steps 2 to 9. Both images have been post-processed. You are now ready to send the image to the archive. 11. Select the Distribution tab card to see the export options. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 13 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 Distribution The Distribution mode has opened. All acquired images for our patient John Doe are displayed. They can be selected or deselected for export by tapping the check boxes. Exercise: Distribution On the right sight of the screen, the distribution tools have opened. If necessary, you can select a different target for the export. Select Export to export the images immediately. Depending on your system configuration, an auto-routing of the images might be set up and this workflow might not be necessary. 1. Additionally to the L-spine a.p. and the L-spine lat. image, the dose report is displayed as in the overview as well. 2. Make sure that all check boxes are selected. 3. Click on the Export button on the right side within the Distribution Tools. 4. The export job has now been started and you can close the examination by clicking on Close on the bottom-left side in the distribution workflow. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 14 of 15 SmartSimulator workbook | Basics: Examination of the lumbar spine Workbook Effective Date: 9 Jan 2024 | QR700004089 Please note: On the SmartSimulator, the final export job will fail since it is only a simulated environment. Unrestricted | Published by Siemens Healthineers AG © Siemens Healthineers AG, 2024 Page 15 of 15