Somaris 7 CT Interventional workflow

Somaris 7 CT Interventional workflow job aid SOMATOM Definition systems with Intervention package or 3D Intervention Suite This job aid is designed as a learning tool to guide you through a basic CT intervention workflow on the SOMATOM Definition family scanners. Protocol Selection Three scan modes are available in the intervention mode: 1. i-Spiral • Provides most z-axis coverage. Topogram • Is best for complex needle angles. i-Spiral • MPR segments can be generated automatically. • Used for localizer scan. 2. i-Sequence: Topogram • Lowest dose i-Sequence • i-Needle Sharp and HandCARE™ available. • Limited range MPR segments can be generated automatically. Topogram 0 3. i-Fluoro i-Fluoro • Highest dose. • Dynamic imaging. • HandCARE available. Preparation 1. Place the patient in the proper position, per the radiologist’s request. 2. In the Patient Model Dialog, ensure the patient orientation matches the actual patient posi- tion on the table. 3. Isocenter the patient in the standard manner. 4. Select the desired Intervention protocol for the appropriate body region. 5. Select the appropriate side for the intervention monitor. This ensures the correct orientation of the patient images (head/center/foot). Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 07/26/2024 | QR700010904 Healthineers Planning 1. Acquire the topogram. 2. Perform the i-Spiral range to the area of interest with an open FoV. SP 2: LEN: FOV ON 3. Scroll through the axial images until the desired target is located. 4. Distance can then be measured by opening the 3D Intervention Toolbar and selecting the ruler. 5. Place the cursor on the target, hold the LMB (left mouse button) down, and drag it to the entry point. TH OS Head Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/26/2024 | QR700010904 Healthineers Page 2 of 7 6. With the desired axial target image still selected (blue border), select the table position drop-down and select the Same TP option. This will move the target skin entry point to the center of the gantry and in line with the transverse laser light. Move Out Same TP Last SP ht -1698.0 125.0 7. Save as Table Position 1 on the toolbar. 8. Save as a Key Image if desired from the toolbar. Note: Can drag and drop from the browser into an open segment on 2nd monitor, if available, for reference. 9. Switch to the i-Sequence mode for the lowest dose and select Move scan range to dis- played table position. 10. Make any desired adjustments to Zoom/Pan. 11. Load scan. Load Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/26/2024 | QR700010904 Healthineers Page 3 of 7 Procedure 1. With the table at the correct position, turn on the laser and mark the skin entry point. 2. Move the table out to a comfortable working position and save as Table Position 2 on the i-Control. 3. The radiologist will begin the procedure by prepping the insertion area, administering local anesthetic, and placing the needle. 4. Return to the desired scan location by using the Move to Saved Position 1 on i-Control or un- der the Routine tab Table > Position > Saved TP. Note: If the patient is in the proper position, and a Move Table command is present, use the Cancel Table Move button. This will allow the scan to be performed at the current table po- sition. 5. A sterile drape cover may be used to allow the performing physician to use i-Control. 6. HandCARE or i-Precision View can be activated if desired. Activate HandCARE based upon needle entry point (10, 12, or 2 o’clock) to • reduce exposure to the radiologist’s hand. Scan start Start button HandCARE INone ge None 10 o'clock position jin 12 o'clock position 551.7 2 o'clock position • iPrecision View is used to acquire an image with a higher or lower amount of X-rays and is set based on percentages. MAS 100 CARE Dose i-PrecisionView - 200% pa 120 - Note: The value is only used for the next scan and returns to the defaulted value after the exposure is completed. 7. Scan can be initiated by the Foot Switch or Start Button by selecting from the Scan Start menu. Scan start Startbutton Table control Start button Foot switch Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/26/2024 | QR700010904 Healthineers Page 4 of 7 8. Perform subsequent scans and correct the needle path toward the target. Post-procedure 1. When the procedure has been completed, and a post-procedure scan is desired, return to i- Spiral and adjust the scan range. 2. When all imaging is completed, select Cancel to exit intervention mode and end the exam. 3. Go to Patient > Browser > Local Database. 4. Select the patient and desired images to transfer to PACS. Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/26/2024 | QR700010904 Healthineers Page 5 of 7 2 5 6 7 8 9 10 11 1 W Last Cutterit sign position image position Re active a Continuoen sesemental Laser Navigation .11 Gangry ti (25 17 14 12 26 24 23 22 20 18 16 15 13) 21 (19) 1. Saves the current table position as the predefined position 1 2. Saved position 1: Moves the table to the predefined position 1 3. Saves the current table position as the predefined position 2 4. Saved position 2: Moves the table to the predefined position2 5. Last scan position: moves the table to the scan position used for the last scan 6. Prompts move to current (active) image position 7. Laser: Switches on and off the laser light marker 8. Blowup image 9. Save displayed images as key images 10. Move Active segment: Toggles image segments 11. Toggle window: Toggles between 3 organ windows (same as F2, F3, F4 fast keys on keyboard) 12. Mouse joystick 13. Right mouse key 14. Middle house key 15. Left mouse key 16. Power ON/OFF 17. Cursor/ Navigation: toggles between the joystick functions and image scroll 18. Tableside location: selects the side of the patient table of the i- control 19. Lowers the patient table 20. Moves the table horizontally to the selected position (only available if a move request is active) 21. Elevates the patient table 22. Cancel move 23. Gantry tilt: Tilts the gantry into the negative direction, away from patient table 24. Gantry tilt: tilts the gantry into the positive direction, towards the patient table 25. Continuous/incremental: toggles between incremental and continuous table movement 26. Joystick for horizontal movement Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/26/2024 | QR700010904 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 Healthineers AG 2024 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthineers AG Siemens Medical Solutions USA, Inc. Siemens Shanghai Siemensstraße 3 40 Liberty Blvd. Medical Equipment Ltd. 91301 Forcheim, Germany Malvern, PA 19355-9998 USA 278 Zhou Shu Road Phone: +49 9191 18-0 Telephone: +1-888-826-9702 Shanghai 201318 siemens-healthineers.com Customer Care Telephone: P.R. China +1-800-888-7436 Telephone: +1 847 304 7700 Unrestricted | Published by Siemens Healthineers AG, 2024 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/26/2024 | QR700010904 Healthineers Page 7 of 7