SOMATOM go.Open Pro Direct i4D Workflow Online Training

Continue Continue Untitled Scene SOMATOM go.Open Pro Direct i4D Workflow Online Training This online training will introduce you to the Direct i4D workflow and covers the following four learning objectives: Understand the principle of Direct i4D 1 Know about the breathing curve on the tablet 4 Remember the Direct i4D workflow steps 3 Realize the benefits of using Direct i4D 2 Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Welcome [Audio file name: audf_som_go_open_pro_direct_i4d_wf_olt_welcome.mp3] Welcome to the SOMATOM go.Open Pro Direct i4D Workflow Online Training. This online training will introduce you to the Direct i4D workflow and covers the following four learning objectives: Introduction Direct i4D Challenge: Irregular breathing of the patient can cause image artifacts during scan acquisition. ð Accuracy is essential when irradiating moving targets. Push the boundaries for challenging cases, for example, for lung / liver imaging thanks to intelligent 4D CT with Direct i4D. Direct i4D: First 4D CT sequence intelligently adapting to the patient’s breathing in real time. Result: Reducing unwarranted variations in the images can potentially decrease target margins. Please note: Direct i4D is an optional feature and only available with SOMATOM go.Open Pro. Direct i4D only works with the online mode, enabled by either Anzai or Varian RGSC. Interpolation artifacts Image artifacts without Direct i4D Reduced image artifacts with Direct i4D Images courtesy of Stichting Maastricht Radiation Oncology, Maastricht, The Netherlands ? Introduction Direct i4D [Audio file name: audf_som_go_open_pro_direct_i4d_wf_olt_introduction.mp3] A well-known challenge in your daily routine: Patients often breathe irregularly during 4D scan acquisition, which causes image artifacts. But accuracy is essential when irradiating moving targets. SOMATOM go.Open Pro allows you to expand precision medicine and push the boundaries for challenging cases. You can, for example, push the boundaries for lung / liver imaging thanks to intelligent 4D CT with Direct i4D. Direct i4D is the first 4D CT sequence that intelligently adapts to the patient’s breathing in real time. The algorithm monitors the breathing pattern throughout acquisition and reconstruction. The result: Reducing unwarranted variations in the images can potentially decrease target margins. Please note: Direct i4D is an optional feature, only available with the SOMATOM go.Open Pro scanner. It only works with the online mode and requires a respiratory gating device supporting online mode, for example Anzai or Varian RGSC. Clinical Benefits and Advantages of Direct i4D* Reduced artifacts by ensuring all data are acquired during each breathing cycle Robust and simple 4D image acquisition for every user Enables 4D images with virtually no artifacts related to incomplete breathing cycles More confident treatment planning with potential for smaller target margins *optional for SOMATOM go.Open Pro with online mode, online gating device such as RGSC or Anzai is required Video courtesy of University Hospital Erlangen, Erlangen, Germany ? Clinical Benefits and Advantages of Direct i4D [Audio file name: audf_som_go_open_pro_direct_i4d_wf_olt_benefits.mp3] Direct i4D offers various benefits and advantages when using it with your SOMATOM go.Open Pro scanner: Reduced artifacts by ensuring all data are acquired during each breathing cycle Robust and simple 4D image acquisition for every user It enables 4D images with virtually no artifacts related to incomplete breathing cycles More confident treatment planning with potential for smaller target margins Introduction to Direct i4D* Workflow *optional for SOMATOM go.Open Pro with online mode, online gating device such as RGSC or Anzai is required ? Introduction to Direct i4D Workflow [Audio file name: audf_som_go_open_pro_direct_i4d_wf_olt_intro.mp3] Our solution consists of 3 main steps: The first step is the selection of the correct scan parameters based on the breathing pattern prior to the scan. We call this FAST 4D. In the second step, Direct i4D adapts the scan duration to the patient’s breathing pattern in real time. This is a sequential scan. And in the third step, the intelligence of Direct i4D chooses the optimal data for 4D CT reconstruction. Direct i4D Workflow Steps In this chapter, we will guide you through the Direct i4D workflow. Select the numbered steps below to learn more about it. Please note: The following steps describe the pure workflow without any configuration. Please ask your Application Specialist about the configuration of Direct i4D. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 8 8 8 9 9 9 Direct i4D Direct i4D monitors the breathing throughout acquisition and reconstruction and is the first 4D CT sequence that intelligently adapts to the patient’s breathing in real time. ? Direct i4D Workflow Steps [Audio file name: audf_som_go_open_pro_direct_i4d_wf_olt_steps.mp3] In this chapter, we will guide you through the Direct i4D workflow. Select the numbered steps below to learn more about it. Please note: The following steps describe the pure workflow without any configuration. Please ask your Application Specialist about the configuration of Direct i4D. Step 9: Finalize the Examination 9 You can finalize an examination at any time, even if some tasks are not yet completed. In the taskflow control, select the Close task. The Job Status tab opens. It provides an overview of all recon jobs, their status, and auto tasking settings like Auto View&GO or Auto Printing. If applicable, check the Auto Tasking parameters. In the execution control, click the Close button. The patient is closed. All pending recon jobs are processed in the background. After closing the patient, the Scheduler will open automatically. Now you can select the next patient to continue with the next examination. Step 8: Apply Image Grid and Cine Mode 8 Only in Sim&GO we offer the Image Grid and the cine mode to get a first impression of the tumor movement. Proceed as follows: Once the 4D data is loaded to Sim&GO, you can open the Image Grid by clicking the corner menu at the top right. To open the cine mode, from the Series panel, load the desired phase of the study by dragging it with the right mouse button. Then select Replace As 4D. A movie player opens where you can start the movie or jump forward and backward between the single phases. Step 7: Perform Patient Marking 7 Once the images are reconstructed and loaded to CT View&GO, select the data and click Sim&GO in the toolbar area to load them into the workflow. After the data is loaded to Sim&GO, create the isocenter in the region of interest and click Set To Crosshair. Click Mark Patient. The laser will reach the Z- and X-position. For the Y-position, a move request for the table will appear at the bottom of the console. Once the RT Laser and the table are in defined position, all values will become green and you can mark the patient's skin physically. After the patient is marked, click the Marked checkmark and you can finalize the examination at the acquisition workplace or on the tablet. Step 6: Perform Image Reconstruction 6 After a scan is completed and the image quality is approved, you can proceed to the Reconstruction task. The reconstruction parameters are preset in the scan protocol, but they can still be adapted: In the Recon Ranges section, double-click a recon icon of a recon job to open the Parameter panel and edit the presets. Select Recon All in the execution control area to start all reconstruction jobs previously configured with Recon&GO. Select Next to continue with Patient Marking or to close the step. Reconstruction Possibility to perform series splitting (= multi-phase splitting, turned on by default for the multi-phase reconstruction) Possibility to reconstruct Average, t-MaxIP, t-MinIP or single phase reconstruction DirectORGANS can only be applied with Average, t-MaxIP, t-MinIP or single phase reconstruction Step 5: Check Image Quality Upon receival of the images, the Check&GO algorithm is activated. The algorithm checks the anatomical coverage based on the images and the uniform and adequate distribution of contrast media if applied. The quality check stops all auto reconstructions until the quality is approved by you. You can view the coverage or image quality of the scan by right-clicking and moving the mouse up and down to scroll through the displayed images. 5 Step 4: Perform Tomogram Scan 4 To perform the tomogram scan, proceed as follows: Define and adapt the scan range in the topogram segment. Select the FAST 4D button on the Execution Control. On the Control Box next to you, press the Move table key. The FAST 4D evaluation starts. Click GO on the Execution Control. The scan parameters are being loaded. Then press the Start key on the Control Box next to you to start the tomogram scan. With starting the tomogram scan, the patient’s breathing curve will be shaded in green. Fast 4D The FAST 4D workflow automatically adapts the scan parameters rotation time and pitch of the scan based on the actual patient breathing rate. Direct i4D is a sequential scan mode. It adapts the scan duration to the patient breathing pattern in real time. The scan takes place for one complete breathing cycle. If the system recognizes a breathing cycle which is too shallow, it waits until an adequate breathing cycle is achieved and scans until it has acquired enough data. Step 3: Perform Topogram Scan 3 Check the patient position and select Confirm to continue. Select GO to activate the topogram scan, then press the highlighted Start button on your control box next to you to start the topogram scan. The topogram is displayed in real time in the topo segment and can be suspended at any time if its length goes beyond the necessary anatomy. FAST Planning automatically places the correct recon range for you. If you wish to make additional adjustments to the recon range, grab any of the white dots and modify the recon range accordingly. Prerequisite: DirectORGANS structure template is assigned. To start the lung examination, click the Thorax as desired body region on the schematic body map or the RTP folder. All available scan protocols are displayed on the list to the right. Select the RTP Respiratory Motion Management [factory] scan protocol. Select Add. Then select OK to apply the protocol. Step 2: Select Scan Protocol 2 Step 1: Select Patient from Patient Browser On the Home screen, select Examination to perform a CT examination. System connected to a RIS: All scheduled patients are listed in the Scheduler of the Patient Browser. Select the patient and the patient data will be displayed on the Patient Registration dialog on the right side of the Patient Browser. System not connected to a RIS: Patient data can be entered and saved here manually. Check the patient data and medical information. Select Exam to load the selected patient. 1 ? Direct i4D Mobile Workflow: Breathing Curve on Tablet As part of the Scan&GO workflow, you can observe the breathing curve of the patient and the RGS name on the tablet. The breathing curve can be displayed without the need to select a scan protocol or patient. This helps to get an impression of the patient breathing. The screenshot on the right shows the tablet layout. Direct i4D Mobile Workflow: Breathing Curve on Tablet [Audio file name: audf_som_go_open_pro_direct_i4d_wf_olt_tablet.mp3] As part of the Scan&GO workflow, you can observe the breathing curve of the patient and the Respiratory Gating System (RGS) name on the tablet. The breathing curve can be displayed without the need to select a scan protocol or patient. This helps to get an impression of the patient breathing. The screenshot on the right shows the tablet layout. Know about the breathing curve on the tablet Remember the Direct i4D workflow steps Realize the benefits of using Direct i4D Understand the principle of Direct i4D Course Review Congratulations. You have completed the SOMATOM go.Open Pro Direct i4D Workflow Online Training. Select the objectives listed below to review the material before proceeding to the final assessment. 1 1 1 2 2 2 3 3 3 4 4 4 ? Course Review [Audio file name: audf_som_go_open_pro_direct_i4d_wf_olt_cr.mp3] Congratulations. You have completed the SOMATOM go.Open Pro Direct i4D Workflow Online Training. Select the objectives listed below to review the material before proceeding to the final assessment. Know about the Breathing Curve on the Tablet As part of the Scan&GO workflow, you can observe the breathing curve of the patient and the RGS name on the tablet. The breathing curve can be displayed without the need to select a scan protocol or patient. This helps to get an impression of the patient breathing. The screenshot of the tablet on the right shows you what this looks like. Remember the Direct i4D Workflow Steps The Direct i4D Workflow consists of the following 9 steps: Step 1: Select patient from Patient Browser Step 2: Select scan protocol Step 3: Perform topogram scan Step 4: Perform tomogram scan Step 5: Check image quality Step 6: Perform image reconstruction Step 7: Perform Patient Marking Step 8: Apply Image Grid and cine mode Step 9: Finalize the examination Realize the Benefits of Using Direct i4D Direct i4D offers various benefits and advantages when using it with your SOMATOM go.Open Pro scanner: Reduced artifacts due to elimination of missing data (everything is covered) Robust and simple 4D image acquisition for every user Enabling 4D images with virtually no artifacts related to incomplete breathing cycles More confident treatment planning with potential for smaller target margins Understand the Principle of Direct i4D Direct i4D is the first 4D CT sequence that intelligently adapts to the patient’s breathing in real time. The algorithm monitors the breathing pattern throughout acquisition and reconstruction. The result: Reducing unwarranted variations in the images can potentially decrease target margins. Please note: Direct i4D is an optional feature and only available with the SOMATOM go.Open Pro scanner. Direct i4D only works with the online mode. An online gating device such as RGSC or Anzai is required. Image artifacts without Direct i4D Reduced image artifacts with Direct i4D Images courtesy of Stichting Maastricht Radiation Oncology, Maastricht, The Netherlands 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 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. 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 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 100% is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Step 6: Perform image reconstruction > Step 7: Perform Patient Marking > Step 8: Apply Image Grid and cine mode Step 4: Perform image reconstruction > Step 5: Perform tomogram scan > Step 6: Check image quality Step 2: Select scan protocol > Step 3: Perform tomogram scan > Step 4: Perform topogram scan Step 5: Check image quality > Step 6: Perform Patient Marking > Step 7: Perform image reconstruction Which order of Direct i4D workflow steps is correct? Question 1 of 2 Select the best answer. ? Multiple Choice Question Incorrect This order of Direct i4D workflow steps is incorrect. Incorrect This order of Direct i4D workflow steps is incorrect. Incorrect This order of Direct i4D workflow steps is incorrect. Correct On the tablet, Direct i4D can display the breathing curve without the need to select a scan protocol or patient. Direct i4D enables 4D images with virtually no artifacts related to incomplete breathing cycles. Direct i4D is the first 4D CT sequence intelligently adapting to the patient’s breathing in real time. Direct i4D is available on the SOMATOM go.Sim scanner. Question 2 of 2 Which statements about Direct i4D are correct? Select three (3) answers. ? Multiple Answer Question Correct Incorrect One or more answers are incorrect. Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. You have completed the SOMATOM go.Open Pro Direct i4D Workflow Online Training. Completion Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Timeline Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide HOOD05162003208841 | Effective Date: 31 AUG 2021 1.1 Welcome 1.2 Introduction Direct i4D 1.3 Clinical Benefits and Advantages of Direct i4D 1.4 Introduction to Direct i4D Workflow 1.5 Direct i4D Workflow Steps 1.6 Direct i4D Mobile Workflow: Breathing Curve on Tablet 1.7 Course Review 1.8 Disclaimer 1.9 Assessment 1.13 Completion