SOMATOM go. Routine Scan Workflow on Console (VA20/30) Workbook

SOMATOM go. Routine Scan Workflow on Console (VA20/30) Workbook Content Foreword 2 1 syngo CT VA30 simulator 4 1.1 Display menus 5 1.2 User role change 11 2 Scan Workflow on Console 13 2.1 Brain scan 13 2.1.1 Image data preparation 13 2.1.2 Brain scan workflow 14 2.2 Thorax/Abdomen scan 17 2.2.1 Image data preparation 17 2.2.2 Thorax/Abdomen scan workflow 18 2.3 Pulmonary CTA scan 21 2.3.1 Image data preparation 21 2.3.2 Pulmonary CTA scan workflow 23 SIEMENS Healthineers Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Job Aid Effective Date: 24 Nov 2022 | HOOD05162003316942 Foreword Dear Participant, Welcome to the SmartSimulator Workbook! This workbook will guide you through your lab sessions on a self-guided journey with syngo CT VA30 in the SmartSimulator. You will have a maximum of 2 hours with your SOMATOM go. VA30 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 Page 2 of 29 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 Page 3 of 29 1 syngo CT VA30 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 can close the System Malfunction window by pressing the OK button. Do not System Malfunction osses! SYSTEM MALFUNCTION DETECTED --- THE SYSTEM IS NOT READY TO PERFORM EXAMINATIONS 1. Brskate the shutdoun'of the system by cicking he SHUTDOWN icon on the HOME tenen Dit by primoang lfai CtOFF tuztin in twe Dartry Connector Box in the nght gantry starat. Cartry Connector Ilne. E a system mafuncion reoccurs, please contact the Customer Care Press OK again to close the System Monitor window. System Monitor ? 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 Page 4 of 29 1.1 Display menus You are now in the syngo CT software user interface. Ci Patient Marking Zim Examination System Check 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 System Check Lock Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 5 of 29 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/menus by clicking the – button. Do NOT close it by clicking x. - X Help X KIOSK Mode (restart n RunSomaris INIT If the ConTobo (Control Tool Box) 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 Page 6 of 29 1.2.1 Display ConTobo Display X ConTobo KIOSK Mode (restart n RunSomaris INIT Simulator Add New Patients Explorer Admin SyngoShell Exam Designer Scan and GO Patient Marking Sim Some interesting tools for your hands-on session: • RunSomaris INIT (please do not click on it now): Restart Somaris in the event of software problems. It takes about 3 minutes to restart the syngo software UI. • Simulator: Reopen the Simulator window. • Add New Patients: Will automatically create new patients in the scheduler for the examination. • Scan and Go: Starting the tablet UI. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 7 of 29 1.2.2 Display Simulator – Body Image Display Simulator Gantry and IRS simulator (ver. 2.2.9.2) on P60A (impaCT / X.cite) with Vario2 Test Image State: Activated Body Image Body Image A Install Image data Phantom Image Topogram parameter Cardio Config Topogram image file ... x Length [mm]: 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 L\SimulatorimageData\Fullbody ... x 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 IRS Parameter Common parameter SimCom Configuration X-Offset [mm] 0 Y-Offset [mm] 0 Z-Offset [mm] 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 Rese Apply You will mainly use the Body Image area: • 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 Page 8 of 29 Controlbox Gantry remote Wall switch (don’t click it, Footswitch control or the system will be shut down) • 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 off) Footswitch - Etc. - Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 9 of 29 1.2.3 Display Simulator – 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 O Userdefined Filename: Respiratory Config Cardiac Flags Error Configuration No PMM ECG leads off []Synthetic trigger InvalidCommand Scan repetition [] ECG channel high Gantry Configuration Connection states of electrodes and signal strength ] Ground electrode [] 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 be able to have 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 Page 10 of 29 1.2 User role change To have full access to all the features and tools, please change the user role to simadmin, which has the clinical admin privileges. Click meduser at the right upper corner of the screen to open the dropdown menu. Select Other User. meduser ? meduser syadmin Other User X Ci + E Exam Emergency Register Delete Patient Patient Procedure Enter the user information below: Username: simadmin Password: S!madmin SIEMENS . Healthineers syngo CT VA30A User Name Simadmin Password Domain MS-CT-VMSX-0003 OK Cancel Change Password. Copyright @ Siemens Healthcare GmbH 2019. All rights reserved Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 11 of 29 ® Please note: This user account and password are only available on the simulator. If you require the clinical admin user account information for your scanner, please contact the local service or education team. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 12 of 29 2 Scan Workflow on Console 2.1 Brain scan 2.1.1 Image data preparation Exercises 1. Open the Display Simulator Display Simulator . 2. The default image data Fullbody is preselected and will be used for this exercise. 3. To make sure that the patient table is in the right starting position, press AutoPos Tomo start . 4. Minimize the simulator window. 5. Open Display ConTobo Display ConTobo . 6. Press Add New Patients in the toolbar. 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 Page 13 of 29 2.1.2 Brain scan workflow Exercises 1. Patient registration: Select a patient from the Scheduler. 2. Delete the text in the Requested Procedure (not necessary on a real scanner) and press Exam. HeadRoutine Requested Procedure Description HeadRoutine Accession No ID f15333aa-69b3-42 Comments 3. Protocol selection: Select the Brain [factory] protocol from the Head area on the schematic non-vascular body map. Head Trauma RTP Intervention 4. Protocol selection: Select the Brain [factory] protocol. 5. Press OK to load the protocol. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 14 of 29 Please note: If you are in the middle of examination process and would like to close the current patient, click the little to scroll down to the end of the examination workflow, then select Close and press Close . Thorax CTA [factory] ... Thorax CTA [factory] ... ¡jema Topogram Topogram Premonitoring HF supine HF prone HF right HF left Monitoring ... . CTA Thorax FF supine FF prone FF right FF left Reconstruction Length 512 mm Close CTDIVOI SPR (32 cm) 0.02 mGy DLP 0.9 mGy cm 55 Open Recon mA Tab KV Sn 100 Exposure Time 3.32 S Check metal detection V Premonitoring Monitoring ... . CTA Thorax Reconstruction Activate Premonitoring scan Close patient Confirm GO Cancel Confirm Close Cancel 6. Confirm the topo settings by pressing the green button. 7. Press GO to load and perform the topogram. 8. Press the Start button in the pop up Control Box UI. The topogram image will be displayed in the left image segment. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 15 of 29 9. If necessary, manually adjust the scan range on the topogram by moving the white dots on the orange frame while holding down the left mouse button. 10. Press GO to load the tomogram scan. Hold down the Move button and then press Start . 11. Check the real time image in the tomo segment and select Recon All. 12. Check the results by selecting the recon jobs and by scrolling through the recon images in tomo segment. 13. Close the examination. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 16 of 29 2.2 Thorax/Abdomen scan 2.2.1 Image data preparation Exercises 1. Open the Display Simulator Display Simulator . 2. The default image data Fullbody is preselected and will be used for this exercise. 3. To make sure the patient table is in the start position, press AutoPos Tomo start . 4. Minimize the simulator window. 5. If there is no patient in the Scheduler, open Display ConTobo. 6. Press Add New Patients. 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 Page 17 of 29 2.2.2 Thorax/Abdomen scan workflow Exercises 1. Patient registration: Select a patient from the Scheduler. 2. Delete the text in the Requested Procedure (not necessary on a real scanner). Head Routine Requested Procedure Description HeadRoutine Accession No ID f15333aa-69b3-42 Comments 3. Press Exam. 4. Protocol selection: Select the Thorax and Abdomen [factory] protocol from the Thorax area on the schematic nonvascular body map. Thorax Trauma RTP Intervention 5. Press OK to load the protocol. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 18 of 29 6. Confirm the topo settings by pressing the green button. 7. Press GO to load and perform the topogram. 8. Press the Start button in the pop up Control Box UI. The topogram image will be displayed in the left image segment. 9. If necessary, adjust the scan range manually on the topogram by moving the white dots on the orange frame with the left mouse button. You can adjust the range for each recon job individually. The green lines define the full dose area for the abdomen (Flex Dose feature). min max 67 Test H 12345 SOMATOM go.All MAS *09/29/2001, 21Y syngo CT VA30A HES 11/11/2022 10:25:12.58 AM 1 IMA 1 TOP 100 TP -750.0 R 10cm KV 110 LmA.15 TI 5.88 SL 512 0/0 W 350 Tr20fA.n .. :0000A:1Ht.AS1 acA 50 ............... Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 19 of 29 10. Press GO to load the tomogram scan. Hold down the Move button and then press Start . 11. Check the real time image in the tomo segment and select Recon All. 12. Check the results by selecting the recon jobs and scrolling through the recon images in the tomo segment. 13. Close the examination. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 20 of 29 2.3 Pulmonary CTA scan 2.3.1 Image data preparation Exercises 1. Open the Display Simulator Display Simulator . 2. Go to Body Image. For this examination, the image data Top_ThoraxAbdCTA can be used. Click the three dot icon in the Tomogram parameter. 3. Select Top_ThoraxAbdCTA in the folder SimulatorImageData. Browse For Folder X PacsReady_LungCAD2 PacsReady_Rib PulmonaryTrunkDetection SO_WHOLEBODY_ANGIO_BR_AV. Thorax Thorax_CTA_LungCAD THORAX_IV_1_5_130S_4_0002 Top_ThoraxAbdCTA Topo Tomo TestData Twinbeam Test SL OK Cancel Click OK and press Apply . 4. Wait until Loading Data finishes. To make sure that the table is moved to the right starting position, press AutoPos Tomo start . 5. Change the image data in the Bolus image parameter Bolus image parameter to Monitoring_pul: Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 21 of 29 Click the three dot icon under Bolus image parameter, select Monitoring_pul in folder SimulatorImageData, click OK and press Apply This image . data will be used for the Bolus tracking in the Pulmonary CTA examination. O Gantry and IRS simulator (ver. 2.2.9.2) on POCA (hope:1/Xcite) with Vatiez Add New Patients Test Image Stale Activated Body Image Explorer Body Image Install Image data Exam Designer Lightmarcar: off Scan and GO Rotation fime: Phantom Image Topourare parameles Patient Marking Sim NG Laver. on Topogram image file L'SimulatorimageDuals Top_ThoraxAbdCTA TopThoraxABOCT.CT_16.11.2018.05 RunSomaris INIT Cardio Contig Length Imng 512 Start position [mm] -1822 Table height [mm] 125 Respiratory Config []Synchrostra table poutien lo logogran statt position during loading paterd AutoPos Topo start Tabla and image synchronization weil only work as axpected for a selected topogran laogth of 512 milimater! Error Configuration Cnsure that start position and isble height is reachable for configured madel type and fabr, Gantry Configuration Thumnogran parareler Gantry Positioning Length Innj 1504 Start position [reni] -750 Table height Drang: 125 Gantry Lighting AutoPos Tomo start Gantry Status Bolus image parameter General System State SciState Standby Injector Configuration SeiModaleyCT Erowse For Folder SciAPITestOft IRS Parameter Twin beam pararseter ApiTextState Sousce path Tabde State SeiTable StateOk SimCom Configuration Room Stats SciSigRoomUnknown Carrión parameter goUP_ADTIC_CTA_BUKY Power Save State SeiPower SaveNoRestriction Timing Configuration X-Offset Imml goUpAnd_ MAR ActHoriPos [url -1822000 Trace Config Lj Fake Images Head kidneyStore_DE ActTiltPos [1000"] -25000 Monitoring Aurte ActVertPcs |pm] Monzering_Pul NOCK_CTA ZercHoriPas PacsReady_CaScoring TubePosition [1/1000") 270010 PactReady_CPI Horizontal Increment Du 1000 PaciReady_CPR_ Carptids Pec>Ready CPR Runoffa Horizontal Offset [pmm] 00599C- Simulator Controls GantryCoverOpen ox Cancel Apply GantryRotating SCI message list: SCI message content RoomDoorOpen false GANTRY_STATUS_NOTSY (3) Clear List Ctrl ServiceActive false [2] Auto Scroll Hor RunningFlag false Formal falas 6. Set up Injector: Go to Injector Configuration Injector Configuration . 7. Mark the checkbox in front of Injector connected, and press Apply V Injector Connected . 8. If there is no patient in the Scheduler, go to Display ConTobo Display and press 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 real scanner. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 22 of 29 2.3.2 Pulmonary CTA scan workflow Exercises 1. Patient registration: Select a patient from the Scheduler. 2. Delete the texts in the Requested Procedure\Description. HeadRoutine Requested Procedure Description HeadRoutine Accession No ID f15333aa-69b3-42 Comments 3. Press Exam. 4. Protocol selection: Select the Pulmonary CTA [factory] protocol from the pulmonary area on the schematic vascular body map. Adult Child Trauma Specials Intervention 5. Press OK to load the protocol. 6. Confirm the topo settings by pressing the green button. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 23 of 29 7. Press GO to load and perform the topogram. 8. Press the Start button in the pop up Control Box UI. The topogram image will be displayed in the left image segment. 9. Premonitoring step: Move the displayed range to the correct monitoring position by clicking the double dotted line. Move the range by dragging and dropping with the white dot in the middle. 10. Select Go to activate and load the premonitoring scan, follow the instructions below the Execution Control buttons to perform the scan (hold down the Move button and then press Start ). 11. After the premonitoring image is displayed in the tomo Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 24 of 29 segment, an ROI is automatically placed in the pulmonary artery (FAST ROI function). 12. Monitoring step: Check the trigger level, press the left mouse button on the magenta line and drag it up and down, to a place lower than 100. HU 94 50 Trigger Level [HU]: 94 0 5 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). 13. Before loading the monitoring scan, click the spiral CTA scan on the timeline to check the scan range on the topogram. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 25 of 29 Freica, Phd Franch, Ptil 144 27 M PU TP-FRAN 0 00 EL EL 10 Cri:10 0 350 310 3.35 4.45 14. 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. To show the recon range frame, click once on the edge of the transparent area. 5/3/2022 11:28:50.31 AM 1 IMA 1 TP1 -1,047.3 TOP 100 TP2 -759.0 TP -750.0 LEN 288.3 R --- 1.0cm Now you can adjust the range by moving the white dots on the violet frame with the left mouse button. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 26 of 29 5/3/2022- -- - -- 11:28:50:31 AM IMA 1 TOP 100 TP -750.0 - 40cm- 15. 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. Confirm GO Cancel Check injector& 16. Open the Injector panel on the simulator by clicking the right mouse button Display Simulator then select , Bolus injector panel. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 27 of 29 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 16 and 17 should be carried out on the real injector control panel, since the UI is different from what you see on this simulator). 17. Click Enable. Start Enable VVV Phase Type Flow Volume Ratio Duration Contrast [ml] [ml/sec] [ml] [%] [sec] 500 1 Contrast 5 65 100 13 Saline [ml] X 500 2 Saline 5 40 8 X Pressure [kPa] 1000 Edit 18. 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 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 28 of 29 reaches the predefined magenta line. 19. Check the real time image in the tomo segment after the scan, and select Recon All. 20. Check the results by selecting the recon jobs and scrolling through the recon images in tomo segment. 21. Close the examination. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 Page 29 of 29