SOMATOM On.site CARE Technology Online Training

Continue Continue Continue Continue Continue Continue SOMATOM On.site CARE Technology Online Training Master Template HILS2218 | Effective Date: 25 Mar 2022 ? SOMATOM On.site CARE Technology Online Training CARE stands for Combined Applications to Reduce Exposure. This online training will offer you valuable insights into the CARE technology that helps to improve patient outcomes and make CT scanning safer. Learn about CARE Dose4D 1 Identify CARE Profile 4 Explain Dose Notification / Dose Alert 3 Understand X-CARE 2 Welcome [somatom_on-site_care-olt_01_welcome.wav] Welcome to the SOMATOM On.site CARE Technology Online Training. CARE stands for Combined Applications to Reduce Exposure. This online training will offer you valuable insights into the CARE technology that helps to improve patient outcomes and make CT scanning safer. ? Navigation hints Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 4 rows Not all pages contain audio. Some pages invite you to read for yourself. All pages show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Select the button on the left upper corner to display or hide the menu. Enjoy the course! ? Navigation hints FAST CARE for patients To give medical professionals more time to take better care of their patients, our FAST CARE technology accelerates workflow and lowers radiation exposure to previously unseen levels, thus leveraging untapped potential in patient-centric productivity.​ ​FAST – our Fully Assisting Scanner Technologies – make time-consuming and complex procedures faster as well as far more intuitive. ​ ​CARE – our Combined Applications to Reduce Exposure – give you great image quality at low dose. This makes CT safer. ​ ? FAST CARE for patients [somatom_on-site_care-olt_03_fast-care.wav] To give medical professionals more time to take better care of their patients, our FAST CARE technology accelerates workflow and lowers radiation exposure to previously unseen levels, thus leveraging untapped potential in patient-centric productivity. FAST – our Fully Assisting Scanner Technologies – make time-consuming and complex procedures faster as well as far more intuitive.   CARE – our Combined Applications to Reduce Exposure – give you great image quality at low dose. This makes CT safer. Learn about CARE Dose4D CARE Features ? Learn about CARE Dose4D [somatom_on-site_care-olt_04_cd4d-concept-intro.wav] Our first chapter will introduce you to the CARE Dose4D concept. CARE Dose4D The right dose, wherever and whenever needed Significant dose reduction with automated dose modulation for individual patient sizes and shapes while producing optimal image quality. It applies angular modulation to compensate for attenuation differences in anterior-posterior and lateral directions. Combination with CARE Dose Configurator possible. Benefits: Enables the right dose with mAs tailored to size and shape of individual patients. Improves workflow via quality reference mAs value for automated dose modulation. Offers pre-defined dose modulation settings for children and adults. Scan with constant mAs CARE Dose4DTM: mAs based on topogram CARE Dose4DTM: Angular dose modulation ? The right dose, wherever and whenever needed [somatom_on-site_care-olt_05_cd4d-right-dose.wav] The CARE Dose4D Feature is available for various Siemens Healthineers CT scanners. CARE Dose4D modulates the dose according to the topogram, and uses a smaller dose for regions with low attenuation. It applies angular modulation to compensate for attenuation differences in anterior-posterior and lateral directions. CARE Dose4D can also be used in combination with the CARE Dose Configurator. This allows the users to configure CARE Dose4D even more precisely and to adjust it to the patient’s anatomy. It offers a selection of pre-defined settings and curves for children and adults. The users can set the modulation values for each scan region and for each organ individually. CARE Dose4D More precise configuration of dose modulation Individual configuration for different body habitus and organs Specific modulation curves available ? D:\1381_CT_Grafik_Adapted_Dose_Curves.jpg Adult Child Thorax Abdomen Position Max Position Mean tube current Mean tube current CARE Dose4D [somatom_on-site_care-olt_06_cd4d-dose-modulat.wav] With the help of CARE Dose4D, dose modulation can be configured more precisely. Different body habitus and organs can be configured individually. Specific modulation curves are available to this end. CARE Dose4D reference point CARE Dose4D contains a reference point that specifies the tube current during a scan, and thus the image quality for a reference patient weighing 70-80 kg.​ ​ ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs Tube current (eff. mAs) CARE Dose4D reference point [somatom_on-site_care-olt_07_cd4d-ref-point.wav] CARE Dose4D contains a reference point that specifies the tube current during a scan, and thus the image quality for a reference patient weighing 70 to 80 kilograms. CARE Dose4D reference curve A curve that passes through the reference point specifies how the tube current (eff. mAs) varies for patients according to the attenuation, which, in turn, depends on the size of the patient. This is the CARE Dose4D curve. The tube current shall be increased for patients with a reference diameter larger than that of the 70-80 kg reference patient, and decreased for patients with a reference diameter smaller than this value. The image quality remains the same, regardless of the size of the patient. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs Tube current (eff. mAs) CARE Dose4D reference curve [somatom_on-site_care-olt_08_cd4d-ref-curve.wav] A curve that passes through the reference point specifies how the tube current (or effective mAs) varies for patients according to the attenuation, which, in turn, depends on the size of the patient. This is termed CARE Dose4D curve. The tube current shall be increased for patients with a reference diameter larger than that of the 70-80-kilogram reference patient, and decreased for patients with a reference diameter smaller than this value.   Nevertheless, the image quality remains the same, regardless of the size of the patient. ​ The adaptation strength of each CARE Dose4D curve can be selected for each organ characteristic, and it can be modulated as follows:​ Very weak​ Weak​ Average​ (standard) Strong Very strong CARE Dose4D reference curve | Adaptation strength ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs (adult) Tube current (eff. mAs) very strong strong average week very weak CARE Dose4D reference curve | Adaptation strength [somatom_on-site_care-olt_09_cd4d-ref-point-stren.wav] The adaptation strength of each CARE Dose4D curve can be selected for each organ characteristic, and it can be modulated as follows: Very weak, Weak, Average (or standard), Strong, and Very strong. Patient types The curve modulation can be specified for three patient types:​​ Child​ Thin adult​ Obese adult ? Patient types [somatom_on-site_care-olt_10_cd4d-asps-types.wav] The curve modulation can be specified for three patient types, namely:   Child, Thin adult, and Obese adult. Patient size For patient sizes above the reference diameter: The following slides show the curve modulation behavior for patient weights above the reference point. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs Tube current (eff. mAs) Patient size [somatom_on-site_care-olt_11_cd4d-asps-above.wav] Patients vary significantly in size. Some are above the reference diameter: The following slides show the curve modulation behavior for patient weights above the reference point. Patient size above For patient sizes above the reference diameter:​ A strong or very strong curve modulation means an increase in tube current (compared to the average modulation) and therefore a reduction in image noise. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs (adult) Tube current (eff. mAs) very strong strong average Patient size above [somatom_on-site_care-olt_12_cd4d-asps-strong.wav] A strong or very strong curve modulation means an increase in tube current (compared to the average modulation) and therefore a reduction in image noise. Weak modulation A weak or very weak modulation means a decrease in tube current (compared to the average modulation) and therefore an increase in image noise. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs (adult) Tube current (eff. mAs) average week very weak Weak modulation [somatom_on-site_care-olt_13_cd4d-asps-weak.wav] A weak or very weak modulation means a decrease in tube current (compared to the average modulation) and therefore an increase in image noise. Patient size below For patient sizes below the reference diameter: The following slides show the curve modulation behavior for patient weights below the reference point. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs Tube current (eff. mAs) Patient size below [somatom_on-site_care-olt_14_cd4d-asps-below.wav] As to the patient sizes below the reference diameter, the curve modulation behavior for patient weights below the reference point is depicted in the next slides. Strong modulation A strong or very strong curve modulation means a decrease in tube current (compared to the average modulation) and therefore an increase in image noise. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs (adult) Tube current (eff. mAs) very strong strong average Strong modulation [somatom_on-site_care-olt_15_cd4d-asps-below-st.wav] A strong or very strong curve modulation means a decrease in tube current (compared to the average modulation) and therefore an increase in image noise. Weak modulation A weak or very weak modulation means an increase in tube current (compared to the average modulation) and therefore a decrease in image noise. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs (adult) Tube current (eff. mAs) average week very weak Weak modulation [somatom_on-site_care-olt_16_cd4d-asps-below-we.wav] A weak or very weak modulation means an increase in tube current (compared to the average modulation) and therefore a decrease in image noise. Curve strengths and organ characteristics | mAs Specific organ characteristic for specific patient sizes can be modified. If, however, image noise is inappropriate for patient sizes in that organ characteristic, consider adapting the quality reference mAs only. ? Curve strengths and organ characteristics | mAs [somatom_on-site_care-olt_17_cd4d-curve-strengths.wav] Specific organ characteristic for specific patient sizes can be modified. If, however, image noise is inappropriate for patient sizes in that organ characteristic, consider adapting the quality reference mAs only. Curve strengths and organ characteristics | Image noise This allows radiologists to increase or decrease the image noise for different types of patients. A different modulation can be selected for each organ characteristic. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref.mAs (adult) Tube current (eff. mAs) strong average Curve strengths and organ characteristics | Image noise [somatom_on-site_care-olt_18_cd4d-csoc-radio.wav] This allows radiologists to increase or decrease the image noise for different types of patients. A different modulation can be selected for each organ characteristic. Curve strengths and organ characteristics | Less image noise | Heavier patients If less image noise is desired: For patients heavier than the reference value, select a strong or very strong curve modulation. Attenuation Reference patient (70-80 kg) Reference point Quality ref. mAs (adult) Tube current (eff. mAs) very strong strong average ? Less image noise | Heavier patients [somatom_on-site_care-olt_19_cd4d-csoc-less-heav.wav] If less image noise is desired, select a strong or very strong curve modulation for patients heavier than the reference value. Curve strengths and organ characteristics | Less image noise | Lighter patients If less image noise is desired: For patients lighter than the reference value, select a weak or very weak curve modulation. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref. mAs (adult) Tube current (eff. mAs) very weak weak average Less image noise | Lighter patients [somatom_on-site_care-olt_20_cd4d-csoc-less-ligh.wav] Select a weak or very weak curve modulation for patients lighter than the reference value to reduce the image noise. Curve strengths and patient weight | More image noise | Heavier patients If more image noise is acceptable: For patients heavier than the reference value, select a weak or very weak curve modulation. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref. mAs (adult) Tube current (eff. mAs) very weak weak average More image noise | Heavier patients [somatom_on-site_care-olt_21_cd4d-cspw-more-heav.wav] If more image noise is acceptable, select a weak or very weak curve modulation for patients heavier than the reference value. Curve strengths and patient weight | More image noise | Lighter patients If more image noise is acceptable: For patients lighter than the reference value, select a strong or very strong curve modulation. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref. mAs (adult) Tube current (eff. mAs) very strong strong average More image noise | Lighter patients [somatom_on-site_care-olt_22_cd4d-cspw-more-ligh.wav] If more image noise is acceptable, and your patient is lighter than the reference value, select a strong or very strong curve modulation. Curve strengths and patient weight | Settings The settings have more influence the further the patient attenuation is away from that of the reference patient. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref. mAs (adult) Tube current (eff. mAs) very strong strong average very weak weak Curve strengths and patient weight | Settings [somatom_on-site_care-olt_23_cd4d-cspw-infl.wav] The settings have more influence the further the patient attenuation is away from that of the reference patient. Curve strengths and patient weight | Adjusting Please note: Do not adjust the overall image quality level by modulating the curves. This should be done by increasing or decreasing the quality reference mAs. ? Attenuation Reference patient (70-80 kg) Reference point Quality ref. mAs (adult) Tube current (eff. mAs) very strong strong average very weak weak Curve strengths and patient weight | Adjusting [somatom_on-site_care-olt_24_cd4d-cspw-note.wav] Please note that the overall image quality level shall not be adjusted by modulating the curves. This should be done by increasing or decreasing the quality reference mAs value. Learn about CARE Dose4D SOMATOM On.site CARE Features ? Learn about CARE Dose4D: SOMATOM On.site [somatom_on-site_care-olt_25_cd4d-details-intro.wav] And this is how CARE Dose4D works with SOMATOM On.site. Setting the curve modulation You can set the curve modulation for an organ characteristic in the Clinical Configuration. On the access bar, click the Configuration icon (1) and choose Clinical Configuration. The Clinical Configuration workspace of the Administration Portal opens (If your account does not own the clinical administrator role, you can view all parameters, but you cannot change them). In the Dose Configuration, select the tab Modulation. Administration Portal ? 1 Setting the curve modulation [somatom_on-site_care-olt_26_cd4d-details-scm-clinic.wav] You can set the curve modulation for an organ characteristic in the Clinical Configuration. On the access bar, click the Configuration icon and choose Clinical Configuration. The Clinical Configuration workspace of the Administration Portal opens. In the Dose Configuration, select the tab Modulation. Understand X-CARE CARE Features ? Understand X-CARE [somatom_on-site_care-olt_27_x-care-intro.wav] In our next chapter, we are going to gain a better understanding of X-CARE in scan protocols. X-CARE overview X-CARE.png Reduction in the organ dose for dose-sensitive body parts while maintaining image quality Benefits: Organ dose reduction for radiation-sensitive peripheral organs, e.g. eye lenses Keeping the average CTDIvol constant with automated tube current adjustment X-ray high ? X-ray low Untitled Slide [somatom_on-site_care-olt_28_x-care.wav] X-CARE is a feature that is aimed at the reduction in the organ dose. This helps to protect dose-sensitive body parts while maintaining image quality.   This useful feature allows organ dose reduction for radiation-sensitive peripheral organs, such as eye lenses. It also keeps the average CTDIvolume constant by means of automated tube current adjustment. You can select X-CARE by choosing RoutineSpiralAdultHeadXcare in the Scan Mode dropdown list. X-CARE selection ? X-CARE selection [somatom_on-site_care-olt_29_x-care-selection.wav] You can select X-CARE by choosing RoutineSpiralAdultHeadXcare in the Scan Mode dropdown list. Explain Dose Notification / Dose Alert CARE Features ? Explain Dose Notification / Dose Alert [somatom_on-site_care-olt_30_dnda-intro.wav] This chapter will offer you insights into the Dose Notification and Dose Alert features. Introduction The Dose Notification feature will inform you if the configured total CTDIvol or DLP values are exceeded for a single scan range.​ The Dose Alert feature shall warn you prior to scanning if the configured total CTDIvol and DLP values are exceeded across all scan ranges within an examination. 50 mGy ​ ? Introduction [somatom_on-site_care-olt_31_dnda-feature.wav] The Dose Notification feature will inform you if the configured total CTDIvolume or DLP values are exceeded for a single scan range.   The Dose Alert feature shall warn you prior to scanning if the configured total CTDIvolume and DLP values are exceeded across all scan ranges within an examination. Dose Notification CARE Features ? Dose Notification [somatom_on-site_care-olt_32_dn-intro.wav] Let us look into the issue of Dose Notification in more detail. Are there any rules in your country concerning the applied dose? The Dose Notification will tell when you exceed the configured CTDI and / or DLP for ONE scan range or auto range. Dose Notification informs the user if the selected dose for a patient requires a higher CTDI or DLP than configured. The parameters can be set for every scan range in the Scan Protocol Assistant. Please verify these values for your own country! Dose Notification overview ? Dose Notification overview [somatom_on-site_care-olt_33_dn-rules.wav] Are there any rules in your country concerning the applied dose?   The Dose Notification will let you know if you exceed the configured CTDI or DLP value for one scan range or for the auto range.   The Dose Notification feature also informs the user if a patient requires a higher CTDI or DLP value than the configured one.   The parameters can be set for every scan range in the Scan Protocol Assistant. CTDIvol and DLP Dose Notification monitors the CTDIvol as well as the DLP for each scan range. It informs you if the configured notification values will be exceeded when performing the scan. For each scan range, you can set a threshold for the CTDIvol (Dose Notification CTDIvol [mGy] parameter) and a threshold for the DLP (Dose Notification DLP [mGy*cm] parameter). ? 50 mGy ​ CTDIvol and DLP [somatom_on-site_care-olt_34_dn-ctdi-vol-dlp.wav] Dose Notification monitors the CTDIvolume as well as the DLP for each scan range. It informs you if the configured notification values will be exceeded when performing the scan. For each scan range, you can set a threshold for the CTDIvolume and a threshold for the DLP. Taskflow control Dose Notification is displayed in the taskflow control. The corresponding scan range and parameters display a yellow warning icon. ? Taskflow Control [somatom_on-site_care-olt_35_dn-taskflow-control.wav] Dose Notification is displayed in the taskflow control. The corresponding scan range and parameters display a yellow warning icon. Settings Prior to proceeding with scanning, you can confirm or correct settings that might otherwise lead to unnecessarily high exposures. You can also enter a diagnostic reason for exceeding the configured value. There are different ways this feature can be used in clinical practice. In general, it is the task of professional associations to recommend appropriate values and their usage. Diagnostic Reference Levels, if available, are issued by the local authorities in your country. These levels can vary between countries. ? 60 mGy ​ 50 mGy ​ Settings [somatom_on-site_care-olt_36_dn-settings.wav] Prior to proceeding with scanning, you can confirm or correct settings that might otherwise lead to unnecessarily high exposures. You can also enter a diagnostic reason for exceeding the configured value.   There are different ways this feature can be used in clinical practice. In general, it is the task of professional associations to recommend appropriate values and their usage. Diagnostic Reference Levels, if available, are issued by the local authorities in your country. These levels can vary between countries. Notification of exceeded dose The Dose Notification monitors the CTDIvol as well as the DLP for each scan range. It informs you if the specified notification values will be exceeded when performing the scan. F:\DN2.JPG ? Untitled Slide [somatom_on-site_care-olt_37_dn-ned.wav] The Dose Notification feature monitors the CTDIvolume as well as the DLP for each scan range. It informs you if the specified notification values will be exceeded when performing the scan. Warning icon If you load a scan for which one or both thresholds defined for the next scan range exceed the notification values, a Dose Notification dialog box will appear. The corresponding scan range and parameters will display a yellow warning icon. F:\DN2.JPG F:\DN1.JPG ? Untitled Slide [somatom_on-site_care-olt_38_dn-ned-warn.wav] If you load a scan for which one or both thresholds defined for the next scan range exceed the notification values, a Dose Notification dialog box will appear. The corresponding scan range and parameters will display a yellow warning icon. Setting the threshold value For each scan range, you can set a threshold for: CTDIvol (Dose Notification ref. CTDI [mGy] parameter) DLP (Dose Notification ref. DLP [mGy*cm] parameter) Z:\AN\_Course_Documents_Application_\CT\05_CT1SOMGO - go\VA20\in WORK\DN3.JPG ? Untitled Slide [somatom_on-site_care-olt_39_dn-threshold-value.wav] For each scan range, you can set a threshold value for both: - the CTDIvolume, and - the DLP. Dose Alert CARE Features ? Dose Alert [somatom_on-site_care-olt_40_da-intro.wav] In this part of the chapter, the Dose Alert feature will be explained in detail. The Dose Alert feature monitors the maximum value of the accumulated CTDIvol as well as the accumulated DLP in all z-positions of the entire protocol. It informs you if one of the specified alert values will be exceeded when performing the scan. Exceeding Dose Alert values ? Exceeding Dose Alert values [somatom_on-site_care-olt_41_da-ctdi-dlp.wav] The Dose Alert feature monitors the maximum value of the accumulated CTDIvolume as well as the accumulated DLP in all z-positions of the entire protocol. It informs you if one of the specified alert values will be exceeded when performing the scan. John Special case Enter: User Name (mandatory) Diagnostic Reason (optional) Continuation of examination procedure ? Continuation of examination procedure [somatom_on-site_care-olt_42_da-user.wav] If you want to go on with the examination procedure although the Dose Alert values will be exceeded, you will have to enter the following data: Your User Name, and a Diagnostic Reason.   The User Name is a required field, whereas the Diagnostic Reason can be specified optionally. You can configure the Dose Alert thresholds for both adult and child examinations in the Administration Portal. The child threshold values are used if the scan protocol contains at least one scan range with Child as patient type, otherwise the threshold values for adults are used. F:\DN7.JPG The corresponding scan range and parameters display a yellow warning icon. Administration Portal ? Administration Portal [somatom_on-site_care-olt_43_da-admin-portal.wav] You can configure the Dose Alert thresholds for both adult and child examinations in the Administration Portal. The child threshold values are used if the scan protocol contains at least one scan range with Child as patient type, otherwise the threshold values for adults are used.   The corresponding scan range and parameters display a yellow warning icon. Patient data, administrative data, and dose parameters will be recorded in the Dose Report. The Dose Report can be sent to an extra network node. F:\DoseReport.JPG Dose Report ? Dose Report [somatom_on-site_care-olt_44_da-dose-report.wav] Patient data, administrative data, and dose parameters will be recorded in the Dose Report. The Dose Report can be sent to an extra network node. Identify CARE Profile CARE Features ? Identify CARE Profile [somatom_on-site_care-olt_45_care-profile-intro.wav] Our last chapter focuses on CARE Profile. CARE Profile The CARE Profile is displayed as a curve in z-direction along the topogram segment. If the mAs value slightly exceeds the system limits for some regions, loading the scan range is recommended, since the impact on the image quality will be negligible. The CARE Profile peak will be lowered to the maximum possible mAs value in this case. In cases of an image quality conflict, the theoretically optimal tube current profile cannot be applied because it exceeds the maximum possible tube current. In the yellow areas in z-direction, the image quality may be reduced. ? CARE Profile [somatom_on-site_care-olt_46_care-profile.wav] The CARE Profile is displayed as a curve in z-direction along the topogram segment.   If the mAs value slightly exceeds the system limits for some regions, loading the scan range is recommended, since the impact on the image quality will be negligible. The CARE Profile peak will be lowered to the maximum possible mAs value in this case.   In cases of an image quality conflict, the theoretically optimal tube current profile cannot be applied because it exceeds the maximum possible tube current. In the yellow areas in z-direction, the image quality may be reduced. ? Course review Congratulations. You have completed the SOMATOM On.site CARE Technology Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Identify CARE Profile Explain Dose Notification / Dose Alert Understand X-CARE Learn about CARE Dose4D 1 1 2 2 2 3 3 3 4 4 4 Course review Identify CARE Profile The CARE Profile is displayed as a curve in z-direction along the topogram segment. If the mAs value slightly exceeds the system limits for some regions, loading the scan range is recommended, since the impact on the image quality will be negligible. The CARE Profile peak will be lowered to the maximum possible mAs value in this case. In case of an image quality conflict, the theoretically optimal tube current profile cannot be applied because it exceeds the maximum possible tube current. In the yellow areas in z-direction, the image quality may be reduced. Explain Dose Notification / Dose Alert Assumed that maximum number of scans is applied. Table with 2 columns and 2 rows Dose Notification Feature Dose Alert Feature Informs you if configured total CTDIvol or DLP values are exceeded for a single scan range Each value applies only to specific scan range. Task of professional associations to recommend appropriate values and usage. Reference level issue of local authorities. In the taskflow control, the corresponding scan range and parameter display a yellow warning icon. When exceeding medically necessary: Enter diagnostic reason. Yellow warning icon in dialog box when one or both thresholds defined for next scan range exceed notification values. Thresholds can be set for each scan range for CTDIvol and DLP. Alerts prior to scanning if configured total CTDIvol and DLP values (Dose Alert values) are exceeded across all scan ranges within examinations Check Dose Alert values carefully. Understand X-CARE Reduction in the organ dose for dose-sensitive body parts while maintaining image quality. For radiation-sensitive organs e.g., eye lenses Keeps CTDIvol constant (in average) Simple use Please note: Reducing the dose to radiosensitive organs, reduces the risk. high Learn about CARE Dose4D The right dose, wherever and whenever needed Significant dose reduction ​ Automated dose modulation for individual patient sizes and shapes (mAs tailored) Pre-defined dose modulation settings → Optimal image quality Settings have more influence the further away from the reference patient Please note: Do not adjust the overall image quality level by modulating the curves. This should be done by increasing or decreasing the quality reference mAs. CARE Child: Optional settings for children, due to increased sensitivity to radiation. 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. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Siemens Healthineers HQ | Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com ? Disclaimer Assessment Start ? This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment Select the best answer. ? Question 1 of 5 What is the purpose of CARE Dose4D? To shorten the scan time To shorten the reconstruction time To reduce the radiation dose To reduce contrast media Multiple Choice Correct Incorrect This answer is incorrect. Incorrect This answer is incorrect. This answer is incorrect. Select the best answer. ? Question 2 of 5 Where can you configure the curve modulation for the different organ characteristic? Technical Configuration Clinical Configuration - Dose Configuration - Modulation Clinical Configuration - Reading Not possible at all Multiple Choice Incorrect This answer is incorrect. This answer is incorrect. Correct This answer is incorrect. Select the best answer. Question 3 of 5 Which of the following is NOT a benefit of CARE Dose4D? Offers pre-defined dose modulation settings for children and adults Less dose / less noise Enables the right dose with mAs tailored to size and shape of individual patient Improves workflow via quality reference mAs value for automated dose modulation ? Multiple Choice Incorrect This answer is incorrect. This answer is incorrect. Correct This answer is incorrect. Select the best answer. ? Question 4 of 5 If the Dose Notification value for CTDIvol or DLP is exceeded for a scan range... A yellow warning box appears and scanning is not possible In the taskflow control, the corresponding scan range and parameter display a yellow warning icon Nothing will happen Stop the examination and take the next patient Multiple Choice Incorrect This answer is incorrect. This answer is incorrect. Correct This answer is incorrect. Select the incorrect answer. ? Question 5 of 5 Which statement about the CARE Profile is correct? The CARE Profile is displayed as a curve in z-direction along the topogram segment You can configure the CARE Profile in the Clinical Configuration You can only configure the CARE Profile in the service tool The CARE Profile curve is always yellow Multiple Choice Correct Incorrect This answer is incorrect. This answer is incorrect. This answer is 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 Certificates tab from the learning activity overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the SOMATOM On.site CARE Technology Online Training. 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Assessment Slide Question Bank 1 QR700012802 | Effective Date: 28 Nov 2024 1.1 Welcome 1.2 Navigation hints 1.3 FAST CARE for patients 1.4 Learn about CARE Dose4D 1.5 The right dose, wherever and whenever needed 1.6 CARE Dose4D 1.7 CARE Dose4D reference point 1.8 CARE Dose4D reference curve 1.9 CARE Dose4D reference curve | Adaptation strength 1.10 Patient types 1.11 Patient size 1.12 Patient size above 1.13 Weak modulation 1.14 Patient size below 1.15 Strong modulation 1.16 Weak modulation 1.17 Curve strengths and organ characteristics | mAs 1.18 Curve strengths and organ characteristics | Image noise 1.19 Less image noise | Heavier patients 1.20 Less image noise | Lighter patients 1.21 More image noise | Heavier patients 1.22 More image noise | Lighter patients 1.23 Curve strengths and patient weight | Settings 1.24 Curve strengths and patient weight | Adjusting 1.25 Learn about CARE Dose4D: SOMATOM On.site 1.26 Setting the curve modulation 1.27 Understand X-CARE 1.28 X-CARE overview 1.29 X-CARE selection 1.30 Explain Dose Notification / Dose Alert 1.31 Introduction 1.32 Dose Notification 1.33 Dose Notification overview 1.34 CTDIvol and DLP 1.35 Taskflow Control 1.36 Settings 1.37 Notification of exceeded dose 1.38 Warning icon 1.39 Setting the threshold value 1.40 Dose Alert 1.41 Exceeding Dose Alert values 1.42 Continuation of examination procedure 1.43 Administration Portal 1.44 Dose Report 1.45 Identify CARE Profile 1.46 CARE Profile 1.47 Course review 1.48 Disclaimer 1.49 Assessment