SOMATOM On.site Scan Workflow Online Training

Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue SOMATOM On.site Examination Workflow Online Training Master Template HILS2218 | Effective Date: 25 Mar 2022 ? SOMATOM On.site Scan Workflow Online Training Get familiar with the user interface Know about the contrast examination with Bolus Tracking Perform a routine brain scan 1 3 2 This training will introduce you to the routine workflow for a brain scan. Additionally, you will learn about an advanced examination mode, the contrast examination with Bolus Tracking. Welcome [somatom_on-site_scan-wfl-olt_1_1.wav] Welcome to the SOMATOM On.site Scan Workflow Online Training. This training will introduce you to the routine workflow for a brain scan. Additionally, you will learn about an advanced examination mode, the contrast examination with Bolus Tracking. By the end of this training, you will be able to achieve the three learning objectives listed. ? Navigation hints Before you start, we would like to give you a few tips on how to navigate: This slide is mandatory for all ED1 trainings. It is displayed directly after the Welcome slide. Please delete what is not needed. 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 Chapter 1 System startup & user interface ? The image placeholder shows in which area the image should be placed. You do not need to use. In the timeline, you can unhide the examples to look how the image should be positioned here. Choose a representive image that stands for the whole lesson. Chapter 1: System startup & user interface [somatom_on-site_scan-wfl-olt_1_3.wav] Welcome to chapter 1: System startup & user interface. In this chapter, you will learn how to power on the system. We will then introduce you to the two user interfaces of the SOMATOM On.site: the Advanced UI and the Touch UI. Let's get started! ? System startup ICU = Intensive Care Unit Press the On/Off key. The CT system provides power to all components. Full operability is reached when the touch screen displays the Home screen and the keys on the gantry operator panel are illuminated. Whenever possible, charge the ICU variant of the CT system and keep it charged. Performing an examination immediately after starting the CT scanner may lead to reduced image quality. Wait for 30 minutes, then perform the air calibration procedure and start the examination. On/Off key System startup [somatom_on-site_scan-wfl-olt_1_4.wav] To start the CT scanner, press the On/Off key. The CT system provides power to all components. Full operability is reached when the touch screen displays the Home screen and the keys on the gantry operator panel are illuminated. Next, log in to the CT system. Whenever possible, charge the ICU variant of the CT system and keep it charged. Please note: Performing an examination immediately after starting the CT scanner may lead to reduced image quality. Wait for 30 minutes, then perform the air calibration procedure and start the examination. For more information on air calibration, please refer to the SOMATOM On.site – Instructions for Use. ? Simulation of the user interface This simulation introduces you to the user interface of the SOMATOM On.site. You can access the user interface through the touch screen display. On the following pages, you will get a first impression of the Advanced UI and the Touch UI. Select Practice to start the simulation. Practice Simulation of the user interface [somatom_on-site_scan-wfl-olt_1_5.wav] This simulation introduces you to the user interface of the SOMATOM On.site. You can access the user interface through the touch screen display. On the following pages, you will get a first impression of the Advanced UI and the Touch UI. Select Practice to start the simulation. Chapter 2 Routine examination ? The image placeholder shows in which area the image should be placed. You do not need to use. In the timeline, you can unhide the examples to look how the image should be positioned here. Choose a representive image that stands for the whole lesson. Chapter 2: Routine examination [somatom_on-site_scan-wfl-olt_1_6.wav] Welcome to the second chapter, where we will take a closer look at a routine examination with SOMATOM On.site. We will guide you through the various steps of the examination workflow, using the example of a routine brain scan. ? Overview of the scan workflow Finalizing the examination Finalizing the examination Tomogram scan Tomogram scan Topogram scan Topogram scan Preparing the examination Preparing the examination Overview of the scan workflow [somatom_on-site_scan-wfl-olt_1_7.wav] The scan workflow can be divided into four sections: - Preparing the examination - the Topogram scan - the Tomogram scan - and finalizing the examination Select the buttons on the left to learn more about each phase. Finalizing the examination Check the quality of the tomogram images by scrolling trough the image stack. Repeat the diagnostic range, if necessary. Unload the patient. Tomogram scan Plan ranges. Activate and perform the tomogram scan. Activate and perform the topogram scan. Topogram scan Preparing the examination Select a patient or register a patient / emergency patient. Select an exam protocol. Position the patient. Confirm the patient position. ? Simulation of the scan workflow In this simulation, you will get a closer look at the individual steps of the scan workflow. Using the Touch UI, we will look at how to prepare the examination, perform the topogram and the tomogram scan, and finalize the procedure. Select Practice to start the simulation. Practice Simulation of the scan workflow [somatom_on-site_scan-wfl-olt_1_8.wav] In this simulation, you will get a closer look at the individual steps of the scan workflow. Using the Touch UI, we will look at how to prepare the examination, perform the topogram and the tomogram scan, and finalize the procedure. Select Practice to start the simulation. ? Unloading the patient Fold the front Halo radiation shield up or remove it. Press and hold the Cover Open key on the gantry operator panel. The gantry and the front cover move to the patient load/unload position. You can access the head holder. Carefully lift the patient back onto the patient bed or EMS vehicle stretcher. Select step 2 to continue. 1 1 1 2 2 2 1 Unloading the patient [somatom_on-site_scan-wfl-olt_1_9_1.wav] After completing the required scans, you can unload the patient from the CT scanner. Fold the front Halo radiation shield up or remove it. Then press and hold the Cover Open key on the gantry operator panel. The gantry and the front cover move to the patient load/unload position. You can access the head holder. Carefully lift the patient back onto the patient bed or EMS vehicle stretcher. [somatom_on-site_scan-wfl-olt_1_9_2.wav] Place the patient in a comfortable and secure position. Then, for the ICU variant: Tilt the shoulder board up until it is vertical and engages the angle handle on the support column. The shoulder board remains locked. For the MSU variant: Remove the shoulder board from the support column of the CT scanner and stow it in a safe storage place. ? Place the patient in a comfortable and secure position. ICU variant: Tilt the shoulder board up until it is vertical and engages the angle handle on the support column. The shoulder board remains locked. MSU variant: Remove the shoulder board from the support column of the CT scanner and stow it in a safe storage place. 2 2 2 2 Chapter 3 Enhanced examination ? The image placeholder shows in which area the image should be placed. You do not need to use. In the timeline, you can unhide the examples to look how the image should be positioned here. Choose a representive image that stands for the whole lesson. Chapter 3: Enhanced examination [somatom_on-site_scan-wfl-olt_1_10.wav] Welcome to the third chapter, where we will take a closer look at an enhanced examination with SOMATOM On.site. You will learn about contrast examination with Bolus Tracking using the example of a brain scan. The fundamental examination workflow is identical to that of a routine scan. Therefore, on the following pages, we will focus on the differences. ? Introduction Contrast examination with Bolus Tracking Introduction [somatom_on-site_scan-wfl-olt_1_11.wav] In addition to the routine examination modes, SOMATOM On.site also supports enhanced examination modes such as contrast examinations with Bolus Tracking. [2sec. pause] On the Protocol Selection screen, choose Vascular as the examination type and the head as the desired body region. Then, you can select the Brain CTA scan protocol to initiate a contrast examination with Bolus Tracking. [2sec. pause] Contrast examinations improve the characterization of tissue and lesions and increase the opacity of vessels. For optimal results, it is important to start the diagnostic scan at the point in time with the biggest enhancement in the region of interest. Bolus Tracking monitors the flow of the contrast medium in a vessel. With Bolus Tracking you can start a diagnostic scan as soon as the vessel enhancement has reached a defined Hounsfield units level. ? Planning Bolus Tracking You acquire the ranges of a CT examination with Bolus Tracking in the following order: Premonitoring range Monitoring range Diagnostic range, for example, Brain CTA Before you start a CT examination with Bolus Tracking, consider the following: The injector and the SOMATOM On.site are not connected. Therefore, you must apply the injection of the contrast medium manually or by using an injector. Simultaneously, you need to initiate the scan at the gantry operator panel. Planning Bolus Tracking [somatom_on-site_scan-wfl-olt_1_12.wav] You acquire the ranges of a CT examination with Bolus Tracking in the following order: - First, the Premonitoring range - Then, the Monitoring range - And finally, the diagnostic range, for example, Brain CTA Before you start a CT examination with Bolus Tracking, consider the following: The injector and the SOMATOM On.site are not connected. Therefore, you must apply the injection of the contrast medium manually or by using an injector. Simultaneously, you need to initiate the scan at the gantry operator panel. ? Premonitoring range Premonitoring range [somatom_on-site_scan-wfl-olt_1_13.wav] Before the CT system performs the diagnostic range, it performs a Premonitoring range. This is necessary to define the position of the Monitoring range and the position of the region of interest. [3sec. pause] The Scan Browser displays the Topogram range, the Premonitoring range, the Monitoring range, and the diagnostic range in the correct order. All scan ranges are color-coded and you can identify them by their distinct color. ? Performing the Premonitoring range In the Scan Browser, tap the Premonitoring range (1). Tap and drag the Premonitoring range box to define the position and the FoV depending on the organ you want to examine (2). The system moves the Monitoring range to the same position as the Premonitoring range. Tap GO (3). On the gantry operator panel, press and hold the MOVE key. The gantry moves to the range start position. To start the scan, press the START key on the gantry operator panel. The Premonitoring range is started. 1 2 3 Performing the Premonitoring range [somatom_on-site_scan-wfl-olt_1_14.wav] To perform the Premonitoring range, proceed as follows: In the Scan Browser, tap the Premonitoring range. Then tap and drag the Premonitoring range box to define the position and the FoV depending on the organ you want to examine. The system moves the Monitoring range to the same position as the Premonitoring range. Next, tap GO. On the gantry operator panel, press and hold the MOVE key. The gantry moves to the range start position. To start the scan, press the START key on the gantry operator panel. The Premonitoring range is started. ? Defining the ROI After acquiring the Premonitoring range, place a region of interest (ROI) on the Premonitoring image. To place the ROI, there are two possible workflows: Placement of the ROI outside the patient's anatomy Choose this workflow if you are uncertain about the precise location of the vessel. Placement of the ROI in the vessel Choose this workflow only if you can precisely place the ROI in the vessel, for example, the arteria carotis. Defining the ROI [somatom_on-site_scan-wfl-olt_1_15.wav] After acquiring the Premonitoring range, place a region of interest, ROI for short, on the Premonitoring image. To place the ROI, there are two possible workflows: Placement of the ROI outside the patient's anatomy: Choose this workflow if you are uncertain about the precise location of the vessel. Placement of the ROI in the vessel: Choose this workflow only if you can precisely place the ROI in the vessel, for example, the arteria carotis. On the following pages, we will take a closer look at both workflows. ? Placing the ROI outside the patient's anatomy Place the ROI on the Premonitoring image outside the patient's anatomy. Once you have set the ROI, you can proceed with the scan. Check the enhancement visually on the acquired images. Trigger the scan start of the diagnostic range manually. Placing the ROI outside the patient's anatomy [somatom_on-site_scan-wfl-olt_1_16.wav] If you want to place the ROI outside the patient's anatomy because you are uncertain about the precise location of the vessel, proceed as follows. Place the ROI on the Premonitoring image outside the patient's anatomy. Once you have set the ROI, you can proceed with the scan. Check the enhancement visually on the acquired images. Trigger the scan start of the diagnostic range manually. ? Placing the ROI in the vessel On the Premonitoring image, tap inside a vessel to place the ROI. The color of the ROI corresponds to the color of the diagnostic range. Hint: Enlarge the image for the correct placement of the ROI. Select step 2 to continue. 1 1 1 2 2 2 3 3 3 1 Placing the ROI in the vessel [somatom_on-site_scan-wfl-olt_1_17_1.wav] How do you proceed when you want to place the ROI in the vessel? On the Premonitoring image, tap inside a vessel to place the ROI. The color of the ROI corresponds to the color of the diagnostic range. Hint: Enlarge the image for the correct placement of the ROI. [somatom_on-site_scan-wfl-olt_1_17_2.wav] To enlarge the ROI, tap and drag the edge of the ROI. By enlarging the ROI, you increase the probability of hitting the vessel so that the enhancement can be tracked. The system measures the enhancement and displays the HU within the placed ROI. To check the enhancement, observe the increasing values. [somatom_on-site_scan-wfl-olt_1_17_3.wav] Once you have set the ROI, you can proceed with the scan. Trigger the scan start of the diagnostic range manually. ? Once you have set the ROI, you can proceed with the scan. Trigger the scan start of the diagnostic range manually. 3 3 3 3 ? To enlarge the ROI, tap and drag the edge of the ROI. By enlarging the ROI, you increase the probability of hitting the vessel so that the enhancement can be tracked. The system measures the enhancement and displays the HU within the placed ROI. To check the enhancement, observe the increasing values. Select step 3 to continue. 2 2 2 2 ? Course review Congratulations. You have completed the SOMATOM On.site Scan Workflow Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Know about the contrast examination with Bolus Tracking Perform a routine brain scan Get familiar with the user interface 1 1 2 2 2 3 3 3 Course review Know about the contrast examination with Bolus Tracking Select the Brain CTA scan protocol to initiate a contrast examination with Bolus Tracking. Activate and perform the topogram scan. The ranges are acquired in the following order: Premonitoring range, Monitoring range and diagnostic range. Plan and perform the Premonitoring range. Define the ROI: You can precisely place the ROI in the vessel. Or you can place the ROI outside the patient's anatomy if you are uncertain about the precise location of the vessel. Perform the Monitoring range and the diagnostic range. You must apply the injection of the contrast medium manually or by using an injector. Simultaneously, you need to initiate the scan at the gantry operator panel. Perform a routine brain scan Tap the Examination tile on the Touch UI Home screen to start the examination workflow. Preparing the examination: Select a patient or register an emergency patient. Select a scan protocol. Position the patient on the head holder. Position yourself in front of the touch screen monitor. If clinical decision trees are attached to your protocol, answer the questions if possible. Confirm the patient position. Topogram scan: Activate and perform the topogram scan. Tomogram scan: Plan ranges. Activate and perform the tomogram scan. Finalizing the examination: Check the quality of the tomogram images by scrolling trough the image stack. Repeat the diagnostic range, if necessary. Unload the patient. Get familiar with the user interface Press the On/Off key located under the service flap next to the gantry operator panel to turn on the CT system. There are two variants of the user interface: Advanced UI: provides advanced features, such as quality assurance, and administration and configuration procedures. Touch UI: enables optimized operation of the examination workflow on the touch screen and access to Drive Mode. In Drive Mode, you can move the ICU variant of the SOMATOM On.site across the healthcare facility. Before you drive the EMS vehicle containing the MSU variant of the SOMATOM On.site, you need to enable Drive Mode. 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. ? By tapping the Drive tile in the Advanced UI. Question 1 of 5 How can you activate Drive Mode? By tapping the Drive tile in the Touch UI. By pressing the Drive key on the gantry operator panel. Question 1 There is no Drive tile in the Advanced UI. There is no Drive key on the gantry operator panel. Select a patient or register an emergency patient. Select a scan protocol. Position the patient. Confirm the patient position. 4. 3. 2. 1. ? Drag and drop each response to place the list in the correct order. What is the order for preparing the examination as recommended in this training? Question 2 of 5 Question 2 One or more answers are incorrect. Select the best answer. ? Executing a dry run. Closing the patient. Question 3 of 5 What is the next step after acquiring the Topogram in a routine brain scan? Planning the range of the tomogram scan. Checking the quality of the acquired tomogram images. Question 3 You close the patient at the end of the examination. You should perform a dry run before loading the topogram if the rearmost gantry position has not yet been reached. You check the quality of the acquired tomogram images after performing the tomogram. Select the correct designated icon, then select Submit below. Question 4 of 5 If you want to repeat the scan, you can do so in the Check&GO popover. Which is the icon to open the popover? ? Question 4 This is the scanned topogram range. Drag this handle up and down to scroll through the acquired images. Tap this icon to toggle between the quality check image series and the real-time image series. You did not select a designated area. Select the best answer. ? The ROI should be placed on the topogram. It is possible to place more than one ROI. Question 5 of 5 Which statement is correct regarding an examination with contrast media on SOMATOM On.site? Contrast examinations are not available on SOMATOM On.site. The ROI can be placed outside the patient's anatomy. Question 5 It is not possible to place more than one ROI. The ROI should be placed on the Premonitoring image. Contrast examinations are available on SOMATOM On.site. 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 Scan Workflow Online Training. Completion details, certificates tab User interface simulation Examination tile Tap to open the Examination workflow at the Advanced UI. Touch UI tile Tap to open the Home screen of the Touch UI. System Check tile Tap to perform a system check. Restart tile Tap to perform a system restart. Lock tile Tap to lock the touch screen display. Home screen Advanced UI [somatom_on-site_scan-wfl-olt_2_1_1.wav] This is the Home screen of the Advanced UI. From here, you can open the examination workflow at the Advanced UI and you can open the Touch UI. You can also access advanced features, such as quality assurance, and administration and configuration procedures. Select the markers to learn more about the individual features. [somatom_on-site_scan-wfl-olt_2_1_2.wav] When you've finished exploring, select Touch UI to continue with the workflow. When you've finished exploring, select Touch UI. Home screen icon Opens this screen. Examination tile Starts the examination workflow. Drive tile For ICU variant: Opens the drive mode to move the CT scanner. For MSU variant: Opens the drive mode to drive the vehicle. The CT scanner is locked in the vehicle to prevent movement while driving. Advanced Mode tile Opens the Advanced UI. Trolley Mode icon (only in the ICU variant) When the Trolley Mode is disabled, you cannot drive the system as it is in a parked state or is ready to scan. Network status Displays wireless and wired network connectivity, and also signal strength for wireless connections. Battery status Displays the current charge level of the system battery. Shutdown menu Shuts down and restarts the CT system. Home screen Touch UI [somatom_on-site_scan-wfl-olt_2_2.wav] This is the Home screen of the Touch UI. From here you can start an examination workflow, enter the Drive Mode, or return to the Advanced UI. At the Touch UI, you navigate the Home screen at any time by tapping the Home icon. [1 sec. pause] Depending on which variant of SOMATOM On.site you are using, the Home screen of the Touch UI looks slightly different. If SOMATOM On.site is installed in an ambulance, you will see a vehicle icon on the Drive tile. If you are using the ICU variant of SOMATOM On.site, you will see a different icon instead. Additionally, the System Status area contains a Trolly Mode icon. [1 sec. pause] Select the markers to learn more about the individual features. Tap the Drive tile to activate drive mode. Tap the Drive tile to activate drive mode [somatom_on-site_scan-wfl-olt_2_3_1.wav] You need to activate drive mode, to move the ICU variant of SOMATOM On.site, or before you drive the vehicle containing the MSU variant of the scanner. [somatom_on-site_scan-wfl-olt_2_3_2.wav] Before doing so, please check the following preconditions: For the ICU variant: - If necessary, disconnect the Ethernet cable and the power cord, and safely stow them away. - Ensure that the shoulder board is correctly stored in the transport position and the front Halo radiation shield is folded up. - Also make sure that the gantry and the front cover are in the Drive and parking position. For the MSU variant: Before you drive the vehicle containing the MSU variant of the SOMATOM On.site, check that all preconditions for transport are met. For example, a patient must not be loaded. And all moveable parts such as the shoulder board and the radiation shields must be safely stored for transport. During transport, the gantry and the front cover of the MSU variant also need to be in the Drive and parking position. [somatom_on-site_scan-wfl-olt_2_3_3.wav] Tap the Drive tile to activate drive mode. Check the following preconditions ICU variant ICU = Intensive Care Unit MSU variant MSU = Mobile Stroke Unit Disconnected Ethernet cable Disconnected power cord Shoulder board in transport position Front Halo radiation shield folded up Drive and parking position Patient must not be loaded All moveable parts are safely stored Drive and parking position Please select the Drive tile to continue. Live image Displays the view of the integrated drive camera on the Touch UI. Slow icon Moves the scanner at a speed of 0.32 km/h (0.2 mph). Slow speed may be required for maneuvering the scanner around the patient within the patient room or in tight spaces. Trolley Mode icon When the Trolley Mode is enabled, you can drive the system. Fast icon Moves the scanner at a speed of 4.0 km/h (2.5 mph). Fast speed is used for routine transport, for example, in hallways. Close button Exits the drive mode and returns to the Home screen. Drive screen ICU variant [somatom_on-site_scan-wfl-olt_2_4_1.wav] In drive mode, you can move the ICU variant of the SOMATOM On.site across the healthcare facility. An integrated drive camera is connected to the Touch UI to provide further assistance when driving. Select the markers to learn more about the drive screen for the ICU variant. [somatom_on-site_scan-wfl-olt_2_4_2.wav] When you've finished exploring, select the slow icon to continue. When you've finished exploring, select the Slow icon. Drive to patient room [somatom_on-site_scan-wfl-olt_2_5_1.wav] Slow mode is active by default when entering drive mode. To drive the CT scanner in fast mode, tap the Fast icon. To return to slow mode, tap the Slow icon. [somatom_on-site_scan-wfl-olt_2_5_2.wav] To drive the ICU variant of the SOMATOM On.site, firmly hold the drive handle and press the deadman's switch on its underside. A clicking noise indicates that the motorized trolley is ready for driving. Press and hold the switch and push the CT scanner forward. Press the switch and pull the handle to drive the CT scanner backward. A beeping noise indicates that the CT Scanner is being pulled. The speed going backward is slower than going forward. To slow down the CT scanner, reduce the pressure on the drive handle while holding the deadman's switch. To bring the CT scanner to a halt, release the pressure to the drive handle completely or pull the drive handle back briefly while driving. When the deadman's switch is released, the brakes are applied immediately. [somatom_on-site_scan-wfl-olt_2_5_3.wav] Drive the SOMATOM On.site to the patient room, and make sure to switch to slow drive mode before entering the room. Park the CT scanner at the head end of the patient bed and connect it to a wall outlet, if possible. Then exit the drive mode and return to the Home screen by tapping the Close button. We will explore the further examination workflow in a second simulation. However, let's first take a brief look at the drive screen of the MSU variant before concluding this simulation. Driving the ICU variant Drive screen MSU variant [somatom_on-site_scan-wfl-olt_2_6.wav] After Drive mode is active on the MSU variant of the SOMATOM On.site, the vehicle can drive off. Once you have reached your destination, you need to park the vehicle securely at the intervention site. Then return to the Home screen by tapping the Close button. Congratulations! You have successfully completed the simulation. To try the simulation again, select Retry, or continue by selecting Next. Retry Next Congratulations Scan workflow simulation Select the Examination tile to start the examination workflow. Start the examination workflow [somatom_on-site_scan-wfl-olt_3_1.wav] Begin on the Touch UI of your CT scanner, either the MSU variant or the ICU variant. Select the Examination tile to start the examination workflow. Please select the Examination tile to continue. Register Siemens by selecting the corresponding entry. Register a patient [somatom_on-site_scan-wfl-olt_3_2.wav] If your system is connected to a RIS, all scheduled patients are listed on the Scheduler screen. [2sec. pause] You can register a patient locally, for example if your system is not connected to a RIS. The data of this locally registered patient will not be sent back to the RIS. For the MSU variant, please note: You must not register a patient manually at the SOMATOM On.site if the MSU is using Siemens Healthineers Stroke Connect. [2sec. pause] In case of an emergency, register the patient as an emergency patient. In this scenario, the emergency protocol is automatically assigned and the Protocol Selection screen is skipped. [2sec. pause] Register a patient by selecting a patient name. For this simulation, we will select Siemens. Please select Siemens to continue. Select GO to load the selected patient. Register a patient [somatom_on-site_scan-wfl-olt_3_3.wav] Select GO to load the selected patient. Please select GO to continue. Select the head as desired body region. Select a protocol [somatom_on-site_scan-wfl-olt_3_4.wav] On the Protocol Selection screen, you can select an available exam protocol. Depending on the patient type, Adult or Child, and the examination type, Anatomy or Vascular, tap the corresponding buttons. On the schematic body map, select the head as desired body region to show all available scan protocols for selection. Please select the head to continue. Select GO to assign the protocol to the patient. Select a protocol [somatom_on-site_scan-wfl-olt_3_5.wav] Select the appropriate protocol. For this simulation, we will use the Brain [factory] scan protocol. As the Brain [factory] protocol is already pre-selected, you can select Go to assign the protocol to the patient. Please select GO to continue. Positioning the patient Safe and proper patient positioning is a prerequisite for achieving quality image results. When necessary, use positioning aids to help secure the patient. Monitor the patient continuously when the front cover is moving. Select step 1 to learn more about how to position the patient. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 Positioning the patient [somatom_on-site_scan-wfl-olt_3_6_1.wav] After assigning the protocol to the patient, you can continue and position the patient. Let's briefly pause the user interface simulation and take a closer look at the individual steps for patient positioning. Safe and proper patient positioning is a prerequisite for achieving quality image results. When necessary, use positioning aids to help secure the patient. Monitor the patient continuously when the front cover is moving. Select step 1 to learn more about how to position the patient. [somatom_on-site_scan-wfl-olt_3_6_2.wav] Push the angle handle on the support column down to unlock the shoulder board. Tilt the shoulder board to a suitable incline or decline. Then place the shoulder board on the patient bed or the EMS vehicle stretcher to bridge the gap between the mattress and the patient head holder. Ensure that the shoulder board overlaps sufficiently with the patient bed or the EMS vehicle stretcher. The minimum overlap area is indicated by two lines on the outer sides of the shoulder board. [somatom_on-site_scan-wfl-olt_3_6_3.wav] Press and hold the Cover Open key to move the gantry with the front cover to the patient load position. You can access the patient head holder. The gantry and front cover are as far away as possible from the patient bed or the EMS vehicle stretcher. [somatom_on-site_scan-wfl-olt_3_6_4.wav] Position the patient's head on the patient head holder: Use a transfer board for sliding or get help to lift the patient by using the bed sheets. Ensure that the patient’s head is cradled and moved carefully. Place the patient in a comfortable and appropriate position. Remove any jewelry, glasses, and prostheses from the body region to be examined. Attach the immobilization straps to keep the patient from moving during imaging. [somatom_on-site_scan-wfl-olt_3_6_5.wav] Press the Light Marker key on the gantry operator panel to turn the laser light marker on. The laser light marker shows you the scannable range, which is 72 mm to 250 mm. Please make sure that the target area is within the scannable range. [somatom_on-site_scan-wfl-olt_3_6_6.wav] Press and hold the Cover Close key until the laser line is at the required scan start position for the topogram. The current laser position is defined as topogram start position. Press the Light Marker key to turn the laser light marker off. [somatom_on-site_scan-wfl-olt_3_6_7.wav] Close the front Halo radiation shield and check that the rear radiation shield is attached to the bore. Shade all windows to reduce glare on the touch screen display if required. It is also possible to tilt the screen to reduce the glare. [somatom_on-site_scan-wfl-olt_3_6_8.wav] Position yourself at the operator position that is in front of the touch screen display and the gantry operator panel. Ask all people who are not required to leave the examination room or MSU cabin. For the MSU variant: Ensure that the engine of the vehicle is turned off for subsequent scanning. Operator position Position yourself at the operator position that is in front of the touch screen display and the gantry operator panel. Ask all people who are not required to leave the examination room or MSU cabin. MSU variant: Ensure that the engine of the vehicle is turned off for subsequent scanning. 7 Radiation shields Close the front Halo radiation shield and check that the rear radiation shield is attached to the bore. Shade all windows to reduce glare on the touch screen display if required. It is also possible to tilt the screen to reduce the glare. 6 Scan start position Press and hold the Cover Close key until the laser line is at the required scan start position for the topogram. The current laser position is defined as topogram start position. Press the Light Marker key to turn the laser light marker off. 5 Laser light marker Press the Light Marker key on the gantry operator panel to turn the laser light marker on. The laser light marker shows you the scannable range, which is 72 mm to 250 mm. Please make sure that the target area is within the scannable range. 4 Image3.emf Head holder Position the patient's head on the patient head holder: Use a transfer board for sliding or get help to lift the patient by using the bed sheets. Ensure that the patient’s head is cradled and moved carefully. Place the patient in a comfortable and appropriate position. Remove any jewelry, glasses, and prostheses from the body region to be examined. Attach the immobilization straps to keep the patient from moving during imaging. 3 Patient load position Press and hold the Cover Open key to move the gantry with the front cover to the patient load position. You can access the patient head holder. The gantry and front cover are as far away as possible from the patient bed or the EMS vehicle stretcher. 2 Shoulder board Push the angle handle on the support column down to unlock the shoulder board. Tilt the shoulder board to a suitable incline or decline. Then place the shoulder board on the patient bed or the EMS vehicle* stretcher to bridge the gap between the mattress and the patient head holder. Ensure that the shoulder board overlaps sufficiently with the patient bed or the EMS vehicle stretcher. The minimum overlap area is indicated by two lines on the outer sides of the shoulder board. *EMS vehicle = emergency medical service vehicle 1 Select this dropdown menu to choose the answer. Answer the myExam Compass questions - part 1 [somatom_on-site_scan-wfl-olt_3_7_1.wav] After confirming your protocol selection, you may see the myExam Compass screen. You will see this screen, if the scan protocol you have selected is linked to a decision tree. For our current Brain [factory] protocol, myExam Compass will ask you two questions: Do you see any metal implants on the topogram? As the topogram has not been performed yet, this question serves as preliminary information. You can answer the question later in the workflow once the topogram has been scanned. The second question is: Would you like to scan with or without contrast medium? Please select the answer Without Contrast. [somatom_on-site_scan-wfl-olt_3_7_2.wav] Based on the answer to the question, myExam Compass dynamically adapts the necessary scan and recon parameters. Select Go to proceed with the examination. Please select the dropdown menu to continue. Please select Without Contrast to continue. Please select GO to continue. Select GO to proceed with the examination. Select Without Contrast to continue. Table Movement Out: gantry moves towards the patient In: gantry moves away from the patient Select GO to confirm the patient position. Confirm the patient position [somatom_on-site_scan-wfl-olt_3_8.wav] The CT system automatically selects the patient position that is defined in the exam protocol. The patient model displays the currently selected patient position. Check the preselected position. Make sure that the patient's position on the bed or stretcher matches the patient position shown by the patient model. To change the preselected position, tap Patient Orientation to select a different value. Next, check the scan direction. Table Movement Out means the gantry moves towards the patient. Table Movement In means the gantry moves away from the patient. If you want to change the length of the topogram, tap the Topogram Length button. Select GO to confirm the patient position. Please select GO to continue. Execute a dry run [somatom_on-site_scan-wfl-olt_3_9.wav] Before loading the topogram, the system checks if the rearmost gantry position has yet been reached, for example, during patient loading. If not, you are prompted to execute a dry run. This ensures that the system does not collide with any obstacle. Press and hold the MOVE key on the gantry operator panel until the gantry arrives at the rearmost position. [2sec. pause] Since, in our example, the rearmost gantry position has already been reached during patient positioning, you can now activate the topogram scan. Select GO to activate the topogram scan. Activate the topogram scan [somatom_on-site_scan-wfl-olt_3_10.wav] Select GO. Please select GO to continue. Select the START key to start the topogram scan. Perform the topogram scan [somatom_on-site_scan-wfl-olt_3_11.wav] The topogram range is loaded and the Press START instruction message is displayed. You can now continue with the topogram scan. Inform the patient to keep still during the acquisition of the scan. On the gantry operator panel, press the START key. Please select the START key to continue. Perform the topogram scan [somatom_on-site_scan-wfl-olt_3_12.wav] The topogram scan is started. During the acquisition of a topogram or a tomogram, you can suspend the scan. To do so, tap Cancel… …or press the SUSPEND key on the gantry operator panel. [2sec. pause] After the topogram scan has been started, a countdown displays the remaining scan Delay time until radiation is generated. As soon as radiation generation starts, the Exam Time countdown is displayed. Check&GO Metal Detection [somatom_on-site_scan-wfl-olt_3_13_1.wav] As soon as the scan is completed, the acquired topogram images are displayed. [somatom_on-site_scan-wfl-olt_3_13_2.wav] Before we continue with the simulation, a few words about the Check&GO Metal Detection: Metal objects on or near the patient produce artifacts in the acquired CT images and may reduce their quality. The CT system detects the metal objects and highlights them with yellow boxes on the topogram image. If metal has been detected, tap the Mark Metal icon to hide or display the detected areas on the topogram image. Remove all metal objects from the patient that are not required for the examination before starting the Tomogram scan, for example, zippers. [somatom_on-site_scan-wfl-olt_3_13_3.wav] Since no metal objects have been found in our example, the Check&GO Metal Detection is not displayed. Check&GO Metal Detection Select this dropdown menu to choose the answer. Answer the myExam Compass questions - part 2 [somatom_on-site_scan-wfl-olt_3_14_1.wav] After scanning the topogram, you may see the myExam Compass screen again. Now, you can answer the question: Do you see any metal implants on the topogram? Please select the answer No. [somatom_on-site_scan-wfl-olt_3_14_2.wav] Select the Close icon to close the popover. [somatom_on-site_scan-wfl-olt_3_14_3.wav] Select Go to proceed with the examination. Please select the Close icon to continue. Please select the dropdown menu to continue. Please select No to continue. Please select GO to continue. Select GO to proceed with the examination. Select the Close icon to close the popover. Select No to continue. Scan Parameter display Displays the scan parameters of the current range or the selected range in the Scan Browser. You can tap the Scan Parameter display to open the Dose Parameter Table. Exposed area Indicates that the area inside the dashed horizontal gray lines is exposed to radiation. Gantry position The double line indicates the current position of the gantry. Resize handle The left and right handles define the image reconstruction scope. The top and bottom handles define the scan start position or the scan end position, depending on the scan direction. Tap and drag the handle on the top border or bottom border up and down to adapt the scan start position and scan end position. Recon range of scan range Resizing the scan range automatically adapts the recon ranges. Scan Browser Provides an overview of all scan ranges of the loaded protocol. You can view details, such as scan delay time and examination time. A dashed border indicates that the scan range is planned. A solid border indicates that the scan range is already scanned. A selected scan range is indicated with two arrows at the top and bottom of the range. Scan direction indicator Plan the range of the tomogram scan [somatom_on-site_scan-wfl-olt_3_15_1.wav] This is the Tomogram Planning screen where you can plan the scan range for the Tomogram scan. Select the markers to learn more about the individual features. [somatom_on-site_scan-wfl-olt_3_15_2.wav] When you've finished exploring, select the handle to adjust the scan range position. Select the handle to adjust the scan range position. Select GO to activate the tomogram scan. Activate the tomogram scan [somatom_on-site_scan-wfl-olt_3_16.wav] After you have defined the scan range, you can activate the tomogram scan. Select GO to activate the Tomogram scan. Please select GO to continue. Select the MOVE key to move the front cover to the scan start position. Activate the tomogram scan [somatom_on-site_scan-wfl-olt_3_17.wav] If the front cover is not at the scan start position, a Press Move request is displayed. Select the MOVE key to move the front cover to the scan start position. Please select the MOVE key to continue. Activate the tomogram scan Select the START key to start the tomogram scan. Perform the tomogram scan [somatom_on-site_scan-wfl-olt_3_19.wav] The tomogram range is loaded and the Press START instruction message is displayed. You can now continue with the tomogram scan. Inform the patient to keep still during the acquisition of the scan. On the gantry operator panel, press the START key. Please select the START key to continue. Perform the tomogram scan [somatom_on-site_scan-wfl-olt_3_20.wav] The tomogram scan is started. A countdown displays the remaining scan Delay Time until radiation is generated. As soon as radiation generation starts, the Exam Time is displayed. Select the Check&GO icon to open the Check&GO popover. Check the quality of the acquired tomogram images [somatom_on-site_scan-wfl-olt_3_21_1.wav] As soon as the scan is completed, the acquired tomogram images are displayed on the screen. You can now check the quality of the scan before reconstructing the images. Drag the handle up and down to scroll through the acquired images. [somatom_on-site_scan-wfl-olt_3_21_2.wav] To change the window width and center, tap the Windowing icon and swipe horizontally or vertically over the screen. To toggle between the quality check image series and the real-time image series, tap this icon. [2sec. pause] After you have assessed the images, you can choose to start the automatic tasks that are specified for the recon jobs or repeat the scan. To do so, tap the Check&GO icon. Please select the Check&GO icon to continue. Select Recon to start the reconstruction. Check the quality of the acquired tomogram images [somatom_on-site_scan-wfl-olt_3_22.wav] Tap Repeat Scan to access the Tomogram Planning screen and repeat the scan. Tap Start Auto Tasking to start all automatic tasks, for example, reconstructions, transfers, and printing. You can also tap Recon to start the reconstruction, if you are satisfied with the quality of the image. Please select Recon to continue. Select Close to close the patient and return to the Scheduler. Close the patient [somatom_on-site_scan-wfl-olt_3_23.wav] The system now reconstructs all images according to the programmed protocol. Tap Close to close the patient and return to the Scheduler. The examination data will be distributed as specified. Please select Close to continue. Select Local Data to access the acquired study and the reconstructed images. Close the patient [somatom_on-site_scan-wfl-olt_3_24.wav] To access the acquired study and the reconstructed images, tap Local Data. Please select Local Data to continue. Local Data / Patient Browser [somatom_on-site_scan-wfl-olt_3_25.wav] Since our test patient is already selected, you can view the acquired study and the reconstructed images in the preview area. You can check the archive status of the patient study in the Status column. This icon indicates that the patient study has been successfully archived. If the data transfer failed, you will see this icon. And this icon indicates that the patient study has not been archived yet. Congratulations! You have successfully completed the simulation. To try the simulation again, select Retry, or continue by selecting Next. Retry Next Congratulations Navigation 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 Tmeline Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 QR700010176 | Effective Date: 25 Jul 2024 1.1 Welcome 1.2 Navigation hints 1.3 Chapter 1: System startup & user interface 1.4 System startup 1.5 Simulation of the user interface 2.1 Home screen Advanced UI 2.2 Home screen Touch UI 2.3 Tap the Drive tile to activate drive mode 2.4 Drive screen ICU variant 2.5 Drive to patient room 2.6 Drive screen MSU variant 1.6 Chapter 2: Routine examination 1.7 Overview of the scan workflow 1.8 Simulation of the scan workflow 3.1 Start the examination workflow 3.2 Register a patient 3.4 Select a protocol 3.6 Positioning the patient 3.7 Answer the myExam Compass questions - part 1 3.8 Confirm the patient position 3.9 Execute a dry run 3.10 Activate the topogram scan 3.11 Perform the topogram scan 3.13 Check&GO Metal Detection 3.14 Answer the myExam Compass questions - part 2 3.15 Plan the range of the tomogram scan 3.16 Activate the tomogram scan 3.19 Perform the tomogram scan 3.21 Check the quality of the acquired tomogram images 3.23 Close the patient 3.25 Local Data / Patient Browser 1.9 Unloading the patient 1.10 Chapter 3: Enhanced examination 1.11 Introduction 1.12 Planning Bolus Tracking 1.13 Premonitoring range 1.14 Performing the Premonitoring range 1.15 Defining the ROI 1.16 Placing the ROI outside the patient's anatomy 1.17 Placing the ROI in the vessel 1.18 Course review 1.19 Disclaimer 1.20 Assessment