SOMATOM Pro.Pulse Software Version VB10 CT Cardiac Workflow Simulation

Continue Continue Continue Continue Continue Welcome and Introduction ? Cardiac Dual Source Sequence Scan Mode (15 min) SOMATOM Pro.Pulse Software Version VB10 CT Cardiac Workflow Simulation In this interactive simulation, we will guide you through a CT Cardiac clinical workflow, which you frequently perform with the SOMATOM Pro.Pulse scanner. Please note: The training presents a cardiac scan on a Dual Source scanner. The workflow steps presented in this training are the same for other VB10 Single or Dual Source CT scanners which are capable of Cardiac workflows. Select the arrow to start the simulation. If you need help for navigating through the simulation, select this button. Welcome and Introduction [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01.mp3] In this interactive simulation, we will guide you through a CT Cardiac clinical workflow, which you frequently perform with the SOMATOM Pro.Pulse scanner. Please note: The training presents a cardiac scan on a Dual Source scanner. The workflow steps presented in this training are the same for other VB10 Single or Dual Source CT scanners which are capable of Cardiac workflows. Select the arrow to start the simulation. If you need help for navigating through the simulation, select this button. 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 Cardiac Dual Source Sequence Scan Mode Select GO to continue. Select the Patient on the Tablet [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_01.mp3] You can perform the cardiac Dual Source sequence scan of the CT Cardiac clinical workflow on the main console as well as on the tablet. The Scan&GO software on your tablet supports this workflow. On the Patient Selection screen of the tablet, select the desired patient. Then select GO to continue. Please select GO to continue. Select Vascular to continue. Select the Scan Protocol on the Tablet [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_02.mp3] The Protocol Selection screen appears. For the CT Cardiac workflow, select Vascular as examination type. Please select Vascular to continue. Select the heart to continue. Select the Scan Protocol on the Tablet 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_03.mp3] From the schematic body map, select the heart. Please select the heart to continue. Select the Coronary CTA [factory] protocol to continue. Select the Scan Protocol on the Tablet 3 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_04.mp3] The available Vascular Cardiac scan protocols appear on the right column. For this training, select the Coronary CTA [factory] protocol. Please select the Coronary CTA [factory] protocol to continue. Select the Scan Protocol on the Tablet 4 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_05.mp3] The details of the selected scan protocol appear. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_06.mp3] Please note: Simultaneously, the system mirrors your tablet activities on the monitor of the console in the control room. Select GO to continue. Select the Scan Protocol on the Tablet 5 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_07.mp3] After selecting the desired scan protocol, select GO on the tablet to continue. Please select GO to continue. Select the CARE Breathe icon to continue. Introduction to the myExam Compass Screen [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_08.mp3] The myExam Compass screen appears. It consists of the following areas: The Scan Protocol display. The Physiological Signal display showing the ECG signals or respiratory signals, if physiological data is available. The area to practice the breathing instructions with the patient called CARE Breathe. The Patient Characteristics display showing age, heart rate and heart rate variabilities of the patient. And when you scroll down, an Information display showing messages relevant to the current attribute in the decision tree. We will introduce CARE Breathe to you in the next step. Select the CARE Breathe icon to continue. Please select the CARE Breathe icon to continue. Select the Prepare button to continue. Introduction to CARE Breathe [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_09.mp3] The CARE Breathe popover appears. CARE Breathe and its visual patient instructions are displayed in the gantry funnel to the patient before, during, and after a scan. There are 3 buttons on the popover representing the 3 visual patient instructions. The first button is Breathe. It displays the instruction: Continue to breathe normally. Select the Prepare button to continue. Please select the Prepare button to continue. Select the Hold button to continue. Introduction to CARE Breathe 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_10.mp3] The second button Prepare displays the instruction “Prepare to hold your breath.” together with an animated countdown of 10 seconds. Select the Hold button to continue. Please select the Hold button to continue. Select the x to continue. Introduction to CARE Breathe 3 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_11.mp3] The third button Hold displays the instruction “Hold your breath!” together with an animated countdown of 10 seconds. Select the x to close this popover. Please select the x to continue. Select the Play button to continue. Practice Breathing Instructions with the Patient [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_12.mp3] Your next step is to practice the breathing instructions together with the patient. Select the Play button in the Breathing Instruction Practice area to continue. Please select the Play button to continue. Practice Breathing Instructions with the Patient 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_13.mp3] [Breathing instructions audio text as available on the system: Please breathe in. Breathe all the way out. Breathe in. And hold your breath. Start breathing again.] myExam Compass automatically checks and inserts the Patient Characteristics. Scrolling down, you need to check a recommendation in the Information area by selecting the 3 dots. Then select Accept All Messages and the yellow compass symbol turns to the white checkmark in a green circle. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_14.mp3] As before, the system mirrors your tablet activity at the console. Select the myExam Compass tab in the Workflow Task area to view myExam Compass and its entries there. Select GO to continue. Open the CARE Breathe Popover [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_15.mp3] On the tablet, select GO to continue. Please select GO to continue. Select GO to continue. Confirm Patient Position [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_16.mp3] The Confirm Patient Position screen appears. Check your patient’s position here and adjust the following values, if necessary: Patient Orientation When you select Patient Orientation, you can select a value in the list to change the patient position. Table Movement You can set the direction of the table movement by selecting from the Table Movement list. Topogram Length Topogram Length displays a list of available topogram length values, from which you can select a different value to change the length of the topogram. In our example, we do not need to adjust the settings. Select GO to continue. Please select GO to continue. Select GO to continue. Activate the Topogram Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_17.mp3] The Ready to load Topogram screen appears. You can activate the topogram scan here. Select GO to load the topogram range. Please select GO to continue. Select the Start scanning button to continue. Perform the Topogram Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_18.mp3] The screen appears that indicates the remaining Delay Time until you start the topogram scan. On the control box, select the Start scanning button to start the topogram scan. Please select the Start scanning button to continue. Perform the Topogram Scan 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_20.mp3] [Breathing instructions audio text in the background as available on the system: Please breathe in. Breathe all the way out. Breathe in. And hold your breath. Start breathing again.] A countdown starts indicating the remaining Delay Time until the system starts the topogram scan. As soon as the scan starts, the Exam Time is displayed in seconds. Once the system has acquired the topogram, the topogram image is displayed. It also contains the adjustable scan range for the tomogram image you acquire later. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_21.mp3] Just like before, the system mirrors your tablet activity at the console resulting in the acquired topogram image and the adjustable scan range. Select the myExam Compass icon to continue. Open myExam Compass [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_22.mp3] As the next step on the tablet, select myExam Compass to open it. Please select the myExam Compass icon to continue. Select Start Test Run to continue. Start Table Movement Test [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_23.mp3] The myExam Compass popover appears. Before starting the Calcium Scoring scan, you can run a table movement test here. The table movement test checks the horizontal travel distance of the patient table before scanning to avoid clamping or collision of the patient or certain material. Select Start Test Run to continue. Please select Start Test Run to continue. Select the Move key to continue. Start Table Movement Test 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_24.mp3] The system displays the table movement test at the console, not on the tablet. On the bottom left corner of the monitor screen, a “Press Move” message will prompt you twice to press the Move key on the control box to complete the test: The first time to move the table to the starting position of the next scan range, the second time to move it to the end position of the scan range. We will show you what this looks like in the topogram segment. Select the Move key on the control box to start the table movement test. Please select the Move key to continue. Select the Move key to continue. Start Table Movement Test 3 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_25.mp3] Select the Move key one more time to finish the table movement test. Please select the Move key to continue. Start Table Movement Test 3 Select the x to continue. Close myExam Compass Popover [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_26.mp3] After the table movement test run, select the x to close the myExam Compass popover on the tablet. Please select the x to continue. Select GO to continue. Select GO [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_27.mp3] Then select GO to continue. Please select GO to continue. Move Table for the Calcium Scoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_28.mp3] The tablet layout changes to the screen for the Calcium Scoring scan. At the bottom of the tablet screen, the tablet tells you what to do next: Select the Move key. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_29.mp3] Again, the system mirrors your tablet activity at the console and highlights the upcoming Calcium Scoring scan in the Workflow Tasks area. In the bottom left corner, it tells you what to do next: Press the Move key on the control box. Select the Move key to continue. Move Table for the Calcium Scoring Scan 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_30.mp3] Select the Move key on the control box to move the table to the starting position for the calcium scoring scan. Please select the Move key to continue. Select the Start scanning key to continue. Move Table for the Calcium Scoring Scan 3 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_31.mp3] The table is moving to the starting position. At the bottom of the tablet screen, the system tells you again what to do next: Select the Start scanning key on the control box to start the Calcium scoring scan. Please select the Start scanning key to continue. Perform the Calcium Scoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_32.mp3] Just like for the topogram scan before, a countdown starts indicating the remaining Delay Time until the system starts the calcium scoring scan. As soon as the scan starts, the Exam Time is displayed in seconds. Once the system has performed the scan, the calcium scoring image is displayed. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_33.mp3] At the console, the system displays the calcium scoring scan and the acquired image synchronously again. In addition, it automatically goes over to the next workflow task, the premonitoring scan. You perform the premonitoring scan to define the position of the monitoring range and the region of interest (ROI) before the diagnostic range is executed. This scan helps in determining the optimal contrast enhancement of the organ or vessel of interest before you initiate the diagnostic scan. Select GO to continue. Select GO [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_34.mp3] Select GO on the tablet to go over to the premonitoring workflow task. Please select GO to continue. Adjust the Scan Range for the Premonitoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_35.mp3] The premonitoring screen appears. Your first step in preparing the premonitoring scan is to adjust the scan range. Simply drag and drop it to the desired level of the heart. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_36.mp3] Again, the system mirrors your tablet activity at the console. Select GO to continue. Select GO [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_37.mp3] On the tablet, select GO to continue. Please select GO to continue. Select the Move key to continue. Move Table for the Premonitoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_38.mp3] A message at the bottom of the tablet screen tells you what to do next: Select the Move key on the control box to move the table to the starting position of the scan range for the premonitoring scan. Please select the Move key to continue. Select the Start scanning key to continue. Move Table for the Premonitoring Scan 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_39.mp3] The table is moving to the starting position. Look at the bottom of the tablet screen to know what to do next: Select the Start scanning key on the control box to start the Premonitoring scan. Please select the Start scanning key to continue. Perform the Premonitoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_40.mp3] Again, a countdown starts showing the Delay Time and the remaining Exam Time as soon as the scan starts. Once the system has performed the scan, the premonitoring image is displayed. Please note: If you have enabled the FAST ROI option, your system automatically defines the region of interest (ROI) on the acquired Premonitoring image for contrast enhancement evaluation, in our example in the aorta. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_41.mp3] At the console, the system performs and displays the premonitoring scan and the acquired image synchronously again. Just like on the tablet, it defines and displays the ROI in the aorta. In addition, it automatically goes over to the next workflow task, the monitoring scan. The monitoring scan is also known as the bolus tracking scan. You perform it to monitor the flow of the contrast medium in a vessel. It helps determine the optimal timing for starting the diagnostic scan. Please note: Usually, you perform the pre-monitoring scan without contrast medium, so not as shown on the image in this simulator environment. Select the CTA Coronary scan range to continue. Check the Scan Range [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_42.mp3] Before starting the scan, check the scan range of the CTA Coronary scan. In the Scan Browser area, select the CTA Coronary scan range. Please select the CTA Coronary scan range to continue. Select the Monitoring scan range to continue. Check the Scan Range 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_43.mp3] The screen for the CTA Coronary scan appears. Check and adjust the scan range, if necessary. In our example, it can stay as it is. Then select the Monitoring scan range to return to the Monitoring screen. Please select the Monitoring scan range to continue. Select GO to continue. Check the Injector Parameters [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_44.mp3] The Monitoring screen and the parameters for the injection of contrast medium appear. Then select GO to start performing the cardiac scan. Please select GO to continue. Check the Injector [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_45.mp3] Follow the instruction at the bottom of the screen: Check and arm the injector. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_46.mp3] The system mirrors this instruction at the console again. Select the Start scanning key to continue. Start the Monitoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_47.mp3] After you have armed the injector, the next message on the tablet tells you to start the monitoring scan. Select the Start scanning key on the control box to start it. Please select the Start scanning key to continue. Perform the Monitoring and the Cardiac Scan [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_48.mp3] A countdown starts showing the Delay Time for the monitoring scan. Then the injector injects the contrast medium during the monitoring scan. The scan automatically goes over to the cardiac scan and indicates the Delay Time for it as well. The system performs the cardiac scan. Once the system has performed the cardiac scan, the real-time display coronal image of the CTA is displayed. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_49.mp3] Synchronously, the Monitoring and the cardiac scan have taken place on the monitor of the console. The same real-time display images are displayed in the image segment. Select the Show QC Image icon to continue. Check Image Quality [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_50.mp3] Back on the tablet, next you would like to check the quality of the acquired images. By selecting the Show QC Image icon on the Image Interaction toolbar, you can toggle between the real-time image series and the quality check image series. Select the Show QC Image icon to continue. Please select the Show QC Image icon to continue. Select the Recon button to continue. Initiate Reconstruction [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_51.mp3] Check the image quality by dragging the slider up and down on the right of the image segment. If you are satisfied with the overall quality of the acquired images, you can initiate their reconstruction now. Please note: The recon results are not displayed on the tablet, only at the console. Select the Recon button to continue. Please select the Recon button to continue. Mirrored Situation at the Console [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_52.mp3] At the console, you can find the reconstructed images in the Recon Ranges area. Hover over the recon icons to see the parameters for Parallel and Radial Ranges. Select a recon icon to view its images in the image segment. Scroll through reconstructed images with the mouse wheel. Select the arrow icon on the right to view further recon images. Select the Close button to continue. Close the Patient [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_53.mp3] As your last step on the tablet for this workflow, select Close to close the patient. Please select the Close button to continue. Congratulations! You have successfully completed the simulation. Click Retry to try the simulation again. To go back to the simulation overview, click Overview. Select Next to read the Disclaimer and exit the learning activity. Retry Overview Next Close the Patient 2 [Storyboard_SOM_Pro_Pulse_DS_CT_Cardiac_WF_Sim_01_54.mp3] Scan&GO returns to the list of scheduled patients. Congratulations. You have successfully completed the simulation. Click Retry to try the simulation again. To go back to the simulation overview, click Overview. Select Next to read the Disclaimer and exit the learning activity. Instructions 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 X in the top right corner to continue. Timeline Question Bank 1 Effective Date: 05 Mar 2024 | QR700005749 1.1 Welcome and Introduction 2.1 Select the Patient on the Tablet 2.2 Select the Scan Protocol on the Tablet 2.8 Introduction to the myExam Compass Screen 2.9 Introduction to CARE Breathe 2.12 Practice Breathing Instructions with the Patient 2.15 Open the CARE Breathe Popover 2.16 Confirm Patient Position 2.17 Activate the Topogram Scan 2.18 Perform the Topogram Scan 2.21 Open myExam Compass 2.22 Start Table Movement Test 2.26 Close myExam Compass Popover 2.28 Move Table for the Calcium Scoring Scan 2.32 Perform the Calcium Scoring Scan 2.35 Adjust the Scan Range for the Premonitoring Scan 2.38 Move Table for the Premonitoring Scan 2.40 Perform the Premonitoring Scan 2.42 Check the Scan Range 2.44 Check the Injector Parameters 2.45 Check the Injector 2.47 Start the Monitoring Scan 2.48 Perform the Monitoring and the Cardiac Scan 2.50 Check Image Quality 2.51 Initiate Reconstruction 2.53 Close the Patient 1.2 Disclaimer