SOMATOM Pro.Pulse Software Version VB10 CT Dual Energy Workflow Simulation

Continue Continue Continue Continue Continue Welcome and Introduction ? Dual Energy (DE) scan workflow without contrast medium (7 min) Dual Energy (DE) scan workflow with contrast medium (11 min) SOMATOM Pro.Pulse Software Version VB10 CT Dual Energy Workflow Simulation In this interactive simulation, we will guide you through a Dual Energy clinical workflow with and without contrast medium. These are workflows that you will frequently perform with the SOMATOM Pro.Pulse scanner. Please note: The training presents Dual Energy workflows on a Dual Source scanner. The workflow steps presented in this training are the same for other VB10 Dual Source CT scanners, which are capable of Dual Energy workflows. Select the arrow to start a simulation. If you need help for navigating through the simulation, select this button. Welcome and Introduction [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_01.mp3] In this interactive simulation, we’ll guide you through a Dual Energy clinical workflow with and without contrast medium. These are workflows that you’ll frequently perform with the SOMATOM Pro.Pulse scanner. Please note: The training presents Dual Energy workflows on a Dual Source scanner. The workflow steps presented in this training are the same for other VB10 Dual Source CT scanners, which are capable of Dual Energy workflows. Select the arrow to start a 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 DE Scan Workflow Without Contrast Medium Select Exam to continue. Select the Patient [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_01.mp3] You can perform the CT Dual Energy clinical workflow without contrast medium on the main console. On the Scheduler, select the desired patient. Then select Exam to continue. Please select Exam to continue. Select the abdomen to continue. Select the Scan Protocol [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_02.mp3] The Protocol Selection screen appears. For the CT Dual Energy workflow without contrast medium, we’ll perform a kidney stone exam as an example here. From the schematic body map, select the abdomen. Please select the abdomen to continue. Select here to scroll down. Select the Scan Protocol 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_03.mp3] The available scan protocols for the abdomen appear on the right column. Scroll down in the list of scan protocols to find the relevant kidney stone protocol. Please select the area below the scroll bar to scroll down. Select the Kidney DE Stones [factory] protocol to continue. Select the Scan Protocol 3 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_04.mp3] For this training, select the Kidney DE Stones [factory] protocol. Please select the Kidney DE Stones [factory] protocol to continue. Select OK to continue. Select the Scan Protocol 4 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_05.mp3] Then select OK. Please select OK to continue. Select Confirm to continue. Confirm Patient Position [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_06.mp3] The Confirm Patient Position screen appears. Check your patient’s position and adjust the Patient Orientation and Topogram Length here. In our example, we do not need to adjust the settings. Select Confirm to continue. Please select Confirm to continue. Select GO to continue. Activate the Topogram Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_07.mp3] You’re now ready to activate the topogram scan. Select GO to activate it. Please select GO to continue. Select the Start scanning key to continue. Perform the Topogram Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_08.mp3] On the control box, select the Start scanning key to start the topogram scan. Please select the Start scanning key to continue. Perform the Topogram Scan 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_09.mp3] The topogram scan starts. Once the system has acquired the topogram, the topogram image is displayed. It also contains the adjustable scan range for the tomogram image that you acquire later. Select GO to continue. Perform the Topogram Scan 3 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_10.mp3] By dragging and dropping the interactive range dots, adjust the size or position of the scan range as needed. Then select GO to activate the kidney stones scan. Please select GO to continue. Select the Move key to continue. Move Table for the Kidney Stones Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_11.mp3] On the bottom left corner of the monitor screen, a message will tell you what to do next: Select the Move key on the control box and keep it pressed. This will move the table to the starting position of the scan range for the kidney stones scan. Please select the Move key to continue. Select the Start scanning key to continue. Move Table for the Kidney Stones Scan 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_12.mp3] The table is moving to the starting position. Look at the bottom of the monitor screen to know what to do next: Select the Start scanning key on the control box to start the kidney stones scan. Please select the Start scanning key to continue. Perform the Kidney Stones Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_13.mp3] The kidney stones scan is starting. Once the system has performed the scan, the scan image is displayed in the image segment. To check the image quality of the acquired images, scroll through them with the mouse wheel. Select the first Recon Range icon to continue. Check the Recon Parameters [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_14.mp3] Before starting the reconstruction of all images, you can check the recon parameters. Select the first Recon Range icon in the Recon Ranges area. Please select the first Recon Range icon to continue. Select the second Recon Range icon to continue. Check the Recon Parameters 1 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_15.mp3] Double-clicking any of the Recon Range icons for the first time opens the Recon Parameters panel. Once the Recon Parameters panel is open, you only need to single-click any of the Recon Range icons to see their parameters. When you hover over a Recon Range icon with your mouse cursor, a tooltip appears. It gives you some quick information about its parameters. The first Recon Range comprises a coronal and an axial image series. Adjust its recon parameters as desired or necessary. Select the second Recon Range icon to continue. Please select the second Recon Range icon to continue. Select the third Recon Range icon to continue. Check the Recon Parameters 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_16.mp3] The second Recon Range comprises Dual Energy Parallel Ranges as sagittal, coronal and axial images. Here, we use the Kidney Stone Application Class for these ranges. Adjust their recon parameters as desired or necessary. For example, in the Inline Results column. Here you find a drop-down menu with all parameters for Parallel Ranges, Radial Ranges, Applications and Multi Energy. Select the third Recon Range icon to continue. Please select the third Recon Range icon to continue. Select the fourth Recon Range icon to continue. Check the Recon Parameters 3 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_17.mp3] The third Recon Range is a Spectral Post-Processing image, SPP for short. SPP is a new format for storing Dual Energy information. With SPP, the Dual Energy information is stored within the DICOM header of the image. Therefore, one SPP series carries the same information as the formerly used Low and High series. Adjust its recon parameters as desired or necessary. Select the fourth icon to continue to the last Recon Range. Please select the fourth Recon Range icon to continue. Select Recon All to continue. Check the Recon Parameters 4 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_18.mp3] The fourth Recon Range is a coronal image. The system will reconstruct this image as an MPR Thick image with a slice thickness of 20 millimeters. Adjust its recon parameters as desired or necessary. Once you’ve checked all of the recon parameters, select Recon All to start the reconstruction of all images. Please select Recon All to continue. All All Select Next to continue. Reconstruct All Images [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_19.mp3] The system reconstructs all images and displays its progress in the Recon Ranges area. After all images are reconstructed, select Next to continue. Please select Next to continue. Select Close to continue. Close the Patient [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_02_20.mp3] As your last step for this non-contrast workflow, select Close to close the patient. Please select Close 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_DE_WF_Sim_02_21.mp3] The system 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. Please select the Close button to continue. 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 DE Scan Workflow With Contrast Medium Select Exam to continue. Select the Patient [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_01.mp3] You can perform the CT Dual Energy clinical workflow with contrast medium on the main console. On the Scheduler, select the desired patient. Then select Exam to continue. Please select Exam to continue. Select the abdomen to continue. Select the Scan Protocol [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_02.mp3] The Protocol Selection screen appears. For the CT Dual Energy workflow with contrast medium, we’ll perform a vascular scan of the abdomen as an example here. From the vascular schematic body map, select the abdomen. Please select the abdomen to continue. Select the Abdomen DE CTA [factory] protocol to continue. Select the Scan Protocol 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_03.mp3] The available scan protocols for the abdomen appear on the right column. For this training, select the Abdomen DE CTA [factory] protocol. Please select the Abdomen DE CTA [factory] protocol to continue. Select OK to continue. Select the Scan Protocol 3 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_04.mp3] Then select OK. Please select OK to continue. Select Confirm to continue. Confirm Patient Position [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_05.mp3] The Confirm Patient Position screen appears. Check your patient’s position and adjust the Patient Orientation and Topogram Length here. In our example, we do not need to adjust the settings. Select Confirm to continue. Please select Confirm to continue. Select GO to continue. Activate the Topogram Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_06.mp3] You’re now ready to activate the topogram scan. Select GO to activate it. Please select GO to continue. Select the Start scanning key to continue. Perform the Topogram Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_07.mp3] On the control box, select the Start scanning key to start the topogram scan. Please select the Start scanning key to continue. Perform the Topogram Scan 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_08.mp3] The topogram scan starts. Once the system has acquired the topogram, the topogram image is displayed. It also contains the adjustable scan range for the tomogram image that you acquire later. In addition, the system automatically goes over to the next workflow task, in this case the premonitoring scan. Select GO to continue. Activate the Premonitoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_09.mp3] By dragging and dropping the interactive scan range, adjust its size or position as needed. In our example, size and position of the scan range are correct and can stay as they are. Then select GO to activate the premonitoring scan. Please select GO to continue. Select the Move key to continue. Move Table for Premonitoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_10.mp3] On the bottom left corner of the monitor screen, a message will tell you what to do next: Select the Move key on the control box and keep it pressed. This will move the table to the starting position of the premonitoring scan. Please select the Move key to continue. Select the Start scanning key to continue. Perform the Premonitoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_11.mp3] The table is moving to the starting position. Look at the bottom of the monitor 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 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_12.mp3] The premonitoring scan is starting. Once the system has performed the scan, the scan image is displayed in the image segment. You perform the premonitoring scan before you initiate the diagnostic scan. It helps to define the position of the monitoring range and the region of interest, ROI for short. This scan helps in determining the optimal contrast enhancement of the organ or vessel of interest. FAST ROI automatically positions the ROI, in our example in the aorta. Select the magenta bar to continue. Check and Adjust Scan Range [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_13.mp3] Before going over to the monitoring scan, you need to check the scan range of the upcoming contrast scan. To do so, select the magenta bar of the contrast scan on the timeline. Please select the magenta bar to continue. Select the light blue bar to continue. Check and Adjust Scan Range 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_14.mp3] To be able to see the full scan range, you need to zoom out the topogram. To do so, move the cursor to the peripheral area of the topogram segment. Zoom in or out by clicking and holding the left mouse button while moving the mouse up or down. Then select the scan range and resize it as desired. To go back to the monitoring scan, select the light blue bar on the timeline. Please select the light blue bar to continue. Select GO to continue. Arm the Injector and Activate the Monitoring Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_15.mp3] As your next step, arm the injector now. After you’ve armed the injector, the next message on the lower left bottom tells you what to do next: Activate the monitoring scan. Select GO to activate it. Please select GO to continue. Select the Start scanning key to continue. Perform the CTA Abdomen Scan [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_16.mp3] The monitoring scan is the second step of 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. We’ll simulate the monitoring scan using the optional CARE Contrast feature here. CARE Contrast provides injector coupling with the actual scan. This means you only have to press the Start scanning key on the Control Box to start both the injector and the contrast scan simultaneously. Please note: If you don’t have CARE Contrast, you need to simultaneously press the start key of the injector with one hand and the Start scanning key on the Control Box with the other hand. Select the Start scanning key on the Control Box to start both the injector and the contrast scan. Please select the Start scanning key to continue. Perform the CTA Abdomen Scan 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_17.mp3] The injector injects the contrast medium during the monitoring scan. The scan automatically goes over from the monitoring scan to the contrast scan, in our case the Abdomen DE CTA scan. The system performs the Abdomen DE CTA scan. Once the system has performed the scan, the real-time display image is displayed in the image segment. Select the first Recon Range icon to continue. Check the Recon Parameters [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_18.mp3] Before starting the reconstruction of all images, you can check the recon parameters now. Select the first Recon Range icon in the Recon Ranges area. Please select the first Recon Range icon to continue. Select the second Recon Range icon to continue. Check the Recon Parameters 1 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_19.mp3] Double-clicking any of the Recon Range icons for the first time opens the Recon Parameters panel. Once the Recon Parameters panel is open, you only need to single-click any of the Recon Range icons to see their parameters. When you hover over a Recon Range icon with your mouse cursor, a tooltip appears. It gives you some quick information about its parameters. The first Recon Range comprises an MPR image with the three image orientations sagittal, coronal and axial and a slice thickness of five millimeters. Adjust its recon parameters as desired or necessary. Select the second Recon Range icon to continue. Please select the second Recon Range icon to continue. Select the Inline Options tab to continue. Check the Recon Parameters 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_20.mp3] The second Recon Range comprises Dual Energy Parallel Ranges as axial images. Adjust their recon parameters as desired or necessary, for example, in the Inline Results column of the Recon&GO tab. Here you find a drop-down menu with all parameters for Parallel Ranges, Radial Ranges, Applications and Multi Energy. Select the Inline Options tab to check further parameters. Please select the Inline Options tab to continue. Select the third Recon Range icon to continue. Check the Recon Parameters 3 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_21.mp3] Under Inline Options, the default Application Class for the Dual Energy Parallel Ranges is Monoenergetic Plus. You can change the Application Class in the drop-down menu as desired or necessary. Select the third Recon Range icon to continue. Please select the third Recon Range icon to continue. Select the Inline Options tab to continue. Check the Recon Parameters 4 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_22.mp3] The third Recon Range comprises Dual Energy Radial Ranges in the coronal orientation. Adjust their recon parameters as desired or necessary, for example as before, in the Inline Results column of the Recon&GO tab. Select the Inline Options tab again to check further recon parameters. Please select the Inline Options tab to continue. Select the fourth Recon Range icon to continue. Check the Recon Parameters 5 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_23.mp3] Under Inline Options, the default Application Class for the Dual Energy Radial Ranges is Body Bone Removal. Just like before, you can change the Application Class in the drop-down menu as desired or necessary. Select the fourth icon to continue to the last Recon Range. Please select the fourth Recon Range icon to continue. Select the second Recon Range icon to continue. Check the Recon Parameters 6 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_24.mp3] The fourth Recon Range is a Spectral Post-Processing image, SPP for short. Adjust its recon parameters as desired or necessary. For this workflow, we would also like to show you how to add a recon job. We’ll add one to the four default recon jobs with a different Dual Energy Application Class. To do so, right-click the Dual Energy Parallel Ranges icon on your real system. We simulate this here by selecting it with the left mouse button clicked. Please select the second Recon Range icon to continue. Select Repeat to continue. Add a Recon Job [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_25.mp3] The context menu of the Recon Range opens. To add a recon job, select Repeat from the context menu. Please select Repeat to continue. Select Monoenergetic Plus to continue. Adjust an Added Recon Job [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_26.mp3] The system adds the recon job directly to the right of the previous one and automatically selects it for further modification. From the active Inline Options tab, select the Application Class Monoenergetic Plus to change it. Please select Monoenergetic Plus to continue. Select Virtual Unenhanced to continue. Adjust an Added Recon Job 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_27.mp3] From the Application Class drop-down list, select the item Virtual Unenhanced. This can create a virtual non-contrast abdomen image without the need for an additional non-contrast scan. Select Virtual Unenhanced to continue. Please select Virtual Unenhanced to continue. Select Fused to continue. Adjust an Added Recon Job 3 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_28.mp3] Then select Fused from the Data Set column to modify recon parameters there. Please select Fused to continue. Select VNC to continue. Adjust an Added Recon Job 4 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_29.mp3] To display a virtual non-contrast image as result image for this recon job, select VNC in this drop-down menu. Please select VNC to continue. Select Recon All to continue. Reconstruct All Images [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_30.mp3] Once you’ve checked all of the recon parameters, select Recon All to start the reconstruction of all images. Please select Recon All to continue. Select Next to continue. Reconstruct All Images 2 [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_31.mp3] The system reconstructs all images and displays its progress in the Recon Ranges area. After all images are reconstructed, select Next to continue. Please select Next to continue. Select Close to continue. Close the Patient [Storyboard_SOM_Pro_Pulse_DS_CT_DE_WF_Sim_04_32.mp3] As your last step for this contrast workflow, select Close to close the patient. Please select Close 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_DE_WF_Sim_04_33.mp3] The system 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. Please select the Close button to continue. Question Bank 1 QR700009824 | Effective Date: 02 Jul 2024 1.1 Welcome and Introduction 2 DE Scan Workflow Without Contrast Medium 2.1 Select the Patient 2.2 Select the Scan Protocol 2.6 Confirm Patient Position 2.7 Activate the Topogram Scan 2.8 Perform the Topogram Scan 2.11 Move Table for the Kidney Stones Scan 2.13 Perform the Kidney Stones Scan 2.14 Check the Recon Parameters 2.19 Reconstruct All Images 2.20 Close the Patient 4 DE Scan Workflow With Contrast Medium 4.1 Select the Patient 4.2 Select the Scan Protocol 4.5 Confirm Patient Position 4.6 Activate the Topogram Scan 4.7 Perform the Topogram Scan 4.9 Activate the Premonitoring Scan 4.10 Move Table for Premonitoring Scan 4.11 Perform the Premonitoring Scan 4.13 Check and Adjust Scan Range 4.15 Arm the Injector and Activate the Monitoring Scan 4.16 Perform the CTA Abdomen Scan 4.18 Check the Recon Parameters 4.25 Add a Recon Job 4.26 Adjust an Added Recon Job 4.30 Reconstruct All Images 4.32 Close the Patient 1.2 Disclaimer