Symbia Pro.specta™ Broad Quantification Calibration: Volume Sensitivity Calibration Job Aid

Broad Quantification Calibration: Volume Sensitivity Calibration Job Aid Symbia Pro.specta™ This job aid will guide the user in performing the Volume Sensitivity Calibration for the accurate quantification of Broad Quantification studies. Volume Sensitivity Calibration generates a volume sensitivity factor (VSF) using a phantom with isotope and collimator. Sensitivity Calibration is also needed for broad quantification. Details can be found in the Instructions for Use Manual or the Broad Quantification Calibration: Sensitivity Calibration job aid. Please Note: Volume Sensitivity Calibration for broad quantification only needs to be performed once at system installation. The system will only prompt for it dur- ing the initial system installation. What you’ll need: 1. Peaking and calibration sources for the respective clinical iso- tope to be calibrated 2. Filled Uniform Cylinder Phantom prepared with a known con- centration of activity reported from the dose calibrator a. Recommended volume of 6000-7000 mL with an ap- proximate diameter of 20 cm yielding a count rate of 5- 30 kcts/sec per detector Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 21 Apr 2023 | HILS 2224 Job Aid Effective Date: 05 Sep 2024 | QR700012567 Healthineers Job Aid | Broad Quantification Calibration: Volume Sensitivity Calibration Effective Date: 05 Sep 2024 | QR700012567 Before starting the procedure, complete the following pre-requisites: ✓ Prepare the phantom ✓ Install applicable collimators ✓ Position the phantom on the patient table in the same area for Head Alignment Source Holder ✓ The long axis of the phantom should be parallel with the gantry’s axis of rotation o Set the patient table height so that the phantom is centered transaxially within the gantry’s opening ✓ Other preconditions including having NMCTFOV (Nuclear Medicine Computed Tomogra- phy Field of View) calibration for the selected collimator o Head Alignment calibration for the selected collimator, and Broad Quant Sensitivity for the selected collimator and isotope configuration (for information on how to perform these calibrations, please see the Instructions for Use Manual) Performing the Broad Quantification Volume Sensitivity Calibration: 1. Click the Settings icon and select Clinical Configuration from the menu. ? Configuration Panel Administration Portal Administration Portal [EN] Clinical Configuration Checkup MI System Check Daily QA Calibration Resume syngo Remote Assist Screen recorder SaveLog Remote Service Exam Designer Create Screenshot Fast Contact File Browser Gantry Display What is New Load Service Pack SIEMENS Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 2 of 8 Job Aid | Broad Quantification Calibration: Volume Sensitivity Calibration Effective Date: 05 Sep 2024 | QR700012567 2. Click the Quality Assurance tab. º Technical Configuration Quality Assurance Clinical Configuration 3. From the navigation tree on the left, select MI Quality Assurance > Quantitative > Broad Quant VSF Sensitivity to display the Broad Quant Sensitivity page with the protocol set to LEHR and source as Tc99m. MI Quality Assurance Detector Calibrations Extrinsic Flood >>Head Alignment >>Intrinsic Flood NMCTFOV Quantitative xSPECT Sensitivity Broad Quant Sensitivity Cross Calibration Broad Quant VSF Calibration Sensitivity Dashboard Source Management 4. Install the collimators selected in the protocol field as instructed in the pre-requisites. If the required pre-requisite has not been performed, instructions will appear on the screen before the Broad Quant VSF Calibration instructions. No Flood calibration has been performed for the selected isotope Please perform the Flood calibration for this isotope or select other sources. X No HeadAlignment calibration has been performed for the selected Collimator. Please perform the HeadAlignment calibration for this Collimator or select another Collimator. No NMCTFOV calibration has been performed for the selected Collimator. Please perform the NMCTFOV calibration for this Collimator or select another Collimator. SIEMENS Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 3 of 8 Job Aid | Broad Quantification Calibration: Volume Sensitivity Calibration Effective Date: 05 Sep 2024 | QR700012567 If there are no preconditions to performing the Broad Quant VSF Calibration, follow the instructions shown in the tab. 1. Verify that NM and CT subsystems are calibrated, including BroadQuant Sensitivity for the selected isotope and collimator 2. Prepare a uniform cylinder phantom (volume greater than 1 liter) with a known activity concentration as measured by an onsite dose calibrator 3. Select the dose calibrator DC1 4. Enter the Activity and Volume to calculate the activity concentration Dose mCi 10 Time 04/02/2021 8:00:00 AM Volume ml 6000 5. Select the applicable collimator and source to perform Broad Quant VSF Calibration. 6. Enter the Dose Calibrator information: Dose, Time, and Volume. Please Note: If the time limit for a calibration has been exceeded, the following message will be displayed: “Last Broad Quant Sensitivity calibration has been per- formed more than 10 days ago.” 7. Place the phantom on the patient table and position between the detectors, as shown. 1. Place the phantom on the patient table and position between the detectors 2. Adjust the bed height to center the phantom vertically 3. Click Continue (system motion will occur) 8. Click Go. System motion will occur, retracting both detectors and moving the patient pallet to the start position. 9. Verify the phantom’s position, and then click Continue. The SPECT calibration will start, followed by a CT calibration. Instructions for performing the calibration will be displayed. SIEMENS Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 4 of 8 Job Aid | Broad Quantification Calibration: Volume Sensitivity Calibration Effective Date: 05 Sep 2024 | QR700012567 10. A time display will appear and count down the time remaining for the quality assurance calibration. 08:05 Time Remaining Start Cancel Spectrum The Status column displays the progress of the task. Tasks Detector Collimator MCounts Date and Time Status Position Point Source N/A Calibration Both LEHR 5 Running Upon completion, a green light indicator with a checkmark will appear with the status message OK. 11. If required, click Cancel to stop the calibration from running. 12. When the calibration is complete, the acquired results are displayed. The results will list the Function, Configuration, Date and Time, Status and the VFS Result. Function Configuration Date and Time Status Position Phantom OK LEHR 180 09/02/2020 1:13 PM OK CT N/A 09/02/2020 1:16 PM OK Select VOI N/A O Running VSF Result VOI Statistics Parameter Value Status Volume Sensitivity Factor 0.7310895 OK True Activity Concentration [kBq/ml] 72.24349 OK 13. The acquired images are displayed on the screen’s right side SIEMENS Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 5 of 8 Job Aid | Broad Quantification Calibration: Volume Sensitivity Calibration Effective Date: 05 Sep 2024 | QR700012567 T. 117.0 Market 1. 1 117.0 kg/mnt 14. Verify that the VOI (Volume of Interest) placement is avoiding edge boundaries. If neces- sary, reposition the VOI by dragging the circular crosshair and center it within the phan- toms square or circle gray range on the image. The status displays per measurement and overall. Status Description OK Results are in tolerance OK Failed Results are out of tolerance Failed Pending An action must take place before proceeding Pending 15. After reviewing the results, click Close Details to close the results screen and display the acceptance screen. The status is displayed along with instruction. SIEMENS Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 6 of 8 Job Aid | Broad Quantification Calibration: Volume Sensitivity Calibration Effective Date: 05 Sep 2024 | QR700012567 16. Click Accept to apply results, or Cancel to keep the previous results, if available. Cancel- ling does not apply new results. Click Accept to apply results Click Cancel to keep previous results if available. Accept Cancel 17. If the status indicates Failed, then additional instructions will be displayed. SIEMENS Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 7 of 8 Job Aid | Broad Quantification Calibration: Volume Sensitivity Calibration Effective Date: 05 Sep 2024 | QR700012567 Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or In- structions 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 Opera- tor 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 infor- mation 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 “Functional- ity”) 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 fic- tional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com SIEMENS Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 8 of 8