Symbia Pro.specta™ System Key Task Guide

Unrestricted | Published by Siemens Healthcare GmbH©, 2022 All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Symbia Pro.specta™ Key Task Guide MIEMONS Hiolihinten " SIEMENS Healthineers Table of contents Training Objectives 2 1 Getting to Know your Scanner 3 1.1 Scanner Components 3 1.2 System Shutdown and Restart 4 1.3 Gantry 4 1.3.1 Emergency Stop Buttons 4 1.3.2 Intercom System 5 1.3.1 Laser Light markers 5 1.3.2 Air Filters 6 1.4 Nuclear Medicine Detectors 6 1.4.1 Orientation Dots 6 1.4.2 Touch pads 7 1.4.3 Infrared Body Contour System (Light Rails & Look Aheads) 7 1.5 CT detectors 8 1.6 Patient Table, Pallet, and Rear Bed 8 1.6.1 Patient Table Handle 8 1.6.2 Pallet 8 1.6.3 Pallet Pad 8 1.6.4 Pallet Handle 9 1.6.5 Table Index 9 1.6.6 Foot Pedal 9 1.6.7 Integrated Source Holder 10 1.6.8 AutoQC Point Source Holder 10 1.6.9 AutoQC Line Source Holder 10 1.6.10 AutoQC Shielded Storage Area 10 1.6.11 Rear Bed 10 1.6.12 Integrated ECG 11 1.7 Hand Control 11 1.8 Gantry Display 12 1.8.1 System Motion Tools 14 1.8.2 Collimator Tool 14 1.8.3 Table and Gantry Position Tool 15 1.8.4 Settings Tools 16 1.9 Control Box 16 2 Changing the Collimators 18 2.1 Collimator Change Options 18 2.1.1 Integrated Collimator Changer (ICC) 18 2.1.2 Automatic Collimator Changer (ACC) 18 2.1.3 Collimator Cart 18 2.2 Collimators 19 2.3 Changing the Collimator 19 2.3.1 ACC/ICC Procedure 19 2.3.2 Collimator Cart Procedure 19 3 Quality Control and Assurance 19 3.1 QC Schedule 20 1 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Table of contents 3.2 System Check 21 3.3 Daily System Shutdown and Startup 21 3.3.1 Shutdown System from Gantry Display 21 3.3.2 Shutdown System from Acquisition Console 21 3.3.3 Startup System 21 3.3.4 System Restart from Acquisition Console 22 3.4 Manual and Automatic QC procedures 22 3.5 Daily NM QC – Manual 22 3.5.1 Intrinsic Verification – Manual 22 3.5.2 Extrinsic Verification – Manual 22 3.6 Daily NM QC – Automatic 23 3.6.1 Scheduling AutoQC 23 3.7 Monthly NM QC 23 3.7.1 Intrinsic Calibration – Manual 23 3.7.2 Head Alignment – Quick Calibration 24 3.8 Monthly NM QC – Automatic 25 3.9 CT Daily QC 25 3.9.1 Checkup 25 3.9.2 Quality Test 25 3.9.3 Calibration 26 4 Overview of Acquisition Console: SPECTsyngo 27 4.1 Scheduler 27 4.2 Protocol Selection 28 4.3 Parameter List View 28 4.4 Patient Browser 29 5 Overview of Protocols 29 5.1 Managing Protocols 29 5.2 Exam Designer Options 30 5.2.1 Scan Protocols 30 5.2.2 Examination Configuration 31 5.2.3 MyExam Cockpit 31 5.3 Modifying and Saving Protocols 31 5.3.1 Individual Protocol Operations 32 5.3.2 Rearrange Protocols in the List 32 5.3.3 Multiple Protocol Operations 32 5.3.4 Protocol Export 32 5.3.5 Protocol Import 33 5.3.6 Modifying Protocols 34 5.3.7 Confirm Protocol Changes 36 6 Acquisition Protocols 36 6.1 Acquisition Types 36 6.2 Exam user interface 37 6.3 Reconstruction 37 6.3.1 Recon User Interface 38 6.3.2 Recon Range Icons 39 6.3.3 Recon Tools 39 6.3.4 Manual Registration Tools 39 2 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Table of contents 7 Patient Setup and Positioning 40 7.1 Manually Registering a New Patient 40 7.2 Registering an Existing Patient 41 7.3 Starting an Exam from an Existing Patient 41 7.4 Resuming an Examination 42 7.5 Positioning Patient for Exams 43 8 MI View&GO 44 8.1 User interface overview 44 8.2 Loading Images 44 8.3 Layout Gallery 44 8.4 Tool Gallery 45 8.5 Series Panel 46 8.6 Corner Menus 46 8.7 Display Types 46 8.8 Ranges 47 8.8.1 Creating Parallel Ranges 49 8.9 FAST Ranges 50 8.10 FAST Cardiac Ranges 51 8.11 Opening MI Cardiology 52 9 Managing Data 53 9.1 Importing Data 53 9.2 Exporting Data 53 9.3 Arching Data 54 9.4 Snapshots 54 10 Organ Processing 55 10.1 Opening Organ Processing 55 10.2 Gastrointestinal Processing 55 10.3 Hepatobiliary Processing 55 10.4 Planar Gated (MUGA) Processing 56 10.5 Lung Processing 56 10.6 Renal Processing 56 10.7 Series Reformat 56 10.8 Series Filter 56 10.9 Flexible Display 56 10.10 Online Help 56 3 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Training Objectives Purpose The purpose of this training is to provide you with the skills and knowledge to operate your system. Instruction For Use (IFU) Manual Provides necessary knowledge and expertise to accurately and safely operate the system. Training Workbook Supports the IFU through big picture concepts, examples, and exercises. This book is yours to keep so you can write on and take notes as needed. Job Aids These documents provide quick reference tips to aid customers in “just-in-time” learning opportunities and can be found on PEPconnect. Upon completion of this workbook, you will be able to: • Describe the function of the Symbia Pro.specta system components • Demonstrate the operation of the gantry • Demonstrate how to use the Gantry Display • Demonstrate how to change the collimators • Describe the workflow of daily, weekly, and monthly QC procedures • Demonstrate the system daily startup and shutdown steps • Navigate the SPECTsyngo user interface • Demonstrate patient selection and launching a protocol • Demonstrate how to modify a protocol and save it • Demonstrate how to setup and position a patient • Describe the purpose of MI View&GO and how to use it • Demonstrate how to create screen captures • Demonstrate how to use Organ Processing 2 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1 Getting to Know your Scanner 1.1 Scanner Components 5 1 2 4 3 7 6 1. Gantry Display 2. Hand Controller 3. STOP Key 4. NM Detector 5. CT Subsystem 6. Rear Bed 7. Patient Table 3 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 2 1 4 3 1. Control Box 2. Monitor 3. Keyboard 4. Mouse 1.2 System Shutdown and Restart Shutting Down the system can be done from the Gantry Display and/or the Home Screen at the Console. To shutdown from the Home screen: 1. Exit all running examinations and close all applications. 2. On the access screen, click the Home icon. 3. One the Home screen, click the Shutdown icon. Select Shutdown System. 4. Click Shut Down to shut down or click Cancel to stop the shutdown. 1.3 Gantry 1.3.1 Emergency Stop Buttons The emergency stop buttons allow you to interrupt all system functions and switch off radiation. They are located on either side of the gantry, on the Gantry Display, and on the Control Box. 1 2 4 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 In the event of an emergency, press the STOP key. All system movements, such as table movement or detector rotation, are interrupted and radiation is stopped. Once the emergency has been resolved, press the Reset button on the gantry display. 1.3.2 Intercom System The gantry’s intercom speakers are located at the top inside the bore of the gantry. By using the Intercom buttons on the Control Box, the user can communicate with the patient. 1.3.1 Laser Light markers The lasers aid in positioning the patient and the quality control phantom. Three lasers can be turned on by clicking the Laser button on the hand control. There are lasers on each side of the gantry ring and one directly above. 5 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Another set of lasers are activated automatically during a CT acquisition. They are projected through a plastic shield around the inside of the gantry ring. 1.3.2 Air Filters The CT gantry is air cooled and contains air filters on the back of the gantry. These can be easily exchanged. An open task will appear on the user interface when it is time to exchange the air filters. 1.4 Nuclear Medicine Detectors The NM detectors can be rotated around the gantry and rotated around their yokes at various angles. The detectors have an automatic infrared, body-contour feature that allows for automatic body contoured noncircular) acquisitions. Additional, look-ahead sensors view the patient’s contour prior to entering the field of view for the whole body acquisitions. 1.4.1 Orientation Dots The orientation dots appear on each side of the detector (one white/unfilled and the other gray/filled). The gantry also has dots on each side. These dots work as reference points when moving the detectors using the hand control. Dots also appear on the hand control to indicate which dot (direction) a detector will move when a motion button is pressed. SIEMENS Healthineers 1 . O 6 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1.4.2 Touch pads There are 6 touch pads that will stop all system motion when contact occurs. One touch pad covers each of the detector’s collimator. There are two touch pads covering three sides of each detector’s yoke. The last two touchpads are found on the light rails that hold the collimator in place. 4 1.4.3 Infrared Body Contour System (Light Rails & Look Aheads) The infrared body-contour system has the following features and functionality: • One pair of light rails per detector, between which an infrared beam passes, creating a light curtain across the surface of the detector. • Assists in adjusting the relative positions of the detector(s) and patient during precision movements. • Assists non-circular SPECT and auto-contoured whole body studies. In addition, lookahead sensors can be found on the back side of the detector to sense the top of the shoes coming during the wholebody planar scan. O 7 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1.5 CT detectors The CT subsystem contains the stellar detectors. They keep electronic noise low, increase dose efficiency, and improves spatial resolution. In addition, the system contains a Tin Filter which achieves ultra low dose by cutting out lower energies and optimizes image quality at the interface between soft tissue and air. Studies show the Tin filter technology reduces beam-hardening artifacts and improves image quality in bony structures. 1.6 Patient Table, Pallet, and Rear Bed The patient table supports the pallet and bed index, raises them to go between the detectors, and through the gantry’s ring. The rear bed and bed index support the pallet when it extends through the gantry’s ring. 1.6.1 Patient Table Handle Recessed patient bed handles are located on each side of the patient bed to provide a hand grip when pivoting the patient bed. 1.6.2 Pallet The pallet is the surface that the patient lies on during an acquisition. It moves horizontally in and out of the gantry and can be moved using the hand control or control box. 1.6.3 Pallet Pad The pallet pad is attached to the pallet and provides patient comfort. The pad can be removed for cleaning or quality control procedures. 8 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1.6.4 Pallet Handle The pallet handle is not used for routine patient positioning. It is only used to remove the pallet from inside the gantry in the event of an emergency. In an emergency, pressing the pallet release button will release the pallet and enable you to move the pallet with the handle. 1.6.5 Table Index The table index lies beneath the pallet and moves horizontally to predetermined positions to support the pallet during CT acquisition. For NM acquisitions, the table index does not move. 1.6.6 Foot Pedal The patient table is typically docked (securely positioned) in front of the gantry. It can be undocked and pivoted from the gantry for acquisitions between the detectors or gurney imaging. The foot pedal is used to release and secure the patient table. 9 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1.6.7 Integrated Source Holder The integrated source holder is a retractable rod built into the foot end of the patient table. It is manually pulled out of the patient bed for quality assurance procedures and pushed back in when compete. A point source vial is inserted into the end of the integrated source holder enabling source positioning for peaking, tuning, and intrinsic verifications, and calibrations. The integrated source holder can be retracted by pushing it back into the patient bed. 1.6.8 AutoQC Point Source Holder The point source holder will extend or retract a source as required to complete system quality control. A Co-57 point source is installed by a Siemens Customer Service Representative. 1.6.9 AutoQC Line Source Holder The line source holder will extend or retract a line source as required to complete system quality control. A 10mCi Gd-153 line source is installed by a Siemens Service Representative. 1.6.10 AutoQC Shielded Storage Area The source holders are retracted and stored within the AutoQC shielded storage area within the patient bed. 1.6.11 Rear Bed The rear bed provides additional support for the pallet as it passes through the gantry’s ring. As the patient table moves up and down, so does the rear bed. However, once the patient table and rear bed reach a certain downward position, only the patient table will continue its downward motion (unless the pallet is extended, in which case both rear bed and patient bed stop). 10 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1.6.12 Integrated ECG This accessory is housed beneath the pallet handle with an ECG leads connection opening directly behind where the patient’s head lies. The ECG information is displayed and controlled using the Gantry Display. 1.7 Hand Control The hand control is used to manually communicate with the system. It can control the gantry, patient table, and detector movements, as well as initiate acquisitions and programmed positioning. A B C A – Start/Stop Acquisition C B – Fast Motion C – Clear D – Table-up E – Table-in C F – Table-out 2 G – Table-down D H – Scan Height I – Table index F E G J – Unload G K – Move H J K L – Positioning laser M II M – 180o configuration button L I 11 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 To better understand the hand control and system motions, use the gantry icons, detector numbers (1 and 2), and the white and gray orientation dots on the hand control as a reference for the motion’s direction. The detector number, appearing on the fronts of the detectors, and the white and gray orientation dots, appearing on the detectors and the gantry, help in identifying the relationship between system orientation and the hand control. 1 9 2 1 10 3 C 4 11 G 12 5 2 13 14 (1) Rotate detector 1 counterclockwise ( 2 ) Move detector 1 towards the orientation circle (3 ) Move detector 1 inward (4) ( 5 ) Rotate gantry ring counterclockwise Move detector 2 towards the orientation circle (6) Move detector 2 outward ( 7 ) ( 8) Rotate detector 2 clockwise Rotate detector 1 clockwise (9) Move detector 1 outward (10) Move detector 1 towards the orientation dot (11) Rotate gantry ring clockwise (12) Move detector 2 inward (13) Move detector 2 towards the orientation dot (14) Rotate detector 2 counterclockwise 1.8 Gantry Display The Gantry Display is mounted on an arm (boom) extending from the top of the gantry. The arm can be moved to either side of the gantry with the Gantry Display swiveling left or right. Through its persistence images and other controls, the Gantry Display facilitates patient positioning, detector and collimator configuration, and some protocol steps. 12 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 The Gantry Display screen can be viewed from the acquisition console by selecting Gantry Display from the Settings menu. makner - ? H (1) intratan Portal Chickup M Syxor Check Birre shol 2 There are three buttons at the top of the Gantry Display: Power on/off, Reset, and Emergency Stop Functions. G e Before a patient and protocol are loaded, the Gantry Display shows limited information: 1 No patient registered 23 11.5 2 Q 100 6 3 5 O LEHR 362 362 0 4 (1) Indication that no patient is registered (2) Energy Window (3) Persistence value controls (4) Tools area (5) Persistance image refresh button (6) Persistence window level controls (7) Persistance images Once a patient and protocol are loaded, the Unload button will be available. In addition, information unique to the patient and active protocol will be displayed. 13 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1.8.1 System Motion Tools The following system motion tools can be found on the Gantry Display: • Retract Detectors: This tool retracts the detectors to the furthest position away from the middle of the gantry. • Unload: This tool retracts the detectors, retracts the patient table, and then will lower the table if the Lower option is selected for the Table Height. • Reset: This tool rotates the gantry ring and detectors to the default position for the current detector configuration. DO NOT use this tool when a patient is on the table. Retract Detectors Unload Reset 1. Doe, John 13.3 11.3 2 Cabrio Emptying Bolics Factory] interior Projection 4 Pastarior Projection 5 6 5Feet First - Supine (FF8) Presu. Go lo load the gran 7 LEHR 362 362 (1) Patient name and date of birth Protocol name (3) Current scan step (4) Detector views (only for planar scans) (5) Zoom (only for planar scans) (6) Patient position (7) Workflow controls 1.8.2 Collimator Tool The Collimator Tool shows available collimator configurations, initiates collimator changes, and enables you to simultaneously set your desired detector configuration. There is a collimator section and a Detector section within the tool. 14 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Carburazion 3 1 Delecor: 141 Tap 2 LEHR 362 362 1.8.3 Table and Gantry Position Tool The Table and Gantry Position Tool provides a visual overview of your system’s configuration, including the patient table position, gantry rotation, and detector positions. 2 3 4 Tabin SPECT II Gantry 362 0.0ª -I 362 O 180.08 ₮ 222.1 0.0" 4 0 0.00 4 0 LEHR 362 362 (1) Table position This section includes the table's horizontal position and height. It also displays the table index position (SPECT, for the example above). (2) Gantry rotation This section displays the gantry rotation, which is measure in degrees. The dot that moves around the spiral represents detector 1. (3) Detector 1 This section provides up to four measurements, including Distance (mm). Position (*). Rotation (*), and Offset (mm). Distance (mm) - the distance away from the center of the gantry bore. Position - the position around the gantry, measured in degrees. (4) Detector 2 This section provides up to four measurements, including Distance (mm). Position ("). Rotation (*), and Offset (mm). Additionally, it displays whether detector 2 is tilted or not. 15 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1.8.4 Settings Tools The Settings tool allows you to perform various tasks related to the system, its features and accessories. Table Height Projets 1 L. 100.0 Sors bebut Swertes 2 3 Motion Home 4 OK Touch Pad Tast 5 10:43 AM MICH 362 362 (1) Table Height Presets This section includes two presets for the patient table: Scan (mm) height and Unload (mm) height. There are two buttons for each preset. The two right-most buttons reflect the current table height and allow you to set the preset to that height. The two left-most buttons, Set to Default and Set to Low, set the respective presets to the default values (160.0 mm for scan height and 489.0 for unload height). (2) Extern ECG toggle This toggle sets the system to use an external ECG instead of the internal ECG. (3) Plan&GO toggle This toggle turns the patient table's Plan&GO ruler on and off. (4) Motion Home control Pressing the Start button will initiate the motion home sequence, which moves the detectors, gantry, and table. This section also displays the current status of the motion home test and whether it should be run. (5) Touch Pad Test control Pressing the Start button will initiate the touch-pad test. This section also displays the expiration date of the latest run touch-pad test. 1.9 Control Box The control box is located at the acquisition console. It enables you to start and stop a measurement and move the gantry and the table from outside of the examination room. The operating elements for the intercom system can also be found here. 16 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 15 Healthinaar 14 13 4 12 11 5 8 6 7 (1) Volume up key (2) Volume down key (3) Call patient key: Press and hold this key while speaking into the microphone. (4) STOP key: Press this key to stop radiation and movements altogether in an emergency. 5) Suspend key: Press this key to hold the scan procedure. This is the preferred method for interrupting a scan before completion. Do not use the STOP key for this purpose. (6) Start key: Press this key to trigger a scan (staying activated). The X-ray indicator is illuminated when ready for a scan or during the scan. (7) (8) Unload key: Use this key to unload a patient. Light Marker key: Press this key to turn the light marker on or off. (9) Move key: Press this key to move the table to the preselected scanning position. (10) Feed Out key: Press this key to move the table out of the gantry. (11) Feed Down key: Press this key to move the patient table down (not active if the table does not support this motion). (12) Feed In key: Press this key to move the table into the gantry. (13) Feed Up key: Press this key to move the patient table up (not active if the table does not support this motion). The Start key on the control box contains an X-ray indicator. A warning signal sounds when radiation is being generated. The color of the x-ray indication is green when the system is ready for scanning and yellow when radiation is active. 17 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 2 Changing the Collimators 2.1 Collimator Change Options There are 3 types of collimator changing options that may come with your system, depending on the types of collimators and options that you have purchased. 2.1.1 Integrated Collimator Changer (ICC) The Integrated Collimator Changer (ICC) is a collimator change server that is permanently mounted under the patient bed. The ICC holds two pairs of the collimators and is intended to store most frequently used collimators. It does not store high energy or pinhole collimators. 2.1.2 Automatic Collimator Changer (ACC) The automated collimator changer (ACC) is an option and requires the ICC. The ACC is attached to the ICC and automates the opening and closing of the drawers when performing collimator changes. SYMBLA Prospection . . 4 3 2 2.1.3 Collimator Cart The collimator cart provides storage and transportation of the collimators and allows for installation and removal of the collimators. There are four collimator drawers for storing 2 sets of collimators. Each drawer is numbered on the side of the cart and there is a brake for the wheels. 18 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 2.2 Collimators The collimators come in sets of 2, one for each detector (except for pinhole). Collimator thickness and construction vary. Various acquisitions require or restrict the use of certain collimators. Each collimator, except the pinhole, has a touchpad. Contact with the touch pad stops detector and system motion. 2.3 Changing the Collimator 2.3.1 ACC/ICC Procedure 1. Select collimator tool on the Gantry Display. 2. Select the collimator and detector configuration. 3. System reconfigures for ACC/ICC. 4. Bottom detector rises to collimator drawer height and its collimator clamp rises. The Gantry Display will show when to move to the next step. 5. Slide the collimator drawer open. Make contact and hold until movement begins, and a beep is heard. 6. The Gantry Display will indicate when to close the drawer. Slide and close the collimator drawer until the beep sound is heard. 7. The patient table will adjust height. 8. The collimator clamp will close. 9. Rotate around for second detector to move into position. 10. Repeat steps 4-6 for the second collimator. 2.3.2 Collimator Cart Procedure The collimator cart can hold up to 4 collimators and contains foot brakes for additional security. Collimator Change 1. Tap Configuration tool to open the Configuration Popover. 2. Select desired collimator(s) to be installed. Ensure Match Collimators is selected if needed. 3. Choose a detector configuration if desired. 4. Follow instructions on Gantry Display. 5. When prompted, dock the indicated Collimator Card into the table. 6. *Lock the wheel brakes after docking cart. 7. Open the indicated drawer to install/retrieve the collimator. 8. Close indicated drawer when prompted. If changing both collimators, the detectors will rotate and repeat the same steps. 9. Complete the touchpad test after collimator exchange is finished. 10. Unlock the wheels and remove the collimator cart completely when prompted. 3 Quality Control and Assurance Note: Acquisition of the bar phantom is not required by Siemens but can be done at the discretion of the user. 19 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 3.1 QC Schedule Quality Control procedures are performed on a daily, monthly, or as required basis. Local regulations may require additional checks. Performed Quality Control Procedure Source Intrinsic 10-25uCi of Verification Tc99m (manual or AQC) -or- Daily for MI -or- Co-57 or Tc99m Extrinsic sheet source Verification -or- (manual or AQC) AQC source CT Checkup CT Quality (Daily QA) Daily for CT CT Calibration – 1hr after performing the checkup or if ring artifact occurs Tuning Note: You can perform 5-15uCi point Weekly for MI tuning as part of source of Tc- intrinsic 99m verification. Intrinsic 10-25uCi of Tc- Calibration 99m 3 or 5 point sources, each about 1mCi per source (Match Monthly for MI Quick Head sources within Alignment 20% of each Calibration other for Tc-99m only) -or- AQC source Monthly for CT CT Constancy Test 20 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Intrinsic 10-25uCi point Calibration with source with alternate applicable Every 6 months or isotopes isotope per Regulatory/License Sensitivity Calibration 5-10mCi point requirements (xSPECT, Broad source of Quantification, or application Cross Calibration) isotope At installation or if collimator damage Extrinsic is detected Calibration Head Alignment Yearly for MI Calibration for all See source collimators and strengths above. configurations 3.2 System Check The system provides a System Check to ensure all calibrations are current and the system is in optimal working condition prior to scanning a patient. This System Check provides a list of daily tasks that need to be performed on the system. To start the procedure, make sure no patient is loaded in the Patient Browser. 1. Click System Check on the Home screen and select MI System Check. 2. The list will show Daily QA, Checkup, and Calibration. 3.3 Daily System Shutdown and Startup To assure best system performance, it is recommended to restart the system daily. 3.3.1 Shutdown System from Gantry Display 1. From the Gantry Display, press the blue On/Off button. 2. You will see a popup with a 60 sec timer. The system will automatically shut down after 60sec or you can select Cancel by pressing the On/Off button a second time. 3.3.2 Shutdown System from Acquisition Console 1. Exit all running examinations and close all applications. 2. On the Home screen, click the Shutdown icon. 3. Select Restart System. A System Shutdown dialog box opens that gives you a choice to check the active processes running. 4. Click Shutdown to begin the system shutdown. Open workflows will be closed and results are saved when the system shuts down. 3.3.3 Startup System 1. Press the On/Off button on the Gantry Display to startup the system. It will be pulsing indicating that the system is able to be turned on. This will turn on both the Gantry Display and Acquisition Console. 2. Once indicated on the Gantry Display, complete the Motion Home and Touch pad test. 21 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 3.3.4 System Restart from Acquisition Console 1. Exit all running examinations and close all applications. 2. On the Home screen, click the Shutdown icon. 3. Select Restart System. A System Shutdown dialog box opens that gives you a choice to check the active processes running. 4. Click Restart System to begin the restart. The system will shut down and start up again. 3.4 Manual and Automatic QC procedures The QC procedures can be performed manually by: • inserting a point source in an integrated point source holder, • using a sheet source, or • using a phantom Otherwise, the QC procedures can be performed automatically by using the internal AutoQC device with: • an internal point source or • an internal line source 3.5 Daily NM QC – Manual 3.5.1 Intrinsic Verification – Manual An intrinsic verification uses a point source, flooding uncollimated detectors to verify the detectors’ corrected performance. Setup 1. Remove the collimators and home the system. 2. Prepare 10-25uCi point source. 3. From the console, move the cursor over the Settings icon and select Clinical Configuration. 4. Click on the Quality Assurance tab and select MI Quality Assurance. 5. Select Intrinsic Flood and then Select Verification – Manual. 6. Verify the protocol, source, and tasks selections are correct and Click Start to being the acquisition. If pre-positioning task is selected, system motion will start. 7. When prompted during the pre-positioning step, extend the integrated source holder. 8. Insert the point source into the end of the integrated source holder. 9. Click the Continue button. 10. Once the protocol tasks are completed, the results will be displayed. 11. After reviewing the results, click the Close Details button and then Click Accept to apply results or Cancel to keep the previous results. 12. If the status shows Failed, additional instructions are provided. 3.5.2 Extrinsic Verification – Manual An extrinsic verification uses a sheet source, flooding collimated detectors to verify the detectors’ corrected performance. An extrinsic verification pay be performed instead of an intrinsic verification to verify the detector’s performance. 22 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Setup 1. From the console, move the cursor over the Settings icon and select Clinical Configuration. 2. Click on the Quality Assurance tab and select MI Quality Assurance. 3. Select Extrinsic Flood and then Select Verification – Manual. 4. Verify the protocol, source, and tasks selections are correct. 5. Install applicable collimators and remove pad from the patient table. Attach the sheet source holder. 6. Click Start to being the acquisition. If pre-positioning task is selected, system motion will start. 7. Position the sheet source on top of the sheet source holder when prompted. Click Continue. 8. Verify the sheet source is centered on the sheet source holder. 9. Once the protocol tasks are completed, the results will be displayed. 10. After reviewing the results, click the Close Details button and then Click Accept to apply results or Cancel to keep the previous results. 11. If the status shows Failed, additional instructions are provided. 3.6 Daily NM QC – Automatic 3.6.1 Scheduling AutoQC To setup AQC schedule, select Clinical Configuration > Quality Assurance Configuration. SIEMENS Healthineers = Scan 7 = Recon & O Service, Local Zoe / syadmin Free (Restricted Remote Access) Diagnose Installation 3º Technical Configuration Quality Assurance ª Clinical Configuration MI Clinical Configuration Quality Assurance Configuration Select Source Dose Activity Unit Source AQC Energy Window Sets Daily Extrinsic Flood MI Series Description Collimator LEHR Examination Configuration MI Daily Quality Schedule Data Preprocessing Patient Browser Protocol End By Day End By Time Automatic Collimator Install after QC completion Prior Study Search Monday Daily Intrinsic Tuesday 5:00 AM NA Reading Tuesday Daily Intrinsic Wednesday 5:00 AM NA DICOM Data Handling Wednesday Daily Intrinsic Thursday 5:00 AM NA Licensing hursday Daily Intrinsk Friday 5:00 AM NA Layout Management Friday Daily Intrinsic Saturday 5:00 AM NA User and Role Administration Saturday Daily Intrinsic Sunday 5:00 AM NA Sunday Daily Intrinsic Monday 5:00 AM NA Expert-i 3.7 Monthly NM QC 3.7.1 Intrinsic Calibration – Manual Perform an intrinsic calibration and intrinsic verification using a 35uCi Tc99m point source. Setup 1. From the console, move the cursor over the Settings icon and select Clinical Configuration. 23 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 2. Click on the Quality Assurance tab and select MI Quality Assurance. 3. Select Intrinsic Flood and then Select Calibration – Manual. 4. Click Start to begin the acquisition. If pre-positioning is selected, this task is performed, and system motion will occur. 5. When prompted, extend the integrated source holder, and insert the point source vial at the end. 6. Click Continue to start the acquisition. The system will Tune, Peak, and then start the calibration. Once the calibration is completed, the verification task will begin. 7. Once all the protocol tasks are complete, the results are displayed. The acquired images are displayed as well as the calibration results and the curvature correct flood is displayed for the verification. Intrinsic Calibration Acceptable Limits are: Integral uniformity Useful Field of View (IUFOV) +/- 8% Integral uniformity Central Field of View (ICFOV) +/- 8% Differential uniformity Useful Field of View (DUFOV) +/- 8% Differential uniformity Central Field of View (DCFOV) +/- 8% 8. After reviewing the results, click Close Details button to close the results screen and display the acceptance screen. 9. Click Accept to apply the results or Cancel to keep the previous results. If the system indicated Failed, additional instructions will be provided. 3.7.2 Head Alignment – Quick Calibration Head alignment quick calibration eliminates the need to recalibrate the head alignment for all collimators and configurations every month. Setup 1. Install the LEHR collimator, or whichever collimator is configured as the trending collimator. Perform a Motion Home. 2. Remove that patient table pallet pad and install the head alignment source holder. 3. Prepare 3 or 5 – 10-25uCi Tc99m point sources, depending on collimator type as trending collimator. 4. Place the point sources in the source holder as indicated for the collimator type on the system. 5. From the console, move your cursor over the Settings icon and select Clinical Configuration. 6. Click the Quality Assurance tab and select MI Quality Assurance. 7. Select Head Alignment and then select Quick Calibration – Manual. 8. Click Start Calibration. This will cause the system motion to occur. 9. Verify the Protocol settings match the collimator selection and isotope. Click the Start button which will start the Calibration task. A Time Remaining clock will be displayed on the screen. 10. Once the Calibration is complete, the results are displayed in the center of the screen. The sinogram and linogram are displayed on the right side of the screen. Head Alignment acceptance limits are: 24 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Center of Rotation (COR) +/- 10mm Axial Shift +/- 5mm BPA +/- 0.8mm 11. After reviewing the results, click the Close Details button to close the results screen and display the acceptance screen. The status is displayed along with instructions. 12. Click Accept to apply results or Cancel to keep the previous results. If the status indicates Failed, additional instruction are provided. 3.8 Monthly NM QC – Automatic The Quality Control Suite, enabled by AutoQC, consists of a Head Alignment calibration followed by an Intrinsic Flood calibration. For each parallel hole collimator registered to the Automated Collimator Changer (ACC) on the system, the system lists the Head Alignment calibration task to be performed, followed by the Intrinsic Flood calibration task. 1. Click System Check from the Home screen when it’s time to run the monthly QC. 2. In the navigation pane on the left, select NM Monthly QC Suite. 3. Verify Head Alignment Type Configuration. 4. Verify MI Monthly Quality Schedule. 5. Click on the Start button to begin the calibrations. 3.9 CT Daily QC 3.9.1 Checkup Home the system. Configure the gantry to move the patient table to the predefined CT Brain Index position. Verify that no patient is loaded in the Patient Browser. 1. Click System Check on the Home screen or Checkup in the Setting menu – The System Check window opens. 2. In the navigation pane on the left, select Checkup. 3. Click the GO button on the Console. 4. Press the Start button on the control box. 5. Scanning is initiated. 3.9.2 Quality Test First, perform the calibration and then position the water phantom on the patient table. 1. Hover over the Settings icon and select Daily QA. This will open the Daily QA window. 2. Click Go to initiate the daily quality test. The water phantom should be positioned in the scan plane. 3. Press Start on the control box when prompted. 4. The Homogeneity/Water and Noise tests are respectively performed. Test results are displayed in the content area of the Daily QA window. 25 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 3.9.3 Calibration CT Calibration needs to be completed 1 hour after the CT Checkup. If the system is restarted, a pop-up will appear as a reminder. Calibration Reminder x Tor ee The best image quality, run the calibration procedure before scanning the Make sure that there are no patient tabs open, Click Start to trigger the calibration procedure butont Start Reject Home the system. Configure the gantry to move the patient table to the predefined CT Brain Index position. Verify that no patient is loaded in the Patient Browser. 1. Click System Check on the Home screen or Calibrations in the Settings menu – The System Check window opens. 2. In the navigation pane on the left, select Checkup. 3. Click the GO button on the Console. 4. Press the Start button on the control box. 5. Scanning is initiated. 26 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 4 Overview of Acquisition Console: SPECTsyngo 4.1 Scheduler From the Home page, click the Examination tile. The Scheduler screen is displayed. Areas of the Scheduler: can 12 E Riscon 0 Scheduler ct te t. (1) (3) Pationts annied Sabr ¿ cualo Willis, Ashley Medical Information Exam Information Precedpe Mays, Wanda (2) Roberson, Alejandra Alerts Willis, Ashicy (4) 1. Search Area 2. Patient List 3. Toolbar a. Exam b. Emergency Patient c. Register Patient d. Delete Procedure 4. Patient Registration 27 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 4.2 Protocol Selection ₼ | | = Scan 14 = 1 04/17/1989 (31) M 316cuiac- Fac/-41c4-a 2 Protocol 'rotocol Selection Protocol Parameters Browse Protocols CT Protocols = NM Protocols Physiological Signal · @@ Requested Procedure hil Scan Roconstruction Abdomen Patient Type Protocol Static Planar [factory] Close Contrast Protocol 2? Scan medes StamcPlanar Static syngo. via 3 Adult Child Protocol. Cardiac SPECT [factory! Scan modes CardiacoTomo Protocol: SPECT [factory] Sean modes 100 Tema Torno Trauma Protocol. SPECT-CT [actory] NM BOS -Invacations -Scan modes: 180 Tomo, Tomo RoutineSpiral/\duitAbdomenSn Topogram NM Dual Isotope CT.AC NM NEMA Apply protocol OK Cancel Add Replace 1. Browse Protocol & Requested Procedure Area 2. Physiological Signal 3. Protocol Preview Area 4.3 Parameter List View (1) SPECT-CT [factory] [ ... (2) SPECT-CT [factory] Palort Sestien Scan Faortes Bervedi Scan Gantry Setings Physia Scaa (5) Torso Coment Corsira Mecon (6) . CEAS ScanRecon Cf: Scan Favoriles Recon Favorites (7) (4) 1. Protocol Name 2. Save Protocols 3. Scan Range Name 4. Recon Range Name 5. Scan Categories 6. Recon Categories 7. Category Name 28 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 4.4 Patient Browser SIEMENS Healthineers R = Scan 12 = Recon 0 O Patient Browser Local Data h by Name, ID, Date, Description and Modality (Ctrl+F) Q More Filters 0 Results (7 results. 5:35:02 AM) Series Patient Modality Study Date and T ... Study Descript ... Exported Study Ar NM 10/20/2020 1:41:33 ... Static Planar [ ... Spence, Vince *07/18/1969, M 8004e822-e87b-400b-8dfd-d0e31b0f486d Patent Proto NM 10/19/2020 7:45:15. Static Planar [ ... Ruiz, Vance *07/13/1970, M c5f153c3-dd5c-47a6-a7a0-444298102eaf NM 10/19/2020 7:39:47 ... SPECT [facto ... Rogers, Stephanie *06/22/1974, F ffa1 abd6-5e16-4483-b6fd-1060eacd3b08 NM 10/19/2020 7:31:35 ... Static Planar [ .. - Parker, Clifton Instances *08/13/1964, M 106cc34f-8e0c-4194-be73-76a97a2a6017 NM 10/19/2020 7:22:10 Static Planar [. Hammond, Nathaniel *10/15/1952, M a390cc49-6b97-4fb3-aa79-8d4cafd82284 1 1/48 NM 10/19/2020 1:47:59 ... Cardiac SPE ... - Floyd, Billie 9fb 1123d-1348-4d9b-Bcbe-6b/43c23.819 Search successfully completed 1. Work list bar 2. Search Area 3. Results List 4. Instance List 5. Series List 6. Toolbar 5 Overview of Protocols A scan protocol contains predefined scan parameters, reconstruction parameters, and processing parameters for a specific examination. 5.1 Managing Protocols Protocols can be managed through Exam Designer. From here, factory protocols can be selected and modified to create customized protocols. When logged onto the system with clinical administrator privileges, the exam designer application is enabled from the gear icon on the settings menu. 29 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 syadmin v ? M * = Configuration Panel Administration Portal Administration Portal [EN] Clinical Configuration Check up MI System Check Daily QA Calibration Resume syngo Remote Assist Screen recorder SaveLog Remote Service Exam Designer Create Screenshot Fast Contact File Browser Load Service Pack Gantry Display 5.2 Exam Designer Options 5.2.1 Scan Protocols Allows the user to manage CT and MI protocols and parameters Overview of Scan Protocol interface Exam Designer Edit Options 1 1. Select Protocols 2. Modify Protocols 3. Confirm Changes 4 Factory Protocols (150) Customer Protocols (0) Protocol List Area Global Filters CT Protocols (96) NM Protocols (54) Adult Child Search All 2 Head (0) Vascular Neck (0) Head (0) Vascular Neck (0) Neck (0) Vascular Thorax (0) Neck (0) Vascular Thorax (0) Patient Type Shoulder (0) Vascular Cardiac (0) Shoulder (0) Vascular Abdomen (0) Contrast Protocol all syngo.via all Thorax (0) Vascular Abdomen (0) Thorax (0) Vascular Extremities (0) Protocol Folders + Patient Model Abdomen (0) Vascular Extremities (0) Abdomen (0) Trauma (0) 3 Pelvis (0) Trauma (0) Pelvis (0 RTP (0) Trauma Trauma Spine (0) RTP (0) Spine (0) Specials (0) RTP RTP Upper Extremities (0) Specials (0) Upper Extremities (0) Baby (0) Specials Spocials Lower Extremities (0) Intervention (0) Lower Extremities (0) Intervention (0) Intervention Vascular Head (0) NM Basic (0) Vascular Head (0) NM Basic (0) Hide Delete Export Import Operations Modify Protocols 30 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1. Global Filters 2. Search 3. Protocol Folders + Patient Model 4. Protocol List Area 5.2.2 Examination Configuration Functionality to define Patient Characteristics and questions supporting CT Decision Trees 5.2.3 MyExam Cockpit Allows the user to manage CT Decision Trees À fi - Scan4 = Recon O Exam Designer Exam Designer Scan Protocols Tile Scan Protocols Examination Configuration myExam Cockpit 5.3 Modifying and Saving Protocols Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Factory Protocols (150) Customer Protocols (0) CT Protocols (96) NM Protocols (54) Adult All NM Basic (31) Renal Gates GFR [factory] Renal Generic MAG3 [factory] Bone Wholebody CT-SPECT [ ... Brain CT-SPECT [factory] SPECT [factory] Cardiac Dynamic Planar [factory] SPECT-CT [factory] Patient Type all Cardiac Dynamic SPECT [fact ... Static Planar [factory] Contrast Protocol all Cardiac Gated Planar [factory] SZ 180 Composite SPECT |fa syngo.via all Cardiac IQSPECT [factory] SZ 180 Dynamic SPECT [fact. Cardiac IQSPECT-CT [factory] SZ 180 SPECT [factory] Cardiac SPECT [factory] Thyroid Uptake Synnge Static .. Cardiac SPECT-CT [factory] Wholebody CT-SPECT [factory] Composite SPECT [factory] Wholebody SPECT [factory] Dynamic Planar [factory] Wholebody Planar [factory] Dynamic Planar with Static [fa. Specials Trauma Dynamic SPECT [factory] Intervention RTP Gastric Emptying Statics [facto Lung Aerosol Perfusion Statics NM Basi Lung SPECT-CT [factory] Specials Pinhole Dynamic Planar [factory] NM Dual I ... Pinhole Gated Planar [factory] Pinhole Static Planar [factory] LLL 31 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 5.3.1 Individual Protocol Operations 1. Select a protocol 2. Right click to view options to rename, cut, copy, paste, delete, hide, unhide, or set as emergency Brain CT- Rename Cut Copy Paste Delete Hide Unhide Set As Emergency 5.3.2 Rearrange Protocols in the List Drag and drop protocols to desired folder location in the Protocol Folders + Patient Model 5.3.3 Multiple Protocol Operations 1. Select multiple protocols with check box selection 2. Options at the bottom of the screen allow to hide, delete, export, or import Hide Delete Export Import 5.3.4 Protocol Export For Archiving: used to create zipped copy of selected protocols on a file system 32 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 For Viewing: used to create an excel listing of the parameters for the selected protocols Vascular Extremities (0) SPECT-CT [factory] - Copy Thorax (0) Trauma (0) NM Dual Isotope (0) Abdomen (0) RTP (0) NM NEMA (0) Pelvis (0) Specials (0) Spine (0) Intervention (0) Upper Extremities (0) Lower Extremities (0) Vascular Head (0) For Archiving For Viewing Hide Delete Export Import 5.3.5 Protocol Import Protocols previously exported are available for Import. Upon import, the system validates protocol parameters, and the parameters are adapted for the local scanner model. Protocol State Result Cardiac SPECT-CT.AQUI Now Not Started Cardiac 1QSPECT.Adull New Not Started Import Close Concal 33 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Parameters automatically adapted to supported values are highlighted green. Parameters the system cannot adapt are highlighted yellow as well as the protocols are marked yellow. Protocols missing a licensed feature are marked red and cannot be used. Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Protocol Scan Favorites General Scan 0 Gantry Settings Dose Timing Config Physio Scan Contrast Many categories were Recon Favorites General Recon Recon&GO Image Impression tecon Box Physio Recon Auto Tasking Inline Options Please expect a longe Find/Replace Scan/Recon General Recon Scan/Recon Basic Recon Recon Scatter Correction Attenuation Correction Zone Preset Intra-Recon Respiratory|Match CT Slice Thickness| Increment No of Mode Idotion G.|Slices Immj [mm] Images Image Order Comment Cardiac IOSPECT (Adult) Tomo Tomo Stress Tc-99m Tomo Projections NoAC Recon Tomo Stress Tc-99m MC Cardia IQ.SPECT+ NoAC Recon Gated Tomo Stress Tc-99m IO-SPECTA None None on Head to Feet Heaw Feel Cardiac SPECT-CT (Adult) Tomo Tomo Stress Tc-99m Tomo Projections AC Recon Tomo Stress Tc-99m MC Flash 3D+ CT-AC 3.00 Qr40 A3-1 AC Recon Gated Tomo Stress Tc-99m MC CT-AC 3.00 Qr40 A3-1 None Head to Feet 88 8 8 Flash 3D+ Head to Feet NoAC Recon Tomo Stress Tc-99m MC Flash 3D+ None Head to Feet NoAC Recon Gated Tomo Stress Tc-99m. Cardiac Flash 3D+ None Head to Feet Topogram Topogram 0.70 Tr20 cor CT-AC CT-AC 3.00 Qr40 A3 3.00 00 129 Head to Feet Parameters requiring user attention are Parameters automatically modified by marked Yellow the system or modified by the user are marked Green Select Protocols Validate Scan Mode Confirm Changes 5.3.6 Modifying Protocols In the Modify Protocols step, the user can modify any acquisition or reconstruction parameter. Parameters are organized by scan task and reconstruction associated with each scan. Only the scan and recon parameters for the selected group are shown. olthineers syadmin ? @ | | = Scan 18 E Recon O Best, Raquel d568d219-c252-4402-8b1f-b5b5d27e2abd Exam Designer - Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Ch Protocol Scan Favorites General Scan Gantry Setting Dose Timing Config Physio Scan Contrast Recon Favorites General Recon Recon&GO mage Impression Recon Box Physio Recon Auto Tasking Inline Options Find/Replace Scan/Recon vorites CHI Dose Recon Box Inline Options x Scan/ Recor Pharmaceutical terventional Zoom Pixel Size Matrix [mm] Axial Orientation Size Immer X Twenter Y Pave Synthetic SPECT [factory] (Adult) Tomo Non Tomo Rest Tc-99m Tomo Projections 1.000 1.000 4.80 128x128 614 614 0.00 0.00 NoAC Recon Tomo Rest Tc-99m On Axial 128x128 614 $14 0.00 Of Select Protocols Validate Scan Mode Confirm Changes COMGEN 15:17 AM 34 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Scan Parameter Groups • Protocol Parameter o Free text area • Scan Favorites o Users can add and remove the most frequently used parameters o Right mouse click to add or remove to “Scan Favorites" • General Scan o Scan Mode, Stop Conditions, Collimator, Isotope, Orbit, Patient Position,.. • Gantry Parameters o Detector config, start angle, degrees or rotation, rotation direction, … • Dose Parameters o Pharmaceutical and Intervention Drug • Timing Parameters o Pitch, rotation time, patient instructions, … • Config Parameters o CT Check and Go Parameters • Physio o ECG enabled scan modes, MI Gating Recon Parameter Groups • Recon Favorites o user can add and remove the most frequently used parameters • General Recon o Recon method, corrections, slice thickness, Increment, Image order, … • Recon&Go o Group Recon, Multiple orientation or impression recons, fixed axial, … • Image Impression Parameters o Energy Window Set, Quant Recon, Filter, Kernel, … • Recon Box Parameters o Recon Volume Parameters, Image Orientation, Zoom Pixel Size, Matrix Size, … • Physio Recon o Cardiac Gates, PVC threshold, PVC Rejection, … • Auto Tasking Parameters o Auto Recon, Transfer Nodes, Auto Viewing, … • Inline Options o Save Mu Map, Save Synthetic Planar, CT Post Processing Reconstructions 35 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 5.3.7 Confirm Protocol Changes This step summarizes the changes made to the protocol and allows the use to save the protocol. With an invalid parameter, the protocol cannot be saved. The user needs to update the invalid parameter to a valid one before the protocol can be saved. Exam Designer 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Save Name Old Value New Value Cardiac SPECT [factory] (Modified) Protocol Name Cardiac SPECT [factory] Cardiac SPECT [factory] Tomo (Modified) Scan Mode Cardiac90Tomo Cardiac76Tomo Orbit NCO-PreScan NCO Accessible Scan Modes Cardiac90Tomo; Cardiac76Tomo Cardiac90Tomo Detector Configuration 90 76 Detector Start Angle 45 52 Degrees of Rotation 90 104 Validate Strategy Validate Scan Mode Save Protocols 6 Acquisition Protocols 6.1 Acquisition Types • Static • Dynamic Planar • Whole body Planar • Gated Planar • Tomo • Gated Tomo • Dynamic Tomo • Composite Tomo • Whole body Tomo 36 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 6.2 Exam user interface (5) (1) Cardiac SPECT-CT [. Recon Ranges Palen postion (10) (2) & CTAG (6) Recarstucen (7) (8) (3) (4) (9) 1. Protocol 2. Scan Tasks 3. Patient and Table Position 4. Control Buttons 5. Patient Information 6. Image Display 7. Physiological signal 8. Heart beats histogram 9. Timeline 10. Recon (Reconstruction) browser 6.3 Reconstruction After a scan is completed and the image quality is approved, you can proceed to the Reconstruction task. Users can perform reconstructions in the scan protocol directly or can open the patient for recon only. How to Access Recon Only From the Patient Browser, right click and select Recon from the menu or highlight the patient and click the Recon icon from the Toolbar. Scan 17 = Recon 3 Patient Browser Patient Browser Local Data Q More Fillers Results (15 resuns, 3:58:58 PM) O Open Open with Patient Modality Study Date and T. View as Read-Only with A, Clinical ST Patient Batch Open *10/01/1969 12:00:00 AM. F Assign Workflow 20200701 Search Patient with DICOM OR NM 07/13/2020 8:34.44 ... 3 Pha S. ST Patient Add to Demo List "01/02/1970 12:00:00 AM. M Remove from Demo List 20200505 Set Mark state IES CT.NM, R 07/14/2020 1 33 02 Lung Set Delete Protection state J. Patient Set Archive state "08/09/1954, M. Remove Correction state 70508383 CT, NM, SR 09/24/2020 11:30-2. New Examination Car - N, Patient Resuena Examination "09/09/1944 12:00:00 AM, M Correct Out NM 09/24/2020 4:40:25 fa Parte nstances Floyd, Billie Delete *12/06/2000, F Manage Raw Dat Dit> 1123d-1348-4d90-8c5e-65143c23669 CI NM. SR: 10/19/20120 1:39-18 Hammond, Nathaniel "10/16/1952. M Parker, Clifton "00/13/1964, M 100cc34f-8e0c 4194-be73-76a97a250017 Rogers, Stephanie "06-22/1974, F 37 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 From the exam workflow, click Open Recon Tab in the close step. SPECT [factory] (Adult) ¡je Patient position Tomo Resume Examination · Static Reconstruction Close Open Recon Tab 6.3.1 Recon User Interface Candas SPECT-CT [ ... Recon Ranges (1) Image Area (2) Recon Ranges Area (3) Recon Tools Area (4) Planning Base Area (5) Recon Control Area (6) Execution Control Buttons After Scanning 38 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 6.3.2 Recon Range Icons There are several icons shown within the recon box to indicate the type or status of the reconstruction. Recon Type Recon Type Static Planar Tomo Projection 2D - Planar 3D - SPECT 3D Gated Planar 2D Tomo Recon 3D NAC 3D AC NAC AC - Attenuation uto n auto n Dynamic Planar Gated Tomo Recon Correction 3D NAC NAC - No AC auto Composite Tomo autol · Waveform - Gated Recon Progress auto Group Body - Recon tomo Dynamic Tomo Recon Single Face - 2D Acquisition or NAC recon in progress auto DI auto Topogram Auto Recon Multiple Face - Dynamic, Composite Open recon job enabled NAC auto CT Tomogram Recon finished 6.3.3 Recon Tools In the Recon Tools Area, there are several tools available for registration. The NM data is reconstructed in CT coordinates. NM is the base and CT as the overlay. • Manual Registration – used for manual interaction (see next section for detailed steps) • Automatic Registration – algorithm used to match SPECT and CT • Reset Registration – returns to the scanner registration Recon Ranges CT AC Gated Planer 2D opogram Manual Automatic Reset Fast Reson Te-9 . 50 % CT-AC 5 00 Ord Registration Registration Registration Tools Manaar Automatic Roast Registration Regst atos Registration Planning Base Recon Fast Recon Te.9. 50 % CT.AC. 5 00 014 6.3.4 Manual Registration Tools To manually register: 39 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 1. Hover with the mouse pointer over the rotation wheel and hold left mouse to rotate the image. 2. Hover over the center of the rotation wheel and hold the left mouse button to move its center of rotation. 3. Hover anywhere else in the image and hold the left mouse button pressed to move the image up/down and left/right. For more precision, the arrow keys on the keyboard can be used. 4. Press “Recon” when finished. Recon Ranges Recon Ranges CRAC 7 Patient Setup and Positioning 7.1 Manually Registering a New Patient 1. From the Scheduler, select Register Patient. 2. Fill in the mandatory fields: Last Name, Patient ID, Date of Birth, and Weight. All other fields are optional. 40 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 3. Click Exam. Patient Registration Willis, Ashley Medical Information Exam Information Last Name Willis Admitting Diagnosis TestVisit HeadRoutine First Name Ashley Requested Procedure Title Description HeadRoutine Suffix Alerts Accession No Middle Name Medical Alerts ID 06dfaa55-609e-4b " Patient ID d455ca54-869c-4300-82be-50; Comments * Date of Birth 02/15/1930 MM/dd/yyyy Allergies Age 90 Year(s) Sex M (Male) Height ft 7 in 9 * Weight 238.1 lbs U.S. |Safety relevant information needs to be validated and confirmed *Mandatory information Save Cancel Delete Local Data Prior Studies Exam ODOS EN 5:33 AM 7.2 Registering an Existing Patient 1. From the Scheduler, click “Local Data”. 2. Select the patient. 3. Click Ok. 4. From the Scheduler, select the patient’s name. If the patient is not listed, click the refresh icon. 5. Select Exam. Scheduler OX Search by Name, ID. DoBl, Description, Procedure Date, Acc No and Modelity (C. Q Patient Registration Patients Scheduled, Today (5 result(s), 7:12:05 PM) Durham, Dustin Medical Information Exam Information Patient Procedure Date and Time . Last Name Durham Admitting Diagnosis TestVisit HeadRoutine Durham, Dustin "03/05/1928, M First Name Dustin Requested Procedure 861fbdf7-de 1e-473f-b82b-9c99aedbb623 Description HeadRoutine 10/19/2022, 15:45 Alerts Mathews, Stacie Accession No "01/17/1937. F d37077ac-b42a-4753-ad5c-643ec95fa774 Medical Alerts ID 901cla01-2023-48 Abdomen 10/19/2022, 07:15 Patient ID 861fbdf7-de le-473f-b82b-9c99 Comments Myers, Jarrett Date of Birth 03/05/1928 il MM/dd/yyyy Allergies *12/01/1945. M cae32d#-56fa-4eab-9070-8fe20577a2bc Age 94 Year(s) Torres, Therese Sox M (Male) "04/09/1990. F 9e703a72-17c5-46ce-bc12-efae30a71ae5 Height 11 in Wiley, Monty Weight 291.01 - lbs US "06/16/1977. M a651eb7e-3272-49dc-8da4-137ebb0eab57 ThoraxRoutine 10/19/2022, 16:15 ISafety relevant information needs to be validated and confirmed . Mandatory information Save Cancel Delete Local Data Prior Studies Exam DOMO EN 7:17 PM 7.3 Starting an Exam from an Existing Patient 1. Select patient from the Patient Browser. 41 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 2. Right Click on the patient to open a menu. 3. Select “New Examination”. Patient Browser Local Data Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters Results (9 results, 7:21:49 PM) Patient Modality Study Date and T. Study Descript ... Exported Study Archived CT, NM 01/01/2021 1:34:33 NM CV MYO SPECT CT 1-123 2, INTEVO 6 O 1-123 Open Ctrl+O CT, NM 04/20/2 xSPECT Bone Spine, Il Open with *06/01/1931. M View as Read-Only with spine Batch Open SPECT CT BONE FLC Assign Workflow *09/20/1969, F Cancel Workflow Diffuse Cellulitis Poss Osteo Search Patient with DICOM Q/R Lung_1_Perfusion_Ven Add to Demo List *01/01/1989, F Remove from Demo List Tc-99m MAA + Technegas > Cardiac 1 Normal Evo Set Mark state "01/01/1940, M Set Delete Protection state Tc-99m Mibi Set Archive state Gallbladder_02_Dyn_S Remove Correction state *06/24/1975, F New Examination Choletec Correct MUGA, 3 VIEW Cut *12/05/1971, F Paste TC99m_RBCS Delete Del > GASTRIC STATIC NO *02/28/1976, F Manage Raw Data Tc99m SC @ Recon Ctrl+Alt+R 7.4 Resuming an Examination 1. Select patient in the Patient Browser. 2. Right click on the Study Level of the patient. 3. Select “Resume Examination”. 42 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Patient Browser Local Data Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters Results (10 results, 7:29:08 PM) Patient Modality Study Date and T ... Study Descript ... Exported Study Archived - Durham, Dustin *03/05/1928, M 861fbdf7-de1e-473f-b82b-9c99aedbb623 NM 10/19/2022 7:18:5 O Open Ctrl+ O Pro.specta, Cardiac LEHR S @ Open with .M View as Read-Only with Tc99m Sestamibi SPECT CT 1-123 2, INTEVO Batch Open Assign Workflow 1-123 Cancel Workflow xSPECT Bone Spine, INTEVO Search Patient with DICOM Q/R *06/01/1931, M Add to Demo List spine Remove from Demo List SPECT CT BONE FLOW, IN Set Mark state *09/20/1969, F Set Delete Protection state Diffuse Cellulitis Poss Osteo Lung_1 Perfusion Ventilation Set Archive state *01/01/1989, F Remove Correction state Tc-99m MAA + Technegas New Examination Cardiac 1 Normal Evo Resume Examination *01/01/1940, M Correct Tc-99m Mibi × Cut Gallbladder_02_Dyn SYM S la Paste *06/24/1975, F Delete Del Choletec Manage Raw Data MUGA, 3 VIEW *12/05/1971, F . Recon Ctrl+Alt+R TC99m RBCS 7.5 Positioning Patient for Exams 1. From the Gantry Display, open the Configuration tab. 2. Select the desired collimator configuration and click Confirm. Doe, John 2/15/1980 Configuration Collimator: LEHR / LEHR Match colimale Gastric Emptying Statics [factor ACC ACC Protocol REMOVE MELP Immediate Anterior Projection Posterior Projection Detector: 180 Top 1.000 Feet First - Supine (FFS) Start Scan Start Confirm there are no chetractions in the path of the system Comtrm Cancel LEHR 362 362 Detector 1 3. Raise or lower the patient table as needed for patient access. 4. Select the Scan Height button to move the table to the starting height. 5. Select the patient and protocol from the acquisition console. 6. Use Plan&GO, if available, to plan the scan range. 7. Select Move on the Gantry Display. 43 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 8 MI View&GO MI View&GO is a medical diagnostic applications for viewing, manipulation, quantification, analysis and comparison of medical images from single or multiple imaging modalities with one or more time-points. MI View&GO supports functional data, such as Positron Emission Tomography (PET) or Nuclear Medicine (NM), as well as anatomical datasets, such as Computed Tomography (CT) or Magnetic Resonance (MR). 8.1 User interface overview At 12 : Scan S O Example Patient " 01/01/1948 M Tc_99m_Labeled_RBC MI VIEW&GO Series Tagged Red Calls LT POSTERIOR RT_Liveilm nestalo(20 mCi RT ANTERIOR LT_LIVET IST. 054 mCI 04/24/2008 11:21:26 AM Series Name 5 Current CT NM, 04/24/2008 Liver Scan 6 · SPECT.CT 1 CT 5.0 8315 [3] 2 AC CT 5.0 B08s [2] Hemangioma SPECT [AC Rec Hemangioma SPECT JAC Roc 3 Hemangioma SPECT JAC Rec Hemangioma SPECT [No AC Liver Flow 20 mCl Tc99m vorite Tools Over Flow 20 m LT POSTERIOR K RT ANTERIOR 200 99m Technetium - Liver Immediate 20 mCi Tc99m RT ANTERIOR LT To Pan Technelius om Techactium LI POSTERIOR RT Test LT LATERAL Liver Immediate 20 m RAO LPO RT LATERAL LT LATERAL RPO LAO Liver Delay 20 mCl Tc99m RT ANT LT 20 MIN LT POST RT 20 MIN RAO 20 MIN 4 LPO:20 MIN RT LAT 20 MIN LT LAT 20 MIN 30GRAD 1 108 ETLATERAL RPO 20 MIN LAO 20 MIN 1. Access Bar 2. Viewing Panel 3. Tab Area 4. Favorite Tools Panel 5. Series Navigator Panel 6. Image Area 8.2 Loading Images Images can be loaded into MI View&GO through right clicking on the data and select Open with “MI View&GO” or select the study and click “MI View&GO” button on the toolbar. 8.3 Layout Gallery Layouts determine the number, size, order of segments, and data group displayed in segments. Click the Layout Gallery icon to view available layouts. The layout gallery provides a collection of layouts to choose from. 44 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 MI View&GO X H LIT Layout Gallery × Basic Stack 1x1 Stack 2x1 Stack 3x3 Stack 4x3 Stack 4x4 Stripe 3x2 Stripe 4x3 Stripe 5x4 Follow Up Follow Up Follow Up Display 2TP 2TP 42 2TP 4><3 WB - Dua MPR VRT MPR MIP MPR Cardiac Cardiac Jolume Vessel Intensity Compare AC NAC Snipe Strip ... Siemens Layouts Functional Accial 3x. Basic Dynamic Static WB - Dual WB - Planar Savescr ... Dynamic + Static Static + Display Time Intensity Compare Static WB CR MPR VRT Dyn Functional Functional Fused 2x3 Fused Fused 2x3 Fused 2x4 Fused 2x2 Hybrid 3x3 4D Movie Axial 3. 4D Fused Stati 2x3 + M ... Axial 3x ... Movie + Movie .. Functio ... 1x3 +. . MI Car . MI Org 4D Hybrid Compare Static Lung V/Q Hybrid 1x3 Dynamic + Stack 3x2 Stack 2x2 2x3 +. WB + ... Fused Dynamic Compare Compare Compare + Movie Static + Stack 1x1 Stack 2x1 Stack 3x3 Stack 4x3 Stack 4x4 Stripe 3x2 Stripe 4x3 Stripe 5x4 Follow Up Follow Up Follow Up 2TP 2TP 4x2 2TP 4x3 MPR VRT MPR MIP MPR Cardiac Cardiac Volume Volume Voscol Favorite Compare AC NAC Strip ... 8.4 Tool Gallery The Tool Gallery provides all available tools, sorted according to category. Frequently used tools can be added to the Favorite Tools menu. Colored tools are active, grayed out tools are inactive for the currently loaded image, and selected tools have a highlight box around the colored tool image. SIEMENS Healthineers Tool Gallery Scan 15 : Basic Interactions MI View&GO . x Fess LER Zoom/Pan Synch Scroll Movie Visual Automatic MI View&GO General_Copy Alignment Registra. Display Types VRT/MIP VRT VRT MPRAMP MPR Gallery WB - Dual Intensity Stripe Measurements Favorite Tools Fused Axial 3. 2×3 + .. Distance Angle Pixel Lens ROI Circle VOI Diameter USO CAD ROLMU Leaton MPR VRT Stack 2x1 Annotations > MI Cardiology Read. MI Organ Processing Ranges Series Parallel Radial Radial Curved Favorite Tools Spine, Vascular FAST * X Ranges Ranges Slice ... Ranges Image Visualization Area w.React Contr ... @ Hide Hide Cok To Hide Color Hide Lines |Full Text auto Lock 3D Snap Automatic Cardia Consigue 0cm Printing To Bars Referen ... Referen ... Referen Layout Planc Distance Windowing ROI Circle VOI auto Sphere Automatic Layout Windowing Reset Area Windowing Contr ... Visual Automatic Hide 3D Editing Alignment Registra ... Graphics Necro Hide Lines Parallel Radial Cip Box Cap Planc Spine/Rib Label Ranges Ranges 46009 O Print & Export Cardiac Mask Cardiac Planes Snapshot Print Export Save as Image Image Series + 45 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 8.5 Series Panel The Series panel is located on the right side of the screen and provides an overview of the loaded study. The loaded study can be viewed in either list view or thumbnail view. refuser - ? M # # RE Scan 15 = Recon 0 O - 04/20/2021 PM 12345678 MI View&GO o × Fsigni Nore : C-ange 2 Sixty Tine : 10:48:30,64 Senes MI View&GO General_Copy Example 2 12:45878 04:332021, H Doplay Example 2 12345678 "04/30/2021. M Current 03/020021 WB - Dual Intensity CTAC 5.0 631SAC [Stress] [11]| AC Stress Recon Torno NM, 04/10/2021 MPI Rest LEHR SPECT(Adult) -> Pricr 01 AQ1:A1 | Prior 01.AQ1:F1 Favorite Tools - SPECT 1 Function al 03/02/2021 10.10.57 AM MPH VHT Slack 221 . MI Cardiology Read . MI Organ Processing 12010570 Pnor 01 Series CT NM, 03/02/2021 MPI Stress LEHR SPECT(Adult) Favorite Tools SPECT-CT 1 X R To Full Trat Conbyu ... Line Printing C ROI Cide VOL Sphere Layout Visual Automatic Example 2 Hde Algument Registra ... Graphics 12349678 AC Suese Escon Toro Hide Lines Parallel Radial -> Pr or 01.AG1:F1 Ranges 03/02/2021 SL mn Cardar. Cartar. G 51.00% Maak MPR FUSION 600 100 % 200 nx al Lock Snapshot Referen. Referen 8.6 Corner Menus The corner menus provide tools for image preparation, optimization, evaluation, and propery settings. They are found in the corner of each image segment. To view the menu, hover over the watermark or click to open the menu. The tools displayed will change depending on what image type is open and the current workflow steps. • Top left = Image manipulation tools • Top right = measurement and marking tools • Bottom right = window settings and modality-specific presets • Bottom left – Visualization functions and display types 8.7 Display Types The system provides several calculation methods for the reconstruction of 2D or 3D images. Depending on the data, you can apply the following display types: • 2D • MPR • MPR Thick • MPR/MPR • MIP • MIP Thin • MinIP Thin • VRT • VRT Thin 46 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 8.8 Ranges Range creation tools are in the Image Manipulation (Top Left) corner menu or can be accessed via icons listed in the Favorite Tools menu. Corner Menu 1. Select a Fused layout from the Layout tab (i.e., Fused Axial 3x2 + Movie). 2. Hover mouse over left corner. 3. Select Ranges. 4. Select type of range you want to create (Parallel Ranges, Radial Ranges, Curved Ranges, etc.). MI View&GO Patient Name : xSPECT Bone Spine INTEVO 16AM Patient ID : spine Patie Study Time : 2:47:35 PM Accession Number : 20180528 Ener MI View&GO Zoom/Pan A Basic Dynamic Static Display Time * 3D Reference Point Rotate e Spine, INTEVO 16 WB - Dual Intensity Planar Gated Volume Stripe O- Windowing 84Y Functional Fused 4D Hybrid Axial 3x ... Axial 3 2x3 + ... Bil Movie 3.0 B31s [5] | Bone Tomo [OSCG RECON - AC Enhanced ] Favorite Tools Automatic Registrationent.AQ1:F1 MPR VRT Lock Reference Lines > MI Cardiology Read .. Scroll > MI Organ Processing Save as Series Ranges Parallel Ranges Series Fit to Segment * Radial Sliced Ranges Radial Ranges Favorite Tools Curved Ranges X R T Spine Ranges Printing Area Reset D Text Vascular Ranges Contr .. Windowing T Full Text Text Distance Configur. Line O ROI Circle VOI Sphere utomatic Layout Visual Automatic Hide Alignment Registra ... Graphics Hide Lines Parallel Radial Ranges Ranges Favorite Tools Icon 1. Select a Fused Layout (i.e., Fused Axial 3x2 + Movie). 2. Select a segment with a fused image. 3. Select the desired range icon (Parallel Ranges, Radial Ranges, Curved Ranges,...). 47 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Favorite Tools T Area Reset Text Contr ... Windowing To Full Text Text Distance Configur .. Line O ROI Circle VOI auto Sphere Automatic Layout Visual Automatic Hide Alignment Registra ... Graphics Hide Lines Parallel Radial Ranges Ranges Range presets can be defined and saved for an automated reconstruction process. These presets contain the position and orientation of a range, as well as the number of images and the image thickness. The following ranges can be applied: Parallel Ranges – allows you to define Parallel parallel slices of the volume for Ranges reconstruction Radial Ranges – allows you to define Radial radial views of the volume for Ranges reconstruction * Radial Sliced Ranges – allows you to define slices of the volume for Radial reconstruction that are arranged Slice .. around a pivot Curved Ranges – allows you to define Curved parallel curved slices of the volume Ranges for reconstruction 48 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Spine Ranges – allows you to define Curved Ranges slices perpendicular to spinal cord 8.8.1 Creating Parallel Ranges With parallel ranges, you can generate series of parallel images at equal distance and equal slice thickness. Layout must be first switched to 3D, such as MRP Thick, MIP Thin, or VRT Thin. When Parallel Ranges is selected, the user can see the range limits, preview the range, set the parameters, and Start/Accept the range. Range 278 19 cm3 Definition ........... Yolume 13.37 cm3 Min / Max: 1.75 SUV-bw/6.33 SUV-bw Mean/SD: 4 54 SUV-bwin 74 SL.85w .............. Distance between Images: 1.0 mm Slice Thickness: 1.0 mm [11] PT Angle: 132 deg Parallel Radial Preview Range Preset Select the Preset Image Thickness 1.0 Options mm Distance between Images 1.0 mm Preview Number of Images 257 Field of View 500.0 X 500.0 mm Viewer Presets Orientation Image Series Start Accept Close Parallel Range Options: • Preset Menu: drop-down selection for previously saved presets • Parameters: slice options such as Thickness and Number of Images • Range Tabs o Presets: sets parallel range to coronal, axial, or sagittal view o Orientation: options for Ortho ranges, swapping image order, normalizing orientation, and rotating the preview o Image: resolution and image options o Series: series name and comment • Create Preset: saves current range as a new preset • Start: creates a range • Accept: saves a range 49 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 • Close: closes range tool Preset Parallel 5 Radial Curved Menu Preset Select the Preset Image Thickness 1.0 mm Distance between Images 1.0 mm Parameters Number of Images 257 Field of View 500.0 X 500.0 mm Create Range Presets Orientation Image Series Preset Tabs Start Accept Close Start Accept Close Steps to Create Parallel Ranges: 1. Select the segment and choose Ranges > Parallel Ranges from the top left corner menu. 2. The selected segment defines the field of view (FoV) for the range. The layout for defining ranges is displayed. 3. To change the range overed, drag the handles of the range definition graphic or enter value in the Number of Images or select value from the Distance Between Images and the Image Thickness list. 4. To rotate the range, drag the outer parts of the range center line. 5. To move the range, click the pivor or inner part of the central range line and drag. 6. From the Preset list, select the orientation or click on one of the icons: Complete Coronal, Complete Axial, Complete Sagittal. 7. Once defined, range presets can be saved. 8.9 FAST Ranges FAST Ranges is used to automatically generate ranges with one click. The icon is listed under Ranges in the Tool menu. Right clicking on the icon brings up the “Automatic Parallel Ranges Properties” window. From here, orientation options can be checked based on what ranges are desired. The options are: • Transaxial • Sagittal • Coronal Fused data options can be checked based on what you want to create. The options are: • Create range of fused data (NM/CT) • Create range of base data (NM) • Create range of overlay data (CT) 50 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Click the icon to generate the ranges. Automatic Parallel Ranges Properties x Orientation Transaxial Sagittal Coronal If images have been significantly reoriented, check that reorientation and labeling in resulting ranges Ranges are as expected. * * Fused Data paralel Radial Radial Ranges Curved Ranges Slice Ranges Spine Vascular FAST Create range of fused data Ranges Ranges Ranges Create range of base data Create range of overlay data Series Name Suffix Parallel Range OK Cancel 8.10 FAST Cardiac Ranges Automatically created Short Axis (SA) cardiac slices for loading into third party cardiac programs such as Corridor 4DM or Cedars. 1. Select a “MI View&GO” Cardiac layout (Cardiac AC or Cardiac NoAC). 2. Select the “auto Cardiac FAST Ranges” icon to generate SA slices. MI View&GO . x Study Description : NM CV MYOCARDIAL PERFUSION STRESS AND REST SPECT Study Date : 01/01/262 amibi Radiopharmaceutical: Sestamibi Study Time: 3:08:10 PM MI View&GO Pro.specta, Cardiac_LEHR_Stress_Rest_X3 HAL HAL Te99m Sestamibi Pro.specta, Cardiac_LEHR_Stress_Rest_X3 Pro.specta, Cardiac_LEHR_Stress_Rest_X3 Pro.specta, Cardiac_LEHR_Stress_Rest_X3 Tc99m Sestamibi Tc99m Sestamibi Tc99m Sestamibi M M M NOAC Recon Tom NoAC Recon Tomo Stress NoAC Recon Tomo Stress NoAC Recon Tomo Stress RA PRH RA R Favorite Tools min min min MPR 50 % 50 % 50 % O 0 % MPR 0 % MPR 0 % HAL HAL H MI Cardiology Read. Pro.specta, Cardiac LEHR_Stress_Rest X3 Tc99m Sestamibi Pro.specta, Cardiac_LEHR_Stress_Rest_X3 Pro.specta, Cardiac_LEHR_Stress_Rest_X3 Pro.specta, Cardiac_LEHR_Stress_Rest_X3 Tc99m Sestamibi Tc99m Sestamibi Tc99m Sestamibi › MI Organ Processing IM M AC Recon Tomo Stress AC Recon Tomo Stress Series RA PRH RA R min 100 % MPR MPR 50 % 0 % MIP Favorite Tools T Printing Area Reset Text Contr ... Windowing To Full Text Distance Cardis 51 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 3. Right click on “auto Cardiac FAST Ranges” icon to bring up additional settings. Cardiac Automatic Ranges Properties Cardiac Orientation Series Name Suffix Horizontal Long Axis Vertical Long Axis Short Axis [] Horizontal Long Axis HLA n O Vertical Long Axis VLA Short Axis SA n Include cardiac ranges for associated grouped data Automatic Ranges are generated from the columns indicated on the reference image. It is the responsibility of the user to ensure proper orientation in the layout O O OK Cancel 8.11 Opening MI Cardiology Within MI View&GO, select the “MI Cardiology Reading” task from the left side of the screen. Select the 3rd party cardiac program you want to load (Corridor4DM, Cedars QBS, Cedars QGS+QPS). Al View&GO SPECT-CT Tome DA Pro.specta, Cardiac_LEHR_Stress_Rest_X3, Tc99m Sestamibi ?? yo Male Tomo Stress 20-Feb-2019 15:18:26 Tomo Stress Sinogram Linogram Mi Processing Count Histogram Ung, Supine Tc-99m Sestamibi Fusion Camera: Symbia Pro.specta Camera Heads: 2 AC Images . MI Cardiology Reading Images + Quant QBS OGS OP'S AC Images . 4DM Cedars Cedars Relaunch 27 Quant Fone . Quant Summed Counts (or100) . MI Organ Processing Dyssynchrony CT Viewer 20-Feb-2019 13:40:01 Tomo Rest Sinogram Linogran Count Histogram Ung, Supine ANTETE: 15 Tc-99m Sestamibi Camera: Symbla Pro.specta Camera Heads: 2 Export Dala Summed Counts (2x100) Reporting Screen Capture Help Preferences Auto None 8:15 PM 52 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 9 Managing Data Various icons are located in the Toolbar of the Patient Browser that can be used for data management: • DICOM Q/R • Import • Export • Delete Manage Raw Data 0101 1010 0101 View&GO Print Open Open with DICOM Import Export Correct Delete Manage Raw Data Recon 9.1 Importing Data There are two ways to import data: 1. DICOM Retrieve: this can be used to search for patients and studies on DICOM network nodes and import them to the system 2. Import of Images: this can be used to import data from external media (USB) or from the Windows file system 9.2 Exporting Data Using the export data icon, you can export selected data in DIMCOM format (CD/DVD, File System, DICOM Node). 1. In the results, series, or instance list of the Patient Browser, select the series, studies, or images to be exported. 2. From the toolbar, click Export. The “export data” dialog box opens and the data you have selected is displayed. Export Data 2 X Patient Series de. Instances · CD/DVD File System Network Pro.specta, Cardiac_L. Tomo Rest 1 Pro.specta, Cardiac_L. Topogra ... 1 Target capacity sufficient Pro.specta, Cardiac_L CT-AC 3 70 Pro.specta, Cardiac_L. AC Rec ... 1 Target I: Pro.specta, Cardiac_L. NOAC R 1 Pro.specta, Cardiac_L Tomo St 1 Browse Pro.specta, Cardiac_L. Topogra 1 Pro.specta, Cardiac_L .. Pr CT-AC 3 76 Properties Compressed Pro.specta, Cardiac_L. Create DICOM file system AC Rec. 1 Add Viewer Pro.specta, Cardiac_L .. NOAC R. 1 Image Conversion Pro.specta, Cardiac_L ... AC Rec. 1 Enhanced Pro.specta, Cardiac_L .. NOAC R. 1 Anonymize as Reduced Anonymous 110.8 MB, 156 Instances Clear List Export Close 53 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 9.3 Archiving Data If your system is connected to a PACs or a corresponding DICOM node, relevant data can be sent to an archive automatically or manually. The following options are available: • Globally all relevant data is archived automatically according to specific archiving rules • Individually marked data in the Patient Browser for automatic archiving • Individually select data in the Patient Browser to send them to archive manually 9.4 Snapshots The snapshot icon is found under “Favorite Tools” and can be used to make a save screen of a selected image or layout. Selecting the triangle under the icon lets you switch between “Snapshot” or “Layout Snapshot.” M View&GO 0 X PODOMENOYC: SPECT_CT 1232ANTE-0 8PZSONID : 1123 Energy Mordre 1: 123 lude MI Verw&GO H SPECT CT L12) 2, INTEVO 6 SPECT CTL123 2. INTEVO 6 SPECT_CT 1-123 2, INTEVO 6 SPECI_CT-123 2, NIEVOS 1-123 1123 O STANDARD CAP Strix Favorite Tools . MI Cantfioingy Finading + MI Organ Processing - Automatic Layout STANDARD CAP Imble Ackers Fastrile Tools x T Prinsne SPECT_CT 1 1253, INTEVO E O Contour ... 9.31.4TAM Bragatol Lapant Snapchat 21 % EN :21 PM • Snapshot: saves a snapshot of 1 selected image Results MI View&GO SPECT_CT 1-123 2, INTEVO 6 Symbian Puoispecta X3 STUDY 04/20/2016 Results MI View&GO 9:26:19AM 1017 MAI 2º5761 EMISSION 54 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 • Layout Snapshot: saves a snapshot of the entire layout Results MI View&GO ? X S SPECT_CT 1-123 2, INTEVO 6 1-123 Symbia Pro. specta X3 0 STUDY 04/20/2016 SPECT.CTI-123 2ANTEVO 6Paert 0 : 5123 Study Descresas ; Tumor magno Dolly Time : 912:21 AM Results Ml View&GO SPECT_CT 1.123 2, INTEVO 6 SPECT_CT 1- 123 2. INTEVO SPECT_CT 1-123 2, INTEVO B SPECT CT 1.123 2, INTEVO S 04/20/2016 920:02 AM Antena_Whalebody Posterior_Wholebody 1017 IMA2 9:37:51AM 4200016 9:37.63 AM @ 20:02 AM 26 19 AM STANDARD CAP : 100 % SPECT_CT 1-123 2, INTEVO 6 @21:47 AM 100 % Antense Posterior 1 Zoom 0.57 SL 0.0 981*1475 EMISSION 10 Organ Processing 10.1 Opening Organ Processing Within MI View&GO, the Organ Processing workflow step can be found on the Viewing panel. Click MI Organ Processing task from the MI View&GO panel. 10.2 Gastrointestinal Processing 1. Select the Gastric dropdown and open desired workflow. 2. Select the Gastrointestinal activity in the workflow. 3. Review the results. 4. See Settings tab to review or modify parameters for the activity. 10.3 Hepatobiliary Processing 1. Select the Cholecystic dropdown and open desired workflow. 2. Select the Gastrointestinal activity in the workflow. 3. Review results. 55 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 4. See Settings tab to review or modify parameters for this activity. 10.4 Planar Gated (MUGA) Processing 1. Select the Cardiac drop down and open the desired workflow. 2. Select the Gated Bloodpool activity on the Processing tab of the workflow. 3. Review results on Results and Fitting Results tabs. 4. See Settings tab to review or modify parameters for this activity. 10.5 Lung Processing 1. Select the Pulmonary drop down and select the desired workflow. 2. Select the Lung Processing activity on the ROI tab of the workflow. 3. See Regional Analysis tab to review or modify results for this activity. 4. See Settings tab to review or modify parameters for this activity. 10.6 Renal Processing There are many parameters that can be modified on the Settings tab. There are several tabs on the Settings tab that may be selected. The tabs displayed depend upon which renal method has been selected. 1. Select the Renal drop down and select the desired workflow. 2. See Settings tab to review or modify parameters for this activity. 10.7 Series Reformat The Series Reformat activity is used to perform the following for data manipulation. 10.8 Series Filter 1. Click on the Series Filter activity and Series Filter tab. 2. See Settings tab to review or modify parameters for this activity. 10.9 Flexible Display The Flexible Display activity is used to arrange and display all data acquired and processed in the application. The Flexible Display activity can contain one or more display pages (tabs) with each page displaying one or more display objects. It is recommended to use a layout in MI View&GO but Flexible Display can be used. 10.10 Online Help The Help Menu offers you a browser so you can search any topic of interest. To access online help, hover over the ? icon and select Help. syadmin Help About This will open the Online Help which can be used to help find answers on how to use the system. 56 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 Help Language EN Info ? Help A |A |A Light | Dark Go back Go forward Your quicklinks Search Library Enter your search here. Print Save to favorites Search within page Enter your search here Symbia Pro.specta System Online Help 44 Contents Welcome to the Symbia Pro.specta™ system's online help. Please search for information by typing a word or phase in the Search area and pressing the > Legal Notice keyboard's Enter key. The table of contents on the right is also available. Symbia Pro.specta System Online Help If you do not find the information you are looking for, please contact your Siemens- Healthineers Customer CARE representative. Safety information System description SPECTsyngoX3.602.01.01.02, 2021-07-19 05:27:33 › Accessories Customer support System startup System and User Information Data management The Job View 10.11 PEPconnect PEPconnect is our online customer education platform. It contains several videos, job aids, and online trainings for the Symbia Pro.specta system. Simply create an account and you will have access to all this material. Link: https://pep.siemens-info.com/en-us/symbia-pro-specta Home Education Catalog v PEPconnect Store Symbia Pro.specta™ Type Of: All y Language: English > Filter By Title: Enter text System Overview - Virtual Experience System Overview Routine Workflow System Overview - Virtual Experience ob Aid Job Aid Job Aid Symbia Pro.specta™ Q3 Symbia Pro.spectaM X3 Virtual System Overview Virtual System Overview Symbia Pro.specta"M X7 Virtual System Overview Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy 57 Unrestricted | Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022. All Rights Reserved Effective Date: 05 Dec 2022 | HOOD05162003315526 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. © Siemens Healthcare GmbH 2022 Siemens Healthineers Molecular Imaging Siemens Healthcare GmbH 2501 N Barrington Rd Hoffman Estates, IL USA siemens- healthineers.com Published by Siemens Healthcare GmbH© Siemens Healthcare GmbH, 2022