Twin Robotic X-Ray with Multitom Rax Online Training - Musculoskeletal (MSK) Imaging - Technical and Clinical Basics

Continue Button Musculoskeletal Imaging - Technical and Clinical Basics Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Real 3D – Technical Basics Transversal SmartOrtho and True2scale Body Scan – Clinical Basics Real 3D – Clinical Basics True2Scale – Technical Basics 1 4 3 2 1 Musculoskeletal Imaging - Technical and Clinical Basics Online Training The first module covers the technical basics for Multitom Rax’s musculoskeletal imaging applications. Dr. Frank Schellhammer and his team will then discuss how they use these in clinical practice. Completion time: Approx. 60 min Welcome Speaker Welcome to our Web-based training “Twin Robotic X-Ray with Multitom Rax.” In the first module, “Musculoskeletal (MSK) Imaging - Technical and Clinical Basics” we will present the technical background behind Multitom Rax’s “Real 3D” and “True-to-Scale” applications. Dr. Frank Schellhammer and his team will then discuss how they use these in clinical practice. This Web-based training takes approx. 60 minutes to complete. ? Course Content 1 Real 3D – Technical Basics Transversal SmartOrtho and True2scale Body Scan – Clinical Basics Real 3D – Clinical Basics True2Scale – Technical Basics Course Content ? Dr. Anna Rasche Scientific Marketing Manager Siemens Healthineers Forchheim, Germany Technology Behind Real 3D ? Technology Behind Real 3D Select the applicable image. ? Which image best illustrates Real 3D’s high-resolution scan mode for hand and elbow examinations? Question 1 of 2 Question High Resolution Incorrect That is the correct image: Correct Incorrect That is the correct image: Explanation of the Correct Answer Continue The high-resolution scan mode has a spatial resolution of up to 32 lp/cm, a modified trajectory with region of interest closer to the Detector, an 1x1 un-binned detector readout, and a reconstructed cylinder volume with a diameter and height of 16 cm. It is used to examine the small joints at the upper extremity. ? Explanation of the Correct Answer Select the best answer. ? Question 2 of 2 Which statement with regards to dose comparison between MTR Real 3D and MDCT is true? To compare the applied radiation dose between Real 3D and a MDCT scanner, the Computed Tomography Dose Index (CTDIvol,16cm) of both systems should be used. One cannot compare dose values of Multitom Rax Real 3D with those of a Multi-Detector CT. The Dose Ara Product (DAP) of Multitom Rax Real 3D is much higher than the Dose Length Product (DLP) of a Multi-Detector CT (MDCT) for acquiring a comparable image quality. Question Dose Comparison Incorrect The solution: To compare the applied radiation dose between Real 3D and a MDCT scanner, the Computed Tomography Dose Index (CTDIvol,16cm) of both systems should be used. Incorrect The solution: To compare the applied radiation dose between Real 3D and a MDCT scanner, the Computed Tomography Dose Index (CTDIvol,16cm) of both systems should be used. Correct Explanation of the Correct Answer Continue Dose declarations of Real 3D: Dose Area Product [Gy·m²] Dose Length Product [mGy·cm] Computed Tomography Dose Index as CTDIvol,16 cm [mGy] Real 3D offers computed values for DLP and CTDI vol,16cm. As a basis for calculating these values, conversion factors were determined in dose measurements with a 16 cm CTDI phantom. To compare the applied radiation dose between Real 3D and a MDCT scanner, the CTDI vol,16cm of both systems should be used. ? Integrated ionization chamber for DAP in real time 16 cm diameter CTDI phantom Dose probe Explanation of the Correct Answer ? Magdalena Herbst System Physicist Siemens Healthineers Forchheim, Germany Technology Behind True2scale Body Scan ? Technology Behind True2scale Body Scan Select the applicable image. ? Which image best illustrates the beam-detector architecture and movement of the True2Scale body scan? Question 1 of 2 Question Beam-Detector Incorrect This is the correct image: Correct Incorrect This is the correct image: Explanation of the Correct Answer Continue With a smart combination of slightly asynchronous detector and tube movement, MTR makes full use of the potential patient coverage. By moving the collimated beam along the detector during the scan movement, this technology delivers a scan range of 190 cm in a supine position and 170 cm in natural, weight-bearing condition. ? Explanation of the Correct Answer Select the best answer. ? Question 2 of 2 How can we achieve lower dose? Collimation reduces scatter compared to full-field acquisitions. Scattered radiation improves image quality in terms of image contrast and signal-to-noise ratio. A collimated beam has no dose saving potential. Question Lower Dose Incorrect The solution: Collimation reduces scatter compared to full-field acquisitions. Incorrect The solution: Collimation reduces scatter compared to full-field acquisitions. Correct Explanation of the Correct Answer Continue Native scatter reduction through high beam collimation: Collimation reduces scatter compared to full-field acquisitions as less scatter events take place and some scattered photons hit the detector outside the relevant area. Due to less scattered radiation the collimated beam technology facilitates reduced doses with a gridless acquisition, while maintaining signal-to-noise ratio. ? Explanation of the Correct Answer ? Dr. Frank Schellhammer, Radiologist The Clinical Experts Raimund Abendroth, Technologist Dr. Michael Euler, Surgeon Hospital of the Augustinian Sisters, Academic Teaching Hospital / Cologne, Germany The Clinical Experts ? Films from the Clinical Routine Typical musculoskeletal (MSK) imaging scenarios with Multitom Rax from the Hospital of the Augustinian Sisters Cologne, Germany Image Handling Real 3D Hi-Res Wrist Real 3D Hi-Res Elbow SmarthOrtho Shoulder True2Scale Long Leg and Weight-bearing Real 3D Metal Artefacts Films from the Clinical Routine Metal Artefacts 1 Option True2Scale Long Leg and Weight-bearing Real 3D 1 Option SmarthOrtho Shoulder 1 Option Real 3D Hi-Res Elbow 1 Option Real 3D Hi-Res Wrist 1 Option Image Handling ? Course Review Congratulations. You have completed the Musculoskeletal Imaging - Technical and Clinical Basics online training. Select the numbered buttons below to review the material before proceeding to the final assessment. Transversal SmartOrtho and True2scale Body Scan – Clinical Basics Real 3D – Clinical Basics True2Scale – Technical Basics Real 3D – Technical Basics 1 1 2 2 2 3 3 3 4 4 4 Course Review Transversal SmartOrtho and True2scale Body Scan – Clinical Basics Transversal SmartOrtho Shoulder for bilateral comparisons of pathologies Tilting technique Automated stitching (up to 80 cm) along the transversal body axes Easy setting and automated application Single view: both shoulders, both hips True2scale Body Scan under natural weight-bearing conditions Slot-scanning technique, true-to-scale images Assessment of body axes (e.g., for implant planning or scoliosis) Sequential bi-planar full-body scan (a.p. & lat. up to 170 cm) without having to move the patient in as little as 20 sec Weight-bearing exams: long-leg, full-spine, full body Real 3D – Clinical Basics Real 3D for trauma imaging Cone-beam geometry, field of view ~ Ø24 cm, CT-like image impression Dose settings from CT equivalent to ultra-low dose Exams: hand, wrist, elbow, foot, knee, lumbar spine Real 3D Hi-Res for high-resolution imaging of upper extremity Cone-beam geometry with higher resolution than MDCT, field of view ~ Ø16 cm Focusing on trabecular structure of bones Exams: hand, wrist, elbow Real 3D under natural weight-bearing conditions Cone-beam geometry, field of view ~ Ø24 cm, CT-like image impression Dose settings ranging from CT equivalent to ultra-low dose Weight-bearing exams: foot, knee, lumbar spine True2Scale – Technical Basics Image acquisition Slot-scanning without magnification effects Combination: slightly asynchronous detector and tube movement Scan range: 190 cm in a supine position, 170 cm in weight-bearing condition Image reconstruction Ultra-small angle tomosynthesis reconstruction on slot images: Geometrically accurate images without additional calibration steps Faster and easier workflow compared to conventional source-tilt technique Supine position and standing scan: corresponding images in two planes Applied radiation dose Native scatter reduction through high beam collimation Dose saving of collimated beam facilitates reduced doses, while maintaining signal-to-noise ratio and gridless acquisition Real 3D – Technical Basics Image acquisition 3 trajectories: table for knee and foot, tableside for hand and elbow, upright for weight-bearing lumbar spine, knee, and foot 2 scan modes: normal (up to 0.3 mm, 2x2 binning, 24 cm Øxh), high-resolution (up to 0.2 mm, 1x1 un-binning, 16 cm Ø x h) Image reconstruction Tomographic information: multiplanar reconstruction (coronal, sagittal and axial slices) and Volume Rendering Technique Corresponding image impression to MDCT kernels: Smooth, Medium, Sharp, Very sharp Metal artifact reduction and high-resolution scan mode Applied radiation dose DAP of a Real 3D acquisition is the sum of the DAP as per each individual projection in the data set Real 3D offers computed values for DLP and CTDIvol,16cm To compare the applied radiation dose between Real 3D and a MDCT scanner, the CTDIvol,16cm of both systems should be used Disclaimer Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters | Siemens Healthcare GmbH Henkestr. 127 | 91052 Erlangen | Germany Telephone: +49 9131 84-0 siemens-healthineers.com ? Disclaimer (1/2) Disclaimer The herein illustrated statements made by Siemens-Healthineers customers and physicians are based on their own and discrete opinion. The speaker is responsible for obtaining permission to use any previously published figures or tables. The speaker is also responsible for obtaining permission to reproduce any photograph showing recognizable persons. The statements by Siemens-Healthineers customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" setting and many variables exist there can be no guarantee that other customers will achieve the same results. Some products/features (here mentioned) are not necessarily commercially available in all countries. Due to regulatory reasons their availability cannot be guaranteed. Please contact your local Siemens-Healthineers organization for further details. © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters | Siemens Healthcare GmbH Henkestr. 127 | 91052 Erlangen | Germany Telephone: +49 9131 84-0 siemens-healthineers.com ? Disclaimer (2/2) Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Select the best answer. ? Question 1 of 5 How can we achieve lower doses using True2scale Body Scan? Collimation reduces scatter compared to full-field acquisitions. Scattered radiation improves image quality in terms of image contrast and signal-to-noise ratio. A collimated beam has no dose saving potential. Question Incorrect The solution: Collimation reduces scatter compared to full-field acquisitions. Incorrect The solution: Collimation reduces scatter compared to full-field acquisitions. Correct Select the wrong answer. ? Question 2 of 5 Which of the following statements about MSK imaging with MTR is wrong? SmartOrtho Shoulder is suitable for the bilateral comparisons of pathologies on two stitched images and planes (a.p./lat.). Real 3D with a field of view of approx. Ø24 cm is suitable for trauma imaging of the upper and lower extremities. Real 3D Hi-Res with a field of view of approx. Ø16 cm is suitable for high-resolution imaging of upper extremities. Real 3D under natural weight-bearing conditions is suitable for functional assessment of foot, knee, and lumbar spine. True2scale Body Scan under natural weight-bearing conditions is suitable to assessment of body axes e.g., for implant planning. Question Incorrect The solution: SmartOrtho Shoulder is suitable for the bilateral comparisons of pathologies on two stitched images and planes (a.p./lat.). Incorrect The solution: SmartOrtho Shoulder is suitable for the bilateral comparisons of pathologies on two stitched images and planes (a.p./lat.). Incorrect The solution: SmartOrtho Shoulder is suitable for the bilateral comparisons of pathologies on two stitched images and planes (a.p./lat.). Incorrect The solution: SmartOrtho Shoulder is suitable for the bilateral comparisons of pathologies on two stitched images and planes (a.p./lat.). Correct Select the applicable image. ? Which image best illustrates Real 3D’s high-resolution scan mode for hand and elbow examinations? Question 3 of 5 Question Incorrect That is the correct image: Correct Incorrect That is the correct image: Select the applicable image. ? Which image best illustrates the beam-detector architecture and movement of the True2Scale body scan? Question 4 of 5 Question Incorrect This is the correct image: Correct Incorrect This is the correct image: Select the best answer. ? Question 5 of 5 Which statement with regards to dose comparison between MTR Real 3D and MDCT is true? To compare the applied radiation dose between Real 3D and a MDCT scanner, the Computed Tomography Dose Index (CTDIvol,16cm) of both systems should be used. One cannot compare the dose values of Multitom Rax Real 3D to those of a Multi-Detector CT. The Dose Ara Product (DAP) of Multitom Rax Real 3D is much higher than the Dose Length Product (DLP) of a Multi-Detector CT (MDCT) for acquiring a comparable image quality. Question Incorrect The solution: To compare the applied radiation dose between Real 3D and a MDCT scanner, the Computed Tomography Dose Index (CTDIvol,16cm) of both systems should be used. Incorrect The solution: To compare the applied radiation dose between Real 3D and a MDCT scanner, the Computed Tomography Dose Index (CTDIvol,16cm) of both systems should be used. Correct Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit ? You have completed training module no. 1 from the training series Twin Robotic X-Ray with Multitom Rax. Thank you for your Attention! Completion Speaker Thank you for your attention! You have completed training module no. 1 from the training series “Twin Robotic X-Ray with Multitom Rax”. Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Timeline Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 HOOD05162003220191 | Effective Date: 20 Sep 2021 Whitepaper_MultitomRax_Real3D a.p. anterior posterior AC Acromio Clavicular ACSS Automatic Cassette Size Sensing AEC Automatic exposure control AI Artificial Intelligence AIM AI Mapping: optimal path from one position to the next CBCT Cone Beam Computed Tomography CTDI Computed Tomography Dose Index DAP Dose Area Product DLP Dose Length Product DVT Digital Volume Tomography FAST Free Axis Simultaneous Travel = RAXdetector + RAXalign FLC Fluorospot Compact Hi-Res High-Resolution lat. lateral Low Dose Scoliosis SmartOrtho Mode for continuous follow-up examinations lp line pairs MAR Metal artifact reduction MCU Urology - Micturating Cystourethrogram MDCT Multidetector Computed Tomography MPR Multiplanar Reconstruction MSK Muskuloskeletal OGP Organ program RAXalign Function for right focus distance and orthogonal alignment of tube and detector RAXconfirm Function for fluoro-scopic guided positioning RAXdetector Dose-saving fixed detector for auto-tracking and centering, AEC, and inserted grids RAXortho Modes for extended longitudinal, transversal or lateral examinations (long leg, shoulder/hip panorama, full spine) RAXtrack Wireless unit stays aligned when repositioning the system: If the built-in detector is moved, the tube head follows, and vice versa Real 3D Extremities lying Image acquisition in natural and comfortable position for the patient - similar image quality as MDCT at a lower dose Real 3D Hi-Res upper extremities Isotropic resolution capabilities of up to 150 µm3 for hand, wrist and elbow Real 3D Weight-bearing imaging Information such as exact positioning of the joints for implant and prosthesis planning, malposition of anatomical structures, or dimensions of complicated fractures SmartOrtho Fully automated titling technique for long leg and full spine; aquires up to 4 images and automatically composes them to one view SmartOrtho, Cross-table For lateral full spine imaging (up to 143 cm) with patient in a supine position SmartOrtho, Low-dose scoliosis Low-dose and pediatric organ programs to decrease dose in follow-up scoliosis exams SmartOrtho, Lying SmartOrtho for patients in supine position SmartOrtho, Standing SmartOrtho for patients in standing position SmartOrtho, Transversal For stitching images along the transversal body axes (up to 80 cm): shoulders, hips panorama U-arm, Virtual System movement for automatically shifting the tube and detector 90° from a.p. to lateral VRT Volume Rendering Technique 1 Musculoskeletal Imaging - Technical and Clinical Basics 1.1 Welcome 1.2 Course Content 1.3 Technology Behind Real 3D 1.4 Question High Resolution 1.6 Question Dose Comparison 1.8 Technology Behind True2scale Body Scan 1.9 Question Beam-Detector 1.11 Question Lower Dose 1.13 The Clinical Experts 1.14 Films from the Clinical Routine 1.15 Course Review 1.16 Disclaimer (1/2) 1.17 Disclaimer (2/2) 1.18 Assessment