Veterinary examination workflow - USA

SIEMENS Healthineers Veterinary MRI examination workflow Job Aid Template Effective Date: 10 Aug 2021|HILS 2223 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Table of Contents Switch on the system 3 Preparation 4 Patient registration 5 Sthmeers Healthineers Examination Queue 6 Steps planning 7 O Copy Parameters/Copy References 8 MAGNETOM Free.Max Contrast medium 10 Specific Absorption Rate (SAR) 11 Healthineers MR View&GO 13 Image sending from MR View&GO 14 SaveLog 15 Switch off the system 16 2 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Switch on the system Systems with an alarm box For all MAGNETOM systems Systems with Select&GO display You can start the system by pressing the ON button on the Before starting the scan, confirm Depending on your system, the display alarm box. The command is followed by a green LED signal. that the System Check icon on the additionally rises, and the patient avatar is visible. Home screen has the green The system is now ready for scanning. checkmark. PRESS STOP TO REMOVE FIE STOP STOP Doe, John O - Table Home Spine Call Systems with an Intercom Depending on your system, you can additionally start System Check the system by pressing the ON/OFF button on the Intercom. Press the button for 2 seconds until you hear an acoustic signal. Please note: Don’t perform any preliminary examination steps, for example, when moving the table and/or connecting coils during system startup. 3 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Preparation Always prioritize patient safety when performing an examination. Before starting scanning, please check the following: SIEMEN Healthineer  Ask the owner to fill in the MR safety screening form.  Examine the veterinary patient to ensure that no metal objects are inside its body. Please note: Depending on its position, the microchip can generate susceptibility artifacts in the images.  Place absorbent cotton in the patient's ears for noise protection. SIEMENS Healthineers  Place the patient in the required position and use the appropriate coils depending on the examination. The general safety instructions provided in the safety online training material in PEPconnect need to be taken into account. 4 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Patient registration When you register a patient, you must always fill in the Medical Information Examination Information patient data or retrieve the data from the HIS/RIS. * Last Name ... Admitting Diagnosis Procedure First Name Accession Nr. If you perform a manual registration, a new window on Title Req. Proc. ID the user interface opens. Alerts Study Description c-spine C-Spine Assist Suffix Middle Name Study Comment Medical Alerts * Patient ID  An * indicates mandatory fields, e.g., demographic Date of Birth |Midiyyyy ElMid/yyyy Allergies Age data and program selection. Year(s) Sex Please note: If you leave the mandatory fields * Height cm Institution Program Selection Weight kg Metric empty, they are highlighted in yellow, preventing Institution Name Workflow simulations >> c-spine >> C-Spine Assist >> program Performing Physician Load Program to Queue ... you from proceeding and starting the examination. RF Transmit Mode Referring Physician ... Any Polarization Requesting Physician ... Body Part and Laterality Operator ... C.Spine Unpaired Patient Orientation IT Select 5 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Examination Queue The program selected during the patient registration SIEMENS. my Dog x × Healthineers *2/27/2021 F 1000001 MR View&GO will be opened in the Examination Queue. Patient View LOC + Add Program / Steps localizer 00:10 USER USER >> Head >> Dog Brain > Routine  The first protocol is always a scout used to localize 2 t2 tse_sag 01:56 Patient View ® Basic Patient View the area to be examined and the derived images are 3 x t2_tse_fs_dorsal_2mm 05:18 V Small (Dog <10cm; Cat) 4 t2_tse_fs_trans_2mm 05:0 Head localizer 00:10 used to plan the examination. [ Dog Brain 5 % t1_tse_r_trans_2mm 06:05 El Routine t2 tse sag 01:56 6 t1_tse_r_dorsal_2mm 05:33 D Cat Brain Series 05:18 If you need to modify the other protocols in the 7 t2 tse fs dorsal 2mm _ 11_mprage_tra_p2_iso 05:18 CC-spine Generic Views  CT-spine t2 tse fs trans 2mm 05:09 Queue, you can add other programs or sequences TIL spine Generic Views L/S-spine t1 tse r trans 2mm 06:05 Generic Views for the selected patient: Brachial Plexus > [ Musculoskeletal t1 tse r dorsal 2mm 05:33 Generic Views  Click on the + symbol to open myExam Cockpit, Abdomen t2_space_dorsal_inner_ear 07:38 then use the << symbol to insert a selected E 29:29 [ Thorax Generic Views [ Pelvis t1 mprage tra p2 iso 05:18 Lizard Generic Views protocol or drag and drop it from the Cockpit to Go Delete Cancel Skip Stop Pause Continue Copy&Go Contrast yes Basic Decision the queue. Contrast yes t1 mprage tra post con 05:18 O MPR Assignment 6 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Steps planning If a working man symbol appears before the sequence, SIEMENS you must plan this sequence. Normally the working Healthineers my Dog CH * 2/27/2021 F 1000001 man is activated on the first sequence for each Patient View orientation. LOC + 1 localizer  Open the sequence and position the slices as 2 gt2_tse_sag required. " t) tse_fs_dorsal 05:18 W 4 t2_tse_fs_trans 05:09  After planning, confirm with Go so that the system 5 t1_tse_r_tra 06:05 starts the measurement. 6 t1_tse_r_dorsal 05:33 7 t1_mprage_tra_p2_iso 05:18 2 27:23 Go Cancel Delete Skip K Stop Pause Continue Copy&Go 7 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Copy Parameters/Copy References Using Copy Parameters/Copy References options can simplify planning when running several sequences with the same orientation: It allows the slices position defined on a protocol to be copied to another subsequent protocol. Copy Parameters:  Double-click the target protocol in the queue.  Right-click on the source protocol you want to copy the parameters from and select the Copy Parameters from the context menu.  Select in the dialog box window the option Center of slice groups and saturation regions and confirm with OK. Patient View >LOC + + + + PHIL PFR rinary Free Star_Veterinary Free. Star_Veterinar localizer Austria MAC Tassa0680 Austria MAC 733330600 Copy Parameters MAGNETOM Free Star Austria MAC_7aaa ? X "1/112023. 0.2M *1/1/2023. 0. 2M MAGNETOM Free.Star *1/1/2023. 0.2M 2 x_ 12_tse_sag 01:56 3/9/2023 MR XA50 MR XA50 HFP 3/9/2023 HFP 3/9/2025 05:18 12_tse_sag .LPH 3 x_ 12_tse_fs_dorsal latest Step 3 - t2_tse_fs_dorsal 4 x_ 12_tse_fs_trans Appen Insert # XA50A Append Pause ... Ctrl+Insert D 7asas0680 STUDY 0 7aaaa0680 FXASCA STUDY ID 7aaaa06 PM 5 x t1_tse_r_tra 24 PM 3:14: 10 PM Center of slice groups and saturation regions Insert Table Positioning Strategy RM 8/1 9 FR 7 IMAI FRM GITE Slices and saturation regions 6 x_ 11_tse r dorsal lepeat RHA RHP Slices and Adjustment volume 7 x_ 12_space_dorsal_inner_ear Repeat and Open Slices 2D 2D Rerun from here SL SL Saturation regions 8 x 11_mprage_tra_p2_iso SPC SPC Measurement parameters Rerun from here with. Adjustment volume Copy Parameters ... TR #26.0 TP H45 TR 3080.0 Annotation TE 160 SP F4 4 TE 73.0 Table position Update Copy Reference TA04:49 FOV 140*140 TA 02:23 Navigators BWV 100.0 Remove Copy Reference IDRO/NORMORS/DIS2D 410 51251 BW 109.0 435-5441 Sag. Tra().Com(-1) 12 MAGNIDROINORMORE DIS Tra-Sag(-8).Cor(-3) D2 MAGNMORGO Everything Zoom 0.84 A2 Zoom 0.79 A2 Cut Ctrl+X Ctrl+C 1_11 /180 CM.SP2 W 1135 570 CM.SP1-3 Copy phase encoding direction J180 IeR201_11/16 Copy Steps Ignore measurements Paste Ctrl+ V 1.00 Ignore last step Del & 5:33 min Auto @ 2 @ 0.3x0.3x2. Delete Skip Stop Pause Delete Clear All Shift+Del ace Parameters Save as ... Ctrl+S OK Cancel Edit Properties ... Alt+Enter 8 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Copy Parameters/Copy References Using Copy Parameters/Copy References options can simplify planning when running several sequences with the same orientation: It allows the slices position defined on a protocol to be copied to another subsequent protocol. Copy References:  Select two or more target protocols in the queue.  Right-click on the source protocol you want to copy the parameters from and select Create Copy References from the context menu.  Select in the dialog box window the option Center of slice groups and saturation regions and confirm with OK.  Copy reference markers visualize you that a copy reference exist between program steps. Brain Assist LOC + Create Copy Reference X 1 AAhead_scout 00:19 2 t1_qtse_dark-fluid_sag_p2 04:38 Step 3 - 12_qtse_tra_p3 3 t2_qtse_tra_p3 Append Insert Center of slice groups and saturation regions 4 t2_qtse_dark-fluid_tra Create Copy References ... Slices and Adjustment volume 5 resolve_3scan_trace_tra_p2_1 ... Slices Cut Ctrl+X Saturation regions 6 t1_mprage_sag_p2_iso Copy Ctrl+C Measurement parameters Adjustment volume 7 % MPR planning Delete Del Table position Navigators 8 t1_fl2d_tra Clear All Shift+Del Everything Copy phase encoding direction Steps Ignore measurements E 19:37 El Ignore last step Go Cancel Delete Skip Stop Pause Continue Copy&Go OK Cancel 9 ................................................................. Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Contrast medium When administering a contrast medium, a pause is planned in the Queue. In the Exam Paused window, enter the Agent Name, and the Volume in ml, then select OK. Please note: You can set the Copy parameters/Copy reference functionality to use the same planning for the sequences before and after contrast medium administration. Exam Paused ? X Patient View LOC + my Dog 1 localizer 1000001 3 IMA 1 FRM Patient has Contrast Agent (Vol. 0.00) 2 t2_tse_sag 01:56 3 t2_tse_fs_dorsal 05:18 Agent Name Catalog ... 4 t2_tse_fs_trans 05:09 Volume 0.00 + ml 5 t1_tse_r_tra 06:05 Total Dose ml 6 t1_tse_r_dorsal 05:33 PRF Active Ingredient 7 t1_mprage_tra_p2_iso Dilution Append Insert Concentration Contrast Append Pause ... Ctrl+Insert 00 mg/ml 19 t1_mprage_tra_post con Insert Table Positioning Strategy Timing Repeat Injector Control Repeat and Open Rerun from here Rerun from here with ... Copy Parameters ... Continue Close DI Update Copy Reference Delete Skip Stop Pause Continue Remove Copy Reference 10 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Specific Absorption Rate (SAR) Radiofrequency wave exposure is controlled by the specific absorption rate (SAR). Field strength, protocol parameters, patient's size and position can affect SAR limits. If the SAR is exceeded, the scan will be stopped, and you will be notified. A SAR exceeded message may suggest solutions to restore adequate SAR levels. If no suitable solution is provided or if the solution does not fit your needs, click the Open Protocol button and manually adjust the parameters. Please note: The modification of parameters can have an impact on the image quality. Manual changes should be performed by an expert user. Sequence Boost ? X Routine Contrast Resolution Geometry System Physio Inline Sequence Step 6 - pd_tse_sag Common Dynamic Protocol Parameters TR 6200.0 + ms Fat-Water Contrast Fat Saturation ... Current Recommended Min. Gradient Rise Time Fat Saturation 25.00 us/(mT/m) 25.40 us/(mT/m) TE 92.00 ms Strong TD 0.00 ms MTC Dark Blood Select the suggested Open protocol Magn. Preparation Slice-sel. IR options with Ok. option for manual TI 100 + ms Contrasts Freeze Suppr. Tissue Wrap-up Magn. adjustments. Additional Changes Restore TR 2040.0 ms 2050.0 Reconstruction Magnitude Flip Angle 150 + deg OK Open Protocol Skin 11 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Specific Absorption Rate (SAR) Parameter Decrease SAR manually Contrast > General > Flip angle Reduce flip angle (e.g., from 180° to 110°). Sequence > Part 1 Change high-frequency pulse type (e.g., SAR small). Routine Increase repetition time (TR). TR and TE ranges for your use case can be checked in literature. Please note: Changes in TR and TE can modify the image weighting and its impression! Please note: The modification of parameters can have an impact on the image quality. Manual changes should be performed by an expert user. 12 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers MR View&GO  During and after the examination, you x X can view, edit, and send images from SIEMENS. Healthineers my Dog * 2/27/2021 F 1000001 MR View&GO the MR View&GO tab.  After completing the examination and sending all the images to archive nodes, you can close the MR View&GO tab with X.  You can find executed examinations in the Patient Browser. From here you can also reopen, view, edit, or resend the examination images and data. 13 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Image sending from MR View&GO You can select multiple sequences RHP FAR HRP Series acquired and send them to archive: my Dog my Dog EF Send and Archive X Add Stud Send and 2/28/2024 1:46 PM  In the MR View&GO, Series navigator, Number Preview Description # Images syngo.Plaza MR, Head Dog Brain click the Send and Archive icon. 3/9/2023 2:46 PM MR, Dog_4.8kg_Head_DRS_SMS_CM12ch_S ... -4 13 t2_tse_tra [3]  Check the boxes for sequences you [2_tse_tra [3] 1_tse_tra_32 [4] want to archive. 13 t1_tse_tra_$2 [4] / 25  Click Send. 12_use_dark- Quid_Sair_tra [5] [Z_tse_sag [6] 3 -4 13 t2_tse_sag [6] 1/ 25 12_tse_dors [7] 12_12d_tra_hemo [8] 14 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers SaveLog A SaveLog (memory system log file) is a file containing all events in the system.  A SaveLog file is used to capture data from the scanner that can be Configuration Panel used later to evaluate and/or assess the MR systems functionality. Administration Portal Remote Access  It’s essential for the precise diagnosis and resolution of issues, as well as for preventing their recurrence as effectively as possible. Remote Assistance Perform a SaveLog at the time of the error or incident, prior to SaveLog  restarting the MR system. For system issues or errors, contact Siemens Healthineers Customer Center.  While the SaveLog is being created, its progress and scanning restrictions are displayed in the dialog box. Please note: Avoid performing any other operations on your scanner when performing a SaveLog. 15 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI examination workflow Job Aid – SIEMENS Healthineers Switch off the system If no further scans are required, the system can be switched off in two ways: Restart System Shut Down System  You can shut down the system by clicking on the Shutdown icon on the bottom right of the Home Restart Workplace screen. Standby System  The Standby mode enables you to switch to the low power Standby mode. During standby, scanning isn’t possible. Restart System Shut Down System Please note: Don’t perform any preliminary Restart Workplace examination steps, for example, if you move table and/or connect coils while starting up the system. Standby System 16 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Healthineers Please note that the user is solely responsible for any veterinary device use. Users should be aware that the size and weight of the animal can impact many aspects (for e.g., SAR) for MR imaging. The use of MRI contrast agents has been implicated in the etiology of chronic renal disease in some human patients, and guidelines for their use have been issued by several resources. To date, this issue has not been well documented in veterinary medicine. The use of such contrast medial is still considered safe in animals, although they should be used with caution in patients with preexisting renal disease. Reference: https://www.merckvetmanual.com/clinical-pathology-and-procedures/diagnostic-imaging/magnetic-resonance-imaging-in-animals Please note: All veterinary-related imaging on Siemens Healthineers MAGNETOM systems are for MAGNETOM Sempra, Free.Max, and Free.Star and for cats and dogs only. Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com 17 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Healthineers Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or 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 Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com 18 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024