Job Aid Alur Kerja Ysio Max

SIEMENS Healthineers Ysio Max Workflow Table, Wall-stand, Free Expose and SmartOrtho Acquisition XP Application Specialist Team Restricted © Siemens Healthineers, 2022 Ysio Max SIEMENS Healthineers SIEMENS SIEMENS Yalo Max Pemeriksaan Pasien pada Meja Pemeriksaan Full Spine/ Full Leg pada Ortho Pemeriksaan pada Kursi Roda / Brankard Pemeriksaan (Table, T) Wall-Stand (Ortho Wall, OW) (Free Expose, X) Author | Department 2 Unrestricted © Siemens Healthineers, 2019 Table Examination SIEMENS Healthineers Automated Tracking A91XP-70014-2PPT1-7600 test Anda dapat mengaktifkan tracking T Abdomen lying position ap otomatis dengan mengunci rel transversal oranye dan meyakinkan Ready # ikon centering dan tracking menyala 115 cm | 42 4 cm | | = 348 cm2 SID tracking Longitudinal tracking Tracking during rotation Quick tube positioning with minimal physical effort in multiple planes. 3 Unrestricted © Siemens Healthineers, 2019 Radiography Examination in Table SIEMENS Healthineers kode pemeriksaan : T (T Abdomen Supine, etc) test XXXXXXX T Abdomen, lying position ap V Ready 101 cm 8 # 115 cm 42 4 cm | | ACSS = 34:8 cm= 1. Tube Ceiling Mengunci pada rel oranye ditandai dgn titik putih pada tombol rel transversal 2. SID & Detector tracking aktif, ditandai dgn ikon tracking meyala putih 12:00 3. Centering Tube aktif, ditandai dgn ikon centering menyala warna hijau Author | Department 4 Unrestricted © Siemens Healthineers, 2019 Radiography Examination at Bucky Wall Stand (BWS) SIEMENS Healthineers kode pemeriksaan : W (W Chest PA, etc) 1. Tube Ceiling Mengunci pada rel oranye dan hijau ditandai dgn titik putih pada tombol rel transversal dan longitudinal R 2. Detector tracking aktif, ditandai dgn ikon tracking meyala putih test 34.5 cm 3. Centering Tube aktif, ditandai dgn ikon XXXX centering menyala warna hijau W Chest p.a. o 4. Jarak antara Tube dan Detektor sesuai dgn SIEMENS.:- pemeriksaan yg akan dilakukan, SID / FFD 110 Healthineers'· ACSS ditampilkan di sebelah tube centerig ikon !cm Ready Pemeriksaan Thorax dapat menggunakan SID 180cm / 150cm dengan grid f180 atau 300 cm - universal DO Pemeriksaan lain selain thorax (extremitas, tulang belakang, abdomen dll) dapat 11 42.5 cm 1 1 menggunakan SID 115 dengan grid f115 atau universal 300 cm Author | Department 5 Unrestricted © Siemens Healthineers, 2019 SmartOrtho (OT/OW) SIEMENS Healthineers Pemeriksaan dari Cervical – Sacrum/ Hip – Ankle Kay Device Ortho Position Setup Setup Ortho Setup Ortho TAI 14 cm 14 cm OW LongSpine a.p. OW OW LongSpine a.p normal O normal norr V 146cm 1 Enter TOD Adjust collimation Afterwards set first Ortho position i Ready # 300 cm 8 FF 00 cm Generato 300 cn Generator Tape Measure Generator # 423 cm H Manual SID & Grid DETENT LOCK GREEN & START POSITION READY > XRAY AUTOMATICALLY 300/Universal* ORANGE > END POSITION COMPOSED Improved patient interaction SHS DI XP 6 *) OW menggunakan SID & GRID 300, OT Menggunakan Grid Universal Unrestricted © Siemens Healthineers, 2019 Ortho Wall LongSpine Large Patient SIEMENS Healthineers • Persiapkan tube dan ortho stand sebelum pasien memasuki ruangan • Posisikan tube pada 300cm dan yakinkan titik putih pada penanda rel hijau dan oranye sebagai penanda kolimasi tube sudah berada di posisi yang sesuai • Gunakan grid untuk SID 300cm yang berwarna Oranye Yakinkan pesan “Enter TOD…” pertanda sistem sudah siap • Posisikan Pasien untuk akusisi LongSpine & kolimasi jika diperlukan • Arahkan tube tilting sehingga laser berada pada daerah Meatus Accoustic External (sekitar kuping/sejajar C1) > klik start position • Arahkan tube tilting caudah sehingga laser berada pada daerah pubis/proximal femur > klik end position Author | Department 7 Unrestricted © Siemens Healthineers, 2019 Ortho Wall LongSpine Large Patient SIEMENS Healthineers Fluoro Rad Pada tab “examination” atur kV dan mAs sesuai • dengan ketebalan tubuh pasien* • Ortho step 1 : daerah cervical spine 34.1 cm x 19.0 cm 300 cm • Ortho step 2 : daerah thoracal spine 8 Current Target none 300 cm • Ortho step 3-4 : daerah lumbacal – pelvic Ortho Step 3 TOD(cm) Ikon “regulation stop” untuk menggunakan • 8.0 KV 73 parameter kV dan mAs yang sama pada semua MAS 18 ortho step ms Dose • Ikuti pesan yang tertera untuk memulai akusisi mm Cu 0.0 Focus Ortho wall % 80 System Message • Jumlah gambar yang akan diambil akan ditentukan i setelah start position dan end position ditentukan, serta berdasarkan tinggi pasien / daerah yang akan dilakukan Ready to move to start long ortho position. Press and hold prep at x-ray switch Author | Department 8 Unrestricted © Siemens Healthineers, 2019 Ortho Wall LongSpine Large Patient SIEMENS Healthineers • Pada tab postprocessing, pilih Examination series gambar (misal hanya bagian Process. Compose • cervical saja) dan lakukan Lakukan composing kembali pengaturan gambar jika diperlukan. dengan menekan ikon compossing Ulangi Langkah ini pada gambar untuk menyatukan Kembali gambar yang telah diatur/postprocessing thoracal dan lumbal ulang Postprocessing Graphics • Simpan gambar yang telah di compose ulang Position 2 2.00 - Step size V TOD(cm) 0.0 Documentation feet to head KV KV 102 mA 0.0 MAS min 0:00 ms Image Tools Author | Department 9 Unrestricted © Siemens Healthineers, 2019 Ortho Table SIEMENS Healthineers both joint Femur & LongSpine Table • Persiapkan tube dan ortho stand sebelum pasien memasuki ruangan • Yakinkan dua tanda titik putih di rel hijau dan oranye sebagai penanda tube telah mengunci di THAT rel yang sesuai . . • Gunakan grid untuk SID Universal yang berwarna Abu-abu Yakinkan pesan “Enter TOD…” pertanda sistem sudah siap • Posisikan Pasien untuk akusisi LongSpine & yakinkan batas atas dan batas bawah tidak SIEMENS Heatthingers" melebihi dari rel di meja Author | Department 10 Unrestricted © Siemens Healthineers, 2019 Frequently Asked Questions SIEMENS Healthineers penggunaan analog Exam Manager X Patient: Test, Patient Menggunakan CR/ Cassette Film Available Exams / Organ Programs Assigned Exams / Organ Programa • alphabetic by name @Organ Programs by Exam alphabetic by body part region @ Organ Programs in acquisition order alphabetically by acquisition type T Paranasal sinuses Pelvis Pennal • Pada window Examination, temukan [ T Patella 2 views TU88 Polit Pennal 1/11 40" T Pelvis organ program dengan kode ET084 Pelvis a.p. BT Pelvis inlet Outlet T111b Pelvis Outlet C Cassette dengan ikon kaset T11la Pelvis Inlet T Petrous bone T Ribs a p T Sacrum T. Schadel axial Add T Sella turcica ET Shoulder joint axial T Skull 2 views T Stenvers D T Stress view exp. Lachmann T Stress view exp Telos. T Thorax in lying pos T Towne TT-spine 2 views # T T-Spine, L-spine junction Exoma Favorites Organ Prog Delete Details Accession Number. Details ... Study Description: Pelvis Pennal Scheduled Procedure Step: Home Examination Cancel Author | Department 11 Unrestricted © Siemens Healthineers, 2019 Frequently Asked Questions SIEMENS Healthineers PEX Editor i PEX Editor X Exam Organ Program Fluoro Program Param. Module Configuration Body Part Examined IMPORTIERT Alternative Acquisition Programs Program Name T026a L-spine a.p. (d) • Mengubah / Menambahkan Organ Acquisition Mode DR RAD Acquisition Type Table Program X - Ray Parameters Image Processing Parameters Presettings Mark Image Auto-cropping Standard Set Black PT Position Not defined • Mengubah parameter dan nama Organ Fluoro Program Set D32 m10 70kV v Defined size as cropped V 010 Laterality Not Defined MField Amplification 1.0 Auto Enhanced MField View position Not Defined Program O 1 pt Gradation Parameters Anatomically Correct View O 1 pt with ext. exp. Flip ] No change O2 pt 15 O3 pt [invert (Image) O 3 pt with AEC Spatial Frequency Parameters ... KV 75 Rotate 00 90 180 @ 270 Spine MAS Label EXI Values .. O ZY PEX Editor ms Exp. Correction 0 % EP default Exam Organ Program Fluoro Program Param. Module Configuration Dose 3.57 OGP View Examination View TO23c T-spine obl (d) 0_testCRST(d) Sensitivity 280 Windowing T024 Oblique exposure 45º/75º (d) 0_testCRST_dRF(d) Width Factor 1 T025a T-spine/L-spine junc. ap (d) Tube Load 80 v % / Auto Stand Parameters 0_testCRST_YSIO_semi(d) T025bL T-spine/L-spine j. lat (d) sert OGP 0_Uro All(d) Center Shift 0 TOD not defined cm TO25bR T-spine/L-spine j. lat (d) 1_TC_Cassette_All_Acq_Types(d) Focus Bandwidth Grid 115 Grid rotation .............................................................. T026a L-spine a.p. (d) 1_TC_Cassette_Free(d) cm O TO26b L-spine lat (d) 1_TC_Cassette_Table(d) Filter Type 0.0 Cu mm T026bR L-spine lat (d) 1_TC_Cassette_Wall(d) Window Center 2000 Collimator 43 × 30 cm 44.44 TO26c L-spine obl (d) 1_TC_dRF_All_Acq_Types(d) - T027a Sacrum a.p. (d) 1_TC_dRF_Cassette(d) Window Width 2500 Stand Position Table centered T027b Sacrum lat (d) 1 TC_dRF_Cassette_alternativeOGP(d' T027bR Sacrum lat (d) 1_TC_dRF_DSA(d) Top Alignment M SID Tracking T028a Coccyx a.p. (d) Remove OGP 1_TC_dRF_DSA_Dose(d) T028bL Coccyx lat (d) 1_TC_dRF_RAD_Alternative(d) E Tracking T028bR Coccyx lat (d) 1_TC_dRF_RAD_Flip_Rotate(d) M T029 L-spine oblique exposure (d) 1_TC_dRF_RAD_Label(d) Group by O Name O Body Part O Acq. type Anatomic order number 0 Store Store as new Print Delete previous previous next Sort by O Name O Body Part Acq type Exam Parameters Default Exams OGP Parameters ExamName Name for RIS DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam level GP level Network Node 2 Fluoro Network Node 3 Rad Camera O Auto Scale Auto Scale Autosending Never for this exam % Automatically switch to next OGP after acquisition Store as new Store Delete Author | Department 12 Unrestricted © Siemens Healthineers, 2019 Frequently Asked Questions SIEMENS Healthineers Image Display and Print trage Display and Print Properties DisplayLayn Inssticion nome • Mengatur layout print Image layout Patient name Patient O P"FLUOROSPOT COMPACT Display image text Date of beth Physician 1 / Physician 2 Patent age 7 Referring physician Mengatur tampilan keterangan (kV, mAs, DAP, Date of exposure • 1- Ward ‘ Time of composure etc) pada hasil cetak hardcopy X Accession No FD Status Patent onercation labels Patient position • Mengatur tampilan keterangan pada display Ucerinitial Patient view Tiago scole Laterality Mache size monitor o Torno symbol F MÁS Image type 5 Dove value / Sensitivity class Tomo height Zoom Landmarc Physical Ex @ Harmonizacion Patient Name | Patient ID Date of Birth Sex Study Description Ward Physician Flag Date and Fizer Test, Micha 230508. 11-11-1911 26-05-2008 Cincel EXI Anorgamer Scard 20-05-2008 P Window values AnorUSER SETTINGS 20-05-2008 .. Devido on index Eme 19-05-2008 Anor OGP name Proel shift values 19-05-2008 .. Anor Eme DICOM Image Display Examination 16-05-2008 Diamond View D Site into Exam Properties and Print Pr Properties Manage 16-05-2008 .. Image no Eme 08-05-2008 Eme 08-05-2008 Dose area product - 19 06-05-2008 Commert Patient Video Manager Patient Settings| Service Image Delete Registrati Properties Select all Deselect al Labeling Label "lentigh UR OK ADRY Cancel Author | Department 13 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers How to know you are in the Right Dose ? 1. Exposure Index Segmentation exclude collimation & direct radiation ( already provided by S14 ) The Clinical EXI analyzes the median gray value of the diagnostic relevant part of bodies in the image via Histogram ( exclude implant related portions ) histogram, and eliminated: directly radiated area, non collimated area, compared with standardized value’s. Median - GO The Clinical EXI is more robust estimation if the actual Threshold T image is over- or under exposed Median signal LIMIT ( 0 . 16383 ) AEXI RAD X EXI_RAD 14 Unrestricted © Siemens Healthineers, 2019 SIEMENS Right Dose Healthineers 1. Exposure Index Iwan_Test CXR 15-08-2020 212 31-05-1982 38 AP LAT Unpaired 241.50 MGy'mª 65.9 kV 32.80 DAS D: 2.500 Physicall EXI 842 Clinical EXI 248 DI 4.0 3 *T Thorax PA “Exposure Index menunjukan underexpose/overekspose pada citra yang diambil berdasarkan dosis detektor AP LAT Unpaired 241.30 G.nº EI optimal : 250 - 65.9 kV 2800x 2801 32.80 TAS RAD H. 0.35 EI max = (2,5 x 100) x 2 = 500 - 0.50 www. 3250 EI min = (2,5 x 100) : 2 = 125 WC 1477 - DV: 1 15 Unrestricted © Siemens Healthineers, 2019 PEPconnect SIEMENS Healthineers Basic Operations 3 min Job Aid Luminos Agile: Park and Job Aid Job Aid Video Unpark of the Digital Imaging Creating a New Exam on the Ortho Scanning on the Detector Care video Tower Luminos dRF Luminos dRF Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy This video will demonstrate how This job aid will provide the user This job aid will provide the user This job aid will provide the user to handle and charge your with instruction on how to park with information on creating new with information on how to detectors for the following and unpark the digital imaging exams on the Luminos dRF. perform Ortho scanning on the systems: MULTIX Impact, Ysio ... tower. Luminos dRF. * 0 3108 1# 151 . 435 12 . 504 15 0 446 14 Job Aid Job Aid Luminos: Creating Alternate Luminos: DVD Recording on Job Aid Job Aid Programs the Fluorospot Compact Luminos: Recording a CD Activating the Recycle Bin Author | Department 16 Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy Unrestricted © Siemens Healthineers, 2019