肾动态GFR采集

SIEMENS Quality ID : HOOD05162003160840 Effective date: 2021-03-01 Healthineers 肾动态显像GFR采集 https://www.siemens.com/pepconnect 西门子医疗系统有限公司 云端医学教育平台 1 Unrestricted © Siemens Healthcare GmbH, 2021 SIEMENS Healthineers 病人准备及显像方法 受检者正常饮食，记录受检者身高体重，检查前30min SIEMENS • 饮水300-500ml，排尿后取仰卧位检查，探测器视野包 括双肾和部分膀胱 Symbia unPoint SPECT-CT 肘静脉“弹丸”式注射显像剂后立即以1-2S/帧的速度采集 • 60S，得到血流灌注相 紧接着以1min/帧的速度采集20min，得到功能动态相 • 2 Unrestricted © Siemens Healthcare GmbH, 2021 SIEMENS Healthineers 工作流模板选择 Patient Applications Workflows Utilitie Options System Help Study Name: re Show All · Local MI Apps 选择患者 Network • Study Date: *Today Category: Hospital System Up Time: 12 Hours 12 Mins Database: Local Find 1 study found on the system. Study dates: 10/21/2020 - Image Space Available 569650 MB Auto Filter Patient Name Patient ID Study Name Study Date # Series Database Location A D Examination| Test 1 0001 Renal Scan 10/21/2020 0 Local Database 选择工作流模板 • 001 002 003 004 Bone W. Bone Tom ... Thyroid Thyroid T ... AD 005 006 007 008 Renal Gates Renal Tom ... PTH Stati PTH Tom .. Acq Viewing .. 009 010 011 012 1311 WB Bone 3 P Saliva .. Lung P ... AO AD O O 013 014 015 016 Cardiac R. Cardiac Cardiac ... Cardiac .. AO Filming 017 Brain P. Category: All Workplace: SYMBIA2189 Work Status: All Stage: All Launch Suspend Complete PNP Device Mounted - Drive(F:): Total Space(31047 MB) Le Start 10/21/2020 08:02:03 3 Unrestricted © Siemens Healthcare GmbH, 2021 SIEMENS Healthineers 采集步骤（1）注射前注射器采集 Al Acquisition Analyzer|Display/Analysis 2号探测器面朝上，将注射前注射器放置于2号探 • Data Selector Patient: Acquisition Display Detector 1: Detector 2: Study: 99m Technetium 99m Technetium Series: Preinjection Syringe Static Acquisition 测器视野中心,高度距离2号探测器30cm Summary Series Information|Camera Parameters |Stop Conditions Name Description Dynamic Patient Name Acquisition Patient ID Study Name Series Name Preinjection Syringe 注射前注射器放置完成后，点击“开始键” 开始采 Static Series Preinjection Syringe Technologist • Acquisition Reading Physician KCounts: KCounts: Referring Physician Remaining: Elapsed: Organ Renal Isotope 1 99m Technetium, 0.00 mCi, DTPA View: Renal Processing Matrix Size 256 X 256 Zoom 1.23 集，持续时间一分钟，测定注射前注射器的总计 Camera Preset Tc99m-NMG Detectors Detector 2 Flexible Display N/A Pre-injection 60 sec Camera Parameters Orientation Head Out / Supine 数 Supine 256 × 256 1.23 Complete Suspend Tc99m-NMG Detector 2 Done 采集完成后，点击“Done”,完成注射前注射器采集 • Setup Prepare Acquisition 4 Unrestricted © Siemens Healthcare GmbH, 2021 SIEMENS Healthineers 采集步骤（2）肾动态采集 10/21/2020 08:02:31 kflows Utilities Options System Help Study Name: re Show All · Local MI Apps 点击选中正在运行的动态采集功能模块后，先点 Study Date: *Today Network • Category: Hospital System Up Tim PPM LOX 1 study found c Patient Name Examination| Test 1 击“prepare Acquisition”准备执行肾动态采集 1 0.0 kcts/s SPECT ET 2 0.1 kcts/s id T .. 22.2 cm Tom ... Viewing 对患者进行摆位，使双肾和膀胱包括在探测器视 • 136.1 cm 12 q P 95 9 100 % O 16 野内，移动2号探测器使其紧贴受检者背部 C 0.0º 180.0 iac Filming 36.3 cm 36.3 cm 1.23 -O 1.23 140 KeV 140 KeV LEHR LEHR 打开PPM界面，准备注射显像剂，注射时同步观 • C X Complete 察PPM界面2号探测器，双肺底显影后点击“开始 A 20:02 Test 1 0001 Renal Sca. ................. 键” 开始采集 PNP Device Mounted - Drive(F:): Total Space(31047 MB) ৳ OU gestart 0/21/2020 08:02:3 5 Unrestricted © Siemens Healthcare GmbH, 2021 SIEMENS Healthineers 采集步骤（3）注射后的注射器采集 Acquisition Analyzer|Display/Analysis 注射后注射器采集前先将受检者注射部位置于探 • Data Selector Patient: splay Detector 2: Study: Renal Scan 99m Technetium 99m Technetium Series: Postinjection Syringe Static Acquisition 测器视野确认注射部位没有渗漏 Summary Series Information|Camera Parameters|Stop Conditions Name Descript Dynamic Patient Name CASTANE Acquisition Patient ID Study Name Series Name Series 2号探测器面朝上，将注射后注射器放置于2号探 Static Technologist • Acquisition Reading Physician KCounts: KCounts: Referring Physician Organ Renal Remaining: Elapsed: Isotope 1 99m Technetium, 0.00 mCi, DTPA View: Renal Processing Matrix Size 256 X 256 Zoom 1.23 Camera Preset Tc99m-NMG 测器视野中心,高度距离2号探测器30cm Detectors Detector 2 Flexible Display Post-injection N/A 60 sec Camera Parameters Orientation Head Out / Supine Supine 注射后注射器放置完成后，点击“开始键” 开始采 256 × 256 • 1.23 Complete Suspend Tc99m-NMG Detector 2 Done Setup Prepare Acquisition II 集，持续时间一分钟，采集完成后点“Done” ， 测 定注射后注射器的总计数 6 Unrestricted © Siemens Healthcare GmbH, 2021 SIEMENS Healthineers 采集步骤（4）完成采集 Test 1, 0001 - Renal Scan, 10/21/2020 File Static Acquisition View Template Workflow Activities Help 注射后注射器采集完成后左侧功能模块区的每一 AI A • Acquisition Analyzer Display/Analysis Data Selector Patient: Test 1 Acquisition Display Detector 1: Detector 2: Study: Renal Scan 99m Technetium 99m Technetium 个功能模块都会打勾表示处于完成状态，肾动态 Series: Postinjection Syringe Static Acquisition Summary Series Information|Camera Parameters|Stop Conditions Name Description Patient Name Test 1 Dynamic GFR采集流程就此结束，点击“Complete”完成 Acquisition Patient ID 0001 Study Name Renal Scan Series Name Postinjection Syringe Series Postinjection Syringe Static Technologist Acquisition Reading Physician KCounts: KCounts: Referring Physician Remaining: Elapsed: Organ Renal workflow Isotope 1 99m Technetium, 0.00 mCi, DTPA View: Flexible Display Matrix Size 256 X 256 Zoom 1.23 Camera Preset Tc99m-NMG Detectors Detector 2 Hard Copy N/A Post-injection 10 sec Camera Parameters Orientation Head Out / Supine Supine 256 × 256 1.23 Comple Suspend Tc99m-NMG Detector 2 Done Setup Prepare Acquisition II Ends the workflow and initiates any "Completion Setup" tasks. 7 Unrestricted © Siemens Healthcare GmbH, 2021 Disclaimer SIEMENS Healthineers 请注意，该资料仅供学习使用！ 为了正确使用软件或硬件，请务必使用由西门子医疗发行的《操作手册》或《使用说明》（以下统称为《操作手册》）。本材料仅学习参考使用，不能代替《操作 手册》。本培训中使用的材料可能未及时更新，并不一定反映软件和硬件最新版本。 操作手册应作为您的主要参考资料，特别是在涉及警告和注意事项之类的安全信息时。 注意：本资料中显示的某些功能为可选项，可能未包含在您的系统中。 某些产品，与产品相关的声明或者功能（以下统称为“功能”），可能尚未在您的国家/地区进行商业销售。 受监管要求所限，我们并不能保证所述功能将来能够向特 定国家/地区提供。请联系当地的西门子医疗销售代表获取最新信息。 未经书面授权，不得复制、传播、分发该资料及其相关内容，违者将承担相关责任。 所有患者的姓名和数据、参数和配置相关的名称均为虚构，仅作示例使用。 所有权利，包括专利权或产品的注册、设计的权利，均予保留。 版权所有 © 西门子医疗系统有限公司 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 8 Unrestricted © Siemens Healthcare GmbH, 2021