Weight Bearing Examinations of the Spine - USA

Continue Continue Continue Continue Continue Continue Weight-Bearing Examinations of the Spine Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Clinical Cases of Spine Examinations Weight-Bearing Examinations of the Spine Multitom Rax in a University Hospital 3 2 1 * True2scale Body Scan is not available in all countries After some practical tips about how to start working with Twin Robotic X-ray in the daily routine, Dr. Sophia Blum explores how to examine the spine using the SmartOrtho source-tilt technique and the True2scale Body Scan* slot-scanning technique on the Multitom Rax. She also explains some specific cases based on clinical experience. Completion time: 30 - 45 min. Weight-Bearing Examinations of the Spine Online Training Introduction I Speaker Welcome to our Twin Robotic X-Ray with Multitom Rax web-based training. The third module, Weight-Bearing Examinations of the Spine, covers two learning objectives and includes six exemplary cases. It takes 30 to 45 minutes to complete. For navigation help, select the question mark button located in the bottom right-hand corner of each slide. ? Clinical Cases of Spine Examinations Weight-Bearing Examinations of the Spine Multitom Rax in a University Hospital 3 2 1 Course Content Introduction II Speaker Radiologist Dr. Sophia Blum shares her experience of implementing Multitom Rax as a new modality in the daily routine and explores methods for examining the spine. She derives use cases based on her own clinical experience and explains them with the help of specific examples. ? Dr. Sophia Blum Radiologist University Hospital Carl Gustav Carus Dresden, Germany The Clinical Expert The Clinical Expert ? The Content Dr. Sophia Blum Radiologist University Hospital Dresden, Germany The Content ? Real3D for musculoskeletal imaging This white paper covers the Real3D application of Multitom Rax for musculoskeletal imaging and includes techniques and clinical use. 20 min. True2scale Body Scan for musculoskeletal imaging This white paper provides a technical overview of length-extended imaging, with a focus on True2scale Body Scan, and typical clinical applications including first clinical images. 20 min. If you would like to recap the Multitom Rax basics, please refer to our white papers: Repetition: White Papers for Multitom Rax Repetition: White Papers for Multitom Rax ? Multitom Rax in a University Hospital Multitom Rax in a University Hospital I Speaker Before we go into the details of imaging the spinal column, we would like to give you an idea of how the Multitom Rax is used with the True2Scale Body Scan feature at University Hospital Carl Gustav Carus in Dresden, Germany. ? University Hospital Carl Gustav Carus Institute and Policlinic for Diagnostic and Interventional Radiology Dresden, Germany Multitom Rax in a University Hospital Multitom Rax in a University Hospital II ? The institute and policlinic for diagnostic and interventional radiology Dr. Sophia Blum Radiologist University Hospital Dresden, Germany Multitom Rax in a University Hospital Multitom Rax in a University Hospital III ? Dr. Sophia Blum Radiologist University Hospital Dresden, Germany The implementation of Multitom Rax – Step by step Multitom Rax in a University Hospital Multitom Rax in a University Hospital IV ? Which answer is wrong? Plan personal feedback rounds to discuss patient handling and indications How can technical staff be familiarized with the technology? Knowledge check Let newcomers gain experience with MTR on their own Appoint an instructor and a core team of well-trained staff Organize training regularly to expand the skills in your team Use the web-based training platform from Siemens Healthineers Knowledge Check - Question 2 Incorrect The solution: Let newcomers gain experience with MTR on their own The solution: Let newcomers gain experience with MTR on their own Incorrect The solution: Let newcomers gain experience with MTR on their own Incorrect The solution: Let newcomers gain experience with MTR on their own Correct ? Continue A good familiarization plan featuring multipliers and regular updates with the team increases acceptance and image quality and simplifies the work. Newcomers to the Multitom Rax have much to gain from the guidance of experienced colleagues. Explanation of the Correct Answer Explanation of the Correct Answer ? Weight-Bearing Examinations of the Spine Weight-Bearing Examinations of the Spine I Speaker Dr. Blum explains the special features of the True2Scale Body Scan application on the Multitom Rax by first discussing the conventional weight-bearing X-ray examination of scoliosis patients. ? Dr. Sophia Blum Radiologist University Hospital Dresden, Germany X-ray for scoliosis Weight-Bearing Examinations of the Spine Weight-Bearing Examinations of the Spine II ? Dr. Sophia Blum Radiologist University Hospital Dresden, Germany True2scale – X-ray of the spine Weight-Bearing Examinations of the Spine Weight-Bearing Examinations of the Spine III ? Select the best answer. What is true regarding imaging of the spine with a source-tilt technique? Knowledge check It facilitates long or wide body part examinations There are no lag artifacts seen There are no stitching artifacts The dose is the lowest possible Knowledge Check - Question 1 The correct answer: It facilitates long or wide body part examinations The correct answer: It facilitates long or wide body part examinations The correct answer: It facilitates long or wide body part examinations ? Continue Although source-tilt techniques like SmartOrtho facilitate the imaging of long (spine, leg) or wide (shoulder, pelvis) body parts, lag and stitching artifacts can occur. The dose required is relatively high as it provides high-quality radiographic images. Explanation of the Correct Answer Explanation of the Correct Answer ? 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 8 8 8 Slot-scanning technique: True2scale Body Scan Source-tilt technique: SmartOrtho Clinical Cases of Spine Examination Clinical Cases of Spine Examination Slot-Scanning Technique: True2scale Body Scan 8 Adolescent idiopathic scoliosis Slot-Scanning Technique: True2scale Body Scan 7 Idiopathic lumbar scoliosis with orthosis Slot-Scanning Technique: True2scale Body Scan 6 Adolescent idiopathic scoliosis after surgical correction Slot-Scanning Technique: True2scale Body Scan 5 Source-Tilt Technique: SmartOrtho 4 Exclusion M. Scheuermann Source-Tilt Technique: SmartOrtho 3 Surgical correction of idiopathic scoliosis Source-Tilt Technique: SmartOrtho 2 Flat back syndrome Lumbar spondylodesis 1 Source-Tilt Technique: SmartOrtho ? Clinical cases of spine examination Weight-bearing examinations of the spine Congratulations. You have completed the Weight-Bearing Examinations of the Spine course. Select the numbered buttons below to review the material before proceeding to the final assessment. Course Review Multitom Rax in a university hospital 1 1 2 2 2 3 3 3 Course Review Contraindications for weight-bearing True2scale Body Scan Standing: non-compliance and/or patient unable to stand Primary fractures Any imaging of shunts Clinical benefits of True2scale Body Scan Continuous and geometrically accurate X-rays of the whole spine Time-saving image acquisition No repositioning of the patient for X-rays in two planes Lower dose than conventional X-rays Visualization of critical structures Indications for weight-bearing True2scale Body Scan Sagittal balance Surgical planning Post-surgical control Control of implants/material Weight-bearing control of vertebral fracture Whole-body for special questions (asymmetry/statics of whole spine) Clinical Cases of Spine Examination X-ray for scoliosis – requirements Low dose examination Repeated imaging over years High radiographic length No spatial overlap Sufficient image quality for posture control No lag or stitching artifacts SmartOrtho and True2scale Body Scan – Clinical basics SmartOrtho Tilting technique Automated stitching (up to 143 cm) along the lateral body axes Easy setting and automated application Single view: consecutive leg or spine In natural weight-bearing or supine position possible 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 22 sec depending on patient BMI Weight-bearing exams: long-leg, full-spine, full body In supine position possible * up to a BMI of 40 kg/m² Weight-Bearing Examinations of the Spine What to consider with radiologists and technical staff? Inform about SOPs list of appropriate indications instructions for the use of Multitom Rax Consider location of the system system located close to emergency ward is in use 24/7 days with special consultation hours of referrers second system available for training Technical support in place for 6-12 months Train the staff (depending on the department size up to a year) appoint an instructor build a core team to offer regular training consider PEPconnect online training encourage older and experienced technicians Plan regular feedback rounds with referring physicians technicians experts from Siemens What to discuss with your referring physicians? Imaging technique Patient position: supine or standing/weight bearing Standard Operating Procedures (SOPs)/appropriate indications Feedback about real cases Refine SOPs Multitom Rax in a University Hospital ? 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 2023 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com 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 2023 Siemens Healthineers Headquarters | Siemens Healthcare GmbH Henkestr. 127 | 91052 Erlangen | Germany Telephone: +49 9131 84-0 siemens-healthineers.com Disclaimer Disclaimer Assessment Welcome to the assessment. For each question, select your answer and then select Submit. You will have 3 attempts to take this assessment and to successfully pass this course. You must receive a score of 80% or higher. You will receive your score when you have completed the assessment. Start Assessment ? Select the best answer. All three answers are correct All three answers are correct Inform referrers about the Twin Robotic X-ray technique and its applications Obtain direct feedback based on specific cases Work with referrers and radiation therapists to draw up SOPs and define indications What do you need to include in your plans when preparing to implement a Multitom Rax in your department for the first time? Question 1 of 8 Question ? Which answer is wrong? Whole-body for special questions (asymmetry/statics of whole spine) All of these are clinical indications for weight-bearing True2scale Body Scan. Question 2 of 8 Imaging of shunts Sagittal balance Surgical planning Post-surgical control Question ? Select the best answer. What is true regarding imaging of the spine with a source-tilt technique? Question 3 of 8 It facilitates long or wide body part examinations There are no lag artifacts seen There are no stitching artifacts The dose is the lowest possible Question ? Select the best answer. Dose is mostly lower than conventional X-rays What is the advantage of the True2scale Body Scan slot-scanning technique? Question 4 of 8 All answers are correct Facilitates continuous and geometrically accurate X-rays of the spine Time-saving image acquisition No repositioning of the patient for X-rays in two planes Question ? Select the applicable image. Which image best illustrates the beam-detector architecture and movement of the True2scale Body Scan? Question 5 of 8 Question ? Slot-scanning technique: True2scale Body Scan Source-tilt technique: SmartOrtho Assign the images to the two techniques. Which image was taken with which technique? Question 6 of 8 Question ? Select three (3) answers. Question 7 of 8 Which of the following are requirements when performing X-ray for scoliosis? Low dose exam Repeated imaging over years Spatial overlap No stitching artifacts Multiple Answer ? True False Select the best answer. Weight-bearing True2scale Body Scan can be performed even with patients with fractures. Question 8 of 8 Question Retry Assessment Results %Quiz1.ScorePercent%% %Quiz1.PassPercent%% Continue YOUR SCORE: PASSING SCORE: Assessment Results You have exceeded your number of assessment attempts. Exit You did not pass the course. Select Retry to continue. Congratulations. You passed the course. ? Exit You have completed the training 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. 3 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. 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Assessment Slide Question Bank 1 Weight bearing exams of the spine multitom_rax_real_3d_whitepaper multitom_rax_true2scale_body_scan_whitepaper 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 BMI Body Mass Index 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 SOP Standard operating procedure U-arm, Virtual System movement for automatically shifting the tube and detector 90° from a.p. to lateral VRT Volume Rendering Technique 1 Weight-Bearing Examinations of the Spine 1.1 Introduction I 1.2 Introduction II 1.3 The Clinical Expert 1.4 The Content 1.5 Repetition: White Papers for Multitom Rax 1.6 Multitom Rax in a University Hospital I 1.7 Multitom Rax in a University Hospital II 1.8 Multitom Rax in a University Hospital III 1.9 Multitom Rax in a University Hospital IV 1.10 Knowledge Check - Question 1 1.11 Explanation of the Correct Answer 1.12 Weight-Bearing Examinations of the Spine I 1.13 Weight-Bearing Examinations of the Spine II 1.14 Weight-Bearing Examinations of the Spine III 1.15 Knowledge Check - Question 2 1.16 Explanation of the Correct Answer 1.17 Clinical Cases of Spine Examination 1.18 Course Review 1.19 Disclaimer 1.20 Disclaimer 1.21 Assessment 1.31 Completion