Twin Robotic X-Ray in Pediatric Radiology Online Training

Continue Continue Continue Twin Robotic X-Ray in Pediatric Radiology Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? MSK Pediatric Examination Scenarios Multitom Rax in Pediatric Radiology 2 1 In this module, Dr. Jürgen Weidemann discusses the challenges in pediatric radiology and how he meets them using Multitom Rax. Drawing on selected exemplary cases, he explains how to examine children and adolescents using the True2scale Body Scan scanning technique. Completion time: 30 - 45 min. 4 Twin Robotic X-Ray in Pediatric Radiology Online Training Introduction I Speaker Welcome to our Twin Robotic X-Ray with Multitom Rax web-based training This module, Twin Robotic X-Ray in Pediatric Radiology, covers two learning objectives and includes six exemplary clinical scenarios. 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. ? MSK Pediatric Examination Scenarios Multitom Rax in Pediatric Radiology 2 1 4 Course Content Introduction II Speaker Dr. Juergen Weidemann, pediatric radiologist, discusses the challenges in pediatric radiology and how he meets them using Multitom Rax. Drawing on selected exemplary cases, he explains how to examine children and adolescents using the True2Scale Body Scan scanning technique. ? Dr. Jürgen Weidemann Radiologist Mr. Raphael Geers Technologist Pediatric Radiology Children’s and Youth Hospital Auf der Bult Hannover, Germany The Clinical Experts The Clinical Experts I ? Dr. Jürgen Weidemann Radiologist Mr. Raphael Geers Technologist Pediatric Radiology Children’s and Youth Hospital Auf der Bult Hannover, Germany The Clinical Experts The Clinical Experts II ? If you would like to recap the Multitom Rax basics, please refer to our first three web-based training modules on PEPconnect: Repetition: Web-Based Trainings for Multitom Rax Weight-bearing examinations of the spine 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 SmartOrtho and True2scale Body Scan on Multitom Rax. 45 min. Real3D for lying examinations of the extremities Dr. Jan-Peter Grunz shares case studies and discusses how tableside Real3D examinations of the extremities have changed the trauma workflow in his department by shifting case load from MDCT to MTR. 100 min. Musculoskeletal (MSK) Imaging – Technical and clinical basics Our technical experts are joined by a team from the Hospital of the Augustinian Sisters in Cologne Germany, to explain the technical basics of Multitom Rax and its use cases in MSK imaging clinical routine. 60 min. Introduction An introduction to Multitom Rax and the features that set it apart from a conventional X-ray systems. 30 min. Repetition: Web-Based Trainings for Multitom Rax ? 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 ? Dr. Juergen Weidemann, pediatric radiologist, discusses the challenges in pediatric radiology and how he meets them using Multitom Rax. Multitom Rax in Pediatric Radiology Multitom Rax in Pediatric Radiology I Speaker: Dr. Juergen Weidemann, pediatric radiologist, discusses the challenges in pediatric radiology and how he meets them using Multitom Rax. ? 1. Pediatric X-ray imaging Multitom Rax in Pediatric Radiology Dr. Jürgen Weidemann Pediatric Radiologist Children’s and Youth Hospital Hannover, Germany Multitom Rax in Pediatric Radiology II ? 2. The implementation of Multitom Rax Multitom Rax in Pediatric Radiology Dr. Jürgen Weidemann Pediatric Radiologist Children’s and Youth Hospital Hannover, Germany Multitom Rax in Pediatric Radiology III ? 1 1 1 2 2 2 3 3 3 4 4 4 True2scale Body Scan SmartOrtho Repetition: Multitom Rax in Pediatric Radiology Repetition: Multitom Rax in Pediatric Radiology 4 Animation: True2scale Body Scan – Lying True2scale Body Scan 3 Animation: True2scale Body Scan – Standing True2scale Body Scan 2 Animation: SmartOrtho – Lying SmartOrtho 1 Animation: SmartOrtho – Standing SmartOrtho ? Which answer is wrong? Which challenges in pediatric radiology can be met using Multitom Rax? Question 1 of 3 Children seldom need repeated examinations: radiation protection plays a secondary role Constant switching of modalities: one versatile system that can cover the entire spectrum of examinations Findings in conventional X-ray need advanced examination: performing high-res 3D geometrically accurate examinations on the same system Virtually all children have difficulties cooperating: An open system design to adapt to the child Knowledge Check - Question 1 Incorrect The solution: Children seldom need repeated examinations: radiation protection plays a secondary role Incorrect The solution: Children seldom need repeated examinations: radiation protection plays a secondary role Incorrect The solution: Children seldom need repeated examinations: radiation protection plays a secondary role Correct ? Continue Many children need frequent check-ups: radiation protection is particularly important. Explanation of the Correct Answer Explanation of the Correct Answer ? Select the applicable image. Which image best illustrates the beam-detector architecture and movement of the True2scale Body Scan? Question 2 of 3 Knowledge Check - Question 2 Incorrect That is the correct image: Correct Incorrect That is the correct image: 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 a natural, weight-bearing condition. Explanation of the Correct Answer Explanation of the Correct Answer ? 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 3 of 3 Knowledge Check - Question 3 Incorrect That’s the solution Slot-scanning technique: True2scale Body Scan Source-tilt technique: SmartOrtho Correct ? 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. In this case the pedicle screws are shown twice in the overlapping region. 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 Typical musculoskeletal (MSK) imaging scenarios with Multitom Rax from the Children’s and Youth Hospital Auf der Bult Hannover, Germany Mild scoliosis (T2S) Cerebral palsy with scoliosis (T2S) Control of spondylodesis (T2S) Radius head fracture (Real3D) Bennett fracture (Real3D) Esophageal swallow (Fluoro) MSK Scenarios of Pediatric Examinations MSK Scenarios of Pediatric Examinations 6 Fluoroscopy: Esophageal swallow 5 Pediatric dislocated Bennett fracture Real 3D: 4 Pediatric radius head fracture Real 3D: 3 Control of orthosis therapy True2scale: 2 True2scale: Cerebral palsy with scoliosis 1 Mild scoliosis of the lumbar spine True2scale: ? Select the best answer. What is a typical fluoroscopic examination in pediatric radiology with MTR? Question 1 of 3 Esophageal swallow after removing a foreign object Esophageal swallow after removing a foreign object Angiography of the cerebral arteries after a stroke Colonoscopy when endoscopy of the colon is not possible Knowledge Check - Question 1 Incorrect The solution: Esophageal swallow after removing a foreign object Incorrect The solution: Esophageal swallow after removing a foreign object Correct ? Continue Esophageal swallow after removing a foreign object is a typical fluoroscopic imaging procedure in pediatric radiology for functional assessment. Explanation of the Correct Answer Explanation of the Correct Answer ? Select the best answer. Which statement regarding patient positioning for 3D elbow imaging using Multitom Rax (MTR) is true? Question 2 of 3 Multitom Rax allows almost painless positioning of the injured extremity The “Superman“ position is typical for positioning the upper extremity in MTR MTR has a narrow gantry; therefore, positioning is tedious and painful resulting in decreased image quality Knowledge Check - Question 2 Incorrect The solution: Multitom Rax allows painless positioning of the injured extremity Incorrect The solution: Multitom Rax allows painless positioning of the injured extremity Correct ? Continue Multitom Rax, with three different trajectories, facilitates painless positioning of the injured extremity resulting in fewer motion artifacts. The often painful “Superman” position is requested when examining the arm with an MDCT. Explanation of the Correct Answer Explanation of the Correct Answer ? Facilitated comprehension of surgical anatomy Communication with clinicians and patients Select the wrong answer. Which of the following is not a benefit of the Cinematic Volume Rendering Technique? Question 3 of 3 Visualization of injured vessels and nerves Photorealistic 3D visualization of bones and joints Threshold-based segmentation options Knowledge Check - Question 3 Incorrect The solution: Visualization of injured vessels and nerves Incorrect The solution: Visualization of injured vessels and nerves Incorrect The solution: Visualization of injured vessels and nerves Incorrect The solution: Visualization of injured vessels and nerves Correct ? Continue The Cinematic Volume Rendering Technique can be used for Photorealistic 3D visualization of bones and joints Threshold-based segmentation options and Facilitated comprehension of surgical anatomy To communicate with clinicians and patients descriptively Explanation of the Correct Answer Explanation of the Correct Answer ? Pediatric MSK examination scenarios Congratulations. You have completed the Twin Robotic X-Ray in Pediatric Radiology course. Select the numbered buttons below to review the material before proceeding to the final assessment. Course Review Multitom Rax in pediatric radiology 1 1 2 2 2 Course Review Pediatric MSK Examination Scenarios Conventional pediatric diagnostics optimized in practice Optimal indication: What should we X-ray and what can be examined differently? (X-ray vs. alternative methods) Optimal examination technique: What are the advantages of the ‘combined’ system? (use all benefits of the twin-robotic X-ray system) Optimal radiation protection: Practical advice on radiation protection? (ALARA principle, dose reference levels) Challenges in pediatric radiology met using Multitom Rax Findings in conventional X-ray need advanced examination: Performing 3D and geometrically accurate examinations on the same system Many children need frequent check-ups: Radiation protection is particularly important Virtually all children have difficulties cooperating: An open system design to adapt to the child Constant switching of modalities: Multifunctional system that can cover the entire spectrum of examinations Multitom Rax in Pediatric Radiology ? 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. 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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 ? Start 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. Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment Assessment ? Which answer is wrong? Which challenges in pediatric radiology can be met using Multitom Rax? Question 1 of 6 Children seldom need repeated examinations: Radiation protection plays a secondary role Constant switching of modalities: One versatile system that can cover the entire spectrum of examinations Findings in conventional X-ray need advanced examination: Performing high-res 3D geometrically accurate examinations on the same system Virtually all children have difficulties cooperating: An open system design to adapt to the child Question 1 Incorrect The solution: Children seldom need repeated examinations: radiation protection plays a secondary role Incorrect The solution: Children seldom need repeated examinations: radiation protection plays a secondary role Incorrect The solution: Children seldom need repeated examinations: radiation protection plays a secondary role Correct ? Select the applicable image. Which image best illustrates the beam-detector architecture and movement of the True2scale Body Scan? Question 2 of 6 Question 2 Incorrect That is the correct image: Correct Incorrect That is the correct image: ? 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 3 of 6 Question 3 Incorrect That’s the solution Slot-scanning technique: True2scale Body Scan Source-tilt technique: SmartOrtho Correct ? Select the best answer. What is a typical fluoroscopic examination in pediatric radiology with MTR? Question 4 of 6 Esophageal swallow after removing a foreign object Esophageal swallow after removing a foreign object Angiography of the cerebral arteries after a stroke Colonoscopy when endoscopy of the colon is not possible Question 4 Incorrect The solution: Esophageal swallow after removing a foreign object Incorrect The solution: Esophageal swallow after removing a foreign object Correct ? Select the best answer. Which statement regarding patient positioning for 3D elbow imaging using Multitom Rax (MTR) is true? Question 5 of 6 Multitom Rax allows almost painless positioning of the injured extremity The “Superman” position is typical for positioning the upper extremity in MTR MTR has a narrow gantry; therefore, positioning is tedious and painful resulting in decreased image quality Question 5 Incorrect The solution: Multitom Rax allows painless positioning of the injured extremity Incorrect The solution: Multitom Rax allows painless positioning of the injured extremity Correct ? Facilitated comprehension of surgical anatomy Communication with clinicians and patients Select the wrong answer. Which of the following is not a benefit of the Cinematic Volume Rendering Technique? Question 6 of 6 Visualization of injured vessels and nerves Photorealistic 3D visualization of bones and joints Threshold-based segmentation options Question 6 Incorrect The solution: Visualization of injured vessels and nerves Incorrect The solution: Visualization of injured vessels and nerves Incorrect The solution: Visualization of injured vessels and nerves Incorrect The solution: Visualization of injured vessels and nerves Correct ? Continue Continue Continue Retry Retry Review %Quiz.PassPercent%% %Quiz.ScorePercent%% PASSING SCORE: YOUR SCORE: Assessment Results 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. 4 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. 4 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 CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon add subtitles 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 HOOD05162003308328 | Effective Date: 22-NOV-2022 Multitom_Rax_Real3D_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 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 1.1 Introduction I 1.2 Introduction II 1.3 The Clinical Experts I 1.4 The Clinical Experts II 1.5 Repetition: Web-Based Trainings for Multitom Rax 1.6 Repetition: White Papers for Multitom Rax 1.7 Multitom Rax in Pediatric Radiology I 1.8 Multitom Rax in Pediatric Radiology II 1.9 Multitom Rax in Pediatric Radiology III 1.10 Repetition: Multitom Rax in Pediatric Radiology 1.11 Knowledge Check - Question 1 1.13 Knowledge Check - Question 2 1.15 Knowledge Check - Question 3 1.17 MSK Scenarios of Pediatric Examinations 1.18 Knowledge Check - Question 1 1.20 Knowledge Check - Question 2 1.22 Knowledge Check - Question 3 1.24 Course Review 1.25 Disclaimer 1.27 Assessment