myExam Companion 工作流程 任务帮助

SIEMENS Healthineers myExam Companion 工作流任务帮助 Template Effective Date: 05/27/2019 | HOOD05162003010284 Job Aid Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Companion工作流任务帮助 SIEMENS Healthineers 目录 学习目标 3 myExam Companion：简介 4 myExam Compass工作流： 示例1：胸部检查 6 示例2：髋部检查 17 示例3：胸部和腹部（组合） 21 myExam Cockpit：查看和修改决策树参数 30 检查配置：查看可用患者类别 36 免责声明 41 2 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Companion工作流任务帮助 SIEMENS Healthineers 学习目标 阅读本任务帮助后，您应当能够： 了解myExam Companion的概念 • 使用myExam Compass（软件版本VA30） • 执行常规检查 了解患者特征和患者问题对检查工作流的 • 影响 使用myExam Cockpit查看决策树参数 • 请注意：本任务帮助中提供的信息适用于软件 版本为VA30的扫描系统。 3 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers myExam Companion 简介 4 Click to add footnote Effective Date: 30 Nov 2019 | HOOD05162003042440_CN second line Unrestricted © Siemens Healthineers, 2019 myExam Companion SIEMENS Healthineers 简介 myExam Companion myExam Compass： myExam Cockpit： CT方案操作的相关用户模式 使用基本许可进行配置的专家模式 在工作流中，系统会提示您回答有关检查的问题 修改预置扫描策略的参数 • • 具体的值从RIS/HIS获取 • 如果需要，myExam Compass可从连接到CT扫描 使用高级许可进行配置的专家模式 • 系统的ECG模块获取心率之类的测量值 添加全新的扫描策略 • 创建新决策树 • 创建要在决策树内使用的新问题 • 5 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers administrator n 2 Craig, Edith Exam Designer CH 11/27/1933 (85) F 0a8a109a-5657-4f47-9b ... myExam Compass Recon Ranges Patient Characteristics Topogram Gender Female Thorax Questions myExam Compass工作流 What is the breathhold capability of the patient? above 5 s 示例1：胸部检 查工作流 Scan Favorites General Scan & | Dose Timing Config Physio Scan Contrast - - Scan/Recon Scan Mode KV Eff. mAS CTDIvol [mGy] DLP [mGy*cm] Acquisition [mm] Pitch Rot. Time [s] Thorax RoutineSpiralAdult ThoraxXcare 70 38 (32 cm) 0.65 64 x 0.6 0.60 0.33 3.3s 5.2s 6 6 10 5 10 O O 6 Click to add footnote Effective Date: 30 Nov 2019 | HOOD05162003042440_CN second line Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 Healthineers administrator ? M # # @ | | = Scan 10 = Recon 2 对于胸部检查，请照常执行工作流步骤： Craig, Edith : 11/27/1933 (85) F 0a8a109a-5657-4f47-9b ... Exam Designer 定位患者 Protocol 1. Protocol Selection Protocol Parameters Browse Protocols Physiological Signal 2. 从预检表选择患者或登记患者 Save Save as 选择要扫描的身体部位 Requested Procedure 3. Scan ECG Demo Reconstruction ThoraxRoutine 选择相应的扫描方案 Patient Type all 4. Protocol: Thorax [factory] Close 4 Contrast Protocol all -Indications: masses, tumor, metastases, 选择“确定” lymphoma, lymph nodes, tuberculosis, empyema, Topogram 5. syngo. via all infection, early visualization of pulmonary Thorax nodules, screening of the lung, w/wo CM -Scan modes: RoutineSpiralAdultThorax 3 Adult Child Protocol: Thorax Dynamic [factory] -Indications: abnormalities, upper airway Topogram obstruction, trachea bronchomalacia, pulmonary air trapping, abnormal diaphragmatic motion, tumor Premonitoring invasion, routine scan in inspiration w CM, dynamic scan during full breathing wo CM Monitoring -Scan modes: PremonitoringSequenceAdult2d, MonitoringSequenceAdult2d, Thorax RoutineSpiralAdultThorax, Dynamic in free breathing Trauma DynamicSequenceAdultBody, DynamicSequenceAdultBody, Dynamic in free breathing DynamicSequenceAdultBody, DynamicSequenceAdultBody Dynamic in free breathing RTP Dynamic in free breathing Intervention Protocol: Thorax and Abdomen [factory] -Indications: masses, tumor, lymphoma, lymph Apply protocol nodes of the lung, liver, pancreas, gall bladder, Topogram spleen, kidneys, w CM Premonitoring -Scan modes: PremonitoringSequenceAdult2d, MonitoringSequenceAdult2d, Monitoring RoutineSpiralAdultAbdomenFlexdose Thorax and Abdomen Confirm OK Cancel Add Replace 5 KOEN 9:32 AM 29 7 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 Healthineers administrator ? HO = Â ¡ ¡ = Scan 10 = Recon 2 6. 检查患者在检查床上的位置是否应 Craig, Edith 11/27/1933 (85) F 0a8a109a-5657-4f47-9b ... Exam Designer Thorax [factory] (Adult) ja 于工作站上显示的位置 Recon Ranges myExam Compass Topogram 如有必要，调整患者的位置 Topogram 6 7. 点击“GO”以激活定位像扫描 HF supine HF prone HF right HF left Thorax 8. 按下控制盒或RSC（远程扫描控制器） FF supine FF prone FF right FF left 上的启动键，以开始定位像扫描 Length 512 mm CTDIVOI SPR (32 cm) 0.01 mGy DLP 0.5 mGy cm MA 60 KV Sn 100 01 Exposure Time 3.32 S Check metal detection Thorax 18 Reconstruction Close li+ 8 Confirm patient position Activate Topogram scan CH OK Cancel 7 Confirm 3.3s 4.2s 6 6 Confirm GO Cancel O 10 EN 9:34 AM 8 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 如果决策树已链接到扫描方案，myExam 2 Craig, Edith Exam Designer * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b .. Compass任务将添加到任务流控件中 myExam Compass Patient Characteristics 对于此胸部扫描示例，下列患者信息至 关重要： Gender Female 患者的性别 • 患者的屏气能力 • Questions What is the breathhold capability of the patient? above 5 s below 5 s 9 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 患者特征：性别 2 Craig, Edith Exam Designer 11/27/1933 (85) F 0a8a109a-5657-4f47-9b. myExam从HIS/RIS获取这些信息 • myExam Compass 如果适用，您可以手动覆盖这些信息 • Patient Characteristics 对于胸部扫描，如果患者是女性，可 • 以激活X-CARE技术 Gender Male Female Other Questions What is the breathhold capability of the patient? above 5 s below 5 s 10 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 问题：屏气能力 2 Craig, Edith Exam Designer CHI *11/27/1933 (85) F 0a8a109a-5657-4f47-9b. 系统可能会提示您回答患者是否能够 • myExam Compass 屏住呼吸超过5秒钟。 Patient Characteristics Gender Male Female Other Questions What is the breathhold capability of the patient? above 5 s below 5 s 11 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 administrator ? H # # 根据您对患者是否能够屏住呼吸的问题 Craig, Edith 2 * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b Exam Designer 的回答，myExam Compass将会相应地修 myExam Compass Recon Ranges Patient Characteristics 改扫描参数，例如扫描时间。 Topogram Gender Female Thorax 例如： Questions 如果您的选择低于5 s，扫描时间将更改 What is the breathhold capability of the patient? below 5 为3.8秒，并将停用X-CARE技术。 受myExam Compass影响的扫描参数将突 出显示为绿色。 x Scan Favorites General Scan& Dose Timing Config Physio Scan Contrast - - Scan/Recon Scan Mode KV Eff. mAs CTDIvol [mGy] DLP [mGy*cm] Acquisition [mm] Pitch Rot. Time [s] Thorax RoutineSpiralAdult Thorax 70 39 32 cm) 0.67 20.2 64 × 0.6 1.50 0.33 3.3s 3.8s 6 6 O 10 10 EN 9:43 AM 12 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 administrator ? A 如果您的选择高于5 s，扫描时间将更改 Craig, Edith Exam Designer 2 11/27/1933 (85) F 0a8a109a-5657-4f47-9b .. 为5.2秒，并将对女性患者启用X-Care。 myExam Compass Recon Ranges Patient Characteristics Topogram 受myExam Compass影响的扫描参数将突 Gender Female Thorax 出显示为绿色。 Questions What is the breathhold capability of the patient? above 5 s ch X Scan Favorites General Scan & 1 Dose Timing Config Physio Scan Contrast - - Scan/Recon Scan Mode KV Eff. mAs CTDIvol [mGy] DLP Acquisition [mm] Pitch Rot. Time [mGy*cm] [s] Thorax RoutineSpiralAdult ThoraxXcare 70 38 2 cm) 0.65 18.1 64 x 0.6 0.60 0.33 3.3s 5.2s 6 b 10 5 O EN 9:42 AM 13 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 Healthineers administrator ? H . = Scan 10 = Recon 2 从任务流控件中选择定位像以检查 Craig, Edith Exam Designer 9. * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b Thorax [factory] (Adult) am max Craig, Edith H 0a8a109a-5657-4f47-9bd2-5f97c08e09eb SOMATOM go.Top Recon Ranges 采集的图像。如有必要，您可以调 mAs *11/27/1933, F, 85Y syngo CT VA30A 9/6/2019 HFS myExam Compass 整重建范围。请选择“GO ”继续 9:35:53.95 AM Topogram 1 IMA 1 Topogram TOP 100 TP 37.5 Preconditions Thorax horax CTDIvol (32 cm) 0.65 mGy DLP 18.1 mGy*cm Eff. mAs 38 KV 70 Exposure Time 4.33 S Check image quality R Reconstruction Close 10cm kV Sn100 mA 60 TI 3.32 SL 512 0/0 Tr20fA.n .. :0000A:1At.ES1adA Filter Sn 350 li+ Activate Thorax scan CH Confirm GO Cancel 3.3s 5.2s 6 6 10 10 9:45 AM 14 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 SIEMENS Healthineers administrator 10. 选择“GO ”以装载扫描范围 = Scan 10 = Recon 2 Craig, Edith Exam Designer 11/27/1933 (85) F 0a8a109a-5657-4f47-9b. Thorax [factory] (Adult) im 11. 按下控制盒或RSC上的启动键，以开 408 Craig, Edith 0a8a109a-5657-4f47-9bd2-5f97c08e09eb SOMATOM go.Top syngo CT VA30A Recon Ranges MAS *11/27/1933, F. 85Y myExam Compass 9/6/2019 HFS 始断层扫描 9:35:53.95 AM 1 IMA 1 TP1 -479.5 Topogram Topogram TOP 100 TP2 -215.3 TP 37.5 LEN 264.1 Preconditions Thorax Thorax CTDIvol (32 cm) 0.65 mGy DLP 18.1 mGy*cm R Eff. mAs 38 KV 70 Exposure Time 4.33 S 10 cm Check image quality Reconstruction kV Sn100 Close mA 60 TI 3.32 SL 512 0/0 W 350 Tr20fA.n .. :0000A:1At.ES1adA Filter Sn C 50 CH X Scan Favorites General Scan Dose Timing Config Physio Scan Contrast - Scan/Recon Scan Mode KV Eff. mAs CTDIvol [mGy] DLP [mGy"cm] Acquisition [mm] Pitch Rot. Time [S] Thorax RoutineSpiralAdultThoraxXcare 70 38 (32 cm) 0.65 18.1 54 x 0.6 0.60 0.33 li+ 12 Activate Thorax scan Confirm GO Cancel 3.3s 5.2s 11 O O 10 EN 9:46 AM 15 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例1：胸部检查工作流 SIEMENS Healthineers administrator ? < = Scan 10 = Recon 2 采集了断层之后，您可以决定是要通过击 Craig, Edith Exam Designer * 11/27/1933 (85) F 0a8a109a-5657-4f47-9b. Thorax [factory] (Adult) jama 重建所有扫描范围，还是要检查并调整重 408 Craig, Edith 0a8a109a-5657-4f47-9bd2-5f97c08e09eb SOMATOM go.Top Craig, Edith H 0a8a109a-5657-4f47-9bd2-5f97c08e09eb Recon Ranges MAS *11/27/1933, F, 85Y myExam Compass 9/6/2019 HFS *11/27/1933, F, 85Y 9/6/2019 9:35:53.95 AM 9:49:40.62 AM Topogram 建范围。 1 IMA 1 TP1-479.5 Topogram TOP 100 TP2 -215.3 MPR 200 TP 37.5 LEN 264.1 Preconditions Thorax ... Thorax 12. 点击全部重建以开始重建 CTDIvol (32 cm) 1.04 mGy DLP 31.2 mGy*cm 或 - Eff. mAs 60 - KV 70 Exposure Time 4.33 s 点击下一步则可检查并调整重建范围 Check image quality ... 13. 重建完成后，选择关闭 Coverage check result: Scanned volume is sufficient. Show QC Image Repeat Scan Start Auto Tasking kV Sn100 mA 60 A A TI 3.32 SL 512 0/0 3.50 Tr20fA.n.:0000A:1At.ES1adA Filter Sn SL 4.0 225 Start reconstructions Switch to Reconstruction Recon Next Cancel 3.3s 5.2s 13 6 0 10 EN 9:50 AM 16 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers administrator Harmon, Tina CH 1/27/1991 (28) F 2813cef3-82a6-458f-9b3 ... Exam Designer myExam Compass Recon Ranges Topogram Questions Which recon do you want to perform? left Hip Do you see any metal implants on the topogram? yes ER myExam Compass工作流 示例2： 髋部检查 CH 8.4s 6.5s O 5 10 O 17 Click to add footnote Effective Date: 30 Nov 2019 | HOOD05162003042440_CN second line Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例2：髋部检查 SIEMENS Healthineers administrator 对于髋部检查，照常采集定位像扫描。 = Scan 9 = Recon 2 Harmon, Tina * 1/27/1991 (28) F 2813cef3-82a6-458f-9b3. Exam Designer Hip [factory] (Adult) myExam Compass Recon Ranges myExam Compass Topogram myExam Compass将向您提出两个预定义 Topogram Questions 的问题： Hip Which recon do you want to perform? both left Reconstruction right Hip 您要执行哪个重建？ • Close Do you see any metal implants on the topogram? yes no 您在定位像中是否有看到任何金属植 • 入物？ 18 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例2：髋部检查 administrator ? H O = 问题：您要执行哪个重建？ Harmon, Tina Exam Designer * 1/27/1991 (28) F 2813cef3-82a6-458f-9b3 ... 根据您的回答，将相应地修改重建范围。 myExam Compass Recon Ranges Topogram Questions 在此示例中，仅应重建左髋图像。 myExam Compass自动删除右髋的重建。 Which recon do you want to perform? both right left Hip Do you see any metal implants on the topogram? yes no myExam Compass Recon Ranges Topogram Hip Questions Which recon do you want to perform? left Hip Do you see any metal implants on the topogram? 31- yes no auto auto auto auto auto auto 19 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例2：髋部检查 administrator ? HO = 问题：您在定位像中是否有看到任何金 Harmon, Tina Exam Designer * 1/27/1991 (28) F 2813cef3-82a6-458f-9b3 ... 属植入物？ myExam Compass Recon Ranges Topogram Questions Which recon do you want to perform? left Hip Do you see any metal implants on the topogram? yes no auto uto auto myExam Compass Recon Ranges 如果您选择“是”，myExam Compass将 Topogram 会添加iMAR（迭代金属伪影校正）作为 Questions 第四个重建范围。 Which recon do you want to perform? left Hip Do you see any metal implants on the topogram? yes Hip 20 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例2：髋部检查 SIEMENS Healthineers 请注意： = Scan 9 = Recon 2 Harmon, Tina Exam Designer * 1/27/1991 (28) F 2813cef3-82a6-458f-9b3 ... 有些问题要求检查定位像，例如当患者 Hip [factory] (Adult) myExam Compass 体内有金属植入物时。在这种情况下， myExam Compass Topogram Questions 您可以通过点击工作流控件中的相应任 Hip Which recon do you want to perform? left 务，在myExam Compass和定位像之间手 Reconstruction 动切换。 Close Do you see any metal implants on the topogram? yes no 21 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers administrator ? ** Harrell, Wilford CH * 3/10/1983 (36) M 5157b977-f7b1-4cc5-ad7 ... Exam Designer 2 myLogix Compass ® Recon Ranges Patient Characteristics Topogram Gender Male Thorax Questions myExam Compass工作流 What is the breathhold capability of the patient? above 5 s Abdomen Would you like to apply contrast medium? yes 示例3：胸部和 auto 腹部（组合） CH TO 5.9s 4s 8 2s 6 6 10 10 O 10 15 20 25 30 35 O 22 Click to add footnote Effective Date: 30 Nov 2019 | HOOD05162003042440_CN second line Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例3：胸部和腹部（组合） SIEMENS Healthineers administrator ? 当您在一个检查工作流中组合了两个扫 = Scan 7 = Recon 2 Harrell, Wilford * 3/10/1983 (36) M 5157b977-f7b1-4cc5-ad7. Exam Designer Thorax [factory] (Adult) jam 描时，扫描和重建范围使用颜色进行编 Recon Ranges myExam Compass Topogram 码，以指示它们属于哪一个检查。 Topogram HF supine HF prone HF right HF left Thorax 在此示例中： 橙色代表胸部 FF supine FF prone FF right FF left • Abdomen Length 1,024 mm 紫色代表腹部 • CTDIvol SPR (32 cm) 0.01 mGy auto DLP 0.9 mGy cm MA 60 KV Sn 100 01 Exposure Time 5.88 S Check metal detection Thorax . Abdomen Reconstruction Confirm patient position 4 ml/'s 4 ml/'s Confirm OK Cance Y 5.9s 4.2s 6.5% 6 0 10 O 5 25 30 _HOEN 10:45 AM 23 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例3：胸部和腹部（组合） SIEMENS Healthineers administrator ? M # # E Scan 7 = Recon 2 myExam Compass会调整患者特征和问题 Harrell, Wilford 3/10/1983 (36) M 5157b977-f7b1-4cc5-ad7. Exam Designer Thorax [factory] (Adult) ijm 的颜色编码，以指示它们属于哪一个扫 myExam Compass Recon Ranges myExam Compass Patient Characteristics Topogram 描。 Topogram Thorax Gender Male ... Abdomen Thorax 胸部 Reconstruction Questions Close What is the breathhold capability of the patient? above 5 s 性别 • Abdomen 患者可屏气多长时间？ Would you like to apply contrast medium? yes • auto 腹部 您要应用造影剂吗？ • li+ 4 ml/s 4 ml/s Confirm GO Cancel 5.9s 4s 8.25 6 6 Press MOVE 5 10 10 o 10 15 20 25 30 35 45 O O HO EN 10:52 AM 24 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例3：胸部和腹部（组合） SIEMENS Healthineers administrator ? 答案在检查工作流中的适当时间出现。 = Scan 7 = Recon 2 Harrell, Wilford Exam Designer * 3/10/1983 (36) M 5157b977-f7b1-4cc5-ad7 Thorax [factory] (Adult) ijm Recon Ranges 您可以选择在定位像扫描后就直接回答 myExam Compass myExam Compass Patient Characteristics Topogram 所有问题，或者在即将开始对应的断层 Topogram Gender Male 扫描之前回答相应的问题。 Thorax .Abdomen Thorax Reconstruction Questions Close What is the breathhold capability of the patient? above 5 s below 5 s Abdomen auto Would you like to apply contrast medium? yes no O 检查myExam Compass Activate Thorax scan H 4 ml/s 4 ml/'s Confirm GO Cance 5.9s 4s 8.25 6 O 10 5 25 30 45 _HOEN 10:48 AM 25 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例3：胸部和腹部（组合） myExam Compass Recon Ranges myExam Compass从HIS/RIS获取患者特征， Patient Characteristics Topogram 在此示例中为性别。 Gender Male Thorax 您对患者屏气能力的回答会影响胸部的 Questions 扫描时间。 What is the breathhold capability of the patient? above 5 s Abdomen Would you like to apply contrast medium? yes 在此示例中，患者可以屏住呼吸超过5秒。 auto 因此，myExam Compass将胸部扫描的扫 描时间设置为4秒。 腹部扫描的扫描时间保持不变。 4 ml/s 5.9s 4s 8 25 9 6 O 10 0 10 10 15 20 25 30 35 EN 10:52 AM 26 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例3：胸部和腹部（组合） SIEMENS Healthineers administrator ? M # # 您对在腹部扫描中是否使用造影剂的答 = Scan 7 = Recon 2 Harrell, Wilford Exam Designer * 3/10/1983 (36) M 5157b977-f7b1-4cc5-ad7. Thorax [factory] (Adult) jam 案会影响工作流的程序。 myExam Compass Recon Ranges myExam Compass Patient Characteristics Topogram Topogram Gender Male Thorax ... Abdomen Thorax Reconstruction Questions Close What is the breathhold capability of the patient? above 5 Abdomen Would you like to apply contrast medium? yes no auto 4 ml/s 4 ml/s Confirm GO Cance 5.9s 4s 8.25 6 Press MOVE O 10 5 25 30 45 O HO EN 10: 52 AM 27 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例3：胸部和腹部（组合） myExam Compass Recon Ranges 当您选择“是”时，myExam Compass将 Patient Characteristics Topogram 为腹部扫描设置注射和预配置的延迟时 Gender Male 间。 Thorax Questions 请注意： What is the breathhold capability of the patient? above 5 s Abdomen 对于该程序，需要激活注射器联动（选 Would you like to apply contrast medium? yes 配）。 auto 4 ml/s 4 ml/s 5.9s 4s 16 16 10 0 10 10 15 20 25 30 35 O EN 10:52 AM 28 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例3：胸部和腹部（组合） myExam Compass Recon Ranges 当您选择“否”时，myExam Compass将 Patient Characteristics Topogram 会删除腹部扫描的注射和延迟时间。 Gender Male Thorax Questions What is the breathhold capability of the patient? above 5 s Abdomen Would you like to apply contrast medium? no auto CH 5.9s 4s B 21 6 6 = 10 O o 10 15 EN 10:54 AM 29 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Compass工作流 SIEMENS Healthineers 示例3：胸部和腹部（组合） Patient registered X 移动工作流 myExam Compass 您还可以使用扫描系统平板电脑操作myExam Compass，这样您可以就待在 Breathing Instruction Practice 患者旁边。 Audio Control Patient Characteristics Gender Male Female Other Questions What is the breathhold capability of the patient? above 5 s V Would you like to apply contrast medium? yes OK X -128.5 125.0 30 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers O Exam Designer X myExam Cockpit Modify Decision Trees 3. Confirm Decision Trees Select all Side [factory] Extremity CTA TwinBeam DE possible [factory] Metal implant [factory] Coronary Calcium Scoring HR variability [factory] myExam Cockpit Sinus sinusitis or soft tissue [factory] Coronary CTA HR variability and HR [factory] C-Spine disc or bone [factory] Coronary CTA image quality and calcium [factory] T- and L-Spine disc or bone [factory] Thorax Coronary CTA HR variability and HR [factory] 查看和修改决 Pelvis soft tissue or bone [factory] Whole Body soft tissue or bone [factory] Thorax routine or screening [factory] Thorax FoV [factory] Thorax breathhold and X-CARE [factory] 策树参数 Thorax contrast medium necessary [factory] Abdomen contrast medium necessary [factory] Pelvis contrast medium necessary [factory] Abdomen CTA contrast medium sensitive [factory] Kidney TwinSpiral DE possible [factory] Pelvis TwinSpiral DE possible [factory] S Spine TwinSpiral DE possible [factory] Spine TwinSpiral metal DE possible [factory] Abdomen VNC TwinBeam DE possible [factory] Brain CTA TwinBeam DE possible [factory] Neck CTA TwinBeam DE possible [factory] Pulmonary and Body CTA TwinBeam DE possible [factory] Delete Export for Viewing Modify Tree 31 Click to add footnote Effective Date: 30 Nov 2019 | HOOD05162003042440_CN second line Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers 查看和修改决策树参数 administrator v ? 如果您有正确的用户权限，您可以查看 Configuration Panel 并/或修改决策树参数。 Administration Portal Administration Portal [EN] Clinical Configuration 为此，您需要打开检查设计器。 Check up Daily QA 点击设置图标，并从“设置”菜单中选 Medical Information Exam Information Calibration 择“检查设计器”。 Resume Admitting Diagnosis TestVisit ThoraxRoutine syngo Remote Assist Requested Proced Screen recorder SaveLog Description Remote Service Alerts Accession No Exam Designer ID Create Screenshot Medical Alerts Fast Contact 5c-96d2-c56fc Comments Audit Trail M/d/yyyy Allergies File Browser Load Service Pack ear(s) Direct Laser Check What is New 32 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers 查看和修改决策树参数 SIEMENS Healthineers administrator 从检查设计器中，导航到myExam = Scan 4 = Recon 0 Ayers, Tamika 65ed617c-dofa-4032-b880-b430909b9bf7 Exam Designer Exam Designer Cockpit。 Scan Protocols Examination Configuration Contrast Protocols myExam Cockpit DOMODEN 11:09 AM 33 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers 查看和修改决策树参数 SIEMENS administrator 在myExam Cockpit中，您可以找到所有 E Scan 4 = Recon 0 Ayers, Tamika 65ed617c-dofa-4032-b880-b430909b9bf7 Exam Designer 可用决策树的列表。 Exam Designer myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Select Decision Trees 选择您感兴趣的决策树，例如“胸部屏 Factory Trees (34) Select al 气和X-CARE（出厂）”，并点击“修改 Imar-Typ [Abdomen] Spine TwinSpiral metal DE possible [factory] BMI Adaption [Thorax] Brain CTA TwinBeam DE possible [factory] 树”。 Side [factory] Neck CTA TwinBeam DE possible [factory] Metal implant [factory] Pulmonary and Body CTA TwinBeam DE possible [factory] Sinus sinusitis or soft tissue [factory] Thorax Coronary CTA HR variability and HR [factory] LEE Neck FoV [factory] Coronary Calcium Scoring HR variability [factory] ELLLE Thorax routine or screening [factory] Coronary CTA HR variability and HR [factory] Thorax breathhold and X-CARE [factory] Abdomen CTA contrast medium sensitive [factory] Thorax contrast medium necessary [factory] Extremity CTA TwinBeam DE possible [factory] E Thorax FoV [factory] Brain template [factory] Thorax and Abdomen FoV [factory] Brain CTA template [factory] Abdomen contrast medium necessary [factory] Neck CTA template [factory] Abdomen FoV [factory] Body CTA template [factory] Abdomen VNC TwinBeam DE possible [factory] Extremity CTA template [factory] Kidney TwinSpiral DE possible [factory] Whole Body soft tissue or bone [factory] Pelvis soft tissue or bone [factory] Pelvis contrast medium necessary [factory] Pelvis TwinSpiral DE possible [factory] C-Spine disc or bone [factory] T- and L-Spine disc or bone [factory] Spine TwinSpiral DE possible [factory] Delete Export for Viewing Modify Tree LOOMODEN 11:11 AM 34 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers 查看和修改决策树参数 SIEMENS administrator ? 扫描策略： Healthineers ¡ ¡R = Scan 10 = Recon 3 O Exam Designer x 查看所选决策树的扫描策略，在此示例 Exam Designer myExam Cockpit 中所选决策树为“胸部屏气和X-CARE 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees （出厂）”。 Modify Decision Trees Scan Strategies Decision Tree Thorax breathhold and X-CARE [factory] standard acquisition wo X -... I standard aquisition w X-C ... III fast acquisition wo X-CARE IT Info Level None None None Info Text Scan Mode RoutineSpiralAdultThorax RoutineSpiralAdultThoraxXcare RoutineSpiralAdultThorax Pitch 1.20 0.60 1.50 Decision Tree Filter (Routine_AND_(Thorax_AND_Adult))_AND_NOT_((Angio_OR_Average)) Edit Trees Select Decision Trees Confirm Changes EN 9:56 AM 35 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 myExam Cockpit SIEMENS Healthineers 查看和修改决策树参数 SIEMENS Healthineers administrator ? H # # = Scan 10 = Recon 2 O 决策树： Exam Designer x 您可以使用基本许可查看所选决策树 Exam Designer myExam Cockpit • 1. Select Decision Trees 的详细信息 2. Modify Decision Trees 3. Confirm Decision Trees Modify Decision Trees 使用高级许可，您还可以修改所选决 • Scan Strategies Decision Tree 策树的详细信息并添加新分支 Thorax breathhold and X-CARE [factory] standard acquisition wo X-CARE Breathhold >5 s 在此示例中，相关的详细信息为： above 5 s below 5 s standard acquisition wo X-CARE fast acquisition wo X-CARE 患者的屏气能力（大于/小于5秒钟） • Gender Male Female Other 患者的性别 standard acquisition wo X-CARE standard aquisition w X-CARE standard aquisition w X-CARE • Edit Strategies Select Decision Trees Confirm Changes OU_HOEN 10:00 AM 36 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers administrator ? M . Recon 2 Harrell, Wilford Exam Designer 5157b977-f7b1-4cc5-ad79-da9b3d87c246 检查配置 Patient Categories Patient Characteristics Patient Questions 检查配置 Age (Years) Weight (kg) Side 35 60 60 100 Which recon do you want to perform? Young Adult Adult Senior Slim Average Obese 查看可用患者 Answer 1: both CREA (mg/dl) (e)GFR (ml/min/1.73m2) Answer 2: right 1.5 2 60 30 Answer 3 left Normal Elevated High Normal Decreased Severely decreased Metal implant 类别 Heart Rate (bpm) Heart Rate Variability (bpm) Do you see any metal implants on the topogram? 62 69 12 Low Moderate High Regular Unstable Arrhythmic Answer 1: yes Answer 2 no Sinus Sinusitis/soft tissue Is your focus on sinusitis with lower dose or soft tissue with standard dose? Answer 1: sinusitis Answer 2: soft tissue Spine disc/bone Is your focus on bone with lower dose or spine disc with standard dose? Cancel Save 37 Click to add footnote Effective Date: 30 Nov 2019 | HOOD05162003042440_CN second line Unrestricted © Siemens Healthineers, 2019 检查配置 SIEMENS Healthineers 查看可用患者类别 administrator v ? 如需获得关于所有可用患者类别的概览， Configuration Panel 请打开检查设计器。 Administration Portal Administration Portal [EN] Clinical Configuration 点击设置图标，并从“设置”菜单中选 Check up 择“检查设计器”。 Daily QA Medical Information Exam Information Calibration Resume Admitting Diagnosis TestVisit ThoraxRoutine syngo Remote Assist Requested Proced Screen recorder SaveLog Description Remote Service Alerts Accession No Exam Designer ID Create Screenshot Medical Alerts Fast Contact 5c-96d2-c56fc Comments Audit Trail M/d/yyyy Allergies File Browser Load Service Pack ear(s) Direct Laser Check What is New 38 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 检查配置 SIEMENS Healthineers 查看可用患者类别 SIEMENS Healthineers administrator 从检查设计器中，导航到“检查配置”。 = Scan 4 = Recon 0 Ayers, Tamika 65ed617c-dofa-4032-b880-b430909b9bf7 Exam Designer Exam Designer Scan Protocols Examination Configuration Contrast Protocols myExam Cockpit DOMODEN 11:09 AM 39 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 检查配置 SIEMENS Healthineers 查看可用患者类别 Healthineers administrator ? = = Scan 7 = Recon 2 “患者类别”分为“患者特征”和“患 Harrell, Wilford 5157b977-f7b1-4cc5-ad79-da9b3d87c246 Exam Designer X 者问题”。 Exam Designer 检查配置 Patient Categories Patient Categories Patient Characteristics 关于“患者特征”的信息从HIS/RIS以及 Patient Questions Age (Years) Weight (kg) Side 连接到扫描系统的医疗设备获取。 35 60 60 100 Which recon do you want to perform? Young Adult Adult Senior Slim Average Obese CREA (mg/dl) Answer 1: (e)GFR (ml/min/1.73m2) both 这些信息也经过分类。分类可以更改。 Answer 2: right 1.5 2 60 30 Answer 3: left 例如：年龄 Normal Elevated High Normal Decreased Severely decreased Metal implant Heart Rate (bpm) Heart Rate Variability (bpm) 如果您认为30岁的人属于成年人而非年 Do you see any metal implants on the topogram? 62 69 12 轻人，您可以相应地更改界限。 Low Moderate High Regular Unstable Arrhythmic Answer 1: yes Answer 2: no Sinus Sinusitis/soft tissue Is your focus on sinusitis with lower dose or soft tissue with standard dose? Answer 1: sinusitis Answer 2: soft tissue Spine disc/bone Is your focus on bone with lower dose or spine disc with standard dose? Cancel Save EN 11:06 AM 40 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 检查配置 SIEMENS Healthineers 查看可用患者类别 Healthineers administrator ? < = EScan 7 = Recon 2 在“患者类别”中，您将获得所有可用 Harrell, Wilford 5157b977-f7b1-4cc5-ad79-da9b3d87c246 Exam Designer x “患者问题”及其可能答案的列表。 Exam Designer 检查配置 Patient Categories Patient Categories Patient Characteristics Patient Questions Age (Years) Weight (kg) Side 35 60 60 100 Which recon do you want to perform? Young Adult Adult Senior Slim Average Obese CREA (mg/dl) Answer 1: (e)GFR (ml/min/1.73m2) both Answer 2: right 1.5 2 60 30 Answer 3: left Normal Elevated High Normal Decreased Severely decreased Metal implant Heart Rate (bpm) Heart Rate Variability (bpm) Do you see any metal implants on the topogram? 62 69 12 Low Moderate High Regular Unstable Arrhythmic Answer 1: yes Answer 2: no Sinus Sinusitis/soft tissue Is your focus on sinusitis with lower dose or soft tissue with standard dose? Answer 1: sinusitis Answer 2: soft tissue Spine disc/bone Is your focus on bone with lower dose or spine disc with standard dose? Cancel Save OHOOE 11:06 AM 41 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers 请注意，本学习资料仅供培训使用！ 为了正确使用软件或硬件，请始终使用由Siemens Healthineers发行的《操作手册》或《使用说明》（以下统称为《操作手册》）。本材料仅供培训使用，决不 能代替《操作手册》。培训中所使用材料可能未经定期更新，因此可能不能反映培训当前软件和硬件最新版本的情况。 《操作手册》应作为您的主要参考，特别是有关安全信息，如警告和注意事项。 注意：本材料中所示某些功能为选配功能，可能并不属于您系统的一部分。 某些产品、与产品相关的声明或者功能（以下统称为“功能”）可能在您所在国家（尚未）销售。由于监管要求，尚不能保证所述功能未来在特定国家的可用 性。请联系当地Siemens Healthineers销售代表获取最新信息。 未经明确书面授权，不得复制、传播或分发本培训或其内容。违反者将承担赔偿责任。 所有患者姓名和数据、参数和配置均为虚构，且仅供示例。 所有权利，包括专利授权、实用新型或设计注册所得权利，均予以保留。 版权所有 © Siemens Healthcare GmbH，2019 Siemens Healthineers 总部 Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen，德国 电话：+49 9131 84-0 siemens-healthineers.com 42 Effective Date: 30 Nov 2019 | HOOD05162003042440_CN Unrestricted © Siemens Healthineers, 2019