HologicSeleniaTechWorkbook

Artwork and Signature File for: MAN-00477, “TECHNOLOGISTS WORKBOOK, SELENIA”

Artwork consists of: 

REV AUTHORED BY

M. GALL REV DRAFTED BY

J. SHARP

Fifty-Two (52) 8 ½ inch x 11 inch sheet(s) attached.

DATE

06/08/09 DATE

06/22/09

PROPRIETARY INFORMATION: The content of this document is the exclusive property of Hologic and may not, without prior written permission of Hologic, be reproduced, copied or used for any purpose whatsoever.

TITLE

AW, TECHNOLOGISTS WORKBO WORKBOOK OK SELENI SELENIA A ARTWORK

DOCUMENT NUMBER

REV

AW-01279 AW-01279

002

SIZE A

SHEET 1 OF 1 ENG-0034-T33, Rev. 002

Technologists Workbook for Selenia™ and SecurView™ Part Number MAN-00477 Revision 002 June 2009

Disclaimer This document is not meant to replace the user manuals or the quality control manuals. The information contained herein answers questions commonly asked during training and is provided for informational purposes. Always use the manuals provided with your system when performing mammography and Quality Control tests.

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© Copyright Hologic 2009. All rights reserved. Printed in USA. USA. This manual manual was originally written in English. English. Hologic and the Hologic Logo are trademarks or registered trademarks of Hologic, Inc. Other trademarks registered or used by Hologic and its divisions and subsidiaries in the United States and other countries include: Affinity, Affinity, Affinity Platinum, Auto Film ID, “Clarity of Vision”, Dimensions, DSM, FAST Paddle, Fully Automated Self-Adjusting Tilt, HTC, Lorad, “Lorad A Hologic Company”, Lorad DSM, MIMS-plus, M-IV, MultiCare, ScoutMarc, SecurView, Selenia, Selenia Dimensions, Selenia TechMate, SmartWindow, StereoLoc, and TechMate. TechMate. Microsoft and Windows are trademarks or registered trademarks of Microsoft Corporation in the United States and other countries. Any other product and company names mentioned herein are the trademarks or registered trademarks of their respective owners.

Technologists Technologists Workbook Workbook for Selenia and SecurView Table of Contents

Table of Contents Chapter 1—How to Start Up and Shut Down the System

1

Quick reminder for system startup in “Sleep” mode ...................... .................................. ........................ ....................... ....................... ......................... .................1 ....1 Quick reminder for system startup when completely off ........................ .................................... ....................... ....................... ....................... ....................1 .........1 How should I turn off the system at the end of the day? ...................... .................................. ....................... ....................... ........................ .......................1 ...........1 How do I turn the system completely off? ....................... .................................. ....................... ....................... ....................... ....................... ....................... .....................1 .........1 How do I start up the TechMate if it is turned off? ...................... .................................. ........................ ....................... ....................... ....................... ....................1 .........1

Chapter 2—Selenia Acquisition Workstation Q and A

2

How can I switch users? ...................... ................................. ....................... ........................ ....................... ....................... ....................... ....................... ........................ ....................... ............. 2 What are the button functions on the Select a Patient and Patient View Screens? ...................... .................................. ...................2 .......2 What are the AEC modes I have available for use? ....................... .................................. ....................... ........................ ....................... ....................... ...................3 .......3 What exactly is TEC (Tissue Exposure Control)? ....................... .................................. ....................... ........................ ........................ ........................ ......................3 ..........3 What must I know to acquire images on patients with implants? ....................... ................................... ........................ ........................ ...................4 .......4 How should I perform implant procedures? ....................... ................................... ....................... ....................... ....................... ....................... ......................... .................8 ....8 When I print implant images, what adjustments might I need to make? ........................ .................................... ....................... ....................9 .........9 Hints for a Localization Procedure ..................... ................................ ....................... ........................ ....................... ....................... ....................... ....................... ....................10 ........10 What is the recommended exposure technique for a Specimen? ............................... .......................................... ....................... .......................10 ...........10 How can I see which patients are on the CD in the drive? ........................ .................................... ....................... ....................... ....................... ...............11 ....11 What must I do when I get a Paddle Message? ....................... ................................... ........................ ........................ ........................ ........................ .....................11 .........11 How can I send images to an output after the procedure is completed? ....................... .................................. ....................... ....................11 ........11 How do I edit the patient information on Selenia, and PACS? ....................... ................................... ....................... ....................... .......................12 ...........12 What if I take an exposure using an incorrect icon? ....................... ................................... ........................ ........................ ....................... ...................... .............. ...13 13 Changing the View Selection ....................... ................................... ....................... ....................... ....................... ....................... ........................ ....................... ...................... .............. ...15 15 What if I reject an image, but then change my mind? ...................... .................................. ....................... ....................... ........................ ....................... ............. 17 What are the Quality Control Tests We Have to Perform? ............................... ........................................... ....................... ....................... .....................19 .........19 These tests, from the ACR Mammography Quality Control Manual, must still be performed .......................19 .......................19 Quality Control Hints—Acquisition Workstation ....................... ................................... ........................ ....................... ........................ ....................... .................19 .......19 What is the best way to organize the rest of the Weekly Quality Control? ....................... .................................. ....................... .................19 .....19 How can I be sure my Weekly Quality Control Control “patient” is not deleted from the Acquisition Workstation? 19 Could I run this Repeat/Reject Analysis from an office computer? ........................ .................................... ........................ ....................... ............... ....20 20 Saving Repeat/Reject Analysis as a Shortcut on an office computer’s desktop ...................... .................................. .......................20 ...........20 How should I empty the Reject Bin, and how often should I do it? ....................... .................................. ....................... ....................... ...............2 ....21 1 Hints for the Flat Field Calibration test. ..................... ................................. ....................... ....................... ....................... ...................... ........................ ........................ ............. 22 Hints for the Artifact Evaluation test. ....................... .................................. ...................... ....................... ........................ ....................... ....................... ....................... ...............22 ....22 Hints for the Phantom View and SNR/CNR tests. ...................... .................................. ........................ ........................ ....................... ....................... ...................22 .......22 Optional Worksheets ....................... ................................... ........................ ....................... ....................... ....................... ....................... ........................ ....................... ....................... .............. ..23 23

MAN-00477 Revision 002

iii

Technologists Technologists Workbook Workbook for Selenia and SecurView Table of Contents

Chapter 3—SecurView Q & A

27

How can I export images to a CD? ..................... ................................. ....................... ....................... ........................ ....................... ...................... ....................... ...................27 .......27 How can I export Screen Captures from Multi-Modality to the Exports Directory? ....................... .................................. ............... ....27 27 How can I Export images to a USB? ....................... ................................... ....................... ....................... ........................ ....................... ....................... ...................... ...............28 .....28 How can I Import DICOM Part 10 Images from a CD/DVD to the SecurView DX? ...................... .................................. .................29 .....29 How can I Export DICOM Part 10 Images from the SecurView DX to a CD/DVD? ...................... .................................. .................29 .....29 How can I Import ReportFlows from my USB to the SecurView DX? ....................... ................................... ....................... ....................... .............. ..30 30 How can I Export ReportFlows from the SecurView DX to my USB? ....................... .................................. ....................... ....................... ............... ....30 30 How can I print images from SecurView DX and SecurViewRT? ....................... .................................. ..................... ...................... .......................31 ...........31 How can I print a screen capture? ...................... .................................. ....................... ....................... ........................ ....................... ...................... ....................... ...................31 .......31 How do I print an image that will be used for Diagnosis? ....................... ................................... ........................ ....................... ....................... .................31 .....31 How can I schedule and view Sessions on the SecurView DX? ...................... ................................. ....................... ........................ ....................... ............. 32 Can I add patients to a session already created? ....................... .................................. ....................... ....................... ....................... ......................... .....................32 ........32 Can I remove patients from a session? ...................... .................................. ....................... ....................... ....................... ...................... ........................ ........................ ............. 33 Can I reassign a Session to a different radiologist? ............................... ........................................... ....................... ....................... ......................... .....................33 ........33 Can I view the Sessions? ....................... .................................. ....................... ....................... ...................... ...................... ....................... ........................ ........................ ......................33 ..........33 How do I configure Hanging Snapshots and ReportFlows in SecurView Ver. 6-0? ....................... ................................... ............... ...34 34 How can I create ReportFlows? ....................... ................................... ........................ ....................... ....................... ....................... ....................... ....................... .....................37 ..........37 What should I do if the screen locks up on a SecurView? ....................... ................................... ........................ ........................ ........................ ................40 ....40 How should I send or view notices at the SecurView RT? ....................... .................................. ....................... ....................... ....................... ....................41 ........41 How should I close this case out? ....................... ................................... ....................... ....................... ........................ ....................... ....................... ....................... ..................41 .......41 Are there any shortcut keys for SecurView RT? ..................... ................................. ....................... ....................... ....................... ...................... ...................... ............... ....42 42 What are the Quality Control Tests I have to Perform on SecurView? ....................... .................................... ......................... .....................43 .........43 What are the procedures I have to know how to do at the SecurView DX? ....................... ................................... ....................... ................43 .....43 What are the Quality Control Tests on my LCD (Flat Panel) SecurView DX Workstation? ...................... .............................43 .......43 What are the Quality Control Tests on my CRT SecurView DX Workstation ....................... .................................. ...................... ............... ....43 43 Is there more than one way to score the ACR Phantom on the Diagnostic Review Workstation? .................44 .................44 How can I add new radiologists to SecurView DX Workstation? ....................... .................................. ...................... ....................... ......................45 ..........45 How should I Back-up the SecurView DX, and how often? ...................... .................................. ....................... ....................... ....................... ..................45 .......45 How should I manually delete cases from a SecurView Workstation? ....................... .................................. ...................... ...................... ............. 46

Index Index of References


47 1

iv

Technologists Workbook for Selenia and SecurView Chapter 1—How to Start Up and Shut Down the System Quick reminder for system startup in “Sleep” mode

Chapter 1—How to Start Up and Shut Down the System Quick reminder for system startup in “Sleep” mode 1. Move the trackball to wake the system up. 2. In the Login dialog box enter for the user name and password. Wait for the system to start up. The Logon dialog box appears. 3. Enter your Operating System user name or (case sensitive). 4. Click the OK button or press the Enter key. 5. Enter the Operating System password (case sensitive) in the next dialog box. 6. Click the OK button or press the Enter key. Click the Dismiss button only if the system was in “Sleep” mode. 7. In the Login to System dialog box, click the down arrow and select your name in the list. 8. Click the Password field and enter your password (case sensitive). 9. Click the OK button or press the Enter key.

Quick reminder for system startup when completely off 1. Press the On button to start the system. The green LED Power On indicator illuminates. 2. Wait for the computer to start up. Do not click the Dismiss button in the Launch dialog box. Go to Step 3 above.

How should I turn off the system at the end of the day? 1. Click File (upper left of main screen), then select Exit. 2. Click the Log out of the computer option, and then click the Yes button. 3. Click the Yes button in the second “Exit from acq. station” dialog box. If a message appears that spool jobs are waiting, wait until the jobs are finished. The Logout Confirmation dialog box appears. It warns your current session will not be saved. Do not be concerned about this message. 4. Click the OK button. The OS Login dialog box appears. The unit enters a “Sleep” mode.

How do I turn the system completely off? 1. 2. 3. 4.

Click File>Exit. Click the Power off the computer option. Click Yes. If a message appears that spool jobs are waiting, wait until they are finished. Click the OK button at the Logout Confirmation dialog box, “Are you sure you would like to power off the computer?” The green LED power indicator turns off.

How do I start up the TechMate if it is turned off? 1. 2. 3. 4.


To start up the TechMate, press the power button on the right side of the front cover. Enter in the User name field, then click the Return button (there is no password). A “Technologist Workstation is loading” message appears. The User login screen appears after the software loading is complete.

1

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A How can I switch users?

Chapter 2—Selenia Acquisition Workstation Q and A How can I switch users? Click the Sign Out button. The Login to System dialog box appears. The new user then selects their name from the Identify Yourself drop down list and enters their password. They are signed in.

What are the button functions on the Select a Patient and Patient View Screens? When a Patient is selected, these button functions change. Procedure Buttons Button Sign Out Search Patient (New/Edit/Close)

Select a Patient screen Active Active Active

Patient Views screen n/a n/a Edit active, Close active only when the Choose a Procedure window open. Active

Procedure n/a (New/Edit/Add) Add View n/a Active Delete Unexposed Views n/a Active Close Procedure* n/a Active Complete Procedure** n/a Active Pend Procedure** n/a Active Discontinue Procedure** n/a Active Select Outputs Active Active Non-Imaging Mode Active Active Simulate Capture n/a n/a Review n/a Active after an image accepted *Behavior is different when MPPS is installed. **Replaces Close procedure when MPPS is installed. The Close button in the Patient box is active only when you have the Choose a Procedure screen open. Use this button to close that screen without opening any procedures.


2

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A What are the AEC modes I have available for use?

What are the AEC modes I have available for use? There are three AEC modes: Auto-Time, Auto-kV, and Auto-Filter. These modes allow various levels of user control of the Automatic Exposure Control techniques: AEC Modes AEC Mode

Filter Parameter

kV Parameter

Auto-Time

User selected

User selected

Auto-kV

Determined from compression thickness and table Determined from compression thickness and table

Determined from compression thickness and look-up table Determined from compression thickness and look-up table

Auto-Filter

mAs Parameter Determined from a scout exposure Determined from a scout exposure Determined from a scout exposure

When the user selects the Auto-kV or Auto-Filter modes, the Filter and kV values are chosen by using the compressed breast thickness as an index into a kV/filter look-up table.

What exactly is TEC (Tissue Exposure Control)? Tissue exposure control (TEC) exposure mode is designed to take advantage of the imaging characteristics of the Selenia FFDM system, which has significantly higher detective quantum efficiency and wider exposure latitude compared to a conventional screen-film mammography system. When the TEC exposure mode is enabled, the Selenia FFDM system uses two parameters to compute the optimal x-ray exposure technique: (1) the compressed breast thickness, and (2) the estimated breast tissue density. The compressed breast thickness is automatically read by the Selenia FFDM compression paddle system. The mammography technologist estimates the breast tissue density, and sets the breast density control to one of the following three choices: FATTY, NORMAL, and DENSE. The computed x-ray exposure techniques (kV, filter, and mAs) are displayed on the Selenia acquisition display. Once the mammography technologist accepts the displayed exposure techniques, the Selenia FFDM system will change from STANDBY to READY, and an image can be acquired instantly. TEC mode is an advanced MANUAL exposure mode. The mammography technologist always has the option to override the computed exposure techniques, simply by manually changing one the exposure parameters (kV, mAs, or filter). After the computed exposure techniques are accepted or changed by the mammography technologist, the Selenia FFDM system will no longer automatically re-calculate the exposure parameters. The TEC mode can be enabled again by changing the breast tissue density control, or by releasing and reapplying breast compression.


3

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A What must I know to acquire images on patients with implants?

What must I know to acquire images on patients with implants? The wide dynamic range of the digital detector on Selenia FFDM systems allows more flexibility in selecting techniques for imaging implants. However, image processing does not always produce optimal results. When all factors work together, digital images of implants contain more diagnostic information and are far superior to screen-film images. Image processing on the system uses special algorithms to detect an implant on a digital mammogram. A key element contributing to the success of this algorithm is the use of correct exposure techniques. Although the digital detector may forgive mistakes in imaging techniques, the right exposure range is still necessary to acquire optimum images. The following sections provide guidance and recommendations to optimize the task of imaging patients with implants. Compressing breast tissue that contains an implant is challenging to the technologist and the patient. Compression is important and adequate compression must be used when imaging patients with implants. Large variations of compressed thickness between the implant and the rest of the breast tissue may prevent image processing from correctly identifying the implant region. Note…


Always manually position the AEC Sensor when using AEC to image patients with implants. (If you use Auto AEC position, the system will place an AEC sensor under the densest portion of the breast; in a case with implants this will always be under the implant.)

4


Method One—Imaging patients with implants away from the nipple The following figure demonstrates a breast with ample tissue in front of the implant. The Selenia AEC system may be used in this case to select the exposure techniques more accurately. You can use the Auto-Filter mode and move the AEC sensor manually to the middle of the breast tissue area.

The implant away from the nipple provides enough breast tissue for AEC imaging.

Method Two—Imaging patients with implants near the nipple The next figure shows minimal breast tissue around the implant. When there is a small amount of breast tissue in front of the implant, the Selenia AEC can not be used accurately. Part of the implant can interfere with the AEC sensor. In this case use the Manual exposure techniques instead of AEC. The two tables shown below the figure provide the exposure techniques which apply to patients with implants that fall under this category. Do not use the exposure techniques in these tables to acquire images of patients without implants or to acquire implant displaced views. These exposure techniques were created only for imaging implants with minimal tissue around the implant.


5


Implants near the nipple require the manual exposure techniques because there is not enough breast tissue to use AEC. Selenia with Molybdenum X-ray tube Thickness (cm) kV mAs Less than 4 cm 4 cm to < 6 cm 6 cm to < 8 cm 8 cm to 10 cm More than 10 cm

28 28 28 28 28

60 100 160 200 240

Selenia with Tungsten X-ray tube Thickness (cm) kV mAs Less than 4 cm 4 cm to < 6 cm 6 cm to < 8 cm 8 cm to 10 cm More than 10 cm


28 28 28 28 28

100 120 150 150 180

6


Method Three—Imaging Patients with dense tissue next to the implants When a very dense area is next to the implant, the image processing can detect this dense area as an extension of the implant. When a dense area next to the implant appears unexposed and part of the implant, the following actions can correct the condition and improve the image quality of the dense area: •

•

When you acquire the image of the implant with METHOD 1, switch to the Auto-Time AEC mode and increase the kV exposure technique by 2 kV. Adjust the manual position of the AEC sensor, if necessary; When you acquire the image of the implant with METHOD 2, keep the same mAs and increase the kV exposure technique by 2 kV.

Method Four—Imaging Implant Displaced views The figure below shows the implant completely or partly displaced from the imaging area. The Implant Displaced views are equivalent to normal views even though a small part of the implant remains visible in the image. Use the Selenia AEC (for example, Auto-Filter) to acquire these views. You should use a manual AEC sensor position to acquire implant displaced views to avoid interference from part of the implant still being present.

AEC with manual AEC Sensor position used to image implant displaced views


7

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A How should I perform implant procedures?

How should I perform implant procedures? Note…

Never use AUTO AEC sensor mode when imaging implants. AUTO AEC mode puts an AEC sensor under the densest part of the breast. In a case with implants, this part is always under the implant. When imaging patients with implants with AEC, always use a manual position for the AEC Sensor location.

1. Select the Screening Mammogram w/Implants procedure from the drop-down list. Check the Implant Present box above the views. Leave this box checked for all views. 2. Position and compress the breast correctly for an augmented breast. 3. Acquire the full implant view: a. Method One—If the implant is away from the nipple, use Auto-Filter and manaually move the AEC Sensor to the middle of the breast tissue. b. Method Two—If the implant is near the nipple, use a Manual exposure technique for the full implant view. Refer to the charts below for recommended exposure techniques to acquire an image of an implant near the nipple. • The Exposure Index will be very low, but you do not need to be concerned. The exposure index is measured under the implant. Recommended Exposure Techniques to Acquire an Image of an Implant Near the Nipple Selenia with Molybdenum X-ray tube Selenia with Tungsten X-ray Tube

Selenia with Molybdenum X-ray Tube

Thickness (cm)

kV

mAs

Thickness (cm)

kV

mAs

Less than 4 cm 4 cm to < 6 cm 6 cm to < 8 cm 8 cm to 10 cm More than 10 cm

28 28 28 28 28

100 120 150 150 180

Less than 4 cm 4 cm to < 6 cm 6 cm to < 8 cm 8 cm to 10 cm More than 10 cm

28 28 28 28 28

60 100 160 200 240

c. Method Three—If the full implant preview includes a dense area next to the implant, re-acquire the image: 1. If you used Method One, switch to Auto-Time and increase kV by 2 kV. Adjust the manual sensor if necessary. 2. If you used Method Two, keep the same mAs and increase the kV by 2 kV. 4. Perform implant displaced views with AEC. a. If the implant is in the field of view, place the photocell beyond the implant to avoid photo timing through the implant. b. If the implant can be almost completely displaced from the imaging area, use AutoFilter. c. If a small part of the implant appears in the imaging area, use a manual sensor position. Note…


If you forget to check the Implant Present box on the Patient View screen, you may check the box on the Preview screen then click the Reprocess Image button at the bottom of the Preview screen.

8

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A When I print implant images, what adjustments might I need to make?

When I print implant images, what adjustments might I need to make? Printed images of the full implants can appear flat or dark if sent to printer as a normal mammogram. The following adjustments may be required. 1. 2. 3. 4. 5. 6. 7. 8. 9.


After the case is finished, select Admin>Image/Spool Management. Find the case. Click all of the full implant views. Click the Resend selected image(s) button. Select your printer as the Output. You can adjust the Contrast/Density for your printer. Change the contrast or density with the radio buttons. This change is only temporary for the images you are printing now. Click the Resend button. A message appears which indicates how many images were resent. Click the OK button. Click the Close button when the printing is completed.

9

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A Hints for a Localization Procedure

Hints for a Localization Procedure The Localization procedure has additional steps not needed in other clinical procedures. Refer to the software manual for the procedure. •

• •

• • • •

If a paddle other than the Localization paddle will be used, you must turn off the Automatic Compression Release. 1. From the Main Menu, select Edit>Standard Setup. 2. Select Manual in the Compression Release field. Wait a few seconds before closing the window for the change to take effect. 3. Click the Close button.

4. After closing the Standard Setup window, confirm that Manual Release has been activated by checking the settings in the lower left hand part of screen. See the figure above. • Upon completion of the Procedure, change the Compression Release back to automatic if this is the default. Confirm Automatic Release has been activated by checking settings in lower left hand part of screen. Remove the face shield. To add views, click the Add View button before you begin the exam. (Be aware, any additional view is automatically highlighted, so make sure you scroll back to the beginning of your procedure and highlight the first view). Take the scout image using Auto-Filter. Do not use Auto AEC position. Use manual position 2 or 3. If doing a magnification needle localization attach the magnification stand and magnification crosshairs. Remember to move the crosshair device or dial the crosshairs out of the field before you acquire the scout image.

What is the recommended exposure technique for a Specimen? Refer to the user manuals for the procedure. • • • •


Position the specimen as close to the chest wall edge as possible. Always use a spot paddle. Use the magnification stand if desired. Take an exposure using the Manual technique, 25 kVp, and 26 mAs.

10

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A How can I see which patients are on the CD in the drive?

How can I see which patients are on the CD in the drive? Select Admin>Import, and the patient name is listed in the dialog box. Note…

The CD-RW is very sensitive. Do NOT press the Eject button while the system reads from or writes to the disk. Check Jobs in Queue to confirm no jobs are waiting to be sent before selecting Eject from the Admin menu.

Note…

Do not use stick-on labels on a CD.

What must I do when I get a Paddle Message?

This message appears if you have an incomplete paddle shift.

This message appears if your Smart Paddle is in the wrong position for the selected View. The system will not acquire an image if the paddle is not installed in one of the three positions. The paddle position must match the selected View. Move the paddle to the correct position and the alarm clears.

How can I send images to an output after the procedure is completed? See the user manuals for complete directions. 1. Click Admin>Image (or Spool) Mgmt and select the patient. All the thumbnails in that procedure will be displayed. • Click an individual thumbnail to see the available information regarding this particular view (displayed in the upper right portion of the window). 2. Click the Resend tab and either click the Resend All Images button, or select images and click the Resend Selected Images button. 3. Choose the Output from the dropdown list. 4. Click the Resend button.


11

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A How do I edit the patient information on Selenia, and PACS?

How do I edit the patient information on Selenia, and PACS? •

•

• • •

The best place to change the patient information is on the HIS/RIS before any information is sent to the Selenia. If the images are acquired and sent to the PACS, change the information at the PACS. Change Patient Information at the Selenia application as a last resort. Some RIS systems eliminate the ability to change these errors at the Selenia. Because you can cause a mismatch of information when the Selenia images are sent to PACS, work with your HIS/RIS administrator before you make any changes to the patient information at the Selenia. You can only change the demographics for a procedure on the Acquisition Workstation. Demographics cannot be changed once the procedure is reclaimed. Be sure the incorrect images are still on the Acquisition Workstation before you delete them from the PACS. If incorrect images are already accepted and sent to Outputs, prior to sending corrected images you must: At the SV: Sign on to the SV DX as delete and delete that patient study. At the PACS: Contact your PACS Administrator and alert them to delete the incorrect study or advise another corrective measure.

Correct the information at the Acquisition Workstation Change the information on the Patient View screen. Use the procedure in the software user manual. These are some additional hints. 1. In the Patient View screen under Patient (right side of screen) click the Edit button. See figure at right. 2. If the Accession Number is also incorrect, Click the Edit button under Procedure (right side middle of figure) and make the correction in that dialog box. 3. Close the procedure.

Resend the corrected images to the Outputs 1. Click Admin>Image (or Spool) Mgmt. 2. Display the patient and click the Repreview tab. See figure at right. 3. Select and save each of the original images. (Follow the procedure in the software user manual.) There should now be eight thumbnails (assuming there were four in the original study). 4. Click all of the last four thumbnails (these are the corrected views) and resend them. After you confirm that the new images have been sent, you may (at mgr level) go back into Spool Mgmt and delete the four images labeled incorrectly.


12

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A What if I take an exposure using an incorrect icon?

What if I take an exposure using an incorrect icon? You have an Edit View button If your Preview screen looks like this in the top right corner and an incorrect view is acquired (e.g., RCC icon highlighted, but patient is positioned for LCC): •

•

If you have not accepted the image, use the Edit View button, select the correct view, and click OK. It replaces the incorrect icon with a corrected thumbnail. You must add another view for the icon that was replaced. If you have accepted the image, repreview the image, make the view corrections. At the dialog box choose to not send the corrected image until you have deleted the incorrect image from the output. Then, refer to the software user manual for resend directions.

You do not have an Edit View button If your Preview screen looks like this in the top right corner and an incorrect view is acquired (e.g., RCC icon highlighted, but patient is positioned for LCC) there are two scenarios to consider:

Scenario One If the mistake is discovered before the image is accepted: 1. With the Preview screen displayed, click the Clear All Markers button (upper right side of screen); the incorrect marker is removed. 2. Click the correct marker tab. 3. Click the correct marker. A new marker appears on the preview image. 4. Use the table on the following pages as a guide to determine if additional changes are required. These changes may include: • Dragging the new marker to the bottom of the image. (This is done by putting your cursor on the new marker, then holding the left trackball button down while moving the trackball to move the new marker to the desired area.) • Changing the Image Laterality (middle right side of screen). • Changing the Patient Orientation Column (middle right side of screen).

Note…

The flipped images are not shown on the Acquisition Workstation, but are shown on the SecurView workstation. They may not show on 3rd party systems.

5. Click the Accept button, after the changes have been made.


13

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A What if I take an exposure using an incorrect icon?

Note…

CCL, CV, RL, RM, TAN, CCID - these views all behave the same as CC. ML, AT, MLOID - these views all behave the same as MLO. LMO, SIO - these views all behave the same as LM.

Scenario two This is the process to correct an image once it has been accepted: If the error is not corrected before you Accept the image, the system sends the incorrect image to the chosen outputs. 1. Corrections need to be made at the outputs before resending the corrected image. • Printer —Collect incorrectly printed images and discard. • SecurView—Log on, user name-delete, click Administration, click the patient to be deleted, click the Delete button, then click the Exit button to close the window. • PACS—Contact your PACS administrator to delete the incorrectly marked study. 2. Corrections must be made in Image (or Spool) Management. Select Admin>Image (or Spool) Management. 3. Search for the patient. 4. Click the thumbnail of the image that needs to be corrected. 5. Click the Repreview tab. 6. Click the Repreview button. 7. Make the corrections as previously indicated. 8. Click the Save button. This creates an additional thumbnail showing the corrected image. 9. Click the Resend tab. 10. De-select the image that you have corrected. 11. Click the last thumbnail (corrected image), along with the other images that need to be resent. 12. Click the Resend selected image(s) button. 13. Go to Outputs, and select the correct outputs. 14. Click the Resend button. 15. Click the OK button in the Resend Confirmation dialog box. 16. Click the Close button (bottom right hand corner). 17. A manager can delete the incorrect image. Note…

If there is any doubt of the accuracy of the corrected images, repeat the image.

Note…

The correction may only be made if the procedure is still on the Acquisition Workstation.

Note…

Be sure the incorrect images are still on the Acquisition Workstation before you delete them from the PACS.


14

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A Changing the View Selection

Changing the View Selection The view you View icon chosen Change wanted in error Marker to: RCC RMLO RCC RLM RCC RFB RCC LCC RCC LMLO RCC LLM RCC LFB RCC


Drag no bottom bottom bottom bottom no no

Image Patient Orientation Laterality Column no change no change no change H no change R R no change R H R no change R L

RMLO

RCC RLM RFB LCC LMLO LLM LFB

RMLO RMLO RMLO RMLO RMLO RMLO RMLO

no no change bottom no change bottom no change bottom R bottom R no R no R

no change H R no change H no change L

RML

RLM

RML

bottom no change

H

RLM

RCC RMLO RFB LCC LMLO LLM LFB RML

RLM RLM RLM RLM RLM RLM RLM RLM

bottom bottom no no no bottom bottom bottom

no change no change no change R R R R no change

R H no change L no change H R H

RFB

RCC RMLO RLM LCC LMLO LLM LFB

RFB RFB RFB RFB RFB RFB RFB

bottom no change bottom no change no no change no R no R bottom R bottom R

R H no change L no change H no change

LCC

LMLO LLM LFB RCC RMLO RLM RFB

LCC LCC LCC LCC LCC LCC LCC

no no change bottom no change bottom no change bottom L bottom L no L no L

no change H L no change H no change R

15

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A Changing the View Selection

The view you View icon chosen Change wanted in error Marker to:


Drag

Image Laterality

Patient Orientation Column

LMLO

LCC LLM LFB RCC RMLO RLM RFB

LMLO LMLO LMLO LMLO LMLO LMLO LMLO

no no change bottom no change bottom no change bottom L bottom L no L no L

no change H L no change H no change R

LML

LLM

LML

bottom no change

H

LLM

LCC LMLO LFB RCC RMLO RLM RFB LML

LLM LLM LLM LLM LLM LLM LLM LLM

bottom no change bottom no change no no change no L no L bottom L bottom L bottom no

L H no change R no change H L H

LFB

LCC LMLO LLM RCC RMLO RLM RFB

LFB LFB LFB LFB LFB LFB LFB

bottom no change bottom no change no no change no L no L bottom L bottom L

L H no change R no change H no change

16

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A What if I reject an image, but then change my mind?

What if I reject an image, but then change my mind? Scenario #1 • • • 1.

The first image is taken and rejected. The second image is taken and rejected (worse than the first). You'd like to un-reject one of the images. Click the Review button (right side of screen, underneath Jobs in Queue). A dialog box opens in the upper left of screen with tabs for all the views taken.

2. Click the Tab of interest [ex: RCC]. There are two rejected images. 3. Click the image that you want to Accept. 4. When the preview image appears, click the Set Accepted button. A dialog box opens, asking, “Send this image to currently selected output?” 5. Click the Yes button. The dialog box closes, the image is sent to the outputs, and the Preview window is closed. 6. Click the OK button to close the Review dialog box. Only one Accepted image can be housed under one view icon at any one time.

Scenario #2 • • • 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

The first image is taken and rejected. The second image is taken and Accepted (sent to outputs when accepted). You'd like to un-reject the first image and add it to the study. Click the Review button (right side of screen, underneath Jobs in Queue). A dialog box opens in the upper left of screen with tabs for all the views taken. Click the Tab of interest [ex: RCC].There are 2 images, 1 Rejected, 1 Accepted. Click the Accepted image. Wait for the preview image to appear, click the Set Rejected button. When the Image Rejection Information dialog box opens, check the appropriate reason. Click the Reject button. Now there are 2 rejected images. Click the first Rejected image. When the preview image appears, click the Set Accepted button. A dialog box opens, asking “Send this image to currently selected output?” Click the Yes button. 11. Click the OK button to close the Review window.


17

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A What if I reject an image, but then change my mind?

Scenario #3 Note…

Any image that was rejected prior to the Close Procedure will not go to CAD. These images may be sent to CAD using the Scenario #3 instructions.

To use this method you must be signed in at the mgr level. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.


Click Admin. Click Reject Management. Click Choose a New Patient. Select Patient Name tab, in the Patient Name field type in the patient’s name. Click Search. Select the patient. Click the rejected images you want to send to an output. Select Resend. Click either Resend All Images for patient or Resend Selected Images. Choose the Output from the dropdown box. Click Resend. Click Close.

18

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A These tests, from the ACR Mammography Quality Control Manual, must still be performed

What are the Quality Control Tests We Have to Perform? Refer to the current Selenia Quality Control Manual for the Quality Control Tests you must perform.

These tests, from the ACR Mammography Quality Control Manual, must still be performed • • •

Visual Checklist Viewboxes and Viewing Conditions Compression Force

Quality Control Hints—Acquisition Workstation What is the best way to organize the rest of the Weekly Quality Control? Every month you should create a new “patient” for Weekly Quality Control. 1. Under Patient, click the New button. 2. For the patient info: • For the last name enter: WEEKLY Quality Control • For the first name enter: CURRENT MONTH (Jan, Feb, etc.…) • For the ID, DOB, and Accession Number: Enter the current date (numbers only). Note…

If you have more than one Acquisition Workstation, you should add the room number to the patient ID field.

3. At the Procedure Description, choose Tech Quality Control procedure. 4. Confirm Weekly Quality Control is the default. 5. Click the Accept button.

How can I be sure my Weekly Quality Control “patient” is not deleted from the Acquisition Workstation? Make sure you Protect your Weekly Quality Control patient. 1. Select Admin>Protect Patient; search and click this month’s Weekly Quality Control patient. 2. Click the Protect button, and click the Yes button in the dialog box. 3. Click the Close button to close the Protect Patient dialog box.


19

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A Could I run this Repeat/Reject Analysis from an office computer?

Could I run this Repeat/Reject Analysis from an office computer? Setting up an office computer for Repeat/Reject Analysis 1. Get the IP Address of the Selenia system from Hologic personnel or your IT Group. 2. At the Office Computer, log on to the Internet Explorer or your internet provider. 3. Enter in the web address: Example: http://121.7.32.4.10:8080 http:// [the IP address]:8080) 4. Click the Return button. 5. The login screen displays. 6. Login with user name: ad mi n (case sensitive, lower case). 7. Click the Logon to the System option. Click Repeat/Reject. 8. Select the To/From dates and select the technologist. Select the Type (Report). 9. Click Submit. The report is complied. 10. Once the report finishes, click the Print button to print the report using the browser’s print button. 11. Exit from the Browser when you are done to maintain security.

Saving Repeat/Reject Analysis as a Shortcut on an office computer’s desktop 1. 2. 3. 4. 5. 6. 7. 8. 9.


Right click the login page, then, click Favorites. The computer prompts you for a link name. Enter Selenia Repeat/Reject (and the Room # if there are multiple rooms). Once the favorite is saved, click My Favorites. Highlight the Selenia Repeat/Reject web link you just saved. Right click to display the dialog box. Click Send To and another dialog box displays. Click Desktop (create a shortcut). A shortcut to the Selenia Repeat/Reject Analysis Report is now on the computer’s Desktop.

20

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A How should I empty the Reject Bin, and how often should I do it?

How should I empty the Reject Bin, and how often should I do it? Running the Reject report monthly gives the site better control, but it must be performed at least quarterly . 1. 2. 3. 4.

5. 6. 7. 8. 9. 10. 11. 12. 13.

14. 15.


You must be signed on as mgr to perform this task. Click Admin>Reject Management. Click Rejected Image Report. Click Search. If message displays, “There are too many results. Please refine your search,” you must narrow the search: a. Enter the Operator’s (Technologist’s) Name. This is their username for the system, which may be their initials. b. Click the Search button. Click the first item in your Search Results. Click the Delete Tab. Click the Delete All for Patient button. When Confirm Operation box appears, click the Yes button. Click the Rejected Image Report button. Click the Search button again. Click the first item in your Search Results. Follow step 7 to step 11 until you have deleted all rejected images. If you entered the operator’s name, you must enter the next operator’s name and delete all of their images. Follow these steps until you have deleted all rejected images for all techs. Click the Close button (bottom right) to close the Choose an Operator dialog box. Click the Close button (bottom right) to close the Reject Management dialog box.

21

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A Hints for the Flat Field Calibration test.

Hints for the Flat Field Calibration test. Note…

Clean the detector and acrylic block before proceeding with a Calibration.

1. Click Info>About the Acquisition Station. 2. Check that the current temperature is within the normal range. If not, delay the calibration until it is within normal temperature range. • On the left side of the Info screen, midway down, look for Temperature. This is the current detector temperature. • Check for fluctuation from the last Calibration Temperature, next line down. You should wait until the current temperature is in the same range as the last calibration temperature. • If doing this test in the middle of the day, you need to wait at least 30 minutes after the last patient to start the calibration procedure. Click OK to close the screen.

Hints for the Artifact Evaluation test. • • •

Select the weekly QC patient and for Outputs select QC Artifact Evaluation. Put a CD in the CDRW drive if you store your QC on a CD. To use the Zoom/Pan, either hold down the right button and move the trackball or hold down the left button when the cursor is in the thumbnail and move the trackball.

Hints for the Phantom View and SNR/CNR tests. • • •


For Outputs, select QC Phantom. If there is an SNR button, these are calculated for you automatically. If there is no SNR button, you may use the logs and worksheets at the end of this chapter to record your values and calculate your results, then record them on the QC forms from the Quality Control manual.

22

Technologists Workbook for Selenia and SecurView Chapter 2—Selenia Acquisition Workstation Q and A Optional Worksheets

Optional Worksheets s e s s a M s c e p m S o t n s r a e h b P i F s A m s p m V k e t s v . k s y e i d S D e . i d o d t s e M S b r o k f s t n i d e R a e e d e N M i h C s e s & b k r R k s o N S n i d W a e e i n M d s o n i i t s c A e l m l o p C V k a t s a A D h m p s t R V ' t c k a s f i i s r g t A A o l o m o M p n V k h c t e r s % e n T t e 0 9 n m i r e P r u % 0 M s 4 O a e C I M % D D 0 O 1 h c e T e t a D


23


o t f t o . l o f f i P % d = 0 X 0 1 t l u s e R =

= = = = = = = = = = = = = = = = = = = = = = = = 0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

0 0 1 X

= = = = = = = = = = = = = = = = = = = = = = = =

e R s a N B C t l u s e R =

= = = = = = = = = = = = = = = = = = = = = = = =

t E e S R e N h A B C s - - - - - - - - - - - - - - - - - - - - - - - k r s o ' y R a N W d o C n T o i t = = = = = = = = = = = = = = = = = = = = = = = = = a l e u d t i d c S l s k e s a d r B i C o . D c v e e R R D N C ÷

t l u s e R =

= = = = = = = = = = = = = = = = = = = = = = = =

d r n e k o a d i s c e s i e M n D R I

d e r n d k o a i s c e s i e M e D R B

- - - - - - - - - - - - - - - - - - - - - - -

h c e T e t a D


24


SNR Calculation Worksheet

Date

Tech


Mean Beside Disk

Divide by Standard Deviation Beside Disk

-

Minus DC Offset (50)

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

-

50

=

=

Result

÷

=

Plot this number. Must be at least 40.

25


s e s s a M s c e p S m o s t n r e a b h i P F s A m p V k

s . k s i m v e d e t D e . d s t d i s y e S S b W e r d i o s e k f s i t R b d e N n e C a e h & M s R k k s r N S n i o a d e e d W M i s n n i o i t s c A e m l l o p C V k a t a s D A s g m ' t A p s t V i c k g f a i o l t r s o A A n m h h c R p e V T k s t r n % 0 e t e 9 n m i r e P r u % 0 M s a 4 O e C I M % D D 0 O 1 h c e T e t a D


26

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How can I export images to a CD?

Chapter 3—SecurView Q & A How can I export images to a CD? Step One: To Export Images: 1. The images you want to export must be on the displays. It may be necessary to use the Navigator to arrange the images that you want to export. 2. Press the “e” key on the keyboard. 3. When the dialog box opens, select Tiff format. 4. Click the Export button. 5. This exports all images currently displayed on both displays. 6. These images are copied to an Export folder. 7. Click the Cancel button when export is finished.

Step Two: To Copy Exported images onto a CD: 1. 2. 3. 4. 5. 6. 7. 8. 9.

Open the door, on the top front of the CPU, to allow the CD drawer to open. Log in to the system, User name: . Click the Administration button on right display. Click the Backup/Restore tab on the left display. Under Backup: unselect Database, click Exported Images. Click the Backup button. The CD drawer will open, insert the CD, and then follow the on screen instructions. All exported images are automatically deleted from the Export folder. When finished, the CD drawer opens; take out the CD and close the drawer. Label the CD. 10. Click the Exit button. 11. Click the Logout button.

How can I export Screen Captures from Multi-Modality to the Exports Directory? 1. 2. 3. 4.

Select the Screen Capture to export in the study browser. Right click and select Export as tiff . A message, “Exporting tiff image,” appears. Copy these images onto a CD using directions above or onto a USB using directions on the next page.

Note…


On your computer, you must save these tiff images in a format that Power Point accepts.

27

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How can I Export images to a USB?

How can I Export images to a USB? Step One: To Export Images 1. Images you want to export are on the displays. It may be necessary to use the Navigator to arrange the images that you want to export. 2. Press the “e” key on the keyboard. 3. When the dialog box opens, select Tiff format. 4. Click the Export button. 5. This exports all images currently displayed on both displays 6. These images are now in an Export folder. 7. Click the Cancel button when export is finished.

Step Two: To copy exported images to a USB drive 1. 2. 3. 4. 5. 6. 7. 8.

Plug in the USB external drive. Press the Flying Windows key on the keyboard. Click Copy Exported Images to External Media . A Copy Exported Images to External Media window appears. * If Copy Exported Images to External Media is not available, see steps below. Click the Yes button to copy files. Images are copied to a folder called Image Exports. A Finished window appears; click the OK button. It is now safe to remove the USB external drive.

Note…

After disk has successfully finished, images in F:\Exports are deleted.

If “Copy Exported Images to External Media option” is not an option: 1. 2. 3. 4. 5.

6. 7. 8. 9. 10.


Plug in the USB external drive. Press the Flying Windows key on the keyboard. Click Programs, then Accessories, then Windows Explorer. Double click My Computer, then click Data (F:). Click the file labeled Exports. If no Exports Folder exists: a. Click File (upper left corner of window), then select New, then select Folder. b. Enter Exports for the folder name. c. Click the folder you just made to open it. In the right side of this window, highlight all patient images to export. Right click inside highlighted area and select Copy. In the left side of this window, find and click Travel or Removable Drive. In the right side of this window, right click and select Paste. You will see indication that the images are being copied.

28

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How can I Import DICOM Part 10 Images from a CD/DVD to the SecurView DX?

How can I Import DICOM Part 10 Images from a CD/DVD to the SecurView DX? 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

Insert CD/DVD into CD tray, close tray. If there is a Manager, it is best to use it when possible. Press the Flying Windows key on the computer keyboard. Windows opens; click Image Import. Image Import box appears; click Import from CD (DICOM Part 10 media) . IMG IMPORT box appears, with Importing Images message. Image Imp box appears with Done, click the OK button. Click X to close the Image Import box. Click X to close the MBC EXPORT. Remove the CD/DVD. Patient(s) are on the Patient List.

How can I Export DICOM Part 10 Images from the SecurView DX to a CD/ DVD? 1. If there is a Manager, it is best to use it when possible. Log into SecurView and click the Administration tab. 2. Insert CD/DVD into CD tray, close tray. 3. Highlight patient/patients to export. 4. Right click patient (or last patient of group) that you want to export. 5. Click the Export to media button. 6. Destination box with D drive selected appears; click the Export button. 7. It starts exporting, burning, writing data to disc, closing media, and verifying exported data. 8. MBC EXPORT (D:) window appears. 9. Destination box message says, “Export was successful”, click the OK button. 10. Tray opens automatically, remove the CD/DVD. Label it.


29

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How can I Import ReportFlows from my USB to the SecurView DX?

How can I Import ReportFlows from my USB to the SecurView DX? 1. If there is a Manager, it is best to use it when possible. 2. Insert USB into SecurView DX. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

Log on to system using . Click the Administration tab. Click the Backup/Restore tab. Look under the Hanging Snapshots and ReportFlows. Click the Import button. The Open dialog box appears. In Look in dropdown box, find and click “G” drive. If there is no G drive, look for the removable drive. Find then click the ReportFlow or ReportFlow group you want to import. Click the Open button, Import of ReportFlows dialog box appears. Find the individual ReportFlow you want to import, or import the entire group. Click the Import button. Import of ReportFlows box closes. ReportFlows is copied onto the SecurViewDX.

How can I Export ReportFlows from the SecurView DX to my USB? 1. Insert USB into SecurView DX. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

13. 14.


If there is a Manager, it is best to use it when possible. Log on to system using . Click the Administration tab. Click the Backup/Restore tab. Look under Hanging Snapshots and ReportFlows. Click the Export button. Export of ReportFlows box opens. Highlight the ReportFlow or ReportFlows that you want to export, click the Export button. The Save as window opens. Click the G drive in the Look in window. If there is no G drive, look for the removable drive. You may rename the ReportFlow or the group of ReportFlows that you are exporting to your USB at bottom of window where it says File name. Do not use “/” as part of your ReportFlow name. Click the Save button. The Save As window closes and ReportFlows is copied onto your USB. Remove the USB drive when the copying is finished.

30

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How can I print images from SecurView DX and SecurViewRT?

How can I print images from SecurView DX and SecurViewRT? 1. Click the DICOM Print icon on the tool bar (right display, lower left corner, to the right of the Exit icon). 2. A print window appears displaying the patient's name. 3. You have two print modes: Screen Capture or Diagnostic. 4. Screen Capture: • Prints images in the resolution displayed on the displays. • Prints Markings, Annotations, CAD Markers, Mag Boxes, and Ruler Measurements. • Images on the displays should be in the format desired for printing. • Recommend one image per display. 5. Diagnostic: • Prints an entire study. • Use this mode for printing cases for ACR review.

How can I print a screen capture? 1. Click the check box for the display displaying the image to print, L/R or both. 2. Click the items to be included on film: • Patient Info - All patient data. • Image Info - All exposure information. • Image Comment - Comments sent from Acquisition Workstation. • Magnifiers - Mag boxes. • Markings - Circles or Freehand marks drawn on images. • Annotations - Any comments entered or boxes checked in Annotation box. • CAD Markers - Any findings that CAD may have picked up. • Measures - Ruler markers or measurements. 3. Under Printer, in the drop down box, choose a specific film size or printer if necessary. 4. Click the Print button. The dialog box closes automatically. There is an “!” mark over the DICOM Print icon (which does not allow you to print additional images until the first ones are sent to the printer).

How do I print an image that will be used for Diagnosis? 1. All patient studies are listed by date. 2. Click the study you wish to print. All the images from this date print. 3. Under Printer, in the drop down box, you may need to choose a specific film size or printer. 4. Click the Print button. The dialog box closes automatically. There is an “!” mark over the DICOM Print icon (which does not allow you to print additional images until the first ones are sent to the printer).


31

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How can I schedule and view Sessions on the SecurView DX?

How can I schedule and view Sessions on the SecurView DX? 1. Log on to the system. 2. Click the Administration tab. 3. When the patient list appears, click once on each patient to be included in the Session. If you accidentally click the wrong patient, click again to de-select them. 4. Click the Create Session button. 5. The Sessionlabel box opens. Enter the label name you want for this session. 6. Choose the Radiologist from the drop-down list, and then click the OK button. 7. A new window appears. The Session(s) displays on the left side. By clicking on one of the Sessions, the right side displays the patients in that session. • If the sequence of the patients is not important, the Session is complete, click the OK button. Then click the OK button in the next dialog box. Proceed to Step 10. • If a specific sequence of patients is required: a. Click Edit order, the first patient on the list is highlighted. b. To the right of the list there are single and double up and down arrows. Use these arrows to change the sequence of the patients. • The double arrows move the patient all the way to the top or bottom of the list. • The single arrows move them one space up or down on the list. 8. Continue highlighting patients, and using arrows to move patients into the required sequence. 9. When the sequence is correct, click the Apply Order button, and then click the OK button. Then click the OK button in the next dialog box. 10. Click the Reviewing tab on the MG display, then the View tab to see the session you have just created.

Can I add patients to a session already created? 1. Click the Sessions tab. 2. Click the Session you would like to add patients to, and then click the Edit Patients button. 3. The Patient list comes up with the original list of patients still highlighted. 4. Click once on the patient(s) to add to the session. 5. Click the Create Sessions button. 6. Confirm Sessionlabel and Radiologist; click the OK button. 7. The newly added patient(s) go to the bottom of the original session list. 8. If the patient order needs to be changed, click the Edit order button. 9. Follow the instructions in the Section above, from Step 8, Step b, to Step 10.


32

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A Can I remove patients from a session?

Can I remove patients from a session? 1. Click the Sessions tab. 2. Click the Session you would like to remove patient(s) from, and then click the Edit Patients button. 3. The Patient list appears with the original list of patients still highlighted. Click once to highlight the patient(s) you want to remove. 4. Click the Create Sessions button. 5. Confirm Sessionlabel and Radiologist. 6. Click the OK button.

Can I reassign a Session to a different radiologist? 1. 2. 3. 4. 5.

Click the Sessions tab. Click the Session you would like to reassign. Click the Edit Session button. Choose the new Radiologist from the drop-down list. Click the OK button.

Can I view the Sessions? 1. 2. 3. 4.

Log on to the system. Click the Reviewing tab. Click the Sessions tab. The Session appears as date, time, and label. • If there is just one session, it is highlighted. • If multiple Sessions are created for the user who is signed on, click the Session to view. 5. Click the View button near the bottom center of the box.


33

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How do I configure Hanging Snapshots and ReportFlows in SecurView Ver. 6-0?

How do I configure Hanging Snapshots and ReportFlows in SecurView Ver. 6-0? 1. After signing on, click Administration , then User Preference. 2. Under Hanging Snapshots and ReportFlows, click the Configure button. 3. Use the following pages to view/create/modify any Hanging Snapshots or ReportFlows.

To view/create Hanging Snapshots: (Hanging Snapshots are the individual steps in a ReportFlow) Click the Hanging Snapshots tab to work with Hanging Snapshots.


34


Section 1 lists all default Available Hanging options, called Hanging Snapshots You also see Functional ReportFlow Steps within this section. • • • •

Open/Close Navigator. Close Study. Consecutive Hanging. Synchronize.

Section 2 (Preview Area) shows the details of a selected Hanging Snapshot To view details of a Hanging Snapshot, click one of the Hanging Snapshot in Section 1. To create a new Hanging Snapshot: 1. Click the New icon below Section 1. 2. Enter in a name for the new Hanging Snapshot. 3. Below each blank section, choose screen configuration (1:1, 2:1, 4:1) for tiling on each display. 4. Click the tile you wish to create,

Section 3 In Section 3 make your choices: • •

Modality. Displays modalities assigned to tile. Patient Evaluation (Current/Prior). Prior may be configured to a specific prior year or to see all the priors, in stacking order of newest to oldest or oldest to newest.

• • •

Laterality. Chest Wall display direction if MG is selected. Omit Hanging Snapshot if tile is empty. This allows the system to Omit this Hanging Snapshot from the workflow if the tile is empty. Synchronize Tile. Selecting this marks the corresponding tile as synchronized. Stacking Order. This stacks identical views within the same case by the time sequence in which it was taken.

• •


35


View Information View codes

View Modifiers

View Codes To choose the view(s) to display in this tile: 1. 2. 3. 4. 5.

Click the Edit button (the “gear” icon) under View Codes in Section 3. Click the view(s) you want in the Available column (you can click more than one). You can either drag these to the Selected column or use the arrow to move them. You can stack any number of views in this tile. They stack in the order you choose. Change the order by selecting a view and using the arrow buttons on the right side of the column. 6. If only the view “none” is chosen, the system will hang no views. 7. Click the OK button to close the View Codes or Cancel to close without any changes.

View Modifiers Choose any/all Modifiers you wish to view in this frame using the same steps as above. You can only work in one of the View Codes or View Modifiers at a time. Both options are not available at the same time.

Additional Actions on this screen When viewing this Hanging Snapshot in your ReportFlow, if a view with one of the Modifiers is not available, the next Modified view in line in the stack displays Modifier “None” indicates the view chosen is displayed in the stack with no Modifier. 1. Click the Apply button. Make a Copy to modify any of the Hanging Snapshots. 2. Click the Copy icon below Section 1. 3. Enter in a name for the new Hanging Snapshot. 4. You may now modify any part of this Hanging Snapshot using all of the options above. If you wish to allow other users to use any New or Modified Hanging Snapshot you have created, click the Public box in the upper right hand corner of the screen.


36

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How can I create ReportFlows?

How can I create ReportFlows? 1. Click the ReportFlows tab. Section 1 lists all Report Flows in the system, whether or not they are Enabled (available when you are signed in), who created them, and whether or not they are Public (available for all users). Section 2 shows all Hanging Snapshot in this Report Flow in sequence. 2. Click any of the Hanging Snapshot in the Report Flow to see the Preview in Section 3. 3. You may create new Report Flow, or Edit / Delete a Report Flow using the icons at the bottom of Section 1.


37


To create a new Report Flow 1. Click the New icon at the bottom of Section 1. 2. Enter in a name for the new Report Flow. 3. Drag and drop Hanging Snapshot from the Available Hangings list into Section 2 to create your own customized Report Flow. 4. To add Modifiers to or Delete a step, right click the Hanging Snapshot in Section 2. 5. Enable will allow you to temporarily disable a Hanging Snapshot in a Report Flow.

To Copy and modify an existing Report Flow: 1. 2. 3. 4.


Click a Report Flow you’d like to copy or modify. Click the Copy icon below Section 3. Enter in a name for your new Report Flow. You may now modify this Report Flow using the same options as above. • Make your new or modified Report Flow available to all users • Keep it private • Rename it by right clicking on the Report Flow name in Section 1 • Selecting Enable will make the Report Flow available to all users. • Unselecting Enable will keep this Report Flow from displaying when any other user is signed in.

38


Choose one of three options to automatically determine which Report Flow is used to view any procedure that may arrive on the SecurView. Click the Preferences tab.

Option one—automatically determine the best matching Report Flow based on procedure name and image content. 1. Click an Report Flow in the list in Section 1. 2. Click the New icon in Section 4. 3. A list of all procedures entered on the SecurView appears, as well as options for Current and Prior. 4. Click the procedure to link to this Report Flow. 5. Now if this procedure arrives on the SecurView when you are signed in, the system will automatically use the Report Flow you linked to it.


39

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A What should I do if the screen locks up on a SecurView?

Option two—automatically determine best matching Report Flow based on image content alone. This option examines the view content of the procedure, and chooses the Report Flow that best matches those views. Option three—always use this Report Flow by default. • •

•

Allows you to choose a specific Report Flow for all Screening, Diagnostic, or Undefined studies. You may also choose a different Report Flow while you are in the process of reading any case. Click the list of Report Flow in the lower left corner of the left SecurView display. You may choose the Hanging Snapshot that will be displayed anytime you press the Overview Key on your keypad or screen icon.

Left click and drag the desired Hanging Snapshot to the Overview area.

What should I do if the screen locks up on a SecurView? 1. 2. 3. 4.

Press Flying Windows key (left side of key board between Ctrl and Alt). When the dialog box appears, click the Log off SCR button. In the Log Off Windows box, click the Log Off button. In the Log On To Windows box, User name should be , there is no Password, click the OK button. 5. Softcopy Review Application should start loading. (If the application stops responding, go back to the Flying Windows key again and repeat the above steps.) 6. When the Login box appears, enter your User name and Password.


40

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How should I send or view notices at the SecurView RT?

How should I send or view notices at the SecurView RT? To send a Notice: 1. At SecurViewDX, the radiologist creates Marking/Annotation: a. Draw a Freehand or Elliptical Marking. b. Click A in upper left hand corner of marking or double click in the middle of the marking. c. Enter the annotation. 2. Send Marking/Annotation to SecurViewRT: a. Click the Send All Notices icon (on Pie Menu). b. Click SecurViewRT as destination.

To View Notice at SecurView RT: 1. Icon stating Notification arrived appears on SecurView RT display. 2. Click the OK button to close notification box. 3. Bring Patient List screen onto display: a. Click Administration in the Main Menu. b. Press the “G” key if viewing other patient images. 4. Click the Notice column on the heading bar to sort. a. All patients with Notices appear at the top of the menu. b. A “+” sign appears in this column. 5. Click the patient line to highlight. 6. Click the View Now button. 7. Look for the view with the Notice icon displayed. 8. Click the Annotation icon (lower right, bottom row of icons. Looks like a cross with a pencil on it.) Marking and Annotation appear on image. Notice/Annotations may also be sent to the SecurView DX from the SecurView RT by taking the same actions as required from the SecurView DX to the SecurViewRT. The SecurViewDX does not show a pop up window indicating that a Notification has arrived, but it does show a + in the Notice column.

How should I close this case out? 1. Click the Quit icon at bottom middle of screen. * Looks like a Q. 2. A dialog box appears on the screen asking “Mark this case as viewed?” with three options: • Clicking Yes indicates you have taken “ownership” of any action required. If Yes is clicked, the Patient list shows a “+” under the viewed column. • Clicking No closes the case and shows no action taken yet. • Clicking Cancel closes the dialog box and leaves the case displayed.


41

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A Are there any shortcut keys for SecurViewRT?

Are there any shortcut keys for SecurView RT? Click the Pencil icon to display markings and annotations. Shortcuts for SecurView RT View CC's MLO's Navigator Patient Info 4 on 1 Next Patient Previous Patient


Keyboard Shortcut (-) key (+) key Right Arrow key Page Down key Insert key Backspace key Delete key

View Patient List FlowNext FlowBack Display Marks CAD

Keyboard Shortcut G key Left Arrow key End key Down Arrow key ?/ key

42

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A What are the procedures I have to know how to do at the SecurView DX?

What are the Quality Control Tests I have to Perform on SecurView? What are the procedures I have to know how to do at the SecurView DX? •

View Weekly Phantom at the SecurViewDX

•

LCD (Flat Panel) SecurViewDX Workstation Quality Control—Weekly

•

CRT Displays SecurViewDX workstation Quality Control—Weekly

•

Adding New Radiologists to SecurViewDX Workstation

•

Back-up SecurViewDX

•

Manually Delete Cases from the SecurView Workstation

What are the Quality Control Tests on my LCD (Flat Panel) SecurView DX Workstation? These Quality Control tests run automatically, but you must check the logs for results. Explanation of SecurViewDX Quality Control Tests for LCD Displays LCD Quality Control Test

Frequency

Automatic I-Guard Check

Weekly

Calibration Settings Check Measure Display White

Weekly Weekly

Measure Quality Level

Monthly

What it does Checks performance of the integrated photosensor Checks electronic settings of display Measures brightness of display (should be 300 nit). Measures performance of the display, and indicates display calibration.

What are the Quality Control Tests on my CRT SecurView DX Workstation Explanation of SecurViewDX Quality Control Tests for CRT Displays CRT Quality Control Tests

Frequency

Calibration Settings check

Weekly

Display White Measurement Weekly Display Black Measurement Weekly Quality Level Measurement Monthly Uniformity Measurement


Quarterly

What it does Checks to make sure the calibration settings are still installed in the display. Measures brightness of display (s/b 300 nit). Measures darkness of display (s/b zero). Measures performance of the display, and indicates display calibration. Measures brightness uniformity. Typical brightness difference from center to corner is 5%.

43

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A Is there more than one way to score the ACR Phantom on the Diagnostic Review Workstation?

Is there more than one way to score the ACR Phantom on the Diagnostic Review Workstation? Method One 1. Wake the SecurViewDX by moving the trackball. If someone is signed in, click Logout. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

Login with user name . Click the Login button, or press the Enter button. Click Administration. Double click WEEKLY Quality Control from the Patient List. The phantom image should come up on one display in full resolution. Score the phantom on one of the displays using the procedure described in the 1999 ACR Mammography Quality Control Manual , “Phantom Images” section. Press FlowNext on the keypad (squiggly forward arrow, bottom center of keypad). The Close Study dialog box appears. Confirm there is a check mark in the box below the word Read. Click the OK button. Click the Exit icon (lower left corner of right display, looks like a “Q”). Click the Logout button. Record the results on the “Phantom Control Charts” in the Quality Control Manual . You may use the data collection worksheet at the end of this chapter to record your values.

Method Two 1. Wake the SecurViewDX by moving the trackball. If someone is signed in, click Logout. 2. 3. 4. 5.

Login with user name . Click the Login button, or press the Enter button. Click Administration. Double click WEEKLY Quality Control from the Patient List. The phantom image should come up on both displays in full resolution. If the phantom appears only in the Navigator: a. Using the boxes at the bottom of the Navigator, make both displays “1 on 1”. b. Drag and drop today’s Quality Control Phantom on one of the displays. c. Close Navigator or drag it out of the way. d. Bring the display into Full Resolution using the correct button on the right side of keypad. 6. Score the phantom on one of the displays using the procedure described in the 1999 ACR Mammography Quality Control Manual , “Phantom Images” section. You may use the data collection worksheet at the end of this chapter to record values.

7. Click the Close Study button. 8. The Close Study dialog box appears. Confirm there is a check mark in the box below the word Read. Click the OK button. 9. Click the Exit icon (lower left corner of right display, looks like a “Q”). 10. Click the Logout button. 11. Record the results on the “Phantom Control Charts” in the Quality Control Manual .


44

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How can I add new radiologists to SecurView DX Workstation?

How can I add new radiologists to SecurView DX Workstation? (Also used if user name and/or password need to be reset.) 1. Log on to SecurViewDX with User name: 2. 3. 4. 5. 6.

7. 8. 9. 10. 11. 12. 13. 14. 15.

.

Click the Login button, or press the Enter button. Click Administration. Click User Setup. Click Add. Enter the personal information. • User name may be any letters or numbers and is case sensitive. • Same User name may not be reused if deleted. • Password must be at least five characters and is case sensitive. Under Groups, click boxes for both Radiologist and Technologist. Under Rights, click Setup and Reading for both Diagnostic and Screening. Click the OK button. Click the Exit button (bottom right of box). Click the Logout button. Have the Radiologist log in with their new Username and Password. Click the Login button. Click Administration. Click User Preference. Have them set up their personal preferences under the sub tasks.

How should I Back-up the SecurView DX, and how often? This backs up the Radiologists’ preferences, and ReportFlows. Do this monthly, and when Radiologists change their preferences or ReportFlows. Note…

If you have a SecurView DX Manager, you must do this from the Manager. Important, use a new CD each time you perform a SecurView backup. Do not use that backup CD at any other facility.

To make a back-up: 1. Wake SecurViewDX up by moving the trackball. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Put a CD into the CD drive on the front of the computer. If someone is signed in, click the Logout button. At the Login dialog box, log on with the User Name , and click the Login button. Click Administration. Click the Backup/Restore tab. Make sure Database is checked under Backup. Click the Backup button. Follow the on-screen directions. When finished, click the Exit button (bottom right of box). Take the CD out of the drive. Click the Logout button.


45

Technologists Workbook for Selenia and SecurView Chapter 3—SecurView Q & A How should I manually delete cases from a SecurView Workstation?

How should I manually delete cases from a SecurView Workstation? To manually delete cases from a SecurView Workstation: 1. 2. 3. 4. 5. 6. 7. 8. 9.

Log on with User name: delete. Click the Login button. Click the Administration button. If needed you may sort files by clicking Study Date or Name. Select all the patients to delete. Click the Delete Patient(s) button. Click the OK button to “Do you want to delete this patient(s)?” Click the Exit button. Click the Logout button.

Note…


Be aware “Unread” cases may be deleted.

46

Technologists Workbook for Selenia and SecurView Index A

Index A

I

accept rejected image 17 AEC Modes, table of 3 using 3 alarms incorrect paddle position 11 paddle not locked 11

Identify Yourself 2 image send to output when procedure closed 11 Specimen 10 implants away from the nipple 5 dense tissue near 7 displaced 7 displaced views 8 general information 4 near the nipple 5 print images 9 procedures 8

B button Add View 10 Eject 11 On 1 Select a Patient and Patient View screens 2 Sign Out 1

C CD, patients on a 11 contrast/density, changing in Resend utility 9 Create Session 32

D desktop shortcut, Reject Analysis report 20

L localization, hints 10 Log out of the computer 1 Logout Confirmation dialog box 1

O outputs, use after procedure closed 11

P

Edit View 13 edit, patient data with MWL and PACS 12 exposure with incorrect icon 13 discover before accepted 13 discovered after accepted 14

paddle alarms 11 patient correcting wrong information 12 edit data with MWL and PACS 12 find on a CD 11 protect Weekly QC 19 protect Weekly QC 19

H

Q

hanging options, available 35 Hanging Snapshot 34 create new 35 preview area 35 view codes and modifiers 36 view/create 34 Hints Artifact Evaluation test 22 Flat Field Calibration test 22 Phantom View and SNR/CNR tests 22

QC

E


hints 22 protect Weekly QC patient 19 worksheets 23

R Reject Analysis Office Computer 20 Shortcut on the Desktop 20 Reject Bin, empty 21

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HologicSeleniaTechWorkbook

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