Siemens SOMATOM Emotion 6 Benutzerhandbuch

SOMATOM Emotion 6

Application Guide

Routine Protocols

Software Version A70

The information presented in this application guide

is for illustration only and is not intended to be relied

upon by the reader for instruction as to the practice

of medicine Any health care practitioner reading this

information is reminded that they must use their own

learning, training and expertise in dealing with their

individual patients

This material does not substitute for that duty and is

not intended by Siemens Medical Solutions Inc , to

be used for any purpose in that regard The drugs and

doses mentioned herein were specified to the best

of our knowledge We assume no responsibility whats-

oever for the accuracy of this information

Variations may prove necessary for individual patients

The treating physician bears the sole responsibility

for all of the parameters selected The pertaining oper-

ating instructions must always be strictly followed

when operating the SOMATOM Emotion 6

The statutory sources for the technical data are the

corresponding data sheets

We express our sincere gratitude to the many customers

who contributed valuable input

Special thanks to Christiane Bredenhoeller, Christoph

Süß, Thomas Flohr and the CT-Application Team for their

valuable assistance

To improve future versions of this application guide,

we would highly appreciate your questions, suggestions

and comments

Please contact us:

USC-Hotline:

Tel no +49-1803-112244

email ct-application hotline@med siemens de

Editor: Ute Feuerlein

Overview

General 8

Children 24

Head 76

Neck 92

Shoulder 102

Thorax 106

Abdomen 134

Pelvis 164

Spine 172

Extremities 182

Content

General 8

· Concept 8

· Scan Set Up 9

· Scan and Reconstruction 9

– Slice Collimation and Slice Width 9

– Pitch 11

– Recon Job 11

– Kernels 12

– Image Filter 12

· Effective mAs 14

· Dose Information 15

– CTDIWand CTDIVol 15

– CARE Dose 17

– How Does it Work 17

· Workflow 19

– Auto Load in 3D and

Postprocessing Presets 19

· Contrast Medium IV Injection 20

· How to Create your own Scan Protocols 21

Content

Children 24

· Overview 24

· Hints in General 26

– Head kernels 29

– Body kernels 30

· HeadAngio 32

· HeadAngio06s 34

· Head 36

· HeadSeq 37

· Sinus 38

· InnerEar 40

· NeckRoutine 42

· CarotidCTA 44

· CarotidCTA06s 46

· NeonateBody 48

· NeonateBody06s 49

· ThoraxRoutine 50

· ThoraxRoutine06s 52

· ThoraxCombi 54

· ThoraxCombi06s 56

· ThoraxSeqHR 58

· AbdPelRoutine 60

· AbdPelRoutine06s 62

· AbdCTA 64

· AbdCTA06s 66

· Spine 68

· SpineSagittal 70

· Extremity 72

· ExtrHR 74

Content

Head 76

· Overview 76

· Hints in General 77

· AngioHead 78

· AngioHead06s 80

· HeadSeq 82

· Head 84

· InnerEarSeq 86

· InnerEar 88

· OrbiSinus 90

Neck 92

· Overview 92

· Hints in General 93

· AngioCarotid 94

· AngioCarotid06s 96

· NeckRoutine 98

· NeckThinSlice 100

Shoulder 102

· Overview 102

· Hints in General 103

· Shoulder 104

Thorax 106

· Overview 106

· Hints in General 108

· LungLowDose 110

· LungLowDose06s 112

· Embolism 114

· Embolism06s 116

· ThoraxCombi 118

· ThoraxCombi06s 120

· ThoraxRoutine 122

· ThoraxRoutine06s 124

· ThoraxFast 126

· ThoraxFast06s 128

· ThoraxHR 130

· ThoraxSeqHR 132

Content

Pelvis 164

· Overview 164

· Hints in General 165

· Hip 168

· PelvisRoutine 170

Spine 172

· Overview 172

· Hints in General 173

· SpineRoutineSeq 176

· SpineObeseSeq 177

· Spine 178

· C-Spine 180

Extremities 182

· Overview 182

· Hints in General 183

· AngioRunOff 186

· AngioRunOff06s 188

· ExtrCombi 190

· ExtrHR 192

Abdomen 134

· Overview 134

· Hints in General 136

· AbdRoutine 140

· AbdRoutine06s 142

· AbdomenCombi 144

· AbdomenCombi06s 146

· AbdMultiPhase 148

· AbdMultiPhase06s 150

· AbdFast 152

· AbdFast06s 154

· AngioFast 156

· AngioFast06s 158

· AngioRoutine 160

· AngioRoutine06s 162

General

Concept

The scan protocols for adult are defined according

to body regions – Head, Neck, Shoulder, Thorax,

Abdomen, elvis, Spine, Extremities.

The pediatric scan protocols are defined under the

folder “Children“.

The protocols for special applications are defined

under “Special“ (please refer to the Application Guide

for Special applications)

The general concept is as follows:

All not specially marked protocols are standard spiral

modes E g “Head” means the spiral mode for the head

“Fast“: uses 2 0 or 3 0 mm slice collimation and

a higher pitch for fast acquisition for CT Angios or

trauma cases

“Routine“: uses either 1 0 mm or 2 0 mm slice colli-

mation depending on the region of interest for routine

studies

“ThinSlice“: uses 1 0 mm slice collimation for thin

slice studies

“HR“: uses 0 5 mm (optional) or 1 0 mm slice colli-

mation and rotation time of 1 0 s for High-resolution

studies

“Combi“: uses 1 0 mm as slice collimation and by

default, has 2 reconstruction jobs: one thin slice width

for HiRes or CTA, and one thicker slice width for soft

tissue studies

“Seq“: stands for Sequence E g “HeadSeq“ means

the sequence mode for the head

The existence of scan protocols depend on the system

configuration Protocols with the 0 6 sec rotation time

are only available on systems configured with the Power

Package, also 0 5 mm slice collimation is available only

on systems with High Resolution option

General

Scan Set Up

Scans can be simply set up by selecting a predefined

examination protocol To repeat any mode, just click

the chronicle with the right mouse button for “repeat”.

To delete it, select “cut“. Each chronicle is rewriteable

before “load“.

Multiple ranges can be run either automatically with

“auto range“, which is denoted by a bracket connecting

the two ranges, or separately with a “pause” in between

Scan and Reconstruction

Slice Collimation and Slice Width

Slice collimation is the slice thickness resulting from

the effect of the tube-side collimator and the adaptive

detector array design In Multislice CT, the Z-coverage

per rotation is given by the product of the number of

active detector slices and the collimation

(e g 6 x 1 0 mm)

Slice width is the true thickness of the reconstructed

image

With the SOMATOM Emotion 6, you select the slice

collimation together with the slice width desired The

slice width is independent of pitch and algorithm, i e

what you select is always what you get Actually, you

do not need to care about the algorithm any more; the

software does it for you

General

If Metrorecon is not selected you will get routinely

“Real Time” reconstructed images in full image quality

The Recon icon on the chronicle will be labeled with

“RT” After the scan the Real Time displayed image series

has to be reconstructed

The following tables show you the possibilities of image

reconstruction in spiral and sequential scanning

Slice Collimation and Slice Width for Spiral Mode

0 5 mm 0 63, 0 75, 1, 1 25, 2, 2 5, 3, 4, 5 mm

(optional)

1 mm 1 25, 2, 2 5, 3, 4, 5, 6, 8, 10 mm

2 mm 2 5, 3, 4, 5, 6, 8, 10 mm

3 mm 4, 5, 6, 8, 10 mm

Cardio Spiral Modes

1 mm 1 25, 2, 3 mm

2 mm 2 5, 3, 5 mm

Slice Collimation and Slice Width for Sequence Mode

1 0 mm 1 0, 2 0, 3 0 mm

2 0 mm 2, 4, 6, 12 mm

3 0 mm 3, 6, 9, 18 mm

5 0 mm 5, 10 mm

erfusion Multiscan Modes

1 mm 1, 2, 3 mm

2 mm 2, 4, 6, 12 mm

3 mm 3, 6, 9, 18 mm

5 mm 5, 10 mm

ECG triggered Modes

1 mm 1 25, 2, 3 mm

2 mm 2 5, 3, 5 mm

HR Spiral Mode

0 5 mm 0 63, 0 75, 1, 1 25, 2, 2 5, 3, 4, 5 mm

(optional)

1 mm 1 mm

HR Sequence Mode

1 mm 1 mm

Inhaltsverzeichnis

Andere Siemens Medizinische Geräte Handbücher

Siemens

Siemens MOBILETT Plus Betriebsanleitung

Siemens

Siemens Sonoline G20 Bedienungsanleitung

Siemens

Siemens SIREMOBIL Iso-C Betriebsanleitung

Siemens

Siemens MOBILETT XP Installationshandbuch

Siemens

Siemens SONOLINE G40 Bedienungsanleitung

Siemens

Siemens MULTIMOBIL 5C Bedienungsanleitung

Siemens

Siemens MAMMOMAT 3000 Einrichtungshandbuch

Siemens

Siemens syngo MR E11 Bedienungsanleitung

Siemens

Siemens MAMMOMAT Balance Bedienungsanleitung

Siemens

Siemens FUJI-Reader Bedienungsanleitung

Siemens

Siemens AXIOM Iconos R200 Bedienungsanleitung

Siemens

Siemens MAGNETOM syngo MR D11 Bedienungsanleitung

Siemens

Siemens ARCADIS Varic Installationshandbuch

Siemens

Siemens ARCADIS Varic Bedienungsanleitung

Siemens

Siemens MAMMOMAT 3000 Einrichtungshandbuch

Siemens

Siemens SONOLINE G50 Bedienungsanleitung

Siemens

Siemens POLYMOBIL Plus Installationshandbuch

Siemens

Siemens PELTON & CRANE Light Fantastic II Bedienungsanleitung

Siemens

Siemens MAMMOMAT NovationDR Bedienungsanleitung

Siemens

Siemens Hematek 3000 System Bedienungsanleitung

Siemens

Siemens MAMMOMAT Novation SP Bedienungsanleitung

Siemens

Siemens MAGNETOM Avanto Bedienungsanleitung

Siemens

Siemens SIREMOBIL Bedienungsanleitung

Siemens

Siemens Sonoline G20 Bedienungs- und Wartungsanleitung

Beliebte Medizinische Geräte Handbücher anderer Marken

TekTone

TekTone Tek-CARE160 Bedienungsanleitung

NeuroMetrix

NeuroMetrix Quell 2.0 Bedienungsanleitung

AMT

AMT XLR8 Bedienungsanleitung

EDAN

EDAN SONOTRAX Pro Bedienungsanleitung

Restorative Therapies

Restorative Therapies RT300 Bedienungsanleitung

Gendex

Gendex Expert DC Bedienungsanleitung

Dexcowin

Dexcowin ADX4000W Bedienungsanleitung

Libelium

Libelium MySignals Bedienungsanleitung

Acelity

Acelity V.A.C.ULTA 4 Bedienungsanleitung

Caputron

Caputron ActivaDose II tDCS Bedienungsanleitung

Plinth 2000

Plinth 2000 93CDT Bedienungsanleitung

GE SENOGRAPHE 800T Bedienungsanleitung

GE Definium 5000 Bedienungsanleitung

Kanmed

Kanmed GE-1380 Bedienungsanleitung

Huntleigh

Huntleigh FD1 Bedienungsanleitung

Stryker

Stryker SPR Plus Bedienungsanleitung

Tobii Dynavox

Tobii Dynavox I-Series Bedienungsanleitung

S-Capepod

S-Capepod Evac Cocoon Bedienungsanleitung