Philips-sonoCT

AdvancedSystemTrainingPanoramicSonoCT™ImagingGlobalTrainingandEducation2PanoramicSonoCTImagingObjectives•Recallcorrectsequencetoobtainapanoramicimage•Distinguishbetweenthedifferentareasofthepanoramicimage•Prepareformosaicacquisition•CritiqueacquiredimageGlobalTrainingandEducation3PanoramicSonoCTGettingStarted•SelectthePanoramasoftkeybutton•Gel–“sparethegel…spoilthescan”•Optimize2Dimage•PerformapreviewsweepGlobalTrainingandEducation4PanoramicSonoCTGettingStarted•Ready,set,START•Uselighttomoderatescanheadpressure–Dragfinger(s)onskin–Letscanheadglideacrossskin–Suspendrespirationwithcurvedarrays•Maintainsteadysweepspeed•FREEZEGlobalTrainingandEducation5PanoramicSonoCTGettingStarted•Focusonthemosaicprocessingarea,while…..Thereal-timeportionoftheimageguidesyouwhereyouaregoingGlobalTrainingandEducation6PanoramicSonoCTGettingStarted•Exit•TurnoffPanoramicSonoCTGlobalTrainingandEducation7PanoramicSonoCTObtainingPanoramicImages•Followortrackastructure–Bloodvessels,tendons,jointeffusions,neonatalspine,breasttissuepattern,etc.•Obtainananatomicalslice–Relationshipofmassestosurroundingtissues–Rt/Ltcomparisons(thyroid,testicles)–Fetalorientation,number–PlacentalorientationGlobalTrainingandEducation8PanoramicSonoCTObtainingPanoramicImages•YoumusthaveaPatientIDenteredtodoPanoramicSonoCTImagingGlobalTrainingandEducation9PanoramicSonoCTObtainingPanoramicImages•OptimizeimagepriortoactivatingPanoramicSonoCT–Mosaicacquisitionparameters•TGC•Overallgain•OutputpowerGlobalTrainingandEducation10PanoramicSonoCTObtainingPanoramicImages•Scandirection–Alonglengthoftransducerapertureonly–Build“slices”inlongitudinalortransverseplanes•InitialdirectionoftransducermovementiscriticalGlobalTrainingandEducation11PanoramicSonoCTObtainingPanoramicImages•Maintainskincontactwiththetransduceraperture•Sweepdirectioncanbeleft-to-right,right-to-left,top-to-bottom,etc.GlobalTrainingandEducation12PanoramicSonoCTObtainingPanoramicImages•Rockthetransducer“toe”to“heel”thenglideonthe“heel”ofthetransducertofinishthesweep•Sweepdirectioncanbeleft-to-right,right-to-left,top-to-bottom,etc.GlobalTrainingandEducation13PanoramicSonoCTPostProcessing•Autofit•Zoom•Pan•Rotation•NextGlobalTrainingandEducation14PanoramicSonoCTPostProcessing•Rebuild•Smooth(1-3)•Cine•Trim•PreviousGlobalTrainingandEducation15PanoramicSonoCTPostProcessing•Play•CineOffGlobalTrainingandEducation16PanoramicSonoCTPostProcessing•Speed(1-3)•Pause•CineOffGlobalTrainingandEducation17PanoramicSonoCTPostProcessing•Cancel•Set•CutGlobalTrainingandEducation18PanoramicSonoCTPitfalls•Startdirectionconfused–Hesitationininitialtransducermovement,fetalmovement,heavypulsation,orrespiration•Startsweepconfidently•AskpatienttosuspendrespirationGlobalTrainingandEducation19PanoramicSonoCTPitfalls•Smearedimagesegmentswithinmosaic–Curvedarraytransducers–Scanslower–SteadysweepspeedGlobalTrainingandEducation20PanoramicSonoCTPitfalls•Outofplane–Resultsfrommovingtransducerofftheaperture-plane–ImagebeginstostackorappearstocometowardyouGlobalTrainingandEducation21PanoramicSonoCTPitfalls•Jaggededgeonskinsurfaceimage–Maintainscanplane–Keeptransducerperpendicular–Backupandcorrectplane–Dragfinger(s)onskin–ArticulatedarmGlobalTrainingandEducation22PanoramicSonoCTPearls•Mappingvascularbranches/bifurcations–gofromdifficulttoeasyGlobalTrainingandEducation23PanoramicSonoCTPearls•Screenvs.Skin–Followscanonsystemmonitor–Followscanonpatient’sskinGlobalTrainingandEducation24PanoramicSonoCTPearls•Imagequalityremainshigheveninacquisitionmode•Abilitytotrimfromeitherendofthemosaic•Abilitytorebuildthemosaictoundotrimmedsegments•Infinitezoomcapability•360rotationtocorrelatewithothermodalitiesGlobalTrainingandEducation25PanoramicSonoCTPearls•Mosaicacquisitionveryresponsive,forgiving,andeasytouse•ANDyoucanutilizeSonoCT!GlobalTrainingandEducation26PanoramicSonoCTConclusion•Knobologytoobtainapanoramicimage•Identifythefrozenimage,mosaicprocessingarea,andreal-timeinformationinthepanoramicimageacquisition•Processtoobtainaqualityimage•PearlsandpitfallsGlobalTrainingandEducation27AnyQuestions?