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1. ee eee eae JER ei EEE OVO Ji I Ji Ie I He J OOOO J Ie I Hy J xII Ji Ie Ji Ie I e Je KI Ji Ie J Ie I He J The Biopsy Number is unique and cannot be changed as it points to the repective biopsy core If a biopsy guide line was placed but no biopsy taken that line number will not be listed The core length N Ta is the length choosen from the list accessable by clicking in the toolbar The numbers under X y and z represent the center of the biopsy core taken The origin is the central bottom point on the general template see chapter Calibrating the General Template to the Ultrasound Device und thus the Ultrasound Images These numbers cannot be changed All other entries are user selectable This table will be transferred to the Biopsy Report The table allows a simple entry of TT Bi T l laboratory data By clicking on in the column See eb Es the type of tissue can be selected BioJet User Manual Undetermined Benign from LMalignant The Gleason score may also be selected from a list remaining data can be marked as Positive by clicking the reseptive box Z 2 E 4 S b 7 The The entries that can be marked as positive are PCI Prostate Capsular Infraction PNI Peri Nervous Invasion ASAP Atypical Small Acinar Proliferation PIN Prostatic Intra Epithelial Neoplasia BioJet User Manual 1 2 The Longitudinal Image Display on Register Card Biopsy Longitudinal In o2. biopsy The poison of the core defines the exact position in x y Z coordinates from which the biopsy sample was taken The position is marked as undefined at the time in the main image A yellow color markes the sample as O malignate By clicking the biopsy mark it will change its color to L to designate a benign sample In order to go back to undefined just click the mark again After the biopsy samples have been analyized the bioipsy cores can only be benign or with a right mouse click After the biopsy samples have been analyized the bioipsy cores can only be benign or malignate By clicking the biopsy mark it will change its color to to designate a malignate sample In order to go back to undefined just click the mark again with a right mouse click BL O wl If tumors haved been drawn into the images they can all be removed at once after a prompt if this icon is clicked O This function will delete all unused biopsy guide lines After the biopsies have been taken the user can click the tool a and display all the biopsy results f Biopsy Data SEE Core Length pi 7 Gleason Gleason FCI PHI ASAP PIM mm GL Score Score Positive Positive Positive Positive mm U SU 27 35 40 7U 26 be 10 g2 61 09 18 55 1 72 16 Undetermined Undetermined Undetermined Undetermined Undetermined Undetermined U 0 Undetermined U D gt om om P i M h Undetermined
3. contour it will change from an arrow to a hand with a pointed finger By depressing the left mouse button on a support point the points on the contour change to By moving the mouse with the left mouse button pressed the contour will follow the mouse movement By moving one of the red squares the shape of the contour will change accordingly A support point may be deleted by clicking the desired point with the right mouse button Alternatively points may be added by clicking the desired contour position with the left mouse button BioJet User Manual O amp lf a contour has been drawn on two nonadjacent image planes the contours of the selected structures on the images between the ones already drawn will be filled in The position and shapes of the contours are interpolated O L After clicking this tool the organ structures can be moved The mouse must be positioned on the structure borderline and the left mouse button held down The structure will then follow the mouse movements O 6 clicking this tool with the left mouse button the selected structure in __ on the image plane displayed in the main Encage Target Plus window is deleted By clicking this tool with the right mouse button the selected hh w l structure in on all image planes are after a prompt Pb o This is the undo redo button The last action can be reversed by clicking the undo redo button As soon as an action pertaining to one plane only such a
4. on e Fel Show or hide the document map e IS Go to first page e 4 One page backward e P One page forward e Pl Go to last page 2 Refresh amp Print report After clicking this function a specials printer menu pops up The menu depends on the printer used E Switches the page layout e H Printer page layout After clicking this function a specials printer menu pops up The menu depends on the printer used s lal Export the report either to MS Excel or create a PDF file This can be selected from a drop down menu After clicking lal and selecting EXCEL or PDF the box appears Save As Save in O Primary My Recent Documents 3 Desktop My Documents T File name TreatmentReport xls My Computer Save as type Excel vis required Please store the data where To open the data file please open EXCEL first and then import the file e __T The size of the display can be selected here If this function is clicked the size can also be selected with the mouse wheel Patient S After typing in a word that word is searched for after clicking ing The following data is at the top of all report pages BioJet User Manual Name of the hospital and the department Patient name Treatment date and time Name of the treatment plan The first page includes the patient and study data JSR Technologies GmbH Physics Patient Feter Tester Treatment Date 61742011 1 2
5. 1 1 BioJet User Manual The General Biopsy Functions Tracking and locating biopsy positions as well as assigning the lab results to the respective biopsies will help in focal therapy and general therapy For this reason Encage Target Plus allows the user to plan the required biopsies It is advantageous to use a tracking stepper in this case The biopsy functions are located K Biopsy On Regsiter Card In the Drop down menu TUFHGUP and B N S a On the toolbar the Icons The meanings of the icons are Wa Z Biopsy Type Selection Biopsy Needle Type Core Length mm Display Biopsy Data Form O B or 7A Show or hide drawn tumor areas ks K O N or X Show or hide all biopsy guides and biopsy positions O Q or A Show or hide unused biopsy needles O a or T Show or hide non malignant biopsies In order to use the biopsy functions calibrated ultrasound images must have been collected as described above It is then advantages to draw in the required organ contours see chapter Drawing Organ Contours into Ultrasound Images and other Image Types After that has been completed swith to the register card Dees That register card includes all required biopsy functions as well as the fuctions required to draw recognized tumor areas into the images BioJet User Manual AR OD MEDICAL Institution D nologies GmbH Physi 1 Dr Ure Patient Peter Tester study treatment 1 R Patient er View Stru
6. 7 30 PM Treatment Flan Treatment Patient Data Study created BA 742011 1 27 30 PM study modified 67 2011 1 27 30 PM Report printed 6497 2011 5 33 35 PM Patient Hame Tester First Name eter Date of Birth Br d n 955 Registration Ho 125 Address Street Ho Top St ZIP ABCD City Top Town County USA Social Security Ho sSolSec Insurance Co Insurehe Policy Ho 2olic yMame Physician Dr Uro Physicianz Dr Logic Anesthetist Dr Sleep Hospital Office D K Technologies GmbH Physics Street Ho Kanalweg 7 FIP 21357 City Jarum Country Germany Patieny History Mone Previous Tumor Related Theraps Mone Tumor Staging T Tb H U M U G Gleason Score 1 1 PSA 10 Sngmi Humber of preknown Biopse S Humber of preknown Positive Biopse Humber of Biopsies from Target Plus b Prostate Volume from Ultrasourst 50 ccm Prostate Volume from Target Phes 49 5 com JetSoft TROD Target Plus 13 The second page possibly more pages are required to display all results displays the biopsy positions and data on the core lengths Humber of Positive Biopsies from Target Phe BA F011 5 33 36 PM BioJet User Manual J amp K Technologies GmbH Physics Patient Peter Tester Treatment Date BN 72017 1 27 50 PM Treatment Plan Treatment Biopsy Coordinate Report Humber of Biopsies taker S Biopsy Heedle Types usec 10 Jiopsy Biopsy Core Biopsy Biopsy Sumber Lengthimm Positiont Fositionizj O D C7 TORE T
7. S HHHH L Oo GO fa L i O a O O D L C L Jetsoft TROD Target Plus ats BA 2011 5 33 306 PM The third page possibly more pages are required to display all results displays the biopsy results entered into the biopsy after clicking in the toolbar See chapter The General Biopsy Functions for more details BioJet User Manual JSK Technologies GmbH Physics Patient Peter Tester Treatment Date 5 1 712011 1 27 30 PM Treatment Plan Treatment Biopsy Data Biopsy Gleason Gleason FCI Phil ASAP HIN mm Y mm Z mm Type score Score Positive Positive Posttive Positive Y HT H e e ves me HE TR H H TE TOn 2 2 me TS ves TR TS TSTS Jetsoft TROD Target Plus Ja BA 712011 3 56 04 PM The last pages display the images including all contours and other items drawn into the images
8. by clicking individual points on the selected organ contour As soon as the cursor gets near the position from where the organ was drawn a doted line shows how the contour will be completed If the proposal is correct just let go of the left mouse button and the organ is auto completed O is the quick draw function By clicking a few points on an tumor contour and then double clicking at the end a contour is automatically entered o The volumes of the tumors drawn are displayed in the box above The volume is constantly updated as soon as the tumor contours on other image planes have been completed O A After clicking this icon or pressing Ctrl C the contour selected in on the image plane within the main Encage Target Plus is copied O P After clicking this icon or pressing Ctrl V the stored contour is pasted into the image in the main Encage Target Plus window at the same position from which it was copied Pressing the Page T or Page key while l wg Or is selected will result in transferring the selected contour to the next thumbnail image This is equivalent to pressing Ctrl C then clicking the next thumbnail and then pressing Ctrl V O amp This is the rubber banding tool After clicking the icon points appear on all contours These points are the supports of the drawn contours The mouse may be moved to any contour support point As soon as the cursor sees the
9. cture Tumour Setup Pee Help L BPE CEB EBS OCLhOne ReauniEsMeeeKAK ag eo Ez Calibration Image Contour N Biopsy 31 RF TS ag Plane 0 0 00 cm W Tracking Mode be Calibrate Stepper Stepper Position Transversal crn 0 000 Longitudinal Angle deg 0 00 lists the required biopsy functions ASE Determin the x y position of a planned biopsy guide line by selecting this function and the clicking at the required 7 in the main image window The position in the image is marked with a The number designates the biopsy to be acquired Only one biopsy per guide position can be acquired A right mouse click will delete that mark Until actual biopsies have been acquired the biopsy positions will renumber automatically After that the numbers will always count upward and deleted positions numbers will not be reused Thus it is advatagious to first definy all the x y position for all biopsies planned Up to 50 biopsies are possible O _ Move a biopsy guide line This function only works in longitudinal display on biopsy guide positions If a planned biopsy postion is to be move somewhere else then fist click and the delete a planned position and the place the guide somewhere else EI Bend a biopsy guide line This function only works in longitudinal display on biopsy guide positions BioJet User Manual Place a biopsy core i e complete a
10. ns are only available if the image in the main window is a non interpolated Interpolate a Plane 0 0 00 cm ie if the number between the brackets is not 0 00 then an interpolated image is displayed in the Encage Target Plus main window and not all draw functions are accessible e Tumors can only be drawn in the transverse image mode That means that the button is displayed on this register page Contours can be corrected in longitudinal display as well by clicking then button The image stack is now displayed in longitudinal projection and the button Changes tO cee On the top right the angle selection box appears AS long as the image is not switched to live video display additional calibration is not required This is only necessary in case the image is switched to live How this is done is explained in chapter Correcting Contours in Longitudinal Display please see there O This is the tumor select function The tumor visible in the box is the one that can be draw copied pasted or interpolated at the time being After clicking E select the structure to be drawn from the selection box BioJet User Manual The structures setup function is described below The names are user definable O After clicking this icon the selected tumor contour can be drawn draw mode with the mouse by moving the mouse while holding down the left mouse button at the same time Alternatively the contour is also drawn
11. rder to access the longitudinal display just click J on register card The display changes to TROD MEDICAL Institution D amp K Tech jologies GmbH Physician1 Dr Uro Patient Peter lester Study Treatment R Patient Image View Structure Tumour Setup Language Help L PE OCBBEDS OLOXKLD Ream EKOQEeeKAKA Qa xof Volume Transverse Angle BiopsyNeedle E N Interpolate Stepper Position Plane 0 0 00 cm Transversal cm 0 000 Longitudinal Angle deg 0 00 Rua Mode E E In this case 6 biopsy guide line have been positioned To return to the transverse display click Transverse lists the available biopsy functions G Determine the x y position of a planned biopsy guide line by selecting this function and the clicking at the required position in the main image window The position in the After the biopsy samples have been analyz BioJet User Manual image is marked with a The number designates the biopsy to be acquired Only one biopsy per guide position can be acquired A right mouse click will delete that mark Until actual biopsies have been acquired the biopsy positions will renumber automatically After that the numbers will always count upward and deleted positions numbers will not be reused Thus it is advantageous to first define all the x y position for all biopsies planned Up to 50 biopsies are possible Move a biop
12. s draw rubber banding delete structures or others have be done the icon changes its appearance from la Fb W to ifthe function has not been used before A second click on the button reverses the change back to the start case before the first click on the button O If tumors have been drawn into the images they can all be removed at once after a prompt if this icon is clicked This function is found in the box N Biopsy at the top of the register card In order to define the Tumor names and colors go to the drop down menu Tumour and then the ES New Load t Edit l Save cal Save AS menu appears Edit e After clicking cay with the left mouse button the following dialog box pops up BioJet User Manual Default Biopsy E 3s 10 5 5 LA H H H H H HHDH All data displayed in this menu can be stored as default see chapter Storing Loading Structure Data Preset To change anything just click on the respective box and change accordingly To store any changes just click al BioJet User Manual 1 4 The Biopsy Report The biopsy report is accessible after clicking S in the toolbar The report will appear in its own window An additional menu is at the top of the window E Ld of eK Pl MARERE Aid 100 m Patient Eind l Next having the following functions that can be clicked
13. sy guide line This function only works in longitudinal display on biopsy guide line positions If a planned biopsy position is to be moved somewhere else then move the mouse pointer to the required guide line and hold the left mouse button down A blue line will then appear Move the blue line to the desired position and the release the mouse button Then yellow guide line will then jump to the position of the blue line In case as biopsy has been taken a blue box will appear and the functions works accordingly Bend a biopsy guide line This function only works in longitudinal display on biopsy guide line positions If a planned biopsy position is to be bent somewhere then move the mouse to the P guide line and hold the left mouse button down A blue line will then appear Move the blue line to the desired position and the release the mouse button Then yellow guide line will then jump to the position of the blue line In case as biopsy has been taken a blue box will appear I l i I l LHH E and the functions works accordingly Place a biopsy core i e complete a biopsy The poison of the core defines the exact position in x y Z coordinates from which the biopsy sample was taken The position is marked as in the main image A yellow color marks the sample as undefined at the time After moving to the next biopsy the guide line disappears If the core graphic is in the wrong position just left click the mo
14. use somewhere else along the guide line and the core will move accordingly If the core is to be removed then just click on the core with the right mouse button held down ed the biopsy cores can only be benign or Gert j clicking the biopsy mark Mimma it will change its color to to designate a benign sample In order to go back to undefined just click the mark again with a right mouse click BioJet User Manual O 6 After the biopsy samples have been analyzed the biopsy cores can only be benign or i j clicking the biopsy mark STI it will change its color to to designate a malignant sample In order to go back to undefined just click the mark again with a right mouse click O L i If tumors have been drawn into the images they can all be removed at once after a prompt if this icon is clicked O This function will delete all unused biopsy guide lines BioJet User Manual 1 3 The Tumor Draw Function If recognized tumors may be drawn into the image stack in the same way as the other structures were drawn Please see chapter Drawing Organ Contours into Ultrasound Images and other Image Types for more details Only the items that are different will be explained here In this case 10 Tumors numbered 1 to 10 may be drawn The tumor draw functions can be found N Biopsy on register card in the box of the icons are the same as in of drawing organ structures In short The meaning e Draw functio
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