Differences

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--- decimal3d:instructions_for_use:customer_walkthrough [2019/10/30 17:11] – kmobile
+++ decimal3d:instructions_for_use:customer_walkthrough [2021/07/29 18:23] (current) – external edit 127.0.0.1
@@ Line 1: / Line 1: @@
-===== Walk-through =====
+====== Electron Block Walk-through Tutorial ======
- This walk-through is intended to be an easy to follow step-by-step guide for a "standard clinical electron" set-up, design and order electron apertures. It should be noted that the values provided are not intended to represent clinical guidelines and in no way be considered a recommendation for values that are appropriate for clinical use. The intent is that after completing this walk-through the user will have gained the knowledge an understanding of many of the details and much of the information to complete a clinical electron set up utilizing the decimal3D App. With this information the user will be able to to complete the process using the clinical protocols and requirements for your facility to set-up a clinical electron treatment, design the electron aperture and then order the electron aperture from .decimal.
+ This walk-through is intended to be an easy to follow step-by-step guide for completing a "standard clinical electron" set-up. It covers all steps involved in designing and ordering an electron aperture from .decimal. The intent is that after completing this walk-through you will have gained the knowledge and understanding necessary to complete a clinical electron set up utilizing the decimal3D App (it should be noted that the values provided herein are not intended to represent clinical guidelines and should in no way be considered a recommendation for values that are appropriate for clinical use).
-  - Have the physician outline the treatment area in the exam room
+  - Have the physician outline the desired treatment area on the patient's skin using a marker or pen with high color contrast
-  - Open the decimal3D app on the iPad and login with user name and password{{{{:decimal3d:instructions_for_use:img_0021.png?400|:decimal3d:instructions_for_use:img_0021.png?600}}|}}
+  - Bring the patient to the simulator or treatment room and place them in the desired treatment position
-  - Bring the patient to the simulator or treatment room
+  - Open the decimal3D app on the iPad and login with your unique username and password. The username and password is the same as what is used to sign in to p.d. {{ :decimal3d:instructions_for_use:img_0021.png?400 |}}
-  - Select //New Patient// in the top right hand of the Patient Management Screen {{{{:decimal3d:instructions_for_use:img_0022.png?400|:decimal3d:instructions_for_use:img_0022.png?600}}|}}
+  - Select //New Patient// in the top right hand of the Patient Management Screen {{ :decimal3d:instructions_for_use:img_0022.png?400 |}}
-  - Enter //Patient Name//  {{ :decimal3d:instructions_for_use:img_0023.png?400 |}}
+  - Enter the //Patient Name//  {{ :decimal3d:instructions_for_use:patientname.png?400 |}}
-  - Enter //Date of Birth// from drop dwon {{ :decimal3d:instructions_for_use:img_0025.png?400 |}}
+  - Enter the //Date of Birth// {{ :decimal3d:instructions_for_use:patientdob.png?400 |}}
-  - Select patient //Gender// from drop down {{ :decimal3d:instructions_for_use:img_0026.png?400 |}}
+  - Select the patient //Gender// from drop down {{ :decimal3d:instructions_for_use:patientgender.png?400 |}}
-  - Enter //MRN// (Medical Record Number){{ :decimal3d:instructions_for_use:img_0027.png?400 |}}
+  - Enter the //MRN// (Medical Record Number){{ :decimal3d:instructions_for_use:patientmrn.png?400 |}}
-  - The user may select the enter the //Physician// if desired{{ :decimal3d:instructions_for_use:img_0028.png?400 |}}
+  - If desired, enter the //Physician// name {{ :decimal3d:instructions_for_use:patientphysician.png?400 |}}
-  - Select //OK// that the patient is entered successfully{{ :decimal3d:instructions_for_use:img_0029.png?400 |}}
+  - Press //Submit// and the patient record will be created {{ :decimal3d:instructions_for_use:patientsave.png?400 |}}
-  - In the top right hand corner select //New Scan// {{ :decimal3d:instructions_for_use:img_0030.png?400 |}}
+  - In the top right hand corner select //New Scan// {{ :decimal3d:instructions_for_use:patientdetail.png?400 |}}
-  - Select the //New Scan// button on the left hand side {{ :decimal3d:instructions_for_use:img_0031.png?400 |}}
+    - Before starting the scan, you must align the iPad to the treatment table so that couch and gantry angles can be accurately determined
-  - Place the area to be scanned in the box. The area to be scanned should appear in all red. This will require the user to stand approximately a half meter away from the patient. A scan be obtained by either doing one short scan of the area to be treated or doing a more detailed scan obtaining a larger area, still including the area to be treated. Press the //Scan// button to start the scan. Then press again to stop the scan {{ :decimal3d:instructions_for_use:img_0032.png?400 |}}
+    - To perform this alignment, simply hold the iPad against the edge of the treatment table (with the gantry toward YOUR LEFT and the iPad parallel to the floor) and press the //Align// button as shown in the images below {{:decimal3d:instructions_for_use:alignmentimage3.jpg?400| }} {{ :decimal3d:instructions_for_use:align2.png?400|}}
-  - As the scan is rendering it will appear white{{ :decimal3d:instructions_for_use:img_0033.png?400 |}}
+    - You are now ready to scan the patient. Focus the scanner on the area to be scanned. Adjust your distance from the patient to ensure the entire area to be scanned appears in RED (red indicates an ideal scan distance, yellow is slightly too far away, and if no color is shown, you are too close to the patient). The ideal distance is about half a meter (18 to 24 inches).
-  - One the scan is done processing select the //Accept Scan// if the scan is acceptable {{ :decimal3d:instructions_for_use:img_0034.png?400 |}}
+    - The box shown in the app can also be adjusted to control the size of the area to be scanned. Only areas fully within the box will be captured during the scan, so you can use a two-finger pinch to shrink or expand the box as needed for the field size at hand.
-  - If it the scan is not acceptable select the //New Scan// button on the left-hand side to start a new scan
+    - Once you are correctly positioned, press the //Scan// button to begin capturing data. {{ :decimal3d:instructions_for_use:img_0108.png?400 |}}
-  - Choose the machine name from the scroll wheel. By default the first scan is labeled //Scan 1// (following scans are labeled consecutively). The user may choose to change the scan name if desired. Choose  //Submit // when done{{ :decimal3d:instructions_for_use:img_0037.png?400 |}}
+    - While the scan is active, the area that has been fully captured will appear white. You should continue scanning until the entire desired area is shown in white. For relatively smooth or flat areas, the scan can be obtained within 1-2 seconds without moving the iPad, but for larger or highly curved areas, you may need to slowly move or rotate the iPad to capture the entire patient surface. {{ :decimal3d:instructions_for_use:img_0109.png?400 |}}
-  - Select //New Contours// {{ :decimal3d:instructions_for_use:img_0038.png?400 |}}
+    - Press the //Scan// button again to complete the scan.
-  - //Draw Contour// will be automatically selected on the next page. Using either the Apple Pencil or a finger dwell on the scanned image for a second and begin to digitize the area to be treated. The outlined traced area will now show up in green. {{ :decimal3d:instructions_for_use:img_0044.png?400 |}}{{ :decimal3d:instructions_for_use:img_0045.png?400 |}}{{ :decimal3d:instructions_for_use:img_0047.png?400 |}}
+      - The decimal3D app now automatically begins processing the scan depth and color data to produce the colorized 3D model
-  - Once the user has completed the digitizing they may adjust the contour by selecting //Adjust Contour//. To do this the user needs to place the Apple Pencil or finger close to the area that needs to adjusted and slide it to where it should be {{ :decimal3d:instructions_for_use:img_0048.png?400 |}}
+  - Once the scan is done processing review the resulting model
-  - If the user is satisfied with select the //Finish// option on the right hand side of the screen. The user can now name the contour or leave the name at the default. Choose //Submit// when done {{ :decimal3d:instructions_for_use:img_0049.png?400 |}}
+    - If the scan is acceptable select //Accept Scan// {{ :decimal3d:instructions_for_use:img_0111.png?400 |}}
-  - To create the beam user must first select contour they want to place the beam on and then select the orange //Next// in the bottom left of the screen {{ :decimal3d:instructions_for_use:img_0050.png?400 |}}
+    - If it the scan is not acceptable select //New Scan// button on the left-hand side to discard this scan and start a new scan
-  - The user will then tap on the scan where they want to place the entry point and select the orange //Next//{{ :decimal3d:instructions_for_use:img_0052.png?400 |}}
+  - Choose the desired treatment machine from the scroll selector and edit the name of the scan if desired (by default scans are labeled with sequential numbers, e.g. //Scan 1//). Scan names are used only as a convenience for users to locate scans within a patient and are not used for any other purpose in the application. Press //Submit// when done. {{ :decimal3d:instructions_for_use:img_0114.png?400 |}}
-  - The user can then adjust the rotation as necessary to place the beam enface or in the appropriate position as desired and select the orange //Next// {{ :decimal3d:instructions_for_use:img_0053.png?400 |}}
+  - Your scan is now saved and you are ready to digitize the treatment field
-  - Choose the desired SSD. Then select the //Next // {{ :decimal3d:instructions_for_use:img_0054.png?400 |}}
+  - Select //New Contour//
-  - The user can then adjust the cone size if desired. The smallest cone size will automatically be chosen. The user may also rotate the view  to verify that collisions will be avoided {{ :decimal3d:instructions_for_use:img_0055.png?400 |}}
+  - You should now rotate, pan, and zoom the display to provide a good view of the treatment field
-  - The user may then adjust any angles that need to be adjusted as well as fill in any free form text that needs to be sent to the Record and Verify (R&V) system. When the user is satisfied they may select //Save//and proceed to name the beam or leave the name at the default{{ :decimal3d:instructions_for_use:img_0056.png?400 |{{ :decimal3d:instructions_for_use:img_0057.png?400 |}}}}
+    - Rotate by using a single finger drag in any direction
-  - At this point the user may proceed to ordering the cutout
+    - Pan by using a two finger drag in any direction
-  - The user must select the shipping priority. Once this is done they may select //Done// and the information will be securely sent to .decimal and the cutout manufactured {{ :decimal3d:instructions_for_use:img_0059.png?400 |}}
+    - Zoom by using a two finger pinch motion anywhere in the display
+  - Now you will trace the physician drawn treatment field directly on the 3D patient model using either the Apple Pencil or your finger
+    - To start drawing dwell on the scanned image at the desired start point for a full second, then continue drawing the entire treatment area as a single closed contour. Continue drawing until the contour is closed back at the original start point (the contour will change colors to indicate it is now complete). If you lift the pencil/finger before closing the contour you can continue by dwelling again for one full second at a point near where you left off with the previous drawing and then continuing onward. {{ :decimal3d:instructions_for_use:img_0115.png?400 |}}
+    - Once you have closed the contour, the application will automatically switch to the //Adjust Contour// mode. In this mode you can move points by placing the Apple Pencil or finger on a point, dwelling for one second, and then sliding it to a new position. There are also tools to undo edits and clear all to start again if needed. {{ :decimal3d:instructions_for_use:img_0116.png?400 |}}
+    - Once you're satisfied with the contour select the //Finish// button. Provide a name for the contour (or leave the name at the default) then press //Submit// to save the contour.
+  - You are now ready to create your electron aperture by specifying the treatment beam parameters (the application will automatically enter the beam creation task when the contour is completed).
+  - The first step in defining the beam is to select the contours to use for the aperture projection (note the contour is automatically selected when this task is started). Press the //Next// button to accept the contour selection. {{ :decimal3d:instructions_for_use:img_0118.png?400 |}}
+  - Now you will set the beam entry point by tapping on the patient model at the desired location. Tap again to change the location if needed, then press //Next// to accept this position {{ :decimal3d:instructions_for_use:img_0119.png?400 |}}
+  - You are now presented with all the remaining parameters needed to fully define the desired treatment beam.
+    - These include: SSD, Applicator Size, Gantry Angle, Couch Angle, and Collimator Angle (note: as of v1.7 SSD now includes a second input that allows SSD setting to 0.1cm resolution)
+    - Adjust the parameters as needed to meet the clinical needs of the patient at hand. {{ :decimal3d:instructions_for_use:beamedit0.png?400 |}}
+      - You may also wish to rotate the model to ensure an appropriate treatment angle has been selected (and to check for possible collisions of the applicator with the patient). You can also switch to a Beam's Eye View (BEV) where you can view and measure the block shape (note the BEV shape is projected to the isocenter plane). {{ :decimal3d:instructions_for_use:beamedit1.png?400 |}}
+    - Once you're satisfied with the beam and block (cutout) press the //Save// button. You will be prompted for a beam name. This name will be engraved on the actual cutout during manufacturing, therefore you should provide a meaningful beam name before pressing //Submit//.
+  - You are now ready to order the cutout by pressing //Order// in the top right hand corner.
+    - All available cutouts are automatically selected for ordering and the engraving data for each cutout is shown at the top of the order page.
+    - Select a shipping priority, review the Shipping and Billing Address information, and press //Order// to securely transmit your order information to .decimal for the cutout to be manufactured. {{ :decimal3d:instructions_for_use:order.png?400 |}}
+    - Wait for 30-60 seconds to receive a confirmation of successful order.
+  - Once your order has been placed, the DICOM Export option will become available. Simply click the "Send" icon in the top right corner (see red circle below) and your treatment device information will be sent to your preconfigured DICOM receiver via a DICOM RT Plan file. {{ :decimal3d:instructions_for_use:dicom_send_icon.png?200 |}}
+  - If you encounter any difficulties or problems contact our customer service team at 1.800.255.1613