Hologic Affirm, User Manual

Page: 52 / 70

Affirm User Guide
Chapter 4: How to Use the System
Page 42 MAN-03209 Revision 005
4.3.5 Lesion Targeting with Tomosynthesis
Lesion targeting for tomosynthesis requires system licenses for tomosynthesis and biopsy.
Note Make sure that the biopsy device is out of the imaging area.
1. Acquire the Tomographic target (scout) image.
•
If your system is set to Auto Accept, the Tomographic target (scout) cine runs
briefly and then the system automatically accepts the image.
•
If Auto Accept is not set, the cine stops after two passes through the slice deck (or
if the
Accept button is pressed before the second cine run finishes).
2. Use the scroll wheel to scroll through the slices of the Tomographic target (scout) to
find the best view of the lesion.
3. Click on the lesion.
•
A dash appears in the Slice Indicator beside the selected slice.
•
The X, Y, and Z values for the target are established automatically at the area of
the click.
4. Select the Create Target button to save the target. The active target set automatically
transmits to the Biopsy Control Module.
5. Repeat steps 2 through 4 to create multiple targets (a maximum of six).
Note The target that shows on the Target Guidance screen of the
Biopsy Control Module is the last target created. The target
or target set that shows on the Select Target screen is the last
target or target set sent to the Biopsy Control Module.
Verify the Position of the Biopsy Device
1. If desired, acquire the pre-fire stereo images as necessary to identify the correct needle
position.
•
Verify the needle position.
•
If necessary, make adjustments.
2. If applicable, fire the biopsy device.
3. If desired, acquire the post-fire stereo images.
•
Verify the needle position.
•
If necessary, make adjustments
4. Acquire specimens with use of the attached biopsy device, if desired.