AI-Rad Companion - Brain MR Confirmation Workflow Job Aid

Brain MR Confirmation Workflow AI-Rad Companion The AI‑Rad Companion Brain MR Morphometry feature creates brain morphometry reports on the basis of T1-weighted magnetization-prepared and rapid gradient-echo (MPRAGE) series. The report contains graphic visualizations of different brain regions (label map and deviation map) and a volumetric table with the numeric results. AI-Rad Companion Brain MR White Matter Hyperintensities (WMH) includes segmentation and quantification of white matter hyperintensities on the basis of T1-weighted MPRAGE and T2- weighted FLAIR datasets as input. The WMH report contains visualization of WMH (3D overlay of WMH map) and numeric results of count and volume of WMH over four brain regions: periventricular, juxtacortical, infratentorial and deep white matter. After activating the Brain MR extension, you can view and review different brain results in 1 the Result Preview. For the Brain Morphometry feature: fused label map, fused deviation map. For the WMH feature: white matter hyperintensities map. SIEMENS .... Healthineers . Al-Rad Companion Brain MR 6 114 / 176 Patient Information Examination Details 2018-03-21 09:40 Al Results Morphometry To PACS Fused Deviation map Fused Label map White Matter Hyperintensities Decline All Send to PACS Show WMH Lesion Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 10 Aug 2021 | HILS 2224 Job Aid Effective Date: 22 Jul 2022 | HOOD05162003288660 Healthineers Job Aid | Brain MR Confirmation Workflow Effective Date: 22 Jul 2022 | HOOD05162003288660 2 In the AI Results list on the left side, you can select the required map that the algorithm creates. Al Results Morphometry To PACS Fused Deviation map V Fused Label map White Matter Hyperintensities Deviation map The deviation map displays the difference for each brain region, color-coded in order to indicate the degree of deviation from the average age- and gender-matched normative volume. You can configure the corresponding color range in the settings. The table on the right side shows the different tissue values in terms of Absolute (ml), Normalized (%) and Normative Range (%). Normalized volumes that are outside the normal range are indicated by an asterisk in the result table. If necessary, adjust the normative range or the blending ratio between the original MR image and the resulting map in the configuration settings. SIEMENS .... Healthineers Al-Rad Companion D ? # 8 Brain MR O Report 83 / 176 Deviations Patient Information Structure/Tissue Absolute Normalized Normative Range @ [ml] [%] Brain 1098.3 70.90 * [79.10 - 88.20] Caudate 6.2 0.40 * [0.55 -0.72] Examination Details Cerebellum (White matter + Gray matter) 10.4 7.13 * [8.32 - 10.321 Cingulate left 1.2 0.08 * [0.44 - 0.60] Cingulate right 1.6 0.11 * [0.65 - 0.84] Cortical Gray matter 145.7 9.40 * (37.20 - 44.00] Al Results Cerebral Spinal Fluid 451.3 29.10 * [15.20 - 20.20] Morphometry TO PACS 4th ventricle 3.7 0.24 * [0.10 - 0.20] Fused Deviation map Fused Label map Frontal left 26.3 1.70 * [7.14 - 8.72] White Matter Hyperintensities Frontal right 26.7 1.72 * [6.82 - 8.25] Gray Matter 187 1 11 An * 148 70 - 56 601 *- Values outside of normative range Volumetry results show asymmetries between left and right brain hemispheres. Please check validity of the volumetric results. Decline All Send to PACS Show Contour A Input data not consistent with the morphometry protocol guideline. Please check validity of the volumetric results. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date 10 Aug 2021 | HILS 2224 Healthineers Page 2 of 5 Job Aid | Brain MR Confirmation Workflow Effective Date: 22 Jul 2022 | HOOD05162003288660 Label map The label map displays the different brain regions in the table on the right side of the Results Preview. Each region is displayed color-coded. WMH The WMH results contain visualization of WMH (3D overlay of WMH map) and numeric results of count and volume of WMH, following the McDonald criteria, over four brain regions periventricular, juxtacortical, infratentorial and deep white matter. SIEMENS . Healthineers Al-Rad Companion D ? @ Brain MR @ 14 / 176 Total WMH Losion Volume 21.15 Patient Information Total WMH Lesion Count 81 Examination Details 2018-03-21 09:40 Structure WMH Lesion Count WMH Lesion Volume (ml) Periventricular 18.95 I Results Juxtacortical 1.40 DE Morphometry Infratentorial <0.01 To PACS Fused Deviation map Deep white matter 46 0.80 Fused Label map White Matter Hyperintensities A Input data not consistent with the recommended guideline. Please check the validity of WMH results. KK K Decline All Send to PACS Show WMH Lesion Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date 10 Aug 2021 | HILS 2224 Healthineers Page 3 of 5 Job Aid | Brain MR Confirmation Workflow Effective Date: 22 Jul 2022 | HOOD05162003288660 3 Decide for all findings whether to accept or decline them by clicking the button corresponding to your decision. a) Click Decline All if you disagree with the findings. They will be marked as declined in the patient list, will be deleted, and will not be sent to the PACS. Decline All Send to PACS b) Select whether you want to send either the label map, deviation map, WMH results or all results to the PACS. Once you have made all your decisions on the findings, click the Send to PACS button. The patient case will be closed and displayed in the Completed view, and the selected results will arrive in the PACS. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date 10 Aug 2021 | HILS 2224 Healthineers Page 4 of 5 Job Aid | Brain MR Confirmation Workflow Effective Date: 22 Jul 2022| HOOD05162003288660 Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date 10 Aug 2021 | HILS 2224 Healthineers Page 5 of 5