AutoMate Cardiac (USA)

Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue 2024-07-19 AutoMate_Cardiac_WBT_Draft-for-production Master Template HILS2218 | Effective Date: 25 Mar 2022 ? MAGNETOM Systems AutoMate Cardiac - Online Training Reduce complexity in cardiac examinations by automating tasks. Get to know new automation features 1 Perform CMR examinations with AutoMate Cardiac 3 Find and utilize protocols 2 Disclaimer US Contrast Disclaimer Please refer to a Contrast Agent manufacturer's labeling, and instructions for use, for use of that Contrast Agent with an MRI exam. Welcome Hint for internal use: For functionality that is referred to as “new” in the whole training, see # QR700008255. Audio file name: 01_AutoMate-Cardiac_WBT_Welcome Welcome to our online training unit dedicated to the AI-based workflow support AutoMate Cardiac. Here, you will learn about the new automation features introduced with AutoMate Cardiac. You will see where to find suitable protocols and experience how this new level of automation will impact your clinical routine for cardiac examinations. Table with 2 columns and 4 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Select the button on the left upper corner to display or hide the menu. ? Navigation hints Before you start, we would like to give you a few tips on how to navigate: Enjoy the course! ? This slide is mandatory for all ED1 trainings. It is displayed directly after the Welcome slide. Please delete what is not needed. Navigation hints Challenges in Cardiac MRI While Cardiac MRI is a powerful application for diagnosing heart conditions, it still presents significant challenges for MR operators: Long scan times High requirements on expertise Ensuring patient comfort and safety ? Challenges in Cardiac MRI Audio file name: 02_AutoMate-Cardiac_WBT_challenges Cardiac MRI is a powerful tool for diagnosing heart diseases. Nevertheless, in the clinical routine, MR operators who perform heart examinations are facing challenges, such as: long scan times a demand of high expertise, for example, to detect optimal data acquisition windows and ensuring patient comfort and safety throughout the examination. Automating Cardiac MRI Ein Bild, das Text enthält. Automatisch generierte Beschreibung AutoMate Cardiac provides AI-based support for CMR imaging procedures. Benefits: Reduced complexity Accurate setup of scan parameters Reproducible imaging High image quality Reduced scan times Higher patient comfort ? Automating Cardiac MRI Audio file name: 03_AutoMate-Cardiac_WBT_benefits AutoMate Cardiac uses the power of artificial intelligence to automate tasks during cardiac scans. This reduces the complexity of examinations. Scan parameters are automatically and accurately set up, resulting in imaging that is reproducible and of high quality. Scan times can be shortened due to less manual intervention, which can also have a positive effect on patient comfort. ? Components of AutoMate Cardiac AutoMate Cardiac comprises three components: Auto Resting Phase Automatic detection of resting phases Auto TI Automatic detection of the optimum TI Auto Positioning Automatic positioning and slice planning Components of AutoMate Cardiac Audio file name: 04_AutoMate-Cardiac_WBT_components AutoMate Cardiac consists of three components that can be used in combination or individually. They assist you in the following way: Automatic positioning and slice planning Automatic detection of the optimum inversion time and automatic detection of the resting phases within the cardiac cycle ? Finding protocols Please note: It is recommended to use Siemens protocols for measurement program setup. Procedures without AutoMate are still available. If only a very limited number of protocols within a program are affected, protocols without AutoMate are marked by a “.” at the end of the protocol name. myExam Cardiac Assist procedures and standard protocols have been enhanced with the new automation features. You can find the protocols in the SIEMENS tree (labeled with “AutoMate”): SIEMENS\heart\... Finding protocols 05_AutoMate-Cardiac_WBT_protocols myExam Cardiac Assist procedures have been adjusted to use the new automation features of AutoMate Cardiac. Also, standard protocols such as localizers, morphological imaging, TI scouts, and tissue characterization measurements or protocols for 3D whole-heart examinations have been enhanced. You can use these protocols as they are and benefit from the automation of tasks without configuring them further. Please note that it is recommended to use Siemens protocols as a basis for setting up measurement programs. These protocols are already supported by specific Add-ins that are required for AutoMate Cardiac. ? Auto Positioning Auto Positioning is a deep learning-based system used to automatically: Set the isocenter position Plan slice groups for localizer, thorax, and 3D whole-heart measurements Position GSP elements Select the tab arrows for more information. Measuring the localizer Measuring the localizer_heart Measuring steps with Auto Positioning Configuring steps with Auto Positioning Auto Positioning Audio file names: 06_AutoMate-Cardiac_WBT_autopositioning Auto Positioning assists you in the following way: The center of the heart is automatically positioned at the isocenter of the magnet. Planning slice groups for further measurement steps is automated, as well as the positioning of several GSP elements. Select the tab arrows for more information 06_a_AutoMate-Cardiac_WBT_localizer The localizer finds the center of the heart. Then the table is moved automatically to position the heart at the isocenter of the magnet. There is no need for an additional Table Positioning Strategy step anymore. 06_b_AutoMate-Cardiac_WBT_localizer_heart The localizer_heart starts without manual interaction and refines the results of the first localizer. The system passes on this refined anatomical information to subsequent steps for automatic positioning of slices or slab groups, and other elements. Please note that Auto Positioning can only be used in combination with True FISP localizers. This is because the deep-learning network was trained on True FISP images. 06_c_AutoMate-Cardiac_WBT_targetsteps Several standard protocols in the library use Auto Positioning, for example the Auto Align heart scout step. Slices or slab groups as well as saturation bands and navigators are automatically positioned. The measurement of these steps starts automatically. 06_d_AutoMate-Cardiac_WBT_configuration If required, you can change the configuration of steps that use Auto Positioning. You do this on the Auto Positioning card of the myExam Add-In Configurator. Here you can define how graphical objects will be positioned automatically. Some parameters are set for each slice group individually, such as the slice coverage. The specification of elements that are to be positioned automatically applies to all slice groups. Measuring the localizer During the measurement of the localizer, the center of the heart is found. After acquisition, the table is moved automatically to position the heart at the isocenter of the magnet. Please note: The first localizer is acquired in coronal and transverse orientation without triggering. Measuring the localizer_heart The localizer_heart starts without manual interaction. It refines the results of the first localizer. Subsequent steps will use this refined information for automatic positioning of elements. Please note: Automatic positioning can only be performed in combination with TrueFISP localizers. Measuring steps with Auto Positioning Several protocols use the information obtained by the localizers for automatic positioning of: Slices/slab groups Saturation bands Adjustment volume Diaphragm navigator Image navigator The measurement of these steps starts without manual interaction (no working man symbol). Configuring steps with Auto Positioning For advanced users: You can adjust the configuration of steps with automatic positioning and slice group planning. Open the Auto Positioning card of the myExam Add-In Configurator. Slice Group Adaptations: Set parameters for each slice group individually. Global Protocol Adaptations: Set parameters that apply to all slice groups. ? Auto TI Auto TI is a deep learning-based system used to automatically detect the optimum time of inversion (TI) for delayed-enhancement inversion recovery examinations. Select the tab arrows for more information. Measuring the TI scout Measuring steps with Auto TI Configuring steps with Auto TI Auto TI Audio file names: 07_AutoMate-Cardiac_WBT_auto-ti Auto TI assists you during delayed-enhancement inversion recovery examinations of the heart by automatically detecting the time of inversion. The optimum time for image acquisition is suggested for further measurements. Select the tab arrows for more information. 07_a_AutoMate-Cardiac_WBT_ti-scout The TI scout detects the time of inversion. From this point, it looks for the time when image acquisition will result in the highest contrast between myocardium and blood pool in the ventricles while still being close enough to the actual TI. This contrast-optimized TI is then suggested for subsequent measurements. Suitable TI scout steps can be found in the SIEMENS heart library. Please note that, in order to use the Auto TI functionality, short-axis orientation is mandatory for the scout step. 07_b_AutoMate-Cardiac_WBT_targetsteps The TI that was detected by the scout will be suggested for subsequent tissue characterization steps. You can apply the suggested TI or, if necessary, modify the suggestion on the Auto TI card. If you have acquired several TI scout steps, you can select the protocol that you want to use as a source. 07_c_AutoMate-Cardiac_WBT_configuration If required, you can change the configuration of steps that use Auto TI. You do this on the Auto TI card of the myExam add-in configurator. Here you can define whether a step is to use the automatically detected TI. Additionally, you can specify an offset for compensating the contrast agent wash-out between TI scout acquisition and acquisition of the following delayed-enhancement measurements. For advanced users: You can adjust the configuration of Auto TI for delayed-enhancement steps. Open the Auto TI card of the myExam Add-In Configurator. Enable Auto TI: The detected TI will be suggested for the current step. TI Offset: Define an offset for compensating the contrast agent wash-out. Configuring steps with Auto TI The TI with optimum contrast that was detected by the scout will be suggested for subsequent delayed-enhancement measurements. Check and, if necessary, modify the suggestion for TI on the Auto TI card. Please note: If several TI scouts have been acquired, you can switch between the series. Measuring steps with Auto TI Myocardium The TI scout detects the optimum time for subsequent examinations. It looks for the maximum contrast between the myocardium and the blood pool. TI scout steps in the SIEMENS heart library are suitable for automatic TI detection. Please note: Short-axis orientation is mandatory for the scout step. Measuring the TI scout Signal intensity Inversion time [ms] Blood pool TIcontrast ? Auto Resting Phase Auto Resting Phase is a deep learning-based system used to automatically detect the resting phases for several cardiac target anatomies. Select the tab arrows for more information. Measuring the 4ch CINE series Measuring steps with Auto Resting Phase Configuring steps with Auto Resting Phase Auto Resting Phase Audio file name: 08_AutoMate-Cardiac_WBT_autorestingphase Auto Resting Phase assists you by automatically detecting the resting phases of the heart. This will help you find the optimal data acquisition window. The target anatomy – such as coronaries, ventricles, or whole heart - can be chosen freely depending on the kind of imaging planned. Select the tab arrows for more information. 08_a_AutoMate-Cardiac_WBT_cinestep The source step for the detection of resting phases within the cardiac cycle is a four-chamber view cine series. During acquisition, the motion values are quantified for several target anatomies individually. You can find suitable protocols in the SIEMENS heart library. 08_b_AutoMate-Cardiac_WBT_targetstep The resting phases detected by the cine series for several regions of interest will be suggested for subsequent measurements on the Auto Resting Phase card. You can accept the suggested data acquisition window or, if necessary, modify the suggestion. If you have acquired several four-chamber cine series, you can select the series that you want to use as a source. Please note that you must use the same trigger source for steps with Auto Resting Phase as for the acquisition of the cine series. 08_c_AutoMate-Cardiac_WBT_configuration If required, you can change the configuration of steps that use Auto Resting Phase. You can do this on the Auto Resting Phase card of the myExam add-in configurator. Here you can specify if Auto Resting Phase information is used and make further settings for the data acquisition window. For advanced users: You can adjust the configuration of steps that use Auto Resting Phase on the Auto Resting Phase card of the myExam Add-In Configurator. Enable Auto Resting Phase: The detected resting phase will be suggested for the current step. Data Window Settings: Modify or restrict the data window duration. Configuring steps with Auto Resting Phase The optimum data window for static measurements that has been detected by the cine series is suggested for subsequent steps. Check and, if necessary, modify the suggested data acquisition window. Please note: If several four-chamber cine series have been acquired, you can switch between the series. For steps that use Auto Resting Phase, apply the same trigger method (ECG or Beat Sensor) as for the cine acquisition. Measuring steps with Auto Resting Phase Trigger time [ms] Whole Heart LV RCA Systolic resting phase Diastolic resting phase A four-chamber view cine series is used for automatic detection of resting phases within the cardiac cycle. Suitable protocols can be found in the SIEMENS tree: heart/library angiography/ free breathing AutoMate or heart/Cardiac Assist/library. Measuring the four-chamber cine series Motion value [mm] ? This simulation will guide you through the typical steps for performing cardiac examinations supported by Auto Positioning, Auto TI, and Auto Resting Phase. AutoMate Cardiac Simulation AutoMate Cardiac Simulation 09_AutoMate-Cardiac_WBT_start-simulation Practice using Auto Positioning, Auto TI, and Auto Resting Phase to see how the new automation features affect cardiac examinations. Course review Congratulations. You have completed the AutoMate Cardiac Online Training course. Select the numbered buttons below to review the material before proceeding to the final assessment. Perform CMR examinations with AutoMate Cardiac Find and utilize protocols Get to know new automation features 1 1 2 2 2 3 3 3 ? Course review ? AutoMate Cardiac simplifies the clinical routine for heart examinations. The following tasks have been automated: Table positioning Slice group planning Positioning of GSP elements Detection of TI Detection of resting phases To match individual needs, advanced users can adjust the configuration of measurement steps in the myExam Add-in Configurator. Perform CMR examinations with AutoMate Cardiac ? ? myExam Cardiac Assist workflows have been enhanced by AutoMate Cardiac features. Workflows and protocols have been duplicated to provide the option of using them with or without the AutoMate functionality. Standard protocols are available in the SIEMENS library. They can be used as they are or edited to create individual measurement programs. Find and utilize protocols Ein Bild, das Text enthält. Automatisch generierte Beschreibung ? AutoMate Cardiac provides AI-based workflow support for CMR imaging, comprising the following components: Auto Positioning: For automatic positioning and slice planning Auto TI: For automatic detection of the optimum TI Auto Resting Phase: For automatic detection of resting phases Get to know new automation features Disclaimer 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 Healthineers AG 2024 Siemens Healthineers Headquarters\Siemens Healthineers AG\Siemensstr. 3\ 91301 Forchheim, Germany\Phone: +49 9191 18-0\siemens-healthineers.com ? Disclaimer Assessment Start ? This assessment will test your retention of the presented content. A passing score of 80% or higher is required. You will have 3 attempts to complete the course and earn your certificate . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. Assessment Select the applicable image. Question 1 of 5 Which of the following images shows the automatically detected resting phase? ? Question 1 Select the best answer. ? Localizer Question 2 of 5 Which of the following steps has become obsolete with Auto Positioning? Localizer_heart Table positioning strategy Question 2 Select the best answer. ? Exact time of inversion. Question 3 of 5 Which TI is detected by the TI scout when Auto TI is enabled? Time that is close to the actual TI but with best contrast. Time with the highest contrast. Question 3 Select the best answer. ? TI scout Question 4 of 5 What kind of series is used as input for Auto Resting Phase? Localizer_heart Four-chamber cine series Question 4 Select the best answer. ? The step must use the same triggering method as the cine series. Question 5 of 5 For steps that use Auto Resting Phase, please choose the correct answer with regards to the trigger source: Only ECG triggering is supported with Auto Resting Phase. Only Beat Sensor triggering is supported with Auto Resting Phase. Question 5 Retry Assessment Results %Results.ScorePercent%% %Results.PassPercent%% Continue YOUR SCORE: PASSING SCORE: Assessment Results You have exceeded your number of assessment attempts. Exit You did not pass the course. Select Retry to continue. Congratulations. You passed the course. Exit To access your Certificate of Completion, select the Certificates tab from the learning activity overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the MAGNETOM Systems AutoMate Cardiac Online Training. Completion details, certificates tab Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Videos should default to the optimal resolution. However, to change the video resolution select the gear icon. Click Next to continue. Next Video Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Simulation Auto Positioning Auto Positioning No speaker text Please select Go to continue. Start localizer measurement Audio file name: simulation_autopositioning_01 With Auto Positioning, the information of the first localizer is used to position the heart at the isocenter of the magnet automatically. There is no need for an additional Table Positioning Strategy step anymore. Start the measurement by clicking „Go“. Please select Go to continue. Table movement message Audio file name: simulation_autopositioning_02 The system informs you about the upcoming automatic table movement. The examination is not interrupted by this message. Please wait for the simulation to continue. Please select Continue to continue. Confirm table movement Audio file name: simulation_autopositioning_03 Click „Continue“ to confirm that you have ensured that the patient is prepared. Please select Continue to continue. Automatic measurement start Audio file name: simulation_autopositioning_04 The localizer-heart refines the measurement of the first localizer and passes the information on to subsequent steps. These steps start automatically. Manual intervention becomes necessary when the first step with a working man symbol is up for measurement. Please wait for the simulation to continue. Auto TI Auto TI No speaker text Please select Go to continue. Start scout measurement Audio file name: simulation_autoti_01 For Auto TI, a TI scout step is required, which automatically detects the optimum TI for subsequent examinations. Click „Go“ to start the scout measurement. Please select Go to continue. Scout measurement Audio file name: simulation_autoti_02 During measurement, the scout detects the time of inversion and – starting from this point – finds the time with the optimum contrast between myocardium and blood pool. Please wait for the simulation to continue. Please select Auto TI to continue. Select Auto TI card Audio file name: simulation_autoti_03 When the scout step is finished and the delayed-enhancement step is next in the measurement queue, switch to the Auto TI card. Please select Auto TI to continue. Please select Go to continue. Start target step Audio file name: simulation_autoti_04 The Auto TI card shows the optimum TI detected by the preceding scout. You can change the suggested TI by using the slider or by entering a value. If you have measured several TI scouts, you can select the series that you want to use as a source. After checking and – if necessary – adjusting the TI, start the delayed-enhancement measurement by clicking „Go“. Please select Go to continue. Measurement of target step Audio file name: simulation_autoti_05 The suggested TI will be applied to the delayed-enhancement measurement. Please wait for the simulation to continue. Auto Resting Phase Auto Resting Phase No speaker text Please open the drop-down menu. Select source protocol Audio file name: simulation_autorestingphase_01 To use Auto Resting Phase, a four-chamber CINE series is aquired to detect the resting phases for several heart anatomies. For subsequent measurement steps, the optimum data acquisition window that was detected during the CINE series is suggested on the Auto Resting Phase card. If several suitable CINE series have been acquired, you can select the one that you want to use as a source. You can also select a region of interest. Please open the drop-down menu to see the available choices. Please open the drop-down menu to continue. Please close the drop-down menu. Close drop down menu Audio file name: simulation_autorestingphase_02 If you select a different region of interest, the motion curve and the suggested data acquisition window will be updated immediately. Please stick with Right coronary artery and close the drop-down menu. Please close the drop-down menu to continue. Please select Go to continue. Start target step measurement Audio file name: simulation_autorestingphase_03 You can adjust the suggested data acquisition window by using the slider or entering start and end values. After checking and – if necessary – adjusting the data acquisition window, start the measurement by clicking „Go“. Please select Go to continue. Measurement of target step Audio file name: simulation_autorestingphase_04 The suggested data acquisition window will be applied. Please wait for the simulation to continue. Congratulations! You have successfully finished the simulation. To try the simulation again select Retry, or continue by selecting Next. Retry Next Completion Question Bank 1 MAGNETOM Systems AutoMate Cardiac (USA) Siemens Healthineers Hier finden Sie ein paar nützliche Links und Dokumente: 1.1 Welcome 1.3 Challenges in Cardiac MRI 1.4 Automating Cardiac MRI 1.5 Components of AutoMate Cardiac 1.6 Finding protocols 1.7 Auto Positioning 1.8 Auto TI 1.9 Auto Resting Phase 1.10 AutoMate Cardiac Simulation 3.1 Auto Positioning 3.2 Start localizer measurement 3.3 Table movement message 3.4 Confirm table movement 3.5 Automatic measurement start 3.6 Auto TI 3.7 Start scout measurement 3.8 Scout measurement 3.9 Select Auto TI card 3.10 Start target step 3.11 Measurement of target step 3.12 Auto Resting Phase 3.13 Select source protocol 3.14 Close drop down menu 3.15 Start target step measurement 3.16 Measurement of target step 1.11 Course review 1.13 Assessment 1.20 Completion