MR Cardiac Analysis RV Function XA31 Job Aid

MR Cardiac Function Right Ventricular Analysis – Numaris X MR Cardiac Analysis – Numaris X The MR Cardiac Analysis Workflow allows for assessment of Cardiac Function through user- friendly segmentation of the Right Ventricle. The left ventricle is automatically contoured during the work-flow assignment; however, the right ventricle contours can be created using a set of intuitive tools. 1. Patient Browser, load data set into MR Cardiac Analysis Workflow  Right-Click on Patient Examination > select Assign Workflow > MR Cardiac Analysis  Double Left-Click on Patient to Open Open Ctrl+O Open with View as Read-Only with Batch Open Assign Workflow Favorites Cancel Workflow Suggested Search Patient with DICOM Q/R MR Breast Biopsy * Add to Demo List MR BreVis Remove from Demo List MR Cardiac Analysis Set Mark state MR Neuro 3D Set Delete Protection state MR Neurology Set Archive state MR Oncology Remove Correction state More 2. Cardiac Reading Step – view Functional, Dynamic, Tissue Characterization and Flow Data using Common Tools 3. Select MR Cardiac Function Step and RV Analysis MR Cardiac Analysis Q + MR Cardiac Reading MR Cardiac Function Hide Lines Reset Normal Manual Create Mode Mode Findings LV Analysis RV Analysis Refine Segmentation Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 11/29/2021 | HOOD05162003237808 Healthineers Job Aid | MR Cardiac Function - RV Ventricular Analysis – Numaris X Effective Date: 11/29/2021 | HOOD05162003237808 4. Select Guidance Icon – allows user to segment Right Ventricle to perform RV analysis  Guidance recommends workflow for refining segmentation and guides you through each of the steps required to perform the segmentation  Set Landmarks Tab & Refine Contours Tab – guides you through Segmentation  Refine Contours Tab – once selected activates Icons in Case Navigator  Note: If you don’t want to use Guidance, contours can be created and refined using contour editing and contour creation tools LV Analysis Refine Segmentation O D Endo Epi Pen Circle Nudge Control Freehand Delete Delete All Adjust Point Edit Edit Propagate EDIES Join Guidance 5. Start Segmentation Refinement and Follow Guidance Steps a. Check ED and ES Phase for accurate Segmentation  If Set Landmarks Tab is selected > correct the selection in the TVG segment  Drag ED and ES Slider to appropriate positions 25 225 19.00 0.00 200 175 0.00 150 0.00 0.00 125 100 0.00 75 0.00 50 0.00 25 0.00 20 4 50 60 70 80 100 % O 33 319 815 932 ES 699 1 48 1164 MS ED at SV(ml) ED Vol.(ml) ES Vol.(ml) Mass LV 57.29 140.42 245.12 104.7 149.86 RV .... --- ---- Set Landmarks Refine Contours Check ED and ES Step 1 of 5 Lneck that the positions Of EDIE'S silaers correctly identify ED and ES. To check this scroll through the image stack of the appropriate SAX or LAX slices and compare the anatomy (extension) of the ventricle with the position of the slider. 10 05 474 ED Next Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 11/29/2021 | HOOD05162003237808 Healthineers Page 2 of 7 Job Aid | MR Cardiac Function - RV Ventricular Analysis – Numaris X Effective Date: 11/29/2021 | HOOD05162003237808 b. Check Base Plane in Long Axis working segment  Left-Click and define Two Points at Height of Tricuspid Valve on ED Slice  Scroll to ES Slice and Reposition Points at the Valve by click and drag  Points should then move along valve plane as you scroll through phases  Note: Typically performed on a 4-Chamber Orientation Set Landmarks Refine Contours Check Base Plane Step 2 of 2 Set landmarks on ED and ES on standard "4-chamber" view according to guidance images. ED Please note: For optimal accuracy check/correct contours on all phases. This is required if you are interested in parameters that are not determined by the segmentation in EDIES alone (e.g. peak ejection rate). c. Refine Contours Tab  Check & Change Contours – provides an overview of different tools to  Define Right Ventricular Analysis Set Landmarks Refine Contours Check & Change Contours Step 1 of 2 1) Set contours in ED and ES for every SAX slice. 2) If RV is not visible in ES, draw a small contour. i Please note: For optimal accuracy check/correct contours on all phases. This is required if you are interested in parameters that are not determined by the segmentation in EDIES alone (e.g. peak ejection rate). Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 11/29/2021 | HOOD05162003237808 Healthineers Page 3 of 7 Job Aid | MR Cardiac Function - RV Ventricular Analysis – Numaris X Effective Date: 11/29/2021 | HOOD05162003237808 d. Select Mid Ventricle Slice – Ensures segments are viewing ED Slice and ES Slice I. Select Pen Tool from RV Analysis Common Tools RV Analysis Refine Segmentation O. Endo Epi Pen Circle Nudge X Control Freehand Delete Delete All Point Edit Join Edit il Propagate EDIES Guidance II. Draw Contour from One Insertion Point to another Insertion Point HLP MR_Cardiac_Analysis HK BB Kardiologie +1/1/1980, F, 31Y Ref.: Congress CURRENT Avanto STUDY 10/19/2011 Cine_Segmented_SA_01 STUDY ID 1 aaaa1 360 15 IMA 30 ARH AL TT 648.6 SP L51.7 FoV 293*360 TR 33.6 146*256s TE 1.2 Sag>Cor(37)>Tra(19) TA 05.64*12 W 1005 p2 M/RETRO/DIS2D 436 III. Select Propagate – Contour Propagates to Phases of All Slices RV Analysis Refine Segmentation Endo Epi Pen Circle Nudge Control Freehand Point Edit Delete Delete All Join Edit il Propagate EDIES Guidance Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 11/29/2021 | HOOD05162003237808 Healthineers Page 4 of 7 Job Aid | MR Cardiac Function - RV Ventricular Analysis – Numaris X Effective Date: 11/29/2021 | HOOD05162003237808 IV. Select Join – Joins defined RV Contours to LV EPI Contours RV Analysis Refine Segmentation Endo Epi Pen Circle Nudge x X Control Freehand Delete Delete All Point Edit Edit Join i Propagate EDIES Guidance V. Return to First Slice and Edit Contours as needed 6. Create/Edit MR Cardiac Function Findings – Throughout MR Cardiac Analysis, all standard measurement tools are available to create findings  Standard Measurement Tools  Finding Details – results of current functional analysis are available  Wall Thickening Results of LV Functional Analysis – documented in an AHA-con- forming model  LV and RV Findings – can be created separately using corresponding buttons in the Findings Details a. MR Cardiac Function Workflow Step > select Create Findings Icon > Findings Details dialog box opens MR Cardiac Analysis CH + MR Cardiac Reading MR Cardiac Function Hide Lines Reset Normal Manual Create Mode Mode Findings Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 11/29/2021 | HOOD05162003237808 Healthineers Page 5 of 7 Job Aid | MR Cardiac Function - RV Ventricular Analysis – Numaris X Effective Date: 11/29/2021 | HOOD05162003237808 b. Findings Details dialog box – Choose Heart Rate of Patient  Heart Rate influences Cardiac Output Create Findings Patient Name MR_Cardiac Planning Age 45 Years Height 70.86614 inches Weight 176.2115 lbs Heart Rate 50 beats/min ( max:55; min:48; avg:50; med:49 ) c. If Sending Contours to PACS > choose a selection from Export Result Images  All  ED and ES  None: Default Create Findings × Patient Name MR_Cardiac_Analysis Export Result Images All Age 31 Years ED and ES Height 56 inches None Weight 200 lbs Heart Rate 87 Create LV Findings Create RV Findings beats/min ( max:90; min:83; avg:87; med:87 ) d. RV Functional Analysis > Check Box to select Long-Axis and Short-Axis (or) Short- Axis only Results Long- axis and short- axis . Short-axis only Export Results e. Click Create RV Findings Button – Findings are listed in Findings Navigator and added to the Report Create Findings X Patient Name MR_Cardiac_Analysis Export Result Images All Age 31 Years ED and ES None Height 56 inches Weight 200 lbs Heart Rate 87 beats/min Create LV Findings Create RV Findings ( max:90; min:83; avg:87; med:87 ) Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 11/29/2021 | HOOD05162003237808 Healthineers Page 6 of 7 Job Aid | MR Cardiac Function - RV Ventricular Analysis – Numaris X Effective Date: 11/29/2021 | HOOD05162003237808 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's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. 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. Copyright © Siemens Healthcare GmbH 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 11/29/2021 | HOOD05162003237808 Healthineers Page 7 of 7