MR CSF Flow - XA31 Job Aid

MR CSF Flow – Postprocessing Numaris X MR CSF Flow – Postprocessing Numaris X The MR Flow Quantification Step is used to determine flow and velocity parameters. 1. Patient Browser, load data set into MR Cardiac Analysis Workflow. a. Right-click on Patient Examination > select Assign Workflow > MR Cardiac Analysis. b. Double left-click on Patient to open. Cardiac Reading Step Common Tools include – Overview, Functional, Dynamic, Tissue Characterization, Combined, and Flow Data. 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. Select MR Flow Quantification step. MR Cardiac Analysis + MR Cardiac Reading Learn Create Segments Finding Overview Functional Dynamic Tissue Characterization Combined Flow MR Cardiac Function MR Flow Quantification O MR Cardiac Perfusion O Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/07/2022 | HOOD05162003277433 Healthineers 3. Perform Vessel Segmentation: a. Select a Through-Plane Phase Image with Flow. AFR Mflow_20_through-plane_PDATE202202041956204012ETAD STUDY ID 2aaaa0912 4:06:03 PM 33 IMA 20 RPH SL 6.0 TT 280.3 SPF34.8 FoV 145*160 TR 20.7 TE6.2 Tra>Cor(23) TA04:33 P2 PIND/RETRO RR 590 +/- 15: 465 heartbeats b. Select ROI1 icon – activates ROI Drawing. • Select Circle+ Tool to draw the ROI. Vessel Segmentation O RO11 ROI2 ROI3 RO14 O. Pen Circle Nudge Adjust One Click Segment -O Delete Delete All Copy Copy Backward Forward c. Draw ROI to include margins of the aqueduct. AFR flow_20_through-plane_PDATE202202041956204012ETAD STUDY ID 2aaaa0912 4:06:03 PM 33 IMA 20 RPH SL 6.0 TT 280.3 SPF34.8 FoV 145+160 TR 20.7 TE 6.2 Tra Cor(23)>Sag(1) TA 04:33 W 4074 p2 PIND/RETRO 229 RR 590 +/ 15; 465 heartbeats Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/07/2022 | HOOD05162003277433 Healthineers Page 2 of 5 d. Results – displayed graphically. Flow Peak-Vel Vel Net Flow Area ROM ROI2 ROI3 RO14 20 cm/s 10 20 40 50 60 70 80 90 100 % + 8 58 115 173 230 288 345 403 460 518 575 ms Start End 4. MR Flow Quantification Results – results of the current quantitative analysis are in the Findings Details. a. MR Flow Quantification Workflow Step > select Create Findings icon. b. Findings Details dialog box opens MR Cardiac Analysis Q + MR Cardiac Reading MR Cardiac Function O MR Flow Quantification Finding Vessel Segmentation c. If Background Phase Adjustment was performed: d. Evaluation Option Area is selected – Checkbox Background Phase Adjustment e. Invert Polarity icon – select to Invert the Velocity and Flow Values. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/07/2022 | HOOD05162003277433 Healthineers Page 3 of 5 f. Create Finding – select to Create a Finding for selected ROI. Repeat Step for each ROI created Create Findings X Patient Information Evaluation Options Patient Name MR_Cardiac_Analysis Background Phase Adjustment Age 2 Years Height 32.68 inches Start: 0 ms Weight 27 53 1hs End: 575.2 ms Heart Rate 67 beats/min Venc: cm/s Analysis ROI 1 ROI 2 ROI 3 ROI 4 Region Flow_ROI_1_F34.8 Create Finding Flow Velocity and Pressure Invert Polarity Avg Flow Over Range 0.033 ml/s Average Velocity 1.165 cm/s Avg Flow Per Minute 0.001 l/min Peak Velocity 6.777 cm/s Peak Flow 0.137 ml/s Time to Peak Velocity 280.25 ms Time to Peak Flow 265.5 ms Peak Average Velocity 4.796 cm/s Forward Volume 0.026 ml Time to Peak Average Velocity 250.75 ms Reverse Volume 0.007 ml Pressure Gradient (4Vmax2) 0.018 mmHg Net Forward Volume 0.019 ml Area Regurgitant Fraction 27.135 % Average Area 0.031 cm2 Body Surface Area 0.517 m2 Minimal Area 0.027 cm2 Avg Flow per Minute/BSA 0.002 l/min/m2 Maximal Area 0.036 cm2 Net Forward Volume/BSA 0.036 ml/m2 TXT Export Results Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/07/2022 | HOOD05162003277433 Healthineers Page 4 of 5 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 2022 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Imaging & Therapy Systems Henkestr. 127 91052 Erlangen, Germany 40 Liberty Blvd. Magnetic Resonance Phone: +49 9131 84-0 Malvern, PA, USA 19355-9998 Henkestr. 127 siemens-healthineers.com Telephone: +1-888-826-9702 DE-91052 Erlangen, Germany siemens.com/healthcare Telephone: +49 9191 18-0 siemens.com/healthcare Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/07/2022 | HOOD05162003277433 Healthineers Page 5 of 5