MR Perfusion Mismatch - Numaris X

MR Perfusion Mismatch – Numaris X MR Perfusion Mismatch – Numaris X The MR Neurology workflow displays and evaluates Perfusion-Weighted images and calculates the comparative values (mismatch) between the Diffusion ROI and the Perfusion ROI. The mismatch result may help quantify the penumbra region. Note: MR Perfusion datasets must either use distortion-correction or non-distortion correction image data, you cannot combine both. 1. From the Patient worklist, load the Perfusion data set into the MR Neurology workflow. a. Right-click on the examination and select Open with > MR Neurology. KASUA Open Ctrl+O KA30A Open with Favorites View as Read-Only with Suggested Batch Open MK DIEVIS Assign Workflow MR Cardiac Analysis Cancel Workflow MR Neuro 3D MR Neurology Search Patient with DICOM Q/R MR Oncology * Add to Demo List MR Prostate Remove from Demo List MR Spectro Set Mark state > More 2. Case Navigator > Left-click on the Perfusion Mismatch icon. MR Neurology CE + MR Neurology Reading Single Learn Perfusion Mismatch Click Segments Maps Eval. Mean Brain Curve Morpho ... Neurolo ... Settings Viewing OH Pre-Contrast Unrestricted | Published by Siemens Healthineers AG, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/10/2025 | QR700018463 Healthineers 3. MR Neurology Reading > Perfusion Mismatch viewing layout is displayed. MR Neurology Series MR_Neurology Hopitaux Universitaire de Geneve MR_Neurology MR Neurology Reading Hopitaux Universitaire de Geneve Switzerland_MAC Ref: Congress Switzerland_MAC Ref.: Congress *1/1/1 960, M, 52Y Agra TIMM1960, M, 52Y 2605 7/25/2012 MR D14 830 HFS 7/25/2012 MR DI e@diff_3scan_trace_p2_ADC ILPR HFS 12 JBLtra_4mm_hemo 7/25/2012 10:08 PM Single Click Segments latast MR, Head_Ae_Stroke 109908 PM3 318 PM 1363 Mean Brain Neurolo .. Curve Morpho Settings viewing 1 _ze_tra_320 Pre-Contrast TP F32 TR 1020.0 TP F34 Post-Contrast SPF16.2 TE 25.0 SP F16.2 SL 1.3 3D Series FoV 240*323 BW 100.0 FoV 323 240 MPR THICK : ... NORMIDIS2D 192p*192 MPR THICK: MINORMDIS2D 208*256s Parametric Maps A3/PFPIFS Tra=Cor(-26)>Sag(20) A1 Tra>Cor(-26)>Sag(20) ce PZ (0) Morphometry Results HE1-4;NE1.2 W 2694 843 1258 HE1-4;NE1,2 409 ...... ep_b0_1000 / 90 "12dir / 20 V Mismatch Evaluation Slice Position ep2d_diff_3scan_t ... Mismatch Ratio Comb 0.0 0.0 0.0 0.0 % Findings Navigator Name Value Source o Current MR Ferfusion Maps Tools Align Full Text Hide Hide Lines Feset Graphics Timepol ... Edit Print Export Undo hetdo Layout Snapshot Image Image Save Finding Export To CSV Close 4. Select MMEval Ellipse ROI (or) MMEval Freehand ROI in the upper right corner menu. Distance Line MR_Neurology NTIGevalFreehand ROI Switzerland_MAC *1/1/1960, M, 52Y MMEval Ellipse ROI 2605 7/25/2012 ep2d_diff_3scan_trace_p2_ADC MMEval Freehand ROI latest Marker STUDY ID 1aaaa1 363 10:19:08 PM 7 IMAn.a. Arrow Angle VOI Freehand Text T TR 9305.0 TE 87.0 SP F16.2 SL 1.3 BW 1130.0 FoV 240*323 MPR THICK : ... NORM/DIS2D 192p*192 -89 A3/PFP/FS Tra>Cor(-26)>Sag(20) HE1-4;NE1,2 *ep_b0_1000 / 90 1258 Unrestricted | Published by Siemens Healthineers AG, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/10/2025 | QR700018463 Healthineers Page 2 of 5 5. Draw an ROI around the Diffusion abnormality in the upper left segment. (i.e., ROIs drawn on an image are displayed in all image segments in turquoise). a. ROI’s can be drawn on a single or multiple images. b. Multiple ROIs can be drawn on single or multiple images. ADC_MAP 6. In the lower left segment, select a Mismatch Evaluation ROI. a. Select MMEval Ellipse ROI (or) MMEval Freehand ROI in the upper right corner menu. (i.e., if the tool is already activated, you do not need to select it again). b. Draw an ROI around the Perfusion Area in the lower left segment. (i.e., ROIs drawn in the Perfusion area are displayed in Yellow). perfusion_F13_MOC Info: The mismatch calculation uses the ROIs of the upper and lower left segments, usually, diffusion and perfusion data. You can also load other image data in the left segments and create a mismatch evaluation of this data. (e.g., Dark Fluid TIRM and Diffusion data). Unrestricted | Published by Siemens Healthineers AG, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/10/2025 | QR700018463 Healthineers Page 3 of 5 7. Mismatch Evaluation Table. a. In the lower right segment, ROI’s and mismatch results are displayed in a table. b. The row marked with “Comb” combines the measurement results across all slice positions. 8. Select the Save Finding button. a. Findings are created for the mismatch evaluation. Info: If you modify a measurement afterwards, the Save Finding button changes to an Update Finding button. Use this button to update the existing finding with the updated measurement. 1. To create a new finding, click the close button in the Save/update Finding window: a. Choose Yes – create or update a new finding b. Choose No – deletes the findings and ROI’s 2. Select Mismatch Eval to start over again. 9. Export to CSV button (Optional step). a. Export results as a CSV file (comma-separated values file). Info: If needed, load further image data in the upper right segment and use these segments as a reference. This may help to find the correct positions of the diffusion and perfusion ROI’s. Info: If needed, select further slices, and proceed with the mismatch evaluation as described above as described. 10. Select the Close button. a. Exits mismatch evaluation and closes the layout. 11. Save Results. Save and Send: Results are stored on the system and sent to your archive. Save and Pause: Results are stored on the system. Unrestricted | Published by Siemens Healthineers AG, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/10/2025 | QR700018463 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 Healthineers AG 2025 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthineers AG Siemens Medical Solutions USA, Inc. Imaging & Therapy Systems Siemensstraße 3 40 Liberty Blvd. Magnetic Resonance 91301 Forcheim, Germany Malvern, PA 19355-9998 USA Henkestr. 127 Phone: +49 9191 18-0 Telephone: +1-888-826-9702 DE-91052 Erlangen siemens-healthineers.com Customer Care Telephone: Germany +1-800-888-7436 Telephone: +49 9191 18-0 Unrestricted | Published by Siemens Healthineers AG, 2025 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/10/2025 | QR700018463 Healthineers Page 5 of 5