MR Software Upgrade: Numaris 4 to XA60 & XA61

Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Introduction Master Template HILS2218 | Effective Date: 25 Mar 2022 ? MR Software Upgrade: Numaris 4 to XA60 & XA61 Online Training This online training reviews the new platform features, new sequences, and application improvements for upgrading Numaris 4 (D & E) to the new MR XA60 and XA61 software. MAGNETOM MR Systems MR View&GO Platform & Coils New and Improved Sequences and Applications 1 4 3 2 Welcome Audio This online training reviews the new platform features, sequences, and applications for the MR, XA60 and xa61 software upgrade. The upgrade also includes comprehensive improvements to the existing scanners, and information on the new standard and optional applications. ? MR XA60 MAGNETOM Systems Numaris 4 (D & E) to XA60 software upgrade XA30 to XA60 Software Upgrade ? MAGNETOM MR XA60 Systems MAGNETOM Aera D & E to XA60 MAGNETOM Skyra D & E to XA60 MAGNETOM Prisma MAGNETOM Prismafit D & E to XA60 MAGNETOM MR XA60 Systems Audio The systems in the xa60 upgrade include the MAGNETOM MR Aera, Skyra, Prisma, and Prisma fit. ? MAGNETOM MR XA61 Systems MAGNETOM Avantofit D & E to XA61 MAGNETOM Skyrafit D & E to XA61 MAGNETOM MR XA61 Systems Audio The systems in the xa61 upgrade include the MAGNETOM avanto and skyra fit. MR Sequences & Applications ? MR Sequences & Applications Numaris 4 (D & E) to XA60 software upgrade Sequences & Applications ? MR Deep Resolve Gain1 What is it? What is it? How does it work? How does it work? What are the benefits? What are the benefits? PEPconnect Resources PEPconnect Resources Select each box for more information. 1Requires optional license MR Deep Resolve Gain Audio What is Deep Resolve Gain? It is a targeted denoising method used to increase Signal-to-Noise Ratio in the images. How does Deep Resolve Gain work? It uses the acquired MRI data to generate a noise map which reflects spatial noise variations. These noise maps are used as prior information in these iterative reconstruction processes, like compressed sensing. They are generated without needing to spend additional scan time and can be extracted from the raw data. The reconstruction algorithm takes local noise variations into account and enables stronger denoising where noise would be most dominant when reconstructing with conventional methods. This results in improved image quality and higher signal-to-noise ratio. No neural networks are used by Deep Resolve Gain. What are the benefits of Deep Resolve Gain? Increased Signal-to-Noise Ratio (SNR)., Shorter scan times, and improved image quality. Online Training: MR Deep Resolve - Numaris X Video: Deep Resolve – XA31 Job Aid: Deep Resolve XA31 PEPconnect Resources Increased Signal-to-Noise Ratio (SNR) Shortens scan time Improved image quality What are the benefits? Deep Resolve Gain uses the acquired MRI data to generate a noise map which reflects spatial noise variations. These noise maps are used as prior information in these iterative reconstruction processes, like compressed sensing. They are generated without needing to spend additional scan time and can be extracted from the raw data. The reconstruction algorithm takes local noise variations into account and enables stronger denoising where noise would be most dominant when reconstructing with conventional methods. This results in improved image quality and higher signal-to-noise. No neural networks are used by Deep Resolve Gain. How does it work? Deep Resolve Gain is a targeted denoising method to increase the Signal-to-Noise Ratio of images. What is it? ? MR Deep Resolve Sharp1 What is it? What is it? How does it work? How does it work? What are the benefits? What are the benefits? PEPconnect Resources PEPconnect Resources Select each box for more information. 1Requires optional license MR Deep Resolve Sharp Audio What is Deep Resolve Sharp? A deep neural network that improves MR image quality by increasing image sharpness. How does Deep Resolve Sharp work? During image acquisition, phase and frequency encoding lines can be reduced, thus reducing the amount of data and speeding up scan time. From the raw data, a low-resolution image is reconstructed in a first step. Next, Artificial Intelligence comes into play. The deep neural network in Deep Resolve Sharp has been trained on a vast number-of-pairs of low and high-resolution MR data. It reconstructs a high-resolution image from low resolution data and cross-checks this image with the measured data to ensure consistency. The result is an image with sharp edges and high resolution. What are the benefits of Deep Resolve Sharp? Increased image sharpness and a reduction in scan time. In addition, Deep Resolve Sharp uses Artificial Intelligence and a deep learning neural network. Online Training: MR Deep Resolve - Numaris X Video: Deep Resolve – XA31 Job Aid: Deep Resolve XA31 PEPconnect Resources Increased image sharpness Reduces scan time Artificial Intelligence and a deep learning neural network What are the benefits? During image acquisition, phase and frequency encoding lines can be reduced, thus reducing the amount of data and speeding up scan time. From the raw data, a low-resolution image is reconstructed in a first step. Next, Artificial Intelligence comes into play. The deep neural network in Deep Resolve Sharp has been trained on a vast number-of-pairs of low and high-resolution MR data. It reconstructs a high-resolution image from low resolution data and cross-checks this image with the measured data to ensure consistency. The result is an image with sharp edges and high resolution. How does it work? A deep neural network that improves MR image quality by increasing image sharpness. What is it? ? 1Requires optional license Deep Resolve Sharp1 How was it trained? The network in Deep Resolve Sharp was trained and validated on more than 10,000 images covering a broad range of contrasts, body regions, sampling patterns, and field strengths. The performance was characterized by numerous quality metrics including peak signal-to-noise ratio, structural similarity index, and perceptual loss. Table with 2 columns and 4 rows Dataset Size >10K images Dataset Compensation Broad range of different body regions, contrasts, sampling patterns, and field strengths (1.5T and 3T). Evaluation Criteria Quality metrics included PSNR, SSIM, and perceptual loss. Testing also included visual rating and evaluation of image sharpness by intensity profile comparisons of reconstructions with and without DR Sharp. Reference Standard Input data retrospectively generated from ground truth via data manipulation and augmentation including downsampling, (i.e., removal of high-resolution k-space data). Deep Resolve Sharp - Training Audio The network in Deep Resolve Sharp was trained and validated on more than 10,000 images covering a broad range of contrasts, body regions, sampling patterns, and field strengths. The performance was characterized by numerous quality metrics including peak signal-to-noise ratio, structural similarity index, and perceptual loss. ? 1Both Deep Resolve Gain & Deep Resolve Sharp require optional licenses MR Deep Resolve Gain1 & Deep Resolve Sharp1 Improvements Deep Resolve Gain and Deep Resolve Sharp supports: TSE Dixon Conventional Spin Echo (SE) Deep Resolve Gain is now compatible with Simultaneous Multi Slice (SMS) TSE Restrictions TSE is supported except for BLADE TSE DR Gain & DR Sharp Summary Audio: There have been some improvements for both Deep Resolve Gain and Deep Resolve Sharp. Both sequences now support Turbo Spin Echo Dixon and Conventional Spin Echo and are compatible with Simultaneous Multi-Slice Turbo Spin Echo.   There is a restriction, Deep Resolve Gain and Deep Resolve Sharp both support TSE, however, they do not support the BLADE Turbo Spin Echo sequences. ? Deep Resolve DR Gain + DR Sharp - Knee Deep Resolve Gain + Sharp - Knee Audio This Knee examination example compares a traditional customer whole knee protocol with both Deep Resolve Gain and Deep Resolve Sharp implemented. The overall scan time is 50% faster for the Deep Resolve protocol compared to the traditional customer protocol. ? MR Deep Resolve Boost1,2 What is it? What is it? How does it work? How does it work? What are the benefits? What are the benefits? PEPconnect Resources PEPconnect Resources Select each box for more information. 1Optional license 2High-end computing required MR Deep Resolve Boost Audio: What is Deep Resolve Boost? It delivers especially strong denoising for fast acquisitions from head-to-toe. Enabled by Siemens Healthineers first raw-data-to-image deep learning reconstruction. How does Deep Resolve Boost work? It uses raw data from a reduced, and thus faster scan as input. In an iterative process, a deep neural network is applied multiple times to generate an image with significantly reduced noise. The integration of raw data along the entire reconstruction process leads to an unmatched performance. The result is images with higher signal-to-noise ratios which are consistent with the measured data. What are the benefits of Deep Resolve Boost? Increased Signal-to-Noise Ratio, Faster scan times for Turbo Spin Echo sequences, Reduced noise, and the capability to combine Deep Resolve Boost with Simultaneous Multi-Slice, Turbo Spin Echo sequences. Deep Resolve Boost can be used for a variety of applications including, Neuro, Body, Musculoskeletal, Breast, Prostate, and more. Please note, that Turbo Spin Echo sequences are supported with the exception of BLADE Turbo Spin Echo and Dixon sequences. Online Training: MR Deep Resolve - Numaris X Job Aid: Deep Resolve Boost - USA PEPconnect Resources Increased Signal-to-Noise Ratio (SNR) Reduced Noise Faster scan times for Turbo Spin Echo (TSE) sequences Combine with Simultaneous Multi-Slice (SMS) Turbo Spin Echo (TSE) What are the benefits? Deep Resolve Boost uses raw data from a reduced, and thus faster scan as input. In an iterative process, a deep neural network is applied multiple times to generate an image with significantly reduced noise. The integration of raw data along the entire reconstruction process leads to an unmatched performance. The result is images with higher signal-to-noise ratios which are consistent with the measured data. How does it work? Deep Resolve Boost delivers especially strong denoising for fast acquisitions from head-to-toe. Enabled by Siemens Healthineers first raw-data-to-image deep learning reconstruction What is it? ? 1Requires optional license 2High-end computing required Deep Resolve Boost1,2 How was it trained? The network in Deep Resolve Boost was trained and validated on more than 25,000 images covering a broad range of contrasts, body regions, and field strengths. The performance was characterized by numerous quality metrics including peak signal-to-noise ratio and structural similarity index. Table with 2 columns and 4 rows Dataset Size >25K images Dataset Compensation Broad range of different body regions, contrasts, fat suppression techniques, orientations, and field strengths (1.5T and 3T). Evaluation Criteria Quality metrics included PSNR and SSIM. Radiological quality verification was also performed in a clinical setting on >400 patients. Reference Standard Input data retrospectively generated from ground truth via data manipulation and augmentation including undersampling, noise addition, and data mirroring. Deep Resolve Boost - Training Audio The network in Deep Resolve Boost was trained and validated on more than 25,000 images covering a broad range of contrasts, body regions, and field strengths. The performance was characterized by numerous quality metrics including peak signal-to-noise ratio and structural similarity index. ? Deep Resolve Boost & SMS TSE Faster knee exams T1 TSE p4 s2 0.2x0.2x3 mm3 TA: 15 sec PD TSE fs p3 s2 0.2x0.2x3 mm3 TA: 28 sec PD TSE fs p3 s2 0.2x0.2x3 mm3 TA: 36 sec PD TSE fs p3 s2 0.2x0.2x3 mm3 TA: 39 sec Deep Resolve Boost & SMS TSE - Knee Audio Want to acquire a knee examination in under 2 minutes? Simply incorporate Simultaneous Multi-Slice into your Deep Resolve Boost Turbo Spin Echo protocol. ? MR Deep Resolve Swift Brain1,2 1Optional license, exclusive on 3T systems for brain imaging 2High-end computing required What is it? What is it? How does it work? How does it work? What are the benefits? What are the benefits? PEPconnect Resources PEPconnect Resources Select each box for more information. Deep Resolve Swift Brain Audio: What is Deep Resolve Swift Brain? Is an ultrafast Brain protocol leveraging the fastest available imaging sequence, EPI. It is the combination of smart acquisition and a deep learning reconstruction method that delivers T1, T2 plus, T2-star, T2 Dark-Fluid, and Diffusion contrasts that can be acquire in any orientation, with a total acquisition time of only two minutes. How does Deep Resolve Swift Brain work? It utilizes a multi-shot Echo Planar Imaging approach that enables a faster acquisition. All contrasts for a routine brain exam are generated. The T-one sequence is based on a fast Gradient Echo sequence, and the diffusion sequence is single-shot E-P-I-based. The remaining contrasts are multi-shot E-P-I-based. Multi-shot EPI together with a new static field correction minimizes geometric distortions. Within this multi-shot E-P-I approach, T-two and T-two-star are measured simultaneously. What are the benefits of Deep Resolve Swift Brain? It is an Ultra-fast Brain examination. A fast GRE Reference Scan is used to speed up the acceleration reference data acquisition. A New static field correction is used to minimize EPI-intrinsic geometric distortions. And the new flow attenuation leads to reduced flow artifacts through optimized RF pulses and inverted interleaved slice ordering. Online Training: MR Deep Resolve - Numaris X Job Aid: Deep Resolve Swift Brain - USA PEPconnect Resources Ultra-fast brain examination Fast GRE Reference Scan to speed up the acceleration reference data acquisition New static field correction to minimize EPI-intrinsic geometric distortions New flow attenuation leads to reduced flow artifacts through optimized RF pulses and inverted interleaved slice ordering What are the benefits? Deep Resolve Swift Brain utilizes a multi-shot Echo Planar Imaging approach that enables a faster acquisition. All contrasts for a routine brain exam are generated. The T1 sequence is based on a fast GRE imaging sequence, and the diffusion sequence is single-shot EPI-based. The remaining contrasts are multi-shot EPI-based. Multi-shot EPI together with a new static field correction minimizes geometric distortions. Within this multi-shot EPI approach, T2 and T2* are measured simultaneously. How does it work? Deep Resolve Swift Brain is an ultrafast Brain protocol leveraging the fastest available imaging sequence, EPI. It is the combination of smart acquisition and a deep learning reconstruction method that delivers T1, T2 + T2*, T2 Dark-Fluid, and Diffusion contrasts that can be acquire in any orientation, with a total acquisition time of only two minutes. What is it? ? 1Optional license, exclusive on 3T systems for brain imaging 2High-end computing required Deep Resolve Swift Brain1,2 How was it trained? The networks in Deep Resolve Swift Brain were trained and validated on more than 25,000 images covering a broad range of contrasts and orientations. The performance was characterized by numerous quality metrics including peak signal-to-noise ratio and structural similarity index. Table with 2 columns and 4 rows Dataset Size >25K images Dataset Compensation Broad range of 3T brain images with different contrasts and orientations. Evaluation Criteria Quality metrics included PSNR and SSIM. Radiological quality verification was performed in a clinical setting on >100 patients. Reference Standard Input data retrospectively generated from ground truth via data manipulation and augmentation including undersampling and noise addition. Deep Resolve Swift Brain - Training Audio The networks in Deep Resolve Swift Brain were trained and validated on more than 25,000 images covering a broad range of contrasts and orientations. The performance was characterized by numerous quality metrics including peak signal-to-noise ratio and structural similarity index. ? 1Exclusive on 3T systems for brain imaging 2High-end computing required Deep Resolve Swift Brain1,2 Deep Resolve Swift Brain - when time is critical 0:21 min Net imaging time T1 0:21 min 0:42 min Net imaging time 1:33 min Net imaging time Ì 0:25 min 1:58 min Net imaging time T2* T2 Simultaneous Acquisition Diffusion 0:21 min T2 Dark-fluid 0:51 min SMS DWI DeepResolve Swift Brain - Timeline Audio When time is critical the Deep Resolve Swift Brain protocol can be implemented to reduce overall scan time without compromising image quality. ? Static Field Correction for EPI Along with the development of Deep Resolve Swift Brain1,2, a new static field correction has been developed to minimize geometric distortions in EPI-based imaging. Benefits Minimizes geometric distortions in EPI-based brain imaging. Note: Static Field Correction has been optimized for brain imaging, if used outside of the brain it may lead to suboptimal results. The Static Field Correction option is located on the Resolution > Filter parameter card for EPI based sequences. 1Optional license; Pre-requisite: Optional license Deep Resolve Swift Brain 2 Exclusive on 3T Systems for Brain Imaging Static Field Correction Audio: With the development of Deep Resolve Swift Brain, a new static field correction was created to minimize geometric distortions in EPI-based imaging. This new feature uses a B-zero map acquired in a respective pre-scan. If Deep Resolve Swift Brain was purchased, the parameter Static Field Correction can be found on the Resolution > Filter parameter card for all E-P-I, based sequences.   Please note static field correction has been optimized for brain imaging, however, if used outside of the brain it may lead to sub-optimal results. ? 1Requires optional license https://www.magnetomworld.siemens-healthineers.com/clinical-corner/case-studies/wave-caipi.html Wave-CAIPI SWI1 Wave-CAIPI SWI enables the extension of parallel imaging to three spatial dimensions as well as reducing the amount of noise in the reconstruction process. Shorter scan times compared to standard CAIPIRINHA. Applications High Resolution 3D Brain – Axial orientation Highlights and Benefits Extends parallel imaging techniques to all 3 dimensions Reduces potential noise in accelerated SWI acquisitions Achieve higher acceleration factors Not susceptible to image blurring and distortion artifacts Wave-CAIPI 6 TA: 1:46 min Wave-CAIPI SWI Audio Wave-CAIPI Susceptibility Weighted Imaging enables the extension of parallel imaging to three spatial dimensions. By doing so, it reduces the amount of noise in reconstructions resulting from accelerated acquisitions, when compared with standard parallel imaging techniques. This reduction in noise can be used to further accelerate acquisitions, resulting in shorter scan times compared to standard CAIPIRINHA. The WAVE-CAIPI, S-W-I sequence is used for high-resolution three-D Brain, axial imaging. Highlights and Benefits include: The ability to extend parallel imaging techniques to all three dimensions; a reduction of potential noise in accelerated S-W-I acquisitions, and the ability to achieve higher acceleration (PAT) factors. In addition, this sequence is not susceptible to image blurring and distortion artifacts caused by in-homogeneity of the main magnetic field. This can be attributed to the constant rate of k-space traversal along the readout direction. Wave-CAIPI S-W-I, requires an optional license. ? 1Standard (BLADE TGSE); Optional license: Simultaneous Multi-Slice (SMS) BLADE Diffusion with SMS Functionality1 What is BLADE Diffusion? BLADE Diffusion is based on a Turbo Gradient Spin Echo (TGSE) sequence. It employs a TSE-based sequence design that allows an EPI readout to collect multiple echoes around the main Spin Echo (SE). Highlights and Benefits New non-EPI based diffusion functionality based on BLADE TGSE sequence No geometric distortions in areas with large susceptibility changes (e.g., sinuses, inner auditory canal, etc.) BLADE Diffusion has reduced scan time when combined with SMS BLADE Diffusion with SMS ADC BLADE Diffusion with SMS B0 BLADE Diffusion with SMS B1000T BLADE Diffusion SMS Functionality Audio: BLADE Diffusion is based on the Turbo Gradient Spin Echo sequence. It employs a T-S-E-based sequence design that allows an E-P-I readout to collect multiple echoes around the main spin echo. By performing diffusion imaging with a non-E-P-I sequence, geometric distortions are eliminated in areas with large susceptibility changes such as the sinuses and inner auditory canal.   BLADE diffusion is recommended in situations where RESOLVE does not minimize geometric distortions sufficiently. With the additional purchase of the Simultaneous Multi Slice license, you can use S-M-S to reduce the total scan time of a BLADE diffusion sequence. ? 1Optional license SMS1 Faster Recon & SMS TSE Improvements Simultaneous Multi-Slice (SMS)1 – Faster Image Reconstruction Times. In rare cases, users running high resolution matrix sizes in conjunction with SMS imaging may incur memory issues with the measurement and reconstruction system. Benefits Reconstruction of highly resolved SMS data processing was optimized so memory issues shouldn’t occur. Faster image reconstruction times due to optimized data processing. SMS TSE1 – Improvements SMS TSE imaging can potentially suffer from distinct ghosting artifacts that can compromise image quality. These ghosting artifacts result from residual fat signal due to the difference in resonance frequencies between fat and water. The induced phase shift of the blip gradients in the SMS TSE sequence has been optimized. Benefits Reduction of fat related ghosting artifacts improving results image quality for SMS TSE. SMS TSE can be used for any contrast. SMS Faster Recon Audio: DIFFERENT THAN ORIGINAL – WILL NEED UNIQUE RECORDING Simultaneous Multi-Slice concurrently excites multiple slices with a multiband pulse and then spatially encodes their signal simultaneously. While conventionally this would have led to the images from each slice being overlaid on top of each other, excellent diagnostic images can be gained by separating the signals from each slice by using blipped CAIPIRINHA. By applying S-M-S, imaging can be accelerated by a factor equal to the number of slices that are excited simultaneously. It is also possible to combine S-M-S and conventional parallel imaging. In rare cases, users running high resolution matrix sizes in conjunction with S-M-S imaging can possibly incur memory issues with their Measurement and Reconstruction System. The data processing has been optimized such that these memory problems should no longer occur. In addition, S-M-S reconstruction times can be reduced by up to a factor of two.   S-M-S, T-S-E imaging can also potentially suffer from distinct ghosting artifacts resulting from residual fat signal, these can compromise image quality. This is due to the difference in the resonance frequencies between fat and water. Now that the induced phase shift of the blip gradients in the S-M-S, T-S-E sequence has been improved and optimized, this results in an effective reduction of fat-related ghosting artifacts. ? 1Optional license Simultaneous Multi-Slice (SMS) Dixon1 Benefits Excellent fat suppression Large FoV (or) off-centric exams can be performed (e.g., hand, elbow, wrist) Multiple image contrasts are acquired simultaneously (in-phase, out-of-phase, water, and fat) Highlights and Applications Musculoskeletal imaging PD TSE Dixon Water PAT 2 PD TSE Dixon Water PAT 2, SMS 2 Simultaneous Multi-Slice Dixon Audio: S-M-S, can now be applied to the Turbo Spin Echo DIXON sequence. This sequence is extremely useful for M-S-K imaging and has excellent fat suppression. It can be used for large Field-of-View imaging, or off-center exams, for example, hand, elbow, and wrist. In addition, this sequence is beneficial, when multiple image contrasts are acquired simultaneously, for example, in-phase, water, and fat. ? 1Optional license Simultaneous Multi-Slice (SMS) RESOLVE1 RESOLVE, b=100 s/mm2 RESOLVE, ADC map SMS RESOLVE, b=100 s/mm2 SMS RESOLVE, ADC map Benefits TR is shortened that is enabled by activating SMS Substantially reduces acquisition times Achieve thinner slices and more slices in the same volume Highlights and Applications Neuro and Breast MRI exams Simultaneous Multi-Slice RESOLVE Audio: S-M-S, can now be applied to the RESOLVE sequence. The ability to shorten the T-R, is enabled by activating S-M-S. The user can choose to substantially reduce acquisition time by reducing the TR or acquire a higher resolution scan. Typical regions where S-M-S RESOLVE can be used are for neuro or breast M-R-I exams. ? 1Standard license. Prerequisite: SMS license SMS1 EPI DWI Imaging – Fast GRE Reference Scan Fast GRE reference scan for SMS EPI DWI has a faster optimized version of the existing GRE Reference Scan. Kernels for both GRAPPA variants are derived from the same calibration data. Dummy scans for steady state preparation are now reduced, resulting in reference scan time reductions. Benefits Faster reference scan for SMS EPI image process results in shorter scan times Deep Resolve Swift Brain is an application that directly benefits from the new fast GRE Reference Scan SMS EPI DWI Imaging Audio: The fast G-R-E reference scan is a speed-optimized version of the already existing G-R-E reference scan where GRAPPA and slice GRAPPA kernel calibration require separate reference scans. In the new fast G-R-E reference scan, kernels for both GRAPPA variants are derived from the same calibration data. Therefore, dummy scans for steady state preparation could be reduced, resulting in additional reference scan time reductions. In summary, significant time savings for the S-M-S, E-P-I imaging process can be expected. Deep Resolve Swift Brain is a prominent application that can directly benefit from the new fast G-R-E reference scan. ? 1Optional license 2The MRI restrictions (if any) of the metal implant must be considered prior to the patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies as MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. Compressed Sensing (CS) SEMAC1,2 Applying Compressed Sensing acceleration to SEMAC to substantially reduce acquisition times. Benefits SEMAC supports CS acceleration with fixed acceleration in addition to conventional GRAPPA acceleration with selectable acceleration factors. SAR optimization is included, which reduces the energy applied by the SEMAC pulse sequence. Applications Musculoskeletal, optimized protocols are provided for the knee. Examples > Examples > Examples > Compressed Sensing SEMAC Audio: Compressed Sensing SEMAC enables musculoskeletal imaging in patients with whole joint replacements. It is based on a combination of SEMAC (Slice Encoding for Metal Artifact Correction) with Compressed Sensing under-sampling and iterative reconstruction with reduced scan times. In SEMAC, through-plane artifacts are minimized by encoding and combining the signal from neighboring slices to compensate for signal voids. The higher the slice encoding factor, the better through-plane artifacts are compensated. However, acquisition time is also increased. Typically, applied slice encoding factors are 10 to 20 resulting in a substantial increase in acquisition time. At 3T, traditional acquisition times can exceed 10 minutes, depending on the chosen slice encoding factor. By applying Compressed Sensing acceleration to SEMAC, acquisition times can be substantially reduced. SEMAC supports Compressed Sensing acceleration with fixed acceleration in addition to conventional GRAPPA acceleration with selectable acceleration factor SAR optimization is included, which reduces the energy applied by the SEMAC pulse sequence Optimized protocols are offered for knee examinations. Layer Image comparison of conventional imaging versus SEMAC, and Compressed Sensing with SEMAC. ? Compressed Sensing (CS) SEMAC1,2 SEMAC 9:45 minutes CS SEMAC 4:10 minutes; SEMAC = 15 Conventional 3 minutes 1Optional license 2The MRI restrictions (if any) of the metal implant must be considered prior to the patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies as MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. ? 1Optional license Compressed Sensing (CS) SPACE1 Compressed Sensing SPACE enables highly accelerated 3D imaging based on the SPACE pulse sequence with Compressed Sensing and iterative reconstruction. Best results can be achieved with contrast-rich high-resolution applications (e.g., T2 or T2 IR). Contrasts T1, PD, T2, T2 Dark-Fluid, Double-Inversion Recovery (IR), with or without Fat Suppression. Benefits Spatial and/or temporal resolution can be improved, and scan time reduced. Optimized protocols available for Brain, Musculoskeletal, Body (triggered and breath-hold 3D MRCP) applications. Examples > Examples > Examples > Compressed Sensing SPACE Audio: Compressed Sensing SPACE enables highly accelerated 3D imaging based on the SPACE sequence with Compressed Sensing and iterative reconstruction. Compressed Sensing SPACE can be acquired as a: T1, Proton Density, T2, T2 Dark-Fluid, or Double-Inversion Recovery, with or without Fat Suppression. Optimal results can be achieved using T2 or T2 Inversion Recovery protocols. With Compressed Sensing SPACE you can improve spatial and temporal resolution and substantially reduce scan time. Optimized protocols are available for the Brain, musculoskeletal, and Body, Triggered and breath-hold 3D, MRCP applications. Layer These images compare an MRCP examination using Compressed Sensing SPACE to a MRCP examination using i-PAT with GRAPPA. The Phase Encoding direction was changed to the Head-to-Foot direction on the Compressed Sensing SPACE MRCP, to avoid motion artifacts coming from the region of the liver. ? 1Optional license Compressed Sensing (CS) SPACE1 CS Acceleration 20 – Triggered TA = 2:47 min GRAPPA p3 Triggered TA = 7:07 min ? 1Optional license Compressed Sensing (CS) Time-of-Flight (ToF)1 Examples > Examples > Examples > Compressed Sensing Time-of-Flight uses under-sampling combined with iterative reconstruction. Spatial and/or Temporal Resolution can be improved Combination of ToF and CS reduces measurement time Acceleration Factors are typically between 6-10-fold acceleration Enables 0.4 mm isotropic ToF acquisitions in 2 minutes Applications Head ToF MR Angiography (intracranial vasculature) Compressed Sensing - Time of Flight Audio: Compressed Sensing Time-of-Flight uses under-sampling combined with iterative reconstruction. This can be used to improve spatial and, or temporal resolution. By combining Compressed Sensing with Time-of-Flight, scan time can be reduced, and higher Acceleration Factors between 6 to 10 can be used. This enables a 0.4 milli-meter isotropic Time-of-Flight acquisitions to be acquired in approximately two minutes. This sequences is available for both 3-T and 1.5-T. Applications includes Head Time-of-Flight, M-R Angiography (intracranial vasculature). CS ToF Layer The Time-of-Flight sequence used an i-PAT acceleration factor two, compared to these Compressed Sensing, Time-of-Flight sequences that used various Compressed Sensing acceleration factors. Note the reduction in scan times. ? 1Optional license Compressed Sensing (CS) Time-of-Flight (ToF)1 CS Acc. = 4.4, 4:59 min CS Acc. = 7.2, 3:15 min CS Acc. = 10.3, 2:25 min PAT = 2, 5:33 min ? Compressed Sensing (CS) GRASP-VIBE (ToF)1,2 1Optional license 2 Pre-requisite: High-end computing options. CS GRASP-VIBE (Golden-angle RAdial Sparse Parallel) makes it possible to conduct dynamic contrast-enhanced abdominal free-breathing examinations. 3D Spoiled Gradient Echo (Radial VIBE) Includes FREEZEit+ Auto Bolus Detection at reconstruction times Configure exam phases in terms of start time relative to the auto-detected bolus arrival, duration, temporal resolution Self-gated for further reduction of residual motion blur Applications Dynamic Liver 3D examinations Patients who cannot perform breath-holds Prostate examinations Compressed Sensing GRASP-VIBE (ToF) Audio Compressed Sensing GRASP-VIBE (Golden-Angle Radial Sparse Parallel) makes it possible to conduct dynamic contrast-enhanced abdominal free breathing examinations. The acquisition is performed in one continuous run, using a golden-angle stack-of-stars radial scheme that reduces motion and provides the flexibility to choose the temporal resolution at reconstruction time based on the users needs. The temporal resolution may even vary over the duration of the scan. Reconstruction is performed using a Compressed Sensing accelerated iterative algorithm with per-voxel through-time regularization. The algorithm also automatically recognizes the typical phases in liver dynamics and therefore has the capability to only reconstruct a subset of clinically relevant images with respective labeling. Applications includes, Dynamic 3-D liver, Prostate examinations, and for patients who cannot perform breath-holds. ? CS Cardiac CINE Segmented1,2 1Optional license 2Pre-requisite: High-end computing option CS Cardiac CINE Segmented Prospective acquisition is used for patients that have arrhythmia. Retrospective acquisition is used for patients with no to mild arrhythmia. Benefits High Acceleration Factors Faster imaging without loss of diagnostic detail CS Cardiac CINE Segmented Audio Compressed Sensing CINE Segmented, can be either a prospective or retrospective acquisition. It is an alternative sequence that can be used for cooperative patients, that can hold their breath and have no significant arrythmias. Higher acceleration factors, and faster imaging times can be achieved without loss of diagnostic detail. ? PSIR HeartFreeze - Cardiac1 1Optional license PSIR Heart-Freeze with motion compensation algorithms enables high-resolution PSIR imaging in free-breathing. Benefits High-Resolution PSIR imaging in free-breathing Extends benefits of cardiac MRI to patients with arrhythmias or that cannot hold their breath. Increases efficiency with shorter scan times PSIR Heart Freeze Audio PSIR Heart-Freeze with motion compensation algorithms enables high-resolution PSIR imaging in free-breathing. Extending the benefits of Cardiac M-R-I, viability assessment to patients with arrhythmia, or who that cannot hold their breath. Benefits include, the ability to acquire free-breathing, high-resolution PSIR imaging. Extending the benefits of Cardiac M-R to patients with arrhythmia or that cannot hold their breath. Increased efficiency with shorter scan times. ? High Bandwidth Inversion Recovery1 Cardiac Tissue Characterization 1Optional license at 1.5T only High Bandwidth Inversion Recovery uses a wideband technique to reduce susceptibility artifacts. Protocols for 1.5T only Segmented PSIR breath-hold HeartFreeze Single-Shot with free-breathing PSIR Benefits Extends cardiac Inversion Recovery imaging to patients prone to susceptibility artifacts Myocardial tissue characterization based on Inversion Recovery imaging. Standard High Bandwidth GRE Segmented Protocol Cardiac Tissue Characterization Audio High Bandwidth Inversion Recovery, uses wideband techniques to reduce susceptibility artifacts. It extends the benefits of tissue characterization to these patients enabling them to receive diagnostically, robust imaging, to visualize myocardial injury using tissue characterization. Protocols include, a Segmented PSIR breath-hold, and Heart Freeze Single-Shot with free-breathing PSIR. This protocols are available for 1.5-T, MAGNETOM M-R Systems only. High Bandwidth Inversion Recovery, extends cardiac imaging to patients prone to susceptibility artifacts. Myocardial tissue characterization is based on Inversion Recovery imaging. ? 1Optional license MR Elastography (SE-EPI MRE)1 Spin Echo, Echo Planar Imaging MR Elastography (SE-EPI MRE) The Spin Echo Single-Shot (SE-EPI MRE) EPI sequence acquires multiple slices in a single short breath-hold. It is robust against signal dephasing effects. (e.g., especially at 3T). Applications Higher sensitivity for patients with Iron load Larger measurable area of liver stiffness Not sensitive for T2* decay Sequences SE-EPI MRE (recommended) Rapid GRE MRE Fractional GRE MRE GRE MRE standard MR Elastography (SE-EPI MRE) Audio: The Spin Echo, Echo Planar, MR Elastography Protocol is based on a Spin Echo single-shot Echo-Planar-Imaging sequence. It acquires multiple slices during a single short breath-hold, and is more robust against signal dephasing effects, especially at 3-T. This technique is optimal for patients with Iron Overload, since it offers a larger measurable area of liver stiffness and is not sensitive to T-2-star decay. Available sequences includes, Spin Echo, E-P-I, M-R-E is (recommended for M-R Elastography), however, Rapid Gradient Echo M-R-E, Fractional Gradient Echo-M-R-E, and Gradient Echo-M-R-E sequences are also available. The Spin-Echo, E-P-I, M-R-E is an alternative to a Gradient-Echo-type sequence for M-R-E. It combines a Spin Echo sequence with fast Echo-planar imaging readout. The advantages of using a Spin Echo, E-P-I based approach is a higher robustness in patients with iron overload and a higher signal-to-noise ratio of the wave images compared with Gradient-Echo-based M-R-Elastography. ? ZOOMitPro ZOOMit ZOOMitPro 1Optional license ZOOMitPro (PRO: Partially ROtated)1 Spin Echo based sequence (refocusing pulse) shifts side excitations in the slice direction. The refocusing pulse is Slice Selective and doesn't refocus the side excitations, so no signal is acquired from them. Benefits Less image blur, respiratory motion, and off-resonance artifacts (metal implants) Reduced RF pulse length, and Echo Time Increased Signal-to-Noise Ratio (SNR) Available for 1.5T, 3T, non-pTx, and pTX systems. ZOOMit Audio ZOOM-it-PRO, allows for high-resolution and fast selective volume-of-interest diffusion-weighted imaging of the prostate, pancreas, kidneys, breast, or brain. With Zoomed E-P-I, there is substantially less image blur and respiratory motion artifacts and significantly higher diagnostic confidence. With the optimized pulse sequence scheme this acquisition technique is more robust in the presence of off-resonance effects, for example, metallic implants. Additional benefits are dependent on the protocol, but may include: Reduced Radiofrequency pulse length, and Echo Time and increased Signal-to-Noise. ZOOM-it-Pro, is available for 1.5-T, 3-T, non-p-T-x, and p-T-X, MAGNETOM M-R, Systems. ? VIBE Phase Encoding Order Motion artifacts may occur in the slice direction, when using a VIBE sequence with or without fat suppression. This results in cloud-like artifacts in the subtraction images. Reduce motion artifacts in VIBE sequences by choosing the appropriate Phase Encoding Order for the body region being imaged. Phase Encoding Order Slices in Lines is used when motion is in the slice direction. Lines in Slices is used when dominant motion is in the phase encoding direction. Non-FS VIBE Subtraction Phase Encoding Order Lines in Slices Non-FS VIBE Subtraction Phase Encoding Order Slices in Lines VIBE Phase Encoding Order Audio When using a VIBE sequence without Fat Saturation or without regional Fat Saturation, motion artifacts may occur in the slice direction, resulting in cloud-like artifacts in the subtraction images. With syngo M-R XA60, in addition to the “Automatic” Phase Encoding Order, you also have the flexibility to choose the Phase Encoding Order. The choice of “Lines in Slices” or “Slices in Lines” would depend on the needs of the body region being imaged. The choice of the appropriate Phase Encoding Order enables you to be able to reduce or change the appearance of motion artifacts. Slices in lines, acquires one line for all slices and then proceeds to the next line. This option is beneficial if you have more motion in the slice direction. It can also help reduce signal fluctuations in breast protocols without fat saturation, especially in subtracted images. Lines in Slices acquires all lines for one slice and then proceeds to the next slice. This option is beneficial when dominant motion is in the phase encoding direction. These subtraction images in the Breast were acquired using a Non-fat saturated VIBE sequence. Note the cloud-like artifacts seen when the Phase Encoding order “Lines in Slices” is chosen, as indicated by the arrow. To reduce these artifacts, select the Phase Encoding Order “Slices in Lines”. ? 1Optional license Pseudo Continuous Arterial Spin Labeling (PCASL)1 2D and 3D PCASL can achieve significantly higher perfusion signal/time. It uses a narrow labeling plane through which flow-related adiabatic inversion of arterial spins occurs. The tagging is performed immediately proximal to the imaging volume and thus minimizes signal loss from the decay of labeled blood. Benefits Increased number of slices and thinner slice thickness in the same acquisition time Less transit time dependency/increased perfusion homogeneity Improved background suppression method for 3D PCASL Faster 3D acquisition with iPAT rCBF color map is included with 3D sequence Improved signal and image quality Pseudo Continuous Arterial Spin Labeling Audio: P-CASL significantly achieves higher perfusion signal over time. P-CASL uses a narrow labeling plane through which flow-related adiabatic inversion of arterial spins occurs. The tagging is performed immediately proximal to the imaging volume and thus minimizes signal loss from the decay of labeled blood. As a result, P-CASL has the following benefits: Increased number of slices and thinner slice thickness in the same acquisition time. Less transit time dependency/increased perfusion homogeneity. Improved background suppression method for 3-D P-CASL. Faster 3-D acquisition when using i-PAT. Relative Cerebral Blood Flow color map is included with 3-D sequence Improved signal and image quality. P-CASL is available for both 2-D A-S-L and 3-D A-S-L. The 2-D, A-S-L sequence provides quantitative information while 3-D, A-S-L sequence only offers qualitative information. ? 1Standard license for MAGNETOM 3T systems only. HASTE Diffusion @3T1 HASTE Diffusion reduces geometric distortions with non-EPI based acquisitions. Functionality has been available on other <1.5T systems and is now extended to 3T. Benefits HASTE Diffusion now available on 3T MAGNETOM MR systems Comprehensive diffusion portfolio with single-shot EPI, RESOLVE, BLADE, and HASTE Diffusion Mainly used for reliable detection of Cholesteatoma HASTE Diffusion @3T Audio HASTE Diffusion reduces geometric distortions with non-E-P-I based acquisitions. This functionality has been available on other M-R systems equal to or less than one-point-five Tesla for a while and has now been extended to three-Tesla MR systems. HASTE Diffusion is intended only to be used for the detection of cholesteatoma. The addition of HASTE Diffusion to the three-Tesla MR systems, provides a more comprehensive diffusion portfolio that includes: single-shot E-P-I, RESOLVE, BLADE, and HASTE Diffusion. ? 1Standard license for sequence; Postprocessing is an optional license Multi-Dynamic Multi-Echo (MDME) sequence for SyMRI1 Turbo Spin Echo (TSE) MDME is a sequence variant which acquires multi-contrast data with: Multiple delays times (MD) after a preparation pulse Multiple Echo times (ME) Free choice of: Echo Time (TE), TR, Inversion Delay (TI) TSE MDME is a prerequisite to: Generate synthetic MR images to analyze brain myelinization with the postprocessing application offered by Synthetic MR. Use: Sequence generates Magnitude and Phase images that can be used as input data for the postprocessing application SyMRE of Synthetic MR AB to generate synthetic images and to perform myelin mapping. Purchased from: Siemens Open Apps store (https://store.teamplay.siemens.com/). SyntheticMR AB mapping (www.syntheticmr.com). Note: A license for SyMRI® must be obtained from SyntheticMR AB. This sequence must not be used in combination with any other software application. Click here for additional information MDME Sequence for syMRI Audio: The Turbo Spin Echo Multi-Dynamic Multi-Echo is a sequence variant which acquires multi-contrast data with multiple delays times after a preparation pulse and multiple echo times. The sequence generates magnitude and phase images that can be used as input data for the postprocessing application for Synthetic M-R, A-B to generate synthetic images and to perform myelin mapping. The sequence is protected under U-S patent and users are not allowed to process the data by other means. Using the software solution Synthetic M-R-I® of SyntheticMR AB the M-D-M-E data is converted into quantitative R-1 and R-2 relaxation rate maps and proton density maps. These maps can be displayed as synthetic images of, for example, T-1-Weighted, T-2-Weighted and Dark-Fluid Turbo Inversion Recovery Magnitude with a free choice of echo time, repetition time and inversion delay time settings. Head imaging will be recognized providing an automatic calculation of brain volume, white matter, gray matter, and myelin volume. ? Motion Correction for TSE with Multiple Averages TSE and HASTE Motion Correction is an image-based motion correction technique used for Turbo Spin Echo imaging. Motion correction employs a non-rigid elastic registration applied to consistently align the images before averaging. Optimized and validated for Prostate TSE imaging. Benefits Motion Correction in the average dimension reduces image blurring that would result from organ movement between averages. Note: Not compatible with Deep Resolve Boost. Motion Correction for TSE Audio: Turbo Spin Echo motion correction is an image-based motion correction technique used for T-S-E and HASTE sequences. This motion correction technique employs a non-rigid elastic registration to consistently align the images before averaging. This feature has been optimized and validated for improved prostate T-S-E imaging.  The benefit of adding motion correction to a T-S-E prostate sequence would be to reduce image blurring resulting from organ movement between averages.  This option is located on the Sequence, part two parameter card, under Motion Correction, Registration of Averages. In addition, please note that the motion correction for T-S-E is not compatible with Deep Resolve Boost. 1Optional license 2Standard license 1Available for the Prisma and Prismafit only. BioMatrix SliceAdjust1 – B0 Variation Conventiontional Volume Shim (VE Software) Single global shim per volume may lead to inconsistent local frequencies in slices at the interface between stations. BioMatrix Slice Adjust (XA60A Software) Dynamic slice-dependent shim reduces susceptibility induced B0 inhomogeneity and associated pixel shift artifacts in EPI and TSE. Conventional Volume Shim VE-line Software BioMatrix SliceAdjust XA60A Software Slice-by-Slice Shimming Static Global Volume Shim BioMatrix SliceAdjust - B0 Variation Audio: BioMatrix Tuner with SliceAdjust provides precise slice-by-slice tuning of resonance frequency, transmitter voltage, first order B-zero-shim and B-one-shim. Slice-Adjust for whole spine diffusion involves multiple table moves and uses volumetric shimming. Prior to X-A-sixty software, distortions present between the multi-station volumes lead to broken spine artifacts. To reduce these artifacts, you would have been forced to image using a significant overlap between table moves or reduce the field-of-view along the z-direction. With the new X-A-sixty Slice-Adjust technology, the patients’ individual anatomy is accounted for and adjusted with slice-by-slice shimming. This dynamic slice-dependent shim reduces the susceptibility-induces b-zero inhomogeneity and the associated pixel shift artifacts for both Echo-planar-imaging and turbo-spin-echo. The active volume changes during the measurement and the adjusted control parameters are dynamically adjusted using first order shim. ? Breast Biopsy1 1License included with Breast Biopsy license. Pre-requisites: Breast Biopsy Software license, Breast Biopsy Coil and Grid or Post&Pillar Device and Fiducial marker. Improvements Improvements Device Settings Device Settings MR Breast Biopsy MR Breast Biopsy Breast Biopsy - Auto-detection of fiducial markers The functionality now supports breast biopsy by automatically selecting fiducial markers. Through automatic selection, a user can approve the selected marker. Once approved, the marker is highlighted with a yellow arrow in the images. Benefits Guidance for intervention planning and execution for both grid and post/pillar methods. Automatic extraction of coordinates for the selected target and calculation of required point of entry, angulation (post/pillar method) and penetration depth. Guidance for intervention planning and execution for both grid and post/pillar methods. Projection of needle path on the planning images for control. Select each tab for more information. Breast Biopsy - Improvements Audio New functionality is now available that supports the breast biopsy user by automatically selecting the fiducial marker. After the automatic selection, the user will have the ability to approve the selected marker. Following approval, the marker is highlighted with a yellow arrow in the image segment. The benefit of the automatic detection of the fiducial markers, provides improved breast biopsy workflow since the user no longer needs to manually scroll or navigate through the images to select the fiducial marker. Device Layer The automatic fiducial marker detection can be activated in the device settings pre-configuration dialogue. Biopsy Layer After the automatic detection of the fiducial marker, the marker is displayed and labeled in the “Markers” field. The approved marker is also highlighted with a yellow arrow in the image segment. Marker is displayed and labeled in Marker field. Approved marker is highlighted with a yellow arrow. Automatic fiducial marker detection is activated in Device Settings pre-configuration. ? 1Pre-requisites: Physiological Sensors. Disclaimer: The statements by the Siemens’ customer described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results. Physiologging1 – EPI BOLD & EPI PACE What is it? What is it? Highlights & Benefits Highlights & Benefits What does it do? What does it do? Select each box for more information. Physiologging - EPI BOLD/PACE Audio: Physio-logging enables the extraction of physio data via a checkbox Log Signals, on the Physio > Signal tab. Click on the checkbox to activate. As a new feature, time stamps are added to allow easier synchronization of physio data to corresponding f-M-R-I data acquired with either E-P-I, Two-D, BOLD or E-P-I, two-D, PACE. This will help correct f-M-R-I data for physiological motion and noise. All parameters recorded by internal physiological sensors are then available in a convenient data format for further offline processing. These physio curves are stored in a separate DICOM file including timestamps, which can be archived. The Physio-Extractor tool is required for Physio-logging data handling, and is only available on the IDEA DVD or MAGNETOM World. Timestamped physiological data for easier synchronization with fMRI data acquired with either EPI 2D BOLD or EPI 2D PACE. Recording can be started on the Physio > Signal parameter card. Click on the Log Signals checkbox. Physio Curves (data) are stored as a separate DICOM file, which can be archived. PhysioExtractor tool is required for physiologging data handling. The tool is only available on the IDEA DVD or MAGNETOM World. Highlights & Benefits Disclaimer: The statements by the Siemens’ customer described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results. Disclaimer Time stamps are added to allow easier synchronization of physio data to corresponding fMRI data using EPI BOLD or 3D PACE. This helps the user correct fMRI data for physiological motion and noise. All parameters recorded by internal physiological sensors (e.g., BioMatrix Respiratory Sensor, Respiratory Belt, ECG, Pulse Sensor, and BioMatrix Beat Sensor) are then available in a convenient data format for further online processing. What is it? Disclaimer: The statements by the Siemens’ customer described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results. Disclaimer ? Physiologging1 – EPI BOLD & EPI PACE 1Pre-requisites: Physiological Sensors. Disclaimer: The statements by the Siemens’ customer described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results. Planned Physiologging Access time-synced sensor data for fMRI scans as part of the DICOM study Sample code available for extraction Available for EPI BOLD & EPI PACE HIDE ON TOC Audio During the data acquisition, all signals are recorded by internal physiological sensors, such as the BioMatrix Beat Sensor, BioMatrix respiratory sensor, respiratory sensor, and E-C-G. ​ Together with the imaging data, the visual data is being recorded within the raw data files.​ With Physio-logging you can access the data in an easily accessible text data format. It is stored as log files, that are simple tables with time stamps and signal values for further offline processing.​ A compressed xml structure containing the physio curves and time-stamps is also embedded in an additional non-image DICOM file. ​ ? 1Optional feature; The information shown herein refers to products of 3rd party manufacturer’s and thus are in their regulatory responsibility. Please contact the 3rd party manufacturer for further information. MR Injector Coupling1 Bayer Healthcare and Siemens Healthineers – jointly developed a hardware and software interface (ISI – Injector Scanner Interface) enabling active coupling between the injector and the MR Scanner. Benefits: Improved operational efficiency Increased confidence Saves time Features: Synchronized start of injection and scanning Reduced user interactions Complex, timed exams with auto-voice commands are fully supported Remote operation models of the MR scanner MR Injector Coupling Audio: Contrast-enhanced MR imaging procedures, such as M-R angiography or dynamic contrast-enhanced imaging in oncology, require precise timing of the contrast injection and M-R data acquisition to hit the first pass of contrast agent in the body region or tissue of interest. Bayer Healthcare and Siemens Healthineers have jointly developed a hardware and software interface (Injector Scanner Interface) enabling active coupling between the injector and the MR scanner. It establishes a direct and constant data stream between the MR scanner and the injector control system, allowing a technologist at the MR operator console to release injections remotely. Combined with intuitive guidance provided by the myExam Angio Assist or the myExam Abdomen Assist, this provides a self-contained, intuitive workflow for high-quality and consistent contrast-enhanced procedures. ? 1Purchasable license for all XA60/XA61 systems. Needle Intervention Add-In (NIA)1 Application Needle Intervention Add-In enables a user-friendly planning workflow. Define the needle trajectory by setting the entry and target points based on images shown in the Graphic Slice Positioning segments (GSP). Planning includes the Localization and verification of the planned entry point on the patient’s skin. Visualization of Needle Intervention Automatic alignment of imaging slices with the planned trajectory is used to monitor when target point is reached. Needle Intervention Add-In Audio: The Needle Intervention myExam Assist Add-In provides a user interface for workflow improvements for M-R-guided needle interventions during real-time imaging, as well as laser-based localization of the entry point and automatic slice positioning. The Needle Intervention Dot Add-In provides three registration tabs for Planning, Marking and Real Time Imaging. In the Planning step, you will set up the Entry and Target Point markers. The Marking step is used to verify the entry point on the patient’s skin. The Real Time Imaging step provides progress visualization of the needle intervention. The Nordic Neuro Lab in-room monitor can also be purchased and used by the interventionalist to follow the needle position and trajectory inside the scan room. ? 1Optional feature. MR Protocols Module – Mass Protocol Editing1 The MR Protocols Module is a standalone myExam Cockpit that offers a central workplace for protocol configuration and management for one or more scanners in your fleet. You can install the software on a standalone workstation or virtual PC. Benefits: Edit and distribute protocols across scanner type and configurations without interrupting scanner operation. All parameters on the parameter cards and properties are accessible. Multiple parameter changes can be performed in one procedure step. Highlight changes for easier identification of protocol changes. History of changes made are listed in an overview. Mass Protocol Editing Audio: The MR Protocols Module is a stand alone my Exam Cockpit that offers a central workplace for protocol configuration and management for one or more scanners in your fleet. Install the software on a standalone workstation or virtual pc. You can perform efficient mass protocol editing for nearly all parameters and highlight changes for easier identification of protocol changes. The ability to perform mass protocol editing reduces the effort needed when modifying and managing protocols. All parameters on the parameter cards and properties are accessible and multiple parameter changes can be performed in one procedure step. Once all the changes have been applied, review these under the History of Changes section. This selection tracks the changes made to the master protocols. Platform Improvements ? MR Platform Improvements Numaris 4 (D & E) to XA60 software upgrade Platform Improvements ? *Standard license. **Not available on the MAGNETOM Avantofit MR system. ***Not available on the MAGNETOM Avantofit and Skyrafit MR systems. MAGNETOM MR Numaris X – New Branding MAGNETOM MR Numaris X systems have rebranded the names for the Dot Engines and the Dot Cockpit. Dot Cockpit is now called myExam Cockpit. Dot Engines are now called myExam Assist. Table with 2 columns and 7 rows Previous Dot Engine New myExam Assist Brain Dot Engine* myExam Brain Assist* Spine Dot Engine myExam Spine Assist Large Joint Dot Engine myExam Large Joint Assist Abdomen Dot Engine myExam Abdomen Assist Whole-Body Dot Engine myExam Whole-Body Assist Breast Dot Engine myExam Breast Assist Table with 2 columns and 7 rows Previous Dot Engine New myExam Assist Angio Dot Engine myExam Angio Assist Cardiac Dot Engine myExam Cardiac Assist RT Dot Engine myExam RT Assist** LiverLab Dot Engine myExam LiverLab Assist Prostate Dot Engine myExam Prostate Assist myExam MR Advanced Angio Assist*** New Branding Audio: REVISED AUDIO The Dot Engines have moved to the new Siemens Healthineers branding: my Exam Companion. For MAGNETOM MR scanners running on Numaris X, my Exam Companion features include the Dot Engines which are now referred to as my Exam Assist. And the Dot Cockpit is now called my Exam Cockpit. New myExam Assist protocols include: myExam Prostate Assist; myExam Whole-Body Assist; and myExam Liver-Lab Assist. ? Siemens Healthineers User Interface (SHUI) New layout for Numaris X platform users. New design, more intuitive and user friendly New color scheme Orange oblong shaped buttons Updated font Access / Title bar top of screen Cybersecurity with syngo system security and Windows 10. User Interface Audio: The new Siemens Healthineers User Interface is a user-centric control center for patient registration, scanning, post-processing, and image distribution. The Exam User Interface has new branding and has name has changed from Exam to the my-Exam User Interface. The new layout and design is more intuitive and user friendly. Additional features, include: a new queue design, Color scheme, Orange, oblong shaped buttons, additional icons, updated font, and a new access title bar at the top of the screen. In addition, cybersecurity with syngo system security and windows ten is included in this software update. ? myExam Assist Protocols1 Click each button to learn more about myExam Assist Protocols. LiverLab LiverLab LiverLab Prostate Prostate Prostate Whole Body Whole Body Whole Body 1Optional license. myExam Assist Protocols Audio: My-Exam Liver-Lab Assist, evaluates iron and fat content of the liver. It is an important step in monitoring early stages of disorders like non-alcoholic fatty liver disease, which is on the rise due to changing nutritional habits. Liver-Lab non-invasively provides information on liver fat content and iron overload. My-Exam Liver-Lab Assist workflow is used for the detection of liver deposition disease (fat, iron, combined) with guided workflow steps and fully automated post-processing. Results are intuitively displayed in a color bar and maps that include: (fat fraction and R2*) indicating fat/iron overload. Liver Lab provides an assessment of fat concentration and iron overload. My-Exam Prostate Assist is designed for fast, reproducible and standardized prostate M-R examinations. It supports multi-parametric, multi-plane M-R imaging according to the latest PI-RADS version-two-point-one recommendations. The operator is guided through one comprehensive workflow with decision points to adapt the strategy to individual patient conditions, while artificial intelligence provides support for planning and performing the procedure steps. My-Exam Whole-Body Assist, allows easy, seamless planning of multi-parametric, multi-station exams with automated recognition of individual anatomy. The Whole-Body Dot Engine also provides consistent settings for spatial resolution, image contrast, and breath-hold capacity. The workflow includes a landmark-based automatic segmentation of the anatomical regions based on a Fast View scan. AutoCoverage, supports multi-region examinations covering the thorax, abdomen, pelvis, and extensions toward the head and legs. This additional regions are easily added using the coverage slider. Auto Bolus detection is available for a focus region in the Abdomen (liver). This workflow supports both 2-D and 3-D acquisitions in the Axial and Coronal orientations. myExam Whole-Body Assist myExam Whole-Body Assist1 Easy and seamless planning of multi-parametric, multi-station exams with automated recognition of individual anatomy. Click here for screen image. Benefits Landmark-based automatic segmentation of the anatomical regions based on a FastView scan AutoCoverage – scan range across the chest, abdomen, and pelvis can be easily defined with coverage slider Automatic overlap of stations Additional stations for head and leg coverage can be added using the coverage slider AutoBolus detection for focus region Abdomen (liver) Supports 2D and 3D acquisition in the Axial and Coronal orientations myExam Prostate Assist1 Fast, reproducible and standardized Prostate MR Examinations. It supports multi-parametric, multi-plane MR imaging according to the latest PI-RADS v2.1 recommendations. Benefits One comprehensive workflow with decision points to adapt the strategy to individual patient conditions Artificial intelligence provides support for planning and performing the procedure steps Adapt workflow to site-specific requirements myExam LiverLab Assist1 Evaluating the iron and fat content of the liver is important step in monitoring early stages of disorders like nonalcoholic fatty liver disease. Benefits Workflow for the detection of liver deposition diseased (fat, iron, combined) with guided workflow steps Fully automated postprocessing Results displayed in a color bar and maps (fat fraction/R2*) indicate fat/iron overload LiverLab provides an assessment of fat concentration and iron overload ? myExam User Interface (UI) Click each button to learn more about the myExam User Interface. Home Screen Home Screen Home Screen System Shutdown System Shutdown System Shutdown myExam User Interface Audio: Home Layer To Access the Home Screen icons, click on the Home icon. On the Home screen you will have access to the: System Check icon, click on the icon to open Customer Service Portal and check the M-R System status. The myExam Cockpit icon, provides an overview of all the measurement programs and myExam Assist programs available in your system. Organize, create, modify, and manage measurements sequences and protocols. The Examination icon, opens the myExam User Interface to access the Scheduler, Patient Registration, or a workflow already opened. The Lock icon, locks the M-R workplace Shutdown layer In addition, the Home Screen icon, provides the following system related processes to: Restart , Shut Down, Restart the Workplace, or put the M-R system in Standby, Home Screen Icon Restart MR System Shut Down MR System Restart Workplace Standby System Home icon – Access Home Screen icons. System Check – status of MR System and opens Customer Service Portal. myExam Cockpit icon – create and manage examination programs. Examination icon – opens myExam UI to access the Scheduler, Patient Registration, or a workflow already opened. Lock Icon – locks workplace. ? Scheduler The Scheduler is the entry point to the examination workflow at the acquisition workplace. Functions Visualizing/Retrieving planned procedures and corresponding patient data for the scanner from the Radiology Information System (RIS) Adding, Deleting, and/or Correcting planned procedures and corresponding patient data before the examination starts Searching for patients, procedures, and retrieving prior studies Indication of the Procedure status Calling up the Patient Browser to see the studies belonging to the selected patient Grouping related procedures of a patient for a single examination workflow Starting the examination Managing the procedure status (MPPS) Next > Next > Next > Scheduler Audio: The Scheduler is the entry point to the examination workflow at the acquisition workplace. In the Scheduler, you can search for planned procedures and corresponding patient data, start the examination, or open the Patient Browser to see the studies obtained from a procedure performed on the selected patient. The Scheduler provides the following functionality: Visualize, or retrieve planned procedures and corresponding patient data from the scanner. This includes both the procedures scheduled in the Radiology Information System and locally registered procedures. Add, delete, or correct planned procedures and corresponding patient data locally at the acquisition workplace. before the examination starts. Search for patients, procedures, and retrieve prior studies, and find out the Procedure status. Call up the Patient Browser to see the studies belonging to the selected patient, and group related procedures of a patient for a single examination workflow on the scanner. You can also start the examination and manage the procedure status in the scheduler. Toolbar icons Layers – audio for each bullet The Toolbar is located on the right side above the Patient Registration and Program Selection content area. The Toolbar provides access to the following tools: Use the Emergency Patient icon to perform a fast patient registration with minimal input. The mandatory fields of the patient registration are filled with default values. You can change any of these values depending on your knowledge of the patient. The data is saved, and the examination is started. The patient data can be corrected after the examination is completed and the additional patient information is available. Use the Register Patient icon to register a new patient for an examination. Add an additional examination to a patient already registered, if more than one procedure is scheduled, for example, cervical and thoracic spine examinations. The Patient Query icon is used to retrieve patient data and procedure data from a selected RIS. This icon is only available is the system is connected to a Radiology Information System. Use the Broad Query to refresh the patient list within a specified time range. To Delete a Procedure, click on the icon, to remove the locally registered patient from the Patients list if the examination hasn’t started yet. Toolbar Icons Delete Procedure Removes a locally registered patient from the patient list if the examination has not started. Toolbar Icons Patient Query Retrieve patient data and procedure data from the RIS. Only available if system connected to the Radiology Information System (RIS). Broad Query Refresh the patient list within a specified time range. Toolbar Icons Register Patient Register a new patient at the acquisition workplace. Add Examination Add a procedure to a registered patient. Toolbar Icons Emergency Patient Fast Registration of a patient, with minimal input. Toolbar Icons Select the icons to view the name and description of each. Screen Layout Patient List Content area of Patient Registration (or) Program Selection tab Toolbar Patient Registration & Program Selection Tabs Search and Filter Area Hover over each marker to reveal the name of the area. Next > Next > Next > ? Patient Registration and Orientation 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 Patient Registration The Patient Registration tab of the Scheduler enables you to view and correct patient and examination data. Orientation There are two options for patient orientation; Standard and Special. Select each number to view Patient Registration & Orientation features. Patient Registration & Orientation Audio In the Patient Registration tab of the Scheduler, you can view and correct patient and examination data. The Patient Registration window has new options regarding how the patient is orientated on the table for an examination. Click each number below to view patient registration and orientation features. Patient Registration Layer In the Patient Registration tab of the Scheduler, you can view and correct patient and examination data. The Patient Registration window consists of the following fields: Patient Data fields to specify the patient information. Mandatory Fields are marked by an asterisk and safety-relevant information is indicated by an orange bar and needs to be validated and confirmed. Examination Information, includes information about the procedure. Such as the Accession Number, Requested Procedure I-D, Study Description, and Study Comment. Program Selection, is where you select the measurement program. The first entries of the selection list are procedure dependent program favorites sorted according to the frequency of use. These favorites are updated automatically after an examination is started. To delete the favorites manually, click on the down-arrow, select an entry from the list, then right-click, and choose remove item from list. The Radiofrequency Transmit Mode selected is defined for the entire examination. Any Polarization, allows elliptic, circular, and linear polarization. This mode is recommended for general use cases. For pregnant patients or patients with M-R Conditional implants, Circular Polarization (C-P Mode) may be required. Always check the user manual and documentation of the implant to decide under which conditional the M-R examination can be performed. Use C-P mode only for measurements with the Body Coil and not for measurements with local transmit and receive coils. Body Part and Laterality, entries are predefined when building the protocol in my Exam Cockpit. Laterality, is only activated if doing a body part where you can select Both, left, or right. For example, left knee or bilateral hips. Patient Orientation, choose how the patient is orientated and was placed on the patient table. Save, patient and procedure data in the Patients list is saved once selected. The patient is now scheduled for an examination. Local Data, opens the Patient Browser to visualize studies belonging to the selected patient. Prior Studies, opens the Prior Studies dialog box to search for previous patient studies. Exam, concludes the registration process and triggers the examination. Before selecting the Exam button, ensure that all mandatory fields are completed, and that the appropriate exam was selected on the Program Selection card. Patient Reg & Orientation Layer The Patient Registration window has new options regarding how the patient is orientated on the table for an examination. The user can “Click” on “Standard Orientation” or “Special Orientation” to toggle between the two displays. The new Special Orientations include Superman Wrist Supine, Superman Wrist Prone, Superman Elbow Supine, and Superman Elbow Prone. The user can then continue with the patient registration process using the routine workflow. These new Superman Patient Positions are also important to ensure the S-A-R is calculated correctly. Program Selection Layer In the Program Selection tab of the Scheduler, you can enter, check, and correct the patient data relating to scanning. The Patient Data entered on the Patient Registration tab is read-only. Double check the entries to ensure all the patient data entered is accurate. Since no edits can be made on the program selection tab, return to the Patient Registration tab if you need to correct any of the patient data entries. Under All Programs, browse and select the protocol in either the Siemens or the User trees. Select a measurement program or my Exam Assist program for the examination. The Examination Information area, includes specific settings that may have been selected on the Patient Registration tab. If not selected already, make your selections now. Click on the Exam button once all data entry has been entered, to finalize Patient Registration and trigger the start of the examination. Multi-Study Exam Layer Multi-Study Registration- Multiple studies can be registered for requested procedures. A multi-region examination, involves more than one part of the body in a single examination workflow. For example, a multi-study examination might include the cervical, thoracic, and lumbar spine. If multiple procedures are requested, the Examination Information area is extended, and the procedures are consecutively numbered, and displayed with their individual procedure information. Enter the Study, Accession number, Reg Procedure I-D, Study Description, and the Study Comment. The Program, and Study Parts are mapped. In a multi-study examination, study parts are needed for programs performing multiple requested procedures in one examination. For each requested procedure, one study is created. The procedure data belonging to the study part is assigned accordingly, for example, the Accession Number. Complete all additional mandatory fields and select the Exam button to complete the registration and start the examination. Patient Registration – Multi-Study Examination Examination Information Procedures are consecutively numbered Displayed with individual procedure information Program & Study Parts are mapped Patient Registration Program Selection Patient Data The Patient Data entered on the Patient Registration tab is read-only. All Programs Browse and select protocols in either the Siemens or the User trees. Examination Information Includes specific settings that may have been selected on the Patient Registration tab. Select each marker to display the feature. New Superman Patient Positions: Wrist & Elbow Important for SAR calculation You will be able to click on Standard Orientation or Special Orientation to toggle between the orientation options. Patient Registration and Orientation Standard Orientations Special Orientations Patient Data Examination Information Program Selection Radiofrequency (RF) Transmit Mode Body Part & Laterality Patient Orientation Save button Local Data button Prior Studies button Exam button Patient Registration Tab Select each marker to hear a description of the feature. ? Patient Browser (Local Data) 1 1 1 1 2 2 2 2 Select each number to view features in the Patient Browser. Patient Browser (Local Data) Audio The Patient Browser is the entry point for searching and managing patient data, studies, series, and instances (images). To access the Patient Browser, click on the icon to open the window. Click the numbers at the bottom to view features in the Patient Browser. Patient Browser 1 Layer The Patient Browser window consists of the following areas: The Work list bar, can display a maximum of 5 work lists. These work lists can be created, or you can modify an existing work list. The Search Area, enables you to perform a quick search, or you can search using advanced filters. The Toolbar, includes various system functions. For example, Help, configuration, Job View menus and more. The Results list, shows data that matches the current search criteria. Click on the pull-down to switch from a list of Studies to a list of Patients. The Series list, shows the series of a selected study. Select Thumbnails to view an image for each series or select List to see a list of series included in a Study. Patient Browser 2 Layer The Results List, shows data that matches the current search criteria. The Series List, shows the series of the study selected. The Instance List, displays images and results of a selected series. And, the Procedure List, shows the requested procedure. In addition, you can send images to View and GO, delete, correct, add, or rearrange patient data, studies, series and instances. Import or export patient data, or load patient data for additional advanced post-processing, for example, into M-R, Spectroscopy, M-R ,Cardiac Analysis. Patient Registration and Orientation Results Lists Shows data that matches current search criteria. Series List Shows series of a selected study. Instances List Images and results of selected series. Procedure List Shows requested procedures. Select each marker to play a description of each feature. Additional Features Send images to View&GO. Delete, correct, add or rearrange patient data, studies, series, and instances. Import/export patient data. Patient Browser Click icon to open the window. Work List Maximum of five work lists shown. Search Area Perform a Quick Search or search with advanced filters. Toolbar Buttons include Help, Configuration, Job Views and more. Results list - Study/Patient View Switch View to either Patient View or Study View. Series List - Thumbnail/List View Thumbnail – shows a thumbnail for each series. Series List – shows series of the study selected. Select each marker to play a description of each feature. ? myExam User Interface (UI) 1 1 1 1 2 2 2 2 Select each number to view features in the Examination Screen. myExam User Interface Audio The examination screen displays once a patient has been registered for an exam. It provides specific interactive tools, dialog boxes, and other interface elements to support the management of individual tasks during the examination. Click the numbers below to view the features of the examination screen. UI 1 Layer The Patient Tab, displays the patient registered for the examination. The Queue includes all the sequences of a protocol, including any contrast pauses. Additional sequences can be added to the Queue during scanning. The Planning Segments, display the reference images in each segment. These are used for Graphical Slice Positioning. Stamp Segments, display previously measured images from the current examination. Each stamp segment represents a series. The Exam toolbar, is in the lower left corner of the examination screen. This toolbar provides quick access to essential functions for setting up and controlling an examination. Parameter Cards, contain all measurement parameters for the current open sequence, these parameters can be modified during the examination. The Status Bar, contains information about system functions, for example, server load, storage capacity, scanning and reconstruction info, exedra. Protocol info line, shows the measurement time for the open sequence, coil selection mode, acceleration factor, voxel size, and relative signal-to-noise. Physio display, is used for physiologically triggered measurements. The signal type and number of signal tracks can be selected in the context menu and displayed on the Exam User Interface. UI 2 Layer GSP Flyout Toolbar provides the tools for graphical slice positioning in the planning segments. This feature will be covered in more detail later in this course. The Inline Display is used to view and control the reconstructed images during the measurement in progress. Select each marker to play a description of each feature. GSP Flyout Toolbar Inline Display Patient tab Queue & Add-In Area Planning Segments Stamp Segments Exam Toolbar Parameter Cards Status Bar Protocol Info Line Physio Display Select each marker to play a description of each feature. ? myExam User Interface - Queue 1 1 1 1 2 2 2 2 Select each number to view features in the Queue. myExam UI - Queue Audio The queue in the exam user interface provides information about the measurement in progress. Click the numbers below to view the features of the examination screen. UIQ1 Layer You can interact with some areas in the queue, for example, turning the working man on and off, extending the size of the queue, determine if the series is reconstructed, or drag the images into the planning segments to the position slices, field-of-view, and saturation bands. UIQ 2 Layer The color coding in the queue defines if the measurement is in progress, completed, open, selected, or if a sequence has not been executed. The copy reference flags define the source and targets for copy references set up in the measurement queue. Selected Protocol – Gray with an orange indicator bar Measurement in Progress - Green Completed Measurement - Black Sequence not executed in queue Copy Reference flags Note: Copy References and Copy Parameter functionalities have not changed with the Eline to Numaris X software upgrade. Hover over each marker to display the feature. Series icon Measurement time of sequence Remaining overall measurement time Toggle between Normal & Extended size of the queue Opened protocol Working Man Off sequence runs Working Man On indicates sequence needs to be planned Hover over each marker to display the feature. ? GSP Flyout Toolbar The GSP Flyout Toolbar automatically opens once the icon is activated. Click the +/– buttons to modify the Stack, Gap, and FoV. Add Slice Group 3 Point Mode Radial Slices Saturation Band Group Graphics Stack +/- Gap +/- FoV +/- Line Mode Package Mode Oversampling Open/Close Flyout Toolbar Image Text Ref Lines Coils Table Line Adj Volume Tools Pinning GSP Flyout Toolbar Audio: The G-S-P flyout toolbar provides the tools for graphical slice positioning in the planning segments. The flyout toolbar is displayed by clicking the arrow at the center top of the planning segments. The GSP flyout toolbar is closed manually by clicking the arrow again or automatically when certain tools of the flyout toolbar are activated. The Graphical Slice Positioning Flyout toolbar in the User Interface can be pinned when planning and conducting an examination. When pinned the tools in the Flyout toolbar are always visible in the my-Exam User Interface. If un-pinned the tools are accessible in the Flyout toolbar, click on the arrow to access the toolbar. Please note that the flyout toolbar pin preference is not saved. When a new exam is started the default setting returns to unpinned. GSP – Center Line for 2D & 3D Scan Planning Center-line displayed for slice group planning Align the 2D slices or 3D slab group perpendicular to anatomical structures. Dashed center line along the pivot point of the slice/slab group in the slice direction is displayed. Benefit Center line along the slice direction aids in precise positioning along anatomical structures. ? GSP - Center Line Audio: When planning the next measurement step, you can align 2D slices or 3D slab group perpendicular to the anatomical structures with the aid of the center line. While you are positioning the slice or slab group, the Graphical Slice Position displays a dashed center line through the pivot point of the slice or slab group in the slice direction. This center line is designed to facilitate precise positioning along the anatomical structures such as the brainstem, spinal cord, or septal wall. As soon as the user releases the mouse button, the center line disappears for clear visualization of the underlying anatomy. Please note that no center line is displayed if the slice orientation is parallel to your planning image plane, for example, if you plan a sagittal slice stack on a sagittal image. Application Application Application Application Table Positioning Strategies IsoCenter (ISO) IsoCenter (ISO) IsoCenter (ISO) IsoCenter (ISO) Fixed (FIX) Fixed (FIX) Fixed (FIX) Fixed (FIX) Local Range (LOC) Local Range (LOC) Local Range (LOC) Local Range (LOC) Select the tabs above to learn about the three table strategy modes as well as applying these modes during an examination. Table Positioning Strategies Audio None ISO Layer The option for Table Positioning Strategies has three modes you can use to dictate how or if the patient table moves during an examination. When using Iso-Center mode, if the slice or slab group is moved, the table moves to the iso-center of that slice, group, or region of interest. This way the slices are always at iso-center for optimal image quality. Applications include large anatomical regions, for example, Spine, Liver, Pelvis, and Long Bone examinations. LOC Layer The Local Range Table positioning strategy is based on an examination-specific Field-of-View area and a focus position defines the center of the Field-of-View. Slice groups within the Field-of-View are measured without repositioning the patient table. When you move the slice group within the Field-of-View, the table position remains unchanged. In the planning segments, a small triangle indicates the current table position. Applications include small anatomical regions, for example, Head, Knee, or Hear, where table movements are not needed. FIX Layer The Fixed Table position helps avoid unintentional table movement during interventions triggered by running sequences with different iso-centric positions or to enable off-center scanning. Fixed table mode performs all measurements at a set table position. If the slice or slab is placed outside of the Field-of-View, the table does not move. Applications include smaller anatomical regions, for example, Interventional, Biopsy, and Ablation examinations. Application Layer You can modify the positioning strategies during an examination. First ensure that no sequences are running. Select a Sequence not Executed in the Queue. Right-click select Insert Table Positioning Strategy, Select a Strategy – ISO, Local Range, FIX. Then, Click GO. The table position can be changed during an examination. No sequences should be running. Select a sequence not executed in the Queue. Right-click and select Insert Table Positioning Strategy. Select a strategy: ISO, LOC, or FIX. Click Go. Fixed (FIX): Performs all measurement at a set table position Table doesn’t move during exam (fixed table position) Slice/Slab group placed outside isocenter, table doesn’t move GSP Segment – small triangle indicates a fixed table position Applications – Interventional examinations (e.g., Biopsy, Ablation Exams) Local Range (LOC): Based on Examination-Specific FoV area and a Focus Position defines the center of FoV Slice Groups within FoV Area are measured without repositioning the Patient Table When a Slice Group is moved within the FoV Area, table position remains unchanged GSP Segment – small triangle indicates current Focus Position Applications – smaller examination regions (e.g., head, knee, heart) when table moves are not necessary IsoCenter (ISO): Protocol Table Position is like Scan Region Center Slice Groups - table moves to IsoCenter for best image quality Table moves to IsoCenter of Slice/Slab group after the sequence is applied Applications – large anatomical regions (e.g., spine, liver, pelvis, and long bone) ? Auto Coil Select (ACS) Modes ACS selects the most suitable set of coil elements from any of the plugged-in coils within the Field-of-View (FoV). ACS Modes ACS All but Spine selects all coils (e.g., hand/wrist, knee, etc.) within the Field-of-View (FoV) except the spine coil. ACS Restricted restricts the coils/coil elements that are considered by Auto Coil Select. Auto Coil Select is located on the System > Miscellaneous parameter card > Coil Selection. Auto Coil Select Modes Audio: The selection of coils and coil elements is an essential step during the setup of every MRI protocol. It ensures that all regions within the field of view are scanned with optimal signal and that regions outside the field of view do not disturb the image, for example by in-folding artifacts. Auto Coil Select chooses the most suitable set of coil elements from any of the plugged-in coils within the Field-of-View. The two Auto Coil Select modes make that functionality more robust, flexible and less error prone. They include Auto Coil Select All but Spine and Auto Coil Select Restricted these modes now make it possible to use Auto Coil Select for all body regions and coil combinations. Auto Coil Select all but Spine mode selects all the coils within the Field-of-View except the spine coil. This mode is typically used for Orthopedic applications, for example, hand, wrist, knee. Auto Coil Select Restricted mode restricts the automatic coil element selection to coils that have been preconfigured in the Coil Selection window. Auto Coil Select is located on the System, Miscellaneous parameter card, under Coil Selection ? Voice Commands – User Recorded Default Language Set user-recorded voice commands as the default language for MR Examinations. From the Access bar, click the Configuration icon. From the Configuration Panel, select Scan Application tab. Under Default Language, select your preferred language. Click OK. Hint – You cannot have a patient registered when setting the default language, adding a pre-recorded voice command, or if you are recording a voice command within the configuration menu.  Voice Commands Audio: You can now set user-recorded voice commands as the default language for your M-R Examinations. This way, the voice command can be applied to any sequence without additional operator interaction. To save the default language for the user recorded voice commands, select the Configuration icon. In the Configuration Panel, click the Scan Application tab, then select the preferred Default Language. Next, click Ok, to accept these changes. Please note, you cannot have a patient registered when setting the default language, adding a pre-recorded voice command, or if you are recording a voice command within the configuration menu. However, the current patient language can be changed after the patient is registered. ? Open Recon1 What is it? What is it? Highlights & Benefits Highlights & Benefits Interface Features Interface Features Select each box for more information. 1Standard license included with Advance Now. Open Recon Audio: Open Recon is a developer-friendly interface that facilitates the creation and deployment of innovative MR reconstruction algorithms. The Open Recon framework only allows F-D-A, cleared third party algorithms to be imported for clinical use. Open Recon is found on the Inline, Open Recon parameter card. The results are displayed in the user interface and appear in the DICOM data base. Highlights and Benefits include: Simplified reconstruction environment for between Siemens Healthineers and partners. F-D-A cleared third party image reconstruction techniques and machine learning directly at the scanner. Convenient access to a dedicated Inline, Open Recon Parameter Card. And Customized reconstructions for the: image-to-image domain and the raw data-to-image domain. Interface Features Inline Use Run custom prototype image reconstructions on the scanner. 3rd Party or Customer Algorithm Select 3rd party or customer reconstruction algorithms. User Friendly Interface Adapt parameters provided by the algorithm like on any other parameter card. Simplified reconstruction environment for between Siemens Healthineers and partners FDA cleared 3rd party image reconstruction techniques and machine learning directly at the scanner Convenient access to a dedicated Inline > Open Recon parameter card Customized reconstructions for both in image-to-image as well as raw data-to-image domains Highlights & Benefits Open Recon is a developer-friendly interface that facilitates the creation and deployment of innovative MR reconstruction algorithms.  What is it? ? MR OpenApps@Scanner1 1Standard feature, applications must be purchased from OpenApps digital marketplace. Siemens Healthineers and our Portfolio MR Partners expand clinically approved applications from 3rd party partners to MAGNETOM MR Systems. OpenApps@Scanner Audio M-R Open Apps at the Scanner provides an opportunity to access and run an expanding variety of clinically approved applications from Siemens Healthineers and our partners directly on your MAGNETOM M-R scanner.  With Open Apps at the Scanner, connect your MAGNETOM M-R system to the Siemens Healthineers Digital Marketplace. You can benefit from the integrated store which is your new way to organize and discover apps from Siemens Healthineers and other third-party vendors.  The store enables you to browse, trial licenses, download apps, and request quotes directly on your MAGNETOM M-R system.  While M-R-Open-Apps at the Scanner is a standard feature, all the applications must be purchased from the Open-Apps digital marketplace. ? 1Available for the Aera – purchasable option. Flex Loop Large (FLL) Coil1 The Flex Loop Large is a flexible single-channel loop coil with a large opening. The coil loop diameter is approximately 19 cm. Coil released for 1.5T only Pre-requisite Flex Coil interface Applications Interventional procedures for various body regions (e.g., abdomen and pelvis). The ideal needle entry point for interventional procedures is within the loop coil. (1) Coil Loop (2) Coil Plug Flex Loop Large Coil Audio: The new Flex Loop Large single-channel coil is a flexible loop coil with a large opening that is approximately 19 centimeters. Optimal image quality is obtained from the area inside the loop coil ring. This coil is used for examinations in the abdomen, pelvis, prostate, and for interventional procedures. This coil has only been released for 1.5 Tesla MR systems Wrist Wrist Wrist Wrist UltraFlex Coils – Small & Large 18 Footnote Ankle Ankle Ankle Ankle Hip Hip Hip Elbow Elbow Elbow Elbow Select each tab to view applications of UltraFlex channel coils. UltraFlex Coils Audio The Ultra-Flex eighteen channel coil is available in sizes small and large. Depending on the area to be examined, the coil is positioned on the patient and is used to image that anatomical region. For example, the following regions of the body can be examined: Hand, wrist, Elbow, shoulder, Hip, knee, Foot, ankle, Head, and neck. ? Contour Coils 24 and 481,2,3 Click each button to learn more about Contour Coils. T2 TSE Images T2 TSE Images T2 TSE Images Contour Coils Contour Coils Contour Coils 1Optional license for MAGNETOM Aera and Skyra with or without Tim TX TrueShape. 2Pre-requisite: Tim (204x48) configuration or higher. 3Contour Coil 48 is not available on the MAGNETOM Avantofit and Skyrafit MR systems. Contour Coils - 24 & 48" Audio: Depending on the area to be examined, the coil is positioned on the patient and is used to image the area of the body that it covers, for example, the abdomen. You can combine two Contour 24 coils with the Velcro adapter strap to form the Contour 48. Depending on the requirements, this coil may be used in either the head-first or feet first orientation. Contour 48 Contour 24 T2 TSE Sag 0.8 x 0.8 x 3mm TA 2:21 min T2 TSE Tra 0.6 x 0.6 x 3mm TA 3:07 min MR View&GO ? MR View&GO Numaris 4 (D & E) to XA60 software upgrade MR View&GO ? MR View&GO Viewing and postprocessing applications for all types of basic operations. This is required by technologists for image quality assurance during scanning. During scanning, as soon as the series reconstructs, it automatically loads into MR View&GO. Features: Zoom, Pan, Rotate, Windowing, ColorLUTS 2D, 3D (MPR, MIP, MinIP, VRT), 4D Measurements (Line, Circle, Angle, ROI, etc.) Position Display Image calculations (Subtraction, ADC/b-Value, Distortion Correction, ImageFilter, etc.) Mean Curve, Composing, Ranges (Parallel, Radial, Radial Sliced, Curved) Send and Archive to DICOM nodes Printing MR View&GO Audio MR View and Go, covers your daily routine work with respect to quality assurance, basic postprocessing, filming, as well as sending and archiving results at your system. Advanced MR applications can be started for dedicated postprocessing functions in separate panels in the access bar. During scanning, as soon as the series reconstructs, it automatically loads into M-R, View and GO. ? MR View&GO – Overview Hover over each marker to display the feature. Access Bar Displays icons that include the Patient Browser, Scheduler, Home Screen, and Patient tabs of Examination and MR View&GO. Series Panel Shows thumbnails or a list of series. Image Area Displays images and series in the segments. Favorite Tools area Provides preferred tools used for viewing the images, access to the Tool Gallery. This includes all available viewing, measurement, display types, and processing tools. Controls/Icons Used to save or complete an examination. Case Navigator Displays available steps and their corresponding functions. Tabs to open or close Tabs include MR View&GO, Series, and Printing. MR View&GO tab A new tab will open when a new patient is registered. A maximum of 3 MR View&GO data sets can be opened at one time. MR View&GO - Overview Audio The screen layout of MR View&GO consists of an image area and several panels. These panels can be adjusted according to your needs. The image area and panels consist of the following: An Access bar, displays icons that include the Pt. Browser, Scheduler, Home Screen and Patient tabs of Examination, and M-R View and GO. The Series Panel, shows Thumbnails or a list of series. The Image Area, displays images and series in the segments. Favorite Tools, provides preferred tools used for viewing the images, and access to the Tool Gallery, that includes all available viewing, measurement, display types, and processing tools. Control icons are used to save or complete an examination The Case Navigator, displays available steps and their corresponding functions The Tabs indicate the individual parts of M-R, View and GO. Click to open or close the tabs. Available tabs include M-R, View and GO, Favorite Tools, Series, and Printing. MR View&GO tab, a new tab will open when a new patient is registered. A maximum of three, M-R, View and Go data sets can be opened at one time. ? MR View&GO – Viewing The Maximum Number of open Patient Tabs = 4. Includes (1) tab for MR Exam and (3) for MR View&GO. Scanner Symbol – current patient being registered and being scanned. If 4 patient tabs are open, a new Patient is registered, and the acquisition has started the far-right patient tab closes automatically. MR View&GO - Viewing Audio A Maximum of four Patient Tabs can be opened at one time. So, if one tab is open for the current M-R Exam, three additional tabs can be opened for M-R View and GO. If not currently scanning, then four M-R View and GO tabs can be opened. You can navigate between these tabs at any time, this allows you to view and postprocess data, continue scanning, then return where you left off to either finish viewing or postprocessing the image data. If four patient tabs are open, a new Patient registered, and the acquisition has started, the far-right patient tab closes automatically. The Scanner Symbol, signifies the current patient registered for an examination, or the current patient being scanned. ? MR View&GO – Colored Time Points Colored Time Points Current – Green font Prior – Pink font Colored Time Points Audio Another feature for MR View and GO is colored time points. Data from the current time point is automatically loaded into M-R View and GO. Data from previous or later time points is automatically loaded to a comparison layout in the image area. The colored time points differentiate between the current time point with green font, and the prior time points with pink font that is visualized in both the series panel and the image segment. ? MR View&GO – Interactive Image Text Blue font indicates text that you can modify and interact with. Interactive Image Text Audio MR View and GO, now has interactive image text. Click on the blue interactive text to switch the display type. For example, to switch between 2D, M-P-R, MIP, or V-R-T. ? MR View&GO – Series Panel Select each button to learn more about the Series Panel. Overview Overview Overview Series Panel Views Series Panel Views Series Panel Views Series Number Series Number Series Number Series Panel Audio: Overview Layer The series panel provides an overview of the series and study loaded into MR View and GO, and groups the data according to specific criteria. 1-Use the expand or collapse icon to change the view of the series panel. 2-The Change view icon, gives an overview of the current data sorted into data groups The List view, changes the view to a text list of the data groups loaded, for example, series, phases. Thumbnail's gives an image preview of the data groups, for example, series, phases. 3-The Images are listed according to data attributes The sorting is structured hierarchically, and the different levels are usually sorted by image attributes, for example, modality and study date on first level, and series date and time on the second level. 4-The Add study icon, opens the Add Study dialog box to loads an additional patient data in the current folder. 5-Use the Send and archive icon to open the window and check the status of image data send over to the network. 6-Expand of Collapse the series stack to display the all of series contained within a stacked series. 7-Click on the Results icon, to see the results created in M-R View and GO, for example, distance lines, circle, and more. Series Panel Layer Series loaded for a Study shows all the image data currently loaded. The Series Panel has 2 views: Thumbnails & List. Thumbnails include an image preview of the data loaded. List provides text that shows an overview of the data loaded. Series Number Layer The Series Number is displayed next to the Series Name. The numbered column for the series can be moved before or after the series name, using drag and drop. Series Number is displayed next to the Series Name. The numbered column for the series can be moved before or after the series name using drag & drop. Series Panel Views: Thumbnails - preview of the data loaded (e.g., default). List – text shows an overview of the data loaded. Expand & Collapse icon Change View icon Images listed according to data attributes Add Study icon Send & Archive icon Expand or Collapse Series Stack Results icon MR View&GO – Series Panel The Series Panel provides an overview of the series and study loaded into MR View&GO. It groups the data according to specific criteria. Select each marker to hear a description of each feature. ? MR View&GO – Corner Menus Corner menus are available in each segment. Each corner menu has unique options, these change depending on: Images loaded in the segment Active workflow Corner menus include: Upper left – image preparation tools Upper right – measurement and marking tools Lower right – window settings and modality-specific presets Lower left – visualization functions and display types Hover your mouse over each corner to view the menu. Corner Menus Audio Corner menus are displayed in each corner of the image segment. The options displayed in each of the corner menus may change depend on the type of images loaded into the segment and the active workflow step. Click on a watermark in the corner of the segment, then click on a tool to Activate (or) Hover Mouse Over Menu Item to open the available tool options. The tools displayed in each corner menus include: The preparation tools, located in the upper Left Corner Menu. Measurement and marking tools, located in the upper Right Corner Menu. Window settings and modality-specific presets, located in the lower Right Corner Menu. And, visualization functions and display types, (for example, MIP,MPR, etc.), that are in the lower Left Coroner Menu. Corner menus include: Upper left – image preparation tools Upper right – measurement and marking tools Lower right – window settings and modality-specific presets Lower left – visualization functions and display types Corner menus include: Upper left – image preparation tools Upper right – measurement and marking tools Lower right – window settings and modality-specific presets Lower left – visualization functions and display types Corner menus include: Upper left – image preparation tools Upper right – measurement and marking tools Lower right – window settings and modality-specific presets Lower left – visualization functions and display types Corner menus include: Upper left – image preparation tools Upper right – measurement and marking tools Lower right – window settings and modality-specific presets Lower left – visualization functions and display types ? MR View&GO – Context Menu Configure the Context menu to access functions corresponding to the current work situation. Arrange context menu to quickly access Corner menu favorite tools. Add tools to Context menu Rearrange tools in Context menu Remove tools from Context menu Context Menu Audio The Context Menu provides access to functions corresponding to the current working situation. In the image segments you can configure the Context Menu to quickly access the favorite tools located in the corner menus. The user can add Tools, rearrange, or remove tools from the Context Menu. ? MR View&GO – Favorite Tools & Tool Gallery In the Favorite Tools area click on the [+] icon to open the Tool Gallery. Use the Slide Bar to access additional Tools in the Tool Gallery. Only active tools can be applied to current selected segment. Note: Some of these tools are also found in the corner menus. Hover your mouse over the + to view more. Tool Gallery > Tool Gallery > Favorite Tools & Tool Gallery Audio The Favorite Tools panel provides frequently used tools and functions. It also provides access to the Tool Gallery. To open the Tool Gallery, click on the plus sign in the Favorite Tools Panel. Only active tools can be applied to a current selected segment and some of these tools can also be found in the corner menus. Tool Gallery 2 Layer The Tool Gallery is divided into specific sections and is sorted into Categories. Examples include, Display Types, Measurements, Maximum Intensity Projection, Multi-Planar Reconstruction, Time Curve, Compose, Combine, Subtraction, and more. Only active tools can be applied to a current selected segment and some of these tools can also be found in the corner menus. In addition, as an administrator, you can also add frequently used tools from the Tool Gallery to the Favorite Tools panel in MR View and GO. Buttons 1 Layer The Show in 3D icon switches to the 3D panel and layout in M-R, View and GO. The tools to postprocess 3D data-sets are available, for example, to perform a Maximum Intensity Projection, a Multi-planar Reformat, or Curved Ranges. Layout icons are easily accessible to load the data sets into the appropriate format for 3-D postprocessing. The Parallel Ranges icon is used to generate a 3-D, M-P-R ,data-set with equidistant parallel images and equal slice thickness. You can adapt the coverage, number of images, distance between the images, image thickness, and orientation. The Punch mode icon is used to remove regions of a 3-D angiography data-set for rendering, you will draw along a contour, and either keep or remove the data inside of the contour for evaluation. Once all the regions in the 3-D data set are removed, you’ll select the Radial Ranges icon to generate a series of MIP images with different view directions. The Curved Ranges icon is used to generate a series of curved cut images from a 3-D data set, that are parallel to one another with a defined distance. Buttons 2 Layer With the Zoom/Pan icon, you use the mouse to magnify, minify, or move the images within the segment. The position of the mouse pointer determines if the action is to zoom or pan the image. The Rotate icon is used to optimize the image presentation by rotating the images or volume to another orientation. With Movie icon, you can scroll through a series, 3-D volumes, or a dynamic series (4-D datasets). The images are displayed one after another, you can stop, start, change the direction, or the frame rate of the movie. The Angle on Stack icon is used to perform measurements. You can measure angles across different planes of an image stack, which means that you can draw the angle legs on different anatomy within a series and with the same orientation. This allows you to identify, for example, dislocations of fractures or the rotational dislocations between different body parts (tibial torsion, femoral torsion). The Magnifier icon is used to enlarge a section of an image to obtain a closer look at a specific area of the image. Zoom/Pan icon magnify, minify, or move images within the segment. 1. Zoom 2. Pan Rotate icon is used to optimize the image presentation by rotating the images or volume to another orientation. Movie icon is used to scroll through a series (e.g., 3D volume, or Dynamic series) Angle on Stack icon is used to measure angles across different planes of an image stack. Magnifier icon is used to enlarge a section of an image to obtain a close look at a specific area of the image. Show in 3D icon switches to the 3D panel and layout. Tools to postprocess 3D are available: Maximum Intensity Projection (MIP), Multi-Planar Reformat (MPR), and Curved Ranges. Layout icons Parallel Ranges icon is used to generate a series of equidistant parallel images equal slice thickness. (e.g., MPR) Punch Mode icon is used to remove regions of a 3D dataset for rendering. (e.g., MIP) Radial Ranges icon is used to generate a series of radial images (e.g., MIP) Curved Ranges icon is used to generate a series of curved cut images parallel to each other. (e.g., Spine or Coronaries) Click the orange squares to view details about Zoom/Pan & Postprocessing icons. ? MR View&GO – Image Sorting Icon Image Sorting icon is located in Favorite Tools. Images can be sorted and manipulated at the Frame level. Sorting Criteria Sorting Order Image Manipulation Include/Remove Image(s) Rename Series Description Name Additional Information > Additional Information > Image Sorting Icon Audio MR View and Go has a new icon in Favorite Tools called Image Sorting. Image Sorting is a tool that helps you arrange images in a way best suited for reading. You will then save the rearranged images in one or several new series. If the image segment contains exactly one series, this series is loaded into the Image Sorting tool. If the image segment contains more than one series, all the series are loaded into Image Sorting. If an image segment contains four-D data, the Image Sorting icon appears dimmed. If you expand the data in this segment before loading the data set into Image Sorting, then images can be sorted, manipulated, and deleted at the frame level. Layer 1 The Image Sorting icon has various tools, the sorting Criteria icons include: Anatomical, sort by image position and orientation. As Numbered, sort by image number. Chronological, sort by time of acquisition. Triggered, sort by trigger time. And, Manual Sorting, drag and drop images to reorganize the image order. The Sorting Order icons provide an option to sort in either Ascending or Descending order. Layer 2 Using the Image Sorting Icon you can manipulate on the image level. Rotate the images of a series Clockwise, Counter Clockwise ninety-degrees, or Flip the images of a series Horizontal or Vertical. Another feature of image sorting is the ability to rotate and flip selected images, instead of the entire series. You can remove images that don’t contain relevant clinical information, from the beginning or the end of a series. For example, if a three-D data set has images with no anatomy shown. You can also use a combination of specific sorting criteria, selection of individual images, frame removal, and creation of result series to split up series that were scanned interleaved.  In addition, you can use a combination of specific sorting criteria, selection of individual images, frame removal, and creation of result series to split up a series that were scanned interleaved Layer 3 Prior to saving a modified series, check the resulting series in the Image Sorting tool. One or several series may have been loaded into image sorting. Click the Stack viewing layout icon and Scroll through the Image Stack. The red bars to right of Preview image indicate images removed from the series. The arrow and frame numbers indicate the image currently shown. Next, Check or Correct the Series Description. The System will automatically add PACS to the original series description. The series description can be modified as needed. Finally, Click the Create icon to save a new series in the MR View and GO Panel. Image Manipulation Flip Horizontal Flip Vertical Rotate Clockwise 90̊ Rotate Counter-Clockwise 90̊ Feature: Rotate or flip selected images instead of an entire series. Include/Remove Image(s) From Beginning Remove Selected To End Feature: Use a combination of specific sorting criteria, select individual images, frame removal, and creation of a result series to split up a series that was scanned interleaved. Sorting Criteria Anatomical – sort by image position and orientation As Numbered – sort by image number Chronological – sort by time of acquisition Triggered – sort by trigger time Manual Sorting – drag and drop images and reorganize the image order Sorting Order Ascending Descending Next > Next > ? MR View&GO – Send and Archive Window The Send and Archive window provides an overview of all acquired series and the results of the current study. Check the Archive Settings and Send Status for each acquired series. If needed, you can exclude an individual series from being sent (or) select additional DICOM nodes. Additional Information > Additional Information > Send and Archive Window Audio The Send and Archive window in MR View and GO, provides an overview of all acquired series and the results of the current study. Here you can check the Archive Settings and Send Status for each acquired series. If needed, you can also exclude an individual series from being sent (or) select additional DICOM nodes. Screen Overview The Send and Archive window contains the following. View Selection, switches the view in the display area to either Preview, Thumbnail or List. Preview, shows all the available series and the ability to scroll through each series. Thumbnail, has a preview of all the available series. The first image of each series is displayed as a thumbnail image. List, has no image preview available, the series is identified by a series description. Available DICOM node targets are shown in different columns with the Archive and Send status. The Preview Column is only available if you are using Preview or Thumbnail views. Icons are visible that indicate the send status. Description Columns, shows the series description. A Check Box, indicates that a series is selected to be sent to a specified DICOM node. The Send button, sends the selected series to specified DICOM node. And the, Close button, closes the Send and Archive window. View Selection Switches the view in the display area to either Preview, Thumbnail, or List. Preview – shows all the available series and the ability to scroll through each series. Thumbnail – has a preview of all the available series. The 1st image of each series is displayed as a thumbnail image. List – has no image preview available. The series is identified by a series description. Available DICOM node targets Available DICOM node targets are shown in different columns with the Archive and Send status. Preview Column Only available if you are using Preview or Thumbnail views. Icons indicating the sent status Icons that indicate the send status. Description Columns Displays series descriptions. Checked box Indicates the series is selected to be sent to specified DICOM node. Send Button Sends selected series to specified DICOM node. Close Button Closes the Send and Archive window. Select each marker to reveal additional information. Course Review ? Course Review Congratulations. You have completed the Software Upgrade: Numaris 4 (D & E) to XA60 online training course. Select the numbered items below to review the material before proceeding to the final assessment. Platform Improvements New & Improved Sequences & Applications MAGNETOM MR Systems 1 1 1 3 3 3 2 2 2 4 4 4 MR View&GO Course Review MR View&GO Improvements Features Overview Viewing Colored Time Points Interactive Image Text Series Panel Corner Menus Context Menus Favorite Tools Image Sorting icon Send and Archive Tool Gallery Show in 3D icon Layout icon Parallel Ranges Punch Mode icon Radial Ranges icon Curved Ranges icon Zoom/Pan icon Rotate icon Movie icon Angle on Stack icon Magnifier icon Platform Improvements Dot Cockpit rebranded to myExam Cockpit Dot Engines rebranded to myExam Assist Siemens Healthineers User Interface (SHUI) myExam Assist Protocols* myExam UI – Home Screen & System Shutdown Scheduler – Screen Layout and Toolbar icons Patient Registration, Orientation, Program Selection, and Multi-Study Examinations Patient Browser (Local Data) myExam UI – Layout, Queue, Flyout Toolbar, Center line for 2D and 3D Scan planning Table Positioning Strategy – IsoCenter, Local Range, Fixed Auto Coil Select (ACS) Modes Voice Commands – User Recorded Default Language Open Recon MR OpenApps @Scanner Flex Loop Large (FLL) Coil UltraFlex Coils – Small and Large 18 Contour Coils – 24 and 48** *myExam Assist programs are not available on all MAGNETOM MR systems. **Contour Coil 48 is not available on the MAGNETOM Avantofit and Skyrafit MR Systems. New & Improved Sequences & Applications Deep Resolve Gain & Deep Resolve Sharp Deep Resolve Gain & Sharp Improvements Deep Resolve Boost Deep Resolve Boost & SMS TSE Deep Resolve Swift Brain Static Field Correction for EPI Wave-CAIPI SWI BLADE Diffusion with SMS Functionality SMS Faster Recon & SMS TSE Improvements SMS Dixon & SMS Resolve SMS EPI DWI Imaging CS SEMAC CS SPACE CS ToF CS GRASP-VIBE CS Cardiac CINE FLASH Segmented PSIR HeartFreeze – Cardiac High Bandwidth IR – Cardiac MR Elastography ZOOMitPro VIBE Phase Encoding Order Pseudo Continuous ASL (PCASL ) HASTE Diffusion @3T Multi-Dynamic Multi-Echo sequence for SyMRI Motion Correction for TSE with Multiple Averages BioMatrix SliceAdjust* Breast Biopsy Improvements Physiologging – EPI BOLD & EPI PACE MR Injector Coupling Needle Intervention Add-In (NIA) MR Protocols Module – Mass Protocol Editing *Feature not available on all MAGNETOM MR systems. MAGNETOM MR XA61 Systems MAGNETOM Avantofit D & E to XA61 MAGNETOM Skyrafit D & E to XA61 MAGNETOM MR XA60 Systems MAGNETOM Aera D & E to XA60 MAGNETOM Skyra D & E to XA60 MAGNETOM Prisma MAGNETOM Prismafit D & E to XA60 Next Next Next 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 Healthcare GmbH 2023 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment Welcome to the assessment. For each question, select your answer and then select Submit. You will have 3 attempts to take this assessment and to successfully pass this course. You must receive a score of 80% or higher. You will receive your score once you complete the assessment. Start Assessment Select the best answer. ? Gain Boost Question 1 of 10 Deep Resolve _____ is a targeted denoising method to increase Signal-to-Noise Ratio in the images. Swift Brain Sharp Multiple Choice Answer on Slide: 2.16 Select the best answer. ? Gain Boost Question 2 of 10 Deep Resolve _____ uses a deep neural network to improve MR image quality by increasing image sharpness. Swift Brain Sharp Multiple Choice Answer on Slide: 2.42 Select the best answer. ? Image Sorting Open Recon Question 3 of 10 _____ is a tool used to sort criteria, image order, manipulate image data, and include or remove data at the image level. Save Presentations Mass Protocol Editing Multiple Choice Answer on Slide: 4.8 Select the best answer. ? Open Recon Physiobrowser Question 4 of 10 _____ uses time stamps to allow for easier synchronization of physio data for corresponding fMRI data. Open Apps Physiologging Multiple Choice Answer on Slide: 2.45 Select the best answer. ? Confined Local Range Question 5 of 10 The Table Positioning Strategy has 3 modes: IsoCenter, _____, and Fixed. These determine the table movement during an exam. Centric Stable Multiple Choice Answer on Slide: 4.5 Select the best answer. ? Auto Move Select Auto Field of View Select Question 6 of 10 _____ chooses the most suitable set of coil elements from any of the coils plugged in within the Field of View. Auto Element Select Auto Coil Select Multiple Choice Answer on Slide: 4.3 Select the best answer. ? True Question 7 of 10 Deep Resolve Swift Brain is a protocol that leverages the fastest imaging sequence EPI to deliver various contrasts in 2 minutes. False Multiple Choice Answer on Slide: 2.29 Select the best answer. ? Blue Pink Question 8 of 10 Colored Time Points differentiate between the current time point with green font and the prior point with _____ font. Red Orange Multiple Choice Answer on Slide: 2.29 Select the best answer. ? Contour 24 Spine 32 Question 9 of 10 The coils included in this software upgrade are the UltraFlex Large and Small 18, Flex Loop Large, and the _____ . Foot/Ankle 16 Body 18 Multiple Choice Answer on Slide: 4.9 Select the best answer. ? Sequence Module Succession Module Question 10 of 10 The MR _____ is a standalone myExam Cockpit used as a central workplace. Procedure Module Protocols Module Multiple Choice Answer on Slide: 4.9 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 Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. You have completed the Software Upgrade: Numaris 4 to XA60/XA61 Online Training. Completion 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 CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon 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. 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Assessment Slide Question Bank 1 QR700003678 | Eff Date 13 Dec 2023 1 Introduction 1.1 Welcome 1.2 XA30 to XA60 Software Upgrade 1.3 MAGNETOM MR XA60 Systems 1.4 MAGNETOM MR XA61 Systems 2 MR Sequences & Applications 2.1 Sequences & Applications 2.2 MR Deep Resolve Gain 2.3 MR Deep Resolve Sharp 2.4 Deep Resolve Sharp - Training 2.5 DR Gain & DR Sharp Summary 2.6 Deep Resolve Gain + Sharp - Knee 2.7 MR Deep Resolve Boost 2.8 Deep Resolve Boost - Training 2.9 Deep Resolve Boost & SMS TSE - Knee 2.10 Deep Resolve Swift Brain 2.11 Deep Resolve Swift Brain - Training 2.12 DeepResolve Swift Brain - Timeline 2.13 Static Field Correction 2.14 Wave-CAIPI SWI 2.15 BLADE Diffusion SMS Functionality 2.16 SMS Faster Recon 2.17 Simultaneous Multi-Slice Dixon 2.18 Simultaneous Multi-Slice RESOLVE 2.19 SMS EPI DWI Imaging 2.20 Compressed Sensing SEMAC 2.21 Compressed Sensing SPACE 2.22 Compressed Sensing - Time of Flight 2.23 Compressed Sensing GRASP-VIBE (ToF) 2.24 CS Cardiac CINE Segmented 2.25 PSIR Heart Freeze 2.26 Cardiac Tissue Characterization 2.27 MR Elastography (SE-EPI MRE) 2.28 ZOOMit 2.29 VIBE Phase Encoding Order 2.30 Pseudo Continuous Arterial Spin Labeling 2.31 HASTE Diffusion @3T 2.32 MDME Sequence for syMRI 2.33 Motion Correction for TSE 2.34 BioMatrix SliceAdjust - B0 Variation 2.35 Breast Biopsy - Improvements 2.36 Physiologging - EPI BOLD/PACE 2.38 MR Injector Coupling 2.39 Needle Intervention Add-In 2.40 Mass Protocol Editing 3 Platform Improvements 3.1 Platform Improvements 3.2 New Branding 3.3 User Interface 3.4 myExam Assist Protocols 3.5 myExam User Interface 3.6 Scheduler 3.7 Patient Registration & Orientation 3.8 Patient Browser (Local Data) 3.9 myExam User Interface 3.10 myExam UI - Queue 3.11 GSP Flyout Toolbar 3.12 GSP - Center Line 3.13 Table Positioning Strategies 3.14 Auto Coil Select Modes 3.15 Voice Commands 3.16 Open Recon 3.17 OpenApps@Scanner 3.18 Flex Loop Large Coil 3.19 UltraFlex Coils 3.20 Contour Coils - 24 & 48" 4 MR View&GO 4.1 MR View&GO 4.2 MR View&GO 4.3 MR View&GO - Overview 4.4 MR View&GO - Viewing 4.5 Colored Time Points 4.6 Interactive Image Text 4.7 Series Panel 4.8 Corner Menus 4.9 Context Menu 4.10 Favorite Tools & Tool Gallery 4.11 Image Sorting Icon 4.12 Send and Archive Window 5 Course Review 5.1 Course Review 5.2 Disclaimer 5.3 Assessment