MR SVS ScanWorkflow Numaris X Job Aid

MR SVS Scanning Workflow Numaris X Job Aid MR Single Voxel Spectroscopy (SVS) Scanning workflow - Numaris X Job Aid 1. Images acquired in all 3 planes are used to position the voxel (VOI). a. Routine sequences (e.g., T1,T2, 3D, etc.) are used to position the voxel. (i.e., localizers can be used to position the voxel, but routine sequences have better image quality). b. Acquire series with Full Brain coverage in all three (3) planes. c. Table Positioning Strategy is Local Range. d. Hint: series can be acquired orthogonal, oblique, or double oblique. SIEMENS > spectroscopy > head_1H > svs 2. Click on the myExam Cockpit icon to open myExam Cockpit. localizer 00:09 a. Choose any Single Voxel Spectroscopy (SVS) sequence. center on brain Table Positioning Strategy b. Hint: ensure the Spectroscopy AddIn is on every localizer_5@center 00:40 spectroscopy sequence to help during planning. t1_mprage_sag_p2 03:14 svs_se 30 03:20 | Spectroscopy Auto Start MR Spectro Advanced Application svs_se 135 04:56 Spectroscopy svs_se 270 07:00 Spectroscopy svs_st 20 06:32 Spectroscopy svs st 135 06:32 Spectroscopy sVS st 270 06:32 3. Load all three (3) orientations into the Graphic Positioning Spectroscopy Segments (GSP). a. Left-click and drag each of the 3 imaging planes into the GSP segments. HAL HAL AHR 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-1.3.12.2.1107.5.2.50 2024.01.03-22:27:29-STD-1.3.12.2.1107.5.2.50 2024.01.03-22:27:29-8TD-1.3.12.2.1107.5.2.50 10 IMA 1 FRI 171/267 B IMA 1 FRM 48/1 92 15 IMA1 FRM1 15/27 RPH ARF RPH 1cm 1cm A LL TP 0 SP P31.5 SP R44.4 SP H7.6 FoV 173-240 FoV 240 240 Fov 220 220 MAGNINAVRILURESAS Cor-Sap(-3)> Tra(-1) WWWJURESAMPILUNORMUND Sag>Cor(3)>Tra(1) AWWWURESAMPIWUNORMIND Tra>Cor(-10)-Sag(-1) 11_mprage_sag_p2_Is 11_mprage_sag_p2_iso_ND 825 12_qtse_tra_p3_ND W 1269 388 550 Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 2/28/2024 | QR700005768 Healthineers 4. To Position the SVS Voxel. a. When the sequence is opened and ready to be planned, a Spectroscopy Guidance window is displayed. The step-by-step guidance is used throughout the planning process. b. Hint: make sure the voxel is not placed in Bone, Air, or Fluid. This can be challenging depending on the location of the lesion. Brain Assist LOC . + HAL AH 2024.01.03-22-2-2 12 21107.5 2.50 2024.01.03-22:27:29-STD-Trauma t1_qtse_dark-fluid_sag_p2 2024.01.03-22:27-29 STP107 5 2:50 2024.01.03-22:27:29-STD-1.3 12 2.1107 5 2 50 17 IMA1 FRM 51/192 3 t2_qtse_tra_p3 1010 IMA 1 FRM 189/267 11 IN14 1 FRM 11/27 t2_qtse_dark-fluid_tra 5 resolve_3scan_trace_tra_p2_1 ... 6 t1_mprage_sag_p2_iso MPR planning RPH 8 t1_f12d_tra 9 8% svs se_30 ILI A 2 00:00 TP O TP O SP R41.7 SP F13.2 GO Cancel oV 240-240 185-243 FoV 220-220 or(3)>Tra(1) MAGN/DIS2D Tra>Cor(-10)>Sap(-1) K ti mprage_sag_p2_150 837 378 MPR cor 0.9mm Range 12_qtse fra p2p Dl 1418 621 @ 3:20 min & Auto @ 20x20x20 mm Spectroscopy copy Parameters Spectroscopy steps can only be planned on non-distortion corrected images. Please do the following steps for examination planning: drag all series needed for planning into GSP preselect the region of spectroscopy examination by placing a ROI on one series press "Convert images" to generate non-distortion corrected images for planning the converted images will be automatically loaded into the GSP plan your spectroscopy examination For multiple spectroscopy measurements with the same position and voxel size, please use "Copy Parameter" with "Measurement Parameters" or "Everything" after conversion of the images. INE convert images 3:20 min | Auto 20x20x20 mm3 1.00 Spectroscopy Parameters Spectroscopy steps can only be planned on non-distortion corrected images. Please do the following steps for examination planning: . drag all series needed for planning into GSP preselect the region of spectroscopy examination by placing a ROI on one series press "Convert images" to generate non-distortion corrected images for planning the converted images will be automatically loaded into the GSP . plan your spectroscopy examination For multiple spectroscopy measurements with the same position and voxel size, please use "Copy Parameter" with "Measurement Parameters" or "Everything" after conversion of the images. Convert images Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 2/28/2024 | QR700005768 Healthineers Page 2 of 6 c. Scroll through the series (e.g., transverse) until the area that needs to be covered (lesion) is visible. • Once the area is selected, left-click to place the cursor on the lesion. (i.e., example below) AHR test 2020.03.26-14:18:54-STD-1.3.12.2.1107.5.99.3 11 IMA1 FRM 14/27 RPH 5cm TP O SP H2.4 FoV 220 220 Tra>Cor(-10)>Sag(-1) MAGN/NORMDIS2D W 1194 11_12d_tra 597 d. The cursor shape changes to a Red Circle on the image. • All three (3) imaging planes now have a RED cursor mark. • The series in the two (2) other image segments scroll to the nearest location of the cursor that was just placed. HAL AHR 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-1.3.12.2.1107.5.2.50 2024.01.03-22:27:29-STD-1.3 12 2.1107 5 2 50 2024.01 .03-22:27:29-STD-1 3:12.2.1107 5:250 17 IMA 1 FRM 51/192 1010 IMA 1 FRM 189/267 11 IMA1 FRM 11/27 ARF RPH 1cm 1 cm 1cm L F TP O TP O SP R41.7 SP P47.5 8P F13.2 FoV 240-240 FoV 185-243 FoV 220-220 P2 MAGNININORNUDIS20 Sag>Con(3)>Tra(1) MAGNIDIS2D Cor Tra>Cor(-10)-Sap(-1) 11_mprage_sag_p2_Iso MPR cor 0.9mm Range 515 02 MAGNUMNORMDIS 20 245 12_qtse_tra_p3 1418 621 NE Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 2/28/2024 | QR700005768 Healthineers Page 3 of 6 e. Below in the step-by-step guidance, the Convert images button is now active. • Click on the Convert images button to convert all of the series to Non-Distortion Corrected images needed for planning the voxel 0 3:20 min | Auto @ 20x20x20 mm3 1.00 Spectroscopy Parameters Spectroscopy steps can only be planned on non-distortion corrected images. Please do the following steps for examination planning: drag all series needed for planning into GSP preselect the region of spectroscopy examination by placing a ROI on one series press "Convert images" to generate non-distortion corrected images for planning the converted images will be automatically loaded into the GSP plan your spectroscopy examination For multiple spectroscopy measurements with the same position and voxel size, please use "Copy Parameter" with "Measurement Parameters" or "Everything" after conversion of the images. Convert images f. The voxels are now yellow in the all the selected image segments. • Important Note: ensure that the voxel is not placed in bone, air, or fluid HAL HAL AHR 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-Trauma 2024.01.03-22:27:29-STD-1.3.12.2.1107.5.2.50 2024.01.03-22:27:29-STD-1.3.12.2.1107.5.2.50 2024.01.03-22:27:29-STD-1.3.12.2.1107.5.2.50 10 IMA 1 FRM 171/267 8 IMA 1 FRM 18/192 15 IMA 1 FRM 15/27 RPH 1cm ARF RPH 1cm TP O TP 0 SP P31.5 SP R44.4 SP H7.6 FoV 173 240 FOV 240^240 FOV 220^220 MAGNINAVAILIRESA Cor>Sag(-3)>Tra(-1) Tra>Cor(-10)>Sag(-1) 11_mprage_sag_p2 130 MPR .. AVAIURESAMPIMINORMIND Sag>Cor(3)>Tra(1) .AVAIDRESAMPIMINORMIND 685 355 11_mprage_sag_p2_iso_ND W 825 2_qise_tra_p3_ND 1269 C 388 C 550 Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 2/28/2024 | QR700005768 Healthineers Page 4 of 6 5. The Position and Size of the voxel can be adjusted in all 3 imaging planes on the Routine parameter card. a. Hint: if the VOI size is adjusted and is now smaller than 20x20x20, increase the number of averages to compensate for signal-to-noise (SNR) loss. (i.e., for every 5 mm VOI reduction in a single direction, it is recommended to increase the Averages by 64). Routine Contrast Resolution Geometry Averages 128 Position 141.2 P46,3 H1.4 Orientation Transversal Rotation 0.00 ¢ deg Vol A >> P 20 - mm Vol R>> L 20 mm Vol F >> H 20 % mm 6. Click Go, to start the SVS spectroscopy sequence. 2 00:00 II Delete KI Go Cancel Skip Stop Pause Continue Copy& Go Unrestricted | Published by Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 2/28/2024 | QR700005768 Healthineers Page 5 of 6 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. 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