MR VB80 What’s New

SIEMENS Healthineers syngo.via MR VB70-VB80 What’s New Job Aid Template Effective Date: 10 Aug 2021 | HILS 2223 This training material is based on the medical device syngo.MR Applications VB80A. Job Aid Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 Disclaimer SIEMENS Healthineers syngo.via O Scanner AI-Rad Companion V syngo.via Syngo Carbon View&GO Space Please keep in mind that the user interface may differ slightly from what is shown in this Job Aid. The actual usage of the tool may differ slightly on the different host systems, for example on syngo.via, Syngo Carbon Space, syngo.via View&GO, AI-Rad Companion or on the scanner. However, the intended purpose of the tool is the same. The tool functionality defined in this Job Aid is applicable to any of the Siemens Healthineers products in which you find this tool. Author | Department 2 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 syngo.via MR VB70-VB80 What’s New Job Aid SIEMENS Healthineers Table of contents MR Cardiac Reading MyoMaps step and layout 4 MR Oncology Histogram comparison 5 MR Neurology TMAX map 6 MR Cardiac Reading Follow-Up layout, Cardiac function findings enhancement 7 MR Oncology LI-RADS reporting 11 MR Neuro 3D improvements 12 3 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Cardiac Reading MyoMaps step and layout for SIEMENS Healthineers uninterrupted reading Performing a MyoMaps reading MR Cardiac Analysis HLP Q + MR Cardiac Reading The left segment displays short-axis or long-axis images. The Crois Overview Functional right reading area displays the colored, parametric MyoMaps. Dynamic Tissue Characterization Combined ARH Flow The lower area shows the corresponding gallery segments of the Myomaps ...... MR Cardiac Function O available images. The gallery segments are not intended for V Findings clinical reading, but rather for data selection. When you click a gallery segment, the large viewing segment is updated to display Original Moco those images. Tools The first gallery segments provide buttons to switch between MR Cardiac Analysis HLP MR Cardiac Reading MoCo (motion corrected) and Original images. For appropriate side-by-side viewing, the large viewing segments are Overview Functional Dynamic Tissue Characterization synchronized for zoom pan. Combined ARH Flow Myomaps MR Cardiac Function There is also a new Combined layout to compare MyoMaps with V functional, late enhanced, and dynamic images. Findings Author | Department 4 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Oncology Histogram comparison for better support in SIEMENS Healthineers patient treatment Comparing two histograms from two timepoints as an overlay display is possible. When selecting both b-value images of both timepoints, the same segmentation is used for the creation of the histogram. In the overlaid histogram, the histograms of both time points are displayed one above the other. To differentiate them, the timepoint-relevant curves of the histograms are outlined and colored according to the global timepoint color. In this example, green for the current and purple for the prior histogram. LIVOI COMBO L2VOI COMBO If necessary, adjust the sliders of the Mean = 892.76 Median = 854 Left = 1200 (74:2%) ... Mean = 881.62 Median = 864 Left = 1200 (91.4%) ... Abs. Frequency histogram, or use the tools from the histogram mini toolbar, to adjust the histogram according to your needs. WWW 250 500 750 1000 1250 1500 1750 2000 2250 Intensity 2500 # Series Name 7/10/2019 4:15 PM Description HISTOGRAMLIVOI L2VOI HISTOGRAMLIVOI L2VOI 20190521 20190103 Difference Volume (cm3) 143.1 576 -75.2% MR, Kidney_Vi_Tumor_Current Mean 892.8 881.6 +1.3% StdDev 427.2 232.5 Median 854 864 5% 300 538 R -44.2% R 95% 1613 1302 +23.9% 6/21/2017 5:11 PM Skewness 0.4 0.6 -33.3% E. Kurtosis -0.4 1.5 -126.7% %Left 74.2 91.4 -17.2 MR, Kidney_Vi_Tumor_Prior01 %Middle 17.1 7.2 49.9 %Right 8.8 1.4 +7.4 5 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Neurology TMAX map to foster diagnosis and therapy SIEMENS Healthineers decision in Neuro Perfusion In the MR Neurology workflow, it is possible to calculate TMAX maps. The calculation can be generated by both Global AIF (Arterial Input Function) and Local AIF methods. The TMAX map (Time to Maximum) is a perfusion parameter that shows the bolus delay between the position of the Arterial Input Function (AIF) and the tissue. RAF This information can help in diagnosing ischemic stroke cases. It provides a reliable estimate of the volume of the ischemic penumbra in stroke patients. TMAX provides the time at which the value of maximum residential curve (relCBF) is observed. The TMAX map is calculated only if relCBF is also calculated. The default window width value for the map color has been set to 6. This value is directly related to 6 s of bolus delay. For a numeric display of the delay, use the pixel lens from the upper right corner menu. 6 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Cardiac Reading Follow-Up layout for easier comparison SIEMENS Healthineers of multiple timepoints MAG-Overvi ... PSIR-Overview MAG-HighRes PSIR-HighRes Real-time Segmented TI Native T1 Post T2 Series Performing a cardiac follow-up reading 11/10/2016 11/10/2016 11/10/2016 10/2016 DE_Overview PSIR SA 01 DE_high res_PSIR SA 01 Cine_Segmented_SA_01 T1 Native_T1 Map_SA 01 Series Name • MR Cardiac Reading application now 10:58:41 AM 11:02:47 AM 10:53:41 AM 11:15:53 AM 41 IMA 1 FRM 8/14 45 IMA 1 FRM 7/11 27 IMA 1 FRM 1/25 0060 IMA 1 FRM 3/4 11/10/2016 10:37 AM MR, heart Cardiac Dot Engine supports follow-up case evaluation 11/9/2016 11:20 AM MR, heart Cardiac Dot Engine • Follow-Up layout is available in the layout gallery. No dedicated reading ALL AL SPA36.2 SPA36.2 SP A36.2 SL 8.0 step is displayed FoV 406 406 FoV 410:406 oV 400*400 170+356 Current Current Current Current Cine (Realtime/Segmented), Delayed DE Overview DE High Res. Cine Myomaps • MAG-Overvi ... PSIR-Overview MAG-HighRes PSIR-HighRes Real-time egmented T1 Native T1 Post T2 Enhancement, and Myomaps data are 11/9/2016 11/9/2016 displayed 11/9/2016 DE Overview PEIR SA.01 DE_high-res PSIR SA.01 Cine_Segmented SA 01 TINatye T1Map SA 9,8 11:50:02 AM 11:53:58 AM 11:35:38 AM 11:37:21 AM 87 IMA 1 FRM 7/13 91 IMA 1 FRM 3/7 18 IMA 1 FRM 1/25 134 IMA 1 FRM 2/3 i.ms Easy Slack 2:2 Results Myomaps AL AL Reading 2H2 TI SPA51.A SPA51.4 FoV 400% FoV 400-400 SL 8.0 SP A61.4 ASL 80 FoV 404*400 FoV 377311 Windows 147-208 170 256 gs to activate Windows. Prior Prior Prior Prior DE Overview DE High Res. Cine Myomaps Myomaps T2 Myomaps Myomaps 12 Star Combined Follow-Up 7 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Cardiac function findings enhancement (1/3) SIEMENS Healthineers Create Findings X Patient Name CardiacDotEngineTest^20161103 Export Result Images All Age 74 Years ED and ES Height 64 inches None On previous s/w versions when the Create Findings Weight 233.7907 lbs • Heart Rate 56 beats/min Create LV Findings Create RV Findings icon was selected, the Create Findings dialogue was ( max:62; min:45; avg:56; med:57 ) Thickening Analysis displayed >100% Sectors 5-100% 50-75% MR Cardiac Analysis CE + 25-50% 0-25% < 0% MR Cardiac Reading NA This dialogue is no LV Thickening MR Cardiac Function longer available Results Long- axis and short- axis . Short-axis only TXY Hide Lines Reset Normal Manual Create Export Results Mode Mode Findings See Online Help for further details LV LV NORM RV RV NORM LV Thickening Description Value Normal Range Unit Ejection Fraction: 51.01 56.00 - 78.00 % ED Volume: 127.2 77.00 - 195.00 ml • With VB80 software, the Create Findings dialogue Edit ES Volume: 49.59 19.00 72.00 ml Stroke Volume: 77.61 51.00 - 133.00 ml has been removed, but the icon remains Cardiac Output: 4.35 2.82 8.82 l/min Myocardial Mass (at ED): 197.37 118.00 - 238.00 Myocardial Mass (Avg): 200.32 118.00 - 238.00 Myocardial Mass (SD): 1.83 n.a g Peak Ejection Rate -341.24 n.a n.a ml/s Peak Ejection Time: 117.81 n.a n.a ms Peak Filling Rate: 492.34 h.a na ml/s Peak Filling Time: 904.59 n.a n.a ms Modified Normal Range Values Reference : Lorenz et al, JCMR, 1(1), 8 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Cardiac function findings enhancement (2/3) SIEMENS Healthineers To Create LV or RV Findings with VB80: • Click the Create Findings icon from control area • A finding is created in the Findings Assistant Findings • Or choose Create Findings from the Context Menu Findings (RMB Click) Cardiac LV 1 LV EF1 55 % Q • The finding details includes all attributes MR Cardiac Analysis Details Cardiac LV 1 Current 7/28/2006 MR Cardiac Reading Type Cardiac LV LV Values LV Norm Values LV Thickening MR Cardiac Function Attributes that are filled in automatically are indicated by . Check that the attributes are correct. LV Cardiac Function Values Normal Range Location Ejection Fraction 55.43 56.00 - 78.00 % Hide Lines Sectors Reset Norma Manua Create Severity ED Volume 101.20 52.00 - 141.00 ml Mode Mode Findings Create Findings Diagnosis ES Volume 45.11 13.00 51.00 ml LV Analysis Height 66.93 Stroke Volume 56.09 33.00 97.00 ml 07 Enlarge Series Weight 163.00 Cardiac Output 3.53 2.65 5.98 W/min Refine Segmentation Heart Rate (beats/min) 63.00 Myocardial Mass (ED) 108.68 75.00 175.00 g Enlarge Orientation Body Surface Area 1.85 Myocardial Mass (Avg) 115.58 75.00 175.00 9 ED Paste to the same organ Myocardial Mass (SD) 4.21 0.00 0.00 g Endo Epi Pen Circle Nudge position Peak Ejection Rate 254.03 0.00 0.00 ml/s Peak Ejection Time 0.10 0.00 0.00 Peak Filling Rate 203.62 0.00 0.00 ml/s Peak Filling Time 0.73 0.00 0.00 5 Overall Rating Comment Reference : . JCMR. 1(1), 7-12. 1999 Results : Long Axis and Short Axis | Modified Normal Range value Heart Rate Min: 60 Max 66 Aug: 63 Med: 64 Previous Finding Next Finding 9 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Cardiac function findings enhancement (3/3) SIEMENS Healthineers Export Settings Exclude All Long Axis button • New dialog box with Export settings in workflow • If Short axis only is used, there’s a new icon in the Long properties Axis Gallery segments • Exclude All Long Axis with the E All icon MR Cardiac Function Properties ? X V E AI E IV E m Default Mode Exclude All The properties in this dialog are applied only when opening a new study TT 960.06 EO TT 943.68 SP L30.5 ED TT 949.44 SP H24.2 SP L17.2 ED Normal Mode Contours within all phase Manual Mode Contours within all phase Export Result Images All ED and ES None Ok Cancel 10 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Oncology LI-RADS reporting for standardized staging SIEMENS Healthineers of liver cancer Details LI-RADS 1 Current 11/8/2021 In previous versions, radiologists who were trying Type LI-RADS 2017 ? to stage liver cancer with the MR Oncology Attributes that are filled in automatically are indicated by [. Check that the attributes are correct. Segment of liver workflow did not have LI-RADS reporting Treated no capabilities. VB8X has LI-RADS templates available Untreated Observation Arterial phase by default: Washout appearance Capsule Threshold growth (liver mass) • Default layout to interpret liver images Ultrasound Finding Malignancy ancillary features • Trending capabilities Benignity Ancillary features Details LI-RADS 1 Current 11/8/2021 Additional TIV features Type LI-RADS 2018 TIV etiology !! • Other oncological tools like MR Segmentation Treatment Response Segment of liver Treatment Observation Treated no and histograms LI-RADS assessment Untreated Observation Diagnosis Arterial phase Disclaimer Based on the L-RADv2017 guideline Washout appearance MR Oncology workflow now supports common Overall Rating Capsule Previous Finding Next Finding › Growth Ultrasound Finding structured reporting standards like 2017&2018 Malignancy ancillary features Benignity Ancillary features LI-RADS. Additional TIV features TIV etiology Treatment Response Treatment Observation LI-RADS assessment Diagnosis Disclaimer Based on the LI-RADS® v2018 guideline Overall Rating Comment 11 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 MR Neuro 3D improvements SIEMENS Healthineers Alignment improvement ep2d_pace_dynt_moco Zoom/Pan HLA 2_11_mpr_ns_sag_p2_iso.latest TMRI Alignment 2 1_t1_mpr_ns_sag_p2_iso.latest 3D Reference Point • As in previous software versions, the Auto Align button can be clicked several times to improve the alignment 3_ep2d_diff_mddw_20_p2_TENSOR.I ... 10/23/200 Rotate Alignment Overview ay 92 180 3 act j'- Windowing, n.a. FRM n.a. • With VB80, the first click of the Auto Align button uses a different algorithm, which provides improved registration Palettes Advanced Perfusion Il Movie results Automatic Alignment Blend Automatic Alignment • If the first alignment is not sufficient, and the Auto Align button is used to improve the registration, then additional Visual Alignment Auto Reset clicks use the original Neuro 3D registration algorithm Align Fit to Segment MIND/NORM none Hot Metal User interface improvement • Clustering and Interpolation are made available in the Main -15.00 -4.00 4.00 15.00 Settings for fMRI Blend • These settings are also available in the Control Area of the fMRI and Time Course Evaluation steps / Interpolation Clustering Size 20 Author | Department 12 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 SIEMENS Healthineers 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. 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. Copyright © Siemens Healthcare GmbH 2023 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 13 Effective Date: 15 Sep 2023 | QR700000119 Effective Date: 15 Sep 2023 | QR700000119 Unrestricted © Siemens Healthineers, 2023 Unrestricted © Siemens Healthineers, 2023