MR XA70 Software Upgrade Online Training Course

Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue XA70 Software Upgrade Master Template HILS2218 | Effective Date: 2 Jan 2025 ? MR XA70 Software Upgrade Online Training This course reviews the new protocols, new sequences, new coils, and application improvements for the new MR XA70 software upgrade. MR XA70 MAGNETOM Systems 1 Improved MR Sequences, Protocols, & Applications 4 New MR Sequences, Protocols, & Applications 3 New BioMatrix Head/Neck 20 Coil 2 Welcome This online training reviews the new features for the M-R X-A-Seventy software upgrade. The upgrade includes comprehensive improvements to the existing scanner, new coils, and information on the new and improved M-R sequences, protocols, and applications. Disclaimer 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. SureWave Elastography is pending 510(k) clearance and is not yet commercially available in the United States. Its future availability cannot be guaranteed. The information presented in this course is for illustration only and is not intended to be relied upon by the reader for instruction as to the practice of medicine. Any health care practitioner reading this information is reminded that they must use their own learning, training, and expertise in dealing with their individual patients. This material does not substitute for that duty and is not intended by Siemens Medical Systems to be used for any purpose in that regard. Please refer to a Contrast Agent manufacturer's labeling, and instructions for use, for use of that Contrast Agent with an MRI exam. ? Disclaimer ? syngo MR XA70A - MAGNETOM 1.5T & 3T Systems MAGNETOM Skyra Fit BioMatrix 3T MAGNETOM Viato.Mobile 1.5T MAGNETOM Sola Fit 1.5T MAGNETOM Avanto Fit BioMatrix 1.5T Avanto Fit BM Sola Fit Viato.Mobile Skyra Fit BM Systems The syngo M-R MAGNETOM (mag-ne-tome) Systems that can be upgraded to the new M-R, X-A-Seventy software include the: One-point-five-Tesla, MAGNETOM Avanto Fit BioMatrix, Sola Fit, Viato Mobile, and the Three-Tesla, Skyra Fit BioMatrix M-R systems. Please note that the features mentioned in this presentation are not available for classic editions of the MAGNETOM Avanto-fit and Skyra-fit. They refer ONLY to our MAGNETOM Avanto Fit Bio-Matrix and Skyra Fit Bio-Matrix M-R systems. ? BioMatrix Head/Neck 20 Tiltable Coil with CoilShim1 *Purchasable option for the MAGNETOM Avanto Fit BM Highlights & Benefits (con’t) Improved image quality for diffusion imaging due to better fat saturation when using CoilShim Integrated CoilShim elements minimizes patient induced local anatomy-specific B0 field inhomogeneity, improving image quality. Highlights & Benefits Combines the benefits of Tim 4G coil technology with unique BioMatrix technology Three tilt positions: 0°, 9°, and 18°, increasing patient comfort when positioning for head and neck examinations Localizers automatically move to match the tilt of the coil for faster examination set-up Avanto Fit BM BM Head/Neck 20 Coil The MAGNETOM M-R, Avanto Fit Bio-Matrix system has a new Head and Neck, Bio-Matrix, twenty channel tiltable coil with coil shim. This coil combines the benefits of Tim, four-G coil technology with unique Bio-Matrix technology. The integrated Coil Shim minimizes patient induced local anatomy-specific B-zero in-homogeneity, to ensure optimal image quality. Direct Connect allows the user to connect the coil directly to the table without any cables. The coil’s patient-friendly open design can be tilted in three different positions, zero, nine, and eighteen-degrees. The ability to tilt the coil along with the open coil design, provides maximum patient comfort. ? myExam Brain Autopilot & myExam Knee Autopilot* *Included with AdvanceNow Highlights and Benefits Novice users can automate exams intelligently Enables high quality exams with a simple click myExam Knee and myExam Autopilot covers >40% of all MR exams Predefined protocols allow user to scan with minimal manual interactions. Switch between myExam Autopilot and myExam Assist at any time during the examination. myExam Autopilot for Brain & Knee: Uses automation and AI to perform routine exams. Automation includes: AutoPosition AutoAlign AutoCoverage Inline MPRs Avanto Fit BM myExam Brain Autopilot My Exam Brain and My Exam Knee Auto pilot uses Artificial Intelligence to perform automated routine head and knee examinations. By using A-I, users can eliminate routine tasks that were previously performed during an examination while still maintaining optimal image quality. Automation included with my Exam Brain and Knee Auto Pilot includes Auto-Position. Auto-Align, Auto-Coverage, and Inline Multi-Planar-Reformats. Predefined Siemens my Exam Auto Pilot protocols are available to allow the user to scan with minimal manual interactions. Users can also switch to the conventional my Exam Assist platform at any time to personalize and modify additional examination parameters. ? myExam Angio Advanced Assist* *Optional license, Prerequisite myExam Angio Assist license Highlights and Benefits Automation and guidance for peripheral MRI exams Easy planning for multi-station angiography examinations with overlaps shown in GSP Individual parametrization See more Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile What is myExam Angio Advanced Assist? Is a semi-automated workflow for peripheral angiography examinations. It provides step-by-step guidance throughout the exam. Two Versions Care Bolus Test Bolus myExam Angio Advanced Assist My-Exam Angio Advanced Assist has semi-automated workflow for peripheral angiography exams and provides step-by-step guidance throughout the examination. This workflow feature is used to plan multi-station angiography exams in the G-S-P segments for all stations in one common planning step. This new Assist workflow uses test bolus or care bolus-functionality to optimally track the bolus arrival in the vessels.   After performing an overview scan, the relevant peripheral vessels and the aorta are localized. The planning of the actual angiography measurement is performed by using the Angio Advanced Planning Add-in, which enables the user to plan all stations (abdomen, legs, feet) together in the G-S-P. After planning is complete, the angiography pre-contrast data acquisition is executed for all planned stations. The arrival of the contrast agent is manually or automatically detected with the care bolus step. The angiography post-contrast measurement is performed in accordance with the pre-contrast measurement. Alternatively, test bolus workflow can also be used. In addition, an optional dynamic Contrast Enhanced, M-R-Angiography, a TWIST measurement can be performed. Highlights and Benefits include: Automation and guidance for peripheral MRI exams Easy planning for multi-station angiography examinations with the overlaps shown in G-S-P And, Individual parameterization. With X-A-seventy software, My Exam Advanced Angio Assist is new for the MAGNETOM Avanto Fit Bio Matrix and the Skyra Fit Bio Matrix systems. However, for the MAGNETOM Sola Fit, and Viato Mobile systems, it was available on previous software. Layer - Set-n-Go 1 Improvements to my Exam Advanced Angio Assist are based on Set-and-Go. The automated planning of three or four stations is based on the Patient’s height during registration, landmarks obtained during the Fast View acquisition, coverage in the z-direction of one station in the head-to-foot direction, and the preferred overlap of the stations. The example shown here is based on a test bolus examination. Layer - Set-n-Go 2 The X-A-seventy, improvements allow you to adjust the Phase Field-of-View for each station. In the Assist View the total acquisition time for all steps, and the time-to-center for each station are now visible. Layer - Set-n-Go 3 In previous software versions, If Optimize Protocol was enabled, the phase and slice resolution were adjusted to accomplish faster acquisition times, with optimal arterial contrast. With X-A-seventy, no automatic adjustments of the phase resolution are performed when Optimize Protocol is enabled. Instead, only the slice resolution is adapted. If 4 stations are set-up, as in this example the Slice Resolution is set to the minimum for all 4 stations. The phase-field-of-view is adjusted to ninety-percent of the size of the abdomen organ box, in the left-to-right direction, for all stations. However, this can be adjusted for each station. If the customer does not to want enable these changes, they can disable Optimize Protocol. In this case, the default protocol values are used, and you can configure the settings for each station. Layer – Care Bolus When using my Exam Advanced Angio Assist with Care Bolus on the new X-A-seventy software. Ensure you start the post contrast steps immediately to prevent contrast timing errors. This means that you shouldn’t make any adjustments, or perform any table moves during the Care Bolus sequence acquisition. When setting up the Care Bolus Add-In, turn on Copy References, and Table Position, this is mandatory. If not configured properly, the working man blocks the execution of the measurement. Improvements with XA70 – Care Bolus Requirement: Post contrast steps should start immediately to prevent contrast timing errors! No adjustments No table moves Care Bolus Add-In: Turn on Copy Reference > Table Position (mandatory) Hint: if not configured, the working man blocks the execution. X Continue Improvements with XA70 based on Set-n-Go Optimize Protocol in Add-In configuration Optimize Protocol enabled: Slice Resolution is set to minimum in case there are 4 stations. Phase FOV is set to 90% width of the detected abdomen organ box.  Optimize Protocol disabled: uses default protocol values (configured in the Set-n-Go steps) Previous software: If Optimize Protocol was enabled, the phase and slice resolution were automatically adjusted for a faster acquisition, with optimal contrast. Improvements with XA70 based on Set-n-Go Phase FoV (L-R) can be adjusted for each station. Now visible in Assist View. Total Acquisition Time (TA) for all steps. Time to Center (TTC) for each station. Continue Improvements with XA70 based on Set-n-Go Improved Peripheral Angio Assist workflow based on Set-n-Go. Automated planning of 3 or 4 stations is based on: Patient height (registration) Landmarks (FastView) Z-coverage of 1 station (H-F) Preferred overlap of stations Continue ? Spine Positioning for MSMA* Improvements with XA70 Patients with a lot of kyphosis or lordosis: AutoAlign Axial orientation may change from C>T instead of the default T>C, since tilt exceeds 45°. MSMA issues: Images flipped for affected slice group(s) Series sorting incorrect & IQ issues Phase Encoding direction changes XA70 Improvements: MSMA protocol (more than 1 slice group) 1st Slice Group has Transverse orientation Spine Positioning Add-in corrects Axial slice groups tilted >45°, are tilted back to axial a maximum of 45° (C>T back to T>C) Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile *Multi Slice Multi Angle (MSMA) Spine Positioning When patients have extreme kyphosis or lordosis, the orientation calculated by Auto-Align may change from Axial to Coronal when the tilt exceeds forty-five-degrees. When this happens, several things occur: the Phase Encoding direction changes, images flip, and the series sorting may be incorrect. This may result in image quality issues. Plus, if the images are flipped, they need to be mirrored to correct the image orientation. Improvements have been made to X-A-seventy software. When a multi-slice, multi-angle sequence is used, if the first slice group has an axial orientation, and the other slice groups are tilted more than forty-five-degrees, the slice groups are tilted back to the axial orientation by a maximum of forty-five-degrees. Then the slice group is no longer aligned with the disc because the angle is reduced. In addition, when positioning, if you change the angle of the axial slice groups then the Spine Positioning Add-in functionality no longer works. Select&GO Display ? Select&GO Display Layer 1 – New Disp Fxnlty The Select and Go display has new functionality with X-A-seventy software. These new features include: New Patient details and a Registration buttons. and, the ability to see the Current Table position, and Isocenter target information. The swap orientation button is available when the table is in the home position, and when no patient is registered. But only if the three-D camera is not installed! Comfort, Settings, Body Part information, and Guidance menus are in the same position as on the previous software. In addition, there is a Lock Table icon available for interventional procedures. Layer 2 – 1 Pt Reg at Select&GO With X-A-seventy software, you can select the next patient from the scheduler on the Select and Go display. The Select and GO, patient registration button is only available once the patient is pre-registered for the examination. Remember, it cannot be used if the three-D camera was installed. When the Patient details or the patient register button is selected the list of preregistered patients opens. The list can be filtered and sorted as needed. Patient details, such as name, age, program, body region, and laterality can be verified. Patient orientation, weight, and height can be checked, corrected or entered as needed. After checking, correcting and entering these values, the patient can be registered as the next patient to be scanned. Any errors that occurred during the registration on the Select and Go display need to be resolved at the M-R scanner console. In addition, various icons are seen in the patient details on the Select and GO display, these include: A Checkmark icon, this identifies that the patient has already been scanned. The Scanner icon, signifies that an exam has been started for that patient. And, the Clock icon, means that the patient is scheduled for an exam. The Cog-wheel can also be selected to see the pre-registration details Layer 3 – 2 PT Reg at Select&GO Once you select the Register Patient button on the Select and Go display, the pre-registered patient list opens. Select the Patient Details button to see the Demographics and examination details. Here you can edit the Height, weight, and orientation as needed. Then select the Exam button to complete the registration. When the patient registered is completed on the select and go touch display, the patient is automatically available at the M-R scanner and the scan queue is loaded. ? Patient Registration at Select&GO* *Optional license Patient list can be opened on Select&GO display When Register Patient is selected, patient details can be displayed Height, weight & orientation can be updated at Select&GO display Patient can be registered from Select&GO display X ? Patient Registration at Select&GO* Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile *Optional license Continue Patient Registration is now available on the Select&GO touch display. Select next patient from the Scheduler on the Select&GO touch display. Check Patient details: verify patient information and examination details (i.e., name, age, program, body region, and laterality). Hint: Any errors must be corrected at the MR console. Edit Patient Details: Height, Weight, Orientation Important Notes: Patient Registration at Select&GO cannot be used in combination with the 3D camera. Patients must be pre-registered to access Patient Registration at Select&GO. Icons: Checkmark signifies the patient has been scanned Scanner signifies the exam has started for that patient Clock signifies the patient is scheduled ? New Display Functionality See more Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Also displayed from previous software: Swap Orientation button – only shown if no 3D camera, table in Home position, and if the Patient is not registered Lock Table Position button – available for Interventional procedures Comfort and Settings menus in same position Body Part information Guidance Define Isocenter What’s New on the Select&GO display with XA70: Patient Details button Register patient touch display at scanner Current table position Isocenter target information ? AutoAlign* Improvements with XA70 *Standard license on the MAGNEOM Avanto Fit BioMatrix systems The Exclamation icon (warning) for AutoAlign is now displayed when errors occur. Icon located to right of AA scout protocol name Tooltip provides information about which AutoAlign references were not reliably detected pertaining to the customers protocol Avanto Fit BM AutoAlign Previously, if auto-align failed to detect a landmark, an examination mark was shown on the working man making the error difficult to visualize. On X-A-seventy software, an exclamation icon was added to the Auto-Align scout to enable better visualization of the warning. Float the mouse over the exclamation icon to see which auto-align references were not reliably detected. The tool-tip only focuses on the references used in the customer's protocol. ? myExam Implant Suite MR XA70 System & Software Overview Click each tab to view the enhancements made to the myExam Implant Suite. Overview Warnings Coils & Interfaces Implant Scanning Mode Confirming Entries myExam Implant Suite Layer 1 – Overview My Exam Implant Suite provides support for M-R-I examinations for patients who have active or passive emar conditional implants on the Sola Fit and Viato mobile, with X-A 70 software. For patients with MR conditional implants, My Exam Implant Suite provides an easier method to enter safety limits during patient registration, according to the implant manufacturers specifications. The implant safety limits can be verified at any time during the examination. This makes it possible to offer the benefits of M-R-I to a growing population of patients with M-R Conditional implants. Layer 2 – Screen Overview My Exam Implant suite functionality, is activated during patient registration. In the patient registration window, enter the required patient and examination data. In the Implant Scanning field, select the implant class; MR Safe or MR Conditional, according to the implant manufacturers specifications. Defined scan limits are monitored and can be displayed during the examination at any time. The user can activate a timer that starts at the beginning of the examination. The timer reminds you when the defined examination time is exceeded. This is helpful if the implant manufacturer specifies a maximum examination time for M-R conditional implants. However, it is important to note that when the timer expires the scan is not interrupted. This must be monitored so the user can stop the scan when the timer expires. Pre-defined Specific Absorption Rate reduction protocols are available in the Siemens tree. Layer 3 – Warnings It is important to remember, to avoid injuries due to conditional implant failure or local burns to: only use permitted coils. Don’t use non-volume transit coils to scan the patient. Use only receive coils, however, if you do use non-volume coils, use non-closed coils or flex coils. Ensure all coils on the table are connected prior to the examination, and to remove any coils that are not connected to the table coil sockets. When scanning patients with an M-R conditional implants, choose the implant during patient registration and enter the correct implant-specific R-F limits. Always, observe general safety information and contraindications listed in the Siemens Healthineers operator manual M-R Systems and Coils. Refer to the permitted coils and interfaces list. It is important to note, that it is the responsibility of the implant manufacturer to declare if an implantable medical device is M-R conditional and to define conditions for M-R safe scanning. Siemens Healthineers does not accept liability for these definitions Layer 4 – Coils & Interfaces Here is the list of the permitted coils and coil interfaces available on the Sola Fit and Viato Mobile systems that can be used with Implant Suite. Layer 5 – Implant Scanning Mode To Register a patient with an M-R conditional implants. Complete all the mandatory fields during registration. In the Program Selection window, choose the protocol, then depending on the implant situation, select the required option from the Implant Scanning list. Finally, click the exam button to complete the registration. If an M-R Conditional implant was selected from the Implant Scanning list, the Limits for M-R Conditional Implants window opens so the user can enter the relevant conditional implant information In the Limits for M-R conditional Implants window, enter the data required to scan a patient with an M-R Conditional Implant. In the R-F Limits window, choose the type of limits that should be used: B-one-plus-r-m-s; Specific Absorption Rate, or Normal Operating Mode. If you selected, B-one-plus-r-m-s, or if you selected Specific Absorption rate, enter the limits as described by the implant manufacturer for that value. If the implant specifies a limit that cannot be entered here in either field, consult with the implant manufacturer that the limitation entered is sufficient. If required, change the selected R-F Transmit Mode and click Next. In the General window, check to ensure the field strength being used for the conditional implant is suitable. If it is suitable, choose Yes, this confirms that the scanners field strength can be used for scanning the conditional implant. However, if the magnetic field strength is not suitable, do not proceed with the examination. You can also activate a timer to start at the beginning of the examination. The timer reminds you when the defined examination time is exceeded. This is helpful if the implant manufacturer specified a maximum examination time. However, please not that the scan will not be interrupted. Remember, as previously stated, you can enter comments here that will be included in the implant examination DICOM report. Once all fields under General are completed, click Next Layer 6 – Confirming Entries Finally, the Confirmation page provides an overview of the data entered. Here you need to check the summarized values to ensure the R-F limits entered correspond to the data that was specified by the implant manufacturer. If needed, click the Back button to adjust any additional R-F limit settings and information entered in the General window. Once you have confirmed that all values entered are correct and that the information in the Before Scanning section are adhered to, select the check box: I have read and validated the information above. Then click Exam, to proceed with the examination. Remember at any time during the examination, you can click on the Green M-R icon. This opens the Implant information entered in the Limits for M-R Conditional implants window during registration. myExam Implant Suite1 – Confirming Entries Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now Examination Screen: Click on the green MR icon to open the implant information entered in the Limits for MR Conditional implants window. X myExam Implant Suite1 – Confirming Entries Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now The Confirmation screen provides an overview of the data entered. Check summarized values, to ensure that the RF limits entered correspond to the data that was specified by the implant manufacturer. If required, click Back and adjust settings on the RF Limits and General pages. If you can confirm that all values are correct and that the information in the Before Scanning section are adhered to, select the check box I have read and validated the information above. Click Exam, to continue with the examination. Example: SAR used as RF limits See more X myExam Implant Suite1 – General Data Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now In the General tab, ensure the field strength for the conditional implant is suitable. Select Yes, confirms the field strength of the scanner is allowed to be used for scanning the conditional implant. If the magnetic field strength is not suitable, do not proceed with the examination. Activate a timer to start at the beginning of the examination. Reminds you when the defined examination time is exceeded (i.e., supports in case the implant manufacturer has specified a maximum examination time). Note: The scan will not be interrupted If required, enter a planned examination duration to use the timer. You can enter comments to be included in the implant examination DICOM report. Click Next. X Click here to close & view remaining tabs myExam Implant Suite1 – RF Limits Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now If you selected B1+rms, enter the B1+rms limit as described by the implant manufacturer. If you selected SAR, enter the Head SAR and Whole-Body SAR limits as described by the implant manufacturer. If the implant specifies a limit that cannot be entered here, consult with the implant manufacturer that the limitation entered is sufficient. If required, change the selected RF Transmit Mode. Click Next. Continue myExam Implant Suite1 – RF Limits Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now In the Limits for MR Conditional Implants window, enter the data required to scan a patient with an MR Conditional Implant. MR Conditional Implants window has the following options: RF Limits General Confirmation Choose the type of RF Limits that should be used. B1+rms: use an upper B1+rms limit. SAR: for use with individual SAR limits for Head SAR and Whole Body SAR (i.e., as a default, values for normal operating mode defined in the IEC are displayed) Normal Operating Mode: use the default values of the normal operating mode as the SAR limits for the Head SAR and Whole Body SAR. Continue Selecting Implant Scanning Mode Continue Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now Select MR Conditional during patient registration (if applicable). Complete mandatory fields. Depending on the implant situation, select the required option from the Implant Scanning list. No Implant (default) MR Safe: patient with MR Safe implants MR Conditional: patients with implants that allow for MR examinations under certain conditions only. Click Exam. Hint: If MR Conditional Implant was selected from the Implant Scanning list, the limits for MR Conditional Implants window opens to enter relevant implant information. Permitted Coils and Interfaces Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now *Requires stated revision level Body Coil Head/Neck Coil Head/Neck 20 (revision level ≥ 11)* BM Head/Neck Coil BM Head/Neck20 Head/Neck 16 Spine 32 BM Spine Coil BioMatrix Contour S, M, L Coils BM Spine 32 Spine 24 BM Spine 24 Nexaris Spine 36 BM Spine 48 BM Body 12 Body 18, & Body 18 long BM Body 18 Body 6 (revision level ≥ 06)* Body 6 long (revision level ≥ 06)* Body 30/Body 60 (revision level ≥ 01)* Contour 24/Contour 48 Peripheral Angio 16/36 Special Purpose 4 Flex Small/Large 4 Ultra Flex Small/Large 18 Flex Loop Large Loop 4/7/11 Hand/Wrist 16 Shoulder 16 Small/Large Shoulder Shape 16 iTX Extremity 18 Flare Coil Foot/Ankle 16 Tx/Rx Knee 18 Breast 18 4 Ch BI Breast 6 Ch AI Breast 2/4//8-Channel Sentinelle Breast Coil 2/10/16-Channel Sentinelle Breast Coil Breast BI 7 Pediatric 16 Tim Coil Interface Flex Coil Interface Multi-Channel Interface X Click here to close & view remaining tabs myExam Implant Suite1 – Warnings Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now Patient injury due to implant failure or local burns Only use permitted coils Do not use non-volume transit (Tx) coils to scan patients with implants Use only Receive (Rx) coils if you use non-volume coils (non-closed coils, Flex Coils) When scanning patients with MR Conditional implant: Choose MR Conditional during patient registration. Enter correct implant-specific RF limits (SAR or B1+rms limits). Note: Observe general safety information and especially the contraindications in the Operator Manual MR systems and coils. Refer to the permitted coils and interfaces list. Patient injury in case of non-connected coils All used coils must be connected prior to the examination Don’t leave any coils on the table that are not connected to the coil sockets It is the responsibility of the implant manufacturer to declare an implantable medical device as MR Conditional and to define conditions for safe MR scanning Siemens Healthineers does not accept liability for these definitions X Click here to close & view remaining tabs myExam Implant Suite1 Sola Fit Viato.Mobile X Click here to close & view remaining tabs Predefined SAR-reduced protocols available ………. Included in the patient registration ………. Possibility for additional comments ………. Intuitive entry of implant-specific SAR or B1+rms limits ………. 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now Sola Fit Viato.Mobile 1Standard Feature for the Sola Fit and Viato.Mobile MAGNETOM MR system that is included with Advance.Now myExam Implant Suite1 See more What is myExam Implant Suite? myExam Implant Suite supports MRI examinations of patients with MR Conditional implants. myExam Implant Suite provides an easier way to set predefined implant limits during patient registration. This makes it possible to offer the benefits of MRI to a growing patient population with MR Conditional implants. Disclaimer Siemens Healthineers MAGNETOM MR systems are not labeled for use with implantable medical devices. FDA has not evaluated the safety and effectiveness of these systems for use with implantable medical devices. Siemens Healthineers does not assume any responsibility or liability for the operation of a MAGNETOM MR System with any implantable device. Please direct any safety related questions to your facility’s MR Safety Officer (MRSO), MR Medical Director (MRMD), or Directing Radiologists. Disclaimer Highlights and Benefits Supports MR Conditional implants (active and passive) Allows users to set predefined implant limits for key parameters Provides SIEMENS predefined SAR-reduced sequences for specific body regions Included in the patient registration process Defined limits are stored in the DICOM structured report object Allows additional comments to be stored in the DICOM report object Standard feature included with Advance.Now ? myExam 3D Camera Suite* * Optional license for the Avanto Fit BioMatrix, Skyra Fit BioMatrix, and Sola Fit MAGNETOM MR systems What is myExam 3D camera? Automate patient positioning, improves efficiency, accuracy, and reproducibility during an exam. Avanto Fit BM Skyra Fit BM Sola Fit AI-trained algorithm is used to automatically detect body landmarks and positions relevant body parts in the isocenter of the MRI scanner without using the table measurement scale or the positioning laser. Captures the patient’s shape and position on the table in three dimensions. Position patients up to 48% faster when compared with manual workflow. Allows for accurate and consistent positioning even with flexible Contour coils. See more myExam 3D Camera Suite my Exam three-D Camera is used to acquire patient data in three dimensions. The three-D Camera is mounted on the ceiling directly above the patient table in the examination room. The A-I-trained algorithm of my-Exam-three-D Camera automatically detects body landmarks and positions the relevant body parts in the isocenter of the M-R-I scanner without needing to use the table measurement scale or the positioning laser. The my-Exam-three-D camera functionalities, Auto-Registration and Auto-Positioning, automate patient positioning, improve efficiency, accuracy and reproducibility during the examination. Layer 1 – Auto Features During Auto-Registration, the my-Exam three-D camera, determines the patient's weight, height, and orientation. This information is prefilled automatically from the patient registration window. During Auto-Positioning, the three-D camera, determines the locations of the patient’s anatomical landmarks that correspond to the supported body regions. Once you select a target body region on the Select and GO display, the A-I-trained algorithm of my Exam three-D Camera automatically detects body landmarks and positions the relevant body parts in the isocenter of the M-R-I scanner without needing to use the table measurement scale or the positioning laser. My Exam three-D Camera supports the following patient orientations: Head-first Supine or Prone; Feet-first Supine or Prone, and Superman Supine or Prone. AutoRegistration Auto fills the weight, height, and orientation fields in the patient registration window Designed to streamline and help safeguard accurate patient registration Registration window with prefilled data Auto Positioning determines locations of the patient anatomical landmarks that correspond to the supported body regions. Supported Patient Orientations: Head-first Supine or Prone Feet-first Supine or Prone Superman Supine or Prone Detected orientations shown on the Select&GO display X Avanto Fit BM Skyra Fit BM Sola Fit ? *Optional license SureWave Elastography* What is SureWave Elastography? SureWave Elastography is a new MR Elastography device developed and offered by the company Quality Electrodynamic (QED). This solution is based on an innovative gravitational transducer technology. In addition to the 2D MRE, SureWave Elastography enables MRE with 3D wave-encoding. Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile Highlights & Benefits: Simple workflows and patient handling Flexible use between different MR scanners Supports deep penetration of waves even in obese patients, with excellent SNR Supports comprehensive tissue characterization by offering unique 3D wave-encoding capabilities See more SureWave Elastography Sure-Wave Elastography is a new M-R Elastography device developed and offered by a third-party company Quality Electrodynamic. This solution is based on an innovative gravitational transducer technology. In addition to the two-D, M-R-Elastography, Sure Wave Elastography enables M-R-Elastography with three-D wave-encoding. This technique simplifies workflow and patient handling. It supports deep penetration of waves even for obese patients and has excellent signal-to-noise Layer 1 – Simplified Workflow First, position the device and the patient. Next, position the transducer and place the coil on the patient, then you can start scanning. Layer 2 – Output Maps 3D motion-encoding gradients combined with advanced image reconstruction enables complete three-D-encoding of the shear wave inside the tissue. M-R Shear Wave elastography images and maps acquired, include a Magnitude image, a Wave image, a Stiffness map, and a Quality index map. SureWave Elastography* MR Elastography output maps MRE with 3D wave-encoding 3D motion-encoding gradients combined with advanced image reconstruction enables complete 3D-encoding of the shear wave inside the tissue. *Optional license Magnitude Image Anatomical MRI image Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile Wave Image Propagation of mechanical waves in the tissue Stiffness Map Indication of liver stiffness Quality Index Map Indication of reliability of stiffness measurement X Simplified workflow and integration into clinical routines Continue ? BioMatrix Beat Sensor* *Standard license only for the MAGNETOM Avanto Fit BM & Skyra Fit BM systems. What is the BioMatrix Beat Sensor? This technology uses the heart’s own pulsatile motion as the triggering source unlike ECG triggering, which only indirectly measures the onset of cardiac motion by detecting the electrical activity of the heart.  Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile Beat Sensor integrated in coils – motion of heart creates signal Trigger cardiac exams without ECG gating Highlights and Benefits: BioMatrix Beat Sensor now supports all cardiac imaging techniques without ECG triggering. Beat Sensor triggering improves the patient experience since no skin prep is needed, especially if they have sensitive skin (e.g., allergies to cleaning gel). Prerequisite: BioMatrix Body 18 coil PEPconnect Content: Job Aid: BioMatrix Beat Sensor Ready to Operate Job Aid: BioMatrix Beat Sensor Troubleshooting See more BioMatrix Beat Sensor What is the Bio Matrix Beat Sensor? This technology uses the heart’s own pulsatile motion as the triggering source unlike E-C-G triggering, which only indirectly measures the onset of cardiac motion by detecting the electrical activity of the heart. The beat sensor is close to the heart, so the local M-R coils receive the signal parallel to the M-R signal. The signal is separated into the different motion contributions so cardiac motion is enhanced.  The BioMatrix Beat Sensor supports all cardiac imaging techniques. Highlights and Benefits include: The ability to use the Beat Sensor on all Cardiac Imaging techniques. The ability to perform an entire cardiac M-R-I Exam without E-C-G triggering. No Skin preparation is needed (for example: shaving the chest or using skin cleaning gel), and No electrodes need to be placed on the patient, improving the patient experience, especially if they have allergies to the skin cleaning gel. In addition, the Beat Sensor can be used in combination with the Bio-Matrix Body eighteen coil. The Beat Sensor is a new feature with M-R, X-A-seventy for the MAGNETOM Avanto Fit Bio Matrix and the Skyra Fit Bio Matrix systems. However, it was previously available for the MAGNETOM Sola Fit and the Viato Mobile Layer – Body 18 Coil A sensor in the coil can be used for cardiac triggering during the examination. Position the Body eighteen coil on the patient’s chest with the coil cable pointing toward the foot end of the table. Ensure that the sensor is positioned over the patient's heart. Attach the coil cable and connect the Body twelve coil to socket one or 2two and secure with belts. Ensure that the coil cable does not touch the patient's head or having any loops in the cable. Once the Coil Connector is plugged into the table, the first Beat Sensor learning phase is triggered and displayed on the Select and GO display Body 18 Coil Positioning ** *Standard license only for the MAGNETOM Avanto Fit BM & Skyra Fit BM systems.**Pre-requiste: BioMatrix Body 18 Coil Position the BioMatrix Body Coil on the patient’s chest with the coil cable pointing toward the foot end of the table. Position the Beat Sensor over the patient’s heart (•). Guidance for positioning the coil is provided on the Select&GO display > Physio menu. Attach the coil cable to coil socket 1 or 2 and secure the coil with belts. Once coil connector is plugged into the table, the first beat sensor learning phase is triggered and displayed on the Select&GO display > Physio menu. X ? AutoMate Cardiac MR XA70 System & Software Overview AutoMate Cardiac Layer 1 – Phase 1 Auto-Mate Cardiac is an A-I based workflow, that aids in simplifying cardiac M-R examination for faster and more reproducible image quality. Auto-Mate Cardiac can be used with or without my-Exam Cardiac Assist workflows. Features that are supported include: Auto positioning, automatic detection of the optimal T-I, and automatic detection of the resting phase for static cardiac measurements. Layer 2 – Phase 2 Auto Positioning is designed to move the patient’s heart into the magnets isocenter on the second localizer acquired, which eliminates the need to program and use table positioning strategies. Slice groups for the localizer, thorax and three-D measurement are planned. In addition, Auto Positioning, also automatically positions the adjust volume, image navigator, diaphragm navigator, and saturation bands, for example, for Whole Heart scans. Layer 3 – Phase 3 Auto Resting Phase detection is used for three-D Whole Heart scans. It detects the optimal data acquisition window during the cardiac resting phase. The user can choose the resting phase depending on the anatomy they want to evaluate, for example: coronaries, ventricles, Whole Heart, et cetera. Layer 4 – Phase 4 Auto T-I, proposes the optimal inversion time for delayed enhancement measurements. The optimal T-I is located automatically by using the T-I scout. An orange overlay is visualized on the curve, suggesting the optimal T-I location. However, the T-I can be manually adapted if needed. Layer 5 – Phase 5 Auto Mate Cardiac workflow has various technical components included in the protocols to assist in planning complex cardiac M-R examinations. These technical components interact with each other in the protocols. These new my Exam components cam be found in the add-in configuration menu. The Add-ins includes, Cardiac Auto iso-center, cardiac two-D Auto Mate, and Cardiac three-D Auto mate. Additional my Exam components in the Add-in configuration previously discussed include, Auto Positioning, Auto Resting Phase, and Auto T-I. Not all protocols using Auto Mate Cardiac functionality use all these features *Standard license AutoMate Cardiac* X AutoMate Cardiac workflow can automize anatomical and physiological planning of complex cardiac MR examinations. myExam Add-ins: Cardiac Auto Isocenter Cardiac 2D AutoMate Cardiac 3D AutoMate myExam components in the Add-in configurations: Auto Positioning Auto Resting Phase Auto TI Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile These features can be used within myExam Cardiac Assist workflows or in a standard non-assist cardiac examination *Standard license AutoMate Cardiac* Auto T1: Optimal Inversion Time for delayed enhancement measurements in a cardiac workflow. Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Continue *Standard license AutoMate Cardiac* Auto Resting Phase detection: Detects an optimal data acquisition window during the cardiac resting phase. Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Continue AutoMate Cardiac* Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile *Standard license Auto Positioning is designed to: Move the heart into the magnet isocenter. Pan slice groups for localizer, thorax, and 3D whole heart measurements. Position GSP elements: Adjust volume, image navigator, diaphragm navigator, and saturation bands. Continue ? *Standard license AutoMate Cardiac* Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Heart is in Isocenter Graphical Objects: Imaging Volume Saturation Bands Navigator Volume Adjustment Volume Dynamic Parameters: Resting Phase TI Null AI-based workflow that minimizes residual complexities for faster, simpler, and more reproducible Cardicac MR examinations. (i.e., standard license). Successful Whole-heart imaging requires planning. Auto Positioning See more AutoResting Phase Auto T1 AutoMate Cardiac ? 3D WholeHeart Pro MR XA70 System & Software Overview 3D WholeHeart Pro Layer 1 – Clinical Needs Three-D Whole Heart Pro is an imaging technique that enable visualization of coronary arteries. It improves Whole Heart workflow for Cardiac M-R Angiography and late gadolinium enhancement imaging using the Auto-Mate functionality. Cardiac M-R workflow improvements, include, Auto Positioning, Auto Resting Phase, and Auto T-I. In free breathing exams, three-D Whole Heart Pro, helps depict complex anatomy in the thorax, for patients with congenital heart disease. It is useful for scar tissue characterization of ischemic and non-ischemic cardio-myopathies and provides guidance for electrophysiology procedures for pre and post interventional imaging of myocardial lesions. The new image navigator i-NAV, has a one hundred percent acceptance rate with predictable scan times of three to ten minutes. The new V-D-CASPR sampling pattern with non-rigid motion correction provides high overall under-sampling, enabling artifact free respiratory images. While Dixon imaging is used for robust fat and water separation, improving visualization of the coronary arteries. Three-D Whole Heart Pro is an optional license. Pre-requisites include, Advanced cardiac including PSIR, Compressed Sensing, Cardiac CINE, and High-end computing. Coils that can be used with three-D Whole Heart Pro include: the BioMatrix Spine thirty-two and the Body eighteen with a system configuration of two-hundred-four by forty-eight. Layer 2 – New Sequence Three-D Whole Heart Pro is a derivative of the BEAT sequence and supports True-FISP and Gradient Echo imaging in three-D. A, T-two preparation is used for angiography examinations. And an Inversion Recovery sequence is used for Late Gadolinium Enhancement exams. Fat Suppression can be performed using either spectral suppression, SPAIR, or the Dixon technique can be used. In addition, three-3, Whole Heart Pro also supports using a high bandwidth pulse in combination with a Gradient Echo sequence with inversion recovery preparation at one-point-five Tesla. Layer 3 – New UI The Variable Density-Cartesian Acquisition with Spiral Profile order sampling scheme is used as the acceleration mode. It is only available for examinations when the Image Navigator is used. V-D-CASPR, is located on the Resolution, Acceleration parameter card under the Acceleration Mode pull-down. Layer 4 – Navigator 1 The image-based navigation is a low resolution two-D image that is acquired for every heart-beat. It detects the position of the heart during respiration and divides three-D data into five respiratory bins for motion correction. When acquiring a True-FISP sequence, the image navigator is acquired by spatially encoding the ramp-up pulses and it shares the excitation volume with the imaging acquisition. The image-based navigator must be acquired in the coronal orientation to detect the motion correction in the head-to-foot direction on a True-FISP sequence. For GRE acquisitions, the Image Navigator is acquired by adding a separate low flip angle acquisition which precedes the imaging lines, therefore the imaging orientation is independent from the Image Navigator orientation. In other words, both axial and coronal orientations are possible, regardless of the mandatory coronal orientation for the navigator object Layer 5 – Navigator 2 The image-based navigation detects the position of the heart during respiration and divides the three-D data into five respiratory bins for motion correction. The navigator object is automatically positioned on the center of the heart using Auto-Mate Cardiac, Auto Positioning, Add-in functionality. The image Navigator excitation volume is always set-up as a Coronal while the position and Field-of-View of the region of interest can be changed depending on the heart’s location and size. The coronal low-resolution image is shown with the navigator object positioned over the left ventricle. During imaging, the image and navigator object are both visible in the inline display Layer 6 – 3D WholeHeart These images show a clinical comparison of sub-milli-meter, high-resolution non-contrast coronary M-R-Angiography against coronary C-T-M-R-Angiography in patients with low-intermediate risk of Coronary Artery Disease Layer 7 – Avanto Fit N/A Layer 8 – Skyra Fit N/A *Optional license - Pre-requisites: High end computing, Advanced Cardiac incl. PSIR, Compressed Sensing Cardiac CINE. 3D WholeHeart Pro* Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile X Skyra Fit BioMatrix – Coronal GRE T2 prep with Dixon Coronal GRE T2 Prep with Dixon Total acquisition time: 5:23 minutes *Optional license - Pre-requisites: High end computing, Advanced Cardiac incl. PSIR, Compressed Sensing Cardiac CINE. 3D WholeHeart Pro* Avanto Fit BioMatrix – Trufi T2 prep coronal Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Coronal Trufi T2 prep with iNav and VD-CASPR Total acquisition time: 3:53 minutes Continue *Optional license - Pre-requisites: High end computing, Advanced Cardiac incl. PSIR, Compressed Sensing Cardiac CINE. 3D WholeHeart Pro* Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile CMRA = coronary magnetic resonance angiography CCTA = coronary computed tomography Continue ? *Optional license - Pre-requisites: High end computing, Advanced Cardiac incl. PSIR, Compressed Sensing Cardiac CINE. AutoMate Cardiac* Navigator object > iNAV (Image Navigator) Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Navigator object iNav is automatically positioned by the AutoPositioning Addin. Position of the heart is detected for each heartbeat. Continue Continue AutoMate Cardiac* *Optional license - Pre-requisites: High end computing, Advanced Cardiac incl. PSIR, Compressed Sensing Cardiac CINE. Navigator object iNAV (Image-based Navigator) Image-based navigation (iNAV) is a low-resolution 2D image acquired every heartbeat. Trufi acquisitions, spatially encodes the ramp-up pulses. iNAV shares the excitation volume with the imaging acquisition Imaging can only be acquired coronally when using iNAV GRE acquisitions adds a separate low flip angle acquisitions preceding the imaging lines. The imaging orientation is independent from iNAV Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile *Optional license - Pre-requisites: High end computing, Advanced Cardiac incl. PSIR, Compressed Sensing Cardiac CINE. 3D WholeHeart Pro* New UI features – Acceleration mode VD-CASPR Incoherent Cartesian sampling pattern Variable Density Cartesian Acquisition with Spiral PRofile order (VD-CASPR). Resolution > Acceleration > Acceleration Mode > VD-CASPR Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Continue *Optional license - Pre-requisites: High end computing, Advanced Cardiac incl. PSIR, Compressed Sensing Cardiac CINE. New sequence – BEAT WholeHeart AutoMate Cardiac* 3D WholeHeart Pro is a derivative of the BEAT sequence. BEAT WholeHeart supports: TrueFISP and GRE imaging 3D dimension only T2 prep - angio IR preparation - LGE Fat Suppression (Spectral, SPAIR) Dixon imaging High bandwidth pulse in combination with GRE at 1.5T with IR preparation Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Continue *Optional license 3D WholeHeart Pro* See more Clinical Needs & Technical Enablers 3D WholeHeart Pro enables: Coronary artery visualization Depiction of the complex anatomies of the thorax (e.g., in congenital heart disease). Technical Enablers Improved CMR workflows with planned Auto Positioning Auto Resting Phase Auto TI Avanto Fit BM Skyra Fit BM Sola Fit Viato.Mobile Scar tissue characterization of ischemic and non-ischemic cardiomyopathies. Guidance for Electrophysiology procedures with pre-and post-interventional imaging of myocardial lesions. Planned Image Navigator (i-Nav) with 100% acceptance rate and predictable scan time (3-10 minutes). New sampling pattern (VD-CASPR) with non-rigid motion correction which provides high overall under-sampling factors and enables artifact-free respiratory images. Dixon imaging for robust fat/water separation, improving visualization of the coronary arteries. Prerequisites: High-end computing, Advanced Cardiac including PSIR, Compressed Sensing, and Cardiac CINE. BioMatrix Spine 32 & Body 18 with a system configuration [204x48]. ? New Sequences, Protocols, Applications and Improvements MR XA70 System & Software Overview New sequences, protocols ? New Sequences with XA70 Deep Resolve New with XA70 – Deep Resolve Swift Brain* is only available for the MAGNETOM Skyra Fit (3T) *Pre-requisite: High-end computing - Deep Resolve is an optional license MAGNETOM Avanto Fit BM/Skyra Fit BM XA50A Software: Deep Resolve was not available with these systems on this software level. New with XA70: Deep Resolve Gain Deep Resolve Sharp Deep Resolve Boost TSE* Deep Resolve Boost HASTE* Deep Resolve Boost EPI Diffusion* MAGNETOM Sola Fit/Viato.Mobile XA51A Software: Deep Resolve Gain Deep Resolve Sharp Deep Resolve Boost TSE* New with XA70: Deep Resolve Boost HASTE* Deep Resolve Boost EPI Diffusion* Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile Deep Resolve Deep Resolve is now available on the X-A-seventy systems as a purchasable option. For the MAGNETOM Avanto Fit Bio Matrix and the Skyra Fit BioMatrix systems, Deep Resolve Gain, Deep Resolve Sharp, Deep Resolve Boost Turbo Spin Echo, D-R Boost HASTE and E-P-I, Diffusion are now available with X-A-seventy. For the MAGNETOM Sola Fit and Viato Mobile, Deep Resolve HASTE and E-P-I, Diffusion are now available. Deep Resolve Gain and Deep Resolve Sharp are optional licenses and part of the Deep Resolve Discover and Deep Resolve Pro packages. Deep Resolve Boost: Turbo Spin Echo, E-P-I-Diffusion, and HASTE are optional licenses, included in the Deep Resolve Pro package. Deep Resolve Swift Brain is only available for the MAGNETOM Skyra Fit system. It is an optional license included in the Deep Resolve Pro package. ? *Optional license, part of Deep Resolve Discover and Deep Resolve Pro Deep Resolve Gain* What is it? What is it? How does it work? How does it work? What are the benefits? What are the benefits? eLearning Resources eLearning Resources Select each box for more information. Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile 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 M-R-I 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, Shorter scan times, and improved image quality. Deep Resolve Gain is available for Spin Echo, Turbo Spin Echo, and Turbo Spin Echo Dixon sequences. Online Training: MR Deep Resolve - Numaris X Video: Deep Resolve – XA31 Job Aid: Deep Resolve XA31 eLearning Resources Increased Signal-to-Noise Ratio (SNR) Shortens scan time Improved image quality Deep Resolve Gain is available for Spin Echo, Turbo Spin Echo, and Turbo Spin Echo Dixon sequences 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 ratio. 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? ? *Optional license, part of Deep Resolve Discover and Deep Resolve Pro Deep Resolve Sharp What is it? What is it? How does it work? How does it work? What are the benefits? What are the benefits? eLearning Resources eLearning Resources Select each box for more information. Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile 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 eLearning 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? ? 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). *Optional license, part of Deep Resolve Discover and Deep Resolve Pro 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. ? Deep Resolve DR Gain + DR Sharp - Knee *Optional license, part of Deep Resolve Discover and Deep Resolve Pro 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 fifty percent faster for the Deep Resolve protocol compared to the traditional customer protocol. ? 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? eLearning Resources eLearning Resources Select each box for more information. 1Optional license, part of Deep Resolve Pro2 High-end computing required Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile 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 eLearning Resources Increased Signal-to-Noise Ratio (SNR) Faster scan times for Turbo Spin Echo (TSE) sequences Reduced Noise 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? 1Optional license, part of Deep Resolve Pro package 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. ? 1Optional license, part of Deep Resolve Pro package 2High-end computing required Deep Resolve Boost1,2 & 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 Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile Deep Resolve Boost & SMS TSE - Knee Audio Want to acquire a knee examination in under two-minutes? Simply incorporate Simultaneous Multi-Slice into your Deep Resolve Boost Turbo Spin Echo protocol. ? 1Optional license, part of Deep Resolve Pro package 2High-end computing required Deep Resolve Boost for HASTE1,2 What is it? What is it? Highlights & Benefits Highlights & Benefits eLearning Resources eLearning Resources Select each box for more information. Example Example Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile DRB for HASTE Audio: Deep Resolve Boost and Deep Resolve Sharp are now available for the HASTE sequence taking Deep Learning Reconstruction to the next level. Achieve excellent image quality, diagnostic confidence, and lesion detection for HASTE body imaging with Deep Resolve HASTE. Highlights and Benefits include: the ability to enable higher i-PAT factors, resulting in decreased scan times. The use of shorter Echo Train durations and reduced T-two blurring Reducing acquisition times for body T-two-weighted sequences, in a single breath-hold Example Layer This t-2 BLADE fat sat sequence was acquired with 4 breath holds for a total of one minute and 56 seconds. When compared to the Deep Resolve HASTE sequence acquired using a single breath hold in 23 seconds, the benefit of this technique is apparent. ? 1Requires optional license 2High-end computing required Deep Resolve Boost for HASTE1,2 Conventional PAT 3, TA 1:56 min; .9 x .9 x 6.0 mm3 PAT 3, TA 0:23 sec; 1.1 x 1.1 x 6.0 mm3 T2 BLADE FS Tra 4 Breath-holds Deep Resolve BOOST for HASTE Single Breath-hold X Online Training: MR Deep Resolve - Numaris X Job Aid: Deep Resolve Boost - USA eLearning Resources Enables higher iPAT factors, resulting in decreased scan times Enable shorter Echo Train (ET) durations and reduced T2 blurring Reduced acquisition times for body T2-weighted sequences, in a single breath-hold Highlights & Benefits Deep Resolve Boost and Deep Resolve Sharp are now available for the HASTE sequence taking Deep Learning Reconstruction to the next level. Achieve excellent image quality, diagnostic confidence, and lesion detection for HASTE body imaging with Deep Resolve HASTE. What is it? ? 1Optional license, part of Deep Resolve Pro package 2High-end computing required Deep Resolve Boost for EPI Diffusion & HASTE1,2 DTI, 64 directions, b1000 PAT 2, SMS 3, Deep Resolve 0.9 x 0.9 x 3.0 mm3 TA = 3:24 min T2 HASTE PAT 4, Deep Resolve1 0.3 x 0.3 x 4.0 mm3 TA = 0:32 seconds Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile DRB EPI Diffusion & HASTE Audio The Deep Resolve Boost EPI Diffusion Tensor image was acquired with 64 directions, a b-value of 1000, in 3 minutes and 24 seconds. The Deep Resolve Boost, T2, HASTE sequence was acquired with a PAT factor of 4, in 32 seconds. ? 1Optional license, part of Deep Resolve Pro package 2High-end computing required Deep Resolve Boost for EPI Diffusion1,2 What is it? What is it? Highlights & Benefits Highlights & Benefits Example Example eLearning Resources eLearning Resources Select each box for more information. Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile DRB for EPI Diffusion Audio: Deep Resolve Boost and Deep Resolve Sharp are now available for the E-P-I Diffusion sequence. Deep Resolve Boost takes Deep Learning Reconstruction to the next level. Highlights and Benefits include: The ability to improve image quality and lesion conspicuity and reduce acquisition time for body Diffusion sequences. Using Deep Resolve on an E-P-I Diffusion sequence and combining it with simultaneous multi-slice. The capability to perform bi-parametric PI-RADS two-point-one, Prostate examinations in six-minutes or less with Deep Resolve. Example Layer These image examples compare a T-two Turbo Spin Echo with Deep Resolve to a Diffusion with ZOOM-it-Pro and Deep Resolve. ? 1Requires optional license 2High-end computing required TA - 0:58 min PAT 3 TA - 0:58 min PAT 4 TA - 1:02 min PAT 4 b50 b800 Calc b1400 ADC T2 TSE Deep Resolve 0.3 x 0.3 x 3.0 mm3 TA = 2:58 min Diffusion with ZOOMitPRO Deep Resolve 0.8 x 0.8 x 3.0 mm3 TA = 2:02 min Deep Resolve Boost for EPI Diffusion1,2 X Online Training: MR Deep Resolve - Numaris X Job Aid: Deep Resolve Boost - USA eLearning Resources Improve image quality and lesion conspicuity Reduce acquisition time for body Diffusion sequences Deep Resolve for EPI Diffusion is combinable with Simultaneous Multi-Slice (SMS) Perform bi-parametric PI-RADS 2.1 Prostate examinations in 6 minutes or less with Deep Resolve Highlights & Benefits Deep Resolve Boost and Deep Resolve Sharp are now available for the EPI Diffusion sequence. Deep Resolve Boost takes Deep Learning Reconstruction to the next level. What is it? ? Deep Resolve Swift Brain1,2 1Optional license, exclusive for the MAGNETOM Skyra Fit BM, 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? eLearning Resources eLearning Resources Select each box for more information. Skyra Fit BM Deep Resolve Swift Brain Audio: What is Deep Resolve Swift Brain? Is an ultrafast Brain protocol leveraging the fastest available imaging sequence, E-P-I. It is the combination of smart acquisition and a deep learning reconstruction method that delivers T-one, T-two plus, T-two-star, T-two 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 E-P-I 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 G-R-E Reference Scan is used to speed up the acceleration reference data acquisition. A New static field correction is used to minimize E-P-I-intrinsic geometric distortions. And the new flow attenuation leads to reduced flow artifacts through optimized R-F pulses and inverted interleaved slice ordering. Online Training: MR Deep Resolve - Numaris X Job Aid: Deep Resolve Swift Brain - USA eLearning 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 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? ? 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. 1Optional license, exclusive for the MAGNETOM Skyra Fit BM, 3T systems for brain imaging 2High-end computing required Skyra Fit BM 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. ? 1Oprional license, Exclusive on MAGNETOM Skyra Fit BM, 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 Skyra Fit BM Deep Resolve 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. ? 1Optional license BLADE Diffusion1 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 B0 BLADE Diffusion with SMS B1000T BLADE Diffusion with SMS ADC Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile 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. ? 1Standard license. 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 Used only for reliable detection of Cholesteatoma Skyra Fit BM 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 to only 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. ? BOLD Imaging* Flip Angle (FA) Optimization – EPI BOLD & EPI BOLD PACE *Standard license, included with AdvanceNow package. Flip Angle Optimization: Click on the checkbox to optimize the flip angle in the background after every protocol change. Checkbox enabled: Flip Angle is updated after every change in TR. FA is editable Flip Angle Optimization checkbox is disabled FA is grayed out – automatically adapts to TR Flip Angle Optimization checkbox is enabled Sola Fit Skyra Fit BM Avanto Fit BM BOLD Imaging - Flip Angle Locking the T-R and flip angle parameters for BOLD sequences offers several advantages. It optimizes the T-R and Flip Angle parameters and maximizes the signal-to-noise ratio, by improving image quality and sensitivity to changes in brain activity, while reducing artifacts such as motion or susceptibility artifacts. This ensures consistency across scans, enhancing the reliability of longitudinal studies and facilitating comparisons between subjects and, or sessions. To activate Flip Angle Optimization, click on the checkbox. The Flip Angle locked; however, it is automatically adapted to the Ernst Angle with every direct or indirect T-R change. ? 1Optional license. 2Available only for 3T MAGNETOM Skyra Fit BioMatrix. Single Voxel (SVS) Spectroscopy Edit (GABA)1,2 Skyra Fit BM SVS - GABA SVS spectral editing pulses enables the detection and relative quantification of J-coupled metabolites such as GABA. In a normal spectrum, the signal is not easily recognizable since the signal is too weak and obscured by other spectral peaks. The editing pulse allows a two-step experiment: One S-V-S Measurement with and one without the editing pulse. By subtracting the two spectra, the J-coupled metabolites can be visualized. In this example, the spectrum was created using a Single Voxel Spectroscopy edit from a region in the brain defined by the orange box. As shown, the signal from the J-Coupled metabolite is now visible. ? Breast Biopsy myExam Assist* *Optional license New workflow with XA70 Sola Fit Skyra Fit BM Avanto Fit BM The MR Breast Biopsy myExam Assist has updated the workflow and now includes: Center on Breast Step with Table Positioning Strategy Add-In VIBE Localizer Planning Check Targeting Step New See more Breast Biopsy myExam Assist MR Breast Biopsy workflow is used to plan access to the breast lesion. You define the position of the marker and the position of the lesion in the images. Based on the positions of the marker and lesion, the software calculates the necessary settings of the positioning unit with the needle guide. With the updated X-A-seventy software, the breast biopsy my Exam Assist workflow has been updated and now includes a: Center on breast step with a Table Positioning Strategy add-in. A VIBE localizer, A planning check and targeting step. Layer 1 Localizer Step The Center on breast step is required to ensure that the area of interest is placed in iso-center. The new VIBE localizer helps detect the fiducial marker more reliably prior to running the dynamic sequence. This is a fast scan, acquired in seconds. When acquiring a dynamic breast measurement, it helps avoid situations when the marker cannot be visualized. Layer 2 Guidance Images The guidance images were updated as well as the text for the transverse dynamic sequence to ensure the fiducials are fully visualized in the imaging volume. Layer 3 Planning Check Step The Planning Check Step is an interaction step that provides a hint to double-check the planning step prior to inserting a biopsy needle. These coordinates are set up at the device and the fiducial is placed into the needle holder. The set-up is verified with the next T-one VIBE sequence that is acquired. This step may not always be performed, depends on Radiologists preference. The Targeting Step is an interaction step that provides guidance to ensure planning is accurate prior to acquiring a breast tissue sample. Layer 4 Needle Intervention Add-In 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. X 1Optional license 2Prerequisite: Advanced Interactive Readtime What is the Needle Intervention myExam Assist add-in? This DOT add-in provides a user interface for workflow improvement of MR-guided needle intervention. Supports Needle Trajectory Planning Laser-based Localization of Needle entry point Automatic Slice Positioning Generally used in combination with the Nordic Neuro Lab (NNL) Monitor and a Foot Switch (or) mouse Sola Fit Skyra Fit BM Avanto Fit BM Needle Intervention Add-in1,2 Breast Biopsy myExam Assist *Optional license Planning Check Step is an interaction step with hints to check planning prior to inserting a biopsy needle. Targeting Step is an interaction step that provides guidance to ensure planning is accurately planned. Continue *Optional license Guidance Images and Text updated: Transverse and sagittal dynamic sequences Continue Center on Breast Step This step places the target at isocenter Additional Localizer Step The new VIBE localizer helps to detect the fiducial marker more reliably Continue *Optional license Inline Image Filter* *Standard license Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile Turn the Image Filter on/off at the Protocol level. Must activate in the Service UI Sequence must support the image filter By default, the Inline Image Filter is ON See more Inline Image Filter With X-A-seventy it is now possible to change the Inline Image Filter on the protocols level, but only if this option is enabled in the Service User Interface. On the Resolution, Filter parameter card, click on the icon with the three dots next to the unchecked Image filter. If the sequence supports the inline image filter and was activated in the service user interface, then the icon with the three dot will be visible. Click on the three dots to open the Image Filter Settings window. Here you can select or deselect the inline image filter. In the Filter tab 3 dots will be available next to the unchecked Image Filter Parameter box. Usually, these three dots are only available if the image filter is checked, however, they will also be visible now if the sequence supports the inline image filter and if this is activated in the Service UI. Click the three dots and the Image Filter Settings dialogue opens. The default selection for the inline filter is a On, however, this can be deselected if it is not needed. Layer 1 The option for the Inline Image Filter was implemented because the filter can produce some unwanted effects. For example, note the dark bands between the Cerebrospinal Fluid and spinal cord in the image with the Inline Image Filter turned On. Once the Inline Image Filter is removed, image quality improves. 1Standard license. Spine Inline Image Filter* Without Inline Image Filter With Inline Image Filter X ? Open Recon* *Optional license What is it? What is it? Highlights & Benefits Highlights & Benefits Additional Information Additional Information Select each box for more information. Sola Fit Skyra Fit BM Avanto Fit BM Viato.Mobile Open Recon Audio What is it? The Open Recon is a developer-friendly interface that facilitates the creation and deployment of innovative M-R 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 & Benefits 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. 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. X Open Recon is a developer-friendly interface that facilitates the creation and deployment of innovative MR reconstruction algorithms. What is it? Simplified reconstruction environment between Siemens Healthineers & partners FDA cleared 3rd party image reconstruction techniques and machine learning directly at the scanner Convenient access on the Inline > Open Recon Parameter Card Customized reconstructions for both in image-to-image as well as raw data-to-image domains Highlights & Benefits ? 1Optional license 2Pre-requisites: Respiratory belt, ECG, PMU 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. Physiologging1,2 – EPI BOLD & EPI PACE What is it? What is it? Highlights & Benefits Highlights & Benefits Select each box for more information. Physiologging - EPI BOLD/PACE Audio: What is it? 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. Highlights & Benefits Timestamped physiological data for easier synchronization with f-M-R-I data Recording can be started via a checkbox on the user interface: Physio, Signal parameter card. Physio data is stored as a separate DICOM file, that can also be archived. 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 Lock Signals checkbox. Physio Curves (data) are stored as a separate DICOM file, which can be archived. Highlights & Benefits Disclaimer 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 Physiologging enables the extraction of physiological data. Time stamps on the physiological data allow easy synchronization of physio data to corresponding fMRI data acquired with either EPI BOLD or EPI 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 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 ? Course Review Congratulations. You have completed the XA70 Software Upgrade Overview course. Select the numbered buttons below to review the material before proceeding to the final assessment. AutoMate Cardiac & 3D WholeHeart Pro myExam Autopilot & Assist Systems & Coils 1 1 1 3 3 3 2 2 2 4 4 4 6 6 6 5 5 5 Deep Resolve Additional Features (2) Additional Features (1) Course Review Additional Features (2 of 2) SVS - GABA Enables GABA detection using spectral editing in Single Voxel Spectroscopy (SVS). Uses a two-step subtraction method (with/without editing pulse) to isolate J-coupled metabolites. Makes normally invisible GABA signals visible by eliminating spectral overlap. Inline Image Filter Inline Image Filter can now be toggled at the protocol level (if enabled in Service UI). Access via the three-dot icon in the Filter tab. Default setting is ON but can be deselected to avoid unwanted image effects (e.g., dark bands near CSF). Open Recon Open Recon is a customizable reconstruction interface for FDA-cleared 3rd party algorithms. Supports machine learning and other advanced recon techniques. Found on the Inline > Open Recon card. Allows recon at both image-to-image and raw data-to-image levels. Integrated into the scanner workflow and DICOM database. Additional Features (1 of 2) BLADE Diffusion SMS Functionality BLADE Diffusion is a non-EPI diffusion technique using a Turbo Gradient Spin Echo design. Recommended when RESOLVE does not minimize geometric distortions sufficiently Reduces geometric distortion, especially in areas with high susceptibility (e.g., sinuses, inner ear). Recommended when RESOLVE isn't sufficient. Simultaneous Multi-Slice (SMS) can be added (with license) to reduce scan time. HASTE Diffusion @ 3T Extends HASTE Diffusion (a non-EPI method) to 3T MRI systems. Specifically designed for cholesteatoma detection. Complements Siemens’ diffusion portfolio: EPI, RESOLVE, BLADE, HASTE Diffusion. BOLD Imaging - Flip Angle Optimization Ability to lock TR and Flip Angle parameters for EPI BOLD & EPI PACE sequences. Maximizes SNR by improving IQ and sensitivity to changes in brain activity. Flip Angle is automatically adapted to the Ernst Angle with TR changes. Deep Resolve Deep Resolve is now available on the XA70 systems as a purchasable option. For the MAGNETOM Avanto Fit Bio Matrix and the Skyra Fit BioMatrix systems, Deep Resolve Gain, Deep Resolve Sharp, Deep Resolve Boost Turbo Spin Echo, DR Boost HASTE and EPI, Diffusion are now available with XA70. For the MAGNETOM Sola Fit and Viato.Mobile, Deep Resolve HASTE and EPI, Diffusion are now available. Deep Resolve Gain and Deep Resolve Sharp are optional licenses and part of the Deep Resolve Discover and Deep Resolve Pro packages. Deep Resolve Boost: Turbo Spin Echo, EPI-Diffusion, and HASTE are optional licenses, included in the Deep Resolve Pro package. Deep Resolve Swift Brain is only available for the MAGNETOM Skyra Fit system. It is an optional license included in the Deep Resolve Pro package. AutoMate Cardiac & 3D WholeHeart Pro AutoMate Cardiac is an AI-driven cardiac MRI workflow that enhances speed, accuracy, and reproducibility. It can be used independently or alongside myExam Cardiac Assist. Key Features: Auto Positioning: Automatically centers the heart in the scanner’s isocenter using the second localizer, eliminating manual table programming. Also auto-positions related imaging elements (adjust volume, image navigator, diaphragm navigator, saturation bands). Auto TI: Determines the optimal inversion time for delayed enhancement imaging using a TI scout; suggestions are visualized and can be adjusted. Auto Resting Phase: Identifies the best cardiac resting phase for 3D Whole Heart scans, allowing anatomical targeting (e.g., coronaries, ventricles). 3D WholeHeart Pro is an advanced cardiac MRI technique designed for visualizing coronary arteries, late gadolinium enhancement, and complex thoracic anatomy, particularly under free-breathing conditions. Improvements & Features: Integrates Auto-Mate Cardiac tools (Auto TI, Auto Resting Phase, Auto Positioning) Supports congenital heart disease, ischemic/non-ischemic cardiomyopathies, and electrophysiology planning Uses iNAV image navigator with 100% scan acceptance and 3-10 min predictable scan times VD-CASPR sampling enables motion correction and artifact-free imaging myExam myExam Brain and Knee Autopilot use AI-driven automation to streamline routine head and knee. myExam Advanced Angio Assist offers a semi-automated workflow for peripheral MR angiography (MRA) exams, specifically designed to simplify multi-station planning using Care Bolus or Test Bolus. myExam Implant Suite supports MRI exams for patients with MR-conditional implants on Sola Fit and Viato Mobile systems with XA70 software. myExam 3D Camera Suite is an AI-powered 3D camera system mounted above the patient table, designed to automate patient positioning and improved accuracy and reproducibility during an exam. Breast Biopsy myExam Assist – The MR Breast Biopsy workflow is used to plan access to the breast lesion. You define the position of the marker and the position of the lesion in the images. Based on the positions of the marker and lesion, the software calculates the necessary settings of the positioning unit with the needle guide. Systems and Coils The syngo MR MAGNETOM systems eligible for the new MR XA70 software upgrade include: 1.5T systems: MAGNETOM Avanto Fit BioMatrix, Sola Fit, and Viato.Mobile 3T system: Skyra Fit BioMatrix Note: These features apply only to the BioMatrix versions of Avanto Fit and Skyra Fit, not to their classic editions. A new 20-channel tiltable Head/Neck BioMatrix coil is available for the MAGNETOM Avanto Fit BioMatrix system. Key features include: Coil Shim: Integrated Coil Shim minimized patient induced local anatomy-specific B0 Field inhomogeneity Tim 4G + BioMatrix technology: Ensures advanced imaging performance Direct Connect: Allows cable-free, table-integrated setup Tiltable Design: Adjustable to 0°, 9°, and 18° for improved patient comfort and accessibility 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. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 ? Disclaimer Assessment Start ? This assessment will test your retention of the presented content. A passing score of 80% or higher is required. You will have 3 attempts to complete the course and earn your certificate . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. Assessment Select the best answer. ? Classic editions of Avanto fit and Skyra fit All previous-generation Siemens MR scanners Question 1 of 10 Which Siemens MAGNETOM systems are compatible with the XA70 upgrade? Avanto Fit BioMatrix, Skyra Fit BioMatrix, Sola Fit, and Viato.Mobile Only 1.5T systems Multiple Choice Select the best answer. ? Auto-positioning Tilt capability Question 2 of 10 What feature of the new BM Head/Neck 20 coil helps minimize B0 inhomogeneity? Integrated CoilShim Wireless design Multiple Choice Select the best answer. ? True Question 3 of 10 myExam Brain and Knee Autopilot pre-defined protocols, eliminate the need to manually adjust parameters. False Multiple Choice Select the best answer. ? Auto-Align 3D Camera Suite Question 4 of 10 What does the myExam Angio Advanced Assist use to detect bolus arrival in vessels? DirectConnect Test Bolus or Care Bolus Multiple Choice Select the best answer. ? True Question 5 of 10 The Select&GO Swap Orientation button cannot be used if the 3D camera is installed. False Multiple Choice Select the best answer. ? A flashing light A sound alert Question 6 of 10 If AutoAlign fails to detect a landmark, _____ was added for improved visualization of the warning. A tooltip with full error log An exclamation icon on the scout Multiple Choice Select the best answer. ? It is only compatible with 3T systems It supports non-volume transmit coils by default Question 7 of 10 Which statement about myExam Implant Suite is correct? It is compatible with all 1.5T systems It supports MR examinations for patients with MR Conditional implants Multiple Choice Select the best answer. ? Guidance Images Needle Marking Question 8 of 10 Which step in the MR Breast Biopsy myExam Assist workflow verifies planning prior to biopsy needle insertion? Center on Breast Planning Check Multiple Choice Select the best answer. ? Beat Sensor AutoMate Cardiac Question 9 of 10 _____ is AI-based and minimizes residual complexities for faster and more reproducible Cardiac MR examinations. 3D WholeHeart Pro SureWave Multiple Choice Select the best answer. ? 3D WholeHeart Pro SureWave Question 10 of 10 _____ enables Coronary Artery visualization and improves Whole Heart workflow for Cardiac MR Angiography. Beat Sensor AutoMate Cardiac Multiple Choice 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, select the Certificates tab from the learning activity overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the MR XA70 Software Upgrade Overview Online Training. Completion details, certificates tab 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. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 MR XA70 Software Upgrade - Effective Date: 9 July 2025 | QR700025240 Here are some useful links and documents: 1 XA70 Software Upgrade 1.1 Welcome 1.2 Disclaimer 1.3 Systems 1.4 BM Head/Neck 20 Coil 1.5 myExam Brain Autopilot 1.6 myExam Angio Advanced Assist 1.7 Spine Positioning 1.8 Select&GO Display 1.9 AutoAlign 1.10 myExam Implant Suite 1.11 myExam 3D Camera Suite 1.12 SureWave Elastography 1.13 BioMatrix Beat Sensor 1.14 AutoMate Cardiac 1.15 3D WholeHeart Pro 1.16 New sequences, protocols 1.17 Deep Resolve 1.18 Deep Resolve Gain 1.19 MR Deep Resolve Sharp 1.20 Deep Resolve Sharp - Training 1.21 Deep Resolve Gain + Sharp - Knee 1.22 MR Deep Resolve Boost 1.23 Deep Resolve Boost - Training 1.24 Deep Resolve Boost & SMS TSE - Knee 1.25 DRB for HASTE 1.26 DRB EPI Diffusion & HASTE 1.27 DRB for EPI Diffusion 1.28 Deep Resolve Swift Brain 1.29 Deep Resolve Swift Brain - Training 1.30 Deep Resolve Swift Brain - Timeline 1.31 BLADE Diffusion SMS Functionality 1.32 HASTE Diffusion @3T 1.33 BOLD Imaging - Flip Angle 1.34 SVS - GABA 1.35 Breast Biopsy myExam Assist 1.36 Inline Image Filter 1.37 Open Recon 1.38 Physiologging - EPI BOLD/PACE 1.39 Course Review 1.40 Disclaimer 1.41 Assessment 2 Help