myExam Implant Suite | SAR adaptive protocols - USA

SIEMENS Healthineers SAR adaptive protocols Template Effective Date: 10 Aug 2021 | HILS 2223 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SAR adaptive protocols – SIEMENS Healthineers Table of contents What are SAR adaptive protocols? 3 How do SAR adaptive protocols support scanning patients with MR Conditional implants? 4 How have SAR adaptive protocols been optimized? 5 What SAR adaptive protocols are available? 6 SAR values and exam duration 7 Image quality 8 Benefits at a glance 10 USA 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. 2 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 What are SAR adaptive protocols? SIEMENS Healthineers SAR adaptive protocols help to solve possible SAR conflicts because: SAR Limit(s) Exceeded ? X • They have been configured to reduce SAR. Step 2 - t2_haste_cor_p3_320_bh_insp • They are not specifically optimized for metal implants. BORE Temperature 22,0 ºC • They have already been adapted and are ready to use. Operating Mode Current Measurement Normal Mode In most patients, the measured SAR values for the SAR adaptive protocols Next Measurement . Normal Mode should be below 50% of normal SAR values (3.2 W/kg head, 2 W/kg whole First Level Wait 30 seconds after measurement body). Protocol Parameters Current Recommended The SAR adaptive protocols can be found in the Siemens library of the TR 600.0 ms 1390.0 ms body region (except the heart for which there is no library). Flip Angle 1 150 deg 94 deg Protocols are available to support a basic examination. OK Open Protocol Skip 3 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 How do SAR adaptive protocols support scanning patients SIEMENS Healthineers with MR Conditional implants? Limits for MR Conditional Implants ? X SAR adaptive protocols help to avoid SAR conflicts when scanning patients with MR Conditional implants. The implant manufacturer 1 2 3 provides information on the SAR limits that need to be met. RF Limits General Confirmation RF Limits When you use myExam Implant Suite, an additional safety component B1+ rms Head SAR 3.2 W/kg is activated when you scan in Normal Operating Mode. This additional SAR Whole Body SAR 2.0 W/kg Normal Operating Mode safety component may result in the Normal Operating Mode limit being exceeded earlier than if the non-implant mode is selected. RF Transmit Mode Any Polarization Please note: SAR adaptive protocols are especially useful to avoid exceeding the SAR limit when scanning the spine. You can also create custom low SAR protocols for other body regions, if required. Back Next Cancel 4 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 How have SAR adaptive protocols been optimized? SIEMENS Healthineers The SAR adaptive protocols have been optimized by adapting existing protocols. The following parameter adjustments are made, depending on the protocol: • Low SAR RF pulse type • Decreased turbo factor • Decreased flip angle • Decreased averages (spine) • Decreased refocusing RF pulse (knee) • Increased concatenations • Increased slices (head) • Increased TR • TurboFLASH instead of TrueFISP imaging (heart) 5 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 What SAR adaptive protocols are available? SIEMENS Healthineers SAR adaptive protocols are available for the following body regions: Patient Registration Program Selection Doe, Jane All Programs Examination Information * Last Name |Doe Head 1 Procedure SIEMENS First Name Jane Accession Nr. • Middle Name Req. Proc. ID * Patient ID Study Description heart SAR adaptive • Spine (C, T, L) head Date of Birth |1/1/2000 [M/d/yyyy] c-spine Study Comment * Age |23 Year(s) t-spine Heart * Sex |F (Female) I-spine • whole-spine * Height |5 ft 5 in neck soft tissue Knee * Weight |140 lbs 2 thorax • heart Medical Information Cardiac Assist localizer Admitting Diagnosis morphology Implant Scanning function You will find the SAR adaptive protocols under the Program Alerts | MR Conditional dynamic tissue characterization Program Selection Medical Alerts MyoMaps Selection tab: SIEMENS >> heart > SAR adaptive > SAR adaptive Allergies flow Load Program to Queue library angiography library angiography ce 3 RF Transmit Mode [] SAR adaptive El SAR adaptive Any Polarization breast Body Part and Laterality SIEMENS > head/c-spine/t-spine/l-spine/heart/knee > library > SAR adaptive abdomen * Heart pelvis female Unpaired pelvis male Patient Orientation [tmj IT Select For the Heart region, for which there is no library, you find the Isafety relevant information needs to be validated and confirmed * Mandatory information protocols directly under: SIEMENS (1) > heart (2) > SAR adaptive (3) 6 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SAR values and exam duration SIEMENS Healthineers Example: SAR adaptive protocol for a head scan V Library SAR Adaptive AAhead_scout 00:19 AAhead_scout 00:19 SAR adaptive protocol optimization: AutoAlign Scout AutoAlign Scout t1_se_sag 03:07 t1 se sag 05:16 • Low SAR RF pulse type t1 f12d sag_p2 00:36 t1_f12d_sag 00:33 • Decreased turbo factor • Increased concatenations t1_se_tra_5mm 02:25 t1_se_tra_4mm 03:50 • Increased slices (coverage only) t2_tse_tra_p2_4mm 02:08 t2_tse_tra_p2_4mm 03:52 Exposed SAR: t2_tse_dark-fluid_tra_4mm 03:38 t2_tse_dark-fluid_tra_4mm 04:14 t2_f12d tra 4mm hemo 03:34 t2_f12d_tra_hemo_4mm 03:56 • Head max ~ 30 % Whole body max ~ 7.5 % ep2d_diff_4scan-trace_p2 02:49 ep2d_diff_4scan-trace_p2 02:49 • 18:36 min 24:49 min 7 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Image quality example - head SIEMENS Healthineers The image quality of scans performed with SAR adaptive protocols stays consistent. t2 tse_dark-fluid_tra_4mm_brary t2_tse_dark-fluid tra 4mm low SAR Latest latest STUDY ID f603-8fff-de6c-47 STUDY ID f6038fff-de6c-47 10:25:12 AM 10:14:47 AM 13 IMA 1 FRM 17/30 11 IMA 1 FRM 17/30 RPF RPF 20 SL Pc 4.0 SL 52 10cm 10cm F FI TI 2500.0 TI 2500.0 TR 9000.0 TP O TR 9000.0 TE 109.0 TE 109.0 TP O TA 01:21 2 SP F9.6 :SP F9.6 BW 179.0 FoV 230 230 TA 01:48 2 BW 179.0 FoV:230*230 MAGN/NORMDIS2D 202 2885 MAGN/NORM/DIS2D 208 2885 Tra>Cor(4)>Sag(2) TrasCor(4)> Sag(2) A1/R/FS Zoom 3.98 387 A1/R/FS Zoom 3.98 HE1-4;NE2 W HE1-4;NE2 387 tir201_21 / 150 C 196 "tir2d1_16/ 150 C 196 Library SAR adaptive 8 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Image quality example - heart SIEMENS Healthineers Image quality example for TurboFLASH heart imaging HL HL 20211111 Anglo, Assist 20211111 Angio, Assist ACQ MAGNETOM Sola ACQ MAGNETOM Sola *2/21/1994, M, 27Y MR XA51 *2/21/1994, M, 27Y MR XA51 CURRENT HFS CURRENT HFS 11/11/2021 +LPH 11/11/2021 +LPH Dynamic_Stress_SA_01 ti-scout_cs SP_02/atest latest STUDY ID 6a3b46d6-b965-47 STUDY ID 6a3b46d6-b965-47 10:57:07 AM 10:57:56 AM 35 IMA 1 FRM 47/50 38 IMA 1 FRM 15/29 ARH ARH SL SPC 8.0 16.0 SL 8.0 TE TR 22.5 TP H12 TE 1.9 TP H12 TA 00.15 SP A42.2 TA 06.98 SP L21.9 BV 651.0 FoV 304*380 BW 890.0 FoV 311*380 p2 MAGN/DYNAMIC/DIS2D 106*160 p4.5 MAGN/CINE/NORM/DIS2D 135*208 CT Cor>Sag(43)>Tra(-30) CT Sag>Cor(45)>Tra(30) A1/SR Zoom 3.14 A1AR Zoom 2.42 BO1-3;SP1-4 W 372 BO1-3;SP1-3 W 234 "1112d1_53/12 Perfusion 138 *If2d1 6/35 TI Scout C 85 HL HL 20211111_Angio, Assist 20211111_Angio, Assist ACQ MAGNETOM Sola ACQ MAGNETOM Sola 2/21/1994, M, 27Y MR X451 2/21/1994, M, 27Y MR XA51 CURRENT HFS HFS 11/11/2021 +LPH 11/11/2021 +LPH DE_Overview_Moco_AVG_MAG_SA_01 DE_Overview_Moto_AVG_PSIR_SA.01 SP_01/atest SP_01/atest STUDY ID 6a3b46d6-b965-47 STUDY ID 6a3b46d6-b965-47 10:59:35AM 10:59:36 AM 47 IMA 1 FRM 1/1 48 IMA 1 FRM 1/1 ARH ARH SL 6.0 AL SL 6.0 TR 742.0 TR 742.0 TE 1.6 TP H12 TE 1.6 TP H12 TA 26.87 SP L21.9 TA 28.17 SP L21.9 BWV 465.0 FoV 285*380 BW 465.0 FoV 285 380 p3 MAGN/DE/MOCO/AVG/DIS2D 126*224 p3 REAL/DE/MOCO/AVG/DIS2D 126 224 CT Sag>Cor(45)>Tra(30) CT Sag>Cor(45)>Tra(30) A12/IR Zoom 2.24 1197 A12/IR Zoom 2.24 BO1-3;SP1-3 BO1-3;SP1-3 W 2643 "1112d1_42/12 DE MAG 614 "12d1_42/12 DE PSIR C 2104 MagIR PSIR 9 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Benefits at a glance SIEMENS Healthineers SAR adaptive protocols provide you with the following benefits: • SAR adaptive protocols are ready to use. • These protocols support the basic patient examination. • You can create your own low SAR protocols for other body regions, if required. 10 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SIEMENS Healthineers Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthineers AG 2024 Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim, Germany Telephone: +49 9191 18-0 siemens-healthineers.com 11 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SIEMENS Healthineers The MRI restrictions (if any) of the metal implant must be considered prior to patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. Please contact the implant manufacturer for the specific conditional information. It is the responsibility of the implant manufacturer, not of Siemens Healthineers, to label an implant as MR Safe or MR Conditional and to define the specific MRI limits if applicable. 12 Effective Date: 19 Feb 2024 | QR700005547 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024