
myExam Implant Suite | Scanning of patients - USA
This video shows you how to scan patients with dedicated MR Conditional labeled implants with the help of the myExam Implant Suite.
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.
Target group: All users.
Recommended to be viewed on the following devices: All (incl. tablet, smartphone)
In this video, you will learn how to use my exam implant suite to scan patients with an implant. You will see how to define safety limits for the implant according to the implant manufacturer's specification. Before you start, make sure to read the safety information provided in this learning path. Start the registration as usual. On the Patient registration tab, enter the required patient and examination data for the field implant scanning. The default value is no Implant. Open the drop down list and choose the implant class. If the patients implant is specified as Mr. Safe, select Mr. Safe. In this case you can start the exam as usual. If the patients implant is specified as M are conditional select, M are conditional. After filling all mandatory fields, proceed by clicking exam. A dialogue box opens asking you for data on the Mr. conditional implant in the first step, RF limits. Three limit types are available, B1 plus RMS in microtesla, SAR for head and whole body in what? Per kilogram normal operating mode. To automatically set SAR limits according to IEC standard, select the RF limit type required by the implant manufacturer, then fill the related field according to the implant documentation. Please note that if you select SAR, you have to provide values for both head and whole body. Leaving one of the fields blank is not an option. If you select normal operating mode, you cannot edit the values. Also note that it is up to you to decide whether the information in the implant documentation is sufficient to provide RF limits. If you cannot make an assignment to one of these categories, please contact the implant manufacturer to clarify your question. If applicable, you may limit the default RF transmit mode from any polarization to circular polarization only after providing all mandatory information, proceed to the following tab by clicking next. In the general step, confirm that the patient's implant is suitable for the magnetic field strength of your system. In case the implant manufacturer indicates a time limit for Mr. scanning, you can specify a maximum examination duration. If you fill this field, a timer is activated as soon as you start the exam. Please note that scanning does not automatically stop after the time has expired. The system will inform you 3 minutes before the end of the planned examination duration. You can also add comments. These comments will be included in the DICOM examination report. After providing all mandatory information, proceed to the following tab by clicking Next in the confirmation step. Check the information that you provided. Read and validate the information displayed in the before scanning area. Confirm by selecting the checkbox. Proceed by clicking Exam. Then start the exam as usual. Even after the exam has started, you can still review the implant information and conditions entered. To do this, click the Mr. Conditional button on the lower left toolbar. The Implant Information window opens showing the conditions and limitations provided here. You can continuously monitor the current duration of the scan. Please note that the entered limits cannot be changed during the exam. In case the protocol selected causes conflicts with the scan limits for the implant, the system warns you the SAR limits exceeded dialogue box opens, giving you the chance to adjust the protocol. In order to automatically adjust protocol parameters, you can use the SAR assistant. In addition, SAR adaptive protocols are available. For more information on this, please refer to the job aid offered in this learning path.
1/1/2000 23 3.2 2.0 2. 1.1 15 00:20 01:40 01:50 01:2 01:20 00:18 00:09 04:30 04:41 04:31 03:21 05:03 04:22 1120 584 myExam Implant Suite Scanning of patients with dedicated MR Conditional labeled implants Scheduler Search by Name, ID, DoB, Description, Procedure Date, Acc No. and Modality (Ctrl+F) Patients (1 result(s), 10:49:32 AM) Scheduled, Today Patient Procedure Date and Time Patient Registration Program Selection Medical Information Examination Information Last Name Admitting Diagnosis Accession Nr. First Name Req. Proc. ID Title Alerts Study Description I-spine library 10/25/2023, 12:38 Study Comment Middle Name Medical Alerts Date of Birth Allergies Year(s) Institution * Weight U.S. Institution Name Implant Scanning Performing Physician No Implant Referring Physician Requesting Physician V Load Program to Queue Operator RF Transmit Mode Any Polarization Body Part and Laterality L-Spine Unpaired Patient Orientation |Safety relevant information needs to be validated and confirmed Mandatory information Local Data Exam Cancel Prior Studies Delete Age ft in * Last Name Doe Suffix Patient ID * Date of Birth * Age * Sex * Height Male Female Other *1/1/2000, Female Study Description I-spine library Load Program to Queue Select ancel Pr MR Safe MR Conditional thorax general Lung Head First Feet First Supine Left Latera M Load Program to Queue Head First Supine Limits for MR Conditional Implants RF Limits General Confirmation SAR B1+ rms Normal Operating Mode Back Next Save UT uT Head SAR W/kg Whole Body SAR 2.0 Head SAR 3.2 Head SAR 2.0 Patients (1 result(s), 1:38:57 PM) 11/22/2023, 13:44 Defines the RF transmit mode for this Circular Polarization only (CP) examination. Whole Body SAR 1.1 Patients Magnetic Field Strength * Implant Is Suitable for 1.5 T Select Examination Duration min Comments Yes Planned Examination Duration 15 * Mandatory information Impl Implant name XY Search by Name, ID, DoB, Description, Procedure Date, Acc No. and Modality (Ctri+F) * Implant Is Suitable for 1.5 T Planned Examination Duration thorax genera 2.0 W/kg Whole Body SAR 1.1 W/kg 15 min Before Scanning Make sure that the limits specified by the implant manufacturer are met. . MR Conditional implants may require limits that the system does not support. In that case, do not start the examination. . Make sure that all coils used are connected to the system. I have read and validated the information above. Exan . Make sure that the limits specified by the implant manufacturer are met. Implant Is Sultable for 1.5 T localizer_bh_insp 3 % t1_vibe_tra_p4_384_bh_insp Go Stimu Inroom Settings MR Mode nroom myExam t2_haste_cor_p3_320_bh_insp Implant Information A The patient has been registered with an MR conditional implant Implant Limits Head SAR 2.0 W/kg Whole Body SAR 1.1 W/kg RF Transmit Mode Any Polarization Implant Is suitable for 1.5 T yes Examination Planned Examination Duration 15 min Current Examination Duration 0 min Last update 12:40:17 PM (0 minute(s) ago) Close GO Continue 2023.10.27-16:17:57-DST SAR Limit(s) Exceeded 2023.10.27-16:1' 1 IMA 1 FRM 1/9 1 IMA 1 FRM 7/9 Step 2 - t2_haste_cor_p3_320_bh_insp BORE Temperature Operating Mode Current Measurement Normal Mode 10cm Next Measurement . Normal Mode First Level TP 0 V Wait 30 seconds after measurement SP P30,0 FoV 430*430 Cor Protocol Parameters Current Recommended TR 600.0 ms 1390.0 ms Copy&Go 1 IMA 1 FRM 1 Flip Angle 1 150 deg 94 deg OK Open Protocol Skip Continue Copy&Go Pause 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. will be liable for damages. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders 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 utility model or design, are reserved. 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