Open Recon | How it Works Job Aid - USA

SIEMENS Healthineers Open Recon How it Works X OX Template Effective Date: 10 Aug 2021| HILS 2223 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 Open Recon – How it Works SIEMENS Healthineers Table of Contents What is Open Recon? 3 Working with Containers 4 -- Recommendations 7 E Addendum – Retro Recon 8 Siemens Protocol Managing 8 Clinical Examples 14 Sample Processing 10 Result Information 14 Printing Results 16 Daily Maintenance 18 Weekly Maintenance 19 Monthly Maintenance 20 As-Needed Maintenance 23 2 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 What is Open Recon? SIEMENS Healthineers • Open Recon (Open Reconstruction) is a developer-friendly 2 open digital interface for co-creation and knowledge 1 3 4 exchange with partners. • The partner application will run within a container directly on the MaRS and is seamlessly integrated into the imaging and reconstruction chain. ... • It will appear as an additional tab on the Inline card and provide convenient access to options supported by Open Recon. Results are displayed in the user interface in the Graphical Slice Position (GSP) display and will appear in the DICOM database. Please note: The installation and usage of containers does not require an internet connection (outside of the hospital Schematic overview network). The installation can be performed via SRS (Smart Remote Services), if applicable, or using any USB device. 1 MR scanner 2 MaRS (Measurement and Reconstruction System) 3 ICE (Image Calculation Environment) infrastructure 4 Container infrastructure OOOO 3 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 Working with Containers SIEMENS Healthineers 1 Reconstruction Containers • A reconstruction container is a standalone, executable package of software that includes everything needed to run an application, such as code, system tools, system libraries, and so on. This means that the application can run independently from one computing environment to another and can easily be deployed and updated. Purchased container algorithms including manuals are installed together with the Open Recon license by the Siemens Healthineers Service (either via SRS or local site visit) at any time and don't require an update of the Numaris software. • In addition, a container is delivered with the corresponding operator manual. You can find the manual as a PDF file in the Online Help (see next page). 4 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 Working with Containers SIEMENS Healthineers ? Help About Brain Assist >> program SUBTLE MEDICAL Help X Faster, Safer, Smarter™ Language EN i Info ? Help A |A | A * Light | Dark >> progra Go back Go forward SubtleMR™ User Manual Your quicklinks Routil Subtract Search Library (P& Only) File type Language Add to * Categories File favorites Operator Manual MAGNETOM - Online Help HTML Add Online Help Release Information MAGNETOM Family - Breast Biopsy Coils syngo MR .. HTML Add OpenApps Content MAGNETOM Family - MR System and Coils syngo .. HTML Add Addendum MM Reading - VB60A - Quick Guide HTML Quick Guide Add SubtleMedicalimaging subtlemr 2.2.0 PDF % Add syngo MR XA20 - Administration Portal HTML Add Please note: syngo MR XA50 - Diagnostic MR Imaging - Operato. HTML Add The purchased container comes complete with the algorithm syngo MR XA50 - Motion Correction with Kinetic Se HTML Add manual, which is added as a PDF file in all available languages and syngo MR XA50 - MR Examination and Review - Op. HTML Add H. syngo MR XA50 - MR Reference Handbook - Adden. can be found in the Online Help. HTML Add 5 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 Working with Containers SIEMENS Healthineers 2 Selecting a Container for Reconstruction Ensure that the protocol is open. USER >> head >> Brain Assist >> program >> t1_qtse_dark-fluid_sag_p2 ? On your MR scanner, containers are available for the protocol opened. General @ 4:38 min 4 Auto @ 2 @ 0.7x0.7x4.0 mm3 9 1.00 Protocol Parameters Routine Contrast Resolution Geometry System Physio Inline equence Voice Commands Subtraction MIP Open Recon Execution Composing 1. Open the Inline/Open Recon parameter card. Image Management Algorithm None Auto Load 2. From the Algorithm list, select a container. Copy References Preview A tooltip including detailed information about the container will be displayed USER >> head >> Brain Assist > program >> t1_qtse_dark-fluid_sag_p2 ? if you move the mouse pointer over the Algorithm parameter. General 4:38 min 1 Auto@ 2 0.7x0.7x4.0 mm3 9 1.00 H. Protocol Parameters Routine Contrast Resolution Geometry System Physio Inline Sequence Voice Commands Execution Subtraction MIP Composing Open Recon Containers may offer additional algorithms and parameters, such as strength of Image Management Algorithm SubtleMR V1 image filter. Auto Load Copy References Preview 3. Select additional settings from the Preset list. Preset denoise Free Text denoise 4. To set more specific parameters, use the Free Text input field. To enlarge the input denoise-enhanced-level1 denoise-enhanced-level2 field, click the [...] button next to Free Text. super-resolution smooth-super-resolution edge-super-resolution 5. Save your selection. The selected reconstruction container and its parameters are super-resolution-gre-mpr super-resolution-dwi stored in the protocol and can be transferred to other MR scanners. If no container is installed on the target MR scanner, the protocol parameters for Open Recon are set to None. 6 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 Recommendations SIEMENS Healthineers Please note: Consult the operator manual of the third-party container for information about which MR pulse sequences can be used. Please also observe the cautions and constraints described there. H. The execution time for image reconstruction cannot be guaranteed for third-party software components for image reconstruction or Caution image processing. The use of third-party software components for image reconstruction or image processing, such as with Open Recon technology, can affect system It is recommended not to use Open Recon algorithms in: performance and increase reconstruction time! • timing-critical examination steps like Stress, Care, or Test Bolus • navigator-gated examination steps Therefore, the availability of the reconstructed images can be delayed. • interventional or stimulus examinations • large reconstructions, for example GRASP or real-time TWIST When using an FDA* cleared third-party algorithm on the Open Recon parameter card, perform test imaging prior to time-critical imaging to assess system performance. 7 Effective Date 20 Dec 2022 | HOOD05162003323428 *FDA clearance reference is only for the USA. Unrestricted © Siemens Healthineers, 2022 Addendum – Retro Recon SIEMENS Healthineers Information for Experienced Retro Recon Users Short Term Storage Menterante When Open Recon is used for reconstruction, in some cases Prontocol Name Patient Name Time Progress Raidfile Status Action Dota Publisher no other reconstruction can be executed in parallel. MK HoCoristructives Bahn, Bob Middle Name 19680123 7127/2022 11:26:41 AM OK Media Network Please note: It is not possible to run Retro Recon with Open Edit Protocol for Retrospective Reconstruction Routine Contrast Rensclution Geometry System Ptrysio Inine Sequence Prink Worklows Slice Group 1 FoV Read 300 mm Recon enabled while the system is performing a Parameters Sikes FOV Phase 100.0 % reconstruction and vice versa. Before starting a Retro Recon Q Slice Thickness 8.0 mm with Open Recon enabled, make sure that no other Common Distance Factor 50 TR 2000.0 - ms DICON reconstructions are still being performed. If a reconstruction >HEADER Position |Isocenter TE 1.20 - ms IRIS Orientation Transversal Hovesse sugges is still in progress, wait until the Retro Recon starts. MEAS Phase Encoding Dr. A >> P Concatenations OpenRecor Selection As a result, the recommended workflow of a specific Phase Oversampling Autowign " SPICE algorithm should be acquired as follows: YAPS Coil Elements BC Prerequisites: Presets  Perform measurement with the Open Recon algorithm Parameter Name Original Current S_HTHLIER OpenRecon Selection.Ima. mrc:37001/2imirroring@sha256:0771454ac5151b194603fc ... *activated*. (Activation in RetroRecon is not supported.) S COILCOMBINEMODE S DISTORTIONCORRECTIONFILTER  In Retro Recon, select the measurement you want to have S DOONSWAP S DYNAMICDISTORTIONCOBRECTIONFILTER reconstructed without the algorithm applied. S ELLIPTICALFILTER SJIMAGECOMMENT 1. 1a Under Parameters you will find S IMAGEFILTER OpenReconSelection as depicted in the right S IMAGESCALECORRECTION + Please take care that al results created with RetroRecon might not be suited for diagnostic use any more. Results need to be checked carefully. image. Parameter changes are not checked for consistency hence preparation or recorstruction errors might occur. Server Status online Raid Status online USD Drive not present 8 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 Addendum – Retro Recon SIEMENS Healthineers Information for Experienced Retro Recon Users 1. 1b From there, add ImageId to the parameters to edit as depicted in the left image below. Short Term Storage Maintenance MeasUid Protocol Name Patient Name Time Progress Raidfile Status Action Data Publisher Y MR Reconstructions 15 t1_se_cor_denoise Open, Recon, 19330825 8/25/2022 6:28:20 AM OK Media Edit Protocol for Retrospective Reconstruction Routine Contrast Resolution Geometry System Physic Inline Sequence Network Subtraction MIP Composing Open Recon Print Parameters Workflows Algorithm SubtleMR V2 Q IRIS MEAS 2. Preset denoise OpenReconSelection Add denoise Add AlgorithmName Free Text denoise-enhanced-level1 ... ExecutionDetails denoise-enhanced-level2 Id super-resolution smooth-super-resolution 1. Imageld edge-super-resolution Parameters FreeText Presets 5_B1FILTER Parameter Name Original Current S_COILCOMBINEMODE OpenReconSelection.Ima ... mrc:37001/openrecon/subtlemedicalimaging/subtlemr@ ... mrc:37001/openrecon/subtlemedicalimaging/subtlemr@shi in S_DISABLEOPENRECON S_DISTORTIONCORRECTIONFILTER S DIXONSWAP Add S DYNAMICDISTORTIONCORRECTIONFILTER S_ELLIPTICALFILTER S IMAGECOMMENT 1b + Add ImageId to the parameters Please take care that all results created with RetroRecon might not be suited for diagnostic use any more. Results need to be checked carefully. Add Remove Save Parameter changes are not checked for consistency hence preparation or reconstruction errors might occur. X Start Cancel Server Status online Raid Status online USB Drive E: available space 4.8 of 7.3 GB Waiting for scan instructions. EN 6:35:11 AM 9 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 Addendum – Retro Recon SIEMENS Healthineers Information for Experienced Retro Recon Users 1. 2 Edit the value of ImageId and remove the text from the Current value field so that the entry is empty as depicted in the right image below. There is no parameter dropdown list, so avoid typing errors in the parameter value. Now start the Retro Recon. Short Term Storage Maintenance MeasUid Protocol Name Patient Name Time Progress Raidfile Status Action Data Publisher MR Reconstructions 15 t1_se_cor_denoise Open, Recon, 19330825 8/25/2022 6:28:20 AM OK Media Edit Protocol for Retrospective Reconstruction Routine Contrast Resolution Geometry System Physio Inline Sequence Network Subtraction MIP Composing Open Recon Print Parameters Workflows Algorithm SubtleMR V2 IRIS MEAS Preset denoise OpenReconSelection Add Free Text denoise Add AlgorithmName denoise-enhanced-level1 ExecutionDetails denoise-enhanced-level2 Id super-resolution smooth-super-resolution mageld edge-super-resolution Parameters Free Text Presets S_B1 FILTER Parameter Name Original Current S_COILCOMBINEMODE OpenReconSelection.Ima ... mrc:37001/openrecon/subtlemedicalimaging/subtlemr@. S_DISABLEOPENRECON S_DISTORTIONCORRECTIONFILTER S_DIXONSWAP Add S DYNAMICDISTORTIONCORRECTIONFILTER S ELLIPTICALFILTER S_IMAGECOMMENT + Please take care that all results created with RetroRecon might not be suited for diagnostic use any more. Results need to be checked carefully. Add Remove Save A Parameter changes are not checked for consistency hence preparation or reconstruction errors might occur. Start X Cancel Server Status online Raid Status online USB Drive E: available space 4.8 of 7.3 GB Waiting for scan instructions. EN 6:35:11 AM 10 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator 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 Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 11 Effective Date 20 Dec 2022 | HOOD05162003323428 Unrestricted © Siemens Healthineers, 2022