Software Upgrade: MR XA20 to XA60

Continue Continue Continue Continue Continue Continue Continue Introduction Master Template HILS2218 | Effective Date: 25 Mar 2022 ? Software Upgrade: MR XA20 to XA60 Online Training This online training reviews the new platform features, new sequences, and application improvements for upgrading MR XA20 software to the new MR XA60. MR Sequences & Applications New Coils MR View&GO Platform Improvements 1 4 MR Protocol Management 5 3 2 Welcome Audio This online training reviews the new platform features, new sequences, and applications for the M-R, XA20 to XA60 software upgrade. The upgrade includes comprehensive improvements to the existing scanners, new coils, and information on the new standard and optional applications. ? MR XA60 MAGNETOM 3T Systems MR XA20 to XA60 software upgrade XA20 to XA60 Software Upgrade ? MAGNETOM MR 3T Systems MAGNETOM Vida XA20/XA31/XA50 to XA60 MAGNETOM Lumina XA20/XA31/XA50 to XA60 MAGNETOM MR 3T Systems Audio This software upgrade brings the MAGNETOM MR three-Tesla Vida and Lumina Systems with X-A -twenty, X-A-thirty-one, and X-A-fifty software to X-A-sixty software. MR Sequences & Applications ? MR Sequences & Applications MR XA20 to XA60 software upgrade Sequences & Applications ? MR 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? PEPconnect Resources PEPconnect Resources Select each box for more information. MR 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 (SNR)., Shorter scan times, and improved image quality. Online Training: MR Deep Resolve - Numaris X Video: Deep Resolve – XA31 Job Aid: Deep Resolve XA31 PEPconnect Resources Increased Signal-to-Noise Ratio (SNR) Shortens scan time Improved image quality 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. 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? ? MR 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? PEPconnect Resources PEPconnect Resources Select each box for more information. 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 PEPconnect 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? ? 1Requires optional license 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). 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. ? 1Both Deep Resolve Gain & Deep Resolve Sharp require optional licenses MR Deep Resolve Gain & Deep Resolve Sharp1 Improvements Deep Resolve Gain and Deep Resolve Sharp supports: TSE Dixon Conventional Spin Echo (SE) Deep Resolve Gain is now compatible with Simultaneous Multi Slice (SMS) TSE Restrictions TSE is supported except for BLADE TSE Deep Resolve Gain & Sharp Summary Audio: There have been some improvements for both Deep Resolve Gain and Deep Resolve Sharp. Both sequences now support Turbo Spin Echo Dixon and Conventional Spin Echo and are compatible with Simultaneous Multi-Slice Turbo Spin Echo.   There is a restriction, Deep Resolve Gain and Deep Resolve Sharp both support T-S-E, however, they do not support the BLADE Turbo Spin Echo sequences. ? Deep Resolve DR Gain + DR Sharp - Brain Deep Resolve Gain + Sharp - Brain Audio This Brain examination example compares a traditional customer whole brain protocol with both Deep Resolve Gain and Deep Resolve Sharp implemented. The overall scan time is forty-nine percent faster for the Deep Resolve protocol compared to the traditional customer protocol. ? Deep Resolve DR Gain + DR Sharp - Lumbar Deep Resolve Gain + Sharp - Lumbar Audio This Lumbar examination example compares a traditional customer whole spine protocol with both Deep Resolve Gain and Deep Resolve Sharp implemented. The overall scan time is forty-one percent faster for the Deep Resolve protocol compared to the traditional customer protocol. ? Deep Resolve DR Gain + DR Sharp - Knee 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. ? MR Deep Resolve Boost What is it? What is it? How does it work? How does it work? What are the benefits? What are the benefits? PEPconnect Resources PEPconnect Resources Select each box for more information. 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 PEPconnect 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? ? 1Requires optional license 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. ? Deep Resolve Boost - Brain Deep Resolve Boost - Brain Audio This whole brain examination without contrast was performed on a MAGNETOM Vida in under ten-minutes. ? Deep Resolve Boost – Lumbar Spine Deep Resolve Boost - Lumbar Audio This Lumbar Spine examination was performed on a MAGNETOM Vida in just over six-minutes. ? Deep Resolve Boost & 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 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. ? 1Requires optional license 2High-end computing required Deep Resolve Boost for EPI Diffusion1,2 What is it? What is it? Highlights & Benefits Highlights & Benefits Example Example PEPconnect Resources PEPconnect Resources Select each box for more information. 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 Online Training: MR Deep Resolve - Numaris X Job Aid: Deep Resolve Boost - USA PEPconnect 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? ? 1Requires optional license 2High-end computing required Deep Resolve Boost for HASTE1,2 What is it? What is it? Highlights & Benefits Highlights & Benefits PEPconnect Resources PEPconnect Resources Select each box for more information. Example Example 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 Online Training: MR Deep Resolve - Numaris X Job Aid: Deep Resolve Boost - USA PEPconnect 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? ? 1Requires optional license 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 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. ? MR Deep Resolve Swift Brain1,2 1Requires optional license 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? PEPconnect Resources PEPconnect Resources Select each box for more information. 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 PEPconnect 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? ? 1Requires optional license Deep Resolve Swift Brain1 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. 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. ? 1Exclusive on 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 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. ? Static Field Correction for EPI Along with the development of Deep Resolve Swift Brain, a new static field correction has been developed to minimize geometric distortions in EPI-based imaging. Benefits Minimizes geometric distortions in EPI-based brain imaging. Note: Static Field Correction has been optimized for brain imaging, if used outside of the brain it may lead to suboptimal results. The Static Field Correction option is located on the Resolution > Filter parameter card for EPI based sequences. Static Field Correction Audio: With the development of Deep Resolve Swift Brain, a new static field correction was created to minimize geometric distortions in EPI-based imaging. This new feature uses a B-zero map acquired in a respective pre-scan. If Deep Resolve Swift Brain was purchased, the parameter Static Field Correction can be found on the Resolution > Filter parameter card for all E-P-I, based sequences.   Please note static field correction has been optimized for brain imaging, however, if used outside of the brain it may lead to sub-optimal results. ? 1Requires optional license. References: MAGNETOM World Wave - CAIPI Wave-CAIPI SWI1 Wave-CAIPI SWI enable the extension of parallel imaging to three spatial dimensions as well as reducing the amount of noise in the reconstruction process. Shorter scan times compared to standard CAIPIRINHA. Applications High Resolution 3D Brain – Axial orientation Highlights and Benefits Extends parallel imaging techniques to all 3 dimensions Reduces potential noise in accelerated SWI acquisitions Achieve higher acceleration factors Not susceptible to image blurring and distortion artifacts Wave-CAIPI 6 TA: 1:46 min Wave-CAIPI SWI Audio Wave-CAIPI Susceptibility Weighted Imaging enables the extension of parallel imaging to three spatial dimensions. By doing so, it reduces the amount of noise in reconstructions resulting from accelerated acquisitions, when compared with standard parallel imaging techniques. This reduction in noise can be used to further accelerate acquisitions, resulting in shorter scan times compared to standard CAIPIRINHA. The WAVE-CAIPI, S-W-I sequence is used for high-resolution three-D Brain, axial imaging. Highlights and Benefits include: The ability to extend parallel imaging techniques to all three dimensions; a reduction of potential noise in accelerated S-W-I acquisitions, and the ability to achieve higher acceleration (PAT) factors. In addition, this sequence is not susceptible to image blurring and distortion artifacts caused by in-homogeneity of the main magnetic field. This can be attributed to the constant rate of k-space traversal along the readout direction. Wave-CAIPI S-W-I, requires an optional license. ? 1Requires optional license Wave-CAIPI SWI1 Wave-CAIPI perfects the CAIPIRINHA Technique Wave-CAIPI 8 TA: 1:19 min Wave-CAIPI 6 TA: 1:46 min Standard SWI iPAT 4 TA: 2:58 min No Compromise in IQ Significantly faster Diagnostic 3D SWI Faster imaging time 40% 56% Wave-CAIPI SWI Technique Audio: Wave-CAIPI Susceptibility Weighted Imaging is specifically designed to accelerate Three-D examinations. This offers the potential for increased diagnostic information by avoiding thick imaging slices and slice gaps. Wave-CAIPI, S-W-I provides multi-planar views and eliminates the need for redundant acquisitions in different planes. ? 1Requires optional license Compressed Sensing (CS) SPACE T2 Brain Axial MPR1 Compressed Sensing SPACE1 k-space reordering has been improved to reduce streaking artifacts. CS SPACE Previous Implementation CS SPACE with improved k-space reordering CS SPACE - T2 Brain Axial MPR Audio With the Compressed Sensing SPACE sequence, k-space reordering has been improved to reduce streaking artifacts in the images. It delivers a smoother appearance, since the neighboring k-space lines are now acquired at closer positions in the echo train compared to the previous implementation. These image examples compare a conventional Compressed Sensing SPACE T-Two Axial Brain M-P-R image to the Compressed Sensing SPACE sequence acquired with the improved k-space reordering to reduce streaking artifacts. ? 1Requires optional license Compressed Sensing SPACE1 Phase Partial Fourier Partial Fourier (PF) Phase Correction is now applied to the Compressed Sensing (CS) SPACE sequence to reduce double structure artifacts. CS SPACE No PF Phase Correction CS SPACE With PF Phase Correction CS SPACE - Phase Partial Fourier Audio Phase Correction for Partial Fourier used on a traditional SPACE sequence is now implemented on the Compressed Sensing SPACE sequence. Phase Correction for Partial Fourier improves image quality by reducing double structure artifacts. ? 1Standard (BLADE TGSE); Optional license: Simultaneous Multi-Slice (SMS) BLADE Diffusion with SMS Functionality1 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 ADC BLADE Diffusion with SMS B0 BLADE Diffusion with SMS B1000T 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. ? 1Optional license SMS1 Faster Recon & SMS TSE Improvements Simultaneous Multi-Slice (SMS)1 – Faster Image Reconstruction Times. In rare cases, users running high resolution matrix sizes in conjunction with SMS imaging may incur memory issues. Benefits Reconstruction of highly resolved SMS imaging data should not lead to memory issues Faster image reconstruction due to optimized data processing SMS TSE1 – Improvements SMS TSE imaging can potentially suffer from distinct ghosting artifacts that can compromise image quality. These ghosting artifacts are residual fat signal. Due to the difference in the resonance frequencies between fat and water. The induced phase shift of the blip gradients in the SMS TSE sequence has been optimized, resulting in an effective reduction of fat-related ghosting artifacts. Benefits Reduction of ghosting artifacts results in improved image quality for SMS TSE. SMS Faster Recon Audio: In rare cases, users running high resolution matrix sizes in conjunction with S-M-S imaging can possibly incur memory issues with their Measurement and Reconstruction System. The data processing has been optimized such that these memory problems should no longer occur. In addition, S-M-S reconstruction times can be reduced by up to a factor of two.   S-M-S, T-S-E imaging can also potentially suffer from distinct ghosting artifacts resulting from residual fat signal, that can compromise image quality. This is due to the difference in the resonance frequencies between fat and water. Now that the induced phase shift of the blip gradients in the S-M-S, T-S-E sequence has been improved and optimized, this results in an effective reduction of fat-related ghosting artifacts. ? 1Standard license. Prerequisite: SMS license SMS1 EPI DWI Imaging – Fast GRE Reference Scan Fast GRE reference scan for SMS EPI DWI has a faster optimized version of the existing GRE Reference Scan. Kernels for both GRAPPA variants are derived from the same calibration data. Dummy scans for steady state preparation are now reduced, resulting in reference scan time reductions. Benefits Faster reference scan for SMS EPI image process results in shorter scan times Deep Resolve Swift Brain is an application that directly benefits from the new fast GRE Reference Scan SMS EPI DWI Imaging Audio: The fast G-R-E reference scan is a speed-optimized version of the already existing G-R-E reference scan where GRAPPA and slice GRAPPA kernel calibration require separate reference scans. In the new fast G-R-E reference scan, kernels for both GRAPPA variants are derived from the same calibration data. Therefore, dummy scans for steady state preparation could be reduced, resulting in additional reference scan time reductions. In summary, significant time savings for the S-M-S, E-P-I imaging process can be expected. Deep Resolve Swift Brain is a prominent application that can directly benefit from the new fast G-R-E reference scan. ? 1Optional license for MAGNETOM Lumina only. 2High-end computing required. CS GRASP-VIBE for MAGNETOM Lumina1,2 What is GRASP–VIBE? Compressed Sensing (CS) GRASP-VIBE (Golden Angle Radial Sparse Parallel) imaging makes it possible to conduct free-breathing dynamic contrast-enhanced abdominal exams. Highlights and Benefits Auto Bolus detection at reconstruction time Perform push-button free-breathing liver dynamics Overcome timing challenges in dynamic imaging and reduce respiratory artifacts CS GRASP-VIBE for Lumina Audio: Compressed Sensing GRASP-VIBE makes it possible to conduct dynamic free-breathing contrast-enhanced abdominal examinations on a MAGNETOM Lumina MR System. The acquisition is performed in one continuous run, using a golden-angle stack-of-stars radial scheme that confers robustness towards motion and the flexibility to choose the temporal resolution at the time of reconstruction. With its intelligent reconstruction and processing framework, Compressed Sensing GRASP-VIBE automatically recognizes the typical phases in liver dynamics and therefore has the capability to only reconstruct a subset of clinically relevant images with respective labeling.   Highlights and Benefits of Compressed Sensing GRASP-VIBE include: Auto Bolus Detection at reconstruction time. The ability to perform push-button free-breathing liver dynamics. Configuration of exam phases in terms of start time relative to the auto-detected bolus arrival, duration, temporal resolution, and pre-selection for export to PACS, and Self-gating for further reduction of residual motion blur. ? 1Standard license. Prerequisite: SMS license VIBE Phase Encoding Order VIBE sequences without Fat Saturation or regional Fat Saturation, motion artifacts may occur in the slice direction, resulting in cloud-like artifacts in the subtraction images. Benefits Reduce motion artifacts for VIBE sequences by choosing the appropriate Phase Encoding Order for the body region being imaged. Phase Encoding Order Slices in Lines is used when motion is in the slice direction. Lines in Slices is used when dominant motion is in the phase encoding direction VIBE Phase Encoding Order Audio: When using a VIBE sequence without Fat Saturation or without regional Fat Saturation, motion artifacts may occur in the slice direction, resulting in cloud-like artifacts in the subtraction images. With syngo M-R XA60, in addition to the “Automatic” Phase Encoding Order, you also have the flexibility to choose the Phase Encoding Order. The choice of “Lines in Slices” or “Slices in Lines” would depend on the needs of the body region being imaged. The choice of the appropriate Phase Encoding Order enables you to be able to reduce or change the appearance of motion artifacts. Slices in lines, acquires one line for all slices and then proceeds to the next line. This option is beneficial if you have more motion in the slice direction. It can also help reduce signal fluctuations in breast protocols without fat saturation, especially in subtracted images. Lines in Slices acquires all lines for one slice and then proceeds to the next slice. This option is beneficial when dominant motion is in the phase encoding direction. By choosing the appropriate Phase Encoding Order for the body region being imaged, motion artifacts can be reduced for VIBE sequences. ? VIBE Phase Encoding Order – Breast Imaging VIBE non-Fat Saturation Subtraction images Phase Encoding Order Lines in Slices Phase Encoding Order Slices in Lines VIBE Phase Encoding Order - Breast Imaging Audio: These subtraction images in the Breast were acquired using a Non-fat saturated VIBE sequence. Cloud-like artifacts may occur when the Phase Encoding order “Lines in Slices” is chosen, as indicated by the arrow. To reduce these artifacts, select the Phase Encoding Order “Slices in Lines”. ? 1Optional license 3D Arterial Spin Labeling (ASL) & PCASL1 Highlights and Benefits The acquisition of multi-TI datasets can now be used for the estimation of 3D Bolus Arrival Time (BAT) and the relative Cerebral Blood Flow (relCBF). Improved background suppression already available for 2D PCASL is now implemented for 3D PCASL.  M0 image can now be generated (e.g., absolute quantification of CBF). relCBF (PCASL) Image Bolus Arrival Time (PCASL) Original Image Perfusion Weighted Image 3D Arterial Spin Labeling Audio The acquisition of multi-T-I datasets can now be used for the estimation of three-D bolus arrival time and the relative cerebral blood flow.  Improved background suppression that was already available for two-D, Pseudo Continuous Arterial Spin Labeling is now implemented for three-D, Pseudo Continuous Arterial Spin Labeling.  An M-zero image can also be generated to enable additional quantification methods. 1Optional license; postprocessing only available with MR Open Apps at the Scanner. 4D Flow MRI1 4D Flow MRI has been broadly applied in cardiovascular disease due to its ability to image vascular systems with full volumetric coverage. It provides a comprehensive noninvasive assessment of the vascular hemodynamics of the aorta and heart. Retro-gating is enabled (default). The user can change to Prospective triggering for patients with irregular heartbeats. Benefits Expands 4D flow information from aorta to whole heart Enhances visualization of blood flow, velocity, and direction for cardiovascular anatomy Analysis of useful hemodynamics over entire cardiac cycle 4D Flow MRI Audio Four-D flow M-R-I has been broadly applied in cardiovascular disease due to its ability to image vascular systems with full volumetric coverage. It provides a comprehensive non-invasive assessment of the vascular hemodynamics of the aorta and heart. Retro-gating is enabled as a default; however, the user can change to Prospective triggering for patients with irregular heartbeats. The average scan times are between six and ten minutes depending on the patient’s heart rate.   The improved Four-D Flow acquisition now offers full volumetric coverage. It enhances visualization of blood flow, velocity, and direction for cardiovascular anatomy and facilitates the analysis of useful hemodynamic parameters over the entire cardiac cycle.   Four-D Flow is an optional license and post-processing is currently only available with M-R Open-Apps at the Scanner. ? 1Available only for 3T MAGNETOM MR systems. Offcenter Elbow Imaging @3T1 A new adjustment strategy Offcenter has been implemented for Elbow imaging at 3T. Highlights and Benefits Reduces sporadic signal loss & shading for offcenter elbow imaging performed at 3T. Available for TSE, TSE Dixon and SE sequences. PEPconnect Job Aid: Off-center Adjustment 3T Elbow Imaging - XA31 (siemens-info.com) Adjustment Strategy Standard Flip Angle = 90o Adjustment Strategy Offcenter Flip Angle = 77o Offcenter Elbow Imaging 3T Audio When performing off-center elbow imaging on a Three-Tesla M-R system, sporadic signal loss and shading in the images, may occur. This can be due to an imperfect transmit adjustment and may result in a B-one variation across the elbow. To address these issues, a new adjustment strategy “Off-center” was implemented. The new off-center adjustment strategy can avoid these issues by automatically localizing the transmit adjustment to only the imaging volume. The adjustment measurement is performed as previously; however, the B-One evaluation and flip angle determination are performed only within the current Field-Of-View. This provides a well-suited transmitter reference amplitude for the current imaging volume which is also robust against any Field-of-View changes. This adjustment strategy is only available for Turbo-Spin-Echo, Turbo-Spin-Echo Dixon, and Spin-Echo sequences on the MAGNETOM M-R Three-Tesla Systems. Note the reduction in the shading and improved signal uniformity when the new “Off-center Adjustment Strategy” was implemented. ? Absolute B0 Shim - T-Spine Imaging A new shim option Absolute is now available in the System, Adjustments parameter card under B0 Shim. Highlights and Benefits Improved Fat Saturation for T-Spine imaging, especially lower thoracic and lower cervical spine. PEPconnect Job Aid: MR Absolute Shim T-Spine – XA31 Standard Shim Absolute Shim Absolute B0 Shim - T-Spine Audio A new shim option Absolute is now available on the System, Adjustments parameter card under B-zero Shim. The Absolute Shim Mode is based on a Three-Echo-Gradient-Echo sequence. It evaluates the absolute B-Zero field and water resonance frequency in each voxel. Shim currents are then calculated from that field Map. This additional degree of freedom leads to better results and improved fat saturation in challenging anatomical areas, such as the T-spine.   Highlights and Benefits include: Improved Fat Saturation for T-Spine imaging especially in the lower thoracic and lower cervical spine for most cases that have minor residual in-homogeneities at the edge of the Field-of-View. ? 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 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. ? Motion Correction for TSE with Multiple Averages TSE Motion Correction is an image-based motion correction technique used for Turbo Spin Echo imaging. Motion correction employs a non-rigid elastic registration applied to consistently align the images before averaging. Optimized and validated for Prostate TSE imaging. Benefits Motion Correction in the average dimension reduces image blurring that would result from organ movement between averages. Note: Not compatible with Deep Resolve Boost. Motion Correction for TSE Audio: Turbo Spin Echo motion correction is an image-based motion correction technique used for T-S-E imaging. This motion correction technique employs a non-rigid elastic registration to consistently align the images before averaging. This feature has been optimized and validated for improved prostate T-S-E imaging.   The benefit of adding motion correction to a T-S-E prostate sequence would be to reduce image blurring resulting from organ movement between averages. This option is located on the Sequence, part 2 parameter card under, Motion Correction, Registration of Averages.   In addition, motion correction for T-S-E is not compatible with Deep Resolve Boost. ? 1Optional license. 2Available only for 3T MAGNETOM Vida & Lumina. Single Voxel (SVS) Spectroscopy Edit (GABA)1,2 New 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 SVS Measurement with and one without the editing pulse. By subtracting the 2 spectra, the J-coupled metabolites can be visualized. Example > Example > Single Voxel Spectroscopy Edit (GABA) Audio: Single-Voxel Spectroscopy with editing pulses extends the possibility of detecting J-coupled metabolites such as gamma-aminobutyric acid. In a normal spectrum, the signal is not easily recognizable since the signal is too weak and obscured by other spectral peaks. When a standard Single-Voxel-Spectroscopy sequence is used, the editing pulse allows: One Single-Voxel Spectroscopy measurement with and one without the editing pulse. By subtracting the two spectra, the J-coupled metabolites can be visualized. Currently this sequence is only available for the MAGNETOM Vida and Lumina, Three-Tesla M-R Systems and is an optional license. Click the Example button to view more. Example Layer 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. ? 1Optional license. 2Available only for 3T MAGNETOM Vida & Lumina. Single Voxel (SVS) Spectroscopy Edit (GABA)1,2 J-coupled Metabolites, e.g., GABA P: Position W: Width ? 1Optional license for the MAGNETOM Lumina; Standard license for the MAGNETOM Vida included with Advance Now. 2Pre-requisites: BioMatrix Body 12 coil or BioMatrix Body 18 coil. BioMatrix Beat Sensor1,2 What is it? What is it? Highlights & Benefits Highlights & Benefits PEPconnect Resources PEPconnect Resources Select each box for more information. BioMatrix Beat Sensor Audio: 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 in parallel with 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). No electrodes need to be placed on the patient, improving the patient experience, especially if they have allergies to the skin cleaning gel. And, the Beat Sensor can be used in combination with either the Bio-Matrix Body twelve, or the Bio-Matrix Body eighteen coils. Job Aid: BioMatrix Beat Sensor Ready to Operate Job Aid: BioMatrix Beat Sensor Troubleshooting PEPconnect Resources BioMatrix Beat Sensor now supports all cardiac imaging techniques Complete an entire Cardiac MR exam without ECG triggering No skin prep needed, or need to place electrodes on the patient Beat Sensor triggering improves the patient experience especially if they have sensitive skin (e.g., allergies to cleaning gel)  BioMatrix Body 12 or BioMatrix Body 18 Highlights & Benefits 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.  What is it? ? 1Optional license for the MAGNETOM Lumina; Standard license for the MAGNETOM Vida included with Advance Now. 2Pre-requisites: BioMatrix Body 12 coil or BioMatrix Body 18 coil. BioMatrix Beat Sensor1,2 - BM Body 12 Coil Positioning Step 1 > Step 1 > Step 2 > Step 2 > Step 2 > Step 3 > Step 3 > Step 3 > Select each button to view the steps for using the BioMatrix BM Body 12 coil. BioMatrix Beat Sensor - Body 12 Coil Audio: A sensor in the body twelve coil can be used for cardiac triggering during the examination. Position the Body twelve coil on the patient's chest with the coil cable pointing toward the magnet tunnel. Ensure that the sensor is positioned over the patient's heart. Guidance for positioning the coil is also provided on the Select&GO/Physio display. Attach the coil cable and connect the Body twelve coil to socket one or two and secure with belts. Ensure that the coil cable does not touch the patient's head. Once the Coil Connector is plugged into the table, the Beat Sensor ECG triggering is shown on the Select&GO/physio display. Once the Coil Connector is plugged into the table, the Beat Sensor ECG triggering is shown on the Select&Go > Physio display. Attach the coil cable to coil socket 1 or 2, then secure the coil with belts. Position the BioMatrix Body 12 Coil on the patient's chest with the coil cable pointing toward the magnet tunnel. Ensure the Beat Sensor is positioned over the patient’s heart ( ). Guidance for positioning the coil is provided on the Select&GO > Physio display. ? 1Optional license for the MAGNETOM Lumina; Standard license for the MAGNETOM Vida included with Advance Now. 2Pre-requisites: BioMatrix Body 12 coil or BioMatrix Body 18 coil. BioMatrix Beat Sensor1,2 - BM Body 18 Coil Positioning Step 1 > Step 1 > Step 2 > Step 2 > Step 2 > Step 3 > Step 3 > Step 3 > Select each button to view the steps for using the BioMatrix BM Body 18 coil. BioMatrix Beat Sensor - Body 18 Coil Audio: 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. Guidance for positioning the coil is also provided on the Select&GO/Physio display. Attach the coil cable and connect the Body 18 coil to socket 1 or 2 and secure with belts. Ensure that the coil cable does not touch the patient's head. Once the Coil Connector is plugged into the table, the Beat Sensor ECG triggering is shown on the Select&GO display. Once the Coil Connector is plugged into the table, the Beat Sensor ECG triggering is shown on the Select&Go > Physio display. Attach the coil cable to coil socket 1 or 2, then secure the coil with belts. Position the BioMatrix Body 18 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 > Physio display. ? 1Optional license for the MAGNETOM Lumina; Standard license for the MAGENTOM Vida included with Advance Now. 2Pre-requisites: BioMatrix Body 12 coil or 18 coil. BioMatrix Beat Sensor1,2 - Triggering The Beat Sensor detects cardiac motion and produces a signal that tracks the cardiac contraction cycle. The trigger point of the Beat Sensor signal corresponds to the acceleration phase of the systolic contraction. This point is depicted by an arrow in the physiological display and is used as a reference point for triggered measurements. BioMatrix Beat Sensor - Triggering Audio: The Beat Sensor in the coil detects cardiac motion and produces a signal that tracks the cardiac contraction cycle. The Physio Display shows the derivative of the monitored signal. The trigger point of the Beat Sensor signal corresponds to the acceleration phase of the systolic contraction. This point is depicted by an arrow in the physiological display and is used as a reference point for triggered measurements. The signal of the Beat Sensor shows the cardiac contraction. The trigger point corresponds to the beginning of systole. This point is shown as high in the curve and is used as a reference point for triggering. The trigger point is later than the E-C-G trigger because the E-C-G triggers at the start of saltatory conduction. Some sequences also support retrospective gating. Some of the requirements for Beat Sensor triggering include the following: The coil selection in the Beat Sensor training step (which starts a Beat Sensor learning phase after image acquisition and R-F calibration), and, in the Beat Sensor-triggered program steps, are identical. The protocols set up for Beat Sensor training in the myExam Cardiac Assist workflows and in the heart, localizer, non triggered true FISP and turbo flash, dark blood programs, ensure this requirement is met. Beat Sensor triggering supports all cardiac imaging techniques. ? BioMatrix Beat Sensor1,2 - Training 1Optional license for the MAGNETOM Lumina; Standard license for the MAGNETOM Vida included with Advance Now. 2Pre-requisites: BioMatrix Body 12 coil or BioMatrix Body 18 coil. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 Once the initial localization of the heart using an untriggered localizer and localizer_heart program steps are complete, you can perform the Beat Sensor training steps. The Beat Sensor training combines two functionalities: Storing the coil selection for subsequent program steps using the Beat Sensor triggering Performs a calibration scan Select each icon to view the steps for BioMatrix Beat Sensor training. BioMatrix Beat Sensor - Training Audio: The BioMatrix Beat Sensor performs the training step once the initial localization of the heart with the untriggered localizer and localizer heart program steps are complete. The Beat sensor training step combines two functionalities: Storing the coil selection for subsequent program steps that use Beat Sensor triggering; and performing a calibration scan. The Beat Sensor training step is part of the heart, localizer, true FISP, or the heart, localizer, turbo flash dark blood program. To perform the Beat Sensor Training steps: First add the Beat Sensor training step to your measurement program. Next open the Beat Sensor training step and select the Store Coil Selection check box on the System/Miscellaneous parameter card. The coil selection defined in this step will automatically be applied to all measurement steps that use Beat Sensor triggering. Then start the Beat Sensor training step to perform the calibration scan with free breathing. Instruct the patient to remain still during the learning phase. The Beat Sensor training step plays out a series of Radiofrequency pulses at different time intervals, however it does not generate any images. Once the Radiofrequency pulse training has been successfully played out, the Beat Sensor learning phase begins. This is indicated in the Physio Display. If the trigger performance is poor, choose Relearn from the context menu of the Physio Display. If triggering in the idle phase or for cine measurements is good, but for other sequences, the RF artifact suppression is insufficient for stable triggering, you can rerun the training step without Store Coil Selection. On completion of this protocol another Beat Sensor learning phase is triggered, which takes approximately 20 seconds. During this learning phase, the cardiac motion signals detected by the Beat Sensor are processed for the selected coil combination and the trigger time point is determined. This process is displayed on the Physio Display. When the learning phase is complete, the next program step opens. Do not interrupt the Beat Sensor learning phase, for example, by starting the next protocol in the queue prematurely before the Beat Sensor signal appears in the Physio Display. Open the steps of your measurement program one after the other. Select Beat Sensor triggering as a signal source under 1st Signal Mode on the Physio/Signal parameter card. In addition, be sure to store all of the Beat Sensor sequences in Expiration so the sequences work correctly. The Beat Sensor signal is automatically suppressed during adjustments and during all measurements for which the Beat Sensor is not enabled. Open each measurement program and select Beat Sensor Triggering as a signal source under 1st Signal Mode on the Physio/Signal parameter card. Instruct the patient to remain still during the learning phase. Start the Beat Sensor training step to perform the calibration scan with free breathing. Open the Beat Sensor training step and select the Store Coil Selection check box on the System/Miscellaneous parameter card. The Beat Sensor training step is part of the heart\\localizer\trufi or the heart\localizer\tfl_db programs. Add a Beat Sensor training step to your measurement program. ? BioMatrix Beat Sensor1,2 Triggering versus ECG 1Optional license for the MAGNETOM Lumina; Standard license for the MAGNETOM Vida included with Advance Now. 2Pre-requisites: BioMatrix Body 12 Coil or BioMatrix Body 18 Coil. CINE Segmented with ECG CINE Segmented with Beat Sensor BioMatrix Beat Sensor - Triggering vs ECG Audio The BioMatrix Beat Sensor is a unique breakthrough that enables you to complete an entire cardiac examination, without E-C-G leads. These examples, show a comparison of CINE segmented cardiac imaging using E-C-G leads and CINE segmented cardiac imaging using the BioMatrix Beat Sensor. As previously stated, the BioMatrix Beat Sensor now supports and can be used for all cardiac imaging techniques. ? Breast Biopsy1 - Improvements 1License included with Breast Biopsy license. Pre-requisites: Breast Biopsy Software license, Breast Biopsy Coil and Grid or Post&Pillar Device and Fiducial marker. Improvements Improvements Device Settings Device Settings MR Breast Biopsy MR Breast Biopsy Breast Biopsy1 - Auto-detection of fiducial markers. The functionality now supports breast biopsy by automatically selecting fiducial markers. Through automatic selection, a user can approve the selected marker. Once approved, the marker is highlighted with a yellow arrow in the images. Benefits Automatic detection of fiducial markers provides improved breast biopsy workflow. Select each tab for more information. Breast Biopsy - Improvements Audio New functionality is now available that supports the breast biopsy user by automatically selecting the fiducial marker. After the automatic selection, the user will have the ability to approve the selected marker. Following approval, the marker is highlighted with a yellow arrow in the image segment. The benefit of the automatic detection of the fiducial markers, provides improved breast biopsy workflow, since the user no longer needs to manually scroll or navigate through the images to select the fiducial marker. Device & Biopsy Layers The automatic fiducial marker detection can be activated in the device settings pre-configuration dialogue. After the automatic detection of the fiducial marker, the marker is displayed and labeled in the “Markers” field. The approved marker is also highlighted with a yellow arrow in the image segment. Marker is displayed and labeled in Marker field. Approved marker is highlighted with a yellow arrow. Automatic fiducial marker detection is activated in Device Settings pre-configuration. ? 1Pre-requisites: Physiological Sensors. 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 – EPI BOLD & EPI PACE What is it? What is it? Highlights & Benefits Highlights & Benefits What does it do? What does it do? Select each box for more information. Physiologging - EPI BOLD/PACE Audio: 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. 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 Log Signals checkbox. Physio Curves (data) are stored as a separate DICOM file, which can be archived. PhysioExtractor tool is required for physiologging data handling. The tool is only available on the IDEA DVD or MAGNETOM World. 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 Time stamps are added to allow easier synchronization of physio data to corresponding fMRI data using EPI BOLD or 3D 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 ? Physiologging1 – EPI BOLD & EPI PACE 1Pre-requisites: Physiological Sensors. 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. Planned Physiologging Access time-synced sensor data for fMRI scans as part of the DICOM study Sample code available for extraction Available for EPI BOLD & EPI PACE HIDE ON TOC Audio During the data acquisition, all signals are recorded by internal physiological sensors, such as the BioMatrix Beat Sensor, BioMatrix respiratory sensor, respiratory sensor, and E-C-G. ​ Together with the imaging data, the visual data is being recorded within the raw data files.​ With Physio-logging you can access the data in an easily accessible text data format. It is stored as log files, that are simple tables with time stamps and signal values for further offline processing.​ A compressed xml structure containing the physio curves and time-stamps is also embedded in an additional non-image DICOM file. ​ ? 1Optional License: myExam Angio Assist myExam Angio Advanced Assist1 What is it? What is it? Highlights & Benefits Highlights & Benefits Select each box for more information. When to use it When to use it myExam Angio Advanced Assist Audio: myExam Angio Advanced Assist is a semi-automated workflow for peripheral MR angiography examinations with step-by-step guidance throughout the exam. This workflow support feature offers clear planning for all multi-station angiography exams by enabling the planning in the Graphical Slice Positioning user interface for all stations in one common planning step. This new Assist workflow uses test bolus and care bolus-functionality to optionally track the bolus arrival in the vessels. Highlights and Benefits include: Automation and guidance for multi-station MR Angiography examinations. Easy planning with coverage boxes that adapt to the patient’s body size. Overlap boxes that are clearly visible in the User Interface. Care Bolus is used to optimize timing. And, the ability to modify individual parameters. Automation and guidance for multi-station MR Angiography examinations Easy planning with coverage boxes that adapt to the patient’s body size Overlap boxes are clearly visible Care Bolus can be used to optimize timing Ability to modify individual parameters Highlights & Benefits It is a semi-automatic workflow for Peripheral MR Angiography examinations with step-by-step guidance throughout the examination. What is it? 1Optional License: myExam Angio Assist Contrast Disclaimer A licensed physician may choose to use FDA-approved contrast agents in conjunction with an MRI exam, based on his/her medical opinion and discretion and in accordance with the instructions for use and indications for use supplied by the pharmaceutical manufacturer for the contrast agents. ? myExam Angio Advanced Assist1 Simplified Workflow Plan Multi-Station Angiography examinations in one common step Coverage boxes adapt to the patient’s body size Overlap boxes are clearly visible Contrast Disclaimer HIDE ON TOC Audio: After performing the overview scan in the myExam Angio Advanced Assist, the relevant peripheral vessels and the aorta are localized. Planning of the actual angiography measurement is performed by using the Angio Advanced Planning Add-in, which helps plan all stations (abdomen, legs, feet) together in the Graphic Slice Position. After planning is complete, the angio pre-contrast data-acquisition is executed for all planned stations. With the care bolus step, the arrival of the contrast agent is manually or automatically detected. Once the contrast agent is detected, the angio post-contrast measurement is performed in accordance with the pre-contrast measurement. Alternatively, the Test Bolus calculates the arrival time of the bolus for optimized timing of the measurement that follows. Prior to the actual 3D Contrast Enhanced MRA data acquisition, you inject a small amount of contrast agent at the same injection rate as the Contrast Enhanced MRA. A rapid 2D measurement, typically 40 to 80 images, with a temporal resolution of one image per second, is used to monitor the passage of the Test Bolus in the vicinity of the target vessel. Finally, an optional dynamic C-E, M-R-A (TWIST) measurement can be performed. 1Optional License ? myExam Prostate Assist1 Guided workflow tailors exam to individual patient’s condition. Automated segmentation and volumetry of the prostate gland. Automated slice angulation and coverage for high consistency. Deep Learning Based Planning & Guided Scanning improves image quality and consistency. myExam Prostate Assist Audio: myExam Prostate Assist is designed for fast, reproducible, and standardized prostate M-R examinations and supports multi-parametric, multi-plane M-R imaging according to the latest Pi-RADS version Two-Point-One recommendations. The operator is guided through one comprehensive workflow with decision points, to adapt the strategy to individual patient conditions. Artificial intelligence provides support for planning and performing procedure steps through automated segmentation, volumetry of the prostate gland, automated slice angulation, and coverage for high consistency. MR Prostate Assist requires an optional license for MAGNETOM M-R Systems. Platform Improvements ? Platform Improvements MR XA20 to XA60 software upgrade Platform Improvements ? *New with MR XA50 software MAGNETOM MR Numaris X – New Branding MAGNETOM MR Numaris X systems have rebranded the names for the Dot Engines and the Dot Cockpit. Dot Cockpit is now called myExam Cockpit. Dot Engines are now called myExam Assist. Table with 2 columns and 7 rows Previous Dot Engine New myExam Assist Brain Dot Engine myExam Brain Assist Spine Dot Engine myExam Spine Assist Large Joint Dot Engine myExam Large Joint Assist Abdomen Dot Engine myExam Abdomen Assist Whole-Body Dot Engine myExam Whole-Body Assist Breast Dot Engine myExam Breast Assist Table with 2 columns and 7 rows Previous Dot Engine New myExam Assist Angio Dot Engine myExam Angio Assist Cardiac Dot Engine myExam Cardiac Assist RT Dot Engine myExam RT Assist LiverLab Dot Engine myExam LiverLab Assist Prostate Dot Engine myExam Prostate Assist myExam MR Advanced Angio Assist* New Branding Audio: The Dot Engines have moved to the new Siemens Healthineers branding: my Exam Companion. For MAGNETOM MR scanners running on Numaris X, my Exam Companion features include the Dot Engines which are now referred to as my Exam Assist. And the Dot Cockpit is now called my Exam Cockpit. ? Siemens Healthineers User Interface (SHUI) Same layout for current Numaris X users. No Changes in general interaction with myExam User Interface (UI). New color scheme Orange oblong shaped buttons Updated font Access / Title bar top of screen Siemens Healthineers User Interface - SHUI Audio: The new Siemens Healthineers User Interface is a user-centric control center for patient registration, scanning, postprocessing, and image distribution. The myExam User Interface has new branding and the name has changed from Exam to the myExam User Interface. In general, the interaction of the myExam User Interface hasn’t changed. However, there are new user features, that include: a New Color scheme, new Orange, oblong shaped buttons, updated font, and a new access title bar at the top of the screen. ? Patient Registration & Orientation New Superman Patient Positions: Wrist & Elbow Important for SAR calculation Click on Standard or Special Orientations to switch icons displayed. Special Orientations Standard Orientations Patient Registration & Orientation Audio: The Patient Registration window has new options regarding how the patient is orientated on the table for an examination. The user can “Click” on “Standard Orientation” or “Special Orientation” to toggle between the two displays. The new Special Orientations include Superman Wrist Supine, Superman Wrist Prone, Superman Elbow Supine, and Superman Elbow Prone. The user can then continue with the patient registration process using the routine workflow. These new Superman Patient Positions are also important to ensure the S-A-R is calculated correctly. ? Patient Browser (Local Data) > Copy Series Users can copy images at the frame level and paste them into a different series. Select the images (frames) within a Series. Right-click and select Copy. Select another series and Paste. Patient Browser - Copy Series Audio: Patient Browser, Local Data, now allows the user to copy images at the frame level and paste them into a different series. Select the image or frames within a Series, right-click, and select Copy then paste into another series. ? Patient Browser (Local Data) > Delete Instance/Frames In the Patient Browser (Local Data) you can now delete series content from an instances or frame. Delete Instances – Images or phases. Delete Frames – Single images. Right-click on instance (or frame). Select Delete. Confirm deletion. Patient Browser - Delete Instance/Frames Audio: In the Patient Browser, Local Data, you can now adapt the content of a Series. Delete Instances such as images, or phases. You can also delete frames, which are single images, by right-clicking on the instance, or frame and select delete. Then confirm the deletion. ? Patient Browser (Local Data) > Correct Series The user can now correct and rearrange (CorRea) image data with non-identical header information.  All frame comments are overwritten. Patient Browser - Correct Series Audio: The user can correct and rearrange image data with non-identical header information. This overwrites all the frame comments. ? Patient Browser (Local Data) > Series Split Split a series by selecting a Series (Instances) to create a separate Series with one Instance. Open the Patient Browser. Select a patient study. In the Instances area, change the List View to List. Continue > Continue > Patient Browser - Series Split Audio: In the Patient Browser, you can take a series with two instances, and create a new series with one instance. For example, if you have two b-values, you can create a new series with only one b-value. Open the Patient Browser and select a Patient Study. In the Instances area, change to List View to List. Series Split-2 Layer Next, select an Instance. Then, right-click and select Split to New Series When the Split Series window opens, select Yes. A new series is created in the patient browser. Split series by selecting an instance of a series (or) create a new series containing selected instances. Select an instance. Right-click then select Split to New Series. Select Yes in the Split Series window. A new series is created in the Patient Browser. ? Loading Concatenations/Partial Series or Scan Planning Load partial Concatenation results from a series during scan planning or a Quality Assurance acquisition. Manually drag and drop the series from the Queue to the GSP. This will load all of the finalized concatenations at that point in time. Loading Concatenations Audio: It is now possible, to load partial concatenation results from a series during scan planning and the Quality Assurance acquisition. You can now manually drag and drop the series from the measurement queue to the Graphic Slice Positions. This will load all the finalized concatenations at that point in time. ? Select&GO Display Swap Button The Swap button changes the patient orientation before the patient is registered and the table is in the home position. Updates the available body regions for Auto Positioning based on which coils are plugged into the table. Select&GO Display Swap Audio: The Select and Go display now has a Swap button that can be used to change the patient orientation. This is done prior to registering the patient with the table in the home position. The body regions available for Auto Positioning are then updated depending on what coils are plugged into the table. ? GSP – Flyout Toolbar Pinning Graphic Slice Positioning (GSP) toolbar can now be pinned. Default setting is unpinned. Click on white down-arrow to open the Flyout Toolbar located above the three image segments. Click on small pin next to the Settings wheel on the right side of the Flyout Toolbar. Background of pin turns light grey and the pin orientation changes from horizontal to vertical. Flyout Toolbar is now pinned, and the tools are always visible in the User Interface (UI). To unpin the Flyout Toolbar, click on the small pin again. The light grey icon fades away and pin orientation changes back to horizontal. GSP - Flyout Toolbar Pinning Audio: The Graphical Slice Positioning Flyout toolbar in the User Interface can now be pinned when planning and conducting an examination. To pin the flyout tool bar, click on the white down-arrow to open the flyout toolbar located above the three image segments. Next click on the small pin next to the settings wheel. The background of the Pin turns a light grey and the pin orientation changes from horizontal to vertical. The flyout toolbar is now pinned and the tools in the toolbar are always visible in the User Interface. To unpin the flyout toolbar, click on the small pin again, the light grey icon fades away and the pin orientation changes back to horizontal. Please note that the flyout toolbar pin preference is not saved. When a new exam is started the default setting returns to unpinned. GSP – Center Line for 2D & 3D Scan Planning Center-line displayed for slice group planning Align the 2D slices or 3D slab group perpendicular to anatomical structures. Dashed center line along the pivot point of the slice/slab group in the slice direction is displayed. Benefit Center line along the slice direction aids in precise positioning along anatomical structures. ? GSP - Center Line Audio: When planning the next measurement step, you can align 2D slices or 3D slab groups perpendicular to the anatomical structures with the aid of the center line. While you are positioning the slice or slab group, the Graphical Slice Position displays a dashed center line through the pivot point of the slice or slab group in the slice direction. This center line is designed to facilitate precise positioning along the anatomical structures such as the brainstem, spinal cord, or septal wall. As soon as the user releases the mouse button, the center line disappears for clear visualization of the underlying anatomy. Please note that no center line is displayed if the slice orientation is parallel to your planning image plane, for example, if you plan a sagittal slice stack on a sagittal image. ? Table Positioning Strategies No sequences are running. Select a Sequence not executed in the Queue. Right-click then select Insert Table Positioning Strategy. Select a Strategy – ISO, Local Range, or FIX. Select GO. Strategies > Strategies > Table Positioning Strategies Audio: You can modify the positioning strategies during an examination. First ensure that no sequences are running. And select a Sequence not Executed in the Queue. Right-click select Insert Table Positioning Strategy, Select a Strategy – ISO, Local Range, FIX. Then, Click GO. Click the strategies button to learn more. Layer 1 - IsoCenter The option for Table Positioning Strategies has 3 modes you can use to dictate how or if the patient table moves during an examination. When using Iso-Center mode, the table moves during the examination so that the center, or region of interest, of the slice package is always at iso center. Applications include larger anatomical regions, for example, Spine, Liver, Pelvis, and Long Bone examinations. Layer 2 – Local Range When using Local range mode, you define one (or more) Local Range positions. If the slice group is within the Field-of-View area, the measurement is performed without repositioning the Patient Table. If a slice group is moved within the Field-of-View area, the table position remains unchanged. If the Field-of-View is moved outside of the focus range, then the table will move like it does for ISO mode. Within the Graphic Slice Position segment, small triangles indicate the current Focus Position. Applications include smaller anatomical regions, for example, Head, Knee, and Heart examinations. Local Range Mode is also utilized when table moves are not necessary. Note, if a slice group is moved outside the Field of View area, then the table will act as if it is in ISO mode so the center, or region of interest, of the slice package is always at iso center. Layer 3 – Fixed The Fixed Table position helps avoid unintentional table movement during interventions triggered by running sequences with different iso-centric positions or to enable off-center scanning. Fixed table mode, performs all measurements at a set table position. If the Slice or slab is placed outside of the Field-of-View, the table does not move. Applications include smaller anatomical regions, for example, Interventional, Biopsy, and Ablation examinations. Table Positioning Strategies – Fixed (FIX) Fixed (FIX): Performs all measurement at a set table position Table doesn’t move during exam (fixed table position) Slice/Slab group placed outside isocenter, table doesn’t move GSP Segment – small triangle indicates a fixed table position Applications – Interventional examinations (e.g., Biopsy, Ablation Exams) << Previous Table Positioning Strategies – Local Range (LOC) Local Range (LOC): Based on Examination-Specific FoV Area and a Focus Position defining Center of FoV Slice Groups within FoV Area are measured without repositioning the Patient Table When a Slice Group is moved within the FoV area, Table Position remains unchanged GSP Segment – small triangle indicates the current Focus Position Applications – smaller examination regions (e.g., head, knee, heart) When table moves are not necessary << Previous Next >> IsoCenter (ISO): Protocol Table Position is similar to Scan Region Center Slice Groups – table moves to IsoCenter for best image quality Table moves to IsoCenter of slice/slab group after the sequence is applied Applications – larger anatomical regions (e.g., Spine, Liver, Pelvis, Long Bone) Table Positioning Strategies – IsoCenter (ISO) Next >> ? Auto Coil Select (ACS) Modes – Options ACS selects the most suitable set of coil elements from any of the plugged-in coils within the Field-of-View (FoV). New ACS Modes ACS All but spine selects all coils (e.g., hand/wrist, knee, etc.) within the Field-of-View (FoV) except the spine coil. ACS Restricted restricts the coils/coil elements that are considered by Auto Coil Select. Auto Coil Select is located on the System > Miscellaneous Parameter card > Coil Selection. Auto Coil Select Modes Audio: The selection of coils and coil elements is an essential step during the setup of every MRI protocol. It ensures that all regions within the field of view are scanned with optimal signal and that regions outside the field of view do not disturb the image, for example by in-folding artifacts.   Auto Coil Select chooses the most suitable set of coil elements from any of the plugged-in coils within the Field-of-View. The two new Auto Coil Select modes make that functionality more robust, flexible and less error prone.   They include “Auto Coil Select All but Spine” and “Auto Coil Select Restricted”. These modes now make it possible to use Auto Coil Select for all body regions and coil combinations. Auto Coil Select all but Spine mode selects all the coils within the Field-of-View except the spine coil. This mode is typically used for Orthopedic applications for example, hand, wrist, knee, etc. Auto Coil Select Restricted mode restricts the automatic coil element selection to coils that have been pre-configured in the Coil Selection window.   Auto Coil Select is located on the System, Miscellaneous parameter card, under Coil Selection ? Voice Commands – User Recorded Default Language Set user-recorded voice commands as the default language for MR Examinations. From the Access bar, click the Configuration icon. From the Configuration Panel, select Scan Application tab. Under Default Language, select your preferred language. Click OK. Hint – You cannot have a patient registered when setting the default language, adding a pre-recorded voice command, or if you are recording a voice command within the configuration menu.  Voice Commands Audio: You can now set user-recorded voice commands as the default language for your M-R Examinations. This way, the voice command can be applied to any sequence without additional operator interaction. To save the default language for the user recorded voice commands, select the Configuration icon. In the Configuration Panel, click the Scan Application tab, then select the preferred Default Language. Next, click Ok, to accept these changes. Please note, you cannot have a patient registered when setting the default language, adding a pre-recorded voice command, or if you are recording a voice command within the configuration menu. However, the current patient language can be changed after the patient is registered. ? 1Optional license Contrast Disclaimer – A licensed physician may choose to use FDA-approved contrast agents in conjunction with an MRI exam, based on his/her medical opinion and discretion and in accordance with the instructions for use and indications for use supplied by the pharmaceutical manufacturer for the contrast agents. MR Injector Coupling & Imaging System Interface (ISI)1 Bayer Healthcare and Siemens Healthineers – jointly developed hardware and software. Injector Scanner Interface (ISI) – enables active coupling between injector and MR scanner. MR Injector Coupling Audio: Contrast-enhanced M-R imaging procedures, such as M-R angiography or dynamic contrast-enhanced imaging requires precise timing of the contrast injection. Bayer Healthcare and Siemens Healthineers have jointly developed a hardware and software called the Injector Scanner Interface, which enables active coupling between the injector and the M-R scanner. ? Open Recon1 What is it? What is it? Highlights & Benefits Highlights & Benefits Interface Features Interface Features Select each box for more information. 1Standard license included with Advance Now. Open Recon Audio: Open Recon is a developer-friendly interface that facilitates the creation and deployment of innovative MR 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 and Benefits include: 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. Interface Features 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. Simplified reconstruction environment for between Siemens Healthineers and partners FDA cleared 3rd party image reconstruction techniques and machine learning directly at the scanner Convenient access to a dedicated Inline > Open Recon Parameter Card Customized reconstructions for both in image-to-image as well as raw data-to-image domains Highlights & Benefits Open Recon is a developer-friendly interface that facilitates the creation and deployment of innovative MR reconstruction algorithms.  What is it? ? MR OpenApps@Scanner1 1Standard feature, applications must be purchased from OpenApps digital marketplace.. Siemens Healthineers and our Portfolio MR Partners expand clinically approved applications from 3rd party partners to MAGNETOM MR Systems. OpenApps@Scanner Audio M-R Open Apps at the Scanner provides an opportunity to access and run an expanding variety of clinically approved applications from Siemens-Healthineers and our partners directly on your MAGNETOM M-R scanner. With Open Apps at the Scanner, connect your MAGNETOM M-R system to the Siemens Healthineers Digital Marketplace. You can benefit from the integrated store which is your new way to organize and discover apps from Siemens Healthineers and other third-party vendors. The store enables you to browse, trial licenses, download apps, and request quotes directly on your MAGNETOM M-R system. While M-R-Open-Apps at the Scanner is a standard feature, all the applications must be purchased from the Open-Apps digital marketplace. MR View&GO ? MR View&GO MR XA20 to XA60 software upgrade MR View&GO ? MR View&GO – Interactive Image Text Blue font indicates text that you can modify and interact with. Interactive Image Text Audio MR View and GO, now has interactive image text. Click on the blue interactive text to switch the display type. For example, to switch between 2D, M-P-R, MIP, or V-R-T. ? MR View&GO – Colored Time Points Colored Time Points Current – Green font Prior – Pink font Colored Time Points Audio Another new feature for MR View and GO is colored time points. Data from the current time point is automatically loaded into M-R View and GO. Data from previous or later time points is automatically loaded to a comparison layout in the image area. The colored time points differentiate between the current time point with green font, and the prior time points with pink font that is visualized in both the series panel and the image segment. ? MR View&GO – Evaluation Measurement Details Select the measurement. Right-click and select Copy Text from the context menu. Navigate to the reporting software and right-click. Select Paste from the context menu. -OR- Navigate to the reporting software and place the cursor at the required position and press the Ctrl + V keys simultaneously. The evaluation text will be copied as one line to your reporting software. Each original line is separated by a comma. Evaluation Measurement Details Audio You can now Copy and Paste the evaluation details of measurements to any reporting software, for example, Microsoft Word. Select the measurement, then right-click, and choose Copy Text. Then navigate to the reporting software, right-click, and choose Paste from the context menu. Or you can navigate to the reporting software, choose the cursor position, then Press the Control plus V-keys simultaneously. The evaluation text is copied as one line to your reporting software. Each original line is separated by a comma. ? MR View&GO – Angle on Stack Angle on Stack is used to measure angles across different image planes. Conditions: Can only be used on parallel slices Images must have the same orientation Images must be loaded in a Stack layout Maximum Angle that can be measured is 180° Cannot be used in Curved Views 2D, MPR, MPR Thick, MIP Thin, MinIP Thin images are available Additional Information > Additional Information > Angle on Stack Audio Angle on Stack is now available in MR View and GO, this tool can be used to perform measurements. You can measure angles across different planes of an image stack, which means that you can draw the angle legs on different anatomy within a series and with the same orientation. This allows you to identify, for example, dislocations of fractures or the rotational dislocations between different body parts (tibial torsion, femoral torsion). Angle on Stack can only be used on parallel slices with the same orientation that are loaded into a Stack layout. This tool cannot be used in curved views. The maximum angle that can be measured is one-hundred-eighty-degrees. This tool can be used on two-D, M-P-R, and MIP images, but cannot be used on curved views. Click the Launch button to view the steps on how to use the angle on stack feature. Layer Audio To use this tool, click the Angle on Stack icon, note that the mouse pointer changes shape. Scroll to the required images slice and draw the first line, use the scroll wheel and navigate to another slice, then draw the second line. The angle between the two lines is calculated. The result of the measurement is displayed next to the angle. If required, you can edit the angle. If you want to edit an angle leg, scroll back to the slice on which it was drawn. Only then are the handles for editing the angle leg available. To save the results of the angle measurement, create a snapshot. Click the Angle on Stack icon. Scroll to image slice and draw the first line. Depress the scroll wheel and navigate to another slice, then draw the second line. Angle between the two lines is calculated. Result is displayed next to the angle. To save results, create a snapshot. ? MR View&GO – Curved Ranges Curved Ranges are now displayed as concentric rings instead of parallel curved ranges. Curved Ranges XA20 Curved Ranges XA31, XA50, & XA60 Curved Ranges Audio In M-R View and GO, Curved ranges are now displayed as concentric rings instead of parallel curved ranges, as previously displayed when Curved Ranges were created on M-R, X-A twenty software. ? MR View&GO – Magnifier Icon Left-click the Magnifier icon (or) press Ctrl + M. Depress left mouse button on an image and drag the mouse to the required section on the image. The magnified image of the selected section is displayed. Click and drag the magnified image section to reposition it. To close the Magnifier, click the icon again. If one or more image sections are magnified, press the Esc key to close all magnified image sections. Magnifier - ON Magnifier Icon Audio You can now magnify a section of an image to obtain a closer look at a specific area of the image in MR View and GO. First, click the magnifier icon located in the upper right corner. Note, the mouse pointer changes shape. Next, click and drag the mouse to select the required section on the image. The magnified image of the selected section is displayed. You can also click and drag the magnified image section to reposition it. Use the shortcut, Control, M to leave the magnification on and move the mouse interactively, To close the Magnifier click on the Magnifier icon again. If one or more image sections are magnified, press the Esc key to close all magnified image sections. ? MR View&GO – Launch 4D Data to 3D Load a Dynamic Multi-Echo dataset to MR View&GO and verify a 4D data set is loaded. Click the Show in 3D icon. Press Left/Right cursor keys or 4D plus/minus keys to switch between multi-echoes. TE = 2.5 TE = 4.9 TE = 7.9 Launch 4D Data to 3D Audio Launch a dynamic multi-echo dataset or any 4D data-set into MR View and GO. Before if you launched a four-D, dataset into Show in three-D, you could only see one T-E in a multi-echo dataset. Now when you launch Show in 3D icon, you can now you can use the cursor keys [left, right] or the [four-D plus, minus keys] to switch between the multi-echoes. A few of the clinical use cases include Dynamic scans, Diffusion with multiple b-values, and Dixon Fat, Water, in-phase, and out-of-phase images. ? MR View&GO – Image Sorting Icon Image Sorting icon is located in Favorite Tools. Images can be sorted and manipulated at the Frame level. Sorting Criteria Sorting Order Image Manipulation Include/Remove Image(s) Rename Series Description Name Additional Information > Additional Information > Image Sorting Icon Audio MR View and Go has a new icon in Favorite Tools called Image Sorting. Image Sorting is a tool that helps you arrange images in a way best suited for reading. You will then save the rearranged images in one or several new series. If the image segment contains exactly one series, this series is loaded into the Image Sorting tool. If the image segment contains more than one series, all the series are loaded into Image Sorting. If an image segment contains four-D data, the Image Sorting icon appears dimmed. If you expand the data in this segment before loading the data set into Image Sorting, then images can be sorted, manipulated, and deleted at the frame level. Layer 1 The Image Sorting icon has various tools, the sorting Criteria icons include: Anatomical, sort by image position and orientation. As Numbered, sort by image number. Chronological, sort by time of acquisition. Triggered, sort by trigger time. And, Manual Sorting, drag and drop images to reorganize the image order. The Sorting Order icons provide options to change the sort to either Ascending or Descending. Layer 2 Using the Image Sorting Icon you can manipulate on the image level. Rotate the images of a series Clockwise, Counter Clockwise ninety-degrees, or Flip the images of a series Horizontal or Vertical. Another feature of image sorting is the ability to rotate and flip selected images, instead of the entire series. You can remove images that don’t contain relevant clinical information, from the beginning or the end of a series. For example, if a three-D data set has images with no anatomy shown. You can also use a combination of specific sorting criteria, select individual images, remove frames, or create a result series to split a series that was scanned interleaved.  Layer 3 Prior to saving a modified series, check the resulting series in the Image Sorting tool. One or several series may have been loaded into image sorting. Click the Stack viewing layout icon and Scroll through the Image Stack. The red bars to right of Preview image indicate images removed from the series. The arrow and frame numbers indicate the image currently shown. Next, Check or Correct the Series Description. The System will automatically add PACS to the original series description. The series description can be modified as needed. Finally, Click the Create icon to save a new series in the MR View and GO Panel. Step 1 > Step 1 > Step 2 > Step 2 > Step 2 > Step 3 > Step 3 > Step 3 > Step 4 > Step 4 > Select each button to view the steps for saving manipulated images. Check the resulting Series in the Image Sorting Tool prior to saving the manipulated images. Click the Stack Viewing icon. Scroll through the Image Stack. Red Bars to the right of the preview image indicate images removed from the series. Arrow and frame numbers indicate image currently shown. Check or Correct the Series Description. System adds _PACS to the original series description. Modify the series description as needed. Click the Create icon. This will save a new series in the MR View&GO panel. Create 3/3 Image Manipulation Flip Horizontal Flip Vertical Rotate Clockwise 90̊ Rotate Counter-Clockwise 90̊ Feature: Rotate or flip selected images instead of an entire series. Include/Remove Image(s) From Beginning Remove Selected To End Feature: Use a combination of specific sorting criteria, select individual images, frame removal, and creation of a result series to split up a series that was scanned interleaved. 2/3 Sorting Criteria Anatomical – sort by image position and orientation As Numbered – sort by image number Chronological – sort by time of acquisition Triggered – sort by trigger time Manual Sorting – drag and drop images and reorganize the image order Sorting Order Ascending Descending 1/3 ? MR View&GO – Saving Presentation Configure the Display and Behavior tab in the Configuration Panel to change the image presentations for how 2D images and 4D datasets are saved and what modifications are included. Administrator Rights Are Required Open the Configuration panel. Select the Display and Behavior tab. Continue > Continue > Saving Presentations Audio You must have administrator rights to configure the Display and Behavior tab in the Configuration Panel. You will then be able to change how the image presentation for two-D and four-D datasets are saved, and the modifications are included. You must have Administrator Rights First, Open the Configuration Panel. Then, select the Display And Behavior tab. Steps 3-4 In the MR View&GO section, select one option for saving the Image Presentation. If you select: Store automatically on closing a case, window value changes are automatically saved if the workflow is paused, completed, or if any series is sent to archive via the Send and Archive button. If you select: Store manually, the changes to the image presentation are only saved if explicitly triggered by the user interaction. In addition to changing window values, current settings for zoom, pan, rotate, flip, color LUT, and graphics drawn for evaluation are included in the image presentation. You will need to Restart the MR System in order for these changes to take effect. Manually Saving 1-3 If you want to save the presentations manually perform the following steps: Click on an image segment to create and window, magnify, pan, rotate, flip, change the Color LUT, or create a measurement. In the Tools Gallery, click on the Save Presentation icon (or) select the shortcut: Alt–plus-S. This temporarily saves the Presentation of the current selected segment. An indicator shown in the Image Text signals that the current presentation in the segment is only temporarily stored. Manually Saving 4-5 Click the Save and Send, Save and Pause, or Save and Archive icon to permanently save all temporal presentations created in the current patient study. To Delete a temporal presentation, click on the indicator icon and choose Delete Temporary Presentation. Save Presentations Manually (continued) Click the Save&Send, Save&Pause or Save&Archive icon to permanently save all temporary presentations. To delete, click on the indicator icon and choose Delete Temporary Presentation. << Previous Save Presentations Manually Click on an image segment and window, magnify, pan, rotate, flip, change Color LUT, or create a measurement. In the Tool Gallery, click the Save Presentation icon (or) select the shortcut: Alt + S to temporarily save the presentation of the current selected segment. An indicator in the Image Text displays that the current presentation in the segment is only temporarily stored. << Previous Next >> In the MR View&GO section, select one option for saving the Image Presentation. Store automatically on closing a case – window value changes are automatically saved if workflow is paused, completed, or if any series is sent to archive via Send and Archive button. Store manually – changes to the image presentation are only saved if explicitly triggered by user interaction. In addition to changing window values, current settings for zoom, pan, rotate, flip, color LUT, and graphics drawn for evaluation are included in the image presentation. Restart the MR System. Next >> MR Coils ? MR Coils MR XA20 to XA60 software upgrade MR Coils ? UltraFlex Small/Large 18 Coils Elbow Elbow Elbow Ankle Ankle Wrist Wrist Hip Hip Select each tab to view examples. UltraFlex Coil Audio The UltraFlex 18 coil is available in sizes small and large. Depending on the area to be examined, the coil is positioned on the patient and is used to image that anatomical region. For example, the following regions of the body can be examined: Hand, wrist, Elbow, shoulder, Hip, knee, Foot, ankle, Head and neck. MR Protocol Management ? MR Protocol Management MR XA20 to XA60 software upgrade MR Protocol Management Audio ? Protocol Management – Mass Protocol Editing 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 Improvements in myExam Cockpit Protocol Management: Efficient mass protocol editing is now available for nearly all parameters Highlight changes for easier identification of protocol changes Benefits: Reduced effort for modifying and managing protocol maintenance All parameters on the parameter cards and properties are accessible Multiple parameter changes can be performed in one procedure step History of changes made are listed in an overview Select each icon to view the steps for Mass Protocol Editing. Mass Protocol Editing Audio Improvements in my-Exam Cockpit Protocol Management have been implemented so you can perform efficient mass protocol editing for nearly all parameters and highlight changes for easier identification of protocol changes. The ability to perform mass protocol editing reduces the effort needed when modifying and managing protocols. All parameters on the parameter cards and properties are accessible and multiple parameter changes can be performed in one procedure step. The history of changes made are also listed in an overview. Select the numbered steps below to learn more about the Mass Protocol Editing. Layer 1 First access the Home window and select the my-Exam Cockpit icon. Next, select the master protocol you want edit, then right-click and select Find. Please note, the first protocol selected is the master protocol. In addition, graphical slice objects cannot be edited in the Find window, for example: slice groups, saturation regions, or set-and-go-steps. Layer 2 The Find and Set Parameters window opens. Now you can enter the sequence name you want to edit, for example T-two Turbo Spin Echo. Left-click and choose the location and type from the drop-down options. Layer 3 Then select either “multiple sequences” to edit or choose the “select all“ button and edit all the sequences shown. Click the Edit selected button. Layer 4 Now you can make edits to any of the protocol parameters on all the parameter cards. In addition, you can modify Voice commands, Execution, Image Management, and Auto Load options. Once you have completed all the required edits, click the “Accept Changes” button. The system will apply the changes implemented to the sequences that were selected. Layer 5 Once all of the changes have been applied, review these under the History of Changes section. This selection tracks the changes made to the master protocols. Select the Accept changes button to apply these changes to all selected protocols Review the items listed under the History of Changes section. This section lists all changes made to the master protocols. Select the Accept Changes button to apply the changes to all other selected protocols. Protocol Parameters – modify parameters on all parameter cards for the selected protocols. Modify other available options: Voice Commands Execution Image Management Auto Load Select Accept Changes. From the results, manually select multiple sequences or click the Select All button. Results shown here reflect all available sequences for the Name entered (t2 tse). Click Edit Selected button. Find and Set Parameters window: Name – enter sequence name to edit (e.g., t2 tse). Location – select Protocol Tree to edit. Selected Element SIEMENS USER Trees Default Type – select Step Type: All Step Types Measurement Step Interaction Step Pause Step Decision Step From the Home screen, select the myExam Cockpit icon. Select the Master Protocol. The first protocol selected is the master protocol. Right-click and select Find. Hint: Graphical Slice Objects can not be edited in the Find window (e.g., slice groups, saturation regions, set-n-go steps). Course Review ? Course Review Congratulations. You have completed the Software Upgrade: MR XA20 to XA60 online training course. Select the numbered items below to review the material before proceeding to the final assessment. Platform Improvements New & Improved Sequences & Applications XA60 MAGNETOM MR 3T Systems 1 1 1 3 3 3 2 2 2 4 4 4 MR View&GO Improvements Course Review MR View&GO, Coils, and MR Protocol Management MR View&GO Improvements Interactive Image Text Colored Time Points Copy/Paste Evaluation Measurement Details Angle on Stack Curved Ranges Magnifier Icon Launch 4D data to 3D Image Sorting Icon Save Presentations MR Coils UltraFlex Small 18 Coil UltraFlex Large 18 Coil MR Protocol Management – Mass Protocol Editing Find Dialog Find and Set Parameters Edit Selected History of Changes Platform Improvements Dot Cockpit rebranded to myExam Cockpit Dot Engines rebranded to myExam Assist Siemens Healthineers User Interface (SHUI) – new color scan and icon design Patient Registration and Orientation – Special Orientation for Wrist and Elbow Patient Browser (Local Data) – Copy Series, Deletion Instances/Frames, Correct & Rearrange Series, and Series Split Loading Concatenations – Partial Series or Scan Planning Select&GO Display Swap Button GSP – Flyout Toolbar Pinning GSP – Center Line for 2D & 3D Scan Planning Table Positioning Strategies – IsoCenter (ISO) Table Positioning Strategies – Local Range (LOC) Table Positioning Strategies – Fixed Range (FIX) AutoCoil Select (ACS) Modes – Options Voice Commands – User Recorded Default Language MR Injector Coupling & Imaging System Interface (ISI) Open Recon MR OpenApps @Scanner New & Improved Sequences & Applications Deep Resolve Gain Deep Resolve Sharp Deep Resolve Gain & Sharp Improvements Deep Resolve Boost Deep Resolve Boost & SMS TSE Deep Resolve Boost for EPI Diffusion Deep Resolve Boost for EPI HASTE Deep Resolve Swift Brain Static Field Correction for EPI Wave-CAIPI SWI Compressed Sensing [CS] SPACE Compressed Sensing [CS] SPACE – Phase Partial Fourier BLADE Diffusion with SMS Functionality SMS Faster Recon & SMS TSE Improvements SMS EPI DWI Imaging – Fast GRE Reference Scan CS GRASP-VIBE for MAGNETOM Lumina VIBE Phase Encoding Order VIBE Phase Encoding Order – Breast Imaging 3D Arterial Spin Labeling (ASL) & PCASL Improvements 4D Flow MRI Offcenter Elbow Imaging @ 3T Absolute B0 Shim – T-Spine Imaging HASTE Diffusion @3T Motion Correction for TSE with Multiple Averages SVS Spectroscopy Edit (GABA) BioMatrix Beat Sensor Breast Biopsy Improvements Physiologging – EPI BOLD & EPI PACE myExam Angio Advanced Assist myExam Prostate Assist MAGNETOM MR 3T Systems MAGNETOM Vida XA20 / XA31 / XA50 to XA60 MAGNETOM Lumina XA20 / XA31 / XA50 to XA60 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. © Siemens Healthcare GmbH 2023 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment Welcome to the assessment. For each question, select your answer and then select Submit. You will have 3 attempts to take this assessment and to successfully pass this course. You must receive a score of 80% or higher. You will receive your score once you complete the assessment. Start Assessment Select the best answer. ? EPI HASTE Arterial Spin Labeling Question 1 of 10 Deep Resolve Boost is now available for EPI Diffusion and _____. Gradient Echo Spin Echo Multiple Choice Answer on Slide: 2.16 Select the best answer. ? BM Body 10 UltraFlex 12 Question 2 of 10 The Biomatrix Beat Sensor can be used on the BM Body 12 and the _____ coils for all cardiac sequences. UltraFlex 18 BM Body 18 Multiple Choice Answer on Slide: 2.42 Select the best answer. ? myExam Spine Assist myExam Angio Advanced Assist Question 3 of 10 _____ is a semi-automatic workflow for Peripheral MR Angiography exams with guidance throughout the exam. myExam RT Assist myExam Whole-Body Assist Multiple Choice Answer on Slide: 2.47 Select the best answer. ? Open Recon Physiobrowser Question 4 of 10 _____ uses time stamps to allow for easier synchronization of physio data for corresponding fMRI data. Open Apps Physiologging Multiple Choice Answer on Slide: 2.45 Select the best answer. ? Angle Spine/Rib Label Question 5 of 10 _____ is used to measure angles across different image planes. Angle on Stack Distance Line Multiple Choice Answer on Slide: 4.5 Select the best answer. ? Red Orange Question 6 of 10 In MR View&GO, the colored Time Point has green colored font if it is the current patient and _____ for a prior Time Point. Blue Pink Multiple Choice Answer on Slide: 4.3 Select the best answer. ? Series in Lines Automatic Question 7 of 10 The Phase Encoding Order for VIBE _____ is used when motion is seen in the slice direction. Slices in Lines Lines in Slices Multiple Choice Answer on Slide: 2.29 Select the best answer. ? Series in Lines Automatic Question 8 of 10 The Phase Encoding Order for VIBE _____ is used when the dominant motion is in the phase encoding direction. Slices in Lines Lines in Slices Multiple Choice Answer on Slide: 2.29 Select the best answer. ? Image Sorting Export Series Question 9 of 10 _____ icon allows you to manipulate and sort a series or individual images on the frame level. Manual Sorting Show in 3D Multiple Choice Answer on Slide: 4.9 Select the best answer. ? True Question 10 of 10 The Cardiac Beat Sensor supports all cardiac imaging techniques. False Multiple Choice Answer on Slide: 2.39 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 of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. You have completed the Software Upgrade: MR XA20 to XA60 Online Training. Completion Navigation 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. 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Assessment Slide Question Bank 1 XA20-XA60_QR700002479 | Effective Date 4 DEC 2023 1.1 Welcome 1.2 XA20 to XA60 Software Upgrade 1.3 MAGNETOM MR 3T Systems 2 MR Sequences & Applications 2.1 Sequences & Applications 2.2 MR Deep Resolve Gain 2.3 MR Deep Resolve Sharp 2.4 Deep Resolve Sharp - Training 2.5 Deep Resolve Gain & Sharp Summary 2.6 Deep Resolve Gain + Sharp - Brain 2.7 Deep Resolve Gain + Sharp - Lumbar 2.8 Deep Resolve Gain + Sharp - Knee 2.9 MR Deep Resolve Boost 2.10 Deep Resolve Boost - Training 2.11 Deep Resolve Boost - Brain 2.12 Deep Resolve Boost - Lumbar 2.13 Deep Resolve Boost & SMS TSE - Knee 2.14 DRB for EPI Diffusion 2.15 DRB for HASTE 2.16 DRB EPI Diffusion & HASTE 2.17 Deep Resolve Swift Brain 2.18 Deep Resolve Swift Brain - Training 2.19 Deep Resolve Swift Brain - Timeline 2.20 Static Field Correction 2.21 Wave-CAIPI SWI 2.22 Wave-CAIPI SWI Technique 2.23 CS SPACE - T2 Brain Axial MPR 2.24 CS SPACE - Phase Partial Fourier 2.25 BLADE Diffusion SMS Functionality 2.26 SMS Faster Recon 2.27 SMS EPI DWI Imaging 2.28 CS GRASP-VIBE for Lumina 2.29 VIBE Phase Encoding Order 2.30 VIBE Phase Encoding Order - Breast Imaging 2.31 3D Arterial Spin Labeling 2.32 4D Flow MRI 2.33 Offcenter Elbow Imaging 3T 2.34 Absolute B0 Shim - T-Spine 2.35 HASTE Diffusion @3T 2.36 Motion Correction for TSE 2.37 Single Voxel Spectroscopy Edit (GABA) 2.38 BioMatrix Beat Sensor 2.39 BioMatrix Beat Sensor - Body 12 Coil 2.40 BioMatrix Beat Sensor - Body 18 Coil 2.41 BioMatrix Beat Sensor - Triggering 2.42 BioMatrix Beat Sensor - Training 2.43 BioMatrix Beat Sensor - Triggering vs ECG 2.44 Breast Biopsy - Improvements 2.45 Physiologging - EPI BOLD/PACE 2.47 myExam Angio Advanced Assist 2.49 myExam Prostate Assist 3 Platform Improvements 3.1 Platform Improvements 3.2 New Branding 3.3 Siemens Healthineers User Interface - SHUI 3.4 Patient Registration & Orientation 3.5 Patient Browser - Copy Series 3.6 Patient Browser - Delete Instance/Frames 3.7 Patient Browser - Correct Series 3.8 Patient Browser - Series Split 3.9 Loading Concatenations 3.10 Select&GO Display Swap 3.11 GSP - Flyout Toolbar Pinning 3.12 GSP - Center Line 3.13 Table Positioning Strategies 3.14 Auto Coil Select Modes 3.15 Voice Commands 3.16 MR Injector Coupling 3.17 Open Recon 3.18 OpenApps@Scanner 4 MR View&GO 4.1 MR View&GO 4.2 Interactive Image Text 4.3 Colored Time Points 4.4 Evaluation Measurement Details 4.5 Angle on Stack 4.6 Curved Ranges 4.7 Magnifier Icon 4.8 Launch 4D Data to 3D 4.9 Image Sorting Icon 4.10 Saving Presentations 5 MR Coils 5.1 MR Coils 5.2 UltraFlex Coil 6 MR Protocol Management 6.1 MR Protocol Management 6.2 Mass Protocol Editing 7 Course Review 7.1 Course Review 7.3 Assessment