Software Upgrade: MR XA30 to XA60

Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Introduction Master Template HILS2218 | Effective Date: 25 Mar 2022 ? Software Upgrade: MR XA30 to XA60 Online Training This online training reviews the new platform features, new sequences, and application improvements for upgrading MR XA30 software to the new MR XA60. MAGNETOM MR Systems MR View&GO Platform Improvements New and Improved Sequences and Applications 1 4 3 2 Welcome Audio This online training reviews the new platform features, new sequences, and applications for the M-R, X-A-Sixty software upgrade. The upgrade includes comprehensive improvements to the existing scanners, and information on the new standard and optional applications. ? MR XA60 MAGNETOM Systems MR XA30 to XA60 software upgrade XA30 to XA60 Software Upgrade ? MAGNETOM MR Systems MAGNETOM Aera XA30 to XA60 MAGNETOM Skyra XA30 to XA60 MAGNETOM Prisma MAGNETOM Prisma fit XA30 to XA60 MAGNETOM MR Systems Audio This software upgrade brings the MAGNETOM MR Aera, Skyra, Prisma, and Prisma fit Systems with X-A 30, software to X-A-sixty software. MR Sequences & Applications ? MR Sequences & Applications MR XA30 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) Reduced Noise Faster scan times for Turbo Spin Echo (TSE) sequences 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 in under ten-minutes. ? Deep Resolve Boost – Lumbar Spine Deep Resolve Boost - Lumbar Audio This Lumbar Spine examination was performed 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. ? 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 2High-end computing required 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 DeepResolve 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 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. ? 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. ? 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. ? 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 in the average-dimension 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. ? 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 Layer The automatic fiducial marker detection can be activated in the device settings pre-configuration dialogue. Biopsy Layer 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: 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: 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. ​ ? 1Purchasable license. Needle Intervention Add-In (NIA)1 Application Needle Intervention Add-In enables a user-friendly planning workflow. Define the needle trajectory by setting the entry and target points based on images shown in the Graphic Slice Positioning segments (GSP) Planning includes the Localization and verification of the planned entry point on the patient’s skin Visualization of Needle Intervention Automatic alignment of imaging slices with the planned trajectory is used to monitor when target point is reached. Additional Information > Additional Information > Needle Intervention Add-In Audio: The Needle Intervention Dot Add-In, provides a user interface for workflow improvements for M-R-guided needle interventions. It supports the planning and execution of M-R-guided needle interventions during real-time imaging, as well as laser-based localization of the entry point, and automatic slice positioning. Click the Additional Information button to learn more. Workflow Layer The Needle Intervention Dot Add-In provides three registration tabs for Planning, Marking and Real Time Imaging. In the Planning, you plan and set up the Entry Point and Target Point markers. The Graphic Slice Positioning segments show the images that are used to mark the needle path to set up the Entry Point and Target Point markers. The Marking step is used to verify the entry point on the patient’s skin. You will use the Table Move button to move the table, so the entry point is positioned under the laser light localizer. Position a marker on the patient’s skin at the lateral distance calculated. The Real Time Imaging step provides progress visualization of the needle intervention. Click on Copy and Go to Start the Interactive Real-Time Imaging protocol. External Equipment Layer The Nordic Neuro Lab in-room monitor can be used by the interventionalist to follow the needle position and trajectory inside the scan room. To stop, Pause, or Continue the sequences for the Real Time Imaging measurement, you can use the foot switch if available. If not, use the toolbar buttons to stop, Pause, or Continue the measurements. Real Time Imaging The Needle Intervention Dot Add-In provides a user interface for workflow improvements for M-R-guided needle interventions. It supports the planning and execution of M-R-guided needle interventions during real-time imaging, as well as laser-based localization of the entry point and automatic slice positioning. The protocols available for Needle Intervention-Real-Time Imaging examinations include BEAT Interactive and HASTE Interactive sequences. These protocols are in my Exam Cockpit, under the Siemens tree, Intervention, positioning, general tree. The Needle Intervention Add-in requires optional licenses. 1Purchasable license. 2Pre-requisite: Advanced Interactive Realtime Needle Intervention Add-In (NIA)1,2 Realtime Imaging Advanced Interactive Realtime1 The Advanced Interactive Realtime license is recommended and includes the HASTE Interactive sequence. This provides the opportunity to interactively change a subset of imaging parameters during the exam. (Slice Position and Orientation) Workflow Steps Setting the center position. Positioning the needle during Realtime Imaging. << Previous Needle Intervention Add-In (NIA)1 External Equipment Nordic Neuro Lab (NNL) Interventionalists can follow the needle position and trajectory in the scan room. Execution is controlled by using either the Foot Switch or the toolbar. Foot Switch Toolbar << Previous Next >> Needle Intervention Add-In (NIA)1 Workflow NIA Workflow consists of three registration tabs: (1) Planning Plan the Entry Point and Target Point markers (2) Marking Verify the Entry Point of the patient’s skin (3) Realtime Imaging Progress visualization of the Needle Intervention Next >> ? 1Available for the Aera – purchasable option. Flex Loop Large (FLL) Coil1 The Flex Loop Large is a flexible single-channel loop coil with a large opening. The coil loop diameter is approximately 19 cm. Coil released for 1.5T only Pre-requisite Flex Coil interface Applications Interventional procedures for various body regions (e.g., abdomen and pelvis). The ideal needle entry point for interventional procedures is within the loop coil. (1) Coil Loop (2) Coil Plug Flex Loop Large Coil Audio: The new Flex Loop Large single-channel coil is a flexible loop coil with a large opening. The coil loop diameter is approximately 19 centimeters and is used for interventional procedures. For example, in the abdomen, and pelvis. The needle Entry Point, ideally, should be placed within the loop coil. This coil has only been released for 1.5 Tesla M-R systems. 1Optional license 2Standard license 1Available for the Pisma and Prisma Fit only. BioMatrix SliceAdjust1 – B0 Variation Conventiontional Volume Shim (VE Software) Single global shim per volume may lead to inconsistent local frequencies in slices at the interface between stations. BioMatrix Slice Adjust (XA60A Software) Dynamic slice-dependent shim reduces susceptibility induced B0 inhomogeneity and associated pixel shift artifacts in EPI and TSE. Conventional Volume Shim VE-line Software BioMatrix SliceAdjust XA60A Software Slice-by-Slice Shimming Static Global Volume Shim BioMatrix SliceAdjust - B0 Variation Audio: BioMatrix Tuner with SliceAdjust provides precise slice-by-slice tuning of resonance frequency, transmitter voltage, first order B-zero-shim and B-one-shim. Slice-Adjust for whole spine diffusion involves multiple table moves and uses volumetric shimming. Prior to X-A-sixty software, distortions present between the multi-station volumes lead to broken spine artifacts. To reduce these artifacts, you would have been forced to image using a significant overlap between table moves or reduce the field-of-view along the z-direction. With the new X-A-sixty Slice-Adjust technology, the patients’ individual anatomy is accounted for and adjusted with slice-by-slice shimming. This dynamic slice-dependent shim reduces the susceptibility-induces b-zero inhomogeneity and the associated pixel shift artifacts for both Echo-planar-imaging and turbo-spin-echo. The active volume changes during the measurement and the adjusted control parameters are dynamically adjusted using first order shim. Platform Improvements ? Platform Improvements MR XA30 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. ? 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 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 group 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. ? 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. ? 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. ? 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 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). MR View&GO ? MR View&GO MR XA30 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 – Magnifier Icon Left-click the Magnifier icon (or) 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 the image to obtain a closer look at that 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 an option to sort in either Ascending or Descending order. 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, selection of individual images, frame removal, and creation of result series to split up series that were scanned interleaved.  In addition, you can use a combination of specific sorting criteria, selection of individual images, frame removal, and creation of result series to split up a series that were 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 Layout icon. Scroll through the Image Stack. Red Bars to right of 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. << Previous 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. << Previous Next >> 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 Next >> ? MR View&GO – Saving Presentation Configure the Display and Behavior tab in the Configuration Panel to change how image presentations of 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 ColorLUT, 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 >> Course Review ? Course Review Congratulations. You have completed the Software Upgrade: MR XA30 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 MAGNETOM MR Systems 1 1 1 3 3 3 2 2 2 4 4 4 MR View&GO Improvements Course Review MR View&GO Improvements Interactive Image Text Colored Time Points Copy/Paste Evaluation Measurement Details Angle on Stack Magnifier Icon Launch 4D data to 3D Image Sorting Icon Save Presentations Platform Improvements Dot Cockpit rebranded to myExam Cockpit Dot Engines rebranded to myExam Assist GSP – Flyout Toolbar Pinning GSP – Center Line for 2D & 3D Scan Planning Voice Commands – User Recorded Default Language Open Recon MR OpenApps @Scanner MR Protocol Manager – Mass Protocol Editing 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 Swift Brain Static Field Correction for EPI Wave-CAIPI SWI 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 3D Arterial Spin Labeling (ASL) & PCASL Improvements HASTE Diffusion @3T Motion Correction for TSE with Multiple Averages Breast Biopsy Improvements Physiologging – EPI BOLD & EPI PACE Advanced Interactive Realtime Needle Intervention Add-In (NIA) Flex Loop Large (FFL) Coil BioMatrix SliceAdjust MAGNETOM MR Systems MAGNETOM Aera XA30 to XA60 MAGNETOM Skyra XA30 to XA60 MAGNETOM Prisma MAGNETOM Prisma fit XA30 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 5 _____ susceptibility weighted imaging enables the extension of parallel imaging to three spatial dimensions. Wave-CAIPI Deep Resolve Sharp Multiple Choice Answer on Slide: 2.18 Select the best answer. ? Motion Correction SliceAdapt Question 2 of 5 Biomatrix Tuner with _____ provides slice-by-slice tuning of the resonance frequency, transmitter voltage, first order B0 and B1 shim. Physiologging SliceAdjust Multiple Choice Answer on Slide: 2.33 Select the best answer. ? Image Sorting Open Recon Question 3 of 5 In the _____ tool, you can remove images that do not contain anatomical information and save as a new series. Save Presentations Mass Protocol Editing Multiple Choice Answer on Slide: 4.8 Select the best answer. ? Shifted Pinned Question 4 of 5 The GSP Flyout toolbar can now be _____ when planning and conducting an examination. Moved Stored Multiple Choice Answer on Slide: 3.3 Select the best answer. ? Deep Resolve Boost HASTE Diffusion Question 5 of 5 _____ is an ultrafast brain protocol leveraging the fastest available imaging sequence, EPI. Deep Resolve Swift Wave-CAIPI Multiple Choice Answer on Slide: 2.14 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 XA30 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. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. 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Assessment Slide Question Bank 1 XA30-XA60 QR700002784 | Eff Date 13 Dec 2023 1.1 Welcome 1.2 XA30 to XA60 Software Upgrade 1.3 MAGNETOM MR 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 Deep Resolve Swift Brain 2.15 Deep Resolve Swift Brain - Training 2.16 DeepResolve Swift Brain - Timeline 2.17 Static Field Correction 2.18 Wave-CAIPI SWI 2.19 Wave-CAIPI SWI Technique 2.20 BLADE Diffusion SMS Functionality 2.21 SMS Faster Recon 2.22 SMS EPI DWI Imaging 2.23 VIBE Phase Encoding Order 2.24 VIBE Phase Encoding Order - Breast Imaging 2.25 3D Arterial Spin Labeling 2.26 HASTE Diffusion @3T 2.27 Motion Correction for TSE 2.28 Breast Biopsy - Improvements 2.29 Physiologging - EPI BOLD/PACE 2.31 Needle Intervention Add-In 2.32 Flex Loop Large Coil 2.33 BioMatrix SliceAdjust - B0 Variation 3 Platform Improvements 3.1 Platform Improvements 3.2 New Branding 3.3 GSP - Flyout Toolbar Pinning 3.4 GSP - Center Line 3.5 Voice Commands 3.6 Open Recon 3.7 OpenApps@Scanner 3.8 Mass Protocol Editing 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 Magnifier Icon 4.7 Launch 4D Data to 3D 4.8 Image Sorting Icon 4.9 Saving Presentations 5 Course Review 5.1 Course Review 5.3 Assessment