Software Upgrade: MR XA50/XA51 to XA60/XA61

Continue Continue Continue Continue Continue Continue Continue Introduction Master Template HILS2218 | Effective Date: 25 Mar 2022 ? Software Upgrade: MR XA50 to XA60 Online Training This online training reviews the new platform features, new sequences, and application improvements for upgrading MR XA50 software to the new MR XA60. MAGNETOM MR 3T Systems MR View&GO Sequences & Applications 1 3 2 Welcome Audio This online training reviews the new platform features, new sequences, and applications for the MR, 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 XA50 to XA60 software upgrade XA50 to XA60 Software Upgrade ? MAGNETOM MR 3T Systems MAGNETOM Vida XA50 to XA60 MAGNETOM Lumina 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 XA50 to XA60 software upgrade Sequences & Applications ? 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. ? 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 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. ? 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. ? 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 View&GO ? MR View&GO MR XA50 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) 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 << 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 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 >> Course Review ? Course Review Congratulations. You have completed the Software Upgrade: MR XA50 to XA60 online training course. Select the numbered items below to review the material before proceeding to the final assessment. MR View&GO Improvements Sequences & Applications XA60 MAGNETOM MR 3T Systems 1 1 1 3 3 3 2 2 2 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 New Sequences & Applications Deep Resolve Boost for EPI Diffusion Deep Resolve Boost for EPI HASTE BioMatrix Beat Sensor VIBE Phase Encoding Order myExam Angio Advanced Assist Physiologging Open Recon MAGNETOM MR 3T Systems MAGNETOM Vida XA50 to XA60 MAGNETOM Lumina 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 XA50 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. Select the image again to return to the normal view. Videos should default to the optimal resolution. However, to change the video resolution select the gear icon. Click Next to continue. Next Video Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. 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Assessment Slide Question Bank 1 XA50-XA60_QR700002479 | Effective Date 4 DEC 2023 1.1 Welcome 1.2 XA50 to XA60 Software Upgrade 1.3 MAGNETOM MR 3T Systems 2 MR Sequences & Applications 2.1 Sequences & Applications 2.2 DRB for EPI Diffusion 2.3 DRB for HASTE 2.4 DRB EPI Diffusion & HASTE 2.5 VIBE Phase Encoding Order 2.6 VIBE Phase Encoding Order - Breast Imaging 2.7 BioMatrix Beat Sensor 2.8 BioMatrix Beat Sensor - Body 12 Coil 2.9 BioMatrix Beat Sensor - Body 18 Coil 2.10 BioMatrix Beat Sensor - Triggering 2.11 BioMatrix Beat Sensor - Training 2.12 BioMatrix Beat Sensor - Triggering vs ECG 2.13 Physiologging - EPI BOLD/PACE 2.15 myExam Angio Advanced Assist 2.17 Open Recon 3 MR View&GO 3.1 MR View&GO 3.2 Interactive Image Text 3.3 Colored Time Points 3.4 Evaluation Measurement Details 3.5 Angle on Stack 3.6 Magnifier Icon 3.7 Launch 4D Data to 3D 3.8 Image Sorting Icon 3.9 Saving Presentations 4 Course Review 4.1 Course Review 4.3 Assessment