syngo MR XA30 Delta List (USA)

syngo MR XA30 What’s New 7 siemens-healthineers.us/mri SIEMENS > Aera_Head · 1/4/1942 M Siemens_MAC Brain Dot Engine LOC -. + /_ 12_tve_tra_512. t2_tve_dark-fluid_tra 04:50 ep2d_diff_3scan_trace_p2 0147 11_se_tra 02:25 Inject contrast agent (1_se_tra 02:25 11_se.com 02:27 Favorite Tools 30 SIEMENS Healthineers Dear MAGNETOM user, We are pleased to announce the arrival of our latest MRI scanner software, syngo MR XA30. syngo MR XA30 provides comprehensive improvements to existing scanner functionalities and access to exciting new features. MAGNETOM MRI scanners that qualify for this software update include: • MAGNETOM Aera (1.5T) • MAGNETOM Skyra (3T) • MAGNETOM Prisma (3T) • MAGNETOM Prismafit (3T) Learn more about syngo MR XA30 in this informative packet and discover how it can improve your daily routine. Enjoy reading! Sincerely yours, Your Siemens Healthineers MR team 2 syngo MR XA30 Contents Contents 1. syngo MR XA platform – XA30 4 3.8. AutoAlign on valves and Flow Add-in in Cardiac Dot Engine 16 1.1. New syngo MR XA User Interface 4 1.2. Dual Monitor setup 5 1.3. Recon&GO 5 4. New coils 17 1.4. MR View&GO 6 1.5. Advanced image post-processing 4.1. UltraFlex Large 18, UltraFlex Small 18 17 at the acquisition workplace 7 4.2. Contour 24 / Contour 48 for 1.6. syngo MR Workplace 7 MAGNETOM Skyra with Tim TX TrueShape 17 1.7. New MR image data format – 5. New sequences, protocols and Enhanced MR (Multiframe data format) 8 applications 18 1.8. Security features 9 5.1. 18 1.9. Energy saving with Eco-Power Mode Single Voxel Spectroscopy Edit 9 5.2. Multi-dynamic multi-echo 2. New in standard configuration, (MDME) sequence for SyMRI 18 included in the upgrade 10 5.3. Pseudo Continuous Arterial Spin Labeling (PCASL) – 2D & 3D 19 2.1. TimCT FastView Localizer 10 5.4. Simultaneous Multi-Slice TSE 20 2.2. 2D & 3D Distortion Correction 10 5.5. Simultaneous Multi-Slice Dixon 21 2.3. Soft Tissue Motion Correction 10 5.6. Simultaneous Multi-Slice RESOLVE 22 2.4. Advanced Diffusion (RESOLVE & QuietX DWI) 10 5.7. Compressed Sensing SEMAC 24 2.5. 3D VRT 10 5.8. Compressed Sensing SPACE 25 2.6. Image Fusion 10 5.9. Compressed Sensing Time of Flight (TOF) 27 2.7. Recon&GO Inline Composing 10 5.10. Compressed Sensing GRASP-VIBE 28 2.8. Post-processing composing 5.11. Spin-Echo EPI – (SE EPI MRE) (Offline composing) 11 for MR Elastography 29 2.9. Expert-i 11 5.12. Whole-Body Dot Engine 30 2.10. MR Basic Workflows 11 5.13. Fat Fraction % Maps 31 2.11. Mean Curve Evaluation (in MR View&GO) 11 5.14. LiverLab Dot Engine 32 5.15. Prostate Dot Engine 33 3. Improvements to sequences, 5.16. ZOOMitPRO 34 protocols and workflows 11 5.17. CAIPIRINHA SPACE 35 3.1. Improved standard sequences 11 5.18. GOKnee3D 36 3.2. Coil-independent protocols 5.19. GOLiver 37 and Auto Coil Select 12 5.20. High Bandwidth Inversion Recovery 38 3.3. Changes of table modes 12 5.21. PSIR HeartFreeze 38 3.4. Unilateral hip imaging with 5.22. Compressed Sensing Cardiac the Large Joint Dot Engine 13 CINE Segmented 39 3.5. 4D Flow improvements 14 5.23. RT Respiratory Self-Gating 40 3.6. Seamless integration of Cardiac Flow 5.24. MR-Injector Coupling 41 measurements in Cardiac Dot Engine 15 5.25. MR Protocols Module 42 3.7. Care Bolus functionality of Angio Dot Engine 15 5.26. Breast Biopsy Software 43 5.27. Synthetic CT images in RT Dot Engine 44 syngo MR XA30 3 EA syngo MR XA platform – XA30 1. syngo MR XA platform – XA30 In 2017 our new syngo MR XA platform was introduced. software generation for our MAGNETOM scanners, The platform includes improvements to software and enabling you to achieve clinical results faster, easier hardware features as well as numerous new sequences and with more comfort. and applications. syngo MR XA is the latest system 1.1. New syngo MR XA User Interface Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature syngo MR XA platform introduces a redesigned MR user have been updated to make use of the extra space on interface (UI) running on a new hardware platform. the larger monitor. Planning segments (orange), queue Evolving from the successful syngo MR E11 software, (yellow), and scan parameters (purple) have kept their the syngo MR XA user interface is a user-centric control appearance but positioning on the screen was slightly center for patient registration, scanning, post-processing, changed. The new layout provides fixed positions for and result distribution. previously hovering UI elements, such as the physio The acquisition workplace now inlcudes 24” monitors, display and the inline display (blue). versus the previous 18”. Central UI elements and features Healthingers> Inext contrast agent TA 224 PM REF Gradance Parameters Note that if you change sice poseono mil sice posicions for subsequent protocols ar (pod_on_Jscan_trace_p? ECG 1 6 11_se_cor_320 syngo MR E11 syngo MR XA30 4 syngo MR XA30 syngo MR XA platform – XA30 EA 1.2. Dual Monitor setup Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature The acquisition workplace can be implemented as a The scanning side (left monitor) is primarily used for single or dual monitor concept. By default, syngo MR scanning and quality assurance tasks. The viewing side XA30 offers a single monitor (24” color LCD monitor) (right monitor) is used for viewing, additional results acquisition workplace. The dual monitor setup is optional generation in the form of basic and advanced post and encompasses two 24” monitors that are operated processing as well as data handling (DICOM – export, using one keyboard and one mouse. import, transfer, recording to media). Several The dual monitor setup, with separate scanning and applications can be opened in parallel. viewing monitors, allows the technologist to have a complete overview of the examination and results. Scanning and viewing / post-processing can be seen side by side providing the best workflow option. Constant context switches are reduced, enabling multitasking for increased quality and productivity. 1.3. Recon&GO Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature With syngo MR XA platform, Recon&GO provides • Inline MIP on-the-fly, e.g. MR Angiography with powerful zero-click post-processing tools. A wide range automatic image subtraction and MIP in three of Inline functionalities help to streamline the clinical orthogonal planes and/or full Radial MIP workflow by automating post-processing steps before • Prospective motion correction image viewing. Ready-to-Read results are automatically (1D and 2D PACE) on-the-fly provided, even for advanced cases, helping to reduce the • Automatic perfusion and diffusion maps workload for the MR technologist. • Automatic on-the-fly calculation of standard deviation, Functionalities include: for better differentiation of arterial and venous phases • Automatic launch of post-processing applications • Inline Composing: automatic composing of multiple • Inline Display: automatically shows reconstructed adjacent coronal or sagittal images of anatomical images, offers immediate access to the results and or angiographic examinations opens automatically for e.g. interactive real-time • Inline Subtraction: Automatic subtraction of scanning or Care Bolus examinations images, e.g. pre- and post-contrast enhancements • Inline Movie: automatically starts the cine • Inline calculation of ADC and extrapolated b-values image display syngo MR XA30 5 EA syngo MR XA platform – XA30 1.4. MR View&GO Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature MR View&GO is a dedicated MR viewer that covers Workflow and usability improvements: MR View&GO the needs for daily routine work with respect to viewing, provides 2D, 3D and 4D viewing without switching the quality assurance, routine post-processing, filming, context, provides direct access to further 3D and 4D as well as sending and archiving results in one processing tools such as range reformations or special 4D comprehensive workflow with consecutive steps. viewing options. The screen layout consists of an image MR View&GO guides the user from basic viewing and area and several panels with tools. The user can quality control towards result distribution to the PACS configure an individual toolbox of frequently used and the DICOM nodes. features such as image markers, distance measurements As soon as a patient has been registered, a corresponding or ROI analysis in the lower left corner. Further analysis MR View&GO automatically opens for the respective tools can be found in “corner menus” in the edges of patient. Every scan that has been acquired and individual image segments. The most important dynamic reconstructed automatically appears. analysis and basic post-processing tools are also directly available from the viewing context – no need to switch Tools for Dynamic Analysis are reduced to the to another application. routinely used tools: Addition, Subtraction, Division, Multiplication, Arithmetic Mean, ADC, b-Value, and Archiving: result / data distribution can be done as in Image Filter. syngo MR E11 from the patient browser – and directly from the MR View&GO Distribution Step. MR View&GO offers a dedicated TimeCurve tool (similar to the known MeanCurve tool from syngo MR E11 platform) which is specifically designed to focus on the scan task related needs such as test-bolus evaluation. In addition, the processing workflows (e.g. MR Basic) include the known MeanCurve tool serving basic and advanced needs for evaluation of dynamic data – e.g. the deeper evaluation of Prostate DCE series or contrast- enhanced Breast MRI. Both tools, TimeCurve and MeanCurve are part of the included standard features. SIEMENS x Healthineers Aera_Head * 1/4/1942 M Siemens_MAC ? = MR View&GO X HAL Series Name Current 1. MR, 11/4/2020 head Brain Dot Engine avorite Tools . Composer AAhead_scout AAhead_scout_MPR sag Ahead_scout_MPR_cor Ahead_scout_MPR_tra 11_se_saglatest 12 te tra 512 12 tse dark Huid tra ep2d dill_3scan_trace p2 TRAC cp2d dill 3scan trace 92 ADE 11 11.se_tra 10 ... A Results ADC b0 1000_en2d dill ... 10 ... : Results CALC_b1400_b0_1000_. Prior 01 2. 3D MR. 11/4/2020 bead Brain Dot Engine Show in TimeCurve ADC &b Comporel value Combine PTINE SENCE 3. 10 Ret. Point Distance Position Snapshot Miorarie . Subtract Horizontal Series 1. Steps for dedicated tasks 2. “Send to ... ” buttons to load a selection into a certain step 3. Configurable tool box 6 syngo MR XA30 syngo MR XA platform – XA30 EA 1.5. Advanced image post-processing at the acquisition workplace Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Basic post-processing features included; advanced post-processing licenses available optional On syngo MR XA platform it is possible to perform Basic post-processing functionalities are already part advanced post-processing directly at the acquisition of the standard configuration. Included workflows are workplace. MR Composing and MR General Engine (MR Basic, MR For advanced image processing requirements, e.g. Breast and MR Prostate workflows with MeanCurve to perform neuro perfusion and mismatch analysis, evaluation and optimized viewing layouts). dedicated applications are optionally available. These The acquisition workplace can host one MR View&GO applications cover the entire radiological spectrum from and up to three post-processing applications in parallel. neurology (MR Neurology, Neuro3D Tractography and fMRI), to cardio-vascular evaluations (Cardiac Perfusion, Cardiac Flow, 4D Ventricular Function, Vascular Analysis), to oncology (Breast, Prostate, OncoCare, 3D Lesion Segmentation). 1.6. syngo MR Workplace Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature Pre-requisite: Advanced host Depending on the institutional setup and needs, it is also processing applications are shared between MR possible to operate an additional post-processing console Workplace and the acquisition console. Thus one license (syngo MR Workplace) for basic and advanced post- can be used on both Acquisition workplace and syngo MR processing purposes. This syngo MR Workplace has a Workplace. If simultaneous use on Acquisition workplace shared image database with the acquisition workplace, and syngo MR Workplace of the same post-processing thus images acquired at the acquisition workplace appear application is intended, then a second license can be instantly on the syngo MR Workplace enabling fast image obtained. The syngo MR Workplace can host up to post-processing. This configuration has the additional four post-processing applications in parallel. new advantage that licenses for advanced post- Acquisition workplace syngo MR Workplace Shared database Shared database Export to PACS, departmental syngo.via etc. syngo MR XA30 7 EA syngo MR XA platform – XA30 1.7. New MR image data format – Enhanced MR (Multiframe Images) Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature syngo MR XA platform uses “Enhanced MR/Multiframe” 4. Archiving DTI Tensor and Spectroscopy data data format opposed to the previously used “Single Enhanced MR provides the new possibility to export frame” format. In addition, the handling of graphics DTI Tensor and spectroscopy data directly to a PACS or was improved. Both changes provide several advantages: post-processing station. 1. Reduced memory consumption and improved 5. Exporting color maps network transfer performance In Enhanced MR, color information is stored along with Multiframe Images address the trend that MR studies MR slice information enabling the correct display of color are growing continuously in size. DICOM header data images (e.g. T1, T2 maps or DTI overlays) after export. valid for the entire stack of slices (e.g. patient name, study data, etc.) is no longer replicated for every MR 6. High quality graphics and Inline reports image but included only once into one Multiframe image. Desired settings of image display such as windowing, Thus memory storage can be reduced by on average 40%. rotation or zooming will be kept after export. In addition, In addition, the performance of data transfers in the the high quality of manually inserted graphics (drawn network improves as only single objects need to be ROIs, text labels) as well as of Inline reports (from e.g. handled as opposed to handling of individual slices. LiverLab or cardiac evaluations) will remain after export enabling improved readability. Previous workarounds, 2. Improved handling of exported like archiving of snapshots of Inline reports, are no multidimensional datasets longer necessary. Pre-requisite: the receiver node Enhanced MR provides improved support of supports Multiframe Image format. multidimensional data sets allowing easier and more robust handling after export. Correct sorting will be kept Please note: If your PACS or post-processing station does and thus viewing on PACS and workstation is improved not support Multiframe data then it is also possible to (if Multiframe MR is supported by the receiving system). export images in single frame data format. This can be configured for each DICOM node individually. 3. Easier exchange and interoperability of advanced MR applications Enhanced MR Images store parameters of the latest MR applications in standard DICOM attributes (e.g. b-values R2 of MR DWI, timing parameters of ASL or cardiac imaging). Avg. - 6.31 cm/s Peak -14.79 cm/s Previously such parameters had to be stored as Flow -17.04 ml/s Area 2.70 cm^2 workaround in private (Siemens) tags and thus were not recognized after export. Now connected systems of different vendors can make use of these parameters in Graphics and annotations can remain in high-quality and are their applications (e.g. in evaluations, image text). no longer distorted after export (if receiving system supports Enhanced MR data format). MR images “Single frame” MR image 1 MR image 2 MR image 3 MR image 4 MR image 5 Multiframe MR data format does not replicate common DICOM header information Enhanced MR image thus allowing to reduce memory consumption and transfer times. Shared data in DICOM Header Per frame data in DICOM Header Pixel data (Image content) 8 syngo MR XA30 syngo MR XA platform – XA30 EA 1.8 Security features Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature syngo MR XA30 provides security settings to protect the • Screensaver with password protection scanner against known security threats. It is based on a and adjustable idle time hardened Microsoft Windows 10 operating system • Privileges to grant rights and define functionality providing enhanced security features as part of the based on user/role/group standard configuration included in the upgrade. Features • Permissions to control data access include user management, password strength definition • Option to protect user pulse sequence and audit trail functionality. It supports the trees against unauthorized modifications implementation of defined security policy and definition • Whitelisting (Embedded Control) against of different groups of users at the scanner. It includes manipulation of scanner software support to achieve compliance with the HIPAA “Privacy” • Audit trail to log system and data access by rule. Included features for individual configuration are: the defined users and service • User management with authentication to prohibit Security delivery process to frequently distribute • unauthorized access security updates • • Password strength according to configured policy Support to implement security policy including compliance with HIPAA (Health Insurance and Accountability Act) 1.9. Energy saving with Eco-Power Mode Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature syngo MR XA30 includes energy saving technologies. The unique Eco-Power Mode (EPM) reduces energy consumption during system-standby and system-off modes. This means that the cold-head compressor can be automatically switched off during prolonged system idle times while maintaining zero helium boil-off. The EPM is a standard technology which comes in addition to previous energy saving capabilities that reduce consumption by disabling the Gradient Power Amplifier during system idle times, e.g., when the table CECH remains in the home position for a longer period of time. System off If you want to benefit from EPM, a service engineer EPM on must activate it during the upgrade to syngo MR XA30. syngo MR XA30 9 EA New in standard configuration, included in the upgrade 2. New in standard configuration, included in the upgrade 2.1. TimCT FastView Localizer 2.5. 3D VRT TimCT FastView is the “one go” localizer for the whole- Post-processing: 3D-depiction of complex anatomies body or large body regions such as the whole spine or and anatomic relationships, for example, in angiography. the whole abdomen. It acquires the complete extended In addition to color images, a threshold-based Field of View in one volume with isotropic resolution segmentation of 3D objects is possible. during continuous table movement. 2.2. 2D & 3D Distortion Correction 2.6. Image Fusion Post-processing: Fusion mode is a function for image 2D and 3D distortion correction is a mechanism to fusion of multiple 2D/3D data sets with alpha blending, compensate for distortions which result from small that is, overlay of two images and setting the opacity non-linearities of gradient fields. The correction manually. yields images with higher fidelity in the geometric representation – especially for scans with a large 2.7. Recon&GO Inline Composing field of view and off-center scans. The 2D corrections take place within image slices; the 3D correction also corrects for through-plane distortions. Recon&GO technology encompasses a wide range of Inline functionalities to help streamline the clinical Both methods have already been available in syngo workflow by automating post-processing steps before MR E11E software. With syngo MR XA30 the distortion image viewing. For example: Inline Composing enables correction is activated by default in most of the automatic composing of multiple adjacent coronal or sequences and cannot be turned off. sagittal images for anatomical or angiographic examinations. 2.3. Soft Tissue Motion Correction 2.8. Post-processing composing 3D elastic motion correction, for offline 3D correction in all directions over entire 2D and 3D data sets suitable (Offline composing) for e.g. soft tissue MR exams. Allows higher conspicuity and accuracy especially for multi-focal lesion detection. With syngo MR XA30 it is again possible to perform New image data is reconstructed and saved in a separate flexible offline composing of images. For example, this series within the patient browser. It can be combined may be applied when Inline Composing did not provide with the original non-corrected image data. satisfying results, e.g. in series with images of different image types as when using the DIXON sequence. 2.4. Advanced Diffusion (RESOLVE & QuietX DWI) 2.9. Expert-i Advanced Diffusion has two components: Interactive real-time access to imaging data and exam RESOLVE and QuietX DWI. information from any PC within the hospital network during the MR exam. RESOLVE (Readout Segmentation Of Long Variable Echo-trains) delivers high-resolution, low-distortion diffusion-weighted imaging (DWI) for accurate depiction of lesions. QuietX DWI Diffusion-weighted sequence in whisper mode (very quiet imaging techniques). 10 syngo MR XA30 Improvements to sequences, protocols and workflows EA 2.10. MR Basic Workflows 2.11. Mean Curve Evaluation In addition to MR View&GO a range of further dedicated syngo MR XA30 offers dedicated TimeCurve/MeanCurve MR workflows (known from syngo.via) is provided – e.g.: analysis tools for contrast-enhanced examinations as part MR Basic, MR Breast, MR Prostate. These MR Workflows of the standard configuration. Time Curve analysis is part contain dedicated layouts and tools related to the tasks of MR View&GO for the use case at the acquisition at hand to view and process the related body-part workplace (evaluation of test-bolus scans). For post- specific data. evaluation of dynamic series, such as DCE prostate or breast MRI, the included MeanCurve tool (e.g. in MR Basic or other advanced MR Workflows) can be used. 3. Improvements to sequences, protocols and workflows 3.1. Improved standard sequences Within the syngo MR XA30 platform an extensive amount • Various parallel imaging improvements for improved of improvements to sequences and techniques have been image quality in HASTE, VIBE, SMS EPI, MPRAGE, TSE implemented to further optimize image quality. In the and TSE DIXON following, a collection of image quality improvements • New Absolute B0 Shim: The additional shimming is summarized: option “Absolute” of the parameter BO Shim in the • DIXON: New algorithms prevent local and global adjustments tab card allows improved fat saturation, swaps (also in dynamic imaging) e.g. in T-Spine Imaging • Asymmetric saturation possible for BOLD imaging to • Improved image quality and stability with regards to patient motion and irregular respiration for improve scanning of patients with e.g. dental implants • MRCP with T2 SPACE. Implementations include an Additional external phase correction mode for improved trigger algorithm, adaptation of “Acquisition Diffusion imaging to reduce artifacts in challenging Window” and Short Cycle Mode for patients with body regions such as breast MRI • fast breathing Noise masking possibility for Diffusion imaging, • Various improvements for whole-body composing, QuietDWI and RESOLVE for improved image e.g. the possibility to compose calculated b-value images impression. Noise outside of the scanned object is and improved image normalization for more eliminated in images and ADC maps • homogeneous image impression between composed For 3T systems with Tim TX TrueShape: Left/Right stations balancing possibility for GRE and TSE sequence to • Body region optimized SPAIR pulses available for improved reduce B1-induced shading effect in head imaging. fat suppression in Diffusion, RESOLVE, QuietDWI, TSE, Image correction is based on individual acquired B1 SPACE, HASTE and 3DFLASH sequences (for 3T only) maps and is most targeted for T1 FLASH and T2 FLAIR sequences in which the inhomogeneous signal distribution (shading effect) may occur syngo MR XA30 11 EA Improvements to sequences, protocols and workflows 3.2. Coil-independent protocols and Auto Coil Select Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature The selection of coils and coil elements is an essential automatically. The new ACS modes “ACS All but spine” step during the setup of every MRI protocol. It ensures and “ACS Restricted” make it possible that ACS can be that all regions within the field of view are scanned with used for all body regions and all coil combinations. If high signal whereas regions outside the field of view do ACS is used, instead of a manual coil selection, the not disturb the image, for example by infolding artifacts. protocol will react more flexibly to variations in exams, With syngo MR XA30 we broadened the range of the e.g. when coils are swapped or when adapting to Auto Coil Select (ACS) options to allow an automatic coil different patient sizes (for example different patient selection for all body regions. Additionally, with syngo heights in thorax exams and thus different relative MR XA30 protocols were implemented independent of position to spine coil elements). In all Siemens specific coils. This provides several advantages: Protocols one of the ACS modes are used. 1. Swapping coils for a specific protocol no longer On syngo MR XA30 the following Auto Coil Selection triggers an info message which needs to be modes exist: confirmed. • Auto Coil Select (automatically selects the most 2. User-specific protocols which use a manual coil suitable set of coil elements from any of the selection set up in the Dot Cockpit can be set up plugged-in coils within the field of view) coil-independent by selecting one of the ACS modes. • ACS All but spine (This mode selects all coils within This makes protocol handling faster and protocols the FoV except the spine coil. This can be helpful if may be more easily exchanged between systems. you want to examine e.g. hand/wrist, knee, 3. With two new ACS modes, functionality is more shoulder, breast with dedicated coils) • robust, flexible and less error prone. In general, Auto ACS Restricted (restricts the coils / coil elements that Coil Select function enables you to use the desired, are considered by the Auto Coil Select mechanism) • plugged in coil without further efforts as it is selected Manual (manual preselection of desired coils/coil elements can be stored in the protocol) 3.3. Changes of table modes Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma; MAGNETOM Prismafit Category: Included feature With syngo MR XA30 the choice of table modes has been Fixed table mode: adapted. The following three modes are available: To avoid unintentional table movement during interventions triggered by running sequences with Iso mode: different isocentric positions or to enable off-center In Iso mode, the table moves during each examination scanning. so that the center, or region of interest, of the slice package is always at the iso center. Table Positioning Strategy Guidance fable Positioning Strategy Guidance Select Table Positioning Strategy Select Table Positioning Strategy Iso Center Local Range Fixed Iso Center Local Range Fixed Define the Fixed Table Position by dragging the triangle in the planning segment(s) to the body part of interest. 4 Alternatively select one of the previously used positions or enter a particular fixed position. O Fixed Position H 0 mm 12 syngo MR XA30 EA Improvements to sequences, protocols and workflows Local Range mode: Table Positioning Strategy Guidance In Local Range mode, you can define one (or more) Select Table Positioning Strategy Local Range positions. Iso Center Local Range Fixed If the focus slice (region of interest) is within the Define Local Range Center Position by dragging the triangle in the planning segment(s) to the body part of interest. tolerance range of the Local Range position, the stage is not moved for this measurement. Alternatively select one of the previously used positions or enter a particular position Local Range Position H 0 7 mm 3.4. Unilateral hip imaging with the Large Joint Dot Engine Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma; MAGNETOM Prismafit Pre-requisites: Large Joint Dot Engine Category: Optional feature The Large Joint Dot Engine optimizes image quality of Once this has been selected the system automatically knee, hip and shoulder scans by proposing the most performs the alignment of the slices with AutoAlign and appropriate protocols according to the examination the automatic coverage of the FOV for the respective hip strategy chosen for the specific patient. It ensures side. Manual adaptions to AutoAlign are no longer reproducible image quality and streamlines large necessary. In addition, the selected side will be included joint examinations. as image comment in the image text of the series. With syngo MR XA30, the functionality of the Large Joint Dot Engine was extended to optimize the workflow of unilateral hip imaging. In the patient registration window Please note: this functionality needs to be activated in the laterality of the examination can be pre-selected. the configuration panel during system set up. All Programs Examination Information H AL 20201106 Tests 20201106 Tests 20201106 Tests 2020.11.06-12:19.30-STD- 1.312.2. 1107 893 2020.11.06-12:19:30-STD-1 3-12-2 1107.5.99.3 2020.11.06-12:19:30-STD-1 3/12/2.1107.5.99.3 2 IMA 1 FRM 5/9 3 IMA1 FRM 8/15 SIEMENS Procedure Accession Nr. Req. Proc. ID breast Study Description hip Hip Dot Engine abdomen Study Comment pelvis female wrist pelvis male tmj AAHip- Scout MPR _ Fight 162D WAHID_ Scout MPR COF RAHip Scout MPRo CARDIO > shoulder 4:09 min 4 Auto@2 0.6x0.6x3.0 mm3 1.00 elbow Routine Contrast Resolution Geometry System Physio Inline Sequence hand Slice Group FoV Read 180 mm hip Program Selection Slices 30 Fov Phase 100.0 % Hip Dot Engine * [ ... > hip > Hip Dot Engine >> general 2D unilateral ce Thickness 3.0 m general 2D bilateral Load Program to Queue Distance Factor 10 % 790.0 m 9.60 AutoAlign Hip > Para Cor R Position Isocenter m general 2D unilateral RF Transmit Mode Orientation Coronal Averages general 3D Phase Encoding Dir. R>> L library Any Polarization Phase Oversampling 85 2 % AutoAlign Hip> Para Cor R clinical libraries Dil Elements HE1 knee Body Part and Laterality ankle Hip Right Autoalign selection automatically updated in UI based on patient foot whole body oncology registration (marked orange) Patient Orientation >whole body diffusion > peripheral angiography [ Head First Supine New possibility to specify the laterality of the examination during patient registration (marked orange) syngo MR XA30 13 EA Improvements to sequences, protocols and workflows 3.5. 4D Flow improvements Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma; MAGNETOM Prismafit Pre-requisite: Flow Quantification Category: Optional feature 4D flow MRI has been broadly applied in cardiovascular disease due to its ability to image vascular systems with RA 14 Image 3: -4-4- 12X245x24 full volumetric coverage and provide a comprehensive x1.3x2.5mm non-invasive assessment of the vascular hemodynamics. With XA30, our improved 4D Flow acquisition offers full volumetric coverage. It provides orientation and enhances visualization of blood flow and velocity in cardiovascular anatomy. Hence it facilitates the analysis of useful hemodynamic parameters over entire cardiac cycle. Benefits: 1. Sequence optimization now expands the benefits of 4D flow information from aorta to the whole heart. 2. Comprehensive 4D flow information on hemodynamics in the entire heart. S 4D Flow Whole Heart: Hemodynamic information for the entire heart in a single acquisition *Post-proessing courtesy of Circle Cardiovascular Imaging. Siemens Healthcare is neither the provider nor reseller nor legal manufacturer of this product. Any claims made for this product are under the sole responsibility of the legal manufacturer, Circle Cardiovascular Imaging. Additionally, cmr42 4D Flow may not be commercially available in all countries. Please contact the legal manufacturer for more information. 14 syngo MR XA30 Improvements to sequences, protocols and workflows EA 3.6. Seamless integration of Cardiac Flow measurements in Cardiac Dot Engine Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Pre-requisites: Cardiac Dot Engine Category: Optional feature Cardiac Flow measurements require imaging in the flow mitral valve isocenter for reliable quantification. With the new Cardiac Flow Add-in, the FOV is automatically moved to define_mitralvalve 00:01 the isocenter for the respective protocols and, for Cardiac Standard subsequent scans, the table goes back to the general cine_segmented_mitralvalve 00:26 cardiac imaging position automatically, making new Cardiac Standard shims unnecessary. The workflow is improved and high flow_venc-scout_tp_bh_mitralvalve 00:07 quality is ensured. In addition, automatic positioning of Cardiac Flow the imaging plane is supported for the following views: flow_tp_retro_mitralvalve 00:13 Cardiac Flow • Aortic Valve New Cardiac Flow Add-in in the protocols. • Mitral Valve 3.7. Care Bolus functionality of Angio Dot Engine Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Pre-requisite: Angio Dot Engine Category: Optional feature In addition to the existing Angio Dot Engine with Benefits: Test Bolus, we now offer Angio Dot Engine with • automated Care Bolus for peripheral angiographies Automatic bolus detection • and angiographies of the carotids. Guidance and Fast, robust and standardized MRA examinations • view planning assistance are provided with dedicated Text and image-based workflow guidance • instructions. Various inline processing tools (e.g. subtraction, MIP generation) Guidance Parameters 1. Select the slice with the best vessel visualization. 2. Position the ROI on the ascending aorta in the sagittal oblique slice with a left mouse click. If the ROI Is positioned too far from the isocenter, it will not be accepted. Please re- position closer to the table position line. 3. If necessary, adjust the slice position for Care Bolus. To correct, click on the red ROI box. 5. Start Care Bolus measurement first and then start the contrast agent injection. Angio Dot Engine with Care Bolus: Guidance view for Angio Dot Engine with Care Bolus: MIP – carotid imaging Subtraction image of pre- and post-contrast agent measurements syngo MR XA30 15 EA Improvements to sequences, protocols and workflows 3.8. AutoAlign on valves and Flow Add-in in Cardiac Dot Engine Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Pre-requisite: Cardiac Dot Engine Category: Optional feature Cardiac examinations used to be the most complex The workflow for the valves consists of a exams in MR. Our Cardiac Dot Engine supports the user • in many ways. Using anatomical landmarks, standard cine acquisition based on a FLASH sequence to views of the heart, such as dedicated long-axis and measure the valve opening • short-axis views, are easily generated and can be venc scout • reproduced readily using different scanning techniques. flow measurement With syngo MR XA30, the Cardiac Dot Engine has been extended to support blood flow measurements. Benefits: The paracoronal left ventricular outflow tract (LVOT) as • Mitral and aortic valves and LVOT are automatically well as the mitral valve and aortic valve (at end systole) detected are automatically planned. • Automated flow workflow for e.g. regurgitation measurement in mitral and aortic valves 16 syngo MR XA30 EA New coils 4. New coils 4.1. UltraFlex Large 18, UltraFlex Small 18 Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature UltraFlex 18 Large and Small coils are very flexible (3 rows of 6 elements each) for up to 50% faster multi-purpose coils that can be used for high-resolution scans* and higher spatial resolution vs. Flex 4 coils. imaging in e.g. unilateral hip, foot/ankle, hand/wrist or The UltraFlex coils are delivered with dedicated small FOV imaging in the body. The coils encompass an positioning aids for shoulder, knee, elbow and foot/ ultra-high coil element density with 18 coil elements ankle for easy and comfortable patient positioning. Applications: • UltraFlex Large 18: Imaging of large regions such as medium to large shoulder, hip, knee, ankle, hand and head • UltraFlex Small 18: Imaging of small regions such as small to medium shoulder, elbow, wrist, UltraFlex 18 hand and head Large and Small coils * achieved on 3T, acceleration times may vary with field strength 4.2. Contour 24 / Contour 48 for MAGNETOM Skyra with Tim TX TrueShape Available for: MAGNETOM Aera and MAGNETOM Skyra Pre-requisites: Tim [204x48] configuration or higher Category: Optional feature On syngo MR E11 platform Contour 24 / Contour 48 With syngo MR XA30 the Contour coils now become coils have been available for MAGNETOM Aera and available also for MAGNETOM Skyra with pTx MAGNETOM Skyra (without Tim TX TrueShape option). functionality (Tim TX TrueShape option). Contour 24 coil Contour 48 coil syngo MR XA30 17 EA New sequences, protocols and applications 5. New sequences, protocols and applications 5.1. Single-Voxel Spectroscopy Edit Available for: MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit J-coupled metabolites, e.g. GABA Pre-requisites: Spectroscopy license 6 Category: Included in spectroscopy Note: Available for 3T only W. 17:37 Real Part Single-voxel spectroscopy with editing pulses (SVS edit) extends the possibility of SVS to detect J-coupled metabolites such as GABA. In a normal spectrum, these 35 3.0: 2'5 Chemical shift [ppm] W. Woth P. Position signals are not easily recognizable as they are hidden below other spectral peaks. The editing pulse allows a From a region in the brain (orange box on the left), a spectrum like two-step experiment: One SVS measurement with and the one the right can be created using SVS Edit. As can be seen, the signal from J-couple metabolites is now visible. one without the editing pulse. By subtracting the two spectra, the J-coupled metabolites can be visualized. 5.2. Multi-dynamic multi-echo (MDME) sequence for SyMRI Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature TSE MDME is a special variant of the TSE pulse sequence, myelinization with the postprocessing application which acquires several contrasts (with different TI and offered by Synthetic MR. SyMRI Neuro can be TE, i.e. multiple delay, multiple echo) within a single purchased in the Siemens Open Apps store: sequence. The TSE MDME sequence is a prerequisite for https://store.teamplay.siemens.com/ generating synthetic MR images and analyzing brain 18 syngo MR XA30 New sequences, protocols and applications EA 5.3. Pseudo Continuous Arterial Spin Labeling (PCASL) – 2D & 3D Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature With PCASL1 significantly higher perfusion signal/time PCASL is available for both 2D ASL and 3D ASL. is achieved. PCASL uses a narrow labeling plane through As before, 2D ASL provides quantitative information which flow-related adiabatic inversion of arterial spins while 3D ASL provides qualitative information only. occurs. The tagging is performed immediately proximal to the imaging volume and thus minimizes signal loss from the decay of labeled blood. As a result, the following benefits are related: • More slices, thinner slices in same acquisition time • Less transit time dependency/increased perfusion homogeneity • Improved background suppression method for 3D PCASL • Faster 3D acquisition (with iPAT) • Improved signal and improved image quality a b 3D ASL 3D PCASL (a) 3D ASL 8 slices, 5.5 mm SD, coverage 99 mm, 2:50 min. (b) 3D PCASL: 24 slices, 4.5 mm, coverage 108 mm, 2:31 min. *Optional. 2D ASL and 3D ASL licenses remain as they are but will include respective PCASL variants. 1 Dai W, Garcia D, de Bazelaire C, Alsop DC. Continuous flow driven inversion for arterial spin labeling using pulsed radiofrequency and gradient fields.Magn Reson Med 2008; 60:1488-1497. (original description of PCASL) syngo MR XA30 19 EA New sequences, protocols and applications 5.4. Simultaneous Multi-Slice TSE Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature, included in SMS license and Turbo Suite Excelerate package Simultaneous Multi-Slice (SMS) concurrently excites It is also possible to combine SMS and conventional multiple slices with a multiband pulse and then spatially parallel imaging. encodes their signal simultaneously. While conven- tionally this would have led to the images from each With syngo MR XA30 this disruptive technique can be slice overlaying on top of each other, excellent diagnostic applied to TSE sequences with any type of contrast. images can be gained by separating the signals from Thereby, entire MSK exams can be accelerated by up each slice by using blipped CAIPIRINHA. By applying to a factor of 50%1. Default SMS TSE protocols will be SMS, imaging can be accelerated by a factor equal to available for the following body regions: hand, hip, the number of slices that are excited simultaneously. knee, ankle, and foot. PD TSE FS tra, PAT 2 PD TSE FS sag, PAT 3 PD TSE FS cor, PAT 3 T1 TSE cor, PAT 3 T2 TSE, PAT 2 0.3 x 0.3 x 3 mm 0.3 x 0.3 x 2.5 mm 0.3 x 0.3 x 2.5 mm 0.3 x 0.3 x 3 mm 0.3 x 0.3 x 3 mm 17:05 PAT COMPLETE Conventional TA 6:56 min TA 2:36 min TA 3:18 min TA 1:11 min TA 3:04 min EXAMINATION 50% 50% 50% 50% 50% 50% reduction reduction reduction reduction reduction reduction TA 3:28 min TA 01:18 min TA 1:39 min TA 0:36 min TA 1:32 min 8:33 SMS TSE PAT + SMS 2 Significantly accelerated MSK scans with SMS TSE. Save up to 50%¹ exam time in orthopedic examinations. 1 Data on file. Results may vary. 20 syngo MR XA30 New sequences, protocols and applications EA 5.5. Simultaneous Multi-Slice Dixon Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature, included in SMS license and Turbo Suite Excelerate package Simultaneous Multi-Slice (SMS) concurrently excites With syngo MR XA30, this technique, can now also be multiple slices with a multiband pulse and then applied to the TSE DIXON sequence. This sequence is spatially encodes their signal simultaneously. While extremely useful for MSK imaging with excellent fat conventionally this would have led to the images from suppression, i.e. for large FOVs or off-center exams each slice being overlaid on top of each other, excellent (hand, elbow, wrist) or if multiple image contrasts are diagnostic images can be gained by separating the needed at the same time (in-phase, water, and fat). signals from each slice by using blipped CAIPIRINHA. By applying SMS, imaging can be accelerated by a factor equal to the number of slices that are excited simultaneously. It is also possible to combine SMS and conventional parallel imaging. MAGNETOM Altea (1aaaa3044) PD TSE Dixon water, PAT 2 PD TSE Dixon water, PAT 2, SMS 2 Sequence TSE Dixon water SMS TSE Dixon water TR (ms) 2520 2700 TE (ms) 34 36 TA (min:sec) 4:12 2:17 Matrix 252 × 432 252 × 432 FOV (mm) 333 × 400 333 × 400 Slice thickness (mm) 3 3 Slices 36 36 iPAT factor 2 2 SMS factor 2 syngo MR XA30 21 EA New sequences, protocols and applications 5.6. Simultaneous Multi-Slice RESOLVE Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature, included in SMS license and Turbo Suite Excelerate package Simultaneous Multi-Slice (SMS) concurrently excites With syngo MR XA30, this technique, can now also be multiple slices with a multiband pulse and then applied to the RESOLVE sequence. The shortening of TR, spatially encodes their signal simultaneously. While which is enabled by activating SMS, can either be used conventionally this would have led to the images from to substantially reduce acquisition times or can be used each slice being overlaid on top of each other, excellent for a higher resolution scan in the same volume. Typical diagnostic images can be gained by separating the regions where SMS RESOLVE can be used are neuro or signals from each slice by using blipped CAIPIRINHA. breast MRI exams. By applying SMS, imaging can be accelerated by a factor equal to the number of slices that are excited simultaneously. It is also possible to combine SMS and conventional parallel imaging. MAGNETOM Vida (3aaaa0784) RESOLVE, b = 1000 s/mm2 RESOLVE, ADC map SMS RESOLVE, b = 1000 s/mm2 SMS RESOLVE, ADC map Cases acquired on 3T MAGNETOM Vida. Total examination times will vary with system field strength. Sequence RESOLVE, b 1000 and ADC map SMS RESOLVE, b 1000 and ADC map TR (ms) 6280 2970 TE (ms) 70.2 72.2 b-values (s/mm²) 0, 1000 and ADC map 0, 1000 and ADC map TA (min:sec) 4:19 2:12 Matrix 224 × 224 224 × 224 FOV (mm) 220 × 220 220 × 220 Slice thickness (mm) 4 4 Slices 3 × 26 3 × 26 iPAT factor 2 2 SMS factor 2 22 syngo MR XA30 New sequences, protocols and applications EA Sequence RESOLVE, b 50 SMS RESOLVE, b 50 TR (ms) 5320 3500 TE (ms) 49 51 b-values 50, 800 and 50, 800 and (s/mm²) ADC map ADC map TA (min:sec) 5:37 3:58 Matrix 114 × 190 114 × 190 FOV (mm) 204 × 340 204 × 340 Slice thickness RESOLVE, b = 50 s/mm2 (mm) 5 5 Slices 34 34 iPAT factor 2 2 SMS factor 2 MAGNETOM Vida (3aaaa0813) SMS RESOLVE, b = 50 s/mm2 Cases acquired on 3T MAGNETOM Vida. Total examination times will vary with system field strength. syngo MR XA30 23 EA New sequences, protocols and applications 5.7. Compressed Sensing SEMAC Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature, included in Turbo Suite Excelerate package CS SEMAC enables musculoskeletal imaging in patients with whole joint replacements1 based on a combination of SEMAC (slice encoding for metal artifact correction) with Compressed Sensing undersampling and iterative Image examples reconstruction with reduced scan times. In SEMAC, acquired on 1.5T through-plane artifacts are minimized by encoding MAGNETOM and combining the signal from neighboring slices Altea. Total examination to compensate for signal voids. The higher the slice times will vary encoding factor, the better through-plane artifacts with system are compensated. However, acquisition time is also field strength. MAGNETOM Altea (1aaaa2955) SEMAC CS SEMAC increased. Typically, applied slice encoding factors are 10–20 resulting in a substantial increase in acquisition time. At 3T, traditional acquisition times can exceed 10 Sequence SEMAC CS SEMAC minutes, depending on the chosen slice encoding factor. TR (ms) 4360 4360 By applying Compressed Sensing acceleration to SEMAC, TE (ms) 40 40 acquisition times can be substantially reduced. TA (min:sec) 6:54 3:03 • SEMAC supports Compressed Sensing acceleration with fixed acceleration in addition to conventional GRAPPA Matrix 320 × 320 320 × 320 acceleration with selectable acceleration factor FOV (mm) 280 × 280 280 × 280 • SAR optimization feature is included, which reduces Slice thickness (mm) 3 3 the energy applied by the SEMAC pulse sequence • Optimized protocols are offered for the knee Slices 25 25 iPAT factor 4 CS factor 8 1 The MRI restrictions (if any) of the metal implant must be considered prior to the patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies as MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. 24 syngo MR XA30 New sequences, protocols and applications EA 5.8. Compressed Sensing SPACE Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature, included in Turbo Suite Excelerate package Compressed Sensing (CS) SPACE enables highly • CS SPACE supports typical contrast such as T1, PD, accelerated 3D imaging based on the SPACE pulse T2, T2 Dark-Fluid, Double-Inversion Recovery and sequence with Compressed Sensing and iterative combination with Fat Saturation reconstruction: • Best results can be achieved for contrast-rich, high-resolution applications such as T2 or T2 IR • Spatial and/or temporal resolution can be improved, and scan time substantially reduced protocols • Optimized protocols are available for body imaging (triggered and breath-hold 3D MRCP), imaging of Best results can be obtained by adapting the the brain and various musculoskeletal applications. provided Siemens CS protocols. Provided CS protocols are indicated and can be searched for as “ _ csX _ ” in the Siemens protocol tree, i.e. “t1_space_sag_cs7_iso” MAGNETOM Vida (3aaaa0783) Example of CS SPACE 3D MRCP. Image examples acquired on 3T MAGNETOM Vida. Total examination times will vary with system field strength. Sequence 3D SPACE, resp. trigg. 3D CS SPACE, resp. trigg 3D CS SPACE, breath-hold TR (ms) 4791.5 4546,3 2300 TE (ms) 703 700 701 TA (min:sec) 7:16 1:26 0:15 Matrix 753 × 768i 576 × 768i 560 × 704 FOV (mm) 380 × 380 285 × 380 239 × 300 Slice thickness (mm) 1 1 1.6 Slices 64 64 40 iPAT factor 3 CS factor 20 23 syngo MR XA30 25 EA New sequences, protocols and applications MAGNETOM Vida (3aaaa0966) Sequence 3D SPACE SPAIR 3D CS SPACE SPAIR TR (ms) 707 707 TE (ms) 22 22 TA (min:sec) 6:16 3:03 Matrix 256 × 256 256 × 256 FOV (mm) 250 × 250 250 × 250 Slice thickness (mm) 1 1 Slices 160 160 iPAT factor 2 CS factor 4 26 syngo MR XA30 New sequences, protocols and applications EA 5.9. Compressed Sensing Time of Flight (TOF) Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature, included in Turbo Suite Excelerate package CS TOF enables highly accelerated Time-of-Flight (TOF) MR angiography with Compressed Sensing under- sampling combined with iterative reconstruction: • Spatial and/or temporal resolution can be improved and scan time substantially reduced • Typical acceleration factors are between 6-10-fold acceleration, enabling 0.4-mm isotropic TOF acquisitions in 2-minute acquisition time • Optimized protocols are offered for TOF MR angiography of the head (intracranial vasculature) MAGNETOM Vida (3aaaa0784) TOF Angio, TA 4:48 min CS TOF Angio, TA 1:59 min Sequence TOF CS TOF TR (ms) 19 21 TE (ms) 3.4 3.7 TA (min:sec) 4:28 1:59 Matrix 441 × 512i 517 × 576i FOV (mm) 181 × 200 199 × 220 Slice thickness (mm) 0.4 0.4 Slices 178 178 iPAT factor 2 CS factor 10.3 syngo MR XA30 27 EA New sequences, protocols and applications 5.10. Compressed Sensing GRASP-VIBE Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Pre-requisites: High-End Computing option Category: Optional feature, included in Turbo Suite Elite package Compressed Sensing GRASP-VIBE (Golden-Angle RAdial Additional features: Sparse Parallel) makes it possible to conduct dynamic • contrast-enhanced abdominal exams in free breathing. Auto Bolus Detection at reconstruction time • The acquisition is performed in one continuous run, Configuration of exam phases in terms of start using a golden-angle stack-of-stars radial scheme that time relative to the auto-detected bolus arrival, reduces motion and provides the flexibility to choose the duration, temporal resolution, and pre-selection temporal resolution at reconstruction time based on the for export to PACS • users needs. The temporal resolution may even vary over Self-gating for further reduction of residual the duration of the scan. Reconstruction is performed motion blur • using a Compressed Sensing accelerated iterative Includes FREEZEit+ algorithm with per-voxel through-time regularization. The algorithm also automatically recognizes the typical phases in liver dynamics and therefore has the capability to only reconstruct a subset of clinically relevant images with respective labeling. Sub-optimal breath-hold Free-breathing Compressed Sensing GRASP-VIBE 28 syngo MR XA30 New sequences, protocols and applications EA 5.11. Spin-Echo EPI – (SE EPI MRE) for MR Elastography Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature The new SE-EPI pulse sequence offers the acquisition of multiple slices in a single, short breath-hold, and provides improved robustness in patients with iron overload. Spin-Echo EPI for MR Elastography (SE EPI MRE) Spin-Echo EPI MRE is an alternative to a GRE-type sequence for MRE. It combines a SE sequence with a fast Echo-planar imaging (EPI) readout. Advantages of the SE EPI based approach are a higher robustness in patients with iron overload and a higher signal-to-noise ratio of the wave images compared with GRE-based MRE. GRE RF-GRE SE-EPI Figure reprinted with friendly permission from Felker ER, et al. Liver MR Elastography at 3 T: Agreement Across Pulse Sequences and Effect of Liver R2* on Image Quality. AJR 2018; 211(3):588-594. syngo MR XA30 29 EA New sequences, protocols and applications 5.12. Whole-Body Dot Engine Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature The Whole-Body Dot Engine allows easy, seamless • Core Protocol with WB T2 HASTE, WB T1 VIBE, planning of multi-parametric, multi-station exams with WB DWI, and whole-spine exam automated recognition of individual anatomy. The • Protocol can be extended with dedicated scans of the Whole-Body Dot Engine also provides consistent settings focus regions Chest, Abdomen, Pelvis with dynamic for spatial resolution, image contrast, and breath-hold exams of the respective regions capacity. • AutoBolus detection for focus region Abdomen (liver) • Supports 2D and 3D acquisitions in axial and coronal • Landmark-based automatic segmentation of the anatomical regions based on FastView scan orientation • Option to repeat stations flexibly (results are • AutoCoverage: scan range across the chest, abdomen and pelvis can be easily defined with a coverage slider integrated accordingly during composing) • Automatic overlap of stations • Additional stations for head and leg coverage can be added using the coverage slider SIEMENS »> whole body oncology » Whole-Body Dot Engine »> Whole-Body Dot Engine »> Whole-Body Dot Engine General Preview General Parameters Breath-Hold Parameters Exam Strategy Standard Breath-Hold Capability 20 + Focus Adaptation BH + AutoCoverage Auto Breath-Hold Commands V. English (United ... .. Auto Bolus Detection V Pause Between Breath-Holds 10 Auto ROI Coverage Head Thorax Focus Abdomen Focus Pelvis Focus Legs FastView Addin Configuration .. Close 30 syngo MR XA30 New sequences, protocols and applications EA 5.13. Fat Fraction % Maps Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature Inline calculation of Fat Fraction % Maps is based on T1-weighted images may show subtle hyperintensity but a 2-point T1 VIBE Dixon technique (2pt FF % Maps) the contrast between lesions and background is and composing of respective multi-station exams. typically not strong. In patients with metastatic bone disease, lesions For this purpose 2pt FF % Maps have the advantage found in DWI (a, b) shall be confirmed in other contrasts, of a much stronger lesion to background contrast, e.g., to exclude T2 shine through effects. since normal red bone marrow is rich of fat (bright) while metastases contain no fat and are dark in fat-fraction maps. a b c d syngo MR XA30 31 EA New sequences, protocols and applications 5.14. LiverLab Dot Engine Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature Evaluating the iron and fat content of the liver is an Benefit important step in monitoring early stages of disorders like nonalcoholic fatty liver disease (NAFLD), which The package allows for detection of liver deposition are on the rise due to changing nutritional habits. disease (fat, iron, combined) with guided workflow steps LiverLab non-invasively provides information on liver and fully automated post-processing. Results are fat content and iron overload. intuitively displayed in a color bar and maps (fat fraction/ R2*) indicating fat/iron overload. Liver Lab provides quantitative assessment of fat concen-tration and qualitative assessment of iron overload. ... >> abdomen >> Abdomen Dot Engine >> LiverLab Dot Engine Dot LiverLab Basic Patient View LiverLab localizer_bh 00:17 Onco Auto Coverage Scout t1_vibe_e-dixon_tra_bh_pre 00:19 Generic Views Evaluation yes Liver Segmentation Evaluation yes Evaluation Method multi-echo Dixon HISTO Both vibe_q-dixon_tra_bh 00:17 HISTO bh 00:15 vibe_q-dixon_tra_bh 00:17 Liver Quantification Liver Quantification Liver Quantification HISTO bh 00:15 Liver Quantification LiverLab Dot Engine strategies in our Dot Cockpit user interface. 32 syngo MR XA30 New sequences, protocols and applications EA 5.15. Prostate Dot Engine Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma; MAGNETOM Prismafit Category: Optional feature The Prostate Dot Engine is designed for fast, reproducible and standardized prostate MR examinations. Supports multi-parametric, multi-plane MR imaging according to the latest PI-RADS v2.1 recommendations. The operator is guided through one comprehensive workflow with decision points to adapt the strategy to individual patient conditions, while artificial intelligence provides support for planning and performing the procedure steps. SIEMENS > pelvis male > Prostate Dot Engine > Prostate Dot Engine SIEMENS . Healthineers . Bahn, Bob MiddleName HD 23- Jan-68 M 95202483-2861-4d7f. Dot Prostate Dot Engine Prostate Patient View Standard Prostate Dot Engine Bahn, Bob, MiddleName, Title, Suffix localizer 95e02483-a8b1-4d71-8dfb-5c7808ae2b32 OID Other Pa___ oip Omer Pasta localizer 00:19 2 AA_Prostate_Segm 14 IMA1 FRM 10/20 6 IMAT FRM 13/26 10 IMA 1 FRM 9/17 Generic Views AA_Prostate_Segm 00:49 4 _ 12_tse_tra_p3_368 Onco Auto Coverage Scout 5 % Air in rectum ? no t2_tse_sag_p2_320 01:46 6 % ep2d_diff_zoomit_b50_800_tra 03:30 Prostate 7 %_ 12_tse_cor_p3_368 03:18 t2_tse tra_336 8 & Lymph nodes eval ? no Prostate 9 % Dynamics ? yes Air in rectum ? 10 inject contrast after 3 measurements Basic Decision 11 t1_vibe-twist_dixon_tra_dyn_p4 05:06 no Air in rectum ? 11:54 yes no GO Cancel resolve_diff_b50_800_tra_p2 04:14 ep2d_diff_zoomit_b50_800_tra 03:30 Prostate Prostate SP P13.5 t2_tse_cor_p2_320 FoV 200-200 01:59 Sac 2031 _SAMPINORM/SH/FIU/DIS2D Co 1125 p2 MAGN/NORM/SH/FIL/DIS20 V 200-200 AA_Prostate_Segm_SEG 1017 AA_Prostate_Segm_MPR_cor 551 Prostate study comments study comments study comments, Contoured Prostate Lymph nodes eval ? Dot & 5:33 min 4 Auto @2 @ 0.3x0.3x3.0 mm3 + 1.20 8 no Basic Decision Guidance Parameters Lymph nodes eval ? yes t1_vibe_dixon_tra_p2_352_lymph_nodes Generic Views 4D Imaging ? yes Basic Decision Settings Setings Dupioy Dupiay Cockpit Conter D Imaging ? yes inject contrast after 2 measurements Check slice positions and adjust if necessary . t1_vibe-twist_dixon_tra_dyn_p4 03:55 Prostate Waiting for slice positioning . syngo MR XA30 33 EA New sequences, protocols and applications 5.16. ZOOMitPRO Available for: MAGNETOM Aera, MAGNETOM Skyra (not available for systems with Tim TX TrueShape) Category: Optional feature Diffusion-weighted imaging (DWI) is a decisive tool in Benefit body oncology for detection and characterization of disease. Artifacts caused by susceptibility effects are an ZOOMitPRO allows for high-resolution and fast selective issue but can be addressed with shorter echo times and volume-of-interest diffusion-weighted imaging, echo spacing. One way to reduce the echo spacing is e.g., of the prostate, the pancreas, the kidneys, reduced FOV imaging with dedicated excitation pulses. the breast or the brain. With zoomed EPI, there is Introducing a new sequence scheme for excitation and substantially less image blur and respiratory motion readout, reduced FOV imaging with DWI is enabled at artifact and significantly higher diagnostic confidence. both 1.5T and 3T. With the optimized pulse sequence scheme the acquisition technique is more robust in the presence of off-resonance effects, i.e. metal implants. Images courtesy of Shanghai 6th People Hospital, Shanghai, P.R. China MAGNETOM Skyra (WIP, VE11) – (2aaaa1515) Conventional DWI ZOOMitPRO Sequence Conventional DWI, b 1500 ZOOMitPRO, DWI, b 1500 TR (ms) 4600 4600 TE (ms) 79 76 b-values (s/mm²) 50, 1000, 1500 and ADC map 50, 1000, 1500 and ADC map TA (min:sec) 3:23 3:29 Matrix 132 × 178 56 × 100 FOV (mm) 282 × 380 106 × 190 Slice thickness (mm) 3 3 Slices 4 × 20 4 × 20 iPAT factor 2 34 syngo MR XA30 New sequences, protocols and applications EA 5.17. CAIPIRINHA SPACE Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Included feature CAIPIRINHA (Controlled Aliasing in Parallel Imaging On the syngo MR XA platform, default protocols with T2 Results in Higher Acceleration) is an imaging acceleration fatsat and PD weighting are provided for hand/wrist, technique which distributes the acquired k-space data unilateral hip, knee and foot/ankle exams. In the knee, more heterogeneously and therefore improves the SNR for example, high-resolution scans with isotropic 0.5 mm by up to 18%1. The higher SNR can be translated into resolution can be acquired in 4:41 min, which is a 50% higher imaging speed. CAIPIRINHA is standard and now reduction of the acquisition time compared to also available for the SPACE sequence. conventional PAT 2. LFA R FRA Isotropic, submillimeter 3D MSK examinations with CAIPIRINHA SPACE in 5 minutes acquisition time. 1 Breuer FA et al., Magn Reson Med 2006; 55 (3): 549-56. syngo MR XA30 35 EA New sequences, protocols and applications 5.18. GOKnee3D Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Pre-requisites: Large Joint Dot Engine Category: GOKnee3D is included in optional Large Joint Dot Engine Conventional clinical imaging of the knee is typically Push-button functionality is enabled by AutoAlign Knee3 performed with 2D TSE pulse sequences with high providing high consistency in imaging. The 3D protocols in-plane resolution (0.5 mm) but low through-plane are enabled by SPACE sequence with CAIPIRINHA resolution (2–4 mm) and with a slice gap. With 2D scans, acceleration. As the images are high-resolution 3D multi-planar reformats are not possible, and the need to iso tropic, they can be reformatted in any plane. acquire each orientation separately can lead to longer exam times of approximately 20 minutes. On syngo MR XA30 the GOKnee3D protocol becomes available also for MAGNETOM Prisma and MAGNETOM GOKnee3D is a push-button, clinically validated, high- Prismafit. Prerequisite is the optional Large Joint Dot resolution 3D isotropic exam of the knee which takes Engine. Once the Dot engine is available the protocol is only 10 minutes.2 GOKnee3D exam consists of AutoAlign available on the system directly – no need to download localizer in the knee, PD weighted contrast and the protocol separately. To achieve the mentioned exam T2-weighted contrast with fat suppression. times a dedicated Tx/Rx Knee coil is required. GOKnee3D – Push-button, high-resolution 3D exam in 10 minutes1, 2, 3 AutoAlign Localizer IW/PD, 0.5 mm IW/T2 FS, 0.6 mm Total TA 13 s iso TA 4:41 min iso TA 4:45 min 9:39 min Acquired at 3 Tesla with Tx/Rx Knee 15. Total exam time will vary with system field strength with up to 11 minutes at 1.5 Tesla. Dot Cockpit administrator mode - use for administration of password protection of trees only Quit lot Cockpit - Main GOKnee3D protocol Explorer becomes available with Browse Import Program Editor Export Edit Simulate Large Joint Dot engine Local Database SIEMENS > knee > Knee Dot Engine > general 3D SIEMENS Dot GOKnee3D Ortho Patient View V Standard Lhordx AAKnee_Scout_TxRx 00:14 >heart AutoAlign Scout breast pd_space_sag_iso 04:37 abdomen 1 MPR Assignment pelvis female t2_space_fs_sag_iso 04:39 › wrist 1 MPR Assignment pelvis male MPR planning ... MPR Planning shoulder › elbow hand hip knee Knee Dot Engine general 2D general 3D lesion library 1 Fritz J et al. Three-dimensional CAIPIRINHA SPACE TSE for 5-minute high- >clinical libraries resolution MRI of the knee. Invest Radiol 2016; 51(10): 666-676. ankle 2 Thawait GK. High resolution istropic 3D CAIPIRINHA SPACE MRI of the foot whole body oncology musculoskeletal system. MAGNETOM Flash 2016, 66: 30-38. > whole body diffusion 3 Del Grande F & Fritz J. Fully-Automated 10-min 3D TSE MRI of Knee. 2017; peripheral angiography Manuscript submitted for publication. 36 syngo MR XA30 New sequences, protocols and applications EA 5.19. GOLiver Available for: MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Pre-requisites: Abdomen Dot Engine Category: Protocols for 3T can be downloaded from MAGNETOM World website GOLiver is a fast and semi-automated MRI workflow for e.g., HCC, fatty liver disease, hemangioma, liver abdominal MR exams in approximately 12 minutes of metastases and others by Changhai University, Shanghai. total examination time. The set of protocols including T2, Due to the AutoAlign and AutoCoverage functionality of DWI, T1 in/opp, and dynamic T1 protocols have been the Abdomen Dot Engine, the user is assisted throughout clinically validated and compared with an extensive the exam, facilitating minimal user interaction, high abdominal MR exam in a number of clinical conditions, reproducibility and standardization, and short exam times. Images courtesy of Changhai Hospital, Second Military Medical University, Shanghai, P.R. China MAGNETOM Skyra (VD13, WIP) T1 FLASH 3D VIBE FatSat T2 TSE SPAIR Sequence Localizer T2 HASTE Sequence (3 phases) BLADE TR (ms) 7.8 900 TR (ms) 3.7 4574.2 TE (ms) 3.7 97 TE (ms) 1.3 79 TA (min:sec) 0:17 0:18 TA (min:sec) 3 × 0:12 3:19 Matrix 179 × 256 240 × 256 Matrix 195 × 320 320 × 320 FOV (mm) 430 × 430 425 × 340 FOV (mm) 325 × 400 390 × 390 Slice thickness (mm) 7 6 Slice thickness (mm) 3.2 6 Slices 12 20 Slices 3 × 64 33 iPAT factor 2 3 iPAT factor 3 2 3D VIBE Diffusion, Dixon water Sequence b-value 1000 (4 contrasts) TR (ms) 3200 4.0 Download Protocols TE (ms) 62 1.3 TA (min:sec) Download GOLiver protocols (.exar1 file) at 1:14 0:13 siemens.com/magnetom-world Matrix 128 × 128 195 × 320 > Clinical Corner > Protocols > Body & Pelvis FOV (mm) 390 × 390 325 × 400 Slice thickness (mm) 6 3.2 Slices 31 4 × 64 iPAT factor 2 CAIPIRINHA 3 syngo MR XA30 37 EA New sequences, protocols and applications 5.20. High Bandwidth Inversion Recovery Available for: MAGNETOM Aera Category: Optional feature Note: Available for 1.5T scanners only MRI is the gold standard modality when it comes to This technique has been evaluated under clinical gaining information on myocardial tissue conditions and has shown robustness. characterization. Benefits: High Bandwidth Inversion Recovery uses wideband techniques to reduce susceptibility artifacts, and 1. Extends benefits of cardiac inversion recovery therefore, extends the benefits of tissue characterization imaging to patients prone to susceptibility artifacts. to these patients, enabling them to receive diagnostically 2. Myocardial tissue characterization based on robust imaging to visualize myocardial injury using inversion recovery imaging. tissue characterization. 5.21. PSIR HeartFreeze Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature Description: Customer experience with PSIR HeartFreeze PSIR HeartFreeze with motion compensation algorithms For Dr. João Cavalcante PSIR HeartFreeze was a game- enables high-resolution PSIR imaging in free-breathing. changer. In his practice he was able to scan more This means you can extend the benefits of cardiac MRI vulnerable patients and at the same time increase viability assessment to even more patients, even to those his efficiency. with arrhythmias and those who cannot hold their breath. “Since we started using the PSIR HeartFreeze inline motion Benefits: compensation application, we have been able to increase the • Acquire high-resolution PSIR imaging in free-breathing number of CMR scanning slots • Extend the benefits of cardiac MRI to even more from seven to nine per day. patients, even those with arrhythmias and those who PSIR HeartFreeze helps us get cannot hold their breath high-quality diagnostic CMR Increase efficiency with shorter scan times images, even in the most João L. Cavalcante, MD • challenging and vulnerable Minneapolis Heart Institute, USA group of patients, reducing the overall scan time.”1 1 The statements by Siemens’ customers 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. This statement is from a person, who or whose institution is engaged in a collaboration with Siemens. 38 syngo MR XA30 New sequences, protocols and applications EA 5.22. Compressed Sensing Cardiac CINE Segmented Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Pre-requisite: High-End Computing Option Category: Optional feature, included in Turbo Suite Elite package In addition to Compressed Sensing Cardiac CINE Benefits: real-time, the new application Compressed Sensing Cardiac CINE Segmented is a prospective or retrospective 1. High acceleration factor acquisition alternative for cooperative patients who 2. Faster imaging without loss of diagnostic detail can hold their breath with no significant arrhythmias. 3. Ideal for imaging valves Prospective triggering Prospective triggering Adaptive Retrogating Retrogating across > heart cycle triggering with arrhythmia detection Non-compliant patient, Simultaneous visualization Comnpliant patient can’t hold breath and/or of heart contraction, without strong is arrhythmic breathing movement or for arrhythmia. Ideal patients e.g. with strong solution for post- arrhythmia to watch several processing heart beats. Not suitable for funtional evaluation. CS Realtime Comparable spatial and Rhythmic patients, Slightly arrhythmic temporal resolution to the acquisition of full patients, pro- standard segmented protocol. cardiac cycle. longed acquisi- For patients with arrhythmia. tions time NEW!! CS (2 shot) Segmented Rhythmic, compliant patient for highly increased temporal and spatial resolution. NEW!! (8 shot) CS Segmented CS Protocols – Trufi Realtime Retrogating Retrogating cine_trufi_rt_10sl_trig 00:02 cine_trufi_retro 00:15 ventricular volume cine_trufi_cs_rt_adapt_trig 00:02 cine_trufi_retro_reduced_fov 00:21 cine_trufi_retro_10sl_invf 01:45 cine_trufi_cs_rt_adapt_trig_10sl_inVF 00:19 cine_trufi_retro_arryth 00:29 cine_trufi_retro_10sl_invf_reduced_fo 02:15 cine_trufi_rt_non_trig 00:04 cine_trufi_retro_cs_2_shot 00:02 cine_trufi_retro_cs_2_shot_10sl_inVF 00:40 cine_trufi_retro_cs_8_shot 00:08 CS Protocols – Flash retrospective gating cine_f12d_retro 00:20 cine_f12d_retro_reduced_fov 00:29 cine_flash_retro_cs_7_shot 00:07 syngo MR XA30 39 EA New sequences, protocols and applications 5.23. RT Respiratory Self-Gating Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature 4D MRI – RT Respiratory Self-Gating is an MRI technique • Allows for precise target delineation in the for capturing organ motion in the abdomen and thorax abdomen and thorax at each phase of the with excellent soft tissue contrast and automatic respiratory cycle respiratory phase sorting during the entire acquisition • Supports MR-based radiotherapy planning of time, all without the need for external respiratory devices moving targets in the thorax and abdomen without or surrogates. the need for external respiratory devices or 4D MRI is a free-breathing, non-contrast, 3D radial surrogates • acquisition technique • Images are automatically binned, or sorted, into separate discrete phases that correspond to a patient’s distinct respiratory motion : DC[a.u.] Bin 5 ........ ............... .............................. Bin 4 ............................. ........ Bin 3 ............................... .......... ..... ...................... Bin 2 ................ .............. -........... ................ Bin 1 t[s] ............... ............................................................................................................................. .............................................. ...... Filtered RT respiratory self-gating signal over time. 40 syngo MR XA30 New sequences, protocols and applications EA 5.24. MR-Injector Coupling Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature Contrast-enhanced MR imaging procedures, such as MR It establishes a direct and constant data stream between angiography (MRA) or dynamic contrast-enhanced (DCE) the MR scanner and the injector control system, allowing imaging in oncology, require precise timing of contrast a technologist at the MR operator console to release injection and MR data acquisition to hit the first pass of injections remotely. Combined with intuitive guidance contrast agent in the body region or tissue of interest. provided by the Angio Dot Engine or the Abdomen Dot Bayer Healthcare and Siemens Healthineers have jointly Engine, this provides a self-contained, intuitive workflow developed a hardware and software interface (ISI – for high-quality and consistent contrast-enhanced Injector Scanner Interface)1 enabling active coupling procedures. between the injector and the MR scanner. 0 2:00 10 2.00 04.0 1 The information shown herein refers to products of 3rd party manufacturer’s and thus are in their regulatory responsibility. Please contact the 3rd party manufacturer for further information. syngo MR XA30 41 EA New sequences, protocols and applications 5.25. MR protocols module Valid for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature With the MR protocols module, we are introducing Furthermore, the feature supports the setup a new generation of MR protocol management in of consistent examination protocols to maintain teamplay protocols. With this solution, the technologist a common protocol structure across an enterprise or chief radiologist is now able to manage scan protocols fleet of scanners for different clinical demands. from one central location. It is now possible to edit This ensures highest imaging standards for and distribute scan protocols across scanner types and all patients. configurations without interrupting scanner operation. Changes are distributed across the scanner fleet with one click. MR Protocols Module powered by teamplay protocols Access, edit and distribute protocols MAGNETOM fleet MAGNETOM Sola MAGNETOM Skyra MAGNETOM Prismafit syngo MR XA20 syngo MR XA30 syngo MR XA30 With MR protocols module, you can manage your scan protocols from one central location. 42 syngo MR XA30 New sequences, protocols and applications EA 5.26. Breast biopsy software Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma and MAGNETOM Prismafit Category: Optional feature The newly developed and designed Breast Biopsy • Projection of needle path on the planning images software guides breast interventions such as vacuum- for control assisted biopsy and wire localization for streamlined • Support of coil-specific guidance with graphical interventions and high accuracy. instructions on both the console and the Select&GO • Guidance for intervention planning and execution display at the scanner • for both grid method and post/pillar method Support of following MR breast coils: Breast BI 7, Automatic extraction of coordinates for the 2-/4-/8-Channel Sentinelle Breast Coil, 2-/10-/16- • selected target and calculation of required point Channel Sentinelle Breast Coil of entry, angulation (for post/pillar method) and penetration depth Meduser R O . 01.03.1952 F 2018 .03.01-09:49:31-STD-1 Sola Anide MR View&G MR Breast Biopsy Grid Anlagenzentrum Grid Anlagenzentrum Grid 2018.03.01-09:49:31-STD-1.3.12.2.1107.5.99.3 MR Breast Biopsy 2018.03 01-09:49 31-STD-1 3.12.2.1107 5.99 3 2018.03.01-09:49:31-STD-1.3.12 2 1107 5.99 3 MAGNETOM Cabral MAGNETOM COORN '01-03.1952, F, 66Y AGNETOM Cabral MR XA11 +01 03.1952, F. 66Y 01.03.1952, F, 66Y CURRENT CURRENT MR XA11 FP CURRENT 01.03.2018 01.03.2018 HP 01.03.2018 11_113d_nonts_sog_1-2rich <1% tf_13d_ponts_sag_1+2_night t1_13d_honte_sag_1+2_jigrt_SUB_MP_SAG Current Target Selection latest/Phase_01 of 3 latest Phase_01 of 2 STUDY ID 23629644-4791-46 STUDY D 23629644-4791-4 STUDY D 23h29644-4791-46 MR. 01.03.2018 10:10.29 09. 59 29 10:02:12 8 MAna FRMna 2 MA-1 FRM -55 5 MAS FRM 1/1 localizer [1] wtf_93d nonis_sag 1+2 night [2][ ... Phase_01 [2] Approve & Send Phase 02 [3] Phase_03 [6] A .11 #3d nonfs sag 1+2 night Su. VI Phase_01 [4] TP O TP O TR 7.1 Phase 02 [7] SPA13,9 TR 7.1 PR103,5 TE 4 8 SL 0 9 TE 4,8 SL 0,91 TA 02:18 SPC 0,9 t1 83d nonfs sag 1+2 light SU. SPC 0.9 BWV 360,0 Hoy 198:200 155p*224 5p+224s MAON/SUB/DIS2D +1_W3d_nonifs_sag_1+2 right < ... Co 623 A1/PFP 484 202 Results MR Breast Biopsy Target. *11301 /10 Contrast agent per action scale 1.0 11_tse_tra right (9) et nad_sag_cavity_right [to] 2018.03.01-09:49:31-STD.1.3.12.2.1107.5.99.3 19520301 F t1 #3d sag cavity right MIP. S. Findings Navigator Target Target 5 Grid Grid 2018.03.01-09:49:31-STD-1 3.12 2 1107 5.99 3 2018.03.01-09:49:31-STD-1 3.12.2.1107 5 993 +01.03.1952, F. 66Y. ONETOM CON *01.03.1952, F, 66Y Results MR Breast Biopsy Target Name Value Source CURRENT CURRENT Results MR Breast Biopsy Target Target 1 MRBr 01.03.2018 01.03.2018 Target 2 MRB A1 A4 A7 t1_1:3d_nonts_sag_1+2_right Results MR Breast Biopsy Target Target 3 MRB latest Phase_01 of 3 Intest Target 4 MRBr B4 STUDY D 23629644-4791-46 STUDY D 23629644-4791-4b 09:59:29 10:42:05 2 MAn.a. FRM na 10 3KA 1 FRM 26/96 CH 04 EA ES Tools and Position Graphics Hide Block Target Needle Offeel TR 7.7 TE 2,6 TP O TA 02:18 SPF3,3 BWV 319,0 155p*224s MAGNANORMOIS2D Tra 523 A1/PFP "11341 / 25 11:21-24 71 mm Contrast agen Breast biopsy software. syngo MR XA30 43 EA New sequences, protocols and applications 5.29. Synthetic CT images in RT Dot Engine Available for: MAGNETOM Aera and MAGNETOM Skyra (not available for MAGNETOM Skyra with Tim [204x24] configuration) Pre-requisites: FREEZEit and High-End Computing Option Category: Optional feature Note: Synthetic CT is a separate syngo.via RT Image Suite license The RT Dot Engine includes optimized protocols and sequences for radiotherapy planning. With syngo MR XA30, the RT Dot Engine now covers brain, head & neck, and pelvis. The RT Dot Engine for brain and pelvis includes scan protocols for generating Synthetic CT images. The synthetic CT images can be generated on the right monitor on a separate workstation with the corresponding license. Synthetic CT1 generation for the brain MR clinical image Probability of voxel belonging to tissue class CT-like image T1 VIBE Dixon Water Fat T2 SPACE Image pre- Class Classifier property Synthetic processing White matter assignment CT image PETRA Gray matter FLASH Gradient Echo “Time to Flight” Bone Total acquisition time: ~14:00 min (1.5T) Generation of Synthetic CT ~09:20 min (3T) on syngo.via RT Image Suite (approx. 1 min) Source: “Assessing the Domestic Accuracy of Magnetic Resonance-Generated Synthetic CT Images for Focal Brain VMAT Radiation Therapy” Paradis et al, International Journal of Radiation Oncology * biology * physics, Vol. 93, No. 5, p. 1154e1161, 2015; Visualization of the Synthetic CT algorithm for the brain from image acquisition to Synthetic CT image generation 44 syngo MR XA30 New sequences, protocols and applications EA T1 VIBE DIXON – Water & Fat Synthetic CT In Phase (& Opp Water Fat Phase opt.) Flash (Gradient Echo) PETRA – T2 SPACE – Anatomy TOF – Vessels Bones and Brain Morphology Images courtesy of Centre Hospitalier de l’ Université de Montréal (CHUM), Canada Image examples of MR sequences required to generate the Synthetic CT image for the brain arrange courtesy of Centre hospitalier de l’Université de Montréal – CHUM Montreal, Canada 1 The data acquisition protocols for Synthetic CT are available on VA11A software with MAGNETOM RT Pro edition for MAGNETOM Vida and MAGNETOM Sola. syngo MR XA30 45 At Siemens Healthineers, our purpose is to enable On account of certain regional limitations of sales rights healthcare providers to increase value by empowering and service availability, we cannot guarantee that all them on their journey toward expanding precision products included in this brochure are available through medicine, transforming care delivery, and improving the Siemens Healthineers sales organization worldwide. patient experience, all enabled by digitalizing healthcare. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the An estimated 5 million patients globally benefit every features and products described herein may not be day from our innovative technologies and services in the available in the United States. areas of diagnostic and therapeutic imaging, laboratory diagnostics, and molecular medicine, as well as digital The information in this document contains general health and enterprise services. technical descriptions of specifications and options as well as standard and optional features, which do not We’re a leading medical technology company with over always have to be present in individual cases. 120 years of experience and 18,500 patents globally. With about 50,000 dedicated colleagues in over 70 Siemens Healthineers reserves the right to modify the countries, we’ll continue to innovate and shape the design, packaging, specifications, and options described future of healthcare. herein without prior notice. For the most current information, please contact your local sales The outcomes and statements provided by customers representative from Siemens Healthineers. of Siemens Healthineers are unique to each customer’s setting. Since there is no “typical” hospital and many Note: Any technical data contained in this document may variables exist (e.g., hospital size, case mix, and level of vary within defined tolerances. Original images always service/technology adoption), there can be no guarantee lose a certain amount of detail when reproduced. that others will achieve the same results. Siemens Healthineers Headquarters USA Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Healthcare 91052 Erlangen, Germany 40 Liberty Boulevard Phone: +49 9131 84-0 Malvern, PA 19355-9998, USA siemens-healthineers.com Phone: +1-888-826-9702 siemens-healthineers.us Published by Siemens Medical Solutions USA, Inc. · Order No. MR-21-NAM-2010 · Online · 02.2021 · ©Siemens Medical Solutions USA, Inc., 2021