syngo MR XA50A What's New Job Aid

syngo MR XA50A What’s New siemens-healthineers.us/mrisyngo MR XA50A What’s New siemens-healthineers.us/mriContents Dear MAGNETOM user, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost We are pleased to announce the latest version of our MRI scanner 1.2 Deep Resolve Swift Brain software, syngo MR XA50A. This new software version includes comprehensive improvements to existing scanner functionalities 1.3 BLADE Diffusion with SMS functionality and provides access to exciting new features. 1.4 myExam Angio Advanced Assist You have received this informational letter to accompany installation 1.5 CS GRASP-VIBE for MAGNETOM Lumina of syngo MR XA50A software on your MAGNETOM scanner(s). Scanners qualified for this update include the following: 2. Improvements to sequences, protocols and applications 2.1 Deep Resolve Gain MAGNETOM Vida (3T) 2.2 Deep Resolve Sharp MAGNETOM Lumina (3T) 2.3 HASTE Diffusion @ 3T MAGNETOM Vida Fit (3T) 2.4 Br east Biopsy improvements (detection of fiducial markers) 2.5 Mo tion Correction for TSE with more than a single average We are continuously striving to improve the quality of our products 2.6 GSP: Toolbar pinning and sincerely believe that this new software version will further improve your daily work with your MAGNETOM scanner. 2.7 GSP: Center line for scan planning Cover image: Deep Resolve Boost and Sharp: 2.8 Transition of Dot engines to myExam Companion Sincerely yours, MAGNETOM Vida, 3T 2.9 Static Field Correction for EPI Your Siemens Healthineers MR team PD TSE, PAT 3, TA 40s 16 slices, 0.1 x 0.1 x 2.0 mm3 2.10 Fast GRE reference scan for (SMS) EPI imaging 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 2syngo MR XA50A What’s New siemens-healthineers.us/mriContents 1. New sequences, protocols 1. New sequences, protocols and applications 1.1 Deep Resolve Boost and applications 1.2 Deep Resolve Swift Brain 1.1 Deep Resolve Boost 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Optional feature 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: High-end MaRS Note: TSE is supported with the exception of BLADE TSE and Dixon Deep Resolve Boost example of T2 TSE imaging using PAT4 acceleration. Left: conventional reconstruction (GRAPPA); 2. Improvements to sequences, protocols right: Deep Resolve Boost. and applications 2.1 Deep Resolve Gain What is Deep Resolve Boost? Deep Resolve Boost takes Deep Learning Reconstruction to the next 2.2 Deep Resolve Sharp level. It enables previously inaccessible parallel imaging acceleration. 2.3 HASTE Diffusion @ 3T This is made possible by our first raw-data-to-image Deep Learning 2.4 Breas t Biopsy improvements (detection of reconstruction. The neural network behind Deep Resolve Boost enables effective denoising that improves the visual signal-to-noise ratio of the fiducial markers) PD TSE fs p3 s2 PD TSE fs p3 s2 PD TSE fs p3 s2 T1 TSE p4 s2 images. The Deep Resolve Boost denoising strength can be adapted by 0.2 x 0.2 x 3 mm3 0.2 x 0.2 x 3 mm3 0.2 x 0.2 x 3 mm3 0.2 x 0.2 x 3 mm3 2.5 Motion Correction for TSE with more than choosing from three levels. Deep Resolve Boost will significantly cut scan TA: 39 sec TA: 36 sec TA: 28 sec TA: 15 sec a single average times in clinical routine areas such as neuro, spine, and MSK while not Total exam time: 1:58 min 2.6 GSP: Toolbar pinning compromising image quality. Deep Resolve Boost can be combined with SMS TSE, which will be the industry first k-space-to-image-space Deep Deep Resolve Boost supports SMS TSE, a Siemens Healthineers exclusive feature. This enables, for example, 2.7 GSP: Center line for scan planning Learning Reconstruction that can be combined with SMS TSE. ultra-fast high-resolution knee imaging in 1:58 min with 8-fold acceleration for each contrast (PAT3 S2). 2.8 Transition of Dot engines to myExam Companion 2.9 Static Field Correction for EPI Highlights and benefits 2.10 Fast GRE reference scan for (SMS) EPI imaging • Deep Learning Reconstruction with effective denoising 2.11 Improvements to SMS TSE imaging • Three levels selectable for the denoising strength • Deep Resolve Boost outperforms Deep Resolve Gain in its denoising capability 2.12 Faster image reconstruction in SMS imaging • Enable parallel imaging factors previously inaccessible in MR imaging 2.13 Improved RESOLVE diffusion imaging in the breast • Significantly cut down scan times for TSE imaging sequences • Deep Resolve Boost is compatible with SMS TSE, a Siemens Healthineers exclusive feature 3syngo MR XA50A What’s New siemens-healthineers.us/mriContents 1. New sequences, protocols 1 Deep Resolve Swift Brain 1. New sequences, protocols and applications Impressive speed, no compromise on image quality 1.1 Deep Resolve Boost and applications Deep Resolve Swift Brain – when time is critical 1.2 Deep Resolve Swift Brain Simultaneous acquisition 1.2 Deep Resolve Swift Brain SMS DWI 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1:58 min 1.4 myExam Angio Advanced Assist Net imaging time Category: Optional feature 1.5 CS GRASP-VIBE for MAGNETOM Lumina T1 Diffusion T2 Dark-fluid T2* T2 Pre-requisites: High-end MaRS 0:21min 0:21min 0:51min 0:25 min Note: Exclusive on 3T systems for brain imaging 2. Improvements to sequences, protocols • Deep Learning reconstruction for uncompromised image quality Siemens Healthineers 2 exclusive and applications • Innovative multi-shot EPI approach for fastest data acquisition • New static field correction to minimize geometric distortion in EPI imaging • Below 5 min total scan time including prescans and localizers Powered by 2.1 Deep Resolve Gain Artificial Intelligence What is Deep Resolve Swift Brain? 2.2 Deep Resolve Sharp Deep Resolve Swift Brain is an ultra-fast brain protocol leveraging the 1 The product is currently under development; is not for sale in the U.S. Its future availability cannot be guaranteed. 2 T1 contrast can also be acquired using gradient echo based imaging; StudyID: 2aaaa2230 2.3 HASTE Diffusion @ 3T fastest available imaging sequence, EPI, together with a Deep Learning 2.4 Br east Biopsy improvements (detection of Reconstruction to push acceleration to the edge. The protocol consists of fiducial markers) five contrasts: T1, T2, T2*, T2 dark-fluid, and diffusion. While T1 is based on a fast GRE imaging sequence, the remaining contrasts are multi-shot 2.5 Mo tion Correction for TSE with more than EPI-based. Multi-shot EPI together with a new static field correction Highlights and benefits a single average minimizes geometric distortions that are intrinsic to EPI imaging. Within • Ultra-fast brain examination with a Siemens Healthineers exclusive multi-shot EPI implementation supported by Deep Learning Reconstruction 2.6 GSP: Toolbar pinning this multi-shot EPI approach, T2 and T2* are acquired simultaneously by a Siemens Healthineers exclusive EPI-implementation, further accelerating • Five resulting contrasts: T1, T2, T2*, T2 dark-fluid, diffusion 2.7 GSP: Center line for scan planning this protocol. Multi-shot EPI-based T2 dark-fluid reduces imaging times • Net scan time < 2 minutes 2.8 Transition of Dot engines to myExam Companion substantially compared to standard TSE imaging and offers true FLAIR • Total table time including prescans, adjustments, and imaging < 5 minutes contrast due to magnetization transfer preparation. Highest image quality • New static field correction to further minimize EPI-intrinsic geometric distortions; 2.9 Static Field Correction for EPI available for all EPI sequences after purchasing of Deep Resolve Swift Brain license is ensured by a Deep Learning Reconstruction to push the limits of parallel 2.10 Fast GRE reference scan for (SMS) EPI imaging imaging acceleration. 2.11 Improvements to SMS TSE imaging The unique combination of multi-shot EPI imaging and Deep Learning 2.12 Faster image reconstruction in SMS imaging Reconstruction can drive exam times of less than two minutes. The total table time including prescans and adjustments can be less than five 2.13 Improved RESOLVE diffusion imaging in the breast minutes with this protocol. 4syngo MR XA50A What’s New siemens-healthineers.us/mriContents 1. New sequences, protocols 1. New sequences, protocols and applications 1.1 Deep Resolve Boost and applications 1.2 Deep Resolve Swift Brain 1.3 BLADE Diffusion with SMS functionality 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Standard (BLADE TGSE) 1.5 CS GRASP-VIBE for MAGNETOM Lumina Purchasable Option (BLADE Diffusion and SMS option) Pre-requisites: None 2. Improvements to sequences, protocols and applications What is BLADE Diffusion? Highlights and benefits 2.1 Deep Resolve Gain BLADE Diffusion is a new member of the BLADE family based on the TGSE • New non-EPI based diffusion functionality based on a BLADE 2.2 Deep Resolve Sharp sequence. It employs a TSE-based sequence design that allows an EPI readout TGSE sequence to collect multiple echoes around the main spin echo. In its basic version, it 2.3 HASTE Diffusion @ 3T • No geometric distortions in challenging areas with large will become available as standard with the same functionality as the already susceptibility changes 2.4 Br east Biopsy improvements (detection of available BLADE TSE, meaning EPI factor = 1. • SMS support for BLADE diffusion is a Siemens Healthineers fiducial markers) exclusive feature By adding the BLADE Diffusion license, BLADE leverages the advantage of the • New static field correction to further minimize EPI-intrinsic 2.5 Mo tion Correction for TSE with more than TGSE sequence design. Diffusion weighting is now available, allowing EPI geometric distortions; available for all EPI sequences after a single average factors > 1 so that a BLADE-based non-EPI diffusion sequence becomes purchasing of Deep Resolve Swift Brain license 2.6 GSP: Toolbar pinning available. By performing diffusion imaging with a non-EPI sequence, geometric distortions are eliminated in areas with large susceptibility changes such as the 2.7 GSP: Center line for scan planning sinuses and the inner auditory canal. BLADE diffusion is recommended in 2.8 Transition of Dot engines to myExam Companion situations where RESOLVE does not minimize geometric distortions sufficiently. 2.9 Static Field Correction for EPI With the additional purchase of the SMS license (either individually or by selecting Turbo Suite Excelerate) you can use SMS to reduce the total scan 2.10 Fast GRE reference scan for (SMS) EPI imaging time of the BLADE diffusion. SMS BLADE Diffusion is a Siemens Healthineers 2.11 Improvements to SMS TSE imaging exclusive feature. 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 5syngo MR XA50A What’s New siemens-healthineers.us/mriContents 1. New sequences, protocols 1. New sequences, protocols and applications 1.1 Deep Resolve Boost and applications 1.2 Deep Resolve Swift Brain 1.4 myExam Angio Advanced Assist 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Included in myExam Angio Assist 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: myExam Angio Assist Note: Exclusive for Care Bolus 2. Improvements to sequences, protocols and applications 2.1 Deep Resolve Gain What is myExam Angio Advanced Assist? 2.2 Deep Resolve Sharp myExam Angio Advanced Assist is a semi-automated workflow for peripheral 2.3 HASTE Diffusion @ 3T angiography examination with step-by-step guidance throughout the exam. 2.4 Br east Biopsy improvements (detection of This workflow support feature offers clear planning for all multi-station fiducial markers) angiography exams by enabling the planning in the GSP for all stations in one common planning step. This new Assist workflow uses the care 2.5 Mo tion Correction for TSE with more than bolus-functionality to optionally track the care bolus arrival in the vessels. a single average myExam Angio Advanced Assist provides workflow support for peripheral Highlights and benefits 2.6 GSP: Toolbar pinning MR angiography exams. After performing an overview scan, the relevant • Automation and guidance for robust peripheral MRI exams 2.7 GSP: Center line for scan planning peripheral vessels and the aorta are localized. Then planning of the actual • Easy planning with coverage boxes, overlap clearly visible angiography measurement is performed by using the Angio Advanced • Individual parametrization 2.8 Transition of Dot engines to myExam Companion Planning Add-in, which enables users to plan all stations (abdomen, legs, feet) 2.9 Static Field Correction for EPI together in the GSP. After planning is complete, the angio pre-contrast data- acquisition is executed for all planned stations. Once the contrast agent is 2.10 Fast GRE reference scan for (SMS) EPI imaging detected the angio post-contrast measurement is performed in accordance 2.11 Improvements to SMS TSE imaging with the pre-contrast measurement. Finally, an optional dynamic CE MRA (TWIST) measurement can be performed. 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 6syngo MR XA50A What’s New siemens-healthineers.us/mriContents 1. New sequences, protocols 1. New sequences, protocols and applications 1.1 Deep Resolve Boost and applications 1.2 Deep Resolve Swift Brain 1.5 CS GRASP-VIBE for MAGNETOM Lumina 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Lumina 1.4 myExam Angio Advanced Assist Category: Optional feature 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: High-end MARS 2. Improvements to sequences, protocols and applications Compressed Sensing GRASP-VIBE (Golden-Angle RAdial Sparse Parallel) Liver image acquired with the CS GRASP-VIBE sequence. 2.1 Deep Resolve Gain makes it possible to conduct dynamic contrast-enhanced abdominal exams 2.2 Deep Resolve Sharp in free breathing. Acquisition is performed in one continuous run, using a golden-angle stack-of-stars radial scheme that confers robustness towards 2.3 HASTE Diffusion @ 3T motion and the flexibility to choose the temporal resolution at reconstruction 2.4 Br east Biopsy improvements (detection of time. The temporal resolution may even vary over the duration of the scan. fiducial markers) An iterative Compressed Sensing based algorithm with per-voxel through-time Highlights and benefits regularization is used to reconstruct missing data in the undersampled 2.5 Mo tion Correction for TSE with more than • Perform push-button, free-breathing liver dynamics datasets. The algorithm also automatically recognizes the typical phases in a single average • Overcome timing challenges in dynamic imaging and respiratory liver dynamics and therefore has the capability to only reconstruct a subset of artifacts 2.6 GSP: Toolbar pinning clinically relevant images with respective labeling. • Expand the patient population eligible for abdominal MRI 2.7 GSP: Center line for scan planning Additional features: 2.8 Transition of Dot engines to myExam Companion • Auto Bolus Detection at reconstruction time 2.9 Static Field Correction for EPI • Conf iguration of exam phases in terms of start time relative to the auto- 2.10 Fast GRE reference scan for (SMS) EPI imaging detected bolus arrival, duration, temporal resolution, and pre-selection for export to PACS 2.11 Improvements to SMS TSE imaging • Self-gating for further reduction of residual motion blur 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 7syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.1 Deep Resolve Gain 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Optional feature 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: None Restrictions: TSE is supported with the exception of BLADE TSE 2. Improvements to sequences, protocols and applications 2.1 Deep Resolve Gain 2.2 Deep Resolve Sharp Deep Resolve Gain is our solution for targeted denoising, addressing local noise variations. Image noise usually is not uniformly distributed in MR New benefits 2.3 HASTE Diffusion @ 3T • Deep Resolve Gain’s intelligent denoising now supports TSE Dixon images. This is due to coil array geometries, as well as acceleration and conventional Spin Echo 2.4 Br east Biopsy improvements (detection of techniques such as parallel imaging. These local variations can not be • Deep Resolve Gain is now compatible with SMS TSE fiducial markers) addressed by standard image filters. Deep Resolve Gain uses individual noise 2.5 Mo tion Correction for TSE with more than maps in the reconstruction process to reduce noise where it is most needed a single average in the image. Deep Resolve Gain can be used for the reduction of image acquisition times. There are mainly two ways this can be accomplished: Deep 2.6 GSP: Toolbar pinning Resolve Gain can be used to mitigate noise introduced by reducing the 2.7 GSP: Center line for scan planning number of averages in the acquisition, or it can be used to reduce image noise introduced by increasing acceleration factors such as PAT. 2.8 Transition of Dot engines to myExam Companion 2.9 Static Field Correction for EPI 2.10 Fast GRE reference scan for (SMS) EPI imaging 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 8syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, protocols and applications 1. New sequences, protocols and applications 1.1 Deep Resolve Boost 1.2 Deep Resolve Swift Brain 2.2 Deep Resolve Sharp 2.3 HASTE Diffusion @ 3T 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, Available for: MAGNETOM Vida, MAGNETOM Lumina, 1.4 myExam Angio Advanced Assist MAGNETOM Vida Fit MAGNETOM Vida Fit 1.5 CS GRASP-VIBE for MAGNETOM Lumina Category: Optional feature Category: Standard Pre-requisites: None Pre-requisites: None 2. Improvements to sequences, protocols Restrictions: TSE is supported with the exception of BLADE TSE and applications 2.1 Deep Resolve Gain 2.2 Deep Resolve Sharp Deep Resolve Sharp is a novel image reconstruction technology HASTE Diffusion reduces geometric distortions with non-EPI to increase the sharpness in the resulting images. The deep based acquisition [1–3]. This functionality has been available on 2.3 HASTE Diffusion @ 3T neural network at the core of Deep Resolve Sharp generates a other systems (≤ 1.5T) for a while and has now been extended  2.4 Br east Biopsy improvements (detection of high-resolution image from low resolution input data. The to 3T. fiducial markers) network was trained on a large number of pairs of low-resolution 2.5 Mo tion Correction for TSE with more than and high-resolution data. As the training data for Deep Resolve a single average Sharp covered a wide range of anatomies, the reconstruction New benefits network can be applied to all body regions. Deep Resolve Sharp • HASTE Diffusion is now available on 3T systems 2.6 GSP: Toolbar pinning can increase the matrix size by a factor of up to two along both • Comprehensive diffusion portfolio with single-shot EPI, RESOLVE, BLADE, 2.7 GSP: Center line for scan planning in-plane axis, resulting in substantially increased image and HASTE Diffusion sharpness. Deep Resolve Sharp can also be used to reduce 2.8 Transition of Dot engines to myExam Companion acquisition times: Images can be acquired with reduced phase External Literature References: 2.9 Static Field Correction for EPI resolution; the resolution can then be recovered when 1. De Foer B. et al: The value of single-shot turbo spin-echo diffusion-weighted MR imaging in the detection of reconstructing the images with Deep Resolve Sharp. middle ear cholesteatoma; Neuroradiology 49:841-848 (2007) 2.10 Fast GRE reference scan for (SMS) EPI imaging 2. F an X. et al.: The value of turbo spin-echo diffusion-weighted imaging apparent diffusion coefficient in the diagnosis of temporal bone cholesteatoma; Clin Radiol 74:977.e1-977.e7 (2019) 2.11 Improvements to SMS TSE imaging 3. Henning er B. and Kremser C.: Diffusion weighted imaging for the detection and evaluation of cholesteatoma; World J Radiol 9:217-222 (2017) 2.12 Faster image reconstruction in SMS imaging New benefits • Deep Resolve Sharp now supports TSE Dixon and conventional Spin Echo 2.13 Improved RESOLVE diffusion imaging in the breast • Deep Resolve Sharp is now compatible with SMS TSE 9syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.4 Breast Biopsy improvements 1.3 BLADE Diffusion with SMS functionality (detection of fiducial markers) 1.4 myExam Angio Advanced Assist Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.5 CS GRASP-VIBE for MAGNETOM Lumina Category: Included with Breast Biopsy software license Pre-requisites: Breast Biopsy software license, Breast Biopsy Coil and 2. Improvements to sequences, protocols Grid- or Post&Pillar-Device and Fiducial Marker The automatic fiducial marker detection can be activated in the Device Settings pre-configuration dialogue. and applications 2.1 Deep Resolve Gain 2.2 Deep Resolve Sharp The functionality supports the breast biopsy user by automatically selecting the fiducial marker. After the automatic selection, the user 2.3 HASTE Diffusion @ 3T can approve the selected marker. After approval, the marker is 2.4 Br east Biopsy improvements (detection of highlighted with a yellow arrow in the images. fiducial markers) 2.5 Mo tion Correction for TSE with more than a single average New benefits 2.6 GSP: Toolbar pinning • The automatic detection of the fiducial markers provides an improved breast biopsy workflow, which can be performed faster as the user does not need to 2.7 GSP: Center line for scan planning manually select the fiducial marker by scrolling/navigating through all the images. 2.8 Transition of Dot engines to myExam Companion After automatic detection of the fiducial marker, the marker is displayed and labeled in the “Markers” field. 2.9 Static Field Correction for EPI The approved marker is also highlighted with a yellow arrow in the image. 2.10 Fast GRE reference scan for (SMS) EPI imaging 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 10syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.5 Motion Correction for TSE with more than 1.3 BLADE Diffusion with SMS functionality a single average 1.4 myExam Angio Advanced Assist Available for: MAGNETOM Vida, MAGNETOM Lumina, 1.5 CS GRASP-VIBE for MAGNETOM Lumina MAGNETOM Vida Fit Category: Standard 2. Improvements to sequences, protocols Pre-requisites: None and applications Restrictions: Not compatible with Deep Resolve Boost 2.1 Deep Resolve Gain 2.2 Deep Resolve Sharp 2.3 HASTE Diffusion @ 3T TSE motion correction is an image-based motion correction technique in the average-dimension for TSE imaging. The motion 2.4 Breast Biopsy improvements (detection of correction technique employs a non-rigid elastic registration to fiducial markers) consistently align the images before averaging. The feature has 2.5 Motion Correction for TSE with more than been optimized and validated for improved prostate TSE imaging. a single average 2.6 GSP: Toolbar pinning New benefits The TSE motion correction functionality can be activated in the UI element “Motion Correction” through the option 2.7 GSP: Center line for scan planning “Registration of Averages”. This functionality is only selectable if multiple averages are selected • Motion correction in the average dimension reduces image blurring that would 2.8 Transition of Dot engines to myExam Companion result from organ movement between averages. 2.9 Static Field Correction for EPI 2.10 Fast GRE reference scan for (SMS) EPI imaging 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 11syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.6 GSP: Toolbar pinning 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Standard 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: None 2. Improvements to sequences, protocols The Graphical Slice Positioning (GSP) User Interface (UI) is the central workplace and applications when planning and conducting an exam. When using the toolbar of the GSP, 2.1 Deep Resolve Gain there was no way to pin it. With syngo MR XA50A, the possibility to pin the Toolbar has been added to the GSP UI. 2.2 Deep Resolve Sharp After the triangle has been clicked, the toolbar opens. Please note on the far-right side the small pin next to the settings wheel. 2.3 HASTE Diffusion @ 3T New benefits 2.4 Breast Biopsy improvements (detection of • GSP Toolbar can be pinned on all systems starting with syngo MR XA50A. fiducial markers) 2.5 Motion Correction for TSE with more than a single average 2.6 GSP: Toolbar pinning 2.7 GSP: Center line for scan planning 2.8 Transition of Dot engines to myExam Companion 2.9 Static Field Correction for EPI 2.10 Fast GRE reference scan for (SMS) EPI imaging 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast After clicking the pin, the background of the pin turns to a light gray and the orientation of the pin changes from horizontal to downwards tilted. The Toolbar is now pinned and, the tools are always visible in the UI. Regular user interface in syngo MR XA50A. The toolbar is hidden and can be activated by clicking the white downwards oriented triangle above the three localizer images in the center. 12syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.7 GSP: Center line for scan planning 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Standard 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: None 2. Improvements to sequences, protocols The Graphical Slice Positioning (GSP) User Interface (UI) is the central and applications workplace when planning and conducting an exam. When modifying the slice 2.1 Deep Resolve Gain or slab group orientation in 2D or 3D scanning, a dashed line along the slice/ 2.2 Deep Resolve Sharp slab direction is displayed. This center line is designed to facilitate precise positioning along anatomical structures such as the brainstem, spinal cord, 2.3 HASTE Diffusion @ 3T septal wall etc. As soon as the user releases the mouse button, the center line 2.4 Breast Biopsy improvements (detection of disappears for clear visualization of the underlying anatomy. Please note that fiducial markers) no center line is displayed if the slice orientation is perpendicular to your planning image plane, e.g., if you plan a sagittal slice stack on a sagittal image. 2.5 Motion Correction for TSE with more than When modifying the orientation of the slice group for 2D imaging, a dashed white line along the slice a single average direction through the pivot (yellow circle in the center of the slice group) appears. 2.6 GSP: Toolbar pinning 2.7 GSP: Center line for scan planning New benefits • Center line along slice direction for precise positioning along anatomical structures 2.8 Transition of Dot engines to myExam Companion • Available for 2D and 3D imaging 2.9 Static Field Correction for EPI 2.10 Fast GRE reference scan for (SMS) EPI imaging 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast No center line is visible when the mouse button is released. 13syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.8 Transition of Dot engines to myExam Companion 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Standard and Optional 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: None 2. Improvements to sequences, protocols With syngo MR XA50A, the Dot engines will move under the Overview of new names: and applications umbrella of the Siemens Healthineers myExam Companion. 2.1 Deep Resolve Gain This will harmonize tools facilitating easier workflow across Previous naming New naming with syngo MR XA50A 2.2 Deep Resolve Sharp different modalities under one common brand name. On the Dot engines myExam Assist MAGNETOM scanners running on syngo MR XA50A, myExam 2.3 HASTE Diffusion @ 3T Companion will feature the “Dot engines” as “myExam Assist” Brain Dot Engine myExam Brain Assist 2.4 Breast Biopsy improvements (detection of or simply “Assist”; the former “Dot Cockpit” becomes the Spine Dot Engine myExam Spine Assist fiducial markers) “myExam Cockpit”. Large Joint Dot Engine myExam Large Joint Assist 2.5 Motion Correction for TSE with more than a single average Abdomen Dot Engine myExam Abdomen Assist 2.6 GSP: Toolbar pinning Whole-body Dot Engine myExam Whole-Body Assist 2.7 GSP: Center line for scan planning New benefits Breast Dot Engine myExam Breast Assist • Harmonized naming convention across different modalities (e.g., CT and 2.8 Transition of Dot engines to myExam Companion X-ray products) making it easier for novice MR users to operate the system Angio Dot Engine myExam Angio Assist when switching between modalities 2.9 Static Field Correction for EPI Cardiac Dot Engine myExam Cardiac Assist 2.10 Fast GRE reference scan for (SMS) EPI imaging RT Dot Engine myExam RT Assist 2.11 Improvements to SMS TSE imaging LiverLab Dot Engine myExam LiverLab Assist 2.12 Faster image reconstruction in SMS imaging As additional stand-alone option w/o Abdomen Assist 2.13 Improved RESOLVE diffusion imaging in the breast Prostate Dot Engine myExam Prostate Assist Dot Cockpit myExam Cockpit 14syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.9 Static Field Correction for EPI 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Standard and Optional 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: Deep Resolve Swift Brain Restrictions: Applicable to all EPI-based sequences 2. Improvements to sequences, protocols and applications 2.1 Deep Resolve Gain 2.2 Deep Resolve Sharp With the development of Deep Resolve Swift Brain, a new static field correction has been developed to minimize geometric 2.3 HASTE Diffusion @ 3T distortions in EPI-based imaging. This new feature uses a B0 map 2.4 Breast Biopsy improvements (detection of acquired in a respective prescan. This feature is available – fiducial markers) given that Deep Resolve Swift Brain has been purchased – for all EPI-based sequences on the Resolution > Filter card as shown in 2.5 Motion Correction for TSE with more than the screen shot example of ZOOMit Diffusion. Please note that a single average the static field correction has been optimized for brain imaging 2.6 GSP: Toolbar pinning and might lead to mixed results if applied outside of the brain. 2.7 GSP: Center line for scan planning 2.8 Transition of Dot engines to myExam Companion 2.9 Static Field Correction for EPI New benefits 2.10 Fast GRE reference scan for (SMS) EPI imaging • Minimize geometric distortions in EPI-based imaging. 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging The static field correction check box can be found on the Resolution > Filter card as shown in this figure. The example shows a ZOOMit EPI-based diffusion exam. 2.13 Improved RESOLVE diffusion imaging in the breast 15syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.10 Fast GRE reference scan for (SMS) EPI imaging 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Standard 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: None Restrictions: EPI BOLD is not supported 2. Improvements to sequences, protocols and applications 2.1 Deep Resolve Gain The fast GRE reference scan is a speed-optimized version of the 2.2 Deep Resolve Sharp already existing GRE reference scan where GRAPPA and slice 2.3 HASTE Diffusion @ 3T GRAPPA kernel calibration require separate reference scans. In the new fast GRE reference scan, kernels for both GRAPPA 2.4 Breast Biopsy improvements (detection of variants are derived from the same calibration data. As a fiducial markers) consequence, dummy scans for steady state preparation could 2.5 Motion Correction for TSE with more than be reduced, resulting in additional reference scan time reductions. a single average In summary, significant time savings for the (SMS) EPI imaging 2.6 GSP: Toolbar pinning process can be expected. Deep Resolve Swift Brain is a prominent application that directly benefits from this new fast 2.7 GSP: Center line for scan planning GRE reference scan. 2.8 Transition of Dot engines to myExam Companion 2.9 Static Field Correction for EPI 2.10 Fast GRE reference scan for (SMS) EPI imaging New benefits 2.11 Improvements to SMS TSE imaging • Significantly faster reference scan for SMS EPI scans • In consequence, the fast GRE reference scan substantially accelerates protocols The Fast GRE reference scan can be selected on the Resolution/Acceleration tab card as soon as GRAPPA or SMS has 2.12 Faster image reconstruction in SMS imaging such as SMS DWI imaging that typically require a reference scan up front been selected as acceleration mode. 2.13 Improved RESOLVE diffusion imaging in the breast 16syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, 1. New sequences, protocols and applications 1.1 Deep Resolve Boost protocols and applications 1.2 Deep Resolve Swift Brain 2.11 Improvements to SMS TSE imaging 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit 1.4 myExam Angio Advanced Assist Category: Standard (with SMS license) 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: SMS license 2. Improvements to sequences, protocols and applications SMS TSE imaging can potentially suffer from distinct ghosting Previous SW Versions XA50A 2.1 Deep Resolve Gain artifacts that can compromise image quality. These ghosting artifacts are residual fat signal. The root cause is the difference 2.2 Deep Resolve Sharp in the resonance frequencies between fat and water. With syngo 2.3 HASTE Diffusion @ 3T MR XA50A the induced phase shift of the blip gradients in the SMS TSE sequence has been optimized, resulting in an effective 2.4 Breast Biopsy improvements (detection of reduction of fat-related ghosting artifacts. fiducial markers) 2.5 Motion Correction for TSE with more than a single average 2.6 GSP: Toolbar pinning New benefits 2.7 GSP: Center line for scan planning • Reduction of ghosting artifacts results in improved image quality for SMS TSE. 2.8 Transition of Dot engines to myExam Companion A fat-related ghosting artifact (red arrows) from SMS TSE can be seen by aggressive windowing, here on a knee image. 2.9 Static Field Correction for EPI The optimization for SMS TSE included with the new syngo MR XA50A software substantially reduces these artifacts. 2.10 Fast GRE reference scan for (SMS) EPI imaging 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 17syngo MR XA50A What’s New siemens-healthineers.us/mriContents 2. Improvements to sequences, protocols and applications 1. New sequences, protocols and applications 1.1 Deep Resolve Boost 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging 1.2 Deep Resolve Swift Brain MAGNETOM Vida, MAGNETOM Lumina, in the breast 1.3 BLADE Diffusion with SMS functionality Available for: MAGNETOM Vida Fit Available for: MAGNETOM Vida, MAGNETOM Lumina, 1.4 myExam Angio Advanced Assist Category: Standard (with SMS license) MAGNETOM Vida Fit 1.5 CS GRASP-VIBE for MAGNETOM Lumina Pre-requisites: SMS license Category: Standard Pre-requisites: None 2. Improvements to sequences, protocols and applications In rare cases, users running high resolution matrix sizes in In rare cases, when applying RESOLVE diffusion imaging in the 2.1 Deep Resolve Gain conjunction with SMS imaging can possibly incur memory issues breast with arms down, signal drops could be visible. With syngo 2.2 Deep Resolve Sharp with their MaRS. With syngo.MR XA50A, data processing has MR XA50A, the calculation of the ghost correction factors has been optimized such that these memory problems should no been refined such that erroneous results are now avoided. 2.3 HASTE Diffusion @ 3T longer occur. In addition, SMS recon-struction times can be 2.4 Breast Biopsy improvements (detection of reduced by up to a factor of two. fiducial markers) 2.5 Motion Correction for TSE with more than a single average New benefits New benefits 2.6 GSP: Toolbar pinning • Reconstruction of highly resolved SMS imaging data should not lead to • Rare signal drops in RESOLVE breast imaging are avoided. memory problems 2.7 GSP: Center line for scan planning • Faster image reconstruction due to optimized data processing 2.8 Transition of Dot engines to myExam Companion 2.9 Static Field Correction for EPI 2.10 Fast GRE reference scan for (SMS) EPI imaging 2.11 Improvements to SMS TSE imaging 2.12 Faster image reconstruction in SMS imaging 2.13 Improved RESOLVE diffusion imaging in the breast 18syngo MR XA50A What’s New siemens-healthineers.us/mriSiemens Healthineers AG (listed in Frankfurt, Germany: SHL) pioneers The outcomes and statements provided by customers of Siemens Healthineers are breakthroughs in healthcare. For everyone. Everywhere. As a leading unique to each customer’s setting. Since there is no “typical” hospital and many medical technology company headquartered in Erlangen, Germany, variables exist (e.g., hospital size, case mix, and level of service/technology adoption), Siemens Healthineers and its regional companies is continuously developing there can be no guarantee that others will achieve the same results. its product and service portfolio, with AI-supported applications and digital offerings that play an increasingly important role in the next generation of On account of certain regional limitations of sales rights and service availability, we medical technology. These new applications will enhance the company’s cannot guarantee that all products included in this brochure are available through the foundation in in-vitro diagnostics, image-guided therapy, in-vivo diagnostics, Siemens Healthineers sales organization worldwide. Availability and packaging may and innovative cancer care. vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. Siemens Healthineers also provides a range of services and solutions to enhance healthcare providers’ ability to provide high-quality, efficient The information in this document contains general technical descriptions of care. In fiscal 2021, which ended on September 30, 2021, specifications and options as well as standard and optional features, which do not Siemens Healthineers, which has approximately 66,000 employees always have to be present in individual cases. worldwide, generated revenue of €18.0 billion and adjusted EBIT of €3.1 billion. Siemens Healthineers reserves the right to modify the design, packaging, specifications, and options described herein without prior notice. For the most current information, Further information is available at please contact your local sales representative from Siemens Healthineers. www.siemens-healthineers.com. Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when reproduced. Siemens Healthineers Headquarters USA Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Healthcare 91052 Erlangen, Germany 40 Liberty Boulevard siemens-healthineers.com Malvern, PA 19355-9998, USA siemens-healthineers.us Published by Siemens Medical Solutions USA, Inc. · Order No. MR-22-NAM-3187 · Digital only · 03.2022 · HOOD05162003262240 · © Siemens Medical Solutions USA, Inc., 2022syngo MR XA50A What’s New siemens-healthineers.us/mri