syngo MR XA60 - What's New (MAGNETOM Free.Max & Free.Star)

MAGNETOM Free.Max, MAGNETOM Free.Star Advance your magnetic resonance imaging syngo MR XA60A – What’s New 7 siemens-healthineers.us/mri Including AdvanceNow SIEMENS Healthineers Dear MAGNETOM user, We are pleased to announce the arrival of our latest This information letter provides a comprehensive MRI scanner software, syngo MR XA60A. This new overview of the new features and software improve- software version includes comprehensive improvements ments that are incorporated in syngo MR XA60A. to the existing scanner functionalities and provides access to exciting new features. We are continuously striving to improve the quality of our products and sincerely believe that this new You have received this information letter to accompany software version will further improve your daily work installation of the syngo MR XA60A software on your with your MAGNETOM scanner. MAGNETOM scanner(s). Sincerely yours, Scanners qualified for this update include the following Your Siemens Healthineers MR team systems: • MAGNETOM Free.Max (0.55T) • MAGNETOM Free.Star (0.55T) AdvanceNow, the long-term update and upgrade service from Siemens Healthineers, is your digital strategy enabling you to be constantly up to date. It offers continuous access to innovations and state-of-the-art cybersecurity and allows efficient and long-lasting equipment performance by constantly and proactively providing updates and cybersecurity patches, online. To enable you to benefit from advancements in intelligent imaging and deliver efficient precision medicine, system software upgrades are offered as soon as they become available and computing hardware is replaced as soon as required. 2 Contents Contents 1. New hardware 4 1.1. High-end reconstruction system 4 1.2. Contour Knee Coil 5 2. New sequences, protocols, and applications 6 2.1. Deep Resolve Boost TSE 6 2.2. Diffusion Weighted Imaging with Complex Averaging 7 2.3. Respiratory Gating with BioMatrix Contour L Coil 8 2.4. myExam Autopilot Hip 9 2.5. myExam 3D Camera 10 3. Improvements to sequences, protocols and applications 11 3.1. Deep Resolve Gain & Sharp for SE and TSE Dixon 11 4. General syngo MR XA60A platform improvements 12 4.1. Gradient ECO Mode 12 4.2. MR View&Go improvements 12 4.3. DICOM AutoRouting 13 4.4. AutoDisplay & AutoMPR 13 4.5. Improved SAR Assistant 14 4.6. SRS Mobile Router 14 V V v 3 syngo MR XA60A – What’s New A 1. New hardware 1.1. High-end reconstruction system Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Optional feature Pre-requisites: None Restrictions: None As part of the new syngo MR XA60A software baseline Computer specifications: more computationally demanding sequences have been made available on the MAGNETOM Free. Platform, Processor: 1x 10-Core Intel Xenon® W-1290E which require a high-end computer for reasonable (3.5 GHz) reconstruction times. The Deep Resolve Boost TSE license RAM: 64 GB will require the high-end reconstruction computer as a prerequisite; however, this feature is also available as SSD: 960 GB standalone. Reconstruction ≥ 28,428 recons per second Highlights and benefits: speed: (2562 PeFT, full FOV) ≥ 119,093 recons per second • Enabling shorter computation times in iterative and (256 x 64 PeFT, 25% FOV) deep learning-based image reconstruction 4 syngo MR XA60A – What’s New 1.2. Contour Knee Coil Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Optional feature Pre-requisites: None Restrictions: None The Contour Knee Coil is the first dedicated musculo- Highlights and benefits: skeletal coil launched for the MAGNETOM Free. Platform. • While the simplicity of the coil portfolio of MAGNETOM Highly flexible blanket coil that adapts seamlessly to Free. Platform has been intentional to keep a simple various knee sizes • yet agile system configuration, the Contour Knee Coil First dedicated MSK coil to support fast workflows • has been launched in order to support a speed-focused iPAT-compatible in all directions • workflow environment. The design of the Contour SlideConnect technology for easy coil set up • Knee Coil follows the flexibility of the standard Contour Hygienic, Velcro-free coil design for easy cleaning Coils in order to support adaption to various knee sizes. The image quality of the Contour Knee Coil matches the image quality obtained from the Contour M Coil. Coil specifications: • Receive-only coil • 12 coil elements with 12 integrated preamplifiers • 3 rows of 4 elements each • 4.8 channel / 10 cm z-FOV • The base of knee coil can slide on the main baseplate to allow for off-center positioning Dimensions: • Contour Knee Coil baseplate: 543 x 298 mm (L x W). • Contour Knee Coil: 249 x 228 x 87 mm (L x W x rigid height) • Minimum inner diameter: 113 mm The weight of the Contour Knee Coil is about 3.3 kg Contour Knee Coil and supporting cushion enable faster patient (7.3 lbs). setup in high-throughput environments. A faster workflow can be achieved with Contour Knee Coil with matching image quality to the 12-channel Contour M Coil. 7aaaa0421 Routine clinical knee examination performed with Contour Knee Coil on MAGNETOM Free.Max. Acquisition performed with Deep Resolve Boost, total acquisition time 7:29 min. 5 syngo MR XA60A – What’s New A 2. New sequences, protocols, and applications 2.1. Deep Resolve Boost Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Optional feature Pre-requisites: None Restrictions: None Deep Resolve Boost is our deep learning image reconstruction trained to recognize and eliminate noise and aliasing pattern. This algorithm works in k-space and reconstructs high-quality diagnostic (a) (b) 7aaaa0371 images, using a deep neural network trained to An example demonstrating the way Deep Resolve Boost can resolve high SNR output from an undersampled raw be leveraged to generate high SNR and high-resolution images dataset. of the brain. (a) T2-FLAIR image of the brain acquired with Deep Resolve Gain and Deep Resolve Sharp; acquisition time Compatible sequence: Turbo Spin Echo 4 minutes (0.4 mm2 in-plane resolution). (b) T2-FLAIR image of the same volunteer acquired with Deep Resolve Boost resulting Highlights and benefits: in faster acquisition time (2:56 min) and the same in-plane resolution. • Enable faster image acquisition by using higher acceleration factors • Enhance image resolution by combining Deep Resolve Boost with Deep Resolve Sharp • Reach an ideal middle-ground between shorter acquisition time and image resolution 6 syngo MR XA60A – What’s New 2.2. Diffusion Weighted Imaging with Complex Averaging Included with Available for: MAGNETOM Free.Max and MAGNETOM Free.Star AdvanceNow Category: Standard feature Pre-requisites: None Restrictions: None Diffusion-weighted imaging at 0.55T can be challenging Highlights and benefits: due to the lower signal-to-noise ratio (SNR). In an effort • to enhance SNR, often multiple images are acquired Improved background noise suppression in diffusion- that are subsequently averaged; in this way, background weighted images • noise, which is assumed to be random and of a certain Can potentially decrease the number of averages that statistical distribution, cancels out through the multiple are required to achieve a desired SNR level averages and through this approach, signal is enhanced. Signal averaging is conventionally performed in magnitude domain; by extracting the magnitude, the noise floor of the image is elevated, which leads to a noise bias with averaging. In complex averaging, the noise remains zero-centered and scales inversely with the square root of the number of averages – meaning by preserving the entire range of signal obtained from the MRI system, one can achieve substantially better SNR and contrast through averaging. a b 7aaaa0424 Diffusion-weighted image of the prostate with (a) conventional DWI sequence using magnitude-based averaging and (b) complex-averaging clearly demonstrating the advantage of the latter technique – background noise is better suppressed and the details in the prostate are visible with superior contrast. 7 syngo MR XA60A – What’s New A 2.3. Respiratory Gating with BioMatrix Contour L Coil Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Optional feature Pre-requisites: BioMatrix Contour L Coil Restrictions: None The BioMatrix Contour L Coil, as initially launched, Highlights and benefits: includes the necessary BioMatrix hardware for receiving • respiratory signal. With software version syngo MR Ability to trigger MRI sequences seamlessly and XA60A, this feature can now be enabled through a without workflow impediments license that activates gating capabilities in all relevant sequences based on the signal received from the BioMatrix Respiratory Sensor. For existing BioMatrix Contour L Coils, which have been purchased prior to the availability of the BioMatrix Respiratory Sensor license, an upgrade kit is available, which essentially activates the sensor and enables synchro-nization between it and the relevant sequences. The built-in product protocols include T1 Flash, T2 HASTE, T2 BLADE, T2 SPACE, T2 TSE, and Diffusion. 8 syngo MR XA60A – What’s New = 2.4. myExam Hip Autopilot Included with Available for: MAGNETOM Free.Max and MAGNETOM Free.Star AdvanceNow Category: Standard feature Pre-requisites: None Restrictions: None myExam Hip Autopilot provides a true push-button Two distinct workflows are provided with myExam workflow for hip exams. It enables less trained staff to Hip Autopilot: scan hip MRI examinations while maintaining high- quality imaging results. Additionally, by leveraging AI a. In bilateral hip examination, myExam Hip Autopilot and automation, it takes away the time-consuming uses the BioMatrix Contour L Coil together with the and repetitive tasks such as image FOV setup for every Spine Coil. sequence in the protocol. myExam Hip Autopilot b. In unilateral hip examination, myExam Hip Autopilot leverages automation tools including AutoPositioning, requires a hybrid setup with BioMatrix Contour L Coil AutoAlign, AutoCoverage, and automated MPR planning and Spine Coil assisting in localization process and in order to eliminate unnecessary manual interaction. Contour M Coil set up for image acquisition on the Furthermore, the Autopilot can be flexibly customized hip being examined. to meet the requirements of each specific site. All myExam Hip Autopilot examinations also support Auto SatBand and Select&Go guidance. Highlights and benefits: • Enable a true push-button workflow for hip exams allow novice users to perform MRI examinations consistently • Leverage the built-in automations to create a more efficient workflow in the MRI suite 2 0 03:19x 1_the_ tra_ belat Hip Bi Lat & Uni Lat Hybrid test | Autopilot | 27:05 Remaining Time o o CS O EN 9:38:19 AM myExam Hip Autopilot presents a simplified user interface with built-in intelligent algorithms that take care of repetitive tasks such as setting up the field of view or optimizing imaging parameters for best contrast. 9 syngo MR XA60A – What’s New A 2.5. myExam 3D Camera Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Optional feature Pre-requisites: None Restrictions: None myExam 3D Camera automates patient setup and Highlights and benefits: makes the positioning more efficient, accurate, and • reproducible. Its AutoPositioning and AutoRegistration Enabling automated, seamless, and faster patient features capture the shape and position of the patient workflow • on the table in three dimensions. myExam 3D Camera Support for wide range of coils, clinical applications extends the AutoPositioning capabilities of BioMatrix and patient orientation (supine, prone, head-first, Select&Go with additional body regions and coils. feet-first) • As part of syngo XA60A, superman position for wrist With syngo MR XA60A, superman position is also imaging is also supported with Contour S Coil. In recognized by the 3D Camera addition, the AutoRegistration feature of myExam 3D Camera is designed to streamline and help safeguard accurate patient registration based on patient’s height, weight, and orientation. myExam 3D Camera supports height and weight registration for population in the following ranges1: • Height: 1.4–2.0 m (4’ 7” - 6’ 6”) • Weight: 45–120 kg (99 - 265 lbs) • BMI: 18.5–34.9 kg/m2 1 Additional coverage in weight and height is under development. The future availability of upgrades that increase the scope of weight/height coverage cannot be guaranteed at this time. 10 syngo MR XA60A – What’s New 3. Improvements to sequences, protocols, and applications 3.1. Deep Resolve Gain & Sharp for SE and TSE Dixon Included with AdvanceNow Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Standard feature Pre-requisites: None Restrictions: None Deep Resolve Gain and Sharp can now be combined New benefits: with standard GRAPPA acceleration and are available for • TSE, SE, and TSE Dixon. In addition, SMS averaging Intelligent denoising and data-driven interpolation has been made available for TSE Dixon. These features algorithm made available for a wider range of pulse result in noticeable image improvement both from the sequences. • perspective of SNR and resolution/sharpness. Ability to achieve the optimal balance between image quality and acquisition time Musculoskeletal protocols are optimized on syngo MR • Improved image quality by leveraging deep-neural XA60A to leverage Deep Resolve Gain and Deep Resolve networks to characterize and remove noise and Sharp for optimal image quality. This is implemented aliasing pattern by default in MSK protocols. When Deep Resolve Boost license is available, MSK protocols are implemented by default with Deep Resolve Boost and Deep Resolve Sharp for optimal balance between image quality and acquistion time. a b An example of sagittal T1 TSE Dixon images of the ankle, (a) without and (b) with Deep Resolve Gain & Sharp. When acquired with Deep Resolve Gain & Sharp, images clearly display an improved level of detail and sharpness. 11 syngo MR XA60A – What’s New 4.General syngo MR XA60A platform improvements 4.1. Eco Gradient Mode1 Included with AdvanceNow Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Standard feature Pre-requisites: None Restrictions: None Intelligent and state-of-the-art energy saving technique enables the system to automatically turn off the gradient for reducing energy consumption. The gradient amplifier amplifier when the scanner remains inactive for a period is one of the most significant energy consuming of time, resulting in considerable energy saving. components of an MRI system. The Eco Gradient Mode 4.2. MR View&Go improvements Included with AdvanceNow Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Standard feature Pre-requisites: None Restrictions: None Image sorting: Image presentation: With the new Image Sorting UI brought as part of With syngo MR XA60A it is possible to configure the syngo MR XA60A, it is now possible to sort frames system to allow for a user-defined setting of the image within a series (e.g., anatomical, temporal data), presentations as they get sent to the PACS. Previously, perform ascending and descending sort, interact when image windowing was performed at the scanner, with single frames (e.g., rotate an image), move an the images sent to the PACS kept the final presentation. image to another place, delete a single image, and With syngo MR XA60A it is possible to configure the manipulate and save the images into a new series. system such that saving of the image presentation prior to sending the data to PACS can be decided by the operator. H Autopilot Hip 2022.11.23-11:36:00-STD-1.3.12.2.1107.5.2.59 MAGNETOM Free. Max *11/23/1967, 0, 55Y MR XA60 11/23/2022 HFS +LPH AAHin Scout Bilat MPR_sag latest #AC_518bcce06e1d4 STUDY ID 55127e7d0ec1404b 11:40:31 AM 2 IMA 1 FRM 1/7 A 20 SL 1.8 The Image Sorting UI enables a new range of possible The system can be configured to enable the operator to select the interactions with and manipulations of the image data. presentation of the images as they are sent to PACS. When configured, a save icon is available that can be selected once to save the current presentation of the images, or selected again to restore the presentation of the images to the original, before sending the data to PACS. 1 Eco Gradient Mode has been available since the initial launch of MAGNETOM Free. Platform. This feature was not listed in the data sheets of syngo MR XA40A and XA50A and is exclusively being communicated here for the first time. 12 syngo MR XA60A – What’s New 4.3. DICOM AutoRouting Included with Available for: MAGNETOM Free.Max and MAGNETOM Free.Star AdvanceNow Category: Standard feature Pre-requisites: None Restrictions: None The DICOM AutoRouting is now synchronized with the View&Go workflow in order to ensure images 02:00 Step 1 - AAhead_scou are not resent to PACS when Send and Archive Protocol Paramet Load Images to UR View&GO AutoRouting has already taken care Voice Commands of transferring them. This update Image Management Disable asto transfer to PACS ensures that no unnecessary network traffic is created. Number Description # Images syngo.Plaza AAhead_scout 1 /120 AAhead_scout_MPR_sag 1/19 AAhead scout_MPR cor 1/ 27 AAhead scout_MPR_tra 11 27 DICOM Data Handing t1_se_sag 1/5 Auchwing and Deletion Choose Routing Target t1_se cor 15 Exclude from Archive ep2d_perf 50/ 250 Autorouting ep2d_perf_MoCo 50/ 250 Data Comection TTP_ep2d_perf_MoCo 1/5 11 PEP_ep2d_perf_MoCo 1/5 13 GBP_ep2d_perf_MoCo Autorouting Data Conector Job Settings Autorouting Rule List Check to set rule an active Scan Results . no Moco > syngo Plaza (defait archive) The Send and Archive window demonstrating the proper transfer of data to PACS (green checkmarks). AutoRouting can be configured in the Admin Portal (blue snapshots). As part of the protocol setup, the operator can decide which images specifically can be automatically sent to PACS. 4.4. AutoDisplay and AutoMPR Included with AdvanceNow Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Standard feature Pre-requisites: None Restrictions: None With syngo MR XA60A an AddIn is provided for the automatic MPR generation. This functionality can be configured similar to existing AddIn functionalities. 13 syngo MR XA60A – What’s New 4.5. Improved SAR Assistant Included with Available for: MAGNETOM Free.Max and MAGNETOM Free.Star AdvanceNow Category: Standard feature Pre-requisites: None Restrictions: None The SAR Assistant has been complemented to include a selection menu where any one of RF pulse type, TR, FA SAR Assistant Flip Angle > TR can be used to solve the SAR problem. Alternatively, a Min Flip Angle Off combination of two or three parameters can be selected Flip Angle and the order in which each parameter is used to arrive at a solution can also be defined by the user. In this Max. TR Flip Angle > TR improved SAR Assistant implementation, the optimal Flip Angle > TR > RF Pulse Type value for each parameter is saved ensuring that the final Allowed Delay Flip Angle > RF Pulse Type protocol is most favorable. Flip Angle > RF Pulse Type > TR TR TR > Flip Angle TR > Flip Angle > RF Pulse Type TR > RF Pulse Type TR >> RF Pulse Type > Flip Angle RF Pulse Type RF Pulse Type > Flip Angle RF Pulse TvDe > Flip Anale > TRY SAR Assistant enables a new range of selection for one or more solving parameters to enable an optimized and faster convergence. 4.6. SRS Mobile Router Available for: MAGNETOM Free.Max and MAGNETOM Free.Star Category: Free-of-charge optional feature Pre-requisites: None Restrictions: None Remote connection is key in the timely detection of, New benefits: and preventive actions to address, potential issues • before they result in downtime. This feature results in Ensure remote connection to Siemens Healthineers less operational disruption at the imaging site, and service almost regardless of the geographical location maintains a continuous care delivery to the patients. where the system is installed • Every MAGNETOM Free.Max and MAGNETOM Free.Star Enable remote delivery of system diagnostics and scanner can be equipped with a mobile router to ensure potentially the remote delivery of preventive and remote connectivity can be supported almost regardless corrective measures of the location where the system is installed. This feature is free of charge but can be removed from system configuration for delivery to sites where hospital network can be used to provide the means for remote service connection. 14 Siemens Healthineers AG (listed in Frankfurt, Germany: The outcomes and statements provided by customers SHL) pioneers breakthroughs in healthcare. For everyone. of Siemens Healthineers are unique to each customer’s Everywhere. Sustainably. As a leading medical setting. Since there is no “typical” hospital and many technology company headquartered in Erlangen, variables exist (e.g., hospital size, case mix, and level of Germany, Siemens Healthineers and its regional service/technology adoption), there can be no guarantee companies are continuously developing their product that others will achieve the same results. and service portfolio, with AI-supported applications and digital offerings that play an increasingly important role On account of certain regional limitations of sales rights in the next generation of medical technology. These new and service availability, we cannot guarantee that all applications will enhance the company’s foundation in products included in this brochure are available through in-vitro diagnostics, image-guided therapy, in-vivo the Siemens Healthineers sales organization worldwide. diagnostics, and innovative cancer care. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the Siemens Healthineers also provides a range of services features and products described herein may not be and solutions to enhance healthcare providers’ ability to available in the United States. provide high-quality, efficient care. In fiscal 2022, which ended on September 30, 2022, Siemens Healthineers, The information in this document contains general which has approximately 69,500 employees worldwide, technical descriptions of specifications and options as generated revenue of around €21.7 billion and adjusted well as standard and optional features, which do not EBIT of almost €3.7 billion. always have to be present in individual cases. Further information is available at Siemens Healthineers reserves the right to modify the www.siemens-healthineers.com. design, packaging, specifications, and options described herein without prior notice. For the most current information, please contact your local sales representative from Siemens Healthineers. 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-23-NAM-5208 · QR700002920 · 11.2023 · ©Siemens Medical Solutions USA, Inc., 2023