syngo MR XA60 - What's New (MAGNETOM Aera, Skyra, Prisma, Prisma fit)

MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Advance your magnetic resonance imaging syngo MR XA60A – What’s New siemens-healthineers.us/mri SIEMENS Healthineers Dear MAGNETOM user, We are pleased to announce the arrival of our latest MRI scanner software, syngo MR XA60A. This new software version includes comprehensive improvements to the existing scanner functionalities and provides access to exciting new features. MAGNETOM MRI scanners that qualify for this software update include: • MAGNETOM Aera • MAGNETOM Skyra • MAGNETOM Prisma • MAGNETOM Prismafit For systems moving from syngo MR E11 software please also refer to the syngo MR XA30 delta list. Learn more about syngo MR XA60A in this informative packet and discover how it can improve your daily routine. Sincerely yours, Your Siemens Healthineers MR team 2 Contents Contents 1. New sequences protocols, applications, and coils 4 1.1. Deep Resolve Gain 4 1.2. Deep Resolve Sharp 5 1.3. Deep Resolve Boost 6 1.4. Deep Resolve Swift Brain 7 1.5. BLADE Diffusion 8 1.6. Open Recon 9 1.7. Wave-CAIPI SWI 10 1.8. Physiologging 11 1.9. HASTE Diffusion 12 1.10. Needle Intervention Add-in 12 1.11. Advanced Interactive Realtime 13 1.12. SliceAdjust 13 1.13. Flex Loop Large 13 2. Improvements to sequences, protocols, and applications 14 2.1. 3D ASL improvements 14 2.2. Breast Biopsy: Automatic Fiducial Detection 15 2.3. Motion Correction for TSE with more than a single average 16 2.4. Improved VIBE Phase Encoding Order 16 3. Obsolete features 17 3 syngo MR XA60A – What’s New 1. New sequences protocols, applications, and coils 1.1. Deep Resolve Gain Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature Pre-requisites: None Note: TSE is supported with the exception of BLADE TSE Deep Resolve Gain is our solution for targeted denoising, Highlights and benefits: addressing local noise variations. Image noise usually is • not uniformly distributed in MR images. This is due to Deep Resolve Gain addresses local noise variations coil array geometries and acceleration techniques such that can arise from coil array geometries and parallel as parallel imaging. These local variations cannot be imaging techniques • addressed by standard image filters. Deep Resolve Gain Individual noise maps are generated from the acquired uses individual noise maps in the reconstruction process raw data • to reduce noise where it is most needed in the image. Deep Resolve Gain can drive the reduction of image acquisition times • Deep Resolve Gain can drive the reduction of image Deep Resolve Gain is applicable from head to toe and acquisition times by reducing the number of averages is not limited to certain coils in the acquisition or it can be used to reduce image noise introduced by increasing acceleration factors such as PAT. 1aaaa3592 T2 TSE, conventional reconstruction T2 TSE, Deep Resolve Gain 4 syngo MR XA60A – What’s New 1.2. Deep Resolve Sharp Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature Pre-requisites: None Note: TSE is supported with the exception of BLADE TSE Deep Resolve Sharp is a novel image reconstruction Highlights and benefits: technology to increase resolution and sharpness in the • resulting images. The deep neural network at the core Deep Resolve Sharp uses a deep neural network to of Deep Resolve Sharp generates a high-resolution increase the sharpness of the reconstructed images • image from low resolution input data. The deep neural The matrix size can be doubled along each in- network was trained on a large number of pairs of plane axis • low-resolution and high-resolution data. Deep Resolve Sharp is used in combination with Deep Resolve Gain or Deep Resolve Boost (section As the training data for Deep Resolve Sharp covered a 1.3.), to obtain sharper and faster images wide range of anatomies, the reconstruction network • Deep Resolve Sharp is applicable from head to can be applied to all body regions. Deep Resolve Sharp toe and is not limited to certain coils can increase the matrix size by a factor of up to two along both in-plane axis, resulting in substantially increased image sharpness. Deep Resolve Sharp can also be used to reduce acquisition times by acquiring the image data with reduced phase resolution. The resolution is recovered when reconstructing the images with Deep Resolve Sharp. 1aaaa3588 T2 TSE, conventional reconstruction T2 TSE, Deep Resolve Gain & Sharp 5 syngo MR XA60A – What’s New 1.3. Deep Resolve Boost Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature Pre-requisites: High-end MaRS (Reconstruction system) Note: TSE is supported with the exception of BLADE TSE and Dixon Deep Resolve Boost takes Deep Learning reconstruction with Simultaneous Multi-Slice (SMS) TSE, rendering this to the next level. It enables previously inaccessible the industry first k-space to-image-space Deep Learning parallel imaging acceleration. This is made possible Reconstruction that can be combined with SMS TSE. by our first raw-data-to-image Deep Learning recon- struction. The neural network behind Deep Resolve Highlights and benefits: Boost enables effective denoising that improves the • visual signal-to-noise ratio of the images. The Deep Deep Learning Reconstruction with effective denoising • Learning reconstruction used in Deep Resolve Boost Three levels selectable for the denoising strength • achieves a stronger denoising than Deep Resolve Gain Utilizes parallel imaging factors previously inaccessible and the denoising strength can be adapted by choosing in MR imaging • from three levels. With this, Deep Resolve Boost will Significantly cuts down scan times for TSE imaging significantly cut scan times in clinical routine areas such sequences • as neuro, spine, and MSK while not compromising on Combines with SMS TSE, a Siemens Healthineers image quality. Deep Resolve Boost can be combined exclusive feature Deep Resolve Boost example of T2 TSE imaging employing PAT4 acceleration. Left: conventional reconstruction (GRAPPA); right: Deep Resolve Boost. PD TSE fs p3 s2 PD TSE fs p3 s2 PD TSE fs p3 s2 T1 TSE p4 s2 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 TA: 39 sec TA: 36 sec TA: 28 sec TA: 15 sec Total exam time: 1:58 min 2aaaa2200 Deep Resolve Boost supports SMS TSE, a Siemens Healthineers exclusive feature. This enables, for example, ultra-fast high-resolution knee imaging in 1:58 min with 8-fold acceleration for each contrast (PAT3 S2). 6 syngo MR XA60A – What’s New 1.4. Deep Resolve Swift Brain Available for: MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature Pre-requisites: High-end MaRS (Reconstruction system) Note: Exclusive on 3T systems for brain imaging Deep Resolve Swift Brain is an ultra-fast brain protocol prescans and adjustments can be less than five minutes leveraging the fastest available imaging sequence, EPI, with this protocol. together with a Deep Learning Reconstruction to push acceleration to the edge. The protocol consists of five Highlights and benefits: contrasts: T1, T2, T2*, T2 dark-fluid, and diffusion. • While T1 is based on a fast GRE imaging sequence, the Ultra-fast brain examination with a Siemens remaining contrasts are multi-shot EPI-based. Multi-shot Healthineers exclusive multi-shot EPI implementation EPI together with a new static field correction minimizes supported by Deep Learning reconstruction • geometric distortions that are intrinsic to EPI imaging. Five resulting contrasts: T1, T2, T2*, T2 dark-fluid, Within this multi-shot EPI approach, T2 and T2* are diffusion • acquired simultaneously by a Siemens Healthineers Net scan time < 2 minutes • exclusive EPI-implementation, further accelerating this Total table time including prescans, adjustments, protocol. Multi-shot EPI-based T2 dark-fluid reduces and imaging < 5 minutes • imaging times substantially compared to standard New static field correction to further minimize TSE imaging and offers true FLAIR contrast due to EPI-intrinsic geometric distortions; available for all magnetization transfer preparation. Highest image EPI sequences after purchasing of Deep Resolve quality is ensured by a Deep Learning Reconstruction Swift Brain license to push the limits of parallel imaging acceleration. The unique combination of multi-shot EPI imaging and Deep Learning reconstruction enables net scan times of less than two minutes. The total table time including 7 syngo MR XA60A – What’s New Deep Resolve Swift Brain Impressive speed, no compromise in image quality Deep Resolve Swift Brain – when time is critical Simultaneous acquisition SMS DWI 1:58 min Net imaging time T1 Diffusion T2 Dark-fluid T2* T2 0:21 min 0:21 min 0:51 min 0:25 min • Deep Learning reconstruction for uncompromised image quality • Innovative multi-shot EPI approach for fastest data acquisition1 • New static field correction to minimize geometric distortion in EPI imaging Powered by Below 5 min total scan time including prescans and localizers Artificial Intelligence • 1 T1 contrast can also be acquired using gradient echo based imaging. 2aaaa2230 1.5. BLADE Diffusion Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature Pre-requisites: None BLADE Diffusion is a new member of the BLADE family With the additional purchase of the Simultaneous based on the TGSE sequence. It employs a TSE-based Multi-Slice (SMS) license (either individually or by sequence design that allows an EPI readout to collect selecting Turbo Suite Excelerate) you can use SMS to multiple echoes around the main spin echo. In its basic reduce the total scan time of the BLADE diffusion. By version, it will become available as standard with the offering this feature, we set the new benchmark as SMS same functionality as the already available BLADE TSE, BLADE Diffusion is a Siemens Healthineers exclusive meaning EPI factor = 1. feature. By adding the BLADE Diffusion license, BLADE leverages Highlights and benefits: the advantage of the TGSE sequence design. Diffusion • weighting is now available, allowing EPI factors > 1 New non-EPI based diffusion functionality based so that a BLADE-based non-EPI diffusion sequence on a BLADE TGSE sequence • becomes available. By performing diffusion imaging with No geometric distortions in challenging areas a non-EPI sequence, geometric distortions are eliminated with large susceptibility changes • in areas with large susceptibility changes such as the SMS support for BLADE diffusion is a sinuses and the inner auditory canal. BLADE diffusion is Siemens Healthineers exclusive feature recommended in situations where RESOLVE does not minimize geometric distortions sufficiently. 8 syngo MR XA60A – What’s New 1.6. Open Recon Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Standard feature Pre-requisites: None Open Recon is a developer-friendly interface that Highlights and benefits: facilitates the creation and deployment of innovative • MR reconstruction algorithms. Open Recon opens Simplified reconstruction environnent for scientists • the MR system for such FDA cleared algorithms to Convenient access to reconstruction parameters via be deployed by scientists, 3rd party companies dedicated “inline” card • and Siemens Healthineers. Different FDA cleared Facilitated scientific collaboration via the ISMRM reconstruction algorithms can be executed in a raw-data format • container on the reconstruction system, exchanging Possibility of MR reconstruction algorithms deployment data via a dedicated interface. With Open Recon, custom for third parties and SHS reconstruction algorithms can easily be run and adjusted, enabling seamless workflow. Open Recon also facilitates the sharing of FDA cleared algorithms across institutions relying on the ISMRM raw data format. With syngo MR XA60A, customized reconstructions are possible both in image-to-image as well as in raw data-to-image domain. USER > head > Brain Assist > program > t1 qtse_dark-fluid_sag_p2 ? X General 7 4:38 min 1; Auto @ 2 @ 0.7x0.7x4.0 mm3 1.00 Inline Use Protocol Parameters Routine Contrast Resolution Geometry System Physio Inline Sequence Voice Commands Run custom prototype image Execution Subtraction MIP Composing Open Recon reconstruction on the scanner Image Management Algorithm myRecon 1 Auto Load 3rd party or custom Copy References algorithm Preview Select 3rd party or custom Preset denoise Parameter 1 Setting A reconstruction algorithm to be Free Text denoise denoise-enhanced-level1 Parameter 2 Setting B mg run denoise-enhanced-level2 denoise-enhanced-level3 Option 1 ............................ User-friendly interface super-resolution Option 2 Adapt parameters provided by smooth-super-resolution edge-super-resolution the algorithm like on any other super-resolution-gre-mpr tab card super-resolution-dwi 9 syngo MR XA60A – What’s New 1.7. Wave-CAIPI SWI Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature, included in Turbo Suite Excelerate package Pre-requisites: SWI Wave-CAIPI SWI enables the extension of parallel Highlights and benefits: imaging to three spatial dimensions as well as reducing • the amount of noise in the reconstruction process. Extend parallel imaging techniques to all three spatial dimensions • The reduction in noise can be used to accelerate Wave-CAIPI SWI reduces noise in accelerated SWI acquisitions, resulting in shorter scan times compared acquisitions • to standard CAIPIRINHA SWI imaging. Achieve higher acceleration compared to standard parallel imaging • Wave-CAIPI SWI is a Siemens Healthineers exclusive technology Current standard SWI Superior image quality No compromise in IQ Faster scan time significantly faster iPAT 4 16% Wave-CAIPI 4 44% Wave-CAIPI 6 TA: 3:11 min TA: 2:41 min TA: 1:46 min 3aaaa1542 10 syngo MR XA60A – What’s New 1.8. Physiologging Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature, included with Inline BOLD and/or 3D PACE Pre-requisites: Physiological sensors Physiologging enables the extraction of physio data Highlights and benefits: via a checkbox on the Physio > Signal tab of the UI. As • a new feature, time stamps are added to allow easier Timestamped physiological data for easier synchronisation of physio data to corresponding fMRI synchronisation with fMRI data • data acquired with either EPI BOLD or EPI PACE. This will Recording can be started via a checkbox on the UI help researchers to correct fMRI data for physiological (Physio > Signal tab) • motion and noise. All parameters recorded by internal Physio data are stored as a separate DICOM file physiological sensors (such as respiratory belt, ECG, which can also be archived pulse sensor) are then available in a convenient data format for further offline processing. The physio curves will be stored in a separate DICOM file including timestamps. 00:32 Access time-synced sensor data for fMRI scans as part of the DICOM study Sample code available for extraction Planned Available for EPI BOLD & PACE Physiologging Physiologging: Code samples for DICOM extraction The tools available at https://www.magnetomworld. In addition, a batch file using the siemens-healthineers.com/clinical-corner/ executable generated either from the application-tips/physiologging can be used to extract C# or the python code is provided the embedded xml structure from the DICOM file and (physioExtractor.bat) for generating restore the original text files containing the physio data. different types of text files, along with xsl style sheets defining the processing Provided are demonstration source codes in of the xml file. a) C# (physioExtractor.cs) and b) python (physioExtractor.py). 11 syngo MR XA60A – What’s New 1.9. HASTE Diffusion Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Standard feature Pre-requisites: None HASTE Diffusion is a non-EPI based diffusion sequence Literature: to reliably detect diffusion-restrictive abnormalities such 1 De Foer B, Vercruysse JP, Bernaerts A, Maes J, Deckers F, Michiels J, et al. as cholesteatomas [1–3]. The value of single-shot turbo spin-echo diffusion-weighted MR imaging in the detection of middle ear cholesteatoma. Neuroradiology. 2007 New benefits: Oct;49(10):841-8. 2 Fan X, Liu Z, Ding C, Chang Z, Ma Q. The value of turbo spin-echo diffusion- Comprehensive diffusion portfolio with single-shot weighted imaging apparent diffusion coefficient in the diagnosis of • temporal bone cholesteatoma. Clin Radiol. 2019 Dec;74(12):977. EPI, RESOLVE, BLADE, and HASTE Diffusion 3 Henninger B, Kremser C. Diffusion weighted imaging for the detection and evaluation of cholesteatoma. World J Radiol. 2017 May 28;9(5):217-222. 1.10. Needle Intervention Add-in Available for: MAGNETOM Aera, MAGNETOM Skyra Category: Optional feature Pre-requisites: Advanced Interactive Realtime Note: In-Room Monitor and in-room input modality (e.g., foot switch) highly recommended This myExam Assist Add-In provides a user interface New benefits: for workflow improvement of MR-guided needle interventions. It supports planning a needle trajectory, The myExam Assist Add-In combines functionality in laser-based localization of the entrypoint as well as order to simplify the workflow. automatic slice positioning. 12 syngo MR XA60A – What’s New 1.11. Advanced Interactive Realtime Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature The Advanced Interactive Realtime license now also includes the HASTE Interactive sequence giving the user the opportunity to interactively change a subset of imaging parameters, e.g., slice position and orientation, during the acquisition. 1.12. SliceAdjust Available for: MAGNETOM Prisma, MAGNETOM Prismafit Category: Standard feature Pre-requisites: None SliceAdjust technology provides distortion free whole- body DWI scans as well as reliable fat saturation for both DWI and TSE sequences. It avoids broken spine artifacts in whole-body DWI for excellent correlation with anatomical scans. 1.13. Flex Loop Large Available for: MAGNETOM Aera Category: Optional feature Pre-requisites: Flex Coil Interface The Flex Loop Large is a flexible single-channel loop coil with a large opening for examinations of, e.g., abdomen, pelvis, prostate. It connects to the Flex Coil Interface. This flexible coil has an inner diameter of approximately 19 cm. 13 syngo MR XA60A – What’s New 2. Improvements to sequences, protocols, and applications 2.1. 3D ASL improvements Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature Pre-requisites: 3D ASL Note: Included with 3D ASL software license Sequence details: The acquisition of multi-TI datasets can now be used for the estimation of 3D bolus arrival time (BAT) and relative cerebral blood flow (relCBF). The improved background suppression already available for 2D PCASL is also now available for 3D PCASL. For research purposes, an M0 image can be generated to enable additional quantification methods. Highlights and benefits: • Estimation of BAT and relCBF are now enabled for 3D ASL acquisitions • Improved background suppression for 3D PCASL • An M0 image can be used for research applications, e.g., absolute quantification of the CBF BAT MO relCBF 1.5T 1aaaa3477 3T 3aaaa1606 14 syngo MR XA60A – What’s New 2.2. Breast Biopsy: Automatic Fiducial Detection Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Optional feature Pre-requisites: Breast Biopsy software license, Breast Biopsy Coil and Grid- or Post and Pillar – Device and Fiducial Marker Note: Included with Breast Biopsy software license The functionality supports the breast Device Settings biopsy user by automatically selecting the fiducial marker. After the automatic Presets selection, you can approve the selected B14 Kit1 Grid Name B17 Grid BH4 KA2 PP (*) marker. After approval, the marker is Coll Breast BIT B17 Grid highlighted with a yellow arrow in the BIT PP Intervention Method God images. Marker Position C4 Needle ATEC Petite 9g New benefits: Automatic Marker Detection on The automatic detection of the fiducial Markers to detect 1 Lateral @ Medial markers provides an improved breast biopsy workflow, which can be performed faster as the user does not need to manually select OK Apply Cancel the fiducial marker by scrolling/navigating through all the images. The automatic fiducial marker detection can be activated in the Device Settings pre-configuration dialogue. MR Breast Biopsy MR Breast Biopsy ANONPROTE1LO F. 51Y Calibration R 819 CURRENT HEP 29.06.2019 Device 817 Grid (AFZ) . 11_130_& DYNAMIC NON FATSAT latestPhase_02 # RPPOTEIKG Markers 1 Left Later .. STUDY D EPPOTE1KG 15:1216 Breast Left 4 IM492 Access Direction Lateral Skin Edge L133 1cm F Approve TH TP O TE 4.8 SP H52,5 Target Selection FoV 250*250 BWV 510.0 192-256 MINDNORM Tra AT/FFP Zoom 2,02 876 1301/10 414 Dotarem After the automatic detection of the fiducial marker. The marker is displayed and labeled in the “Markers” field. The approved marker is also highlighted with a yellow arrow in the image. 15 syngo MR XA60A – What’s New 2.3. Motion Correction for TSE with more than a single average Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Standard feature Pre-requisites: None Details: New benefits: TSE motion correction is an image-based motion The motion correction in the average dimension reduces correction technique in the average-dimension for TSE the image blur that would result from organ movement imaging. The motion correction technique employs a between averages. non-rigid elastic registration to consistently align the images before averaging. The feature has been optimized and validated for improved prostate TSE imaging. 2.4. Improved VIBE Phase Encoding Order Available for: MAGNETOM Aera, MAGNETOM Skyra, MAGNETOM Prisma, MAGNETOM Prismafit Category: Standard feature Pre-requisites: None Details: New benefits: In rare cases, when applying the VIBE protocol without Motion artifacts in the VIBE sequence can be reduced fat saturation or without regional fat saturation, motion by choosing the appropriate Phase Encoding Order for artifacts might occur in the slice direction, resulting the body region being imaged. in cloud-like artifacts in the subtraction images. With syngo MR XA60A, in addition to the “Automatic” Phase Encoding Order, there is the flexibility to choose the Phase Encoding Order as “Lines in Slices” or “Slices in Lines”, depending on the needs of the body region being imaged. The choice of the appropriate Phase Encoding Order enables the user to reduce or change the appearance of motion artifacts. When you have more motion in slice direction the Phase Encoding Order “Slices in Lines” is beneficial, whereas the Order “Lines in Slices” is better when the dominant motion is in phase encoding direction. 16 syngo MR XA60A – What’s New 3. Obsolete features The following features have been removed from syngo MR XA60A for those migrating directly from syngo MR VE line software. This will not affect those who are already on syngo MR XA30. 3.1. TimCT Onco Dot Engine 3.6. Printing TimCT Onco Dot Engine is not available with No assignment of print layouts based on scan syngo MR XA60A. There is, however, myExam protocols is available. Whole Body Assist (prerequisite: table rear support, FREEZEit+ and myExam Abdomen Assist). 3.7. Fly Through 3.2. TimCT Angio Dot Engine Fly Through is not available with syngo MR XA60A. TimCT Angio Dot Engine is not available with syngo MR XA60A. Please check with your local 3.8. MR View&GO – Dynamic Siemens Healthineers team about future availability. Analysis 3.3. Implant Suite The following parameters are not available: • Diff, Int • The Implant Suite for MAGNETOM Aera is not available Log • with syngo MR XA60A. Standard Deviation • Slope • TTP • 3.4. Mosaic images for BOLD/DTI T1 / T2 / T2* – these are now available with MapIt • Test is available with Neuro 3D Due to a new data format, the export of BOLD images New in the syngo MR XA software line: b-value. as a mosaic view is no longer supported. A mosaic view of DICOM images is available since the software version syngo MR XA11B. Real time acquisition 3.9. Access on image level “dynamic t-maps” is also no longer available. Operations on single frames (e.g., rotate one image out of an image series) are limited. 3.5. Real-time BOLD evaluation Already available with syngo MR XA60A: • Deletion of frames – i.e., deletion of single images Visualization and evaluation of BOLD data during out of a multiframe series. the acquisition are limited to syngo.via capabilities. • Windowing on a subset of images (= frames) – e.g., just one image or a selection of frames. Other operations such as sorting options, individual interaction with single images such as rotation will be available starting with software version syngo MR XA60A. 17 syngo MR XA60A – What’s New 3.10. Position Display 3.13. MR Spectroscopy The Inline Position Display is no longer available. The following features are not implemented in syngo MR XA60A and are not planned to be implemented: • Open instances from one dataset (HISTO data, save 3.11. Breast biopsy single averages, save uncombined data, GABA) • Grid shift for CSI • Not all biopsy needles are supported. Please check Change matrix interpolation • with your local Siemens Healthineers sales team. Average Spectrum Computation / Multi Voxel Spectral Addition • Free-hand ROI. It is still possible to select multiple 3.12. Postprocessing Breast voxels by clicking them individually. • Eddy Current Estimation. The sequences svs_se and svs_st offer a water reference scan which allows for MR Soft Tissue postprocessing on VE line software inline eddy current compensation processing, which contained motion correction and color maps (Wash-in, makes the post-processing compensation redundant. Wash-out, TTP, PEI, MIP Time). • Layout for multiple spectra is limited to two spectras. MR View&GO, MR Breast and MR Brevis offer motion correction with BRACE for enhanced DICOM images, but without the specific color maps. 3.14. MR Spectroscopy workflow MR Brevis offers color overlay maps in a different way. The data displayed on the color-coded map can be Handling of copy references is available. CAVE: Reference analyzed further by semi-automatically identifying the images of copy references target step are not loaded most suspicious enhancing area of a lesion. This is automatically in syngo MR Spectro if the copy reference done by simply drawing a volume of interest (VOI) target step is not opened in the queue. around a color-coded lesion. Volumetric data on voxel percentages of enhancement, curve type distribution and the lesion volume are also obtained. 18 syngo MR XA60A – What’s New Overview The following table provides an overview of the availability of options as part of syngo MR XA60A. MAGNETOM Aera MAGNETOM Skyra MAGNETOM Prisma MAGNETOM Prismafit Deep Resolve Gain O O O O Deep Resolve Sharp O O O O Deep Resolve Boost TSE O O O O Deep Resolve Swift Brain O O O Open Recon O O O O BLADE Diffusion Wave-CAIPI SWI O O O O Physiologging O O O O HASTE Diffusion SliceAdjust Needle Intervention Add-in O O Advanced Interactive Real time O O O O Flex Loop Large O Standard Free of charge option O Purchasable option 19 Siemens Healthineers AG (listed in Frankfurt, The outcomes and statements provided by customers Germany: SHL) pioneers breakthroughs in healthcare. of Siemens Healthineers are unique to each customer’s For everyone. Everywhere. Sustainably. As a leading setting. Since there is no “typical” hospital and many medical 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-5201 · QR700002737 · 11.2023 · ©Siemens Medical Solutions USA, Inc., 2023