Veterinary head examination - USA

SIEMENS Healthineers Veterinary MRI Head examination Job Aid Template Effective Date: 10 Aug 2021|HILS 2223 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Table of Contents Healthineers Preparation 3 SIEMENS Healthineers' Coil overview 4 Patient positioning for Contour or Flex/Ultraflex coils 5 O Patient positioning for Extremity or Knee coil 6 MAGNETOM Free.Max Patient positioning for Head/Neck coil 7 Guidance planning sagittal 8 Guidance planning transverse 9 SIEMENS Healthineers Guidance planning dorsal 10 Guidance planning optic nerve transversal 11 Guidance planning inner ear transversal 12 Image appearance guidance in the main sequences 13 2 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Preparation Always prioritize patient safety when performing an examination. Before starting scanning, please check the following: SIEMEN Healthineer  Ask the owner to fill in the MR safety screening form.  Examine the veterinary patient to ensure no metal objects are inside its body. Please note: Depending on its position, the microchip can generate susceptibility artifacts in the images.  Place absorbent cotton in the patient's ears for noise protection. HEMENS Healthineers The general safety instructions provided in the safety online training material in PEPconnect need to be taken into account. 3 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Coil overview rx System Contour or Extremity or Knee Flex/Ultraflex coils coil Head/Neck coil for fitting all patients for improved workflow for big animals … … … 4 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Patient positioning for Contour or Flex/Ultraflex coils  Depending on the body configuration and size select the appropriate coil, for example Contour Small or Medium/ Flex Large or Small.  Position the veterinary patient in a ventral recumbency (prone) position on the table with the head in the coil.  Center the head in the coil and wrap the coil on the top and secure it with a loop belt. Please note: Alternative positioning can be tried, such as laying the coil over the head without wrapping it.  Stabilize and fix the position with positioning aids, sandbags and straps. For additional assistance, watch the veterinary positioning videos in PEPconnect. 5 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Patient positioning for Extremity or Knee coil  Position the veterinary patient in a ventral recumbency (prone) position on the table with the head in the coil.  Center the head in the coil and then close it.  Stabilize and fix the position with positioning aids, sandbags and straps. For additional assistance, watch the veterinary positioning videos in PEPconnect. 6 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Patient positioning for Head/Neck coil  Position the veterinary patient in a dorsal recumbency (supine) position on the table with the head in the coil.  Place the animal’s head in the coil center with the ventilation tube going out at the top.  If necessary, use positioning aids, sandbags and straps to fix positioning. Please note: Positioning in the Head coil may result in suboptimal positioning for animals. For additional assistance, watch the veterinary positioning videos in PEPconnect. 7 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Guidance planning sagittal To plan the sagittal images: □ Center the sagittal Field of View (FoV). □ Align the slice block on the transverse image along the midline (interhemispheric fissure). □ Align the slice block on the dorsal image along the midline (interhemispheric fissure). ARF Sagittal Dorsal Transverse 8 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Guidance planning transverse To plan the transverse images: □ Center the transverse FoV. □ Align the slice block on the dorsal image perpendicular to the midline. □ Align the slice block on the sagittal image to the hard palate. ----- ARF Sagittal Dorsal Transverse 9 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Guidance planning dorsal To plan the dorsal images: □ Center the dorsal FoV. □ Align the slice block on the transverse slices perpendicular to the midline. □ Align the slice block on the sagittal slices parallel to the hard palate. ARF Sagittal Dorsal Transverse 10 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Guidance planning optic nerve transversal To plan the optic nerve transverse images: □ Align the slice block on the sagittal image to the optic nerve. □ Align the slice block on the dorsal image by covering the vitreous body and the chiasma opticum. Tilt according to the course of the vitreous body (compromise between the two eyes). ARF Sagittal Dorsal 11 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Guidance planning inner ear transverse To plan the inner ear transverse images: □ Align the slice block on the dorsal slices to the middle ear / tympanic bulla. □ Align the slice block on the transverse slices using dorsal image to ensure bisection of RP BbH IAMs (Internal Auditory Meatus). Dorsal Transverse 12 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Image appearance guidance in the main sequences T2 TSE T1 TSE (without and with contrast agent) Hyperintense Fluids (water, cerebrospinal fluid, Hyperintense Contrast medium, fat …), inflammation Hypointense Bone, muscle, (fat*) Hypointense Fluids (water, cerebrospinal fluid, …), inflammation (without contrast medium), bone, (fat*) Isointense Fat, gray brain matter Isointense Muscle *if FatSat is applied *if FatSat is applied 13 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Image appearance guidance in the main sequences T2 TSE dark-fluid T2 fl2d hemo (sensitive to blood) Hyperintense Fluids (water, cerebrospinal fluid, Hyperintense Fat, aqueous liquid …), inflammation, gray brain matter Hypointense Liquid, bone, fat, muscle Hypointense Bone, blood Isointense White brain matter Isointense Muscle, cerebrospinal fluid Please note: Dark-fluid sequences don´t have FatSat in veterinary imaging as they do in human imaging. This leads to a different appearance when viewing the Internal Auditory Meatus (IAMs): You can see them! 14 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Image appearance guidance in the main sequences T1 3D MPRAGE Diffusion Hyperintense Fat, white matter Hyperintense Fat, aqueous liquid Hypointense Fluids (water, cerebrospinal fluid, Hypointense Bone, blood …), bone Isointense Muscle, gray matter Isointense Muscle, cerebrospinal fluid 15 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Head examination – SIEMENS Healthineers Image appearance guidance in the main sequences T2 stir for optical nerve T2 space for inner ear Hyperintense Fluids (water, cerebrospinal fluid, Hyperintense Fluids (water, cerebrospinal fluid, …), inflammation …), inflammation Hypointense Liquid, fat Hypointense Bone, muscle Isointense Bone, muscle, spinal cord Isointense Fat 16 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Healthineers Please note that the user is solely responsible for any veterinary device use. Users should be aware that the size and weight of the animal can impact many aspects (for e.g., SAR) for MR imaging. The use of MRI contrast agents has been implicated in the etiology of chronic renal disease in some human patients, and guidelines for their use have been issued by several resources. To date, this issue has not been well documented in veterinary medicine. The use of such contrast medial is still considered safe in animals, although they should be used with caution in patients with preexisting renal disease. Reference: https://www.merckvetmanual.com/clinical-pathology-and-procedures/diagnostic-imaging/magnetic-resonance-imaging-in-animals Please note: All veterinary-related imaging on Siemens Healthineers MAGNETOM systems are for MAGNETOM Sempra, Free.Max, and Free.Star and for cats and dogs only. Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com 17 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Healthineers Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com 18 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024