Veterinary spine examination - USA

SIEMENS Healthineers Veterinary MRI Spine 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 Spine examination – SIEMENS Healthineers Table of Contents Preparation 3 Patient positioning for Spine coil 4 Patient positioning for Contour or Flex/Ultraflex coils 5 MAGNETOM Free.Star Guidance planning sagittal 7 Guidance planning transverse 8 Guidance planning dorsal 9 Image appearance guidance in the main sequences 10 2 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Spine examination – SIEMENS Healthineers Preparation Always prioritize patient safety when performing an examination. Before starting scanning, please check the following: SIEME 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. O 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. SIEMENS 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 Spine examination – SIEMENS Healthineers Patient positioning for Spine coil  Position the veterinary patient in dorsal recumbency (supine).  Stabilize the body of the animal by using cushions, wedges, sandbags and straps to ensure better fixation of the position.  For T- and L-spine examinations, it is important to use a cushion or other positioning aids to help keep the head in the extended position. This maintains the spine straight and assists with ventilation. For additional assistance, watch the veterinary positioning videos in PEPconnect. 4 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Spine examination – SIEMENS Healthineers Patient positioning with Contour or Flex/Ultraflex coils  The spine examination can also be performed by using Contour, Flex and Ultraflex coils to increase the signal.  Position the veterinary patient usually in dorsal recumbency (supine) position or else in ventral recumbency (prone).  Depending on the body configuration and size select the appropriate coil, e.g., Contour Small or Medium/ Flex Large or Small. Place the coil on the spine segment to be examined.  Stabilize and fixate the position with cushions, wedges, 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 Spine examination – SIEMENS Healthineers Patient positioning with Contour or Flex/Ultraflex coils  Another way to use Contour, Flex and Ultraflex coils is to wrap the coil around the back of the veterinary patient. This is frequently used for small to medium-sized animals to get an even higher signal.  Depending on the body configuration and size select the appropriate coil, e.g., Contour Small or Medium/ Flex Large or Small.  Position the veterinary patient in dorsal recumbency (supine) over the coil. Wrap the coil around the spine segment to be examined. Free.Max  Stabilize and fixate the position with cushions, wedges, 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 Spine examination – SIEMENS Healthineers Guidance planning sagittal To plan the sagittal images: HP  Center the sagittal Field of View (FoV).  Align the slice block on the transverse slices to the line KEb connecting the center of the bone HPR :::::::::) marrow and the vertebral body center.  Align the slice block on the dorsal slices with the spine. Sagittal Dorsal Transverse 7 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Spine examination – SIEMENS Healthineers Guidance planning transverse To plan the transverse images: HP  Center the transverse FOV. ================  Align the slice block on the ::::::::::::::::::: sagittal slices parallel to the vertebra or intervertebral disk. KEb O HPR  Align the slice block on the dorsal slices parallel to the vertebra or intervertebral disk. Sagittal Dorsal Transverse 8 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Spine examination – SIEMENS Healthineers Guidance planning dorsal To plan the dorsal images: HP  Center the dorsal FOV.  Align the slice block on the transverse slices perpendicular to the line connecting the KEb ::O::::::: ======= :: HPR center of the bone marrow and the vertebral body center.  Align the slice block on the sagittal slices parallel to the spinal cord (find a compromise). Sagittal Dorsal Transverse 9 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Spine examination – SIEMENS Healthineers Image appearance guidance in the main sequences T2 TSE T1 TSE Hyperintense Fluids (water, cerebrospinal fluid, ...), Hyperintense Contrast medium, fat inflammation Hypointense Bone, muscle, degenerated disc Hypointense Fluids (water, cerebrospinal fluid, ..), material, spinal cord, (fat*) inflammation (without contrast medium), bone, (fat*) Isointense Fat, gray brain matter Isointense Muscle, spinal cord *if FatSat is applied *if FatSat is applied 10 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Spine examination – SIEMENS Healthineers Image appearance guidance in the main sequences T2 STIR T2 MEDIC (visualization of the spinal cord) Hyperintense Fluids (water, cerebrospinal fluid), Hyperintense Fluids (water, cerebrospinal fluid, inflammation …), inflammation Hypointense Bone, ligaments, bone marrow, fat Hypointense Bone Isointense Bone marrow, muscle, spinal cord Isointense Spinal cord, muscle, fat 11 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Veterinary MRI Spine examination – SIEMENS Healthineers Image appearance guidance in the main sequences T2 SPACE (3D) T1 SPACE (3D) Hyperintense Fluids (water, cerebrospinal fluid, ...), Hyperintense Contrast medium, fat inflammation Hypointense Bone, muscle, degenerated disc Hypointense Fluids (water, cerebrospinal fluid, ...), material, spinal cord inflammation (without contrast medium), bone Isointense Fat, gray brain matter Isointense Muscle, spinal cord 12 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 13 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 14 Effective Date: 06 Mai 2024| QR700007938 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024