MR Syngovia cardiac Analysis Flow Quantification

SIEMENS Quality ID : HOOD05162003142239 Healthineers Effective date: 2020-11-20 、 MR Syngo.via cardiac 、 Flow Quantification https://www.siemens.com/pepconnect 西门子医疗系统有限公司 云端医学教育平台 Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac function SIEMENS Healthineers 、 SIEMENS 心脏功能分析： MR Cardiac Analysis 心功能分析是心脏定量分析功能模块， 、 MR Cardiac Reading 可以定量分析左右心室功能 Overview Functional Dynamic Tissue Characterization Combined Flow MR Cardiac Function MR Flow Quantification MR Cardiac Perfusion Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 心脏流量定量分析： MR Cardiac Analysis + MR Cardiac Analysis Q + 、 MR Cardiac Reading ➢ 血管分割：点击一次即可自动完 MR Cardiac Reading MR Cardiac Function MR Cardiac Function 成血管分割； MR Flow Quantification MR Flow Quantification Vessel Segmentation Vessel Segmentation Evaluation Options ➢ 评估选项： ROI1 RO12 RO13 ROI4 VENC抗卷褶：可校正因扫描 VencAnti Flow流速设置不够高导致的相位卷褶； Pen Circle Nudge Adjust One Click Alias. Segment. Background Phase Adjustment -O 背景相位调整：将区域内所有的 Stationary tissue threshold Delete Delete All Copy Copy 静止组织作为参考，使流速计算结果 Backward Forward Evaluation Options -------- Auto min max 更精 MR Cardiac Perfusion Exclude Reinclude × All Apply Reset All Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 SIEMENS Server: SVIA29 administrator ? H MR_Cardiac_Analysis_Segmented_02 Working segments x MR_Cardiac A. × * 8/12/1975 M 1324 MR Cardiac A. MR Cardiac An .. MR Cardiac An. 心脏流量定量分析： MR Cardiac Analysis AHL ALL MR JCardiac Analysis Segmented 02 Anlagenzentrum/AP22 MR_Cardiac_Analysis_Segmented_02 Anlagenzentrum/AF2231/| MR Cardiac Reading *8/1 2/1975, M. 33Y *8/12/1975, M, 33Y CURRENT CURRENT ROI1 MR Cardiac Function STUDY 8/12/2008 STUDY 8/12/2008 Avg : 47.65 cm/s MR Flow Quantification -- > Current.MR.FlowAnalysis DataRole latest.PC Current.MR.FlowAnalysis. DataRole latest.MAG Peak : 75.66 cm/s ➢ 血管分割：点击一次即可自动完 、 11:36:26 AM Flow : 340.25 ml/s Vessel Segmentation 60 IMA 5 Area : 7:14 cm2 RH 成血管分割； ROI1 RO12 ROI3 RO14 ROB Avg : 57.88 cm/S Peak 96.87 cm Flow -253.97 mil Pen Circle Nudos Adjust One Click Segment. TT 225.6 TT 225.6 Area : 4 38 cru TR 47.2 PH47.3 Phase ima H47 3 Movie segment TR 47.2 TE 2.0 ge SL 5.5 20*3204 TE 2.0 Magnitude image OV 220+320 Delato Delete All p2 P/RETRO/DIS2D a sua Forward RR 11 28 +/- 20, 16 heartbe p2 M/RETRO/DIS2D RR 1128 +/- 20; 16 heartbeats Evaluation Options Magnevist 27.00ml Os Magnevist 27.00ml Os 右边像格分别为： MR Cardiac Perfusion O ATIC MR Cardiac_Analysis_Segmented_02 Anlagenzentrum/AF 2231/ *8/1 2/1975, M, 33Y x CURRENT ROM ➢ 电影分格 STUDY 8/12/2008 Avg : 47.65 cm/s 472 382 -- > Current.MR.FlowAnalysis.DataRole.latest. MAG Peak : 75.66 cm/s 11:36:26 AM Flow : 340.25 ml/s 232 60 IMA 5 Area : 7.14 cm2 201 111 ➢ 工作分格 RH 21 o Findings Navigator -70 -160 5cm Name Value Source -250 ➢ 结果分格 10 20 30 40 50 60 70 80 90 TT 225.6 100 % TR 47.2 SP H47.3 .................................................................................................. SL 5.5 107 214 321 429 536 643 750 857 964 1072 ms TE 2.0 p2 M/RETRO/DIS2D PCA image FOV 220*320 ➢ 图像库 Start End Tools RR 1128 +/- 20; 16 heartbeats Magnevist 27.00ml Os Peak-vel Forw-Volume Rev-Volume Avg-Flow/Min 2 Synch Align Hide Hide Reset Lines Timepo. ROM 107.00 122.194 6.476 Graphics 0 RO12 98.95 0.026 73.303 -3.884 It.MR.Flow Analysis. DataRole .lates Edit Snapshot Print Export Undo Redo RO13 Result segment Gallery segments Layout Image Image 10.00" TT 0.00 RO14 SP H47.3 3:44 PM SP H47.3 Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 TELIVTT MR Flow Quantification 心脏流量定量分析： 、 Vessel Segmentation ➢ 血管分割工具按钮： 可以一次用不同颜色分割4个血管， ROI1 RO12 ROI3 RO14 勾画、推挤、自动、衍生等不同的 工具按钮用于定义及修改血管分割 Pen Circle Nudge Adjust One Click Segment. Delete Delete All Copy Copy Backward Forward Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 Flow Peak-Vel Vel Net Flowy Area ROI1 RO12 RO13 RO|4 5 ml/'s 心脏流量定量分析： 504 427 、 350 273 ➢ View result 196 120 勾画完ROI，实时显示flow 、 43 peak- 34 -111 vel、 vel、 net flow、Area（流量、 188 -264 峰值流速、流速、净流量和面积曲线） 10 20 30 40 50 60 70 80 % 06 95 189 284 378 473 567 662 756 851 MIS 等相关血流结果 Start End Peak-Vel Forw-Volume Rev-'Volume Avg-Flow/Min RO11 109.497 85.616 5.137 O RO12 -85.312 2.288 57.96 -3.34 ROI3 ROI4 Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 MR Cardiac Analysis 心脏流量定量分析： + MR Cardiac Reading 、 MR Cardiac Function ➢ VENC Anti-Aliasing MR Flow Quantification 纠正因流速编码不合适出现的相位卷 Vessel Segmentation Evaluation Options 折 Venc Anti Alias. Background Phase Adjustment Stationary tissue threshold Auto min max Exclude Reinclude All Apply Reset All MR Cardiac Perfusion Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 MR_Cardiac_Analysis_Segm Ae Flow MRC8/E MR_Cardiac_Analysis_Segm_Ae *20-Apr-88, M, 22Y *20-Apr-88, M, 22Y CURRENT CURRENT Aera 心脏流量定量分析： flow 80 tp retro bh PDATE201508271 ETAD flow 80 tp retro bh PDATE201 ETAD 、 ➢ VENC Anti-Aliasing F SP F85.6 SL 6.0 up2 FOV 262*380 纠正因流速编码不合适出现的相位卷 132*192 Tra>Cor(6)>Sag(2) W 4736 p2 P DIS2D p2 P/RETRO/DIS2D C -156 ME 折 Flow Peak-Vel Vel Net Flow Area ROM1 PO12 RO13 RO14 Flow Peak-Vel Vel Net Flow Area ROM RO12 ROI3 ROI4 cm/s cm/s 45 77 34 63 24 50 13 36 3 23 -7 9 -18 -4 -28 -18 -39 -31 -49 .45 -59 -58 10 20 40 50 60 70 80 90 1 00 6 10 20 30 50 60 70 80 90 100 % 94 187 281 374 468 561 655 749 842 936 ms 94 187 281 374 468 561 655 749 842 936 ms Start End Start End Peak-Ve Forw-Volume Rev-Volume Avg-Flow/Min Peak-Vel Forw-Volume Rev-Volume Avg-Flow/Min ROH -79.922 50.823 0 3.1 ROM 164.609 89.323 0 5.449 ROLL 79.083 2.81 58.764 -3.413 RO12 -230.234 3.176 58.54 3.377 RO13 ROI3 RO14 RO14 Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 SIEMENS Server: SVIA29 administrator ? X MR Cardiac_Analysis_Segmented_02 × MR Cardiac A .. x MR Cardiac A. X * 8/12/1975 M 1324 MR Cardiac An MR Cardiac An .............................................................. AHL MR Cardiac Analysis AHL + MRCardiac Analysis Segmented: 02 8/1 2/1975, M, 33Y Anlagenzentrum/AF22314 MR Cardiac_Analysis_Segmented 02 Anlagenzentrum/AF 2231 MR Cardiac Reading *8/12/1975, M, 33Y 心脏流量定量分析： CURRENT CURRENT MR Cardiac Function ROI1 STUDY 8/12/2008 STUDY 8/12/2008 Avg : 47.65 cm/s MR Flow Quantification -- > Current.MR.Flow Role.latest.PC -- > Current.MR.FlowAnalysis.DataRole latest MAG Peak: 75.66 cm/s 11:36:26 AM 11:36:26 AM Flow : 340.25 ml/s Area : 7.14 cm2 、 Vessel Segmentation 61 IMA 5 60 IMA 5 Evaluation Options RH RH 背景相位校正： VencAnti 5cm 5cm Alias. Background Phase Adjustment ➢ 定义一个由静止组织组成的蒙片 TT 225.6 Stationary tissue threshold SP H47.3 SL 5.5 U 225.5 TR 47.2 TR 47.2 SP H47.3 TE 2.0 SL 5.5 p2 P/RETRO/DIS2D FoV 220*320- p2 M/RETRO/DIS2D FOV 220*320 min Auto ➢ 将静止的组织标记成红色 max RR 11 28 +/- 20, 16 heartbeats RR 1128 +/- 20; 16 heartbeats Magnevist 27.00ml Os Magnevist 27.00ml Os Flow Peak-Vel Vel Net Flow Area RO11 ROI2 ROI3 RO14 AHL Exclude Reinclude MR_Cardiac_Analysis_Segmented_02 Anlagenzentrum/AF 2231! Apply Reset All *8/12/1975, M, 33Y ➢ 调整阈值条选择合适的静止组织 ml/s CURRENT ROM MR Cardiac Perfusion 563 STUDY 8/12/2008 Avg : 47.65 cm/s 507 Current.MR.FlowAnalysis. DataRole latest MAG Peak : 75.66 cm/s Flow : 340.25 ml/s 451 11:36:26 AM Area : 7.14 cm2 蒙片 x 395 60 IMA 5 340 284 RH o Findings Navigator 228 173 Name Value Source 5cm 117 61 6 10 20 30 40 50 60 70 80 90 100 % TT 225.6 TR 47.2 SP H47.3 TE 2.0 SL 5.5 107 214 321 429 536 643 750 857 964 1072 ms p2 M/RETRO/DIS2D FOV 220*320 Start End Tools RR 1128 +/- 20; 16 heartbeats Magnevist 27.00ml Os Peak-Vel Forw-Volume Rey-Volume Avg-Flow/Min Synch Align Custom Hide Text Hide ROM 107.007 122.194 0 6.476 Lines Timepo. RO12 it.MR.FlowAnalysis.DataRole.lates KU Fait Snapshot Print Export Undo Redo RO13 Layout Image Image IT 0.00 T 0.00 ROI4 3:52 PM SP H47.3 SP H47.3 Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 Stationary tissue threshold Stationary tissue threshold Stationary tissue threshold 心脏流量定量分析： --------- Auto Auto ---- Auto -------- min max min max min max 背景相位校正： 、 ROM RON Avg : 30.7 cm/s Aug : 80.7 cm/s Avg :80.7 cm/s Paulo- 123.1 cm/s Peak 123.1 cm/s PEER - 128.1 cm/s Flow: 499 03 mlis Flow : 209 03 ml/s Flowe 499 03 ml/s Prea ser u scu2 RFP RFP RFP 选择合适的阈值确保只有静止的组 织相位被抑制（图中红色部分） Stationary tissue threshold Exclude 和Reinclude ALL工具可以 1,3 ------ Auto min max 排除错误定义的背景相位区域。 ROM Avg : 42.97 cm/s Peak : 188.48 cm/s Exclude Reinclude RFP Flow : 228.46 ml/s All Area: 5,32 cm2 Apply Reset All Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 SIEMENS Server: SVIA29 administrator X MR_Cardiac_Anal * 9/14/1925 F C02 Findings details 2 心脏流量定量分析： MR Cardiac Analysis Q + Patient Information Evaluation Options MR_Cardiac_Analysis_Se *9/14/1925, F, 80Y Patient Name: MR_Cardiac_Analysis_Segmented_03 Background Phase Adjustment MR Cardiac Reading CURRENT 7/28/2006 Age: 0 ms MR Cardiac Function 80 Years Start: _f15_150_through-p Aorta Height 66.93 Inches End: 916.8 ms 结果创建： 、 MR Flow Quantification OH 10:48:23 AM Weight: 163 Lbs Venc: 250 cm/s 26 IMA 4 Vessel Segmentation Heart Rate: 61 beats/min RFP O ROI 1 ROI 2 ROI 3 ROI 4 ROI1 RO12 ROI3 ROI4 TT 144.8 Region ROI 1_H73.6 Create Finding Pen Circle Nudge Adjust One Click TR 66.0 Flow Velocity and Pressure Create finding Segment. +O TE 3.4 TA 11.14 Avg Flow Over Range -56.094 ml/S Average Velocity -10.761 cm/s Delete Delete All Copy Copy p2 P/RETRO/DIS2D acoward Forward RR 96 Avg Flow Per Minute -3.137 l/min Peak Velocity -188.477 cm/s Evaluation Options Peak Flow -227.422 ml/S Time to Peak Velocity 创建结果，生成相应的流量分析结 96.5 ms MR Cardiac Perfusion Flow Peak-Vel vel I Net Time . Peak Flow 96.5 ms Peak Average Velocity -44.532 cm/s Forward Volume 0.286 ml Time to Peak Average Velocity 48.25 ms × Till's Reverse Volume 51.71 ml Pressure Gradient (4Vmax2) 14.209 mmHg 果 Net Forward Volume -51.424 ml Area Regurgitant Fraction - % Average Area 4.97 cm2 -64 Minimal Area Save result as text -89 Body Surface Area 1.853 m2 4.507 cm2 -114 Avg Flow per Minute/BSA -1.693 l/min/m2 Maximal Area 5.399 cm2 Findings Navigator -139 -164 Net Forward Volume/BSA -27.753 ml/m2 结果数据保存为文字数据 Name Value Source -189 -214 -239 10 20 30 40 Save Results as Text 92 183 275 367 Start Tools Peak-Vel Forw-Volume Rev-Volume Avg-Flow/Mi 2 2 SP_0 Synch Full Text Hide Hide Reset Timepo .. ROM -188.477 0.286 51.71 -3.137 * SP 03 Graphics Lines DE_high-res_MAG_SA_01 RO12 49.316 42.564 2.596 Flow Analysis.DataRole. * SP_01 Edit Snapshot Print Export Undo Redo ROI3 SP_02 Layout Image Image TT 0.00 TT 0.00 * SP_03 RO14 10:18 AM SP H73.6 SP H73.6 Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 Patient Name: MR_Cardiac_Analysis_Seg Heart Rate: 61 b/min 心脏流量定量分析： mented_03 Patient ID. C02 Slice Position: H73.6 Examination Date: 28-Jul-06 Venc: 250 cm/s Patient Height: 170 cm Background Phase Adjustment: No Patient Weight: 74 kg Range 0 to 916.8 ms Body Surface Area:1.853 m2 Region: Asc Ao Result Type Flow 结果创建： 241 Patient Name: MR_Cardiac_Analysis_Sog Heart Rate: 61 b/min mented_03 、 190 Patient ID: C02 Slice Position: H73.6 165 Examination Date: 28-Jul-06 Venc: 250 cm/s Create finding 140 Patient Height: 170 cm Background Phase Adjustment: No Patient Weight: 74 kg Range: 0 to 916.8 ms 115 Body Surface Area:1.853 m2 Region: Asc Ao Result Type: Net Flow 创建结果，生成相应的流量分析结果 Patient Name: MR_Cardiac_Analysis_Seg Heart Rate: 61 b/min mented_03 Patient ID: C02 Slice Position: H73.6 Examination Date: 28-Jul-06 Venc: 250 cm/s Patient Height: 170 cm Background Phase Adjustment: No 流量曲线 Patient Weight: 74 kg Range: 0 to 916.8 ms 25 Body Surface Area:1.853 m2 Region: Asc Ao 20 Result Type: Velocity 净流量曲线 Patient Name": MR_Cardiac_Analysis_Seg Heart Rate 61 b/min mented_03 Patient ID C02 Slice Position: H73.6 Examination Date: 28-Jul-06 Venc: 250 cm/s Patient Height: 170 cm Background Phase Adjustment: No 流速曲线 Patient Weight: 74 kg Range: 0 to 916.8 ms Body Surface Area:1.853 m2 Region: Asc Ao Result Type Peak Velocity cm/s 峰值流速曲线 191 Patient Name: MR_Cardiac_Analysis_Seg Heart Rate: 61 b/min mented_03 Patient ID: C02 Slice Position: H73.6 125 Examination Date: 28-Jul-06 Venc: 250 cm/s Patient Height: 170 cm Background Phase Adjustment: No 面积变化曲线 103 Patient Weight: 74 kg Range: 0 to 916.8 ms Body Surface Area:1.853 m2 Region: Asc Ao Result Type: Area Ciz -28 Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 Patient Name: MR_Cardiac_Analysis_Segment Heart Rate 61 b/min 心脏流量定量分析： Patient ID CO2 Slice Portion: H73.6 Examination Dale 28-Jul-06 Vene 250 cm/s 结果创建： 、 Patient Height 170 cm Background Phase Adjustment No Create finding Patient Weight 74 kg Range: Oto 916.8 ms Body Surface Area 1.853 m2 创建结果，生成相应的流量分析结果 Flow Quantification Region Asc Ao Flow Velocity and Pressure 结果汇总 Avg Flow Over Range 56.725 ml/s Average Velocity 10.633 cm/s Avg Flow Per Minute 3.1721/min Peck Velocily 188.477 cm/s Peak Flow 229.081 ml/& Time to Peak Velocity 56.5 ma Time to Peak Flow 96 5 ms Peck Average Velocity 43.746 cm/s Forward Volume 52.254 ml Time to Peak Average Velocity 48.25 ma Reverse Volume 0.251 ml Pressure Gradient (4Vmax.2) 14.209 mmHg Net Forward Volume 52.003 ml Nea Regurgiant Fraction 0.481 % Average Area 5.095 cm2 Avg Flow per Minute/BSA 1.7121/min/2 Minimal Area 4.629 cm2 Net Forward Volume/BSA 28 065 ml/m2 Maximal Area 5.531 cm2 Unrestricted © Siemens Healthcare GmbH, 2020 MR Cardiac flow quantification SIEMENS Healthineers 、 Save As X + Libraries + Documents Search Documents 心脏流量定量分析： Organize New folder ₩ Favorites Documents library 结果创建： 、 Desktop Indudes: 2 locations Arrange by: Folder Downloads 451 Recent Places Name Date modified Shared Virtual Machines 6/18/2016 4:36 PM F Desktop Save result as text Libraries Documents 结果数据保存为文字数据，便于科 My Documents Public Documents 研及数据存取 Music Pictures Videos 3 Administrator = Contacts File name: Lesults. txt Save as type: Text ( *. txt) Hide Folders Save Cancel Unrestricted © Siemens Healthcare GmbH, 2020 Disclaimer SIEMENS Healthineers 、 请注意，该资料仅供学习使用！ 为了正确使用软件或硬件，请务必使用由西门子医疗发行的《操作手册》或《使用说明》（以下统称为《操作手册》）。本材料仅学习参考使用，不能代替《操作 手册》。本培训中使用的材料可能未及时更新，并不一定反映软件和硬件最新版本。 操作手册应作为您的主要参考资料，特别是在涉及警告和注意事项之类的安全信息时。 、 注意：本资料中显示的某些功能为可选项，可能未包含在您的系统中。 某些产品，与产品相关的声明或者功能（以下统称为“功能”），可能尚未在您的国家/地区进行商业销售。 受监管要求所限，我们并不能保证所述功能将来能够向特 定国家/地区提供。请联系当地的西门子医疗销售代表获取最新信息。 未经书面授权，不得复制、传播、分发该资料及其相关内容，违者将承担相关责任。 所有患者的姓名和数据、参数和配置相关的名称均为虚构，仅作示例使用。 所有权利，包括专利权或产品的注册、设计的权利，均予保留。 版权所有 © 西门子医疗系统有限公司 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Unrestricted © Siemens Healthcare GmbH, 2020