syngo MR XA50M – What’s New list (from XA12)

MAGNETOM Amira, MAGNETOM Sempra Advance your magnetic resonance imaging syngo MR XA50M – What’s New siemens-healthineers.com/customer-services Including AdvanceNow SIEMENS Healthineers Dear MAGNETOM user, We are pleased to announce the arrival of our latest MRI This information letter provides a comprehensive scanner software, syngo MR XA50M. This new software overview of the new features and software improve- version includes comprehensive improvements to the ments that are incorporated in syngo MR XA50M. 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 XA50M 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 Amira – A BioMatrix System (1.5T) • MAGNETOM Amira – A Tim + Dot System (1.5T) • MAGNETOM Sempra (1.5T) 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 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 Wave-CAIPI SWI 8 1.5 ZOOMitPRO 9 1.6 BLADE Diffusion with SMS acceleration 10 1.7 Simultaneous Multi-Slice Dixon 11 1.8 High Bandwidth Inversion Recovery 11 1.9 myExam Brain Autopilot 12 1.10 New pulse sequence type for MR Elastography 12 1.11 Scanner interface Access-i 13 2. Improvements to sequences, protocols, and applications 13 2.1 SPACE FLAIR improvements 13 2.2 BOLD acquisition with SMS 13 2.3 Improvements to SMS – SMS Averaging 14 2.4 DSC perfusion without distortion correction 14 2.5 Improvements in 3D ASL and 3D PCASL 14 2.6 Coil-independent protocols and Auto Coil Select 15 2.7 Change of table modes 16 2.8 Loading of concatenations / partial series for scan planning and QA during acquisition 17 2.9 Absolute B0 shim-improved fat saturation in T-spine imaging 17 2.10 Improved RESOLVE diffusion imaging in the breast 18 2.11 Motion correction for TSE with more than a single average 18 2.12 Breast Biopsy improvements (detection of fiducial markers) 19 2.13 GSP UI: Toolbar pinning 20 2.14 GSP UI: Center line for scan planning 22 2.15 Transition of Dot Engines to myExam Companion 23 3. General syngo MR XA-line improvements 24 3.1 MR Protocols Module 24 3.2 Protocol Management 24 3.3 Readability of Series Navigator content 25 3.4 Intermediate sending of results 25 3.5 Multiple RIS worklist support 25 3.6 Positioning mode for interventions 26 3.7 Reset Windowing with middle mouse button double-click 27 3.8 Drag-and-drop operations in Series Navigator 27 3.9 Annotation of a whole image stack 27 3.10 Improved tool integration into MR View&Go 28 3.11 Improved behavior MR View&Go 28 3.12 Improved scan planning 28 3.13 Improved result handling 29 3.14 Improved data handling 29 3.15 Improved Retro Recon user interface 29 3.16 Set user-recorded voice commands as default language 30 3.17 “Mother-in-Child” Printing 31 3 syngo MR XA50M – What’s New 1. New sequences protocols, applications, and coils 1.1 Deep Resolve Gain Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: None Restrictions: None Deep Resolve Gain is our solution for targeted denoising, Highlights and benefits: addressing local noise variations. Image noise is usually • not uniformly distributed in MR images. This is due to Deep Resolve Gain addresses local noise variations coil array geometries, as well as acceleration techniques arising from coil array geometries and parallel imaging such as parallel imaging. techniques • Individual noise maps are generated from the acquired These local variations cannot be addressed by standard raw data and fed into the reconstruction process image filters. Deep Resolve Gain uses individual noise • maps in the reconstruction process to reduce noise Areas in the image with low SNR can be denoised where it is most needed in the image. stronger • Deep Resolve Gain is applicable from head to toe and Deep Resolve Gain can drive the reduction of image is not limited to certain coils acquisition times by reducing the number of averages in • the acquisition or it can be used to reduce image noise Deep Resolve Gain supports conventional Spin Echo introduced by increasing acceleration factors such as iPAT. and TSE including TSE Dixon • Deep Resolve Gain is compatible with SMS TSE, a Siemens Healthineers exclusive feature 4 syngo MR XA50M – What’s New 1.2 Deep Resolve Sharp Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: Deep Resolve Gain or Deep Resolve Boost Restrictions: None 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 of Deep Resolve Sharp uses a neural network to increase Deep Resolve Sharp generates a high-resolution image the sharpness of the reconstructed images from low resolution input data. The network was trained • The matrix size can be doubled along each axis on a large number of pairs of low-resolution and high- in-plane resolution data. • Robust results are ensured by incorporating the As the training data for Deep Resolve Gain covered a originally acquired raw data into the reconstruction wide range of anatomies, the reconstruction network can • Deep Resolve Sharp is used in combination with Deep be applied to all body regions. Deep Resolve Sharp can Resolve Gain, to obtain sharper images, faster increase the matrix size by a factor of up to two along • Deep Resolve Sharp is applicable from head to toe and both in-plane axis, resulting in substantially increased is not limited to certain coils image sharpness. Deep Resolve Sharp can also be used • Deep Resolve Sharp supports conventional Spin Echo, to reduce acquisition times: Images can be acquired with and TSE, including TSE Dixon reduced phase resolution; the resolution can then be • recovered when reconstructing the images with Deep Deep Resolve Sharp is compatible with SMS TSE, a Resolve Sharp. Siemens Healthineers exclusive feature 5 syngo MR XA50M – What’s New 1.3 Deep Resolve Boost Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: High-end MaRS Restrictions: None Deep Resolve Boost takes Deep Learning Reconstruction Highlights and benefits: to the next level. It enables previously inaccessible • parallel imaging acceleration. This is made possible by Deep Learning Reconstruction with effective denoising our first raw-data-to-image Deep Learning reconstruction. • Three levels selectable for the denoising strength The neural network behind Deep Resolve Boost enables • Deep Resolve Boost outperforms Deep Resolve Gain effective denoising that improves the visual signal- in its denoising capability to-noise ratio of the images. The Deep Learning • Employ parallel imaging factors previously inaccessible reconstruction used in Deep Resolve Boost achieves a in MR imaging stronger denoising than Deep Resolve Gain and the • denoising strength can be adapted by choosing from Significantly cut down scan times where TSE is a three levels. With this, Deep Resolve Boost will signifi- mandatory imaging sequence cantly cut scan times in clinical routine areas such as • Deep Resolve Boost is compatible with SMS TSE, neuro, spine, and MSK while not compromising on a Siemens Healthineers exclusive feature image quality. Deep Resolve Boost can be combined with SMS TSE, rendering this the industry first k-space-to- image-space Deep Learning Reconstruction that can be combined with SMS TSE. 56% faster 1aaaa4037 MAGNETOM Amira T2 TSE pituitary imaging in the brain. Left: PAT 2, conventional reconstruction (GRAPPA); right: PAT 4 with Deep Resolve Boost and Sharp. 6 syngo MR XA50M – What’s New Learn more about Deep Resolve White paper Initial Clinical Experience with an Iterative Deep Resolve – Mobilizing the power of networks Denoising Algorithm Applied to reduced-data Nicolas Behl, Ph.D. 2D Turbo Spin Echo Acquisitions (Siemens Healthineers) Johan Dehem, M.D., et al. (Jan Yperman Ziekenhuis, Leper, Belgium) MAGNETOM Flash (78) 2/2021:22-28 Deep Resolve – Mobilizing the power of networks · White paper Deep Resolve – Mobilizing the power of networks · White paper - Conventional reconstruction Deep Resolve Gain Initial Clinical Experience with an Iterative Denoising Algorithm Applied to Reduced-data The use of receive arrays and parallel imaging has been Over the last years, AI technologies have made their an important breakthrough in MR image reconstruction appearance in a various research publications[4,5]. 2D Turbo Spin Echo Acquisitions and is an essential part of clinical routine in MRI [1,2]. Especially the use of deep neural networks has proven Parallel imaging, however, usually comes at the price to be helpful when trying to address the limitations of higher image noise, especially in regions further away of conventional MR image reconstruction, especially pD tse fs p2 PD tse fs p3 from the receive coils. This results in inhomogeneous also for routine 2D imaging. Deep learning image TA 3:12 min TA 2:20 min noise distribution, especially if high acceleration factors reconstruction has the potential to tackle all three 0.4 x 0.3 x 3 mm3 0.4 x 0.3 x 3 mm3 are used. Compressed Sensing was another major limiting factors of MR imaging simultaneously: ======= development when it comes to image acceleration [3]. image resolution, signal-to-noise ratio and It benefits especially dynamic and non-cartesian 3D acquisition speed. imaging but comes at the cost of a higher computational burden. Also, 2D cartesian imaging, which still is building the backbone of routine MR imaging, benefits less from Compressed Sensing. T1 tse p2 T1 tse p3 TA 3:38 min TA 2:38 min 0.5 x 0.3 x 2.5 mm3 0.5 x 0.3 x 2.5 mm3 Deep Resolve Gain & Deep Resolve Sharp With Deep Resolve, we bring deep learning and AI to Deep Resolve Gain helps to mitigate noise that the MR image reconstruction process. Deep Resolve is is introduced when accelerating the acquisition our advanced reconstruction technology, which in its e.g. by reducing the number of averages or by pD tse p2 PD tse p3 first step brings intelligent denoising and deep-learning- increasing the acceleration factor in parallel imaging. TA 3:52 min TA 2:50 min based image reconstruction directly to the core of the 0.4 x 0.2 x 3 mm3 0.4 x 0.2 x 3 mm3 imaging chain. As the noise maps can be generated from the originally acquired raw data, no additional acquisition time is Deep Resolve Gain is our solution for intelligent needed, and the results are available in real-time. denoising. As mentioned above, in MRI, image noise Figure 2 shows how Deep Resolve Gain can be employed is not uniformly distributed across the image. This can to accelerate an entire knee exam. Images acquired with be due to coil array geometries since the SNR is usually increased acceleration and reconstructed with Deep higher close to the receive coils. Also the use of parallel Resolve Gain are similar in quality to the standard imaging reconstruction techniques can lead to varying protocols which are conventionally reconstructed. noise levels in the reconstructed image. These local In this example it results in an acceleration by 28% T2 tse fs p2 PD tse fs p3 TA 3:10 min TA 2:10 min variations in image noise can’t be addressed by over the entire exam. 0.6 x 0.3 x 3 mm3 0.6 x 0.3 x 3 mm3 conventional noise filters, as these operate globally on the entire reconstructed image. Deep Resolve Gain Deep Resolve Sharp is a novel image reconstruction incorporates specific noise maps, which are acquired technology to generate images with increased sharpness. together with the original raw data, directly into the The deep neural network at the core of Deep Resolve image reconstruction [6]. Sharp generates a high-resolution image from low resolution input data. The network was trained on a These noise maps are generated without needing to large number of pairs of low-resolution and high- PD tse fs p2 PD tse fs p3 TA 3:45 min TA 2:46 min spend additional scan time and can be extracted from resolution data. 0.5 x 0.3 x 3 mm3 0.5 x 0.3 x 3 mm3 the raw data. The reconstruction algorithm takes local noise variations into account and enables stronger As the training data for Deep Resolve Gain covered a 12:44 denoising where noise would be most dominant wide range of anatomies, the reconstruction network 17:37 when reconstructing with conventional methods. can be applied to all body regions. Deep Resolve Sharp 28% reduction With Deep can increase the matrix size by a factor of up to two Resolve Gain along both in-plane axis, resulting in substantially increased image sharpness. 3aaaa1620 2 The increase in SNR achievable with Deep Resolve enables you to accelerate entire knee exams. The targeted reduction of image noise allows for the use of higher acceleration factors, without having to pay with increased image noise. Images are acquired on a MAGNETOM Vida 3T scanner. siemens.healthineers.com/DeepResolve 3 siemens.healthineers.com/DeepResolve 4 Download the Whitepaper here Read the article here Introduction to Deep Learning for MR Image Deep Learning Image Reconstruction – Reconstruction state of the art Florian Knoll, Ph.D. Kerstin Hammernik, Ph.D. (NYU Langone Health, New York, NY, USA) (Imperial College, London, UK) Lecture presented at the 11th MAGNETOM World Lecture presented at the 11th MAGNETOM World Summit Summit Learning for image reconstruction LIVE 4D CINENet results - Healthy subject BioMedA LIVE Zero-filled CS CINENet scan time: 12% JD CINE Kerstin Hommenik PRO parameters Norton Knoll MO NoYU School of Medicine, New York, NY, USA imperial College London, UK Reconstruction similarity 2D CINE model measure scan time: 260% HR: 70 2 6 bpm MRM 2018 scan time: 75 11th MAGNETOM World Summit uy 23. 2020 UN MAGNETOM World Summit Listen to the talk here Listen to the talk here 7 syngo MR XA50M – What’s New 1.4 Wave-CAIPI SWI Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: SWI license Restrictions: None Wave-CAIPI SWI enables the extension of parallel imaging Highlights and benefits: to three spatial dimensions as well as reducing the • amount of noise in reconstruction process. The reduction Wave-CAIPI SWI reduces noise in accelerated SWI in noise can be used to accelerate acquisitions, resulting acquisitions in shorter scan times compared to standard CAIPIRINHA • Achieve higher acceleration compared to standard SWI imaging. parallel imaging • Wave-CAIPI SWI is a Siemens Healthineers exclusive technology Learn more about WAVE CAIPI Ultrafast Multi-Contrast Ultrafast Multi-contrast Wave CAIPI for Routine Clinical High-Resolution 3D Brain MRI: High-resolution 3D Brain MRI: Brain MRI Clinical Evaluation of Wave-CAIPI a Technical Description of Susie Huang, M.D., Ph.D. Acceleration in SWI, MPRAGE, Wave-CAIPI (Massachusetts General Hospital, FLAIR, SPACE Daniel Polak (Siemens Healthineers); Charlestown, MA, USA) Augusto Lio Goncalves Filho M.D. Kawin Setsompop, Ph.D., et al. Lecture presented at the 11th and Susie Huang, M.D., Ph.D., et al. (Martinos Center for Biomedical MAGNETOM World Summit, 2020. (Athinoula A. Martinos Center for Imaging, Massachusetts General Biomedical Imaging, Massachusetts Hospital, Charlestown, MA, USA / General Hospital, Charlestown, Harvard-MIT Health Sciences and MA, USA) Technology, Massachusetts Institute MAGNETOM Flash (76) 1/2020. of Technology, Cambridge, MA, USA) MAGNETOM Flash (76) 1/2020. DOCH MAL a Technical Descriptles Rapid 3D multi-contrast evaluation of the brain MPRACE' FLAIR' SPACE' ... in 1-mm iso bra Wave.CAIP 11th MAGNE TOM World Summit Download the article here. Download the article here. The talk is available here. Or visit us at: Or visit us at: Or visit us at: siemens-healthineers.com/ siemens-healthineers.com/ siemens-healthineers.com/ magnetom-world magnetom-world MWS2020-recordings > Clinical Corner > Case Studies > Clinical Corner > Case studies For talks, technical explanations, articles and much more on WAIVE CAIPI, visit us at: magnetomworld.siemens-healthineers.com/ clinical-corner/case-studies/wave-caipi.html 8 syngo MR XA50M – What’s New 1.5 ZOOMitPRO Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: None Restrictions: None Diffusion-weighted imaging (DWI) is a decisive tool in Highlights and benefits: body oncology for detection and characterization of • disease. Artifacts caused by susceptibility effects are an ZOOMitPRO allows for high-resolution and fast selective issue but can be addressed with shorter echo times and volume-of-interest diffusion-weighted imaging, e.g., echo spacing. One mean to reduce the echo spacing is of the prostate, the pancreas, the kidneys, the breasts, reduced FOV imaging with dedicated excitation pulses. or the brain. Introducing a new sequence scheme for excitation and • Substantially less image blur and respiratory motion readout, reduced FOV imaging with DWI is enabled at artifact and significantly higher diagnostic confidence. both 1.5T and 3T. • With the optimized pulse sequence scheme, the acquisition technique is more robust in the presence of off-resonance effects, i.e., metal implants. 9 syngo MR XA50M – What’s New 1.6 BLADE Diffusion with SMS acceleration Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard (BLADE TGSE) and purchasable option (BLADE Diffusion and SMS option) Pre-requisites: SMS license for the purchasable option Restrictions: SMS is not available for MAGNETOM Sempra [96x8] BLADE Diffusion is a new member of the BLADE family Customers who additionally purchase the SMS license based on the TGSE sequence. It employs a TSE-based (either individually or by selecting Turbo Suite Excelerate) sequence design that allows an EPI readout to collect can use SMS to reduce the total scan time of the BLADE multiple echoes around the main spin echo. In its basic Diffusion. version, it will become available as standard with the same functionality as the already available BLADE TSE, Highlights and benefits: meaning EPI factor = 1. • New non-EPI based diffusion functionality based on By adding the BLADE Diffusion license, BLADE leverages a BLADE TGSE sequence the advantage of the TGSE sequence design. Diffusion • No geometric distortions in challenging areas with weighting is now available, allowing EPI factors > 1 so large susceptibility changes that a BLADE-based non-EPI diffusion sequence becomes • available. By performing diffusion imaging with a SMS support for BLADE Diffusion is a non-EPI sequence, geometric distortions are eliminated Siemens Healthineers exclusive feature in areas with large susceptibility changes such as the sinuses and the inner auditory canal. BLADE Diffusion is recommended in situations where RESOLVE does not minimize geometric distortions sufficiently. Further Reading Distortion-free Diffusion-weighted Imaging 2D BLADE Turbo Gradient- and Spin-Echo Based on a TGSE BLADE Sequence: versus 2D Spin-Echo Echo-Planar Technique and Clinical Application Diffusion-Weighted Brain MRI in Children Kun Zhou Ph.D.; Wei Liu Ph.D. Aaron S McAllister, M.D.; Ramkumar Krishnamurthy, Ph.D. (Siemens Shenzhen Magnetic Resonance Ltd., (Department of Radiology, Nationwide Children’s Shenzhen, China) Hospital, Columbus, OH, USA) MAGNETOM Flash (80) 1/2022:22–29 MAGNETOM Flash (81) 2/2022:30–33 --- -- Distortion-free Diffusion-weighted Imaging 2D BLADE Turbo Gradient. and Spin-Echo Based on a TCSE BLADE Sequence. versus 2D Spin-Echo Echo-Planar Technique and Clinical Application Diffusion-Weighted Brein MRI in Children X Download the article here Download the article here 10 syngo MR XA50M – What’s New 1.7 Simultaneous Multi-Slice Dixon Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option, included in SMS license and Turbo Suite Excelerate package Pre-requisites: SMS license Restrictions: SMS is not available for MAGNETOM Sempra [96x8] Simultaneous Multi-Slice (SMS) concurrently excites The scope of SMS accelerated sequences is extended multiple slices with a multiband pulse and then to the TSE Dixon sequence. This sequence is extremely spatially encodes their signal simultaneously. While useful for MSK imaging with excellent fat suppression, conventionally this would have led to the images from i.e. for large FOVs or off-centric exams (hand, elbow, each slice being overlaid on top of each other, excellent wrist) or if multiple image contrasts are needed at the diagnostic images can be gained by separating the same time (in-phase, water, and fat). signals from each slice by using blipped CAIPIRINHA. By applying SMS, imaging can be accelerated by a factor equal to the number of slices that are excited simultaneously. It is also possible to combine SMS and conventional parallel imaging. 1.8 High Bandwidth Inversion Recovery Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, Further Reading MAGNETOM Sempra Category: Purchasable option Pre-requisites: Clinical Utility of High-Bandwidth Inversion None Restrictions: Recovery Sequences in Patients with Cardiac None Implanted Electronic Devices Hajnalka Vágó, M.D.; et al. MRI is the gold standard modality when it comes (Semmelweis University, Heart and Vascular to gaining information on myocardial tissue Center, Budapest, Hungary) characterization. MAGNETOM Flash (80) 1/2022, page 13–17 High Bandwidth Inversion Recovery uses wideband - techniques to reduce susceptibility artifacts, and Clinicol Utility of High-Bandwidth Inversion Recovery Sequences in Potients with Cardioc Implanted Electronic Devices therefore, extends the benefits of tissue characterization to these patients, enabling them to receive diagnostically robust imaging to visualize myocardial injury using tissue characterization. This technique has been evaluated under clinical conditions and has shown robustness. Highlights and benefits: • Extends benefits of cardiac inversion recovery imaging to patients prone to susceptibility artifacts Download the article here • Myocardial tissue characterization based on inversion recovery imaging 11 syngo MR XA50M – What’s New 1.9 myExam Brain Autopilot Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None myExam Brain Autopilot helps users to automate myExam Assist at any time to further personalize scan intelligently. They enable less trained staff to scan brain settings on the fly for individuals. MRI at high quality. By using automation and AI, it takes away burdensome routine tasks for all technologists. Highlights and benefits: myExam Brain Autopilot provides automations such • as AutoPosition, AutoAlign, AutoCoverage and the Novice users automate exams intelligently flexibility of customization for site specific standards • Scan at high quality with just a simple click of care. Predefined protocols allow users to scan with • Reduce staff training time minimal manual interactions. Users can switch to 1.10 New pulse sequence type for MR Elastography Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: MR Elastography license and hardware Restrictions: This feature may only be available in selected countries The new SE-EPI pulse sequence type offers acquisition It combines a SE sequence with a fast echo-planar of multiple slices in a single, short breath-hold, and imaging (EPI) readout. Advantages of the SE EPI based provides improved robustness in patients with iron approach are a higher robustness in patients with iron overload. Spin-Echo EPI for MR Elastography (SE EPI MRE) overload and a higher signal-to-noise ratio of the wave is an alternative to a GRE-type sequence for MRE. images compared with GRE-based MRE. Further Reading Liver Magnetic Resonance Elastography Magnetic Resonance Elastography of the Liver: in Children Best Practices Elżbieta Jurkiewicz, M.D., Ph.D.; et al. Manjunathan Nanjappa, Ph.D.; Arunark Kolipaka, (The Children’s Memorial Health Institute, Ph.D., FAHA, FSCMR; et al. Warszawa, Poland) (The Ohio State University, Columbus, OH, USA) MAGNETOM Flash (81) 2/2022, page 50–55 MAGNETOM Flash (80) 1/2022, page 85–93 Download the article here Download the article here 12 syngo MR XA50M – What’s New 1.11 Scanner interface Access-i Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: None Restrictions: None Provides an interface and AddIn to enable the connection It allows the remote client to receive images in real of a third-party workstation or treatment device (i.e. time from the MR, as well as to control the MR exam HiFU) to the MR (to the syngo Acquisition Workplace). measurements from the third party device using the Access-i AddIn. 2. Improvements to sequences, protocols, and applications 2.1 SPACE FLAIR improvements Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Applying a new non-selective T2 preparation IR pulse help to improve the assessment of 3D SPACE dark-fluid instead of a conventional non-selective inversion pulse, images, particularly in the pons. flow-related artifacts can be substantially reduced and 2.2 BOLD acquisition with SMS Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: SMS license Restrictions: SMS is not available for MAGNETOM Sempra [96x8] When creating maps (e.g., mean and activation overlay there were discrepancies between the anatomical data image and t-test activation map) with General Linear and the slice position of the maps. With software version Model from SMS BOLD data without motion correction syngo MR XA50M, these discrepancies have been solved. 13 syngo MR XA50M – What’s New 2.3 Improvements to SMS – SMS Averaging Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard with SMS software license Pre-requisites: SMS license Restrictions: SMS is not available for MAGNETOM Sempra [96x8] SMS Averaging can be used when acquiring multiple and effectively increase the signal-to-noise ratio per slices simultaneously to reduce the measurement time unit time. 2.4 DSC perfusion without distortion correction Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: None Restrictions: None Perfusion-diffusion mismatch is a valuable measure diffusion mismatch calculation, e.g., in syngo.MR in clinical stroke evaluation. Until now, Dynamic Neurology using the mismatch evaluation tool. Susceptibility Contrast (DSC) perfusion data couldn’t With syngo MR XA50M, the DSC perfusion protocol be acquired without distortion correction (DC) while for ep2d_fid can now be scanned without distortion Diffusion Weighted Imaging (DWI) doesn’t offer DC. correction to enable reliable perfusion-diffusion Hence, perfusion data acquired with DC and DWI data mismatch calculation. without DC were not suited for proper perfusion- 2.5 Improvements in 3D ASL and 3D PCASL Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: None Restrictions: None Note: Improvements to PCASL sequence found within the 3D ASL package The acquisition of Multi-TI datasets can now be used Highlights and benefits: for the estimation of both bolus arrival time (BAT) and • relCBF. Also, the improved background suppression is Estimation of BAT (only for multi-TI acquisitions) and now available for 3D PCASL. relCBF are now enabled for 3D ASL acquisitions. • Improved background suppression for 3D PCASL For research purposes, the M0 image can be generated • to enable additional quantification methods. The M0 image can be used for research applications, e.g., absolute quantification of the CBF Learn more about ASL For a wealth of articles and talks by renowned experts please visit: magnetomworld.siemens-healthineers.com/ clinical-corner/case-studies/arterial-spin-labeling.html 14 syngo MR XA50M – What’s New 2.6 Coil-independent protocols and Auto Coil Select Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None The selection of coils and coil elements is an essential On syngo MR XA50M the following Auto Coil Select step during the setup of every MRI protocol. It ensures modes exist: that all regions within the field of view are scanned with • high signal whereas regions outside the field of view do Auto Coil Select (automatically selects the most not disturb the image, for example by infolding artifacts. suitable set of coil elements from any of the plugged-in With syngo MR XA50M, we broadened the range of the coils within the field of view) Auto Coil Select (ACS) options to allow an automatic coil • ACS All but spine (This mode selects all coils within selection for all body regions. Additionally, with syngo the FOV except the spine coil. This can be helpful if MR XA50M protocols were implemented independent of you want to examine, e.g., hand/wrist, knee, shoulder, specific coils. This provides several advantages: breast with dedicated coils) • 1. Swapping coils for a specific protocol no longer ACS Restricted (restricts the coils / coil elements that triggers an info message, which needs to be are considered by the Auto Coil Select mechanism) confirmed • Manual (manual preselection of desired coils/coil elements can be stored in the protocol) 2. User-specific protocols which use a manual coil selection set up in the myExam Cockpit can be set up coil-independent by selecting one of the ACS modes. This makes protocol handling faster and protocols may be more easily exchanged between systems 3. Due to the new Auto Coil Select (ACS) functionality with two new Auto Coil Select modes, ACS functionality is more robust, flexible and less error prone. In general, Auto Coil Select function enables you to use the desired, plugged in coil without further efforts as it is selected automatically. The new ACS modes “ACS All but spine” and “ACS Restricted” make it possible that ACS can be used for all body regions and all coil combinations. If ACS is used, instead of a manual coil selection, the protocol will react more flexibly to variations in exams, e.g., when coils are swapped or when adapting to different patient sizes (for example different patient heights in thorax exams and thus different relative position to spine coil elements). In all Siemens Protocols one of the ACS modes are used. 15 syngo MR XA50M – What’s New 2.7 Change of table modes Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None With syngo MR XA50M the choice of table modes has been adapted. Following three modes are available: Iso mode: Table Positioning Strategy In Iso mode, the table moves during each examination so that the center, Select Table Positioning Strategy or region of interest, of the slice Iso Center Local Range Fixed package is always at the iso center. O Fixed table mode: Table Positioning Strategy To avoid unintentional table movement during interventions Select Table Positioning Strategy triggered by running sequences Iso Center Local Range Fixed with different isocentric positions or to enable off-center scanning. Define the Fixed Table Position by dragging the triangle in the planning segment(s) to the body part of interest. Alternatively select one of the previously used positions or enter a O O particular fixed position. Fixed Position 0 mm Local Range mode: Table Positioning Strategy In Local Range mode, you define one (or more) Local Range positions. Select Table Positioning Strategy If the focus slice (region of interest) Iso Center Local Range Fixed is within the tolerance range of the Define Local Range Center Position by dragging the triangle in the Local Range position, the stage is planning segment(s) to the body part of interest. not moved for this measurement. O Alternatively select one of the previously used positions or enter a particular position Local Range Position mm 16 syngo MR XA50M – What’s New 2.8 Loading of concatenations /partial series Included for scan planning and QA during acquisition with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Possibility to use partially available results of the Highlights and benefits: program step for planning in the graphical slice • position (GSP). Users can check image quality and use images for slice planning before all concatenations have been acquired • Loading of concats / partials series for scan planning and QA during acquisition • Manual drag and drop from the Queue into the GSP loads all finalized concatenation at this point in time 2.9 Absolute B0 shim-improved fat saturation Included in T-spine imaging with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None The additional shimming option “Absolute” of the Highlights and benefits: parameter B0 Shim in the adjustments tab card allows • improved fat saturation, e.g., in T-spine imaging. Improved fat saturation, particularly useful, e.g., in T-spine imaging SIEMENS > t-spine > library > T2 > t2_tse_fs_sag_3mm General Protocol Parameters Routine Contrast Resolution Geometry Voice Commands Execution Miscellaneous Adjustments Adjust Volume Tx/Rx Image Management Adjustment Strategy Standard Auto Load BO Shim Standard Copy References Tune up Preview Standard Standard Neck Advanced Cardiac CoilShim Foot/Ankle Abdomen Absolute Activate Absolute Shim via adjustment card > B0 Shim. 17 syngo MR XA50M – What’s New 2.10 Improved RESOLVE diffusion imaging in the breast Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None In rare cases, when applying RESOLVE diffusion imaging New benefits: in the breast with arms down, signal drops could be visible. With syngo MR XA50A, the calculation of the Rare signal drops in RESOLVE breast imaging are avoided. ghost correction factors has been refined such that erroneous results are now avoided. 2.11 Motion correction for TSE with more than a single average Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: Not compatible with Deep Resolve Boost Restrictions: None TSE motion correction is an image-based motion New benefits: correction technique in the average-dimension for TSE imaging. The motion correction technique employs The motion correction in the average dimension reduces a non-rigid elastic registration to consistently align the image blur that would result from organ movement the images before averaging. The feature has been between averages. optimized and validated for improved prostate TSE imaging. @ 2:57 min Auto 2 3 0.3x0.3x3.0 mm3 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Part 1 Part 2 Assistant Introduction WARP Phase Correction Automatic Red. EC Sensitivity Compensate T2 Decay Acoustic noise reduction Off Hyperecho Reduce Motion Sens. Motion Corse None None Registration of Averages The TSE motion correction functionality can be activated in the UI element “Motion Correction” through the option “Registration of Averages”. This functionality is only selectable if multiple averages are selected. 18 syngo MR XA50M – What’s New 2.12 Breast Biopsy improvements (detection of fiducial markers) Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard with Breast Biopsy software license Pre-requisites: Breast Biopsy software license, Breast Biopsy coil and Grid- or Post&Pillar Device and Fiducial Marker Restrictions: None The functionality supports the breast biopsy user by Highlights and benefits: automatically selecting the fiducial marker. After the automatic selection, the user can approve the selected The automatic detection of the fiducial markers provides marker. After approval, the marker is highlighted with an improved breast biopsy workflow, which can be a yellow arrow in the images. performed faster as the user does not need to manually select the fiducial marker by scrolling/navigating through all the images. Device Settings Presets BI4 Kt1 Grid Name B17 God BI4 K(2 PP (*) BI7 Grid Coil Breast BI 7 BI7 PP Intervention Method Grid Marker Position C4 Needle ATEC Petite 9g Automatic Marker Detection on Markers to detect Lateral Medial Copy OK Apply Cancel The automatic fiducial marker detection can be activated in the Device Settings pre-configuration dialogue. MR Breast Biopsy Anonymous Female 1967 MR Breast Biopsy :: ANONPPO1IE1LG Avanto F. 51Y MR B19 Calibration CURRENT HFP 29.06.2019 13 Device B17 Grid (AF2) 11_13d_ax DYNAMIC NON FATSAT latest/Phase_02 Marker RPPO1IE1KG Position Markers 1 Left Later .. STUDY ID EPPO1IE1KG 15:12:16 Breast Left 4 IMA 92 M (C4) Access Direction Lateral Skin Edge L133 R 1cm gon tage 120 F 1.2 Approve TR 7.0 TP 0 TE 4.8 SP H52,5 Target Selection FOV 250*250 BW 610.0 192 256 MIND/NORM 11 A1/PFP Zoom 2,02 W 876 "1301 / 10 Dotarem After 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. 19 syngo MR XA50M – What’s New 2.13 GSP UI: Toolbar pinning Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None The Graphical Slice Positioning user interface (GSP UI) New benefits: is the central workplace when planning and conducting an exam. When using the toolbar of the GSP UI, there GSP UI toolbar can be pinned on all systems starting with was so far no way to pin it. With syngo MR XA50M, syngo MR XA50M. the possibility to pin the toolbar has been added to the GSP UI. SIEMENS . Healthineers Toolbar pinning, Demo . 7724/1981 M 2021.10.14-10:00:24 .. x MR View&GO Brain LOC AFR AFR AFR Toolbar planing. Demo Toolbar pinning, Demo TOOR Toolbar pinning, Demo AAhead_scout 2021.10.14-10:08-24-DBT.1.3.12.2.1107.5.99.3 2021.10.14-10:08:24-DST-1.3.12.2.1107.5.99.3 2021.10.14-10:08:24-DBT-1.3.12.2.1107.5.99.3 10/14/2021 10/1 4/2021 10/1 4/2021 11_82d_sag_p2_256 5 IMA1 FRM 101 5 IMA1 FIRM 1/1 5IMA1 FRM 1/1 12_tse_tra_p3_256 _ 12_tse_dark-fluid_tra_p2_256 5 % cp2d_diff_mddw_12_p2 01:06 cp2d_tra_hemo 00:06 RPH RPM RPH TP O TP O 8P F24.3 PRIRESAMEINOFMOIS3D FoV 259-259 FOV 259-259 Whead_scout_MPR 13 Tra>Con(9)>Sap(-1) PRIRESAME/NORM/DI830 Tra>Conts>Bag[.1) IMPRIRE SAMPAIOEMDIS3D Tra>Congo. Sag(1) 576 Ahead_scout_MPR_tra 576 Ahead_scout_MPR_bra 576 274 201:12 GO Cancel @ 1:52 min 1; Auto @ 2 @ 0.9x0.9x5.0 mm' 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Slice Group 1 FoV Read 220 % mm Slices 25 FoV Phase 87.5 % % Slice Thickness 5.0 ¢ mm Distance Factor 20% 8000.0 ¢ ms Position Isccenter TE 119.00 Orientation Transversal Averages Phase Encoding Dir. R>> L Concatenations Phase Oversampling 25 AutoAlign Head > Brain Coil Elements HC2 SAR Stimu Waiting for slice positioning. 10:09:46 AM Regular user interface in syngo MR XA50M. The toolbar is hidden and can be activated by clicking the white downwards oriented triangle above the three localizer images in the center. 20 syngo MR XA50M – What’s New SIEMENS . Healthineers Toolbar pinning. Demo ). . 7724/1981 M 2021.10.14-10:00:24. C. MR View&GO ? Brain LOC Line Mod Table the T AAhead_scout 10/1 4/202 10/1 4/2021 10/1 4/2021 11_12d_sag_2_256 5 IMA1 FRM 11 5IMA1 FIRM 1/ SMAT FROM 1UM 12_tse_tra_p3_256 %_ 12_tse_dark-fluid_tra_p2_256 5 % cp2d_diff_mddw_12_p2 01:06 ep2d_tra_hemo 00:06 RPH KPN RPH TP O TP O 8P F24.3 SP F24.3 MPRIRESAMEINOFMOIS3D FOV 259-259 FOV 2:59-259 Mhead_scout_MPR 13 Tra>Con(9)> Sap(-1) PRESAME/NORMDI830 Tra>Conso>Bag(.1) JMPRIRESAMPNORM D 83D Cray 259-259 Tra>Congo. Sag(-1) 576 Ahead_scout_MPR_tra 576 224 Ahead_scout_MPR_tra 1 01:12 Go Cancel 1:52 min | Auto @ 2 @ 0.9x0.9x5.0 mm" @ 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Slice Group 1 FOV Read 220 % mm Slices 25 % FOV Phase 87 Slice Thickness 5.0 mm Distance Factor 20% TR 8000.0 ¢ n Position Isocenter TE 119.00 Orientation Transversal Averages Phase Encoding Dir. R>> L Concatenations Phase Oversampling 25 AutoAlign Head > Brain Coil Elements HC2 SAR Stimu Waiting for slice positioning. ES EN 10:10:55 AM After the triangle has been clicked, the toolbar opens. Please note on the far-right side the small pin next to the settings wheel. SIEMENS X Healthineers Toolbar pinning, Demo . 7124/1981 M 2021.10.14-10:08:24 .. MR View&GO Brain * LOC AFR AFR AFR AAhead_scout Toolbur planing, Demo Toolbar pinting, Demo Toolbar pinning, Demo T 2021.10.14-10:00:24-057-1.3.12.2.1107.5.99 3 2021-10.14-10-01:24-061-1.3.12.2.1107.5.99.3 2021.10.14-10:00:24-DS7-1.3.12.2.1107.5.99.3 11_12d_sag_2_256 10/1 4/2021 10/1 4/2021 10/1 4/2021 5 IMAI FRM 1/1 5 IMA1 FAM 1/1 5 MAI FRM 11 12_tse_tra_p3_256 4 %_ 12_tse_dark-fluid_tra_p2_256 5 % ep2d_diff_mddw_12_p2 01:06 6 cp2d_tra_hemo 00:06 RPH RPH 5cm 5cm 5cm F F TP O TP O TP O 8P F24.3 SP F24.3 SP F24.3 DV 259-259 FOV 259-259 Fal 259*259 MORIRE SAMPINORMOIS JD Athead-YCOMPR-VA MYRRESAMP NORIODISSO -Tra>ContoBag[.1) $76 M RIRESAMPLIOREDEND Con(g)>Sag(-1) 274 201:12 Go Cancel 1:52 min 4 Auto @ 2 @ 0.9x0.9x5.0 mm> > 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Slice Group 1 FOV Read 220 ¢ mm Slices 25% FoV Phase 87 Slice Thickness 5.0 mm Distance Factor PO TR 8000.0 ms Position Isocenter TE 119.00 ms Orientation Transversal Averages Phase Encoding Dir. Concatenations 2 Phase Oversampling 25 wtoAlign |Head > Brain Coil Elements HC2 SAR Stimu Bonne Waiting for slice positioning. 10:11:25 After clicking the pin, the background of the pin turns to a light gray and the orientation of the pin changes from horizontal to downwards tilted. The toolbar is now pinned and, hence, the tools are always visible in the GSP UI. 21 syngo MR XA50M – What’s New 2.14 GSP UI: Center line for scan planning Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None The Graphical Slice Positioning user interface (GSP UI) is New benefits: the central workplace when planning and conducting an • exam. When modifying the slice or slab group orientation Center line along slice direction for precise positioning in 2D or 3D scanning, a dashed line along the slice/slab along anatomical structures direction is displayed. This center line is designed to • Available for 2D and 3D imaging facilitate precise positioning along anatomical structures such as the brainstem, spinal cord, septal wall, etc.. As soon as the user releases the mouse button, the center line disappears for clear visualization of the underlying anatomy. Please note that no center line is displayed if the slice orientation is perpendicular to your planning image plane, e.g., if you plan a sagittal slice stack on a sagittal image. SIEMENS Healthineers Centerice, Demo x X · 7:24/1981 M 2021.10.14-09:26:00 .. MR View&GO ? Brain LOC Centerine, Dema Centersise, Demo AAhead_scout 2021.10.14-09-28.00-DST-1.3. 7.5.01.3 2021.10.14-08-36.00-037-1.3.12.2-1107.5.69.3 10/1 03021 10/14/0821 t1_12d_50g_2_256 4 MA1 FRM 3/1 IVA1 FRM 1/ _ 12_tse_tra p3 25 12_tse_dark-fluid_tra_p2_256 01:52 cp2d_diff_mddw_12_pZ 01:06 ep2d_tra_hemo 00:06 ARH NPRREBANANORWCIS30 IMPRIRE SAMPAIORMOISD 1 03:04 Un Go Cancel 1:02 min : Auto 0 3 @ 0.9-09-5.0 mm3 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Slice Group 1 FoV Read 220 - mm Slices 25 ¢ FOV Phase 87.5 % % Stice Thickness 5.0 ¢ m Distance Factor 20 TR 6200.0 ms Position L1.0 P11.7 F0.7 TE 78.00 - ms Orientation T> C2.3 >50.2 Averages Phase Encoding Dir. Rss L. Concatenations Phase Oversampling AutoAlign Head > Brain Coil Elements HCZ O. Stimu Waiting for slice positioning When modifying the orientation of the slice group for 2D imaging, a dashed white line along the slice direction through the pivot (yellow circle in the center of the slice group) appears. 22 syngo MR XA50M – What’s New SIEMENS . Healthineers Centerfiore, Demo * 7/24/1981 M 2021.10. 14-09:26-00. MR View&CD Brain LOC HPL HPL Centerline, Demo Centerine, Deno Centerline, Demo AAhead scout 2021.10.14-09.25.00-DST-1.3.12.2.1107.5.99.3 2021.10.114-09:25.00-DST-1.3.12.2.1107.6.99.3 2021.10.14-08:26.00 08T-1.3.12.2.1107.5.99.3 10/114/2021 10/1 4/2021 t1_12d_sag_p2_256 4 IVA 1 FRIE 1/1 1 FROM LAS %% 12_tse_tra_p3 256 12_tse_dark-fluid_tra_p2_256 01:52 ep2d_diff_mddw_12_p2 01:06 ep2d_tra_hema 00:06 ARH Ahead_scoULMIPR_199 MPRREBAMPINGRWDES30 2 03:04 Go Cancel & 1:02 min 4Auto @ 3 @ 0.9x0.9x5.0 mm2 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Slice Group 1 oV Read 220 m Slices 25 % FoV Phase 87.5 % % Slice Thickness 5.0 m mm [Distance Factor 20 # TR 6200.0 ms Position L1.0 P11.7 F0.7 TE 78.00 % Orientation T> C2.3 > 50.2 Averages Phase Encoding Dir. R>>L Concatenations 2 4 Phase Oversampling AutoAlign|Head > Brain Coll Elements HC2 No center line is visible when the mouse button is released. 2.15 Transition of Dot Engines to myExam Companion Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard and purchasable (e.g., Abdomen Assist) options Pre-requisites: None Restrictions: None With syngo MR XA50M, we introduce an update to Previous software New naming with our general user interface. This will harmonize tools versions: syngo MR XA50M: facilitating an easier and more intuitive workflow. The new user interface is introduced as myExam Dot Engines myExam Assist Companion. Brain Dot Engine myExam Brain Assist As part of this user interface, the formerly known Spine Dot Engine myExam Spine Assist “Dot Engines” now appear as “myExam Assist and the former “Dot Cockpit” becomes “myExam Cockpit”. Large Joint Dot Engine myExam Large Joint Assist Abdomen Dot Engine myExam Abdomen Assist Whole-body Dot Engine myExam Whole-Body Assist* Breast Dot Engine myExam Breast Assist Angio Dot Engine myExam Angio Assist Cardiac Dot Engine myExam Cardiac Assist LiverLab Dot Engine myExam LiverLab Assist As additional stand-alone option w/o Abdomen Assist Dot Cockpit myExam Cockpit *Only for MAGNETOM Amira 23 syngo MR XA50M – What’s New 3. General syngo MR XA-line improvements 3.1 MR Protocols Module Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Purchasable option Pre-requisites: None Restrictions: None With the MR Protocols Module, we are introducing a Changes are distributed across the scanner fleet with new generation of MR protocol management in teamplay one click. Furthermore, the feature supports the setup of protocols. With this solution, the technologist or chief consistent examination protocols to maintain a common radiologist is now able to manage scan protocols from protocol structure across an enterprise fleet of scanners one central location. It is now possible to edit and for different clinical demands. This ensures highest distribute scan protocols across scanner types and imaging standards for all patients. configurations without interrupting scanner operation. 3.2 Protocol Management Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Following improvements in myExam Cockpit: myExam Highlights and benefits: Cockpit “Highlight Changes” for easier identification of changes protocols. myExam Cockpit “Efficient mass Reduced effort for chief technologists during protocol protocol editing” now for nearly all parameters. maintenance. 24 syngo MR XA50M – What’s New 3.3 Readability of Series Navigator content Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Several minor issues regarding the readability of the Series Navigator have been resolved, e.g., user-adjustable width of the Series Navigator and separate series number column, configurable grouping behavior for composing and rescans. 3.4 Intermediate sending of results Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None There is an integration of a new ‘Send’ button in distribution step, and results can be sent from MR View&GO without closing the application. 3.5 Multiple RIS worklist support Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None With syngo MR XA50M, it is now possible to receive patient data in the scheduler from several RIS systems. 25 syngo MR XA50M – What’s New 3.6 Positioning mode for interventions Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None To avoid unintentional table movement during interventions, triggered by running sequences with different isocentric positions or enable off-center scanning, with syngo MR XA50M the “fixed” positioning mode got introduced to support these workflows. Table Positioning Strategy Select Table Positioning Strategy Iso Center Local Range Fixed Define the Fixed Table Position by dragging the triangle in the planning segment(s) to the body part of interest. Alternatively select one of the previously used positions or enter a O particular fixed position. Fixed Position H 0 mm 26 syngo MR XA50M – What’s New 3.7 Reset Windowing with middle mouse button double-click Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Double-clicking the middle mouse button within an image segment resets the “windowing”. 3.8 Drag-and-drop operations in Series Navigator Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None It is now possible to drag objects from the Series Navigator onto the film sheet. 3.9 Annotation of a whole image stack Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Annotations can now be propagated to the entire image stack by right-clicking on the measurement. 27 syngo MR XA50M – What’s New 3.10 Improved tool integration into MR View&Go Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Several minor issues regarding the tool handling within MR View&GO have been resolved, for example with MR tools such as Subtraction, calculated b-value are directly available in every image segment and can be added to the Favorite tools; simplified Mean Curve is now called Time Curve. 3.11 Improved behavior MR View&Go Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None First and last image of the source stack will be projected on the target images. Improved cardiac postprocessing by adding necessary DICOM information. HASTE diffusion is now supported in ADC b-value offline generation. 3.12 Improved scan planning Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None The “continue measurement” button is now displayed in Select&GO. Table is now moved to the correct position when “Brain” is selected with Select&GO. 28 syngo MR XA50M – What’s New 3.13 Improved result handling Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Phase-encoding direction arrow in image text is displayed CorRea: Contrast comment can now be edited. according to DICOM attribute In-plane Phase Encoding Direction (0018,1312). Changed windowing values are sent to the PACS even if the segment is not visible in the layout. An issue with DICOM interoperability with the PACS has been resolved (stable time stamps for Instance Changed image comments are now considered during Creation Date (0008,0012) and Instance Creation Time export to USB flash drive. (0008,0013)). In order to persist changes on the images the “Save as Bold exclusion when sending to PACS in interoperability Series” tools shall be used instead of “Export” out of the mode now works. image segment. During sending DTI images with activated interoperability Flexible sending of results to remote machines can now mode the creation of new series for each eMR instance be done out of the “Send and Archive” UI without closing can now be switched off. the application. Color overlays are now transferred by autorouting to PACS. 3.14 Improved data handling Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None syngo MR XA50M now allows changed patient data to be resent to the PACS, since a new UID (unique identifier) can be generated. The sorting of dynamic series in the series navigator has been improved. 3.15 Improved Retro Recon user interface Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Improved user interface for retrospective editing of reconstruction in the job view. 29 3.16 Set user-recorded voice commands as default language Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None Possibility to do this setting in the configuration panel Benefits: of the scanner in order to have this applied to every patient without additional operator interaction. Implemented at customer request. Set user-recorded voice commands as default language. Configuration Panel Client Settings Advanced Visualization Display And Behavior Export Scan Application Automatic Voice Commands Audio Input Device Microphone (High D ... Audio Output Device Speakers (High Defi ... Default Language Finnish (Finland) Command Language Finnish (Finland) Commands Duration Breathe evenly 0.05 Continue breathing. 0.05 Hold breath (exhaled). 0.05 Hold breath (inhaled). 0.05 Hold breath as long as possible ( 0.05 Hold breath as long as possible ( 0.05 Shallow breathing 0.05 Sharp exhale 0.0s Short: Hold breath (exhaled). 0.05 Short: I Hold breath (inhaled). 0.05 + Play Stop Add Remove Playback 40 Record " 100 3.17 “Mother-in-Child” Printing Included with AdvanceNow Available for: MAGNETOM Amira – A BioMatrix System, MAGNETOM Amira – A Tim + Dot System, MAGNETOM Sempra Category: Standard feature Pre-requisites: None Restrictions: None If you want to have a reference image displayed on Benefits: each film sheet segment, you can select the “Reference Image” check box. This helps to get an overview of the current position within the anatomy for each image on the film sheet segment. The reference image displays an overview image with reference lines. Not for distribution in the US. On account of certain regional limitations of sales rights Due to regulatory reasons their future availability and service availability, we cannot guarantee that all cannot be guaranteed. Please contact your local products included in this brochure are available through Siemens Healthineers organization for further details. the Siemens Healthineers sales organization worldwide. Availability and packaging may vary by country and is Siemens Healthineers reserves the right to modify the subject to change without prior notice. Some/All of the design, packaging, specifications, and options described features and products described herein may not be herein without prior notice. Please contact your local available in the United States. Siemens Healthineers sales representative for the most current information. The information in this document contains general technical descriptions of specifications and options as Note: Any technical data contained in this document may well as standard and optional features which do not vary within defined tolerances. Original images always always have to be present in individual cases, and which lose a certain amount of detail when reproduced. may not be commercially available in all countries. Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Published by Siemens Healthcare GmbH · Order No. A91MR-410-25C-7600 · 13636 0623 · ©Siemens Healthcare GmbH, 2023