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syngo MR  XA51 What's New List

syngo MR XA51 What's New List

The What's new list provides you an overview of features and options coming with the software XA51.
Target group: All users.

MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit syngo MR XA51A What’s New siemens-healthineers.com/mri Healthingers> ealthineers SEHRMENS (O) MACHETOM Solo - MACHETOM ALLA MACHETOM Sola Fit SIEMENS Healthineers Dear MAGNETOM user, We are pleased to announce the arrival of our latest MRI scanner software, syngo MR XA51A. This new software version includes comprehensive improvements to the existing scanner functionalities and provides access to exciting new features. You have received this document to accompany the installation of the syngo MR XA51A software on your MAGNETOM scanner(s). Scanners qualified for this update include the following 1.5T systems: • MAGNETOM Sola • MAGNETOM Altea • MAGNETOM Sola Fit This document provides a comprehensive overview of the new features and software improvements that are incorporated in the syngo MR XA51A software. For MAGNETOM Sola Fit, please also refer to the syngo MR XA31A delta list. We are continuously striving to improve the quality of our products and sincerely believe that this new software version will further improve your daily work with your MAGNETOM scanner. Sincerely yours, Your Siemens Healthineers MR team 2 Contents Contents 1. New sequences, protocols and applications 4 1.1 BioMatrix Beat Sensor 4 1.2 Deep Resolve Boost 5 1.3 Open Recon 7 1.4 BLADE Diffusion with SMS functionality 8 1.5 myExam Angio Advanced Assist 9 1.6 myExam Brain Autopilot and myExam Knee Autopilot 10 1.7 Compressed Sensing GRASP-VIBE for MAGNETOM Altea 11 2. Improvements to sequences, protocols and applications 12 2.1 Deep Resolve Gain 12 2.2 Deep Resolve Sharp 12 2.3 Breast Biopsy improvements (detection of fiducial markers) 13 2.4 Motion Correction for TSE with more than a single average 15 2.5 GSP: Toolbar pinning 16 2.6 GSP: Center line for scan planning 18 2.7 Transition of Dot Engines to myExam Companion 19 2.8 Improvements to Simultaneous Multi-Slice TSE imaging 20 2.9 Faster image reconstruction in Simultaneous Multi-Slice imaging 20 2.10 Improvements for radial planning 21 2.11 Improvements of SAR Assistant 21 2.12 Improvement of graphics handling – DICOM interoperative mode 22 2.13 Multi Environment Profiles 23 3 syngo MR XA platform – XA51A 1. New sequences, protocols, and applications 1.1 BioMatrix Beat Sensor Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard for MAGNETOM Sola and MAGNETOM Sola Fit; Purchasable option for MAGNETOM Altea Pre-requisites: BioMatrix Body 12 Coil or BioMatrix Body 18 Coil Restrictions: None What is the BioMatrix Beat Sensor? Highlights and benefits: Beat Sensor is a Siemens Healthineers unique • The big benefit of Beat Sensor is that it eliminates breakthrough technology which enables a complete the need to place electrodes on the patient and cardiac MRI exam without ECG! Beat Sensor uses the hence can speed up the workflow for CMR exams. heart’s own beating motion as the triggering source • Technologists are happy because they don’t have to unlike ECG which only indirectly measures the onset spend time shaving chest hair, using cleaning gel, of cardiac motion by detecting the electrical activity and placing electrodes on patients. of the heart. • Beat Sensor triggering can also improve the patient experience especially for patients who have sensitive skin (e.g. allergic to cleaning gel) and/or feel uncomfortable when technologists place the electrodes on their chests. • With Beat Sensor hospitals can save on supplies and reduce plastic waste. BioMatrix Beat Sensor triggering vs ECG ECG I 57 min AR-4 1047 ms Beat Sensor Cardiac @ 57 min RA.4 1052 ms CINE Segmented with ECG CINE Segmented with Beat Sensor 1aaaa3624 4 syngo MR XA platform – XA51A 1.2 Deep Resolve Boost Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Purchasable option Pre-requisites: High-end MaRS Restrictions: TSE is supported with the exception of BLADE TSE and Dixon What is Deep Resolve Boost? Highlights and benefits: Deep Resolve Boost takes Deep Learning Reconstruction • Deep Learning Reconstruction with effective denoising to the next level. It enables previously inaccessible • Three levels selectable for the denoising strength parallel imaging acceleration. This is made possible by • Deep Resolve Boost outperforms Deep Resolve Gain our first raw-data-to-image Deep Learning reconstruction. in its denoising capability The neural network behind Deep Resolve Boost enables • Employ parallel imaging factors previously inaccessible effective denoising that improves the visual signal- in MR imaging to-noise ratio of the images. The Deep Learning • Significantly cut down scan times where TSE is a reconstruction used in Deep Resolve Boost achieves mandatory imaging sequence a stronger denoising than Deep Resolve Gain and • Deep Resolve Boost is compatible with SMS TSE, the denoising strength can be adapted by choosing a Siemens Healthineers exclusive feature from three levels. With this, Deep Resolve Boost will significantly cut scan times in clinical routine areas such as neuro, spine, and MSK while not compromising on 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. 50% faster 1aaaa3996 Example of T2 TSE imaging in the brain. Left: PAT 2, conventional reconstruction (GRAPPA); right: PAT 4 with Deep Resolve Boost and Sharp. 5 syngo MR XA platform – XA51A PD TSE fs PD TSE fs PD TSE fs T1 TSE PAT3 SMS2 DRB DRS PAT3 SMS2 DRB DRS PAT3 SMS2 DRB DRS PAT3 SMS2 DRB DRS 0.2 x 0.2 x 3 mm3 0.2 x 0.2 x 3 mm3 0.2 x 0.2 x 3 mm3 0.2 x 0.2 x 3 mm3 TA: 1:03 min TA: 1:00 min TA: 1:19 min TA: 0:56 min Total scan time: 4:18 min 1aaaa3995 Deep Resolve Boost supports SMS TSE, a Siemens Healthineers exclusive feature. This enables ultra-fast high-resolution knee imaging in 4:18 min with 6-fold acceleration for each contrast (PAT3 S2). Further Reading Boldly Going Where No One Has Gone Before – - The Roadmap to 10-fold Accelerated Routine Resistance is futile: Artificial intelligence- 2haciendo techniques becomes even more important. Musculoskeletal MRI Exams driven image reconstruction Jan Fritz, M.D., P.D., D.A.B.R., R.M.S.K. (New York University, Grossman School of Medicine, Make it so: Preparing pulse sequences sequence techniques may be consider ad the as their versatility, technical performance. a for new frontiers accuracy are unrivaled. Turbo spin-echo pulse Regardless of whether one employs conventional or are a perfect target for next-generation acceler advanced acquisition schemes, image reconstruction tech- of their ability to generate true T1- and T2-we NYU Langone Health, New York, NY, USA) niques, or post- processing methods, using optimally trasts, and to combine favorably with many te == designed pulse sequences for a specific application (such such as 20 and 3D acquisition schemes [10, 1 as a knee MRI protocol) remains fundamental to achieving Duron, and short-tau inversion recovery (STIR) the fastest scan times (Fig. 2). sion [12], high-bandwidth, view-angle-tilting SEMAC metal artifact suppression' [13], as we MAGNETOM Flash (79) 2/2021:4-14. Echo # Echo a: tcho #2 Optimized turbo spin echo pulse sequence with echo-train length of 10 Echo #2 Echora The article is available online here. Or visit us at: siemens-healthineers.com/magnetom- (BA) Turbo sain (28) Optimiand turbo a high receiver bandwidth permit vency pubes, high-performance gradients, ar to the top mow sequence. which constitunes a factor two acceleration compared COC) The application of deep leeming-based image igher visible sigral gains, simplified here a: relative gains of echo amplitudes. J'tele MR of the knee with echo train compacted turbo spin echo pube sequences using combined 2-fold simultaneous multi-slice world > Publications > MAGNETOM Flash esquitition and 3-fold parallel imaging acceleration and conventional and deep leaming image reconstructions', The application of deep apngifc ruiz. Nonavec certain impianti on approved by the govaming angulatory bodies so be Mit conditionaly safe. For auch implanta the previously mantored tuning image reconstruction permiti artifect diee tek image reconstruction with high signal, low noise, and high anatomical deseil. woming may not be applicable Mezze contact the implen facturer for the specific canditiand information. The conditions for uit sofaty on the responsibility of The UR images were obtained with a BT MAGNETOM vide Miki system and a 1-transmit-channel-I-receiver-channel knee coil. PD - proton dentity weighting. PD FS - fut-suppressed proton density weighting. T2 FS - fat-suppressed 72 weighting 6 syngo MR XA platform – XA51A 1.3 Open Recon Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard Pre-requisites: SubtleMR license, High-end MaRS Restrictions: With syngo MR XA51 exclusive for MAGNETOM Sola, MAGNETOM Altea, and MAGNETOM Sola Fit Open Recon is a developer-friendly open digital interface Highlights and benefits: for co-creation and knowledge exchange with partners and researchers, e.g., SubtleMR being our first partner Your gateway to third party image reconstruction. on the Open Recon environment. The partner application • Open platform design evolves key interactions will run within a container directly on the MaRS and is between Siemens Healthineers and partners seamlessly integrated in the imaging in reconstruction • 3rd party image reconstruction techniques and machine chain. It will manifest as an additional tab on the learning directly at the scanner “Inline” card and provide convenient access to options • Inline reconstruction can facilitate clinical evaluation supported by Open Recon. Results are displayed in the • Convenient access via new tab on the “Inline” card user interface and will appear in the DICOM data base. • Simplified reconstruction development for research General Ö 41 sec Auto @ 2 0.9x0.9x4.0 mm3 1.00 Protocol Parameters Routine Contrast Resolution Geometry System Physio Inline Carence Voice Commands Execution Liver Subtraction MIP Soft Tissue Composing Maplt Open Recon Image Management Algorithm SubtleMR V1 Auto Load Copy References Preset super-resolution Free Text OK Cancel The Open Recon tab can be found under “Inline”. 7 syngo MR XA platform – XA51A 1.4 BLADE Diffusion with SMS functionality Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard (BLADE TGSE) and purchasable option (BLADE Diffusion and SMS option) Pre-requisites: None Restrictions: None What is BLADE Diffusion? With the additional purchase of the SMS license BLADE Diffusion is a new member of the BLADE family (either individually or by selecting Turbo Suite Excelerate) based on the TGSE sequence. It employs a TSE-based you can use SMS to reduce the total scan time of the sequence design that allows an EPI readout to collect BLADE diffusion. By offering this feature, we set the multiple echoes around the main spin echo. In its basic new benchmark as SMS BLADE Diffusion is a Siemens version, it will become available as standard with the Healthineers exclusive feature. same functionality as the already available BLADE TSE, meaning EPI factor = 1. Highlights and benefits: • By adding the BLADE Diffusion license, BLADE leverages New non-EPI based diffusion functionality based on the advantage of the TGSE sequence design. Diffusion a BLADE TGSE sequence • weighting is now available, allowing EPI factors > 1 so No geometric distortions in challenging areas with that a BLADE-based non-EPI diffusion sequence becomes large susceptibility changes • available. By performing diffusion imaging with a SMS support for BLADE diffusion is a Siemens non-EPI sequence, geometric distortions are eliminated 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 Based on a TGSE BLADE Sequence: Technique Distortion-free Diffusion-weighted Imaging Based on a TGSE BLADE Sequence: and Clinical Application Technique and Clinical Application Kun Zhou Ph.D .. Weil Liu Ph.D. Kun Zhou Ph.D.; Wei Liu Ph.D. Siemens Shenzhen Mag Resonance Ltd. Sherghen, China Introduction (Siemens Shenzhen Magnetic Resonance Ltd., Diffusion Shenzhen, China) MAGNETOM Flash (80) 1/2022 The article is available online here. Or visit us at: siemens-healthineers.com/ A X magnetom-world > Clinical Corner > Case Studies --------------------- 8 syngo MR XA platform – XA51A 1.5 myExam Angio Advanced Assist Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Included in myExam Angio Assist Pre-requisites: myExam Angio Assist Restrictions: None What is myExam Angio Advanced Assist? plan all stations (abdomen, legs, feet) together in the myExam Angio Advanced Assist is a semi-automated GSP. After planning is complete, the angio pre-contrast workflow for peripheral MR angiography examinations data-acquisition is executed for all planned stations. with step-by-step guidance throughout the exam. This With the care bolus step the arrival of the contrast agent workflow support feature offers clear planning for is manually or automatically detected. Once the contrast all multi-station angiography exams by enabling the agent is detected the angio post-contrast measurement planning in the Graphical Slice Positioning (GSP) user is performed in accordance with the pre-contrast interface for all stations in one common planning step. measurement. Alternatively, the test bolus workflow can This new Assist workflow uses test bolus and care be used. Finally, an optional dynamic CE MRA (TWIST) bolus-functionality to optionally track the bolus arrival measurement can be performed in the vessels. Highlights and benefits: myExam Angio Advanced Assist provides workflow • support for peripherical MR angiography exams. After Automation and guidance for robust peripheral performing an overview scan, the relevant peripherical MRA exams • vessels and the aorta are localized. Then planning of the Easy planning with coverage boxes, overlap clearly actual angiography measurement is performed by using visible • the Angio Advanced Planning Add-in, which enables to Individual parametrization Angio Assist Advanced Angio Advanced Patien ... V Care Bolus Feet first - Position 20cm / 7in above feet FastView 00:35 Whole Body FastView Vessel Scout yes Abdomen vessel scout 02:19 O Abdomen Generic Views localizer_aorta 00:31 Generic Views angio_f13d_cor_pre 00.39 Angio Advanced Planning Check pre images, prepare injector Legs Legs Care Bolus 01:21 Care Bolus angio_f13d_cor_post 00:39 1 TWIST feet yes Basic Decision Feet TWIST feet Feet yes angio_twist_cor_iso_feet 02:03 Generic Views 9 syngo MR XA platform – XA51A 1.6 myExam Brain Autopilot and myExam Knee Autopilot Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard feature Pre-requisites: None Restrictions: None myExam Autopilot helps you to automate intelligently. They enable less trained staff to scan brain and knee MRI at high quality. By using automation and AI, it takes Further Reading away burdensome routine tasks from Radiographers. myExam Autopilot Knee and myExam Autopilot Brain Experience of Using a New Autopilot Assistance provide automations such as AutoPosition, AutoAlign, System for Easy Scanning in Brain and Knee MRI AutoCoverage, Inline MPRs, and the flexibility of Examinations customization for site specific standards of care. Tanja Dütting, M.D.; Stephan Clasen, M.D. Predefined protocols enable you to scan with minimal (Institute for Diagnostic and Interventional Radiology, manual interactions. You can switch to myExam Assist Kreiskliniken Reutlingen, Germany) at any time to further personalize scan settings on the MAGNETOM Flash, Special Edition MAGNETOM fly for individuals. Free.Max, RSNA 2020 Highlights and benefits: Experience of Using a New Autopilot Assistance System for Easy Scanning in Brain and Knee MRI Examinations Novice users automate exams intelligently Tanja Dutting, M.D.; Stephan Clasen, M.D. • myExam Autopilot: Background • Scan at high quality with just a simple click content • myExam Autopilot Knee & Brain cover > 40% of MRI exams1 Dot Engine vs. myExem Autopilot . Automatic planning powered by Al Mit ut the click of a button ·"andarsiced examination protocols, Automated protseal without the need for adaptable so ingsitational needs . Drastically simplified user interface . Possibility so set-up scan soratagles (touch soven supported) and decisions · Visual user guidance tout. e.g. for image QA. The article is available online here. Or visit us at: siemens-healthineers.com/ magnetom-world > Publications > MAGNETOM Flash 000000000 myExam Knee Autopilot user interface. 1 Data on file. 10 syngo MR XA platform – XA51A 1.7 Compressed Sensing GRASP-VIBE for MAGNETOM Altea Available for: MAGNETOM Altea Category: Purchasable option Pre-requisites: High-end MARS Restrictions: This feature is not available in all countries. Compressed Sensing GRASP-VIBE (Golden-Angle RAdial Sparse Parallel) makes it possible to conduct dynamic contrast-enhanced abdominal exams in free breathing. Further Reading Acquisition is performed in one continuous run, using a golden-angle stack-of-stars radial scheme that confers Important Updates for Advanced Imaging Topics, robustness towards motion and the flexibility to choose with a Perspective on Improved Patient Throughput the temporal resolution at reconstruction time. The Val M. Runge, M.D.; Johannes T. Heverhagen, M.D., Ph.D. temporal resolution may even vary over the duration (Department of Diagnostic, Interventional and Pediatric of the scan. Reconstruction is performed using a Radiology, University Hospital of Bern, Inselspital, Compressed Sensing accelerated iterative algorithm with University of Bern, Switzerland) per-voxel through-time regularization. The algorithm MAGNETOM Flash (78) 1/2021:15-21. also automatically recognizes the typical phases in - ---- liver dynamics and therefore has the capability to only reconstruct a subset of clinically relevant images with respective labeling. Additional features: • Auto Bolus Detection at reconstruction time • Configuration of exam phases in terms of start time relative to the auto-detected bolus arrival, duration, temporal resolution, and pre-selection for export -- to PACS • Self-gating for further reduction of residual motion blur The article is available online here. Or visit us at: siemens-healthineers.com/ Highlights and benefits: magnetom-world > Clinical Corner > Case Studies • Perform push-button, free-breathing liver dynamics • Overcome timing challenges in dynamic imaging and respiratory artifacts Fast, Standardized, and Robust Imaging with • Expand the patient population eligible for abdominal BioMatrix and Compressed Sensing GRASP-VIBE MRI Johan Dehem, M.D. VZW Jan Yperman, Ypres, Belgium MAGNETOM Flash (71) 2/2018, page 11-18 --- --- Fast, Standardized, and Robust Imaging with BioMatrix and Compressed Sensing GRASP-VIBE ------ dion k a quse logical way The article is available online here. Or visit us at: siemens-healthineers.com/ 3aaa0321 Liver image acquired with the CS GRASP-VIBE sequence. magnetom-world > Publications > MAGNETOM Flash Image courtesy of Centre Imagerie du Nord, Saint Denis, France 11 syngo MR XA platform – XA51A 2. Improvements to sequences, protocols and applications 2.1 Deep Resolve Gain Available for: MAGNETOM Sola, MAGNETOM Altea and MAGNETOM Sola Fit Category: Purchasable option Pre-requisites: None Restrictions: TSE is supported with the exception of BLADE TSE; conventional Spin Echo Deep Resolve Gain is our solution for targeted denoising, how this can be accomplished: Deep Resolve Gain can addressing local noise variations. Image noise usually is be used to mitigate noise introduced by reducing the not uniformly distributed in MR images. This is due to number of averages in the acquisition, or it can be coil array geometries, as well as acceleration techniques used to reduce image noise introduced by increasing such as parallel imaging. These local variations can’t be acceleration factors such as PAT. addressed by standard image filters. Deep Resolve Gain uses individual noise maps in the reconstruction process New benefits: to reduce noise where it is most needed in the image. • Deep Resolve Gain now supports TSE Dixon and Deep Resolve Gain can be used for the reduction of conventional Spin Echo image acquisition times. There are mainly two ways • Deep Resolve Gain is now compatible with SMS TSE 2.2 Deep Resolve Sharp Available for: MAGNETOM Sola, MAGNETOM Altea and MAGNETOM Sola Fit Category: Purchasable option Pre-requisites: None Restrictions: TSE is supported with the exception of BLADE TSE; conventional Spin Echo Deep Resolve Sharp is a novel image reconstruction Deep Resolve sharp can also be used to reduce technology to increase the sharpness in the resulting acquisition times: Images can be acquired with images. The deep neural network at the core of Deep reduced phase resolution; the resolution can then Resolve Sharp generates a high-resolution image from be recovered when reconstructing the images with low resolution input data. The network was trained Deep Resolve Sharp. on a large number of pairs of low-resolution and high-resolution data. As the training data for Deep New benefits: Resolve Sharp covered a wide range of anatomies, • the reconstruction network can be applied to all body Deep Resolve Sharp now supports TSE Dixon and regions. Deep Resolve Sharp can increase the matrix conventional Spin Echo • size by a factor of up to two along both in-plane axis, Deep Resolve Sharp is now compatible with SMS TSE resulting in substantially increased image sharpness. 12 syngo MR XA platform – XA51A Further Reading - - Deep Resolve - Mobilizing the Power of Networks Niveles Bet, Ph.D. Deep Resolve – Mobilizing the Power of Networks Global Marketing M Erlangen. Germany The Limitations of noise distribution, especially if high acceleration factors Nicolas Behl, Ph.D. conventional image reconstruction are uted. Comprestes Sensing mas ange Mil is established as one of the ity modelities in diagnos- weril when it comes to image acceleration [%]. & benefe di imaging. The absence of ionizing radiation and the especially dynamic and non-cartesian 30 imaging but unmatched soft tissue contrast distinguish MRI from other imaging modalités. While shese features have helped ta (Siemens Healthineers, Erlangen, Germany) se method of chelle fes the dagses The main limitetion of MRI as the Compressed Sending. Over The last years, artificial intelligence (A) techno seconttruction methods, gies have made their appearance in a various research sitios can only Be achieved by accepting publications [4, 53. Esperialy the use of deep neural MAGNETOM Flash (78) 1/2021:29-35. image resel networks hat proven to be helpful when trying to address acquisition speed image the limitations of conventional Lil image reconstruction, ne tightly linked and increating one off also for routine 20 imaging. Deep learning effect on at least image reconstruction has the potential to tarikdie all tivee Simiting factors of MR imaging simultaneousyt image The use of receive arrays and parallel imaging has NooVon ENR and acquisition speed. been an important breakthrough in MR image reconstruc- tion and is an estendal part of clinical routine in Mie [1. 23. Deep Resolve Gain & Deep Resolve Sharp Parallel imaging, however, vousily somes at the price of higher image noise, especially in regions former awiky Deep Resolve brings deep learning and Al to the Mit imap from the receive colts. This results in inhomogeneous nuorotruction process. Deep Resolve is an advanced nconstruction technologyc which in its first step brings The article is available online here. Or visit us at: siemens-healthineers.com/ magnetom-world > Clinical Corner > Case Studies ------ - 2.3 Breast Biopsy improvements (detection of fiducial markers) Available for: MAGNETOM Sola, MAGNETOM Altea and MAGNETOM Sola Fit Category: Free of charge 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 New benefits: automatically selecting the fiducial marker. After the automatic selection, you 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. 13 syngo MR XA platform – XA51A Device Settings ? X Presets BI4 Kit1 Grid Name B17 Grid BI4 Kit2 PP (*) BI7 Grid Coil Breast BI 7 BI7 PP Intervention Method Grid Marker Position C4 Needle ATEC Petite 9g Automatic Marker Detection on 00000 Markers to detect Lateral . Medial Copy Delete OK Apply Cancel The automatic fiducial marker detection can be activated in the Device Settings pre-configuration dialogue. MR Breast Biopsy A Anonymous Female 1967 MR Breast Biopsy ANONPPO11E1LG . 51Y MR B19 Calibration CURRENT HFP 29.06.2019 Device BI7 Grid (AF2) t1_f13d_ax DYNAMIC NON FATSAT latest/Phase_02 #RPPO11E1KG Markers 1 Left Later ... STUDY ID EPPO11E1KG Position 15:12:16 Breast Left 4 IMA 92 M (C4) Access Direction Lateral Skin Edge L R 1 cm Skin Edge 2D SL 1.2 F Approve TR 7,0 TP 0 TE 4,8 SP H52,5 Target Selection FOV 250*250 BW 610,0 192*256 M/ND/NORM Tra A1/PFP Zoom 2,02 W *113d1 / 10 C 876 414 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. 14 syngo MR XA platform – XA51A 2.4 Motion Correction for TSE with more than a single average Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard Pre-requisites: None Restrictions: Not compatible with Deep Resolve Boost TSE motion correction is an image-based motion New benefits: correction technique in the average-dimension for TSE imaging. The motion correction technique employs a The motion correction in the average dimension reduces non-rigid elastic registration to consistently align the the image blur that would result from organ movement images before averaging. The feature has been optimized between averages. and validated for improved prostate TSE imaging. 0 2:57 min | Auto @ 3 0.3x0.3x3.0 mm3 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Part 1 Part 2 Assistant Introduction v WARP Phase Correction Automatic Red. EC Sensitivity Compensate T2 Decay Acoustic noise reduction Off Hyperecho Reduce Motion Sens. Motion Correction 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. 15 syngo MR XA platform – XA51A 2.5 GSP: Toolbar pinning Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard Pre-requisites: None Restrictions: None The Graphical Slice Positioning (GSP) user interface (UI) New benefit: is the central workplace when planning and conducting an exam. When using the Toolbar of the GSP, there GSP Toolbar can be pinned on all systems starting with was so far no way to pin it. With syngo MR XA51A, the syngo MR XA51A and higher. possibility to pin the Toolbar has been added to the GSP UI. SIEMENS .. X Healthineers i Toolbar pinning, Demo * 7/24/1981 M 2021 . 10 . 14 - 10:08:24 ... X MR View&GO Brain LOC AFR AFR AFR Toolbar pinning, Demo Toolbar pinning, Demo Toolbar pinning, Demo AAhead_scout 2021.10.14-10:08:24-DST-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-DST-1.3.12.2.1107.5.99.3 10/1 4/2021 10/1 4/2021 10/1 4/2021 t1_f12d_sag_p2_256 5 IMA 1 FRM 1/1 5 IMA 1 FRM 1/1 5 IMA 1 FRM 1/1 t2_tse_tra_p3_256 t2_tse_dark-fluid_tra_p2_256 5 % ep2d_diff_mddw_12_p2 6 ep2d_tra_hemo 00:06 RPH RPH F F TP O TP 0 SP F24.3 SP F24.3 SP F24.3 IMPRIRESAMPINORMIDIS3D Foy 259*259 Foy 259*259 FoV 259*259 Cor(9)>Sag(-1) .. IMPR/RESAMP/NORM/DIS3D a>Cor(9)>Sag(-1) .. IMPR/RESAMPINORM/DIS3D >Cor(9)>Sag(-1) AAhead_scout_MPR_tra 576 AAhead_scout_MPR_tra 576 AAhead_scout_MPR_tra 576 274 274 C 274 01:12 GO 1:52 min : Auto @ 2 @ 0.9x0.9x5.0 mm3 ៛ 1.00 Copy&Go Cancel Routine Contrast Resolution Geometry System Physio Inline Sequence Slice Group 1 FoV Read 220 - mm Slices 25 oV Phase 87.5 % Slice Thickness 5.0 mm Distance Factor 20+ TR 8000.0 ¢ ms Position Isocenter TE 119.00 m Orientation Transversal Average Phase Encoding Dir. R>> L Concatenations Phase Oversampling 25 + % AutoAlign Head > Brain Coil Elements HC2 Stimu settings myExam SAR First Normal Waiting for slice positionin EN 10:09:46 AM Regular user interface in syngo MR XA51A. The toolbar is hidden and can be activated by clicking the white downwards oriented triangle above the three localizer images in the center. 16 syngo MR XA platform – XA51A SIEMENS .. Healthineers Toolbar pinning, Demo * 7/24/1981 M 2021 . 10 . 14 - 10 : 08: 24 ... X MR View&GO Brain LOC VID + Saturat Graphies Image Coils Table Line vondi. AAhead_scout 10/1 4/2021 5 IMA 1 FRM 1/1 10/14/2027 5 IMA1 FRM 1/ 10/1 4/2021 t1_f12d_sag_p2_256 5 IMA1 FRM 1/1 t2_tse_tra_p3_256 & t2_tse_dark-fluid_tra_p2_256 5 % ep2d_diff_mddw_12_p2 16 ep2d_tra_hemo 00:06 RPH RPH F F F TP 0 TP O TP 0 SP F24.3 SP F24.3 SP F24.3 Foy 259-259 FoV 259*259 FoV 259+259 IMPRIRESAMPINORMIDIS3D AAhead_scout _M or(9)>Sag(-1) JMPRIRESAMP/NORM/DIS3D a>Cor(9)>Sag(-1) ... IMPR/RESAMP/NORM/DIS3D >Cor(9)>Sag(-1) W 576 576 576 c 274 AAhead_scout_MPR_tra W 274 AAhead_scout_MPR_tra 274 2 01:12 PAUSE GO Cancel Ò 1:52 min " in ~ Auto @ 2 0.9x0.9x5.0 mm3 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Slice Group 1 OV Read 220 - mm Slices 25- FOV Phase 87.5 % Slice Thickness 5.0 - mm Distance Factor 20- IR 8000.0 - ms Position Isocenter TE 119.00 - ms Orientation Transversal Average Phase Encoding Dir. R>> L Concatenations Phase Oversampling 25 + % AutoAlign Head > Brain Coil Elements HC2 SAR Stimu FIRST Norma Waiting for slice positioning 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 Toolbar pinning, Demo 4 10:08:24 .. X x Healthineers * 7124/1981 M 2021.10.14 41001 CH MR View&GO * 0 Brain LOC & D + + AFR AFR AFR AAhead_scout 2021.10.14-10-08-24-DST-1.3.12.2.11 07.5.99.3 Toolbar pinning, Demo 2021.10.14-10:08:24-DST-1.3.12.2.1107.5.99.3 t1_f12d_sag_p2_256 10/1 4/2021 2021.10.14-10-08-24-DST-1.3.12.2.1107.5.99.3 2 5 IMA 1 FROM 1/1 5 IMA 1 FRM 1/1 10/1 4/2021 5 IMA 1 FRM 1/1 3 t2_tse_tra_p3_256 4 % t2_tse_dark-fluid_tra_p2_256 ep2d_diff_mddw_12_p2 01:06 6 ep2d_tra_hemo 00:06 RPH RPH 5cm 5cm 5cm F TP 0 TP O TP 0 SP F24.3 SP F24.3 SP F24.3 APRIRESAMP/NORM/DIS3D FoV 259*259 FoV 259*259 FoV 259*259 Ahead_scout-MPR_tra Cor(9)>Sag(-1) IMPRIRESAMPINORM/DIS3D >Cor(9)>Sag(-1) IMPRIRESAMP/NORM/DIS3D Cor(9)>Sag(-1) 576 274 AAhead_scout-MPR_tra AAhead Scott PORMIDIS 576 274 2 01:1 Go Cancel 1:52 min 1 Auto @ 2 @ 0.9x0.9x5.0 mm3 1.00 Copy&Go Routine Contrast Resolution Geometry System Physio Inline Sequence Slice Group FOV Read 220 - mm Slices 25 ¢ FoV Phase 87.5 4 % Slice Thickness 5.0 ¢ mm Distance Factor 20 TR 8000.0 + ms Position Isocenter TE 119.00 + ms Orientation Transversal Average 1 + Phase Encoding Dir. R>> L Concatenation Phase Oversampling 25 AutoAlign Head > Brain Coil Elements HC2 SAR Stimu settings Settings myBom lector First Normal Level Mode Waiting for slice positioning 10: 11:25 AM 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 UI. 17 syngo MR XA platform – XA51A 2.6 GSP: Center line for scan planning Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard Pre-requisites: None Restrictions: None The Graphical Slice Positioning (GSP) user interface (UI) of the underlying anatomy. Please note that no center is the central workplace when planning and conducting line is displayed if the slice orientation is perpendicular an exam. When modifying the slice or slab group to your planning image plane, e.g., if you plan a sagittal orientation in 2D or 3D scanning, a dashed line along slice stack on a sagittal image. the slice/slab direction is displayed. This center line is designed to facilitate precise positioning along New benefits: anatomical structures such as the brainstem, spinal cord, • septal wall etc.. As soon as the user releases the mouse Center line along slice direction for precise positioning button, the center line disappears for clear visualization along anatomical structures • Available for 2D and 3D imaging SIEMENS 7 : 12471981 M 2021.10.14-09:26:00 ... X Healthineers MR View&GO Brain LOC HPL Centerline, Demo Centerline, Demo AAhead_scout 2021.10.14-09:26:00-DST-1.3.12.2-1107.5.99.3 2021.10.14-09:26.00-DST-1.3.12.2.1107.5.99.3 10/1 4/2021 10/14/2021 t1_f12d_sag_p2_256 4 IMA 1 FRM 1/1 4 IMA 1 FRM 1/1 x_ 12_tse_tra_p3_256 4 t2_tse_dark-fluid_tra_p2_256 01:52 5 ep2d_diff_mddw_12_p2 01:06 6 ep2d_tra_hemo 00:06 SP LU.2 SPL 2 FOV 259 259 FOV 259-259 IMPRIRESAMPINORM/DIS3D scout_MPR_sag Bag.Cor(5) .Tra(2) 534 IMPRIRE SAMP/NORMDISJD Cor(5)*Tra(2) C HCl 2448 AWhead_scout_MPR_sap W Hch534 248 2 03:04 Un Go Cancel & 1:02 min Auto 2 3 @ 0.9x0.9x5.0 mm3 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence 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. SIEMENS .. Healthineers . Centerline, Demo X . 7/24/1981 M 2021.10.14-09:26:00 ... MR View&GO ? Brain LOC + HPL HPL Centerline, Demo Centerline, Demo Centerline, Demo AAhead_scout 2021.10.14-09:26.00-DST-1.3.12.2.1107.5.99.3 2021.10.14-09:26:00-DST-1.3.12.2.1107.5.99.3 2021.10.14-09:26.00-DST-1.3.12.2.1107.5.99.3 10/14/2021 10/1 4/2021 10/14/2021 t1_f12d_sag_p2_256 4 IMA 1 FRIA 1/1 4 IMA1 FRM 1/1 4 IMA 1 FRM 1/1 x_ 12_tse_tra_p3_256 W 4 t2_tse_dark-fluid_tra_p2_256 01:52 5 ep2d_diff_mddw_12_p2 01:06 6 ep2d_tra_hemo 00:06 SP LO.2 SP LU.2 SP MMPRIRE SAMP/NORM/DIS3D FOV 259.259 FOV 259 259 FOV 259 259 Ahead_scout_MPR_sag Cor(5) Tra(2) JMPRIRESAMPINORM/DIS3D Sag.Cor(5) .Tra(2) IMPRIRE SAMPANORMDIS30 534 Sag.Cor(5) Tra(2) C HCl 248 AAhead_scout_MPR_sag 534 MAhead_scout MPR_sap Hch534 E 03:04 Un GO Cancel & 1:02 min 4 Auto 2 3 @ 0.9x0.9x5.0 mm3 1.00 Routine Contrast tesolution Geometry System Physio Inline Sequence No center line is visible when the mouse button is released. 18 syngo MR XA platform – XA51A 2.7 Transition of Dot Engines to myExam Companion Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard and purchasable (e.g., myExam Abdomen Assist) Pre-requisites: None Restrictions: None With syngo MR XA51A, we introduce an update to Companion. As part of this user interface, the formerly our general user interface. This will harmonize tools known “Dot Engines” now appear as “myExam Assist and facilitating an easier and more intuitive workflow. the former “Dot Cockpit” becomes “myExam Cockpit”. The new user interface is introduced as myExam Overview of new names: Previous naming New naming with syngo MR XA51A Dot Engines myExam Assist Brain Dot Engine myExam Brain Assist Spine Dot Engine myExam Spine Assist 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 RT Dot Engine myExam RT Assist LiverLab Dot Engine myExam LiverLab Assist As additional stand-alone option w/o Abdomen Assist Prostate Dot Engine myExam Prostate Assist Dot Cockpit myExam Cockpit 19 syngo MR XA platform – XA51A 2.8 Improvements to Simultaneous Multi-Slice TSE imaging Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard (with SMS license) Pre-requisites: SMS license Restrictions: None SMS TSE imaging can suffer from distinct ghosting New benefit: artifacts that can compromise image quality. These ghosting artifacts are residual fat signal, the root cause Reduction of ghosting artifacts results in improved image is the difference in the resonance frequencies between quality for SMS TSE. fat and water. With syngo MR XA51A the induced phase shift of the blip gradients in the SMS TSE sequence has been optimized, resulting in an effective reduction of fat-related ghosting artifacts. 2.9 Faster image reconstruction in Simultaneous Multi-Slice imaging Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard (with SMS license) Pre-requisites: SMS license Restrictions: None In rare cases, users running high resolution matrix sizes New benefits: in conjunction with SMS imaging ran into memory • issues with their MaRS. With syngo MR XA51A, data Reconstruction of highly resolved SMS imaging data processing has been optimized such that these memory should not lead to memory problems anymore • problems should no longer occur. As a side effect, SMS Faster image reconstruction due to optimized data reconstruction times can be reduced by up to a factor processing within ICE of two. 20 syngo MR XA platform – XA51A 2.10 Improvements for radial planning Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard Pre-requisites: None Restrictions: None “Radial Slices” allows a calculation of radial layers on the Routine Contrast Resolution Geometr System Physio Inline Sequence basis of the selected slice group with their perpendicular Coils Miscellaneous Adjustments Adjust Volume Tx/Rx axis rotated around the image. For example, for an Coil Selection Auto Coil Select Coll Combination Adaptive Combine accurate assessment of hip joints. Radial Sorting New benefit: MSMA S - C -T Matrix Optimization Off Sagittal R>>L The display of the slices created by the Radial Slices Coronal A>> P function is now clockwise when radial sorting is Transversal F>> H activated. 2.11 Improvements of SAR Assistant Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard Pre-requisites: None Restrictions: None syngo MR XA51A introduces another parameter to the New benefits: SAR Assistant: The RF Pulse Type. This value is now available in addition to TR and flip angle for resolving This makes the adjustment of scan values for SAR SAR limitations. sensitive examinations even more flexible. USER > New Region >> New Exam >> New Program >> BEAT ? x General Ö 8 sec Auto @ None @ 2.3x2.3x10.0 mm3 ~ 1.00 Protocol Parameters Routine Contrast Resolution Geometry System Physio Inline Sequence Voice Commands Execution Part 1 Part 2 Assistant Image Management SAR Assistant TR > Flip Angle Optimization Min. TE Auto Load Min Flip Angle Off Copy References Flip Angle Preview Max. TR |Flip Angle > TR Allowed Delay Flip Angle > TR > RF Pulse Type Flip Angle > RF Pulse Type Flip Angle > RF Pulse Type > TR TR TR > Flip Angle TR > Flip Angle > RF Pulse Type TR > RF Pulse Type TR > RF Pulse Type > Flip Angle RF Pulse Type RF Pulse Type > Flip Angle RF Pulse TvDe > Flip Anale > TRY 21 syngo MR XA platform – XA51A 2.12 Improvement of graphics handling – DICOM interoperative mode Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard Pre-requisites: None Restrictions: None Display of additional graphics (such as spine labelling) New benefits: on MR images in PACS systems. On the MR scanner created graphics can be easily recognized, transferred, and used as regular MR images in the PACS system. This makes it easier to include them into the reporting. A A E E Spine labelling in localizer at the MR system Spine labelling in localizer at the PACS system 22 syngo MR XA platform – XA51A 2.13 Multi Environment Profiles Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: Standard Pre-requisites: None Restrictions: None By introducing Multi Environment Profiles, the admin New benefits: user can set up different profiles. These profiles can • contain institution names as well as default Radiology Multi Environment Profiles are available for systems Information System (RIS) and Picture Archiving and that are shared by different institutions • Communication System (PACS) settings associated with Multi Environment Profiles contain RIS and PACS that institution. This enables a simpler change of the information relevant for the respective institution • user preferences for RIS and PACS at systems that are The admin user can create, modify and delete Multi shared by different institutions. Besides the possibility Environment Profiles • to switch between profiles in the admin user account, The admin user can switch between Multi Environment a technologist user can be defined that is only allowed Profiles, thereby propagating the associated RIS and to switch between the different Multi Environment PACS settings for the respective institution • Profiles. A technologist user can be defined who is only allowed to switch between Multi Environment Profiles, thereby propagating the associated RIS and PACS settings for the respective institution. This circumvents the necessity to have an admin user performing this profile change MAGNETOM Vida Administration Portal SIEMENS leolthineers NXVSIM / medadmin Free (Restricted Remote Access) Installation º Technical Configuration Quality Assurance Clinical Configuration Site Information Environment Profiles Environment Profiles Remote Service Current loaded profile: Radiology - Department for Diagnostic and Caution: Switching profiles during scanning may cause inconsistency Licensing Interventional Radiology in the acquired data User and Role Administration DICOM Nodes DICOM Data Handling Save the current configuration as a New Profile Auditing to Syslog Server Automatically save the current profile when activating other Neuroradiology Department for Neuroradiology Activate Rename Update Delete Profile 2021-12-15 13:48:40 Radiology Department for Diagnostic and Interventional Radiology Activate Rename Update Delete Profite 21-12-15 13:49:04 In the admin portal, a new “Environment Profiles” option is now available. Here, the admin user can create profiles referring to different institutions that share the same MR scanner. 23 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 · 12035 1022 online · ©Siemens Healthcare GmbH, 2022

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