syngo MR XA61A - What's New List

MAGNETOM Sola and MAGNETOM Altea Advance your magnetic resonance imaging syngo MR XA61A – 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 scanner software, syngo MR XA61A. 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 XA61A software on your MAGNETOM scanner(s). Scanners qualified for this update include the following 1.5T systems: • MAGNETOM Sola • MAGNETOM Altea This document provides a comprehensive overview of the new features and software improvements that are incorporated in the syngo MR XA61A software. 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 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. Contents Contents 1. New sequences, protocols, and applications 4 1.1. myExam Implant Suite 4 1.2. myExam 3D Camera 6 1.3. Deep Resolve for EPI Diffusion 7 1.4. Deep Resolve HASTE 8 1.5. Open Recon 9 1.6. Physiologging 10 2. Improvements to sequences, protocols, and applications 12 2.1. Improved VIBE Phase Encoding Order 12 2.2. Complex averaging for diffusion-weighted images 13 3 syngo MR XA61A – What’s New 1. New sequences, protocols, and applications 1.1. myExam Implant Suite Included with AdvanceNow Available for: MAGNETOM Sola and MAGNETOM Altea Category: Standard feature Pre-requisites: None Restrictions: None What is myExam Implant Suite? Highlights and benefits: myExam Implant Suite supports MR examinations of • Allows to scan patients with MR Conditional implants patients with MR Conditional implants. (active and passive implants) It offers the examiner an easy way to individually set SAR • Supports limits for SAR or B1+rms limits (for both head and whole body) or B1+rms limits • Included in the patient registration process for patients with implants who require MRI examinations. • Defined limits are stored in a DICOM structured The system ensures that these limits are not exceeded report object during the examination, protecting both the patient • Allows additional comments to be stored in the and the implant. This makes it possible to bring the DICOM report object benefits of MRI to a growing patient population with • SAR-adapted examination sequences in the MR Conditional implants. Siemens Healthineers protocol tree for specific body regions How does it work? myExam Implant Suite functionality is activated during patient registration. The system provides an additional UI for implant patients that allows to enter maximum B1+ rms or SAR (head and whole body) values. These limits are automatically observed during the scan and can be monitored at any time during the scan process by the user. Furthermore, users also have the possibility to define a scan time limit if specified by the implant manufacturer. The user will then receive timely notifications before the timer expires. myExam Implant Suite also provides the possibility for additional comments or notes, which will be archived together with the patient study. 4 syngo MR XA61A – What’s New Predefined ................... scheduler Included in the SAR-reduced QLimits for MR Conditiono Patients [1 email, 19:1433 A09 Examination Information patient registration protocols available Tester 2022.12.20-11:00 00 Possibility for Intuitive entry of additional Implant Scanning implant-specific ME Conditional comments Program Selection SAR or B1+ rms " Laad hogan lo Queve RF Transmit Mode Body limits Body Part and Laterality Laft Patient Orientation Reliable imaging with implants 5 syngo MR XA61A – What’s New 1.2. myExam 3D Camera Available for: MAGNETOM Sola, MAGNETOM Altea and MAGNETOM Sola Fit Category: Optional feature Pre-requisites: None Restrictions: None myExam 3D Camera automates patient setup and Highlights and benefits: makes the positioning more efficient, accurate, and • reproducible. It capture the shape and position of the Enables an automated, seamless, and fast patient patient on the table in three dimensions and offers workflow two main functionalities: • Allows for a faster & more accurate patient positioning in the isocenter myExam 3D Camera extends the AutoPositioning • capabilities of our BioMatrix Select&Go interface with Safeguards accurate patient registration with additional body regions and coils, now also supporting an automatic detection of height, weight, and the isocenter positioning our flexible multi-purpose coils. orientation. • Supports for wide range of coils, clinical applications In addition, the AutoRegistration1 feature of myExam and patient orientation (supine, prone, head-first, 3D Camera is designed to streamline and help feet-first) safeguard accurate patient registration based on an automatic detection of the patient’s height, weight, and orientation. myExam 3D Camera For further information please check out the myExam 3D Camera workflow video at: siemens-healthineers. com/magnetic-resonance-imaging/technologies-and- innovations/my-exam-companion 1 AutoRegistration with detection of patient height, weight, and orientation is still under development and not commercially available yet. It is not for sale in the U.S. Its future availability cannot be guaranteed. 6 syngo MR XA61A – What’s New 1.3. Deep Resolve for EPI Diffusion Available for: MAGNETOM Sola and MAGNETOM Altea Category: Optional feature Pre-requisites: High-end MaRS Restrictions: None Deep Resolve Boost and Deep Resolve Sharp are now Highlights and benefits: available for the EPI Diffusion sequence. Deep Resolve • Boost takes deep learning image reconstruction to the Deep Resolve boosts acquisition speed and image next level. It enables previously inaccessible parallel sharpness imaging acceleration. This is made possible by our first • Three levels selectable for the denoising strength raw-data-to-image deep learning reconstruction. The • Deep Resolve for EPI Diffusion can be combined with neural network behind Deep Resolve Boost enables Simultaneous Multi-Slice for even better performance effective denoising that improves the signal-to-noise • Perform a bi-parametric PI-RADS 2.1 prostate exam ratio of the images. in less than 6 minutes with Deep Resolve Deep Resolve Sharp is a novel image reconstruction technology to increase the sharpness in the resulting images. The deep neural network at the core of Deep Resolve Sharp generates a high-resolution image from low resolution input data. With Deep Resolve Boost for EPI Diffusion, you can improve image quality and lesion conspicuity, and significantly reduce the acquisition time of your body diffusion scans. T2w TSE with Deep Resolve DWI with ZOOMitPRO and Deep Resolve b800 Calc b2000 ADC 1:06 min 0:56 min 0:52 min 2 min 7 syngo MR XA61A – What’s New 1.4. Deep Resolve HASTE Available for: MAGNETOM Sola and MAGNETOM Altea Category: Optional feature Pre-requisites: High-end MaRS Restrictions: None Deep Resolve Boost and Deep Resolve Sharp are now Highlights and benefits: available for the HASTE sequence. Deep Resolve Boost • takes deep learning image reconstruction to the next Enabling higher parallel imaging factors, resulting level. It enables previously inaccessible parallel imaging in substantially decreased scan times acceleration. This is made possible by our first raw-data- • Enabling shorter echo train durations and reduced to-image deep learning reconstruction. The neural T2 blurring network behind Deep Resolve Boost enables effective • Significantly reduce the acquisition time of your denoising that improves the signal-to-noise ratio of T2-weighted body scans in a single breath-hold the images. Deep Resolve Sharp is a novel image reconstruction technology to increase the sharpness in the resulting images. The deep neural network at the core of Deep Resolve Sharp generates a high-resolution image from low resolution input data. With Deep Resolve, you can improve image quality and significantly reduce acquisition times for your HASTE body scan. T2 HASTE fs Deep Resolve for T2 HASTE fs 3x faster 2x resolution Conventional Deep Resolve 0.9 x 0.9 x 6.0 mm3 0.5 x 0.5 x 6.0 mm3 Three breath-holds Single breath-hold 1aaaa4372 8 syngo MR XA61A – What’s New 1.5. Open Recon Included with AdvanceNow Available for: MAGNETOM Sola and MAGNETOM Altea Category: Standard Pre-requisites: None Restrictions: None Open Recon is a developer-friendly interface that Highlights and benefits: facilitates the creation and deployment of innovative • MR reconstruction algorithms. Open Recon opens Simplified reconstruction environment for scientists the MR system for such algorithms to be deployed • Convenient access to reconstruction parameters via by scientists, 3rd party companies and Siemens dedicated “inline” card Healthineers. Different reconstruction algorithms • Facilitated scientific collaboration via the ISMRM can be executed in a container on the reconstruction raw-data format system, exchanging data via a dedicated interface. • Possibility of MR reconstruction algorithms deployment With Open Recon, custom reconstruction algorithms for third parties and SHS can easily be run and adjusted, enabling seamless workflow. Open Recon also facilitates the sharing of algorithms across institutions relying on the ISMRM raw data format. With syngo MR XA60A, customized reconstructions are possible both in image-to-image as well as in raw data-to-image domain. USER >> head >> Brain Assist > program >> t1_qtse_dark-fluid_sag_p2 ? X General & 4:38 min 4 Auto @ 2 @ 0.7x0.7x4.0 mm3 9 1.00 Protocol Parameters Inline Use Routine Contrast Resolution Geometry ............... System Physio Inline Sequenc Voice Commands Run custom prototype image Execution Subtraction MIP Composing Open Recon reconstruction on the scanner Image Management Algorithm myRecon 1 Auto Load .......................................... 3rd party or custom Copy References algorithm Preview Preset denoise Select 3rd party or custom Parameter 1 Setting A reconstruction algorithm to Free Text denoise denoise-enhanced-level1 Parameter 2 Setting B mg be run denoise-enhanced-level2 denoise-enhanced-level3 Option 1 User-friendly interface super-resolution smooth-super-resolution Option 2 Adapt parameters provided by edge-super-resolution the algorithm like on any other super-resolution-gre-mpr tab card super-resolution-dwi The Open Recon tab can be found under “Inline”. 9 syngo MR XA61A – What’s New 1.6. Physiologging Included with AdvanceNow Available for: MAGNETOM Sola and MAGNETOM Altea Category: Standard Pre-requisites: Physiological sensors Restrictions: None Physiologging enables the extraction of physiological Highlights and benefits: data. Time stamps on the physiological data allow easy • synchronisation of physio data to corresponding fMRI Timestamped physiological data for easier data acquired with either EPI BOLD or EPI PACE. This will synchronisation with fMRI data help researchers to correct fMRI data for physiological • Recording can be started via a checkbox on the UI motion and noise. All parameters recorded by internal (Physio > Signal tab) physiological sensors (such as respiratory sensor, • Physio data are stored as a separate DICOM file respiratory belt, ECG, pulse sensor, beat sensor) are then which can also be archived available in a convenient data format for further offline processing. The physio curves will be stored in a separate DICOM file including timestamps. 00:32 Access time-synced sensor data for fMRI scans as part of the DICOM study Sample code available for extraction Planned Available for EPI BOLD & PACE Physiologging 10 syngo MR XA61A – What’s New Physiologging: Code samples for DICOM extraction The tools available at magnetomworld.siemens-healthineers. com/clinical-corner/application-tips/physiologging can be used to extract the embedded xml structure from the DICOM file and restore the original text files containing the physio data. Provided are demonstration source codes in a) C# (physioExtractor.cs) and b) python (physioExtractor.py). In addition, a batch file using the executable generated either from the C# or the python code is provided (physioExtractor.bat) for generating different types of text files, along with xsl style sheets defining the processing of the xml file. 11 syngo MR XA61A – What’s New 2. Improvements to sequences, protocols, and applications 2.1. Improved VIBE Phase Encoding Order Included with AdvanceNow Available for: MAGNETOM Sola and MAGNETOM Altea Category: Standard Pre-requisites: None Restrictions: None In rare cases, when applying the VIBE protocol without motion artifacts. When you have more motion in slice fat saturation or without regional fat saturation, motion direction the Phase Encoding Order “Slices in Lines” is artefacts might occur in the slice direction, resulting beneficial, whereas the Order “Lines in Slices” is better in cloud-like artifacts in the subtraction images. With when the dominant motion is in phase encoding syngo MR XA61A, in addition to the “Automatic” Phase direction. Encoding Order, there is the flexibility to choose the Phase Encoding Order as “Lines in Slices” or “Slices in Benefits: Lines”, depending on the needs of the body region being imaged. The choice of the appropriate Phase Encoding Motion artifacts in the VIBE sequence can be reduced by Order allows to reduce or change the appearance of choosing the appropriate Phase Encoding Order for the body region being imaged. ¿ 1:07 min Auto @ None @ 2.3x2.3x2.0 mm3 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Part 1 Part 2 Assistant Introduction RF Spoiling Incr. Gradient Spoiling Breast Application Phase Enc. Order Automatic Automatic Lines in Slices Slices in Lines The Phase Encoding Order can be chosen in Part 2 of the sequence tab. 12 syngo MR XA61A – What’s New A B 1aaaa4355, 1aaaa4357 Non-fat saturated VIBE breast subtraction image with (A) “Lines in Slices” Phase Encoding Order, which results in cloud-like artifacts as indicated by the arrow, and (B) the new “Slices in Lines” Phase Encoding Order, where the artifacts could be reduced. 2.2. Complex averaging for diffusion-weighted images Included with AdvanceNow Available for: MAGNETOM Sola and MAGNETOM Altea Category: Standard Pre-requisites: None Restrictions: None Diffusion-weighted imaging can be challenging due Highlights and benefits: to the lower signal-to-noise ratio (SNR). In an effort to • enhance SNR, often multiple images are acquired that Improved background noise suppression in are subsequently averaged. Thus, background noise, diffusion-weighted images which is assumed to be random and of a certain • Can potentially decrease the number of averages statistical distribution, cancels out through the multiple that are required to achieve a desired SNR level averages and signal is preserved. Signal averaging is conventionally performed in magnitude domain; by extracting the magnitude, the noise floor of the image is elevated, which leads to a noise bias with averaging. In complex averaging, the noise remains zero centered and scales inversely with the square root of the number of averages – meaning by preserving the entire range of signal obtained from the MRI system, one can achieve substantially better SNR and contrast through averaging. 13 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 Healthineers AG Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Published by Siemens Healthineers AG · Order No. A91MR-410-29C-7600 · 14383 1123 · ©Siemens Healthineers AG, 2023