syngo MR XA20 Delta list

syngo MR XA20A What’s New siemens-healthineers.com/mri SIEMENS Healthineers Dear MAGNETOM user, We are pleased to inform you about the arrival of our latest MRI scanner software, syngo MR XA20A. This mandatory new software version includes comprehensive improvements to the existing scanner functionalities and additionally provides access to exciting new features. Along with this information letter, the syngo MR XA20A software is installed on your MAGNETOM scanner(s). Scanners qualified for this update include the following systems: • MAGNETOM Vida (3T) • MAGNETOM Vida Fit (3T) • MAGNETOM Lumina (3T) • MAGNETOM Sola (1.5T) • MAGNETOM Sola Fit (1.5T) • MAGNETOM Altea (1.5T) This information letter provides a comprehensive overview of the new features and software improvements that are incorporated in syngo MR XA20A. We are continuously striving to improve the quality of our products and sincerely believe that this new software will further improve your daily work with your MAGNETOM scanner. Enjoy reading! Sincerely yours, Your Siemens Healthineers MR team Cover image: 3T MAGNETOM Vida, DWI, ZOOMitPro, b-value 88 s/mm2, and ADC map. (3aaaa1106) 2 syngo MR XA20A Contents Contents 1. New sequences, protocols, and applications 4 1.1. MR Fingerprinting 4 1.2. ZOOMitPRO 6 1.3. LiverLab Dot Engine 7 1.4. Simultaneous Multi-Slice Dixon 8 1.5. Simultaneous Multi-Slice RESOLVE 9 1.6. Compressed Sensing SPACE 11 1.7. Compressed Sensing Time-of-Flight 13 1.8. Compressed Sensing SEMAC 14 1.9. New pulse sequence type for MR Elastography 15 1.10. MR Breast Biopsy workflow improvements 16 1.11. BEAT-interactive for real-time imaging 16 1.12. Scanner interface Access-i 16 1.13. MDME sequence for SyMRI (OpenApps) 16 1.14. RT Respiratory Self-Gating 17 1.15. GOLiver 18 1.16. Fat Fraction % Maps 19 1.17. GOBrain and GOBrain+ 20 1.18. GOKnee3D 21 2. New hardware 22 2.1. BioMatrix Body 18 with integrated Beat Sensor 22 3. Sequences and protocol improvements 23 3.1. SPACE Flair improvements 23 3.2. DSC perfusion without distortion correction 24 3.3. Improved fat suppression in breast imaging with STIR 24 3.4. BOLD acquisition with SMS 24 4. General syngo MR XA-line improvements 25 4.1. MR protocols module 25 4.2. Readability of Series Navigator content 26 4.3. Improved tool integration into MR View&GO 26 4.4. Intermediate sending of results 27 4.5. Multiple RIS worklist support 27 4.6. Positioning mode for interventions 28 4.7. Reset Windowing with middle mouse button double-click 28 4.8. Drag-and-drop operations in Series Navigator 29 4.9. Annotation of a whole image stack 29 4.10. Improved Retro Recon user interface 30 4.11. Improved data handling 30 4.12. Improved behavior in MR View&GO 31 4.13. Improved scan planning 31 4.14. Improved result handling 31 syngo MR XA20A 3 New sequences, protocols and applications 1. New sequences, protocols, and applications 1.1. MR Fingerprinting Available for: MAGNETOM Vida Category: optional feature What is MR Fingerprinting? Sequence Details: Unlike traditional MR images that rely on qualitative • 2D FISP, spiral readout interpretation, Magnetic Resonance Fingerprinting (MRF) • TA: 21s per slice ~5–6 min for brain scans uses quantitative information to generate a more precise • Mapping results were validated for default settings: understanding of a patient’s condition. Quantitative 1.0 mm × 1.0 mm × 5 mm MRF offers enormous potential to improve tissue differentiation and may enable less invasive diagnostics. MRF provides quantitative T1 and T2 maps that describe Based on reliable, absolute numbers, MRF data could the target anatomy numerically instead of visually. increase objective comparisons in follow-up studies. Magnetic Resonance Fingerprinting (MRF) employs a pseudo-random variation of sequence parameters like Highlights and Benefits: TR and flip angle to create unique signal patterns in each Quantitative information rather than contrast- voxel, the so-called MR Fingerprint. These fingerprints • weighted images are compared to a dictionary that contains theoretical T1 and T2 relaxivity maps MR fingerprints that depend on T1 and T2. By finding • Reproducible and reliable results, inter-scanner the correct match of the acquired fingerprint in the • and in-vivo dictionary, the underlying T1 and T2 values associated More informed decision-making with an additional with that fingerprint are identified and a map is auto- • layer of diagnostic information matically generated. • Rich information content in clinically acceptable scan times • Improved comparability of follow-up exams Health R Not for clinical use Getting Started MR Quantitative Tool MROA Data Selection , Deoroag ORO1 003 [T1][ 16 ]andal MRF WIPES 1v30 [R1][ 16 landal MRF WIPES 1.30 Messung 1H500ap. ma 1.Messung_Ti_map_masked 1.Messung TI_map_masked Findings Navigator ID Name Back/unlock 1 ROI 001 IT11 1etaxial MRS WIPE 1:30 1/1500 1 Messung_11_map_masked 2 RO1 002 ROI ld ROI Label Vorels Mean Min ROI 003 ROI 000 3814 1951 5535 186 58842 2007.904:3 2336.2495 ROI 001 3800 1643.0309 81.63481 1624.770 5463.0457 1952 5462 ROI 002 1538 2078.4214 68.05256 2075.7803 1943.1834 2245.6702 ROI 003 1819 961.37933 31.284737 957 2388 891.7303 1075.856 ROI 004 #59.89667 20.053207 20.053207 958 42708 910.9312 1015.20044 Performing quantitative analysis 201 10 ROY Label ===== of MRF data using the MR Robust Quantitiative Tool (RoQT), (will [12][17 ]aodal MRF WIP881v30 [1211726SH URE WIPE2 /30 M1500 1 Messung. 72_ map,masind be available through syngo.via ng.72 map_masked 1.Messung 72_ map_masked OpenApps). MAGNETOM Vida 4 syngo MR XA20A New sequences, protocols and applications Further Reading Application of MRF in Epilepsy MR Fingerprinting in the Brain – Dan Ma, et al. Precise Quantitative MRI (Case Western Reserve University, Cleveland, OH, USA) Gregor Koerzdoerfer, ESMRMB 2019, MAGNETOM Flash (75) 4/2019 Rotterdam, NL -- -- SIEMENS .. Application of Magnetic Resonance Fingerprinting in Epilepsy Healthineers ... ---------- Sioneder Enginesng Cme Mtstem limmer Unverify Devriend Ci Uff -------- un Fingerprinting sean wwreduction MR Fingerprinting Gregor Koerzdoerfer in the brain - Siemens Healthcare Gmbh Precise quantitative MRI MR Fingerprinting in the ...... . brain - precise quantitative MRI Gregor Korzdörfer October 2019 10:08 SIEMENS TITY Healthineers ... Magnetic Resonance Field Fingerprinting (MRF2) Overview of MR Fingerprinting Mathias Nittka, et al. Vikas Gulani, et al. (Siemens Healthineers, Erlangen, Germany) (Case Western Reserve University, Cleveland, OH, USA) MAGNETOM Flash (70) 1/2018 MAGNETOM Flash (65) 2/2016 - ---- Overview of Magnetic Resonance Field Fingerprinting Magnetic Resonance Fingerprinting (MRF2) ------ Resonance Fingerprinting --------- ..... 1504 3000 - - Articles and talks are available online at siemens-healthineers.com/magnetom-world > Hot Topics > MR Fingerprinting syngo MR XA20A 5 New sequences, protocols and applications 1.2. ZOOMitPRO Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: optional feature Diffusion-weighted imaging (DWI) is a decisive tool in Benefit 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., of echo spacing. One mean to reduce the echo spacing is the prostate, the pancreas, the kidneys, the breast or the reduced FOV imaging with dedicated excitation pulses. brain. With zoomed EPI, there is substantially less image Introducing a new sequence scheme for excitation and blur and respiratory motion artifact and significantly readout, reduced FOV imaging with DWI is enabled at higher diagnostic confidence. With the optimized pulse both 1.5T and 3T. sequence scheme the acquisition technique is more robust in the presence of off-resonance effects, i.e. metal implants. Images courtesy of Shanghai 6th People Hospital, Shanghai, P.R. China MAGNETOM Skyra (WIP, VE11) – (2aaaa1515) Conventional DWI ZOOMitPRO Sequenz Conventional DWI, b 1500 ZOOMitPRO, DWI, b 1500 TR (ms) 4600 4600 TE (ms) 79 76 b-values (s/mm²) 50, 1000, 1500 and ADC map 50, 1000, 1500 and ADC map TA (min:sec) 3:23 3:29 Matrix 132 × 178 56 × 100 FOV (mm) 282 × 380 106 × 190 Slice thickness (mm) 3 3 Slices 4 × 20 4 × 20 iPAT factor 2 6 syngo MR XA20A New sequences, protocols and applications 1.3. LiverLab Dot Engine Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: optional feature Evaluating the iron and fat content of the liver is an Benefit important step in monitoring early stages of disorders like nonalcoholic fatty liver disease (NAFLD), which Starting with syngo MR XA20, LiverLab is offered as a are on the rise due to changing nutritional habits. standalone Dot Engine, which is available independently LiverLab non-invasively provides information on liver of the Abdomen Dot Engine. The package allows for fat content and iron overload. detection of liver deposition disease (fat, iron, combined) with guided workflow steps and fully automated post- processing. Results are intuitively displayed in a color bar and maps (fat fraction/R2*) indicating fat/iron overload. Liver Lab provides quantitative assessment of fat concen- tration and qualitative assessment of iron overload. Dot LiverLab @ Basic Patient View V LiverLab localizer_bh 00:19 4 Onco Auto Coverage Scout t1_vibe_e-dixon_tra_bh_pre 00:14 Generic Views Evaluation A yes Liver Segmentation Evaluation yes Evaluation Method multi-echo Dixon HISTO Both vibe_q-dixon_tra_bh 00:13 HISTO_bh 00-15 vibe_q-dixon_tra_bh 00:13 Liver Quantification Liver Quantification Liver Quantification HISTO_bh 00:15 + Liver Quantification LiverLab Dot Engine strategies in our Dot Cockpit user interface. syngo MR XA20A 7 New sequences, protocols and applications 1.4. Simultaneous Multi-Slice Dixon Available for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: optional feature, included in SMS license and Turbo Suite Excelerate package Simultaneous Multi-Slice (SMS) concurrently excites With syngo MR XA20A, the scope of SMS accelerated multiple slices with a multiband pulse and then sequences is extended to the TSE Dixon sequence. This spatially encodes their signal simultaneously. While sequence is extremely useful for MSK imaging with conventionally this would have led to the images from excellent fat suppression, i.e. for large FOVs or off-centric each slice being overlaid on top of each other, excellent exams (hand, elbow, wrist) or if multiple image contrasts diagnostic images can be gained by separating the are needed at 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. MAGNETOM Altea (1aaaa3044) PD TSE Dixon water, PAT 2 PD TSE Dixon water, PAT 2, SMS 2 Sequenz TSE Dixon water SMS TSE Dixon water TR (ms) 2520 2700 TE (ms) 34 36 TA (min:sec) 4:12 2:17 Matrix 252 × 432 252 × 432 FOV (mm) 333 × 400 333 × 400 Slice thickness (mm) 3 3 Slices 36 36 iPAT factor 2 2 SMS factor 2 8 syngo MR XA20A New sequences, protocols and applications 1.5. Simultaneous Multi-Slice RESOLVE Available for: MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea, and MAGNETOM Sola Fit Category: optional feature, included in SMS license and Turbo Suite Excelerate package Simultaneous Multi-Slice (SMS) concurrently excites With syngo MR XA20, this technique, which is already multiple slices with a multiband pulse and then available for TSE and DWI, can now also be applied to spatially encodes their signal simultaneously. While the RESOLVE sequence. The shortening of TR, which conventionally this would have led to the images from is enabled by activating SMS, can either be used to each slice being overlaid on top of each other, excellent substantially reduce acquisition times or can also be diagnostic images can be gained by separating the reinvested in thinner and more slices in the same signals from each slice by using blipped CAIPIRINHA. volume. Typical regions where SMS RESOLVE can be By applying SMS, imaging can be accelerated by a used are neuro or breast MRI exams. factor equal to the number of slices that are excited simultaneously. It is also possible to combine SMS and conventional parallel imaging. MAGNETOM Vida (3aaaa0784) RESOLVE, b = 1000 s/mm2 RESOLVE, ADC map SMS RESOLVE, b = 1000 s/mm2 SMS RESOLVE, ADC map Cases acquired on 3T MAGNETOM Vida. Total examination times will vary with system field strength. Sequenz RESOLVE, b 1000 and ADC map SMS RESOLVE, b 1000 and ADC map TR (ms) 6280 2970 TE (ms) 70.2 72.2 b-values (s/mm²) 0, 1000 and ADC map 0, 1000 and ADC map TA (min:sec) 4:19 2:12 Matrix 224 × 224 224 × 224 FOV (mm) 220 × 220 220 × 220 Slice thickness (mm) 4 4 Slices 3 × 26 3 × 26 iPAT factor 2 2 SMS factor 2 syngo MR XA20A 9 New sequences, protocols and applications Further Reading Simultaneous Multi-Slice RESOLVE for Optimized DWI of the Breast at 3T Lukas Filli, et al. (University Hospital Zurich, Switzerland), MAGNETOM Flash (66) 3/2016 Simultaneous Multi-Slice RESOLVE for Optimized Diffusion-Weighted Imaging of the Breast at 3 Tesla =-=-=-=-= RESOLVE, b = 50 s/mm2 High-Resolution Simultaneous Multi- Slice RESOLVE Diffusion Neurography for Evaluation of Peripheral Nerve Entrapment Syndrome and Neuropathy Andreas J. Bartsch, MD (Radiologie Bamberg, Germany; Depts. of Neuroradiology, Universities of Heidelberg and Wuerzburg, Germany; Oxford Centre for Functional MRI of the Brain (FMRIB), University of Oxford, UK), MAGNETOM Flash (65) 2/2016 MAGNETOM Vida (3aaaa0813) SMS RESOLVE, b = 50 s/mm2 BUSH'S RESOLVE Diffusion Cases acquired on 3T MAGNETOM Vida. Total examination times will vary with system field strength. Sequenz RESOLVE, b 50 SMS RESOLVE, b 50 TR (ms) 5320 3500 TE (ms) 49 51 High-Resolution Diffusion-Weighted b-values 50, 800 and 50, 800 and Neuroimaging at 3T and 7T with SMS RESOLVE (s/mm²) ADC map ADC map Robert Frost, PhD (FMRIB Centre, Nuffield Department of Clinical Neurosciences, TA (min:sec) 5:37 3:58 University of Oxford, UK) Matrix 114 × 190 114 × 190 High-resolution diffusion imaging FOV (mm) 204 × 340 204 × 340 Slice thickness (mm) 5 5 Multislice accelerated RESOLVE for time efficient, high- resolution diffusion imging Robert Frost, PhD Slices 34 34 FMRIB Centre, University of Oxford iPAT factor 2 2 > 01:11 / 19:08 1.2 mm isotropic DII HD SMS factor 2 The articles are available online at siemens-healthineers.com/magnetom-world > Clinical Corner > Case Studies 10 syngo MR XA20A New sequences, protocols and applications 1.6. Compressed Sensing SPACE Available for: MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit Category: optional feature, included in Turbo Suite Excelerate package Compressed Sensing (CS) SPACE enables highly • CS SPACE supports typical contrast such as T1, PD, accelerated 3D imaging based on the SPACE pulse T2, T2 Dark-Fluid, Double-Inversion Recovery and sequence with Compressed Sensing and iterative combination with Fat Saturation reconstruction: • Best results can be achieved for contrast-rich, • Spatial and/or temporal resolution can be improved, high-resolution applications such as T2 or T2 IR and scan time substantially reduced protocols • Optimized protocols are available for body imaging (triggered and breath-hold 3D MRCP), imaging of Best results can be obtained by adapting the the brain and various musculoskeletal applications. provided Siemens CS protocols. Provided CS protocols are indicated and can be searched for as “ _ csX _ ” in the Siemens protocol tree, i.e. “t1_space_sag_cs7_iso” MAGNETOM Vida (3aaaa0783) Example of CS SPACE 3D MRCP. Cases acquired on 3T MAGNETOM Vida. Total examination times will vary with system field strength. Sequenz 3D SPACE, resp. trigg. 3D CS SPACE, resp. trigg 3D CS SPACE, breath-hold TR (ms) 4791.5 4546,3 2300 TE (ms) 703 700 701 TA (min:sec) 7:16 1:26 0:15 Matrix 753 × 768i 576 × 768i 560 × 704 FOV (mm) 380 × 380 285 × 380 239 × 300 Slice thickness (mm) 1 1 1.6 Slices 64 64 40 iPAT factor 3 CS factor 20 23 syngo MR XA20A 11 New sequences, protocols and applications MAGNETOM Vida (3aaaa0966) Sequenz 3D SPACE SPAIR 3D CS SPACE SPAIR TR (ms) 707 707 TE (ms) 22 22 TA (min:sec) 6:16 3:03 Matrix 256 × 256 256 × 256 FOV (mm) 250 × 250 250 × 250 Slice thickness (mm) 1 1 Slices 160 160 iPAT factor 2 CS factor 4 12 syngo MR XA20A New sequences, protocols and applications 1.7. Compressed Sensing Time-of-Flight Available for: MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea, and MAGNETOM Sola Fit Category: optional feature, also included in “Turbo Suite Excelerate” package CS TOF enables highly accelerated Time-of-Flight (TOF) MR angiography with Compressed Sensing under- Further Reading sampling combined with iterative reconstruction: • Spatial and/or temporal resolution can be improved Compressed Sensing: Application and scan time substantially reduced to Time-of-Flight MR Angiography • Typical acceleration factors are between 6-10-fold Tomohisa Okada, et al. acceleration, enabling 0.4-mm isotropic TOF (Kyoto University, Japan) acquisitions in 2-minute acquisition time MAGNETOM Flash (66) 3/2016 • Optimized protocols are offered for TOF MR Compressed Sensing Supplement angiography of the head (intracranial vasculature) Compressed Sensing: Application to Time-of-Flight MR Angiography --- MAGNETOM Vida (3aaaa0784) TOF Angio, TA 4:48 min CS TOF Angio, TA 1:59 min Improving Dynamic MR Angiography: Iterative TWIST Sequence TOF CS TOF Bernd J. Wintersperger, et al. (University of Toronto, Canada) TR (ms) 19 21 MAGNETOM Flash (66) 3/2016 TE (ms) Compressed Sensing Supplement 3.4 3.7 TA (min:sec) 4:28 1:59 Improving Dynamic MR Angiography: Iterative TWIST Matrix 441 × 512i 517 × 576i ----- -------------- FOV (mm) 181 × 200 199 × 220 - Slice thickness (mm) 0.4 0.4 Slices 178 178 iPAT factor 2 ---- CS factor 10.3 --------------- ------------ The articles are available online at siemens-healthineers.com/magnetom-world > Hot Topics > Compressed Sensing syngo MR XA20A 13 New sequences, protocols and applications 1.8. Compressed Sensing SEMAC Available for: MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea and MAGNETOM Sola Fit Category: optional feature, also included in “Turbo Suite Excelerate” package CS SEMAC enables musculoskeletal imaging in patients with whole joint replacements1 based on a combination Further Reading of SEMAC (slice encoding for metal artifact correction) with Compressed Sensing undersampling and iterative reconstruction in considerable scan times. In SEMAC, MR Imaging of Joint Replacements through-plane artifacts are minimized by encoding Reto Sutter, et al. and combining the signal from neighboring slices (Balgrist University Hospital, to compensate for signal voids. The higher the slice University of Zurich, Switzerland) encoding factor, the better through-plane artifacts MAGNETOM Flash (71) 2/2018 are compensated. However, acquisition time is also ---- increased. Typically, applied slice encoding factors are New horizons: Compressed Sensing SEMAC' The plan in action 10–20 resulting in a substantial increase in acquisition time. At 3T, acquisition time can exceed 10 minutes, depending on the chosen slice encoding factor. By applying Compressed Sensing acceleration to SEMAC, acquisition times can be substantially reduced: • SEMAC supports Compressed Sensing acceleration with fixed acceleration in addition to conventional GRAPPA acceleration with selectable acceleration factor • SAR optimization feature is included, which reduces the energy applied by the SEMAC pulse sequence • Optimized protocols are offered for the knee The article is available online at siemens-healthineers.com/magnetom-world Cases acquired on 1.5T MAGNETOM Altea. Total examination times will vary with system field strength. MAGNETOM Altea (1aaaa2955) SEMAC CS SEMAC Sequenz SEMAC CS SEMAC TR (ms) 4360 4360 TE (ms) 40 40 TA (min:sec) 6:54 3:03 Matrix 320 × 320 320 × 320 1 The MRI restrictions (if any) of the metal implant must be FOV (mm) 280 × 280 280 × 280 considered prior to the patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. Slice thickness (mm) 3 3 However, certain implants are approved by the governing regulatory bodies as MR conditionally safe. For such implants, Slices 25 25 the previously mentioned warning may not be applicable. iPAT factor 4 Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the CS factor 8 responsibility of the implant manufacturer, not of Siemens. 14 syngo MR XA20A New sequences, protocols and applications 1.9. New pulse sequence type – Spin-Echo EPI – (SE EPI MRE) for MR Elastography Available for: MAGNETOM Vida, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: optional feature The new SE-EPI pulse sequence type offers acquisition of multiple slices in a single, short breath-hold, and Further Reading provides improved robustness in patients with iron overload. MR Elastography – Pearls and Pitfalls Spin-Echo EPI for MR Elastography (SE EPI MRE) Bradley Bolster Jr. et al. Spin-Echo EPI MRE is an alternative to a GRE-type (Siemens Healthineers) sequence for MRE. It combines a SE sequence with a fast MAGNETOM Flash (71) 2/2018 Echo-planar imaging (EPI) readout. Advantages of the SE EPI based approach are a higher robustness in patients tailored to different use cases MR Elestography workflow with iron overload and a higher signal-to-noise ratio of Salt: The Active Drive goes wo sieet mode erie the wave images compared with GRE-based MRE. Postion the black Shiro land dercay GRE ---- RF-GRE This How-I-do-it article is available online at siemens.com/magnetom-world SE-EPI Figure reprinted with friendly permission from Felker ER, et al. Liver MR Elastography at 3 T: Agreement Across Pulse Sequences and Effect of Liver R2* on Image Quality. AJR 2018; 211(3):588-594. syngo MR XA20A 15 New sequences, protocols and applications 1.10. MR Breast Biopsy 1.12. Scanner interface workflow improvements Access-i Valid for: MAGNETOM Vida, MAGNETOM Vida Fit, Valid for: MAGNETOM Vida, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Sola Fit, MAGNETOM Sola, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea MAGNETOM Lumina, MAGNETOM Altea Category: optional feature Category: optional feature Improved visualization of target information in the Provides an interface and AddIn to enable the connection user interface. of a third-party workstation or treatment device (i.e. Planning of multiple targets in one planning step and HiFU) to the MR (to the syngo Acquisition Workplace). subsequent display on the inroom monitor supported. It allows the remote client to receive images in real User can switch between the targets for streamlined time from the MR, as well as to control the MR exam interventions. measurements from the third party device using the Access-i Dot AddIn. 1.11. BEAT-interactive for 1.13. Multi-dynamic multi-echo real-time (BEAT_IRTT) imaging (MDME) sequence for SyMRI Valid for: MAGNETOM Vida, MAGNETOM Vida Fit, Available for: MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Sola, MAGNETOM Sola Fit, MAGNETOM Sola Fit, MAGNETOM MAGNETOM Lumina, MAGNETOM Altea Lumina, MAGNETOM Altea Category: optional feature Category: included feature Following feature improvements: TSE MDME is a special variant of the TSE pulse sequence, it is now possible with the BEAT_IRTT sequence to which acquires several contrasts (with different TI and interactively change the slice thickness and the TE, i.e. multiple delay, multiple echo) within a single magnetization pulse to on or off. sequence. The TSE MDME sequence is a prerequisite for generating synthetic MR images and analyzing brain myelinization with the postprocessing application offered by synthetic MR. SyMRI Neuro for synthetic MR can be purchased in the Siemens Open Apps store: https://store.teamplay.siemens.com/ 16 syngo MR XA20A New sequences, protocols and applications 1.14. RT Respiratory Self-Gating Available for: MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Sola Fit Category: optional feature 4D MRI – RT Respiratory Self-Gating is an MRI technique for capturing organ motion in the abdomen and thorax Further Reading with excellent soft tissue contrast and automatic respiratory phase sorting during the entire acquisition time, all without the need for external respiratory devices Initial Clinical Experience Utilizing 4D-MRI or surrogates. for Radiation Treatment Planning Eric S. Paulson, et al. (Medical College of • 4D MRI is a free-breathing, non-contrast, 3D radial Wisconsin, Milwaukee, WI, USA) acquisition technique MReadings: MR in RT, 5th Edition ESTRO 2019 • Images are automatically binned, or sorted, into separate discrete phases that correspond to a patient’s Initial Clinical Experience Utilizing 4D-MRI distinct respiratory motion for Radiation Treatment Planning • Allows for precise target delineation in the abdomen and thorax at each phase of the respiratory cycle • Supports MR-based radiotherapy planning of moving targets in the thorax and abdomen without the need for external respiratory devices or surrogates 111 246 de ¡ DC[a.u.] Bin 5 --------- .......................... ........................ .................... Bin 4 First experience of 4D-MRI for abdominal ................... radiotherapy planning Bin 3 Andrew Oar et al. ................ ......... ........ ............. (Liverpool and Macarthur Cancer Therapy Centre, Sydney, Australia) Bin 2 MReadings: MR in RT, 5th Edition ESTRO 2019 .............. .............. ................ Bin 1 First Experience of 4D-MRI for Abdominal Radiotherapy Planning Mithot experience t[s] ---- .................................................................................................... .................................................................................................... Filtered RT respiratory self-gating signal over time. The articles are available online at siemens.com/magnetom-world-rt syngo MR XA20A 17 New sequences, protocols and applications New sequences, protocols and applications 1.15. GOLiver Available for: MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea, and MAGNETOM Sola Fit Prerequisite: optional Abdomen Dot Engine Category: protocols can be downloaded from MAGNETOM World website GOLiver is a fast and semi-automated MRI workflow for liver disease, hemangioma, liver metastases and others abdominal MR exams in approximately 12 minutes total by Changhai University, Shanghai. Due to the AutoAlign examination time. The set of protocols including T2, DWI, and AutoCoverage functionality of the Abdomen Dot T1 in/opp, and dynamic T1 protocols has been clinically Engine, the user is assisted throughout the exam, validated and compared with an extensive abdominal MR facilitating minimal user interaction, high reproducibility exam in a number of clinical conditions, e.g., HCC, fatty and standardization, and short exam times. Images courtesy of Changhai Hospital, Second Military Medical University, Shanghai, P.R. China MAGNETOM Skyra (VD13, WIP) T1 FLASH 3D VIBE FatSat T2 TSE SPAIR Sequenz Localizer T2 HASTE Sequenz (3 phases) BLADE TR (ms) 7.8 900 TR (ms) 3.7 4574.2 TE (ms) 3.7 97 TE (ms) 1.3 79 TA (min:sec) 0:17 0:18 TA (min:sec) 3 × 0:12 3:19 Matrix 179 × 256 240 × 256 Matrix 195 × 320 320 × 320 FOV (mm) 430 × 430 425 × 340 FOV (mm) 325 × 400 390 × 390 Slice thickness (mm) 7 6 Slice thickness (mm) 3.2 6 Slices 12 20 Slices 3 × 64 33 iPAT factor 2 3 iPAT factor 3 2 3D VIBE Diffusion, Dixon water Sequenz b-value 1000 (4 contrasts) TR (ms) 3200 4.0 TE (ms) 62 1.3 TA (min:sec) 1:14 0:13 Download Protocols Matrix 128 × 128 195 × 320 Download GOLiver protocols for MAGNETOM Vida FOV (mm) 390 × 390 325 × 400 and MAGNETOM Lumina (.exar1 file) at Slice thickness (mm) 6 3.2 siemens.com/magnetom-world > Clinical Corner > Protocols > Body & Pelvis Slices 31 4 × 64 iPAT factor 2 CIPIRINHA 3 18 syngo MR XA20A New sequences, protocols and applications 1.16. Fat Fraction % Maps Available for: MAGNETOM Vida, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Inline calculation of Fat Fraction % Maps based on a Further Reading 2-point T1 VIBE Dixon technique (2pt FF % Maps) and composing of respective multi-station exams. Automated Fast Liver MR Scan: In patients with metastatic bone disease, lesions found A Preliminary Evaluation in DWI (a, b) shall be confirmed in other contrasts, e.g., Jianping Lu, MD, et al. to exclude T2 shine through effects. (Changhai Hospital of Shanghai, China) MAGNETOM Flash (69) 3/2017 T1-weighed images show subtle hyperintensity but the contrast between lesions and background is typically not strong. Automated Fast Liver MR Scan: A Preliminary Evaluation For this purpose 2pt FF % Maps have the advantage of a much stronger lesion to background contrast, since normal red bone marrow is rich of fat (bright) while metastases contain no fat and are dark in fat-fraction maps. a b The article is available online at siemens.com/magnetom-world c > Clinical Corner > Case Studies d syngo MR XA20A 19 New sequences, protocols and applications 1.17. GOBrain and GOBrain+ Available for: MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Lumina, MAGNETOM Vida Fit, and MAGNETOM Sola Fit Category: included feature GOBrain is a push-button brain exam with all relevant GOBrain+ extends GOBrain with two new optimized orientations and contrasts including diffusion and protcols (T1 axial and 3D MPRAGE) to support a T2*-weighted imaging – clinically validated and in only diagnostic brain exam with postcontrast imaging in 5 minutes.3, 4 Shorter scan times may improve patient 10 minutes.5 cooperation and decrease motion-related artifacts. This may help reduce the need for sedation and rescans/ GOBrain and GoBrain+ protocols are not part of our recalls making for more predictable scanning slots. standard protocol selection, but can be downloaded via our customer portal MAGNETOM World. GOBrain1, 6 – A new, faster standard in brain examinations GOBrain1 push-button brain exam in 5 minutes2, 7 AutoAlign Localizer Sag T1 Ax T2 Ax DarkFluid Ax DWI Ax T2* Hemo 4:59 14 s 41 s 62 s 96 s 80 s 6 s min Images courtesy of Massachusetts General Hospital and Athinoula A. Martinos Center for Biomedical Imaging. Images acquired on MAGNETOM Skyra with Head 32. Prakkamakul et al. Ultrafast brain MRI: Clinical deployment and comparison to conventional brain MRI at 3T. J Neuroimaging 2016. Download Protocols Download GOBrain and GOBrain+ protocols for 1.5 and 3T MAGNETOM systems at siemens.com/magnetom-world > Clinical Corner > Protocols > Neurology 1 IMV MR Market Outlook Report. November 2016. 2 Medicare Physician Fee Schedule 2016, estimated national average for CPT Code 70551 MRI Brainstem without Dye. Comparisons performed between 2013 to 2016. 3 Prakkamakul S. et al. Ultrafast brain MRI: Clinical deployment and comparison to conventional brain MRI at 3T. J Neuroimaging 2016, in press. 4 Achieved on a MAGNETOM Skyra with the Head 32 coil. Total examination time can take up to 6 minutes depending on system field strength and coil density. 5 Achieved on a MAGNETOM Skyra with Head 32 coil. Total examination time will vary with system field strength and coil density with up to 14 minutes on a MAGNETOM Aera. 6 GOBrain is pending 510(k) clearance, and is not yet commercially available in the United States. Its future availability cannot be guaranteed. 7 Achieved on a MAGNETOM Skyra with Head 32 coil. Total exam times will vary with system field strength and coil density with up to 6 minutes on a MAGNETOM Aera. 20 syngo MR XA20A New sequences, protocols and applications 1.18. GOKnee3D Available for: MAGNETOM Vida Fit, and MAGNETOM Sola Fit Category: included feature, prerequisites Turbo Suite Excelerate package Conventional clinical imaging of the knee is typically GOKnee3D is a push-button, clinically validated, high- performed with 2D TSE pulse sequences with high resolution 3D isotropic exam of the knee which takes in-plane resolution (0.5 mm) but low through-plane only 10 minutes.2 Push-button functionality is enabled by resolution (2–4 mm) and with a slice gap. With 2D scans, AutoAlign Knee3 providing high consistency in imaging. multi-planar reformats are not possible, and the need to As the images are high-resolution 3D iso tropic, they can acquire each orientation separately can lead to longer be read in any plane. exam times of approximately 20 minutes. GOKnee3D GOKnee3D – Push-button, high-resolution 3D exam in 10 minutes1, 2, 3 AutoAlign Localizer IW/PD, 0.5 mm IW/T2 FS, 0.6 mm TA 9:39 TA 13 s iso TA 4:41 min iso TA 4:45 min min Acquired at 3 Tesla with Tx/Rx Knee 15. Total exam time will vary with system field strength with up to 11 minutes at 1.5 Tesla. Download Protocols Download GOKnee3D .exar1 protocols for 1.5T MAGNETOM Aera and 3T MAGNETOM Skyra at siemens.com/magnetom-world > Clinical Corner > Protocols > Musculoskeletal MRI 1 Fritz J et al. Three-dimensional CAIPIRINHA SPACE TSE for 5-minute high-resolution MRI of the knee. Invest Radiol 2016; 51(10): 666-676. 2 Thawait GK. High resolution istropic 3D CAIPIRINHA SPACE MRI of the musculoskeletal system. MAGNETOM Flash 2016, 66: 30-38. 3 Del Grande F & Fritz J. Fully-Automated 10-min 3D TSE MRI of Knee. 2017; Manuscript submitted for publication. syngo MR XA20A 21 New hardware 2. New hardware 2.1. BioMatrix Body 18 with integrated Beat Sensor Available for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, and MAGNETOM Sola Fit Prerequisite: Tim [204x48] or higher Category: optional feature With syngo MR XA20A, MAGNETOM Sola, MAGNETOM 4-channel flex coils (e.g., Flex Large 4, Flex Small 4), and Vida, MAGNETOM Vida Fit, and MAGNETOM Sola Fit the 18-channel UltraFlex coils (e.g., UltraFlex Large 18, now support use of the new BioMatrix Body 18 with UltraFlex Small 18, depending on availability, optional). integrated Beat Sensor. The dimensions of the BioMatrix Body 18 are 385 mm × The BioMatrix Body 18 combines Tim4G coil technology 590 mm × 65 mm (L × W × H). Its weight is about 2 kg with a new highly flexible and lightweight design to (4.5 lbs) but, to the patient, it seems to weigh only about ensure excellent image quality, high patient comfort, 1 kg (2.25 lbs). and unmatched flexibility. The 18-channel design with its 18 integrated pre- Key features: amplifiers ensures excellent signal-to-noise ratio while • 18 channels providing extensive coverage in all directions. The single • Dual-density signal transfer SlideConnect connector allows fast and easy patient • SlideConnect technology preparation. The new highly flexible and light-weight • Highly flexible and light-weight design design provides highest patient comfort. Through • Interchangeable cable design the interchangeable cable design, a single coil can be • Operates in an integrated fashion with the system’s used with either a standard-sized cable (95 cm length, spine coil standard) or a longer version (165 cm length, optional). • Specific coil density: 4.6 channels / 10 cm z-FOV The BioMatrix Body 18 is typically used in combination • Can be combined with further Body 18 or BM Body 18 with a BM Spine coil for examinations of the thorax, coils for larger coverage abdomen, pelvis or hip and is also well suited for cardiac • Can be positioned in different orientations or vascular applications. In addition, the BM Body 18 (0°, 90°, 180°, 270°) for patient-specific adaptations can be combined with several additional BM Body 18 • Requires no coil tuning (optional) or Body 18 (optional) coils, the Peripheral • iPAT compatible in all directions Angio 36 (optional), but also the BM Head/Neck 20, the • Integrated Beat sensor1 BioMatrix Body 18 now supported by MAGNETOM Sola and The new soft and flexible design of our BioMatrix Body 18 enhances MAGNETOM Vida, MAGNETOM Vida Fit and MAGNETOM Sola Fit. the patient experience and facilitates an efficient workflow. 1 The product is still under development and not commercially available yet. It is not for sale in the US. Its future availability cannot be ensured 22 syngo MR XA20A Sequences and protocol improvements 3. Sequences and protocol improvements 3.1. SPACE Flair improvements Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature Applying a new non-selective T2 preparation IR pulse instead of a conventional non-selective inversion pulse, Further Reading flow-related artifacts can be substantially reduced and help to improve the assessment of 3D SPACE dark-fluid images, in particular in the Pons. Visualization of Endolymphatic Hydrops with 1.5T MRI in Ménière’s Disease Frédérique Chapon, et al. (Saint Joseph Hospital, Marseille, France) MAGNETOM Flash (69) 3/2017 --- -- Visualization of Endolymphatic Hydrops with 1.5T MRI in Menière's Disease: A Preliminary Study the doityet 3 FLAN sequeret. nol invet. vintibolor tie n defined es nt on the abusorol hydrop in the COME the iccos ant por moscouave Marseille, france Biograph mMR (WIP, VE11) Conventional T2 IR pulse Non-selection T2 prep IR ---- 3D T2 SPACE 3D T2 SPACE Dark Sequenz Dark Fluid Fluid with T2prep TR (ms) 7000 7000 The Assessment of Endolymphatic Hydrops with High-resolution 3D Real Inversion TE (ms) 367 367 Recovery and 3D Fluid Attenuated Inversion TI (ms) 2220 2100 Recovery Sequences Yan Sha, et al. (Eye, Ear, Nose and Throat TA (min:sec) 3:37 3:37 Hospital, Fudan University, Shanghai, China) Matrix MAGNETOM Flash (68) 2/2017 192 × 256 192 × 256 FOV (mm) - 227 × 242 227 × 242 -- The Assessment of Endolymphatic Hydrops with High-resolution 3D Real Inversion Recovery and Slice thickness 3D Fluid Attenuated Inversion Recovery Sequences 1 1 she, Ching (mm) Slices 160 160 ngharic hydrups is dupont by iPAT factor CAIPIRINHA 4 CAIPIRINHA 4 = The articles are available online at siemens.com/magnetom-world > Clinical Corner > Case Studies 23 Sequences and protocol improvements 3.2. DSC perfusion without 3.3. Improved fat suppression in distortion correction breast imaging with STIR Valid for: MAGNETOM Vida, MAGNETOM Vida Fit, Valid for: MAGNETOM Vida, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Sola Fit, MAGNETOM Sola, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea MAGNETOM Lumina, MAGNETOM Altea Category: optional feature Category: optional feature Perfusion-diffusion mismatch is a valuable measure Improved fat suppression in STIR scans with breast in clinical stroke evaluation. Until now, Dynamic silicone implants. Susceptibility Contrast (DSC) perfusion data couldn’t be acquired without distortion correction (DC) while Diffusion Weighted Imaging (DWI) doesn’t offer DC. Hence, perfusion data acquired with DC and DWI data without DC were not suited for proper perfusion- diffusion mismatch calculation, e.g., in syngo.MR 3.4. BOLD acquisition with SMS Neurology using the mismatch evaluation tool. With XA20, the DSC perfusion protocol for ep2d_fid can Valid for: MAGNETOM Vida, MAGNETOM Vida Fit, now be scanned without distortion correction to enable MAGNETOM Sola, MAGNETOM Sola Fit, reliable perfusion-diffusion mismatch calculation. MAGNETOM Lumina, MAGNETOM Altea Category: optional feature When creating maps (e.g., mean and activation overlay image and t-test activation map) with General Linear Model from SMS BOLD data without motion correction there were discrepancies between the anatomical data and the slice position of the maps. With the XA20, these discrepancies have been solved. 24 syngo MR XA20A General syngo MR XA-line improvements 4. General syngo MR XA-line improvements 4.1. MR protocols module Valid for: MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Vida Fit, and MAGNETOM Sola Fit Category: optional feature With the MR protocols module, we are introducing a new generation of MR protocol management in Sign - publish teamplay protocols. With this solution, the technologist Explorer Program Editor Browse Import Export changes or chief radiologist is now able to manage scan protocols from one central location. It is now possible to edit Sola-XQ head and distribute scan protocols across scanner types and SOLAXQ64-2 c-spine configurations without interrupting scanner operation. t-spine Changes are distributed across the scanner fleet with O FLEET I-spine whole-spine one click. Furthermore, the feature supports the setup Selected of consistent examination protocols to maintain a head scanner type common protocol structure across an enterprise fleet Brain Dot Engine Available system configuration of scanners for different clinical demands. This ensures program > clinical libraries highest imaging standards for all patients. advanced applications libraries The MR protocols module supports the setup of consistent examination protocols to maintain a common protocol structure across an enterprise fleet of scanners for different clinical demands. MR Protocols Module powered by teamplay protocols Access, edit and distribute protocols MAGNETOM fleet MAGNETOM Sola MAGNETOM Lumina MAGNETOM Vida … syngo MR XA20 syngo MR XA20 syngo MR XA20 With MR protocols module, you can manage your scan protocols from one central location. syngo MR XA20A 25 General syngo MR XA-line improvements 4.2. Readability of Series Navigator content Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature 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. Configuration Panel Series × Client Settings Advanced Visualization Display And Behavior it Add Study Send and Measurements and Snapshots Configuration Archive Series Navigator Series Name Visualization of Composings and Rescans within Series Navigator for MR Studies Current Flat · Group whole body oncology Whole-Body Dot Engine 41 ep2d_diff_b50_400_800_tra_p3_trig-RESP Rescan 51 T1_Images_B1corr > 11_mprage_sag 53 11_mprage_sag T2starMap_f12d_tra_mbh Echo_01 [TE-2.46] latest Echo_02 [TE=4.92] 01 Echo_03 [TE=7.38] Acqusition Bundle Echo_04 [TE=9.84] . COMP_L_12_tse_sag COMP_I_12_tse_sag Echo_05 [TE=12.3] I_t2_tse_sag_COMP Echo_06 [TE=14.76] Echo_07 [TE=17.22] III_t2_tse_sag T2Star_Images Il_t2_tse_sag 54 82 ep2d_perf_p2_MoCo Lt2_tse_sag 83 TTP_ep2d_perf_p2_MoCo Improved readability of the Series Navigator content incl. configurable grouping behavior for composing and rescans. 4.3. Improved tool integration into MR View&GO Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature 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. 26 syngo MR XA20A General syngo MR XA-line improvements 4.4. Intermediate sending of results Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature Results can be sent from MR View&GO without closing the application. Send and Archive Number Preview Description # Images = PACS VIA 34 4 33 vibe_q-dixon_tra_bh_F 1 / 64 vibe_q-dixon_tra_bh_Report 2 37 4 33 vibe_q-dixon_tra_bh_FF 1/ 64 4 33 vibe_q-dixon_tra_bh_GoodnessOfFit 1/64 39 33 vibe_q-dixon_tra_bh_R2s_Ef 1 / 64 4 33 vibe_q-dixon_tra_bh_T2s_Eff 1/64 4 33 vibe_q-dixon_tra_bh_WF 1/64 Send Close Integration of New “Send” button in Distribution step. 4.5. Multiple RIS worklist support Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature With the XA20 it is now possible to receive patient data in the scheduler from several RIS systems. syngo MR XA20A 27 General syngo MR XA-line improvements 4.6. Positioning mode for interventions Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature To avoid unintentional table movement during interventions, triggered by running sequences with different isocentric positions or enable off-center scanning, with the XA20 the “fixed” positioning mode got introduced to support these workflows. Table Positioning Strategy Select Table Positioning Strategy Isocenter Local Range Fixed Define the fixed table position by dragging the triangle in the planning segment(s) to the body part of interest. I Alternatively select one of the previously used positions or enter a particular fixed position. O Fixed Position H 0 mm Integration of new Table Positioning Strategy. 4.7. Reset Windowing with middle mouse button double-click Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature Double-clicking the middle mouse button within an image segment resets the “windowing”. 28 syngo MR XA20A General syngo MR XA-line improvements 4.8. Drag-and-drop operations in Series Navigator Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature It is now possible to drag objects from the Series Navigator onto the film sheet. 4.9. Annotation of a whole image stack Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature Annotations can now be propagated to the entire image stack by right-clicking on the measurement. A Series Series Na # Test Current Edit Annotation Text Delete Measurement MR, 21.1 abdomen Copy Measurement 3001 T2 CO RF Apply Annotation to Whole Stack 4001 t2_has 7001 2_spa 8001 t2_spa 9001 2_spa 10. t2_sp 15 .. t2_spa 16 ... t2_spa 23 ... t2_spa 24. t2_s syngo MR XA20A 29 General syngo MR XA-line improvements 4.10. Improved Retro Recon user interface Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature Improved user interface for retrospective editing of reconstruction in the job view. Short Term Storage Maintenance MeasUid Protocol Name Patient Name Time Progress Raidfile Status Action Data Publisher KAIE CAI MR Reconstructions 3 t1 tse dark-fluid_sag_p2 2019.06.07 6/14/2019 Error Media Edit Protocol for Retrospective Reconstruction Network Routine Contrast Resolution Geometry System Physio Inline Sequence Print Slice Group 1 FoV Read 220 mm Workflows Parameters Slices 27 - FoV Phase 100.0 ¢ % Slice Thickness 4.0 ¢ mm DICOM Distance Factor 0 % TR 2000.0 ¢ ms HEADER IRIS Position Isocenter TE 9.00 ¢ ms MEAS Orientation Sagittal Averages SPICE Phase Encoding Dir. A>> P Concatenations YAPS Phase Oversampling 30 % AutoAlign Coil Elements BC Presets Parameter Name Original Current S BIFILTER MEAS.sBiFICFilter.ucOn False True S COILCOMBINEMODE MEAS.sBiFICFilter.ucMode O MEAS.sBiFICFilter.ucSav. False False S_DISTORTIONCORRECTIONFILTER S DYNAMICDISTORTIONCORRECTIONFILTER S ELLIPTICALFILTER S IMAGECOMMENT S IMAGEFILTER S IMAGESCALECORRECTION + Please take care that all results created with RetroRecon might not be suited for diagnostic use any more. Results need to be checked carefully. Add Remove Parameter changes are not checked for consistency hence preparation or reconstruction errors might occur. Start Cancel Server Status online Raid Status online USB Drive not present Improved Retro Recon user interface. 4.11. Improved data handling Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea Category: included feature The XA20 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. 30 syngo MR XA20A General syngo MR XA-line improvements 4.12. Improved behavior in MR 4.14. Improved result handling View&GO Valid for: MAGNETOM Vida, MAGNETOM Sola, Valid for: MAGNETOM Vida, MAGNETOM Sola, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Vida Fit, MAGNETOM Sola Fit, MAGNETOM Lumina, MAGNETOM Altea MAGNETOM Lumina, MAGNETOM Altea Category: included feature Category: included feature Phase-encoding direction arrow in image text is displayed First and last image of the source stack will be projected according to DICOM attribute In-plane Phase Encoding on the target images. Direction (0018,1312). Improved cardiac postprocessing by adding necessary An issue with DICOM interoperability with the PACS has DICOM information. been resolved (stable time stamps for Instance Creation Date (0008,0012) and Instance Creation Time HASTE diffusion is now supported in ADC b-value offline (0008,0013)). generation. Bold exclusion when sending to PACS in interoperability Inline subtraction is now available for GRASP. mode now works. During sending DTI images with activated interoperability mode the creation of new series for each eMR instance can now be switched off. 4.13. Improved scan planning Color overlays are now transferred by autorouting to PACS. Valid for: MAGNETOM Vida, MAGNETOM Sola, CorRea: Contrast comment can now be edited. MAGNETOM Vida Fit, MAGNETOM Sola Fit, Changed windowing values are sent to the PACS even MAGNETOM Lumina, MAGNETOM Altea if the segment is not visible in the layout. Category: included feature Changed image comments are now considered during export to USB flash drive. Select&GO now supports the Contour coil for patient positioning. In order to persist changes on the images the “Save as Series” tools shall be used instead of “Export” out of the The “continue measurement” button is now displayed image segment. in Select&GO. Flexible sending of results to remote machines can now Table is now moved to the correct position when be done out of the “Send and Archive” UI without closing “Brain” is selected with Select&GO. the application. syngo MR XA20A 31 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-975-15C-7600 · 8578 0320 online · ©Siemens Healthcare GmbH, 2020