DTI Tractography - Neuro 3D (A to E-line)

DTI Tractography - Neuro 3D (MR) A to E-line syngo DTI (Diffusion Tensor Imaging) Tractography uses anisotropic diffusion to graphically display diffusion tracts. When evaluating the diffusion data, 3D visualiza- tion of specific white matter tracts is possible. 1. From the Patient Bowser > select a 3D Anatomical series (e.g., MPRage Applications Transfer or SPACE) Report Open Report Tools a. Select Applications > Neuro 3D (MR), and load the Anatomical data set into Neuro 3D (MR) Task Card Mosaic (or) 3D Argus b. Neuro 3D (MR) Icon BOLD BOLD Evaluation Soft Tissue (MR) Composing c. Field Map automatically loads with Anatomical data into the Mean Curve Neuro 3D (MR) Task Card > Fusion Mode Perfusion (MR) Spectroscopy Neuro 3D (MR) d. Select Tensor Series Tissue 4D (MR) i. Select Neuro 3D (MR) Icon e. Select Study Icon (upper control area) i. Overview of loaded datasets Proband Study Anatomy Activation Map BOLD Diffusion Fieldmap Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 SIEMENS Master Template: EFF Date 22 Aug 17 | HOOD/HILS HOOD05162002647849 Healthineers Jobaid: Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 Job Aid | Insert Title of Job Aid Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 2. Neuro 3D (MR) Task Card a. Fusion Mode > Viewing Layout WORKFLOW_ADY_NEURO_1 WORKFLOW_ADY_NEURO_1 0000000 OID: 0000000 0000000 *3/4/1981 CD: 0000000 ·3/4/1981 STUDY 70554.0 STUDY 70554.0 Manipulated, Fused, MPR Manipulated, Fused, MPR auto Anat,FA AnaLFA bo [60,3473].FA [0 ,- ] 60 [60,3473]FA [0;] Annt OFF/FM OFF /Clus OFF Anat OFF FM OFF/Club OFF And W 255 0 12 WORKFLOW_ADV_NEURO_1 AR WORKFLOW_ADV_NEURO_1 HPR 0000000 OID: 0000000 0000000 *3/4/1981 OID: 0000000 -3/4/1 981 STUDY 70554.0 STUDY 70554.0 Manipulated, Fused, MPR Manipulated, Fused, 30  Coronal MPR – Upper Left  Sagittal MPR – Upper Right  Axial MPR – Lower Left  VRT Image – Lower Right 20 160.34731FA 10-1 Anot FA Anat W 255 C 121 20 160-34731 A 10-1 b. Optimize Display i. Select Visual > Anatomy Gallery  Select Neuro3D icon  Select OK – updates VRT image display Visual System Options Help Anatomy Gallery X Single Windowing Home Windowing Anatomy Properties Neuro3D ... Anatomy Gallery ... Functional Properties .... Diffusion Properties .. Diffusion Tractography Properties. Fieldmap Properties. Blend Factor Properties ... OK Close Help Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 9 Job Aid | Insert Title of Job Aid Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 ii. Select Visual > Blend Factor Properties  Activation Map and Diffusion Map a. Move sliders to change level of activation and diffusion is superimposed on the anatomical image Visual System Options Help Blend Factor Properties Single Windowing Activation Map Home Windowing 100 % Anatomy Properties ... Anatomy Gallery ... Diffusion Map Functional Properties ... 50 % Diffusion Properties ... Diffusion Tractography Properties .... Fieldmap Properties ... Blend Factor Properties c. MPR Image Navigation i. Dog Ears – scroll through MPR images created ii. Lines – move Green (Axial), Red (Coronal), and Blue (Sagittal) lines to navigate through the images in the different orientations  Depress left mouse on line inside 2 arrows – move line  Depress left mouse on line outside 2 arrows – angle line a. Note: updates the image displayed in the segment for corresponding orientation. d. Enlarge VRT images segment from 4x4 to 1x1 i. Double left mouse > Edge of VRT imageSelect Diffusion Tab > Diffusion  Note: easier to interact with VRT image to navigate and create tracks WORKFLOW_ADV_NEURO_1 HPR 0000000 hannousted, Fused.NFR OID: 0000000 3/4/1985 STUDY 70554.0 Manipulated, Fused, 3D 60 160 34733FA 12-1 00 1:0 34731 FA 10,1- And OFF.FM OFF/Cut OFF Ana! OFFEM OFF/Que OFF RA WORKFLOW_ADV_NEURO_1 0010000 WORKFLOW_ADV_NEURO_1 1000009 CID 0000000 3.4.1981 STUDY 70554.0 STUDY 70554 0 Mondouleled, Fused. MFR Anat,FA 4x4 bo [60,3473]/FA [0 .- ] Anat OFF/FM OFF/Clus OFF 1x1 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 9 Job Aid | Insert Title of Job Aid Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 e. Rotate VRT Image i. Rotate volume image using the Orientation Cube ii. Set the image to a standard view > click one slide of Orienation Cube H f. Clip Planes i. Turn On/Off Clip Plane Display > Left click Show/Hide Clip Plane Icon  Move Clip Plane – left click on edge > drag frame to move clip plane ii. Turn on Additional Clip Planes > Right click Clip Plane Icon  Clip Plane Properties window a. Yellow – Clip Plane active b. Blue – Clip Plane inactive iii. Clip Planes eliminiate overlying tissue  Areas with Activation shown within the image volume/clip plane  Areas outside the image volume/clip plane are hidden Orien ... Display Diffus. Clip Plane Properties Hide Hide Erame Home Close Help Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 9 Job Aid | Insert Title of Job Aid Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 g. Tractography – Creating Fiber Tracts i. Select VRT image segment ii. Navigate to area of interest to create tracts using  Clip Planes  Orientation Cube iii. Depress Ctrl Key > use Left Mouse and Draw Seed-point  Seed-point/Voxels selected are highlighted in color iv. Right Click > select Start Tractography WORKFLOW_ADV_NEURO_1 A 0000000 DiffSeedPoint1 OID: 0000000 *3/4/1981 Start Tractography STUDY 70554.0 Manipulated, Fused, 3D Start Tractography to Edit Delete Hide Transparent Save Seed-points ... Properties ... Rotate (3D View) Zoom/Pan Home 3D View Home Zoom/Pan H New Diffusion Seed-point Delete Diffusion Seed-points Anat, FA b0 [60,3473]/FA [0 ,- ] Delete Diffusion Tracts Anat OFF/FM OFF/Clus OFF Display Diffusion Seed-points Draw additional Seed-points Display Diffusion Tracts v.  Right Click > select New Diffusion Seed-point a. Depress Ctrl Key > use Left Mouse and Draw Seed Points b. Seed Points/Voxels selected are highlighted in color  Right Click > select Start Tractography (e.g., tracts dispalyed in color) DiffSeedPoint1 WORKFLOW_ADV_NEURO_1 WORKFLOW_ADV_NEURO_1 Start Tractography HAR 0000000 OID: 0000000 0000000 Start Tractography to 3/4/1981 OID: 0000000 S3/4/1981 HFS STUDY 70554.0 STUDY 70554.0 Manipulated, Fused, 3D Manipulated, Fused, 3D Edit Delete Hide Transparent Save Seed-points ... Properties. Rotate (3D View) PH Zoom/Pan Home 3D View Home Zoom/Pan New Diffusion Seed-point Delete Diffusion Seed-points Delete Diffusion Tracts H Display Diffusion Seed-points Anat, FA ON Display Diffusion Tracts bo [60,3473)/FA [0 ,- ] Anat OFF/FM OFF/Clus OFF b0 [60,3473]/FA [0 ,- ] Anat OFF/FM OFF/Clus OFF Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 5 of 9 Job Aid | Insert Title of Job Aid Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 h. Deleting Seed-points – seed-points can be deleted as needed i. Right Click on Seed-point > select Delete ii. Confim Window > select Yes DiffSeedPoint1 Confirm Start Tractography Start Tractography to Do you want to delete the selected Diffusion Edit Seed-point? Delete Hide Transparent Yes No Help Save Seed-points ... Properties .. Rotate (3D View) Zoom/Pan Home 3D View Home Zoom/Pan New Diffusion Seed-point Delete Diffusion Seed-points Delete Diffusion Tracts Display Diffusion Seed-points Display Diffusion Tracts i. Saving Tractography Data i. Select Segment with VRT/Tractography image ii. Select SaveAs Icon iii. SaveAs window – select the following Save As X  Selected Segment Patient WORKFLOW_ADV_NEURO_1 Modality MR Database Exam date 20080410  Images 1 a. Save image(s) in new series . Selected Segment All Segments . File System Path C:\Medcom\temp\CDR_OFF (or) Export without Filename WORKFLOW_ADV_NEURO_1 b. Append images to series image text Format Bitmap (* bmp) . Database  Select Ok – changes saved to . Save image(s) in new series Tractography Append image(s) to series <3D Collection? Patient Browser QK Cancel Help Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 6 of 9 Job Aid | Insert Title of Job Aid Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 j. MPR Range – create a stack of anatomical data with fused DTI data i. Select an MPR image segment ii. Select MPR Range Icon auto K iii. MPR Range Properties window  Drag slices to Start/End Points  Deselect Constant Number of Images Icon  Enter Image Thickness  Enter Distance between Images  Enter Number of Images  Select Create MPR Range Series – creates stack of images MPR Range Properties ? X WORKFLOW ADY NEURO_ 9000000 OD: 0000000 HFS STUDY 70564 0 Fused, MER Image Thickness 1.00mm Distance between Images 4.00mm Number of Images RP Anat,FA b0 [60,3438)FA [0 ,- ]  Select Save MPR Anat OFFIFM OFFICIUs OFF Anat V 417 C 175 Range Series As a. Select Fused (Secondary Captured image) b. Save images(s) in new series – enter name of series stored to Patient Browser c. Note: Native (MR), provides anatomical image data only without the fused DTI data ave MPR Rango x Patient WORKFLOW_ADV_NEURO_1 Modality MR Exam date 20080410 Images 33 Series Type Fused (Secondary Capture) Native (MR) Save image(s) in new series Fuse Axial OK Cancel Help Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 7 of 9 Job Aid | Insert Title of Job Aid Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 k. Quick Tracks Function – available for tensor graphics in the area of the loaded diffusion Data i. Diffusion data is loaded ii. Select Diffusion Mode Icon auto iii. Select an Image Segment iv. Diffusion Tab > Tensor Icon – changes image to a Tensor image v. Select Tools > Pixel Lens – Tractography Preview  Move mouse pointer across image to see tracts  Note – Tracts change realtime as mouse moves WORKFLOW ADY NEURO 1 ARH 0000000 OID: 0000000 *3/4/1981 HFS STUDY 70554.0 Manipulated, 3D 100 IMA 19 / 37 RPH Tensor 60 [60,3438)FA [300 ,- ]Br. Vit. FA Anat OFF/FM OFF/Clus OFF FA W 1000 C 500 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 8 of 9 Job Aid | Insert Title of Job Aid Effective Date: 02/18/2020 | HOOD/HILS HOOD05162003063689 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (herein- after collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2018 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 9 of 9