PEPconnect

Manual Composing - Eline

This Job Aid reviews the workflow steps to manually compose images with multiple table moves on MR Systems with Eline software.

Manual Composing Eline Software Manual Composing Eline Software Prerequisites for Composing Image Selection  Image Type – Only MR images are acceptable  Image Matrix – All images of a volume must have the same image matrix  Pixel Spacing – All images must have the same pixel spacing (pixel spacing=FOV/Matrix)  Image Layout – All images must form a cuboid  Database Storage – All images (or series of images) must belong to one study; all images of a volume must belong to the same series.  Series Block – All images must be part of the same series block  Slice Thickness – All images of a volume must have the same slice thickness  Distortion Correction – The same distortion correction setting must be used for all im- ages. It is not possible to mix corrected with uncorrected images.  Slice Distance – All images within one volume must have the same distance factor.  Slice Orientation – All images within a volume must have the same orientation  Slice Inclination – Slice stacks/volumes must not exceed a +/- 45°  Transverse images can’t be composed 1. Open Patient Browser a. Select Patient > Study > Series with Multiple Table Moves (e.g., Angio, Spine, Body) a. Minimum of two (2) Series needed for Composing b. Select Applications > Composing Patient Browser Patient I Applications Transfer Edit View Filter Evaluation Sort Options Help Report Open Report Tools Tissue Mosai 3D Argus krspec271004 CISITZTSE Restore SAG BreVis LAH CHD SPEC BOLD [5] T2 TSE Restore AXIAL BOLD Evaluation LV FX and Flow cor [6] T1 TSE AXIAL Soft Tissue (MR) R/com/1/11 / Composing MR_Spectro_Head [100] COUNTING SCOUT Mean Curve Perfusion (MR) Neuro ASL & cePe [101] Thoracic Localizer R/com///11 / Spectroscopy Neuro 3D (MR) NonPSIRstudy, with [102] T1 TSE SAG R/com/ 1 /31 ¢ Tissue 4D (MR) Retro Recon [103] T2 TSE Restore SAG Vessel View R/oom/ / / / / Study Split Sagittal coronaries [104] T2 TSE Restore AXIAL DICOM Tools shoulder [105] T1 TSE AXIAL R/com///// / Desktop Skyra_Head with To [108] Lumbar Localizer Skyra_Lumbar [109] T1 TSE SAG Room/ 11/1 1 Local Database Whole Spine Level SPINE CERV [110] T2 TSE Restore SAG R/com/ / / / / / Scheduler WORKELOW ADV 11111 T2 TSE Rectore AXIAL Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD05162003109303 Healthineers Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 2. Select Composing Task Card a. Please select the Composing algorithm window – select an option i. MRComposer for spine: based on Bone Structure, for Composing Spine Images ii. MRComposer for angio: based on Vessel Structure, for an Overview of Vessels iii. MR Adaptive Composer: based on elastic matching, to correct b0 induced inho- mogeneities in image areas beyond magnetic homogeneity volume. e.g. Abdo- men, Long Bones iv. Select OK  Composition window – composing is in progress Please select the Composing algorithm X Composition MRComposer for spine The composition is in progress @ MRComposer for angio Number of images to be processed: 50 MR Adaptive Composer Cancel OK Cancel Patient Applications Transfer Edit View Filming Layout ... Film Task Status ... 3. Save Composed Images – if no adjustments are Film Preview ... needed Expose Film Task Ctrl+P a. Select Patient > Save All As – saves all Composed Copy to Film Sheet Num Enter Images Save b. Select Patient > Save As – saves only the image in Close Patient the active segment image Register ... Num 0 Film All ... Browser ... Num . Save As. Save All As. 4. Save All As window a. Select Save images in new series Save All As X b. Enter Name of Series Patient Whole_Spine_Level_1 c. Select OK – saves composed images Study SPINE^CERVICAL to Patient Browser Series Images 14 Save images in new series Composed Spinel Append images to series Cervical Localizer OK Cancel Help Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 2 of 10 Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 Manual Composing (Optional) – perform only if the automatic algorithm doesn’t provide opti- mal results. To perform Manual Composing, the series needs to be loaded into the Composing Task Card and the Composing Algorithm launched. (e.g., MRComposer for spine, MRComposer for angio, MR Adaptive Composer). Viewing, Manual, Adjust, Tools and Ortho subtask Cards are also defined. View Manual Adjust 1. View Tab > Top Row a. Single Layout icon (default) i. Composed Overview Image – Right Screen ii. Detailed Image – Left Screen b. Double Layout icon i. Two Composed Overview Images displayed next to each other – Right Screen ii. Two Detailed images displayed next to each – Left 1:1 Screen c. Single with Original icon i. Detailed Original images – displayed Top/Bottom Left screen ii. Composed Overview Image – displayed Right Side of screen Whole_Spine_Level Whole Spine Level Exam Composed Images Composed Images 1/7 cl 1 1/7 of 1 + Viewing View Manual Adjust Filming Tools Ortho I Composing 1Guisodwos Single Layout Double Layout Whole Spine Level Composed Images 1/7 of 1 TR 149)-0 TE 1100 Whole_Spine_Level 271/1974 .0 STUDY 4215599 43343 PM Composing Single with Original Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 3 of 10 Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 2. View Tab > Middle Row View Manual Adjust a. Hide Overview icon – Composed Overview image is hidden i. Only Detailed “Original" image displayed b. Blend/Cut Mode icon – switch between table move transitions (smooth or hard cut transition borders) c. Overlay Graphics icon – Shows/Hides graphics dis- played on images (e.g. Table Move Lines, ROI, Distance measurements, etc.) 3. View Tab > Bottom Row Manual Adjust a. Zoom/Pan icon – magnify and/or move image within View image segment b. Acquisition Size icon - Detailed image is magni- fied/minified so every image pixel corresponds to the monitor pixel c. Capture Area icon - Detailed image enlarged and cen- tered according to image section ‹› 4. Manual Tab > Top Row a. Position – Position of orientation mark where manual adjustments are currently made; (e.g. 1; location of View Manual Adjust green box displayed on overview image) Position: ........................ X b. Shift Front/Shift Back – Slices are moved away from or towards operator on screen 2 c. Shift Up/Shift Down – Images are moved up or down by a set number of pixels Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 4 of 10 Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 View Manual Adjust Position: × ...................... 5. Manual Tab > Middle Row a. Normalize – Harmonize (brightness) different grayscale values for a homogenous overview Without Normalize Level With Normalize Whole Sairies 01111 $2/11/1981 0 # 4216539 STUDY 4218598 81/2009 4:03:10 PM MF 1.64 MF 64 IR 4490 0 TE 110,0 BW 266.0 MNORM/DIS2D/COMP SP 12 SZDICOMP_SP_N A2/PFP/SAT1 seR2d19/ 160 SER20119/ 1ED b. Blend/Cut Mode – switches between table move transitions (smooth or hard cut transi- tion borders) A 7 Blend/Cut Mode Off 10cm 0cm Blend/Cut Mode On Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 5 of 10 Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 View Manual Adjust c. Cutline Up/ Cutline Down – moves cut-line (image Position: margin) up/down by a set number of pixels ........... X 2 6. Manual Tab > Bottom Row Auto Adjustment – defaults back to automatic adjust- View Manual Adjust a. ments (e.g., all manual adjustments cancelled) Position: × b. Shift Left/Shift Right – moves images left/right by a set number of pixels 2 7. Adjust Tab > Top row View Manual Adjust a. Home Window – Resets window values to last win- dow values saved WWW. 944 b. WW/WC – Manually enter Window Width (WW) and WC: Window Center (WC) values 316 R Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 6 of 10 Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 8. Adjust Tab > Middle Row a. Invert Gray Scale Icon View Manual Adjust IWW 944 WC 316 * R Invert Gray Scale Off Invert Gray Scale On 9. Adjust Tab > Bottom Row a. Flip Vertically Icon – Reverse left to right orientation View Manual Adjust WWW. 944- WC 316 RA Flip Vertically Off Flip Vertically On Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 7 of 10 Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 10. Tools Tab > Top Row Tools Ortho I a. Annotation Text – Predefined Text Options (or) Free Text Icon Annotation X ligament instability preoperative postoperative after correction sustained exposure Close Help b. Circle Icon – Draws Circle ROI c. Freehand ROI Icon – Draws Freehand ROI Tools Ortho I 11. Tools Tab > Middle Row a. Arrow Icon – Draws an Arrow b. Circle Center Icon – Draws an ROI with a center 12. Tools Tab > Bottom Row Tools Ortho I a. Shutter Icon – Shutters out unwanted tissue (Partial view of image) i. Note: Series cannot be selected, each image must be shuttered individually b. Distance Icon – Measure distance of created lines be- tween two points c. Angle Icon – Measures an Angle (e.g., create 2 lines independently) Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 8 of 10 Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 13. Ortho Tab Tools Ortho I a. COBB Angle – Determine Scoliosis angle of Spine i. Draw Tangent to dorsal plate of upper neutral vertebra and to basal plate of lower neutral D vertebra. System uses this to calculate the angle. b. Vertical Alignment – Evaluate Scoliosis to deter- mine the deviation of the spine from an imaginary vertical line. c. Height Difference – Difference in height measure- ments, used to measure difference between two points. (e.g., Hips) d. Kyphosis – measures angle between a vertebra and vertical line in a sagittal acquisition Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 9 of 10 Job Aid | Manual Composing Eline Effective Date: 08/03/2020 | HOOD05162003109303 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 (hereinafter 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 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 08/03/2020 | HOOD/HILS Healthineers Page 10 of 10