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MR Angiography-Vascular - Numaris X

MR Angiography Workflow: perform a basic vessel examination, quantify the 
identified stenosis, create a report by assigning qualitative attributes, and document your findings by automatically saving snapshots of the most important images.

MR Angiography - Vascular Numaris X MR Angiography Workflow: perform a basic vessel examination, quantify the identified stenosis, create a report by assigning qualitative attributes, and document your findings by automatically saving snapshots of the most important images. 1. MR Vascular Workflow is part of the MR Angiography Workflow: e.g., license required 2. From the Patient Worklist, load the appropriate data set and assign the workflow to the MR Angiography Workflow Double Left Click on Patient to open · @ Open Ctrl+O @ Open with View as Read-Only with Batch Open Assign Workflow - Favorites Cancel Workflow Suggested Search Patient with DICOM Q/R MM RT Image Suite ** Add to Demo List MR Angiography Remove from Demo List MR Basic Set Mark state MR Breast Set Delete Protection state MR Breast Biopsy Set Archive state MR BreVis Remove Correction state More New Examination Resume Examination Correct x Cut Paste Delete Del SIEMENS Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Healthineers Jobaid: Effective Date: 12/4/2018 | HOOD05162002977480 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 3. MR Angiography Double Click on Patient · o MR Angiography workflow opens and images are displayed in MR Angi- ography Reading in the Viewing Step Healthineers> ANGIO, carotids, renals medadmin + ? M & # O . 1/1/1980 M 0 Vida_Breast 18 MR BreVis MR Angiography Q + Series ANGIO, carotids, renals PARRISH HEALTH CARE CENTER PARRI ANGIO, carotids, renals PARRISH HEALTH CARE CENTER MR Angiography Reading 0 +1/1/1980, M, 27Y Espree Viewing MR B13 *1/1/1 980. M. 27Y CURRENT HFS CURRENT Later 01 SingleStation 5/22/2007 +LPH 5/22/2007 HFS LOCALIZER_BH T1_VIBE_FSLAX BH MR. 1/15/2010 MultiStation latest latest Carotids TWIST STUDY ID 1 STUDY ID 1 3:38:37 PM 3:46:41 PM Current MR Vascular 1 IMA 23 3 IMA 35 MR. 5/22/2007 MR Composer RENAL MRA L F DIE D TP O TP F 36 LOCALIZER BH He 27 SP L25.1 TR 5.5 SL 7.0/14.0 TE 2.6 SP F48 2 BNW 490.0 FoV 350*400 TA 24.24 SL 2.81 BWV 300.0 oV 338-450 157 256 Sag MIDIS2D 125*256 Tra Al Zoom 1.07 C:BO1,2:SP3-6 358 A1/SAT2/FS Zoom 1.27 "1201 / 50 195 C.BO1,2;SP2-4 438 '13d1 /10 176 ANGIO, carotids, renals PARRISH HEALTH CARE CENTER ANGIO, carotids, renals 0 PARRISH HEALTH CARE CENTER FLID_COR-PRE_B ID_COR_POST *1/1/1980, M, 27Y Espree MR B13 *1/1/1 980, M. 27Y Espree CURRENT MR B13 HFS CURRENT HFS 5/22/2007 .LPH 5/22/2007 Findings Navigator TESTBOLUS_AXIA FL3D_COR_PRE_BH latest/Phase_01 latest Name Value Source STUDY ID 1 STUDY ID 1 3:53:44 PM 4:04:02 PM POST12 sulP Coleed 4 IMA 1 5 IMA 1 A Tools F D TR 38.5 TP F27 YP A6 SP F26.8 TR 3.3 TE 1.4 TE 1.1 SP A41.3 Synch Look Full Text Hide Hide Roset SL 18.0 SL 1.31 Navigat. Graphics Lines Timepo. TA 00.99 FoV 400*400 TA 20.34 BV 400.0 BWV 450.0 FoV 348 380 MDIS2D 179 256 p2 M/DIS2D 229p 384 Tra Cor-Tra(7) Layout Snapshot Export Unda Redo A1/SAT2 Zoom 2.14 W 122 A1/PFP/FS Zoom 1.43 C:BO1,2,SP3,4 d:BO1,2,SP3,4 W 253 *112d1_7/ 30 60 *13d1 / 25 c Activate Windows Go to Settings to activate Windows. 4 8 0 M 2.08:53 PM 4. MR Vascular Case Navigator > select MR Vascular step · o Vascular workflow opens and images are loaded MR Angiography + MR Angiography Reading Viewing SingleStation MultiStation TWIST MR Vascular MR Composer Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Drag 3D Subtracted dataset into any segment (e.g., FL3D-COR Post_SUB) · o Select Axial segment > Scroll to starting point (beginning of area of interest) Heatthinkers ANGIO, carotids, renals medadmin - ? H & # Vida Breast 18 MR Angiography Q + Series MR Angiography Reading FL3D_COR_POST_SUB L3D_COR_POST_SUB O SP R1.0 SP A37,8 MR Vascular Later 01 MR. 1/15/2010 O Current MR Composer REVERRA LOCALIZER BH TVI 182 TI_ VIBE FS AXE ANGIO, carotids, renals PARRISH HEALTH CARE CENTER O FL3D_COR_POST_SUB +1/1/1980, M, 27Y Espree SP P16.1 FL3D_COR_POST_SUB 13D_COR_POST_ SUB [71 5/22/2007 4:08:12 PM SP F17.6 Findings Navigator Name Value Source 1.2 IMParti allP Colection 1,2 Tools @Hide MPF Edit Snapshot Print Export CAUD 90 Layout Image Image M 384x35 182 Activate Windows subtraction scale 3.0 Go to Settings to activate Windows. BOM 2-30-17 PM Double Click Axial Segment to change from [4x4] to [1x1] display · A ANGIO, carotids, renals PARRISH HEALTH CARE CENTER 0 *1/1/1980, M, 27Y Espree FL3D_COR_POST_SUB 5/22/2007 2 4:08:12 PM SP F17.6 10cm MPR +C F CAUD 90 450 M 384x352 187 subtraction scale 3.0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Start Vessel Tracing · o Select Multiple Clicks icon – to start Vessel tracing o Left click on center of vessel > press “down arrow key” on keyboard > Left click on center of vessel again § Continue to scroll through anatomy and place target points through area of interest) o Double Click Last Slice – ends tracing Double Click Axial Segment again to change from [1x1] to [4x4] display · realthingers medadmin - ? MO = = O ANGIO, carotids, renals * 1/1/1980 M O Vida_Breast 18 MR BreVis MR Angiography C Senes FL3D_COR_POST_SUB MR Angiography Reading FL3D_COR_POST_SUB SP R2.2 SP P48.1 MR Vascular Later 01 . MR. 1/15/2010 Chigia Poing Edit Contour Current MR Composer O MR. 5/22/2007 RENAL MRA 0-000 V LOCALIZER BHT cout STDDEV_ TI VIBE FRAK ISTBOLUS.A ANGIO, carotids, renals PARRISH HEALTH CARE CENTER| FL3D_COR_POST_SUB 0 *1/1/1 980, M. 27Y Espree SPP16.1 FL3D_COR_POST_SUB 5/22/2007 4:08:12 PM SP H11.2 Findings Navigator Name Value Source I . MIPOST COM Tools Synch Hide Resel Navigat Full Text Hide Graphics Lines Timapa. Edit Snapshot Print Layout Export Undo CAUD 9 Image M 384X352 Windows Image subtraction scale 3.0 tings to activate Windows. 6 9 8 0 M 2:43:36 PM 5. Edit Centerline by using Control Points Select Control Points Edit Icon Control · Point Edit o Note: Centerline on Curved MPR (e.g., line turns magenta) o Modify Centerline Points >depress left mouse on point and drag to new location o Select Control Point Edit icon again– to turnoff Optional: Freehand Edit Icon · o Depress left mouse and trace around center of vessel Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 6. Stenosis Measurement Markers Icons Float mouse over bottom of CL image segment to access Stenosis Measurement Markers · A: n.a. D: n.a MPR CV A = 31 3 mm EL min 150 Go to o + Stenosis Measurement icon: interactive markers for setting stenosis and refer- · ence positions along the vessel. Stenosis values are interactively computed dur- ing marker manipulation o Create Stenosis Measurement o Save Results > Create Finding + Vessel Length Measurement icon: interactive evaluation of vessel’s section. · Length values are interactively computed during marker manipulation o Create Stenosis Measurement o Save Results > Create Finding + Vessel Diameter Measurement icon: interactive evaluation of vessel’s diameter · at any given position. Diameter values are interactively computed during marker manipulation o Create Stenosis Measurement o Save Results > Create Finding + Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 5 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 7. Radial and Parallel CPR (Curved Planar Reconstruction) Ranges: document condition of vessels, create a series images along the CPR Radial CPR Range: saves a stack of images containing multiple CPR View of the dis- · played vessel from different viewing directions around the vessel o Upper Left Corner Menu of CPR segment > select Radial CPR Ranges o Modify values in Radial CPR Ranges window as needed o Click Start button: new series containing radial CPR range is created, based on current select centerline Parallel CPR Ranges: save a stack of images containing cross-sectional images along the · corresponding centerline. One curved MPR image provides the reference location for the corresponding cross-sectional images. o Upper Left Corner Menu of CPR segment > select Parallel CPR Ranges o Modify values in Parallel CPR Ranges window as needed o Click Start button: new series containing parallel CPR range is created, based on current select centerline 8. Save Results Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 6 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 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 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 7 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 8 of 8