MR BreVis Job Aid

MR BreVis Job Aid syngo.via MR The MR BreVis workflow is used to read breast MR images. The functions of MR BreVis workflow are:  Advanced breast reading for multiple time points  Automatic subtraction and motion correction  Display of color overlay maps and volume statistics  Time curve Evaluation 1. From the Patient worklist, load the appropriate data set into the MR BreVis Workflow:  If the examination has been correctly mapped, double‐click to load  If manual mapping is required, right‐click the examination and assign workflow MR BreVis 2. MR BreVis Reading contains the following steps with different layouts:  Dynamic + MPR  Dynamic + DWI  3 x 3 Dynamic + Sub  Viewing MR BreVis + MR BreVis Reading Follow Up Collect Preset Moco Calor > Settings Dynamic + MPR Dynamic + DWI 3x3 Dynamic + Sub Viewing Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 SIEMENS Master Template: EFF Date 22 Aug 17 | HOOD/HILS HOOD05162002647849 Healthineers Jobaid: Effective Date: 08/14/2019 | HOOD05162003026847 MR BreVis Job Aid Effective Date: 08/14/2019 | HOOD05162003026847 3. Overview of BreVis interface  AutoCollect – Automatically adds measurements to findings navigator, however this tool should not be use for BreVis since findings should be saved as Breast Findings and AutoCollect adds  Follow‐Up – Compare with a previous study  Preset – Select Siemens default preset or user specific preset  MoCo – Toggles between motion corrected and non‐motion corrected images  Color – Enables color overlays MR BreVis Reading Follow Up Collect Preset . MaCo Color  Settings – Can optimize the image display with the filters in the Case Navigator oAveraging – determines the intensity of the color overlay, considers the surrounding tissue oNoise reduction – suppresses the background noise, image intensities below the selected threshold will be hidden and will not be considered for the results oEdge Smoothing – removes small isolated colored areas from the color overlay Settings Calculation Mode Wash-in/Wash-out Averaging LF 0mm Noise Reduction 50 AU Edge Smoothing 0 mnn 4. Reading the images a. Scroll through the images b. In Case Navigator you can adjust the filters to optimize the image display c. If necessary, you can choose Visual Alignment for the upper left corner menu to correct the image alignment Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 5 MR BreVis Job Aid Effective Date: 08/14/2019 | HOOD05162003026847 d. Can use Evaluation tools and perform a kinetic evaluation i. Kinetic Evaluation > Scroll through images and select the image with the suspect tissue or use the MIP overview to localize suspect tissue in the volume, then select the slice ii. In Case Navigator, select > Color icon to enable or disable the color overlay Color Note: If color overlay is enabled, various calculation modes are available. Each calculation mode has its own color scheme. Calculation modes: Wash‐in/Wash‐out, Curve Type, Enhancement Rate, PEI iii. Use the Pixel Lens tool to display a real‐time curve or use the ROI tool by selecting from the upper corner menu > ROI > Draw ROI around desired tissue Distance Line ROI Frechund CURRENT Pixel Lens Marker Arrow Angle Text T iv. Use the VOI tool to create a statistical analysis of signal distributions within the volume of interest. In MPR mode > select VOI Sphere or VOI Freehand > Draw sphere around volume of interest. In the result segment, a Curve and Statistics will be displayed. Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 5 MR BreVis Job Aid Effective Date: 08/14/2019 | HOOD05162003026847 e. Create Breast Finding > right mouse click on a measurement > select Create Breast Finding or to create a basic finding, activate AutoCollect and creates a new measurement. Finding is listed in Findings Navigator. A2 ST MAARTEN CURRENT CURRENT O Delete Measurement Copy Measurement Create Breast Finding Create Basic Finding DOZAM AM CLICK f. Distance measurement can only be performed if AutoCollect is deactivated. i. First distance line: Distance to chest wall ii. Second distance line: Distance to skin iii. Third distance line: Distance to nipple iv. Fourth distance line: Longest diameter v. After drawing the 4 distance lines > Select the Ctrl key and select distance lines > right‐mouse click > Select Create Breast Finding Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 5 MR BreVis Job Aid Effective Date: 08/14/2019 | HOOD05162003026847 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 5 of 5