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MR Management of Table and Coils - Numaris X

This Job Aid demonstrates the management of the patient examination table and coils.

SIEMENS Healthineers MR Management of the Table and Coils – Numaris X Version 2020.03 USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 Management of the Table and Coils – SIEMENS Healthineers Table of Contents ISO – LOC – FIX (Isocenter, Local area, Fixed area) 3 Distortion correction 8 Brain Dot Engine FLOC / ... + + HAL Doe, Pineapple Dos. Pineapple Dow. Pineapple AAhead scout Automatic selection of coils 11 11 INA 1 FROM 95 12 004 1 FRM 217 2 Table Positioning Strategy 12_tse tra. 512 03:37 t2_tse_dark-fluid_tra 04:50 ep2d_diff_3scan_trace_p2 ZII 01:47 HAH RAH t1_se_tra 02:25 inject contrast agent 11_se tra 02:25 A 10 tt_se_cor 02:27 TP O TP O SP R2.9 SP P24.4 EGALUPINOFAND1930 FOV 259-259 FoV 250-259 Con-1)-Tract) 064 IMPRIRESAMPIORWDISJO Cor-Tra(13)-Sag(1) STEPRIRESAMPINGRWDISJD Mshead scout MPR cor MAbead Scout YPR_Ira GO Cancel ble Positioning Strategy Select Table Positioning Strategy so Center Local Rang Fixed Define Local Range Center Position by dragging the triangle in the planning segment(s) to the body part of interest. Alternatively select one of the previously used positions or enter a particular position Local Range Position H Y 0 - mm O USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 ISO – LOC – FIX (Isocenter, Local Area, Fixed Area) – SIEMENS Healthineers Isocenter • The static B0 magnetic field is only homogeneous in theory and decreases the further it moves from a specific point of the MRI: the isocenter (center of the magnet). • This loss of spatial linearity, predominantly at the machine edges, is the cause of the distortion in these field lines: it is therefore very important to acquire the Isocenter images as close as possible to the isocenter, in order to maximize image quality. patient table magnet bore USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 ISO – LOC – FIX (Isocenter, Local Area, Fixed Area) – SIEMENS Healthineers The Different Positioning Modes • Laser centering determines the zero position of the table. There are three positioning modes that are defined at the “Program” level: • In normal scenarios the configuration in the Dot Cockpit is sufficient and the user should not worry at all about the table positioning modes when executing a MR examination. • ISO: The table moves systematically so as to place the center of volume of the sections to be acquired at the isocenter. • LOC: A “solid gray triangle” marks the table zero on the left-hand side of the image in the positioning segment, halfway up. The table does not move, except in the event of the manual modification of the zero, or significant displacement of the center of volume of the ARH sections to be acquired. • FIX: The table remains fixed at the position defined as zero. USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 ISO – LOC – FIX (Isocenter, Local Area, Fixed Area) – SIEMENS Healthineers Changing the Positioning Mode • If the table positioning mode must be changed, e.g. SIEMENS Healthineers HD. 99/11970 M 23456 .... because an examination of a different region should Brain Dot Engine LOC be included, this can done as described in the Ashead scout Doe, Pineapple 23456 Dor Pineapple Dos, Pineapple 11 IMA 1 FRM 3/5 12131A 1 FRM 29 13 :MA1 FRM 33 3 following. Table Positioning Strategy 5 12_tse_dark-fluid_tra 04:50 6 ep2d_diff_3scan_trace_p2 01:47 AFL RAH t1_se_tra 02:25 • To do so, you must enter Interaction: Add a Table 8 inject contrast agent 19 t1_se_tra 02:25 A Positioning Strategy, either during the examination, 10 t1_se_cor 02:27 TP O TP O SPR2.9 MPRIRESAMPRIORMOIS3D FoV 259.258 SP P24.4 OV 259.259 g>Cor(-1) >Tra(1) IMPRIRESAMPINORM.DIS10 -14)-Sap(1) IMPRYRESAMPINORM/DIS3D 436 Ahwead_scout_MPR_cor Ahead_scout_MPR_tra n by right-clicking on the list of sequences to perform in 2 17:31 GO Cancel the measurement queue; or at the start, in the Table Positioning Strategy Select Table Positioning Strategy Program. Iso Center Local Range Fixed Define Local Range Center Position by dragging the triangle in the planning segment(s) to the body part of interest. • This interaction Table Positioning Strategy, supported Alternatively select one of the previously used positions or enter a by a guidance, makes it possible: particular position Local Range Position • Either to remain in LOC mode but to move the gray Waiting for slice positioning triangle, which now becomes yellow, by clicking directly on it and moving it. • Or to switch to ISO mode USA HRT Effective Date: 1.12.2021| HOOD05162003145716 • Or to switch to FIX mode Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 ISO – LOC – FIX (Isocenter, Local Area, Fixed Area) – SIEMENS Healthineers Which Positioning Mode should be used in practice? • Using the LOC mode makes it possible to stop the table from being moved repeatedly (thus avoiding certain adjustments) while still offering the possibility of changing the zero (thanks to the Interaction: Table Positioning Strategy, or to switch to ISO mode automatically if the center of the sections is moved significantly from the initial zero. • Using the ISO mode is appropriate when exploring large fields of view, in order to reduce the effect of distortions at the edge of the field (spine, abdomen, long bones, etc.). All adjustments (shim) must be repeated each time the table is moved. • Using the FIX mode is reserved for interventions. USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 ISO – LOC – FIX (Isocenter, Local Area, Fixed Area) – SIEMENS Healthineers Which Positioning Mode should be used in practice? • In the Head–Foot direction • In FIX mode, in the event of an overly eccentric group of sections moving too far from the isocenter, the system automatically indicates an alert by changing the color of the field of view to orange, accompanied by a warning icon. However, acquisition remains possible. • In LOC mode, such a situation may also arise. In this case, ISO mode will be automatically activated. • In the Right–Left and Anterior–Posterior directions, this warning may appear. However, acquisition remains possible. USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 Distortion Correction – SIEMENS Healthineers General • Distortion Correction makes it possible to eliminate the geometric distortions present at the edge of the field. Without Distortion Correction With Distortion Correction USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 Distortion Correction – SIEMENS Healthineers The Different Distortion Corrections • All sequences (with the exception of spectroscopy) are in distortion correction mode (2D or 3D), although it is HAL possible to request the uncorrected images from the Doe, Pineapple Hospital 23456 *1/1/1970, M, 50Y MAGNETOM Aera Resolution tab, then Filter, by clicking on “…”. MR XA30 CURRENT HFS 4/15/2020 +LPH t1_se_sag latest • ND: no distortion correction. STUDY ID 1bafd7bb-044b-4c 10:05:37 AM • DIS2D: 2D Distortion Correction activated. 14 IMA 1 FRM 13/25 • DIS2D*: 2D Distortion Correction activated in the case of an acquisition carried out too far from the center AFL of the magnet. 1 cm • DIS3D: 3D Distortion Correction 2D SL 5.0 SPC 6.5 TR 550.0 TE 8.9 TP O TA 03:02 SP R2.9 BW 150.0 FoV 230*230 MAGN/NORM/DIS2D 256*320 Sag>Cor(-1)>Tra(1) A Zoom 3.40 HE1-4;NE1,2 W 1260 *se2d1 / 90 C 627 USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 Distortion Correction – SIEMENS Healthineers Incompatibilities between images • Distorted images cannot be displayed at the same time as non-distorted images in the positioning segments. Dot @ 4:56 min Auto 20x20x20 mm3 1.00 Spectroscopy Parameters • An automatic process is initiated during the acquisition of a spectroscopy sequence, with Spectroscopy steps can only be planned on non-distortion corrected images. the automatic generation of images that have Please do the following steps for examination planning: no distortion correction. drag all series needed for planning into GSP preselect the region of spectroscopy examination by placing a ROI on one series press "Convert images" to generate non-distortion corrected images for planning the converted images will be automatically loaded into the GSP • Please note: This process does not work with plan your spectroscopy examination images corrected with 3D distortion For multiple spectroscopy measurements with the same position and voxel size, please use "Copy Parameter" with "Measurement Parameters" or "Everything" after conversion of the images. correction. Convert images USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 Automatic Selection of Coils – SIEMENS Healthineers Why it is used? • Activating the Automatic Coil Selection Mode activates the coil elements located near the area to be acquired. USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 Automatic Selection of Coils – SIEMENS Healthineers Selection Modes Dot @ 3:07 min Auto 0.7x0.7x5.0 mm3 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Coils Miscellaneous Adjustments Adjust Volume Tx/Rx Coil Selection Auto Coil Select Coil Combination Adaptive Combine • Three automatic coil selection modes can be chosen in the Auto Coil Select: System tab, then Miscellaneous, Coil selection: MSMA S - C - T Coil elements are selected automatically. ACS All but spine: • Auto Coil Select: coil elements are selected automatically Sagittal R >> L Coil elements of all coils except spine are selected automatically. ACS All but spine: system will select all the coils next to the Coronal A >> P • ACS Restricted: Transversal F >> H Coil elements of only the preconfigured coil are selected automatically. section package, excluding the Spine coil. Manual: Coil selection is determined by the protocol option chosen on the System / • ACS Restricted: By clicking on the “ ... ,” you can select the Miscellaneous parameter tab. coils you want to use during the acquisition, as well as the option below. • Manual: selected coils are determined by the protocol options you have selected. Coil Selection • Please note: By clicking on “ … ” you can activate 3 levels of Coil Coverage Standard Minimize selection sensitivity: Standard Generous • Minimize: field of view must be located in at least 30% of the coil element in order to activate it. • Standard: field of view must be located in at least 15% of the coil element in order to activate it. Close • Generous: field of view must be located in at least 5% of the coil element in order to activate it. USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 Automatic Selection of Coils (ACS) – SIEMENS Healthineers In Practice • Automatic Coil Selection Mode must be prioritized in order to always adapt the activated coil elements relative to the position of the field of view. • ACS all but spine and ACS restricted modes allow the usage for Auto Coil Select for all different examinations also for cases in which the manual mode was used before: • To use an ortho coil placed on the spine coil (Hand/Wrist, Knee, Foot/Ankle), or to deactivate the anterior part of the Head +/- Neck coil when carrying out a cervical spine examination • To deactivate the Body Matrix when carrying out a lumbar spine + pelvis examination. USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020 SIEMENS Healthineers 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 Telephone: +49 9131 84-0 siemens.com/healthineers USA HRT Effective Date: 1.12.2021| HOOD05162003145716 Effective Date: 10 SEP 2020 | HOOD05162003090666 © Siemens Healthineers, 2020