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MR Neuro 3D - Diffusion (DTI) Evaluation - Numaris X - JobAid

MR Neuro 3D - Diffusion (DTI) Evaluation - Numaris X JobAid

MR Neuro 3D – Diffusion (DTI) Evaluation Diffusion Evaluation Step – can be used to quantitatively analyze DTI maps and anatomical (structural) data. You can derive the statistical data for the same anatomical region of all available DTI maps. e.g., b0, ADC, FA (Fractional Anisotrophy), TraceW (Trace Weighted), RD (Radial Diffusivity), and AD (Axial Diffusivity) maps. 1. From the Patient Worklist, load the appropriate data set into the MR Neuro 3D Workflow a. Examination correctly mapped: double click to load a. Manual mapping required: right click the examination and Open With > MR Neuro 3D. O Open Ctrl+O @ Open with Favorites View as Read-Only with Suggested Batch Open MR Breast Assign Workflow MR BreVis Group Studies MR Cardiac Analysis Batch Assign Workflow MR Neuro 3D Cancel Workflow MR Neurology Search Patient with DICOM Q/R MR Oncology Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 SIEMENS Master Template: EFF Date 22 Aug 17 | HOOD/HILS HOOD05162002647849 Healthineers Jobaid: Effective Date:02/07/2020 | HOOD/HILS HOOD05162003063266 Job Aid | MR Neuro 3D – Diffusion (DTI) Evaluation syngo.via Effective Date:02/07/2020 | HOOD/HILS HOOD05162003063266 2. Case Navigator > select Diffusion Evaluation a. Diffusion Maps are Available MR Neuro 3D + MR Neuro 3D Reading Alignment Image Selection IMRI Tractography Diffusion Evaluation ROI VOI Voxel Delete Time Course Evaluation Export MR Neuro 3D Calculation MR Neurology Reading OO 3. Case Navigator > Diffusion Evaluation a. Select an Icon (ROI, VOI, Voxel) i. Draw and perform workflow step for evaluation for diffusion maps Diffusion Evaluation O ROI VOI Voxel Delete ii. ROI – click on arrow > select ROI or Freehand O. ROI VOI ROI Freehand iii. VOI – click on arrow > select VOI VOI Voxel VOI b. Voxel – click on arrow > select and draw Voxel 4. Delete – deletes all previously created ROI, VOI, or Voxel of interest Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 6 Job Aid | MR Neuro 3D – Diffusion (DTI) Evaluation syngo.via Effective Date:02/07/2020 | HOOD/HILS HOOD05162003063266 5. Draw in Structural Image an ROI, VOI, or Voxel a. Drawing propagates to all other segments b. Option: select another diffusion map in the lower right corner menu and create further measurements. e Axial ent.MR_DTL_STRI DTI_RO15 DfI_VOI6 DTI_ROI5 DTI_VOI6 DTI_ROI5 DTI_VOI6 SION: ... RM/FM/F TI_Voxel7 Tra>Cor(-7 Structural Image DTI Maps 6. Result Table – statistical results of (ROI, VOI, Voxel) listed a. Choose a Mismatch Evaluation ROI i. Diffusion Map and Structural image ii. Mean Value iii. Standard Deviation iv. Minimum and Maximum v. Area cm2 ROI Only – vi. Volume cm3 VOI Only – vii. Intensity – Voxel Only MR Neuro 3D Diffusion Evaluation Create Export Delete Finding CSV ID Measurements T1 Space ... BO ADC TRACEW FA RD AD Mean 519.84 397.27 843.16 167.29 254.99 731.44 1066.56 DTI_RO15 StdDev 41.82 137.27 118.71 51.4 109.53 136.1 150.13 Min / Max 395 / 627 129 / 623 645 / 1155 67 / 234 84 / 539 460 / 1064 798 / 1484 (Area cm2) 2.11 2.11 2.11 2.11 2.11 2.11 2.11 Mean 516.07 287.84 822.54 126.09 373.05 651.6 1164.33 DTI_VOI6 StdDev 40.55 93.47 134.96 42.23 172.14 176.53 233.26 Min / Max 346 / 671 117 / 441 583 / 1413 52 / 217 112 / 821 249 / 1313 763 / 1717 (Volume cm3) 1.9 1.73 1.73 1.73 1.73 1.73 1.73 DTI_Voxel7 Intensity 443 383 846 164 328 683 1172 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 6 Job Aid | MR Neuro 3D – Diffusion (DTI) Evaluation syngo.via Effective Date:02/07/2020 | HOOD/HILS HOOD05162003063266 7. Create a finding for Diffusion Evaluation a. Result Table > select a Measurement (ROI, VOI, or Voxel) i. Note: multiple measurement cannot be selected to create a finding b. Select Create Finding Icon i. Note: Repeat steps above to create findings for all measurement MR Neuro 3D Diffusion Evaluation Tav Create Delete ID Measurements T1 Space ... BO ADC TRACEW FA RD AD Mean 519.84 397.27 843.16 167.29 254.99 731.44 1066.56 DTI_RO15 StdDev 41.82 137.27 118.71 51.4 109.53 136.1 150.13 Min / Max 395 / 627 129 / 623 645 / 1155 67 / 234 84 / 539 460 / 1064 798 / 1484 (Area cm2) 2.11 2.11 2.11 2.11 2.11 2.11 2.11 Mean 516.07 287.84 822.54 126.09 373.05 651.67 1164.33 DTI_VOI6 StdDev 40.55 93.47 134.96 42.23 172.14 176.53 233.26 Min / Max 346 / 671 117 / 441 583 / 1413 52 / 21 112 / 821 249 / 1313 763 / 1717 (Volume cm3 1.9 1.73 1.73 1.73 1.73 1.73 1.73 DTI Voxe 17 Intensitv 443 846 164 328 683 1172 Findings Navigator Name Value Source V DTI_ 2.1 ... Neur ... DTI_ ... 1.9 ... Neur ... M DTI V ... 443 Neur ... 8. Export CSV File (Optional) a. Select Export CSV Icon b. Save As window opens Export i. Select Folder to Export to CSV ii. Type in File Name iii. Select Save 9. Group Measurements AHR a. Create Multiple Measurements (ROI, VOI, DTI_TENSOR DTI_TENSOR 987654321 987654321 C MR D Voxel) CURRENT CURRENT 7/22/2010 STUDY 12/2/1990 T1 Space Axial Tensor b. Select CTRL + Left mouse > select each latest latest -- > Current.MR DTI ST -- > Current MR D 2:27:00 PM 2 IMA ~1 FRM ~17 Measurements drawn 1 IMA-88 c. Right mouse on One Measurement > RPH select Group Measurements .D.TI_ ROIS RPH Delete measurement Group measurements F TI 900.0 TR 1900.0 TE 26 TP O SP H12.7 MPR FUSION : ... RM/FM 256 256 >Con(-7)>Sag(-1) A1/IR 1354 013d1 / 9 MPR FUSION Contrast agent Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 6 Job Aid | MR Neuro 3D – Diffusion (DTI) Evaluation syngo.via Effective Date:02/07/2020 | HOOD/HILS HOOD05162003063266 d. Result Table – Displays group measurements MR Neuro 3D Diffusion Evaluation Create Export Delete Finding CSV ID Measurements T1 Space ... BO ADC TRACEW FA RD AD Mean 516.52 335.05 852.47 140.49 336.05 695.73 1165.97 DTI_Group_5_6 StdDev 40.76 132.42 157 49.46 168.05 193.17 31.53 Min / Max 346 / 671 117 / 693 531 / 1413 52 / 242 59 / 821 249 / 1313 706 / 1717 (Volume cm3) NaN NaN NaN NaN NaN NaN NaN 10. Save Results Save and Send: Results are stored on the system and sent to your archive Save and Pause: Results are stored on the system Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 5 of 6 Job Aid | MR Neuro 3D – Diffusion (DTI) Evaluation syngo.via Effective Date:02/07/2020 | HOOD/HILS HOOD05162003063266 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 6 of 6