MR Segmentation - Numaris X

MR Segmentation Numaris X MR Segmentation Tool: used to segment lesions or small anatomical structures. The resulting segmentation objects can, for example, be used for volumetric evaluation of the segmented le- sions. Before you can perform segmentation, you must specify the target area by drawing a freehand brush line, or by positioning a bounding box and a seed area. MR Segmentation is an optional license, please check with your local sales represent 1. From the Patient Worklist, load the appropriate data set and assign the workflow to the MR Basic Workflow • Double Left Click on Patient to open Open Ctrl+O fluid_tra_3mm +C @ Open with View as Read-Only with Instances Batch Open Assign Workflow Favorites Cancel Workflow Suggested Search Patient with DICOM Q/R MR Basic Add to Demo List MR Breast * Remove from Demo List MR Breast Biopsy * Set Mark state MR BreVis Set Delete Protection state MR Cardiac Analysis * Set Archive state MR Neuro 3D * 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 | HOOD#05162002977482 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 2. MR Basic Workflow opens and images are displayed in MR Basic Reading in the Viewing Step • Select 3D (e.g., MPRAGE) o Tip: 3D Data set must be selected SIEMENS .... Healthineers MR Basic + MR Basic Reading Single Click Viewing 3D Follow-Up • Lower Left Corner Menu > select MPR or MPR Thick (if not already selected) • Select Image segment to perform segmentation o Scroll through images < Locate largest Cross Section of lesion (e.g., typical- ly middle slice of lesion) o Upper Right Corner Menu > select VOI Freehand > MR Segmentation (Seg- mentation Toolbar opens) AFL Distance Line ROI Freshand Demo_MRRage_DiffusionADC, Fusion Universitaetsmedizin MPxel Lens Head_MAC Re Marker MAGNE CURRENT Anow 2/20/2018 Angle t1_mprage_sag latest MR Segmentation -> Current.3D_tra VOL Freehand # XA11 Sola VOI Sphere 1:21:08 PM 7 IMA n.a. FRM n.a. Mit Segmentation D Evaluate an arbitrary RHA 5cm TI 1000.0 TP H29 TR 2400.0 SP H70.9 TE 3.5 BW 180.0 SL 1.2 MPR THICK : p2 MAGN/NORM/DIS3D SPC 1.2 192 192 A1AR Tra>Sag(-5)>Cor(4) HE1-4 W 392 "tf13d1_16ns / 8 C 231 VOI PAT-009 Volume 7.50 cm3 Activa Min / Max: 47.00 /391.00 MeatVSD: 239.05 /32.97 Go to Sa Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 6 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS • Brush Based Icon (default) o Adjust Brush size to 2 (e.g., 2, helps to define edges of drawing) Brush Brush Create 3D Brush 3D Cut SIZE Based Smoothness • Depress Right mouse > Draw Freehand ROI around “Outer” area of interest (e.g., red line) • Depress left mouse > Draw Several Brush Strokes inside the lesion (e.g., green line) o Tip: Repeat steps for the other 2 imaging planes and draw around lesion HLA HLA Demo_MRRage_DiffusionADC, Fusion Universitaetsmedizin Mannheim IKRN Demo_MRRage_DiffusionADC, Fusion Universitaetsmedizin Mannheim IKRN Head_MAC Ref.: Congress Head_MAC Ref.: Congress MAGNETOM Cabral MAGNETOM Cabral CURRENT MR XA11 CURRENT MR XA11 2/20/2018 HFS 2/20/2018 HFS t1_mprage_sag t1_mprage_sag latest latest -- > Current.3D_sag -- > Current.3D_cor # XA11 Sola # XA11 Sola 1:21:08 PM 1:21:08 PM 7 IMA ~1 FRM ~92 7 IMAn.a. FRM n.a. AFL RHA 1 cm 1 cm A TI 1000.0 TP H29 TI 1000.0 TP H29 TR 2400.0 SP L9.5 TR 2400.0 TE 3.5 TE 3.5 SP P 50.0 SL 1.2 BW 180.0 BW 180.0 MPR THICK : p2 MAGN/NORM/DIS3D SPC 1.2 PIDE THIC 192*192 MPR THICK : p2 MAGN/NORM DIS3D 192-195 A1/IR Sag>Tra(5)>Cor(-1) 392 A1/IR Cor>Tra(-4)>Sag(1) HE1-4 231 HE1-4 *tf13d1_16ns /8 Brush *tf13d1_16ns / 8 Based Create 3D Brush Size PAT-009 Smoothness OON ............................................................... AFL HLA Demo_MRRage_DiffusionADC, Fusion Universitaetsmedizin Mannheim IKRN Demo_MRRage_DiffusionADC, Fusion Head MAC Universitaetsmedizin Mannheim IKRN Ref.: Congress Hood MAC Ref.: Congress MAGNETOM Cabral MAGNETOM Cabral MR XA11 2/20/2018 HFS HFS t1_mprage_sag 11_mprage_sag latest -- > Current.3D_tra -- > Current.3D # XA11 Sola # XA11 Sola 1:21:08 PM 1:21:08 PM 7 IMAn.a. FRM n.a. RHA AFL 1 cm 1cm L TI 1000.0 TP-H29 TI 1000.0 TR 2400.0 SP H70.9 TR 2400.0 TE 3.5 TE 3.5 BW 180.0 SL 1.2 TP H29 MPR THICK : p2 MAGN/NORM DIS3D SPC 1.2 BW 180.0 192*192 MIP : p2 MAGN/NORM/DIS3D SP R4.2 192*192 A1/IR Tra>Sag(-5)>Cor(4) A1/IR Sag>Tra(5)>Cor(-1) HE1-4 392 HE1-4 W 764 *tf13d1_16ns / 8 231 *tf13d1_16ns/8 cActiea PAT-009 PAT-009 Go to S Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 6 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS • Select Create Segmentation icon o Scroll through images to check segmentation area Brush Brush Create 3D Brush 3D Cut Size 0 Based Smoothness • Lower Left Image Segment > select Lower Right Corner Menu > select VRT (Op- tional Step) o Rotate image so anatomically correct o Depress Middle Mouse and move > changes VRT display (lower right cor- ner) > Until lesion is seen (e.g., pink) 3. Edit Drawings (Brush Stokes) around Lesion – (e.g., perform only if segmentation re- sults are not optimal or lesion is not well defined) • Select 2D (edits segmentation in the Slice ) or 3D Brush icon (edits segmentation for the Volume) o Depress Left mouse (green line) – to include additional area of lesion seg- mentation o Depress Right Mouse (red line) – to exclude area of lesion segmentation o Release mouse > segmentation updates automatically Brush Create 3D Brush 3D Cut Size Based Smoothness 4. Save Results V Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 6 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 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 5 of 6 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 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