MR syngoBLADE

SIEMENS Healthineers ............ syngo BLADE Job Aid Version 2020.05 USA HRT Effective Date: 01/5/2021 | HOOD05162003145870 Template Effective Date: 05/27/2019 | HOOD05162003010284 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © Siemens Healthineers, 2019 syngo BLADE – SIEMENS Healthineers Table of Contents Fast TSE 3 Turbo Factor 5 Turbo Spin Echo Sequence Parameters 6 Available Siemens Protocols 7 USA HRT Effective Date: 01/5/2021 | HOOD05162003145870 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © Siemens Healthineers, 2020 syngo BLADE – SIEMENS Healthineers Fast TSE • Conventional syngo BLADE in the Abdomen has some limitations: TSE Acquisition Pattern Fast_TSE Acquisition Pattern • Parts of k-space are under-sampled and the T2 decay along the phase encoding direction of each BLADE results in blurring. • Final BLADE image is a composition of multiple blade images with varying phase- encoding directions and the T2 decay effects that can result in star-like artifacts. USA HRT Effective Date: 01/5/2021 | HOOD05162003145870 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © Siemens Healthineers, 2020 syngo BLADE – SIEMENS Healthineers Fast TSE • Fast Turbo Spin Echo Sequence (fast_tse) is a completely redesigned pulse sequence for faster, sharper and streak free BLADE imaging, TSE Acquisition Pattern Fast_TSE Acquisition Pattern especially in the abdomen. • Additional advantages of syngo BLADE, Fast TSE are the reduction of T2 decay effects from the neighboring k-space lines. • Results in broader BLADES, however, it will increase the coverage in k-space providing less blur and reducing the STAR like artifacts. USA HRT Effective Date: 01/5/2021 | HOOD05162003145870 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © Siemens Healthineers, 2020 syngo BLADE – SIEMENS Healthineers Turbo Factor Primarily Same Acquisition Parameters Reduced Acquisition Times • Turbo Factor for syngo BLADE Fast TSE has been increased from 33 to 43 shown on the right. • Due to broader blades, the fast_tse sequence has an acquisition time of only 1:52 minutes, while the conventional sequence takes approximately 3:00 minutes. • Also note the reduction in the radial artifacts and the improved fat saturation. Fast TSE Conventional TSE TF = 43 TF = 33 1:52 minutes 3:00 minutes USA HRT Effective Date: 01/5/2021 | HOOD05162003145870 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © Siemens Healthineers, 2020 syngo BLADE – SIEMENS Healthineers Turbo Spin Echo Sequence Parameters • syngo BLADE FAST Turbo Spin Echo Sequence parameters are located on Sequence > Part 1 parameter card. • Note: reduction in time and echo spacing on syngo BLADE Fast TSE compared to conventional BLADE Sequence. SIEMENS >> abdomen > library > BLADE > t2_blade_fs_tra_p3_trig_320 ? X SIEMENS >> abdomen > library >> BLADE >> t2_fblade_fs_tra_p3_trig_320 ? X General 2:10 min Auto 2 3 1.2x1.2x6.0 mm 1.00 General 1:55 min 1 Auto2 3 @ 1.2x1.2x6.0 mm3 1.00 Protocol Parameters Routine Contrast Resolution Geometry S Total Measurement Time: 2:10 min Sequence Protocol Parameters Routine Acquisition Duration: 1505 ms Contrast Resolution Geometry Total Measurement Time: 1:55 min Sequence Voice Commands Part 1 Part 2 Assistant Respiratory Cycles: 5+54 Voice Commands Part 1 art 2 Assistant Acquisition Duration: 1363 ms Execution Execution Respiratory Cycles: 5+42 Image Management Sequence Name tseB Bandwidth 651 + Hz/Px Image Management Sequence Name ftseB Bandwidth 781 - Hz/Px Auto Load Dimension 2D Echo Spacing 5.10 ms Auto Load Echo Spacing 3.62 + ms Copy References Copy References RF Pulse Type Fast Define Turbo Factor RF Pulse Type Fast Define Turbo Factor Turbo Factor 41 + Turbo Factor 51 4 Gradient Mode Fast Echo Trains per Slice 8 4 Gradient Mode Fast Echo Trains per Slice Flow Compensation None Flow Compensation None OK Cancel OK Cancel syngo BLADE with fast_tse syngo BLADE - Conventional USA HRT Effective Date: 01/5/2021 | HOOD05162003145870 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © Siemens Healthineers, 2020 syngo BLADE – SIEMENS Healthineers Available Siemens Protocols Dot Cockpit - Explorer Explorer Program Editor Browse Import Export Edit Simulate • Protocols for syngo BLADE Fast Turbo Spin Echo are X located under SIEMENS SIEMENS >> abdomen >> library »> BLADE • Dot Cockpit > Siemens > Abdomen > Library > multi breath-hold BLADE. t2_blade_fs_tra_p3_mbh 01:26 abdomen • Sequences will be labeled fBLADE. Abdomen Dot Engine t2_blade_cor_p3_mbh_320 01:20 • You can also find a ftse Sequence that is located Abdomen Dot Engine Liver Eval CB Abdomen Dot Engine CB t2_blade_fs_cor_p2_mbh_320 01:51 • Dot Cockpit > Siemens > Thorax > Library > T2. Abdomen Dot Engine TB t2_blade_stir_cor_p3_mbh 01:44 LiverLab Dot Engine Angio Dot Engine PACE free breathing > clinical libraries library t2_blade_fs_tra_p3_trig_320 03:23 localizer t2_fblade_fs_tra_p3_trig_320 03:18 T1 T2 t2_blade_fs_cor_p3_trig_320 02:54 3D diffusion BLADE dynamic Maplt LiverLab Elastography USA HRT Effective Date: 01/5/2021 | HOOD05162003145870 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © Siemens Healthineers, 2020 syngo BLADE – SIEMENS Healthineers Available Siemens Protocols Dot Cockpit - Explorer Explorer Program Editor Browse Import Export Edit Simulate • syngo BLADE usage is sometimes limited by SAR restrictions in due to faster acquisition. SIEMENS SIEMENS > abdomen > library > BLADE multi breath-hold_ • Probability of SAR issues is higher when using the fast_tse. t2_blade_fs_tra_p3_mbh 01:26 abdomen Hints to compensate for SAR: Abdomen Dot Engine t2_blade_cor_p3_mbh_320 01:20 • • Switch Off Regional and Parallel Sat Bands Abdomen Dot Engine Liver Eval CB Abdomen Dot Engine CB t2_blade_fs_cor_p2_mbh_320 01:51 • Switch RF Mode to Normal Abdomen Dot Engine TB t2_blade_stir_cor_p3_mbh 01:44 LiverLab Dot Engine or - - > Angio Dot Engine PACE free breathing • Change SPAIR Mode to Default clinical libraries library t2_blade_fs_tra_p3_trig_320 03:23 localizer If None of these options help, then use the Conventional t2_fblade_fs_tra_p3_trig_320 03:18 • T1 BLADE sequence. T2 t2_blade_fs_cor_p3_trig_320 02:54 BD diffusion Fast TSE sequence is not available for QuietX, WARP, 3D or BLADE • Reduced EC Sensitivity Techniques. dynamic Maplt LiverLab Elastography USA HRT Effective Date: 01/5/2021 | HOOD05162003145870 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © 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: 01/5/2021 | HOOD05162003145870 Effective Date: 09/10/2020 | HOOD05162003091633 Unrestricted © Siemens Healthineers, 2020