syngo MR XA20 - MR View&GO (USA)

Welcome to the MR View&GO Online Training.  In this Online Training you will learn more about MR View&GO - you will learn about its benefits, and you will also get a short overview of the User Interface evolution from Numaris/4 to the latest version of Numaris/X, which should make it easier for you to become familiar with the new User Interface of Numaris/X. In addition, you will be introduced to new functionalities of MR View&GO within the updated version of Numaris/X. At the end of this Online training, you can learn some special application tips and tricks for MR View&GO.  The content of the Online Training is intended for users of the MAGNETOM system operating the XA20 software version. It will guide you through the new layout and new functionalities of MR View&GO.  For experienced users of Numaris/X, the following pages provide a detailed overview of the basic functionalities in MR View&GO. The functionality Save as New Series enables you to save a series with user-specific settings (for example, horizontally flipped). You can choose the series description and the results will be stored in the series navigator as user-created series and will also be shown in the distribution window. Please note that it will not be shown in the Local Data list. The functionality Save as New Series has been improved. Images have a full resolution equivalent to the original image. Please note that this does not apply to graphical objects such as distance lines, color LUTs, fusion, range etc.  The following pages will discuss useful tips and tricks for your Daily Work with MR View&GO, as well as how to use different tools and apply them in clinical use cases. To start with a tip at the beginning, hold the mouse over an icon and the related shortcut will be displayed in the tooltip. The new look and feel of Numaris/X might appear challenging at first. In Numaris/X some further improvements have been implemented from the software version XA11 to XA20. The location of the different functionalities for your daily work routine will be reviewed in the pop-up window below.  UI differences Learn more about the User interface differences The following tabs contain an overview of the different tabs and functionalities (vertical tabs) that you've been using in Numaris/4, and where you can now find them in Numaris/XA11 and Numaris/XA20.TitleTextViewingTab TitleTextNumaris/4   Numaris/XA11   Numaris/XA20 In Numaris/XA20, the Viewing tab is now renamed MR View&GO.  3DTab TitleTextNumaris/4   Numaris/XA11   Numaris/XA20 In Numaris/XA20, 3D only opens and loads images after you click the 3D launch button .   MeanCurveTab TitleTextNumaris/4   Numaris/XA11   Numaris/XA20 In Numaris/XA20, a new TimeCurve functionality is available . Calculation (=Viewing - Eval in Num/4)Tab TitleTextNumaris/4   Numaris/XA11   Numaris/XA20 In Numaris/XA20, launchers are provided for single calculation tools. For normal calculation tools, a dialog appears. For ADC calculation, a new ADC/b-value step will be opened together with the dialog, and the layout will change. Composer (= Composing in Num/4)Tab TitleTextNumaris/4   Numaris/XA11   NumarisXA20 In Numaris/XA20, there is no longer a single launch button for Composer. You can change the layout by clicking the New Compose or New Combine button, and an input dialog for Composing or Combining then appears.  Print (=Filming in Num/4)Tab TitleTextNumaris/4   Numaris/XA11   Numaris/XA20 Click on the Printing tab to open the floating window.  Distribution (= Transfer to ... in Num/4)Tab TitleTextNumaris/4   Numaris/XA11   Numaris/XA20 In Numaris/XA20, the Distribution function is accessible from the Send and Archive button in the Series Navigator area.  MR View&GO is a new visualization application that runs alongside the scanning software. It is started automatically when a new scanning session is created, and performs Image Quality Assurance, post-processing operations and data distribution, without interfering with the scanning procedures ongoing in parallel. MR View&GO enables: Realtime overview and quality assessment of the acquired images Reading preparation through basic post-processing steps and visualization of results Distribution of images and results to archiving nodes, printing tools and export devices MR View&GO includes the following features Automatic image visualization Viewing modes Image interactions Image manipulation Measurements, Position Display TimeCurve, Composing, 3D Ranges Image Calculations Printing Result distribution to other DICOM nodes   Ranges allow you to reformat volumetric data as a series of images, for example, to create other anatomical planes or projections, or for better visualization. In general, the user can create parallel curved radial radial sliced ranges for different body regions or use pre-defined presets. The interactive simulation below simulates the creation of a parallel range preset configured up for the body region "head", based on an isotropic data series.            Create Parallel Range Presets Learn how to create a parallel range preset Instructions:Flash File:HTML5 File:/content/generator/Course_90023020/SIM_MRViewGO_parallel_range_preset_20200120/index.htmlPDF File: Create Radial Range Presets Learn how to create a radial range preset Instructions:Flash File:HTML5 File:/content/generator/Course_90023020/SIM_MRViewGO_Radial_range_preset_20200128_2/index.htmlPDF File: In the event that a user assigns the wrong patient to the wrong study, Numaris/X provides an easy solution.   This solution can also be used for single sequences that are assigned to another patient. Select the pop-up below for an interactive simulation that will show you how to do a study move. Please note: If the data has already been sent to PACS/archive and you need to correct or re-arrange scanned images, a new DICOM unique identifier (UID) will be created.   Study Move Learn how to do a study move Instructions:Flash File:HTML5 File:/content/generator/Course_90023020/Sim_MAGNETOMSola_StudyMove_20200119/index.htmlPDF File: In order to detect patient movements in dynamic series (e.g. BOLD), you can use the mosaic view. Each frame shows one phase.  Navigation is possible by scrolling with the mouse wheel through all the different time points. To display mosaic images, select a dynamic series and then click the Mosaic icon in the Favorite Tools area. To close the mosaic display, click the Mosaic icon again.    When you apply the MPR/MPR fusion display type, the two selected series are fused. On this basis, you can start the alignment of the two series, the base series and the overlay series. Two methods of Visual Alignment are available: Visual alignment (manual) Automatic registration (automatic)  You can find the two methods in the Tools Gallery in Basic Interactions by clicking on the Visual Alignment icon. The two options are then displayed.     MR View&GO is the viewing, post-processing and result distribution application for all basic operations and for image quality assurance during scanning. When starting MR View&GO, you have two options: As soon as you register a patient for scanning on the acquisition workplace, the patient data will automatically be sent to the MR View&GO tab and opened next to the scanning tab. If you have a dual-monitor setting, MR View&GO will be automatically opened on the right monitor. You can open MR View&GO manually by selecting a patient study and clicking the MR View&GO icon in the Patient Browser or by double clicking. Differences single and dual monitor setting Learn more about MR View&GO in single- and dual-monitor setting The following images show the differences between the layout of MR View&GO when a new tab is opened on a single-monitor setting and a dual-monitor setting Screen Layout Learn more about the screen layout of MR View&GO Base ImageHotspotsText BlocksImage FileImage areaAccess barSeries panelCase navigatorControls/icons to save or complete the examinationFavorite tools areaStatus barTabs to open or close the corresponding tools MR View&GO contains image post-processing and analysis tools. These tools are designed to speed up the viewing, manipulation and post-processing of examination data. The tools are located in the following areas: Favorite Tools  Tools gallery Context menu Corner menus Tools in MR View&GO Learn about the Tools in MR View&GO Tab TitleTextFavorite tools The Favorite Tools area provides quick access to frequently-used tools from the tools gallery. The area is user-defined and can be customized by an administrator. The Favorite Tools can be opened and closed using the corresponding tab on the left of the screen. Tool gallery The Tools Gallery provides all available tools, sorted by category, for example Display Types, Measurements, or Ranges. The Tools Gallery can be used to add frequently-used tools to the Favorite Tools area so that your favorite tools are always available.  Context menu The context menu is customizable and provides a selection of tools used. The menu can be accessed by right mouse clicking in any image segment. The context menu allows access to frequently-used tools without having to move to the corner menus. Corner menus Corner menus are accessed by clicking on a watermark in any image segment corner. The tools available will depend on the data set and watermark selected. The series navigator, called Series, provides an overview of the available data series for the loaded study. The series can be shown as a flat (chronological) list or grouped according to hierarchical criteria. By clicking on the Series tab on the left side of the screen, the series navigator can be opened and closed, and resized by moving the left edge of the area. From this area, it is also possible to add prior studies, change the visualization of the series, and access the distribution window Send and Archive.  Change View List Learn about the Change View List Using the Change View List, you can decide how the Series Navigator is visualized. The default setting is the Thumbnails View, which shows representative images of a series. The default visualization of the series is set as flat list, but can be changed to a grouped visualization from the Configuration Panel > Display and Behavior > Series Navigator. Whichever configuration is used, you can drag and drop the data set into the image area. You can use the patient browser/local data screen to search and manage patient data, studies, series, and instance information. This screen can also be used to open patient data with advanced MR workflows such as MR Neurology or Oncology. Some of the important functionalities of the patient browser/local data are: User-defined filters: User-defined filters can be set up in the patient browser to filter data according to user-defined criteria. Examples of user-defined criteria include archiving state, time, date and body part. Manual Workflows Assignment: Workflows support the user in evaluating and post-processing images with advanced tools in order to prepare them for the radiologist. Please note: Some workflows are licensed. Appropriate layouts and tools are provided with each workflow. Workflow steps and corner menus may vary from one workflow to another.   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 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. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (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, 2019   To restrict the reconstructed volume of 3D images to cut off unwanted structures that might hide more important structures, use the following tools: Clip Panes, which allow the user to cut off the volume along a cutting plane. ​Clip Box, which allows the user to cut off the volume outside a rectangular selection (as an example for clinical use: this may involve the removal of unwanted structures). In the new MR View&GO the Clip Box can be moved through the image by clicking on ALT and dragging the Clip Box area. Punch Tool, which allows the user to do freehand cutting of the volume and keep the inner or outer section for reconstruction. In the new MR View&GO the Punch Tool settings (Remove Inside/Outside) will be stored after the user has used the tool for the first time. Once a measurement is defined in one segment, e.g. a distance line, you can paste the measurement in the same segment on either a different slice or in the same segment of the same slice but at a different position. The details of the functionalities are: "Copy/Paste Measurement to same Segment": After copying any 2D measurement, scroll through the current segment to another frame. In this new frame it is possible to enter the "Context Menu" (by right-clicking the segment). Select "Paste on the current image". The copied graphic will appear at exactly the same position as it was copied from on the current frame.   "Copy/Paste to the cursor position": After copying any 2D measurement, move the mouse cursor to a new position within the segment. Enter the "Context Menu" (by right-clicking on the segment) and select "Paste to the cursor position". The copied graphic will appear at the current mouse cursor position.   "Copy/Paste Measurement to another Segment": There are no changes in this functionality; only the name of the entry in the context menu has changed to "Paste to the same organ position" instead of "Paste Measurement". Congratulations. You have completed the MR View&GO Online Training course. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz.   MR View&GO - Benefits MR View&GO enables realtime overview and quality assessment of the acquired images, reading preparation through basic post-processing steps and visualization of results, and distribution of images and results to archiving nodes, printing tools and export devices. Therefore, MR View&GO includes several features to support daily workflows for automatic image visualization, viewing modes, image interactions, image manipulations, measurements, position display, TimeCurve, composing, 3D ranges, image calculations, printing, and result distribution to other DICOM nodes.  MR View&GO - Overview MR View&GO can be opened in two ways: by registering a patient for scanning on the acquisition workplace or by having an active patient on the left monitor, a MR View&GO tab will be opened automatically, or manually by selecting a patient study and clicking the MR View&GO icon in the Patient Browser or by double clicking.  MR View&GO steps (or Case navigator) MR View&GO enables four steps: Viewing/QA (which will be opened by default with the MR View&GO tab), Post-processing (used for Ranges, TimeCurve, Calculation Tools, Composer), Printing (used for filming) and Distribution (used for result distribution to DICOM nodes).  MR View&GO - Tools,  Series navigator and Patient Browser/Local data MR View&GO contains image post-processing and analysis tools to speed up the viewing, manipulation and post-processing of examination data. Tools can be found in the favorite tools, tools gallery, context menu and the corner menus. The series navigator provides an overview of the available data series for the loaded study, and groups data according to specific imaging criteria. The patient browser/local data enables you to search and manage patient data, series, and instance information. The patient browser can be used to open workflows. Some of the important functionalities of the patient browser/local data are user-defined filters and workflows.  MR View&GO - Basic functionalities Save as New Series enables you to save a series with user-specific settings. Mosaic view enables you to detect movements in dynamic series (e.g. BOLD). Each frame shows one phase. Fusion with Visual Alignment - this functionality provides users with two methods of visual alignment: manual alignment and automatic registration for automatic alignment of two selected series. Copy+paste graphics provide three new functionalities: Copy/paste measurement to same segment: The copied graphic will appear at exactly the same position as it was copied from on the current frame. Copy/paste to the cursor position: The copied graphic will appear at the current mouse cursor position. Copy/paste measurement to another segment: There are no changes in this functionality; only the name of the entry in the context menu has changed to "Paste to the same organ position" instead of "Paste Measurement".  MR View&GO - New features The new software version has updates for evaluating images and provides extended functionalities regarding the editing of created graphical objects. You can set annotations as text, marker or arrows. "Apply Annotation to Whole Stack" is a new functionality. Extended functionality of copy and paste measurements. The interactive image text functionality enables you to toggle though different image types by clicking on the label with the left mouse button, or through different slice thicknesses by clicking the left mouse button on the label. You can access the properties menu by clicking the right mouse button on the slice thickness label. Reset windowing with middle mouse button If you want to reset windowing, go into the image area and click the middle mouse button. MR View&GO - Application tips& tricks The tips and tricks application explained how to use tools for restricting 3D volumes. The tools are clip plane, clip box and punch tool. Depending on the clinical use case, select the appropriate tool to prepare the data set for further operations (e.g. range preset). In addition, you learned how to create parallel and radial range presets. With the help of interactive simulations, you were shown how to simulate steps for ranges and then in the following step you learned where to find available range presets and also how to create a range preset. In addition to some special tools of MR View&GO, you learned how to do a study move and what might be a possible scenario in the patient browser. Using the cut function, the user can reassign the study to the correct patient if it was incorrectly assigned to the wrong patient, by right clicking on the correct patient study in the procedure list and then selecting paste. MR View&GO includes four steps: Viewing / QA  Postprocessing   Printing Distribution  ​ Upon successful completion of this course, you will be able to: Identify the benefits of MR View&GO Recognize the new MR View&GO layout and functionalities within the updated Numaris/X version Summarize the user interface of MR View&GO and its different features Explain how to use tools for restricting 3D volumes, such as the Clip Box and the Punch Tool Describe how to create parallel and radial range presets Illustrate how to perform a study move within the patient browser/local data Some new features have been introduced with the new software version XA20. The following pages will give you an overview.      Interactive image text  This functionality enables you to toggle through different image types by clicking on the label, or through different slice thicknesses by clicking the left mouse button on the label. You can access the properties menu by clicking the right mouse button on the slice thickness label. Reset windowing with middle mouse button If you want to reset windowing, go into the image segment and click the middle mouse button.       If required, you can edit the graphical objects that you have created. You can set annotations as Text Marker (shortcut M) Arrow If you want to add an annotation to a whole image stack, click the right mouse button and select "Apply Annotation to Whole Stack".   In addition, the new software version now enables you to copy a measurement and paste it to the same segment, at the cursor position or to the same organ position. If you edit image comments, in the dialog box you can select "Apply for all Images". By selecting this option, the comment will be displayed on each image within the series stack.