PEPconnect

QISS Angiography Workflow (XA20)

Job aid for scanning and workflow of QISS Angiography

QISS Angiography Workflow (Numaris XA20) syngo MR Systems with Numaris XA20 1. Ensure that your patient is lying supine and feet first with ECG gating placed properly 654321 PA PA2 PA3 PA4 PA5 PA6 Positions of the coil element pairs 1-6 2. Attach ECG Gating electrodes to the patient and position the PERU next to the patient’s head (as shown in picture). There is no need to capture the cycle on physio tab This can help to reduce gradient interferences or artifacts in the vicinity of the PERU transmitter unit. 3. Register Patient a. Select > Peripheral Angiography > Angiography > QISS Program Solaction All Programs Examination Information ola_WB SIEMENS Procedure Accession Nr. Reg. Proc ID mens_MAC Study Description peripheral angiography angiography Abdomen 1/1963 [M/d/yyyy] Study Comment pelvis female Year(s) pelvis male Female) tmj › shoulder 20 lbs elbow wrist mation > hand hip Program Selection knee SIEMENS >> peripheral angiography > angiography > QISS + ankle foot Load Program to Queue whole body oncology RF Transmit Mode whole body diffusion Any Polarization peripheral angiography Angio Dot Engine Body Part and Laterality angiography QISS Extremity QISS library NATIVE SPACE legs Patient Orientation TOF legn Feet First Supine formation needs to be validated and confirmed *Mandatory information Delete Local Data: Prior Studies Exam Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | QISS Angiography Workflow (Numaris XA20) Effective Date: 06/22/2020 | HOOD05162003097605 4. For Body Part > select Extremity and for Laterality > select Both 5. Dot Patient view opens: Check Settings for Breath-hold Parameters and Language General Parameters Breath-Hold Parameters Exam Strategy QISS Auto Breath-Hold Commands V. English (United ... Pause Between Breath-Holds 15 - s 6. Peru Positioning Step a. Guidance view to ensure proper patient positioning and ECG Gating QISS ISO @ / . + 1 % PERU positioning 2 FastView 00:33 %_ qiss_trufi_tra_ecg 06:08 ₹ 06.41 Go Cancel Guidance Position the patient feet first and supine For this examination it may be useful to position the PERU next to the patient's head (as shown in the picture) This can help to reduce gradient interferences or artifacts in the vicinity of the PERU transmitter unit RESP 0 min RP SAR Stimu inine Dot Display Cockpit Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | QISS Angiography Workflow (Numaris XA20) Effective Date: 06/22/2020 | HOOD05162003097605 7. Fastview Localizer Step a. Table will continuously move from toe region up to abdominal area QISS ISO .. + PERU positioning 2 Fastview 3 % qiss_trufi_tra_ecg 06:08 Step 2 - FastView E 06:08 @ 26 sec 4 Auto @ 5.0x5.0x5.0 mm3 1.00 Go Cancel Routine Contrast Resolution Geometr System Sequence Slice Group 1 FoV Read 460 - mm Slices FoV Phase 87 5 ¢ % Slice Thickness 5.0 ¢ mm Distance Factor 100 % 26 ms All ECG D 9 0min PRA 0mm Position 10.0 A33.0 H30.0. TE 1,44 ms Orientation: Transversal Phase Encoding Dit. A>> P. .. AutoAlign - Coil Elements BC Mine SAR Stimu 8. Resulting FastView Localizers: Sagittal, Coronal, and Axial images 1.3 10 28-09 07-08-DST-13 ... QISS, TEST 18.10.28-09-07-08-DST-1.3 1 IMA 143 / 200 10/26/2018 1 IMA 225 / 200 10/25/2018 10cm Fou 25; MIDIS20/COMPOSED Sag fait_flex_localizer Fov 485768 M/DIS20 cor fast_low_localizar 9. Defining the QISS protocol steps: a. The fastview localizer images are displayed in GSP b. QISS Protocol is open (qiss_trufi_tra_ecg) Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | QISS Angiography Workflow (Numaris XA20) Effective Date: 06/22/2020 | HOOD05162003097605 c. The Guidance View with the number of steps automatically opens to 8 steps QISS ISO ... 20198626_Cardiac, Test 20190626_Cardiac, Test 20160020_Cardioc. Test PERU positioning 36 144 3 FIRM 73/1 46 104AT FRM 77/94 FastView 3 % diss_truff_tra_ocg ar Dem TP 1511 SP H510.7 SPR147,5 FOV 480 420 FOV 420")450 Tra Sag 335 MAGNIDES 2D FastView 2 00.00 @ 1:29 min 4 Auto @ 3 @05x05 x30mm + 081 K Cancel GISS Parameters Adapt the number of steps to be measured according to the patient's height and select the range of voice commands Number of Steps 8 ECG I 73Am BR4 815 Auto Breath-Hold Commands Conicadmrusions per Sig) 4 ECG II Breath hold Duration 4 x 22.25 SP.P24.5 FOV 480'1450 Car SAR Stimu 863 Fastview AE 10. The QISS Protocols opens and the QISS Guidance view is shown a. Steps will show 8 in the Guidance view but can be increased to max of 10 b. Steps can be reduced to a lower value by reducing the number of steps Dot @ 1:00 min | Auto 2 @0.5x0.5x3.0 mm3 1.00 @ 2:20 min 4 Auto @ 2 @ 0.5x0.5x3.0mm 1.00 QISS Parameters QISS Parameters Adapt the number of steps to be measured according to Adapt the number of steps to be measured according to Commgeht's height and select the range of voice the patient's height and select the range of voice commands. Number of Steps Number of Steps 4 + Adapt the number of steps to be measured according to the patient's Auto Breath-Hold Commands v height. Auto Breath-Hold Commands v. Concatenations per Step | 4 Concatenations per Step 4 ¢ Breath-hold Duration: 4 x 15.0 s Breath-hold Duration: 4 x 15.0 s Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | QISS Angiography Workflow (Numaris XA20) Effective Date: 06/22/2020 | HOOD05162003097605 11. The number of concatenations can be adjusted to the patient’s breath-holding ability a) Increase concatenations for shorter breathold duration b) Decrease concatenations for longer breathold duration Dot ' 1:00 min 4 Auto 2 @ 0.5x0.5x3.0 mm3 1.00 QISS Parameters Adapt the number of steps to be measured according to the patient's height and select the range of voice commands. Number of Steps 8 Auto Breath-Hold Commands Concatenations per Step 4 ¢ Breath-hold Duration: 4 x 15.0 s wumber of concatenations for measureme commandent steps using voice 12. Define Breath-Hold Section a. Use the handle seen below to define range for when breath-hold commands are given by dragging down to increase the area for breath-hold commands or drag up to decrease steps needed for breath- hold commands OR Use this handle to define measure steps that require voice command Use this handle to define measurement steps that require voice commands. 13. Planning the QISS slice groups a. QISS steps have been defined or set up b. Adjust the parameters, if necessary, for each protocol step c. Apply and hit Go to start the measurement Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | QISS Angiography Workflow (Numaris XA20) Effective Date: 06/22/2020 | HOOD05162003097605 QISS Parameters ECG I ECG II Bouts-hoi Duration 4 × 2225 O 14. After the protocol is complete, measurements that were set up for each step are shown (e.g. in this scan there were 8 steps set up, thus 8 measurements) 5.1 qiss_trufi_tra_ecg 5.2 qiss_trufi_tra_ecg 5.3 qiss_trufi_tra_ecg 5.4 qiss_trufi_tra_ecg 55 qiss_trufi_tra_ecg 5.6 qiss_trufi_tra_ecg 5.7 qiss_trufi_tra_ecg 5.8 qiss_trufi_tra_ecg 15. Select MR View&Go > select the 3D Tool to MIP and Save Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | QISS Angiography Workflow (Numaris XA20) Effective Date: 06/22/2020 | HOOD05162003097605 Scanning Hints: 1. Set up slices only in axial plane. Try not to angle slices. If an angle must be used, use Align Parallel in Fly out Tool Bar to properly align all slabs. 2. Ensure all parameters are kept the same from one station to the next for successful composing at the end. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | QISS Angiography Workflow (Numaris XA20) Effective Date: 06/22/2020 | HOOD05162003097605 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 Phone: +49 9131 84-0 ___________________________ siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers