Single Voxel Spectroscopy Scanning Workflow (Numaris X) Job Aids

Single Voxel Spectroscopy (SVS) Scanning Workflow (Numaris X) syngo MR Systems with Numaris X 1. Images acquired in all 3 planes-used to position voxel(VOI) A. Acquired orthogonal, oblique or double oblique B. Localizer images (full brain) all planes can be used. Routine sequences (ie: T1,T2, etc.) are best to use for positioning the voxel C. Full brain coverage in all 3 planes 2. Sequence: For single voxel spectroscopy choose any svs sequence. Sys se 30 03:20 Spectroscopy Sys_se_135 04:56 Spectroscopy Svs_se 270 07.00 Spectroscopy Svs st 20 06:32 Spectroscopy Svsst 135 06:32 O Spectroscopy Svs_st_270 06:32 Spectroscopy 3. Positioning of the Voxel A. With spectroscopy the main goal is make sure the the Voxel is not in Bone, Air or Fluid. This may be hard depending on the location of the lesion. B. When the sequence is opened to be planned, a guidance window will pop up. Brain Dot Engine ---. + HAL AHR | 1 %% csi_shaver_135 2020.03 26-14:18 54-STD-1.3.12.2 1107 5 993 2020 09 26-14:18:54-STD-1 3.12 2 1107 5.99 3 test 2020 03 26-14 18:56-STD-1 3.12 2.1107 5 99 3 11 344 1 FRM 18/27 RPM TP O TPO TPO SP RIO2 SP PO.8 SP H24 FO/ 240-240 FOV 259-250 Fov 220-220 Cor-Sag(-5).Tra(-1) .. Con(-10)-Sagt-1) MPRIRESAVF/NORMDIS 00.00 AMPM_100 MPR_Cor Go Cance 3 6.53 min 4 Manual @ 10.0-10 0-150 mm 1.00 Spectroscopy Parameters Spectroscopy steps can only be planned on non-distortion corrected images Please do the following stops for examination planning drag all series needed for planning into GSP preselect the region of spectrescopy examination by placing a ROI on one series press "Convert images" la gunurale non-distortion corrected images for planning the converted images will be automatically loaded into the GSP plan your spectroscopy examination para twee recomend porover size. please use "Copy Parameter' sites Convert images Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Job Aid | Single Voxel Spectroscopy Scanning Workflow (Numaris X) Effective Date: 05/18/2020| HOOD05162003087234 C. This is a step by step to use as a guide through the planning process. Spectroscopy Parameters Spectroscopy steps can only be planned on non-distortion corrected images. Please do the following steps for examination planning: drag all series needed for planning into GSP preselect the region of spectroscopy examination by placing a ROI on one series press "Convert images" to generate non-distortion corrected images for planning the converted images will be automatically loaded into the GSP plan your spectroscopy examination For multiple spectroscopy measurements with the same position and voxel size, please use "Copy Parameter" with "Measurement Parameters" or "Everything" after conversion of the images Convert images 4. Drag all 3 planes into the GPS. Note: As stated earlier the images can be full brain localizers or any other sequences that were completed.(ie: T2, T1, etc.) MAL HAL AHR Best 2020.03 26-14:18 54-STO-1.3 12.2 1107 $ 99 3 test 2020 03 26-14 Sest 2020 83 26-14:18 54-STD-1.3.12 2. 1107 5 99 3 3 MA1 FRM 313 11 DA1 FRM 14227 RPH RPH Scm TP PO TP O CP RIO 2 FGV 240*240 SP FO.0 FOV 220-220 Co Tra-C APRIRESAM-NORMCESSO Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 2 of 5 Job Aid | Single Voxel Spectroscopy Scanning Workflow (Numaris X) Effective Date: 05/18/2020| HOOD05162003087234 A. Scroll through one image plane until the area that needs to be covered(lesion) is visible. Use the mouse and move the cursor over the lesion, it should look like the image here. AHR test 2020.03.26-14:18.54-STD-1.3.12.2.1107.5.99.3 11 IMA 1 FRM 14/27 RPH F SP H2.4 FoV 220*220 Tra>Cor(-10)>Sag(-1) MAGN/NORM/DIS2D 1194 1_12d tra 597 B. Once the area is selected, the cursor will change to a circle and the other two images will scroll to the nearest location of the cursor that was just placed. All planes will have RED cursor mark. HAL HAL AHR test test test 2020.03.26-14:18:54-STD-1.3.12.2.1107.5.99.3 2020.03.26-14:18:54-STD-1.3.12.2.1107.5.99.3 2020.03.26-14:18:54-STD-1.3.12.2.1107.5.99.3 10 IMA 1 FRM 65/192 3 IMA 1 FRM 3/3 11 IMA 1 FRM 14/27 ARF RPH RPH 5cm L A TP 0 TP O TP 0 SP R29.1 SP P9.8 SP H2.4 FOV 240*240 FoV 259*259 FoV 220*220 g Cor(3)>Tra(1) Cor>Sag(-4)>Tra(-1) Tra>Cor(-10)>Sag(-1) P2 MAGN/NORM/DIS2D 774 JMPRIRESAMP/NORM/DIS3D 733 C 347 MAGN/NORM/DIS2D 1194 11_mprage_sag_p2_iso 347 AAhead_scout_MPR_cor t1_12d_tra 597 C. At the bottom of the step by step guidance, the Convert Images button will now be active. Click on it and the scans will be converted to Non Distortion corrected images that are needed for planning the voxel. Convert images D. Now the single voxel will show in yellow on the images that were selected. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 3 of 5 Job Aid | Single Voxel Spectroscopy Scanning Workflow (Numaris X) Effective Date: 05/18/2020| HOOD05162003087234 i. Note: It is important to make sure that the voxel is not in bone, air, or fluid. The size of the voxel can be adjusted in all 3 directions. HAL MAR AMR 2650 03 24-14 18:54-STD 1 3:12 2 1197 5 093 2400 09 34- 14 1854- STD 1 3:12 2 1507 5 993 Dot 2820 03 24-14 18 54-81 2122 1107 5933 14 MAI FRM 17/192 17 MAI FRY 14/027 Routine Contrast Resolution Position LO.3 P17.1 F53.1 Orientation T > C6.6 > $0.3 Rotation 0.01 - deg RPH Vol R >> L 20 mm Scre Vol A>> P 20 - mm [A] Vol F >> H 20 mm SP. P151 SP H2 4 FeV. 240-24 TAV 230-239 FEV 220-220 Tra MAGUINCARRERALEND MANUREGALIPINORINNO E. Select > GO Go Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 4 of 5 Job Aid | Single Voxel Spectroscopy Scanning Workflow (Numaris X) Effective Date: 05/18/2020| HOOD05162003087234 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 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 5 of 5