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syngo MR B19 Updates

This web-based training will provide technologists with information regarding various new features for the B19 software, including software improvements, new sequences, and enhancements.

[email protected] ID: 00300625.

Welcome to the syngo MR B19 updates web based training.              Course Review You should now be able to: Identify Abdominal imaging improvements, new features, and sequences Identify Head imaging improvements, new features, and sequences Identify Neck imaging improvements and sequences Identify Orthopedic imaging improvements, new features, and sequences Identify Pelvis imaging improvements and new sequences Identify Angiography imaging improvements Identify Breast, Prostate, and Cardiac imaging improvements Identify improvements and updates in Whole-Body Imaging and Spine Imaging Identify the new RF Coils available with B19 software Identify new optional application packages  Please continue to the assessment page to complete the course. Abdominal Imaging Updates VIBE-Dixon sequence FLASH 2D Diffusion Weighted Imaging syngo SPACE MRCP – Verio Upon successful completion of this course, participants will be able to: Identify Abdominal imaging improvements, new features, and sequences   Identify Head imaging improvements, new features, and sequences   Identify Neck imaging improvements and sequences   Identify Orthopedic imaging improvements, new features, and sequences   Identify Pelvis imaging improvements and new sequences   Identify Angiography imaging improvements   Identify Breast, Prostate, and Cardiac imaging improvements   Identify improvements and updates in Whole-Body Imaging and Spine Imaging   Identify the new RF Coils available with B19 software   Identify new optional application packages                                                                                                                                                                                                                            Neuro Imaging Updates syngo SPACE Blood Suppression for Spin Echo Imaging Diffusion-weighted Imaging Optimized Shim Mode for Brain Spectroscopy   Cardiac Imaging Updates Changes in cardiovascular sequences Optimized shim mode syngo DIR SPACE – Double Inversion Recovery Continued Contrast Parameter Card Magn. Preparation Non sel. DIR TI1 selectable and TI2 is fixed Due to Inversion preparation – signal characteristics are lower compared to T2 or T1 weighted images Resolution of DIR sequence can be adapted to accommodate         Neck Imaging Updates TSE Dixon         syngo DIR SPACE – Double Inversion Recovery SPACE syngo SPACE syngo SPACE - Conventional TI after the inversion pulse, acquisition starts syngo SPACE Double IR (DIR) 2 independent inversion pulses played out 2 independent TI times (TI1and TI2) 2 different tissues can be suppressed Mainly Neuro option Suppress both CSF and White matter TI1= 3000 ms and TI2= 450 ms @ 3T Increases white matter lesion conspicuity   Angiography Imaging Updates Optimized syngo NATIVE TrueFISP protocols for non contrast-enhanced MRA of the renal arteries NATIVE TrueFISP is an optional license Changes in Cardiac sequences TPAT performance for dynamic imaging Orthopedic Imaging Updates TSE with Dixon T1 weighted Fat saturation TSE/SE Optimized Shim for foot-ankle Imaging syngo SPACE WARP* Sequence-Option Metal Implant Disclaimer: The MRI restrictions (if any) of the metal implant must be considered prior to patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. Pelvis Imaging Updates TSE Dixon T1 weighted Fat saturation TSE/SE syngo SPACE                                                                   TSE Dixon TSE Dixon reconstruction for fat-water Separation T1 or T2 TSE           VIBE – Dixon Continued VIBE – Dixon Continued FLASH 2D FLASH 2D opposed/in-phase at 3T     Diffusion-Weighted Imaging Weak versus Strong Fat Suppression mode syngo SPACE Improvements of Fat saturation and flow compensation MRCP Verio– Alternative T2 syngo SPACE sequence if RF error received on another sequence syngo DIR SPACE – Double Inversion Recovery Continued TSE Dixon TSE sequence with Dixon reconstruction for fat-water separation           T1 TSE/SE T1 weighted fat saturation improvements for TSE/SE New gradient spoiling scheme in TSE and SE sequences May have slightly increased scan time due to slight increase in TR                    Shim for foot-ankle GRE Shim for foot-ankle imaging when using the foot-ankle coil syngo SPACE Improvements of fat saturation and flow compensation                    syngo WARP – Option syngo WARP Optional license available on the Avanto and Espree 2D TSE sequences Combined with high bandwidth protocols with variable VAT (View Angle Tilting) Optimized RF pulses Reduces susceptibility artifacts Reduces artifacts caused by off-resonance effects occurring in vicinity of MR conditional implants Metal Implant Disclaimer: The MRI restrictions (if any) of the metal implant must be considered prior to patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens.         Turbo Spin Echo – WARP – Metal Implant Imaging syngo WARP – incorporates different susceptibility artifact reduction techniques 2D TSE sequence High Bandwidth RF Pulses – Optimized Reduced susceptibility artifacts originating from MR conditional implants Not an acronym; it is a synonym for “bending’, distorted WARP mode High bandwidth mode Optimized high bandwidth RF pulses syngo WARP + VAT – Optional license syngo WARP + VAT VAT – View Angle Tilting VAT – reduces in-plane distortion artifacts Sequences T1-weighted T2-weighted STIR contrast                              Metal Implant Disclaimer: The MRI restrictions (if any) of the metal implant must be considered prior to patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. T1 TSE WARP TSE Dixon Continued        Breast & Prostate Imaging Updates Prescan Normalize Optimized shim mode for breast & prostate spectroscopy Prescan Normalize Filter Better support from PreScan Normalize image intensity normalization Prescan Normalize Modes Prescan Normalize modes Normal – default Corrects for signal decay caused by coil profiles Uses signal threshold, used to avoid noise enhancement in regions far from the coils Noise in center of the image might be enhanced too much Moderate Does a progressively weakened normalization, so optical impression can be less noisy. Resulting images show remainder of original coil sensitivity profiles Broad range Threshold decreased, so a wider range of object are normalized Possible applications: spine imaging, if spine distant from coil Optimized Shim – Breast Spectroscopy GRE-based shim Optimized Shim – Prostate Spectroscopy GRE-based Shim Optimized Shim – Cardiac GRE – based Shim Whole Body Imaging Updates Optimized Whole-body TIRM at 3T Whole-Body DWI TimCT-Dixon Optimized Adjust/Transmit syngo DIR SPACE – Double Inversion Recovery Continued syngo SPACE DIR Suppress CSF and White matter Increase conspicuity of gray matter (intracortical) lesions Isotropic 3D imaging for full brain coverage         Spin Echo Blood Suppression Mode Blood signal reduced by large gradient spoilers Useful for T1 weighted imaging Contrast card > Blood Suppression Flow Compensated Spin Echo – New T1 Spin Echo Blood Suppression Diffusion Weighted Imaging Improved Weak versus Strong for Fat Saturation Mode Diffusion  Shim Mode – Spectroscopy Optimized GRE-based shim GRE-based Shim – Brain Spectroscopy T1 TSE/SE syngo SPACE Improvements of fat saturation and flow compensation Whole Body TIRM Optimized whole-body TIRM at 3T TimCT– Dixon TimCT– Dixon with first opposed/in phase echo at 3T TimCT Onco Optimized Adjust/Transmit for TimCT Onco Spine Imaging Updates TSE with Dixon syngo SPACE Optional syngo WARP (MAGNETOM Avanto and Espree) TSE Dixon TSE sequence with Dixon Reconstruction for fat-water separation On T1 or T2 TSE Sequences syngo SPACE Improvements of fat saturation and flow compensation syngo WARP – Optional license syngo WARP Optional license available on the Avanto and Espree 2D TSE sequences Combined with high bandwidth protocols with variable VAT (View Angle Tilting) Optimized RF pulses Reduces susceptibility artifacts Reduces artifacts caused by off-resonance effects occurring in vicinity of MR conditional implants Metal Implant Disclaimer: The MRI restrictions (if any) of the metal implant must be considered prior to patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. New RF Coils 4-channel Special Purpose Coil Sentinelle Breast Coil Sentinelle Endorectal Coil 4-channel Special Purpose Coil – Optional 1.5T and 3T systems 4 Channel Coil iPAT compatible No coil tuning Small field-of-view exams For small structures near the surface                                                                                  Sentinelle Breast Coil – Optional 2-/10-/16-channel Sentinelle Breast Coil 1.5T and 3T systems Two 4-channel diagnostic insert coils Two 1-channel biopsy insert coils One 8-channel medial coil iPAT compatible Bilateral breast imaging in all directions Uni-lateral imaging of breasts Uni-lateral biopsy imaging for lateral and medial access Sentinelle Breast Coil – Optional Continued Sentinelle Endorectal Coil – Optional 2-channel Sentinelle Endorectal Coil 1.5T and 3T systems Reusable coil with improved handling and reduced form factor 2-channels iPAT compatible Compatible with body matrix, 4-channel flex or spine matrix coil                                                                                                                                                                                                                                            New Optional Application Packages syngo WARP MR Elastography syngo WARP – Optional license syngo WARP Optional license available on the Avanto and Espree 2D TSE sequences Combined with high bandwidth protocols with variable VAT (View Angle Tilting) Optimized RF pulses Reduces susceptibility artifacts Reduces artifacts caused by off-resonance effects occurring in vicinity of MR conditional implants Metal Implant Disclaimer: The MRI restrictions (if any) of the metal implant must be considered prior to patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. Turbo Spin Echo – WARP – Metal Implant Imaging syngo WARP – incorporates different susceptibility artifact reduction techniques 2D TSE sequence High Bandwidth RF Pulses – Optimized Reduced susceptibility artifacts originating from MR conditional implants Not an acronym; it is a synonym for “bending", distorted WARP mode High bandwidth mode Optimized high bandwidth RF pulses Disclaimer: MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. syngo WARP + VAT – Optional license syngo WARP + VAT VAT – View Angle Tilting VAT – reduces in-plane distortion artifacts Sequences T1-weighted T2-weighted STIR contrast Metal Implant Disclaimer: The MRI restrictions (if any) of the metal implant must be considered prior to patient undergoing MRI exam. MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the implant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufacturer, not of Siemens. MR Elastography– Optional License MR Elastography is a tool to help the physician non-invasively assess relative stiffness of liver tissue Sequence and protocols with 2D gradient-echo sequences with cyclic motion-encoding gradients (MEG) iPAT enables shortened breath-hold time Fully integrated processing of the elastogram at scanner Automated relative calculation of wave images and corresponding elastograms Confidence map for reliability                                                                                                                                                                                   VIBE – Dixon Improved sharpness in readout direction by bipolar readout schemes: Bipolar Readout – MR signals of the different contrasts are alternately read out with a positive or negative gradient Enables narrower echo spacing than in monopolar mode Fat-water shift alternates from contrast to contrast Dixon Technique Based on chemical shift Difference in resonance frequencies between fat and water-bound protons Two images are acquired First image signal from fat protons and water-protons are in-phase Second image they are opposed phase A separate fat and water image is calculated TSE Dixon TSE sequence with Dixon Reconstruction for fat-water separation On T1 or T2 TSE Sequences Angiography- NATIVE TrueFISP Siemens-angiography-Abdomen-NATIVE TrueFISP TSE Dixon TSE sequence with Dixon Reconstruction for fat-water separation On T1 or T2 TSE Sequences