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syngo NATIVE SPACE Scanning Workflow - Numaris X

This Job Aid provides scanning workflow to perform a syngo NATIVE SPACE Peripheral Angiography Triggered examination on MR MAGNETOM Systems with Numaris X software.

syngo NATIVE SPACE Scanning Workflow – Numaris X syngo NATIVE SPACE Scanning Workflow – Numaris X This Job Aid provides scanning workflow to perform a syngo NATIVE SPACE Peripheral Angi- ography Triggered examination on MR MAGNETOM Systems with Numaris X software. 1. syngo NATIVE SPACE Exam Set-up a. Patient Position > Feet First > Supine b. Position Laser Marker > Center of lower leg c. ECG Triggering – position leads on patient, triggering must be used d. Note: Siemens Protocol in the Dot Cockpit is saved with the Peripheral Angi- ography Coil and Spine Coil Elements 2. FastView Localizers a. Select GO – runs localizer Go eolthineers Meduser Y ? M Q =< CÍ . 10/9/1970 M 2020.04.16-15:18:48-DST-1.3 .. Leg Both IS00 "> Y + FastView 2020.04.16-15:18:48-DST-1.3.12.2.11 07.5 .993 2020.04.16-15:18:48-DST-1.3.1 2020.04.16-15:18:48-DST-1.3.12.2.1107.5.99.3 IMA 1 FRM 54/94 2 IMA 2 FRM 48/82 2 IMA 3 FRM 75/150 2 % cine_TD_scout 00:24 3 % native_space_cor_ecg 04:54 A TP H493 FOV 420-1506 SP P4.5 SP H493.1 FoV 480*1500 FOV 480*420 Cor Tra MAGNIDIS2D 717 337 MAGN/DIS2D 505 Fastview 229 2 05:18 Go Cancel Test 1 IMA 302 FRM 1/1 ECG I 75 mn PRI 800 m. ECG I Stimu Step Settings Boxby Caiin britain Continue Pollion Adjusting (CTM). Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/28/2020 | HOOD05162003158305 Healthineers Job Aid |syngo NATIVE SPACE Scanning Workflow – Numaris X Effective Date: 01/28/2021 | HOOD05162003158305 3. Open CINE_TD_Scout Sequence a. Position Axial Slice in Middle of Scan Range b. Select Physio > Signal Parameter Card i. Select Captured Cycle button c. Select GO – sequence runs d. Note: If acquiring a multi-step protocol, it is beneficial to perform a CINE_TD Scout for each imaging step Leg Both ECGI ----- -- Circamitas ECG II TR 4. Select Patient Browser Icon SIEMENS ... Healthimeers a. Select Patient > CINE_TDScout images b. Select View&GO Icon – loads series to View&GO ViewAGO Print Open Open with DICOM Import Export Comect Delete Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/28/2021 | HOOD05162003158305 Healthineers Page 2 of 8 Job Aid |syngo NATIVE SPACE Scanning Workflow – Numaris X Effective Date: 01/28/2021 | HOOD05162003158305 5. View&GO a. Select Favorite Tools > select TimeCurve Icon b. New Window opens with 2 Segments Favorite Tools x i. CINE_TDScout Image – Left Segment 3D ii. Time Curve – Right Segment TimeCurve c. Scroll through CINE_TDScout Images until ar- value Composa Combina teries located d. Select TC-Circle Icon Favorite Tools i. Draw a TC-Circle over an Artery in Each - TimeCurve × Leg O TC Orde TC-Pbiel • Zoom Images to visualize arteries as Freehund Snapshot needed e. Time Curve Evaluation Segment i. X-Axis > select Trigger Time (msec) ii. Determine TD Maximum Flow from TimeCurve Graph • Left Mouse on Vertical Bar with highest peak of intensity curve and Note Trigger Time in msec • Subtract 30 ms from Trigger Time MR View&GO X MR View&GO UCHWEST GREELEY ED -109/916 16:18:48-DST-1.3.12.2.1107.5.99.3 MAGNETOM Sola an (% Trigger Time: 157.92 mse Mean: 3577.78 Ratio: 6405.05 % CURRENT +LPH 7000 cine TO_scout STUDY D 47039168-3920-48 3 IMA 1 FRM 14/35 Favorite Tools TimeCurve 6000 O TO TC-Circie TC-Pixel TC- TC. Lens Freehand Snapshot 5000 Series 4000 MC 1 Min / Max: 23:00 /229.00 Mean/SD: 99.11 /75:72 3000 Printing Area 0:21 cm2 10 cm Favorite Tools 3D o 2000 * F 1000 Distance Snapshot TT 322.5 Line TP H392 SP H391.7 SL 6.0 BW 260.0 FOV 200 400 02 MAON/CINE/NORMDIS2D 128 256 CT Tra A Zoom 2.48 902;SP3 141 100 200 400 500 600 800 900 1000 "1201:3/70 C 50 Trigger Time (msec) Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/28/2021 | HOOD05162003158305 Healthineers Page 3 of 8 Job Aid |syngo NATIVE SPACE Scanning Workflow – Numaris X Effective Date: 01/28/2021 | HOOD05162003158305 6. Exam UI a. Open NATIVE_SPACE_Cor Sequence b. Select Details View Icon c. Physio > Signal Parameter Card i. Select Captured Cycle button ii. TD Peak Flow > enter Trigger Time minus 30 seconds from TimeCurve Evaluation window Leg Both Fastchews @ 4:36 min Auto @ 2 @@ 1.0x1.0x1.0 mm @ 1.44 Routing Contrast Resolution Geometry System Physio Inline Sequence Signal Cardiac PACE 1st Signal/Mode ECG/Trigger Average Cycle 1000 + 3 Captured Cycle 1000 + 3 ECG Acquisition Window 940 0.8 1.6 4[s] Trigger Pulse Concatenations 1 4 Max. Trigger Delay 300 ¢ ms NATIVE 3D Mode ECG II TO Peak Flow 90 % ms j j j j j TR 640.0 ¢ m TD Min Flow Flow Sensitivity Default Measurements 2 4 TD Peak Flow 90 300 7. Select GO – sequence runs 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: 01/28/2021 | HOOD05162003158305 Healthineers Page 4 of 8 Job Aid |syngo NATIVE SPACE Scanning Workflow – Numaris X Effective Date: 01/28/2021 | HOOD05162003158305 8. Review Image Quality Healthineers Meduser Ci · 10/9/1970 M 2020.04. 16-15:18:48-DST-1.3. Leg Both 150€ ¢ ... Y + HA 1 FastView 2020.04.16-15:18:48-DST-1.3.12.2.11 07.5.99.3 20.04.16-15:18:48-DST- 1.3.12.2.1107.5 95 2020.04.16-15:18:48-DST-1.3.12.2.11 07.5.99.3 11 IMA 1 FRM 1/1 2 IMA 1 FRM 32/94 2 IMA 3 FRM 75/150 2 cine_TD_scout 3 $ native_space_cor_ecg native_space_cor_ecg native_space_cor_ecg A 10cm A F TP H301 TP H493 SP P29.3 SPL77.5 SP H493.1 FOV 421*421 FoV 420*1500 OV 480*420 TT 90.0 Cor>Tra(-2) Sag Tra p3 MAGN/SUB/NORM/DIS2D W 83 656 C 34 MAGN/DIS2D MAGN/DIS2D native_space_cor_ecg_SUB_MIP_COR Fastview 302 Fastview E 00:00 TD Bomsec Go Cancel 1 IMA 1 FRM ECG 64 in PRI 932 m2 tw h h h h h h h h i j ECG II LA SP P29.3 Step 5 - native_space_cor_ecg ? x Sproom Pause Display Waiting for scan instructions 9. Imaging Tips a. If blood flow transit times vary on each leg due to stenosis in one extremity i. Consider running two (2) NATIVE_SPACE Sequences. Using the optimal TD for each extremity b. For Slab/Slice Groups Closer to Pelvis i. Select Physio > Signal > Increase Trigger Pulses to Two (2) c. Hint: Reduced contrast behind the stenosis is due to lack of pulsatility of flow and high-grade change of direction: i. To enhance flow sensitivity, work the extra flow sensitizing spoiler gradients Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/28/2021 | HOOD05162003158305 Healthineers Page 5 of 8 Job Aid |syngo NATIVE SPACE Scanning Workflow – Numaris X Effective Date: 01/28/2021 | HOOD05162003158305 10. Physio > Signal > Flow Sensitivity – modifies the flow-spoiling gradient of the sequence. Used to adjust a NATIVE SPACE acquisition to the expected blood flow conditions. a. Default (Off) – Default spoiler settings of the SPACE Sequences are used b. Weak – weak flow spoiling gradients used c. Medium – medium flow spoiler gradients are used d. Strong – strong flow spoiler gradients are used e. Note: parameter only availabe for SPACE sequences when NATIVE is set ot 3D mode or TD Scout. Routine Contrast Resolution Geometry System Physio Inline Sequence Signal Cardiac PACE 1st Signal/Mode ECG/Trigger Average Cycle 1000 +3 ms Captured Cycle 1000 + 3 Acquisition Window 940 = ms 0.8 1.6 4[5] Trigger Pulse 1 Concatenations Max. Trigger Delay 90 - ms NATIVE 3D Mode TD Peak Flow 90 = ms TR 640_0 - ms TD Min Flow MIS Flow Sensitivity Default Measurements 2 = Default Weak Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/28/2021 | HOOD05162003158305 Healthineers Page 6 of 8 Job Aid |syngo NATIVE SPACE Scanning Workflow – Numaris X Effective Date: 01/28/2021 | HOOD05162003158305 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: 01/28/2021 | HOOD05162003158305 Healthineers Page 7 of 8 Job Aid |syngo NATIVE SPACE Scanning Workflow – Numaris X Effective Date: 01/28/2021 | HOOD05162003158305 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/28/2021 | HOOD05162003158305 Healthineers Page 8 of 8