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syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X

This Job Aid provides scanning workflow to perform a syngo NATIVE TrueFISP Renal MRA examination using BioMatrix Respiratory Sensors on MR MAGNETOM Systems with Numaris X software.

syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Job Aid This Job Aid provides scanning workflow to perform a syngo NATIVE TrueFISP Renal MRA examination using BioMatrix Respiratory Sensors on MR MAGNETOM Systems with Numaris X software. 1. NATIVE TrueFISP Exam Set-up a. Patient Position > Head or Feet First > Supine b. Position Patient over BioMatrix Respiratory Sensors – for proper trigger detection 2. Ensure Good and Consistent Respiratory Signal is being acquired from Respiratory Trigger Sensors by checking the Physio Display RESP RF 20 min RP 3000 m a. Physio Display – host computer SAR Stimu Settings Display Cockpit Normal Male b. Select&GO – MR scanner Resp RF 20 /min RP 3000 m. 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/X25/2021 |HOOD05162003158313 Healthineers Job Aid | syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Effective Date: 01/25/2021 | HOOD05162003158313 Abdomen Dot Engine ISO €/ .** * HL Vida_fit_Abdomen Vida_is_Abdomen Vida_fit_Abdomen localizer_bh Siemens_MAC Siemens_MAC 3 IMA 1 FRM 5/23 1 IMA 1 FRM 21/23 12_haste_cor_mbh localizer bh 11_vibe_dixon cor bh post 1. native_trufi3d_tra_resp_trig X 12_haste_Is_tra_mbh 01:23 diffusion ithout dift X_ 11_vibe_dixon_tra bh_pre 00:13 10cm x. Check precontrast F 1 03:31 TP 0 TP O SP R7.0 SP H50.0 430*430 FOV 430-430 Go Cancel ag.Tra(3) p2 MAGNINORMDIS20 localizer ch 02 MAGNINORMDIS2D W 8 2:57 min | Auto G 2 @1.3.1.3<1.1 mm 1.00 Routine Contrast Resolution Geometry System Physio Inline Sequence Common AutoAlign Navigator Saturation Inversion Tim Planning Suite Graph Sel Inversion RESP RF 20 mm RP 3000 m TI 1350 ms Thickness 150.00 M Position LO.9 P79.1 F25.4 Orientation Transversal SAR Stimu TI. 256 1360 -1500 8000 3. Open native_trufi3d_tra_resp_trig Sequence a. Load Coronal and Axial images in GSP Segments (Sagittal not necessary) Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/25/2021 | HOOD05162003158313 Healthineers Page 2 of 9 Job Aid | syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Effective Date: 01/25/2021 | HOOD05162003158313 4. Ensure Renal Arteries are seen on Coronal Images for Planning a. Renal Arteries not seen, run another Coronal Localizer to see Renal Arteries for proper Slice Placement. 51. RENAL, NATIVE 12.01-11:00:56-STD-1.3. Renal Arteries not seen for Slice Renal Arteries seen Clearly for MA 2 / 10 Placement 2016 SP2 Slice Placement D1 SP 802 03 SP4 TPO /NORM/DIS2D SP P50.0 5. Position Slab FoV 400 400 LOC Cor over Renal Arteries a. Position FOV i. Set Upper Border of FOV – very close to origin of Vessel of Interest (Top 1/3) ii. Don’t include too much of Proximal Aorta in FOV Vida_it_Abdomen 5 IMA 1 FRM 57/72 SPS 802 A P3 TP F20 SP4 SP 279.1 FoV 365'450 Cor W 384 427 M/NORM/DIS2D LOC Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/25/2021 | HOOD05162003158313 Healthineers Page 3 of 9 Job Aid | syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Effective Date: 01/25/2021 | HOOD05162003158313 6. Position 1st Inversion Band a. Place 1st Inversion Band Parallel with Upper Limit of FOV i. Maximizes Inflow Effect 7. Geometry > Inversion Parameter Card a. 1st (Upper) Inversion Band – enter the following parameters i. Time of Inversion (TI) = 1350 ms ii. Thickness =150 mm 6.12.01-11:00:56-STD-1.3 IMA 2 / 10 2/1/2016 SP2 801 SP3 BO2 BO3 SP4 2 M/NORM/DIS2D SP P50 0 PLL FoV 400*400 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/25/2021 | HOOD05162003158313 Healthineers Page 4 of 9 Job Aid | syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Effective Date: 01/25/2021 | HOOD05162003158313 Routine Contrast Resolution Geometry System Physio Infine Sequence Common AutoAlign | Navigator Saturation Inversion Tim Planning Suite Graph Sel Inversion 1 TI 1350 ms Thickness 150.00 mm Position L0.0 P0 0 F38 6 Orientation Transversal TI 255 1350 8000 1500 b. Add a 2nd Inversion Band i. Select Graph Set Inversion > select Plus Sign (+) Routine Contrast Resolution Geometry System Physio Infine Sequence Common AutoAlign Navigator Saturation Inversion Tim Planning Suite Graph Sel Inversion TI 1350 ms Thickness 150.00 - mm Position L0.0 P0 0 F38 6 Orientation Transversal TI 255 1350 8000 1500 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/25/2021 | HOOD05162003158313 Healthineers Page 5 of 9 Job Aid | syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Effective Date: 01/25/2021 | HOOD05162003158313 c. 2nd (Lower) Inversion Band i. Position 2nd Inversion Band Inferior to 1st Inversion Band  Note: helps suppress venous signal from Inferior Vena Cava (IVC) / 10 SP2 301 801 SP2 nnnn SP3 802 BO2 Tl = 1350ms @ 150mm 903 SP4 TI2 = 800ms @ 100mm Mu/NORM/DIS2D SP P50.0. FOV 400 400 8. Geometry > Inversion Parameter Card a. 2nd (Lower) Inversion Band – enter the following parameters i. Time of Inversion (TI) = 800 ms ii. Thickness =100 mm Routine Contrast Resolution Geometry System Physio Infinie Sequence Common AutoAlign Navigator Saturation Inversion im Planning Suite Graph. Sel Inversion 2 TI 800 - ms Thickness 100.00 mm Position 130.0 P11 5 F88.1 Orientation Transversal Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/25/2021 | HOOD05162003158313 Healthineers Page 6 of 9 Job Aid | syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Effective Date: 01/25/2021 | HOOD05162003158313 9. Select GO a. native_trufi3d_tra_resp_trig Sequence Runs Go b. Review resulting images for image quality 10. Coronal Plane Acquisition Required – perform the following steps (optional) a. Select native_trufi3d_tra_resp_trig > Right Mouse > select Repeat and Open b. Routine Parameter Card – enter the following parameters i. Orientation = Coronal ii. FOV Phase = 100% iii. Phase Encoding Dir. = R>>L c. Rename Sequence i. Select F1 > enter native_trufi3d_cor_resp_trig Routine Contrast Resolution Geometry System Physio Inting Sequerico Siah Group FoV Read 320 - mm Siahs FoV Phase 100 % Slices per Slab 64 Â Slice Thickness 1.1 - mm Distance Factor TR 1552 2 4 m5 Position L0.0 P20 0 H0 0 TE 1.52 - ms Orientation Coronal Averages Phase Encoding Dir R >>L Concatenations Phase Oversampling AutoAlign Slice Oversampling 12.5 Coll Elements BC FoV Phase, 15.6 75.0 100.0 100.0 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/25/2021 | HOOD05162003158313 Healthineers Page 7 of 9 Job Aid | syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Effective Date: 01/25/2021 | HOOD05162003158313 d. Position Slab on Coronal Image i. Center Coronal Slab at middle of Renal Arteries on Coronal e. Position Slab on Axial Image i. Position from Aorta to Posterior Renal Arteries on Axial Coronal Image – Slab Placement Axial Image – Slab Placement 13 IMA 10 / 21 12/1/2016 2 IMA 1 2/1/2016 ACS BO1 SP2 10 cm BO2 SPE P2 M/NORM/DIS2D 2 MIP_TRA/NORM/DIS2D T 1352.5 FOU 300* 3PL LOG Foy 400 NATIVE AX TRUE FISP RESP ... Max. TI 1350ms f. 1st and 2nd Inversion Band Placement i. Same location as Axial Acquisition Th = 1350ms @ 150mm THE SOR TI2 = 800ms @ 100mm 11. Select GO a. native_trufi3d_cor_resp_trig Sequence Runs Go b. Review resulting images for image quality Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 01/25/2021 | HOOD05162003158313 Healthineers Page 8 of 9 Job Aid | syngo NATIVE TrueFISP Renal MRA using BioMatrix Respiratory Sensors – Numaris X Effective Date: 01/25/2021 | HOOD05162003158313 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: 01/25/2021 | HOOD05162003158313 Healthineers Page 9 of 9