syngo.via MR BreVis Job Aid

SIEMENS Healthineers MR BreVis Job Aid Template Effective Date: 27 May 2019 | HOOD05162003010284 Job Aid Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Table of Contents Overview 3 MR BreVis A Color Overlay 4 Settings Calculation Mode PE Averaging 0 mm Motion Correction 6 Noise Reduction 100 AU Edge Smoothing 0 mm H H Kinetic Curve 7 Min / Max: 88.00 /190.00 PreseE Mean/SD: 126.98 /19.82 Curve serings Area: 0.58 cm2 Lesion Statistics 8 Dynamic + MPR Mean/SD: 237.75 48 Dynamic + DWI Area: 0.58 cm2 PEI Findings 10 100 500AU*min Phases: 1 Findings Breast Breast MR Breast 1 Distance to chest wall MRI Br ... Distance to skin MRI Br ... Distance to nipple MRI Br ... ROI1 0.58 c ... 300 R Tools 200 Synch Graphics Timepoi ... 100 Edit Snapshot Print Export Undo Layout Image Image 2:18 3:37 4:37 5,36 6:36 7:35 1:01 PM 2 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Overview The MR BreVis workflow* is a dedicated MR BreVis A reader for MR breast experts. Some Settings Calculation Mode PE dedicated tools like mean curve analysis, Averaging 0 mm Noise Reduction 100 AU color overlay, Motion Correction, and Edge Smoothing 0 mm H H Min / Max: 88.00 /190.00 Mean/SD: 126.98 /19.82 graphical volume statistics of lesion Presets Area: 0.58 cm2 Curve Phase Settings Settings Dynamic + MPR Mean/SD: 237.75 48 behavior are available. Dynamic + DWI Area: 0.58 cm2 PEI 100 500AU*min Phases: 1 Findings Breast Breast MR Breast 1 Distance to chest wall MRI Br ... Distance to skin MRI Br ... The MR BreVis workflow has Distance to nipple MRI Br ... ROI1 0.58 c ... 4 preconfigured reading steps: 300 R • Dynamic + MPR Tools 200 Synch Dynamic + DWI Graphics Timepoi ... • 100 Edit Snapshot Print Export Undo • 3x3 Dynamic + Sub Layout Image Image 2:18 3:37 4:37 5,36 6:36 7:35 1:01 PM • Viewing *MR BreVis workflow is an optional license 3 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Color Overlay (1/2) Using the Settings option, you can choose A the Calculation Mode: MR BreVis + • PEI Preset • Wash-in/Wash-out • Curve Type MOC Color • Enhancement Rate Settings Some filtering modes are also available to Calculation Mode PEI R reduce the background noise and increase Averaging 0 mm the image quality: Noise Reduction 100 AU • Averaging Edge Smoothing 1.5 mm • Noise Reduction • Edge Smoothing Presets Curve Phase Settings Settings PE 77 100 500AU*min Phases: 1, ... , 7 4 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Color Overlay (2/2) The user can define the Initial Phase (t1) and the A MR BreVis Q + Delayed Phases (t2, t3) in the Phase Settings Preset . option. This configuration needs to be adjusted MoCo Color carefully according to the user’s clinical routine. Settings Calculation Mode PEI R Averaging 0 mm Noise Reduction 100 AU All the settings can be saved as a new preset for Edge Smoothing 0 mm the user. Prezet Curve Reference Time Points ettings Phase ? × Findings Breast 12 Start of Initial Phase (1) Phase Start of Delayed Phase (12) Phase 3 R End of Delayed Phase (13) Latest Phase Tools L OK Cancel Synch Align Full Text Hide Hide Lines Reset Graphics Timepoi ... 100 Snapshot Undo Redo Edit Print Export Layout Image Image 0 1: 34 PM 2:18 3:37 4:37 5:36 6:36 7:35 5 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Motion Correction Motion Correction is already included in the A preprocessing step of the MR BreVis MR BreVis Q + workflow. By clicking in the MoCo tool, it is Preset easy to toggle between the original phases .MoCoHiQ_11_f13d_tra_dynaVIEWS_spair_1+5 and the motion-corrected phases. MoCo CC Color Settings Calculation Mode PEI R Averaging 0 mm Noise Reduction 100 AU Edge Smoothing 0 mm Presets Curve Phase Settings Settings PE 00 500AU*min Phases: 1, ... , 7 6 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Kinetic Curve You can easily analyze enhanced A A MR BreVis Q + Distance Line ROI Circle Preset * Pixel Lens curves. Mace Marker Color Arrow Settings Angle The following measurement tools are Calculation Mode PEI Text T R Averaging 0 mm Ron H Noise Reduction 100 AU Min / Max 43.00 /311 Min / Max: 0.00 /216.00 available: : 149.03 151.59 Mean/SD: 60.33 /43.77 Edge Smoothing Area: 1.40 cm2 Area: 1:40 cm2 • ROI Circle Presets Curve Phace Settings Settings PEI • ROI Freehand 11 100 500AU*min Phases: 1. . 7 • ROI Auto Contour Findings ROI1 Breast Breast MR Breast 2 ROI1 1.40 c ... DI1 VVD • Pixel Lens 300 Use the arrow keys on the keyboard to PDF R R Tools 200 navigate through the phases. L Synch Hide Hide Lines Reset Graphics Timepoi 100 Layout Snapshot Print Export Unde Rede Image Image 2:55 PM 218 3:37 4:37 5:36 6:36 7:35 7 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Lesion Statistics (1/2) You can create a VOI and the system MR BreVis A A CH A + Distance Line Preset veraux Preset> ROI Circle will create a table showing you the Pixel Lens MoCo Color Marker FIT Lesion Statistics. Settings Arrow Calculation Mode Wash-in/Wash-out Angle Averaging 0 mm VOI Sphere R R Noise Reduction O AU Text H H The VOI can be created using: Edge Smoothing 0 mm Volume 3.61 Min / Max: 0. Mean/SD: 12 • VOI Freehand Settings Delayed 120% 50% VOI Sphere Initial • -10% 10% Phases: 1, 4, 7 Findings Statistics Curve Breast Breast MR Breast 11 Distance to chest wall MRI Br ... Distance to skin MRI Br ... MRI Br ... Volume Statistics VOI1 Distance to nipple VOI1 3.61 c ... Colored Volume: 1.8 cm3 +10 % R R 4.8 27.2 33 Tools L 120 Synch Hide Hide Lines Reset Graphics Timepoi ... 1.1 4.2 61.7 67 Edit Print Layout 44 Snapshot Export Undo Redo 50 2.1 9 88 9 $100 Image Image 3: 14 PM 8 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Lesion Statistics (2/2) When you create a VOI, you can toggle A MR BreVis Ca Freset between the Statistics and the Curve. MoCo Color The system uses the higher pixel Settings Calculation Mode Wash-in/Wash-out intensity to create a curve. Averaging 0 mm R R Noise Reduction H H O AU Edge Smoothing 0 mm Curve Phase Settings Settings 120% 150% Phases: 1, 4, 7 Findings Statistics Curve Breast % Breast MR Breast 11 3513PX VVD VOI1 3.61 c ... O 3240 3213 2700 2160 R 1620 Tools L 1080 Synch Align Full Text Hide Hide Lines Reset Graphics Timepoi ... 540 Edit Snapshot Print Export Undo Layout Image Image 0 3:25 PM 2:18 3:37 4:37 5:36 6:36 7:35 9 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Findings (1/2) A In the breast findings, you can include MR BreVis Q. + more information about the lesion, Preset . Distance to nipple 6.98 cm MoCo CC Color ROI1 such as: Distance to s Area: 1.40 cm2 Settings 1.37 cm Calculation Mode PEI Averaging R R 0 mm ROI1 H Noise Reduction 100 AU Min / Max: 0.00 /27.00 Distance to nipple Distance to chest ... Mean/SD: 5.78 /5.92 • Ron 1.19 cm Area: 1.40 cm2 Edge Smoothing 0 mm Min / Max: 23.00/151.00 Mean/SD: 93.22/20:06 • Distance to chest wall Presets Area: 1.40 cm2 Cwings Phase PEI • Distance to skin 500AU*min Phases: 1. ... ..., 7 FH Findings ROM Breast Breast MR Breast 2 Distance to chest wall 1.19 cm Use the Distance Line tool to include Distance to skin 1.37 cm Distance to nipple 6.98 cm 400 ROI1 1.40 c ... the additional information. 300 R Tools 200 E L Full Text Hide Hide Lines Reset Graphics Timepoi ... 100 Layout Snapshot Print Export Unde Redo Image Image 3:01 PM 2:18 3:37 4:37 5:36 6:36 7:35 10 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 MR BreVis SIEMENS Healthineers Findings (2/2) A In the breast findings, a pictogram is MR BreVis Q + also available where you can place Preset * Distance to nipple 6.98 cm Moco Color Details Breast MR Breast 2 Current 5/22/2013 the red dot in the lesion location and Área: 1.40 cm2 Settings Type MR Breast Attributes that are filled in automatically are indicated by . Check Calculation Mode PEI that the attributes are correct. include more detailed information Averaging Laterality right breast 0 mm Quadrant Upper outer quadrant of breast about the lesion, for example: Noise Reduction 100 AU Clock face Ten o'clock position Depth Edge Smoothing 0 mm FGT ROH BPE Level Presets Curve Phase BPE Symmetry Settings Settings Lesion Type Mass Shape • Kinetic Curve Initial Mass Margin Mass Internal Enhancement • Kinetic Curve Delayed Findings NME Distribution Breast NME Internal Enhancement Breast MR Breast 2 Kinetic Curve Initial Medium Distance to chest wall 1.19 cm Assessment Category Distance to skin 1.37 cm Kinetic Curve Delayed Plateau • Distance to nipple 6.98 cm Assessment Category ROI1 1.40 c ... 0 - Need additional imaging evaluation Overall Rating + 1 - Negative Comment 2 - Benign finding Previous Finding Next 3 - Probably benign finding-short interval follow-up R 4 - Suspicious abnormality, biopsy should be considered 4A - Low suspicion R R Tools 4B - Intermediate suspicion 4C - Moderate suspicion 5 - Highly suggestive of malignancy, take appropriate action Synch Align Full Text Hide Hide Lines Reset 6 - Known biopsy proven malignancy Graphics nepoi ... Post procedure mammograms for marker placement All this information is included in the Snapshot Print Export Undo Redo Layout Image Image final report, which uses the BI-RADS® 3:37 4:37 5:36 6:36 7:35 :04 PM 2:18 standard to classify the findings. 11 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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. © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 12 Effective Date: 06 Sep 2021| HOOD05162003217498 Unrestricted © Siemens Healthineers, 2021