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syngo.via MR Cardiac Function Analysis of the Left Ventricle Job Aid

MR Cardiac Function Analysis of the Left Ventricle Job Aid

syngo.via MR Cardiac Function Analysis of the Left Ventricle MR Cardiac Function Analysis provides the functionality to quantitatively analyze the function of the ventricles. 1. From the Patient Browser, load the appropriate data set into MR Cardiac Analysis Workflow:  If the examination has been correctly mapped, double click to load.  If manual mapping is required, right-click the examination and select Assign Work- flow > MR Cardiac Analysis 2. The Cardiac Reading Step enables you to view cardiac data using the common tools. 3. Select the MR Cardiac Function step MR Cardiac Analysis + MR Cardiac Reading MR Cardiac Function O MR Flow Quantification 4. Performing Left Ventricle Analysis – select > LV Analysis MR Cardiac Function Hide Lines Reset Normal Manual Mode LV Analysis a. Normal Mode – the results of the segmentation is available when starting MR Cardiac Function. Along with the result, the location of the anatomical landmarks (Apical Extent, LV Blood Pool Point, RV Insertion Point, and Base Plane Points) are estimated. It is important to check the results and refine segmentation where required. Normal Mode is the default. b. Manual Mode – you create and refine all contours manually with the provided tools MR Cardiac Function Reset Norma Manual Lines Mode LV Analysis 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 | syngo.via MR Cardiac Function Analysis of the Left Ventricle Effective Date: 07/23/2020 | HOOD05162003094626 5. If you need to edit the segmentation of LV Analysis, select Guidance. User Guidance assists you with a recommended workflow for refining segmentation and guides you through each step. User Guidance based editing can only be in Normal Mode. LV Analysis Refine Segmentation O Endo Epi Pen Cicole Nudge Frechand Delete Delete All Adjust Propagate Edit ED/ES Join Quidance Note: The Guidance feature assists you with a recommended workflow for refining seg- mentation and guides you through each of the steps required to perform the segmenta- tion. The Set Landmarks tab and the Refine Contours tab guide you through segmenta- tion. When you select the Refine Contours tab, the corresponding icons are activated in the Case Navigator. If you do not want to use the Guidance, contours can be created and refined using the contour editing and contour creation tools. Normal Mode: a. Start segmentation refinement and follow guidance steps: i. Check the ED and ES phase for accurate segmentation. If the Set Landmarks tab is selected > correct the selection in the TVG segment. Drag the ED and ES slider to the appropriate positions. 10 25 280 19.00 252 0.00 224 0.00 196 0.00 168 0.00 140 0.00 112 0.00 84 0.00 56 0.00 28 0.00 0 10 20 50 60 70 80 90 100 % 0 92 184 2 6 368 460 552 644 73 828 920 s E EF(% JE) Vol.(155 Vol.(m ylass. LV 37.59 102.49 272.7 170.2 287.19 RV 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 8 Job Aid | syngo.via MR Cardiac Function Analysis of the Left Ventricle Effective Date: 07/23/2020 | HOOD05162003094626 ii. Define the Apical Extent by setting the corresponding landmark in the short axis working segment. The Set Landmarks tab is selected > set the landmark at the anatomically correct location. iii. Define the LV blood pool performs three tasks in this application: 1. Defines target object. If a wrong object was picked by segmentation, you can try to correct it by moving the LV Blood Pool Point in a basal to mid- ventricular slice into the LV blood pool. 2. Defines the position of the base plane if only short -axis slices are used/included in the analysis. The base plane is always parallel to the short-axis slices. You can model the through plane motion of the base by setting the LV Blood Pool Point in different slices in different phases. 3. Defines the interval used for the wall thickening analysis . Only the short-axis slices are included in the thickening analysis that lies between the LV Blood Pool Pont and the Apical Extent Point. iv. Define the RV insertion point in the ED phase. This step is not mandatory, however the RV insertion point is used for calculating the wall thickening using the AHA (American Heart Association) model for the patient report v. Define the base plane in the long axis working segment by defining two points at the height of the base plane. vi. Check the Refine Contours tab gives you an overview of the different tools to either refine the existing contours or to replace all contours and start segmentation refinement. Manual Mode: MR Cardiac Function Hide Reset Norma Manual Lines Mode Mode LV Analysis 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 8 Job Aid | syngo.via MR Cardiac Function Analysis of the Left Ventricle Effective Date: 07/23/2020 | HOOD05162003094626 Note: Normal mode contours are deleted 1. Select Base Plane tool LV Analysis Refine Segmentation O Endo Epi Pen Citole Nudge Freehand Delete Delete All |Base Plane EDVES Edit Join Adjust 2. Left click on both sides of mitral valve on ED and ES 4-ch AFR AFR MR_Cardiac and Flow Centre for Advanced MRI MR_Cardiac and Flow Centre for Advanced MRI *5/19/1982, M. 29Y CURRENT SByra *5/19/1982, M. 29Y CURRENT 7/11/2011 7/11/2011 Cine Segmented LA Cine Segmented LA STUDY ID 1 STUDY ID 1 15 IMA 1 15 IMA 8 RH RH TT 0.0 SPH40.9 SP H40.9 FoV 352 450 TT 260.4 FoV 852-450 TR 41.3 180:256 180:256 TE 1.4 ED Tra Cor(24)>Sag(-2) TR 41.3 TE 14 ES Tra Cor(2 1(24)>Sag(-2) TA05.62 1418 TA 05.62 1418 p3 M/RETRO/NORM/DIS2D 663 03 M/RETRO/NORM/DIS2D 663 RR 930 +/ 8, 7 heartbeats RR 930 +/- 8, 7 heartbeats segments 3. Select Endo or Epi tool and use Pen or circle tool to contour LV Control Nudge Control Point Edit 4. Use Nudge or Contour Point to modify contour 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 8 Job Aid | syngo.via MR Cardiac Function Analysis of the Left Ventricle Effective Date: 07/23/2020 | HOOD05162003094626 Note: Contour points can be modified by dragging specific points to desired location 6. Create/Editing MR Cardiac Function Findings – Throughout MR Cardiac Analysis, all standard measurement tools are available to create findings. The results of the current functional analysis are availabe in the Findings details. The wall thickending results of LV functional analysis is documented in an AHA-conforming segment model. LV and RV findings can be created separately using the corresponding buttons in the Findings details. a. Open the Findings details dialog box by selecting the icon on the upper right side of the Findings Navigator o Findings Navigator b. From the Heart Rate selection list, choose the heart rate of the patient. The heart rate influences the cardiac output Findings details Patient Name: MR_Cardiac_Analysis Export Result Images @ All Age 69 Years ED and ES Height 66.92914 Inches None Weight 171.8062 Lbs Heart Rate 53 beats/min Creale LV Findings Create RV Findings (max 65; min 61, avg 63. med 63. 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 8 Job Aid | syngo.via MR Cardiac Function Analysis of the Left Ventricle Effective Date: 07/23/2020 | HOOD05162003094626 c. Select the check box to use the Long-axis and short-axis for an LV and RV functional analysis or to use short-axis only Results . Long- axis and short- axis @ Short-axis only TXT Export Results LV LV NORM RV RV NORM LV Thickening d. If contours are to be sent to PACS, choose selection (All or ED and ES) from export results images Findings details Patient Name: MR_Cardiac_Analysis Export Result Images All Age: 69 Years ED and ES Height 66 92914 Inches None Weight 171.0062 Lbs Heart Rate: 63 - beats/min Create Ly Findings Create RV Findings ( max:65 min:61; avg 63, med.63) e. Select Create LV Findings – The findings are listed in the Findings Navigator and are added to the report Findings details ? X Patient Name: MR_Cardiac_Analysis Export Result Images @ All Age 69 Years ED and ES Height: 66.92914 Inches None Weight: 171.8062 Lbs Heart Rate: 63 beats/min Create LV Findings Create RV Findings max 65; min 61; avg 63; med 63 f. To export the findings to a file with the format “ .TXT.” select the Export Results icon Results Long- axis and short- axis Short-axis only LV LV NORM RV RV NORM LV Thickening g. All the findings are stored in the patient report and sent to PACS once the study is completed 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 6 of 8 Job Aid | syngo.via MR Cardiac Function Analysis of the Left Ventricle Effective Date: 07/23/2020 | HOOD05162003094626 h. Normal ranges can be edited allowing the use of preferred normal ranges LV LV NORM RV RV NORM LV Thickening Description Value Normal Range (F) Unit Ejection Fraction: 71.98 56.00 - 78.00 % ED Volume: 45.09 52.00 - 141.00 ml ES Volume: 2.63 13.00 51.00 ml Edit Reset Stroke Volume 32.45 33.00 97.00 ml Cardiac Output 1.72 2.65 5.98 Vmin Myocardial Mass (at ED): 75.00 175.00 g Myocardial Mass (Avg): 75.00 175.00 g Myocardial Mass (SD): n.a n.a g Peak Ejection Rate: n.a- n. a ml/s Peak Ejection Time: n.a n. a ms Peak Filling Rate: n.a - n.a ml/s Peak Filling Time: n.a n.a ms 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 7 of 8 Job Aid | syngo.via MR Cardiac Function Analysis of the Left Ventricle Effective Date: 07/23/2020 | HOOD05162003094626 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 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 8 of 8