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syngo.via MR VB30-VB50 Delta Job Aid

This delta job aid is for users in the US who skipped software versions and provides information about features and functionalities that came up between the software versions VB30-VB50 in syngo.via MR.

SIEMENS Healthineers syngo.via MR VB30-VB50 News & Improvements Version 2021 Template Effective Date: 27 May 2019 | HOOD05162003010284 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 syngo.via MR VB30-VB50 News & Improvements SIEMENS Healthineers Table of Contents General Changes 3 MR Oncology OncoTrend 20 MR Neurology 29 MR Cardiac Analysis 40 MR Spectroscopy 49 SHUI 52 2 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MR - News & Improvements General Changes 3 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Smart Layouts – Background SIEMENS Healthineers Structured reading in syngo.via is based on predefined reading steps and layouts. MR Breast Reading 1.2 Single Learn Click Segments Dynamic 12 Morphology 1 Morphology 2 Multiple time points Viewing Reading steps in MR Breast ..................... ......................................................... ..................... ...................................................... Layout for step Morphology 1 Layout for step Morphology 2 4 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Smart Layouts – Overview SIEMENS Healthineers Layout Creator Apply learning image segments in the following cases: MR, 9/3/2018 Head_Stroke_TOF3D_Diff_HN. • When acquisition protocol names are modified. 16 12_tse_sag_384_2mm_HS 15 t2_f12d_tra_hemo AHR 14 t2_tra_Flair_5mm • To simplify the configuration of layouts by learning 13 t2_tse_tra_448 12 tof_f13d_tra_p2_multi-slab_ ... the assignment of series from examples. 11 tof_f13d_tra_p2_multi-slab_ 10 tof_f13d_tra_p2_multi-slab_ ... tof_f13d_tra_p2_multi-slab CO OK 8 ep2d_diff_4scan_trace_p2_ ... 7 yep2d_diff_4scan_trace_p2_s. B-Value_01 [b0] How to configure a smart layout: B-Value_02 [b500] B-Value_03 [b1000] Create a new layout and define the layout structure. 6 ep2d_diff_4scan_trace_p2 ... • 5 ep2d_diff_4scan_trace_p2_s. Drag & drop suitable series to the layout segments. B-Value_01 [b0] • B-Value_02 [b500] B-Value_03 [b1000] • Click on Learn Segments. Learn Segments 5 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Smart Layouts – Overview SIEMENS Healthineers The system loads the series into the layout segments that are most similar to the examples given by the user. The system determines the most similar series: • Each series is characterized based on approx. 30 attributes that are derived from the DICOM header (e.g. MR contrast, orientation, acquisition sequence, b-value, fatsat, Dixon, parametric map, …). • Attributes of example series are compared with attributes of all series in the study. • Series description is only used as a fallback. The alternative configuration and configuration with Boolian expressions is still available. 6 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Smart Layouts – Details SIEMENS Healthineers How to optimize a smart layout: Learn Segment Learn Segment Exclude Segment Correction Tools • Provide additional example series from different studies. Open a study, drag & drop example series to the layout segments ImageFilter Smooth and click on Learn Segments. Analysis Tools +- X+ Auto Windowing auto Alternatively, individual layout segments can be optimized: MR Color LUT • Select Learn Segment from the lower right corner menu or from MR Presets the context menu, to learn an example for one single segment. Reset Windowing • If a series is loaded that is not wanted in that segment: Select Exclude Series from the lower right corner menu or from the context menu (context menu is always opened via right-mouse button click). 7 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Enhanced Easy Reading SIEMENS Healthineers SIEMENS • When dropping images with Easy Reading Heotthineers 3-0041: 140 324.133-144 Gregory House MR_Head E Standard - 27/06/1968 F HD4 zoom and navigation option is used for MR Basic H H Seres synchronization. MR Basic Reading Series Name 11 IMA 100 Current Viewing . MR. 22/10/2009 • The zoom and navigation synchronization 30 12 11 mprago_sag_ino_post groups include both monitors in a dual Follow-Up 11 se Bra 3mm post X ti_se tra post monitor setup. Each monitor is still a TOF 3D multi-alab separate drop target. 11 12 SPACE dark fluid sag Findings 5 Fep2d_diff 3;can_trace_p2 12 firm dark fluid tra 3. 12 tse tra 512 • If five series are dropped, a regular layout is 2 it se sag localizer created instead of an irregular layout to ensure identical aspect ratios for all segments. TONIS Allgo Uines Timepo Skip JPG Shopshat Print Boot non-DIC. 10:43 8 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Dynamic 4D Movie Tool SIEMENS Healthineers • Replaces the standard movie tool for Dynamic 4D segments. MR Basic MR Base Reasng CURRENT CURRENT 19/02/2016 10/02/2016 ............ • Now available in all MR applications. 17:36:28 74 IMA 40 17 26 25 73 IMA 38 Yevng AR AR • Select Movie from the upper left corner Son Scm menu, or press the spacebar. TR 8 1.9 IR 2 TE 10 FoV 450-450 24om 1:53 TE 10 Zoom 153 • When scanning with GRASP and using the Fridogi GRASP UI, the scanned phases are CURRENT CURRENT 1W/02/2016 19/02/2016 marked in the movie display. 17:24:25 3P IMA 7 17:26:28 50 IMA B ARTERIAL 01 AR RP 20 Tools 5cm SP LA.4 014 TR 2 8 TR 2 8 22 4500 TE 10 oV Zoom 1:52 TE 10 FOV AI MP CORID Zoom 1 52 THMICH 9 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Enlarge Segments SIEMENS Healthineers Multiple selected segments can be enlarged temporarily. thineers MR Oncology Vida * 01/01/1947 M Siemens MAC MR B MR Basic Q + Select the segments you want to enlarge. MR Basic Reading CURRENT • 14/06/2013 op2d_diff_tra_b50_800_ADC 16:24:33 Foorarts 5 IMA 20 • Right-click and choose Enlarge Segments from the Viewing 30 R context menu. Follow-Up GULLLLLAN X F SP F1.4 • The layout changes and all selected segments are TR 7300.0 SL 5.0/1 0 TE 65.0 FoV 282 410 enlarged. PZ DIFFIADO/DISZ hom 2 30 CTRL Findings Multi select CURRENT 14/06/2013 • Double-click to return to the original layout. [1_vibe_dixon_tra_caipi4_bh_W ADC & b-value Learn Segment Discard Series R O .. MC-Circle Tools Erlarge Segments 10cm MC-PixelLens Text mitpe Paste to the sime campus SP F2.9 JPG TR 6.7 Q: Auto Windowing SL 3.0i TE 2.4 FoV 282 410 Stortet Paint Exsot Undo p4 MINORI DPasta to the current image Zoom 1.53 10:5 Paste to the cursor position 10 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Export of Non-DICOM Images and Movies SIEMENS Healthineers • Exporting images and movies in non-DICOM formats. JPG These images and movies can be displayed with Export non- software that does not support the DICOM format. Supported image file formats: jpg, bmp, png, tiff. Export Image as non-DICOM ? X • Target C:\Users\RemoteAdmin\Documents • Supported movie file formats: avi, wmf. Browse Single Image . Stack of Images . Movie t1_vibe_dixon_tra_bh_pre_F . Single Image Stack of Images . Movie Format avi Format jpeg Properties Properties Hide Image Text Hide Image Text ......... . slow fast Estimated length: 00 minutes, 12 seconds. Cancel Export Cance 11 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Cinematic VRT & Fused MIP/MinIP SIEMENS Healthineers Additional display types are available in MR applications: HAR • Cinematic VRT* • Fused MIP/MinIP LAF MPR/MPR Cinematic VRT VRT MinIP Thin MIP MPR Thick Q 2D 12 Effective Date: 07 Jun 2021 | HOOD05162003198530 *Cinematic VRT is not a MR product but can be used in MR workflows Unrestricted © Siemens Healthineers, 2021 Improved Visualization in Series Panel SIEMENS Healthineers Improved visualization and structure of MR data in Series panel based on # Series Name customer feedback: Current 1. The series numbers are now displayed in a separate column instead of a suffix of the series name. MR, 6/13/2018 I-spine L-Spine Dot Engine 7 t2_me2d_tra 6 t1_tse_sag 5 t2_tse_sag 4 AAspine_scout_MPR_tra 3 AAspine_scout_MPR_sag 2 AAspine_scout_CPR_cpr 2 AAspine_scout_CPR_cpr_ ... 1 AAspine_scout 13 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Improved Visualization in Series Panel SIEMENS Healthineers Improved visualization and structure of MR data in Series panel based on # Series Name customer feedback: Current 2. The b-values are displayed in square brackets for diffusion series. MR, 9/25/2008 breast^lesion evaluation 30 SUB S14-54_1 29 SUB S12-S4_1 28 SUB_S10-S4_1 27 SUB_S8-S4_1 26 SUB S5-S4_1 25 ep2d_tra_3b_spair_REVEA ... 24 - ep2d_tra_3b_spair_REVEA ... B-Value_01 [b50] B-Value_02 [b400] B-Value_03 [b800] 14 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Improved Visualization in Series Panel SIEMENS Healthineers Improved visualization and structure of MR data in Series panel based on # Series Name customer feedback: Current 3. The echo times are displayed in square brackets for multi-echo data. MR, 1/12/2017 Kopf_2015 Routine 9 t1_vibe-twist_dixon_tra_p4 ... - Echo_01 [TE=1.25] Phase 01 Phase_02 Phase_03 Phase_04 Phase_05 > Echo_02 [TE=2.1] 15 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Improved Visualization in Series Panel SIEMENS Healthineers Improved visualization and structure of MR data in Series panel based on # Series Name customer feedback: Current 4. Dixon series: Identification of fat, water, in-phase, opp-phase images. MR, 8/17/2016 head clinical libraries - t1_vibe_dixon_tra_p4_mbh ... 6 Fat 5 In_Phase 4 Opposed_Phase 7 Water 1 localizer 16 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Findings Assistant SIEMENS Healthineers Healthineers Gregory House MR HEAD NoureParfus 1580 - 1/1/1931 M 20131025113502000 MR C-spine vol ... MR Basic MR Basic AH AH • The Findings Assistant replaces the MR Basic Reading Findings Navigator and the Findings Details dialog. Cilo viewing 30 RHP D1 RHP • Provides interactive functionality to 7.55 cm Follow-Up create, enter, and view finding attributes. x • Exception: MR Cardiac Analysis. O- Findings Finding Details Nead Neurology 4 Current HRP 8.77 cm Head Neurology 4 D1 7.55 cm Ype Neurology D2 9.77 cm 9 Location brain Laterality Jeft Severity Diagnosis stroke Tools Overall Rating Los Fall Teal Comment Graphic mepo Act GO . Previous Fincing Nexa Finding » Edit Storshat Print Poot Undo Lopost 1:30 PM 17 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Findings Assistant SIEMENS Healthineers • Allows to change the finding type, for Findings example, basic or breast. BI-RADS MRI 3 Details BI-RADS MRI 3 Current Chest wall distance (cm) MRI_Brea. Skin distance (cm) MRI_Brea. Type BI-RADS MRI Nipple distance (cm) MRI_Brea ... Longest diameter 0.98 cm Q Lesion Type Mass • Allows to create non-workflow-specific Laterality right breast findings, for example, breast findings in Quadrant Upper outer quadrant Clock face Eleven o'clock position the MR Basic workflow. Depth Middle Mass Margin irregular Mass Shape Lobular Mass Internal E ... Dark internal septatior • Automatic assignment of measurements NME Distribution Diffuse to findings, for example, breast finding. NME Internal En ... Clumped BPE Symmetry Asymmetric Kinetic Curve Ini .. Fast Kinetic Curve D. Persistent Assessment Cat .. 3 - Probably benign fir Findings Findings Overall Rating MR Breast 7 Comment Chest wall distance ... 1,28 cm Skin distance (cm) 1,73 cm ‹ Previous Finding Nipple distance (cm) Next Finding 1,52 cm D1 1,72 cm 18 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Findings Assistant Example from MR Prostate SIEMENS Healthineers For prostate reports, PI-RADS 2 is used. The final report now fits on one page. MR PI-RADS 2 Report Patient Demographics Details Prostate Current Name Vida_Pelvis male Study Date: 17.07.2017 Patient ID: Australia MAC male Birth Date: 01.01:1940 Aga: 77 years Prostate comment Assessment Prostate Biochemical Results Biochemical Results Seminal Vesicles Gland Volume (cm2) 124.12 cm2 Prior Biopsy yes: Gland Volume ... 124.12 Prior Biopsy yes PSA (ng/ml) PSA Density (ng/ml) 0.03 Last Biopsy Date PSA (ng/ml) 4.00 Global PI-RADS 4. Base Hemorrhage PSA Density (n ... 0.03 Comment Hemorrhage yes Global PI-RADS 4 Affected Regions Seminal Vesicles Lymphnodes Apex Neurovasc. Bundle Bones Urethra PI- Index Finding Region T2W DWI DCE EPE Rads Lesion Hemorrhage 01 PZpm Right Medial 4 4 Yes 4 Yes Hemorrhage yes Previous Finding Next Finding 19 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MR - News & Improvements MR Oncology OncoTrend 20 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Overview and Background on OncoTrend SIEMENS Healthineers • ADC-based whole-body tumor burden assessment and trending. • Efficient and reproducible workflow with quantitative results. • Intuitive back-mapping of active disease and responsive areas on the whole-body DWI images helps High b-value oncologists to understand the complex MR information. L1VOI ADC_050 900 WI COMBO Mean = 719.62 Median = 655 Left = 1055 (92.4%) Middle = 4.1% Right = 1400 (3.5%) Rel. Frequency (%) 10 9 • This can help in standardization of whole-body MRI for 8 7 treatment response and monitoring of bone disease in particular based on diffusion-weighted images. 4 0 ADC O 250 500 750 1000 1250 1500 1750 2000 2250 2500 ntensity 21 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 OncoTrend Icon, Layout and In-Segment Controls SIEMENS Healthineers OncoTrend icon - Navigates directly to the MR Oncology Q CURRENT CURRENT OncoTrend layout. MR Oncology Reading 11/10/2016 11/10/2016 0g2d_0 1 050 610 11:52:58AM 11:52:58AM Follow Up 24 IMAna FREEp Layout loads high b-value and ADC series R R CurrarIHR HISTOGRAMSEOKENT • Onco Trend by default. Reading LA Viewing SP P24.0 SF P2.1.0 The required b-value series could also be TR 5590.0 G1 17 • TE 59.0 FOV 005*848 TE 59.0 FOV 895-848 X MIIP 02 DIFF MIPR THICK: 02 DIFFIADOR computed using the Calculated ADC & b- ........................................................................................................................................ value tool. Findings Prior 01 Prior 01 - 9/29/2016 9/29/2016 Oncology 09 2d_GET 550 67 0:54:44AM 0 54:44 AM 27 IMAna FRMn In-segment area R R Pior 01.KR HISTOGRAMSEONENT 10cm [A] GRAS.O GP ASD • The controls for the OncoTrend workflow Tools TR 67 20 TR L720.0 BL 1 7 TE 57.0 MIP - P2 DIFF/ FOY 821 795 TE 57 0 FOV 821-195 MPR THICK : 02 DI-FALO are available in the in-segment area of Timepo Threshold Segmentation Refine Histogram Statistics Overlay Activate Windows @ Guidance Go to Settings to activate Windows. the OncoTrend Layout. Edi Saupshat Undo 2:40 PM 22 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Threshold-Based Segmentation SIEMENS Healthineers Create Segmentation MR Oncology @ + test 10.11.2016 2 • Creates threshold-based segmentation in MPR or MIP MR Oncology Reading 123 CURRENT CURRENT STUDY 11/10/2016 view. ep2 diff b50.300 tra COMP Geoments Follow Up 11/10/2016 11.52:58 AM • Per default, the segmentation mask is created on SP P24.0 | SP P24.0 calculated b-value images. One Trend Reading A Viewing 0 50 00% MIP FUSIÓN Edit Threshold TR 8580 0 4096 X TE 50 0 2048 • The threshold can be changed using the twin slider. • The mask gets updated automatically, based on the Findings Prior 01 9/29/2016 Oncology changed value. MR Oncology 3 0:54:44AM L3 471.4 ... Current • Default lower threshold value: 100. 10cm SP.AS.0 TR 8720 0 [email protected]@1.52 Tools FoV 821 795 MIP : p2 DIFFA Allun Custom Graphic Lines Timepo Threshold Segmentation Refine Edit Storstat Print Boot Undo Layout mage 87 558 2:48 PM 23 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Refine Segmentation SIEMENS Healthineers Areas with naturally high signal intensity that are not MR Oncology Q + metastasis, e.g., brain and kidneys, must be excluded MR Oncology Reading test_10.11.2016_2 123 CURRENT | CURRENT from the calculation. ging · Follow Up STUDY 11/10/2016 Clio collet Gegments ep2d diff 650 800 tra COMP 11/10/2016 11.52.59 AM OnLo Trond SP P240 | SPP24.0 The mask can be refined using the Punch tool: Reading Viewing X • The Punch tool can be applied in both MIP and MPR R view. Findings Oncology MR Oncology 3 L3 471.4 ... Current MR Oncology 4 In MIP view, the ROI is removed from the whole L4 1379. 9/29/2016 • A volume. a 50:00% MP FUSION TR 8580 0 218 4096 TE 59.0 2048 ns Tools . Remove Insite Remove Outside • In MPR view, the ROI is removed only from the Allga Custom Hde Uine Timepo Threshold Segmentation Dafina Histogram Statistics Overlay Guidancei visible slice. Go to Edit Snapshot Flint Undo 100¢ 673 ¢ :07 PM 24 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Refine Segmentation SIEMENS Healthineers CO Remove Inside . Remove Inside · Remove Inside Remove Inside Remove Outside Refine Reset Segme Segme ... Remove Outside Refine Reset Segment Segme. Remove Outside Refine Reset Remove Outside Reline Reset Segment Segme. .. Segme Segme 25 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Display Histogram SIEMENS Healthineers • Select the Histogram icon and the MR Oncology L3VOL ep2d_diff_b50 800 tra_ADC_COMP post_10.11.2010-2 Mean = 1274:24 Madian = 1070 123 CURRENT Led = 121 segment where the histogram should 162.1%) Middle = 16.5% Right = 1500 (21 4%) MR Oncology Reading requency CURRENT CURRENT 11/10 0015 18 STUDY 11/10/2016 be displayed. ap20_di_b50800 tra CON 11:5258AM 11/10/2015 24 Mana FRina Volume 267 9 Collect Follow Up 11:52:50AM Fagmenn SP P79 3 1 5P @79.3 Mªan The mask is copied to the ADC image R R Onco Trend and the corresponding VOI histogram is 10cm E Reading computed. A Viewing 0 50.00% SPP79.3 Mario UIP FUSION TR 85800 SL.1.7 TR 8580 0 TE 59 0 FO/126.559 250 509 750 1010 1259 1500 50 200 750 2500 X TE 59.0 2048 MER THICK D.GIEFADO • Select OK. The histogram is created and H test 29.09.2016 1 123 Prior 01 the backmapping is applied Findings Prior 01 | Prior 01 9/29/2018 - Oncology STUDY $/29/2016 en2d di65 ep28 din b50.000 tra comp 858 automatically to the high b-value MR Oncology 3 L3 267.9 ... Current 9/29/2016 8:54:14 AM MR Oncology 4 SP A5 0 | SPA50 image. L4 1379.9/29/2016 R Prior 01.KR HISTOGRAMSEGMENT 0 50.00% SP A5.0 Tools MIP FUSION 255 TR 6720.0 4096 9L 1.7 TR 6720 0 2048 TE 57 D TE 57.0 MIPR THICK: 12 DIFFKADE Allen Text Graphics Uines mepo Threshold Segmentation Refine Histogram Statistics Overlay GuidaActiv Go to n Shopshat Print Undo Geome 100¢ :10 PM 26 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Backmapping Projection Modes SIEMENS Healthineers Focus visualization to regions of response vs. High Value regions of active disease. Low Value The backmapping display in the b-value images can High be toggled between High Value and Low Value. Value High Value: MIP – Regions of therapy response (higher ADC) are visualized with higher priority. Threshold Segmentation Refine Display Histogram Statistics III Create Punch Histogram Show High Value Low Value: MinIP – Regions of remaining tumor Segmenta. 30 165 ¢ Statistics burden (lower ADC) are visualized with higher priority. 27 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Histogram Statistics SIEMENS Healthineers Quantification of the histogram Histogram Statistics ? X • Compare up to three histograms using the Description Histogram L2 VOI Histogram L1 VOI Difference Show Statistics icon. Volume 146.54 1057.48 910.94 If only two histograms are selected, the Mean 1250.8 719.62 -531.18 • StdDev 445.71 260.68 -185.03 difference in the values is computed Median 1292 655 -637 and displayed. 5% 567 469 -98 95% 1937 1227 -710 Skewness 0.01 2.57 2.56 10.86 Snapshot of the Histogram Statistics table E. Kurtosis -0.96 9.9 • %Left 35.9 92.4 56.5 can be saved for PACS. %Middle 22 4.1 -17.9 %Right 42.1 3.5 -38.6 • CSV export of the table is supported. CSV Export Snapshot Threshold Segmentation Refine Display Histogram Statistics III Create Punch Histogram Show Value Segments 30 _ 146_ Statistics Close 28 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MR - News & Improvements MR Neurology 29 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Neurology and MR Neuro3D SIEMENS Healthineers New features in MR Neurology: MR Neurology Q+ C Single Auto Learn Follow Up Segments • Brain Morphometry follow-up 5 Perfusion Mismatch Mean Brain Neurolo. Maps Eval. Curve Morpho ... Settings • Perfusion PACS Ready Viewing A 3 Pre-Contrast Post-Contrast 1.3 3D Series o Changes in MR Neuro 3D: Parametric Maps Morphometry Results • Warning dialog when mixing Distortion Findings HAR Brain Morphometry Report - 2/20 Current Prior Tissue Absolute Correction with non-Distortion Correction [m] ] Normal ized Normative Rate of RangeA^[x] Change[x/y] bsolute Normal ized Normative ange^[x] TIV 1562.5 1553.8 Brain 1253.2 43.0 1259.9 81.7] GM 73.0 81 .4 173.2 Cortical GM 742.9 49.9] [32.6 - 38.6] 1.88 755.3 48.6 43.3 587.7 596.5 38.4 32.8 - 50.1] 38.7] WM 510.3 [28. 0 - 33.7] 504.6 32.5 [28.0 - 33.7] data WMAb 0.0 CSF 309.3 [19.2 - 25.4] 6.02 0.0 0. 0 293.9 18.9 [19.0 - 25.2] AFL T Tools L A Percentage of TIV (Total Intracranial Volume) Synch Align Hide Hide Reset ~/10th and 90th percentiles of healthy age-/gender-matched population Timepo. Below/above usual normal range volumes Report based on automated processing! Include original data for diagnosis. Activate Windows 30 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Brain Morphometry Follow-Up SIEMENS Healthineers • Rate of change is calculated for two timepoints. MR Neurology Current Current.MR.MPRAGE GRAPPA2.latest + Prior Prior 01.MR.MPRAGE GRAPPAZ.latest + MR Neurology Reading HAR HAR Sown Parfusion Mismaton • Trending plots are added to volumetric report. egrarts CURRENT 14/06/2018 Prior 01 31/07/2017 MPRAGE GRAPPA2 Erain MPRAGE GRAPPA2 Curve Morpho Settings SIMA-102 08: 29:43 6001 IMA -102 Viewing Pre-Contrast • The results are up to 5 DICOM series: Post-Contrast 30 Series Volumetric report, label map, label map fused. AFL AFL Findings • Processing can be triggered interactively but can also be fully automated and then takes place in 10 cm the preprocessing of MR Neurology. SP L 16.5 Tools TR 2300.0 TE 3.0 FOV 270*307 TR 2300.D FOV 270.307 MPR THICK:NORMDIS30 MPR THICK: ... 3DVMFSPUT Image quality high image quality: high Results are sent to PACS automatically. linegat Graphica Lines Timepe • Enable Follow-Up Mode snapchat Ungo Blend Factor for Deviation Map Percentile for Volumes 90 Blend Factor for Label Map GO Start Close 14:44 • Results can be reviewed in dedicated result step. 31 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Brain Morphometry Compatibility Checks SIEMENS Healthineers AGE GRAPPA2.latest Prior Compatibilty Warning X Not consistent with morphometry protocol guideline more Current.MR.MPRAGE GRAPPA2.latest & Prior ADNI Warning HAR 01.MR.t2_tse_cor_448_2mm_hippocampus.latest are not compatible Message 7.5.99.3 MA Prior 01.MR.t2_tse_cor_448_2mm_hippocampus.latest is not ADNI 1. Matrix size of current and prior studies different. Current compatible [ Rows :256 Columns : 240] Prior : [Rows 448 Columns : 448] Message 1. Acquisition Type: 2D [expected: '3D'] 2. Orientation: CORONAL [expected: 'SAGITTAL'] 3. MagneticFieldStrength: 3T SliceOverSampling: 0,5 [expected: <= 0.3 when MagneticFieldStrength = 1.5T; <= 0.2 when MagneticFieldStrength 31] 4. MagneticFieldStrength: 3T VoxelReadoutFov: 175 [expected: >= 240 when MagneticFieldStrength = 1.5T; >= 256 when MagneticFieldStrength = 31] 5. Magn. preparation: 4 [expected: 2] 6. MagneticFieldStrength: 3T BaseResolution: 448 [expected: 192 when MagneticFieldStrength = 1.5T, 256 when MagneticFieldStrength = 3T] 7. Number of Slabs: 24 [expected: 1] 8. EllipticalFilter: 1 [expected: Tag absent] 9. Auto-Align reference mode: 1 [expected: 2 (Basis)] 10. Auto-Align region mode: 1 [expected: 2 (Head)] Close Co 736 335 HE1-4 *tse2d1 15/150 high Close Current is not compatible with Prior Percentile for Volumes 32 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Brain Morphometry – QA for the Segmentation – Blending SIEMENS Healthineers Use standard syngo.via MPR MR Neurology Q + HAL HAL FollowUp_Hydrocephaly FollowUp Hydrocephaly fusion for checking the FollowUp_Hydrocephaly FollowUp_Hydrocephaly Porfolioe Mismatch CURRENT | CURRENT CURRENT | CURRENT Maps Eval TI MP-RAGE Morpho wip900D. | T1 MP RACE Morpho wip900DID EV T1 MP-RAGE Morpho wip9000 | 11 MP RACE Morpho wip900D LABEL segmentation result. 05/07/2018 | 05/07/2018 05/07/2018 | 05/07/2018 15:39:35 | 15:39.35 Mo pn Frain 5 IMA-92 | 1011 IMA ~1 FRM-85 15:39:35 | 15:39:35 5 IMA ~92 | 1014 IMA ~1 FRM ~85 SPL4.9 | SP L4.9 SP L4.9 | SP L4.9 Chewing Pre-Contrast AFL 3 AFL 1cm 1crn Post-Contrast 1.3 30 Series 0 L Parametric Maps < 50 00% a 50.00% Morphometry Results MPR FUSION SL min SL min TR 2300.0 W 4095 MPR FUSION 4095 TE 2.9 196 2048 TR 2300.0 477 TE 2.9 196 C 2048 Image quality high O- Image quality high Findings HAL Brain Marshenetry Report - 1/20 Current VD 40A. 36.1 Prior VE4CA.36.1 CURRENT PACEgnt Name FOLLOWUIT_MYDROGETHALY 05/07/2018 Pactent Demegraphics Examination Date 84yrs 2018.07.05 Male Dyr Ingut Date TI MP-RACE Morphe wip5bDD 2014.04,22 Y1 MPRASe mirgha sag 32 canaux @ wip T1 MP-RAGE Morpho wip900D_FOLLOW_UP_REPORTents Image quality pzable Ringe acceptable values ComnEnES Acceptable vat pes Acceptable Range acceptable 0. 65 acceptable 0.77 [0. 00 - 0. 02] 15:39:35 Segmentation Quality 0.70 - 1.001 1017 IMA 1 General Iste AFL Tools Custom Text Graphics Lines Timepo Report based on etometed processing! Include original dete for diagnosis. JPG FOV 00 EJK Saosshet . Print Boot Undo Zoom 0,95 Lapost non-DIC MORPHOREPORT Image quality: high 12:49 33 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Brain Morphometry – QA for the Segmentation – Orientation SIEMENS Healthineers Change * 04.02.1974 M 2017.07.17-08:11:36 DST-1.3.12.2.1107.5.99.3 Brain Morphometrie, VB30 MRC31/7E94187E1985E6/8593FB/ Brain Morphometrie, VB30 MRC31/7E94187E1985E6/8593FB Brain Morphometrie, VB30 MRC31/7E94187E1985E6/8593FB/ Brain Morphometrie, VB30 MRC31/7E94187E1985E6/8593FE 2017.07.17-08:11:36-DST-1.3.12.2.1107.5.99.3 2017.07.17-08:11:36-DST-1.3.12.2.1107.5.99.3 2017.07.17-08:11:36-DST-1.3.12.2.1107.5.99.3 2017.07.17-08:11:36-DST-1.3.12.2.1107.5.99.3 *04.02.1974, M, 44Y Skyra *04.02.1974, M, 44Y Skyra *04.02.1974, M, 44Y Skyra *04.02.1974, M, 44Y Sky CURRENT | CURRENT CURRENT | CURRENT CURRENT | CURRENT CURRENT | CURRENT STUDY 14.06.2018 1 STUDY 14.06.2018 STUDY 14.06.2018 STUDY 14.06.2018 MPRAGE GRAPPA2 | MPRAGE GRAPPA2_DEV MPRAGE GRAPPA2 | MPRAGE GRAPPA2_LABEL MPRAGE GRAPPA2 | MPRAGE GRAPPA2_DEV._. MPRAGE GRAPPA2 | MPRAGE GRAPPA2_LABEL latest | latest latest | latest latest | latest latest | latest -- > Current.3D -- > Current.3D 5 IMA n.a. FRM n.a. | 1006 IMA n.a. FRM n.a. 5 IMA n.a. FRM n.a. | 1007 IMA n.a. FRM n.a. 5 IMA n.a. FRM n.a. | 1006 IMA n.a. FRM n.a. 5 IMA n.a. FRM n.a. | 1007 IMA n.a. FRM n.a. R 5cm 5cm 5cm F F A A @ 50,00% a 14,00% @: 50,00% SL min SL min SL min SPC 1,1 SPC 1,1 SPC 1,1 240*256 240*256 240*256 AC 1 886 4095 AC 1 416 4095 C AC 1 886 W 4095 MPR FUSION 416 MPR FUSION MPR FUSION 409 2048 2048 416 C 2048 AC 1 886 MPR FUSION 16 -- Image quality: high Image quality: high mage quality: high Image quality: high HAR HAR Brain Morphometrie, VB30 MRC31/7E94187E1985E6/8593FB/ MRC3 Brain Morphometrie, VB30 MRC31/7E94187E1985E6/8593FEB/ 2017.07.17-08:11:36-DST-1.3.12.2.1107.5.99.3 *04.02.1974, M, 44Y Skyra 2017.07.17-08:11:36-DST-1.3.12.2.1107.5.99.3 *04.02.1974, M, 44Y Skyra CURRENT | CURRENT CURRENT | CURRENT STUDY 14.06.2018 STUDY 14.06.2018 MPRAGE GRAPPA2 | MPRAGE GRAPPA2_DEV MPRAGE GRAPPA2 | MPRAGE GRAPPA2_LABEL latest | latest latest | latest -- > Current.3D -- > Current.3D 5 IMA ~89 | 1006 IMA ~1 FRM ~88 5 IMA ~89 | 1007 IMA ~1 FRM ~88 AFL AFL 5cm 5cm @ 50,00% @ 50,00% SL min SL min SPC 1,1 SPC 1,1 240*256 240*256 AC 1 W 4095 886 4095 MPR FUSION C 2048 AC 1 MPR FUSION 416 C 2048 ity: high ge quality: high 34 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Brain Morphometry – Label Maps SIEMENS Healthineers Label map example Legend in user manual HAR 2.1 Color codes of the label map DemoMorphometry_ADSuspicion Radiologie CHUV DemoMorphometry_ADSuspicion In the label maps each brain region is visualized in a different *9/4/1934, M, 80Y Aera color. Refer to the following color assignments: SMRVB30A CURRENT HFS 9/3/2015 +LPH Color codes for different Brain areas mprage_LABEL latest Lobar WM (white mat- Lobar GM (grey matter): # 1500005693 ter): Frontal lobe STUDY ID 3313581 Frontal lobe 1:28:40 PM .Parietal lobe 1009 IMA 1 FRM 81/160 Parietal lobe Occipital lobe .Occipital lobe Temporal lobe Temporal lobe .Cingulate gyrus AFL E Corpus callosum 1cm Cerebellum GM Deep WM Cerebellum WM L CSF White Abnormal (WMAb) TI 1000.0 D TP O TR 2400.0 TE 3.5 SP R7.7 Thalamus (left/right) Lateral ventricle left TA 04:39 SL 1.2 BW 180.0 FoV 240*240 192*192 p2 MAGN LABEL MORPHO Sag>Tra(-3)>Cor(-2) Caudate (left/right) Lateral ventricle right A1 .AR Zoom 2.19 HE1-4;NE1,2 4095 tf13d1_16ns / 8 2048 Putamen (left/right) 3rd ventricle *Image quality: high* 35 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Brain Morphometry – Report – Two Timepoints and SIEMENS Healthineers Rate of Change HAR Brain Morphometry Report - 2/20 Current Prior Tissue Absolute [ m1 ] Normalized Normative A[X] Rate of Change[x/y] Absolute Normalized Normative Range[x] [m1] A[X] Range[x] TIV Brain 12 80 . 2 742.9 73.0 43 . 0 - 81.44 15 -0.61 1259.9 81.1 [73.2 - 81.7] GM -1.88 755.3 48.6 [43.1 50.1 Cortical 47.5 Gy 58 37.6 [32.6 -1.69 596.5 3 510 3 32.7 [28.0 33.71 1.30 504.6 3. 3 0.0 0.0 0.0 O CSF 309.3 19.8 [19.2 - 25.4] 6.02 293.9 18. [19.0 - 25.2] • Volume estimates for the different brain regions. Both absolute and relative (percentage of total intracranial volume). For each brain region, a normative range is displayed and corresponds to the 10th and 90th percentiles • of an age- and gender-matched healthy population. • Two timepoint report with results for each timepoint. • For each brain region, a rate of change is displayed. 36 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Brain Morphometry – Report – Trending Plots SIEMENS Healthineers • Trending plots are added to the HAR HAR MR Neurology Brain Morphomctrio, VB30 Brain Marshomotris, Vide 2017.07.17-08:11:36-DS1-1.3.12.2.1107.5.993 2017.07.17-08:11:30-081-1.3.12.2.1107.5.93/3 report for selected brain Miensich CURRENT | CURRENT CURRENT | CURRENT Parkinion STUDY 14/06/2018 STUDY 14/06/2018 3+gmaris MPRAGE GRAPPAZ IMPRAGE GRAPPA? DEV NPRAGE GRAPPAZ | MPRAGE GRAPPA2 LABE 1 4/06/2018| 14/06/20 18 1-1/02/2018 | 14/06/2018 structures. 00 10:17 | 00:10:17 00 18:17 | 00:10:17 5 IMA-99 1 1021 INA-1 FRLI -70 5 INA-99| 1022IMA-1 FRM -TU Neuralo Settings BP L128 | SP L12.8 SPL12.8 | SPL12.8 Purve Viewing 3 Pre-Contrast AFL AF • Trending plots show normative Post-Contrast 1.3 30 Series data and measured normalized Parametric Maps Morphometry Results 0 30.00% ( 25.00% volume with standard deviation MPR FUSION SL min NPR FUSION SL min TR 2300.0 886 W 4055 TR 2300.0 4095 TE 3.0 20:43 TE 3.0 2048 of scan/rescan variability as error Image quality: high Image quality. high Findings Hippocampus right Den porcentin bars. CURRENT and percentle -50th parcentila 75th percentile Goth percentile 14/06/2018 0.4 07th parcontila MPRAGE GRAPPA2_FOLLOW_UP_REPORT 03:18:17 1025 INA15 0.2 Tools Los Graphitz mepe JPG Volume in % of TIV (+/- scan-rescan variability) Edit Sappshot Flim Undo Foy UND non-CIC MORPHOREPORT 0.0 Zoor 0.75 35 40 45 50 4:39 Age 37 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Brain Morphometry – Configuration SIEMENS Healthineers Morphometry Settings Calculation Criteria in User Manual MR Neurology Settings X Option Disable processing of improperly acquired image data → criteria described in user manual, Siemens Healthineers Perfusion Map Settings Meancurve Settings Morphometry Settings Morphometry program is compatible. Default Settings Blend Factor for Deviation Map 50 % Percentile for Volumes 90 % Blend Factor for Label Map 50 % 2.2 Calculation criteria Preprocessing Settings The calculation of the morphometry results is contingent upon compliance of the input MPRAGE sequence protocol with a widely Automatic generation of morphometry results accepted standard. The following table lists all criteria for the input . Automatic Selection MPRAGE protocol. Selection based on following Series Description Scan/Dicom param- |Value for 1.5T Value for 3T eter Language for report English (United States) Manufacturer = Siemens Enable Follow-Up Mode Manufacturer DICOM tag contains "Siemens" Disable processing of improperly acquired image data ImageType Contains NORM Send generated morphometry results to PACS One of the image type attributes is "NORM" Magnetic Field 1.5T W Strength Repetition Time TR>= 2400 ms TR>= 2300 ms Echo Time <= 10 ms Restore Inversion Time TI = 1000 ms TI = 900 ms Pixel Spacing (X & <= 2 mm 3 OK Cancel e Lines [H] Flip Angle FA = 8 deg FA = 9 deg 38 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 Perfusion PACS Ready – Configuration SIEMENS Healthineers Local AIF maps are sent to PACS directly after preprocessing. MR Neurology Settings X Perfusion Map Settings Meancurve Settings Morphometry Settings Default Settings for Perfusion Map Generation Global AIF Local AIF TTP VPBP ¥ reICBV reICBF VreIMTT reICBVCorrected Delay Correction Color LUT ASIST Perfusion O 4095 Preprocessing Settings for Perfusion Map Generation Automatic generation of local AIF maps based on default settings . Automatic Selection of 4D DSC Perfusion Data Selection of 4D DSC Perfusion Data based on following Series Description: Amount of Phases of selected 4D Data used for Preprocessings 60 Generate New 4D data with at least one of the following options Motion Correction Spatial Filter Width 3 mm Newly generated 4D Data will be used as Input Data for Perfusion Map Generation Send generated perfusion results directly to configured PACS Language for report English (United States) OK Cancel 39 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MR - News & Improvements MR Cardiac Analysis 40 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Cardiac Movie Layout SIEMENS Healthineers • For follow up cases, a user defined movie layout 105168322 Radiologie SLK: Kliniken Herbronn MR M05168322 Radiologie SLK-Kliniken Heilbronn NR 05164322 Radiologie SLK-Kaniken Heilbronn MR M05168322 Radiologie SLK-Kliniken Heilbronn MR Series 09 08 1939 M. 774 09.08.1939. M. 77Y 09.08.1939. M. 77Y 09.08 1939, M. 77Y URRENT CURRENT URRENT URRENT 0.06 2017 9.04 2017 .06.2017 9.06.2017 can be created. 17 IMA 8 39 IMAB IMAS Add Stud Latest 03 02 01 Current R 60,5 E1.2 ETROINORMAIS20 ETRONIGAME STOF MFL SPASS E 1,2 ETROINORM/DIS2DI MIFIL ETRORSORMOIS2D FMGIL MR. 29.08.2017 MRT.Thorax Herz nativ mit pharm Cine_Segmented_SA_02 [34] Drag and drop relevant slice positions (e.g., SA and HLA HLA HLA HLA • M05168322 Radiologie SLK.Kaniken Herbronn MR M05168322 Radiologie SLK-Kliniken Heilbronn MR 105163322 Radiologie SLK.kaniken Herbronn MR MD5168322 Radiologie SLK.Kliniken Heilbronn MR SP_03 [34][29][47][39] 09 08: 1939. M. 77Y 09 08.1939. M. 37Y 19.08 1939. M. 7JY 09 08 1939. M. 77Y CURRENT CURRENT JRRENT URRENT 0.06 2017 latest [47] 9 DE 2017 19:04 2017 8 IMAB LA, see sample) and timepoints (e.g., sorted in 16IMA8 38 IMA8 03 [39] RAH AH 02 [34] 01 [29] columns, see sample) in the layout. E1.2 ETROINORMIDIS2D FMFIL 15.1.2 ETROINORMIDIS2DIF MIFIL ETRONORMDES20Œ UFIL ETROINORMIDIS2DIE MIE IL SP_02 [33][38][28][46] latest [46] HLA HLA HLA 03 [38] 105168322 Radiologie SLK.Kliniken Herbronn MR MD5168322 Radiologie SLK-Kliniken Heilbronn MR. 105168322 Radiologie SLK-Kaniken Heilbronn MR M105168322 Radiologie SLK.Kliniken Heilbronn MR 09 08:4939 0 77Y 09 08 11939 M.77Y 19.08 1939 M. 77Y 09 08 9 939. M. 777 02 [33] FURRENT HURRENT JRRENT FURRENT 0 DE 2017 9 04 2017 06 2017 0 06 2017 PIMA 8 01 [28] SIMAB 23MAS • Use the Synch tool to create a movie AH BAH SP_01 [27][45][32][37] latest [45] R 60 3 synchronization group. E 1,2 603 03 [37] MR Cardiac Reading ETROINORMIDIS2DIF MFIL ETROINORM/DIS2DIFM/FIL ETRONORMEXS 20IF MIFIL ETROINORM DIS2DIFMFIL O 02 [32] Overview Display Type HRA HRA 01 [27] HRA HRA Functional M05168322 Radiologie SLX Kaniken HaicionnM M05168322 Radiologie SLK-Kliniken Heilbronn MF 105143322 Radiologie SLK.K M105168322 Radiologie SLK Kliniken He brone M Cine_Segmented_LA [7][30][25] Navigation 09.08.1939. M. 77Y 09.08.1939. M. 77Y 09.08.1939. M. 7TY 09.08 1939. M. 779 CURRENTS CURRENT URRENT URRENT - 1/2018 retro 2 CH cine [44][ INTSMR4_Greg 9.06.2017 19.06 2017 06.2017 9.06.2017 38 IMA 8 IMAS IMA 8 LUT latest [44] Private Layouts 04 [36] Reference Line 50.0 50.0 03 [31] FOINORMDIS2DIF MEIL SPL POINORMIDIS2DIF MIF IL SPL THENIORMIDISZELF MFIL SP LA HONORMIDIS2DIFMFIL SP 1.45 02 [26] Dobutamin Movie Slice Thickness 01 [6] AFL 05160323 Radiologie SLK-Kliniken Heilbronn ME AFL M105060922 Radiologie SLK.Kliniken Heilbronn MR AFL - 112d18 retro 4CH cine [7][30 Public Layouts Cardiac TemporalScroll aclegio SLX. Kliniken Herbronn MR 36 529,0995 SUShan kan Hetbronn MF latest [43] Zoom 04 [35] 03 [30] Overview unctional_Layout-1 Windowing 02 [25] SP HIS SP H1 01 [7] Movie SPHIS SPH15. (f2d18_retro_3 CH_cine [24] New E 44 Save Save As Synch Lock Full Text Navigat G << Advanced Close 41 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Cardiac Control Point Edit Mode SIEMENS Healthineers ARH • Adapt the Endo and Epi contour by dragging Refine Segmentat and dropping the visible control points. Nudge Freeha. Edit End Epi Nudge • Switch between Endo/Epi with the respective buttons. You can also use the shortcut Alt + A. Control Point Edit HLA • Add additional control points by just clicking on the contour, remove existing control points by right-clicking them. ARH ARH • Changes get propagated in the same way like nudging. ED 42 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Cardiac Analysis MR Cardiac Analysis Q + Create Findings Findings Findings MR Cardiac Reading Patient Name MR_Cardiac_Analysis_Segmented ... Finding 1 Age 80 Years Functional AHA Height 170 cm Create Findings Weight 74 k Learn Create Segments Findings Functional Dynamic DE Overview Akinetic Functional OH Hypokinetic Normal Dynamic Hyperkinetic PDE , Dyskinetic Tissue Characterization Wall Motion NotApplicable Combined Flow Findings Assistant Create Findings button is is now also available in each available in MR workflow step. Cardiac Analysis. 43 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Cardiac Ventricle Comparison SIEMENS Healthineers • Allows an easy comparison between LV and RV. 10 0.00 • All relevant values (SV, EF, ED/ES Volume, Mass) are 0.00 O always visible for both ventricles in the TVG segment. 10 20 30 40 50 60 70 80 90 100 % O 88 175 263 351 439 526 614 702 789 877 ms ES ED EF(%) SV(ml) ED Vol.(ml) ES Vol.(ml) Mass(g) LV 56.24 54.12 96.23 42.11 123.75 RV 35.26 22.26 63.12 40.87 44 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Cardiac Customizable Normal Ranges – Edit SIEMENS Healthineers Allows usage of the preferred normal ranges, e.g., out of different publications or for pediatric patients. Findings Navigator Name Value Source • Open findings details, click on Edit button. LV LV NORM RV RV NORM LV Thickening Description Value Normal Range (F) Unit Ejection Fraction: 65.77 56.00 78.00 % • Enter the normal values of choice. ED Volume: 128.18 1700 1410000 ml ES Volume: 43.87 13.00 51.00 ml Edit Reset Stroke Volume: 84.31 33.00 97.00 ml • After editing select Edit button again to persist Cardiac Output: 5.23 2.65 5.98 I/min changes. Myocardial Mass (at ED): 123.59 75.00 175.00 g Myocardial Mass (Avg): 133.79 75.00 175.00 9 Myocardial Mass (SD): 5.78 n.a n.a g Peak Ejection Rate: -438.25 n.a n.a ml/s Peak Ejection Time: 87.75 n.a n.a ms Peak Filling Rate: 465.42 n.a n.a ml/s Peak Filling Time: 514.5 n.a n.a ms modified Normal Range values 45 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Cardiac Customizable Normal Ranges – Reset SIEMENS Healthineers • Reset restores the normal ranges provided from the LV LV NORM RV RV NORM LV Thickening factory settings after security popup. Description Value Normal Range (F) Unit Ejection Fraction: 65.77 56.00 78.00 % ED Volume: 128.18 1700 1410000 ml • The normal values can be changed for all available ES Volume: 43.87 13.00 51.00 ml Edit Reset options (LV, LV NORM, RV, RV NORM). Stroke Volume: 84.31 33.00 97.00 ml Cardiac Output: 5.23 2.65 5.98 I/min Myocardial Mass (at ED): 123.59 75.00 175.00 9 The changed normal values are stored per user, Myocardial Mass (Avg): 133.79 75.00 175.00 g • Myocardial Mass (SD): 5.78 n.a n.a g therefore a pediatric radiologist can use different Peak Ejection Rate: -438.25 n.a n.a ml/s values. Peak Ejection Time: 87.75 n.a n.a ms Peak Filling Rate: 465.42 n.a n.a ml/s Peak Filling Time: 514.5 n.a n.a ms modified Normal Range values 46 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Cardiac ED/ES Mode on Application Startup SIEMENS Healthineers • Enabling ED/ES mode, the application can be started with this mode as the default. MR Cardiac Function Properties ? X Default Mode • Open MR Cardiac Function Properties. In the Contour Drawing section, enable only within ED/ES in the mode Normal Mode of choice. Manual Mode Contour Drawing Normal Mode only within ED/ES Manual Mode only within ED/ES Ok Cancel MR Cardiac Function 47 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Cardiac Export Wall Thickening as Finding SIEMENS Healthineers Wall thickening is automatically included in the finding. Series • Create LV/RV finding from Findings Details dialog. Add Study LV EF4 (12.10.2018 16:03:01) [1053] ? X # Series Name Current Patient Name MR_Cardiac_Analysis_Segmented_03_VF_Flow_Perf Patient ID C02 Examination Date 28.07.2006 MR, 06.09.2017 Patient Height 170 cm Patient Weight 74 kg Heart Rate 63 beats/min Heart_Vi_Full_Case Basal Segment Absolutefmm) 1 ... ¿ LV EF1 (16.10.2018 15:10 .... Segment ED(mm) ES(mm) Relative(%) 11,3 13,76 2.46 21.77 12.08 10,83 -1,25 -10,32 10.05 11.03 0,98 9.73 7,77 15.52 7.75 99.7 7.9 14.92 7.02 88.86 10,89 16.55 5.66 51.92 Mid Segment SHAWN - 7.6 16.39 8.8 1 15,79 9.53 15.41 5.88 61.62 10.27 14,9 4,63 45.04 9.42 15,91 6.49 68.91 6,54 17.32 10,79 165,09 15.14 17.84 2.7 17.83 Apical Segment 9.62 9.69 0.07 0.69 1.93 15 6,71 8,64 28,75 6,83 9.4 2.57 37.59 5.93 9,89 3.96 66.9 48 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MR - News & Improvements MR Spectroscopy 49 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Spectroscopy Multi-Voxel Selection SIEMENS Healthineers when Setting Voxels to High/Low Quality AH I(NAA)I(Cr1) • Multi-voxel selection is visible in all orientations. (Cho)/I(Cr1) 1.03 18.97 % 1.38 18.27 % 1. 2.76 Cho NAA • It allows to set all selected voxels to high/low 2.85 0.20 - quality at once. 0.15 - 0.10 FRFA R 0.05 Real Part 0.00 • Prerequisite: All selected voxels are of the same -0.05 category high/low. 4.0 3.5 3.0 2.5 2.0 1.5 0.5 Chemical shift [ppm] Integral Voxel 103 Voxel 10 • To select the voxels, press the Ctrl key and click HP H AH the voxels. Ctrl+ LMB (NAAS 5.63 • The spectrum of the first selected voxel is 4.28 displayed during multi-voxel selection. RPF RFA Mark Voxel as Low Quality .58 O.n. MC-Circle MC-PixelLens 0.23 Real Time Spectrum Update Paste to the same organ position Paste to the current image Voxel 103 Voxel 103 Paste to the cursor povoxen 103 50 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 MR Spectroscopy Interactive Manual Phasing SIEMENS Healthineers • Manual phasing display performance has I(NAA)/I(Cr1) 2.22 3.15 % I(Cho)/I(Cr1) 1.33 3.36 % been improved. I(mins)/I(Cr1) 1.69 4.49 % V NAA I: 15.94 • Manual phasing is a corner menu tool 0.4 Cr1 : 7.18 available for advanced users (requires 0.3 Cho I: 9.55 0.2 research license). mins : 12.16 R 0.1 Real Part 0.0 0.1 - -0.2 T 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 Chemical shift [ppm] Manually Phased I: Integral Manual Phasing ? X Zero Phase 3.7 deg Delay Time at Start -1 ms ms 0.07 ms 51 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers MR - News & Improvements SHUI 52 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021 SHUI • Siemens Healthineers User Interface • New in this version dialog • syngo News SIEMENS Healthineers ... ... Patient Browser syngo News ead (12) X Browse Search by Name, ID. Date, Description and Modality (Ctrl+F) More Filters O Open with DICON Export Correct Delete R Results (234 results, 16:14:54) Series Similiar Patient Search Workflow Status Workflow Desc ... Patient Name Date of Birth Patient ID Modality Study Date a ... Study Descripti ... FO 198 01.05.1927 FO 198 CT 31.01.2019 1 ... Head ASPECT Provides Al based DE_LH 500 2 ... 24.10.1965 2018.08.14-1 ... CT 25.10.2018 1 ... Kidney Stones ... The ... MM Reading MR Neurology 12.10.2018 diagnostic support In ... MM Reading CT Performan ... 11.07.2018 New in this version ? × Sa ... MM Reading /SINA/DemoC ... 01.01.1963 Sa ... MM Reading ISINA/DemoC ... 01.01.1963 MR_liver_GRA ... 21.04.2018 Acute abdom ... 21.04.2018 Heart 21.04.2018 CT_Performan ... 11.07.2018 13:54 Actionable Radiological Reports IM05550949 08.03.2018 syngo.via streamlines reporting with Smart Reporting Vida_Pelvis_ ... 01.01.1940 0. and Nuance Powerscribe One- 2539646 26.07.2000 . Automatic, real-time findings integration In ... MM Reading ED+ 10 01.01.1961 2539646 26.07.2000 . Intelligent support assists in generating structured In ... MM Reading 2539646 26.07.2000 and consistent reports 2539646 26.07.2000 2539646 26.07.2000 SIEMENS Healthineers 2539646 26.07.2000 2539646 26.07.2000 test_18.10.20 ... 02.03.1955 syngo.via /SINA/Pat16 01.01.1959 2539646 26.07.2000 Sa ... MR Basic Brain Morpho ... 02.04.1974 Close /SINA/Pat16 01.01.1959 User Name acministrator /SINA/Pat 14 01.01.1954 14 Fazoword /SINA/Pat14 01.01.1954 /SINA/Pat14 CT 06.04.2017 0 ... CT THORAX Domain MR TO2-PINT27 MR_Abdomen 01.01.1970 007 MR 20.03.2017 0 .. MR Abdomen 2539646 26.07.2000 2539646 CR 17.03.2017 0 ... X-KUB-A-P AB .. 2539646 26.07.2000 2539646 CR: PR 17.03.2017 0 ... X-HIPS,BIL, W -. 2539646 26.07.2000 2539646 CR. PR 02.03.2017 1 ... X-ABD-FLT&U. MR Head 01.01.1970 007 MR 02.02.2017 1 ... MR_Head Search successfully completed 16:15 53 Effective Date: 07 Jun 2021 | HOOD05162003198530 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'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 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 54 Effective Date: 07 Jun 2021 | HOOD05162003198530 Unrestricted © Siemens Healthineers, 2021