syngo.MR Vascular Workflow (VA30)

syngo.via MR Vascular Workflow (VA30) 1. Functions of MR vascular workflow:  Vessel tracing and editing  CPR reconstructs the vessel  Display the result of profile curve and stenosis rate 2. MR Vascular workflow A. Open the patient by “assign workflow” or “View as read-only with” to the Angio Workflow  When using the Assign workflow feature, do not open the patient until the status is “Ready to read”  Note: MR Vacular is integrated in all MR angio workflow (MR Angio MultiStation, MR Angio SingleStation, MR Angio TimCT, MR Angio TWIST workflow), precondition is the license has been purchased. Last Name > Fangio" Date of Birth Modality MM Basic Compare Study Date and Ti ... Study Description Accession Number v MM Onco + CT Bone Workflow State MM Onco + CT Vascular Workflow Description Patient Name Date of Birth Modality Study Dat MM Oncology Refel MM Reading MR_Angio_MuliStation_E 4/7/1971 MR 1/17/2008 mMR General MR_Angio MutiStation Sk MR 2/2/2011 2 MR Abdomen MR_Angio_MultiStation_V 7/15/1970 MR 6/25/2010 MR Anglo MutiStation MR Angio SingleStation_A. MR Ango Single Station MR_Angio_SingleStation_A ... Open MR Ango TimOT MR_Angio_Singlestation_C View as Read-Only MR Angio TYMST MR_Angio_TmCT_TWIST ... View as Read-Only with . MR Basic AS-G! Testhospital.Angio multistage MR Breast (Re)Assign Workflow Template MR BreVis Group and Assign Workflow Template .. MR Cardiac Analysis Cancel Workflow for Manual Reassignment MR C-Spine Cancel Procedure MR Head MR Hp Prevent Archiving MR Knee MR L-Spine Delete MR Neuro 20 Protect from deletion MR Neuro Perfusion MR_Anglo_SingleStation_A_desc_A Remove deletion protection MR Neura Tumor MR Onco Brain Data MR Onco Liver Instance Number - Image Type Instance Creation Date ... Archiving Stat ... MR Onco Multi-Region 3D Application Data, 1, OT MR Onco TImCT 113d-cor mura SUD FIL 2,00, MR MR Prostate O MP 360, 74, MR MR Shoulder fl3d-cor mara_SUB_FIL 1,88, MR MR Spectro trufisp_cor_p3_512_FIL 1,32, MR MR Tissue4D trufisp cor fs_p3 512 FIL 1, 32, MR MR TMJ MR T-Spine MR Whole Spine F Neuro_Tumor :44 PM San  Data for vascular processing: o Recommendation to use the post contrast images o Not recommended to use the TOF images, phase contrast image, NATIVE images, subtraction images or composed images to do the processing SIEMENS www.usa.siemens.com/healthcare 781 Effective Date: 09/06/2016 Page 1 of 6 B. MR Angio workflow routine processing  Common viewing and processing in this step MR Angio SingleStation H HP MR_Angio_SingleStation_A desc-A MR Angio_SingleStation A-desc-A Avanto MR Angio SingleStation No00056 No00056 10/8/1950. M. 58Y. 10/8/1 950, M. 58Y Avanto CURRENT CURRENT SingleStation SP P6 f13d-cor_mra 113d-cos_mra MR Vascular MPR O latest latest > Current MR Single Station Posti -> Current MR SingleStatic Remaining Images STUDY ID 2 STUDY ID 2 3/25/2009 3/25/2009 10:39:21 PM 10:39:21 PM 18 IMA n.a. 18 IMA n.a A R MPR 10cm Open in MR Vascular TR 3.3 A TE 1.1 Paste Measurement MPR : 03 M/DIS2D BP R6.3 MPR p3 M/DIS2D SP. A23.8 Current MR.Single Station Post .. AI/PFP 306 AU/PFP Cor>Tra(14) W +1301/25 *1301 / 25 306 117 MPR MPR H MR_Angio_SingleStation_A_desc_A MR_Angio_SingleStation_A_ desc-A No00056 Avanto "10/8/1950, M. 58Y Avanto "10/8/1 950, M. 58Y CURRENT 1,3 CURRENT Findings Navigator f13d-cor_mra 113d-cor mra SUB Name Vakue MIP latest latest Source -- > Current.MR.SingleStation.Post.1 Current MR Single Statt STUDY ID 2 STUDY ID 2 3/25/2009 3/25/2009 10:39:21 PM 10:39:21 PM 18 IMA n.a R R Sub MIP TR 3.3 A TR 3. TE MPR : p3 M/DIS2D SP H223.9 MIP: p3 M/DIS2D/SUB PP6.7 AI/PFP Tra *1301 / 25 306 AU/PFP 117 *1301 / 25 :53 PM MIP MPR Sub MIP  In this step, the user can do the routine post processing of the angiography data o MIP, VRT, radial ranges, parallel ranges and save results  If you want to send the images to vascular task card, right mouse click and select the “open in MR vascular.” Otherwise, per default the latest post contrast data is loaded into MR vascular task card SIEMENS www.usa.siemens.com/healthcare Page 2 of 6 C. Overview of MR Vascular Task MR Angio SingleStation Centerline correction+ MR Vascular Add mark Path calculation: Manual plane Remaining Images >> Edit vessel contour Two point vessel tracing: Place two seed points on the Manual path: Draw a line with left vessel, the centerline will be mouse in the vessel. automatically calculated  Overview of vascular processing interface MR Angio Single Station >MR Anglo Single Station Layout gallery EFFET MIR Vascular Re Tools area A LADY MPR MPR MIP Findings Navigator F 2:54 PM MPR Centerline and contour segment SIEMENS www.usa.siemens.com/healthcare Page 3 of 6 D. Path calculation MR Anglo SingleStation >> MR Angio SingleStation MR Vascular Remaining Images  Vessel Tracing: o Invoke the path calculation icon > Can select Two point Vessel tracing or Manual Path  Two point Vessel Tracing a. Select the two point vessel tracing icon> click the largest vessel to set the starting point > click the target vessel for a second time to set the end point b. Automatically a vessel path is created between the start and end points  Manual Path a. Select the manual path icon > scroll the MPR image and set the seed point on the vessel b. Double click to start path calculation E. Centerline editing MR Angio Singlestation 1. MR Anglo Single Station MR Vascular Remaining kragen LAS CL Findings Navigator Edit path: 1. Moving the dots in the MIP/MPR/CPR/contour segment. F 2. Draw a new contour. SIEMENS www.usa.siemens.com/healthcare Page 4 of 6 F. Radial/Parallel CPR Ranges Radial CPR Ranges Degree Steps: 60 Degree Image comment Range series name CL_2 Oumid Range Radial MPR_CURVED Start Cancel Do radial CPR ranges of the vessel Parallel CPR Ranges Distance 6 Image comment Range series name CL_2 CrossSections MPR Start Cancel Do parallel CPR ranges of the vessel G. Measurements Stenosis measurement ............... Vessel length Vessel diameter Measurement properties+ Create finding + Vessel profile Measurement Properties ? x One Reference Pointer Above One Reference Pointer Below O Two Reference Pointers Set different reference pointer OK Cancel to do measurement SIEMENS www.usa.siemens.com/healthcare Page 5 of 6 - CL CL CL 83 5 mm Stenosis measurement Diameter measurement Length measurement CL Max The profile curve displays the cross- sectional area of the lumen along the whole vessel path. The minimum value is at the right side of 2.5 the curve, the maximum value is at the left side. When moving the yellow navigation line in the profile curve, the navigation line in CPR segment follows to the corresponding position MPR CV Min SIEMENS www.usa.siemens.com/healthcare Page 6 of 6