syngo.via MR Spectroscopy Workflow (VA30)

syngo.via MR Spectroscopy Workflow (VA30) 1. Functions of MR Spectroscopy Workflow:  MR Spectroscopy Analysis steps allows for the calculation and visualization of spectroscopy results for all spectro raw data series that are contained in the assigned study o Display the spectrum and result table of SVS on the brain o Display the spectrum, result table and Metabolite image of 2D CSI on the brain o Display the spectrum, result table and metabolite image of 3D CSI on the prostate o Display the normalized spectrum, result table of SVS on the breast 2. MR Spectroscopy workflow a. Open the patient using “assign workflow” or “View as read-only with” to the MR Spectro Workflow  When using the Assign workflow feature, do not open the patient until the status is “Ready to read”  Note: If there are several series in the patient folder, it is recommended to only select the reference images and the raw data of the spectroscopy. Then open the data by “view as read-only with,” this will increase the processing speed MM Onco + CT Bone Last Name + *Spectro* Date of Birth MM Onco + CT Vascular + = = Study Date and Ti .. Study Description MM Oncology MM Reading Workflow State Workflow Description Patient Name Date of Birth Moda me Study Description Refer AZ mMR General MR Abdomen SURRENDER MR Spectro MRJ MR Angio MultiStation PM Head " Suspended MR Spectro MR Open MR Angio SingleStation PM Prostate Ready to read MR Spectro sne View as Read-Only MR Angio TimCT :9 AM Abdomen VaLeber V View as Read-Only with . MR Angio TWIST MR Basic (Re-)Assign Workflow Template .. MR Breast Group and Assign Workflow Template ... MR BreVis Cancel Workflow for Manual Reassignment MR Cardiac Analysis Cancel Procedure MR C-Spine MR Head Prevent Archiving MR Hip Delete MR Knee MR L-Spine Protect from deletion MR Neuro 3D Remove deletion protection MR Neuro Perfusion MR Neuro Tumor MR Onco Brain MR_Spectro_Head_Av_Demyelin_CSI+SVS MR Onco Liver MR Onco Multi-Region Data MR Onco TimCT Instance Number ~ Image Type Instance Creation Date ... Archiving Stat ... MR Prostate svs_se 30, 1, MR MR Shoulder svs_se 30, 1, MR MR Spectro csi se 30, 1, MR MR Tissue4D csi se 135, 1, MR MR TMJ t2 tse_sag_rst_448_CV_1, 19, MR MR T-Spine t2 tse cor 3mm_448_pat2_CV_1, 19, MR MR Whole Spine DICOM Neuro Tumor Sari Tanja Tom WE 3:38 PM SIEMENS www.usa.siemens.com/healthcare Page 1 of 13 b. Overview of Spectroscopy Workflow  Note: If all spectrums in grid do not show up, then you can right mouse click on them and mark as high quality manually in order to get them to show up  After loading the data to the spectro workflow, all the spectroscopy series will be listed on the spectroscopy list o The user can easily select the series to view and post process o Different series will have different analysis layout o All the reference images which have distortion correction will not load to the segment automatically a. If reference images have distortion correction > remove distortion correction > then drag and drop to the reference segment MR Spectro AH KNAAWG1) 1.83 YChoWort 1.64 10.65 5 11:38 % MR_Spectro_Head_Av_Demyelin_CSI+SVS Radiologie Uni Tuebingen MR_Spectro_Head_Av Uni Tuebingen MR Spectro Analysis 485034 Ref : RA4RYSP 485034 Result table Ref: RAARKSP "12/8/1989. M. 19Y Avanto syngo MR 2004V 4V811A 12/6/1983, M. 19Y Avteto MR 2004V 4VB11A col_te_135,11/13/2003 3:22 PM CURRENT IFS CURRENT :27 HFS csi se 135" 12_firm_tra_dark-fhad Csi_to_135).45 - +LPH csi_se_30,11/1 3/2003 3:32 PM Inest laterticsi_se 4135 Spectrum la ctl_se_30 -> Spectro1 Refimage 1 .>> Spectrot Spectrum.1 # 0002134217 # 0002134295 241 sva_se_30,11/1 3/2003 3:37 PM le svs_to_30 STUDY 1 STUDY 1 0.30 11/13/2003 11/13/2003 Cr1 #va_se_30,11/13/2003 3:43 PM 0:23 1.47 sv1_50. 30 R ₱ 0.20 1cm = 0.15 List of F 0,10 SP H47 6 SL 10 0.05 Spectroscopy Tra MRI 2 A 1 SP H37.1 0.00 sequences MPR THICK SL 3.0 TR 1500 -0.05 TE 109 FOV 230*230 TE 135 loaded NAT Tra>Coe(-6) NA 4 4.0 1.0. 25 20. 1.3 10 05 TA 07:12 Chemical shift [open VOX AP UR FH tir 2d1_21750 VOX AP LR FH HE1-4 ¢ 4 POS A19 L6 H39 SITE 10 10 10 cal_50/90 SIZE 10 10 10 CSI Reference and spectrum image Spectrum AH MR_Spectro Head Av Demyelin CSI-5VS MR_Spectro Head Av Demyelin_CSI+SVS 405034 485034 MR Spectro_Head_Av_Demyelin_CSI+SUSTA) Radiologie Uni Tuebingen "12/8/1983, M, 19Y "12/8/1983, M, 19Y 485034 Ref: RAARKSP Avanto CURRENT CURRENT 12.6/1 983, M. 19Y 12 Ise_cor 3itm_448 pa42 #17120 MR 2004V 4VBITA Findings Navigator 12_tse_380 1st_448 CURRENT HE'S Istest 12_tup tra_dark-fud Nome Value Source -> Spectro1 Refimage 2 > Spectro! Refimage:34 0002134217 # 0002134217 STUDY 1 -> Spectrot Metsboltelmage STLOY 1 8 0002 1 34217 11/13/2003 -11/13/033 3:06:47 PM 3:08:36 PM 11/182003 Serie R 3.22 CS 2.27 F Ocm SP SP A13.0 SL SL 10 Tra MAI 2 MMA 1 Tra MFOS MA 1 SP H37.1 MPR THICK SP A22.5 SL 30 MOR THICK SPL62 TR 9000 SL 3.0 TIR 4000 TR 4210 SL 3.0 TE 109 FoV 230 230 TE 104 FoV 230-461 TE 102 FoV 220 440 NA 1 Tra-Con(-5) NA 3 Con> Tra(6] Sog VOX AP UR FH 'tse 2d1_13/150 Reference image VOX AP LR FH Mr201_21/150 'E 10 10 10 4:06 PM SIZE 10 10 10 Metabolite image SIEMENS www.usa.siemens.com/healthcare Page 2 of 13 MR Spectro AH l'Chol/Y'CH) 2.46 2.77 % MR_Spectro_Head_Av_Demyelin_CSI+SVS Reclologie Uni Tuckingen MR_Spectro Head Av eUri Tuebingen MR Spectro Analysis Ref: RA4RKSP 495034 Re1 : RAARKSP .12/8/1 983, X1, 19Y Averto Avamto syngo MR 2004V 4VB11A M1 218/1983, M, 19Y R 2004V 4VB11A c8L_se_135,11/13/2003 3 22 PM CURRENT HFS CURRENT HFS Ww csi_se_135- 12_trm_tra_derk-fluid EYE_12_30 5.0 +LFH csi_ze_30,11/13/2003 3:32 PM 01isvs_se_30€pcctrum Ww cal se 30 .- > Spectro1.Retinage .. > Spectrot Spectrumn.1 sus_se_30,11 ./1 3/2003 3:37 PMX ¥ 0002134217 2 00021342100 Ww 8v8_80_30 STUDY 1 STUDY 1 11.M 3/2003 11/13/2003 3.5 8v8_80_30,11/13/2003 3:43 PMX 3.0 Ww svs_se_30 R 2.5- rda 151 2 IMA 1 MR Basic Reading SP H40.4 0.5 SL 30 TR 190O FOY 230-230 0.0 TE 30 NA 128 4D 3.5 25 2.0 S 10 0.5 TA 03:18 Chemiod shift [ppm] VOX AP LR FH Mr201_21/150 VOX AP LR FH POS A17 L16 H42 SIZE 20 20 20 SIZE 20 20 20 Reference image Spectrum SVS HAR MR_Spectro_Head_Av_Demyelin_CSI.SVS Raciologie Uni Tuebingen MR_Spectro_Head_Av_Demyelin_CSI-SVS Radoksis Cri Tuslingen 485034 Ref: RAARKSP 485034 Rel.: RAGRKSP "12/8/1983, M, 19Y Avarto Avendo syngo MR 2004Y AVEIA 5XTOO M.FR. 2004V 49011A Findings Navigator CURRENT CURRENT 12 tse vou ret 448 Nisme Source Istest -- > Spectro1.Rotinage.2 -> Spectrol Reflmece 3 2.0002134217 2 000213:217 STUDY 1 STUDY 1 11M 3/2003 11/13/2003 AR 1 cm A 1.61 4 IMA 1 MRIS MA 1 I.PR THICK SP A10.3 TR 4000 SL 30 MPR THC TR 4210 SL 3.0 TE 104 Foy 230-230 FOY 220-220 NAS Cor Tra(-7)>Sas(-5) TE 102 NA 2 -ecr(3)-Tra(-3) Mise201_13/150 VOX AP LR FH SIZE 20 20 20 IsCR201_15/150 VOX AP UR FH SIZE 20 20 20 4:07 PM Reference image Reference image SIEMENS www.usa.siemens.com/healthcare Page 3 of 13 c. Workflow Step Configuration  Workflow step configuration can be invoked by selecting the wrench  In configuration, the user can set the startup mode to routine mode for general user or advanced mode for the more experienced user  The user can set the protocol and layout for the spectro workflow  Note: After configuring settings, restart the workflow to apply the settings MR Spectro AH 1.03 10.05 % 1.64 11.33 % Spectro_Head Av_ e Uri Tuebingen MR Spectro Analysis Invoke the workflow step configuration Ret.: RA4RKSP 3/1983. M. 19Y Averto byngo MR 2004Y 4VB11A CEL_80_135,11/13/2003 3:22 PMX CURRENT CURRENT HES CEL_80_135* t2_thm_fre_dik-fluid (O_09_135) 45- -LPH csi_ze_30,11/13/2003 3: 32 PM lalost latestcai_se 135/Spectrum Ww col_80_30 -- > Spectral Rep # 0002134217 Workflow Step Configuration svs_e_30,11.X 3:0003 3:37 PM STUDY 1 Display the fit curve 11M3/2003 Startup Mode Calculation sve_09_30/11/1 3/2003 343 FM Ww 3vs_e_30 Routine Mode Individual Fit Curves Advanced Mode Routine mode will hide some advanced SP H47.6 3. 10 Defaults settings in the spectro workflow Tra MR Basic Reading NFR THO Workflow MR Spectra TR 9000 TE 109 NA 1 Protocol Selection Method Set protocol and layout during Automatic Selection VOX AP UR FH 512d1_21/50 User Defined the workflow assignment. POS A19 LB H39 SIZE 10 10 10 SYS Siemens\1 .5T\1H\sys_se_135 Browse. Voxel 137 CSI Siemens\1.5TH\si_se_135 Browse .. AH MR Spectro H 485034 CSI-SVSIA) Reciologie Uri Tuebingen *12/8/1933, M. 1 SVS Layout Deraults CSI Layout Deraults Ref.: RA4RKSP Averto CURRENT syngo MR 2004Y 4VB11A Findings Navigator t2 tse_cor_Sur Single 2x2 Single SVS Single 2x2 Single CSI H25 Name Value Surce .. i -> Spoctro1 Re Compare 2×3 Compare SYS Compare 2×3 Compare CSI 4 000213421 7 STUDY 1 11/3/2003 In order to apply changes please restart the workflow. 3:06:47 PM Ww. Restart the workflow after changing. OK Cancel 1cm CST FI SP 145 6 COP SP A13.0 O SL 10 Tro .... j ... Tra NRI 4 IMA 1 MFR THO SP LB.2 MPR THICK SP H37.1 SP A225 TR 9000 SL 30 TR 4000 SL 30 SL 3.0 TE 109 FoV 230/230 TE 104 FOV 230'461 TR 4210 TE 102 FOY 2201440 NA 1 TrasCor(S) NA 3 or>>Tra(6) N4 2 1201_21.7 50 VOX AP UR FH VOX AP LR FH 9R201_15/150 YOX AP LR FH SIZE 10 10 10 X 4:06 PM SIZE 10 10 10 SITE 10 10 10 Yoxal 137 Paxel 137 Voxel 137 SIEMENS www.usa.siemens.com/healthcare Page 4 of 13 d. Function of Corner Menu  Corner menu of the spectrum segment INAAICH1) KCho)Cr1) 1.83 164 10.65 % 11.38 % Adjust Range & Scale: MR_Spectro Head Av Uni Tuebingen Range: adjust the display range of the x-axis 485034 Ref: RAARICSP Scale: adjust the display range of the y-axis "12/8/1 983, M, 19Y Avarto syngo MR 2004V 4VB11A CURRENT IFS Full: Display the complete range of the x-axis cti_de_135945 WLPH latest/csl_se 21,35/Spectrum Automatic: resize the scale include the minimum and .. >Spectro1 .Spectrum.1 Cho # 00021 34295 t 2.41 maximum value in y-axis. STUDY 1 0.30 11/1 3/2003 Reset: All the range and scale reset to the default. -0.25 31.47 R 0.20 0.15 0.10 Check Spectral Quality User also can use left mouse to determine the range 0.05 Individual Fit Curves and scale of spectrum 0.00 TR 1500 -0.05 Manual Phasing TE 135 NA 4 4.0 35 3.0 25 Curve Display Options T.A 07:12 Range 0.5 4.3 ppm Full Chemical HE1.4 ¢ 4 Adjust Range & Scale Scale 0.05 1.87 Automatic MR Presets Reset Voxel 13 Adjust the range and scale in the spectrum segment KNAAWCF1) 1.83 10.65 % 1.64 11.38% Display Options: Spectrum MR Spectro Head Av Je Uni Tusbinigan Curves Peak Information Metabolites 485034 Ret : RAARICSP "12/8/1 983. M. 19Y Avarto CURRENT 127 syngo MR 2004V 4VB11A Signal Name NAA HFS cti_se_1391.45 LPH latest/csi_sg -135/Spectrum v Fit Integral Cri Cho .. > Spectro1 Spectrum.1 # 0002134295 241 Baseline Width O Cr2 STUDY 1 0.30 Subtract Baseline 11/13/2003 Scale Factor 0.25 R 0.20 Position 0.15 0.10 Check Spectral Quality 0.05 1Show Individual Fit Curves OK Reset Cancel 0.00 TR 1500 -0.05 Manual Phasing Mª TE 135 NA 4 40 35 3.0 25 Curve Display Options TA 07:12 Chertical th HE1.4 ¢ 4 E Integral Adjust Range & Scale Curve display option: Voxel 137 MR Presets Curve: determine which curves to display, measurement signal, fit and baseline or subtract baseline. Peak: determine which peak information to display, no more than three information can be display. Metabolites: determine which metabolites the peak information should be displayed. SIEMENS www.usa.siemens.com/healthcare Page 5 of 13 Manual Phasing Zero Phase -10.02 009 Delay Time at Start +1 OK Reset Cancel Manual phase: Zero phase: adjust by degree Delay Time at Start: adjust by time It is recommended to input the value to adjust the phase Manual phasing adjustment INAAWCHI) 1.83 10.65 % x'Choworl) Show Individual Fit Curve MR_Spectro Head Uni Tuebingen Metabolites 485034 Ref : RAARKSP "12/08/1983.M. 19Y Avarto 2004Y 4VDI1A CURRENT 227 HFS NAA csi_se_139.45- .LSH Cr1 latest/csi Spectrol'S Cho # 000213499 Cho Cr2 STUDY 1 0.30 11/1 3/2003 0.25 R Rest Part Check Spectral Quality 0.10 0.05 Show Individual Fit Curves TR 1500 -0.05 Manual Phasing TE 135 OK Cancel NA 3.5 3 25 28 Curve Display Options TA 07:12 vertical shirt [ppm) HE1-4 C t Irtegral Adjust Range & Scale Only select the show individual fit curve in Voxel 137 MR Presets the configuration can display the icon here Display the fit curves of individual metabolites in the spectrum Check Spectral Quality MR_Spectre_Head Av Je Uni Tuebingen Quality Check Condition Ref: RAARKSP Quality Check Condition "126/983.M. Avanto MI1A CURRENT 127 Residual(Lipids_vs_Fit)<15&&Residual(Lipids_vs_Noise)<3008&J(C(2)<2"((NAA)+I(C GH_se_13:0.45 Examples >> ctrot Spectr # 00021 2.41 Mark Saturated Voxels as Low Quality STUDY 1 020 11.413/0000 10.25 OK Apply Reset Cancel 0.15 0.10 Check Spectral Quality 0.05 Iston Individual Fe Curves 10.00 TR 1500 0.05 Manual Phasing TE 135 NA 4 35 25 Curve Display Options TA OP.12 Chemical thet boom! OC HE14 €_4 I Integral Adjust Range & Scale Voxel 137 MR Presets Software performs the quality check and marks the low quality voxels. SIEMENS www.usa.siemens.com/healthcare Page 6 of 13 Define Revolt Table Defre Result Table Defined values Define new value 0.40 OK Cancel 15 10 05 VOM AP LA PH Invoke the define result table on the upper right Define the result table:  Define the new result values: use formula to define new result values  Delete the existing result: delete unnecessary formula  Reorder the result value: move the formula up or down MA_Sp-retro_Head Av Curve type for spectrum display: Complex Real Part Imaginary Part Magnitude Phase VM Phase Magnitude Imaginary Part VOX AP LA PH Real Part HO Complex Align Images To Voxel Hide Voxel Uni Tuebingen Ref: RAARMSP MR_Spectro_Head_A WO.ES.SYS Radiologie Une Tuebingen Red: RAGRISP Show Residual #1500 MR 2004V SVBSIA No result table Hide Result Table CURRENCY 33 # 00021 349 100021343 STUDY 1 0:30 STUDY ! 11/13/2000 11.01 3:3003 40 35 30 25 20 15 10 Chemical sheet [pomg 0.10 0.05 Residual curve 0.00 TR 1500 -0.05 TE 195 TR 1500 TE 135 60000000000 TA 07.12 OC VOR AP LE TH NA 4 POS A19 LS 109 TA OR 35 OC 25 20 OSHOK AP UR FH POS ATe LE HO E irtegral SIZE 10 10 Vowel 1 37 Vouel 137 Upper left corner: Align images to voxel: to realign the images to display the selected voxel. Hide voxel: to show or hide a voxel in an image or in a metabolite image segment. Show Residual: To show or hide the residual curve in the spectrum segment, which is the deviation between signal and fit. Hide Result Table: To show or hide the result table. SIEMENS www.usa.siemens.com/healthcare Page 7 of 13  Corner menu of the reference image segment Hide Spectral Map Fidolonge Uni Tuebingen Hide Spectral Map: show or hide the spectral map Show Selected Voxel Only on the reference image. Show Hide. Fit To Field of Vitw Show Quality Marker Zoom/Pan Show Selected Voxel Only Windowing F Show/Hide: Show or hide the Voxel/VOICSI Scroll 112 MA 1 matrix grid Runges Tools TE 109 Fit to Field of View: Auto adjusts the image. KAT VOR AP LE TH 52X 19 19 10 Youll 1 37 MR_Spectro Head Av Demyelin_CSI-SYS Radiologie Uni Tuebingen CURRENT Check Spectral Quality Curve Display Options Adjust Range & Scale 11436003 Check Spectral Quality Above parameters are the same with comer menu Curve Display Options on spectrum segment. Adjust Range & Scale !! WOR THO AutoWWindowing MR Color LUT MR Presets * Vouell 1 37 Home Windowing SIEMENS www.usa.siemens.com/healthcare Page 8 of 13  Corner menu of the metabolite image segment AH Define Metabolite Image Define Metabolite Image ? X Distance Line Value 455004 ROI Cercle CURRENT Poel Lens DelayTimeAtStart Frequency Marker Integral Noise Arow Phare Residual OK Delete Cancel VOI Freehand Scalefactor SNR Angle Define the metabolite image: Use the formula to define the metabolite image, and the content of metabolite display as color map. VOR AP UR FH AH Intensity Range 1.31 5.13 Absolute 454034 & Automatic Absolute Percentage Transparency 50 % REPENT Check Spectral Quality Metabolite Image Color Interpolation on/off: LUI. Interpolation On/Off" Adjust Range & Transparency: adjust the intensity Aduit Range & range from "absolute" to "percentage" and change Transparency the values. Also user can change the transparency AutoWindowing of the metabolite color maps. MR Color LUT MR Presets Vowel 1 37 Home Windowing SIEMENS www.usa.siemens.com/healthcare Page 9 of 13 e. Compare result  Select the series which need to be compared in the spectro list  Click the compare icon, the software will switch the layout to display the spectrum and the metabolite image MR Spectro AH I(NAA)/(Cr1) 1.83 I(Cho)/(Cr1) 1.64 AH MR_Spectro_Head_Av_Demyelin_CSI+SVSRadiologie U ... MR_Spe MR_Spectro_Head_Av Demyelin_CSI+SVS Radiologie Uni ... 485034 Ref.: RA4RKSP 485034 485034 I(NAA) Ref.: RA4RKSP MR Spectro Analysis *12/8/1983, M, 19Y Avanto syngo MR 2004V 4VB11A *12/8/1 983, M, 19Y Avanto syngo MR 2004V 4VB11A *12/8/1983, M, 19Y syngo MR 2004V 4VB11A csi_se_135,11/1 3/2003 3:22 PM CURRENT HFS CURRENT t2_tirm_tra_dark-fluid csi_se_135 2.7 CURRENT HFS +LP t2_tirm_tra_dark-fluid csi_se_135* latest 0,45 -1 latest/csi_se_135/Spectrum latest csi_se_30,11/13/2003 3:32 PM -- > Spectro1 .Reflmage.1 -- > Spectro1 .Spectrum.1 Spectro1 .Metabolitelmage.1 csi_se_30 # 0002134217 # 0002134217 Cho # 0002134217 svs_se_30,11/13/2003 3:37 PM STUDY 1 STUDY13 1: 2.41 STUDY Ww svs_se_30 11/13/2003 11/13/2003 Cr1 11/13/2003 svs_se_30,11/13/2003 3:43 PM 3:00:54 PM 3:22:37 PM [: 1.47 3:00:54 PM ₹25 Iw svs_se_30 R ALILALALALALALAL R =20 .22 6.15 0,10 2.27 CSI SP H47.6 0,05 SP H47.6 SL 10 0.00 SL 10 MR Basic Reading Tra MRI 2 IMA 1 SP H37.1 -0.05 Tra31 MRI 2 IMA 1 MPR THICK TR 9000 TR 1500 MPR THICK SP H37.1 SL 3.0 TR 9000 TE 109 FoV 230*349 TE 135 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 Tra>Cor(-6) TE 109 FoV 230*339 NA 1 NA 4 Chemical shift [ppm] Tra>Cor(-6) TA 07:12 VOX AP LR FH NA 1 *tir2d1_21/150 VOX AP LR FH HE1-4_c_4 : Integral POS A19 L6 H39 *tir2d1_21/150 VOX AP LR FH SIZE 10 10 10 csi_se/90 SIZE 10 10 10 SIZE 10 10 10 Voxel 137 Voxel 137 Voxel 137 AH I(NAA)/(Cr1) 3.43 6.41 % ................................. I(Cho)/(Cr1) AH MR_Spe( I(mins) /(Cr1) 151 7.25 % MR_Spectro_Head_Av_Demyelin_CSI+SVSRadiologie U ... 10.03 % MR_Spectro_Head_Av_Demyelin_CSI+SVS Radiologie Uni. 485034 Ref.: RA4RKSP 485034 485034 [(NAA) Ref.: RA4RKSP *12/8/1 983, M, 19Y Avanto Avanto Avanto syngo MR 2004V 4VB11A *12/8/1983, M, 19Y syngo MR 2004V 4VB11A *12/8/1 983, M, 19Y syngo MR 2004V 4VB11A CURRENT HFS CURRENT HFS CURRENT HFS Findings Navigator t2_tirm_tra_dark-fluid csi_se_30 +LPH t2_tirm_tra_dark-fluid ............. . . . . . . . .. ....... latest latest/csi_se_30/Spectrum latest Name Value Source -- > Spectro2.Reflmage.1 -- > Spectro2.Spectrum.1 Spectro2.Metabolitelmage.1 # 0002134217 # 00021-34217 NAA 12.36 # 0002134217 STUDY 1 STUDY 1 STUDY 11 11/1 3/2003 11/1 3/2003 11/1 3/2003 3:00:54 PM ALALALALALALALAL Cr1 1: 3.6 3:00:54 PM R R 1 .56 Real Partos mins 5cm 0.6 1: 5.44 8.72 CSI SP H47.6 04 - SP H47.6 F SL 15 MRI 2 IMA 1 SL 15 MRI 2 IMA 1 MPR THICK SP H37.1 0.2 Tra MPR THICK SP H37.1 C TR 9000 SL 3.0 TR 1500 TE 109 FoV 230*349 TE 30 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 TR 9000 FoV 230*339 Tra>Cor(-6) NA 4 TE 109 TA 07:12 Chemical shift [ppm] Tra>Cor(-6) VOX AP LR FH NA 1 .................................................................. *tir 2d1_21/150 VOX AP LR FH HE1-4_c_4 4_c_4 : Integral POS A19 L6 H39 SIZE 10 10 15 *tir 2d1_21/1 50 VOX AP LR FH SIZE 10 10 15 csi_se/90 4:16 PM SIZE 10 10 15 Voxel 137 Voxel 137 Voxel 137 f. Spectral List MR Spectro MR Spectro Analysis csi_se_135,11/13/2003 3:22 PM Series name, Exam date and time csi_se_135* Processing protocol + csi_se_30.11/13/2003 3:32 PM csi se 30 svs_se_30,11/13/2003 3:37 PM Icon indicate the processing has Ww Svs_se_30 successfully finished Siemens default protocol < svs_se_30,11/13/2003 3:43 PM la vs_se_30 88 MR Basic Reading Icons of Spectro list SIEMENS www.usa.siemens.com/healthcare Page 10 of 13 MR Spectro Right mouse click on the series: Select protocol: change the protocol MR Spectro Analysis Edit protocol: change parameter setting csi_se_135,11/13/2003 3:22 PM csi_se_135" Select Protocol ... csi_se_30,11/13/2003 3:32 PM Edit Protocol ... Save protocol: save the protocol as customer Ww csi_se_30 svs_se_30,11/13/2003 3:37 PM Ww svs_se_30 Save Protocol protocol svs_se_30,11/13/2003 3:43 PM Save Protocol As ... Save protocol as: save the protocol as a rename Ww Svs_se_30 Delete customer protocol 1-88 Lida Delete: delete the series in spectral list MR Basic Reading g. Select protocol  User can select the protocol by protocol name, system, nucleus, sequence, purpose, or TE Select Protocol ? Show W Siemens In vivo i Customer View Details Phantom Systems Protocols Metabolite Templates Model Signal Files 1.5 T 1H Protocol System Nucleus Sequence Purpose TE [ms] L csi se 135 1.5 T 1H csi_se In vivo 125-145 We csi_se_270 1.5 T TH In vivo 260-280 Lu csi_se_30 1H csi se In vivo 20-40 csi_se_pediatric_135 1.5 T TH csi se 125-145 csi_se_pediatric 30 1.5 T 1H csi se In vivo 20-40 W csi_st_135 1.5 T 1H csi_st In vivo 125-145 w csi st 20 1.5 T 1H csi st In vivo 20-40 lu csi st 270 1.5 T 1H csi_st In vivo 260-280 w csi3d_se_135 1.5 T 1H csi se In vivo 125-145 Lu csi3d_se 270 1.5 T 1H csi se In vivo 260-280 Le csi3d_se 30 1.5 T 1H csi se In vivo 20-40 Lu csi3d_se_pediatric_135 1.5 T 1H csi se In vivo 125-145 Le csi3d_se_pediatric_30 1.5 T 1H csi se In vivo 20-40 Le csi3d_se_prostate 1.5 T 1H csi se In vivo 116-124 lu qa_csi_se_135 1.5 T 1H csi se Phantom 60-200 we ga csi se 270 1.5 T TH csi se Phantom 200-1000 Select Cancel SIEMENS www.usa.siemens.com/healthcare Page 11 of 13 h. Edit protocol  Properties Protocol Editor = Protocol name cal_se_135 Properties Prior Knowledge Post Processing Change the properties: System type 1ST System type Nucleus Sequence name ci_se Sequence name Purpose Invia Purpose TE range TE range 125 TM range TMrange 0 Frequency origin Frequency origin 47 ppen OK Cancel  Prior Knowledge o In this tab, user can add/delete metabolite and can adjust the parameters of metabolite Protocol Editor - csi se 135 Protocol name cal_14_136 Properties Prior Knowledge Post Processing Prior Knowledge display Prisboite War the parameter which are used to fitting processing & HAA Line shape Civilian - Use for match algorithm Metabolite list > Cho Tolerance Common Parameters - Parameterization with model signal Common parameters Extra Parameters Model Signal File SiemensM.5 TMHWWater_e_135 Spectral fiber Extra parameters Note: This metabolte is used for reference processing. ok Cancel SIEMENS www.usa.siemens.com/healthcare Page 12 of 13  Post Processing o This tab defines the different post-processing steps and their parameters Protocol Editor - csi se 135 Protocol name csi_se_1365 Properties Prior Knowledge Post Processing ROI calculation ROI Calculation Pre-processing POI Calviacon . Insiche VO Processing before fitting 70 Pre-Processing Filtering All waxtls Prior knowledge adaption Prior Knowledge Adaptation Min. Signal to Noise Ratio Reference processing Reference Processing Fitting - Fitting Normalization Baseline Final signal processing Final Signal Processing Filtering Advanced protocol setting Zero-Filing Spectrum Calculation OK Cancel SIEMENS www.usa.siemens.com/healthcare Page 13 of 13