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syngo.via VB30 MR Cardiac Function: LV Analysis e-Clip

Introduction | Manual Cardiac I Layout Overview | Automatic Segmentation | Review Segmentation | Additional Series | Guidance – Set Landmarks | Guidance – Refine Contours | Reporting LV.

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Ret: Congress Heatthineers• Report for MR Cardiac _ Analysis (1/1/1925) Heatthineers Heatthine«s 81 Years Cardiac LVAnalysis 660 _Analysis_Av_Flow 40 MR Cardiac _Analysis Save As Avanto Cardiac Analysis _ Av MR_Cardiac_Anaiysis MR Cardiac Peafusion MR Caroac Analysis Av Flow V Analysis MR Cardiac Functsion Findings details Findings Navigator V Findings Navigator s details MR_Cardiac_Anatysis_Av Flow Flow • F 1/1925 F cuRRENtw Age: 81 Years STUDY 7/28/2006 STUDY • Siemens • MAC • 1/1/1925 F Siernens_MAC • 1/1/1925 F Siemens MAC • Siemens MAC C) • 1/1/1925 MAC • 1/1/1925 F MR_Cardiac_Analysis_Av_Flow MR Cardiac _ Analys Av Flow MR_Cardiac_AnaIysis_Av_FIow MR_Cardiac_AnaIysis_Av Flow _Analysis_Av_Flow • B13 Full case Casc Case • 1/1/1925 F B13 Fuu_case • 1/1/1925 F B13 Fun • B13 1/1/1925 F B13 Full 1/1/1925 F B13 1/1/1925F B13 Full case 1/1/1925 F B13_Full_ 1/1/1925 F B13 un_case F B13_Full_ B13 • B13 Full case at3 Full case _Case 75-100 Findings Navigator Findings details Findings Navigator V 66.92914 Inches [311 263 3.41 C Desktop RNP Contours set Landmnarks case, Series server Series: • 1/1/1925 F B13_Full_ 1/1/1925 F 1/1/1925 F Siernens_MAC 1/1925, F, Avant Siemens MAC MAC 1/1/1925 Siemens MAC MR Cardiac Analysis MR cardiac Readsing MR Cardiac PeaTusion MR Cardiac Function MR Cardiac Reading MR Cardiac _Analysis_ Thickening Analysis MR Cardiac Analysisn MR Cardiac Readsing MR cardiac Perrusion MR Cardiac Perfusion MR Cardiac Functsion CURRENT Full Case patient patient Name: MR MR. Cardiac MR_Cardiac RV Analysis Analysis LV Analysis * 1/1/1925 Siemens MAC Export Result Images All Ret.: Congress Refine Contours Ref.: Congress Retine Contours 1/1/1925 F B13 Full case case : B13 Full case SP,H46.1 Cine _ Segme nted 50-75% 10: 5245 AM cm HPR Set LanarnarKs MR Cardiac Analysis_ MR_Cardiac _Anatysis_ MR Cardiac Readsing MR Cardiac Analysis MR Cardiac Function MR Cardiac Analysisn MR Cardiac _Analysis_ MR_Cardiac _Anatysis Thickening Analysis RHP Ret Ret: Congress Net Redo Congress Ret Net MR. O ED and ES All ED and ES Renne Contours MR_Cardiac MR_Cardi New folder .10 MR_Cardi Analysis 15 81 Years Analysis MR_Cardia LVWss 124.01 g 57.9 25-50% C, C) MR_Card Cardiac Perfusion MR_c MR Cardiac Readusiong MR Cardiac Reading MR Cardiac Readinl MR Cardiac Readiong MR Cardiac Peafusiong MR Cardiac Readsiong MR cardiac Readiong ca Ref.: Congress - Ref.: Congress MR_Cardi Ref.: Congress C ongress U ongress H LA MR Cardiac aAnalysis_ Cardiac •nalysis_ MR_Cardiac Anamysts MR Cardiac Analysis_Av MR Cardiac Analysis _ MR Cardiac . Analysis _ MR Cardiac 'Analysis _ MR_ Cardiac .Analysis_ MR_Cardiac Analy51S MR Cardiac Aealysis 351 ongress Congress eongress MR Cardiac Function MR Cardiac Perfusion MR Caroiac Analysis MR Cardiac Analinis MR 813 Check & Change Contours Step 1 of 2 MR Cardio Report AM •zoom F. F, HLA H LA MR_C is _Av_Flow MR_C is _AV_Flow MR_C _Flow MR_C Cardiac='Analvsis _ Cardiac _ Analysis Cardiac 'Analysis _ Av Flow MR_C _AnaIysis_ Cardiac_Analysis Cardiac Cardiac=Analysis _ Cardiac_Analvsis_ Cardiac ,Analvsis_ Av Flow UD Short-axis only H LA zoom H LA •J None CD None (JD None •1 cm MR •D None None Mode H LA @ All alysis Patient Name: MR TT 836.0 Export Result Images Export Result Images All Base Plane Blood Pool All Step 2 of 6 Step 4 of S Step 6 of S Step 2 of S Height: MR Cardiac_AnaIysis HLA HLA TT 304.0 CURRENT CURRENT. f Full STUDY 7/28/2006 MR_C o MR_C . I Height Inches HLA M R 100 MR Cardiac Functsion MR Cardiac Functilon MR Cardiac PerfTusion MR cardiac Perrusion MR cardiac PerrTusion MR cardiac Per-Tusion MR Cardiac Fenctsion 813 case a 13 _Full case Full case nto: 813 case 813 case a13'_Full case Full case Check & Change Contours alysis Cardiac CURRENt Avanto : MR Cardiac Reading F, MR Cardiac Readsing Fa•.uites se_0 MR. MR cardi _se_ot gSA Normalized Values _ se_01 Irdlac Reading MR Cardiac Analysis MR Cardiac Analysisn MR cardiac Perrusion Heart Rate: 63 MP 313 'Ref.: Congress case adlng Thickening Analysis MR_ Cardiac Analysisn MR_ Cardiac Analysis_ p2 F. ongress . 1/1925. F F. 263 F. syngo MR syngo MR 813 MR_C MR 813 813 syngo MR MR_C MR 8 MR 8134VB 92 Select endo or contour icon to define which contour you want • 81 Y F. syngo El 3 to MR_Cardiac Analysis LV Analysis RV Analysis MR Cardiac Analysis_ RV Analysis MR Cardiac •Analysis _ MR Cardiac Analini Height: Height 1629966 Lbs MR A MR_Cardiac_Analysis MR Cardiac AnalVSlS MR_Cardiac_Analysis_ Cardiac Anilysis_Av_ MR_Cardi c A Cardiac Analysis_Av_ MR_Cardi MR_Catdi MR_Cardiac Analysis A alysis •D ED and ES O ED and ES @ ED and ES and ES Cardiac •1/1/1925, F. Cardiac C ED and ES MR Cardiac Reading MR Cardiac Peafusion MR Cardiac Aealinl MR Cardiac Perrusion MR Cardiac Perfusion MR Cardiac Readsing MR Cardiac Perfuion MR Cardiac Readusiong These landmarks define the base of the ventricle based Check and correct landmark on ED and ES according to This landmark is used to correct the segtnentation in case This step can if thickening is not relevant for 813 Cine_Sæ merited _ Cine_Segroented Cine_Segroented_ merited _ a 3 Full Cine_Segmente SA_OI Cine _ s enled_S SA SA_OI [31] 01 TR 39.8 Age: MR Cardi MR Cardiac Congress Congress . to adapt. Cine_s Age: B 3 Full MR_Cardi lysis 81 Years cardiac AnilYSiS_AV Analysis MR A MR cardiac Cardiac A MR Cardiac Function MR Cardiac Functsion MR Cardiac Fuactsion MR Cardiac _ Analysis MR Cardiac _Analysis ongress F. MR A sis System Folder cardiac A Cardiac Add 712812006 1311 31 [311 ented Cardiac _ Analysis_Av 31 13181 [321 [311 1311 Flow MR_Cardiac_Analysis_Av Flow 11 MRCardiac _Anålysis MR Cardiac Analysis Cardiac_Anålysis Cardiac MR_Card Create RV Findings Create LV Findings Create System V Findings Create RV Findings MR_Cardiac A lysis Check & Flow Apical Extent AM AV Flow Refine Contours MR MR. 7/28.'2006 MN MR. 7/28.'2D06 MR, 7/28/2006 MR 7/28.'2006 MR 7/28/2006 MR 7/28.0006 MN 7/28.02006 MN 7/28.'2006 MN 7/28/2006 MR 7/28/'2006 MR 7/28.2006 MN 7/28.12006 Ref.: Congress Ref.. Congress Congress Select endo or epi contour icon to define which contour you want irdiac Function F, 81M this study. the wrong structure has been segmented RVb guidance images. on wailable LAX views. on available LAX views. Check and landmark on ED and ES according to 000 RV Analysis MR Cardio Report 'Zoom 3.10 Ref.: Congress Ref.: Congress Refine Contours Congress • Congress : Congress 10 Full Case F. 81 81 OSI 325, F. g25, F. Full case F, 81Y Avanto Avanta Heart Rate. Heart Rate beats,'rnin beats]min beats.,'rnin Avyn2 CURRENT Ref Congress Ref: Congress Ref.: Congr Ref: Congr 20 702 Hean Av Case Heart Av Case 63 60 a cas-ef F, Hean Av Full Case Heanl Av Full Case *earl Av Full Case Av Full Case 100 ongress TE •1.1 TE 1.1 •ongr 7/28/2006' Downloads '111/1925. F. O None . F. F. F' (j None CD None None 925, F, 81M g25, F. 81M *1/111 925, F. guidance images. 925. F. 81Y 025, F. F. 81Y g25, F, 81 F, F. F, 81 100 1.00 MR Cardiac Function MR cardiac Perrusion MR Cardiac Perfusion MR Cardiac Analysis_ MR Cardiac Functsion MR Cardiac Analysis MR Cardiac PerTusion MR C ardiac Analysisn 35 11 31 31 IMAI 31 IMAI3 01 [31] 351 10 30 31 Avant" STuOY 7nan006 E 3 Full qone S rUOY 7/2af2006 STUDY 7'2a,'2006 STUDY 7nan006 STUDY MR. 7/28/2006 sruoy 7'2a'200s STUDY 7/28/2006 STUDY 7na,'2006 STUDY 7r28noos STUDY 7/28.0006 STUDY 7'2an006 STuOY 7/28/2006 STUDY 7'2a/2006 Cine Se STUDY 7 en006 STUDY 7/28/2006 STUDY 7/2812006 STUDY 7/28.0006 STUDY 7/202006 MR. 7/28/2006 MR Cardiac Perfuion IMA9 Overview Height: CURRENT' STUDY Avanto Ava n to F. 31 IMA2 11/1925. +1/1/1925. F, 81Y 7/28/2006 40 90 50 MR Flow Quantification MR Cardiac Readusiong MR Cardiac Aealysis_ MR Cardiac Readiong Please note that the learning material is for training purposes only! Avanto Height ( avg:63: 63 ) min:60, avg:63: 63 ) min:60, 63 ) min:60, med 63 ) avg:63: 63 ) 66.92914 Inches Slice position of apex at ED and ES be different due Check,'Refine the RV insertion landmark at ED phase. CheckJRefine the RV landmark at ED phase. Slice position of apex at ED and ES might be different due Cine_Segmen CURRENT Cine_se CURRENT CURRENT"Ö CURRENT••• CURRENT" Add Add study Inches Findings Navigator 31 IMAI STUDY 175 MR. MRI 7<282006 MRI 7/28/2006 LV Analysis An atysis TA07.08 SC son O I) Check if the current LV contours encompass the LV. CURRENT • CURRENT MR. 7/28/2006 STUDY 7/28/2006 7/28/2006 7/2812006 MR. 7/28.'2006 7128/2006 MR, 7/28/2006 "/28/2006 MR Cardiac Analysisn MR Cardiac Function MR Cardiac Perfusion MR cardiac PerTusion Analysis RV Analysis Line_se ented Computer Network 7n'2en006F 1/1925. F, 1/1925. F, 81M F. 660 so Recent Places Cine 4-chamoernates Cine 4-chamber/latest syngo MR 313 syngo MR 813 Join 1/1925. F. syngo MR F, syngo MR 7/28/2006' MR Cardiac Functsion MR Cardiac Analysis _ MR Cardiac _ Analysis syngo MR to through-plane motion. MR Cardiac Analysis Absolute Values 7/28/2006 361 Cine S 1.9 : MIR. Reset Normal r m Manual tm Manual m Manual Manual Select rm tm HFS Slice position Of apex at ED and ES rWght be different due 276 HFS 702 MR Cardiac Readsing MR Cardiac Reading 7128/2006 RHP 7/28/2006 Heart Av Full Case Heart Av Full case Headt Av Full Case Healt Av Full Case Heant Av Full Case Heart Av case Av Full case 52 1 cr 5245 AM e rite a Functional Manual SA Fov Cine_Segmente _SA_OI MR Cardiac Reading MR Cardiac Analysis_ MR Cardiac Peafusion Cine se System Folder 702 10 100 % 175 Hide Mode Check and correct landmarks on ED and ES on standard 53 15 TT 836.0 ARH ARA TT 304.0 24" AM p2 WRETRO/DlS2D p2 WRETRO/DlS2 J' Hide Renne Refine Segmentation Renne Segmentation Renine Segmentation Segmentation Manual Cine_Se ented_SA ented_ ARA to through$ane motion. Hear MR Cardiac Function Check contours in EO and ES for every SAX slice. Check MR Cardiac Perfusion 31 31 15 31 23 31 17 31 12 31 31 IMAg 31 IMA9 31 1 Cine_Segme ed _ STUDY to adapt. Height: 7/28/2006 zoom zoom 5 02 zoom zoom a 10 Zoom 3 ID zoom 287 zoom a zoom a ID LA 10:51 35 LAX views (2ch. 4ch) according to guidance irnages, Heart Full Thickening Analysis Weight: 162.9956 Lbs 162_9956 Lbs cjne_se Cine_Se Cine_se Congress Cine_se cjne_se 1351 MR. 7/28/2006 ED • DE [351 DE [351 DE overview_PSlR SA_OI [351 DE SA_OI [351 DE overview_PSlR SA 01 [351 DE 135] zoom Results 1 0:51 AM MR Cardiac Functsion Cine_Segme ed _ Cine _ Segme ed _ Cine Segmented_ Cine _ Segm 31 (ional Cine _ S Cine_s Cine _ Se Cines rite STUDY TT 8304.0 10 AM 18:41 AM 109•192 109' 192 109-192 1 og•lg2 3 10 LV Analysis RV Analysis LV Dynamic guidance MR Cardiac Function Li MRU 7/28/2006 STUDY 7/28/2006 STUDY TR 39.8 Cine_Se _ CineZSegmented_LA 01 30 create LV Findings Create LV Findings STUDY Cine _Sear"Ih- Cine_Segmented SA_OI 31 ID 52 u I D 5245 88 175 Create LV Findings 263 439 526 614 789 877 ms Reset 702 Create RV Findings 31 • 1321 Case Value 5624 MR Cardiac Perfusion MR Cardiac Reading MR Cardiac Fuactsion MR Cardiac Functilon 1) If refinements are needed start changng contours on the first For the proper use of the software or hardware, please always use the Operator Manual or Instructions 31 IMAI MR Cardiac Function Properties VB30 VB30_e-clips and WBT 1311 TT 0.0 TT 67320 7 1 7 IMAI CT MR Cardiac Functsion MR Cardiac Readsing 10:51 :33AM This landmark defines the base of the left ventricle in case Check contours in ED and ES for every SAX slice. DE [34] [324] [351 [241 [3241 TR 57 STUDY 7/28/2006 FOV Normal 31 IMAI Findin Details Libraries Heart Rate: 63 Heart Rate: STUDY 7/28/2006 MR, 7/28/2006 MR. 7/28/2006 beats!min DE 90 60 100 TE 1.1 ED Thickening Analysis 10:52:37 AM 1 0:51 Zoom 5 phase and check phase and check ilopagation. 10:52:37 AM Heart I Heart I 'ate: 63 beats/min zoom 287 RV Analysis TR 57.g only SAX orientation is loaded. 660 100 1311 131) [311 134] 31 1 Refine Segmentation Refine Segmnentation Tissue Characterization File folder 100 1 0:51 :33AM 31 IMAg3 61 IMA23 31 IMA23 31 IMAg 31 IMA9 15 SegmentÜn Manual e1 IMA23 SL SL 31 IMAO 10, 52:4ä AM SPA61.0 10 20 30 80 351 50 Analysis LV Analysis CD Long- axis and short- axis Q Short-axis only @ Short-axis only DE [32] [31] [34] 135] [33] [18] [331 C Short-axis only (JD Short-axis only SC 80 scao SIS O Long- axis and short- axis @ Long- axis and short- axis TA07.08 (J Short-axis only TR 31 31 IMA23 11 30 1.1 60 31 50-75% MR. 7/28/2006 7/28/2006 W AnalysiS for Use (hereinafter collectively "Operator Manual") issued by Siemens Healthineers. This material is to be Documents -ov Cine Segmented_LA LV EFI 56 % MRCVF uonfigurat•on PA61_o 20 23 90 60 80 20 60 31 60 702 8] 80 100 go to 100 1291... 1291. _ [291._ [241._ 1291„_ [291... 1291._ [291. _ 31 IMA23 31 IMA8 31 IMA93 LVEF 56.56 % 31 31 IMA8 11 €4 LV ES Volume LV ED Volume 99.56 ml AR H 276 Check contours in ED and ES for 70 ( max:66; min:60; avg:63: med 63 ) ( max:66; min:60; avg:63; med 63 ) ( max:66; min:60•, avg:63: med 63 ) 52 31 WIA 1 d years FOV FOV IMAgd 80 40 90 50 too % Quantification Cine_ Segmented Refine Segmentation Refine SegmentatiIon ( max.-66; min:60; avg:63; med 63 ) og•l Reset 10:52 AM 10±245 AM 660 351 Combines Combined RHP 31 : 11 TR MR TR 57 g TR 57 E TT 4 31 31 IMAgi p2 WRETRO/DlS2D 43 g 520 p2 WRETRO/DlS2D 702 80 90 877 Mode Zoom a 10 FDV276•340 Pen LV NORM ARH Zoom 3 10 Zoom 3 1 J Heart Av Full Case zoom SA_01 [32] sp_05 [31] • Tra(-2 TR57g 203 276 660 Music 31 10 33 30 RV An is TT Tia (-2 Col' gag" Co •gag" Cors _coosaqgsp .CoO .Cor zoom Cor-, ES Segmentation 175 439 528 702 077 877 • 12711281 1271281 12711281 4325 ml OE_ MOde Reset Resete ormal ormal Manual Normal Manual Export Results Refine Segmentation ARH 31 IMA24j 92s 702 31 3,10 3, 175 263 439 526 614 702 789 877 ms LV_AHAI used as training material only and shall by no means substitute the Operator Manual. Any material used 31 24' ms I Endo L V —AHA 1 D Zoom 3,10 Endo Epi Pen Circle Nudge Nudge Freeh Freen Freeh 953 Zoom 3,10 877 1 g2s MR Flow Quantifi-cation 579 zoom 579 578 5789 MOde Mode 175 ao zoom Flow Pictures 175 ARH 702 Cine_se Hide Cine [31] • [2511261 • [251261 SA DI [.31] 01 [31] • 01 [31] I [31] [31] I [31) [34] [33] [32] 1311 [251261 [2511261 s 8.0/2.0 SL 80/2.0 Name Cine_Se Reset Resete Value Source Normal ormal Source Manual 2) If frther changes are needed continue adapting contours first at 2) If further changes are needed continue adapting contours first at 2) If Kirther changes are needed continue adapting contours first at WRETRO WRE WRE SL 8.0120 SPAM o TT 3040 01 C: or-Sag(4 Hide 175 2635 351 TR5T.9 TT ARH 56.24* 5624* •643 ml 9623 ml AB 23m [351 TT 897 70 eo 00 100 Default Mode Cine_Segmented_SA_01 (311 TE 11 Refine Segmentation TT 294 4 Normal Rat ide Lin 'de Lin TT 00 Analysis is best illustrated on: MR cardiac Perrusion TA02A MO TR Hide p2 Mode Hide 109+192 TRS7 phase and check mropagation. Endo Endo Eoi Ento undo Pen Circle pen Circle Nudge Freeh Details LVEF LVEF 6675% 6675% LVEO LV EO Volume 9966 LV EO Volume 9956 ml ml • [241 [241 424.11 in this training will not be updated on a regular basis and does not necessarily reflect the latest version of Cine_s Videos ARH 88 Al O 526 520 702 Name Value 16 •1 cm 000 351 Volume 9966 Reset RV Analysis Analysis SL 802.0 sp_01 [311 sp 01 [311 sp_05 [31] u [311 [29], _ [29], [29]. [29]. . [24]._ MR Cardiac Function ED volume: Lv 56.56% LVEO volume 9966 Thickening Analysis MR Cardiac_Analysisn MR Cardiac_Analysis 1.00 e.' Mass SS MR Cardiac_AnaIysis MR Cardiac Analysis TR39. 90 Findinq Details LVMass 11985 g LVMass 11965 g LVMass 11986 g LVMass LVMass 11374 g 11374 g WES Volume 4325 ml WES Volume ES Volume: 4325 ml o. LV RV LV RV NORM LV NORM LV Thickening Tp H40 T p TT 809.6 p2 Freeh SL80,Q.o SL 8.0/2.0 80 40 20 TR398 TN 398 TR W Mass 11985 g Refine Segmentation A alysis Stud/ Date 1) If refine SL volume 50 60 C:or-S.gg 263 ARH 60 ARH TT 299.2 Free Please note: TE 1.1 SetLandmarKs Retine Contours Delete Delete Delete Delete Delete All Guidan_. Delete Al DeleteAII Guidan__ Delete All Guidance Delete Al Guidan__ Propag_ Delete All Delete All Propag_ Delete Guidan Delete All GuiCan_ Base uidan_. Propag„ Propag_ Prooag_ ELVES EDIE S EDIE g EDIES EDO Join Join sp H46.1 RV Analysis LV RV RVAnal RV Analrsis LV Analysis LV Analysis •Can.. p2 WRE sp_u2 [31] [28127] Epi Pen pen Join Circle Ciscle Nudge Adjust must 0 88 263 439 702 Endo p2 WRE 702 Perform the funetlonal analysis fully manually Av Flow Perform the functional analvsis with semi-automatic support MR Cardiac AnälVsis Av-_Flow 4211 the software and hardware available at the time of the training. LV EFI La Refine Contours Perform the functional analysis fully manually SPA21.O Perform the functional analysis With semi-automatic supporl efform the functional analysis With semi-automatic support Lv ED Plane TR 57.g 88 Refine Segmentation This workfiow step enables user to perform a tunctional analysis of the lett and ri nt ventricle. spA61.0 This landmark has no effect on contours. It is used 57 g (7 Normal Mode 60 Please note: 80 100 15 30 419 For optimal accuracy check/correct contours for all Cine_Segmented_SA_01 [31] @ Normal Mode RV Analysis A alysis lcm . 88 MR Flow Quantification MP. Flow Quantification MR Flnw Oliantifirat• MR TE 253 263 628 Refine segmentation utaam, TEI.I [341 57 g TE 1.00 File name: Normal Range (F) Redo Unit Endo Undo Analysis EDES 276 vs 263 Join SPA61.O Ref.: Ret.: Ref.. sp SL SC MR Replace Slices case MR TR for dividing the myocardium into AHA conformant 203 175 nto 263 439 614 Propagate Propag„, Existing contours below apex will be removed. phases. 80 RV ED ml 660 20 p2 WRE Ret.: Congress Ref. Congress Ret: Congress - Ret: Congress Ref.. Congress Congress Ref. Ret:. Congress Ref.: Congress Ret: Congress Congress aw 9300 sp_03 sp_03 1221[16] sp_03 [221116] sp_03 [221[16] Endo MR_Cardiac MR Cardiac MR Cardiac AnalVSlS MR_Cardiac MR_Cardiac .AnaIvsts_ MR_CardiacwAnaIysrs_ Cardiac MRCardiac Cardiac _ Analysis [351 Av Flow Flow Flow Analysis cuRRENtY- cuRRENtv- cuRRENtv cuRRENt•• cuRRENtw CURRENtw cuRRENtw- WEF WED Volume Tpa(f33) MR cardiac Perrusion MR Cardiac Perfusion MR Cardiac Perrusion MR cardiac Per-Tusion Refine Segmentation Segmentation Cine Segmented_ F. 81 Y 81 Y 81 Y pen MR Cardiac Analy.Sls 2.4 TT sectors. ED For optimal accuracy checkJcorrect landmarks for all step ES congress MP _ Cardiac This is required if you are interested in parameters that are Tra(.33) 52.00 - F DV 276±340 TT 809.6 276±340 SL 8.0/2.0 1 g'192s SL SL 8.0/2.0 175 Avanto 2.4 134] 660 go 0.00 Edit Text e. txt) 30 263 WRETRO/DlS2D Check ED and ES 20 step 1 of 5 step a13'_Full case a13e_Full case Stroke Volume: 54M CURRENT Save as type: 313* Full case Text CURRENT a13L_Full case Tra(-33 A nto Avanto case Case. Case p2 WRE OjDlS2D unto to 276 Dynamic [241 Dynamic_Rest [241 sp_u [31] sp_03 [31] [241 SL SPA61.O f15 Refine Segrnentation SL sp_02t211t15J sp_021211t15] sp_02t211t15] sp_021211t15J sp_021211t15j sp_02121Jt15J 20 phases. 100 90 90 90 100 % flE not determined by the segmentation on EO/ES alone (e.g. Manual Mode oVi276*340 Adjust 0+ Full case CURRENT 56_24 RV 75-100 syngo SL 8 SP 351 20 TR 57.9 log*192s . og*192s ED Vol 7/28/2006 712812006 7/2812006 7128/20 D 6 7/28/2006 712812006 TT 2) If further changes are needed TR 67.9 439 MR Flow Quantification MR Flow Quantitication MR Flnw Olantifiratin -100% Av Flow RV Volume ES Volume: ED Volume: 51.93 42.67 TP TR 578 614 41.00-81 00 60 20 •111/1925 F. ED Existing contours below apex will be removed. 2) If further changes are needed c LVMass g TT 809.6 peak ejection rate) Delete All Guidance Delete Delete Al Guidan.„ Delete Guidance Propagate Propagate ED,'ES ED/ES ED,'ES EDIES Join Peak Ejection Rate:. ejection rateb Check if the position of the EO/ES slider correctly identifies zoom 287 SL 8.0f2.O SL 8.0120 SL SL 8.0f2.o zoom SL 8.0 SL 8.0/20 L 8.0 EO,'ES DE high-res_MAG SA_OI [321 DE [321 FoVi276*340 Refine Segmentation The Operator Manual shall be used as your main reference, in particular for relevant safety information ED Add Slices Congress Fovi276*340 1271281 1181 13181 t 181 1371281 car Al 660 TR57.g TE 1.1 Tra(-33) Trae-33) Ci e:.gegrnented_ AFR LV Thickening '3 LV Vol WES' Cih _.gegmented_ Ciri _,gegmented_ 100 Ci e:gegmented_LA Ci Cine_s Refine Segmnentation Cine Segmented_LA Cin =gegrnented_ Ci e 33egmented_ Ci Ci e:gegmented_ _ Segmented _ _g grnented_ _ Segmented _LA grnented_SA grnented_LA grnented_sA 88 175 263 439 526 614 702 780 877 ms 877 Endo Nudge by the on ms ED and TR57.g TR 57 57 TR 57.9 TR 33.8 263 TTO.O 809.6 TT 294.4 TT 250.0 250.0 AFR FOVi276*340 88 175 2:35 2635 263 351 3,10 439 526 614 702 789 877 ms Ciriezgegmented_ ED. MR Cardiac Reading ED-ES Cine Segmented T:BOI LA .2 Congress T:3012SP1-3 Ref.: Congress 276 MRCVF FOVz276*340 MR Cardiac Perfusion MR Cardiac Analysis MR Cardiac Functsion Cardiac Output: Existing contours Will be changed, RV _Analysis 660 660 sp_02 '1/1/1925. Endo Eredo Redo Auanto Enedo Epi Pen Pen Circk Circie Circle Circk Freehand EO/ES alone (e.g. peak ejection rate). 4121 pen Edit AFR 10 400% RT 175 263 351 [351 LSegmenIed_LA Trac-33) 50-75% 11 10 AM Cancel cor-sag(43 Propagate 276 Cine_Reattime_SA_01 Join TR 57 g TR57.g TR 57.g ED Dynarnic_Stress SA_OI 118) sp_03 [231117) sp_0 [311 sp_03 sp_01 [311 sp_03 [2311171 sp_06 sp_02 [31] 118) [181 [18) TEI.I Agn!o Hide Folders LVEFI RV Analysis LV Analysis Analysis 15/80 •tti2d1 / 80 22.73 11.90-2074 11.90-20.74 ml/s/m2 13 90 p2 WRETRO/ ED ES Delete Delete All Base Resete ED,'ES ED,ES The reproduction) transmission or distribution of this training or its contents is not permitted without The reproduction, transmission or distribution of this training or its contents is not permitted without like warnings and cautions. Join 276 sr tENT 276 STUDY TUDY sw 7/23/2006 7/28/2006 7/2812006 MR 7/282006 92s • Cine_Segmented_SA_01 [311 _ Segmented_SA_01 [31] -cor-sag(43 Edit 7/28/2006 AM To correct the position drag the EWES slider as shown in To correct the position drag the ED/ES slider as shown in A 1.0 TE.I I 13 00 660 Join a; corssag(43 Trac-33) Tra(-33) TE 1.1 TR 57.9 WRETROjDlS2D WRETRO IS2D MR Flow Quantification MR Flow Quantitication Endo Epit pen Circle Cincle Nudge Freeh Freeha.., TA02,93 TA02.g3 TEI.I TE 1.1 TA02.g3 TA02,93 TEI_I TEI.I LV Analysis R el Cine. g egmented_L4 7nanoos p2 WRE guidance image. LVMass 12401 g Dynamic 42.11 Cine_Segmoented Cine_Segroented sp_02 sp_03 [231117) sp_02 [31] sp_03 sp_07 [31] rfusion LV Thickening ms 276 10 RV ES volume SL8.ono SL 8.0/20 SL8.on.o SL 276 WRE 56 56 % MR Flnw Ollantifirat• MR Flnw Oliantifirat• MR Flnw Oiliantifirat• MR Flnw Oliantifiratin MR Flnw Oliantifirat•nn MR Flow Quantification MR Flnw Onantifirat• MR Flnw filiantifirat• TR MR 660 Cardiac _ Analysls sp_03 [311 CURRENT LVEFI LVEF 56.56 % LVED Volume ml TE 1.1 TEI.I Edit AM Edit pen Results Circle Circle_ Endo Epi spen Adjust pa MIRE ojDlS2D OfDlS2D p2 MIRE p2 MIR p2 TA0283 TA02.g3 TA02.g3* OfDlS2D ojDlS2D f/DlS2D 114 .14 175 MR cardiac TT 8228 TT 322.8 TT 822.8 MR_cardiac 7/28/2006 TT 299.2 TT 2992 express written authority. Offenders will be liable for damages. 61 A23 AFR Ci elsegmented_LA Cih MR Flow Quantification 660 MR Cardiac Perfusion MR Cardiac perfusion MR Cardiac Fenctsion MR Cardiac Function Stroke Volume: Propagate 14 17 6 iMA9 6 iMA9 6 IMA 9 29.21 25.99 276 Fov 270840 F ov 270840 26.00 - 56 00 26.00 - 56.00 sp_06 [311 g/m2 mv/s/m2 mVm2 Li RHP RFP sp_07 [31] 117.7 Delete All Guidance Propagate ED/ES Results Ref. Congress RV Mass RV ED volume 1 Resu__ LV (11192017 LV (1102017 LV LV (11012017 RV LV (11.02017 AM) MRCardiacAnatvsis_Funcbon Resu_ _ Resu_ _ _ 6 22 c, 6 12 6 25 6 23 6 MA 3 6 MA 20 6 It 6 17 25 19 p2 WRE sp sp 08 [311 sp_02 cation Endo Redo uneo pen Pen Circle Nudge Freeha Freeh Full Text AM Cilie_Segrnented_LA TA02.g3 RV Analysis LVMass 11385 g LVMass g 10 Volume 43.25 ml sp_01 [311 25-50% 75-100 n _•rn 2:35 35 23 WRE OfDlS2D fDlS2D ODlS20 p2 Join .2 -10 100 276 33.00 - Delete source Opens/Closes Guidance Join 25-50% 75-100% 75-100 syngo MR Av n TT 785.84 AFR AHR TT 799.04 TT 822.80 @ Long- and Short-axis only Long- axis and Long- and axis TR 57 g 57 g AFR TR 57.9 TR 57 g Circle Edit Epit Manual Endo Epi pen Pen Propagate Nudge Adju st MRCardiacAnalysis_Function Resu MRCardiacAnaIysis_Funcbon Resu_:_ LV AM) MRCardiacAnÜsis_Funcbon MRCardiacAnaVrsis_Funcbon MRCardiacAnÜtvsis_Funcbon Resu___ MRCardiacAnaIvsis_Functjm Resu___ MRCardiacAnatrsis_Funcbon MRCardiacAnaVsis_Funcbon MRCardiacAnÜsis_Funcbon Resu__ MRCardiacAnaIrsis_Funcbon Resu_ _ MRCardiacAnÜsis_Funcbon Resum MRCardiacAnaVysis_Funcbon Resu__ .01 g Epi Join lows freehand editing of contours •1/1/1925. p2 MIRE p2 OfDlS2D p2 WRE p2 MJRE-TROfDlS2D p2 MIRE-TROfDlS2D WRETROfDlS2D Note: Some functions shown in this material are optional and might not be part of your system. The 6 9 A atys.•_ Adju st Dynamic_Stress_SA_01 [18] sp_D9 [311 sp 091311 Existing contours below a 01 g MR Cardiac Reading Plane Cine. Segmented _LA MR Cardiac Functsion Dete Dekte Al Dejete Al Delete All Dete Al Deiete Al ED.'ES ED,'ES EDÆS EDES 75 263 This is required if you are int• MR ca Av Flow Flow 874 00 836 OO Space Ref.: TT 304 Flow Flov sp_02 sp_01 [311 C) AM Av Cine Segmented _ TE TEI.I TE 1.1 TT 0.0 1.1 IS20 439 Cardiac Index AFR 106.84 106.54 1.75-3.80 11min,'m2 11minJ'm2 MR Flow Quantification 50-75% 50-25% pg. plg.O RHP MRCardiacAnalysis_Function Resu MRCardiacAMyWsis_Funcbon Resum MRCardiacAnaiysis_Funcbon Resu MRCardiacAnaWsis_Funcbon Resum MRCardiacAnaiysis_Funcbon Resu__ MRCardiacAnaWsis_Funcbjon Resu___ MRCardiacAMysis_Funcbon Resum MRCardiacAnaiysis_Funcbon Resu___ MR 7/28/2006 RVEFI (11/82017 AM) RVEFI (11/82017 1069:S2AM) RV EFI (11/82017 AM) 50-25% 50-75% 3.41 2.65 - 5.98 Join 'Sp H46 sp H46 MR_Cardiac A w 660 660 MR_C _ Flow MR_C Av Flow Agnlo fi5_150_through-p_Pulmonal [291m Cine_Segmented f15_150_through-p_Pulmonal [291 150 f15_150_through-p_Pulmonal [291m Cine_Segment 150_through-p_Pulmonal [29]. monal [291m monal [29]. [291m [241 MR Cardiac Analvsis 813 Full case sp_01 115 Full Text Avanto TA03.01*g TA03.org TA03.oeg TA03.oeg Delete Delete All Guidan... Propag... Delete Resete Delete Delete All Guidan... information in this material contains general technical descriptions of specifications and options as well DeleteAll Guidan... Delete Al Guidan... Delete All Guidan... Propag... . Propag... ED,'ES Propag... Propagate EDIES Join All names and data of patients, parameters and configuration dependent designations are fictional Refine Contours Cine—segmented _ SL O AFR AFR Findings Navigator Full case Full case Full Text 276 276 • F. Adjust TT83 0 TT 0.0 TT 785. 4 614 TT30 r' TT 822.80 . 1 Av Flow Flow MRCard1acAnalys.s_Function Resu_ _ MRCardacAnalyss_Function Resu _ MRCardiacAnalysis_Function Resu_ _ MRCardiacAnalyss_Function Resu_ _. MRCardiacAnalyss_Function Resu_ _ LV NORM F IOW RV NORM LV Thickening LV Thic 3.77 TT 30400 RHP *1/1/1925, F, +1/1/1925, F, F. 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Join Findings Navigator Findings Navigator V — Findings Navigator — Finding Findin 2.65 - 5.98 398 39 8 Tp 39 8 Tp 39.8 TP 398 39 8 398 04 [311 Refine Contours a 1.3 1-3 •1/1/1925, F, syngo MR Tools MR_catdi Plane NA Cine_Segmented_LA Cine _ Segmented LA Ejection Fraction: 5624 54.81 5600 - 75.00 - 175.00 Delete All Guidance Propagate ED/ES Join *1/111925, F, 81 Y F, 81 Y AFR 025, F. 31 Y LVEFI (11/8/2017 PM) LVEFI (11/82017 PM) 51.03 4100 -81.00 4100-81.00 MR cardia A p2 syr-lrgo Mg 66.92 60.33 la MR Cardiac_ al y s ' s MR_Cardiac A 63.00 oo 63.00 Ell synqo 7/28/2006 SyrlGO 56.00 - 78.00 Cine 3.chambernateSi Cine 3.chambernQé'i Cine Outflo&nambertlatest Name case Case Valume T-T 874 00 Dynamic_Rest_SA_01 [241 Dynamic_Rest source Agn!o Cine Outn Cnarnber,latest Analysis previous Previous Previo •s TR AHA Model Thickening Ref.: Congress Réf.: Congress Ref.: Congress supy 7/28/2006 7/28/2006 Value Value Source Values Souræ Source Opens}Closes Guidance CURRENT Ret.: Congress ES volume: ED Volume: 117.7 Value F. 81Y HFS 1 AM MRCardiacAnalysis_Function Resu_ „ MRCaråacAnalysis_Function Resu._ MRCaråacAnalysis_Function Resu.„ MRCaråacAnalysis_Function Resu.„, RVEFI LVEFI Adjust €4 29 % MRCVF ES Volume: ED volume: RHP 2273 11.90 -20.74 11.90 TCd5 LRO LRO sp_01 [311 66 % MRCVF 66 % 56 % M RCVF Ref.. 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Value Myocardial Mass (at ED): Myocardial Mass (St ED): 2.03 1.6.54 g/m2 gl/s/m2 MR Short-axis only LV_AHAI LV AHA 1 LV AHA-I LV AHAI MRCVF Ref.: Congress Analysis LV Analysis WV Analysis Name Adjust Peak Ejection Rate: Join Operation Av no Avgnlo 2921 29.21 2600 - 1023504M AM 7/28/2006 7/2812006 953 29 % MRCVF Cihe2Segmented_LA Cihe23egmented_LA CURRENT MR. 7/28/2006 7t28t200ö1 CURRENt CURRENT Dynamic_Stress_SA_01 [18] Dynamic_Stress 8:41 AM CiheZ3egmented_LA CiheZSegmented_LA 2.4 RV EFI 55 15 80 10 M RCvF MRCVF TR 39.8 1241 Stroke Volume: 0 00 Cihe2= Segmented _LA sp_03 Navigator 7/28/20016, 7/28/20116, 6 13 -245.4 Findings Navigator 2.4 T T 799 Zoom 2 '35 LVEFI Adjust MRCVF "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, RHP CURRENT' 6 24 6 11 6 23 419 6 3 reserved. 2:35 LV AHA2I AHA2 Results 2•35 285 Zoom 2:35 @ Long- axis and snort- axis 7/28/2006' 7/28/2006 7/28/2006' MR Flnw Ollantifirat• MR Flow Quantification Cardiac Index 175-380 MminJm2 b'minJm2 7/28/2006 Peak Filling Rate: C) (O Cine_Segmented LA Cine_Segmented_LA Peak Ejection Rate: Cardiac Output: [241 -132.44 -1321.44 -1321.54 265-598 265 - b'min Join MR Flnw 01 lantifiratinn MR Flnw Onantifir_atinn MR Flnw Olantifir_atinn 31 n.a. Cine —Segmented _LA gmented_ 07 08 AM AM TT 836.0 Text Hide Ref.: Ref.. Ref. Ref Congress : Congress Congress 0) AM Valume LV Analysis 92 Name Basic findings SP The present state ofthe analysis will be F. F. 81 Y F. 81Y F. CURRENT 6300 - 95.00 63.00 - 95.00 - 95.00 g /rn2 g Jrn2 [2811271 Synch Analysis the future availability of said Functionalities in any specific country is not guaranteed. Please contact your 122.76 11T7 75.00 -175.00 - 175.00 1B AM 6 IMA23 6 IMA 9 6 IMAg CirgeLSegmented_LA ml Cine. Segmented_LA Cine Segmented_LA Cine Segmented_ TT or-I Cine_Segmented_LA NORM aged) LV AHAI Export Results 6 24 RFA 6 IMA 8360. 5:11 PM 8:41 AM AM T-T TT OO AM TR 56 % zoom 2!35 2!35 Tools Results Its zoom 2135 MR Flow Quantification Findings Navigator MRCVF Rext peak Filling Rate: Rate: 99.07 953 ml/s/m2 MR Cardiac Analysis MR Cardiac Perfusion Synch Myocardial Mass (at ED): Myocardial Mass (St ED): 6 9 6 IMA 9 - 175.00 Analysis 6 23 discarded. Do you want to continue? RHP Mycxardial Mass (Avg): TR 39.8 63.00 - 6300 - gjm2 3.4 aa Text sp 1 sp 1 Perfusion 08 102.32 7128/2006 7/28/12006 7t28t2006 7/28/2006 SP 08 [311 1 AM 1 8:41 AM 8:41 AM MR Flow Quantification local Siemens Healthineers sales representative for the most current information. Lines GrpbH;2018ve for the most current information. Copyright O Siemens Healthcare GmbH, 2018 TT 0.0 TTO.O TE 1.1 TT Tv 00 T TOO 0 00 TT00 TTOO TT IT 00 TTOO TT 0.0 TTOO TR LV AHAI Gr»hics 0.0 TT 00 TT 08 0 00 0.00 TT 0.0 AM TTS Value Myocardial Mass (St ED): Myocardial Mass (atg): TT or_l Cine _ Segme ted _ RV (11/812017 AM) RV (11/82017 AM) RV (11/8/2017 AM) (11/8/2017 AM) 11 15 Tools SL TT on It Myocardial Mass (at ED): Myocxardial Mass (St EDg): sp g/m2 gjm2 SPPI O 6 23 6 1 Name SPA sp Al TT TT 874 m (11 2.4 MR Cardiac Perfusion Results Text Lines RHP Patient Surface Area: patient Surface Area: Cine _ Segme ted _ Cine _ Segmented _ LA Cine _ Segmented Cine _ Segm Cine _ Segme ed _ LA Cine_Segme ted _ 1.85 Cine_Segmented_LA Cine_ Segmented Cine _ Segme ed _ 04 Cine_Segm ed _ LA CineZSegmented_LA Cine_Segme ed _ LA Tools 26.00 00 -247.77 MR Flow Quantification • 40 or_l MRCardiacAnalysis_Function Resu MRCardiacAnalßs_Function Resu_ _ MRCardiacAnalysis_Function Resu „ AM Findings Navigator MRCVF sp H46 Peak Ejection Rate: Peak EJection Rate: -132.44 -13244 f15 1 WRETROfDlS20 Cines Cine_s Cine_se c 60 Full Text Full case Hide Lines 10 01 1.1 31 Reset Reselts Value Source Align Lock Hide Mode MOde SP Trö Trö • Trab Trö or(34)>Sag(-8) Trö • Peak Ejection Time: Peak Ejection Rate. MR Cardiac Perfusion MR Cardiac Reading MR Cardiac Fenctsion LV AHAI Synch Tools RHP RHP 10:18: H46 1 738.15 10:18: AM n.a. E VI Namhqation Graphics Timepoi_. Ti mepoi. VI mepoi_ Timepoi. SL AHR Peak Filling Rate: 106.54 SC 60 Synch synch Align L O Ck Lock Full Text Full case Text Hide Hide Mode @ I-ong- axis and snort- axis @ I-ong- axjs and snort- axis OID Short-axis only monal [291... [291. [291... Cardiac Index Short-axis only Short-axjs only Yes No Peak Rate: Peak Filling Time: peak Filling Rate: LV NORM LV Thickenilg LVEFI TR 398 39.8 MR_gardi 2.4 TR 398 TR 33.8 MR Cardiac Functsion MR Cardiac Perfusion MR Cardiac _Analysis RHP RHPi RHP. 2.4 Graphics Lines Cine_se Line_se Cine Cine_s Line_s T' men.. Tim en.. Tim epo„ Timeøo. Timepo. Timepoi. nmepo... Name case Value Long- axjs and snort- axis I-ong- axjs and snort- axis snort-axis only ov FOV awgsoo aw 930.0 419 Dynamic_Stress_SA_01 118] Text NT CURRENT •c 29 % MRCVF Tools Findings Navigator Edit Snapshot Snapshot Print prnt Undo Endo 31 1 IS Navigator Patient Surface Area patient Surface Area p2 MfRETROJDlS2D 192•192S Graphics 31 11) MRCVF Trä> . Trä> scan Tra'> • or(34) TPO'OlS20 wPETPO/OlS20 MIPETPO/0 20 100 mVmn2 Export Results SP TE or(34) TT TT 871.20 TT 865.04 Align Edit Print Ledo 100 (281127] Exprt Tra„X or(34)>Sag(-8) Trä> • I mage RNP -y Tra(-6) MO Results 63.00 - 95 00 EOit CT Tools Trä> TT 304.0. Lines Export Excort Trö or(34)>Sag(-8) Endo TT 07 TT 871.20 H46.l 10 TT 865.04 20 953 Timepo__ Peak Filling Rate: zoom 287 zoom 288 ml/sn•n2 W. 287 Ref. Redo Text Mode sp TR 39.8 TR TR 39,8 TR 39.8 TT 87120 sp 1-8.9 H42.l SS SL LVEFI Pert 56% MRCVF Myocardial Mass (St EDg): LV NORM LV TR 39,8 75.00 - 175.00 Snapshot Print Pnint Export unito unto Endo Undo Redo Unto undo Evanto TT 1.75 - 3.80 TT 304.0, IT 304.0, sp SP L8.g H46.l 871.20 p2 WRETRO/OlS2D 419 TT TT 87120 TT 0.0 TT 953 TT 4 TT 00 TT 873.84 TT 80504 TT 86504 TT 865.04 TT L'6 E.xß