MR BreVis - Numaris X

BMR MR BreVis Numaris X The MR BreVis is used to read breast MR images. The workflow offers certain post-processing functions, for example, the subtraction of images, or correction of motion artifacts. In order to operate the software accurately and safely, you must follow the intended use and have the nec- essary expertise Tip: Distance Measurements can only be performed with the “Auto Collect” icon “OFF” 1. From the Patient Worklist, load the appropriate data set into the MR BreVis Workflow • Double left mouse click on the patient name to open O Open Ctrl+O @ Open with View as Read-Only with Batch Open Assign Workflow Favorites Cancel Workflow Suggested Search Patient with DICOM Q/R MR Basic * Add to Demo List MR Breast * Remove from Demo List MR Breast Biopsy * Set Mark state MR BreVis Set Delete Protection state MR Cardiac Analysis A Set Archive state MR Neuro 3D * St Remove Correction state > More New Examination Resume Examination 1_f13d_dixon_tra_Lin ear_p2_576_1+4_ ... t1_f13d_dixon_tra Correct ear_p2_576_1+ x Cut is Paste Delete Del SIEMENS Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Healthineers Jobaid: Effective Date: 12/4/2018 | HOOD05162002968880 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 2. MR BreVis Reading contains the various layouts • Dynamic + MPR o Changes layout to show dynamic breast images MR BreVis Q + and layout to perform MPR MR BreVis Reading • Dynamic + DWI o Changes layout to show dynamic breast images Auto Follow Up and Diffusion images Collect • 3 x 3 Dynamic + Sub Preset * o Changes layout to show dynamic breast images MoCo Color and Subtraction images • Viewing Settings o View breast images only Dynamic + MPR OH • Tip: you can change the layout during the evaluation to Dynamic + DWI different layouts 3x3 Dynamic + Sub Viewing 3. Reading images • Select Scroll Wheel “Move Up (or) Down” – Scrolls through images to review • Depress Middle Mouse – Windows images 4. Dynamic + MPR Layout • Select Dynamic + DWI workflow step MR BreVis Q + • Select Color icon MR BreVis Reading • Magnify and Scroll image > locate lesion Auto • Upper Right Corner Menu > select Pixel Lens (or ) ROI Follow Up Collect o Left click on image > place single or multiple Preset * Pixel Lens (or) ROI on lesion MoCo Color Settings Dynamic + MPR Dynamic + DWI 3x3 Dynamic + Sub Viewing Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS • Mean Curve Graph o Left Click on a Color Bar – to turn “On” (or) “Off” in Mean Curve Display % 400 300 200 100 :51 3:16 4:42 6:07 • Upper Right Corner Menu > select Pixel Lens again – deactivates pixel lens o Tip: select “Escape” key on keyboard to turn off all tools • Double left mouse > Magnify image segment to 1x1 • Upper Right Corner Menu > select Distance Line o Tip: Distance Measurements can only be performed with the “Auto Collect” icon “OFF” • Depress left mouse and draw line > Edge of Lesion to Chest Wall o Right mouse > select Distance from Chest Wall o Right Mouse > select Create Breast Finding Delete Measurement Delete Measurement Copy Measurement Copy Measurement Create Breast Finding Create Breast Finding Create Basic Finding Create Basic Finding Distance from Chest Wall Distance from Chest Wall Distance from Nipple Distance from Nipple Distance from Skin Distance from Skin Longest Diameter Longest Diameter Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS • Depress left mouse and draw line > Edge of Lesion to Edge of Skin o Right mouse > select Distance from Skin o Right Mouse > select Create Breast Finding Delete Measurement Delete Measurement Copy Measurement Copy Measurement Create Breast Finding Create Breast Finding Create Basic Finding Create Basic Finding Distance from Chest Wall Distance from Chest Wall Distance from Nipple Distance from Nipple Distance from Skin Distance from Skin Longest Diameter Longest Diameter • Depress left mouse and draw line > Edge of Lesion to the Nipple o Right mouse > select Distance from Nipple o Right Mouse > select Create Breast Finding Delete Measurement Delete Measurement Copy Measurement Copy Measurement Create Breast Finding Create Breast Finding Create Basic Finding Create Basic Finding Distance from Chest Wall Distance from Chest Wall Distance from Nipple Distance from Nipple Distance from Skin Distance from Skin Longest Diameter Longest Diameter • Depress left mouse and draw line > Longest Diameter of Lesion o Right mouse > select Longest Diameter o Right Mouse > select Create Breast Finding Delete Measurement Delete Measurement Copy Measurement Copy Measurement Create Breast Finding Create Breast Finding Create Basic Finding Create Basic Finding Distance from Chest Wall Distance from Chest Wall Distance from Nipple Distance from Nipple Distance from Skin Distance from Skin Longest Diameter Longest Diameter Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 5. Findings Navigator • Select Finding > Right Mouse select Rename o Type New Finding Name > select Enter o Select Findings Details icon Findings Navigator Name Value Source S1 Snapshot MRBr ... Q S2 Snapshot MRBr ... • Select Findings Details icon – “Findings details MR BreVis” window opens o Breast Finding (BI-RADS) > select a Finding o Enter “Pull-down Entries” or “Enter Data” for all appropriate fields • Select another Breast Finding (BI-RADS o Enter “Pull-down Entries” or “Enter Data” for all appropriate fields • Tip: Repeat until all Breast Findings details are completed • Select Apply – saves data entries Findings details MR BreVis ? x Breast Findings Basic Findings Associated Findings Procedure Breast Finding (BI-RADS) Copy to Clipboard Assessment and Location Enhancement and Morphology Lesion Type Mass Margin Laterality Mass Shape Quadrant Mass Internal Enhancement Clock face NME Distribution Distance from Chest wall [cm] NME Internal Enhancement Distance from Skin [cm] BPE Symmetry Distance from Nipple [cm] Kinetic Curve Initial Longest Diameter [cm] Kinetic Curve Delayed Comment Assessment Category Snapshots OK Apply Cance Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 5 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 6. Snapshot • Tip: select “Escape” key on keyboard to turn off all tools • Select Snapshot icon – snapshot of the active segment created in the Findings Navigator Findings Navigator Name Value Source LONGEST. 1.82 cm Breas .. M DISTANC 4.78 cm_Breas S1 Snapshot MRBr Tools Synch Align Full Text Hide Hide Reset Graphic Lines Timepo Edit Snapshot Expon Undo Redo ayou! Imante Imag • Double Left click on Single Image icon – displays result image Findings Navigator Snapshot image - S1 Snapshot (read onl ... ? % Name Value Source Vida_Breast Rad. Univ. Klinik Freiburg Germany_MAC Ref.: Congress LONGEST ... 1.82 cm Breas. 1/1/1958, F. 59Y M DISTANC .. 4.78 cm Breas STUDY 7/28/2017 S1 Snapshot MRBr. Results MR BreVis Reading # XA10 7/28/2017 DISTANCE TO NIPPLE 1:15:36 PM 4.78 cm 1006 IMA 11 Tools R 1.86 cm 3.54 cm Synch Align Full Text Hide Hide Graphic Timepo. LONGEST DIAMETER Lines -82 cm Delayer 0cm Zoom 0.93 Initia SL 2.0 Phases: 1.209 549*329 Edit Snapshot Print Export Undo Redo Layout Image WATER Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 6 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS 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 Instruc- tions 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 2018 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 7 of 8 Job Aid | Insert Title of Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 8 of 8