MR Cardiac Function Analysis of the Right Ventricle Job Aid

MR Cardiac Function Analysis of the Right Ventricle Job Aid syngo.via MR MR Cardiac Function Analysis provides the functionality to quantitatively analyze the function of the ventricles. 1. From the Patient Browser, load the appropriate data set into MR Cardiac Analysis Workflow:  If the examination has been correctly mapped, double click to load.  If manual mapping is required, right‐click the examination and select Assign Work‐ flow > MR Cardiac Analysis 2. The Cardiac Reading Step enables you to view functional, dynamic, tissue characterization and flow data using the common tools. 3. Select the MR Cardiac Function step MR Cardiac Analysis MR Cardiac Reading WIR Cardiac Function 4. Performing Right Ventricle Analysis – select > RV Analysis MR Cardiac Function LyAnalysis RV Analysis a. Normal Mode – is the default. You can segment the right ventricle in two ways. i. User Guidance assists you with a recommended workflow for refining segmentation and guides you through each of the steps required. It is important to check the results and refine segmentation where required. ii. Direct Editing – contours can be created and refined directly using the contour editing and contour creation tools. b. Manual Mode – you create and refine all contours manually with the provided tools MR Cardiac Function Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 SIEMENS Master Template: EFF Date 22 Aug 17 | HOOD/HILS HOOD05162002647849 Healthineers Jobaid: Effective Date: 09/04/2019 | HOOD05162003028607 Job Aid | Insert Title of Job Aid Effective Date: 09/04/2019 | HOOD05162003028607 c. If you need to edit the segmentation of the RV Analysis, select Guidance. The Set Landmarks tab and the Refine Contours tab guide you through the segmentation refinement process. When you select the Refine Contours tab, the corresponding icons are activated in the Case Navigator. MR Cardiac Function Hide Manual Lines LV Analysis RV Analysis Refine Segmentation Endo Epi Pen Nudge Frechan Edit Delete Delete All|Cuidance Propagate EDIES Join d. Start segmentation refinement and follow the guidance steps: i. Check the ED and ES phase for accurate segmentation. If the Set Landmarks tab is selected > correct the selection in the TVG segment. Drag the ED and ES slider to the appropriate positions. ii. Define the base plane in the long axis working segment by defining two points at the height of the base plane iii. Check the Refine Contours tab gives you an overview of the different tools to define Right Ventricle Analysis. 1. Select mid ventricle slice, ensure segments are viewing ED slice and ES slice 2. Select pen tool from RV common tools RV Analysis Refine Segmentation O Endo Delete All Guidance Propagala ELVES Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 5 Job Aid | Insert Title of Job Aid Effective Date: 09/04/2019 | HOOD05162003028607 3. Draw contour from one insertion point to other insertion point HL Cardiac_Flow, @Cardiac Dot Engine Anlagenzentrum *6/21/1968, F, 50Y CURRENT MAGNETOM Sola 6/18/2018 Cine_Segmented_SA_01 2:19:14 PM 11 2 IMA 25 ARH SP A33.4 TT 1112.6 SL 8.0/2.0 FoV 339*342 TR 44.2 TE 1.2 ED 222*224 Cor-Sag(40)-Tra(-27) TA 08.22*9 456 ... TRO/NORM/DIS2D/MFSPLIT 192 RR 1159 +/- 46; 8 heartbeats 4. Select propagate > Contour will propagate to phases of all slices RV Analysis Refine Segmentation O. Enta Birds Nudge Freshan ENDES Jein 5. Select join 6. Return to first slice and edit contours as needed 5. Create/Editing MR Cardiac Function Findings – Throughout MR Cardiac Analysis, all standard measurement tools are available to create findings. The results of the current functional analysis are availabe in the Findings details. The wall thickending results of LV functional analysis is documented in an AHA‐conforming segment model. LV and RV findings can be created separately using the corresponding buttons in the Findings details. a. Open the Findings details dialog box by selecting the icon on the upper right side of the Findings Navigator o Findings Navigator Name Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 5 Job Aid | Insert Title of Job Aid Effective Date: 09/04/2019 | HOOD05162003028607 b. From the Heart Rate selection list, choose the heart rate of the patient. The heart rate in‐ fluences the cardiac output. Findings details Patient Name: MR_Cardiac_Analysis Export Result Images @ All Age: 69 Years ED and ES Height: 66.92914 Inches . None Weight: 171.8062 Lbs Heart Rate: 6 - beats/min Create LV Findings Create RV Findings max 65, min:61. avg 63. med.63 ) c. Select the check box to use the Long‐axis and short‐axis for an LV and RV functional analysis or to use short‐axis only. Results Long- axis and short- axis Short-axis only TXT LV LV NORM RV RV NORM LV Thickening d. If contours are to be sent to PACS, choose selection (All or ED and ES) from export results images. Findings details Patient Name: MR_Cardiac_Analysis Export Result Images All Age: 69 Years ED and ES Height: 66.92914 Inches None Weight: 171.8062 Lbs Heart Rate: 63 beats/min Create LV Findings Create RV Findings ( max 65; min:61; avg 63. med.63 ) e. Select Create RV Findings – The findings are listed in the Findings Navigator and are added to the report. Findings details Patient Name: MR_Cardiac_Analysis Export Result Images @ All Age: 69 Years ED and ES Height: 66.92914 Inches None Weight 171.0062 Lbs Heart Rate: 63 - beats/min Create LV Findings Create RV Findings ( max:65; min:61; avg 63; med:63 ) f. To export the findings to a file with the format “ .TXT.” select the Export Results icon. Results . Long- axis and short- axis Short-axis only Export Resulta LV LV NORM RV RV NORM LV Thickening g. All the findings are stored in the patient report and sent to PACS once the study is completed. Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 5 Job Aid | Insert Title of Job Aid Effective Date: 09/04/2019 | HOOD05162003028607 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 (herein‐ after 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 ………………………………………………………… 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 5 of 5