MR Quiet Suite

SIEMENS Healthineers MR Quiet Suite Job Aid Version 2020.07 USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 Unrestricted © Siemens Healthineers, 2019 Quiet Suite – SIEMENS Healthineers Table of Contents Introduction to Quiet Suite 3 QuietX 4 General ¿ 2:05 min Auto ® 0.8x0.8×5.0 mm3 ~ 1.00 Protocol Parameters Routine Contrast Resolution Geometry System Physio Diff Sequence QuietX Protocols 5 Voice Commands Execution Part 1 Part Assistant QuietX Diffusion 6 Image Management Introduction Auto Load Sequence Location 10 Copy References qDWI & EPI 11 Acoustic noise reduction On Reacquisition Mode On OK Cancel USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 Introduction to Quiet Suite SIEMENS Healthineers • Quiet Suite provides sequence options to reduce sound pressure for routine Neurological and Orthopedic examinations without compromising image quality. • Quiet Suite includes QuietX and PETRA optimized protocols for neurological and orthopedic exams. • Please Note: In this Job Aid, the focus will be on QuietX. For further information to PETRA please refer to the respective document. • Caution • Always wear adequate hearing protection, even with noise reduced measurements. • Performing a noise reduced measurement without adequate hearing protection may temporarily damage hearing. USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 QuietX SIEMENS Healthineers AFR AFR t2_tse_tra 1_blade_dark-fluid_tra t2_tse_dark-fluid_tra • QuietX is an algorithm for optimizing gradient switching. • QuietX works to provide the best possible RHP RHP RHP gradient trajectory through intelligent summation of gradients and reduction of the slew rate, while maintaining timing parameters in the same range. AFR AFR AFR Results include a significant reduction in t2_qtse_tra t1_qblade_dark-fluid_tra t2_qtse_dark-fluid_tra • acoustic noise and smoother, more pleasant sounds without impacting image quality and scan time. RHP RHP RHP USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 QuietX Protocols SIEMENS Healthineers Dot Cockpit - Explorer Explorer Program Editor Browse Import Export Edit Simulate • QuietX Protocols are available for Neurological and Orthopedic exams. X The following pulse sequences can be found in the program folders of SIEMENS SIEMENS > head > library >> QUIET localizer_quiet 00:10 the Exam Database: t1_qse_sag 03:07 head • QuietX Spin Echo (SE) and Turbo Spin Echo (TSE) sequences Brain Dot Engine t1_qse_tra 02:25 clinical libraries advanced applications libraries t2_qtse_tra_512 04:07 • Provide T1 weighted, T2 weighted, and Dark-Fluid contrast. GOBrain Enable or disable acoustic noise reduction in Sequence/Part 2 t2_qtse_dark-fluid_tra 04:50 • library localizer t2_qf12d_tra_4mm_hemo 03:52 parameter card to toggle between quiet and regular imaging. T1 T2 t2_qblade_tra_p2 01:50 • QuietX Gradient Echo (GRE) PD+T2 t2_qblade_dark-fluid_tra_p2 3D • Standard sequence provides additional acoustic noise reduction diffusion t1_qf13d_sag_iso 05:46 parameter in Sequence/Part 2 parameter card. perfusion BOLD t2_qswi_tra_p2_1.6mm 06:05 • Protocols based on Quiet Gradient Echo (GRE) sequence; provide BLADE PETRA SWI T1 weighted and Susceptibility Weighted Imaging (SWI) contrast. flow t1_petra_tra 05:48 multi-echo QUIET qDWI • Protocols Location: Siemens Tree under Region > Library > QUIET. StarVIBE qdwi_4scan_trace_tra_p2 02:05 Available region protocols: SyMRI angiography qdwi_4scan_trace_tra_s2_p2 01:25 Neurology: Head, C-spine, T-spine, L-spine angiography ce • > c-spine • Orthopedic: Shoulder, Hip, Knee and Ankle t-spine I-spine USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 QuietX Diffusion SIEMENS Healthineers • QuietX Diffusion provides a quieter diffusion-weighted sequence for brain imaging with a reduction in acoustic noise with no compromise to image quality. • This is accomplished by using a special readout segmented EPI sequence with stretched gradients to minimize the slew rate. • Noise reduction results from the slowdown of the gradients, however compared to the conventional EPI sequence the acquisition time will be increased. USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 QuietX Diffusion SIEMENS Healthineers Single Shot EPI TE RESOLVE Segmented k-Space Reduced ESP TE Readout Partial Fourier QUIET DWI Similar ESP as ss-EPI (longer than TE RESOLVE) Phase Partial Fourier for AAAA shorter TE Imaging Echo Navigator Echo USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 7 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 QuietX Diffusion (qDWI) SIEMENS Healthineers SIEMENS > head > library > QUIET > qdwi_4scan_trace_tra_p2 ? • Optimize QuietX Diffusion General 2:05 min + Auto @ 2 @0.8x0.8x5.0 mm3 1.00 Select Sequence > Part 2 Parameter Card. Protocol Parameters Routine Contrast Resolution Geometry System Physio Diff Sequence • Voice Commands Assistant • Acoustic Noise Reduction is a default selection, Execution Part Part 2 Image Management Introduction v this option is always on to enable and trigger Auto Load quiet adjustments. Copy References • It can be found under Sequence > Part 2 Parameter Card. Acoustic noise reduction On Reacquisition Mode On OK Cancel USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 QuietX Diffusion (qDWI) SIEMENS Healthineers • Optimize QuietX Diffusion SIEMENS >> head >> library >> QUIET >> qdwi_4scan_trace_tra_p2 General 2:25 min 1| Auto @ 2 @ 0.8x0.8x5.0 mm3 1.07 • Select Resolution > Common Parameter Cards. Protocol Parameters Routine Contrast Resolution Geometry System Physio Diff Sequence • Phase Partial Fourier is selectable to obtain a Voice Commands Execution Common Acceleration Filter shorter TE. Image Management Accel. Mode GRAPPA Auto Load Pr Phase Partial Fourier Off Copy References 6/8 7/8 Reference Scans EPI/Sep ... Off Acceleration Factor PE 2 Readout Segments Reference Lines PE 75 + OK Cancel Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 Sequence Location SIEMENS Healthineers Dot Cockpit - Explorer Explore Program Editor Browse Import Export Edit Simulate X • QuietX Diffusion Protocol is located under SIEMENS SIEMENS >> head >> library >> QUIET localizer_quiet 00:10 • Dot Cockpit > Head > Programs > Library > Quiet > qDWI. t1_qse_sag 03:07 vhead Brain Dot Engine t1_qse_tra 02:25 • Additional License clinical libraries › advanced applications libraries t2_qtse_tra_512 04:07 • Advanced Diffusion, is required to access the QuietX Diffusion GOBrain t2_qtse_dark-fluid_tra 04:50 library sequence. localizer t2_qfl2d_tra_4mm_hemo 03:52 T1 T2 t2_qblade_tra_p2 01.50 PD+T2 t2_qblade_dark-fluid_tra_p2 03:02 3D diffusion t1_qf13d_sag_iso 05:46 perfusion BOLD t2_qswi_tra_p2_1.6mm 06:05 BLADE PETRA SWI flow t1_petra_tra 05:48 multi-echo QUIET qDWI StarVIBE qdwi_4scan_trace_tra_pz 02:05 SyMR angiography qdwi_4scan_trace_tra_s2_p2 01:25 angiography ce › c-spine t-spine I-spine USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 qDWI & EPI SIEMENS Healthineers AH AH Altea_Head Siemens Healthineers Altea_Head Siemens MAC Ref.: Congress_Marketing Siemens_MAC *1/1/1963, M, 56Y MAGNETOM Altea *1/1/1963, M. 56Y CURRENT MR XA20 CURRENT 8/7/2019 HFS +LPH 8/7/2010 qdwi_4scan_trace_tra_p2_ADC ep2d_diff_4scan_trace_p2_ADC latest latest • Image shows the difference between the Quiet # XA20A # XA20A STUDY ID 1aaaa305 STUDY ID 1aaaa3054 Diffusion and the traditional EPI Sequence. 1:21:20 PM 12:55:05 PM 26 IMA 1 FRM 11/25 18 IMA 1 FRM 11/25 • QuietX Diffusion Text is identified as qX. RF 10cm 10cm 2D SL 5.0 F SL SPC 6.5 5.0 SPC 6.5 F TR 6370.0 R TE 101.0 TP 0 TR 6600.0 TE 101.0 TP O TA 02:15 SP H8.5 TA 02:47 SP H8.5 BW 473.0 FoV 230*230 352*352 1 BW 861.0 FoV 230*230 p2 MAGN/DIFF/ADC/NORM/DIS2D 352p*352 1 Tra>Cor(-5)>Sag(1) p2 MAGN/DIFF/ADC/NORM/DIS2D Tra>Cor(-5)>Sag(1) A1/PFP/FS Zoom 1.76 A5/PFP/SFS Zoom 1.76 HE1-4;NE2 W 2872 HE1-4;NE2 W 2869 qD_b0_1000 / 180 C 1227 *ep_b0_1000/ 90 C 1231 USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020 SIEMENS Healthineers 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 (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 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers USA HRT Effective Date: 1.5.2021 | HOOD05162003145807 Effective Date: 10 SEP 2020 | HOOD05162003113047 © Siemens Healthineers, 2020