MR Spectroscopy 1H SVS - Numaris X JobAid

MR Spectroscopy 1H SVS syngo.MR Spectroscopy is a post-processing application to analyze and evaluate MR Spectroscopy 1H datasets. It provides evaluation of MR Single Voxel Spectroscopy (SVS) and MR Chemical Shift Imaging (CSI) data with workflow guidance to support the diagnostic process. A novel fit-algorithm reduces the need for manual data processing and offers the user reproducible evaluation results. Info: syngo.MR Spectroscopy doesn’t support the following image types for evaluation  Distortion-corrected images  Images with different frames of reference (e.g., images acquired with different table positions 1. From the Patient Worklist, load the appropriate data set into the MR Spectro Workflow a. Examination correctly mapped: double click to load a. Manual mapping required: right click the examination and Open With > MR Spectro. @ Open Ctrl+O Open with - Favorites View as Read-Only with - Suggested Batch Open Assign Workflow MR Neurology Group Studies MR Oncology Batch Assign Workflow MR Prostate MR Spectro Cancel Workflow MR Tissue4D Search Patient with DICOM Q/R MR Whole Spine Add to Demo List › More Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 SIEMENS Master Template: EFF Date 22 Aug 17 | HOOD/HILS HOOD05162002647849 Healthineers Jobaid: Effective Date: 02/07/2020 | HOOD/HILS HOOD05162003063285 Job Aid | MR Spectroscopy 1H SVS syngo.via Effective Date: 02/07/2020 | HOOD/HILS HOOD05162003063285 2. MR Spectro Workflow a. MR Spectroscopy Evaluation : assigned MR Spectro has one workflow step SIEMENS Administrator MR_Spectro_Head Av_Demyelin_ C.SI .. MR Spectro Q + MR_Spectro_Head_Av_Demyelin_CSISVS Radiologie Ur Tuebingen MR_Spectro_Head Av_Demyelin_CSlesVs MR Spectro Analysis 485034 Ret RAARKEP 485034 "12/8/1963, M, 19Y Avanto Sng8 MAR 2004V 4VEM11A "12/8/1963, M. 19Y CURRENT CURRENT cal_sé 155, 11/13/2003 3:22. 12 brm tra datie ffuld $V$ 56 30 latest 01/17_s0_30/Spectrum (Si_se_30,11/13/2003 3:32 -> Spectro!.Refimage.1 # 0002134217 -> Spectrol Spectroml 1 # 0002134217 5.0 SYS_Se 30: 11/13/2001 2:37 STUDY 1 avs se.30 11/19/2003 STUDY 1 11/13/2003 BYs_de_30,11/13/2003-243 3 00:54 PM 3 37:54 PM Sene's 2 genes 16 3.0 R 1cm 25 Res Part 2.0 .5 F 10 Viewing O 0.5 MRI 2 MA 1 SP.H40 4 VI FOY 249725 40 35 3.0 2.5 2.0 Chemical shift [ppm] Tr201_23/15 Sue 20 20 20 Potentialy off- label use in USA 1 integral MAR Mit_Spectro_Head Av_Demyelin_Cal+sVS Radiologie Un Tuebingen MR_Spectro_Head Av_Demyelin_CSivsVS 483034 485034 Findings Navigator Re: PAARKEP "12/8/1963. M. 15Y Avante Syngo MR 2004V 4VB11A "12/5/1583. M. 19Y Name Value Source CURRENT HES CURRENT 12_the_cor.2mm 440 pitz latist latest "> SpectroI Fenmsge 2 -a Spectrol Penmics 3 # 0002134217 # 0002134217- STUDY 1 STUDY 1 11/13/2003 11/13/2003 3:06:47 PM 3:09:35 PM Genes 4 Senes 5 Tools Synch Hide Lines Reset Graphics MRI 4 MAI Timepo SP A10 3 MRI 5 MAI MPR THICK TR 4000 FOY 249 230 MPR THICK SPL19.6 SL 3.0 TR 4210 FOV 238-220 TE 104 Con Tra(-7]>Sag(-0) TE 102 Sag>Con(3)>Tra(-3) A NA 3 NA 2 Edt Export Undo VOK AP LR FH VOX AP LR.FH Layout Stack 'tse2d1_13/150 SIZE 20 20 20 SCE 20 20 20 H 3:35 PM 3. Performing MR Spectro Analysis a. MR Spectro Navigator is displayed in the control area of Spectro Analysis b. MR Spectro Analysis Step allows the MR Spectro Q + calculation and visualization of spectroscopy MR Spectro Analysis OF results for all Spectro raw data series tha are csi se_135,11/13/2003 3:22 csi se 135 contained in the assigned study. csi se 30,11/13/2003 3:32 Ww csi se 30 i. Automatic or Manual selection of a svs se 30,11/13/2003 3:37 We svs se 30 svs se 30.11/13/2003 3:43 post-processing protocol svs se 30 i ii. Automatic Calculation and Visualization of post-processing M+ AB rda results Export Export Export Selected Selected Spectro Compare Selected Browser iii. Each spectroscopy raw data set, results are generated based on an Viewing assigned post-processing protocol Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 6 Job Aid | MR Spectroscopy 1H SVS syngo.via Effective Date: 02/07/2020 | HOOD/HILS HOOD05162003063285 c. Spectro Object: Spectroscopy results i. First line: Measurement series ii. Second line: Post-processing protocol used Icons on Left of Spectro Object Customer Protocol Siemens Protocol Icons Right of Spectro Object Post processing protocol successfully applied to measurement series Post-processing algorithm failed; hover mouse over icon to display reason X for failure and suggested corrective action. 4. MR Spectro Analysis > select an SVS sequence a. Reference images and MR Spectrum Results are automatically displayed MR Spectro + MR Spectro Analysis csi_se_135,11/13/2003 3:22 ... Ww csi se 135 csi se 30.11/13/2003 3:32 csi se 30 svs se 30,11/13/2003 3:37 svs se 30 is svs_se_30,11/13/2003 3:43 ... ™ SVs se 30 M + AB rda Export Export Export Spectro Compare Selected Selected Selected Browser Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 6 Job Aid | MR Spectroscopy 1H SVS syngo.via Effective Date: 02/07/2020 | HOOD/HILS HOOD05162003063285 5. MR Spectro SVS Results a. Reference Images b. Spectrum c. Result Table INAAVI(Cr1) IChoWCr1) 2.79 % Himins)(Cr1) MR_Spectro Head Av_Demyelin_CSH+SVS Radiologie Uni Tuebingen Ret PAARKSP MR_Spectro_Head_Av_Demyelin_G51+5Ys 485034 485034 Result Table Radiologie Un Tuebingen Ref: PA4RKSP *12/8/1983. M. 19Y Avanto Avanto CURRENT SynIDO MR 2004V 4YB 11A *12/8/1983, M, 19Y syngo MR 2004V 4VB11A FFS CURRENT HFS t2_tirm_tra_danke-fluid Svs_se 30 latest -> Spectro1.Refimage.1 01/sys_se 38/Spectrum -- > Spectro1 Spectrum1 #0002134217 # 0002134217 STUDY 1 STUDY 1 50 11/13/2003 11/13/2003 3:00:54 PM 3.37:54 PM 4.5 Series 2 Senes 16 : 69 29 Real Part 0.5 0.0 HIER THICK TR 1500 40 30 20 20 15 10 FoV 249 230 Tra>Cor(-6] TE 30 NA 128 Chemical shirt (pom) VOX AP LR FH TA 03:18 Tx201_21/150 SIZE 20 20 20 Potentialy off-label use in USA 5v3_32/90 I: Integral Reference Image Spectrum HRP MR_Spectro_Head_Av_Demyelin_CSHSVS Radiologie Uni Tuebingen MR_Spectro_Head Av Demyelin_CSI+SVS radiologie ur parase 485034 Ref! RAARKSP 485034 *12/B/1983. M. 19Y Avanto syngo MR 2004V 4VB11A *12/B/1983, M. 19Y twingo MIR 2004V 4VB116 CURRENT HFS CURRENT t2 tse_cor 3mm 448_pat2 12 tse saq rst 448 latest latest -> Spectro1 Refimage.2 -> Spectro Pefimage 8 # 0002134217 # 0002134217 STUDY 1 STUDY 1 11/13/2003 11/13/2003 3:06:47 PM 3:09:36 PM Series 4 Senes 5 A LI MRI 4 IMA ! MRI 5 IMA 1 SP.A10.3 SPL19.6 MPR THICK SL 3.0 MPR THICK SL 3.0 TR 4000 FOV 249-230 TR 4210 FoV 238-220 TE 104 Cor Tra(-7>>Sag(-5) TE 102 Sag> Cor[3]> Tra(-3) NA 3 NA 2 VOX AP LR FH "IsER201_15/150 VOX AP LR FH "Ise201_13/150 SIZE 20 20 20 SIZE 20 20: 20 Reference Image Reference Image 6. Edit Result Table: The following operations can be performed to change the display a. Upper Right Corner Menu select Define Result Table (NAA)/I(Cr1) I(Cho)I(Cr1) 2.44 1.82 Define Result Table I(mins)/l(Cr1) 65 3.68 9 Define values to be displayed as result table b. Define a New Result Value i. New Value Field: enter expression 1. e.g., I(Cho), I(Cho)/I(Cr) ii. Select Add icon iii. Select OK c. Delete Result Value i. Select the Result Value > Select Minus icon ii. Select OK Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 6 Job Aid | MR Spectroscopy 1H SVS syngo.via Effective Date: 02/07/2020 | HOOD/HILS HOOD05162003063285 d. Reorder Result Value i. Select Result Value > Click Up or Down Arrow icon (or) Click a Result Value and drag to a New Position ii. Select OK Define Result Table ? X Defined values I(NAAI(Cr1) I(Cho)I(Cr1) I(mins)/1(Cr1) Define new value I(NAAVI(Cr1) Examples >> Add OK Cancel 7. Save Results Save and Send: Results are stored on the system and sent to your archive Save and Pause: Results are stored on the system = Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 5 of 6 Job Aid | MR Spectroscopy 1H SVS syngo.via Effective Date: 02/07/2020 | HOOD/HILS HOOD05162003063285 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 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 6 of 6