MR syngo MapIt - Numaris 4 (VA to VE)

MR syngo MapIt Fusion – Numaris 4 (VA-VE) Job Aid MR syngo MapIt Fusion – Numaris 4 Systems (VA-VE Software) MR syngo MapIt – Numaris 4 Job Aid provides workflow to fuse Parametric Maps with an anatomical series. In this example, a T2 Star Map and Anatomical images were used. Important Note #1 – both syngo MapIt and Fusion Licenses are Required to create a fused MapIt series Important Note #2 – Measuring data via ROIs can only be done on non-fused raw data series (Mean Value = ms) 1. Acquire MapIt and matching Anatomical series 2. Open Patient Browser a. Select MapIt Color Images (e.g., T1 Images, T2 Images, T2* Images) Local Database map it knee library . [14] T2_Images Ricom/ 11/1 1 b. Select Applications > 3D > MPR Applications Transfer Edit View -or- Report Open Select 3D MPR Icon Report Tools Mosaic ? 3D MPR Arabic MID c. Patient Browser > Select Anatomical Images to be fused Local Database map it knee library [13] T2Map_anatomical Ricom/ 11/1 1 d. Select Applications > 3D > Fusion Applications Transfer Edit View -or- Report Open Select 3D Fusion Icon Report Tools Mosaic ? 3D MPR Argus MIP BreVis SSD BOLD VRT BOLD Evaluation Eusion Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 10/07/2021 | HOOD05162003223002 Healthineers Job Aid | MR syngo MapIt – Numaris 4 (VA to VE Software) Effective Date: 10/07/2021 | HOOD05162003223002 e. If using Matching Anatomical Series (recommended) i. 3D Series List Pop-up appears ii. Select Merge when Possible -or- Select Images with the lowest TE (1st one in list) Valid Series Series No. No. of Images |Study Description Series Description 13 12 knee^library T2Map_anatomical 13 11 knee^library T2Map_anatomica iii. Click Select Merge when possible Select Cancel 3. Fusion Registration a. If using Matching Anatomical Series, this step is not required i. Select OK OK b. If using Different Series (e.g., 3D sequence), this step is required i. Check alignment to make sure fused series matches alignment ii. User has 4 options for adjusting (Left to Right) + + auto 1. Landmark Creation – Create reference landmarks on both series to match registration 2. Visual Alignment – Manually adjust alignment using direction and rotation arrows 3. Surface Matching – Align the model images with the reference images based on threshold values corresponding to a specific tissue structure 4. Automatic Registration (recommended) – model series is automatically aligned with reference series. Choose between Precise Registration and Fast Registration. Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 10/07/2021 | HOOD05162003223002 Healthineers Page 2 of 6 Job Aid | MR syngo MapIt – Numaris 4 (VA to VE Software) Effective Date: 10/07/2021 | HOOD05162003223002 c. Once Alignment is Complete i. Select OK > Save Current Registration OK ii. Select Yes 3D: Confirm Save current registration? Yes No Help 4. Fusion Definition Fusion a. Select Fusion > Fusion Definition System Options H Fusion Side by Side -or- ‘Right Mouse Click’ > Fusion Icon Eusion Registration ... Resample Data Fused MPR Fused MPR Thick Fused MPR Thickness. Fused MIP Fused MIP Thin Fused MIP Thickness Fusion Definition ... b. Select Advanced Advanced << c. Set Color Lookup Table i. Left Side (Color Maps) – Rainbow (16 bit) recommended ii. Right Side (Anatomical) – Gray Scale (8 bit) recommended iii. Note – If anatomical series was loaded to 3D Task Card first this may be reversed (Use mixing ratio to verify) MR Mixing Ratio MR 100% 50% 50% 100% Color Lookup Table Rainbow (16 Bit) Gray Scale (8 Bit) Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 10/07/2021 | HOOD05162003223002 Healthineers Page 3 of 6 Job Aid | MR syngo MapIt – Numaris 4 (VA to VE Software) Effective Date: 10/07/2021 | HOOD05162003223002 d. Set Window Center (C) and Width (W) Values for Color Maps i. Adjust C & W to set a Default Value (User Preference) ii. Commonly Used Examples 1. T2 Maps – 45/45 2. T2* Maps – 28/28 or 50/100 3. T1 Maps – 800/800 (non-contrast) or 400/400 (with contrast) Window Value c 45 W 452: c 148: W 364 e. Set Masking i. Set L Value to 1 – removes background noise ii. H Value can be adjusted based on user preference to remove colors outside of area of interest if necessary (Be careful not to mask out important anatomy) Masking 1: H 80: L H 4095% f. Select Close to exit Fusion Definition Close 5. VOI Punch Mode (Optional) a. Select VOI Punch Mode Icon b. Draw around area of interest (e.g., Cartilage) c. Select Keep Inside Icon x d. Close Punch Tool when finished Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 10/07/2021 | HOOD05162003223002 Healthineers Page 4 of 6 Job Aid | MR syngo MapIt – Numaris 4 (VA to VE Software) Effective Date: 10/07/2021 | HOOD05162003223002 6. Saving Fused Data a. Create an Entire Saved Series i. Select Reference Plane for Planning Ranges ii. Select Parallel Ranges Icon iii. Plan appropriate coverage based on intended output iv. Select Start map it HLP Hospital Hospital O *1/1/1974, M. 46Y Skyra MR E11 *1/1/1974, M. 46Y Skyra MR E11 STUDY 3 FFS +LPH STUDY 3 FFS 11/24/2020 11/24/2020 +LPH 1:30:57 PM 1:30:57 PM 14 IMA 0 /12 14 IMA 0 /12 3D: Parallel Ranges (MR pre) X Presets Default Parallel S Cor>Sag -20 >Tra 4 Output Type MRpre MRpost AH IRPH 202 Image thickness 3.6 mm Distance between images 0.4 mm Number of images 202 MF 1.00 Start Close Help TR 1950.0 TE TE 13.8 FUSED MPR/CSAMANIPULATED BWV 230.0 FUSED MPR/CSAMANIPULATED Distance: 0.4 mm TP O SP R48.2 Thickness 3.6 mm SP A60.4 A1/PFP SL 3.60 Sag-Cor(20.7)>Tra(6.4) A1/PFP SL 3.60 K15 K15 Cor>Sag(-20.3)>Tra(3.7) *se2d5 /180 se2d5 / 180 v. Select Save As Icon vi. Label Range Series Name vii. Select OK to save fused ranges in browser 3D: Save As X [26] T2 Maplt Fused Patient map it com/ / / / / / Modality MR Exam date 11/24/20 13:18:07 Images 203 Image type Range of FUSED MPR Reading Physician Comment T2 Range series name T2 Maplt Fused OK Cancel Help Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 10/07/2021 | HOOD05162003223002 Healthineers Page 5 of 6 Job Aid | MR syngo MapIt – Numaris 4 (VA to VE Software) Effective Date: 10/07/2021 | HOOD05162003223002 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 Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 10/07/2021 | HOOD05162003223002 Healthineers Page 6 of 6