syngo MR System with Numaris X Software Turnover Workbook

SIEMENS Healthingers E- MAGNETOM Vida A ic Notrix System syngo MR System with Numaris X Software On-Site Turnover Workbook SIEMENS Healthineers www.usa.siemens.com/education I. Contact Information Summary Welcome to Siemens Healthineers Siemens Healthineers is dedicated to helping you get the Visit www.usa.siemens.com/clinicaleducation for more most out of your investment throughout the entire information regarding the current Siemens product life cycle and beyond. Our goal is to enable you Clinical Training and Continuing Education portfolio. to take technology further, profitability higher, and patient care to the next level. Find the information, resources, and Discover. Try. Buy. on webShop tools you need to get the most out of your recent investment and stay up-to-date. Do you want to “Discover. Try. Buy.” options, accessories, Visit www.usa.siemens.com/Welcome2Healthcare. and clinical education to make the most of your imaging equipment? Discover images, case studies, and video demonstrations with the latest clinical Clinical Training and Continuing Education applications. Try advanced applications utilizing Customer Care Center - Clinical Application Support: free software trials. Buy applications, coils, clinical education, and accessories, conveniently at any time. Call 1-800-888-7436 Visit www.usa.siemens.com/webShop today! Troubleshooting assistance • Immediate assistance for software Siemens Training Centers • applications and workflow issues Please provide the Functional Location Number when Siemens Clinical Education • calling for assistance. Training Center – TDC2 110 Mac Alyson Court Cary, NC 27511 Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) Classroom Training (Offerings, Registration • & Scheduling) Educational Symposia • On-site Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships • 2 II. Contents I. Contact Information Summary ...........................................................................................................................2 II. Contents ..................................................................................................................................................................3 III Course Agenda ...................................................................................................................................................... 6 IV Course Objectives ................................................................................................................................................. 8 1. System Introduction ............................................................................................................................................. 9 1.1 System Start (System On) ........................................................................................................................... 9 1.2 System Shutdown (System Off) ................................................................................................................ 9 2. Quench Safety ......................................................................................................................................................10 2.1 Magnet Stop Switch ....................................................................................................................................10 3. Patient Safety ....................................................................................................................................................... 11 3.1 Screening form ............................................................................................................................................. 11 3.2 Electrically Conducting Objects .............................................................................................................. 11 3.3 Patient Monitoring ..................................................................................................................................... 11 3.4 Localized Regions of High RF and bore wall contact ........................................................................ 11 3.5 Hearing Protection...................................................................................................................................... 11 4. Table Controls.......................................................................................................................................................12 4.1 Select&GO Display ......................................................................................................................................12 4.2 Jog Wheel ......................................................................................................................................................14 5. Patient Table .........................................................................................................................................................15 5.1 Coil Sockets & Connections .....................................................................................................................15 5.2 Stopping Table Movement ........................................................................................................................16 5.3 Emergency Table Release.........................................................................................................................17 6. Dockable Table – Option ...................................................................................................................................18 6.1 Operating the dockable patient table ..................................................................................................18 6.2 Table user interface ....................................................................................................................................19 6.3 Docking station ......................................................................................................................................... 20 7. Intercom ................................................................................................................................................................. 23 7.1 Automatic Voice Commands .................................................................................................................. 24 7.2 Recording New Voice Commands ........................................................................................................... 25 7.3 Configuring languages for voice commands ....................................................................................... 25 3 8. Quality Assurance .............................................................................................................................................. 26 9. Saving Log Files ....................................................................................................................................................27 10. Scheduler ............................................................................................................................................................ 28 10.1 Functions .................................................................................................................................................... 28 10.2 Overview ..................................................................................................................................................... 28 10.3 Concepts ................................................................................................................................................... 29 10.4 Patients List ............................................................................................................................................... 29 10.5 Search Field ............................................................................................................................................... 29 10.6 Search syntax and rules ........................................................................................................................ 30 10.7 Procedures and patients ........................................................................................................................ 30 10.8 Sort and Filter ...........................................................................................................................................31 11. Patient Registration .......................................................................................................................................... 32 11.1 Overview ..................................................................................................................................................... 32 11.2 Opening the Patient Browser (Scheduler) ........................................................................................ 33 11.3 Toolbar ........................................................................................................................................................ 33 11.4 Registering an emergency patient at the scanner .......................................................................... 33 11.5 Registering a patient manually at the scanner ................................................................................ 34 11.6 Registering a patient from the database or RIS .............................................................................. 34 12. Exam UI ................................................................................................................................................................ 35 12.1 Scan UI ........................................................................................................................................................ 35 12.2 Graphical Slice Positioning (GSP) ....................................................................................................... 36 12.3 GSP Flyout Bar ......................................................................................................................................... 38 12.4 GSP Corner Menus ................................................................................................................................... 40 12.5 GSP Context Menu ....................................................................................................................................41 12.6 Queue ......................................................................................................................................................... 45 12.7 Protocol Icons ........................................................................................................................................... 48 12.8 Copy References ....................................................................................................................................... 53 12.9 Copy Parameters ...................................................................................................................................... 54 12.10 Protocol Icons ......................................................................................................................................... 55 12.11 Series Icons in Program Step ............................................................................................................... 56 12.12 Protocol Markers ................................................................................................................................... 56 12.13 Position Mode ISO versus LOC............................................................................................................ 58 12.14 Program Control Toolbar Icons .......................................................................................................... 60 12.15 Examination Toolbar ..............................................................................................................................61 12.16. SAR Info Box ........................................................................................................................................... 64 12.17 Status Bar Icons...................................................................................................................................... 65 12.18 Home Screen ........................................................................................................................................... 65 4 13. Dot Cockpit ......................................................................................................................................................... 66 13.1 Overview ..................................................................................................................................................... 66 13.2 Structogram ............................................................................................................................................... 71 13.3 Explorer .......................................................................................................................................................72 13.4 Program Editor ..........................................................................................................................................74 13.5 Create a New Measurement Program .................................................................................................76 13.6 User Trees ....................................................................................................................................................77 14. Dot Engines ......................................................................................................................................................... 79 14.1 What is a Dot Engine ............................................................................................................................... 79 14.2 Dot Strategies ........................................................................................................................................... 80 14.3 Dot Decisions ............................................................................................................................................ 80 14.4 Dot - Guidance ...........................................................................................................................................81 14.5 Dot - Automation ......................................................................................................................................81 15. MR View & Go .................................................................................................................................................... 82 15.1 Overview ..................................................................................................................................................... 82 15.2 Patient Browser (Local Data) ............................................................................................................... 83 15.3 Searching Studies .................................................................................................................................... 84 15.4 Sorting Search Results ........................................................................................................................... 85 15.5 Worklist (RIS) ............................................................................................................................................ 86 15.6 Loading a Patient ......................................................................................................................................87 15.7 Selecting and Defining Layouts ............................................................................................................ 88 15.8 Favorite Tools ............................................................................................................................................ 88 15.9 Series Panel ............................................................................................................................................... 89 15.10 Corner Menus & Context Menu ...........................................................................................................97 15.11 3D Post Processing ................................................................................................................................. 98 15.12 Distortion Correction .......................................................................................................................... 104 15.13 Subtraction ............................................................................................................................................ 105 15.14 Combining & Composing .................................................................................................................. 107 5 III Course Agenda Session 1 Introduction to MR System RF Coils • Patient Table • System and Table Controls • System Start-up Shutdown • Software Navigation – syngo Introduction MR Overview of Exam UI & MR View&GO MR Safety Scan Volunteers Session 2 Scan volunteers Explanation of Dot Concept Demonstration of Brain Dot Engine Overview of Patient Browser Phoenix Image Principles: Parameter Cards Auto/Manual Shim Building and Saving Protocols MR View&GO Distrubution Step Session 3 Scan volunteers Demonstration of Knee & Large Joint Dot Engine Auto/Manual Shim Building and Saving Protocols MR View&GO - MPR 6 Session 4 Scan volunteers Implementing Additional Dot Engines (Option) Care Bolus & Timing Bolus Overview MR View&GO – Subtraction MR View&GO – Mipping MR View&GO – Post Processing Session 5 Scan volunteers Review: Questions and Answers Technologists & Clinical Education Specialist Complete Training forms and Checklist 7 IV Course Objectives Upon completing this course, you will be able to: Correctly perform startup and shutdown procedures • Be familiar with the table controls • Identify and acknowledge MR safety procedures • Know how to perform system QA • Describe the key features of the syngo interface of the MR Scanner • Correctly perform a patient registration • Utilize the exam UI to perform a patient procedure • Identify MR View&GO steps including their functions • Perform post processing in 3D step • 8 Classroom Workbook | syngo MR System with Numaris/X Software 1. System Introduction 1.1 System Start (System On) Notes Turn the key switch at the alarm box to the right • Press the SYSTEM On button • The System On LED lights up and the MR system is switched on • Password protected logging on is required only if authentication is enabled. • • Note: If it is disabled, your system starts as soon as it is switched on. The Logon dialog box is open: Enter your User Name and Password • If required, you may have to select a Domain. After the initial log on, the system • remembers the domain. Select OK to confirm • 1.2 System Shutdown (System Off) Shutting down the system will close all open workflows and save the results to the • Short Term Storage (STS). The system waits until all jobs that are using local resources have been completed. Close all examinations and applications • On the access bar, click the Home icon. • The Home Screen Opens • Select the Shutdown icon or Click the • arrow below the Shutdown icon and select Shut Down System The Shut Down System dialog box opens • Select Shut Down • 9 Classroom Workbook | syngo MR System with Numaris/X Software 2. Quench Safety 2.1 Magnet Stop Switch Notes Triggers a controlled magnet quench • Shuts down the magnetic field • • Note: Magnet stop should only be used in cases of emergency where there is a life threatening accident involving attracted metal parts or fire There are two different versions of the Magnet Stop Switch or as an integral part • of the alarm box. PRESS TO REMOVE FIELD EMERGENCY LISE ONLY Magnet Stop individual switch: Press to remove field Emergency use only • • MagnetStop on the alarm box: Press to remove field, Emergency use only After the Magnet Stop switch has been pressed, an alarm is triggered at the • alarm box The WARNING LED will light up and an alarm signal will sound • • Note: Siemens Service must be called following a quench. The magnet must only be put back into operation by Siemens Service personnel. 10 Classroom Workbook | syngo MR System with Numaris/X Software 3. Patient Safety 3.1 Screening form Notes A screening form for patients, personnel and non-personnel for MRI • examinations and entry into the MRI environment must be completed A comprehensive screening form should be filled out and a verbal interview • performed to verify information on the form Check MR Safety guidelines for implants and prosthesis prior to scanning the • patient or entering the magnet room 3.2 Electrically Conducting Objects Patient should remove all electrically conducting objects, (e.g., jewelry, • piercings) Patient should remove all clothing that has electrically conducting material, for • example: bras, metallic appliqués or woven metallic yarns. • Note: It is recommended that the patient are changed into a gown or scrubs. Eyeliners and tattoos may contain ingredients causing artifacts or skin irritations • during MR exams. Remove makeup prior to the MR examination. Patients should seek medical attention in case of discomfort during or following • the MR Exam. 3.3 Patient Monitoring Routine Monitoring – All patients should receive routine monitoring • Mandatory Monitoring – Sedated and physically unstable patients is required to • be monitored • Note: Medical supervision is mandatory when the MR System is scanning in the First Level Controlled Operating Mode 3.4 Localized Regions of High RF and bore wall contact Prevent potential localized regions of high RF by ensuring the patient is • positioned with proper distance to magnet tunnel and between parts of body A minimum distance of 5 mm is maintained between patient and tunnel • covering. • Note: Ensure distance by using positioning aids, (e.g., blankets made of linen, cotton, paper, or dry material that is permeable to air). Sufficient ventilation is also recommended. Instruct the patient of possible stimulation during the MR examination, such as • twitching muscles and tingling sensations. 3.5 Hearing Protection Appropriate hearing protection that lowers noise to at least 99 dB • Headphones are not classified as hearing protection. Headphones should only • be used in combination with ear plugs for communication purposes Provide anesthetized or unconscious patients with hearing protection. All • patients and personnel in MR examination room should receive hearing protection. Note: For detailed system safety instructions consult the Operator Manual. • 11 Classroom Workbook | syngo MR System with Numaris/X Software 4. Table Controls The Control units are located at the right and the left side of the patient table at Notes • the front of the magnet cover SIEMENS Healthineerst Each control unit consists of a display with a touchscreen (Select&GO display) • and a control panel with a jogwheel 4.1 Select&GO Display Maximilian Theodor Richard Gustav S .. Table Possa Home (3) Cois (1) 16Ch Breset Sen CPExtremity Shoulder (2) (1) Button for automatic table positioning (2) Tool bar (3) Current table position and connected coils 12 Classroom Workbook | syngo MR System with Numaris/X Software 4.1.1 Tools and Menus Notes Comfort menu, offers settings for patient comfort: Ventilation, Speakers, Headphones, and Bore light Physio menu Displays the physiological data of the patient Settings menu, offers Cleaning Mode and various Brightness settings: O O Brightness (of the touch display), Funnel Light, and Ring Light (if available) Start Measure Starts a prepared measurement. During measurement, the display will be dark. Info i Displays further information (for example, undocking of the dockable patient table) Table lock/Table unlock (toggle icon) Activates/deactivates the table lock function for interven- tional examinations If the table lock is active, the control functions for the patient table are locked but it is still possible to move the table mechanically. Automatic table positioning The overlay button on the pictogram of the patient body moves the table to the isocenter position of the selected body region. 13 Classroom Workbook | syngo MR System with Numaris/X Software 4.1.2 Operating the control Units Notes Select one of the icons to choose a menu or to perform an action • To adjust an intensity, tap the corresponding position on the slider • To move the table to the isocenter position automatically, tap the button of the • corresponding body region To reset the patient alert (alarm message on the displays), tap the corresponding • button in the message If you want to clean the touch display, choose the Settings menu and tap on the • Cleaning Mode switch. This will freeze the touch display for cleaning. 4.2 Jog Wheel The patient table can be controlled via the movement buttons and the jogwheel • on the control unit (1) ( 2 ) ( 3 ) (4) (1) Table Up/Inward button (2) Jogwheel, Center Position button (3) Home Position button (4) Table Down/Outward button Home Position Table is at the height of moving into the magnet bore, tabletop is moved completely out of the magnet. Center position The body region to be measured is in the magnet isocenter. 14 Classroom Workbook | syngo MR System with Numaris/X Software 5. Patient Table Table weight limit of 550 lbs. Notes • Table is used for positioning the patient and the coils • Table is comprised of several sockets and connections • Tabletop can be moved horizontally into the magnet bore. When moved • completely out of the magnet, the tabletop may be moved vertically as well. (2) (1) (5) (3) (4) (1) Tabletop (2) Head end (3) Table Stop button (4) Emergency release (5) Handle to pull out the tabletop in case of emergency 5.1 Coil Sockets & Connections 3 4 For more information about assignment of the coil sockets, see Coil Operator • Manual 15 Classroom Workbook | syngo MR System with Numaris/X Software Notes (1) (2)(3) (1) Squeeze bulb (2) Vacuum cushion (3) Headphones 5.2 Stopping Table Movement Press the Table Stop button to stop the table movement • To reset the table stop, pull out the Table Stop button until it releases mechanically. • Then simultaneously press the Table UP/Inward and the Table Down/Outward button fully. 16 Classroom Workbook | syngo MR System with Numaris/X Software 5.3 Emergency Table Release Notes Patient rescue during emergency situations. Release the emergency release to • pull the tabletop with the patient manually out of the magnet 1. Activate the emergency release (location is indicated by a label) From the right side of the table: pull the lever • From the left side of the table: push the level • MR Measurement is aborted • (1) 2. Grip the recess handle (2) 3. Pull the tabletop out of the magnet into the home position and rescue the patient. 3 Automatic reset of emergency release mechanics, pull the tabletop into the • home position until you hear a click sound 17 Classroom Workbook | syngo MR System with Numaris/X Software 6. Dockable Table – Option Dockable patient table is an optional table that can be completely removed Notes • from the magnet system. This enables the transport of immobile patients. The dockable table is available in two versions: • The standard dockable patient table is equipped with a 5th wheel in the middle • underneath the table. This wheel stabilizes the table when it is moved back and forth and allows for easy rotation around the center. The eDrive dockable table has the 5th wheel available with motorized support. • (1) (2) (5)( (4) (3) (1) Table user interface (2) Handle at the head end and Table Stop button (on both sides of the table) (3) Docking station (4) Side rails (5) Handle at the foot end 6.1 Operating the dockable patient table If the table is docked to the system, you use the same controls as for the • standard table. If the table is undocked from the system you use the table user interface • 18 Classroom Workbook | syngo MR System with Numaris/X Software 6.2 Table user interface Notes Table user interface is used to operate the dockable patient table is not docked to • the MR System. It also shows the battery charge level of the table (1) (2) (3) (4) SIEMENS Heatthineers* A (O) BioMatrix Dockable Table (6) (5) (6) (1) Table On/Off button (2) Battery Status LEDs (3) Table up/down button (4) Docking/Undocking button (5) Brake button, to apply or release the parking brake (6) Hand symbols to check the E-drive (option) 6.2.1 Battery charge Level The dockable patient table is supplied with power via a rechargeable battery. As • soon as the table is docked to the system, the battery is recharged by the system. The battery charge level is indicated on the table user interface. • When all 5 LEDs are lit, the battery is fully charged • When 4 of the 5 LEDs are lit, the battery is 4/5 fully charged • When 3 of the 5 LEDs are lit, the battery is 3/5 fully charged • 19 Classroom Workbook | syngo MR System with Numaris/X Software 6.3 Docking station Notes The docking station is located at the lower front of the magnet. Docking and • undocking is performed electronically by pressing a button on the table user interface. If the battery is completely discharged or if a table error has occurred, you can use the button on the left side of the docking station to dock the table. 6.3.1 Undocking table Press the Docking/Undocking button. Automatic undocking starts • The table is released from the docking station. The Select&GO displays show a • message as soon as the table is undocked. 6.3.2 Docking table Move the table with docking nose into docking station • Align the table with the magnet bore to reach the end stop position • Select&GO displays show if the table is positioned completely • Press the docking/undocking button to start electronic docking. Message will • appear on Select&GO display. 20 Classroom Workbook | syngo MR System with Numaris/X Software 6.3.3. Undocking in case of emergency Notes If undocking with the Docking/Undocking button on the table user interface does • not work, the table can be docked or undocked using the controls at the left side of the docking station. Tabletop is in the home position • At the left side of the docking station, turn the knob clockwise (into horizontal • position) If the table is undocked, turn the knob back into the vertical position. • Remove the table completely from the docking station and press the button on • the docking station to reset the docking mechanism. 6.3.4 Docking the table manually Ensure that the know on the left side of the docking station is in the vertical • position Position the table with the docking nose in the docking station. • Press and hold the button on the side of the docking station until the docking • process in complete. The table is connected to the docking station. • 21 Classroom Workbook | syngo MR System with Numaris/X Software 6.3.5 Releasing the parking brake manually Notes If battery completely discharges while the talbe is parked, you can release the • parking brake manually. As this may impact proper functioning of the parking brake, you must always reset the brake after you have released it manually. There is a small locking know on each wheel of the table. • 1. Turn the small locking know counterclockwise into the horizontal position to release the parking brake. Turn the knob on all four wheels of the table. Parking brake is released. 2. Move the table toward the MR system and engage the docking nose into the docking station. Use the button on the docking station and dock the table manually to the system. 3. Wait until the battery of the table has recharged approximately 30 minutes. 4. Undock the table by pressing the Docking/Undocking button on the table user interface. 5. Press and hold the Table up/down button on the table user interface for 5 sec. The parking brake is reset and applied. 22 Classroom Workbook | syngo MR System with Numaris/X Software 7. Intercom The intercom allows personal and patients to communicate during the examination. • It can stop the patient table . • Optionally, music or automatic voice outputs can be played into examination room via the loudspeaker or the headphones. • STO STOP Circuit Open (blinking red) SIEMENS Volume Capacitive Sliders Hear Volume Indication Speaking Speak Volume Indication Hearing Reset Squeeze Bal Shows whether Hearing/Listening Active Audio connection (music in) Reset Table Stop button Notes 23 Classroom Workbook | syngo MR System with Numaris/X Software 7.1 Automatic Voice Commands Notes Can be found in the Exam Settings • O Inroom Exam Physio Infine Dot Settings Settings Display Display Cockpit Automatic Voice Commands – controls the selection and playback of voice • commands stored in the system • Command Language – sets the language in which the voice output is played back Commands list – selects the patient instructions • • Play, Stop – starts and stops playback of the selected instructions Playback slider – adjusts the volume of the voice output • Exam Settings ? X Table Move Show Notification Default Coil Selection Auto Coil Select Coil Memory Manual Automatic Voice Commands Command Language English (United States Commands Duration Continue breathing 1.48 Hold breath (exhaled) 6.28 Hold breath (inhaled) 8.15 Short Hold breath (inhaled) 2.75 Play 5top Playback 49 40 Close 24 Classroom Workbook | syngo MR System with Numaris/X Software 7.2 Recording New Voice Commands Notes No patient is registered • On the access bar, click the Settings icon and choose Configuration Panel from • the menu Meduser Select the Scan Application tab • Select the Add icon, then the Create Voice Command dialog box opens • Enter a label for the new voice command and select OK. • Select the Record icon and record your new instructions using the microphone • Configuration Panel Client Settings Display And Behavior Export Scan Application Automatic Voice Commands Default Language English (United States) Command Language English (United States) Commands Duration Continue breathing 1:46 Hold breath (exhaled) 6.28 Hold breath (inhaled) 8.15 Short Hold breath (inhaled) 2.75 + Ragers Playback MO 40 Record $$ 100 Sound Settings MARS - Measurement and Reconstruction To test your voice command, select voice command from the voice command list • Select the Play icon • Adapt the default playback volume with the Playback volume slider if • necessary 7.3 Configuring languages for voice commands No patient is registered • On the access bar, click the Settings icon and choose Configuration Panel from • the menu Select the Scan Application tab • From the Default Language list, select the preferred language of the patient • From the Command Language list, select your preferred command language • Select OK • 25 Classroom Workbook | syngo MR System with Numaris/X Software 8. Quality Assurance Select the System Check icon Notes • System Check Select the Quality Assurance Tab • Select the head coil for the quality measurement • Select Go • 26 Classroom Workbook | syngo MR System with Numaris/X Software 9. Saving Log Files In case of an error, it is useful to generate SaveLog for error analysis. Notes • Note: Make sure no measurement is in progress before starting the SaveLog • creation. On the access bar, click the Settings icon >Select SaveLog • Meduser › ? M Configuration Panel Administration Portal Remote Access Remote Assistance SaveLog The SaveLog Dialog box opens • Create SaveLog Your Name Describe the error or your observation Screenshots Screenshots may contain patient data. Screenshots help our service analyzing problems faster and more efficient Screenshots will only be used for this purpose and will be handled confidentially. I Attach Screenshots OK Cancel In the Name field > Enter a name • Select the Take Screenshots check box to include screenshots to the log file • Select OK • 27 Classroom Workbook | syngo MR System with Numaris/X Software 10. Scheduler Entry point to the examination workflow at the acquisition workplace. Note: If two Notes monitors, left monitor. 10.1 Functions Visualizing planned procedures and corresponding patient data for • the scanner Retrieving planned procedures and corresponding patient data from • the RIS Adding or deleting planned procedures and corresponding patient data locally • at the acquisition workplace Correcting planned procedures and corresponding patient data before the • examination starts Searching for and retrieving prior studies • Indication of the procedure status • Calling up the Patient Browser (Local Data) to see the studies belonging to the • selected patient Grouping related procedures of a patient for a single examination workflow on • the scanner Starting the examination • Managing the procedure status (MPPS) • 10.2 Overview Patient Browser Search Button bar top Patients Scheduled for Today Co seguita, 13-14. 44) Program Selection Procedere Desc Statins MR Brain Doe, John Medical Information Examination Information R33201405381241182 MEU ORENT WO CON Scheajed Adminning lagroses Headache MR Angio SingleStation Carotids RS AN 000014 20.16 1981. M MIRA CAROTID WWO C Sched Jod Alerts 0 Reg Por:ID RS-RP 000014 MR Brain Shely Descrgton had Evan Dot Engee Medical Alert Claustrophobic RS 201402200339661 MARIA BRAIN WIO CONT Schedang MR Brain 3D "Poder1 0 RS 201402200330861 *20 10.1901, M RS-201402200308586 (MRI BRUNN 20 WO CON: Scheduled Dile of It | 20 10 toet jod MM ywYl MR Breast Dot Engine Patient Registration 21.10. 1981, M Patient list R:5 201402200337771 LEU BREAST WIO CONT. Scheduled Sex Male Institution MR Cardiac Dot Engine 100 cm 20:10 1501 M Program Selection RS 20140220033/013 MERI CARDIAC Schedded Meleic Performing Îtyucan Schedjer John MD MR CSpine Dot Engine SIEMENS > head > Brain Dot Engine > program 23 10:1501. M Load Program to Queue RS 201402200336543 10 CERVICAL SPINE WS Scheduled erting Physician Relating John M.D MR Hip 2D Dot Engine Body Part and Laterality 22.10 1901 M Requesting John MD Cond RS-20140220000536 MAI HOPED WO CONTRE Scheduled Operator MR Hip 3D Dot Engine Patient Orientation 22. 10 1001; M R3 201402260334445 MRI FCP JD WO CONTR: Scheduled MR Knee 3D 20 10 1901 M R5-2001402200332947 MIRI KNEE 30 Scheduled MR Knee Sk 2D SaveCancel Button bar bottom 28 Classroom Workbook | syngo MR System with Numaris/X Software 10.3 Concepts Notes The Patients list is the worklist for your • daily work A Patients list item represents one or more Doe, John • planned procedures of a registered patient ME ORENT WO-CON MR Angio Single Station Carotids In the Patient Browser (Scheduler), can • 034 1 change the patient and procedure data MR Brain before you start the examination MR Brain 3D MR Breast Patient list MR Cardiac Dot Engine MR CSpine Dot Engine MICHINCA MR Hip 2D Dot Engine MEHP TO WO CONTRE MR Ho 3D Dot Engine MR Knee 3D MR Knee SK 2D 10.4 Patients List View of available procedure data and patient data on the acquisition workplace • May switch between the procedure view and the patient view of the Patients list • Procedure view – list of procedures • Patient view – list of patients with the assigned procedures • Patients All for Today (28 results, 14:11:16) T Patients Patient Procedure Desc Status Proc Procedures If connected to a RIS, the acquisition workplace retrieves data from the RIS at • regular intervals Can search the available procedure data and patient data in the Patients list • Sorting the list and filter by procedure status or by time stamp • 10.5 Search Field Search by: • Patient Name, Date of Birth, Patient ID, Accession number, Procedure • description, Procedure start date, Modality *Wildcards supported • Date and time formats: DICOM format (YYYYMMDD) or Windows regional • settings Search by Name, ID DoB, Description Procedure Date, Acc No. and Modality (C. Search by Name, ID, DoB, Description, Patients All for Today (28 results, Procedure Date, Acc No. and Modality (Ctrl+F) 29 Classroom Workbook | syngo MR System with Numaris/X Software 10.6 Search syntax and rules Notes Text strings are not case-sensitive • • Example: Meyer and meyer produce same results Can enter a fragment of a name or a value • Example: Me to search for all patient whose name begins with “Me” • Can use * as a wildcard character • Example: *eyer will find Meyer, Breyer, etc • To search for patients with composite last names you have to place a * between • the first and the second part of the name Example: van*Houten will find “van Houten” • In the Quick search field, you can enter a date manually • Can combine a date or a time range with a name or a value • Example: 2013/10/25 Meyer will find all patients whose name is “Meyer” with • the birthdate of 2013/10/25 • Note: Use DICOM format (YYYYMMDD) 10.7 Procedures and patients A patient can contain one or more procedures • All procedures of one patient match the following criteria: • The procedures belong to the same patient • The status of the procedures is scheduled • The procedures match the current search and filter criteria • In Patient View of the Patients list, multiple procedures are grouped under the • same patient In Procedure View of the Patients list, this icon shows that multiple • procedures are available for the same patient 30 Classroom Workbook | syngo MR System with Numaris/X Software Notes 10.8 Sort and Filter Patients All for Today (28 results, 14:11:16) Patient Drar Date and Time Sort by Patient Name ascending › Doe, Ja ^09.11.1981 Filter by Time Patient Name descending RS_201402 Filter by Status Patient ID ascending Doe, John Patient ID descending 09.11.1981, M Date of Birth ascending RS_201402261241182 MRI/A BRAIN W/O. Date of Birth descending MRI SPINAL COR ... Scheduled 12.10.2016, 12:09 Patients All for Today (28 results, 14:11:16) Patient Procedure Desr Status Proc Date and Time Doe, Sort by *09.11.19 Filter by Time RS_2014 Filter by Status » Scheduled Doe, John Scanned "09.11.1981. M All RS_201402261241182 MRI/A BRAIN W/O. Scheduled 12.10.2016, 12:09 MRI SPINAL COR ... Scheduled 12.10.2016, 12:09 Patients All for Today (28 results, 14:11:16) C Patient Sort by Status Proc Date and Time Doe, Ja "09.11.198 Filter by Time V Today RS 201402 Filter by Status › Tomorrow Doe, John Yesterday *09.11.1981, M Last 2 Days RS_201402261241182 Last Week MRI/A BRAIN W/O. Last 2 Weeks 2016, 12:09 MRI SPINAL COR. 2016, 12:09 MRA NECK W/O C .. Anytime 2016, 12:09 31 Classroom Workbook | syngo MR System with Numaris/X Software 11. Patient Registration Patient Registration tab Notes Can view and correct the patient and examination data. • Every field that is marked with an * is a mandatory field that must be filled in. • Mandatory information is highlighted • Every field with orange line is Safety Relevant Information • Exam Button is always green • 11.1 Overview Patient Registration Program Selection Medical Information Examination Information 1 · Last Name Admitting Diagnosis Procedure First Name Accession Nr. Title Req. Proc. ID Suffoc Alerts Study Description head Brain Dot Engine Study Comment Middle Name Medical Alerts · Patient ID . Date of Birth | Mdlyyyy EM/dlyyyy 11 Allergies . Age Year(s) . Sex . Height =in Institution . Weight Ibs U.S. Institution Name Performing Physician 10 Referring Physician Program Selection 2 Requesting Physician SIEMENS > head > Brain Dot Engine > program Load Program to Queue Operator RF Transmit Mode Any Polarization 3. Body Part and Laterality Brain 4 Unpaired Patient Orientation 5 Select 9 relevant Information needs to be validated and confirmed "Mandatory ini 7 Save Cancel Delete Local Data rior Studies Exam 9 1. Procedure Information 6. Exam Button - Always Green 2. Selects the measurement 7. Prior Studies button program 8. Local Data button 3. RF Transmit Mode – CP only for certain conditions 9. Save button 4. Assigns the Body part examined 10. Height & Weight and laterality information 11. Patient data 5. Patient Orientation 32 Classroom Workbook | syngo MR System with Numaris/X Software 11.2 Opening the Patient Browser (Scheduler) Notes Can open the Patient Browser (Scheduler) in two ways: • In the top left access bar, click the Scheduler icon • In the Home Screen, click the Examination icon • 11.3 Toolbar located on the right-hand side above the Patient Registration and Program • Selection content area Emergency Add Broad Delete Patient Patient Query Procedure Toolbar Icons Emergency Patient Can register an emergency patient Add Patient or Add Procedure Register a new patient Ability to add a procedure to a registered patient Broad Query Refreshes the Patients list for a certain time range Patient Query . Retrieves patient data and procedure data from RIS Delete Procedure Removes a locally registered patient from the Patients list as long as the exam hasn't started E) 11.4 Registering an emergency patient at the scanner In case of an emergency, you can perform an emergency registration. • Mandatory fields of the Patient Registration tab are filled with default values • that you can change depending on your knowledge of the patient. Registration steps: • On the toolbar, select the Emergency Patient icon • Enter any further patient data depending on your knowledge of the patient • Select the Exam button • 33 Classroom Workbook | syngo MR System with Numaris/X Software 11.5 Registering a patient manually at the scanner Notes On the toolbar of the Patient Browser(Scheduler), • select the Add Patient Icon Enter the required patient data in the Patient Registration tab • Mandatory fields are marked by an asterisk* • Select a measurement program in the Program Selection tab • To save the data and start the examination, select the Exam button • 11.6 Registering a patient from the database or RIS If the patient is already scheduled for examination or if your system supports • scheduling via RIS, you can retrieve the registration data from the database. 34 Classroom Workbook | syngo MR System with Numaris/X Software 12. Exam UI 12.1 Scan UI Notes Examination Screen • Image acquisition • SIEMENS Meduser . 7 H & W 1/18/1858 M 2016. 10. 12-07 -30-07-DST- 1 .. Abdomen 2016.10.12-07- gre 2016 10450 OFRMa 3 % AALScout 4 % BEAT 5 % BEAT_epi 6 % BEAT_FQ 00:02 AR 7 % BEAT_IRT % BEAT_IRTTT 17:00 8 00 08 9 % BEAT_map 02:48 10 % ciss TPO 12:54 SP R56 0 SPR54 8 11 % csi_fid Foy 128-050 FOV 128-160 Sag-Cor(14) Sag- Cor(14) 12 06:56 REAUDIS2D 582 x csi_se pd_Spc_fs_sag_p2_is_32 REAL/DIS2D pd_spc_fs_sag_p2_10_320 254 51 sec " Manual @ None @1.8x1.8x2.0 mm @ 1.00 Go Cance 2016.10.12-07:30:07-DST:Trauma H Routine Contrast Resolution Geometry System Physio Inline Sequence 2 IMA 2 FRM 1 Slab Group 1 FoV Read 450 mm Stabs FoV Phase 100.0 % Slices per Slab 32 Slice Thickness 2.04 mm Distance Factor 20 - 96 TR 20,00 AR Position Isocenter TE 5.00 ms ECG I Orientation Transversal Averages Phase Encoding Dir. A>> P Concatenations Phase Oversampling 0 2 % AutoAlign - Slice Oversampling 0.0 % Coil Elements BC O. tep 2 - gre Inroom Lxam Mine Dot Settings Settings Diplay Cockpit Waiting for slice positioning OM Examination Screen Elements – image acquisition (left screen if two monitors) • Search • Program Control controls measurement sequence • Patient Tab – registered patient displayed • Protocol Info Line – information about open protocol • Queue – measurement program steps • Planning Segments – reference images in each segment used for graphical • slice positioning (GSP) Stamp Segments (Vertical) – previously measured series from current exam • Overview of acquired images, each segment displays one series • Status bar • SIEMENS C 18 09- 1906 F 81649906- 28 34-4de 5-9508-2. Hengelein, Bernd (HC DI MR RED SW EXAM ) + ? M 2 . Abdomen 81649906-2834-4dc 5. 9500-252071135242 1848203-2934- 4dc5-9588- 2568711 35242 18 20906-2334- Ade5. 9508-250071135242 BEAT 2 % ISO-LOC Settings IMAT FRING IMAT FROM 10 GSP Area R Queue & Add-In 5cm Area A F TP 0 TP 0 SP A3,0 SP F3,0 FOV 300*300 FOV 300*300 Cor 611 Tra 275 MAGN/DIS2D 652 gre TP 0 297 AE E 00:00 study comments study comments Go Cancel Parameter Card Area Exam Toolbar 35 Classroom Workbook | syngo MR System with Numaris/X Software Notes 12.2 Graphical Slice Positioning (GSP) Flyout Toolbar cron. Maria 34-4dc5-95 Cron, Maria 20 09 2016 8164890€-8834-4de5-9508-2500711 35242 8164990c-aa34-4dc5-9508-25cd71135242 IMA 1 FRM 2 1 IMA 1 FRM 6 29.09.2016 1 IMA 1 FRM 10 "Planning Segments sem Stamp Segments Fov 300 -300 DOC.ODE AC study commen gre TP O study comments Inline Display/ Overview Graphical Slice Positioning (GSP) Segments • Overview Segment • GSP Segments Cron, Maria 61122187-2ab0-4756-ae61-9607df91ab71 507 dr919671 06.10.2016 06.10 2016 Overview Segment 1 IMA 1 FRM 2 1 IMA 1 FRM 6 5cm A TP O TP O SPR3.0 SP A3.0 FOV 300.300 FOV 300-300 Sa Com MAGN/DIS2D 324 MAON/DIS2D gre TP O study comments study comments F TP O SP F3,0 FOY 300*300 are Te o 652 study comments 36 Classroom Workbook | syngo MR System with Numaris/X Software Inline Display Notes • Inline Display GSP Segments Overview Segment 1 IMAT FRME THAT FRM 10 A TP O SPA3,0 Step 1 - BEAT FOV 300-300 Cor MAGNDIS20 611 gre TP O 275 Seve Pause Diasciay Continue Copy Contrue study comments 10cm F TP O SP F3.0 FOV 300*300 Tra MAGNDIS20 652 ore TP O 297 study comment 37 Classroom Workbook | syngo MR System with Numaris/X Software 12.3 GSP Flyout Bar Notes Add Slice Group Image Text 3 Point Mode Ref Lines Radial Slices Stack +/- Line Mode Coils Saturation Band Gap +/- . Package Mode Table Line Group Graphics FoV +/- Oversampling Adj Volume Tools Add Slice Radial Saturat. Line Mode Package Over- Image Ref. Lines Coils Table Line Volume Group Slices Band Group Mode sampling 5.3.1 GSP Flyout Toolbar Tools automatically close when activated • Add Slice Group – select a planning segment > click icon, new slice • LO group created Add Slice Group 3 Point Mode – select one or more planning segments > click icon, • 3 Point planning of slice group created 1 Point Radial Slices – create radial slice group • * Radial Saturation Band – select a draw and planning segment > click • icon, create or draw saturation bands Band Group Graphics – links/unlinks all slice groups and saturation • bands together Group Graphics Tools can be used repeatedly without automatic closing flyout toolbar after use • FoV +/- – Moves slice group by one FOV with overlapping in the • positive or negative direction FoV +/- Gap +/- – Moves the slice group by half the distance between • slices in the Positive/Negative direction Gap +/- Stack +/- – Moves slice group by one group thickness in the • positive or negative direction Stack +/- 38 Classroom Workbook | syngo MR System with Numaris/X Software Line Mode – displays slices of a slice group as lines Notes • Line Mode • Package Mode – displays slice group as a package (end and center slices displayed) lo Package Mode Oversampling – shows/hides slice and phase oversampling lines • Over sampling Image Text – shows/hides image text • Ref Lines – shows/hides reference lines (orientation lines) • Ret. Lines Coils – shows/hides coil elements • Table Line – shows/hides table position of the protocol • Table Line Adj Volume – Shows or hides adjust volume • Ad_ Volume Overlap dialog box – set Overlap ? × • overlap used FoV +/- • Overlap 50 mm Align Parallel For 39 Ok Cancel Classroom Workbook | syngo MR System with Numaris/X Software Align FoV +/- Notes • 12.4 GSP Corner Menus H Upper left • Maria Lower Left – not used 2b40d371-c939-4age-8191-e3a556ae19dc • Upper Right 14.10.2016 • IMA 1 FRM 2 Lower Right • 5cm : TP 0 SP R3,0 FoV 300*300 Sag MAGN/DIS2D 697 324 study comment 12.4.1 Upper Left Zoom/Pan Zoom/Pan – magnify or • move image within Windowing :191-83a556ae19dc planning segment But Movie Windowing – adjust • images brightness and Scroll contrast Movie – movie panel Fit to Segment • opens to scroll images Fit to Segment interactively • Scroll – page through Fit to Segment Height images in planning segment Fit to Acquisition Size 5cm Fit to Segment – resize • images in planning segment 12.4.2 Upper Right HPixel Coordinates Pixel Coordinates • Activates pixel lens • 40 Classroom Workbook | syngo MR System with Numaris/X Software Notes 12.4.3 Lower Right Auto Windowing – calculates a window width and center value then • automatically displays in selected planning segment Display Order – Change sorting of images displayed in planning segment • Anatomical • As Numbered • Chronological • Triggered • FoV 300*300 FoV 300*300 Sag Cor 697 324 MAGN/DIS2D Auto Windowing gre TP 0 auto ents Anatomical tudy commeDisplay Order As Numbered Chronological ... + Triggered M 12.5 GSP Context Menu Right mouse click in planning segment • 39a5b308-1708-4733-9249-6fdda4a34f10 DA1.FRM 81/100 Copy Image Position Dot Clear All Segments ax Perpendicular 1ºOrthogonal Find Localizer Align Parallel O Align Fov Repeat Step TPU PR55,4 Repeat & Open Step 28*160 or(14) REALIDIS20 583 pd_spc_is_sag_p2_iso_320 po Shift to Image Plane 253 study comments Copy Parameters 8 sec Routine Contrast Resolution Geometry O Create Snapshot Sys ..... 41 Classroom Workbook | syngo MR System with Numaris/X Software 12.5.1 Copy Image Position Notes Target sequence open in measurement queue • Select GSP segment of reference image • Right mouse > select Copy Image Position from context menu of planning • segment Copies position and orientation of current displayed image in GSP segment into • open target sequence in measurement queue temen kyle 39a5b3ba-1708-4733-9249-6fdda4a34110 IMA 1 FRM 81/100 Copy Image Position Clear All Segments Perpendicular Orthogonal Find Localizer 1 cn 1 cm Align Parallel O Align FoV TP O Repeat Step R56.0 28.160 or (14) Repeat & Open Step REALIDIS2D 582 (pd_spc_is_sag_p2_jso_320 252 R. pc Shift to Image Plane study comments Copy Parameters 6 8 sec O Routine Contrast Resolution Geometry Sys Create Snapshot 12.5.2 Perpendicular Align Object Perpendicular to Reference Plane • Select object to be aligned • Right mouse > Select Perpendicular from context menu of planning segment • Select object aligned, centers of slices or slab groups are shifted into • reference plane No Object selected – Perpendicular affects all oblique slices, slice boxes, and • slab groups. Oblique saturation regions or navigators are not aligned 249-6fdda4a34110 3985b3be-1708-4733-9249-6fdda4a34110 1 IMA 1 FRM 81/100 Copy Image Position Dog Clear All Segments Ja Perpendicular ? Orthogonal 1c [L] Find Localizer Align Paralle O Align Fov Repeat Step oV 128 160 ag>Cor(14) Repeat & Open Step REALIDIS2D 582 R pd_spc_fs_sag_p2_jso_320 252 pa Shift to Image Plane study comments Copy Parameters 8 8 sec Routine Contras Resolution Geometry Sys ........ O Create Snapshot 42 Classroom Workbook | syngo MR System with Numaris/X Software 12.5 .3 Find Localizer Notes Find Localizer – search all images loaded in GSP planning segments for • reference images suitable for current table position of protocol Images loaded in GSP planning segments • Open sequence pending in measurement queue • Right mouse > Select Find Localizer from context menu of planning segment • Images of a series with the smallest deviation from protocol table position in • Z-direction are displayed (e.g., deviation cant exceed a system-internal tolerance value) 39a5b3ba-1708-4733-9249-6fdda4a34110 1 IMA 1 FRM 81/1.00 Copy Image Position Clear All Segments ax Perpendicular Orthogonal [C]Find Localizer 9em Align Parallel O Align Fov Repeat Step REALIDIS20 Repeat & Open Step pd_spc_is_sag_p2_iso_320 Shift to Image Plane study comments Copy Parameters 8 sec Create Snapshot Routine Contrast Resolution Geometry Sys. 43 Classroom Workbook | syngo MR System with Numaris/X Software 12.5.4 Shift to Image Plane Notes Shift to Image Plane – move center of all slices and slab groups into a defined • reference plane Select reference image in GSP planning segment to be used as reference plane • Right mouse > Select Shift to Image Plane from context menu of planning • segment Center of graphical objects moved into reference plane • (or) Center of graphical object moved into visible area of image • Riemon, Kyle 563ba-1708-4733-9249-6fdda4a34110 39a5b3ba-1708-4733-9249-6fdda4a34110 141 FRM 80/100 XIMA1 FRM 81/100 Copy Image Position DOT Clear All Segments > Perpendicular Orthogonal Find Localizer 1 cm Align Parallel O O Align FoV TP O SP R56,0 Repeat Step FoV 128 160 Sag>Cor(14) Repeat & Open Step REALIDIS20 582 (pd_spc_fs_sag_02_jso_320 C 252 + Shift to Image Plane study comments Copy Parameters 8 sec Routine Contrast Resolution Geometry Create Snapshot Sys ...... ... ... . 44 Classroom Workbook | syngo MR System with Numaris/X Software 12.6 Queue Notes CH test, head spine * 2/10/1957 M 2017.06.30-0 Brain LOC + AAhead_scout 1 t1_tse_dark-fluid_sag_p2 t1_f12d_tra 4 [2_tse_tra_512 15 t2_tse_dark-fluid_tra 6 resolve_3scan_trace_tra_p2_160 7 tof_f13d_tra 8 ep2d_diff_mddw_20_p2 9 localizer « 10 t2_tse_sag 03:11 2 11 t1_tse_dark-fluid_sag 03:58 12 _ 12_tse_fs_sag 03:25 4 10:34 3 Go Cancel Delete Skip Stop Pause Continue Copy&Go (1) Series Icon (2) Protocol measurement time (3) Remaining overall measurement time (4) Toggle between normal & expandable queue size 12.6.1 Expandable Queue Normal Expanded Brain Dot Engine Brain Dot Engine LOG ... . + 1 AAhead_scout 1 AAhead_scout 2 % 11_qtse_dark-fluid_sag_p2 2 % 11_qtse_dark-fluid_sag_p2 3 t2_qtse_tra_p3 01:12 3 12_qtse_tra_p3 01:12 4 t2_qtse_dark-fluid_tra 04:14 4 t2_qtse_dark-fluid_tra 04:14 5 resolve_3scan_trace_tra_p2_160 02:28 5 resolve_3scan_trace_tra_p2_160 02:28 6 t1_f12d_tra 01:19 6 t1_f12d_tra 01:19 _ 12_swi_tra_p2_384_2mm 06:04 7 x 12_swi_tra_p2_384_2mm 06.04 x_ 11_space_sag_p2_iso 06:41 8 % t1_space_sag_p2_iso 06:41 9 % tof_f13d_tra 05:33 9 tof_f13d_tra 05:33 10 inject contrast agent 10 inject contrast agent 11 % ep2d_perf_p3 01:33 11 % ep2d_perf_p3 01:33 12 t1_f12d_tra 01:19 12 11_#12d tra 01:19 E 36:39 13 11_f12d_cor 01:22 Go 14 % t1_se_sag 04:54 Cance Delete Skip Stop Pause Continue Copy&Go X 36:3 Delete KI Stop Pause Continue Copy&Go Go Cancel 45 Classroom Workbook | syngo MR System with Numaris/X Software 12.6.2 Sequence not yet executed in queue Notes Whole-Body Dot Engine ISO .Y + 1 FastView 2 t2_haste_stir_cor_mbh_chest 3 t2_haste_stir_cor_mbh 09:48 5 t1_vibe_dixon_tra_bh 00:39 5 ep2d_diff_b50_800_tra 6 Sagittal spine scans no 6 12_haste_fs_tra_mbh 01:23 8 localizer_aorta_bh 00:19 9 t1_vibe_dixon_tra_bh_pre 9 00:12 10 Check precontrast 11 Prepare injector 12 Care Bolus 01:16 E 14:52 Go Cancel Delete Skip Stop Pause :Continue Copy&Go Working man icon • (5) Off – sequence runs automatically if next in queue (6) On – indicates sequence needs to be planned Left mouse click on working man to toggle on/off • 46 Classroom Workbook | syngo MR System with Numaris/X Software 12.6.3 Queue Notes Whole-Body Dot Engine .Y + 9 1 FastView 2 t2_haste_stir_cor_mbh_chest 3 t2_haste_stir_cor_mbh 09:48 4 t1_vibe_dixon_tra_bh 00:39 7 5 ep2d_diff_b50_800_tra 6 Sagittal spine scans no 7 Rt2_haste_fs_tra_mbh 01:23 8 localizer_aorta_bh 00:19 9 t1_vibe_dixon_tra_bh_pre 00:12 10 Check precontrast 11 Prepare injector 12 Care Bolus 01:16 E 14:52 Go Go Cancel Delete Skip Stop Pause Continue Copy&Go (7) Selected Protocol – Light Gray (8) Measurement in Progress – Green (9) Completed Measurement – Black 47 Classroom Workbook | syngo MR System with Numaris/X Software 12.7 Protocol Icons Notes Whole-Body Dot Engine ISO + 1 FastView 2 t2_haste_stir_cor_mbh_chest 3 t2_haste_stir_cor_mbh 09:48 4 t1_vibe_dixon_tra_bh 00:39 5 %ep2d_diff_b50_800_tra 6 % Sagittal spine scans no 7 % t2_haste_fs_tra_mbh 01:23 8 % localizer aorta_bh 00:19 9 % t1_vibe_dixon_tra_bh_pre 00:12 10 Check precontrast 11 Prepare injector 12 Care Bolus 01:16 14:52 KI Go Cancel Delete Skip Stop Pause Continuo Copy&Go Start Sequence Manually • Start Sequence Manually and run multiple times in succession • Set-n-Go Protocol • Sequence Cancelled or Skipped • Inline functionality • 48 Classroom Workbook | syngo MR System with Numaris/X Software 12.7.1 Pauses Notes Whole-Body Dot Engine ISO *- + FastView 2 12_haste_stir_cor_mbh_chest 3 t2_haste_stir_cor_mbh 09:48 4 t1_vibe_dixon_tra_bh 00:39 5 8 ep2d_diff_b50_800_tra 6 % Sagittal spine scans no 7 _ 12_haste_fs_tra_mbh 01:23 8 localizer_aorta_bh 00:19 9 x t1_vibe_dixon_tra_bh_pre 9 00:12 10 % Check precontrast 11 Prepare injector 12 % Care Bolus 01:16 E 14:52 II Go Cancel Delete Skip Stop Pause Continue Copy&Go Contrast Agent pause • (or) Exam Pause – sequence pauses before it runs • 49 Classroom Workbook | syngo MR System with Numaris/X Software 12.7.2 Contrast Agent Pause Notes Contrast Agent window • Enter information regarding contrast agent being administered • Contrast Agent ? X Patient has Contrast Agent (Vol. 0.00) 1 5 Agent Name Catalog .. 2 Volume 0.00 ml W Total Dose ml Active Ingredient 4 Dilution Concentration mg/ml OK Cancel (1) Set Contrast Agent flag for selected and all succeeding sequences in measurement queue (2) Contrast Agent Catalog (e.g., created by customer) (3) Volume of contrast agent administered (4) Select contrast agent from catalog (5) Contrast agent type administered 50 Classroom Workbook | syngo MR System with Numaris/X Software 12.7.3 Patient Instruction Notes Whole-Body Dot Engine ISO ** + 1 FastView 2 12_haste_stir_cor_mbh_chest 3 t2_haste_stir_cor_mbh 09:48 4 t1_vibe_dixon_tra_bh 00:39 5 8 ep2d_diff_b50_800_tra 6 % Sagittal spine scans no 7 12_haste_fs_tra_mbh 01:23 8 localizer_aorta bh 00:19 9 x t1_vibe_dixon_tra_bh_pre 00:12 10 % Check precontrast 11 Prepare injector 12 % Care Bolus 9 01:16 E 14:52 Go Cancel Delete Skip Stop Pause Continue Copy&Go Automatic Patient instruction – before/after sequence • Manual Patient instruction – before/after sequence • 51 Classroom Workbook | syngo MR System with Numaris/X Software 12.7.4 Copy Reference Icons Notes Whole-Body Dot Engine ISO 1 FastView 2 t2_haste_stir_cor_mbh_chest 3 t2_haste_stir_cor_mbh 09:48 4 t1_vibe_dixon_tra_bh 00:39 5 ep2d_diff_b50 800 tra 6 % Sagittal spine scans no 7 t2_haste_fs_tra_mbh 01:23 localizer_aorta_bh 00:19 9 Rt1_vibe_dixon_tra_bh_pre 9 00:12 10 Check precontrast 11 Prepare injector 12 Care Bolus 29 01:16 E 14:52 Go Cancel = Delete Skip Stop Pause Continue Copy&Go • Copy Reference Source 9 • Copy Reference Target Number shows copy reference source • 3 Copy Reference Conflict • Parameter conflicts when copy reference updated • • Copy Reference Error Copy reference is ineffective due to an error • 52 Classroom Workbook | syngo MR System with Numaris/X Software 12.8 Copy References Notes • Copy References – copy specific parameters groups from a source sequence to one or several target sequences Build and store in Dot Cockpit protocol • Select two or more sequences in queue • Select Create Copy Reference • Brain Dot Engine LOG ... + Ahead_scout 2 11_gtse_dark-fluid_sag_p2 3 12_gtse tra_p3 4 % 12_qtse_dark fluid_tra 5 resolve_3scan_trace_tra 02 160 02:28 11_02d_tra Append Insert 16 Create Copy References 7 12_swi_tra_p2_384_2mm Colix 8 % 11_space_sag_p2_iso Copy Ctrl+C 9 tot_f13d_tra Dof 10 inject contrast agent Clear As Shift . Del 11 % ep2d_perf_p3 01:33 Copy Reference window opens • Select parameter and options to copy from source protocol • Select OK • Create Copy Reference Step 3- 12_qtse_tra_p3 Center of slice groups and saturation regions Slices and saturation regions Slices and Adjustment volume Slices Saturation regions Measurement parameters Adjustment volume Table position Navigators Everything Copy phase encoding direction Steps Ignore measurements Ignore last step OK Cancel • Queue Markers Copy Reference Source 9 • Copy Reference Target • 53 Classroom Workbook | syngo MR System with Numaris/X Software Notes 12.9 Copy Parameters • Copy Parameters – copy parameters from a source sequence to target sequence while scanning • Target sequence open Right Mouse Source sequence • Select Copy Parameters • Brain Dot Engine AAhead_scout 11_qtse_dark-fluid_sag_p2 3 12_qtse_tra_p3 Append Insert %5 12_qtse_dark-fluid_tra Append Pause ... Ctrl+Insert 5 resolve_3scan_trace_tra_p2_16 Insert ISO-LOC Settings 11_112d_tra Repeat Brain Dot Engine LOG >> 7 t2_swi_tra_p2_384_2mm Repeat and Open Rerun from here + 8 X 11_space_sag_p2_iso AAhead_scout Rerun from here with ... 9 tof_f13d_tra Copy Parameters ... 2 11_qtse_dark-fluid_sag_p2 10 inject contrast agent Update Copy Reference 3 12_qtse_tra_p3 11 % ep2d_perf_p3 Remove Copy Reference Cut Ctrl+X 4 % 12_qtse_dark-fluid_tra 12 11_112d_tra Copy Ctrl+C resolve_3scan_trace_tra_p2_160 02-28 13 t1_f12d_cor Paste Ctrl+V • Copy Parameters - copy parameters from a source sequence to target sequence Copy Parameters window opens • Select parameter and options to copy from source protocol • Select OK • Copy Parameters x Step 3- 12_que_tra_pã Center of slice groups and saturation regions Slices and saturation regions Slices and Adjustment volume Slices Saturation regions Measurement parameters Adjustment volume Tut lo position Everything Copy phase encoding direction Steps 11 Ignore ineasurements. l'ignore last step OK Cancel 54 Classroom Workbook | syngo MR System with Numaris/X Software 12.10 Protocol Icons Notes Whole-Body Dot Engine ISO + FastView 2 t2_haste_stir_cor_mbh_chest 3 2_haste_stir_cor_mbh 09:48 4 t1_vibe_dixon_tra_bh 00:39 5 ep2d_diff_b50_800_tra E 3 6 Sagittal spine scans no 7 t2_haste_fs_tra_mbh 01:23 8 localizer_aorta_bh 00:19 9 t1_vibe_dixon_tra_bh_pre 00:12 10 Check precontrast 11 Prepare injector 12 Care Bolus 01:16 E 14:52 Gol Go Cancel Delete Skip Stop Pause Continue Copy&Go Selection List to make a Decision • yes yes no Remaining Measurement Time – graphic depiction of remaining time for a running sequence Busy Indicator – processing taking place 55 Classroom Workbook | syngo MR System with Numaris/X Software Notes 12.11 Series Icons in Program Step CH test, head spine * 2/10/1957 M 2017.06.30-0 Brain LOC AAhead_scout 2 t1_tse_dark-fluid_sag_p2 3 t1_f12d_tra 4 t2_tse_tra_512 5 t2_tse_dark-fluid_tra 6 resolve_3scan_trace_tra_p2_160 7 tof_f13d_tra 8 ep2d_diff_mddw_20_p2 9 localizer KK 10 _ 12_tse_sag 03:11 11 t1_tse_dark-fluid_sag 03:58 12 t2_tse_fs_sag 03:25 10:34 Go Cance Delete Skip Stop Pause Continue Copy&Go Series Reconstruction started • O One Series generated and reconstructed • Images can be dragged with left mouse depressed into GSP segment • to view Multiple Series generated and reconstructed • Images can be dragged with left mouse depressed into GSP segment • to view 12.12 Protocol Markers Protocol Markers can be added to protocols in Dot Cockpit • • Image Comment Add comments to program steps • Modify comments in program steps • Place mouse pointer over protocol marker to display comment • Select scope marker “Image Comment” • Select program Step(s) to be modified (single or • multiple selection) Image comment Enter or edit image comment` • 56 Classroom Workbook | syngo MR System with Numaris/X Software Notes 12.12.1 Body Part Examined Initially defined during registration • Select program steps to be modified (Single or Multiple selection available) • Select scope marker “Body Part” • Select Body Part from list (e.g., head, cspine, etc.) • Select Laterality, if needed (e.g., left, right, both) • Select OK • 12.12. 1 Body Part Examined Initially defined during registration • Select program steps to be modified (Single or Multiple selection available) • Select scope marker “Body Part” • Select Body Part from list (e.g., head, cspine, etc.) • Select Laterality, if needed (e.g., left, right, both) • Select OK • 12.12.2 Procedure Step Available when connected to RIS • Patient registration – procedure step assigned during registration and created in • queue Multi-region studies • Each program step assigned to a study part • Mapped to a requested procedure • Images are stored to Patient Browser > Study folder assigned in Procedure Step • Select Program steps to modify (single or multiple selection) • Open selections list > edit assignment – select (or) clear checkbox for requested • procedure - 2 1 03:58 V 2 1, 2 03:25 57 Classroom Workbook | syngo MR System with Numaris/X Software 12.13 Position Mode ISO versus LOC Notes Header Displayed in Queue Headline • Isocenter (ISO) – e.g., default mode • Table position calculated so measurement is performed in ISO Center, based • on center point of all slice groups Table moves to isocenter of slice group after sequence is applied • Set-n-Go steps always use ISO • Applications – Large examination regions (e.g., spine, liver, pelvis, long bones) • Local Range (LOC) • Based on Examination-specific “FoV Area” or “Focus Position” defining center • of FoV Area Slice Groups within “FoV Area” are measured without moving Patient Table • Table moves are not necessary • Applications – Smaller examination regions (e.g., head, knee, heart) • GSP Segment – small triangle indicates current focus position • Table Positioning Strategy Select Table Positioning Strategy Iso Center Local Range Fixed Define Local Range Center Position by dragging the triangle in the planning segment(s) to the body part of interest Alternatively select one of the previously used positions or enter a particular position Local Range Position H 0 mm 58 Classroom Workbook | syngo MR System with Numaris/X Software Fixed (FIX) Notes • Measurement performed at a particular table position • Table doesn’t move during exam (fixed position) • Slice/Slab group placed outside isocenter, table doesn’t move • Applications – Interventional Examinations • • GSP Segment – small triangle indicates current focus position Table Positioning Strategy Select Table Positioning Strategy Iso Center Local Range Fixed The Fixed Table Positioning Strategy allows for imaging outside of the homogeneity sphere, beyond the isocenter of the scanner. Selecting this strategy can result in poor quality images, use only if needed. Check the operator manual for further information. Confirm and Proceed 59 Classroom Workbook | syngo MR System with Numaris/X Software 12.14 Program Control Toolbar Icons Notes E 05:48 II GO Go Cancel Delete Skip Stop Pause Continue Copy&Go • Delete – eliminates current measurement(s) with icon or drag and drop to recycle bin Delete Skip – skips, and continues to next measurement • Skip K • Stop – aborts current running measurement Stop ` • Pause – pauses before measurement starts (e.g., no pause during measurement) Pause Continue – starts next measurement • Continue • Copy&Go – Duplicates protocol ands starts scan Copy&Go • Go – applies all changes made in opened protocol Go • Cancel – discards all changes made in opened protocol Cancel 60 Classroom Workbook | syngo MR System with Numaris/X Software 12.15 Examination Toolbar Notes O SAR Stimu Inroom Exam Physio Inline Dot Normal Normal Settings Settings Display Display Cockpi Mode Mode Examination Toolbar Icons • Inroom Settings • Exam Settings • Physio Display • Inline Display • Dot Cockpit • SAR • Stimu • 12.15.1 Inroom Settings Icon O Inroom Settings Inroom Settings X Inform the patient about remote table movement. Monitor the patient during remote table movement Current Position mm O Reset Position Move Table by 0 mm A W 1 Lock Table Table Stop 2 Close 1. Locks/Unlocks table 2. Cancels Table Movement triggered by Move table by button • Home button • Center button • 3. Moves patient table precisely to center of measurement field 61 Classroom Workbook | syngo MR System with Numaris/X Software Notes 6 5 Inroom Settings X Inform the patient about re note table movem Monitor the patient during emote table moverhent nt. Current Position 0 mm Reset Position Move Table by 4 0 mm Lock Table Stop Close 4. Moves Patient table In/Out of magnet by Distance Entered 5. Resets Current Table Position to “0” 6. Shows distance between magnet isocenter and slice marked (by light localizer) 62 Classroom Workbook | syngo MR System with Numaris/X Software Notes 7 8 9 10 11 Inroom Settings Inform the patient about remote table movement. Monitor the patient during remote table mover ent. Current Position O 0 mm Move Table by 0 mm Lock Table Table Stop Close 7. Home Position Moves table out of magnet • 8. Magnet Bore Ventilation 9. & 10. Adjust Speaker Volume at Scanner Loudspeaker in room • Headphones in room • 11. Adjust Lighting at Scanner Bore lighting • Ring Lighting (additional license) • Funnel Lighting (additional license) • 63 Classroom Workbook | syngo MR System with Numaris/X Software 12.16. SAR Info Box Notes SAR The SAR Information dialog box is opened with this button on • the examination toolbar. Normal Mode SAR Information SAR Monitor Operating Mode Fusi Leval 1 Displayed valves belong to the curent patenti 2 Calculaders Tann 09.01.32 10.70 3 0-01 (1) Sets the SAR Operating mode (2) Shows relative SAR and B1+rms values. These values will be applied to the next measurement. The table lists all patient safety-related information. There are additional internal component protections. The SAR icon shows the maximum of all relative values. (3) Shows detailed information about the item selected in area (2). B1 rms is a metric used for measuring device heating in addition to SAR. Both SAR and B1 rms values are used as indicators for the suitability of active and passive implants for MR examations. The B1 + rms value displayed in the SAR dialog is a predicted value without a safety margin. For more information please review MR Manual for your system 64 Classroom Workbook | syngo MR System with Numaris/X Software 12.17 Status Bar Icons Notes Lower right corner Scan UI • • Server Load – degree of utilization for available system resources Mouse click opens Job View dialog window • Storage Capacity – hard disc fill level • Float mouse over icon to display percentage value • Message History – at least one unread info message available • Mouse click opens Message History window • • General System and error messages – icon indicates type of most severe unread message, and total number of unread messages Mouse click opens Message History window • Scanning and Reconstruction Warning – previous measurement has • at least one acquisition error. Error doesn’t affect subsequent measurements Mouse click opens MR Scanner & Acquisition window • Scanning and Reconstruction Error – at least one system error or • reconstruction error Measurements are not possible until error corrected • Mouse click opens MR Scanner & Acquisition window • • System Error – moving mouse pointer over icon provides an error description and instruction for solving the problem Remote Access Connection • Mouse click opens Remote access Configuration window • 12.18 Home Screen Healthineers • Home Icon Ci 2018.08.10-20:30:13-DST-Tr . 10/8/1980 M 2018.08.10-20 Access to Home screen • Brain Dot Engine System Startup screen >LOC & XID Y + • User Interface workflow driven • CH COD System Check Dot Cockpit Examinatio Lock 65 G Classroom Workbook | syngo MR System with Numaris/X Software 13. Dot Cockpit Dot Cockpit Notes A tool to manage and expand the contents of exam database • Gives an overview of all the measurement programs and Dot Engines available • in your system This overview includes: • All the programs predefined by Siemens • All programs that were created for or adapted to the specific requirements at • your site By default, the Dot Cockpit window opens in the same position in which it was • last active Can drag the Dot Cockpit window to any position, even to the MR View&GO side • 13.1 Overview How to open Dot Cockpit • Click the Dot Cockpit Icon on the Home Screen • Ci System Check Dot Cockpit Examination Lock (or) During an ongoing examination, click the Dot Cockpit icon on the Examination • screen 1 00.00 Cancel SAR 66 Classroom Workbook | syngo MR System with Numaris/X Software Notes Explorer . . ... 2 SIEMENS 6 Van Det Engine 3 --- 4 1. Browse, Import, Export 2. Toolbar 3. Content Area 4. Tree view 5. Search field 6. Tree selection Dot Cockpit Siemens Tree contains all measurement • Explora programs and Dot Engines Browse Import Export Read-only • • User Tree – where you build your own set of measurement programs and Dot Engines Can create one or more user trees MENS • EMENS USER Default 67 Classroom Workbook | syngo MR System with Numaris/X Software Notes Different levels in the measurement program: • Region • Specify the region of the body (e.g. Head, Thorax, Abdomen) • Examination • Specify the type of examination a group of alternative measurement • programs are designed for • Program Store your measurement programs, these are frequently used workflows (e.g. • sequences) Libraries • Collections of predefined program steps that are intended as building blocks • Dlot Cockpit Explorer Program Editor Blouse Import Export > ospine >> C-Spine Dol Engine > program SIEMENS Standard Napine_scout 00.195 + Head Spine Scout 12 tse sag 03:11 .C-Spne Dol Engine 0 Spine Postoring 00-50 Contains Two Tasks • • Explorer: Organizing directories, programs, and maintain the user exam database Import/Export, printing, create regions, user trees, etc. • Program Editor: Modify directories and programs • Program steps and sequence parameters • 68 Classroom Workbook | syngo MR System with Numaris/X Software Notes Program Explorer Edito Dol Cockpit Explorer Koran Editor SIEMENS -Ilkad - Day Dal Ergre " caracal Iranes MAScus wtabe mathey jesions quitary • Drag & Drop All tasks in the Dot Cockpit support drag & drop to move and copy objects • Drag steps (or) Entire measurement programs into the measurement queue • Prerequisite: Patient Registered • Moving Objects – Workflow • Explorer or Editor is open • • Move an object from one place to another Drag the object to the target position • An icon, as well as text dialog window “Move” will be performed when you • release the mouse button Current Drop position is indicated by an white line • Dot Cockpit Explorer Program Editor Expert + advanced application bbrares 69 Classroom Workbook | syngo MR System with Numaris/X Software Copy Objects – Workflow Notes • • Explorer or Editor is open • Copy an object from one place to another Drag the object to the target position while pressing the Ctrl Key • Jot Cockpit Program Editor USER > Head > cinical lioranes a trauma USER (2_10d_cor p7 hema 01-50 02:44 - Hand 04:54 06:37 70 Classroom Workbook | syngo MR System with Numaris/X Software 13.2 Structogram Notes Visualizes programs, including Dot Engines in a comprehensive way • Programs are displayed in a grid so that all steps are visible at once • All Strategies • All Decisions • All Branches • Structogram is part of the Explorer and the Program Editor • Constructed of rows and columns • Each strategy is represented as a column • Each step in the strategy is represented by a row • Each row is equivalent across the strategies • USER > Head > Brain Dot Engine > program Brak Dut Engine 3 Heviro Patient View Standard Resolution focus Speed focus MAhead_scout 00: 14 00 14 Ahead_scout an Scout Auto Schel 04 38 36 Column Generic Views MPR Assignesent Views 01:12 17 haste tra_p2 Generic Views MER Assicresent Centric Views 04: 14 12 space_dark suid_wag p2 03. 12 jtse dall had_la_po 01:50 0 Generic Views 8 MPR Assignment 43 Generic Views can_trace hra po_16e aok ka_p2 160 Genedc Vous onerie Views Generic Views Mpft planning 0 MPR PlanG 01:19 0 Genen C Generic Views with contrast agent with contrast agent with contrast agent sect contrast agent inject contrast fed contrast agent Row 01:19 Generic Views @ MPR Angeent @ Generic View cor 0122 0. Generic Virms Brain Dot Engine @ Neuro Paibent View Strategy Standard Resolution focus Speed focun Ahhead_scout" 00. 14 AAhead_scout DO:14 Ahead scout 00:14 @ AusAlign Scout 0 AutoAlion Scout O AutoAlion Scout 04 :38 11_space_sag_p2_boo 05-30 11_12d sag p2 Generic Views MPR Assignment 0 Genere Views 12_atse_tra p3 01:12 12 stuce sag p2 be 01 43 22 heste tra p2 @ Generic Views MPR Assignment D. Generic Views 12 gtse dork fluid tra 04 14 12 space dark fuid sag_p2-150 06:12 D_qise_dark-fluid tra_po 01:50 0 Generic Views O MPR Assurent O Genere Views resolve_3scan trace tra p2 160 02:28 resolve 3scar trace tra 02 100 02.25 ep2d dit 3scan trace p2.130 CO.51 0 Generic Views Generic Views OfGeneric Views MPR planning @ MPR Planning 11 12d tra 01:19 00:28 O Generic Views O Generic Views contrast agent Decision step with contrast agent O Basic Decision with Contrast ageril Cant contrat ages Without contrast agent gent with contrast agent with contrast agent inyec contrast agent inject contrast agent inject contrast agen 01:19 11 space sag p? Bso 11_12d tra p2 00:28 Branch Generic Views 0 Generic Views 11 12d_cor 01.22 11_ad_corpo 00:34 Page 13 @ Generic Views @ Generic Views 71 Classroom Workbook | syngo MR System with Numaris/X Software 13.3 Explorer Notes Dot Cockpit Explorm Program Foto Browse USER Brain Dut Engine SExarY - Diain Det Engon program Axle doQue · clinical locanes advanced applicatomi itrates • Explorer Partitioned into three subtasks • • Browse Organize the exam database • • Import Import items (regions, exam, programs, and steps) from an external data • (DVD or memory stick) • Export Export items from the local exam database to an external data • • Note: All subtasks have a tree view and toolbar Dot Cockpit Explorer Program Editor Browse X Delete | Copy | Paste ] Undo | Redo US Organize Tree | Organize Directory | d'applications Ibranies › anpogriptw 72 Classroom Workbook | syngo MR System with Numaris/X Software Browsing Notes • View all objects in the exam database • Searching • Search exam database via arbitrarily entered text • Search field • Identified by the magnifying glass • Allows you to find programs or steps in a quick and easy way • All unlicensed or inconsistent steps are ignored during search • Search results are highlighted in orange in the tree view and if applicable in • the content are Number of contained matches is displayed next to the name in brackets • Managing User Trees Dot Cockpit • Create, duplicate, rename, and delete user Explore • tree directories Browse import Export Cannot modify Siemens tree • Create Tree Rename Thee Delete Tred Password Preseebony Print Export Show Incometent Create Tree • Create New Tree Can create multiple user trees • Toolbar of the Explorer Name:@ The • Select New Tree from the menu • New Tree dialog window is opened • Password Enter a name for the new tree • Contem Password Confirm with OK • OK 73 Classroom Workbook | syngo MR System with Numaris/X Software Notes • Browse & Search Dol Cockpit Program Edeor Browse Browse por Expon User 2. Head c-spine Search Lepine . Head [48] whole-spine · c-spine [3] Thankx heart . whole-apeut neck soft Shade potvis female petvos trake heart shootter Homers Different modes for Drag & Drop with different rules applied • Preview-only mode and read/write mode • Read/write mode • To Queue • Inside Tree and Content Area • Tree and content area drag and drop source and targets • Preview-only mode • Drag & Drop Steps from Preview Area (Content area) to Queue • Content Area only a source and not as target • Tree is source and target • 13.4 Program Editor Program Editor Mode USUR . Head . Bran Did Engine > program USER Brain Det Engine 5 tens Pound Vies Filter (Tree and Search Criteria) Mwat_scol 00 14 Mheat_scoul Denonc Views Tree - Select Program (read only) TO 04 14 0h 17 TO_100 Working Area - Opened Program Structogram . Drag & Drop with contrini Agent with contant agerd Source/Target Defaults - (Drag & Drop) . Commc Views 01 22 Select is Program of Library · Strategy Decision . Interaction · Pause • Toolbar New Program • Open Program • Save program • Save program as • 74 Classroom Workbook | syngo MR System with Numaris/X Software Notes Explorer Program Editor Edit Simulale Open Program USER Head Canine + Head Seacine Cancel Toolbar > Protocol markers – can be added to protocols Standard • Image Comment • we> Standard Body Part • Study Part The Standard Standard • Image comments and body parts are valid RE Image Comment • for series, study parts specify the study - Body Part allocation . Study Part Study part – can configure which images • will be assigned to which study in examinations with multiple studies Program is open in the Program Editor • Program Editor Create new or modify existing measurement programs • Review completed programs in simulation mode • Partitioned into two subtasks • Edit – Edit programs and protocols • Simulate – Verify new exam programs • 75 Classroom Workbook | syngo MR System with Numaris/X Software 13.5 Create a New Measurement Program Notes • Create a New Program – Workflow Dot Cockpit Select Organize Directories > New Program • Program Editor > Edit window opens Explorer • • Add Program Steps ..... Select Sidebar > Browse • Now Hegion Thectory Select Siemens or User Tree • New Eram Duecory Exam > Study > Program > select • Program steps Drag & Drop Program Steps from • sidebar into Measurement Program Inserting Sequence as a protocol • Select Sidebar > select Sequence from Default Sequences list • Drag & Drop Sequence from sidebar into Measurement Program • 76 Classroom Workbook | syngo MR System with Numaris/X Software Notes • Save Measurement Program Select Save Program As icon • Save as dialog window opens Select a User Tree • Select Exam • Enter Name – New Program Name • Select Save • Save as User Z · shoulder * tibow › hand knee Name Now Program Save Cancel 13.6 User Trees 13.6.1 Protecting User Trees User trees can each be protected with a password • If a tree is protected by a password, users can select measurement programs • from this tree and use Can edit the program when in the scanning queue • If you want to protect a user tree with a password, must define this when you • create the tree Dot Cockpit supports an administrator mode • If current user is a clinical admin the Dot Cockpit is automatically in • administrator mode In administrator mode: • Assign passwords to existing and unprotected user trees • Change or remove the password of a tree without knowing the current password, which may become necessary when users forget passwords When creating a new tree, the Create Tree dialog box is open Select Protect tree against unauthorized Create Tree • changes Type the password in the Password field and • repeat in the Confirm Password field Password must be at least four • characters long and can contain any type of characters Select OK • 77 Classroom Workbook | syngo MR System with Numaris/X Software 13.6.2 Unlocking a user tree Notes The Browse tab of the Dot Cockpit Explorer is open • Select locked user tree from the tree • User troo selection list Click the lock icon • In the Password Protection: Unlock dialog Password Protection: Unlock • box, type the password Select OK • The icon next to the tree now indicates • User tree that the tree is unlocked The unlocked tree icon is now shown in the top right corner of the Dot Cockpit • window This icon reminds you that at least one user tree in the background is • unlocked When you click this icon all unlocked user trees are locked • 13 .6.3 Locking a user tree The Browse tab of the Dot Cockpit Explorer is open • Select the unlocked user tree from the • User tree tree selection list Click the lock icon Icon now indicates that the tree is • User troo locked again 78 Classroom Workbook | syngo MR System with Numaris/X Software 14. Dot Engines 14.1 What is a Dot Engine Notes Dot – Day optimizing throughput • Engines Offers a customizable framework for: Dot • Patient personalization • User guidance • Exam automation • Think of it as an “Auto Pilot” for your scanner • Ability to automate positioning • Ability to automate scan coverage • Ability to automate voice commands • Ability to automate technique settings….and much more • But like with any “Auto Pilot”, YOU are ultimately in control. 14.1.1 MAGNETOM Vida Dot Engines Brain Dot Engine (Standard) • Spine Dot Engine (Standard) • Large Joint Dot Engine (Standard) • 2D/3D Knee Dot Engine • 2D/3D Shoulder Dot Engine • 2D/3D Hip Dot Engine • Abdomen Dot Engine (Optional) • Angio Dot Engine (Optional) • Cardiac Dot Engine (Optional) • Breast Dot Engine (Optional) • RT Dot Engine (Optional) • Whole Body Dot Engine (Optional) • 79 Classroom Workbook | syngo MR System with Numaris/X Software 14.2 Dot Strategies Notes Different “flavors” of examinations • Patient specific – Examples: Standard, Speed Focus, • Strategies may change any time (e.g. if patient condition changes) • 14.3 Dot Decisions During a study, the physician frequently needs to make decisions that affect the • next program steps Dot Engines can be configured so that such decisions are made at the beginning of • the study or during the study Brain Dot Engine Ahead Soul 1. 2 avec contrast agent et 22 80 Classroom Workbook | syngo MR System with Numaris/X Software 14.4 Dot - Guidance Notes Real-time graphic guidance • Images and text are displayed in a unique Guidance View • Postion tha yulcer Hangen in shown in the 14.5 Dot - Automation Auto Centering • Automatically isocenters the selected exam – no landmarking needed • Auto Align • Automatically aligns to selected anatomical landmarks • Auto MPR (Multi Planar Reconstruction) • Automatically reformats selected MPR for a given sequence • • Auto FOV Automatically determines the correct FOV for the exam • AutoPosition • Head of patient automatically placed at isocenter without any laser marking • required Auto Bolus Detection • Automatically detects bolus injection for optimum dynamic exams • ……and much more 81 Classroom Workbook | syngo MR System with Numaris/X Software 15. MR View & Go MR View&GO is the viewing and post-processing application for all types of Notes • basic operations required by technicians for image quality assurance during scanning • Features: Zoom, Pan, Rotate, Windowing, ColorLUTS • 2D, 3D (MPR, MIP, MinIP, VRT), 4D • Measurements (Line, Circle, Angle, ROI, etc), position display • Image Calculations (Subtraction, ADC/b-Value, Distortion Correction, • ImageFilter, etc) Mean Curve, Composing, Ranges (parallel, radial, radial sliced, curved) • Printing • Result Distribution to other DICOM nodes • 15.1 Overview 1 2 6 w 4 1. Access Bar 5. Controls/Icons 2. Series Panel 6. Case Navigator 3. Image Area 7. Tabs to open or close 4. Favorite Tools area 82 Classroom Workbook | syngo MR System with Numaris/X Software 15.2 Patient Browser (Local Data) The Patient browser (Local Data) can be used for searching and managing patient data, series, and instances. • Access the Patient Browser by using the Icon • SIEMENS Healthincers Patient Browser 2 (w) 6 Instances 4) Procedure Lat prestaciones WLAN TINTE 1. Toolbar 5. Procedure list 2. Switch for the Patient View and 6. Results list the Study View in the Results list 7. Search Area 3. Series list 8. Work list bar 4. Instances list Notes 83 Classroom Workbook | syngo MR System with Numaris/X Software 15.3 Searching Studies Notes In the Patient Browser (Local Data) you have the following options to search for • studies: Quick Search Field - • More Filters • Patient Browser Local Data Mone Filters Results (52 resuns, 12:42:15 PM) 15.3.1 Quick Search In the quick search field, enter your search criteria (Patient Name, Date of Birth, Patient ID, Study Description, Study Date, Accession Number, Modality). Then select the search icon 15.3.2. More Filters Click the More Filters, a dialog box opens. By default, the following filters are used: Patient Name, Patient ID, Accession Number, Study date and time, study description, and Modality. If you want to modify the filter, select the Add Condition icon which will open a • dialog box, where you can select the filters and select OK Select the search icon • To save the query in a work list, click the Save Work List icon, a dialog box opens • which you can enter a work list name and select OK. 84 Classroom Workbook | syngo MR System with Numaris/X Software Notes 15.3.3 Search syntax The quick search and the filter search supports a basic search syntax Syntax and rules for names and values: • Text strings are not case-sensitive, for example, John and john produce the • same results May enter a fragment of a name or a value, for example, Jo to search for all • patients whose name begins with “Jo” You can use * as a wildcard character • To search for patient with composite last names you have to place a * between • the first and second part of the name. Example: van*Houten will find “van Houten” In the More Filters area, you can use quotation marks “ to search for an exact • term. Syntax and rules for date and time ranges:I • n the Quick Search field, you can enter a date manually • May combine a date or a time range with a name or a value • 15.4 Sorting Search Results Can sort the results by columns ascending or descending. Within this sorting, the • results are sorted by date and time In the Results list, the Series list or the Instances list, click a column header • Select the arrow of the Patients column header to sort by patient name, • patient ID, or date of birth 85 Classroom Workbook | syngo MR System with Numaris/X Software 15.5 Worklist (RIS) Notes Broad Query • Emerge Patie Patient Query Broad Query Broad Query Start Daze 11 10.2010 [60 MM yyyy) - COMEXT (HH:mm35] End Date 13.10.2016 [NJMM MM - 23.58:58 [HH:mm 58] Ok Cancel Patient Query • Emerge Patie Patient Query Broad Query Patient Query Query from RIS node (ipocelles $149) Caira Start Date: 11.10.2010 di MIN. WW Erd Doce 11 19 2036 aWWW.ww Patient 10 Date of Birth RR Description Modaby CHILI No RS 201432202337771 21.10.198 MARIBREASTWIC CONTRAST MH RS AN MEDIO Mn 15 ANS Coco i HR Frah R$ 1014127/01135081 20:10 041 MARIA BRAN WIIO-CONTRAST MH RS AN COCO14 JESAN 6000 13 BRA NECK WO CON DOV, JUUL BIL WO CONIHA51 Cancel 86 Classroom Workbook | syngo MR System with Numaris/X Software Viewing Notes MR View&GO ANL Series MR View&GO Vida_Head Unikainikum Erlangen Vida_Head Uniklinikum Erlangen niklinikum Erlangen Germany_MAC Ref.: Congress Germany_MAC Ref: Congress "1/1/1934, M. 83Y MAGNETOM Vida *1/1/1934, M. 83Y MAGNETOM Vida Germany_MAC Ref.: Congress "1/1/1934, M, 83Y MAGNETOM Vida CURRENT MR XAIDA CURRENT MR XA10A HES CURRENT MR XATDA 6/1/2017 6/1/2017 6/1/2017 HFS 11_112d_sag_03. 12_tse_dark-fluid_tra 12_112d_tra_hemo Current Latest latest latest MR. 6/1/2017 GOBrain. HN54ch # XA10 Favorite Tools STUDY ID Jaaaa0 STUDYIO 39929002 -U.53:55 AM 5 IMAT FRM 17/35 1cm F E TP H103 SP H85,7 FoV 201 230 224-2568 or(-11)-Sag(-1) Zoom 1.98 Deobs_ringing - op2d_ ditt_mddw_ 12_p3 [11 Vida_Head Uniklinikum Erlangen Vida_Head Inikum Erlangen Vida_Head Germany MAC Ref: Congress Ref: Congress Ret Congress *1/1/1934, M. 83Y MAGNETOM Vida Germany_MAC AGNETOM Vida Germany_MAC *1/1/1934, M, 83Y CURRENT MR XAIDA "1/1/1934, M. 83Y HES CURRENT MR XA10A CURRENT RXAICA 6/1/2017 6/1/2017 HFS 6/1/2017 ep2d_tra_hemo 11_0120_tra_p2_256 latest latest # XATO # XA10 STUDY ID 3aaaa0 STUDY ID 3aaaa 11:59:49AM 12:01:30 PM 8 IMA 1 FRM 10/27 9 IMA 1 FRM 16/2 RAH RAH 1cm 2D 20 SL 5.0 SL 5.0 SPC 6:0 SPC 6.0 TR 6120 0 TR 240.0 TE 30.0 TP H103 SP H79.7 TE 2.3 TA06 FOV 230*230 TA 32.4 BW 1502.0 MAGNIPERFINORM/DIS2D 256p*256 BW 355.0 Tra Cor(-11)>Sag(-1) p2 MAGNI NORM AL/PFPIFS Zoom 1.68 HC1-7;NC1 W 1910 A1 842 HC1-7;NC1 Capfid2d1_128 / 90 "11201 / 80 The number of open patient tabs is limited to 4 patients • The tab for the current patients is on the left hand tab identified with the • scanner symbol When a new patient is registered and scanning acquisition has started, the far • right patient tab will close automatically 15.6 Loading a Patient Different ways to Load a Patient from the Patient Browser to MR View&GO • Select the Patient/Study from the Patient Browser and double click • Select the Patient/Study and click on the View&Go Icon • Select the Study and right click • Patient Browser More Feos - Results (32 welt, 12:42:16 PM) Series Paliont Name Work Bow Wo Study Duke and Time Study Desarek Drag of Deth Strick Series Description Heit Aride 628/2017 11 28:37 AM 2017 06 28:10 24:10 Mepine scoul Text Acide 5290017 10 58 49 A28 SU80017 10:24:25 AM 2017:06-28-10.24:10- ake cinkcal 890/1847 test shoulder 6/20/2017 10:12:43 AM 2017 06 28-10.12.42 5.000 PusDen, Ist thaise_sau on 14) 6290017 9 14:01AM 2017 06 20 02:29:38 6/280017 8 29 42 AM 2017-06:28-00 29:38 87 Classroom Workbook | syngo MR System with Numaris/X Software 15.7 Selecting and Defining Layouts Notes • Layout – determines the number, size, and the order of segments, as well as your content displayed in MR View&GO segments X MR View&GO MR View&GO provides a number of predefined • layouts Select the Layout Gallery icon – all available • layouts for the current step are displayed Favorite To • To change a layout: Select a layout • The segments in the image area change • Defining a default Layout • As an Administrator - can set the default layout for all users • Select the Layout Gallery icon • Right-click the layout icon in question and choose Set as default from the • context menu The selected layout is displayed in bold letters • Resetting the Layout • MR View&GO MR View&GO In active workflow step, click Reset Layout • Favorite Tools 15.8 Favorite Tools 15.8.1 Selecting Tools • Tool Gallery – provides all available tools, sorted by category Only active tools can be applied to the currently selected segment • Adding tools to Favorite Tools area • Administrator can add frequently used tools from the Tool Gallery to the • Favorite Tools area Select tool in Tool Gallery, drag & drop to Favorite Tools or right-click “Add to • Favorite Tools.” Remove a tool by right-click “Remove from Favorite tools” • 88 Classroom Workbook | syngo MR System with Numaris/X Software 15.9 Series Panel Gives an overview of the series loaded study • Series X Series × Shows all currently loaded data • Can load other series, time points, or results • that you want to display in the image area Add Study Send and Add Study Send and Archive Series Number – displayed by the series name • Series Name on list Current Can drag the series # column either before or Current • after the series name MR, 1/17/2017 Fast HN20ch MR. 1/17/2017 Series Panel has two views: Fast HN20ch • Thumbnail – preview of the images 12 Flair_Amm_fs • Default 11_tse_tra_T1900_4mm • List – text overview of the data 12_stern_f12d_tra • 12 Flair_4mm_ t_tse_tra_T150 t2_tse cor 3mm 5 [2] 0_4mm [3] 12_tse_sag_3mm B Series × (2_stern_fizd_tr [2_tse_cor_3m Add Study Send and Archive Series Name Current MR. 1/17/2017 Fast HN20ch 12 Flair 4mm_Is t1_tse_tra_11900_4mm (2_stern_112d_tra 12_the_cor 3mm 12_tse_sag 3mm Notes 89 Classroom Workbook | syngo MR System with Numaris/X Software Series X And Study Send and Archive Can use the X in the Series Panel to close it • Current MR, 9/26/2017 Unknown study description O Can Hide or show it by clicking • the Series tab on the left side of MR View&GO • F11 key will hide or show the Series Panel If Series panel is already • hidden, only the image area will be displayed QRFEST CESSEST TE F Notes 90 Classroom Workbook | syngo MR System with Numaris/X Software 15.9.1 Series Panel Overview 2 3) 4 5 1. Expand & Collapse hierarchy icon 2. Change view icon Serie 1 3. Images listed according to the data attributes 4. Add Study icon Ciment 5. Send and Archive icon whole body anculozy Whoin Body Dut Engine 6. Expand or collapse series stack 7. Results icon 6 7 Notes 91 Classroom Workbook | syngo MR System with Numaris/X Software 15.9.2 Adding studies to the Series panel Notes Can load additional studies for an already loaded patient • Can search for prior or related studies in the local database or DICOM nodes • In Series Panel > Select the Add Study icon • Add Study Dialog box opens • Add Study Source Selection Search Filers Q Local "Andmy oui" X Results (2 1est. 6:05 02 PM) Series Patient Name Patient ID Date of Birth Series Number Series Descrip Modality VIDa Anonymous MR brain Anonymous MR MR Click the Search icon > Results are displayed • Select a study and click the Load Data icon to load the data into the Series • Panel 15.9.3 Send and Archive Series Panel – Select the Send and Archive icon • The Send and Archive window opens • Send and Archive Num ... A Preview Description # Images Preview !! Thumbnail =List 1/13 Each series is displayed in a separate row • In the top right corner of the display are, select the arrow icon select an • appropriate view Preview – gives you a preview of all available series. Can scroll through each • series Thumbnail view– gives you a preview of all available series. The middle • image of each series is displayed as a thumbnail image List view - no preview available. Series are identified by the series • description. 92 Classroom Workbook | syngo MR System with Numaris/X Software 15.9.4 Distribution Results – Send and Archive Window Notes Gives you an overview of all acquired series and results of the current study • Can check the archive settings and the send status for each acquired series • • Default – a certain archive is defined to which all series will be sent Can exclude individual series from being sent or select further DICOM nodes • 15.9.5 Send and Archive Overview Send and Archive 12 10 Number - Preview 3 Images PACS VIA 4 34 vos_g-dros tra_th_F 1/64 5 37 vee_4-drs fre_th_FF 1264 1/64 CE 1764 1764 ha bh WF 1/64 6 Sand Close 1. View Selection: switches the view in display area 2. Available archives – DICOM node targets 3. Preview column 4. Description column: displays the series description 5. Check Box indicating that the series is selected to be sent to the specified DICOM node 6. Send Button: sends the selected series to the specified DICOM node 7. Close button: closes the Distribution window 93 Classroom Workbook | syngo MR System with Numaris/X Software Send and Archive Window At least one DICOM node to be configured as a PACS • Each remote DICOM node is visible • If you right mouse click onto the header column, can copy the current selection to a different DICOM node • Send and Archive X PACS VIA Number A Preview Description # Images Copy Selection to VIA 41 ep2d_diff_b50_400_800_tra_p3_trig-RESP 51 4 33 T1_Images_B1corr 1/64 53 106 T2starMap_f12d_tra_mbh 1210 15.9.6 Checking and archiving results steps: In Series Panel, select the Send and Archive icon • Send and Archive Window opens - each series is • displayed in a separate row In top right corner of the display area, click • the arrow icon to select an appropriate view if required Three views available: • Preview – preview all available series, can scroll through each series • Thumbnail – give you a preview of all available series, first image of each series is displayed as a thumbnail image • List – no preview available, series can be identified by series description • Notes 94 Classroom Workbook | syngo MR System with Numaris/X Software To expand 4D data sets, click the arrow icon below the data, single phases are Notes • displayed 1045 1046 TO46 1 10 Clear the check box for series that should not be sent to archive • If required, select the check boxes for further archives • • Note: When you select the check box in archive column, all series check boxes are selected automatically. Will have to clear the check boxes of individual series that should not be sent to selected archive. Can copy the selection made for one DICOM Node to another node • Right mouse click the DICOM node column header > Select Copy Selection • to and select DICOM node Click the Send button at the bottom of the window to directly • send the selected images to the specified DICOM nodes Send If you want to send the images after you have completed the • evaluation Click Save and Send icon to initiate sending • Selected series are sent to the selected DICOM Nodes V • Note: Can check whether sending was successful when you • open the study again by checking the icon status Icon for successful sent • Icon for error has occurred • Ex 95 Classroom Workbook | syngo MR System with Numaris/X Software 15.9.7 Save and Archiving Results: Notes When you exit MR View&GO, the workflow is closed and all unsaved results are • saved in Short Term Storage (STS). The results are sent to selected DICOM Nodes Select the Save and Send Icon – workflow is closed, in results of the • Patient Browser the state of the workflow is set to complete. V Select the Save and Pause Icon – workflow is closed, in the results • list of the Patient Browser the workflow is set to Saved, but the data is not archived Note: If you close the Patient data via the “x” at the right upper corner of Patient • Tab, no data that was post processed will be saved AERA VE 11C, WholaSpine - 1/1/1942 M Siemens MR View&GO 96 Classroom Workbook | syngo MR System with Numaris/X Software 15.10 Corner Menus & Context Menu Notes 15.10.1 Corner Menus Are available in each corner of each segment • Allow you to choose tools without exiting the segment • Tools – Image preparation, optimization • Each corner menu will be different • Depending on the image loaded in the segment • The step (e.g. Viewing Step, 3D, etc.) • Working with corner menu Click a Watermark in any corner of a • segment Corner menu opens • Tools are displayed in the corner menu • depending on the type of images that are displayed and the workflow step that is currently active Click a Tool to activate it or Move the • mouse over a menu item to open the tool collection below Zoom/Pan Distance Line Windowing ROI Circle O CURRENT CURRENT CURRENT 012/2017 Pixel Leers Arrow Du Movie Markes 30 Relimimce Point Ranges Texx T Flo Horizontid Edt Comment D FR to Segment Spine Rib Label VRT MeiP Thin TR MNOT 8 MIP TH 5400 0 NA5 Windowing MPR Thick PCLA MR Color LUT D D 20 Reset Windowing - Adjusting Tool Settings • To change the properties of a tool, point to the tool and select the • Settings icon Some tools allow you to adjust tool-specific settings and to set • displayed values • Note: These settings will be applied to all future interactions with this tools Press the Esc key to deactivate the currently select tool • 97 Classroom Workbook | syngo MR System with Numaris/X Software 15.11 3D Post Processing Notes 15.11.1 Overview of Standard Reference Mode Layout 1 2 3 4 --- 1. Transverse reference segment 2. Coronal reference segment 3. Sagittal segment 4. Volume segment – depending on predefined layout, a VRT or another display type) is displayed in the volume segment 98 Classroom Workbook | syngo MR System with Numaris/X Software 15.11. 2 3D MIP - steps for Post Processing Notes In MR View&GO, select the images for 3D Post processing • In Favorite Tools area, click the Show in 3D icon Favorite Tools X • 3D O Show in TimeCurve ADC & b- New New 30 value Compose Combine - 3D Images are loaded in the 3D MPR/MIP Layout • MPR ZTP MPRIVRT MIP THIN THICK Double-click MIP image if desired so it loads in a • == one-by-one segment Paraki Curved TO TUTE In the top left corner, select Punch Tool or the Punch Tool from the Case Navigator • MR View&GO X Zoom/Pan H Windowing 12.2.1107.5.99.3 Rotate IlMovie aLock Reference Lines 3D X Ranges Region Growing MPR/MIP MPR/MIP MPR 2TP MPR/VRT MIP THIN 2TP Punch MIP Reset Anatomy Visualizer THICK Layout Clip Plane * Parallel Radial Ranges Shoe ... Rangos Clip Box Clip Box Deselect Auto Note: Default is to have it On, note the check mark for Auto . • Remove Outside should be selected Remove Inside NV Remove Outside Undo Redo Auto Punch Reset 99 Classroom Workbook | syngo MR System with Numaris/X Software Left mouse click and draw around desired anatomy. Double-click to close drawing Notes • loop Select Apply Punch • Repeat Draw Punch tool steps to remove additional areas in other orientations • • Note: If you right click on the drawing loop to use the nudge tool • Note: To change orientation, you can right mouse click on the Cube >Select Orientation or Hold right mouse button down and drag to desired orientation Ortho Sync Ocr F (feet-head) A (anterior-posterior) L (left-right) H (head-feet) H P (posterior-anterior) SP H698.7 R (right-left) Reset position in all segments 100 Classroom Workbook | syngo MR System with Numaris/X Software Once you are done with punch tool, select the Esc key to turn tools off • Select Top Left Corner > Ranges > Radial Ranges or Radial Ranges from the Case Navigator • Change to desired Orientation by right mouse click on Orientation cube • Define Number of Images • Select Start • Zoom/Pan MR View&GO Parallel Radial Curved Windowing AD GSH Avanto Rotate MR B13 Preset Select the Preset HFS I Movie LPH 3D Reference Point 2 Angle between Images 10.0 Punch Number of Images 37 - 6 Clip Plane Field of View 204.3 - x 204.3 mm - 3D Clip Box X Presets Orientation Image Series Fit to Segment 1cm MPR/MIP MPR/MIP MPR 2TP MPRIVRT MIP THIN STP Ranges Parallel Ranges Long Axis Short Axis Frontal Region Growing * Radial Sliced Ranges A Reset Layout Anatomy Visualizer (O) Radial Ranges MIP : p2 MIND/FM/FIL Curved Ranges Open Radial Ranges SP A21.8 241p 256s Parallel Radial Curved A1/PFP/SAT1 Cor Ranges Range Ranges T.HE1-4;NE1,2 359 *113dir_tm / 25 151 Punch Clip Box Start ccept Close Name new MIP range and Select Accept • Save Reject Accept Close • Note: If other orientations desired, change orientation and repeat The MIP Series will populate into the series panel under Results • Notes 101 Classroom Workbook | syngo MR System with Numaris/X Software 15.11. 3 3D MPR – Steps for Post Processing Notes In MR View&GO, select the images for 3D Post processing • In Favorite Tools area, click the Show in 3D icon • Favorite Tools Show in Mean Cal- New New 30 Curve culation Compose Combine Images are loaded in the 3D MPR/MIP Layout • In the lower left corner, select MPR • test knee Uniklinik 2017.06.27-13:17:36-DST-1.3.12.2.1107.5.99.3 #2/16/1965, F. 52Y MAGNETOM Vida MR XA10 CURRENT FFS 6/27/2017 11_vibe_we_sag_iso_p2 latest ModalityViewer 30.Study0 Series0 STUDY ID 84a287fe-c7c4-48 1:51:16 PM 15 IMA n.a. ARH Cinematic VRT HD 1 cm VRT L MinIP Thin TP O MPR Thick SPL72.2 SL 0.6 SPC 0.6 MPR 256-256 Sag>Cor(6)>Tra(-2) MPR Thick 592 267 2D 102 Classroom Workbook | syngo MR System with Numaris/X Software Select Top Left Corner > Ranges > Parallel Ranges or Radial Ranges from the Case Navigator • Choose desired orientation • Define Ranges • Define the Image Thickness and distance between images • Select Start • • Zoom/Pan HAR MR View&GO Parallel Radial Curved Windowing Siemens_Healthineers Ref.: Congress Preset Select the Preset Rotate MAGNETOM deLemos 1.5 MR XA11 mage Thickness 0.6 mm Sc FFS Scroll Distance between Images 0.6 mm Il Movie Number of Images 141 b 3D Reference Point Field of View 165.2 = x 171.5 mm Save as Series Presets Orientation Image Series Fit to Segment ¥ 3D X Range Series Name |MPR sag 0.6mm Range Ranges Parallel Ranges 1 cm Image Comment MPR/MIP MPR/MIP MPR 2TP MPRIVRT MIP THIN Region Growing Select Range Tool Include Reference Image Raurar Suced Ranges 2TP ) Radial Ranges A TE 23.0 Curved Ranges MIP Layout BW 161.0 TP O THICK MPR : MAGN/NORM/DIS2D SP A70.4 299p*384 A1/PFP/WE Cor>Sag(17)>Tra(-4) Parallel Radial Radial Curved Start Accept Close UFL 501 *me3d1r3 / 8 214 Ranges Ranges Punch Clip Box • Name MPR Range and Select Accept Save Reject Accept Close The MPR Series will populate into the series panel under Results Notes 103 Classroom Workbook | syngo MR System with Numaris/X Software 15.12 Distortion Correction Notes Correction Tools – Distortion Correction • Geometric distortions may occur at the edge of images with a large field of • view (FoV) or with off-center slices These image errors can be eliminated using Distortion Correction • Modes of Distortion Correction • 2D Distortion Correction • Image distortions are corrected with the image plane • 3D Distortion Correction • Image distortions of the current slice are corrected in all 3 spatial directions • with regard to the neighboring slices Rev Distortion Correction • Remove distortion correction • Vida Head Uniklinikum Erlangen Germany MAC Ref.: Congress "1/1/1 934. M. 83Y MAGNETOM Vida CURRENT MR XA10A 6/1/2017 HFS 11_02d_tra_02_256 latest # XA10 STUDY ID 333890025 12:01:30 PM 9 IMA1 FRM 1 3/27 RAH Position Display 2D Correction Tools %4 SL 5.0 SPC 6.0 ImageFilter Smooth TR 240.0 Analysis Tools TE 2.3 TA 32.4 BW 355.0 Auto Windowing p2 MAGN/NORMDISOD AT MR Presets HC1-7;NC1 *12d1 / 80 MR Color LUT [2. Reset Windowing Perform Distortion Correction • Select an image segment for distortion correction • From right lower corner menu select > Correction Tools > 2D Distortion • Correction or 3D Distortion Correction Distortion correction is started • Reverse Distortion Correction • Select an image segment • From right lower corner menu select > Correction Tools > Rev Distortion • Correction Distortion correction is removed • 104 Classroom Workbook | syngo MR System with Numaris/X Software 15.13 Subtraction Notes Subtraction – performed on images, series, or 4D data sets to subtract different • time phases Perform Subtraction • Images are loaded • Select the segments required for subtraction by keeping the Ctrl key pressed or • select the segment that contains the 4D data set From the lower right corner menu select Analysis Tools > Subtraction or • Favorite Tools area > Subtraction icon Create Subtraction Datagroup dialog box opens • Default is the oldest series is displayed as the Subtrahend & newer series is • displayed as Minuend Drag the Subtrahend to the Minuend are or vice versa to adapt the Minuend/ • Subtrahend Enter the name of the result series • To assess the quality and the number of result images>select Preview • Select OK to start subtraction • Subtraction series is displayed in the Series Panel and in the result segments of • the layout 105 Classroom Workbook | syngo MR System with Numaris/X Software Notes Create Subtraction Datagroup ? X 1 # 2 Settings MR Subtraction Settings Config. Minuend 11_f13d_dixon tra_p2_1+5.latest.In Phase 11 fl3d dixon tra_p2_1+5.latest Opposed Phase t1_f13d_dixon_tra_p2_1+5.latest.Fat 3 Swap Remove 4 Subtrahend 7 6 Use Constant 4 Remove 5 Result Series Name Results Sub_t1_#13d_dixon_tra_p2_1+5_in OK Cancel 1. Name of currently active Setting 2. Config icon for opening the Subtraction Settings dialog box 3. Minuend phases or series 4. Remove button for deleting select minuends or subtrahends 5. Result Series, the default name is freely editable 6. Use Constant value 7. Subtrahend phase or series 8. Swap icon to exchange minuend and subtrahend 106 Classroom Workbook | syngo MR System with Numaris/X Software 15.14 Combining & Composing Notes Two methods of reconstructing overview images • New Compose – perform composing in order to create composite images (sagittal or coronal images) New Combine – combine images in order to include all images in one series (axial • images) Perform Composing steps: • In MR View&GO, select the images that you want to evaluate • Select at least two series with different slice positions • In Favorite Tools area, select the New Compose icon • Favorite Tools X 3D IS = Show in ADC & b- New New 30 value Compose | Combine Create New Composition dialog box opens • Create New Composition ? x Selected Series Available Series t2_haste_stir_cor_mbh_abdomen.latest LAAspine_scout.latest t2_haste_stir_cor_mbh_chest.latest Il AAspine_scout.latest III_AAspine_scout.latest t2_haste_stir_cor_mbh_head.latest t2 haste_stir_cor_mbh_pelvis.latest |_t2_tse_stir_sag.latest Il_t2_tse_stir_sag.latest III_t2_tse_stir_sag.latest I_AAspine_scout_MPR_sag.latest Volume_A I_AAspine_scout_MPR_sag.latest Volume_B Composing Algorithm Spine algorithm Name Of Composed Series OK Cancel Note: All series available for the current study and a preview area are • displayed Select the series that you want to compose • 107 Classroom Workbook | syngo MR System with Numaris/X Software Select Algorithm Notes • Spine – based on bone structure for spine images • Angio – based on vessel structure • • MIP – optimized for composing MIP images Adaptive – based on elastic matching, to correct B0 induce inhomogeneities • in image areas Enter a name for the composed series • Select OK > to start composing • Create New Composition ? X Selected Series Available Series t2_haste_stir_cor_mbh_abdomen.latest I_AAspine_scout.latest t2_haste_stir_cor_mbh_chest.latest Il_AAspine_scout.latest III_AAspine_scout.latest t2_haste_stir_cor_mbh_head.latest t2_haste_stir_cor_mbh_pelvis.latest 1_12_tse_stir_sag.latest Il_t2_tse_stir_sag.latest III_t2_tse_stir_sag.latest |_ AAspine_scout_MPR_sag.latest Volume_A LAAspine_scout_MPR_sag.latest. Volume_B Composing Algorithm Spine algorithm Name Of Composed Series OK Cancel To save composed images – select the Confirm Result icon • Composer New New Compose Combine Confirm 108 Classroom Workbook | syngo MR System with Numaris/X Software Postprocessing tools to adapt the image Notes • MR View&GO X Blend/Cut Mode –switch between soft • transitions (smooth image transitions) and Stack 312 Stack 202: Black Sc4 hard cuts (shows the original image borders) Normalize – to harmonize different grayscale • values for a homogeneous overview Composer Manual Adjust – manually align the X • positions of the original images, open New New alignment mini toolbar and use movement Confirm Compose icons for repositioning Results t2_tse_sag_3_Station_CON Blend/Cut Mode Normalize 109 Classroom Workbook | syngo MR System with Numaris/X Software Perform Combine steps: Notes • In MR View&GO, select the images that you want to evaluate • Select Axial Images to be combined • In Favorite Tools area, select the New Combine icon • Favorite Tools X 3D Show in ADC & b- New 30 New value Compose Comoine The Create New Combining dialog box opens • • Note: All series available for the current study and a preview area are displayed Create New Combining ? X Selected Series Available Series t1_vibe_dixon_tra_bh_abdomen_W.latest t1_vibe_dixon_tra_bh_head_2_F.latest t1_vibe_dixon_tra_bh_chest_W.latest t1_vibe_dixon_tra_bh_pelvis_F.latest t1_vibe_dixon_tra_bh_head_1_W.latest t1_vibe_dixon_tra_bh_head_2_W.latest t1_vibe_dixon_tra_bh_pelvis_W.latest _AAspine_scout_MPR_tra.latest Il_AAspine_scout_MPR_tra.latest III_AAspine_scout_MPR_tra.latest Name Of Combined Series OK Cancel Select the series that you want to combine • Enter a name for the combined series • Select OK > to start combining • To save combined images – select the Confirm Result icon • 110 On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which Local Contact Information do not always have to be present in Siemens Medical Solutions USA, Inc. individual cases. 40 Liberty Blvd. Malvern, PA 19355-9998 Siemens reserves the right to modify the USA design, packaging, specifications and Telephone: +1-888-826-9702 options described herein without prior siemens.com/healthcare notice. Please contact your local Siemens sales representative for the most current information. Legal Manufacturer Imaging & Therapy Systems Magnetic Resonance Note: Any technical data contained in Henkestr. 127 this document may vary within defined DE-91052 Erlangen tolerances. 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