syngo.via MR Workflow Configuration Job Aid

SIEMENS Healthineers syngo.via MR Workflow Configuration Job Aid Template Effective Date: 27 May 2021 | HOOD05162003010284 Job Aid Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 syngo.via MR Workflow Configuration SIEMENS Healthineers Table of Contents Overview 3 MR Basic Configuration of data Loaded ? × MR Basic Reading State Definition Challenges of Configuration 5 MR.12_tse_tra_3mm_p2_s2 latest angle Learn [Smart assignment of series] Layout Configuration 6 Viewing OB MTDF73_Greg RAF Private Layouts + Layout Easy Reading 7 Alternative 3D Smart Layouts 8 Workflow Step Editor OK Save Cancel ? x Public Layouts Apply Private (MTDF73_Greg) Step name Viewing Layout Gallery and Collections 9 Stock 1x1 Stack 2x2 Stack 33 Stripe 2x2 Public Single Timepoint Follow-Up Viewing Public Layouts Public Layouts 3D Layout Editor 10 Follow-Up Stack 1x1 Stack 2x2 Stack 343 Stripe 2x2 Stack 1x1 Stack 2k2 Stack 3x3 Layout Collections 11 << Advanced Close Stripe 3x3 Stripe 4x4 Stripe 3x3 Stripe 4x4 Dynamic Step Editor 12 Tools BE checked steps are optional 4D 1x1 MPA 30 Meancury 4D 1x1 MPR 3D ide Lines Rezet Meancury Synch Lock Configuration of Data Loaded 13 Navigati ... Graphie. Add EP. Copy Snapshot Print Export Rede Image Image Creating MR Layout from Easy Reading 15 OK Apply Cancel 1:52 PM Smart Layouts 16 Creating Smart Layouts 17 2 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Workflow Configuration Overview (1/2) SIEMENS Healthineers The goal of the different steps and layouts is to support optimal MR Basic Q + Configuration of data loaded ? X and fast reading of the scanned MRI images. MR Basic Reading State Definition MR.t2_tse_tra_3mm_p2_s2.latest Single Learn [Smart assignment of series] Segments The default configuration of the Viewing OH MTDF73_Greg Workflow steps RAF • Private Layouts + Current Alternative • Layouts 3D Configuration of data loaded Layout Workflow Step Editor • ? X OK Apply Save Cancel Public Layouts is based on how the scan workflows are delivered for Siemens Private (MTDF73_Greg) Reset Step name Viewing Healthineers scanners and the latest software version. Stack 1x1 Stack 3x3 Public Stack 2x2 Stripe 2x2 single Timepoint Follow-Up Viewing Public Layouts Public Layouts 3D Follow-Up syngo.via is a multivendor and multimodality reading workstation. New Edit Save Save A: Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 << Advanced Close The layout segments remain empty if the default configuration Stripe 3x3 Stripe dvd offered is not fully met. ynamics Compare Stripe 3x3 Stripe 4x4 Dynamics 2x2 Tools Et= checked steps are optional 4D 1x1 MPA 3D Compare Meancury 4D 1x1 MPR 3D Compare Meancury Synch Lock Full Text Hide Reset MPR For this purpose, there are several tools that can be used for Navigati ... Graphics Timepoi .. MPR e Add Copy Delete Down changing and modifying the workflow steps and layouts. Edit Snapshot Print Undo Redo Layout Image Expor OK Apply Cancel L: 52 PM 3 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Workflow Configuration Overview (2/2) SIEMENS Healthineers In case the default configuration is not fully met, this job MR Basic Q + Configuration of data Loaded ? X aid guides you how to change and modify workflow steps MR Basic Reading State Definition MR.t2 tse_tra 3mm_p2_s2.latest and layouts with the following tools: Single Learn [Smart assignment of series] Segments Viewing MTDF73_Greg RAF • Layout Gallery Private Layouts + Current • Layout Collections Alternative 3D • Layout Editor Layout Workflow Step Editor ? X OK Apply Save Cancel Public Layouts • Workflow Step Editor Private (MTDF73_Greg) Step name Viewing • Configuration of data loaded Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2X2 Public Single Timepoint Follow-Up Viewing Public Layouts Public Layouts 3D Follow-Up New Edit Save Save A: Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 << Advanced Close Stripe 3x3 Stripe dvd ynamics Compare Stripe 3x3 Stripe 4x4 Dynamics 2x2 Tools Et= checked steps are optional 4D 1x1 MPA 3D Compare Meancury 4D 1x1 MPR 3D Compare Meancury Synch Lock Full Text Hide Reset MPR MPR e Navigati ... Graphics Timepoi .. Add Copy Delete Down Undo Redo Edit Snapshot Print Layout Image Expor OK Apply Cancel L: 52 PM 4 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 Challenges of the Configuration SIEMENS Healthineers The series name defines which images are loaded into the segments. The series name for the same protocol type varies depending on the following factors: • System type • Software version • Vendor CURRENT 111:2911 From a reading perspective, the same protocol type or image type should be loaded into a certain segment, regardless of the series name. To help solve this challenge, the following tools can be used: • Configuration of data loaded • Learn segments • Advanced Configuration of data loaded with Boolean Expressions – you can read more about .... this in the Advanced Configuration of Data Loaded with Boolean Expressions Job Aid 5 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Workflow Layout Configuration SIEMENS Healthineers There are several different ways of displaying images in AFL MR Basic Series the syngo.via MR Workflows. MR Basic Reading Add Study Layout Creator ? X # 4 Series Name Current Single Learn Segments MR. 1/11/2019 Fast_High res_HN64ch There are fast and easy ways to modify the layouts: Create 4D Dynamic 5 resolve_3scan trace tra 1 ... Viewing 1 Create 2D Stack B-Value 01 [bo] Easy Reading – Layout is adapted on the fly by MTDF20_Greg Replace all Series B-Value 02 [b1000] • 6 resolve_3scan_trace_tra 16 ... Private Layouts t2 tse tra 3mm_p2_$2 B FLAIR tra_3mm dragging and dropping images into the layout 12 12_blade_sag 4mm 13 SWI Images Stack 2x2 Smart Layouts – Automatic learning of segment filling Layout Editor 14 miP_Images(SW) • t2 tse fs-dixon cor Public Layouts HAL 19 In Phase 21 • Preconfigured factory layouts Water 23 Pha_Images 10 ... 11_mprage_sag_p2_0.9iso Stack 1x1 Stack 2x Stack 3x3 Stripe 2x2 There is also the possibility of precisely loading certain series in a certain way. This requires exact configuration New Edit Save Save As << Advanced Close of the layouts. OK Cancel 6 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Layout Easy Reading SIEMENS Healthineers AFL AFL Series Add Study # Series Name Current Easy Reading is a great functionality where the images can be Fast_High_res_HN64ch Create 4D Dynamic- --- viewed exactly in the desired order, just by using drag and Create 2D Stack B-Value 01 [bo] Replace all Series B-Value 02 [b1000] resolve 3scan trace tra_16 ... drop. t2 tse tra 3mm p2 $2 FLAIR_tra_3mm t2_blade_sag 4mm SWI_Images By dragging and dropping the series, the layout size will adapt miP_Images(SW) Ise fs-dixon Cor 19 In Phase to the number of dropped series. Additionally, the images are HAL 21 Water The wayes automatically synchronized regarding zoom and navigation. 10 ... t1_mprage_sag_p2_0.9iso When dragging and dropping an uneven number of series, for RAF example, if you drop 5 series, a layout with 6 segments is chosen. The segment size remains the same for all segments and one segment would stay empty in this example. When reading with two monitors and dropping series on both monitors, the series are synchronized regarding navigation and zoom across both monitors. 7 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Smart Layouts SIEMENS Healthineers Self-learning approach for optimal loading of the MR Basic + scanned series. MR Basic Reading The system can learn based on the drag and drop actions of the user. Single Learn Click Segments With Smart Layouts, the system learns from examples in Viewing which segment the series should be loaded. MTDF73_Greg Private Layouts This is done by dragging a series to a specific segment and selecting Learn segments in the Case Navigator. Stack 2x2 New Layout Public Layouts Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 New Edit Save Save As << Advanced Close 8 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Layout Gallery and Layout Collections SIEMENS Healthineers Viewing Layout Gallery To create new layouts, proceed as follows: MTDF20_Greg Layout Collections 1. Click Advanced Administrator 2. Click New Pri MTDF20_Greg Layout Creator ? X 3. Select the number of segments Public Layouts 4. If there are more monitors connected, the selection can be 1 done per monitor 5. Drag and drop the images to the segments that should be Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 displayed 6. Click Save – Depending on the user rights, the layout can be saved as follows: • In Private Layouts – Available for all users Stripe 3x3 Stripe 4x4 Dynamics Compare 4D 2x2 • In Public Layouts – Available for users with clinical administrator rights OK Cancel Viewing New Edit Save Save As MTDF20_Greg Layout segment editing Private Layouts << Advanced Close Layout creation Stack 2x2 Layout Editor Public Layouts 9 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Layout Editor SIEMENS Healthineers MR Basic Q. + Split Horizontal MR Basic Reading Split Vertical Ton Create Stripe of Stacks In Layout Edit mode, the following layout types are ? X available: Single Learn Click Segments • Regular layouts Viewing • Irregular layouts MTDF20_Greg Private Layouts In the Irregular layout type, you can perform the following actions: Stack 2x2 Layout • Merged Editor • Split Public Layouts • Stripe of stacks created Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 New Edit Save Save As << Advanced Close OK Cancel PDF 10 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Layout Collections SIEMENS Healthineers From the Layout Gallery, you have access to all layout Viewing Viewing collections and the layouts in those collections. MTDF20_Greg MTDF20_Greg Administrator The collection is per user and per workflow. Pr MTDF20_Greg Private Layouts Public Layouts In the Public Layouts, you can find the factory default Stack 2x2 layouts and the changes made by a clinical admin. The Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 Public Layouts layouts in this collection can only be changed by a user with clinical admin rights. Stripe 3x3 Stripe 4x4 Dynamics Compare 4D Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 282 The layouts can be moved between the collections using drag and drop. Depending on the user rights, certain New Edit Save Save As directions of movement are possible: New Edit Save Save As • From Public to Private – Possible for all users << Advanced Close << Advanced Close • From Private to Public – Possible with clinical administrator rights only 11 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Workflow Step Editor SIEMENS Healthineers The settings icon opens the Workflow Step Editor. Workflow Step Editor ? Private Step name Viewing Current steps and layouts for this workflow. The displayed current (MTDF73_Greg) Reset O Public Single Timepoint Follow-Up steps and layouts for this workflow are bound to the layout collection Viewing Public Layouts default Public Layouts 3D that is selected when opening the Workflow Step Editor. Follow-Up Stack 1x1 Private Stack 2x2 Stack 3kg Stack 1x1 Greg Stack 2x2 Private Stack 383 The default layout for a step can be changed: Stripe 2x2 Stripe 3x3 Stripe 4x4 Stripe 2x2 Stripe 3x3 Stripe 4x4 Dynamic 4D • Select the step, make sure that the checkmark is not set by accident checked steps are optional 4D 1x1 MPR 3D Compare 4D 1x1 MPR 3D 2x2 MPR • Select the layout Add Copy Delete Up Down • Click Apply → Now this layout is the default layout for the step Pressing Apply saves all the changes for the steps OK Apply Cancel • Depending on the user rights, the steps layout can be changed: You can rearrange the steps: • Private steps – Available for all users Add • • Public steps – If the current user has clinical administrator rights Copy • • Delete • Change order 12 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 Configuration of Data Loaded in Layout Segments (1/2) SIEMENS Healthineers Clicking on the series name in the segment opens the Configuration t2_tse_tra_3mm_p2_s2 itatest of data loaded. Configuration of data loaded ? X A list of data to be loaded can be filled in here. The first match from top to bottom will be loaded into the segment. The series name needs State Definition MR.t2 tse tra 3mm_p2_s2.latest to match 100%. [Smart assignment of series] To add more data to the list, drag and drop it to the dialog box or to the image segment and press Save. + Current Alternative The matching data that is loaded is indicated with a traffic light. 3D OK Apply Save Cancel Matching data is available and currently visible Matching data is available, but not visible No matching data is available Invalid data is configured 13 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 Configuration of Data Loaded in Layout Segments (2/2) SIEMENS Healthineers Possible actions: Layouts can be created for follow-up studies if • Move up or down current and prior data is loaded in the • Add, copy, delete workflow. • Set for current or prior • Copy the whole list Select Prior in the Configuration of data • Paste the whole list loaded dialog. The system then looks for a • List of alternatives for the current patient prior series with the selected series name. • Make sure to press Save t2_tse_tra_3mm_p2_s2 tatest Configuration of data Loaded ? X 0 Configuration of data loaded ? X State Definition State Definition MR.t2 tse_tra 3mm_p2_s2.latest [No Results] [Smart assignment of series] MR.T1_MPRAGE_ns_sag_1mm.latest + + Current Current Alternative Alternative Current 3D MR.EPI DIFF b12 omm_p2 PB.latest. B-Value 01 Prior 01 OK Apply Save Cancel OK Apply Save Cancel 14 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 Creating MR Layout from Easy Reading SIEMENS Healthineers AFL AFL Series Add Study Series Name Current This layout can be saved with Save As. MR. 1/11/2019 Fast_High_res_HN64ch Save As Create 4D Dynamic- Create 2D Stack B-Value 01 [bo] Replace all Series B-Value 02 [b1000] resolve 3scan trace tra 16 ... t2 tse tra 3mm_p2_s2 8 FLAIR tra_3mm t2_blade_sag 4mm The segment will only be filled if the protocol name is exactly SWI_Images mIP_Images(SW) the same. Ise fs-dixon Cor HAL 19 In Phase 21 Water For more flexibility: 10 ... t1_mprage_sag_p2_0.9iso • Drag and drop other images with different protocol names RAF into the segments • Add them into the alternative configuration • Or use Learn Segments (learn more on the next pages) 12_tse_tra_3mm_02_s2 latest Configuration of data Loaded Learn ? X Segments State Definition MR.t2 tse tra 3mm_p2_s2.latest O [{SmartAssignment){Contains)(4bda168b-900b-426d-b2a8 15 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 MR Smart Layouts SIEMENS Healthineers For each example, the system stores the selected series criterion which MR Basic is based on the DICOM attributes and not the protocol name. This MR Basic Reading means loading into a segment will still work even with protocol names which are different or have been changed. Single Learn Click Segments The more examples you define, the higher the accuracy. Viewing The system determines the most similar series: MTDF73_Greg Private Layouts • Each series is characterized based on approx. 30 attributes that derive from the DICOM Header, for example, MR contrast, Stack 2x2 New orientation, acquisition sequence, b-value, fat saturation, Dixon, Configuration of data loaded ? X Layout parametric map, etc. State Definition Public Layouts MD to teo tra 2mm ) ) Intact [Smart assignment of series] . • Attributes of example series are compared with attributes of all series in the study. Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 + Current • The series description is used as a fallback if the DICOM attributes Alternative cannot be read, for example, for images from a different vendor. 3D New Edit Save Save As OK Apply Save Cancel << Advanced Close 16 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 Creating MR Smart Layouts SIEMENS Healthineers The learning mechanism can only be used in a new AFL MR Basic MR Head_P1 *1/1/1994, F, 25Y site-specific or private layout. MR Basic Reading CURRENT 1/11/2019 angle Learn 9:10:04 AM To create a new layout, navigate to the Layout Gallery → Segments 5 IMA 1 FRM 13/25 Viewing OB Advanced. MTDF73_Greg RAF Private Layouts SL 5.0 Select New Layout SPC 5.8 • • Select the desired number of segments tack 2x2 New Layout Drag and drop the desired series to the layout segments Public Layouts TR 4690.0 • TE 56.0 DIFF/TRACEW/NORM/DIS2D • Click on Learn Segments in the top area of the Case Stack 1x1 Stack 2x2 Stack 3x3 Stripe 2x2 HAL Navigator MR_Head_P1 *1/1/1994, F, 25Y • Click to finish, save the layout CURRENT New 44 Save 1/11/2019 9:33:21 AM << Advanced Close 19 IMA 1 FRM 29/29 If images from a different scanner or different protocol names are available, load the images to see if the loading RAF proceeds as expected. If not, drag and drop the images to Tools SL 3.0 SPC 3.3 Et= L Hide Hide Lines Reset the segments and click on Learn Segments again. Synch Lock Navigati ... Text Graphics Timepoi ... TR 6750.0 Layout Snapshot Print Export Undo Redo TE 103.0 Image Image ON/IN_PHASE NORM DIS2D 10:56 AM 17 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 18 Effective Date: 06 Oct 2021| HOOD05162003226220 Unrestricted © Siemens Healthineers, 2021