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Manual RM Siemens Onco
Manual RM Siemens Onco
n.a.
English
02
Cs2
syngo
Onco
630 MRAG,
Operator
MR-05018
2010-2012
MR
01
06/2012 Healthcare
05 Informatik,
Manual
D13 Cape Sector
syngo MR D13 0.
syngo MR D13 0.
www.siemens.com/healthcare
Manufacturer's notes: 0.
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Overview of Contents
Preparation A
Measurement B
Post-processing C
Index D
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syngo MR D13 0. i 0.
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A Preparation
A.1 Preparing and positioning the patient
B Measurement
B.1 Lesion evaluation with TimCT Oncology
B.2 Inline Liver registration
B.3 TimCT Oncology Dot Engine
B.4 1H CSI MRS for the prostate
C Post-processing
C.1 Evaluation of dynamic 3D datasets with Tissue 4D
C.2 Spectroscopy evaluation
D Index
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Introduction
In order to operate the MR system accurately and safely, the
operating personnel must have the necessary expertise as well
as knowledge of the complete operator manual. The operator
manual must be read carefully prior to using the MR system. 0.
Layout of the operator man- Your complete operator manual is split up into several volumes
ual 0. to improve readability. Each of these individual operator manu-
als covers a specific topic. 0.
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syngo MR D13 0. v 0.
Introduction
Male and female patients are referred to as “the patient” for the
sake of simplicity. 0.
Configuration
This manual consists of multiple parts (Part A, Part B, etc.). A
comprehensive Table of Contents can be found at the beginning
of each part. 0.
Important icons
For readability, certain contents are highlighted. In the follow-
ing sections, you will find the symbols and their contents used: 0.
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Problem 0.
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Intended use
Your MAGNETOM MR system is indicated for use as a magnetic
resonance diagnostic device (MRDD) that produces transverse,
sagittal, coronal and oblique cross sectional images, spectro-
scopic images and/or spectra, and that displays the internal
structure and/or function of the head, body, or extremities.
Other physical parameters derived from the images and/or spec-
tra may also be produced. Depending on the region of interest,
contrast agents may be used.1 These images and/or spectra and
the physical parameters derived from the images and/or spectra
when interpreted by a trained physician yield information that
may assist in diagnosis. 0.
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For the USA only: Federal law restricts this device to sale,
distribution and use by or on the order of a physician.
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syngo MR D13 0. ix 0.
Introduction
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Preparation
A
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Prior to moving the patient table into the magnet, you route the
tube for the infusion. A.1
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Preparing ECG-triggered
examinations A.1
A.1
PERU A.1 The ECG sensor in the PERU ensures transfer of the ECG signal.
Typically, the PERU is aligned in the direction of the foot end of
the patient table even though the patient may be positioned
feet first in the direction of the magnet bore. A.1
A.1
Positioning the ECG electrodes (left) and the PERU (right). (1)
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A.1
The transmitter unit of the PERU includes three LEDs for sig-
naling the battery status and one LED as fault indicator (e.g.
insufficient skin contact of the ECG electrodes).
Battery status and electrode fault are also indicated on the
Dot display above the magnet bore and the Physiological
Display dialog window.
A.1
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Disposable ECG electrodes A.1 Disposable ECG electrodes may be ordered from: A.1
or from: A.1
Cleaning gel A.1 NUPREP ECG & EEG Abrasive Skin Prepping Gel A.1
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Measurement
B
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T1 contrast B.1 The GRE sequence is available for T1 contrast either with spec-
tral fat saturation or as a double-echo sequence with DIXON
reconstruction. B.1
T2 contrast B.1 The TSE or HASTE sequences can be used for T2 contrast either
with spectral fat saturation or inversion recovery (STIR/TIRM). B.1
B.1
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B.1
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B.1
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B.1
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B.1
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B.1
B.1
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B.2
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B.2
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B.2
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B.3
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Setting the breathhold pa- Applies only to protocols within the Focus Upper-Abdomen sec-
rameters B.3 tion. B.3
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Using contrast agent B.3 ◆ Deselect Use Contrast Agent if no contrast agent is to be
used.
All contrast agent protocols will be removed from the measure-
ment queue. B.3
Accessing the Patient View B.3 You can access the Patient View at any time during the exami-
nation. B.3
◆ To confirm the settings and close the view, click the icon.
B.3
Modifying parameters of Changes in the Patient View only apply to pending protocols in
measured protocols B.3 the measurement queue. B.3
or B.3
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T1-weighted transverse The measurement range is inherited from the previous TimCT
measurement B.3 measurement. B.3
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Setting the dynamic para- The liver dynamic measurement consists of four T1-weighted
meters B.3 transverse 3D measurements with breathhold technique.
Within this step, you define the presets for all subsequent
dynamic measurements. B.3
B.3
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B.3
B.3
B.3
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You use the Care Bolus protocol to monitor the contrast agent
inflow in real time on the Inline Display. B.3
B.3
or B.3
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B.3
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or B.3
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B.4
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B.4
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B.4
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Setting the sequence timing B.4 ◆ Open the Contrast Common parameter card.
◆ Select Prostate from the Application list to activate the
correct sequence timing.
Magnetic field homogeneity B.4 At 3 T, expect stronger air-induced susceptibility effects in the
vicinity of the prostate. B.4
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B.4
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If the results for FWHM and T2* are not satisfactory, you can
improve the homogeneity of the magnetic field by changing the
shim currents. B.4
Example Channel X B.4 ◆ Increase the value with the up arrow button.
◆ Monitor FWHM and T2*.
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B.4
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Post-processing
C
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Evaluation of dynamic
3D datasets with Tissue 4D C.1
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Loading the study C.1 ◆ Select the study to be evaluated in the Patient Browser.
◆ Click the icon to transfer the data to the Tissue 4D task
C.1
card.
Pre-contrast data is displayed in the 1st segment. Dynamic data
is displayed in the 2nd segment. C.1
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Registering pre-contrast ◆ Open the 2. Registration subtask card and select the -Pre-
data C.1 Contrast mode, if necessary.
In the 1st segment, the pre-contrast images are overlaid with
dynamic images taking the slice positions into account. The ref-
erence volume is shown as colored images. C.1
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C.1
C.1
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C.1
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The calculation results for all defined ROIs are displayed in the
4th segment. The curves are shown as relative enhancement
curves, the first volume serves as reference. C.1
C.1
Calculating T1 maps C.1 The T1 map masks define the areas to be adjusted for the phar-
macokinetic fit. T1 fitting is restricted to pixels with values
above a certain noise level value. C.1
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Setting contrast agent pa- The contrast agent parameters are used for the application of
rameters C.1 pharmacokinetic models. C.1
C.1
Defining the fitting volume C.1 By defining a VOI, you restrict the application of pharmacoki-
netic modeling to a subvolume of the dynamic volume data. C.1
◆ Scroll through the slices to ensure that the VOI covers the
part of the volume relevant for modeling.
C.1
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Fitting mean ROI curves C.1 ◆ Open the 5. Evaluation subtask card and select an ROI in
the Selector list (e.g. ROI1).
◆ Select the pharmacokinetic model to be applied in the
Model selection list.
C.1
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The fitting curve for the selected ROI label is displayed in the 4th
segment. C.1
C.1
Fitting voxel by voxel C.1 ◆ In the Selector list, select the VOI or the ROI whose param-
eters should be fitted.
◆ Start pharmacokinetic modeling for all voxels of the VOI or
ROI with the icon.
C.1
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C.1
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◆ Click the icon to save all parameter values from the 4th seg-
ment for the selected ROI.
The values of the Ktrans, Kep, Ve, Chi2, FitCode, and iAUC
C.1
◆ Click the icon to save the currently displayed curves for the
selected ROI to a text file.
C.1
C.1
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C.2
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The reference images from the graphic slice positioning and the
CSI slice are displayed. The raw data of a predefined voxel (blue)
in the center of the CSI grid are automatically evaluated with the
appropriate post-processing protocol. The resulting spectrum is
shown together with the associated stamp reference images. C.2
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◆ Use the dog ear to look for the reference image that
includes the anatomical region of interest.
◆ To hide interfering graphics, open the Display Parameters
dialog window with the icon and deselect the graphic
C.2 objects in the Images tab card.
C.2
To only display the VOI and voxel for evaluation, hide Satu-
ration regions, Slice intersections and CSI matrix grid.
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C.2
C.2
C.2
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The spectral map allows a quick and easy comparison of all spec-
tra in one segment. Changes of choline/citrate ratios can easily
be seen. C.2
Creating a spectral map C.2 ◆ Select the segment that will be used for displaying the spec-
tral map.
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◆ Open the Spectral Map dialog window with the icon in the
control area.
C.2
C.2
C.2
C.2
With the User defined option, you can restrict the Calcula-
tion region to an area of interest.
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Enlarging the spectrum of a ◆ Select the segment that will be used for displaying the sin-
voxel C.2 gle spectrum.
◆ Click the voxel that contains the relevant spectrum in the
metabolite image.
The spectrum is enlarged to segment size in the selected seg-
ment. The respective voxel in the metabolite image is high-
lighted in color. C.2
Creating intensity ratios of ◆ Select the segment that will be used for displaying the
two metabolites C.2 metabolite image.
◆ Open the Metabolite Image dialog window with the icon
in the control area.
◆
C.2
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C.2
With the User defined option, you can restrict the Calcula-
tion region to an area of interest. This can be necessary, for
example, to exclude interfering saturation regions.
C.2
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Displaying the intensity val- ◆ Select the Peak info map checkbox in the Metabolite
ues C.2 Image dialog window.
The numerical values of the metabolite intensity ratios are dis-
played in the image on top of the color shades. C.2
Displaying a metabolite ◆ Start the movie with the Metabolite Movie button in the
movie C.2 Metabolite Image dialog window.
The transparency of the overlaid CSI slice graphic is continu-
ously increased and decreased again. C.2
C.2
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C.2
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C.2
Film Sheet.
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Index D
B D.0
Positioning the Care Bolus Frequency D.0
D.0
CA D.0
surements D.0
Inline Liver
Preparing the Dot Engine B.3-10 D.0
registration B.2-3 D.0
D.0
Procurement L
D
D.0
D.0
post-contrast
M D.0
F D.0
Motion artifacts D.0
Measuring TimCT
post-contrast FastView localizer D.0
Reducing A.1-1 D.0
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P D.0
Starting protocol Evaluating voxels of
adjustments B.4-6 D.0 interest C.2-4 D.0
Patient D.0
Positioning D.0
Strategy D.0
Electrodes A.1-3
S D.0
D.0
Performing multi-breath-
Prostate MRS D.0 Spectroscopy D.0 hold measurements B.1-4 D.0
General information B.4-1 D.0 Refer to Prostate MRS B.4-1 D.0 TimCT Oncology Dot Engine D.0
Improving shim Spectroscopy evaluation C.2-1 D.0 Refer to Dot Engine B.3-1 D.0
Analyzing results
examination B.4-3 D.0
Displaying metabolite
Calculating T1 maps C.1-7 D.0
Displaying spectral
maps C.2-5 D.0 Loading images C.1-2 D.0
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Optimizing image
display C.1-3 D.0
Performing motion
correction C.1-3 D.0
Pharmacokinetic
modeling C.1-7, C.1-9 D.0
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www.siemens.com/healthcare