syngo MR Version syngo MR 2002B Operators Manual Rev 04 July 2002

Manufacturer’s note:

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Products, that are bearing a CE mark fulfill the provisions of the Council Directive 93/42/EEC of 14 June 1993 concerning medical devices. 0.0 The CE mark applies exclusively to medical equipment and products that are released under the relevant EU guidelines mentioned above. 0.0 0.0

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 Siemens AG 2002 All rights reserved

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Siemens AG, Medical Engineering, Magnetic Resonance Henkestraße 127, D-91052 Erlangen, Germany

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Headquarters in Berlin and Munich 0.0

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Siemens AG, Wittelsbacher Platz 2, D-80333 München, Germany

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Print No. M1-015.621.08.01.02 Printed in the Federal Republic of Germany AG 07.02

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Special Information

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This manual is part of a multiple volume user manual for the magnetic resonance systems of the MAGNETOM family. 0.0

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N OT IC E MAGNETOM MR systems are not measuring instruments.0.0 The measurement values that can be obtained with them are for guidance purposes only. They must never be the sole basis for a diagnosis. 0.0

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Special features of MAGNETOM Concerto

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The following sections of this user manual do not apply to MAGNETOM Concerto: 0.0 ❏ SAR and stimulation monitoring, Chapter C.7 ❏ Description of Table Positioning dialog box in Chapter C.6 ❏ Information about the movement and position of the patient table in Part C ❏ Description of the PMU display in Chapter C.8

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New coordinate system

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The patient coordinate systems used by syngo MR are differe n t f r o m t h e p r ev i o u s N u m a r i s s o f t wa r e ( i n c l u d i n g Numaris 3.5). 0.0 Please pay particular attention to this fact when reporting MR images acquired with Numaris under syngo MR. 0.0 Please consult your application specialist if you want to convert 0.0 different coordinate systems.

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Special Information

Coordinate system in Numaris 3 and Numaris 3.5 (+FAL)

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The slice positions as seen from the Isocenter of the magnet are positive in the Feet, Anterior, and Left directions. 0.0

MR images based on this patient-oriented coordinate system are not converted to a DICOM format until they are exported. 0.0

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Coordinate system in syngo MR (DICOMStandard, +LPH)

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The slice positions as seen from the Isocenter of the magnet are positive in the Left, Posterior, and Head directions. 0.0

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Special Information

The following overview shows which direction the slice position changes to when it moves from minus to plus. 0.0 0.0

Direction of slice position Numaris 3 and Numaris 3.5

+FAL

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+LPH

The higher the number of the slice position, the higher the coordinates of the slice in the positive direction: 0.0

Numaris 3 and Numaris 3.50.0

❏ The transverse slice moves in the feet direction (F). ❏ The coronal slice moves in the anterior direction (A). ❏ The sagittal slice moves toward the left direction (L).

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❏ The transverse slice moves in the head direction (H). ❏ The coronal slice moves in the posterior direction (P). ❏ The sagittal slice moves toward the left direction (L).

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NOTICE The image text for the slice position has changed in software version MRease VA12A and higher. Instead of the signs "+" and "-", the designations for direction L, P or H, and R, A or F are now displayed. 0.0

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Summary of Contents Basics

A

Patient Registration

B

Examination

C

Patient Browser

D

Viewing

E

Postprocessing Images

F

Storing and Data Exchange

G

Filming

H

3D Evaluation

J

Vessel View

K

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Managing and Adjusting the System

L

References

M

Index

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Table of Contents A Basics A.1

Basics for Beginners

A.2

Configuring the User Interface

A.3

Service Functions

B Patient Registration B.1

Introduction

B.2

Registering a New Patient

B.3

Registering a Known Patient

B.4

Configuring Patient Registration

C Examination C.1

Introduction to the MR Examination

C.2

Loading the Scan Program

C.3

Measuring, Editing, Managing Ref. Images

C.4

Positioning slices

C.5

Adjusting Scan Parameters

C.6

Performing an Examination

C.7

Positioning the Patient Table

C.8

Online Display

C.9

Patient Instructions

C.10 SAR and Stimulation Monitoring C.11 Physiologically Controlled Scans 0.0

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C.12 Organizing Scan Programs C.13 Maestro Layout and Movie Display (Option) C.14 Breast Biopsy C.15 Quality Measurement

D Patient Browser D.1

Introduction

D.2

Searching for and Displaying Patient Data

D.3

Transferring Data to other Applications

D.4

Correcting Data

D.5

Storing, Sending and Filming Data

D.6

Maintaining your Data

D.7

Configuring the Patient Browser

E Viewing E.1

Introduction

E.2

Loading and Displaying Images

E.3

Scrolling and Selecting Images

E.4

Processing Images

E.5

2D Evaluation

E.6

Position Display

E.7

Saving and Documenting Images

E.8

Configuring the Viewing Task Card

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F Postprocessing Images F.1

Dynamic Analysis

F.2

Evaluating Images with Mean Curve

F.3

Filtering Images

F.4

Viewing and Evaluating BOLD Images

F.5

Evaluating Perfusion-Weighted Images

G Storing and Data Exchange G.1

Introduction

G.2

Storing Data on an External Medium

G.3

Sending Data via the Network

G.4

Exchanging Data via the Hard Disk

G.5

Automatic Storing and Sending

G.6

Checking Data Transfer

G.7

Configuring Data Transfer

H Filming H.1

Introduction

H.2

Automatic/Manual Filming

H.3

Viewing and Processing Film Sheets and Images

H.4

Changing Film Settings for a Film Job

H.5

Checking Film Jobs

H.6

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J 3D Evaluation J.1

Introduction

J.2

Transferring Images to 3D

J.3

Working in 3D

J.4

Multiplanar Reconstruction (MPR)

J.5

Maximum Intensity Projection (MIP) (Option)

J.6

Reconstructing Surfaces (SSD)

J.7

Volume Rendering Technique (VRT)

J.8

Selecting and Processing Images

J.9

3D Editor

J.10

Fusion

J.11

Saving 3D Series and Images

J.12

Filming, Evaluating and Sending 3D Images

J.13

3D Configuration

K Vessel View K.1

Introduction

K.2

Loading and Displaying Images

K.3

Defining Vessels

K.4

Measurements

K.5

Saving and Documenting Evaluations

K.6

Using Protocols

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L Managing and Adjusting the System L.1

System Manager

L.2

Adjusting the System

M References M.1

Scan Parameters

M.2

Text Annotations in Medical Images

N Index

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PART

A

Basics

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A.1 Basics for Beginners The application program ... A.1–3 Mouse and keyboard ... A.1–4 The mouse ... A.1–4 The mouse pointer ... A.1–5 Using the mouse ... A.1–6 The keyboard ... A.1–7 Using the keyboard ... A.1–8 Entering commands and data ... A.1–15 Selecting objects ... A.1–15 Moving or copying objects ... A.1–17 Changing the image display ... A.1–19 Entering text ... A.1–20 Windows ... A.1–21 Layout of windows ... A.1–21 Resizing and moving a window ... A.1–23 Switching between windows ... A.1–26 Dialog boxes ... A.1–27 Operating elements in boxes and on tab cards ... A.1–29 Using tab cards ... A.1–33 Task cards ... A.1–34 Subtask cards ... A.1–35 Using menus ... A.1–36 Application-specific menus ... A.1–36 Dropdown menus on the menu bar ... A.1–37 Pop-up menus ... A.1–40 Status bar... A.1–41 Text information in medical images ... A.1–42

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A.2 Configuring the User Interface Calling up a configuration window ... A.2–2 Defining the regional settings ... A.2–4 Configuring image text ... A.2–6 Exiting a configuration window ... A.2–10

A.3 Service Functions Displaying the maintenance status ... A.3–2 Local Service ... A.3–4 Remote Service Access ... A.3–5 Logbook ... A.3–7 Configuring the MR system ... A.3–8

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CHAPTER

A.1

Basics for Beginners

A.1

This chapter is intended for beginners with limited experience using computers and Windows NT®. A.1 The information provided in this chapter will enable you to use the applications and enter data. A.1 A short overview gives you an introduction to the program interface itself. Next, you will learn how to operate the computer using the mouse and keyboard. A.1 This chapter also explains the command and input elements on the program’s user interface. A.1

Operating system

A.1

This software uses the Windows NT® operating system. A.1

Logon

A.1

After switching on the computer you have to log on as a user before you can start working. Users can have different privileges (e.g. normal user or authorized user). A.1 ✧ To log on enter your logon name and your password. ➭ Please contact your system administrator or Siemens Customer Service if you have not yet been entered as a user.

Program start

A.1

The applications will start automatically once you have logged on. A.1

Rebooting of main and satellite consoles

A.1

The main console and the satellite consoles will start automatically as the system boots up. If you reboot the main console manually, make sure to reboot the satellite consoles as well. A.1

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Basics for Beginners

Names and designations used

Basics

A.1

All names and data of patients and institutions that are used in this operator manual are entirely fictional. A.1 Any resemblance to names of existing people or organizations past or present is entirely coincidental. A.1

Configuration-dependent designations, such as names of drives, network nodes, and databases, that are used in this operator manual are usually not the same as the designations to be found on a particular installation of the system in a particular hospital. A.1

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A.1–2

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