Data sheet based on syngo MR XA401 - siemens-healthineers.com/freemax
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MAGNETOM Free.Max Data sheet based on syngo MR XA40 1) siemens-healthineers.com/freemax 1) The product is still under development and not commercially available yet. Its future availability cannot be ensured. Preliminary Edition – 04/2021
Breaking barriers MAGNETOM Free.Max MAGNETOM Free.Max breaks barriers to expand the reach of MRI. Where patients have felt discomfort, the world's first 80 cm bore sets a new paradigm in patient comfort. Where infrastructure was an obstacle to MRI, MAGNETOM Free.Max slots into an existing helium-free infra- structure. Where access to MRI was not viable, MAGNETOM Free.Max makes access affordable. And where conventions have limited our think- ing, MAGNETOM Free.Max breaks out of conventions to explore new clinical opportunities in MRI. 2 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Our first 80 cm patient bore Accessibility for claustrophobic and obese patients DryCool technology 0.7 liters liquid helium Sealed-for-life magnet design Our most compact whole-body MRI Increased flexibility for siting Reduced infrastructure costs High-V MRI 0.55 T for daily excellence and new clinical opportunities Image processing innovations Deep Resolve Simultaneous Multi-Slice Compressed Sensing myExam Companion Intuitive operation for any professional Providing greater flexibility to offer MR services and open up new clinical opportunities 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 3 Preliminary Edition – 04/2021
Magnet system Magnet system DryCool technology • Short-bore, patient-friendly design, high homogeneity • Unique design with a minimal thermal mass and • Easy siting due to AS (Active Shielding) and E.I.S. optimized thermal properties and heat transfer paths (External Interference Shielding) magnet technology for most efficient cool down • Operating mode: Standard operating mode according to IEC 60601-2-33. Magnet parameters Operating field strength 0.55 T Magnet type Superconducting Field stability over time < 0.1 ppm/h Weight (with cryogens) 1635 kg Magnet length 1.48 m System length cover to cover 165 cm 1) Bore size 80 cm Type of installation Fixed Decay characteristics from full field to 20 mT approx. 1.6 s Guaranteed homogeneity (based on highly accurate 24 plane plot) 10 cm DSV 0.02 ppm 20 cm DSV 0.075 ppm 30 cm DSV 0.3 ppm 40 cm DSV 1.4 ppm 50 × 50 × 45 cm3 DEV 5 ppm In compliance with the German “Qualifikationsvereinbarung”. Standard deviation Vrms (Volume root-mean square) measured with highly accurate 24 plane plot method (20 points per plane). Standard active shim with 3 linear channels (1st order). DSV = Diameter spherical volume (x, y and z direction). DEV = Diameter elliptical volume. 1) Incl. shim coils, gradient coil, RF body coil 4 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Magnet system Shimming Both: passive and active shimming. Passive shimming during installation. Standard active shim with 3 linear channels (1st order). 3D Shim Patient-specific automated shim Time to shim = approx. 6 s Shielding Active Shielding (AS) 7th generation active shielding (AS) technology with counter coils Fringe field (axial×radial) 0.5 mT1) 4.0 m × 2.5 m 0.1 mT 6.0 m × 3.8 m External Interference Shield Patented shielding system integrated into the magnet (E.I.S.) Continuous compensation and automatic suppression of external magnetic field interferences during measurement (caused by moving ferromagnetic objects or nearby power lines) DryCool technology DryCool technology is an innovative cooling technology that provides a sealed-for-life superconducting magnet that operates with 0.7 liters of liquid helium. It eliminates the need for helium refills and a quench pipe. Cryostat Stainless steel Helium inventory 0.7 l liquid helium Ramp down time < 0.5 h Time to be back in operation after ramp down < 4 h2) Ramp up time after emergency shut off < 24 h2) 1) Pacemaker safety limit 2) Time will extend if refrigerator remains off for a longer period of time. For longer downtimes, the net time off field needs to be added to the times stated to estimate the overall ramp-up time. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 5 Preliminary Edition – 04/2021
B80 gradients B80 gradients General features • Actively shielded (AS) whole-body gradient coil system Resolution parameters • Extremely low eddy currents Min. FoV 5 mm • Water-cooled coil and amplifier for maximum performance Max. FoV1) 500 mm • All axes force compensated Slice thickness 2D min. 0.1 mm max. 250 mm Partition thickness 3D min. 0.1 mm Gradient performance for each axis max. 5 mm Max. amplitude 26 mT/m Slab thickness 3D min. 5 mm Min. rise time 578 µs max. 300 mm Max. slew rate 45 T/m/s Max. matrix 1024 Highest in-plane 20 μm resolution Vector gradient performance (vector addition of all 3 gradient axes) Max. eff. amplitude 45 mT/m Gradient amplifier2) Max. eff. slew rate 78 T/m/s • Water-cooled, highly compact, modular design • Ultra-fast solid-state technology with very low Gradient duty cycle 100 % switching losses Max. output voltage2) 1200 V 2) Max. output current 330 A Max. power 0.4 MW 1) Depending on the application, the maximum FoV in the z-direction can be up to 450 mm 2) Values for each of the 3 gradient axes 6 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
B80 gradients Cooling system Two different customer specific cooling alternatives: Passive and Active1) Passive cooling system Water consumption > 70 l/min2) Heat dissipation to water ≤ 34 kW 1) Active cooling system Active cooling system with two Siemens Outdoor Units (SOU) will automatic adaptation to the required cooling demands (for example, different day /night mode) to decrease energy cost. 1) Depending on the system configuration, this can be an optional feature, actual configuration might deviate. 2) Water temperature: 6°C - 14 °C (43°F - 57 °F) 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 7 Preliminary Edition – 04/2021
B80 gradients Sequences Matrix 64 128 256 Spin Echo min. TR [ms] 6.4 6.9 7.6 min. TE [ms] 3.5 4 4.7 Inversion Recovery min. TR [ms] 31 32 33 min. TE [ms] 3.6 4.1 4.9 min. TI [ms] 24 24 24 2D GRE min. TR [ms] 3.1 3.6 4.3 min. TE [ms] 1.13 1.67 2.4 3D GRE min. TR [ms] 2.4 2.5 2.9 min. TE [ms] 0.72 0.89 1.24 TrueFISP min. TR [ms] 2.6 3.2 4 min. TE [ms] 1.23 1.41 1.79 TSE (HASTE) min. Echo Spacing [ms] 2.28 2.68 3.24 min. TR [ms] 31 32 33 min. TE [ms] 3.6 4.1 4.9 max. Turbo Factor = 1024 EPI min. Echo Spacing [ms] 0.58 0.95 1.18 min. TR [ms] 42 43 44 min. TE [ms] 2.8 3.2 3.6 min. Measurement time 120 120 160 max. EPI Factor = 256 Diffusion Imaging Max. b-value [s/mm2] 10 000 10 000 10 000 2 Min. TE [ms] with b = 1000 s/mm 67 70 73 All matrices without interpolation. Combinations of the stated parameters are not always possible; some parameters may require optional application packages. 8 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
DirectRX Technology DirectRX Technology General The unique all digital-out design integrates all RF receive • Digital-out design – optical links between magnet and components at the magnet. equipment room to achieve highest RF stability • Receive path is integrated in the magnet housing • Optical RF system improves SNR by reducing electrical • Receiver with high dynamic range without adjustments noise and increasing signal detection RF transmit technology Frequency stability (5 min) ±2×10-10 Frequency control 32 bits (0.015 Hz) Phase control 16 bits (0.006 Degrees) Body coil • Integrated whole body no tune transmit/receive coil with 16 Rungs • Optimized RF efficiency and signal-to-noise ratio (SNR) • Real-time Feedback loop for unmatched RF stabilization Transmitter path Transmit amplitude 16 bit control 25 ns resolution Gain stability (after first minute) < 0.05 dB (1 s)
DirectRX Technology RF receiver technology Number of coil elements1) 51 Number of independent receiver 24 channels that can be used simultaneously in one single scan in one FOV, each generating an independent partial image Quadrature demodulation and Digital filtering Receiver bandwidth 500 KHz (for each channel) Receiver signal resolution 32 bit ADC sampling rate 120 MHz Dynamic range at coil connector 151 dB/Hz instantaneous at coil connector (referred to 1 Hz resolution bandwidth) 1) Channels that can be connected simultaneously 10 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Local Receive Coils Local Receive Coils BioMatrix and Tim 4G technology BioMatrix technology (integrated into the new BioMatrix technology reduce patient set up time. Lightweight, Contour L Coil1)) provides seamlessly integrated sensors ergonomically designed coils enable highest patient to acquire and display the patient’s respiration data comfort. without need for user interaction. • No coil changing with multi-exam studies saves patient All local receive coils of MAGNETOM Free.Max are setup time designed for highest image quality in combination with • All coils are time-saving “no-tune” coils easy handling. Tim 4G's DirectConnect and SlideConnect • Low-noise preamplifiers • AutoCoilSelect for dynamic, automatic, or interactive selection of the coil elements within the field of view Standard coils Head/Neck Coil Application area Head and neck (DirectConnect) Dimensions (L × W × H) 495 mm × 350 mm × 334 mm Weight 6 kg Spine Coil Application area Spine (DirectConnect) Dimensions (L × W × H) 651 mm × 466 mm × 67 mm Weight 5 kg BioMatrix Contour L Coil Application area • Thorax (SlideConnect) • Abdomen • Pelvis • Bilateral hip Dimensions (L × W × H) 416 mm × 632 mm × 65 mm Weight 700 g Contour S Coil Application area Multi-purpose (SlideConnect) Dimensions (L × W × H) 269 mm × 446 mm × 40 mm Weight 370 g Accessories Coil Link 1) The Respiratory Triggering functionality is still under development and not commercially available yet. Its future availability cannot be ensured. The Respiratory Triggering functionality is planned to be activated with a future software update. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 11 Preliminary Edition – 04/2021
MAGNETOM Free.Max Head/Neck Coil siemens-healthineers.com/freemax General Applications The Head/Neck Coil is part of the the Standard Coil • Head examination Package. • Neck examination • MR angiography of the head/neck • 12-channel design with 12 integrated pre-amplifiers, • Combined head/neck examination three rungs of 4 elements each • Combined coil for head and neck examination for optimized workflow • Tilted with 9 degree angular position Coil specifications • Upper part removable, designed with 6 elements • Lower part usable without upper part for highly Max. number of independent channels in one single scan claustrophobic patients, designed with 6 elements and one single FoV: • Cable-free lower part with DirectConnect technology • Lower coil part may stay on the patient table for most • 24 in combination with Spine Coil and BioMatrix of the examinations Contour L Coil • Cushioned head stabilizers (removable) • No coil tuning • iPAT-compatible in all directions • Detachable double mirror Possible combinations • Spine Coil • BioMatrix Contour L Coil • Contour S Coil 12 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Head/Neck Coil Weight Dimensions Total 6 kg Length 495 mm Anterior part 3.5 kg Width 350 mm Height 334 mm Manufacturer Siemens Healthcare Siemens Shenzhen Magnetic Headquarters Resonance Ltd. Siemens Healthcare GmbH Siemens MRI Center Henkestr. 127 Gaoxin C. Ave., 2nd 91052 Erlangen Hi-Tech Industrial Park Germany 518057 Shenzhen Phone: +49 9131 84-0 PEOPLE’S REPUBLIC OF CHINA siemens-healthineers.com 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 13 Preliminary Edition – 04/2021
MAGNETOM Free.Max Spine Coil siemens-healthineers.com/freemax General Coil specifications The Spine Coil is part of the Standard Coil Package. Max. number of independent channels in one single scan and one single FoV: • 9-channel coil integrated at the isocenter of the magnet underneath the patient table • 24 independent channels in combination Head/Neck • All 9 coil elements available for scanning in one Coil and BioMatrix Contour L Coil field of view • Always in position and ready to scan Spine Coil: • No need to place or remove the spine coil offers maxi- mum workflow efficiency and hygiene-friendly design • 9 coil elements, available in one FoV • Cable-free coil with DirectConnect technology • 3 rows of 3 elements each • Specific coil density: 1.9 channels / 10 cm z-FoV Applications Possible combinations • High-resolution imaging of the whole spine • Various applications in combination with addi- • Head/Neck Coil tional coils • BioMatrix Contour L Coil • Contour S Coil 14 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Spine Coil Weight Dimensions • 5 kg Length 651 mm Width 466 mm Height 67 mm Manufacturer Siemens Healthcare Siemens Shenzhen Magnetic Headquarters Resonance Ltd. Siemens Healthcare GmbH Siemens MRI Center Henkestr. 127 Gaoxin C. Ave., 2nd 91052 Erlangen Hi-Tech Industrial Park Germany 518057 Shenzhen Phone: +49 9131 84-0 PEOPLE’S REPUBLIC OF CHINA siemens-healthineers.com 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 15 Preliminary Edition – 04/2021
MAGNETOM Free.Max BioMatrix Contour L Coil siemens-healthineers.com/freemax General Coil specifications The BioMatrix Contour L Coil with Respiratory Sensor1) is Max. number of independent channels in one single scan part of the Standard Coil Package. and one single FoV: • Highly flexible blanket coil • 24 in combination with Head/Neck Coil and Spine Coil • Operates in an integrated fashion with the Spine Coil for body imaging BioMatrix Contour L Coil: • The Respiratory Sensor is seamlessly integrated into the BioMatrix Contour L Coil • 6 coil elements • Can be combined with further BioMatrix Contour L • 2 rows of 3 elements each Coils for larger coverage • Specific coil density: 1.4 channels /10 cm z-FoV • No coil tuning • iPAT-compatible in all directions • SlideConnect technology for easy coil set up • Hygienic, Velcro-free coil design for easy cleaning Possible combinations • Connection via Coil Link2) • Head/Neck Coil • Spine Coil • 2nd BioMatrix Contour L Coil Applications • Thorax • Abdomen • Pelvis • Bilateral hip 1) The Respiratory Triggering functionality is still under development and not commercially available yet. Its future availability cannot be ensured. The Respiratory Triggering functionality is planned to be activated with a future software update. 2) Coil Link not included as part of the coil. Coil Link needs to be purchased separately. One Coil Link is always included in standard system configuration. 16 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
BioMatrix Contour L Coil Weight Dimensions (L × W × H) • 700 g Length 416 mm Width 632 mm Height 65 mm Manufacturer Siemens Healthineers Siemens Healthcare GmbH Headquarters Henkestr. 127 Siemens Healthcare GmbH 91052 Erlangen Henkestr. 127 Germany 91052 Erlangen Germany Phone: +49 9131 84-0 siemens-healthineers.com 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 17 Preliminary Edition – 04/2021
MAGNETOM Free.Max Contour S Coil siemens-healthineers.com/freemax General Possible combinations The Contour S Coil is part of the Standard Coil Package. • Head/Neck Coil • Spine Coil • Small, versatile and highly flexible blanket coil for • 2nd Contour S Coil high-resolution imaging of various body regions • iPAT compatible • No coil tuning • Hygienic, Velcro-free coil design for easy cleaning Coil specifications • Connection via Coil Link1) • Dedicated positioning aids for knee and foot/ankle Contour S Coil: allow easy and comfortable patient positioning • 6-channel design • 2 rows of 3 elements each • Specific coil density: 2.2 channels /10 cm z-FoV Applications • Shoulder • Elbow • Wrist • Hand • Unilateral hip • Knee • Foot • Ankle 1) Coil Link not included as part of the coil. Coil Link needs to be purchased separately. One Coil Link is always included in standard system configuration. 18 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Contour S Coil Weight Dimensions (L × W × H) • 370 g Length 269 mm Width 446 mm Height 40 mm Manufacturer Siemens Healthineers Siemens Healthcare GmbH Headquarters Henkestr. 127 Siemens Healthcare GmbH 91052 Erlangen Henkestr. 127 Germany 91052 Erlangen Germany Phone: +49 9131 84-0 siemens-healthineers.com 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 19 Preliminary Edition – 04/2021
MAGNETOM Free.Max Coil Link siemens-healthineers.com/freemax General One Coil Link is part of the Standard Coil Package. Further Coil Links available optional. • Interface connecting Contour L and Contour S Coils to the system • 6 integrated low-noise preamplifiers • Allows flexible coil positioning • SlideConnect technology for easy coil set up • Up to two Coil Links can be used simultaneously to connect two Contour Coils 20 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Coil Link Weight Dimensions • 550 g Length 1512 mm Manufacturer Siemens Healthcare Siemens Shenzhen Magnetic Headquarters Resonance Ltd. Siemens Healthcare GmbH Siemens MRI Center Henkestr. 127 Gaoxin C. Ave., 2nd 91052 Erlangen Hi-Tech Industrial Park Germany 518057 Shenzhen Phone: +49 9131 84-0 PEOPLE’S REPUBLIC OF CHINA siemens-healthineers.com 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 21 Preliminary Edition – 04/2021
Computer System Computer System syngo Acquisition Workplace Full multi-tasking for simultaneous functionality, for example: • Patient registration and pre-registration • Scanning • Reconstruction • Viewing • Post-processing • Filming • Data storage • Based on operating system Windows 10 22 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Computer System Host computer Processor Intel CFL E-2226GE Clock rate 3.4 GHz Main memory (RAM) 64 GB Hard disk SSD: 480 GB1) (DICOM Standard, ISO 9660) CD/DVD driver Not built in, but optionally connectable by USB Media drive SDHC card reader 2) 24" Standard Monitor • High resolution widescreen monitor • Automatic backlight control for long-term brightness stability Screen size (diagonal) 24” Horizontal frequency 74 kHz Vertical frequency 60 Hz Screen matrix 1920 pixels × 1200 pixels 3) 24" Touch Monitor • High resolution widescreen monitor with touch functionalities • Automatic backlight control for long-term brightness stability Screen size (diagonal) 24” Horizontal frequency 74 kHz Vertical frequency 60 Hz Screen matrix 1920 pixels × 1200 pixels Measurement and reconstruc- Processor Intel CFL E-2124G tion system Clock rate 3.4 GHz Main memory (RAM) 32 GB Hard disk SSD: 480 GB Hard disk for raw data SSD:≥240 GB Reconstruction speed ≥18064 recons per second (2562 PeFT, full FoV) ≥75675 recons per second (2562 PeFT, 25% FoV) 1) Using Enhanced DICOM > 2200000 images with a matrix size of 256 × 256 can be stored, when acquiring image stacks with 25 slices per stack 2) A standard monitor without calibration is not suitable for diagnostic purposes. Please consider the initial acceptance testing for image display devices and the follow-up service for constancy testing on a regular base, as offered by Siemens service. 3) Depending on the system configuration, this can be an optional feature, actual configuration might deviate. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 23 Preliminary Edition – 04/2021
Patient handling Patient handling General BioMatrix Select&GO, Tim 4G and myExam Companion help increase patient comfort and improve workflow efficiency. • BioMatrix Select&GO simplifies how the user interacts with the MRI scanner. One-touch positioning using the Select&GO touch display with the underlying BioMatrix Body Model accelerates patient positioning - powered by artificial intelligence. Delays due to incorrect positioning can now be avoided. The user simply selects the region or organ to be scanned on the touch display and the patient is automatically and precisely positioned for the respective scan. • Set up the patient once, no repositioning, no changing of coils needed • Tim 4G's DirectConnect and SlideConnect technology allow easy and fast coil set up to accelerate workflows and reduce patient set up times. • Imaging with optimized high element ultra lightweight surface coils • Remote table movement • Feet-first examinations for many applications (e.g. lumbar spine, pelvis, colonography) reduces the level of anxiety experienced by highly claustrophobic patients • myExam Companion gives the user advice during the positioning process, on the Select&GO displays Patient positioning aids Set of cushions and positioning aids for comfortable, safe, and stable patient and local coil positioning. Optimized for use with multi-purpose flexible local coils. 24 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
Patient handling Table Comfortable patient table solution which fits the needs Users can adjust the table speed with predefined speed for patients with weight capacity up to 220 kg in verti- mode or accelerate continuously with the jog-wheel on cal1) and horizontal movement. Integrated coils for fast the Select&GO Control Centers. patient preparation and enhanced user comfort. Scan range up to 140 cm. Patient Table2) Max. weight capacity for vertical1) and horizontal table movement 220 kg (485 lbs) Max. scan range 1400 mm Vertical table movement (Only Range 480 mm–898 mm; applied for the Patient Table with ±10 mm3) vertical drive)1) Speed 40 mm/s Horizontal table movement Max. range 2150 mm Max. speed 200 mm/s 4) Repositioning accuracy ± 1 mm 1) Optional: vertical table drive to lower patient to 48 cm for easy access 2) Including Standard Patient Table and Patient Table with vertical drive. 3) Depending on the floor conditions 4) Accuracy for repositioning from one direction 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 25 Preliminary Edition – 04/2021
Patient handling External triggering • Interface for trigger input from external sources (e.g. patient monitoring system) inside the examina- tion room Patient communication Ergonomically designed patient communication unit – may be placed at any convenient location on the workplace table or on the wall mounted workspace1). • Assistance call via squeeze-bulb for the patient • Response to the patient’s activation of the squeeze- bulb via communication unit • Table stop • Sequence stop • Volume of speaker in control room • Volume of speaker and headphones in examination room for voice commands • Connection to external audio system • Independent volume control of voice and music • Pneumatic system of ergonomically designed headphones • Loudspeaker • Microphone • Automatic and freely programmable voice commands for breath-hold examinations • Automatic mute of music to ensure a proper patient communication • Two-way intercom communication, i.e. the patient and user in the control room can speak and be heard by the other party 1) Depending on the system configuration, this can be an optional feature, actual configuration might deviate. 26 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Companion myExam Companion Intelligence that works with you MAGNETOM Free.Max with myExam Companion enables myExam Autopilot intuitive operation for any professional. Using the new possibilities of digitalization and AI, data is turned into Automate intelligently - myExam Autopilot offers users integrated expertise and tailored assistance to benefit the most advanced and intelligent automation. It enables user and address the clinical question. This helps users users to scan at high quality with virtually a simple efficiently achieve high-quality results – regardless of click and has the potential to remove burdensome their experience level, the patient, or throughput. routine tasks. myExam Companion is available in three different modes: myExam Cockpit myExam Assist Customize intuitively - myExam Cockpit allows users to customize intuitively. It provides a central workspace for Flexible and guided - myExam Assist provides guided protocol management. Users can set up and maintain workflows. Users can select exam strategies or flexibly protocols, build knowledge into standardized exams and adapt them based on the patient’s condition. It allows make those continuously available for every user in the for high quality, efficient exams even when condi- MRI department. tions change. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 27 Preliminary Edition – 04/2021
myExam Assist myExam Assist myExam Assist provides guided and flexible workflows. • Decision logic for consistent adaptations • Useful automation with e.g. automated slice/volume • Standardized exam strategies for all supported positioning body regions myExam Brain Assist Guidance View Step-by-step user guidance is seamlessly integrated. Example images and guidance text are displayed for each individual step of the scanning workflow to ensure perfect scanning even by non-expert operators. Both images and text are easily configurable by the user. Parameter View The new streamlined Parameter View displays a user- defined subset of parameters which are available for manual pulse sequence optimization. If desired, the user The myExam Brain Assist is intended to simplify general can switch to the conventional – fully loaded – parameter brain examinations. It allows the user to attach guidance view at any time. information to measurement steps (Guidance View), to arrange most important pulse sequence parameters on one dialog (Parameter View), and to enter patient- specific information in the Patient View dialog. By select- AutoPosition ing a predefined exam strategy, the appropriate pulse sequences will be loaded into the measurement queue. Accurate positioning of the anatomy in the isocenter without need for manual positioning. Patient View Within the Patient View the user can easily tailor exami- nations to an individual patient. Exam strategies allow you to choose the most appropriate strategy with one mouse click; the complete scan setup is then automati- cally prepared. 28 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Assist AutoAlign Head LS Rerun Automated positioning and alignment of slice groups to A sequence inside the examination queue can be selected the anatomy, relying on multiple anatomical landmarks. and a rerun of the corresponding series can be triggered Provides fast, easy, and reproducible patient scanning with identical sequences or parameters. and facilitates the reading by consistently delivering high image quality with a standardized slice orientation, both for follow-ups and across patients. AutoAlign Head LS computes the central positioning for many routine brain Inline MPRs structures such as AC-PC, midbrain & temporal lobes. The inner ear, the orbits and the optic nerve are also standard Automatic multiplanar reconstruction for 3D datasets. positioning orientations with the AutoAlign Head LS. It The Multi Planar Reconstruction (MPR) tool can be easily delivers robust and consistent results independently of configured to automatically generate any required 2D patient age, head position, disease or existing lesions. images from high resolution 3D acquisitions by using the position information from the AutoAlign algorithm. AutoCoverage Inline Diffusion Maximizes the speed of the examination by automatically setting the number of slices and the field of view to fully Automatic calculation of trace-weighted images and ADC cover the brain. This is performed based on the informa- maps with inline technology. tion delivered by AutoAlign, eliminating manual setting and the scanning of unnecessary slices. Customization Exam strategies myExam Brain Assist can be easily modified by the user to their individual standard of care: Examinations can be easily personalized to the individual patient condition and clinical need. myExam Brain Assist • Add / remove protocol steps comes with the predefined examination strategies, which • Change guidance content (images and text) the user can select according to patient conditions or • Change or add exam strategies change at any time during the workflow, when condi- • Add clinical decision points tions change. • Add / remove parameters in the parameter viewing card • User-defined offsets to the standard positions delivered by AutoAlign BLADE • Customize within myExam add-in functionalities such as AutoCoverage, AutoFOV, InlineMPR reconstructions. Motion insensitive turbo spin echo sequence. Improves image quality by correcting for the effects of motion during an MR acquisition. BLADE can be used in head, spine, and other body regions. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 29 Preliminary Edition – 04/2021
myExam Assist myExam Spine Assist AutoAlign Spine LS Automated and highly reliable positioning and align- ment of slice groups to the spine anatomy, based on multiple anatomical landmarks. Provides fast, easy, and reproducible patient scanning and facilitates the reading by consistently delivering high image quality with a standardized slice orientation, both for follow-ups and across patients. AutoAlign Spine LS automatically detects and labels vertebra and body disks as well as suggests and provides guided positioning for sagittal, coronal and double oblique axial slices in the spine. The anterior satu- ration band is automatically positioned to reduce imaging artifacts. All settings are open to user modifications. MyExam Spine Assist simplifies examinations of the spine (morphology only). It allows users to attach own guidance information to measurement steps (Guidance AutoLabeling View), to arrange their most important pulse sequence parameters on one dialog (Parameter View) and to label Automatic labeling of vertebra for easier examination spinal structures. planning and faster reading Patient View Interactive Snapping Within the Patient View the user can easily tailor Just drag the slide group over the sagittal plane. examinations to an individual patient. Exam strategies AutoAlign Spine LS delivers automatic double oblique allow you to choose the most appropriate strategy with positioning of axial slice groups to intervertebral one mouse click, enabling automatic preparation of the disk layers. complete MR examination. AutoCoverage Parameter View Maximizes the speed of the examination by automatically The new streamlined Parameter View displays a user- setting the number of slices and the field of view to fully defined subset of parameters which are available for cover the C, T or L-spine. This is performed based on the manual pulse sequence optimization. If desired, the user information delivered by AutoAlign Spine LS, eliminating can switch to the conventional – fully loaded – parameter manual setting and the scanning of unnecessary slices. view at any time. 30 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Assist Exam strategies Inline curved reconstructions Examinations can be easily personalized to the individual Automatic curved reconstruction from 3D acquisitions by patient condition and clinical need. myExam Spine using the position information from the AutoAlign Spine Assist comes with the following predefined examination LS algorithm. strategies, which the user can select according to patient conditions or change at any time during the workflow, when conditions change: Customization • Standard: for fast routine spine examinations • Post surgery: for detailed evaluation of spine including myExam Spine Assist can be easily modified by the user fat saturation and Dixon techniques. to their individual standard of care: • Add/remove protocol steps • Add guidance content (images and text) WARP • Change or add exam strategies • Add clinical decision points Susceptibility artifact reduction techniques. 2D TSE • Add/remove parameters in the parameter viewing card sequences combining highbandwidth pulse sequences • User-defined offsets to the standard positions delivered and the VAT (View Angle Tilting)-technique, tailored to by AutoAlign Spine LS (also for the saturation region) reduce susceptibility artifacts (e.g. from MR Conditional1) • Inline curved and MPR reconstructions implants). Available pulse sequences include T1-weighted, T2-weighted, and STIR contrast. Rerun An image inside the examination UI can be selected and a rerun of the corresponding series can be triggered with identical sequences or parameters. 1) MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the im- plant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufac- turer, not of Siemens. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 31 Preliminary Edition – 04/2021
myExam Assist myExam Large Joint Assist the most appropriate scan strategy, and then the queue is automatically loaded and filled with the complete scan setup. Guidance View Step-by-step user guidance is seamlessly integrated. Example images and guidance text are displayed for each individual step of the scanning workflow. Both images and text are easily configurable by the user. The myExam Large Joint Assist is intended to simplify orthopedic knee examinations and was extended to also support hip and shoulder examinations and collectively Parameter View are called the myExam Large Joint Assist. The myExam Large Joint Assist includes workflows for the knee, The new streamlined Parameter View displays a user- hip, and shoulder for 2D and 3D imaging techniques. defined subset of parameters which are available for Additionally, workflows for single and bilateral hip manual pulse sequence optimization. If desired, the user examinations are included. The AutoAlign functionality can switch to the conventional – fully loaded – parameter which provides pre-positioning and pre-alignment of the view at any time. slice groups by the system, is also available for hip and shoulder workflows. Exam Strategies AutoPosition The workflow can be personalized to the individual patient condition and clinical need. myExam Large Joint Accurate positioning of the anatomy in the isocenter Assist comes with the following predefined strategies, without need for laser light positioning. which the user can select according to patient condi- tions or change at any time during the workflow, when conditions change: Patient View • Standard: Achieve highest image quality in a reason- able scan time with 2D and 3D pulse sequences Within the Patient View the user can easily tailor exami- nations to an individual patient. exam strategies can be integrated. With one mouse-click you simply choose 32 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Assist • Motion Insensitive (BLADE): Compensate for the WARP Susceptibility Artifact Reduction effects of motion with motion insensitive BLADE pulse sequences. WARP and advanced WARP (SEMAC1) ) integrates different • WARP: Optimized strategy for the reduction of suscepti- techniques tailored to reduce susceptibility artifacts bility artifacts.1) caused by orthopedic MR Conditional1) implants. 2D TSE sequence combining optimized high-bandwidth pulse sequences and View Angle Tilting (VAT) technique, helps in evaluation of soft tissue in proximity of the implant. AutoAlign SEMAC1) (Slice Encoding for Metal Artifact Correction) is a technique to correct through-plane distortions by Automated, localizer based positioning and alignment means of additional phase encoding in slice direction. of slice groups to the anatomy, relying on anatomical It is especially useful in the case of hip and knee joint landmarks. Providing fast, easy, and reproducible patient replacements. Available pulse sequences can be found in scanning and supporting the reading by consistently the library. delivering high image quality with a standardized slice orientation. Customization AutoCoverage myExam Large Joint Assist can be easily modified by the user to their individual standard of care: Maximizes the speed of the examination by automatically setting the number of slices and the FoV to fully cover • Add/remove protocol steps knee, hip or shoulder anatomy. This is performed based • Change guidance content (images and text) on the information delivered by AutoAlign, eliminating • Change or add exam strategies manual setting and the scanning of unnecessary slices. • Add clinical decision points This feature is configurable. • Add/remove parameters in the parameter viewing card Inline MPRs Automatic multiplanar reconstruction for 3D datasets. The Multi Planar Reconstruction (MPR) tool uses the position information from the AutoAlign algorithm and can be easily configured to automatically generate any required 2D images from high resolution 3D acquisitions. 1) MR imaging of patients with metallic implants brings specific risks. However, certain implants are approved by the governing regulatory bodies to be MR conditionally safe. For such implants, the previously mentioned warning may not be applicable. Please contact the im- plant manufacturer for the specific conditional information. The conditions for MR safety are the responsibility of the implant manufac- turer, not of Siemens. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 33 Preliminary Edition – 04/2021
myExam Assist myExam Abdomen Assist1) Guidance View Step-by-step user guidance is seamlessly integrated. Sample images and guidance text are displayed for each individual step of the scanning workflow. Both images and text are easily configurable by the user. Parameter View The new streamlined Parameter View displays the parameters that are really needed for the scan set-up. If desired, the user can switch to the conventional – fully loaded – parameter view at any time. The myExam Abdomen Assist is intended to simplify examinations of the liver, biliary, and pancreatic system and kidneys (morphology only). It allows the user to attach his guidance information to measurement steps AutoPosition (Guidance View), to arrange his most important measure- ment parameters on one dialog (Parameter View), and Accurate positioning of the anatomy in the isocenter to enter patient-specific information in the Patient View without need for laser light positioning. dialog. By selecting his predefined exam strategy, the appropriate pulse sequences will be loaded into the measurement queue. AutoAlign and AutoCoverage Automated adaptation of scanning parameters according Patient View to anatomical and physiological characteristics (including breath-hold adaptations) Within the Patient View the user can easily tailor the exam to each individual patient. Several pre-defined exam strategies can be integrated. The user just selects the appropriate strategy with one click, and the queue AutoNavigator and the complete scan set-up are automatically updated. Furthermore protocols tailored for use of contrast media Automatic breathing pattern detection and scaling of can be integrated. triggered scans 1) Depending on the system configuration, this can be an optional feature, actual configuration might deviate. 34 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Assist AutoFoV Decisions Based on the localizer images the optimal field of view Decisions can be seamlessly integrated into the scan- (FoV) is automatically estimated. In case the patient ning workflow. The user just selects the queue, and the moves during the examination, this step can be repeated appropriate pulse sequence or set of pulse sequences are at any time. added automatically. For the abdomen, pre-configured decision points are offered for MRCP and Diffusion. Abdomen Library Assist MRCP decision point A storage folder for individual sequences optimized with myExam Assist functionality. StarVIBE1) and TWIST-VIBE1) myExam Assist provides comprehensive guidance, includ- pulse sequences are integrated into the Abdomen ing positioning help. MRCP is measured and Inline Radial Library Assist. Ranges are generated in-line. 4D Movie toolbar Timeline monitoring With the 4D Movie toolbar the user can navigate in For best overview of multi-phase breath-hold an optimized way through space and time of multi- examinations, the contrast media enhancement curve is phase data. visualized. Exam strategies Automatic timing The workflow can be personalized to the individual Liver dynamics is done using the Care Bolus approach. patient’s condition and clinical need. The following Auto Bolus Detection enables the system to monitor the predefined strategies are included. They can be changed arrival of contrast agent in a user defined ROI. When at any time during the workflow: “Auto Bolus Detection” is enabled, Auto ROI can be enabled in the patient view, which allows the system to • Breath-hold (fast with robust image quality) perform an automatic ROI positioning on the descending • Respiratory synchronized (using PACE triggering, high aorta at the level of the diaphragm. The ROI positioning image resolution) can be confirmed and adjusted by the user. • Motion-insensitive (fast, using BLADE and PACE triggering) 1) Depending on the system configuration, this can be an optional feature, actual configuration might deviate. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 35 Preliminary Edition – 04/2021
myExam Assist Automatic Voice Commands Customization Seamlessly integrated into the scanning workflow. The Taking full advantage of the new configuration platform. system plays them automatically at the desired time Providing various guidance and customization options, point. This assists the user in providing the optimal tim- featuring “AutoTiming”, “Auto Coverage”, “Local Voice ing of scanning, breathing and contrast media. The user Command”, etc. can monitor which breath-hold or pauses are actually played, and could add pauses between the automatic myExam Assist programs can be adapted by the user to breath-hold commands if necessary. their individual standard of care: • Add/remove protocol steps • Change guidance content (images and text) Inline subtraction • Change or add exam strategies and decision points • Modify the Parameter View Within the contrast-enhanced abdomen exam, multiple • myExamAssist Library – alternative pulse phases are acquired: native, arterial phase, portal-venous sequences with preconfigured add-ins. Only simple phase and late-phase. The scanner automatically drag&drop needed. subtracts the native measurement from the arterial, portal-venous and late phase. Inline registration For best visualization of lesions the system can be set to automatically perform a registration / alignment of the anatomy for the different dynamic phases. The importance of registration / correction can be seen when examining nodular enhancing pathologies. 36 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Autopilot myExam Autopilot myExam Autopilot enables users to automate their routine MRI intelligently. • MRI operation drastically simplified • Automated protocol without the need for any manual adjustments. • Clear design with a focus on what users need – and without any distractions • Novel usability with touch1) or click interaction myExam Brain Autopilot Same as myExam Assist, myExam Brain Autopilot pro- vides the automations such as AutoPosition, AutoAlign Head LS, AutoCoverage, inline MRPs, inline Diffusion, and the flexibility of customization for site-specific standards of care. Predefined protocols allow users to scan with minimal manual interactions. Users can switch to myExam Assist at any time to further personalized scan settings on the fly for individuals. Intuitive user interface A new and intuitive user interface simplifies scanning so that exams can be performed, or strategies can be changed at virtually one click of a button. This new myExam Brain Autopilot helps users to automate intel- philosophy to operate MRI helps any user to generate ligently. It enables less trained staff to scan brain MRI at consistent, comprehensive results. high quality. By using automation and AI, it takes away burdensome routine tasks for all technologists. The exam workflow of myExam Brain Autopilot is stream- lined and intuitive. The user interface consists of the following main areas: 1) Prerequisite: 24” Touch Monitor (Depending on the system configuration, this can be an optional feature, actual configuration might deviate.) 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 37 Preliminary Edition – 04/2021
myExam Autopilot Workline Information and control stage The Workline is the central element to lead and propa- Information and control stage is next to the image stage. gate the workflow including general information, patient Step specific information as well as situation specific safety information, exam settings, workflow steps, and controls such as delete or repeat the step are displayed in control area. Users can start, continue, stop, insert or this area. remove pause for the examinations from Workline. Users can activate the step in Workline to view scanned images and information, preview of pending steps, and access step specific controls such as repeat or delete via the info Summary and control stage. It is the last step of myExam Autopilot workflow. All acquired image series are summarized as thumbnail overview here. Image stage Image distribution and basic filming tasks can be done in The image stage is the image viewing area. Users can this workflow step as well. preview scan regions of pending steps and judge scanned image quality. Exam settings The Exam settings is a dedicated dialog offers the pos- sibility to change settings of the workflow such as patient language, exam strategies, decisions and patient comfort settings. The dialog can be accessed at any time during the workflow. 38 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Autopilot myExam Spine Autopilot Intuitive user interface A new and intuitive user interface simplifies scanning so that exams can be performed, or strategies can be changed at virtually one click of a button. This new philosophy to operate MRI helps any user to generate consistent, comprehensive results. The exam workflow of myExam Spine Autopilot is streamlined and intuitive. The user interface consists of the following main areas: Workline myExam Spine Autopilot helps users to automate intel- ligently. It enables less trained staff to scan general The Workline is the central element to lead and propa- cervical, thoracic and lumbar spine MRI at high quality. gate the workflow including general information, patient By using automation and AI, it takes away burdensome safety information, exam settings, workflow steps, and routine tasks for all technologists. control area. Users can start, continue, stop, insert or remove pause for the examinations from Workline. Users Same as myExam Assist, myExam Spine Autopilot can activate the step in Workline to view scanned images provides the automations such as AutoAlign Spine LS, and information, preview of pending steps, and access AutoLabeling, interactive Snapping, AutoCoverage, inline step specific controls such as repeat or delete via the info curved reconstructions, and the flexibility of customiza- and control stage. tion for site-specific standards of care. Predefined protocols allow users to scan with minimal manual interactions. Users can switch to myExam Assist Spine planning at any time to further personalized scan settings on the fly for individuals. A dedicated spine planning step within myExam Spine Autopilot for users to plan the center of scan regions for the following transversal protocols steps. Automatic labeling of vertebra is provided for easier examination planning. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 39 Preliminary Edition – 04/2021
myExam Autopilot Image stage Information and control stage The image stage is the image viewing area. Users can Information and control stage is next to the image stage. preview scan regions of pending steps and judge scanned Step specific information as well as situation specific image quality. controls such as delete or repeat the step are displayed in this area. Exam settings Summary The Exam settings is a dedicated dialog offers the pos- sibility to change settings of the workflow such as patient It is the last step of myExam Autopilot workflow. All language, exam strategies, decisions and patient comfort acquired image series are summarized as thumbnail settings. The dialog can be accessed at any time during overview here. the workflow. Image distribution and basic filming tasks can be done in this workflow step as well. 40 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Autopilot myExam Knee Autopilot Intuitive user interface A new and intuitive user interface simplifies scanning so that exams can be performed, or strategies can be changed at virtually one click of a button. This new philosophy to operate MRI helps any user to generate consistent, comprehensive results. The exam workflow of myExam Knee Autopilot is stream- lined and intuitive. The user interface consists of the following main areas: Workline myExam Knee Autopilot helps users to automate intel- ligently. It enables less trained staff to scan knee MRI at The Workline is the central element to lead and propa- high quality. By using automation and AI, it takes away gate the workflow including general information, patient burdensome routine tasks for all technologists. safety information, exam settings, workflow steps, and control area. Users can start, continue, stop, insert or Same as myExam Assist, myExam Knee Autopilot pro- remove pause for the examinations from Workline. Users vides the automations such as AutoPosition, AutoAlign, can activate the step in Workline to view scanned images AutoCoverage, Inline MPRs, and the flexibility of custom- and information, preview of pending steps, and access ization for site specific standards of care. step specific controls such as repeat or delete via the info and control stage. Predefined protocols allow users to scan with minimal manual interactions. Users can switch to myExam Assist at any time to further personalized scan settings on the fly for individuals. Image stage The image stage is the image viewing area. Users can preview scan regions of pending steps and judge scanned image quality. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 41 Preliminary Edition – 04/2021
myExam Autopilot Exam settings Summary The Exam settings is a dedicated dialog offers the pos- It is the last step of myExam Autopilot workflow. All sibility to change settings of the workflow such as patient acquired image series are summarized as thumbnail language, exam strategies, decisions and patient comfort overview here. settings. The dialog can be accessed at any time during the workflow. Image distribution and basic filming tasks can be done in this workflow step as well. Information and control stage Information and control stage is next to the image stage. Step specific information as well as situation specific controls such as delete or repeat the step are displayed in this area. 42 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
myExam Cockpit myExam Cockpit myExam Cockpit allows users to customize intuitively. • Configure all your protocols to your individual needs • Configure and set-up myExam Autopilot or Assist programs • Efficient protocol management with explorer and editor in one • Instantly edit, save, and run your protocols – for maximum flexibility even during an examination myExam Cockpit Explorer and Program Editor on one page myExam Cockpit offers two tasks: Explorer and Program Editor. In the Explorer you browse through exams and organize your exams. In the Program Editor, you modify them and you can find protocol histories and compare your exams. A program overview With myExam Cockpit, you can see the whole exam workflow, the different User Trees, Exam, Strategies, Decisions, pulse sequences and add-ins visualized together on one page. Configure all exams from one central interface Dynamic search delivers highlighted results In the Explorer, searching for pulse sequences is very Designed to realize the full potential of myExam quick. Just type in your search query, and results are Autopilot and Assist programs. myExam Cockpit is your highlighted instantly. central interface for all exam management tasks. This includes flexible configuration of all myExam programs, according to your standards of care. In the following, we introduce the most important features of the new myExam Cockpit. 04.2021 · MAGNETOM Free.Max: Data sheet based on syngo MR XA40 43 Preliminary Edition – 04/2021
myExam Cockpit Editing exams instantly Drag & drop from the sidebar In order to modify an exam opened in the Explorer, In the Program Editor, you can add pulse sequences to a you can immediately switch to the Program Editor with strategy by drag & drop from the sidebar. one click. User-friendly toolbar Adding a new exam strategy Use the toolbar for opening and saving of programs, for In the Program Editor, just drag & drop or click on the copy, paste, undo, redo – in the same way as you are strategy button in the sidebar, and a new exam strategy used to in Office programs. is added to your exam workflow. This step automatically creates a new myExam Assist or Autopilot program. 44 MAGNETOM Free.Max: Data sheet based on syngo MR XA40 · 04.2021 Preliminary Edition – 04/2021
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