MIND_18912785_1

8/14/2019 MIND_18912785_1

1/42

Tim proves it.

www.siemens.com/medical

Siemens AG, Medical Solutions

Henkestr. 127, D-91052 Erlange

Germany

Telephone: +49 9131 84-0


8/14/2019 MIND_18912785_1

2/42

Tim Benefits

Flexibility, Accuracy,

Speed

Contents

Tim for Patients,

Radiologists andAdministrators

Tim Technology

Matrix Coils

Open Architecture

Tim Performance Levels

Tim Application Suite

Tims World of MRI

Timproves it.

8/14/2019 MIND_18912785_1

3/42

Around the world, Tim (Total imaging matrix

technology) has become the new standard in MRI.

With hundreds and hundreds of installations,

Tim is proving it every day, with unprecedented

flexibility, accuracy and speed.

Let Tim prove it to you.

8/14/2019 MIND_18912785_1

4/42

Tim BenefitsFlexibility, Accuracy, Speed

Flexibility:

Select exams, not coils.

Flexibility to build your coil and cover

the anatomy or pathology of interest.Up to 76 (1.5T) or 102 (3T) coil elements

can be seamlessly integrated into one

examination. By combining two Matrix

coils side-by-side, obese patients can be

scanned with surface coil image quality.

The advantage:

Improved workflow and increased pro-ductivity: set-up your patient once and

no need for coil or patient repositioning.

Reduces the need to buy special coils.

8/14/2019 MIND_18912785_1

5/42

Exam flexibility has given us a chance

to get the patients in and out faster.

Ive actually converted to 30-minute slots

versus the old 45-minute slots.

St. Francis Hospital Hartford, CT

Accuracy:

Local and total.

Accuracy from local to total, from

single-organ up to whole-bodyimaging. Detect small pathologies

with high sensitivity for example

in the brain and extend your

anatomical coverage when needed

for example to the whole spine

in the case of multiple sclerosis.

Without patient or coil repositioning.

The advantage:

Answer all clinical questions with Tim;from a local pathology such as orbital

imaging up to the investigation of

multiple sclerosis or cancer metastasis

throughout the body.

8/14/2019 MIND_18912785_1

6/42

Speed:

Parallel in all directions.

Maximum speed with Parallel Imaging

or iPAT (integrated Parallel AcquisitionTechniques) in all body regions. This

is enabled by the high number of coil

elements and up to 32 independent

RF channels today: the more elements

and channels, the faster the acquisition.

And Tim is so flexible that it enables

Parallel Imaging in all directions includingdouble oblique slices.

We see a lot of patients with multiple

sclerosis or with other diseases that

affect the brain and spine. With this new

technology, we can scan the patient from

head to toe very quickly.

National Neurological Institute Milan, Italy

The advantage:

Maximal speed with iPATin all body regions inclu-

ding the spine (Siemens

unique) and therefore

highest throughput.

Future security with up to

32 independent RF chan-

nels deliverable today.

MRCP in 23 s with PAT 4

Whole Central Nervous

System in 1:53 min with PAT 4

8/14/2019 MIND_18912785_1

7/42

Flexibility

Accuracy

Speed

8/14/2019 MIND_18912785_1

8/42

What Tim can do for Patients,Clinicians and Administrators.

Clinical perspective

Confidence in diagnosis. See the smallest details with Tim. Tims Matrix coils

provide up to 100% more Signal-to-Noise.

Ultra-fast acquisitions. Parallel Imaging is standard and usable in all body

regions. It enables the fastest scanning, for MR Angiography and more.

Diagnose a disease, not a body region. Tims flexible coil combination

enables looking at all body parts that need to be examined. Without patient or

coil repositioning.

Tim for every clinical need. Ready from the start with the Tim Application

Suite: comprehensive set of tools and protocols to cover all clinical needs,

including cardiac. Standard with all Tim systems.

Applications from head to toe. Tim enables whole-body examinations without

patient or coil repositioning for metastatic and other systemic diseases suchas atherosclerosis.

8/14/2019 MIND_18912785_1

9/42

Business perspective

More patients and Return on Investment (ROI) with up to 50% higher

throughput (quote: St. Francis Hospital, Hartford, CT, USA)

Get the Tim Application Suite with every Tim system. The Tim ApplicationSuite contains 9 suites. At no extra cost!

Future security with Tim. Up to 32 independent RF channels deliverable today

and Matrix coils that are automatically scalable if you upgrade to a higher Tim

level later. No coil upgrades necessary after an RF channel upgrade.

Less costs, approx. 200,000 $ savings for new coils.

Patient perspective

Faster examinations with Parallel Imaging. Less time in the MR scanner

but maximum confidence in the diagnosis.

Ultra-light weight Matrix coils, only 950 g (2 lbs) for the Body Matrix coil.

Feet-first positioning enables easy examinations for claustrophobic and

anxious patients.

Tim is one of the most significant

developments in MRI in the past ten years.

New York University, Medical Center,

New York

8/14/2019 MIND_18912785_1

10/42

What is Tim?

Tim (Total imaging matrix) is a Siemens-unique technology. It has become

the new standard in MRI. There have been more than 1,000 Tim systems installed

world-wide as of today.

Tim seamlessly integrates a high number of elements with a high number of

independent RF channels. For example, Tim [76x32] integrates 76 coil elements

which are read in 32 independent RF channels.

What are Matrix Coils?

Matrix coils also called Tim coils are radio frequency (RF) coils with

a high number of elements and are developed by Siemens.

Greatest flexibility: several Matrix coils can be combined for tall or obese

patients or to cover a large region of interest because pathology does not

stop at the end of a coil. No other manufacturer can provide that.

Best iPAT capabilities and speed: Matrix coils are optimized for the best

Parallel Imaging capabilities (iPAT- which incorporates the two techniques

mSENSE and the Siemens-unique GRAPPA). So you do not need to invest

extra money to do Parallel Imaging.

Tim TechnologyAn Overview

i i

8/14/2019 MIND_18912785_1

11/42

Foremost scalability: with other manufacturers, a coil with a given number of

coil elements can only be used with a similar number of RF channels. With

Siemens and the Matrix coils, Tim scales digitally and automatically the number

of coil elements to your Tim level. When you want to upgrade to a higher Tim

level, no need to buy new coils!

Why is Open Architecture with Tim important?

Tims Open Architecture and its 32 independent RF channels enable to plug

current and future highest-density mosaic coils from Siemens, accessory or

research-developed coils.

And even with this high-end technology, Tim systems do not need a dedicated

equipment room. Compact cabinets can be placed against the wall and

accommodate even your 32 independent channel components! And small siting

requirements mean low cost!

With the high number of independent RF channels available with Tim, youare ready for new developments that will happen in the future.

Prototype Tim systems have already been expanded to 128 independent

RF channels at Massachusetts General Hospital in Boston. This is true Open

Architecture.

I can change exams with one mouse click.

Massachusetts General Hospital Boston,

Massachusetts

8/14/2019 MIND_18912785_1

12/42

Tim TechnologyMatrix Coils

Tim allows the most flexible combination of highest density coils to cover

a single organ, a large anatomical area or the whole body.

Spine Matrix Coil

Spine Matrix 24 elements

Smoothly integrated into the patient

table and streamlined with the Head andNeck Matrix coil

The Spine Matrix may stay on

the table for almost all exams

Provides the unique capability ofParallel Imaging in left-right direction

up to PAT 3 and in head-feet direction

up to PAT 4

Creates a 28-element whole-spine

coil in combination with the

Neck Matrix

8/14/2019 MIND_18912785_1

13/42

Head Neck Body Body PA

Spine

8/14/2019 MIND_18912785_1

14/42

The high SNR and full capability in Parallel

Imaging of the Head Matrix coil omits

the necessity for dedicated coils

The lower part of the coil, which may

stay on the patient table for most

of the examinations, can be used

without the upper part e.g. for

claustrophobic patients

Matrix Spectroscopy and Parallel

Imaging in all directions can be

performed without patient or coil

repositioning

With a single mouse-click the HeadMatrix can be run as a 4-, 8- or

12-channel coil

Head Matrix Coil

Head Matrix 12 elements

8/14/2019 MIND_18912785_1

15/42

Neck Body Body PA

Spine

Head

8/14/2019 MIND_18912785_1

16/42

Tim allows MR imaging of the whole CNS

without patient repositioning or coil

reconfiguration.

For confident diagnosis of diseases

that effect the whole central

nervous systems such as multiple

sclerosis or cancer.

The flexibility of Tim coils result

in higher workflow efficiency and

higher patient throughput.

Head + Neck + Spine Matrix Coil

Combined to a 40-element coil

8/14/2019 MIND_18912785_1

17/42

Head Body Body PA

Spine

Neck

8/14/2019 MIND_18912785_1

18/42

Tim allows a customized Neurovascular

Coil set up for complete MR imaging of

the brain, soft tissue neck, cervical andupper thoracic spinal regions.

Perform vascular imaging from the

circle of Willis to the aortic arch

without changing coils or patient

positioning.

For non-invasive neurovascular

assessment in patients presenting

with diseases of the carotid,

vertebral, and intracranial arteries.

No need to invest in dedicated coils.

Head + Neck + Spine +

Body Matrix Coil

Head, Neck Spine and Body Matrix

Combined Neurovascular Coil with

22 elements

8/14/2019 MIND_18912785_1

19/42


Spine

8/14/2019 MIND_18912785_1

20/42

Ultra-light weight coil only 950 g

(2 lbs)

Together with the Spine Matrix the

ideal combination to exam thorax,

abdomen or pelvis.

With a single mouse-click the

Body Matrix can be run as a 2-, 4- or6-channel coil.

Together with the respective

elements of the Spine Matrix as

a 4-, 8, or 12-channel coil e.g.

for cardiac, liver or bilateral hip

imaging.

Body + Spine Matrix Coil

Combination: Body Matrix coil and SpineMatrix 12 elements

8/14/2019 MIND_18912785_1

21/42


Spine

8/14/2019 MIND_18912785_1

22/42

To cover large anatomical areas for multi-

organ or multi-joint studies

Provides comprehensive coverage

for combined Thorax + Abdomen,

Whole-Abdomen and Abdomen +

Pelvis including MR Colonography

Two Body Matrix coils combined

with the respective elements of the

Spine Matrix serve as a 24-element

coil

2 Body + Spine Matrix Coil

Combination: 2 Body Matrix coils andSpine Matrix 24 elements

8/14/2019 MIND_18912785_1

23/42

8/14/2019 MIND_18912785_1

24/42

Up to four Body Matrix coils can be

combined

Providing the flexibility to serve tall

or obese patients by arranging up

to three Body Matrix coils in head-

feet direction or up to two Body

Matrix coils in left-right direction

Two Body Matrix coils combined with

the respective elements of the Spine

Matrix serve as a 18-channel coil for

obese patients.

2 x Body Matrix (side-by-side) + Spine

Matrix

Tim coil built with 2 Body Matrix coils

and the Spine Matrix for large patients

18 elements

8/14/2019 MIND_18912785_1

25/42

8/14/2019 MIND_18912785_1

26/42

The PA Matrix can be utilized head-first and

feet-first

Both legs are independently covered withcoil elements, maximizing the coil filling

factor and the signal-to-noise ratio

Combined with one or two Body Matrix coils

Examination of the peripheral

vasculature from the renal arteries or

even heart down to the distal vessels

Parallel Imaging in all directions for fast

high-resolution angiography

Can be combined with the Spine Matrix.

Coil elements (PA + Spine + 2Body):

1.5T: Up to 16 + 24 + 12 = 42

3T: Up to 36 + 24 + 12 = 72

PA Matrix Coil

16-element design (8 CP pairs) for 1.5T36-element for 3T

8/14/2019 MIND_18912785_1

27/42

Head Neck Body

Spine

Body PA

8/14/2019 MIND_18912785_1

28/42

Tim provides high-resolution imaging of

the entire human body (up to 205 cm

or 6' 9'') in a single examination withoutpatient or coil repositioning. Up to

76/102 seamlessly integrated coil

elements read in up to 32 independent

RF channels.

Excellent imaging of systemic

diseases like diabetes or cancer with

wholebody angiography or

metastases evaluation

Because pathology doesnt stop

at the end of an RF coil

Whole-Body coil set-up (Head, Neck,

2-3 Body, PA, Spine Matrix)

8/14/2019 MIND_18912785_1

29/42


Spine

Tim Technology

8/14/2019 MIND_18912785_1

30/42

gyOpen Architecture

With 32 independent RF channels

delivered today and Tims Open

Architecture, 32-channel coils,

accessory or home built coils can beconnected to your Tim system right

away.

32-channel Body coil for research and

cutting edge cardiac and body imaging

32-channel Head coil for research and

cutting edge neuro imaging

The image resolution has significantly

improved because weve been using

iPAT more With Tim were able to get

8/14/2019 MIND_18912785_1

31/42

128-channel mosaic cardiac coil @ 3T

MGH, NMR center, Boston, USA

iPAT more. With Tim were able to get

higher resolution in less time.

University of Utah, Salt Lake City, Utah

The product is under development and not

commercially available in the US, and its

future availability cannot be ensured.

Tim Performance Levels

8/14/2019 MIND_18912785_1

32/42

Tim [coil elements x RF channels]

Tim levels @ 1.5T

[32x8],

[76x18],[76x32]

Tim levels @ 3T

[102x8],[102x18],[102x32]

Head Matrix Coil

Neck Matrix Coil

Body Matrix Coil

Body Matrix Coil

Peripheral Angiography Matrix Coil

Spine Matrix Coil

Head Matrix Coil

Neck Matrix Coil

Body Matrix Coil

Body Matrix Coil

Peripheral Angiography Matrix Coil

Spine Matrix Coil

8/14/2019 MIND_18912785_1

33/42

New MAGNETOM systems

MAGNETOM Espree with I-class MAGNETOM Avanto with I-class

MAGNETOM Trio with I-class

8/14/2019 MIND_18912785_1

34/42

MAGNETOM Symphony, A Tim System with I-class

MAGNETOM Trio, A Tim System with I-class

Tim Upgrades

8/14/2019 MIND_18912785_1

35/42

Tim levels tailored to individual

needs. For studies ranging from

clinical routine to demanding

applications, from interventional

procedures up to the most

advanced research.

Tim Application Suite

8/14/2019 MIND_18912785_1

36/42

The Tim Application Suite is a set of protocols and tools that is standard on all

Tim systems. They address all your clinical needs from day 1 and without any extra

optional packages. The Tim Application Suites are composed of 9 suites.

Neuro Suite

Incl. syngo SPACE1 for 3D Dark Fluid, STIR, T1 and T2 imaging

Body Suite

Incl. 2D PACE1 for free-breathing exams

Angio Suite

Incl. CareBolus

Onco Suite

Incl. syngo dynaVIBE for dynamic liver imaging

I can see 8 to 10 more patients a day.

Tim technology has allowed us to do that.

8/14/2019 MIND_18912785_1

37/42

Breast Suite

Incl. syngo VIEWS: fast 3D breast imaging with Parallel Imaging

Ortho Suite

Incl. 3D MEDIC and PD SPACE1

Cardiac Suite

Morphology, function, coronaries in standard; TrueFISP 2D/3D

Pediatric Suite

Age-dependent protocols ready to go

Scientific Suite

Advanced image calculus and data export tools

With the Tim Application Suite you can perform all applicationswithout buying additional optional packages.

1 Siemens unique

Swedish Covenant Hospital, Chicago, IL

Competitive information

provided is based on

interpretation of available

data and may require

independent verification.

Tims world of MRI

8/14/2019 MIND_18912785_1

38/42

Patients can go in feet or head first. Thats

fabulous as far as claustrophobia goes.

H h Ch h M i l H i l Elki

8/14/2019 MIND_18912785_1

39/42

Hugh Chatham Memorial Hospital Elkin,

North Carolina

Welcome to the next generation of MRI. Powered by Tim.

I-class: Innovative applications and innovative workflow.

I-class combines innovative clinical applications with unprecedented workflow efficiency.

Enabling you to see more. And do more.

I-class includes innovative applications like syngo SPACE, 2D PACE, SPAIR, dynaVIBE,

syngo REVEAL*, and BEAT 2D as standard and enables you to benefit from unique

applications like syngo SWI, syngo BLADE motion correction in all body parts,

syngo MapIt, syngo GRACE, syngo TWIST and syngo DTI Tractography.

I-class further enhances your workflow with Inline Technology, PhoenixZIP and gives

you access to AutoAlign or syngo Expert-i.

T-class: Trendsetting applications and trendsetting workflow.

In addition to the innovations every Tim system provides, T-class exclusively features

syngo TimCT, Continuous Table move scanning. The natural next step in the Tim

revolution. Opening the door to completely new applications.

So T-class means seamless workflow at the MR scanner and beyond the scanner.

Trendsetting syngo Chorus MR links the scanner with your PACS and RIS system.For easier ordering, planning, processing, and distribution.

* requires Inline Diffusion

8/14/2019 MIND_18912785_1

40/42

8/14/2019 MIND_18912785_1

41/42

www.Siemens.com/Tim

8/14/2019 MIND_18912785_1

42/42


Acknowledgement:

AKH Linz, Austria

Hong Kong Sanatorium and Hospital,Hong Kong, China

University Hospital Grosshadern,

Munich, Germany

University Hospital, Tuebingen,

Germany

Jikei University Hospital, Tokyo,

Japan

Mayo Clinic, Jacksonville, USA

University Hospital NYU, New York,

USA

University Hospital UCLA,

Los Angeles, USA

05.2007, Siemens AG

Order No. A91MR-900-7X-7600

Printed in Germany

CC XXXXX WS XXXXX.

HeadquartersSiemens AG, Medical Solutions

Henkestr. 127, D-91052 Erlangen

Germany

Telephone: +49 9131 84-0


Contact

In the USASiemens Medical Solutions USA, Inc.

51 Valley Stream Parkway

Malvern, PA 19355

Telephone: +1 888-826-9702

Telephone: +1 610-448-4500

Telefax: +1 610-448-2254

In Germany

Siemens AG, Medical Solutions

Magnetic Resonance

Henkestr. 127, D-91052 Erlangen

Germany

Telephone: +49 9131 84-0

Documents

MIND_18912785_1