syngo MR E11€¦ · System control with syngo MR 46 3.1.2 Tasks 46 Controlling applications 46 User administration 47 Controlling the MARS processor 48 Gathering diagnostic information

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syngo MR E11Operator Manual – System and data management

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syngo MR E11Operator Manual – System and data management

Indicates a hintIs used to provide information on how to avoid operating errors or informationemphasizing important details

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Indicates a prerequisiteIs used for a condition that has to be fulfilled before starting a particular operation

Indicates a one-step operation

Indicates steps within operating sequences

Is used for references and for table or figure titles

Is used to identify a link to related information as well as previous or next steps

Is used to identify window titles, menu items, function names, buttons, and keys,for example, the Save button

Is used to emphasize particularly important sections of the text

Is used for on-screen output of the system including code-related elements orcommands

Is used to identify inputs you need to provide

Is used for the navigation to a certain submenu entry

Is used to identify variables or parameters, for example, within a string

CAUTIONUsed with the safety alert symbol, indicates a hazardous situation which, if notavoided, could result in minor or moderate injury or material damage.CAUTION consists of the following elements:◾ Information about the nature of a hazardous situation

◾ Consequences of not avoiding a hazardous situation

◾ Methods of avoiding a hazardous situation

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4 System and data management | Operator ManualPrint No. MR-05011.630.10.02.24

WARNINGIndicates a hazardous situation which, if not avoided, could result in death orserious injury.WARNING consists of the following elements:◾ Information about the nature of a hazardous situation

◾ Consequences of not avoiding a hazardous situation

◾ Methods of avoiding a hazardous situation

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syngo MR E11 5Print No. MR-05011.630.10.02.24

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1 Introduction 131.1 Layout of the operator manual 131.2 The current operator manual 131.3 Intended use 141.4 Authorized operating personnel 15

1.4.1 Definitions of different persons 15

2 Advanced tasks and tools 172.1 MPPS 18

2.1.1 Controlling the MPPS 19Opening the MPPS dialog window 21Navigating between MPPS objects 21Saving an MPPS 21Finishing an MPPS 22Aborting an MPPS 22Sending information back to HIS/RIS 22Closing the MPPS dialog windowwithout any changes 22Checking the MPPS information 22

2.2 Camtasia 232.2.1 Opening the Camtasia Recorder 242.2.2 Capturing a video 25

Selecting the capture area 25Starting capturing 26Pausing capturing 26Stopping capturing 26Deleting the current video 27Adding annotations and effects duringrecording 27

2.2.3 Saving the video file 28Defining the output options 30

2.2.4 Playing the video file 30Opening the AVI files 30

2.2.5 Workflow example 31

Table of contents


2.3 Correcting and assigning data (Patient Browser) 332.3.1 General information 33

Assignment of patients or studies topatient groups 33Deleting data in the Patient Browser 34Study split 35

2.3.2 Tasks 36Splitting mosaic images 36Assigning patients or studies to patientgroups 36Correcting data 37Deleting data manually 40Protecting data from deletion 40Removing delete protection 40Splitting studies in the Patient Browser 40

2.3.3 UI explanation 42Study split 42

3 System administration and configuration 453.1 Managing the system 46

3.1.1 General information 46System manager 46System control with syngo MR 46

3.1.2 Tasks 46Controlling applications 46User administration 47Controlling the MARS processor 48Gathering diagnostic information 49Setting the language 50Configuring image text 51Configuring applications 52Mapping film layouts to protocolnames 53Viewing the Event Log 54Updating the software 54

3.1.3 UI explanation 55System manager – Host 55System manager – Meas & Recon 56System manager – Periphery 58System manager – Tools 60System Manager – Scanner StandBy 61

Table of contents


3.2 Creating AutoAlign programs 623.2.1 General information 62

AutoAlign 62AutoAlign Head 64AutoAlign Knee 71AutoAlign Shoulder 82AutoAlign Hip 85AutoAlign Spine LS 92AutoAlign Spine Interactive 97

3.2.2 Tasks 99Creating and editing an AutoAlignprogram 99Simultaneously changing AutoAlignparameters of multiple protocols 101Importing an AutoAlign program fromanother system or software version 102

3.3 Managing files (File Browser) 1033.3.1 General information 1033.3.2 Tasks 104

Working with the File Browser 1043.3.3 UI explanation 104

File Browser 1043.4 Managing voice outputs 106

3.4.1 General information 1063.4.2 Tasks 106

Recording and editing voice outputs 106Changing voice outputs 107Deleting user-defined voice outputs 107

3.4.3 UI explanation 108Voice Output Configuration 108Exam UI Configuration – Voice Output 110Patient Comfort Configuration – SoundVolume 111

3.5 Configuring reports 1123.5.1 General information 112

Diagnostic codes 1123.5.2 Tasks 113

Configuring reports 113

Table of contents


3.6 Adjusting the system manually 1143.6.1 General information 114

Manual adjustment 1143.6.2 Tasks 115

Determining the resonance frequency 115Calibrating the transmitter 116Performing 3D shim 116Performing interactive shim 117Optimizing water suppression 118Checking the resonance frequencyafter inline adjustment 119

3.6.3 UI explanation 119Manual adjustments – Frequency 119Manual adjustments – Transmitter 123Manual adjustments – 3D shim 127Manual adjustments – Interactive shim 130Manual adjustments – Watersuppression 134Manual adjustments – Show 138Confirm Frequency Adjustment 140

3.7 Expert-i 1413.7.1 Safety 141

General safety information 1413.7.2 Description 1433.7.3 Operation 145

Local user: Activate software 145Local user: Transferring the password 146Local user: Establishing the connection 146Remote user: Entering a password andregistering at the MR system 147Local user: Disconnecting the remoteconnection 147Remote user: Disconnecting the activeconnection 148Local user: Installing Expert-i Viewer 148Remote user: Using the Expert-iRemote Client 148

3.7.4 If you have problems connecting 149

Table of contents


3.8 RemoteAssist 1503.8.1 Description 1503.8.2 Operation 152

Activating a single connection 152Activate third-party access 153Transferring Remote Assistance 154Restricting access 155Disconnecting Remote Assistance 156

Table of contents


Table of contents


Introduction

In order to operate the MR system accurately and safely, theoperating personnel must have the necessary expertise as well asknowledge of the complete operator manual. The operator manualmust be read carefully prior to using the MR system.

Layout of the operator manualYour complete operator manual is split up into several volumes toimprove readability. Each of these individual operator manuals coversa specific topic:

◾ Hardware components (system, coils, etc.)◾ Software (measurement, evaluation, etc.)Another element of the complete operator manual is the informationprovided for the system owner of the MR system.The extent of the respective operator manual depends on the systemconfiguration used and may vary.

All components of the complete operator manual may includesafety information that needs to be adhered to.

The operator manuals for hardware and software address theauthorized user. Basic knowledge in operating PCs and software is aprerequisite.

The current operator manualThis manual may include descriptions covering standard as well asoptional hardware and software. Contact your Siemens SalesOrganization with respect to the hardware and software available foryour system. The description of an option does not infer a legalrequirement to provide it.

1

1.1

1.2

Introduction 1


The graphics, figures, and medical images used in this operatormanual are examples only. The actual display and design of thesemay be slightly different on your system.Male and female patients are referred to as “the patient” for the sakeof simplicity.

Intended useYour MAGNETOM MR system is indicated for use as a magneticresonance diagnostic device (MRDD) that produces transverse,sagittal, coronal and oblique cross sectional images, spectroscopicimages and/or spectra, and that displays the internal structure and/orfunction of the head, body, or extremities. Other physical parametersderived from the images and/or spectra may also be produced.Depending on the region of interest, contrast agents may be used.These images and/or spectra and the physical parameters derivedfrom the images and/or spectra when interpreted by a trainedphysician yield information that may assist in diagnosis.Your MAGNETOM MR system may also be used for imaging duringinterventional procedures when performed with MR compatibledevices such as in-room displays and MR Safe biopsy needles.

The MAGNETOM MR system is not a device with measuringfunction as defined in the Medical Device Directive (MDD).Quantitative measured values obtained are for informationalpurposes and cannot be used as the only basis for diagnosis.

For the USA only: Federal law restricts this device to sale,distribution and use by or on the order of a physician.

Your MR system is a medical device for human use only!

1.3

1 Introduction


Authorized operating personnelThe MAGNETOM MR system must be operated according to theintended use and only by qualified persons with the necessaryknowledge in accordance with country-specific regulations, e.g.physicians, trained radiological technicians or technologists,subsequent to the necessary user training.This user training must include basics in MR technology as well assafe handling of MR systems. The user must be familiar with potentialhazard and safety guidelines the same way the user is familiar withemergency and rescue scenarios. In addition, the user has to haveread and understood the contents of the operator manual.Please contact Siemens Service for more information on availabletraining options and suggested duration and frequency of suchtraining.

Definitions of different persons

Term used Explanation

User/Operator/Operating per-sonnel

Person who operates the system or software,takes care of the patient or reads imagesTypically physicians, trained radiological techni-cians, or technologists

System owner Person who is responsible for the MR environ-ment. This includes legal requirements, emer-gency plans, employee information and qualifica-tions, as well as maintenance/repair.

MR worker Person who works within the controlled accessarea or MR environmentUser/Operator as well as further personnel (forexample, cleaning staff, facility manager, servicepersonnel)

1.4

1.4.1

Introduction 1


Term used Explanation

Siemens Serv-ice/service per-sonnel

Group of specially trained persons who areauthorized by Siemens to perform certain mainte-nance activitiesReferences to “Siemens Service” include servicepersonnel authorized by Siemens.

1 Introduction


Advanced tasks and tools

2.1 MPPS 182.2 Camtasia 232.3 Correcting and assigning data (Patient Browser) 33

2

Advanced tasks and tools 2


MPPSThe exchange of information based on Modality Performed ProcedureStep (MPPS) closes the gap between the modalities and the HIS/RIS.The information documents the actions being performed for apatient.

If MPPS is not configured, only local MPPS management ispossible, and no feedback is sent to HIS.

The MPPS component mainly handles the following:

◾ Creating MPPS during patient examination◾ Passing information to the HIS/RIS◾ Updating the MPPS status to the HIS/RIS based on user interaction

and automatic proceduresThus a smooth clinical flow is ensured, billing, and other informationare generated within the hospital system.

The MR system generates entries automatically in the MPPS, forexample, generated series and contrast media consumed. Youcan also add information manually (for example, contrastmedium with flow, volume, kind of contrast medium).

An MPPS is typically created as a part of the patient registrationprocess in which:

◾ The HIS/RIS requests a worklist procedure.◾ Alternatively, the workstep is created directly at the modality for

the examination or image acquisition.During an examination, the modality sends a message indicating thestart and the end of the examination. As a result, you can call up thestatus of the examination at any time.

2.1

2 Advanced tasks and tools


The following helpful features for integrating the modalities with thesupervising information system in the hospital are provided:

◾ Displaying the patient information for MPPS◾ Viewing the protocol items for MPPS◾ Viewing the billing information for MPPS

If you cannot edit the MPPS information, you do not have therelevant access rights. Security in syngo ensures that access tofunctions and data is always provided in accordance with theprivileges and permissions granted to a user.

Controlling the MPPS

The availability of buttons depends on the status of the MPPS.

Layout of the MPPS dialog window: The Modality PerformedProcedure Step dialog window consists of three areas:

2.1.1



(1) Patient and Study areas:Patient dataStudy description

(2) Upper part of the MPPS area:Data of the selected MPPSInput field for comments to the MPPS

(3) Lower part of the MPPS area:Examination data sorted by various aspects and displayed inthree tab cards (not all of them may be available at yourmodality)



Feedback to the HIS/RIS: Information about status and changes of theMPPS is sent to the HIS/RIS every time you click one of the followingbuttons in the Modality Performed Procedure Step dialog window:

◾ Completed◾ Discontinued◾ SendOpening the MPPS dialog windowIn the Patient Browser, the MPPS series are marked by the followingflags:

◾ IN PROGRESS: series refers to MPPS which is in progress◾ DISCONTINUED: series refers to MPPS which is discontinued◾ HIS or LOC: series belongs to an examination planned by RIS or

locally◾ se: MPPS message acknowledged by IS

The usage of the DICOM service MPPS depends on the availabilityof the corresponding RIS system. Even if no RIS with MPPS serviceis connected, the MPPS icon is displayed in the Patient Browser.

1 Select the patient, the examination, or one of the associated seriesor images from the Patient Browser.

2 Click the Show MPPS icon in the tool bar of the Patient Browser.

The Modality Performed Procedure Step dialog window isopened. By default, the latest MPPS object is displayed.

Navigating between MPPS objectsBefore you conclude your work on the examination by archiving,check and add missing entries to the performance report.1 Click the Next button to have the MPPS object displayed which is

next in time.

2 Click the Previous button to have the latest MPPS object displayedagain.

Saving an MPPS◆ Click the Save button to save your changes of the document.



Saving an MPPS does not complete the examination. No messageis sent to the HIS/RIS.

Finishing an MPPS◆ Click the Completed button to close the MPPS dialog window

when all data shown in the performance document are correct,and complete the examination.

The MPPS is closed. A corresponding message is forwarded to theHIS/RIS.

If you are considering further steps, you can save the documentfirst and close it later.

Aborting an MPPS◆ Click the Discontinued button if the examination is canceled.

The MPPS is closed. A corresponding message is forwarded to theHIS/RIS.

Sending information back to HIS/RIS◆ Click the Send button to mark the MPPS as being processed and to

inform the HIS/RIS about changes in the MPPS.

The Send button is displayed only if an MPPS node is configured.

Closing the MPPS dialog window without any changes◆ Click the Cancel button to close the dialog window if you only

opened the document for printing or viewing.

Checking the MPPS information1 Click in the center of the status bar of the task card to check the

corresponding entry in the History of Events.

A list of events is displayed.

2 Look for an entry in the list concerning the MPPS.



If you do not find such an entry, it is already removed, because theinformation was sent successfully to the HIS/RIS.

3 If you find an entry concerning the MPPS, click it.

If an error occured, a message appears. Check also the status barat the bottom of the task card for any error information.

CamtasiaCamtasia is a separate software tool that allows you to film yourdesktop activities.You can save these recordings as AVI files for documentation andpresentation purposes.Furthermore, you have the possibility within the Camtasia softwareto choose between several additional tools depending on yourrequirements.

To ensure an accurate run of the single Camtasia functionality,only start one action at a time.

You will find additional information about the Camtasia recorderby clicking the Help button.

Availability on the consoles: The recorder is available on both thesyngo Acquisition Workplace and the syngo Workplace.

After the installation of the Camtasia software, new menuentries are added to the main menu of any task card and thePatient Browser menu.

The following tools are integrated in the Camtasia software:

◾ Recorder: to capture AVI files◾ Player: to play AVI files◾ Producer: to edit AVI files

2.2



◾ Effects: to add objects, such as callouts, arrows, text, and WMFimages to an AVI video

◾ MenuMaker: to create an attractive menu where you can launchyour files

Opening the Camtasia Recorder1 Select Applications > Desktop > Camtasia Recorder.

The Camtasia Recorder window opens.

The entire Camtasia Recorder dialog window and the menu ofthe Camtasia Recorder dialog window is visible only if theStandard view is selected. By default, Minimal is selected andonly the title bar and the icon bar are displayed.

2 Click the Toggle View dropdown list and select Standard.

3 Select the required tool from the Tools menu.

The corresponding window of the selected tool opens.

The Tools menu entries on the Camtasia Recorder window areonly available on the syngo MR Workplace.

2.2.1



Capturing a video✓ For capturing a video, call up the Camtasia Recorder.

Selecting the capture areaYou can select the capture area by clicking the arrow button next tothe Record button.

A bullet in the dropdown list shows you the capture areacurrently selected. When you pass over selectable areas, they arehighlighted.

1 Select Screen to capture the entire screen.

– or –

Select Window to capture a selected window.

2 With the highlighter, select a window or any portion of a windowto be captured.

3 After clicking the Record button, click into a window to select it.

– or –

Select Region to capture a user-defined region.

4 After clicking the Record button, click and drag the mouse cursorover the area you want to capture.

– or –

Select Fixed Region… to capture a pre-defined region.

The Fixed Region dialog window is displayed.

2.2.2



5 Define the size of the fixed region using the options in the FixedRegion dialog window.

Starting capturing1 Click the Record button in the toolbar after selecting the capture

area to start capturing.

– or –

Press F9.

During the recording process, the Camtasia Recorder window isvisible. You can move the window as far as possible out of theregion of interest to make sure it is not captured in the video.

2 Click the top of the window and keep the mouse button pressedwhile moving into another screen area.

If you selected either Window or Region as your capture area,click the Record button and mark the area you want to capture.

If you minimized the Camtasia window, you cannot reopen it asusual.◆ Select Applications > Desktop > Camtasia Recorder to reopen

Camtasia.

Pausing capturing◆ Click the Pause button in the toolbar to pause the capturing

process.

– or –

Press F9.

Stopping capturing◆ Click the Stop button in the toolbar to stop capturing.

– or –

Press F10.

Calling up the minimizedCamtasia window



Deleting the current video◆ Click the Delete button in the toolbar to delete the video currently

captured.

The recording pauses and a message box are displayed.

After confirming the message box, any captured frames arediscarded.

Adding annotations and effects during recordingDuring AVI recording, you can add various annotations and effects tothe file which is being recorded.1 Select Effects > Options to open the Effects Options window for

defining the several options.

2 Add the features you want to have displayed in your video.



You can add following features to your video:

◾ Date and time◾ Caption◾ Watermarks◾ Highlights/Autohighlights◾ Cursor effects◾ Audio effects◾ Zoom & pan effects

3 Select the corresponding menu entry in Effects to activate it.

Saving the video fileDuring recording, the video is stored as an AVI file. It is storedautomatically in your offline file system under C:\MedCom\temp\CDR_OFFLINE.

2.2.3



Caution

Using other than configured directory for Camtasia data files.Data disk is full and no further examination possible. Filescan not be deleted by the user anymore.◆ Use only the configured directory for saving the Camtasia

data files.

Caution

Due to Camtasia screen capturing the data disk fills up.Examination is no longer possible or examination may beaborted.◆ Only use Camtasia for short recording sequences. Don't use

Camtasia for recording in parallel to the acquisition.

Caution

Using results from Camtasia for diagnosis or reading.Wrong diagnosis due to inadequate image quality.◆ The results from Camtasia are only intended to be used for

training and communication.



Defining the output options

1 Select Capture > Output > File to save the captured video as AVI(video) file.

2 Select Tools > Options > File to set the name and the storagelocation of the video file.

The AVI files you create can be imported or edited in any third-party application that supports the AVI format.

or

3 Select Capture > Output > Live to make the video available to anylive encoding process running on your computer.

Playing the video fileWith the Camtasia Player you can play the results of filming yourdesktop activities.◆ Select Tools > Camtasia Player in the Camtasia Recorder window

to open the Camtasia Player window.

Opening the AVI files1 Select File > Open.

2.2.4



2 Select the desired AVI file.

3 Confirm the selection by clicking the Open button to start playingthe movie.

Workflow exampleYou can record your desktop activities on any task card.

1 Load a Head Angiography data set into the 3D task card.

2 Apply a VRT preset on this data set.

3 Select Applications > Desktop > Camtasia Recorder.

The Camtasia Recorder window opens.

4 Select the capture area.

2.2.5



5 Click the Record button in the toolbar.

6 Click into the segment you want to record your desktop activitiesin.

Recording starts.

7 Start working in this segment.

8 When you have finished, click the Stop button in the toolbar tostop recording.



Correcting and assigning data (PatientBrowser)

General informationAssignment of patients or studies to patient groupsIn the Patient Browser, you can modify the assignment of patientgroups or studies.This information applies to users performing daily routine operationswith patient data protected by the Security Package (HIPAA).

The Security Package must be installed on your system.

Caution

Rearrange series/images to another series may lead to wrongimage information if the selected images/series are notcompatible.Wrong diagnosis caused by wrong image information.◆ Correct the attributes which do not correspond first and then

rearrange the series/images.

Caution

Correcting/rearranging not all objects with references.References may be lost.◆ Rearrange the entire hierarchical group containing all objects

with references in order to maintain the references. Onlyreferences found within the selection will be adapted.

2.3

2.3.1



Caution

If any Radiotherapy (RT) object is involved in a correction orrearrangement, the references to and from other objects are notupdated. The Correct and Rearrange function checks if anyRadiotherapy objects is involved and prompts for confirmation.References between images and Radiotherapy (RT) objectsmay be lost.◆ Use the application(s) that was/were used to generate the

Radiotherapy object for managing their references. Firstcorrect images (e.g. patient demographics) before using themwithin Radiotherapy.

Deleting data in the Patient Browser

Caution

Systems that do not use storage commitment only report backto the sending system when the data has been fully received(flags A and S). A user or an auto delete mechanism at thesending system might subsequently delete the sent data.However, this response does not imply that the data has alreadybeen stored at the receiving system.In the case that the receiving system cannot store the data,the data might irrevocably be lost.◆ Double-check that the data is actually stored on the receiving

system.

◆ Use storage commitment whenever it is supported by thesending and receiving systems.



Caution

The printed flag is set if the images are successfully transferredto the printer’s control. Not all printers (e.g., paper printers) maybe able to solve printing problems themselves.Image printout may be lost.◆ Verify that the printouts are available before you delete

images.

Caution

Deletion confirmation deactivated.Loss of data possible.◆ The option in the General tab to configure the Delete

Confirmation Dialog should not be switched off.

◆ Be careful when setting permissions to delete documentswithout check if flags are not set.

Study splitMultiple examination requirements planned in the HIS/RIS system(e.g., head and cervical spine) can be performed in one session. Foreach requested procedure, a study is created.Advantages of several studies:

◾ Direct allocation of the individual studies in the documentation andbilling

◾ Easier distribution of the studies to the reporting radiologist(reporting stations)

The assignment of studies to requested procedures in the patientregistration can be changed during examination (refer to OperatorManual – Scanning and postprocessing) and after examination( Page 40 Splitting studies in the Patient Browser), if neccessary.



TasksSplitting mosaic imagesSome post-processing functions, e.g. 3D, cannot use mosaic images.In special cases, it may be necessary to split them into single imagesagain.

1 In the Patient Browser, select one mosaic image.

2 Select Applications > Mosaic > Split to one Series.

The images of the selected mosaic image are saved in a new seriesunder the same study.

1 Select several mosaic images or all mosaic images of a series in thePatient Browser.

2 Select Applications > Mosaic > Split to one Series.

The images of all select mosaic images are saved in one newseries.

Or

3 Select Applications > Mosaic > Split to one Series per Mosaic.

A new series is created with the split images for each mosaic imageselected.

Splitting images may take some time. The process runs in thebackground and is completed even if the current user logs off oranother user logs on.

Assigning patients or studies to patient groupsYou need the privilege Patient Browser > Edit > Modify PatientGroups to assign patients or studies to patient groups.1 Press the Browser key on the symbol keypad (Numeric: .).

You must close the syngo Security Configuration window towork with the Browser key on the symbol keypad.

2 Select the desired patient or study in the local database.

2.3.2

Splitting a mosaic image

Splitting several mosaic images



3 Select Edit > Modify Patient Groups from the main menu of thePatient Browser.

The Modify Patient Groups window is displayed.

4 Select the group you want the patient or study currently selectedto be assigned to.

5 Confirm your selection with OK.

Correcting dataYou can correct, add, or rearrange patient data and informationalready stored in the database.

You use the Correct dialog window for correcting or modifyingpatient data and information.1 Select the patient, study, series, or images that you want to correct

in the navigation or content area of the Patient Browser.

2 Select Edit > Correct from the main menu of the Patient Browser.

The Correct dialog window opens.

Using the Correct dialogwindow



Depending on the data level, some fields of the dialog windoware dimmed.

3 Select the required tab and correct the relevant data.

4 Enter your name under Modifier’s name or select your name fromthe selection list.

5 Click OK to save the new data.



If you want to correct data that is delete-protected, remove thedelete-protection by selecting Edit > Remove Protection fromthe main menu.

You can view the modifications of the patient and the patient'sexamination data in the Patient Browser.1 Select the patient, study, series, or image stored in the local

database whose history of changes you want to view.

2 Select Edit > History from the main menu of the Patient Browser.

The Correct & Rearrange History window is displayed.

3 Click OK to close the history display.

The entries in the Correct & Rearrange History window aregenerated by your system. You cannot make changes yourself.If an object was moved, the entry is marked with > underAttribute.

Displaying a history of changes



Deleting data manually

You can delete patient data in the Patient Browser only if noother application wants to access the same data.

1 Select the data that you want to delete in the navigation area orcontent area.

2 Select Edit > Delete from the main menu.

3 Confirm with Yes in the dialog window displayed.

You can turn off the confirmation dialog window when selectingOptions > Configure Browser… from the main menu anddeactivate the Confirm Deletion checkbox.Unprotected data is then always deleted immediately withoutconfirmation.For this reason, this step is not recommended.

Protecting data from deletion1 Select the data that you want to protect against deletion in the

navigation or content area.

2 Select Edit > Protect from the main menu.

Removing delete protection

Delete-protection always includes all lower data levels and therelated entries of the higher data levels.

1 Select the delete-protected data in the navigation or content area.

2 Select Edit > Remove Protection from the main menu.

Splitting studies in the Patient BrowserYou can assign series to different studies via the Patient Browsereven after completing the examination.



If the respective examination of the patient is terminated and thepatient data is not loaded in any task card, you can only assignseries via the Patient Browser.

The series of sent, archived, exported, and printed image datacan only be copied to a target study. Sent, archived, exported,and printed series are grayed and cannot be modified any more.

✓ Patient Browser is open

◆ In the Patient Browser, select Applications > Study Split or clickthe icon of the toolbar.

The Study Split dialog window opens.

( Page 42 Study split)

◆ Drag & drop the series to the target study.

Multiple series selection is possible.

◆ Drag & drop the series to the target study with the Ctrl key presseddown.

A copy of the series is inserted in the target study.

Assigning series to a differentstudy

Copying series



UI explanationStudy split

(1)Displays a series of the study described above.(2)Displays a series of a different study.(3)Displays the image stamp of the series.

You can zoom an image stamp by moving the mouse pointerover it.

2.3.3



(4)Defines a new study.(5)Generates a new study to the right of the dialog window.

The input fields for entering the accession number, requestedprocedure, and study description are not mandatory, but a StudyDescription is advisable. To support data consistency with RISand to allow for comfortable data access, the input fields provideselection lists with data from the procedures in the Schedulerdatabase, if available.





System administrationand configuration

3.1 Managing the system 463.2 Creating AutoAlign programs 623.3 Managing files (File Browser) 1033.4 Managing voice outputs 1063.5 Configuring reports 1123.6 Adjusting the system manually 1143.7 Expert-i 1413.8 RemoteAssist 150

3

System administration and configuration 3


Managing the system

General informationSystem managerYour MR system comprises the following components:◾ Magnetic resonance system (MR Scanner)◾ MARS processor for measurement and image reconstruction◾ syngo Acquisition Workplace for operating syngo MR◾ Optional: the syngo MR Workplace

MARS stands for Measurement and Reconstruction System. Thefollowing description refers to the MARS computer.

The syngo MR System Manager is a module that allows you tomonitor, as well as start and stop the individual components of themeasurement system.System control with syngo MRYou control and operate your MR system from the syngo AcquisitionWorkplace. For this purpose, syngo MR is available. The program runsunder Windows 7©. It comprises individual applications – forexample, Examination.

TasksControlling applications1 Select System > Control.

The System Manager dialog window opens.

2 Open the Host subtask card.

3 Select the application from the list.

◆ Click Stop Application.

Initially, the application shows the status Stop in progress. Then itchanges to not running.

3.1

3.1.1

3.1.2

Stopping an application

3 System administration and configuration


◆ Click Start Application.

Initially, the application shows the status Startup in progress.Then it changes to running.

◆ Click Restart Application.

The selected application is shutting down and starts again withoutshutting down syngo MR or the operating system.

User administrationThe End Session dialog window contains a number of additionalfunctions when User Administration (HIPAA) is active.◆ Select System > End Session.

The End Session dialog window opens.

Refer to the syngo Security Package brochure for detailedinformation regarding User Administration (HIPAA).

◆ Click this button.

A registration window appears that covers the program surface.

When a user logs off, unsaved data will be lost irretrievably.Always check for unsaved data and save any data you want tokeep before logging off.

◆ Click this button.

Opened patient data are unloaded. The log-off window isdisplayed.

Starting an application

Restarting an application

Locking the computer

Logging off



A new user can log on to the system even if the current user hasnot logged off.

1 Click this button.

The registration window is displayed. It hides the user interface ofthe program.

2 Enter the new user name.

If the new user has the same user rights as the previous user, thenew user can continue working with the loaded data. If the newuser has fewer rights, the data used by the previous user will bediscarded. Unsaved data will be lost.If a measurement or image reconstruction of the previous user isstill running in background, the new user cannot start until thisprocess has finished.


A dialog window opens.

2 Enter the old password in the first field for authentication.

3 Enter the new password in the next field.

4 Enter the new password in the third field for verification.

Remember, passwords are case sensitive!

Controlling the MARS processorYou can view status information of components required formeasurement and image reconstruction.1 Select System > Control.


Logging on

Changing your password



2 Open the Meas & Recon subtask card.

( Page 56 System manager – Meas & Recon)

3 If required, restart the MARS software or selected components.

– or –

Reboot the operating system.

Gathering diagnostic informationIn case of an error, it is useful to generate a MrLog data set for erroranalysis.1 Select System > Control.


2 Open the Tools subtask card.

( Page 60 System manager – Tools)

3 Click Save System Log-Files.

The MR system is collecting data for the MrLog data set.

After a short time, the Save Log MrLog… dialog window opensand displays additional error information:



4 If desired, enter additional information into the fields of the Userarea.

5 Click OK.

Your additional information is added to the current MrLog data setand stored.

Setting the language1 Select Options > Configuration… to open the NUMARIS/4 –

Configuration Panel.2 Double-click the Regional and Language Options icon in the

NUMARIS/4 – Configuration Panel to open the Region andLanguage dialog window.



3 Select the language you require in the Format selection list.

4 Click the OK button to confirm the new language.

5 Confirm with OK again to restart syngo with the new language.

For further information on changing the language or thesupported keyboard, contact Siemens Service.

You must adjust the date format after each change of the Regionand Language settings.

The following date formats are recommended:

◾ For western languages: dd-mm-yyyy,◾ For U.S. English: mm-dd-yyyy,◾ For Chinese and Japanese: yyyy-mm-dd.1 Select Options > Configuration… from the main menu.

2 Double-click the Regional and Language Options icon in theNUMARIS/4 – Configuration Panel to open the Region andLanguage dialog window.

3 Select the required entry from the Short date selection list andconfirm with OK.

Configuring image textYou access the image text editor via the NUMARIS/4 – ConfigurationPanel dialog window which you select with Options >Configuration….

You can highlight selected image text. This can be helpful if the textwould otherwise appear too small in certain layouts (20 and 35layout).1 Click the required image text in the image text overview.

The selected text is highlighted in gray and the B screen button isnow active.

Adjusting the date format

Highlighting image text



2 Click this icon.

The marked text is displayed in bold.

Image texts can be highlighted only if the Customized Textoption is selected. You can also cancel text highlighting in thesame manner.

Depending on your system configuration, it may not be possibleto display some texts.

If the orientation marks are deselected, the patient name is notdisplayed.

Configuring applicationsDepending on the application, you can configure task cards,windows, and individual functions of the program i.e. adapt them toyour requirements.

Caution

Native Windows configuration window does not disappear whileexamination is started. The window remains visible as it is adialog displayed by “Windows” and not a syngo dialog.This may cause confusion.◆ Avoid opening this dialog during examination. In any case,

the computer and the syngo system should never beconfigured during an acquisition.

1 Select Options > Configuration… from the main menu.

The NUMARIS/4 – Configuration Panel opens.



2 Double-click the icon representing the desired application to openthe corresponding configuration window.

3 Adapt the functions of the application to your individualrequirements.

Mapping film layouts to protocol namesIn the Filming Study Layout window, you can assign specific layoutsto individual studies, series, or protocols. This layout is thenautomatically used for filming of images if the associated series nameapplies.With the Advanced Linked Layout Mapping feature activated, filmlayout mapping is based on protocol names instead of series names.Therefore, if a protocol is mapped to a layout, any series with thatprotocol name will be displayed on the film sheet in the same layout.For example, the filming layout assigned to an original series (e.g.“T1_sag”) will be subsequently used for the postprocessed series (e.g.filtered “t1_sag_FIL”).1 Press Ctrl + Esc on the keyboard to access the Start menu.

2 Select Start > Activate Advanced Mapping to activate the linkingof film layouts to protocol names.

3 Open the System Manager dialog window and restart the Filmingapplication ( Page 46 Controlling applications).

Advanced Linked Layout Mapping can be deactivated withStart > Deactivate Advanced Mapping and by restarting theFilming application.



Viewing the Event Log1 Select Options > Service > Event Log… to display the Event Log

dialog window.

2 Enter the Time or Time Range and select additional filterparameters to specify your search for log entries.

3 Click the Go button.

Updating the softwareWhen a software update package is available, the SoftwareDistribution / Installation dialog is automatically displayed duringsystem startup.◆ Read the description, check the confirmation checkmark, and click

Install to start the installation.

– or –

Click Install Later to resume system startup without performingthe software update.

The request for updating the software will be postponed until thenext system startup.



UI explanationSystem manager – HostSystem > Control

(1)Lists the applications that run under syngo MR on your syngoAcquisition Workplace.(2)Displays the status of each listed application.

Icon Status Comment

Running The application is running

Not running The application is not running

3.1.3



Icon Status Comment

Waiting The application status is yet to bereceived shortly after starting the Sys-tem Manager

Not respond-ing

It is not possible to communicate withthe software components

Unknownname

Certain components of the applicationare not available

Stop in pro-gress

The application is being shut down

Startup inprogress

The application is booting up

System manager – Meas & ReconSystem > Control



(1)Displays the status of the MARS components:

Icon Definition

Component is ready.

Component is not ready.

Component is operational to a limited extent.

Component status is yet to be reported.

(2)Restarts the software components selected in the ComponentControl area.(3)Restarts the overall software of MARS.

This function terminates any running examination or imagecalculation without further warning!This can lead to data loss!

(4)Reboots the operating system and the software of MARS.

With the reboot function, you can eliminate system errors ofMARS.

This function terminates any running examination or imagecalculation without further warning!This can lead to data loss!

(5)Switches the measurement and image reconstruction system tostandby.



◾ If the MARS processor does not contain jobs in the job list, it isimmediately switched to standby followed by the MR Scanner.

◾ If the MARS processor contains jobs in the job list, the ScannerStandBy dialog window appears.( Page 61 System Manager – Scanner StandBy)

Switching off the power supply to MARS during inactive timessaves energy.

In standby mode, you cannot perform measurements.

(6)Switches the system on.

This button is only available for certain systems

System manager – PeripherySystem > Control



(1)Displays the status of individual components of the MR Scanner. Themain components include CANUnits, PALIs, and e.g. the StimulationMonitor.

Icon Definition

The unit is ready.

The unit is not ready for operation.

The unit is operational within limits.

Component status is yet to be reported.

The list is updated automatically when a connection to MARSexists.



Helium fill level: The helium fill level is shown in the ComponentControl list item System Parameter > Helium fill level.System manager – ToolsSystem > Control

(1)Generates a MrLog data set which can be used to locate an error.

The MrLog data set contains information regarding the statusand history of the MR system at the time of an error.The files of an MrLog data set are stored in the directory C:\MedCom\MriDiagnostic. They have a common name master:MrLog_Computername_Date_Time_Datatype.zip (or *.txt)

(2)Displays the content of the consistency log file in the Support &Diagnosis Tools area.



The most important system files are checked for changes everytime the system boots up. The results are saved in a log file.

System Manager – Scanner StandBy

(1)Shuts down the MARS processor after reconstructing all current jobs.

The shutdown can take several minutes. There is no associatedloss in data.

(2)Immediately ends image reconstruction in progress.

Data can be lost.



Creating AutoAlign programs

General informationAutoAlignAutoAlign assists the user in positioning the slices in a robust andreliable way regarding positioning standards and arbitrary patientpositions, different patient ages, pathologies, and interventions.Within a special 3D scout volume, AutoAlign detects the position andorientation of the predefined AutoAlign sub-regions in the individualpatient anatomy. This information is available in following protocols.

For information on scanning with AutoAlign protocols, refer tothe application-specific Operator Manuals.

AutoAlign region: The AutoAlign feature is available for severalanatomical AutoAlign regions like head, knee, hip, shoulder, or spine.

Some AutoAlign regions are only available in combination withthe corresponding Dot Engine.

AutoAlign reference: Within one AutoAlign region, the position andorientation of multiple so-called AutoAlign references are detected.For example, Head > Basis (which provides the midsagittal plane),Head > Optic nerves, Head > Inner ear, Head > Temporal lobe andothers.

(1) AutoAlign region

(2) AutoAlign reference

On the Routine parameter card of clinical protocols, all AutoAlignreferences are listed in the AutoAlign combo box.

3.2

3.2.1

Definition



AutoAlign scout: Except for AutoAlign Spine Interactive, all otherAutoAlign techniques are landmark based. The scouts for thesetechniques use the VIBE technique to scan a T1-weighted 3D volume.Based on a landmark detection, several AutoAlign references(anatomical positions and orientations) are computed from the 3Dvolume. Also, several MPR localizer images are reconstructed fromthis 3D volume and automatically loaded into the planning segmentsof the Exam task card.AutoAlign Info Dialog: After the AutoAlign scout is done, allcomputed AutoAlign references and their category of alignment(aligned, to-be-checked, failed) are listed in the AutoAlign InfoDialog. This dialog can be opened via the main menu (Queue >AutoAlign Info Dialog).If one or more AutoAlign references are not in the category “aligned”,the user is asked via a pop-up window to check and correct thepositioning of all clinical protocols that use these AutoAlignreferences. The AutoAlign verification icon marks the clinicalprotocols that need to be checked by the user.Usage of AutoAlign: An AutoAlign scan program starts with anAutoAlign scout. After this AutoAlign scout is done, the AutoAlignreferences are available in the following clinical protocols. Eachprotocol can use one of these AutoAlign references e.g. a sagittalhead protocol uses Head > Basis and a transversal head protocol usesHead > Brain.As long as an aligned clinical protocol is not running, the user cansubsequently change the resulting position and orientation of thisprotocol.Working man icon:

Even with AutoAlign, the user is responsible for scanning withthe right alignment and the right coverage of the anatomicalregion of interest. Therefore, it is recommended to apply aworking man icon to clinical protocols where coverage could becritical even if AutoAlign is used.

Usage



Follow-Up: The user can apply patient-specific, individual adaptationsto the aligned slice positions. For improved alignment of follow-upexaminations, it is recommended to avoid individual modifications ifnot absolutely necessary.If individual adaptations were performed during a prior examination,these changes must be recalled via Phoenix Zip™ to obtain the sameparameters in the follow-up exam.

Phoenix Zip contains the entire study information.When single protocols are reconstructed with Phoenix™, theAddIn is not applied to the protocol. Therefore, the behavour ofthe protocol may change!

AutoAlign Head

The specific AutoAlign Head scout scans a sagittal, T1-weighted 3Dvolume in the isocenter and computes the AutoAlign Headreferences. The resulting MPR localizer images are automaticallyloaded into the graphic segments of the Exam task card.AAHead_Scout protocol: A collection of AutoAlign Head scoutprotocols – one for each head coil – can be found in the followingprotocol tree:\Siemens\head\library\localizerIt is recommended to copy the most relevant one into your scanprogram.AutoAlign Head references: AutoAlign Head computes the followingAutoAlign references:◾ Head > Basis◾ Head > Brain◾ Head > Inner ear◾ Head > Orbits◾ Head > Optic nerves◾ Head > Optic nerve L

Introduction



◾ Head > Optic nerve R◾ Head > Temporal lobeAll references are designed to provide high reliability (goodalignment in the clinical routine) across patient ages, for a variety ofdiseases, and in problem cases.Some of the AutoAlign references provide high reproducibility (forexample for re-scanning or follow-up examinations of the sameindividual).

This AutoAlign reference provides a reproducible symmetry of thewhole head. It uses bony landmarks on the scull to define a robustmidsagittal plane which is independent of disease-relateddeformations in the brain area.Application:

◾ Standard sagittal head protocols◾ Brainstem imaging (with offset)◾ Pituitary transversal/coronal (with offset)Alignment:

◾ Inplane Orientation: parallel to the brainstem◾ Center: 10 mm offset posterior from the sella

Head > Basis



The most common views of the brain in Neuro MR imaging areprovided for morphology, diffusion, perfusion, fMRI, etc.Application:

◾ Standard transversal view of the brain◾ Standard coronal views of the brainAlignment:

◾ Perpendicular to the midsagittal plane that is provided by theAutoAlign reference Head > Basis

◾ Tilted Tra > Cor along the corpus callosum contour◾ If the following two landmarks are not covered by a clinical

standard protocol with a thickness of 150 mm, all clinical protocolsaffected are marked with a special AutoAlign symbol to indicate anecessary user interaction:– Superior frontal gyrus– Center of the foramen magnum

Head > Brain



Tips:

◾ The Dot AutoCoverage functionality can be used to let the systemadapt the number of slices and field of view of a clinical protocol.

◾ If the Dot AutoCoverage functionality is not available in a clinicalprotocol, the protocol should be set up with a working man icon toprovide a quick “coverage check” of the whole brain with the givenparameters.

◾ The following protocols with the same slice orientation should belinked with a copy reference to simplify the correct positioning in afull scan program.

Application:

◾ Provides robust views of the inner ears◾ Used, for example, to examine for acoustic neuromaAlignment:

◾ Orientation: along the internal acoustic meatus◾ The intersection point of the inner ear axis with the midsagittal

plane defines the center point.

Head > Inner ear



This AutoAlign reference provides a highly reproducible view of theorbits by using several bony landmarks.Application:

◾ Provides reproducible sag/cor/tra views for follow-up examinationof the optic nerve system

◾ Based on bony landmarks and therefore unaffected by– Eye position/movement– Orbital or optic nerve tumors and diseases

Alignment:

◾ Tilted Cor > Sag to be parallel to the lateral optic bonesThis AutoAlign reference is therefore not perpendicular to theAutoAlign reference Head > Basis.

◾ Tilted Tra > Cor: derived from bony landmarks around the opticnerves

◾ Center: fixed offset from landmark sella

Head > Orbits



This AutoAlign reference provides a symmetric and robust view of thetwo optic nerves. In contrast to the AutoAlign reference Head >Orbits, soft landmarks are used on the two nerves and the opticchiasm.Application:

◾ Alignment to the contours of the optic nerves◾ Provides robust and symmetric intracranial view of the two optic

nerves◾ Mainly based on the intracranial part of the optic nerves and on the

optic chiasm◾ Special features: If the clinical protocol defines exactly two sagittal

slice groups, the following automatism is applied: The first slicegroup is aligned by Head > Optic nerve L, the second one by Head> Optic nerve R.

Alignment:

◾ Tilt Tra > Sag: tilted to view the two nerves in one plane◾ Tilt Tra > Cor: derived from landmarks◾ Center: optic chiasm

Head > Optic nerves



Application:

◾ Provides robust and symmetric sagittal views of the left (resp.right) optic nerve

◾ Based on the optic nerves and the optic chiasmAlignment:

◾ Alignment to the contours of the optic nerves◾ Perpendicular to Head > Optic nerves

Head > Optic nerve L/Head >Optic nerve R



The transversal orientation is derived from the lateral fissure lineabove the temporal lobe. The center is located in the center of abounding box which encloses the examined temporal lobe.Application:

◾ Provides robust transversal and coronal views of the temporal lobe◾ Used, for example, for temporal lobe epilepsy studiesAlignment:

◾ Orientation: parallel/perpendicular to the lateral fissure line◾ Center: geometrical center between anterior border of the

temporal lobe and the posterior border of the hippocampus◾ If the detected size of the temporal lobe is greater than 55 mm (in

F-H direction) or 85 mm (in A-P direction), all clinical protocols aremarked with a special AutoAlign symbol to indicate a necessaryuser interaction.

AutoAlign Knee

The specific AutoAlign Knee scout scans a transversal, T1-weighted3D volume in the isocenter and computes the AutoAlign Kneereferences. The resulting MPR images are automatically loaded intothe graphic segments of the Exam task card.

Head > Temporal lobe

Introduction



AAKnee_Scout protocol: A collection of AutoAlign Knee scoutprotocols – one for each knee coil – can be found in the followingprotocol tree:\Siemens\knee\library\localizerIt is recommended to copy the relevant protocols into your scanprogram.AutoAlign Knee references: AutoAlign Knee computes the followingAutoAlign references in the knee joint:◾ Knee > Standard◾ Knee > Meniscus◾ Knee > Patella routine◾ Knee > Patella cartilage◾ Knee > Femur cartilage◾ Knee > ACL◾ Knee > PCLThe AutoAlign references Knee > Meniscus, Knee > Patella cartilageand Knee > Femur cartilage are designed for high reproducibility infollow-up examinations.Depending on the purpose of a clinical protocol, the user selects thecorresponding AutoAlign reference via the AutoAlign parameter onthe Routine parameter card.

Depending on the main orientation of a clinical protocol, Knee >Standard adapts the positions by one of the following AutoAlignreferences:◾ Knee > Sagittal◾ Knee > Coronal◾ Knee > TransversalThese AutoAlign references are described in detail in the followingparagraphs.

Knee > Standard



This AutoAlign reference provides robust transversal coverage of theknee joint.Application:

◾ Standard transversal scans of the whole knee jointAlignment:

◾ Parallel to the meniscus plane (mainly defined by the tibial plateau)◾ Centered F-H so that the patella and as much of the tibia growth

plate as possible are included in a standard protocol with athickness of 99 mm

◾ Centered A-P so that the patella (+patella ligament) and as much ofthe muscle as possible are included in a standard protocol with afield of view of 140 mm

◾ If either the tibia growth plate or the patella ligament – tibiaconnection – are not covered in a protocol with a thickness of99 mm, all affected clinical protocols are marked with a specialAutoAlign symbol to indicate a necessary user interaction.

Knee > Standard (Transversal)



This AutoAlign reference provides robust positioning within coronalknee protocols.Application:

◾ Standard coronal scans of the knee jointAlignment:

◾ Same F-H center point as Knee > Standard (Transversal)◾ Centered A-P so that the femur, the tibia, as much of the fibula as

possible and, if applicable, the patella are included in the field ofview of a standard protocol with a thickness of 90 mm

◾ If parts of the femur or the tibia are not covered within the field ofview of a protocol with a thickness of 90 mm, all affected clinicalprotocols are marked with a special AutoAlign symbol to indicate anecessary user interaction.

Knee > Standard (Coronal)



This AutoAlign reference provides robust positioning within sagittalknee protocols.Application:

◾ Standard sagittal scans of the knee jointAlignment:

◾ Same F-H center point as Knee > Standard (Transversal)◾ Centered R-L so that the femur, the tibia, and as much of the fibula

as possible are included in a standard protocol with a thickness of90 mm

◾ Centered A-P so that the patella (+patella ligament) and as much ofthe muscle as possible are included in a standard protocol with afield of view of 140 mm

◾ If parts of the femur or the tibia are not covered within the field ofview of a protocol with a thickness of 90 mm,all affected clinicalprotocols are marked with a special AutoAlign symbol to indicate aneccessary user interaction.

Knee > Standard (Sagittal)



Left image: Application 1; Right image: Application 2

This AutoAlign reference provides a robust and reproducible view ofthe knee meniscus plane for special meniscus examinations andfollow-ups.Application:

◾ sagittal/coronal meniscus imaging with a group of parallel slices.◾ meniscus 2D imaging with a radial slice group.◾ meniscus 3D imaging with an additional radial MPR reconstruction.Alignment:

◾ Parallel to the medial tibia plateau (therefore quite independent ofdifferent tibia-femur angulations in follow-ups).

◾ Fixly centered in the center of the two menisci (no auto-adaptationto cover the whole knee joint as available in Knee > Standard orKnee > Transversal).

Knee > Meniscus



This AutoAlign reference provides robust positioning for straighttransversal patella scans.Application:

◾ Standard patella imaging (not focusing on high reproducibility ofthe patellar cartilage).

◾ Supports a small field of view (without offset) and a large field ofview (with offset towards posterior) because the A-P center point isfixed in the joint space between patella and femur.

Alignment:

◾ Parallel to the meniscus plane (Knee > Meniscus)◾ F-H center shifted so that the patella (with margin) and as much of

the tibia plateau as possible are covered by a standard protocolwith a thickness of 80 mm.

◾ A-P center lies in the joint space between the patella and thefemur.

Knee > Patella routine



This AutoAlign reference provides reproducible views of the patellacartilage for special cartilage examinations and follow-ups.Application:

◾ Special patella cartilage imaging◾ Supports a small field of view (without offset) and a large field of

view (with offset towards posterior) because the A-P center point isfixed in the joint space between the patella and the femur

Alignment:

◾ Perpendicular to the patella disk◾ The center lies in the center of the patella cartilage.

Knee > Patella cartilage

Knee > Femur cartilage



This AutoAlign reference provides reproducible views of the femurcartilage and condyles for special cartilage examinations and follow-ups.Application:

◾ Special femur cartilage imaging◾ Used, for example, for monitoring an arthritic process or the

progress of a knee therapyAlignment:

◾ The center point lies in the intercondylar pit.◾ The orientation is derived from the Blumensaat line.

The AutoAlign reference Knee > Femur Cartilage can serve as abasis for semi-automated positioning of individual slice groups inthe medial or lateral condyle.

This AutoAlign reference provides a robust, sagittal standard view ofthe anterior cruciate ligament (ACL) with a fixed tilt starting from theKnee midsagittal plane (Knee > Meniscus).

Application:

◾ Sagittal imaging of the anterior cruciate ligament. Sagittal slicesare tilted towards Cor.

◾ Based on bony landmarks, therefore independent of the status orexistence of the anterior ligament itself.

Knee > ACL (Sag > Cor)



◾ Used, for example, in the suspected case of a cruciate ligamentrupture or post-surgery scans after a cruciate ligamentreplacement.

◾ Detects laterality and applies the tilt (+/–) accordingly.Alignment:

◾ Tilted Sag > Cor by 15 degrees (+/–), starting from the midsagittalplane that is provided by the AutoAlign reference Knee > Standard(Sagittal).

◾ In the right knee, a positive tilt Sag > Cor is applied.◾ In the left knee, a negative tilt Sag > Cor is applied.

This AutoAlign reference provides a robust, sagittal standard view ofthe anterior cruciate ligament (ACL) with a fixed tilt starting from theKnee midsagittal plane (Knee > Meniscus).

Application:

◾ Sagittal imaging of the anterior cruciate ligament. Sagittal slicesare tilted towards Tra.

◾ Based on bony landmarks, therefore independent of the status orexistence of the anterior ligament itself.

◾ Used, for example, in the suspected case of a cruciate ligamentrupture or post-surgery scans after a cruciate ligamentreplacement.

◾ Detects laterality and applies the tilt (+/–) accordingly.

Knee > ACL (Sag > Tra)



Alignment:

◾ Tilted Sag > Tra by 8 degrees (+/–), starting from the midsagittalplane that is provided by the AutoAlign reference Knee > Standard(Sagittal).

◾ In the right knee, a negative tilt Sag > Tra is applied.◾ In the left knee, a positive tilt Sag > Tra is applied.

This AutoAlign reference provides a robust, sagittal standard view ofthe posterior cruciate ligament (PCL) with a fixed tilt starting from theknee midsagittal plane (Knee > Standard).Application:

◾ Sagittal imaging of the posterior cruciate ligament.◾ Based on bony landmarks, therefore independent of the status or

existence of the posterior ligament itself.◾ Used, for example, in the suspected case of a cruciate ligament

rupture or post-surgery scans after a cruciate ligamentreplacement.

◾ Detects laterality and applies the tilt (+/–) accordingly.

Knee > PCL



Alignment:

◾ Tilted Sag > Tra by 15 degrees (+/–), starting from the midsagittalplane that is provided by the AutoAlign reference Knee > Standard(Sagittal) .

◾ In the right knee, a positive tilt Sag > Tra is applied.◾ In the left knee, a negative tilt Sag > Tra is applied.AutoAlign Shoulder

The AutoAlign Shoulder scout scans a volume in the isocenter andcomputes the AutoAlign Shoulder landmarks.The resulting localizer images in coronal, sagittal, and transversalorientation are auto-loaded into the image segments of the Examtask card.AAShoulder_Scout protocol: The AutoAlign Shoulder scout protocolcan be found in the following protocol tree:\Siemens\shoulder\library\localizerIt is recommended to copy the relevant protocols into your scanprogram.AutoAlign Shoulder References: AutoAlign Shoulder computes thefollowing AutoAlign references of the shoulder:◾ Shoulder > Paratransversal◾ Shoulder > Paracoronal◾ Shoulder > Parasagittal

Introduction



Legend: blue box = slice group, red box = region of interest

Application: Basic alignment for visualizing the following:

◾ Overall shoulder anatomy◾ Acromioclavicular (ac) joint◾ Rotator cuff (all tendons and ligaments around humerus head)◾ Glenoid◾ Humerus head◾ Tip of scapulaAlignment:

◾ Orientation:– Single oblique Tra > Sag rotation– To be aligned with axis defined by glenoid center and ac joint

center (yellow dashed line)◾ Positioning:

– Initially centered by the glenoid center– Shift in head/feet direction to center the organ box– Shift in medial/lateral direction to center the organ box laterally

Shoulder > Paratransversal



Application: Visualizing the following:

◾ Labrum◾ Glenoid cavity/humerus head interface, along with the rotator cuff

musclesAlignment:

◾ Orientation:– Single oblique Cor > Sag rotation– To be aligned with scapula

◾ Positioning:– Initially centered by the center of humerus head (AP) and

glenoid cavity (LR and FH)– Shift in medial/lateral direction to include a maximum gap of

1 cm laterally– Shift in FH direction for positioning cranial edge of the slice

group to maximum 15 mm above organ box

Shoulder > Paracoronal



Application: Basic alignment for visualizing the following:

◾ Labrum◾ Glenoid cavity/humerus head interface, along with the rotator cuff

musclesAlignment:

◾ Orientation– Single oblique Sag > Cor rotation– To be aligned with scapula (as for Paracoronal but 90 degrees

rotated)◾ Positioning

– Initially centered by the center of humerus head– Shift in medial/lateral direction to center the organ box– Shift in FH direction same as in Shoulder > Paracoronal

AutoAlign Hip

The AutoAlign Hip scout scans a volume in the isocenter andcomputes the AutoAlign Hip landmarks.

Shoulder > Parasagittal

Introduction



The resulting localizer images are auto-loaded into the imagesegments of the Exam task card. For bilateral hip scans, MPRs withcoronal and transversal orientation are calculated. For unilateral hipscans, MPRs in sagittal, coronal, and transversal orientation arepresented.AAHip_Scout protocol: The AutoAlign Hip scout protocols can befound in the following protocol tree:\Siemens\Hip\library\localizerIt is recommended that you copy the relevant protocols into yourscan program.AutoAlign Hip References: AutoAlign Hip computes the followingAutoAlign references of the hip:◾ Hip (Both) Transversal◾ Hip (Both) Paracoronal◾ Hip (Single) Paratransversal◾ Hip (Single) Transversal◾ Hip (Single) Paracoronal◾ Hip (Single) Parasagittal◾ Hip (Single) Femur Axis

Legend: blue box = slice group, red box = region of interest

Standard transversal imaging of both hips

Hip > (Both) Transversal



Application: Visualizes the following:

◾ Femur head◾ Acetabulum◾ Trochanter minor and majorAlignment:

◾ Orientation:– Inplane rotation– To be aligned with axis connecting the centers of two femur

heads (Pure transversal orientation)◾ Positioning

– Centered by the medial points between centers of two femurheads

Standard coronal imaging of both hips.Application: Visualizes the following:

◾ Femur head◾ Acetabulum◾ Trochanter major

Hip > (Both) Paracoronal



Alignment:

◾ Orientation:– Single oblique Cor > Sag rotation– To be aligned with axis connecting two centers of femur heads

◾ Positioning:– FH centered by the medial points between tops of two femur

heads.– LR, AP centered by the medial points between tops of two femur

heads

Standard paratransversal imaging of a single hip.Application: Visualizes the following:

◾ Femur head◾ Acetabulum◾ Trochanter major and minorAlignment:

◾ Orientation:– Single oblique Tra > Sag rotation– To be aligned with femoral neck

◾ Positioning:– Organ box centered

Hip > (Single) Paratransversal



Standard transversal imaging of a single hip.Application: Visualizes the following:

◾ Femur head◾ Acetabulum◾ Trochanter major and minorAlignment

◾ Orientation:– No rotation. Pure transversal

◾ Positioning:– Initially centered by the femoral head center– Organ box center

Standard paracoronal imaging of a single hip.

Hip > (Single) Transversal

Hip > (Single) Paracoronal



Application: Visualizes the following:

◾ Femur head◾ Acetabulum◾ Trochanter major and minorAlignment:

◾ Orientation:– No rotation– Single oblique Cor > Sag rotation– To be aligned with femoral neck

◾ Positioning:– To optimally cover femoral head, acetabulum, trochanter major

and minor

Standard parasagittal imaging of a single hip.Application: Visualizes the following:

◾ Femur head◾ Acetabulum◾ Trochanter major and minor

Hip > (Single) Parasagittal



Alignment:

◾ Orientation:– Single oblique Cor > Sag rotation– To be aligned with femoral neck (as for Paracoronal but 90

degrees rotated).◾ Positioning:

– To optimally cover femoral head, acetabulum, trochanter majorand minor

Rotating slice group for visualizing anatomies in a single hip withrespect to the femoral neck axisApplication: For example:

◾ Femoral head◾ Femoral neck◾ AcetabulumAlignment:

◾ Rotation axis:Femoral neck axis.

◾ Positioning:Center of femoral head.

◾ First slice:Parallel to femoral shaft.

Hip > (Single) Femur Axis



◾ Other slices:Are generated by rotation clockwise with respect to the femoralneck axis.

AutoAlign Spine LS

AutoAlign Spine LS is part of the Spine Dot Engine.For further information on using the Spine Dot Engine refer to:Operator Manual Neuro.

Caution

AutoAlign Spine may result in wrong mapping of anatomicaldata (for example, mismatch of vertebras) due to differentdistortions!Incorrect diagnosis or wrong therapy planning◆ If you use AutoAlign Spine, always check the anatomy and

be aware of possible wrong mapping.

The AutoAlign Spine scout scans a volume in the isocenter andcomputes the AutoAlign Spine LS landmarks.The field of view (FoV) of the scout is large enough to cover the L-spine or the C-spine. To scan the entire spine of an average sizedadult, three scouts are necessary.AutoAlign Spine supports:

◾ Detection and identification of the vertebra bodies and disks◾ Prescription of sagittal, coronal, and double-oblique axial slices in

the spine◾ Prescription of an anterior regular saturation region◾ Labeling of axial slices with the vertebrae and vertebra disk labelsThe resulting MPR localizer images are loaded into the imagesegments of the Exam task card.

Introduction



AutoAlign scout (AASpine_Scout):

◾ Stationary Spine scout (C-Spine, L-Spine):The scout scans the local spine on the current table positionstarting at the light marker position.

◾ Whole-Spine Scout (e.g. C-T-Spine, T-L-Spine, Whole-Spine):The scout scans the whole spine at 2 to 3 table positions starting atthe light marker position.

AASpine_Scout protocols can be found in the c-/t-/l-spine protocollibraries of the SIEMENS protocol tree.Scan duration: The average scan duration of an AutoAlign Spine LSscout is about 20 seconds measurement time plus 10 secondsAutoAlign computing and reconstruction time per table position.Thickness of the AA scout volume:The number of slices of the scout can be increased. This may besuitable for patients with strong kyphosis.For this purpose, the Slices per slab and TR parameters can beadapted.Clinical protocols:A clinical protocol can reference one of the following AutoAlignReference values:

◾ Spine > Cervical◾ Spine > Thoracic◾ Spine > LumbarAutoAlign suggests the positioning of the slices/slabs and saturationregions of the protocol in the center of the corresponding part of thespine.Offset of the saturation region: The offset of the saturation regioncan be defined by the user within the extended configuration of thelinked Spine Positioning AddIn.



AutoAlign Spine LS derives the spine geometry from multiplelandmarks:

(1) Anterior spine geometry line(spline through all A-points.)

(2) Posterior spine geometry line(spline through all P-points.)

(3) Spinous process geometry line(spline through all P'-points.)

(4), (5) Left and right spine geometry line(spline through all R- or L-points.)

(6) Vertebra body

AutoAlign landmarks



(7) Disk cartridgeA disk cartridge is computed as the mid-plane between the lowerplate of the upper vertebra body and the upper plate of the lowervertebra body.

Minimal Bounding Box: So called MBBs are used to helpdetermining the final positioning of the protocol geometry like, forexample, the slices. The minimal bounding box embraces allvertebras and vertebral disks within the spine part of interest.The left and right borders of the MBB (linear fitting slice box in thefollowing image) are parallel to a linear fitting line which connectsthe given landmarks.

(1) Linear fitting line

(2) Linear fitting slice box



Axial slices: Axial slices are positioned in the disk cartridge plane.The tilt is double-oblique. It is derived from the averaged lower andupper plate of the adjacent vertebrae.The slice group center lies on the posterior spine geometry line. Theaxial slices are not in-plane rotated.A saturation region is positioned tangential to the anterior spinegeometry line with a user-configurable gap. The end user can adaptthe positioning of the saturation region to avoid artefacts.Axial slabs:Axial slabs (slice groups of 9 or more slices) are positionedperpendicular to the posterior spine geometry line.The slice group center lies on the posterior spine geometry line. Thetilt is double-oblique. The axial slices are not inplane rotated.A saturation region is positioned tangential to the anterior spinegeometry line with a user-configurable gap. The end user can adaptthe positioning of the saturation region to avoid artefacts.Sagittal protocols:

The position and orientation of sagittal protocols is derived from theleft and right spine geometry line in the focused spine part (here C2/C7 .. T1). The tilt is single-oblique.

AutoAlign Spine Scenarios



In combination with the Spine Dot engine, the necessary number ofslices is suggested.The slice group center lies on the posterior spine geometry line. Thesagittal slices are not in-plane rotated.A saturation region is positioned tangential to the anterior spinegeometry line with a user-configurable gap. The end user can adaptthe positioning of the saturation region to avoid artefacts.Coronal Slabs:

The position and orientation of coronal protocols is derived from theanterior and posterior spine geometry line in the focused spine part.In combination with the Spine Dot engine, the necessary number ofslices is suggested.The center lies on the posterior spine geometry line and in thecommon center of the left and right spine geometry line.The tilt is single-oblique. The slices have no in-plane rotation.AutoAlign Spine InteractiveAutoAlign Spine automatically positions and orients transverse slicegroups to intervertebral disk layers. The correction for the scoliosisangle is taken into account for the entire spine.To use AutoAlign Spine during interactive slice positioning in allclinical protocols, the AutoAlign parameter Spine > Interactive mustbe selected.



For open clinical protocols, the interactive Autolign Spine assistantcan also be switched on and off via the main menu entry Tools >AutoAlign Spine.If the user drags a slice group in AutoAlign Spine mode, a cross-hairsymbol appears at the mouse cursor position while dragging. If themouse button is released in a vertebra disk, the dragged slice isaligned (double-oblique).If the protocol contains a sat region, its position and angulation(coronal) are also adapted.

Prerequisites: AutoAlign Spine uses a search algorithm based on aparallel stack of high-quality, T2-weighted sagittal images. Theseimages must be loaded into the graphic segments of the Exam taskcard first.Algorithm: The algorithm is based on a 3D segmentation of thevertebrae in the given stack of T2-weighted images. The final slicegroup position is determined from the mouse-button release position:If the slice group has fewer than 9 slices, it is positioned on thegeometric midplane between the neighboring vertebral plates.Otherwise the slice group is positioned perpendicular to the spinalcord. The status line displays a message if the alignment was notfound.



TasksCreating and editing an AutoAlign program

This procedure is not applicable with the following AutoAlignprograms:

◾ AutoAlign Spine Interactive◾ AutoAlign Spine LS

1 Register a volunteer.

2 Start the AutoAlign scout.

Only use predefined AutoAlign scouts from the Siemens localizerlibraries, e.g.◾ \\SIEMENS\head\library\localizer\AAHead_Scout◾ \\SIEMENS\knee\library\localizer\AAKnee_ScoutThe user can combine AutoAlign with scan@center. Thereforethe parameters Positioning mode and Distortion correction canbe edited and adapted accordingly.

3 Wait until the AutoAlign scout is done.

1 Open your clinical protocol.

2 Reset the AutoAlign reference to none (---).

3 Predefine the main orientation (Sagittal, Coronal, Transversal) andreset the position to Isocenter.

4 Set the required AutoAlign matrix in the field AutoAlign of theRoutine or Geometry - AutoAlign parameter card.

You can edit the AutoAlign region and reference by clicking the[…] button.

5 Position the slices as required.

3.2.2

1st: Run AutoAlign Scout

2nd: Adapting the protocols



6 If required, define initial positioning offsets in the Geometry -AutoAlign parameter card or drag the slices in the GSP afterapplying the AutoAlign matrix.

When planning the slices, make sure that the effective thicknessof your slice group/slab is large enough to cover the typicalanatomical variances within your patients.

During slice positioning you might have changed aspects of theorientation or slice position accidentally. For example, the field ofview has become off-center in the left-right direction.For the definition of a good standard, we recommend rounding theoffset values in the Position and Orientation parameters and toremove undesired asymmetries as follows:1 Open the Geometry - AutoAlign parameter card.

2 Reset the AutoAlign reference to none (---).The volunteer-specific alignment is removed. The protocolparameters Position and Orientation show the offset values.

3 Simplify the values of the Position parameter, e.g. L2.3 H34.8 P9.3-> L0 H35 P9.

4 Simplify the values of the Orientation parameter, e.g. Tra > Cor11.2 > Sag -1.4 -> Tra > Cor 11.

5 Make sure that there is no remaining inplane rotation.

6 Re-apply the correct AutoAlign reference and check the adaptedoffsets visually on the volunteer images.

7 Apply the protocol to the queue and run a control scan.

1 Save the protocols as a new program with Save as ... from thecontext menu of the wait queue.

2 Enter the path (region, exam) and the program name in the Saveas dialog window displayed (refer to Operator Manual – DotCockpit).

1 Set Copy references between the protocols where necessary (referto Operator Manual – Dot Cockpit).

3rd: Deleting inaccuracies

4th: Saving the queue as a newprogram

5th: Optimizing the workflowparameters



2 Set the execution settings of the protocol as required (workingman, Auto load, Inline Position Display, and so on, refer toOperator Manual – Dot Cockpit).

Even with the use of the correct AutoAlign reference and withwell-defined Position and Orientation offsets, some clinicalprotocols might need user interaction before scanning, e.g. theuser needs to decide on additional slices for a good coverage orto adapt a sat band in addition to the well-aligned slice group.◾ Protocols that might need a user interaction should be set up

with a working-man icon.◾ Protocols that are well-aligned and need no user interaction

can be set up without a working-man icon. These protocolsshould run first. In the meantime, the user prepares/adapts thesemi-automated protocols.

◆ Test the new Auto Align program with different volunteers tooptimize the program or the initial values for position andorientation (if necessary).

Simultaneously changing AutoAlign parameters of multipleprotocolsIn the Dot Cockpit it is possible to change the AutoAlign parameter ofmultiple selected protocols in one run (refer to Operator Manual - DotCockpit).Prior to editing the step properties, you have to select the requestedprotocols with a search dialog.1 Open the Dot Cockpit with the icon in the tool bar of the Exam

task card.

2 Select Find in the context menu of a structure element (region,exam, or program).

3 In the Find and Set Parameters dialog window, enter the Namesearched for and set “Measurement Step” in the Type selection list.

4 Multi-select the protocols in the search result list and click the Editselected button.

5 Change the AutoAlign paramters as required in the ProtocolParameters card.

6th: Testing the program



Importing an AutoAlign program from another system orsoftware versionAn AutoAlign program which is based on an older software versionmust usually be adjusted before its first use.

If the imported scan program previously used the atlas-basedAutoAlign (AAScout) Head principle, adapt the scan program asfollows:1 Insert the landmark-based AutoAlign scout AAHead_Scout where

previously an atlas-based AAScout was used.

2 Remove any additional standard localizers.

These localizers are no longer needed as several MPR localizerimages are generated from the landmark-based AutoAlign scout.

3 To get a positioning as similar to the old AutoAlign principle aspossible, set the AutoAlign reference parameter to Head > Brainin all clinical AutoAlign protocols.

– or –

Use the new, more specialized AutoAlign references like Head >Basis, Head > IAC, Head > Orbits or Head > Temporal lobe wherepossible.

4 Since these AutoAlign references might require other Position andOrientation offsets, start with a zero offset.

A scan program that is based on the software version syngo MR Bxx(e.g. B17, B19, B20) might already be set up with a landmark-basedAutoAlign scout. In this case, the user can execute the scan programwithout adaptions.However, the imported scan program can still be optimized.1 Use the extended AutoAlign functionality.

2 Adapt and test the protocols. ( Page 99 Creating and editing anAutoAlign program)

From Atlas-based to Landmark-based AutoAlign Head

From syngo MR Bxx to syngoMR D11 or higher



AutoAlign Head: In syngo MR B17, only the AutoAlignreferences Head > Basis and Head > Brain were available. Scanprotocols, e.g. for the inner ear, were set up with an offset basedon the given AutoAlign reference. It is recommended to adaptsuch protocols to take full advantage of the new AutoAlignreferences like Head > Inner ear, Head > Orbits, Head > Opticnerves and Head > Temporal lobe. ( Page 99 Creating andediting an AutoAlign program)

AutoAlign Knee: In syngo MR B17, only the AutoAlign referenceKnee > Basis was available. In all imported protocols which usedthis reference, the new AutoAlign reference Knee > Standard isapplied. It is recommended to remove any previous Position andOrientation offsets and to employ the new AutoAlign referenceslike Knee > Meniscus, Knee > Patella routine, Knee > Patellacartilage, and Knee > PCL. ( Page 99 Creating and editing anAutoAlign program)

Managing files (File Browser)

General informationThe File Browser provides access and manages a clearly definedportion of the NUMARIS/4 file system.The File Browser enables:◾ Copying or moving files (DICOM image data) i.e. to the CD folder

for export◾ Access to generated reports and AVI files◾ Access to files downloaded via NUMARIS life

If Security (HIPAA) is activated, you need export authorization forthe File Browser. Detailed information regarding all securitysettings in syngo is included in the syngo Security Packagebrochure.

3.3

3.3.1



TasksWorking with the File Browser

✓ File Browser is opened

◆ Double-click the desired file or folder.

1 Select a file or folder.

2 Select the export destination under File > Send to.

The file or folder is copied to the export target.

1 Select files or folders.

2 Select the desired function from the File or Edit menu.

3 When creating or renaming a file or folder, enter a new name.

Preinstalled folders and files cannot be deleted, moved, orrenamed.

UI explanationFile BrowserSelection of the File Browser: Options > File Browser

3.3.2

Opening files and folders

Exporting files and folders

Managing files and folders

3.3.3



(1)Menu bar(2)View of the directory(3)Directory view with subdirectories and files(4)Status bar with display of free disk space



Managing voice outputs

General informationYou can record or edit patient instructions to optimize thecommunication with the patient.

To ensure the quality of your recording, we recommend startingrecording in a normal voice at 30 cm from the intercom. Thevolume slider in the exam room does not affect the recordingvolume. ( Page 110 Exam UI Configuration – Voice Output)

TasksRecording and editing voice outputs

✓ No patient is registered

◆ Select Queue > Voice Output Administration.

The Voice Output Configuration dialog window opens.

1 Select the language for the new instructions in the Voice OutputConfiguration dialog window.

2 Click the + button.

The Create new voice command dialog window opens.

3 Enter a label for the new voice output and click OK.

The new label is inserted in the “User” list of voice commands inalphabetical order. It is available in all languages.

3.4

3.4.1

3.4.2

Establishing labels



The label cannot contain more than 31 characters and has tostart with a letter. The following characters cannot be used: ?, ",*, |, :, \, /, >, <.

1 To start recording, click this button in the Voice OutputConfiguration dialog window.

2 Record your new instructions via the microphone of the intercom.

The duration of the recording is displayed (max. 30 s).

3 Adapt the volume with the Record Volume slider, if necessary.

4 End recording with this button in the Voice Output Configurationdialog window.

1 Check the voice output with this button.

Identical to examinations, the voice outputs are played back via theloudspeaker or the headphones.

2 Adapt the default playback volume with the Playback Volumeslider, if necessary.

Changing voice outputs1 On the Instructions selection list of the Voice Output

Configuration dialog window, select the instruction you want tochange. ( Page 108 Voice Output Configuration)


The Replace existing voice output dialog window is displayed.

3 Click Yes.

You can now record the patient instructions.( Page 107 Recording new voice outputs)

Deleting user-defined voice outputsYou can delete voice outputs that are no longer required.

Recording new voice outputs

Testing voice output



If you delete a voice output needed for the automatic instructionof program steps, you must give the patient instructions via theintercom while processing the respective program steps.

Default voice output may not be deleted.

The changes you make in the Voice Output Configurationdialog window are implemented immediately. It is not possible toundo them.

1 On the Instructions selection list of the Voice OutputConfiguration dialog window, select the instructions you want todelete. ( Page 108 Voice Output Configuration)

2 Click the - button.

The Delete voice output dialog window opens.

The button is active only when you locate a voice output for therespective instruction.

3 Click Yes.

The voice output is deleted from all languages and the label isremoved from the instruction list.

UI explanationVoice Output ConfigurationThe Instructions selection list of the Voice Output Configurationdialog window uses a loudspeaker symbol to identify files that areavailable on your MR system. You can now record additionalcommands.Queue > Voice Output Administration

3.4.3



(1) Sets the preferred patient language(2) Sets the language of the listed patient instructions(3) Selects the patient instruction

If an instruction is not available in the selected language, thespeaker symbol and the duration time are not displayed.

(4) Starts playback, stops playback/recording and starts recordingthe selected instruction

(5) Adds/removes patient instructions(6) Sets the default playback volume(7) Sets the volume while patient instructions are recorded

The default language for patient instructions does not have to bethe same as the language of the user interface.



Exam UI Configuration – Voice OutputNUMARIS/4 – Configuration Panel > Patient Comfort > VoiceOutput

(1)Sets the preferred patient language

The default language for patient instructions does not have to bethe same as the language of the user interface.Select languages only if your MR system contains at least onepatient instruction in this language.

(2)The Playback Volume slider increases/decreases the volume of thevoice output in the examination room.(3)The Test selection list determines the voice output for testing.(4)The Record Volume slider increases/decreases the volume of thevoice outputs.



Patient Comfort Configuration – Sound VolumeNUMARIS/4 – Configuration Panel > Patient ComfortThe dialog is available and the individual sliders are operable only ifthe hardware interface allows configuring the respective volumesettings via software. This depends on the hardware present and, ifapplicable, on the upgrade option installed.

(1)Regulates the volume of the ECG sound(2)Regulates the volume between patient and operator(3)Regulates the volume between operator and patient



(4)Adjusts the balance between the inroom loudspeaker and theheadphone of the patient(5)Regulates the volume of the music (inroom loudspeaker)(6)Regulates the volume of the music (headphone)

Configuring reports

General informationFor a report, you use defaults on two subtask cards for generatingreports via the configuration dialog window:◾ General settings (language/user logo)◾ Code catalogs (diagnostic code catalog for Argus or Mean Curve

reports)Diagnostic codesDiagnostic code: Diagnostic codes are used in the Conclusion part ofthe report.The complete code consists of the code value (N11.1) followed by acolon and a short description of the code (chronic obstructivepyelonephritis).Input example:N11.1:chronic obstructive pyelonephritisDisplay format: The display format specifies how the diagnosticcodes are displayed in the report. It is defined in the lookup table(refer to Example).Input example:DisplayFormat = 2

3.5

3.5.1



Display format Identifier

Code value and code description e.g.N11.1:Chronic obstructive pyelonephritis

0

Code value only e.g.N11.1

1

Code description only e.g.Chronic obstructive pyelonephritis

2

Example: Entering a diagnostic code and a display identifier in thelookup table:Lines preceded by a “#” are comment lines. In all other lines, you candefine the required codes – one code per line.

To activate the settings, save the changes in the text editor (not to beconfused with the Report – Configuration dialog window).

TasksConfiguring reports

✓ Patient Browser is open

◆ Select Applications > Report Tools > Report Configuration.

3.5.2



The Report Configuration dialog window opens.

◆ Select the language from the Report Language selection list onthe General Settings tab card.

The logo is used for all saved reports.

✓ Logo is stored as Logo.gif on CD

1 Insert this data medium into the appropriate drive on your station.

2 Install the logo with the Install Logo from … button on theGeneral Settings tab card.

The logo is read in and you receive a message about successfulinstallation.

A code catalog may contain different diagnostic codes. This enablesyou to select diagnostic codes in the report quickly.1 Select the code catalog you want to edit.

2 Click Edit Codes.

The text editor for the codes of the active catalog opens. You candefine the codes you require.

3 Open File > Save in the text editor.

The inputs are saved and you can close the text editor.

Adjusting the system manually

General informationManual adjustmentManual adjustments of the MR system prior to the applicationmeasurement are intended primarily for test purposes, for erroranalysis, or for special applications such as Spectroscopy. Throughmanual shimming, experienced users can compensate for magneticfield inhomogeneities.

Setting the language

Setting the logo of yourinstitution

Changing or creating a newdiagnostic code

3.6

3.6.1



Manual adjustment of the system should only be performed byexperienced users and should not be performed during routineoperation.

TasksDetermining the resonance frequencyWith this optimizing process, you determine the exact protonresonance frequency. For this purpose, you enter various parametersand accept the frequency calculated for the MR system following theadjustment.

As the frequency adjustment depends on the shim settings, themeasurement should be performed after shimming if a shimmode other than Tune-up has been selected for the protocol inthe System - Adjustments parameter card.

✓ No other protocols are planned or running before this protocol.

1 Open the protocol in the program control.

The parameters of the protocol are shown.

2 Select Options > Adjustments.

The Manual adjustments dialog window opens.

3 Open the Frequency parameter card.

4 Define the parameters to optimize the frequency.( Page 119 Manual adjustments – Frequency)

5 Start the measurement with Go.

The numeric results are listed beside the running numbers.

The results are displayed graphically in both the time and thefrequency domain.

3.6.2



Calibrating the transmitterThe transmitter calibration process refers to a range at the isocenter.The reference amplitude is continuously varied until the spins arerotated by 180° (flip angle) by the RF pulse. Two echoes aregenerated, one normal echo and one stimulated echo. Themagnitude and the phase relation of both echoes are directly relatedto the flip angle.



The parameters of the protocol are shown.



3 Open the Transmitter parameter card.

4 Define the parameters to calibrate the transmitter.( Page 123 Manual adjustments – Transmitter)


The numeric results are listed below the running numbers.


Performing 3D shimWith the 3D shim you can correct inhomogeneities of the magneticfield.





3 Open the 3D Shim parameter card.

4 Select a field map sequence and resolution. ( Page 127 Manualadjustments – 3D shim)

5 Create a three-dimensional field map with Measure.

The magnitude and phase values are graphically displayed.



Depending on the sequence and resolution, the measurementcan take more than 10 s.

6 Calculate the new shim parameters with Calculate.


The results are stored as temporary values and are used as thebasis for the next field map measurement.

7 To accept the temporary parameters for the MR system, click Applyin the lower part of the 3D-Shim parameter card.

After changing the shim setting, readjust the frequency. Ifskipped, the system adjusts the frequency automatically.

Performing interactive shimDuring interactive shim, inhomogeneities of the magnetic field arecompensated for. You can enter the shim parameters and monitorthe measurement of the MR signal in real time.Changes of the parameters are reflected in the results of thefollowing MR signal measurement. You can continue shimming themagnetic field until it meets your requirements.





3 Open the Interactive Shim parameter card.

4 Define the parameters for the interactive shim.( Page 130 Manual adjustments – Interactive shim)

5 Start the measurement with Measure.





The measurement is performed continuously with the currentparameters (endless loop measurement). The parameters can bechanged while the measurement is in progress.

6 Stop the measurement with Stop.

7 To accept the temporary parameters for the MR system, click Applyin the lower part of the Interactive-Shim parameter card.

After changing the shim setting, readjust the frequency. Ifskipped, the system adjusts the frequency automatically.

Optimizing water suppressionThere are special RF pulses used for water suppression duringmeasurements. With this adjustment, you determine a correctionfactor for the transmitter amplitude of these RF pulses. Within theadjustment volume, the flip angles are set for optimal suppression ofthe water signal.





3 Open the Water suppression parameter card.

4 Define the parameters for the water suppression.( Page 134 Manual adjustments – Water suppression)


Depending on the system configuration, the measurement cantake more than 10 s.




Checking the resonance frequency after inline adjustmentInline frequency adjustment is performed automatically before eachmeasurement. The user has no influence on this adjustment.However, the user can configure the system to stop and open adialog window after each inline frequency adjustment. In theConfirm Frequency Adjustment dialog window, the user canconfirm or change the resonance frequency calculated by theadjustment.1 Open the requested protocol in the program control area.

2 Select the System – Adjustments parameter card.

3 Activate the Confirm frequency adjustment checkbox.

After the final inline frequency adjustment, the ConfirmFrequency Adjustment dialog window opens.( Page 140 Confirm Frequency Adjustment)

4 Enter the new resonance frequency in the Frequency (temp) field.

5 Accept the new resonance frequency for the MR system withApply.

6 Start the measurement with Continue.

UI explanationManual adjustments – FrequencyOptions > Adjustments

3.6.3



(1)Lists numeric results of the adjustment.

Column Description

No Running number of the adjustment measurement

Amplitude [V] Transmitter amplitude of the adjustment measurement

Frequency (old) [Hz] Old resonance frequency

Delta [Hz] Difference between the old resonance frequency and the new cal-culated frequency



Column Description

Frequency (new) [Hz] New calculated resonance frequency

Converged New resonance frequency was successfully calculated and(!) is suit-able for the application measurement.

(2)Defines the coil element and receiver channel (ADC) for the graphicdisplays.

The Combined entry is used to select the combined signal of allmeasurement signals. This signal is actually evaluated during theadjustment.

(3)Displays the real part of the selected measurement signal in the timedomain.Displays the maximum magnitude of all measurement signals (MAX)and the selected measurement signal (Max) in the time domainnumerically.If a new resonance frequency was successfully calculated, it ishighlighted by a marker at the top of the display.(4)Displays the imaginary part of the selected measurement signal in thetime domain.(5)Displays the amplitude of the selected measurement signal in thefrequency domain.Displays the maximum magnitude of all measurement signals (MAX)and the selected measurement signal (Max) in the frequency domainnumerically.(6)Displays the phase of the selected measurement signal in thefrequency domain.



You can invert the direction of the frequency axes or zoom intodetails of the frequency domain via the context menu of thedisplay.

It is possible to graphically select a frequency. For this purpose, avertical cursor is shown when the mouse pointer is positionedinside the display of the frequency domain.A tooltip indicates the difference between the cursor position andthe marked frequency.

(7)Applies the current temporary resonance frequency as the systemfrequency.

A manually applied system frequency is highlighted by a redvertical line in the display of the frequency domain.

(8)Starts the adjustment measurement.(9)Displays the system resonance frequency used for the applicationmeasurement.(10)Defines the temporary resonance frequency used for the adjustmentmeasurement.

If a new resonance frequency was calculated successfully, it isautomatically stored as the temporary frequency.If the new resonance frequency is also suitable for the applicationmeasurement and(!) the final shim has been determined, it isautomatically stored as the system frequency.

(11)Defines the transmitter amplitude for the adjustment.



(12)Defines the sequence and resolution.The selection list contains the following options:◾ Narrowband volume-selective (STEAM 10 Hz)◾ Narrowband not volume-selective (FID 10 Hz)◾ Broadband not volume-selective (FID 400 Hz)

If the resonance frequency lies outside the narrowband range (noresonance line in the spectrum), it is recommended to search abroad frequency band first. To adjust the frequency in detail, youmust work with a narrowband sequence afterwards.

For safety reasons, the system frequency must be determined bya volume-selective adjustment sequence if it is not appliedmanually.

(13)Defines the receiver gain during the acquisition of the measurementsignal.◾ Low

Reduces the amplitude of the measurement signal.◾ High

Increases the amplitude of the measurement signal.

If necessary, the system adjusts this setting automatically.

(14)Defines if the adjustment uses the same physiological triggering asthe application measurement.Manual adjustments – TransmitterOptions > Adjustments




Column Description


ADC Receiver channel of subresults

Ampl (old) [V] Old transmitter reference amplitude

Int1 Integral of the first echo in the frequency domain

Pha1 Phase of the first echo in the frequency domain



Column Description

Int2 Integral of the second echo in the frequency domain

Pha2 Phase of the second echo in the frequency domain

Int2|Int1 Projection of the second on the first integral

Angle [deg] Calculated flip angle

Ampl (new) [V] New calculated transmitter reference amplitude

Converged New transmitter amplitude was successfully calculated and(!) issuitable for the application measurement.

(2)Defines the coil element and receiver channel (ADC) for the graphicdisplays.(3)Displays the real part of the selected measurement signal in the timedomain.Displays the maximum magnitude of all measurement signals (MAX)and the selected measurement signal (Max) in the time domainnumerically.(4)Displays the imaginary part of the selected measurement signal in thetime domain.(5)Displays the amplitude of the selected measurement signal in thefrequency domain.Displays the maximum magnitude of all measurement signals (MAX)and the selected measurement signal (Max) in the frequency domainnumerically.(6)Displays the phase of the selected measurement signal in thefrequency domain.



You can invert the direction of the frequency axes or zoom intodetails of the frequency domain via the context menu of thedisplay.

(7)Applies the current temporary reference amplitude as the systemreference amplitude.(8)Starts the adjustment measurement.(9)Displays the system reference amplitude used for the applicationmeasurement.(10)Defines the temporary reference amplitude used for the adjustmentmeasurement.

If a new reference amplitude was calculated successfully, it isautomatically stored as a temporary reference amplitude.If the new reference amplitude is also suitable for the applicationmeasurement, it is automatically stored as the system referenceamplitude.

(11)Displays the transmitter amplitude (specific parameter of thetransmitter coil) used for the first inline adjustment iteration.(12)Defines sequence and resolution.The selection list contains the following options:◾ Double echo (DblEcho)◾ Double Echo with enhanced 1D resolution (DblEcho1D)(13)Defines the receiver gain during the acquisition of the measurementsignal.



◾ LowReduces the amplitude of the measurement signal.

◾ HighIncreases the amplitude of the measurement signal.


Manual adjustments – 3D shimOptions > Adjustments




Column Description

No Running number of the adjustment measurement or calculation

A11, B11 A10 [μT/m] First order (linear) gradients from adjustment calculation

A20, A21, B21, A22, B22

[μT/m2]

Second order shim currents from adjustment calculation

Converged New field map was successfully measured or new shim parameterswere successfully calculated.



(3)Displays the magnitude and phase information of the selectedmeasurement signal composed in a 2D image.

The brightness and contrast of the magnitude and phase imagescan be modified interactively. Keep the middle mouse buttonpressed in the display and use horizontal movements to changethe brightness and vertical movements to change the contrast. Adouble-click with the middle mouse button restores the defaultsettings.

(4)Displays the system field map used for the application measurement.(5)Displays the temporary field map used for the adjustment calculation.



(6)Applies the current temporary field map as system field map.

If a new field map was measured successfully, it is automaticallystored as a temporary field map.

(7)Starts the adjustment measurement.(8)Defines the transmitter amplitude for the adjustment measurement.(9)Defines the sequence and resolution.The selection list contains the following options:◾ Double Echo Steady State Standard (DESS Std)◾ Double Echo Steady State Advanced (DESS Adv)◾ Gradient Echo Standard (GRE Std)(10)Defines the receiver gain during the acquisition of the measurementsignal.◾ Low




(11)Applies the current temporary shim parameters as system shimparameters.



(12)Calculates new temporary shim parameters from the currenttemporary field map.(13)Loads the shim parameters determined by the system tune-up astemporary shim parameters.(14)Loads the system shim parameters as temporary shim parameters.(15)Defines the temporary shim parameters used for the adjustmentmeasurement.◾ A00

Transmitter frequency.◾ A11, B11, and A10

First order (linear) gradients.◾ A20, A21, B21, A22, and B22

Second order shim currents.

If new shim parameters were calculated successfully, they areautomatically stored as temporary shim parameters.

(16)Defines the system shim parameters used for the applicationmeasurement.Manual adjustments – Interactive shimOptions > Adjustments




Column Description

No Running number of the adjustment iteration


Int |P| Integral of the amplitude of the combined signal in the timedomain

T2* [ms] Transverse relaxation time (approximation)



Column Description

FWHM [Hz] Width of the frequency peak at half of its maximum amplitude (FullWidth Half Maximum)

Tendency Indicates whether the shim parameter changes result in shimimprovement (+) or degradation (–) or whether the status remainsthe same (o).

Best Shim The bottom line represents the best shim parameters, yielding thelongest T2* time.



(3)Displays the amplitude of the selected measurement signal in thetime domain.Displays the maximum magnitude of all measurement signals (MAX)and the selected measurement signal (Max) in the time domainnumerically.(4)Displays the real part of the selected measurement signal in the timedomain.(5)Displays the amplitude of the selected measurement signal in thefrequency domain.Displays the maximum magnitude of all measurement signals (MAX)and the selected measurement signal (Max) in the frequency domainnumerically.



(6)Displays the phase of the selected measurement signal in thefrequency domain.(7)Defines the transmitter amplitude for the adjustment.(8)Defines the receiver gain during the acquisition of the measurementsignal.◾ Low




(9)Defines if the adjustment uses the same physiological triggering asthe application measurement.(10)Starts the adjustment measurement.(11)Defines the size of increments to the shim parameters.(12)Applies the current temporary shim parameters as system shimparameters.(13)Loads the shim parameters determined by the system tune-up astemporary shim parameters.(14)Loads the system shim parameters as temporary shim parameters.



(15)Loads the current best shim parameters as temporary shimparameters.(16)Resets the current best shim parameters.(17)Defines the temporary shim parameters used for the adjustmentmeasurement.◾ A00

Transmitter frequency.◾ A11, B11, and A10

First order (linear) gradients.◾ A20, A21, B21, A22, and B22

Second order shim currents.

If new shim parameters were calculated successfully, they areautomatically stored as temporary shim parameters.

(18)Defines the system shim parameters used for the applicationmeasurement.

Changes of the shim parameters and their increments arepossible while the measurement is in progress.

Manual adjustments – Water suppressionOptions > Adjustments




Column Description



Factor (old) Old correction factor

Signal – Δ Signal strength of repetition using best correction factor minus oneincrement



Column Description

Signal ± 0 Signal strength of repetition using best correction factor

Signal + Δ Signal strength of repetition using best correction factor plus oneincrement

Factor (new) New calculated correction factor

Converged New correction factor was successfully calculated and(!) is suitablefor the application measurement

(2)Defines the coil element and receiver channel (ADC) for the graphicdisplays.(3)Defines the repetition for the graphics display.(4)Displays the amplitude of the selected measurement signal andrepetition in the time domain.Displays the maximum magnitude of all measurement signals (MAX)and the selected measurement signal (Max) in the time domainnumerically.(5)Displays the phase of the selected measurement signal and repetitionin the time domain.(6)Displays the amplitude of the selected measurement signal andrepetition in the frequency domain.Displays the maximum magnitude of all measurement signals (MAX)and the selected measurement signal (Max) in the frequency domainnumerically.(7)Displays the phase of the selected measurement signal and repetitionin the frequency domain.



(8)Defines the temporary correction factor used for the adjustmentmeasurement.(9)Displays the system correction factor used for the applicationmeasurement.

If a new correction factor was calculated successfully, it isautomatically stored as a temporary correction factor.If the new correction factor is also suitable for the applicationmeasurement, it is automatically stored as the system correctionfactor.

(10)Applies the current temporary correction factor as the systemcorrection factor.(11)Starts the adjustment measurement.

The adjustment measurement is only possible after a transmitterreference amplitude has been determined.

(12)Displays the system reference amplitude used for the applicationmeasurement.(13)Defines the receiver gain during the acquisition of the measurementsignal.◾ Low






(14)Defines the increment for the correction factor during the repetitionsof the adjustment measurement.

By modifying the increment, you can change the resolution ofthe adjustment.

Manual adjustments – ShowOptions > Adjustments



This information is primarily intended for diagnostic purposes. Itis always displayed in English.

(1)Displays all adjustment results for the selected application protocol.(2)Selects the displayed depth of information.(3)Starts all inline adjustments for the selected application protocol.



(4)Invalidates all adjustment results stored in the system.Confirm Frequency Adjustment

(1)Displays the amplitude of the selected measurement signal in thefrequency domain.

It is possible to graphically select a frequency. For this purpose, avertical cursor is shown when the mouse pointer is positionedinside the display of the frequency domain.A tooltip indicates the difference between the cursor position andthe marked calculated new resonance frequency.





(3)Displays the system resonance frequency used for the applicationmeasurement.(4)Defines the temporary resonance frequency used for the adjustmentmeasurement.(5)Starts the application measurement.(6)Applies the current temporary resonance frequency as systemfrequency.

The system frequency manipulation via Apply could cause anunknown slice shift. A note to that effect in the ConfirmFrequency Adjustment dialog window informs you about this.

Expert-i

SafetyGeneral safety information

During examinations, you are required to adhere to the safetymeasures as described in the “Safety” chapter of the systemmanual.

3.7

3.7.1



Caution

Insuffienct image quality of the remote computer!Incorrect interpretation of the MR images◆ Do not use the remote computer for diagnoses or reports.

Caution

Selection of wrong patient data while using remote assistance(Expert-i)!Wrong diagnosis◆ Before starting the evaluation with expert-i always check that

the patient data (for example, Patient ID, Series number)matches.



Caution

Remote user does not adhere to the currently valid safetyguidelines!Hazard. Patient injury due to uncontrolled actions of theremote user.Possible injury to patient due to missing control or absenceof local user.◆ As the local user, you are responsible for the patient during

the entire examination.

◆ Remain continuously at the MR console and monitor theactions of the remote user.

◆ Remain continuously in touch with the remote user viatelephone.

◆ Stop the patient table if hazardous conditions are present forthe patient or terminate the entire measurement sesquence(e.g. via the table STOP/sequence termination at theintercom).

◆ Interrupt the remote connection in case of uncontrolledactions by the remote user.

DescriptionThe syngo Expert–i software supports local users at the MR consolevia experts (e.g. physicians) outside the examination room (forexample, at a remote networked PC).Functionality: Remote access is handled via a suitable computer(remote computer) connected to the local network.For remote access, the remote user has to register at the MR console.For this purpose, he needs a password.This password is generated by the syngo Expert–i software and is onlyapplicable for the registration planned.In this case, the system can be operated at the MR console as well asthe remote computer.

3.7.2



HIPAA audit trail: Each time you use the syngo Expert–i software,the protocol inputs are entered into the HIPAA audit trail.The inputs are generated when you perform the following actions:

◾ The local user syngo Expert–i activates the software.◾ The remote user successfully established the remote connection.◾ The remote connection was not established within the time

reserved for this purpose.◾ The local user or the remote user disconnected the remote

connection.Software installation: The syngo Expert–i software can only be usedin conjunction with the released versions of the syngo software.The released versions are listed on the front page of this document.The syngo Expert–i software needs to be installed and configured bySiemens Service on the MR system as well as the designated remotecomputer. The syngo Expert–i software is integrated in the MRsystem by Numaris/4 installation.Minimum requirements: The following minimum requirementsmust be met for the remote computer and the local network:

Computer hardware Current standard hardware

Processor 850 MHz

Operating system Windows XP, 7, or higher

Primary storage 256 MB

Network card 100 Mbit/s

Graphic card, monitor 1280×1024

Color 32 bit

Local network 100 Mbit/s or higher

Min. transfer rate > 600 kB/s

Response time <30 ms



When falling beyond the minimum requirements, theperformance and display of the remote computer may beadversely affected.

OperationPerform the following steps to access the MR console: syngo Expert–i

◾ Activate the syngo Expert–i software at the MR console◾ Transfer the password to the remote user◾ Establish a connection at the remote computer.

As the local user, you are responsible for the patient during theentire examination.Do not leave the MR console at any time during remoteconnection and monitor the actions of the remote user.

Local user: Activate softwareTo ensure that the remote user can access the MR console, the localuser must first activate the syngo Expert–i software at the MRconsole.

✓ The syngo Expert–i software is installed on the MR system.

1 Call the remote user to request the initiation of a remoteconnection.

2 Activate the syngo Expert–i software by clicking the tray icon.

The “syngo Expert–i” dialog window is opened; a four-digitpassword is displayed.

3.7.3



Dialog window of the MR console

The password displayed is only valid once – for the nextregistration. The syngo Expert–i software generates a newpassword for every registration.

Local user: Transferring the password1 Confirm the message with OK and activate the syngo Expert–i

software with this message.

2 Communicate the generated password to the remote user.

While the local user is waiting for registration of the remote user,the tray icon is changing.

Local user: Establishing the connectionAfter the local user has activated the syngo Expert–i software at theMR console, the remote user has 2 minutes to establish the remoteconnection.The local user must select whether the remote user should have FullAccess or View Only access to the MR console.

If he exceeds the allocated time, the local user has to request anew password. In this case, you have to start the syngo Expert–isoftware again.



✓ The syngo Expert–i software is installed at the remote computer.

✓ You received the password from the local user.

◆ Start the syngo Expert–i software via the program icon or a link atthe remote computer.

The location of the link depends on the installation of thesoftware on the remote computer.

Remote user: Entering a password and registering at the MRsystem

Entering the password at the remote computer

◆ Enter the password and click Log On.

The active connection is shown by the tray icon of the syngoExpert–i software at the MR console.

The screen of the remote computer shows the user interface of theMR console. The remote user is now able to access the MR console.

Local user: Disconnecting the remote connectionThe local user can disconnect the remote connection at any time.1 Press the key combination Ctrl+Alt+Del to disconnect the remote

connection immediately.

– or –

Click the tray icon of the syngo Expert–i software to display thedialog window.

2 Click “syngo Expert–i” in the dialog window and press Terminate.



The remote connection is disconnected. The tray icon shows thatthe connection is down.

Remote user: Disconnecting the active connectionThe remote user can disconnect the active connection at any time.1 Click the symbol to close the window which is shown when you

move the mouse in the upper right corner of the screen.

– or –

Click the tray icon of the syngo Expert–i software to display thedialog window.

2 Click “syngo Expert–i” in the dialog window and press Terminate.

The remote connection is disconnected.

Local user: Installing Expert-i ViewerThe local user can also install the Expert-i Viewer1 Click the Expert-i client link in the Expert-i entry in the programs

menu.

The installation dialog windows opens.

2 Click Next.The dialog window for the user opens. You can browse to the rightdirectory or type into the entry field.

3 Click Next after the configuration.

The installation is done.

Remote user: Using the Expert-i Remote ClientThe remote user can use the Expert-i Remote Client to connect to aspecific workplace.1 Click the Expert-i client link in the startup menu.

The syngo Expert-i – Remote Client dialog window opens.



2 Select New Connection and click Setup to create a newconnection.

– or –

Select an existing connection and click Setup to edit an existingconnection.

If you have problems connectingIf the connection on the remote computer fails, the reasons for it maybe as follows:

◾ The local user did not activate the syngo Expert–i software at theMR console.The following message appears at the remote computer: "Yourconnection has been rejected. Please contact local user first.".

◾ The remote user entered the wrong password or the time allowedfor entering the password exceeded:The following message appears at the remote computer:"Authentication failed!".

◾ The remote computer is unable to establish a connection to the MRconsole.The following message appears at the remote computer: "Failed toconnect to server .".

◆ Check the error sources described and repeat the registration.

3.7.4



Establishing a connection at the remote computer failed.The remote user entered the wrong password or he exceeded thetime for registration:◆ Get in touch with the local user and request a new password.

◆ Repeat your registration.

Establishing a connection at the remote computer failed.The local user did not activate the syngo Expert–i software at theMR console.◆ Ensure that the local user activated access to the

syngo Expert–i software.

◆ Request that the local user provide you with a new password.

◆ Repeat your registration.

Establishing a connection at the remote computer failed.The remote computer is unable to establish a connection to theMR console.◆ Check the network connection from the remote computer to

the MR console.

◆ Get in touch with your system administrator.

If it is still not possible to establish a connection, get in touchwith your system administrator or Siemens Service.

RemoteAssist

DescriptionThe syngo RemoteAssist software supports local users at the MRconsole via Siemens Customer Service.

3.8

3.8.1



Siemens service technicians can support the local user at the MRsystem e.g. if problems arise or new software has to be installed.

Do not use the syngo RemoteAssist software function Take overremote control during patient examination!During patient clinical routine it is not allowed to let 3rd personstake over control via the syngo RemoteAssist software.

Functionality: A service technician can acess your system only if youenable him to do so. Unauthorized access is blocked.Remote access is handled via a suitable computer (remote computer)connected to the local network.For remote access, the remote user has to register at the MR console.For this purpose, he needs a password.This password is generated by the syngo RemoteAssist software andis only applicable for the registration planned.In this case, the system can be operated at the MR console as well asthe remote computer.HIPAA audit trail: Each time you use the syngo RemoteAssistsoftware, the protocol inputs are entered into the HIPAA audit trail.The inputs are generated when you perform the following actions:

◾ The local user syngo RemoteAssist activates the software.◾ The remote user successfully established the remote connection.◾ The remote connection was not established within the time

reserved for this purpose.◾ The local user or the remote user disconnected the remote

connection.

The Remote Assistance Software must be installed on your MRsystem.

Software installation: The syngo RemoteAssist software can only beused in conjunction with the released versions of the syngo software.The released versions are listed on the front page of this document.



The syngo RemoteAssist software is installed and configured bySiemens Service on the MR system as well as the respective remotecomputer.Minimum requirements: The following minimum requirementsmust be met for the remote computer and the local network:

Computer hardware Current standard hardware

Processor 850 MHz

Operating system Windows XP, 7, or higher

Primary storage 256 MB

Network card 100 Mbit/s

Graphic card, monitor 1280×1024

Color 32 bit

Local network 100 Mbit/s or higher

Min. transfer rate > 600 kB/s

Response time <30 ms

On failing to meet the minimum requirements, the performanceand display of the remote computer may be adversely affected.

OperationUsually your service technician informs you if he wants to access yourMR system.You can activate a single connection with a service technician via amenu.Activating a single connection1 Call up Options > Service > Syngo Remote Assist.

The following dialog window is displayed:

3.8.2



In this dialog window, you enter a non-assigned session number.

2 Enter the session number in the input field.

If there are sensitive data on your system, a correspondingmessage is displayed, referring to privacy rules for these data.

3 Click the Logon button to activate the connection

If remote assistance has been successfully started, the icon (singleconnection) appears in the status bar. Remote user access to yourMR system is in View Only mode with another cursor. The remoteuser cannot operate your MR system.

If a remote connection could not be established, a correspondingmessage is displayed on your screen. In this case, contact yourservice technician.

Activate third-party accessIf another service technician wants to access your MR system, theremote assistance icon in the status bar blinks.1 Click the Remote Assistance icon.

A corresponding request appears in this dialog window:



2 If you agree to further access, click OK.

– or –

Click Cancel to cancel the dialog and refuse the request.

If remote assistance is started successfully, an icon (multipleconnections) is displayed in the status bar. A third party can accessyour MR system in View Only mode with another cursor andcannot operate your MR system.

Transferring Remote AssistanceEven if several service technicians can access your workstation, thereare – at most – two remote users who can access your MR system andyou can control the system all the time. If any technician wants totake control of your system, the Remote Assistance icon in thestatus bar blinks.1 Click the Remote Assistance icon in the status bar.

The following request is displayed in this dialog window:



2 If you agree to transfer control, click OK.

– or –

Click Cancel to cancel the dialog and refuse the request.

If transferring control access is started successfully, the remoteuser can operate on the MR system. At the same time, there is onlyone remote user who can operate the MR system. If one remoteuser is allowed to operate the MR system, another remote userwho is operating the MR system will lose control automatically.

Restricting accessIf necessary, you can restrict the access of the service technician toyour workstation. For instance, if you switch to View Only mode, youcan call functions by yourself. In the meantime the service technicianis restricted to View Only mode.1 Click the Remote Assistance icon to open the Remote Assistance

dialog window.

2 Click the View Only button.

The service technician has View Only access to your workstation.



Disconnecting Remote AssistanceYou can disconnect the Remote Assistance at any time.1 Click the Remote Assistance icon to open the Remote Assistance

dialog window.

2 Click the Disconnect button.

The connection to the service technician is disconnected.



1,2,3 …3D shim

Performing 116

AApplication Control 46AutoAlign

AutoAlign program creation 99AutoAlign program editing 99AutoAlign program import 102General information 62

AutoAlign Head 64, 99AutoAlign Hip 99AutoAlign Knee 99AutoAlign Shoulder 99AutoAlign Spine LS 99

DDiagnostic information 49Dialog windows

Voice Output 110

EEvent Log Viewing 54

FFile Browser

General information 103Tasks 104UI explanation 104

Film layoutMapping 53

Frequency adjustmentConfirm 140

HHelium fill level 58

IImage text

Configuration 51Interactive shim

Performing 117

LLanguage setting 50

MManual adjustments

3D Shim 127Frequency 119Interactive shim 130Show 138Transmitter 123Water suppr. 134

MARS processor control 48

PPatient Browser

Assigning patients or studies 33Assigning patients or studies topatient groups 36Correcting data 37Deleting data 34Deleting data manually 40Protecting data from deletion 40Remove delete protection 40Splitting mosaic images 36Study split 35, 40, 42

Patient Comfort Configuration –Sound Volume 111

RReport configuration

General information 112New diagnostic code 112Tasks 113

Resonance frequencyChange after Inlineadjustment 119Optimization 115

SStudy split

Patient Browser 40, 42syngo MR

System control 46

SystemManual adjustment 114

System control with syngo MR 46System Manager 46

Host 55Meas & Recon 56Periphery 58Scanner Standby 61Tools 60

TTransmitter

tuning 116

UUser administration 47

VVoice output

Change 107Configuration 108Deletion of user-definedoutputs 107Editing 106Management 106, 106Recording 106

WWater suppression

Optimization 118

Index


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Manufacturer’s note:

This product bears a CE marking in accordance with theprovisions of regulation 93/42/EEC of June 14, 1993 formedical products.

The CE marking applies only to medico-technical products/medical products introduced in connection with the above-mentioned comprehensive EC regulation.

Global Business UnitSiemens AGMedical SolutionsMagnetic ResonanceHenkestr. 127DE-91052 ErlangenGermanyPhone: +49913184-0www.siemens.com/healthcare

Global Siemens HeadquartersSiemens AGWittelsbacherplatz 280333 MuenchenGermany

Global Siemens HealthcareHeadquartersSiemens AGHealthcare SectorHenkestraße 12791052 ErlangenGermanyPhone: +49 9131 84-0www.siemens.com/healthcare

Legal ManufacturerSiemens AGWittelsbacherplatz 2DE-80333 MuenchenGermany

Print No. MR-05011.630.10.02.24 | © 2014, Siemens AG

www.siemens.com/healthcare

Documents

syngo MR E11€¦ · System control with syngo MR 46 3.1.2 Tasks 46 Controlling applications 46 User administration 47 Controlling the MARS processor 48 Gathering diagnostic information