MRI Device Siemens MAGNETOM RT Pro edition Skyra 3T
- Field strength 3 Tesla
- Bore size 70 cm Open Bore design
- System length 173 cm
- System weight (in operation) 7.3 tons
- Minimum room size 31 m²
- RF Tim [204 x 48] [204 x 64] [204 x 128]
- Gradient strength XQ Gradients (45 mT/m @ 200 T/m/s)
- Helium consumption Zero Helium boil-off technology
In Radiochirurgia Zagreb clinic we are using MRI device Siemens Magnetom RT Pro edition Skyra 3T that is specifically adjusted for oncology to diagnose tumors in all stages.
syngo.MR OncoCare as part of the syngo.MR Oncology workflows Workflow enables accurate monitoring of oncological lesions, helping determine whether treatment is effective or potentially needs to be reconsidered. A comparison of up to eight exams at different time points is now possible, visualizing regional changes of tissue characteristics.
As an extension of the MR Oncology workflows, syngo.MR OncoCare, provides rich feature sets for histogram analysis and trending over multiple time points:
- VOI- and ROI-based histogram analysis
- Intuitive color definition for three histogram domains
- Savable presets for histogram analysis
- Back-mapping of histogram colors on the image of a reference
- Export in .CSV format of pixel intensity values
- Trending plot
- Improved communication towards referrers and oncologists with the back-mapping functionality
- Additional research possibilities with the export functionality
Histograms: Here, red indicates low ADC coefficient (area of concern), green high ADC coefficient (not of concern).
Back-mapping: The user-defined volume of interest can be “back-mapped” with colors that correlate to the histogram values. Here the patient’s histograms indicate a growth in area of concern from first exam (8% lower row) to follow-up exam (11% upper row), indicating that this patient may not be responding to therapy.
Trending plots: can be saved and included in structured reports.
Clinical Application
syngo.MR Onco Engine combines features that allow for efficient oncological reading and reporting.
Included Workflows: Onco Multi-Region, Onco Brain, Onco Liver, Onco TimCT
syngo.MR 3D Lesion Segmentation provides convenient volumetric evaluation of lesions
Onco Reporting: Each workflow contains a dedicated reporting template and oncological findings classification. Response calculations comply with RECIST and WHO Response Criteria
Additional Information
syngo.MR Onco workflows structure large amounts of data automatically and quickly into layouts focused on oncology reading. Each workflow contains a dedicated follow-up reading layout (optimized for dual monitor support). The 3D Lesion Segmentation is particularly useful for oncology applications (e.g. volumetric evaluation of tumors, lymph nodes and metastases), but also for non-oncology lesions with sufficient contrast to surrounding tissue. Intuitive editing tools allow adjustment to the segmentation if necessary. The perfect match to TimCT Onco and the syngo.MR Onco Engine enables an optimized workflow from scanning, to processing, to reading.
Onkologija
Onco Suite MR uređaja sadrži kolekciju sekvenci, protokola i alata za mjerenje koji vode kroz detaljnu procjenu niza onkoloških stanja. Omogućava skeniranje čitavog tijela u potrazi za metastazama u jednom kontinuiranom pokretu s TimCT Onco Dot Engine sustavom.
Zajedno s integriranim upravljanjem, ova inovativna tehnologija unaprijeđuje propusnost kroz pacijenta i omogućava sjajnu kvalitetu prikaza.
Zdravlje žena
Tim Coil sučelje pokreće mnoštvo grudnih spirala koje rezultiraju fleksibilnim opcijama prikaza grudi kako bi bile prilagođene raznolikosti potreba pacijenata. Od kliničkog prikaza do pomoći pri usmjeravanju biopsije, MAGNETOM Skyra nudi širok izbor grudnih spirala i omogućava izvrsnu kvalitetu prikaza. Dodatno, Open Bore (70 cm) kojeg MAGNETOM Skyra sadrži omogućava udobno primanje više pacijenata. Breast Dot Engine nudi drugačije workflowove za optimiziranu kvalitetu prikaza i konzistentnost.
Više o magnetskoj rezonanciji dojke saznajte ovdje.
Zdravlje muškaraca
Uz pomoć tjelesnih i spirala kralježnice visoke gustoće ili u kombinaciji s endorektalnom spiralom, MAGNETOM Skyra omogućava izvrstan multiparametrični prikaz prostate u smislu morfologije, fiziologije i funkcije. Zajedno s posebnim rješenjima za analizu i izvješća, workflow za MRI prostate je sveobuhvatan.
Više o magnetskoj rezonanciji prostate saznajte ovdje.
Kardiologija
Kardiološki paket sadrži sveobuhvatne 2D rutinske aplikacije za kardiologiju koje se kreću od morfologije i ventrikularne funkcije do karakterizacije tkiva. Dot-ova ugrađena navigacija te povećan Tim 4G SNR pomaže liječnicima da kardiologija postane dio kliničke rutine. Cardiac Dot Engine pomaže eliminirati jedan od najvećih izazova u kardiološkom MR-u pojednostavljujuću kompletnu kardiološku lokalizaciju na samo par klikova.
Neurologija
MAGNETOM Skyra nudi visoku rezoluciju i brzinske protokole i za pacijente koji nisu u potpunosti kooperativni pri pregledu. MAGNETOM Skyra Neuro paket uključuje napredne protokole za difuzijski i perfuzijski te fMRI. Oni su kombinirani s Tim 4G zavojnicama s visokom gustoćom elemenata i najnovijim iPAT2 rekonstrukcijskim tehnikama koje pomažu omogućiti brzi prikaz te izvrstan SNR.
Ortopedija
Ortho paket sveobuhvatna je kolekcija protokola za pregled zglobova uključujući i kralježnicu. Nove Tim 4G zavojnice ultra visoke gustoće za MSK pregled nude unaprijeđenu SNR i anatomsku pokrivenost. Dot-ovi prilagodljivi workflowovi sadrže AutoAlign i AutoCoverage za koljeno, kuk i rame. Napredne syngo WARP tehnike nude prijemljivost funkcionalnosti redukcije artefakata (poput MR kondicionalnih implanata) te MPR planiranja za brzinska 3D mjerenja Inline 3D multiplanarno reformatiranje koje pomaže efikasnosti workflowa.
Mozak, glava i vrat
Bilo da se radi o promjenama na mozgu ili intrakranijalnim metastazama, MRI pomaže u donošenju ključnih tragova za planiranje tretmana bilo IMRT-om ili stereotaktičnom radiokirurgijom. Siemens je s RT Dot engineom proizveo posebne radioterapijske protokole za preglede mozga te glave i vrata. Ovi su protokoli optimizirani za prikaz za vrijeme tretmana i to uz pomoć fleksibilnih Tim 4G zavojnica.
Tijelo
Tim 4G omogućava visokokanalni prikaz tijela zahvaljujući Body 18 i Spine 32 kombinaciji. MAGNETOM Skyra također je opremljen vlastitim aplikacijama za prikaz tijela te omogućuje ultra brzu visoku rezoluciju 2D i 3D protokola za abdomen, zdjelicu, MR kolonografiju, dinamički MRCP bubrega i MR utografiju. Uz Abdomen Dot Engine dolaze i standardizirani, učinkoviti i sveobuhvatni workflowovi za gornji abdomen s izvrsnom kvalitetom prikaza.
Prostata
U radioterapiji prostate, veličina organa često je krivo procijenjena koristeći samo CT. MR sa svojim kontrastom mekog tkiva omogućuje precizniju delineaciju prostate i okolnih organa. S korištenjem višeparametarskog MRI-a (diffusion-weighted prikaz i spektroskopija) možete čak vidjeti metabolički aktivna područja tumora što pomaže pri identificiranju područja za povećanje doze te omogućuje bolje skrojeno planiranje tretmana kako bi rezultati bili što kvalitetniji.
Uz RESOLVE, diffusion-weighted način prikaza nudi puno bolju vidljivostmagnetom-prostata-2 promjena i kvalitetu prikaza te su uobičajene smetnje smanjene za faktor tri.
Angiografija
Koristeći Angio Suite koji dolazi uz MAGNETOM Skyra može se izvoditi izvrsna MR angiografija kako bi se prikazale arterije i vene sa ili bez korištenja kontrastnog agenta. Za prikaze s kontrastom, Angio Dot Engine pomaže da se postigne optimizirani bolus timing prilikom svakog pregleda. Prikazi u stvarnom vremenu i AutoVoiceCommands mogućnost pomažu korisniku u postavljanju optimalnog vremena disanja, skeniranja i kontrastnog medija.
Pedijatrija
Vrijeme potrebno za opuštanje tkiva u pedijatriji u velikoj se mjeri razlikuje od vremena potrebnog u slučaju odraslih osoba. Razlozi za to su tkivo u razvoju, veličina tijela, brži ritam otkucaja srca i razina suradnje za vrijeme pregleda. Protokoli se mogu prilagoditi i za pregled novorođenčadi.
StarVIBE
One of the most challenging groups for liver exams is the growing patient population unable to hold their breath. Dynamic imaging usually requires breath-holds, but many children, elderly or very sick patients cannot hold their breath for the required time or at all.
StarVIBE now delivers robust, free-breathing, and contrast-enhanced exams for these patients by intelligently resisting motion artifacts.
TWIST-VIBE
Always the right contrast in dynamic liver imaging.
Dynamic liver imaging remains a contrast-enhanced technique. Using contrast agent makes it necessary to catch the right point of the arterial phase. If this point in time is missed, crucial arterial information within the liver remains unseen.
TWIST-VIBE offers high temporal and spatial resolution with full 4D coverage for multi-arterial imaging with 100% precise contrast-timing.
Key benefits:
- Robust and fast liver imaging with full 4D coverage
- Excellent images to plan surgical intervention
- Reliable imaging from the very first shot
- Time and cost savings
- No need for rescans
LiverLab
LiverLab allows fat & iron evaluation and can be performed totally non-invasively. This allows trending and/or monitoring of patients suspicious of liver diseases especially in early disease stages.
The iron and fat values of the liver are important indicators for a variety of serious illnesses. Early evaluation could be a decisive step to better monitor early stages of diffuse liver diseases such as steatosis and hemochromatosis.
LiverLab is robust and fast enough to be implemented in routine clinical imaging with only a few clicks.
Elastography
Liver fibrosis with its associated cirrhosis and hypertension traditionally requires biopsy for diagnosis. MR Elastography (MRE) offers the possibility to evaluate relative liver stiffness noninvasively.
syngo GRACE
syngo GRACE (GeneRAlized breast speCtroscopy Exam) is a Single Voxel Spectroscopy technique optimized for breast spectroscopy.
Clinical Applications:
- Additional information in characterization of breast lesions seen in MR leading to better diagnosis
- May aid to improve the specificity for tumor diagnoses
- Follow-up of breast lesions after chemotherapy
Increased Choline-signal within breast tumor, shown with syngo GRACE.
BreVis Biopsy
BreVis Biopsy is a professional solution for a fast and accurate MR biopsy workflow with automatic calculation of target coordinates. The user interface offers a guide for MR interventional planning and supports breast biopsies, i.e. Sentinelle Vanguard and related accessories. The easy-to-handle workflow enables shorter examination times for both patient and operator.
syngo RESOLVE
syngo RESOLVE (readout segmentation of long variable echo-trains) is a revolutionary new approach for obtaining high quality DWI images even in body regions which are strongly affected by susceptibility artifacts. It is not only largely free of distortions, but can also deliver sharp imaging at higher spatial resolution. syngo RESOLVE is especially attractive for the evaluation of smaller lesions in a wide range of DWI and DTI examinations.
Main application areas: brain, spine, breast and prostate imaging.
MRI enables excellent soft tissue contrast without using the dose, making it ideal for radiotherapy where the information gathered using CT could be enriched with valuable MRI information. Advanced imaging sequences such as RESOLVE and MR spectroscopy provide additional pathological characterizations, and using fast isotropic 3D sequences like SPACE and VIBE it is possible to achieve better anatomical correlation.
Here you can find more about the Siemens Magnetom RT Pro edition Skyra 3T MRI device.
