Data Essenza D14a A91mr-410d-40-7600 20140326 1366
Data Essenza D14a A91mr-410d-40-7600 20140326 1366
A Tim+Dot System
Tim [25x8]
www.siemens.com/MAGNETOM-ESSENZA
2
MAGNETOM ESSENZA
Established 1.5 T performance. With Tim+Dot
                                                                                                  3
    Tim+Dot. Direct response to today’s deman
    of healthcare economics.
Flexibility
Accuracy
Speed
                                        The Dot exam strategies allow you to adjust each exam to the
                                        patient’s situation or clinical question at hand. Intuitively choose
                                        the “High-Resolution Scan” strategy for the highest possible image
                                        quality. Or switch to the ”Limited Patient Capability” strategy if a
                                        patient was being uncooperative. The result – reduction of rescans
                                        and consistent outcomes under different exam scenarios.
                                        Time, quality and costs define the efficiency of your MRI exams. Dot
                                        enables you to reduce exam time by up to 20% and makes schedul-
                                        ing more predictable (examtime variation less than one minute2)).
                                        Also time-consuming software interaction is reduced dramatically
                                        (by up to 46%1)). Standardized procedures support quality results for
                                        each exam and help to reduce rescans. All in all turnaround time to
                                        the referrer is quicker, quality higher, and MRI more efficient.
                                         1)
                                              University Hospital Essen, GER, Brain Dot Engine Workflow Study
                                         2)
                                              Zhongshang Hospital Fudan University, Fudan, CN, Abdomen Dot Engine
                                              Workflow Study
amatically improve
d efficiency.
                                                                                                                     5
    Magnet System
    General
    Superconducting Magnet                               Short bore, patient-friendly design with large flared opening
                                                         Easy siting due to AS (Active Shielding) and E.I.S. (External
                                                         Interference Shielding) magnet technology
    Magnet Parameters1)2)
    Operating field strength                              1.5 Tesla
    Superconductor                                       Niobium-Titanium
    Field stability over time                            <0.1 ppm/h
    Magnet length                                        131 cm
                         2)
    Inner diameter                                       60 cm
    System length cover to cover                         147 cm
    1)
         W/o shim coils, gradient coil, RF body coil
    2)
         Incl. shim coils, gradient coil, RF body coil
6
 Homogeneity (based on highly accurate 24 plane plot)
 Volume                                              Guaranteed                            Typical
 10 cm DSV                                           ≤0.2 ppm                              0.04 ppm
 20 cm DSV                                           ≤0.22 ppm                             0.16 ppm
 30 cm DSV                                           ≤1.2 ppm                              1.1 ppm
 40 x 40 x 30 cm³                                    ≤2.2 ppm                              1.9 ppm
 45 x 45 x 30 cm³                                    ≤7.5 ppm                              6.0 ppm
 40 x 40 x 40 cm³                                    ≤5 ppm*
*In compliance with the German “Qualifikationsvereinbarung”.
Standard deviation Vrms (volume root-mean square) measured with highly accurate 24 plane plot method (20 points per plane).
Standard active shim with 3 linear and 1 non-linear channels (2nd order).
DSV = Diameter spherical volume (x, y, and z direction);
DEV = Diameter elliptical volume.
 3D Shim
 Patient-specific automated shim
 For optimization of the magnetic field homogeneity
 Time to shim                                        Approx. 22 s
 Shielding1)
 Active Shielding (AS)                               5th generation active shielding (AS) technology with counter
                                                     coils
 Fringe field (axial × radial)                        0.5 mT1)                              4.0 m × 2.5 m
                                                     0.1 mT                                5.8 m × 3.4 m
 External Interference Shield (E.I.S.)               Patented shielding system integrated into the magnet
                                                     Continuous compensation and automatic suppression of
                                                     external magnetic field interferences during measurement
                                                     (caused by moving ferromagnetic objects or nearby power
                                                     lines)
 Magnet Cooling System2)
 Zero Helium boil-off technology
 Refill interval (typical)                            Not applicable2)
 Boil-off rate (typical)                             0.0 liter / year2)
 Max. helium capacity                                approx. 1400 liters
 1)
      Pacemaker safety limit
 2)
      For typical clinical use, depending on sequences and operating time with running helium compressor. The system needs
      to be serviced at regular interval. Undisturbed magnet cooling for 24 hours and 7 days a week.
                                                                                                                              7
    Gradient System
    General
    Gradient Duty Cycle                                 100 %
    Gradient performance                                Max. amplitude                         30 mT/m
                                                        Min. rise time                         300 us
                                                        Max. slew rate                         100 T/m/s
    Vector gradient performance (vector                 Max. eff. amplitude                    52 mT/m
    summation of all 3 gradient axes)                   Max. eff. slew rate                    173 T/m/s
    Gradient Amplifier1)
    Water-cooled, highly compact, modular design
    Ultra-fast solid-state technology with very low switching losses
    Max. output voltage1)                               1350 V
                             1)
    Max. output current                                 150 A
    Resolution Parameters2)
    FoV                                                 Min. 5 mm
                                                        Max.2) 450 mm
    Slice thickness 2D                                  Min. 0.1 mm
                                                        Max. 200 mm
    Partition thickness 3D                              Min. 0.05 mm
                                                        Max. 20 mm
    Slab thickness 3D                                   Min. 5.12 mm
                                                        Max. 450 mm
    Max. matrix                                         1024
    Highest in-plane resolution                         16 μm
    1)
         Values for each of the 3 gradient axes
    2)
         Depending on the application, the maximum FoV may be smaller (e.g. up to 35 cm in z-direction)
8
 Sequences
                                                                               Matrix
                                                                               128                   256
 Spin Echo                             min. TR [ms]                            6.9                   7.6
                                       min. TE [ms]                            1.9                   2.4
 2D GRE (TurboFLASH)                   min. TR [ms]                            0.96                  1.37
                                       min. TE [ms]                            0.32                  0.42
                                       min. measurement time [ms]:             24                    34
 3D GRE (ceMRA)                        min. TR [ms]                            0.96                  1.37
                                       min. TE [ms]                            0.32                  0.32
 TrueFISP                              min. TR [ms]                            2.31                  3.1
                                       min. TE [ms]                            0.96                  1.28
                                       min. measurement time [ms]:             49                    72
 TSE (HASTE)                           min. Echo Spacing [ms]                  1.96                  2.36
                                       min. TR [ms]                            9                     11
                                       min. TE [ms]                            2                     2.6
                                       min. measurement time [ms]:             70                    81
                                       max. Turbo Factor = 512
                                                                               Matrix
                                                                               64           128      256
 EPI (single-shot and                  min. Echo Spacing [ms]                  0.43         0.63     1.05
 multi-shot)                           min. TR [ms]                            10           12       17
                                       min. TE [ms]                            5.1          6.6      9.3
                                       min. Measurement time                   10           12       17
                                       max. EPI Factor = 256
 Diffusion Imaging                     Max. b-value = 10 000 s / mm2
                                       Min. TE [ms] with                       60           62       66
                                       b = 1000 [s / mm2]
All matrices without interpolation. Combinations of the stated parameters are not always possible;
some parameters may require optional application packages
                                                                                                            9
     RF System
10
RF Receiver Technology
The MAGNETOM ESSENZA equipped with Tim [25x8] facilitates the combination of up to 25 seamlessly
integrated coil elements and 8 independent RF channels. Two coil connectors integrated in the patient
table enable the simultaneous use of a large number of coils simultaneously with the integrated, 9-ele-
ment IsoCenter Matrix. All coil elements of all connected coils can be flexibly selected for each scan.
Receive path
Receiver bandwidth                         500 Hz −1 MHz (for each channel)
Receiver signal resolution                 32 bits
Number of independent receiver             8
channels
Sampling rate (Sampling resolution)        10 MHz (100 ns)
Preamplifier noise figure                    < 0.5 dB
Total gain                                 35 dB / 50 dB with automatic control
Dynamic range (referred to 1 Hz            162 dB instantaneous at receiver
resolution bandwidth)                      169 dB with automatic gain control at local coil connector
                                                                                                          11
     Coils
12
 Standard Tim Coils
 Head Matrix Coil                          Application area            Head examination
                                           Dimensions (L × W × H)      359 mm x 385 mm x 307 mm
                                           Weight                      4.6 kg
 Neck Matrix Coil                          Application area            • Cervical Spine
                                                                       • Neck examination
                                           Dimensions (L × W × H)      230 mm x 398 mm x 306 mm
                                           Weight                      2.4 kg
 4-Channel Flex Coil, large                Application area            Multi purpose
                                           Dimensions (L × W)          516 mm x 224 mm
                                           Weight                      550 g
 4-Channel Flex Coil, small                Application area            Multi purpose
                                           Dimensions (L × W)          366 mm x 174 mm
                                           Weight                      450 g
 Accessories                               Flex Coil Interface 1.5 T
Combination of all coils possible for large Field-of-View exams.
 Optional Tim Coils
 • Body Matrix coil
 • PA Matrix Coil
 • Breast Matrix
 • Focus Shoulder Array Coil, large
 • Focus Shoulder Array Coil, small
 • Extremity Matrix Coil
 • Endorectal Coil
 • 8-Channel Foot-Ankle coil
 • 8-Channel Wrist coil
 • 4-Channel Special-Purpose coil
 • 2/4-Channel Sentinelle Breast coil
                                                                                                  13
     Patient Handling
                                                           1)
                                                                Optional
14
Physiological Measurement Unit (PMU) – Wireless Physio Control 1)
Synchronizes the measurement with the physiological cycles (triggering to minimize motion artifacts
caused by cardiac and respiratory movements)
Wireless Sensors     Wireless Vector ECG / respiration and pulse sensors for physiologically synchronized
                     imaging, rechargeable battery-powered – for optimized patient handling
                     • VCG acquires ECG signal from two projection directions, for easy identification of
                       the R-wave
                     • ECG – disposable electrodes
                     • Pneumatic cushion to be placed on the chest or abdomen
Physiological        Physiological      • ECG (2 channels I and/or aVF)
Signals              Signals Display    • Pulse
                                        • Respiration
External Trigger     ECG Triggering:    • Acquisition of multiple slices, e.g. of the heart, at different
Input Display                             phases of the cardiac cycle
                                        • Excellent image quality by synchronizing data acquisition
                                          with cardiac motion
                     Peripheral Pulse   • Reduces flow artifacts caused by pulsatile blood flow
                     Triggering         • Excellent image quality by synchronizing data acquisition to the
                                          pulsatile blood flow
                     Respiratory        • Excellent image quality by synchronizing data acquisition
                     Triggering           with the respiratory motion
                     External           • Interface for trigger input from external sources
                     Triggering           (e.g. pulse generator)
                                        • Retrospective gating for ECG, peripheral pulse and external
                                          trigger input
1)
     Optional
                                                                                                             15
     Tableside Control Units
     One ergonomically designed control unit integrated into the front cover on the left side.
     Controls                        • Table in / out in 2 speed levels
                                     • Table stop
                                     • Laser light localizer (peak power <3 mW, wave length 540−700 nm,
                                       Class II laser product)
                                     • Automatic transfer to isocenter
                                     • Home position (auto transfer)
                                     • Ventilation within the patient tunnel (adjustable in 3 levels)
                                     • Lighting within the patient tunnel (adjustable in 3 levels)
                                     • Scan start, scan stop
                                     • Volume of speaker and headphones in examination room for external
                                       audio system
     Table functions can also be controlled via software from the syngo Acquisition Workplace.
     Patient Communication
     Assistance call via squeeze-bulb for the patient. Ergonomically designed patient communication unit –
     may be placed at any convenient location on the Workplace table.
     • Intercom communication with the patient
     • Response to the patient’s activation of the squeeze-bulb
     • Table stop
     • Volume of speaker in control room
     • Volume of speaker and headphones in examination room for voice commands
     • Connection to external audio system
     • Independent volume control of voice and music
     • Pneumatic system of headphones
     • Loudspeaker
     • Microphone
     Automatic and freely programmable voice commands for breath-hold examinations.
16
Acquisition Parameters
Acquisition Parameters1)
2D Slices                           Number of slices
                                    per single slice stack                    1 − 128 (steps of 1)
                                    per series                                up to 262 144
                                    (total number of slices in one            (depending on matrix size)
                                    dynamic measurement)
                                    Slice order                               Ascending, descending
                                                                              or interleaved
3D Slabs / Partitions               Number of 3D partitions per single slab   4 − 512
                                    Number of 3D Slabs (3D volumes)           1 − 128 (steps of 1)
Acquisition Matrix                  Frequency encoding (true imaging matrix   64 − 1024
                                    without interpolation or oversampling)    (in steps of 64)
                                    Phase encoding                            32 − 1024 (in steps of 1)
Partial Fourier Imaging             Phase partial Fourier (Half Fourier)      4 / 8 − 1 (steps of 1 / 8)
                                    Read partial Fourier (asymmetric echo)    Selectable
                                    Slice partial Fourier (3D volumes)        6 / 8 − 1 (steps of 1 / 8)
Rectangular Field-of-View           In phase encoding direction               3 − 100 %
Averaging                           Number of data acquisitions               1 − 32 (steps of 1)
                                    Averaging mode                            Short term, Long term (LOTA)
Oversampling                        Read oversampling                         100 % standard
                                    Phase oversampling                        0 − 100 % (steps of 1 %)
                                    Slice oversampling (3D volumes)           0 − 100 % (steps depending
                                                                              on slice per slab)
1)
     Combinations of the parameters stated are not always possible;
     some parameters may depend on optional application packages
                                                                                                             17
     Acquisition Parameters (Continued)
     Interpolation           In plane interpolation                     Selectable (factor of 2)
                             in frequency-encoding
                             and phase-encoding direction
                             3D interpolation (3D volumes)              Selectable (up to factor of 2)
     Slice Orientation       Slice orientation for 2D and 3D scans      Transverse, sagittal, coronal,
                                                                        oblique, double oblique (steps
                                                                        of 0.1°)
                             Multi-slice multi-angle (simultaneously)   Yes
     Off-center Shift        Longitudinal direction (head-feet)         –150 mm to +150 mm
                             Horizontal direction (left-right)          –200 mm to +200 mm
                             Vertical direction (anterior-posterior)    –200 mm to +200 mm
     Serial Acquisitions     Number of repeated scans                   with constant              1 − 4096
                                                                        delay times
                                                                        with different             1 − 65
                                                                        delay times
     Swap                    Exchange of read-out and phase-            Yes
                             encoding direction
18
Standard Acquisition and
Reconstruction Techniques
Standard techniques
• True Inversion Recovery to obtain strong T1-weighted contrast
• Dark Blood inversion recovery technique that nulls fluid blood signal
• Saturation Recovery for 2D TurboFLASH, gradient echo, and T1-weighted 3D TurboFLASH with short scan
  time (e.g., MPRAGE)
• Freely adjustable receiver bandwidth, permitting studies with increased signal-to-noise ratio
• Freely adjustable flip angle. Optimized RF pulses for image contrast enhance- ment and increased signal-
  to-noise ratio
• MTC (Magnetization Transfer Contrast). Off-resonance RF pulses to suppress signal from certain tissues,
  thus enhancing the contrast. Used e.g., in MRA
• Argus viewer for reviewing cine studies
• Report Viewer for DICOM structured reports including report editing
• Dynamic Analysis for addition, subtraction, division, standard deviation, calculations of ADC maps,
  T1 and T2 values, TTP etc.
• Image Filter
• 3D post-processing MPR, MIP, MinIP, SSD
• Flexible film formats and paper print
• Data storage of images and cine avi files on CD / DVD with DICOM viewer as the viewing tool
• Selectable centric elliptical phase reordering via the user interface
• Inversion Recovery to nullify the signal of fat, fluid or any other tissue
• syngo WARP – 2D TSE sequence with optimized high bandwidth protocols tailored to reduce susceptibility
  artifacts caused by orthopedic MR-conditional metal implants
Sequences
Spin Echo family    • Spin Echo (SE) – Single, Double and Multi Echo (up to 32 echoes); Inversion
of sequences          Recovery (IR)
                    • 2D / 3D Turbo Spin Echo (TSE) – Restore technique for shorter TR times while
                      maintaining excellent T2 contrast; TurboIR: Inversion Recovery for STIR, DarkFluid
                      T1 and T2, TrueIR; Echo Sharing for dual-contrast TSE
                    • 2D / 3D HASTE (Half-Fourier Acquisition with Single Shot Turbo Spin Echo) –
                      Inversion Recovery for STIR and DarkFluid contrast
                    • SPACE for 3D imaging with high iso- tropic resolution with T1, T2, PD, and DarkFluid
                      contrast
                    • 2D Optimized high bandwidth TSE (T1, T2, and PD weighted and STIR) with syngo
                      WARP. Reduces susceptibility artifacts
                                                                                                             19
     Sequences (Continued)
     Gradient Echo        • 2D / 3D FLASH (spoiled GRE) – dual echo for in- / opposed phase imaging
     family of            • 3D VIBE (Volume Interpolated Breath-hold Examination) – quick fat saturation;
     sequences              double echo for in-phase / opposed phase 3D imaging; Inline Breast Evaluation
                          • 2D / 3D MEDIC (Multi Echo Data Image Combination) for high resolution
                            T2-weighted orthopedic imaging and excellent contrast
                          • 2D / 3D TurboFLASH – 3D MPRAGE; single shot T1-weighted imaging, e.g., for
                            abdominal imaging during free breathing
                          • 3D GRE for field mapping
                          • 2D / 3D FISP (Fast Imaging with Steady State Precession)
                          • 2D / 3D PSIF – PSIF Diffusion
                          • Echo Planar Imaging (EPI) – diffusion- weighted; single shot SE and FID e.g., for
                            BOLD imaging and Perfusion- weighted imaging
                          • 2D / 3D TrueFISP – Shared Phases Real-time TrueFISP (w / o ECG gating)
                          • ce-MRA sequence with Inline subtraction and Inline MIP
                          • 2D / 3D Time-of-Flight (ToF) Angio- graphy – single slab and multi slab; triggered
                            and segmented
                          • 2D / 3D Phase Contrast Angiography – multiple velocity encoding; triggered
     Standard Fat / Water Imaging
     • Fat and Water Saturation. Additional frequency selective RF pulses, used to suppress bright signal from
       fatty tissue. Two selectable modes: weak, strong
     • Quick FatSat
     • SPAIR: robust fat suppression for body imaging using a frequency selective inversion pulse
     • Fat/Water Excitation. Spectral selective RF pulses for exclusive fat excitation
     • Dixon technique for fat and water separation – available on VIBE and Turbo Spin Echo sequences
     Standard Flow Artifact Reduction
     • LOTA (Long Term Data Averaging) technique for motion and flow artifact reduction without increasing
       scan time
     • Presaturation Technique. RF saturation pulses to suppress flow and motion artifacts. Up to six saturation
       bands may be positioned in any orientation
     • Tracking SAT Bands maintain constant saturation of venous and / or arterial blood flow, e.g., for 2D / 3D
       sequential MRA
     • TONE (Tilted Optimized Non-saturating Excitation). Variable excitation flip angle to compensate inflow
       saturation effects in 3D MRA. TONE pulse selectable depending on the desired flow direction and speed
     • GMR (Gradient Motion Rephasing). Sequences with additional bipolar gradient pulses, permitting effec-
       tive reduction of flow artifacts
20
Standard Scan Time Reduction
Elliptical scanning reduces scan time for 3D imaging
iPAT – integrated Parallel      GRAPPA included for maximum quality for all applications
Acquisition Technique,          iPAT is compatible with all relevant sequence techniques (e.g., SE, TSE,
high-performance and            Restore, SPACE, MEDIC, TIRM DarkFluid, HASTE, EPI, MPRAGE, 3D VIBE,
flexible Parallel Imaging with   FLASH, TrueFISP, TurboFLASH, FLASH Phase Contrast, etc)
integrated AutoCalibration
                                iPAT is compatible with all Matrix coils, all array coils, as well as coil
                                combinations
                                Tim Assistant facilitates optimized iPAT settings. Higher speed and
                                temporal solution can be used for:
                                • Improved image resolution
                                • Improved image quality due to reduced artifacts
                                3 different calibration techniques can be used:
                                • AutoCalibration with an integrated reference (calibration) scan to
                                  additionally save on total scan time
                                • TurboCalibration uses a separate measurement directly before the
                                  actual measurement. Images measured using TurboCalibration are
                                  characterized by reduced PAT artifacts. TurboCalibration is only used in
                                  conjunction with GRAPPA.
                                • PAT averaging for motion artifact suppression using Self-Calibration
iPAT²                           More slices and coverage in the same breath-hold by applying PAT in 2
                                directions simultaneously (phase-encoding direction and 3D direction for
                                3D sequences)
                                The effective PAT factor can be maximized, and PAT applications are
                                extended. Typical clinical applications are MR Angiography or ultrafast
                                isotropic T1-weighted 3D imaging of the head.
                                A new iPAT² sequence technique named CAIPIRINHA (Controlled Aliasing
                                In Parallel Imaging Results IN Higher Acceleration) has been added. It can
                                be applied to simultaneous multi-slice imaging techniques and volumetric
                                3D imaging e.g. in the abdominal region or in angiographic examinations.
                                                                                                             21
     Standard Motion Correction
     syngo BLADE                  • Motion and flow insensitive Turbo Spin Echo sequence
                                  • Supports T2-weighted, T1-weighted, STIR and DarkFluid protocols
                                  • Optional in-plane motion correction for head applications
                                  • Versatile sequence, e.g., supporting iPAT with GRAPPA and Restore
                                    pulses
                                  • Improves image quality for uncooperative patients, e.g., children in
                                    head, spine and orthopedic imaging
     1D PACE (Prospective         Quick and easy acquisition control for free breathing examinations,
     Acquisition Correction)      e.g. for cardiac imaging
     2D PACE Precise Motion       • Detects and corrects respiratory motion of the heart, liver, etc. for free
     Correction                     breathing high resolution 2D and 3D examinations
                                  • Significantly increased image quality
                                  • Improved security in the diagnosis of diseases in moving organs and
                                    precise slice registration for multi breath-hold studies
                                  • Eliminates the need for respiratory belt
                                  • PAT averaging for motion artifact suppression using Self-Calibration
     Standard Susceptibility Artifact Reduction
     syngo WARP                   • 2D TSE sequence with optimized high bandwidth protocols tailored
                                    to reduce susceptibility artifacts caused by orthopedic MR-conditional
                                    metal implants.
                                  • This helps in evaluation of soft tissue in proximity of the implant.
                                  • Available protocols include T1-weighted, T2-weighted, proton density
                                    and STIR contrast.
     Standard Workflow Enhancements
     AutoCoilDetect               Detects the position and orientation of coils automatically. Shows coils
                                  in the user interface right within the graphical slice positioning.
     AutoCoilSelect               Dynamic, automatic and interactively selects the coil elements within
                                  the Field-of-View
     syngo Scan Assistant         Shows parameter constraints and offers possible solutions.
     scan@center                  • Automatically moves the table so that the scan is performed
                                    in the magnet isocenter.
                                  • Best image quality especially for fat saturation techniques.
                                  • Extended Field-of-View examinations benefit from this functionality
                                    as well as multi-stage examinations.
22
Standard Workflow Enhancements (Continued)1)
AutoVoiceCommands         Records and plays freely programmable language-independent voice
                          commands, e.g., for breath-hold instructions to the patient.
Phoenix and PhoenixZIP    Exchange of protocol data (e.g. via Internet) by drag & drop clinical
                          images. PhoenixZIP allows transfer of whole measurement programs.
Online Help Functions     Context-sensitive and quick resource for questions about software
                          operation or MR physics.
Inline Technology –       • Inline Technology helps to streamline the clinical workflow by automat-
Processing Instead of       ing mundane post-processing steps before image viewing. See the
Post-processing             clinical results immediately.
                          • Automatic subtraction of images, e.g., pre- and post-contrast
                            enhancements
                          • Automatic on-the-fly calculation of standard deviation, for better
                            differentiation of arterial and venous phases
                          • MIP on-the-fly, i.e., MR Angiography with automatic image subtraction
                            and following MIP in three orthogonal planes, stored as a separate study
                          • Automatic diffusion and perfusion imaging1)
                          • Automatic soft tissue evaluation
                          • Inline Display automatically shows reconstructed images. It offers real-
                            time control of the results and opens automatically for e.g. interactive
                            real-time scanning for CareBolus examinations
                          • Inline Movie automatically starts the cine image display
1)
     Optional
                                                                                                       23
     Tim Application Suite
     Neuro Suite1)
                                      Comprehensive head and spine examinations can be performed with
                                      dedicated programs. High resolution protocols and fast protocols for
                                      uncooperative patients are provided. The Neuro Suite also includes
                                      protocols for diffusion imaging, perfusion imaging, and fMRI.
     General features                 • EPI sequences and protocols for diffusion imaging, and perfusion
                                        imaging, for advanced neuro applications. Diffusion-weighted imaging
                                        is possible with up to 16 b-values in the orthogonal directions
                                      • 3D isotropic resolution volume imaging using T1 3D MPRAGE / 3D
                                        FLASH, SPACE DarkFluid, T2 SPACE and 3D TSE
                                      • T2-weighted high resolution 3D Restore protocols optimized for inner
                                        ear examinations
      2)
           Option
24
Neuro Suite (Continued)
                          • Whole-spine protocols in multiple steps with software controlled table
                            movement
                          • 2D and 3D MEDIC protocols for T2-weighted imaging, particularly
                            for C-spine examinations in axial orientation where reproducibility is
                            difficult due to CSF pulsations and blood flow artifacts
                          • 3D Myelo with 3D HASTE and 3D TrueFISP for excellent depiction of
                            small anatomical details
                          • Dynamic sacroiliac joint imaging after contrast administration using a
                            fast T1-weighted FLASH 2D sequence
                          • Spine diffusion protocols to differentiate osteoporosis versus tumor
                            infiltration and post-radiotherapy changes versus residual tumor with
                            PSIF sequence
                          • Dixon – 2 point Dixon, based on Turbo Spin Echo, for improved separa-
                            tion of fat/water signal
                          • 3D CISS (Constructive Interference in Steady State) for excellent visual-
                            ization of fine structures such as cranial nerves. High resolution imaging
                            of inner ear and spine
                                                                                                        25
     Angio Suite
                              Excellent MR Angiography can be performed to visualize arteries and veins
                              with or without contrast agent
     Contrast-enhanced MRA    • 3D contrast-enhanced MRA protocols with or without iPAT for head,
                                neck, thorax, abdomen, peripheral regions with the shortest TR and TE.
                                It is possible to separate the arterial phase from the venous phase. No
                                venous contamination is seen due to the fast ce-MRA protocols
                              • CareBolus functionality for excellent results. It supports accurate deter-
                                mination of the bolus arrival time and the “Stop and Continue” of the 3D
                                ce-MRA protocol after the 2D bolus control scan
                              • Excellent peripheral ce-MRA can be acquired with Tim’s flexible coil
                                combinations
     Non-contrast MRA and     • 2D and 3D Time-of-Flight (ToF) protocols for MRA of the Circle of Willis,
     venography                 carotids, neck vessels, and breath-hold protocols for abdominal vessels
                              • Triggered 2D / 3D ToF sequences for non-contrast MRA, particularly in
                                the abdomen and the extremities
                              • 2D / 3D Phase-Contrast
                              • MR venography with 2D / 3D Time-of- Flight (ToF) and Phase-Contrast
                              • Tilted optimized non-saturating excitation (TONE) and MTC techniques
                                for improved Contrast-to-Noise Ratio (CNR)
     Image processing tools   • MIP, MinIP, and 3D SSD
                              • Inline MIP for immediate results
                              • Inline subtraction of pre- and post-contrast measurements
                              • Inline standard deviation maps of Phase-Contrast measurements for
                                delineation of arteries and veins
26
Cardiac Suite
                             The Cardiac Suite covers the complete application range from morpho-
                             logy, ventricular and valvular functions to tissue characterization. The
                             utilization of triggering requires the optional PMU Bluetooth Physio
                             Control.
Cardiac views                • Fast acquisition of the basic cardiac views for further examination
                               planning
                             • Cardiac scouting provides users with a step-by-step procedure for the
                               visualization and planning of typical cardiac views, e.g., based on
                               TrueFISP or Dark Blood TurboFLASH: short-axis, 4-chamber and 2-cham-
                               ber views
Morphology – heart and       • Various breath-hold techniques for strong contrast between the blood
vessel structure and valve     and vascular structures.
function                     • Dark Blood TSE and HASTE imaging are available for the structural evalu-
                               ation of the cardio- thoracic anatomy, including vessels or heart valves.
                             • Standard cine techniques (FLASH) can also be used to visualize functions
                               of the heart valves
                                                                                                           27
     Cardiac Suite (Continued)
     Tools for rapid evaluation     • Acquisition of a stack of short-axis slices (standard segmented FLASH, or
     of left or right ventricular     advanced segmented TrueFISP)
     function                       • Automatic adjustment of the acquisition window to the current heart
                                      rate
                                    • Use of the Inline ECG for graphical ECG triggering setup
                                    • Retrospective gating with cine sequences (TrueFISP, FLASH)
                                    • Protocols for coverage of the whole heart
                                    • iPAT integration for higher temporal /spatial resolution
     Protocols for high contrast    • Ultra-fast protocols for dynamic imaging, e.g., for 4 arbitrarily oriented
     and high resolution tissue       slices per heart beat. These protocols provide multi-slice information for
     characterization                 the assessment of coronary heart disease (TurboFLASH, TrueFISP)
                                    • Segmented IR TrueFISP / FLASH
                                    • TI scout for optimization of contrast between tissues
                                    • Robust and reproducible contrast between tissues with 2D phase sensi-
                                      tive inversion recovery, eliminating the need of TI adjustment (TrueFISP,
                                      Turbo- FLASH)
28
Body Suite
             The Body Suite is dedicated for clinical body applications. Ultrafast high
             resolution 2D and 3D protocols are provided for abdomen, pelvis, MRCP,
             dynamic kidney, and MR Urography applications.
             This package includes:
             • 2D / 3D HASTE (Restore) and D / 3D TSE (Restore)
             • Optimized fast single-shot HASTE protocols and high resolution 3D
               Restore protocols for MRCP and MR Urography examinations
             • syngo REVEAL (diffusion-weighted imaging for liver and more)
Abdomen      2D:
             • T1 (FLASH) breath-hold scans with and without FatSat (SPAIR, Quick
               FatSat, in- / opposed-phase)
             • T2 (HASTE, TSE / BLADE, EPI) breath-hold scans with and without FatSat
               (SPAIR, FatSat, STIR)
             • 2D TSE with multiple average. It is possible to acquire T2-weighted TSE
               images during shallow breathing, in a time efficient manner
             • T1 (TFL) triggered scans (2D PACE free breathing) in- / opp-phase
             • T2 (HASTE, TSE / BLADE, EPI) triggered scans (2D PACE free breathing)
               with and without FatSat (SPAIR, FatSat, STIR) as well as HASTE- and
               TSE-multi-echo
             • Optimized fast single shot HASTE protocols and high-resolution 3D
               RESTORE protocols based on SPACE and TSE for MRCP and MR urography
               examinations
Abdomen      3D:
             • Dixon (VIBE 2pt-Dixon) breath-hold scans, following contrasts can be
               obtained: in-phase, opposed phase, fat and water image
             • Dynamic (VIBE and Quick-FatSat) protocols for best visualization of focal
               lesions with high spatial and temporal resolution
Pelvis       • High-resolution T1, T2 pelvic imaging (prostate, cervix)
             • Isotropic T2 SPACE 3D protocols for tumor search in the pelvis
             • Dynamic volume examinations with 3D VIBE
                                                                                           29
     Onco Suite
                        MR imaging has an excellent advantage of soft tissue contrast, multipla-
                        nar capabilities and the possibility of selectively suppressing specific tissue
                        e.g. fat or water. This helps in the detection of pathologies, particularly
                        metastases. The Onco Suite features a collection of sequences as well as
                        protocols and evaluation tools that may be used in a detailed screening of
                        clinical indications, such as in hepatic neoplasms.
     General features   • 3D VIBE, FLASH and STIR-TSE in-phase / opposed-phase protocols with a
                          high sensitivity to metastases visualization
                        • Dynamic imaging protocols for assessment of the kinetic behaviour for
                          lesion visualization and characterization
                        • Quantitative evaluation and fast analysis of the data with colorized
                          Wash-in, Wash-out, Time-To-Peak, Positive-Enhancement-Integral,
                          MIP-time, and combination maps with Inline Technology or for offline
                          calculation
                        • Display and analysis of the temporal behavior in selected regions of
                          interest with the included MeanCurve post- processing application.
                          This includes the capability of using additional datasets as a guide for
                          defining regions of interest even faster and easier than before
                        • syngo REVEAL (diffusion-weighted imaging for liver and more)
                        • 2D PACE eliminates the need for respiratory belt
30
Ortho Suite
                   The Ortho Suite is a comprehensive collection of protocols for joint
                   imaging including the spine. Also in case of tumors, infections, or vascular
                   necrosis, a large amount of additional information can be acquired using
                   the protocols provided as standard in this suite.
General features   • 2D TSE protocols for PD, T1, and T2-weighted contrast with high in-
                     plane resolution and thin slices
                   • 3D MEDIC, 3D TrueFISP protocols with water excitation for T2-weighted
                     imaging with high in-plane resolution and thin slices
                   • High resolution 3D VIBE protocols for MR Arthrography (knee, shoulder
                     and hip)
                   • 3D MEDIC, 3D TrueFISP, 3D VIBE protocols with Water Excitation having
                     high isotropic resolution optimized for 3D post-processing
                   • 3D imaging with high isotropic resolution optimized for post-processing
                   • Whole-spine, single-step and multi-step protocols
                   • SPACE for 3D imaging with high isotropic resolution for shoulder, hip,
                     knee, wrist or ankle
                   • High resolution 3D DESS (Double Echo Steady State): T2 / T1-weighted
                     imaging for excellent fluid-cartilage differentiation
                   • Dixon – 2 point Dixon, based on Turbo Spin Echo, for improved separa-
                     tion of fat/water signal
                   • Excellent fat suppression in off-center positions, e.g., the Focus
                     Shoulder Array with an attached shim device focuses the homogeneity
                     volume of the system to the region of interest
                   • Dynamic TMJ protocol (different joint positions)
                   • Dynamic iliosacral joint protocol for contrast dynamics
                   • syngo WARP – 2D TSE sequence with optimized high bandwidth
                     protocols tailored to reduce susceptibility artifacts caused by orthopedic
                     MR-conditional metal implants. This helps in evaluation of soft tissue
                     in proximity of the implant. Available protocols include T1-weighted,
                     T2-weighted, proton density and STIR contrast.
                                                                                                  31
     Breast Suite
                        MR imaging provides excellent tissue contrast that may be useful in the
                        evaluation of the breasts. Extremely high spatial and temporal resolution
                        can be achieved in very short measuring times by using iPAT with GRAPPA.
                        Excellent soft tissue differentiation, customized protocols (e.g. with fat
                        saturation or water excitation or silicone excitation), as well as flexible
                        multiplanar visualization allow for fast, simple and reproducible evalua-
                        tion of MR breast examinations.
32
Breast Suite (Continued)
General features                • SPAIR – robust fat sat (robust fat suppression using an adiabatic fre-
                                  quency selective inversion pulse)
                                • DIXON – 2-point Dixon with 3D VIBE, the following contrasts can be
                                  obtained: in-phase, opposed phase, fat and water image
                                • iPAT with GRAPPA for maximum resolution in short time
                                • iPAT² that allows state-of-the-art sagittal breast imaging
                                • Inline subtraction and MIP display
                                • Offline subtraction, MPR, MIP and SSD display
                                • syngo REVEAL: diffusion-weighted imaging for breast exams.
Including RADIANT (ultra-sound like reconstruction around the nipple)
Siemens Technique:              • Bilateral – both breasts are examined simultaneously
syngo VIEWS (Volume             • Axial – the milk ducts are directly displayed
Imaging with Enhanced           • Fat-saturated or water-excited – fat complicates clinical evaluation and is
Water Signal)                     suppressed
                                • Near-isotropic 3D measurement – the same voxel size in all three direc-
                                  tions for reconstruction in any slice direction
                                • Submillimeter voxel – highest resolution for precise evaluation
                                                                                                                33
     Pediatric Suite
                       Tissue relaxation times in pediatrics are very different compared to those
                       of adults. The reasons for these differences are: developing tissues, body
                       size, faster heart rates, and compliance with breath-hold commands.
                       Protocols can be easily adapted for imaging infants.
34
Dot engines
Dot is personalized.
                                                          • Integrated decision points. At critical steps in
Dot makes it easy to get the best possible results for      the scanning process, your decision points are
virtually any type of patient. Dot gives you uniquely       presented. The user can add or eliminate protocols
tailored, optimized scans configurable to patient            or groups of protocols with the click of a button.
condition or clinical question.                           • Customizable to your standards. Dot can be
                                                            easily customized to your steps, images, text, and
• Optimized exam strategies. Dot provides scan              protocols to follow your standards of care.
  strategies based on the patient’s condition and         • Dot Display. Patient data and positioning informa-
  clinical indication. Your protocols are automatically     tion is provided at the scanner for accurate and
  selected. Just confirm and start scanning.                 fast patient set-up.
• Optimized to patient condition. Dot adapts to
  each patient’s breath-hold capacity and then links
  to your best scanning protocol to match.
• Consistent, high quality exams. High qual-              Dot is automated.
  ity exams are easily reproduced, even when
  condi¬tions change. Now every patient gets the          With intelligent automated workflows customized to
  same consistent exam every time.                        your standards, Dot takes efficiency to a whole new
• Dot speaks your clinical language. Customize            level. Scans are completed faster and more easily,
  Dot to create your own strategies tailored to your      with less chance of errors or repeats.
  clinical practice. Display only the parameters you
  need.                                                   • Intelligent, automated workflows. Dot Engines
                                                            can be tailored to your clinical needs with
                                                            simpli¬fied workflows that literally take the
                                                            complexity out of MRI exams – even for cardiac
Dot is guided.                                              and abdomen.
                                                          • Effortless set-up. Dot links your protocols and
Dot helps you truly optimize staff resources from           procedures. Optimal Field-of-View (FoV) is
every perspective. By allowing you to add critical          instantly estimated. And automated positioning
decision points along the way, Dot guides the               and alignment of slices ensure fast and robust
novice user, helping them to scan more expertly.            image quality across all patients.
Highly experienced staff is then freed up for more        • Timing is never off. Dot integrates
complicated studies. The result is greater efficiency        AutoVoiceCommands into the scan process,
at all levels and a dramatic improvement in image           ensuring the synchronized timing of breathing
consistency.                                                and scanning. In addition, contrast timing is more
                                                            accurate due to AutoBolusDetection.
• Real-time onboard guidance. Dot guides you,
  intuitively, through even the most complicated
  exams, step by step. Instant help, how-to descrip-
  tions, and example images are readily within view.
                                                                                                                 35
     Brain Dot Engine
                         The Brain Dot Engine simplifies general brain examinations with guided
                         and automated workflows customized to your standards of care. The Brain
                         Dot Engine supports the user in achieving reproducible image quality with
                         increased ease of use and time efficient exams.
     Patient View        The user simply easily tailors the exam to each individual patient. Several
                         customizable Dot Exam Strategies can be easily selected with one click
                         and the measurement program automatically updates. Your protocols
                         tailored for use of contrast media can be integrated.
     Guidance View       Step-by-step user guidance is seamlessly integrated. Example images
                         and guidance text are displayed for each individual step of the scanning
                         workflow. Both images and text are easily configurable by the user.
     Parameter View      The new streamlined Parameter View displays the parameters that are
                         really needed for the scan set-up. If desired, the user can switch to the
                         conventional – fully loaded – parameter view at any time.
     AutoPosition        The head of the patient is automatically placed at the isocenter without
                         any laser marking required.
     AutoAlign Head LS   All following protocols automatically position and align on the anatomi-
                         cally derived sagittal, coronal, and axial slices of the localizer. The align-
                         ment anatomical marking is independent of patient age, head position, or
                         disease. AutoAlign Head LS provides a fast, easy, and reproducible patient
                         scanning by delivering standardized image quality.
36
Brain Dot Engine (Continued)
AutoCoverage                   Maximizes the speed of the examination by automatically setting the
                               number of slices and the FoV to fully cover the brain. This is performed
                               based on the information delivered by AutoAlign, eliminating manual
                               setting and the scanning of unnecessary slices.
Dot Exam Strategies            The brain workflow can be personalized to the individual patient condi-
                               tion and clinical need. The following customizable strategies are included.
                               They can be changed at any time during the brain workflow:
                               • Standard: Standard examination with 2D protocols
                               • Resolution focus: Examination with 3D protocols (with e.g. SPACE)
                                 for detailed views
                               • Speed focus: Examination with fast 2D protocols (with e.g. HASTE)
                                 for further speeding up the exam
                               • Motion-insensitive (BLADE): Examination with syngo BLADE protocols to
                                 minimize and correct for the effects of motion automatically
syngo BLADE                    Motion insensitive Turbo Spin Echo sequence. Improves image quality
                               by correcting for the effects of motion during an MR acquisition.
                               (Can be used in head, spine, and other body regions).
Inline Diffusion               Automatic real-time calculation of trace-weighted images and ADC maps
                               with Inline Technology. Compatible with single-shot diffusion-weighted
                               EPI. Inline Diffusion enables syngo REVEAL body diffusion applications.
Rerun                          An image inside the examination UI can be selected and a rerun of
                               the corresponding series can be triggered with identical sequences or
                               parameters.
Customization                  Existing Dot Engines can be modified by the user to their individual
                               standard of care.
                               • Add / remove protocol steps
                               • Change guidance content (images and text)
                               • Change or add Dot Exam Strategies and Decision Points
                               • Modify the Parameter View
                                                                                                             37
     Knee Dot Engine1)
                         With Knee Dot Engine the user can adapt the scan strategy by a single
                         mouse-click, even during the scan in case patient conditions change – e.g.
                         speeding up the scan if the patient starts to move.
                         Knee Dot Engine includes AutoAlign to assist the user in the process of
                         slice orientation, based on a 3D-localizer. Dot guides through the work-
                         flow step-by-step with image and text information. And in most routine
                         cases, user interaction is only required for the very first scan after which
                         the user needs only to confirm the selection.
                         With its new 3D functionality, Dot assists the user to dramatically speed
                         up scan time and generate 3D datasets for interactive 3D reading, while at
                         the same time providing Inline MPR’s for conventional 2D reading.
     Patient View        Within the Patient View the user can easily tailor the exam to an individual
                         patient. Dot Exam Strategies can be integrated. With one mouse-click
                         you simply choose the most appropriate scan strategy, then the queue is
                         automatically loaded and filled with the complete scan setup.
     Guidance View       Step-by-step user guidance is seamlessly integrated. Example images
                         and guidance text are displayed for each individual step of the scanning
                         workflow. Both images and text are easily configurable by the user
     Parameter View      The new streamlined Parameter View displays the parameters that are
                         really needed for the scan set-up. If desired, the user can switch to the
                         conventional – fully loaded – parameter view at any time.
     AutoPosition        Positions the knee automatically into the optimal scanning position
     AutoAlign Knee      Automated, localizer based positioning and alignment of slice groups to
                         the anatomy, relying on anatomical landmarks. Providing fast, easy, and
                         reproducible patient scanning and supporting the reading by consistently
                         delivering the highest possible image quality with a standardized and
                         customizable slice orientation.
     1)
          Optional
38
Knee Dot Engine1) (Continued)
Dot Exam Strategies         The workflow can be personalized to the individual patient condition and
                            clinical need. Dot comes with the following predefined strategies, which
                            the user can select or change at any time during the workflow:
                            • Standard: Achieve highest image quality in a reasonable scan time with
                              2D protocols.
                            • Speed focus: Examine e.g. claustrophobic patients or children in the
                              shortest possible time with protocols being accelerated to maximal
                              extend
                            • Motion-insensitive(BLADE): Compensate for the effects of motion with
                              syngo BLADE protocols
                            • High Bandwidth (WARP): Protocols optimized for metal artifact
                              reduction.
syngo WARP Susceptibility   syngo WARP integrates different techniques tailored to reduce susceptibil-
Artifact Reduction          ity artifacts caused by orthopedic MR-conditional metal implants. 2D TSE
                            sequence combining optimized high-bandwidth protocols and View Angle
                            Tilting (VAT) technique, helps in evaluation of soft tissue in proximity of
                            the implant.
New 3D workflow              Fast SPACE program together with Inline MPR calculation for highly
                            reproducible and fast workflow. Easy to understand user guidance.
                            E.g. the user can acquire 3D datasets and reconstructed conventional 2D
                            slices simultaneously in one step and in TSE contrast. Supported with easy
                            to follow guidance information, the planning of required 2D MPR orienta-
                            tions is done simultaneously when the 3D scan is running.
Customization               Existing Dot Engines can be modified by the user to their individual
                            standard of care.
                            • Add/remove protocol steps
                            • Change guidance content (images and text)
                            • Change or add Dot Exam Strategies and Decision Points
                            • Modify the Parameter View
1)
     Optional
                                                                                                          39
     Abdomen Dot Engine1)
                                    The Abdomen Dot Engine offers a comprehensive and customizable
                                    workflow so that robust image quality can be achieved.
                                    The Abdomen Dot covers workflows for the upper abdomen. Imaging for
                                    lesion detection and for lesion characterization can be configured. All
                                    oncologic examinations in this anatomical region including grading and
                                    staging of liver tumors plus metastasis screening are covered, as well as
                                    other upper abdomen indications.
     Patient View                   Within the Patient View the user can easily tailor the exam to each indi-
                                    vidual patient. Several pre-defined Dot Exam Strategies can be integrated.
                                    The user just selects the appropriate strategy with one click and the queue
                                    and the complete scan set-up are automatically updated. Furthermore
                                    protocols tailored for use of contrast media can be integrated
     Guidance View                  Step-by-step user guidance is seamlessly integrated. Example images
                                    and guidance text are displayed for each individual step of the scanning
                                    workflow. Both images and text are easily configurable by the user
     Parameter View                 The new streamlined Parameter View displays the parameters that are
                                    really needed for the scan set-up. If desired, the user can switch to the
                                    conventional – fully loaded – parameter view at any time.
     AutoPosition                   After registration the patient is positioned automatically into the optimal
                                    scanning position.
     Automatic sequence             According to physiological characteristic (AutoFoV, AutoNavigator,
                                    breathhold scaling adaptations)
     AutoNavigator                  Automatic breathing pattern detection and scaling of triggered scans
     AutoFoV (automatic Field-of-   Based on the localizer images the optimal FoV is automatically estimated.
     View calculation)              In case the patient moves during the examination, this step can be
                                    repeated at any time
     1)
          Optional
40
Abdomen Dot Engine (Continued)
Dot Exam Strategies        The workflow can be personalized to the individual patient condition and
                           clinical need. The following predefined strategies are included. They can
                           be changed at any time during the workflow:
                           • Breath-hold: default strategy, robust breathhold protocols
                           • Resp synchronized: robust protocols with syngo PACE triggering
                           • Motion-insensitive: designed for “uncooperative” patients
Dot Decisions              Your decisions can be seamlessly integrated into the scanning workflow.
                           The user just selects the queue and the appropriate protocol or set of
                           protocols are automatically added. For the abdomen MRCP and Diffusion
                           decision points are offered.
MRCP decision point        Dot provides comprehensive guidance, including positioning help.
                           MRCP is measured and Inline Radial Ranges are generated in-line.
Timeline setup and         For best overview of multi-phase breath-hold examinations,
Monitoring                 CM enhancement curve visualization
Automatic timing           For different phases
AutoBolusDetection         With override function to initiate the dynamic upper abdomen
                           examination
                                                                                                      41
     Abdomen Dot Engine (Continued)
     AutoVoiceCommands          Seamlessly integrated into the scanning workflow. The system plays them
                                automatically at the desired time point. This assists the user in providing
                                the optimal timing of scanning, breathing and contrast media. The user
                                can monitor which breath hold or pauses are actually played, and could
                                add pauses between the automatic breath hold commands if necessary
     Inline Subtraction         Within the contrast-enhanced abdomen exam, multiple phases are
                                acquired: native, arterial phase, portal-venous phase and late-phase. The
                                scanner automatically subtracts the native measurement from the arterial,
                                portal-venous and late phase
     Inline Registration        For best visualization of lesions the system can be set to automatically
                                perform a registration / alignment of the anatomy for the different
                                dynamic phases. The importance of registration / correction can be seen
                                when examining nodular enhancing pathologies.
     Customization              Existing Dot Engines can be modified by the user to their individual
                                standard of care.
                                • Add/remove protocol steps
                                • Change guidance content (images and text)
                                • Change or add Dot Exam Strategies and Decision Points
                                • Modify the Parameter View
42
Angio Dot Engine1)
                           The timing of contrast injection and scan is commonly stated the most
                           challenging part of an angiographic exam. The Angio Dot Engine guides
                           the user through angiographic single or multi station examinations by
                           providing visualization arterial and venous timing windows using a test
                           bolus technique. This information is fed back into the next planning steps
                           so scan parameters can be adapted to the individual patient and patient’s
                           condition. Where needed, automatic voice commands support the com-
                           munication with the patient
1)
     Optional
                                                                                                        43
     Cardiac Dot Engine1)
                                Cardiac examinations used to be the most complex exams in MR. Now
                                The Cardiac Dot Engine supports the user in many ways. Using anatomi-
                                cal landmarks, standard views of the heart, such as dedicated long axis
                                and short-axis views are easily generated and can easily be reproduced
                                using different scanning techniques. Scan parameters are adjusted to the
                                patient’s heart rate and automatic voice commands are given. All of this
                                takes most of the complexity out of a cardiac exam and supports
                                customized workflows that are easy to repeat.
     Patient View               Within the Patient View the user can easily tailor the exam to each
                                individual patient (e.g. patient with arrhythmia, breath hold capability).
                                Several pre-defined Dot Exam Strategies are integrated. The user just
                                selects the appropriate strategy with one click and the queue and the
                                complete scan set-up are automatically updated to the users pre-defined
                                standard of care.
     Guidance View              Step-by-step user guidance is seamlessly integrated. Example images
                                and guidance text are displayed for the individual steps of the scanning
                                workflow. Both images and text are easily configurable by the user
     AutoFoV                    Based on the localizer images the optimal FoV is automatically estimated.
     (automatic Field-of-View   In case the patient moves during the examination, this step can be
     calculation)               repeated at any time
     Automated parameter        Scan parameters are automatically adapted to the patient’s condition
     Adaptation                 (heart rate etc.)
     Novel heart localization   On-board guidance visually facilitates anatomic landmark settings which
     Method                     are used for calculation of standard long-axis views
     Automated localization     Automated localization of short-axis views
     Guided slice positioning   Easy way to match slice positions (short-axis) between cine, dynamic
                                imaging, tissue characterization
     1)
          Optional
44
Cardiac Dot Engine (Continued)
Cardiac Views                    Easy selection of cardiac views (e.g. 3 chamber view) during scan
                                 planning
Inline Ventricular Function      syngo Inline VF performs volumetric evaluation of cardiac cine data fully
Evaluation                       automatically right after image reconstruction. There is no user input
                                 necessary. If desired, inline calculated segmentation results can be loaded
                                 to 4D Ventricular Function Analysis for further review or processing
Inline Time Course Evaluation    Automatic, real-time and motion corrected calculation of parametric maps
                                 with inline technology
Cardiac specific layout for the   Automatically chosen layouts show the new physio display and are
Exam task                        configured for every step of the exam
Automatic display of images      Automatic display of image in dedicated cardiac image orientations
                                 instead of the standard DICOM orientations.
Adaptive triggering              Acquisition adapts in realtime to heart rate variations for non-cine
                                 applications.
Automated Naming                 Automated naming of series depending on cardiac views and contrast.
AutoVoiceCommands                AutoVoiceCommands are seamlessly integrated into the scanning work-
                                 flow. The system plays them automatically at the desired time point. This
                                 ensures synchronized timing of scanning, breathing and contrast media.
                                 The user can monitor which breath-hold or pauses are actually played,
                                 and could add pauses between the automatic breath hold commands if
                                 necessary.
Dot Exam Strategies              The workflow can be personalized to the individual patient condition and
                                 clinical need. The following predefined strategies are included. They can
                                 be changed at any time during the workflow:
                                 • Breath-Hold: For patients with good breathhold capability
                                 • Realtime: For patients with arrhythmias and/or poor breathhold
                                   capability
Customization                    Existing Dot Engines can be modified by the user to their individual
                                 standard of care.
                                 • Add / remove protocol steps
                                 • Change guidance content (images and text)
                                 • Change or add Dot Exam Strategies and Decision Points
                                 • Modify the Parameter View
                                                                                                               45
     syngo MR Software
     syngo MR Examination
     Exam Explorer     • Free and flexible programming of customized integrated exam programs
                       • Simple change of exam programs via drag & drop
                       • Allows configuration of Dot: e.g. customization of image and text guidance, defini-
                         tion of strategies and decision points and to add sequences
                       • Automatic adjustment of frequency, transmitter power and 3D Shim
                       • Eliminates the need for receive adjustments through dynamic receiver gain control,
                         significantly reducing scan time
                       • Allows for individual interactive adjustments
                       • No coil tuning necessary, also saving examination time
     AutoScout         • Automatic start of localizer scan with very short acquisition time
                       • Arbitrary orientations (multi-slice multi-angle)
                       • Automatically loads images into Graphical Slice Positioning
     Graphical Slice   Simultaneous use of three arbitrary localizer images from possibly different measure-
     Positioning       ments for graphically positioning slices and sat regions. Interactive modification of
                       measurement parameters (slice thickness, distance factor, oversampling etc.):
                       • Automatic selection of relevant coil elements
                       • Graphical selection of coil elements
                       • Off-center positioning (shift of FoV within the selected slice position)
                       • True multi-slice multi-angle, e.g. simultaneous measurement of multiple images
                         (stacks with different orientation)
                       • Recall of previous slice and / or sat region positioning
                       • Paging through all images during graphical positioning
                       • Inline Movie, allowing positioning of slices on e.g. the beating heart
                       • Loads images immediately when they are available, e.g. during image
                         reconstruction
                       • Allows quick overview via image stamps. Loads entire series of planning images
                         with drag-and-drop
                       • Slice positioning (GSP) on 3D reconstructed images
                       • Slice positioning (GSP) on 2D and 3D distortion corrected images
                       • Slice positioning (GSP) on composed images
46
syngo MR Image Viewing and Filming
Image Recall                   • Images are stored in DICOM format, allowing fast image access and
                                 recall.
                               • Combines images in new series, e.g. post-processed images
                               • Loads images automatically
                               • Inline Display
Image Display                  • Various display layouts selectable
                               • Up to 3 patients can be simultaneously active in the viewer
                               • Image annotation and labeling
                               • Non-interpolated display
                               • Fast paging through up to 500 images with 15 images / s for full screen
                                 display
Windowing                      • Freely selectable window width and center
                               • Windowing on succeeding images
                               • Auto-windowing for optimized contrast
                               • Saves and sends window values
Automatic Movie for cine display
Interactive movie paging by dragging the mouse or Automatic Movie mode by clicking the icon
Evaluation                     Parallel evaluation of up to 40 regions of interest
                               • Circle
                               • Rectangle
                               • Freehand ROI
                               • Pixel lens with position marker
                               • Statistical evaluation
                               • Area
                               • Standard deviation
                               • Mean value
                               • Min / max values
                               • Image scrolling
                               • Magnification
                               • Distance
                               • Angle
                                                                                                           47
     syngo MR Image Viewing and Filming (Continued)
     2D Post-processing         Image manipulations
                                • Reversal of gray-scale values
                                • Image rotation by 90° or by user-defined angle
                                • Flip horizontally / vertically
                                • Image zoom and pan
                                • Shutter
                                • Annotation
     Position display           Displays measured slice positions on localizer image and selected series.
     Argus Viewer               Viewing software for cardiac MR studies and large data sets
                                • Efficient cine review of cardiac and other dynamic data sets
                                • Multiple sorting options
                                • Single movie as well as 2, 4, or 8 simultaneous slices together in
                                  movie mode
                                • Rapid avi creation of 1 to 8 slices simultaneously
                                • Creates and edits DICOM structured reports
     Mean Curve                 Time-intensity analysis for contrast-enhanced examinations
                                • Creates and edits DICOM structured reports
     Filming                    • Connection via DICOM Basic Print
                                • Interactive filming
                                • Filming parallel to other activities
                                • Independent scanning and documentation – no wait time due to
                                  camera delays
                                • Freely selectable positioning of images onto virtual film sheet
                                • Selectable various film layouts
                                • Mother-in-Child display
                                • Windowing, image zoom and pan on film sheet
                                • Configurable image text
                                • Simultaneous handling of multiple film jobs
                                • Up to 100 virtual film sheets
48
syngo MR Image Viewing and Filming (Continued)
Dynamic Analysis           Arithmetic operations on images and series (e.g. for evaluation of
                           contrast media studies)
                           • Addition, subtraction, multiplication, division of single images and
                             whole series
                           • Arithmetic mean and standard deviation across a range of selected
                             images
                           • Calculation of T1 and T2, and logarithmic images
                           • Differentiation / integration of selected images
                           • Calculation of a mean slope image from a range of selected images
                           • Calculation of z-score (t-test) images for evaluation of BOLD imaging
                             data (Blood Oxygenation Level Dependent)
                           • Time-to-peak evaluation (TTP)
                           • ADC maps
                           Several evaluation functions may be started consecutively in the
                           background
Printing on Paper          Interface and software for printing images on paper (laser printer not
                           included)
                           Supported printing                    Grey levels and color
                           Data format                           PostScript Level 2
                                                                                                     49
     syngo MR 3D Post-processing
     MPR – Multi-Planar          Real-time multi-planar reformatting of secondary views
     Reconstruction              • Viewing perspectives: sagittal, coronal, axial, oblique, double oblique,
                                   curved (freehand)
                                 • Reconstruction along polygon and / or curved (freehand) cut lines
                                 • Reconstruction based on reconstructed planes possible
                                 • Reconstruction of user-defined ranges of parallel, radial or freehand cuts
                                 • Selectable slice thickness and slice increment of reconstructed images
                                 • Storing of post-processing protocols
                                 • Annotations and 2D evaluations such as distance and ROI
     MIP – Maximum               3D reconstructions of vessels from a 3D data set, or a 2D sequential slice
     Intensity Projection        data set (acquired with dedicated MR Angiography sequences)
                                 • Volume of Interest (VoI) defined to increase reconstruction speed and to
                                   improve image quality
                                 • Freehand MIP
                                 • Arbitrary views along any direction can be defined interactively with
                                   mouse-driven virtual trackball
                                 • Multiple view angles around any orthogonal axis
                                 • Projections displayed as single images, as interactive movie or by fast
                                   paging
                                 • MIP thin / MIP thick
     MinIP – Minimum             Similar to MIP but reconstructs the minimum intensity (e.g. for Dark Blood
     Intensity Projection        techniques)
     SSD – Shaded                Three-dimensional display of surfaces, such as contrast-enhanced vessels
     Surface Display             • Selectable variable threshold values
                                 • Multiple view angles around any orthogonal axis
     Volumes of Interest (VoI)   Rectangular and irregular VoI can be defined to improve image quality
50
syngo MR Network Communication
DICOM Services           Interface for transmitting medical images and information in the
(Digital Imaging and     DICOM 3.0 industrial standard. Allows for communication between
Communications in        devices from different manufacturers
Medicine)                • DICOM Send / Receive
                         • DICOM Query / Retrieve
                         • DICOM SC Storage commitment
                         • DICOM Basic Print
                         • DICOM Modality Worklist
                         • DICOM MPPS Modality performed procedure steps. Communication back
                           to information system
                         • DICOM Structured Reports
                         • DICOM Study Split
DICOM Study Split        DICOM Study Split provides the mapping of one study acquired based
                         on multiple requests to multiple studies directly at the scanner. For
                         example, two requests for head and neck acquisition can be registered
                         once, scanned once and immediately mapped to two separate studies for
                         individual reading.
                         Multiple requested procedures can be combined in a time saving manner
                         by scanning a larger body region and then splitting them to individual
                         billing relevant studies for separate reading.
                         This package allows:
                         • Time saving simple mapping of multiple requested procedures to
                           multiple acquired series with one scan
                         • Simple creation of studies with individual billing based on one scan
                           workflow
                         • Improvement for departmental workflow by eliminating need to
                           load / change and to request / execute splitting on a separate workstation
                           after the scan
                         • Immediate visual selection, check and correction of images to study
                           assignments.
                         • Overlapping region images can be copied to both studies
                                                                                                        51
     syngo MR Network Communication (Continued)
     syngo MR Network          Exchange Media Storage of images and additional data (e.g. avi files) on
     Communication             CD / DVD
     DICOM Viewer              A viewing tool which can be stored together with images on
                               a DICOM CD / DVD to be handed out to the patient
     Virus Protection          • Permanent scanning for malicious software in the background to provide
                                 maximum security
                               • Via Remote Access over secure network connection the latest
                                 virus scanner updates and operating system hotfixes are installed
                                 automatically
                               • Provided in conjunction with a service contract with Siemens
                                 (UPTIME Services)
     Image Transfer            Local network                              Ethernet
                               Data transfer rate                         Max. 1 Gbit / s
                               Transfer rate (256 × 256 image)            Approx. 20 images / s
52
Computer System
                                                                                               53
     syngo Acquisition Workplace (Continued)
     Measurement                 Processor                        Quad Core XeonTM
     and reconstruction system   Clock rate                       ≥ 3.1 GHz
                                 Main memory (RAM)                ≥ 12 GB
                                 Hard disk for raw data           ≥ 500 GB
                                 Hard disk for system software    ≥ 500 GB
                                 Parallel Scan and Recon          Simultaneous scan and reconstruction
                                                                  of up to 8 data sets
                                 Reconstruction speed             ≥ 8968 recons per second
                                                                  (256x256 PeFT, Full FoV)
                                                                  ≥ 38000 recons per second
                                                                  (256x256 PeFT, 25% FoV)
     syngo MR Workplace1)
     Color LCD Monitor           High resolution flicker-free flat-screen monitor
                                 Horizontally tiltable, forward and backward
                                 Automatic backlight control for long-term brightness stability
                                 Screen size (diagonal)           19”
                                 Horizontal frequency             31−82 kHz
                                 Vertical frequency               56−75 Hz
                                 Screen matrix                    1280 × 1024
     Host computer               Processor                        Quad Core Intel XeonTM CPU
                                 Clock rate                       ≥ 2.6 GHz
                                 RAM                              ≥ 6 GB
                                  st
                                 1 hard disk (system SW)          ≥ 300 GB
                                  nd
                                 2 hard disk                      ≥ 300 GB
                                 (data base & images)
                                 CD-R writer                      Approx. 4000 images 2562
                                                                  DICOM Standard, ISO 9660
                                 DVD-R writer                     Approx. 25 000 images 2562
                                                                  DICOM Standard, ISO 9660
                                 Media drives                     CD / DVD drive
     1)
          Optional
54
Installation
1)
     Long-term average in full operation
                                                                                                             55
     Cooling Water Requirement 1)
     Water cooled cabinet                               Water consumption               >30 l / min1)
                                                        Heat dissipation to water       ≤21 kW
     Power Consumption
     System off                                                               ≤6.5 kW
     Stand-by                                                                 ≤6.7 kW
     Ready for measurement                                                    ≤9.0 kW
     Typical examination                                                      ≤9.9 kW
     Space Requirements
     Min. total space requirement (for magnet, electronics,                   30 m2
     and console room)
     1)
          Water temperature: 6°C − 12°C (43°F − 54°F)
56
Dimensions *1) **2)
                  Component                             Width   Depth   Height     Weight
                                                        [cm]    [cm]    [cm]       [kg]
Examination       Magnet 1.5 Tesla AS                   211.4   131     214        3150
Room              (incl. Helium)
                  Magnet in operation, incl. gradient   231     411     218        4365
                  coil, body coil, patient table, and
                  covers
                  Patient table                         55.5    210.5   55–89      270
                                                                              3)
                  Required min. room height clearance                   240
                  Min. transport dimensions             226*    183*    216*
Control           syngo Acquisition Workplace           120     80      117
Room              (table + monitor)                                     (72+45)
                  Host computer                         17      45      46
                  syngo MR Workplace (optional)         120     80      117
                  (table + monitor)                                     (72+45)
Equipment         Electronics cabinet, incl. system     95      65      189**      700
Room              control, RF system, gradient power
                  system, image processor
                  Active Cooling System                 100     65      189**      435
                  Passive Cooling System                80      65      189**      280
                                                                                            57
Not for distribution in the USA.
Note: Any technical data contained in this docu-   Global Business Unit
ment may vary within defined tolerances.
Original images always lose a certain amount of    Siemens Healthcare Sector
detail when reproduced                             Magnetic Resonance
                                                   Henkestr. 127
                                                   DE-91052 Erlangen
Please find fitting accessories:                     Germany
www.siemens.com/healthcare-accessories             Phone: + 49 9131 84-0
www.siemens.com/healthcare
Order No. A91MR-410D-41-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
A Tim+Dot System
Tim [46x16]
www.siemens.com/MAGNETOM-ESSENZA
    Magnet System
    General
    Superconducting Magnet                               Short bore, patient-friendly design with large flared opening
                                                         Easy siting due to AS (Active Shielding) and E.I.S. (External
                                                         Interference Shielding) magnet technology
    Magnet Parameters1)2)
    Operating field strength                              1.5 Tesla
    Superconductor                                       Niobium-Titanium
    Field stability over time                            <0.1 ppm/h
    Magnet length                                        131 cm
                         2)
    Inner diameter                                       60 cm
    System length cover to cover                         147 cm
    1)
         W/o shim coils, gradient coil, RF body coil
    2)
         Incl. shim coils, gradient coil, RF body coil
2
 Homogeneity (based on highly accurate 24 plane plot)
 Volume                                              Guaranteed                            Typical
 10 cm DSV                                           ≤0.2 ppm                              0.04 ppm
 20 cm DSV                                           ≤0.22 ppm                             0.16 ppm
 30 cm DSV                                           ≤1.2 ppm                              1.1 ppm
 40 x 40 x 30 cm³                                    ≤2.2 ppm                              1.9 ppm
 45 x 45 x 30 cm³                                    ≤7.5 ppm                              6.0 ppm
 40 x 40 x 40 cm³                                    ≤5 ppm*
*In compliance with the German “Qualifikationsvereinbarung”.
Standard deviation Vrms (volume root-mean square) measured with highly accurate 24 plane plot method (20 points per plane).
Standard active shim with 3 linear and 1 non-linear channels (2nd order).
DSV = Diameter spherical volume (x, y, and z direction);
DEV = Diameter elliptical volume.
 3D Shim
 Patient-specific automated shim
 For optimization of the magnetic field homogeneity
 Time to shim                                        Approx. 22 s
 Shielding1)
 Active Shielding (AS)                               5th generation active shielding (AS) technology with counter
                                                     coils
 Fringe field (axial × radial)                        0.5 mT1)                              4.0 m × 2.5 m
                                                     0.1 mT                                5.8 m × 3.4 m
 External Interference Shield (E.I.S.)               Patented shielding system integrated into the magnet
                                                     Continuous compensation and automatic suppression of
                                                     external magnetic field interferences during measurement
                                                     (caused by moving ferromagnetic objects or nearby power
                                                     lines)
 Magnet Cooling System2)
 Zero Helium boil-off technology
 Refill interval (typical)                            Not applicable2)
 Boil-off rate (typical)                             0.0 liter / year2)
 Max. helium capacity                                approx. 1400 liters
 1)
      Pacemaker safety limit
 2)
      For typical clinical use, depending on sequences and operating time with running helium compressor. The system needs
      to be serviced at regular interval. Undisturbed magnet cooling for 24 hours and 7 days a week.
                                                                                                                              3
    Gradient System
    General
    Gradient Duty Cycle                                 100 %
    Gradient performance                                Max. amplitude                        30 mT/m
                                                        Min. rise time                        300 us
                                                        Max. slew rate                        100 T/m/s
    Vector gradient performance (vector                 Max. eff. amplitude                   52 mT/m
    summation of all 3 gradient axes)                   Max. eff. slew rate                   173 T/m/s
    Gradient Amplifier1)
    Water-cooled, highly compact, modular design
    Ultra-fast solid-state technology with very low switching losses
    Max. output voltage1)                               1350 V
                             1)
    Max. output current                                 150 A
    Resolution Parameters2)
    FoV                                                 Min. 5 mm
                                                        Max.2) 450 mm
    Slice thickness 2D                                  Min. 0.1 mm
                                                        Max. 200 mm
    Partition thickness 3D                              Min. 0.05 mm
                                                        Max. 20 mm
    Slab thickness 3D                                   Min. 5.12 mm
                                                        Max. 450 mm
    Max. matrix                                         1024
    Highest in-plane resolution                         16 μm
    1)
         Values for each of the 3 gradient axes
    2)
         Depending on the application, the maximum FoV may be smaller (e.g. up to 35 cm in z-direction)
4
 Sequences
                                                                               Matrix
                                                                               128                   256
 Spin Echo                             min. TR [ms]                            6.9                   7.6
                                       min. TE [ms]                            1.9                   2.4
 2D GRE (TurboFLASH)                   min. TR [ms]                            0.96                  1.37
                                       min. TE [ms]                            0.32                  0.42
                                       min. measurement time[ms]:              24                    34
 3D GRE (ceMRA)                        min. TR [ms]                            0.96                  1.37
                                       min. TE [ms]                            0.32                  0.32
 TrueFISP                              min. TR [ms]                            2.31                  3.1
                                       min. TE [ms]                            0.96                  1.28
                                       min. measurement time[ms]:              49                    72
 TSE (HASTE)                           min. Echo Spacing [ms]                  1.96                  2.36
                                       min. TR [ms]                            9                     11
                                       min. TE [ms]                            2                     2.6
                                       min. measurement time[ms]:              70                    81
                                       max. Turbo Factor = 512
                                                                               Matrix
                                                                               64           128      256
 EPI (single-shot and                  min. Echo Spacing [ms]                  0.43         0.63     1.05
 multi-shot)                           min. TR [ms]                            10           12       17
                                       min. TE [ms]                            5.1          6.6      9.3
                                       min. Measurement time                   10           12       17
                                       max. EPI Factor = 256
 Diffusion Imaging                     Max. b-value = 10 000 s / mm2
                                       Min. TE [ms] with                       60           62       66
                                       b = 1000 [s / mm2]
All matrices without interpolation. Combinations of the stated parameters are not always possible;
some parameters may require optional application packages
                                                                                                            5
    RF System
6
RF Receiver Technology
The MAGNETOM ESSENZA equipped with Tim [46x16] facilitates the integration of up to combination
of up to 46 seamlessly integrated coil elements and 16 independent RF channels. Two coil connectors
integrated in the patient table enable the simultaneous use of a large number of coils simultaneously
with the integrated, 9-element IsoCenter Matrix. All coil elements of all connected coils can be flexibly
selected for each scan.
Receive path
Receiver bandwidth                          500 Hz −1 MHz (for each channel)
Receiver signal resolution                  32 bits
Number of independent receiver              16
channels
Sampling rate (Sampling resolution)         10 MHz (100 ns)
Preamplifier noise figure                     < 0.55 dB
Total gain                                  365 dB / 50 dB with automatic control
Dynamic range (referred to 1 Hz             162 dB instantaneous at receiver
resolution bandwidth)                       169 dB with automatic gain control at local coil connector
                                                                                                           7
    Coils
8
 Standard Tim Coils
 16-channel Head/Neck coil                 Application area            Head examination
                                           Dimensions (L × W × H)      470 mm x 470 mm x 330 mm
                                           Weight                      5.4 kg
 4-Channel Flex Coil, large                Application area            Multi purpose
                                           Dimensions (L × W)          56 mm x 224 mm
                                           Weight                      550 g
 4-Channel Flex Coil, small                Application area            Multi purpose
                                           Dimensions (L × W)          366 mm x 174 mm
                                           Weight                      450 g
 Accessories                               Flex Coil Interface 1.5 T
Combination of all coils possible for large Field-of-View exams.
                                                                                                  9
     Computer System
10
syngo Acquisition Workplace (Continued)
Measurement                 Processor                        Quad Core XeonTM
and reconstruction system   Clock rate                       ≥ 3.1 GHz
                            Main memory (RAM)                ≥ 16 GB
                            Hard disk for raw data           ≥ 500 GB x2
                            Hard disk for system software    ≥ 500 GB
                            Parallel Scan and Recon          Simultaneous scan and reconstruction
                                                             of up to 16 data sets
                            Reconstruction speed             ≥ 9174 recons per second
                                                             (256x256 PeFT, Full FoV)
syngo MR Workplace1)
Color LCD Monitor           High resolution flicker-free flat-screen monitor
                            Horizontally tiltable, forward and backward
                            Automatic backlight control for long-term brightness stability
                            Screen size (diagonal)           19”
                            Horizontal frequency             31−82 kHz
                            Vertical frequency               56−75 Hz
                            Screen matrix                    1280 × 1024
Host computer               Processor                        Quad Core Intel XeonTM CPU
                            Clock rate                       ≥ 2.6 GHz
                            RAM                              ≥ 6 GB
                            1st hard disk (system SW)        ≥ 300 GB
                             nd
                            2 hard disk                      ≥ 300 GB
                            (data base & images)
                            CD-R writer                      Approx. 4000 images 2562
                                                             DICOM Standard, ISO 9660
                            DVD-R writer                     Approx. 25 000 images 2562
                                                             DICOM Standard, ISO 9660
                            Media drives                     CD / DVD drive
1)
     Optional
                                                                                                    11
Not for distribution in the USA.
Note: Any technical data contained in this docu-   Global Business Unit
ment may vary within defined tolerances.
Original images always lose a certain amount of    Siemens Healthcare Sector
detail when reproduced                             Magnetic Resonance
                                                   Henkestr. 127
                                                   DE-91052 Erlangen
Please find fitting accessories:                     Germany
www.siemens.com/healthcare-accessories             Phone: + 49 9131 84-0
www.siemens.com/healthcare
Order No. A91MR-410D-42-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
IsoCenter Matrix Coil
www.siemens.com/MAGNETOM-ESSENZA
 IsoCenter Matrix Coil1)
 General                        The IsoCenter Matrix Coil is part of the standard
                                system configuration.
                                • 9-element design integrated at isocenter into the
                                  bore of the magnet
                                • Operates as spine coil, in single and multi-step
                                  examinations and as posterior coil together with
                                  Body Matrix or PA Matrix coils
                                • Workflow optimized setup with a coil that never
                                  needs to be positioned on the table
                                • No coil tuning
                                • iPAT-compatible
 Applications                   • T- and L-spine examinations
                                • Whole spine and whole CNS
                                • Bilateral peripheral MRA
                                • Bilateral examination of long bone and legs
                                • Pelvic and abdominal imaging
                                • Thorax and cardiac imaging
 Can be combined with           • Body Matrix Coil
                                • Head Matrix Coil
                                • Neck Matrix Coil
                                • 16 channel Head/Neck Coil1)
                                • PA Matrix Coil
                                • 4-channel Flex coil large
                                • 4-channel Flex coil small
                                • Endorectal coils
 Matrix Coil Mode               • 3-channel CP Mode
                                • 6-channel Dual Mode
 Weight                         4.8 kg
 Dimensions (L × W × H)         300 mm × 300 mm × 280 mm
 1)
      Only for Tim [46x16]
www.siemens.com/healthcare
Order No. A91MR-410D-A401-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Head Matrix Coil
www.siemens.com/MAGNETOM-ESSENZA
 Head Matrix Coil
 General                        The Head Matrix Coil is part of the standard system
                                configuration
                                • 6-element design with 6 integrated preamplifiers
                                • Upper coil part removable
                                • Lower coil part usable without upper part for highly
                                  claustrophobic patients
                                • Lower coil part may stay on the patient table for
                                  most of the examinations
                                • Smoothly integrated into the patient table with
                                  Neck Matrix coil and IsoCenter Matrix coil
                                • Open patient-friendly design
                                • Cushioned head stabilizers (removable)
                                • No coil tuning
                                • iPAT-compatible
                                • Detachable double mirror
 Applications                   • Head examination
                                • MR Head/Neck Angiography
                                • Combined head/neck examination
                                • TMJ (temporomandibular joints)
 Can be combined with           • Neck Matrix coil
                                • IsoCenter Matrix coil
                                • Body Matrix coil
                                • All flexible coils (e.g. 4-Channel Flex coil small/large)
 Matrix Coil Mode               • 2-channel CP Mode
                                • 4-channel Dual Mode
                                • 6-channel Triple Mode
 Weight                         4.6 kg
 Dimensions (L × W × H)         359 mm × 385 mm × 307 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A402-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Neck Matrix Coil
www.siemens.com/MAGNETOM-ESSENZA
 Neck Matrix Coil
 General                           The Neck Matrix coil is part of the standard system
                                   configuration.
                                   • 4-element design with 4 integrated preamplifiers,
                                     2 clusters of 2 elements each
                                   • Upper coil part removable
                                   • Lower coil part usable without upper part for
                                     highly claustrophobic patients
                                   • Lower coil part may stay on the patient table for
                                     most of the examinations
                                   • Operates in an integrated fashion with the Head
                                     Matrix coil and IsoCenter Matrix coil, for coverage
                                     of the posterior and anterior neck region
                                   • No coil tuning
                                   • iPAT-compatible
 Applications                      • Cervical spine
                                   • Neck
                                   • Larynx/Esophagus
                                   • MR Angiography
                                   • Mediastinum
                                   • Combined head/neck examination
 Can be combined with              • Head Matrix coil
                                   • IsoCenter Matrix coil
                                   • Body Matrix coil
 Matrix Coil Mode                  • 2-channel CP Mode
                                   • 4-channel Dual Mode
 Weight                            2.4 kg
 Dimensions (L × W × H)            230 mm × 398 mm × 306 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A403-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Body Matrix Coil
www.siemens.com/MAGNETOM-ESSENZA
 Body Matrix Coil
 General                           • 6-element design with 6 integrated preamplifiers,
                                     with 2 clusters of 3 elements each
                                   • Operates in an integrated fashion with the
                                     IsoCenter Matrix coil (2 rings of 6 elements each =
                                     12-element design)
                                   • Can be combined with further Body Matrix coils
                                     for larger coverage
                                   • No coil tuning
                                   • iPAT-compatible
 Applications                      • Thorax
                                   • Abdomen
                                   • Pelvis
                                   • Hip
 Can be combined with              • Head Matrix coil
                                   • Neck Matrix coil
                                   • IsoCenter Matrix coil
                                   • Additionalt Body Matrix coil
                                   • PA Matrix coil
                                   • All flexible coils
                                     (e.g. 4-Channel Flex coil small/large)
                                   • Endorectal coils
 Matrix Coil Mode                  • 2-Channel CP Mode
                                   • 4-Channel Dual Mode
                                     which results in 4- or 8-channel body imaging
                                     in combination with the IsoCenter Matrix coil.
                                   • 6-Channel Triple Mode
 Weight                            1.5 kg; “patient-felt” weight of coil only 950 g
 Dimensions (L × W × H)            322 mm × 520 mm × 40 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A404-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
PA Matrix Coil
www.siemens.com/MAGNETOM-ESSENZA
 PA Matrix Coil
 General                           • 16-element design with 16 integrated preamplifi-
                                     ers, in 8 CP pairs, i.e., 4 levels with 2 CP elements
                                     each
                                   • Operates in an integrated fashion with the Body
                                     Matrix coils and IsoCenter Matrix coil
                                   • Automatic table feed and active coil switch
                                   • Both legs are independently covered with coil
                                     elements, maximizing the coil filling factor and
                                     the signal-to-noise ratio
                                   • No coil tuning
                                   • iPAT-compatible
 Applications                      • High resolution angiography of both legs incl.
                                     pelvis with highest signal-to-noise ratio
                                   • Visualization of the iliac arteries and aorta
                                   • Bilateral examinations of long bones of the legs
 Can be combined with              • IsoCenter Matrix coil
                                   • Body Matrix coils
                                   • All flexible coils (e.g. CP Flex coil small/large)
 Matrix Coil Mode                  • 8-channel CP Mode
 Weight                            5.75 kg
 Dimensions (L × W × H)            970 mm × 300–600 mm × 270 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A405-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Focus Shoulder Array Coil
www.siemens.com/MAGNETOM-ESSENZA
 Focus Shoulder Array Coil
 General                        • 6-element design with 6 integrated preamplifiers
                                • Two coils are included, one for small and one for
                                  large shoulders
                                • For narrow or wide shoulders the coil can be
                                  attached
                                  at different positions on the base plate
                                • Includes one base plate pad and one head rest for
                                  high patient comfort
                                • No coil tuning
                                • iPAT-compatible
                                • Focus Wing with integrated shim device focuses
                                  the homogeneity volume of the magnet to the
                                  off-center anatomy
 Applications                   • Best visualization of small anatomical structures
                                  (e.g., labrum)
                                • Higher SNR and better field homogeneity
                                • Reduced slice thickness and measurement times
                                Focus Shoulder                 Focus Shoulder
                                Array coil, large              Array coil, small
 Opening                        200 mm                         165 mm
 Weight                         2.2 kg                         2.1 kg
 Base Plate Weight              2.8 kg
 Dimensions (L × W)             525 mm × 200 mm
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Order No. A91MR-410D-A406-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Extremity Matrix Coil
www.siemens.com/MAGNETOM-ESSENZA
 Extremity Matrix Coil
 General                           • 8-channel receive coil only
                                   • CP coil with 12 integrated preamplifiers
                                   • Upper coil part removable
                                   • Two different-sized cushions to comfortably
                                     position different-sized knees
                                   • No coil tuning
 Applications                      • Knee
                                   • Ankle
                                   • Peripheral MR Angiography
 Weight                            6.5 kg
 Dimensions (L × W × H)            536 mm × 240 mm × 297 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A407-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
4-Channel Flex Coil
www.siemens.com/MAGNETOM-ESSENZA
 Flex Large 4 and Flex Small 4
                         4-Channel Flex Coil, large                4-Channel Flex Coil, small
 General                 • Four integrated low-noise preamplifiers
                         • Allows flexible coil positioning
                         • Only one interface necessary for all Flex coils
                         • Several Flex Coil Interfaces can be used simultaneously
                         • Dual-Density Signal Transfer enables ultra-high density coil
 Features                • Wrap-around coil made from soft and flexible material
                         • 4 linear polarized elements
                         • iPAT-compatible
                         • No coil tuning
 Applications            Imaging of large regions such             Imaging of small regions such
                         as medium to large shoulder,              as small to medium shoulder,
                         hip and knee                              wrist, elbow and ankle
 Can be                  • Matrix coils                            • Matrix coils
 combined with           • All flexible coils (second               • All flexible coils (second
                           Flex Coil Interface required)             Flex Coil interface required)
                         • Endorectal coil                         • Endorectal coil
 Weight                  550 g                                     450 g
 Dimensions              516 mm × 224 mm                           366 mm × 174 mm
 1)
      Second Flex Coil Interface 3T required (option)
www.siemens.com/healthcare
Order No. A91MR-410D-A408-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
8-Channel Wrist Coil
www.siemens.com/MAGNETOM-ESSENZA
 8-Channel Wrist Coil
 General                           • 8-element coil with 8 integrated preamplifiers;
                                     true 8-channel phase array coil
                                   • iPAT-compatible in all directions
                                   • Hinged design of the upper part for quick and
                                     easy patient positioning
                                   • No coil tuning
 Applications                      High resolution hand and wrist imaging
 Weight                            2.1 kg
 Dimensions (L × W × H)            280 mm × 189 mm × 126 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A409-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
8-Channel Foot-Ankle Coil
www.siemens.com/MAGNETOM-ESSENZA
 8-Channel Foot-Ankle Coil
 General                           • 10-elemet coil with 8 integrated preamplifiers
                                   • iPAT-compatible
                                   • Boot-like coil design
                                   • Fast patient setup with user-friendly slide
                                     mechanism
                                   • Stabilization pads for comfortable patient
                                     positioning
                                   • No coil tuning
 Applications                      High resolution foot and ankle imaging
 Weight                            3.2 kg
 Dimensions (L × W × H)            315 mm × 213 mm × 286 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A410-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
4-Channel Special-Purpose Coil
www.siemens.com/MAGNETOM-ESSENZA
 4-Channel Special-Purpose Coil
 General                           • 4-channel
                                   • No coil tuning
                                   • iPAT-compatible
 Applications                      • Carotids
                                   • Examinations with small Field-of-Views
                                   • Small structures near the surface
 Weight                            300 g
 Dimensions (L × W × H)            418 mm × 127 mm × 52 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A411-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Breast Matrix Coil
www.siemens.com/MAGNETOM-ESSENZA
 Breast Matrix Coil
 General                           • 4-element design with 4 integrated preamplifiers,
                                     2 clusters with 2 elements each
                                   • Padded for imaging in prone position
                                   • Stabilizing pads for wide anatomical variations
                                   • Mediolateral compression capability
                                   • No coil tuning
                                   • iPAT-compatible
 Applications                      • Simultaneous high resolution imaging
                                     of both breasts in all directions
                                   • Uni- or bi-lateral imaging of the breasts
                                     in sagittal direction
                                   • Visualization of axilla region
 Can be combined with              • Body Matrix coils
                                   • All flexible coils for even more axillary coverage
                                     (e.g. CP Flex Coil small/large)
 Matrix Coil Mode                  • 2-channel CP Mode
                                   • 4-channel Dual Mode
 Weight                            7.5 kg
 Dimensions (L × W × H)            500 mm × 520 mm × 135 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A412-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
2- / 4-Channel Sentinelle Breast Coil
www.siemens.com/MAGNETOM-ESSENZA
 2- / 4-Channel Sentinelle Breast Coil
 General               • Patient frame
                       • Two 1-channel insert coils, one 2-channel medial coil
                       • The coil can be used in the following configurations:
                         4-channel biopsy
                         2-channel biopsy
                       • Breast cushion set
                       • Height adjustable head rest
                       • Head rest cushion
                       • Contra-lateral support plate for use in unilateral biopsy
 Applications          • Simultaneous imaging of both breasts in all directions
                       • Breast biopsy with medial and lateral access
                       • High-resolution 2D and 3D imaging
                       • Good iPAT capabilities, iPAT factors up to 2
 Weight                10 kg
 Dimensions            870 mm × 550 mm × 145 mm
 (L × W × H)
www.siemens.com/healthcare
Order No. A91MR-410D-A413-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
14-Channel Extremity Coil
www.siemens.com/MAGNETOM-ESSENZA
 14-Channel Extremity Coil
 General                           • 14-channel extremity coil
                                   • Transmission layer integrated working as induc-
                                     tivecoupled local transmit coil with body coil
                                     brings higher transmit efficiency and lower whole
                                     body SAR
                                   • 18-element design with 14 integrated
                                     preamplifiers, 3 rings of 6 elements each
                                     (i.e. 6 cluster of 3 elements each)
                                   • Upper coil part removable
                                   • Cushions for patient comfort and stabilization of
                                     the anatomyiPAT-compatible in all 3 directions
                                   • No coil tuning
 Applications                      • Examinations of knee, foot, ankle, hand and wrist
                                   • High SNR of the coil supports high resolution
                                     imaging, small FOV imaging and fast imaging.
 Weight                            7.5 kg
 Dimensions (L × W × H)            536 mm x 240 mm x 313 mm
 Minimum inner diameter            170 mm
www.siemens.com/healthcare
Order No. A91MR-410D-A414-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
16-Channel Head/Neck Coil
www.siemens.com/MAGNETOM-ESSENZA
 16-Channel Head/Neck Coil*
 General                               The 16-channel Head/Neck coil is part of the
                                       standard 16-channel system configuration
                                       • 16-element design with 16 integrated preampli-
                                         fiers upper and lower part, each with 3 rings,
                                         2 upper rings with 3 elements for head imaging
                                         and lower rings with 2 elements for neck
                                         imaging. (i.e. 4 cluster of 3 and 2 clusters
                                         of 2 elements each)
                                       • 2 extra sockets on the coil, to connect up to
                                         2 Body Matrix coils or 1 Body Matrix coil and one
                                         4-Channel Flex coil for large coverage
                                       • Combined coil for head and neck examination for
                                         optimized workflow
                                       • Upper coil part removable
                                       • Lower coil part usable without upper part
                                         for highly claustrophobic patients
                                       • Lower coil part may stay on the patient table
                                         for most of the examinations
                                       • Cushions for patient comfort and stabilization of
                                         the anatomyiPAT-compatible in all 3 directions
                                       • No coil tuning
 Applications                          • Head examination
                                       • Neck examination
                                       • MR Head/Neck Angiography
                                       • Combined head/neck examinations
                                       • TMJ (temporomandibular joints)
 Can be combined with                  • IsoCenter Matrix Coil
                                       • Body Matrix coils (up to 2)
                                       • All flexible coils (e.g. 4-Channel Flex coil, small,
                                         4-Channel Flex coil, large)
 Weight                                5.4 kg
 Dimensions (L × W × H)                470 mm x 470 mm x 330 mm
 * The product might not be approved
   in some countries or, for other reasons,
   not yet commercially available.
www.siemens.com/healthcare
Order No. A91MR-410D-A415-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Endorectal Сoil
www.siemens.com/MAGNETOM-ESSENZA
 Endorectal Coil
 Flex Coil Interface               • Integrated dual ultra low-noise preamplifiers
                                   • Allows flexible coil positioning
                                   • Only one interface necessary for all flexible coils
                                   • Several Flex Coil Interfaces can be used simultane-
                                     ously to connect several flexible coils
 General                           • Interface device for connecting either the
                                     prostate, colon, or cervix receive coil
                                   • The endo coil is plugged into the endo interface
                                     which is then plugged into the Flex Coil Interface
                                   • No coil tuning
                                   • Disposable
 Applications                      • Excellent visualization of the prostate, colon,
                                     rectum and cervix without the risk of invasive
                                     procedures
                                   • Non-invasive preoperative diagnostic evaluation
                                     and treatment planning
 Can be combined with              • Body Matrix coil
                                   • All additional flexible coils
                                     (second Flex Coil Interface required)
                                   • Spine Matrix Coil
 Weight                            200 g
www.siemens.com/healthcare
Order No. A91MR-410D-A416-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Application Packages
www.siemens.com/MAGNETOM-ESSENZA
    Application Packages
2
Inline BOLD Imaging                                      syngo RESOLVE (Continued)
(Blood Oxygen Level Dependent)                           • Diffusion-weighted, readout-segmented
Examination of intrinsic susceptibility changes in         (multi shot) EPI sequence for high-resolution
different areas of the brain, induced by external          susceptibility-insensitive DWI.
stimulation (e.g. motor or visual). Automatic            • Variable number of readout segments for greater
real-time calculation of z-score (t-test) maps with        flexibility.
Inline Technology, for variable paradigms.               • 2D navigator-based phase correction for pulsa-
• Compatible with single-shot EPI with high                tion artifact reduction and automatic reacquisi-
  susceptibility contrast for fast multi-slice imaging     tion of corrupted data.
• ART (Advanced Retrospective Technique) for fully       • Inline calculation of diffusion tensor (DTI) and
  automatic 3D retrospective motion correction,            diffusion parameter maps.
  for 6 degrees of freedom (3 translations and 3         Neuro Perfusion
  rotations)                                             Inline Perfusion helps to streamline the clinical
• Mosaic images for efficient storage and transfer        workflow by automating post-processing perfu-
  of large data sets                                     sion data during data acquisition. This makes it
• 3D spatial filtering                                    possible to see the clinical results immediately and
• Inline calculation of t-statistics (t-maps)            facilitates instantaneous image quality assurance.
• Overlay of inline calculated statistical results on    Inline perfusion functionality is user-configurable.
  the EPI images                                         Neuro Perfusion measures perfusion deficits and
                                                         assist in the diagnosis and grading of e.g. vascular
syngo RESOLVE                                            deficiencies and brain tumors.
syngo RESOLVE (Readout Segmentation Of Long              Neuro Perfusion provides the inline calculation of
Variable Echo-trains) delivers high resolution           relative Cerebral Blood Volume (rel CBV), corrected
diffusion weighted imaging (DWI) for visualizing         relative CBV, relative Cerebral Blood Flow (rel CBF),
the diffusion properties of fine anatomical struc-        relative Mean Transit Time (MTT), Global Bolus
tures, enabling more accurate lesion evaluation          Plot, Percentage of Baseline at Peak and a task card
Additionally, this technique is largely insensitive to   for detailed post-processing of brain perfusion
susceptibility effects, providing detailed anatomy-      data sets. It also features retrospective motion
true diffusion imaging for brain, spine, breast          correction of the time series. Color display of the
and prostate. In combination with the syngo DTI          relMTT, relCBV, and relCBF is supported. Flexible
Tractography package, syngo RESOLVE enables              selection of the Arterial Input Function (AIF) for
excellent white-matter tract imaging even in the         more reliable analysis taking into account the
most challenging areas, such as the cervical spine.      dynamics over time of the contrast agent enrich-
                                                         ment, as well as the use of automated local AIFs
                                                         are available.
                                                                                                                 3
    syngo DTI (Diffusion Tensor Imaging)                    Inline Composing
    Acquisition of data sets with multi-directional         Automatic anatomical or angiographic composing
    diffusion weighting to assess anisotropic diffusion     of multiple adjacent coronal or sagittal images for
    properties of brain tissue                              presentation and further evaluation.
    • Measurement of up to 192 directions of diffusion      Composed images can be automatically loaded
      weighting with up to 16 different b-values            into Graphical Slice Positioning for planning
    • Inline calculation of the diffusion tensor            purposes. Composing is prerequisite.
    • Inline calculation of Fractional Anisotropy (FA)
      maps (grey-value as well as color-coded for
                                                            syngo TWIST
      principle diffusion direction), Apparent Diffusion
      Coefficient (ADC) maps and trace-weighted              This package contains a Siemens-unique sequence
      images based on the tensor                            and protocols for advanced time-resolved (4D) MR
                                                            angiography and dynamic imaging in general with
                                                            high spatial and temporal resolution. syngo TWIST
    AutoAlign Spine                                         supports comprehensive dynamic MR angio exams
                                                            in all body regions. It offers temporal informa-
    Single mouse click double oblique positioning
                                                            tion of vessel filling in addition to conventional
    of transverse slice packages in spine imaging.
                                                            static MR angiography, which can be beneficial
    AutoAlign Spine localizes the intervertebral disk
                                                            in detecting or evaluating malformations such as
    on sagittal images and positions the transverse
                                                            shunts. syngo TWIST can be combined with water
    slice packages parallel to the disk in a standardized
                                                            excitation.
    way. This allows for a faster and easier exam and
    supports reading by delivering a higher and more
    standardized image quality.
4
syngo NATIVE                                            Single Voxel Spectroscopy
Integrated software package with sequences and          Integrated software package with sequences and
protocols for non-contrast enhanced 3D MRA with         protocols for proton spectroscopy. Streamlined for
high spatial resolution. NATIVE particularly enables    easy push-button operation
imaging of abdominal and peripheral vessel              • Matrix Spectroscopy – phase-coherent signal
NATIVE offers:                                            combination from several coil elements for
• Non-contrast MRA                                        maximum SNR
• Separate imaging of arteries and veins                • Spectral suppression (user definable parameter)
• Visualization of – e.g. – renal arteries or periph-     to avoid lipid superposition
  eral vessels                                          • Up to 8 regional saturation (RSat) bands for outer
The syngo NATIVE package comprises:                       volume suppression can be defined by the user
• syngo NATIVE TrueFISP                                 • Automatic reference scan for inline correction
• syngo NATIVE SPACE                                    • Physiological triggering (ECG, pulse, respiratory
                                                          or external trigger) in order to avoid e.g. breath-
                                                          ing artifacts
Flow Quantification                                      • Spectroscopy can be combined with Free-Breath
Special sequences for quantitative flow determina-         Prospective Acquisition Correction (2D-PACE
tion studies                                              navigator) when needed
                                                        • Spectroscopy relevant GRE-based shim protocols
Measuring blood/ CSF flow non-invasively
                                                          provided
Requires Physiological Measurement Unit (PMU)           • Clinical application: brain
option
                                                        SVS Techniques SE and STEAM
RetroGated Flow:                                        • Short TEs available
• Retrogated flow measurement for dynamic                • Fully automated adjustments including localized
  representation of temporally changing flow               shimming and adjustment of water suppression
                                                          pulses
                                                        • Also available: Interactive adjustments and
                                                          control of adjustments
                                                        • Optimized protocols for brain applications
                                                                                                                5
    syngo CSI 2D: Chemical Shift Imaging                syngo CSI 3D: Chemical Shift Imaging –
    Integrated software package with sequences and      for Prostate
    protocols for Chemical Shift Imaging (CSI)          Integrated software package with sequences
    Extension of the Single Voxel Spectroscopy (SVS)    and protocols for Chemical Shift Imaging (CSI)
    package, offering the same level of userfriendli-   Extension of the SVS package, offering the same
    ness and automation                                 level of user-friendliness and automation
                                                        syngo Security
                                                        Security package for general regulatory security
                                                        rules
                                                        The option supports customers to achieve
                                                        compliance with HIPAA (Health Insurance and
                                                        Accountability Act)
                                                        • User authentication
                                                        • Restricts access to functions and data through
                                                          privileges and permissions
                                                        • Logs relevant data security information in audit
6
syngo Expert-i1)
Interactive real-time access to imaging data and exam information from any PC within the hospital net-
work during the MR exam.
Until now, radiologists or other experts had to stop what they were doing and go to the MR scanner to
see the acquired images, help with the scan set-up, or answer an open question. Now, questions can be
addressed quickly and efficiently via remote PC.
Benefits of syngo Expert-i             • Excellent results right from the first examination
                                      • Streamlined workflow and faster patient throughput
                                      • Reduced repeat rates with a check on images while the patient is still in
                                        the examination room
                                      • Reduced training effort by enabling expert assistance for specialized
                                        procedure
1)
     Within the hospital enterprise
                                                                                                                    7
Not for distribution in the USA.
Note: Any technical data contained in this docu-   Global Business Unit
ment may vary within defined tolerances.
Original images always lose a certain amount of    Siemens Healthcare Sector
detail when reproduced                             Magnetic Resonance
                                                   Henkestr. 127
                                                   DE-91052 Erlangen
Please find fitting accessories:                     Germany
www.siemens.com/healthcare-accessories             Phone: + 49 9131 84-0
www.siemens.com/healthcare
Order No. A91MR-410D-B4-7600 | Printed in Germany | MC.MR-00410 PA 0314 POD | © 03.2014, Siemens AG
MAGNETOM ESSENZA
Post-processing Packages
www.siemens.com/MAGNETOM-ESSENZA
    Post-processing Packages
2
Vessel View Artery-Vein-Separation                     syngo BOLD Evaluation
This package allows semi-automated segmentation        Comprehensive processing and visualization pack-
and separation of arteries and veins, as well as       age for BOLD fMRI. It provides a full set of features
suppression of surrounding tissue. Supports modes      for clinical fMRI, as well as advanced features for
allowing the display of only arteries or only veins,   more research oriented applications.
or arteries and veins together in different colors.    This package provides statistical map calculations
(Prerequisite: Vessel View)                            from BOLD datasets and enables the visualization
3D VRT Volume Rendering Technique                      of task-related areas of activation with 2D ana-
3D visualization for clearer depiction of complex      tomical data. This allows the visualization of the
anatomy and relationship of anatomy in 3D for          spatial relation of eloquent cortices with cortical
contrast MR Angiography and VIBE imaging.              landmarks or brain lesions.
                                                                                                               3
    DTI Evaluation                                           syngo DTI Tractography
    • Generation of diffusion maps based on tensor           syngo DTI Tractography allows the visualization
      including: Fractional Anisotropy (FA), Volume          of multiple white matter tracts based on diffusion
      Ratio (VR), trace-weighted, ADC, E1–E3, E1,            tensor imaging data. DTI Tractography is optimized
      linear, planar, tensor maps                            to support the presurgical planning and to allow
    • Display of maps in scalar mode (grey scale),           for neuro physiological research with respect to
      vectorized mode (directions color coded) and           connectivity and white matter pathology.
      tensorized mode (using tensor graphics like            • Advanced 3D visualization of white matter tracts
      ellipsoid or cuboids); overlay of maps onto              in the context of 2D or 3D anatomical and DTI
      anatomical images                                        datasets
    • Side by side display of several maps (e.g. ADC,        • Texture Diffusion, a highly versatile in-plane
      FA, and trace-weighted) and anatomy for simul-           visualization of white matter tracts, allows to
      taneous ROI based evaluation; generation of a            display and read DTI Tractography results on PACS
      results table in order to support the assessment         reading stations and in the OR
      of diseases of the white matter                        • Seed points for tracking with single ROI and with
    • Integrated into Neuro 3D taskcard: display of DTI        multiple ROIs to assess connectivity
      maps in the context of an anatomical 3D data           • Tract and seeding ROI statistics (mean / max FA
      set; arbitrary oriented clip planes allow to explore     value, min / mean / max ADC value, and more)
      the 3D volume                                          • DICOM export of views, HTML export of Tract,
    • Fused display with white matter tracts if the “DTI       and seeding ROI statistics
      Tractography” option is present.                       • Interactive QuickTracking displays the tract
    • Export of reformatted images for neuro                   originating from the mouse pointer position
      navigation                                               while moving over the DTI data set
4
Neuro Perfusion Evaluation
Dedicated task card for quantitative processing of neuro perfusion data.
• Color display of relative Mean Transit Time (relMTT), relative Cerebral Blood Volume (relCBV), and relative
  Cerebral Blood Flow (relCBF)
• Flexible selection of Arterial Input Function (AIF) for reliable analysis. This function takes into account
  the dynamics over time of the contrast agent enhancement
Composing
Composing of images from different table positions.
• Automatic and manual composing of sagittal and coronal images
• Dedicated algorithms for spine and angio examinations
• Measurement on composed images (angle, distance)
Fly Through
Simulated endoscopic views of the inside of bronchi, vessels, colon, and any other hollow structures.
Multi-modality application for CT, MR, and 3D AX data.
Fully integrated into the familiar 3D workflow and user interface.
• Ready-to-use from day one
• One click to action
                                                                                                                5
    syngo Tissue 4D
    syngo Tissue 4D facilitates the detection of tumor tissues in organs such as the prostate or the liver.
    It is an application card for visualizing and post-processing dynamic contrast-enhanced 3D datasets.
    Evaluation options               • Standard curve evaluation
                                     • Curve evaluation according to a pharmacokinetic model
    Visualization features           4D visualization (3D and over time)
                                     Color display of parametric maps describing the contrast media kinetics
                                     such as:
                                     • Transfer constant (Ktrans)
                                     • Reflux constant (Kep)
                                     • Extra vascular extra cellular volume fraction (Ve)
                                     • Plasma volume fraction (Vp)
                                     • Initial Area-Under-Curve (iAUC) for the first 60 seconds
                                     Additional visualization of 2D or 3D morphological dataset
    Post-processing features         Elastic 3D motion correction
                                     Fully automatic calculation of subtracted images
    Pharmacokinetic model            Pharmacokinetic calculation on a pixel-by-pixel basis using
                                     a 2-compartment model.
                                     Calculation is based on the Tofts model. Various model functions
                                     are available.
                                     Manual segmentation and calculation on the resulting images.
                                     The following resulting images can be saved as DICOM images:
                                     • 3D motion-corrected, dynamic images
                                     • Colored images
                                     • Storage of calculated results
                                     • Export of results in the relevant layout format
6
Spectroscopy Evaluation                               syngo BreVis
Integrated software package with extensive            Task card for optimized visualization of multi-
graphical display functionality                       modal breast images and for processing dynamic
Comprehensive and user-friendly evaluation of         3D data sets.
spectroscopy data                                     • Display of customized layouts
Display of CSI data as colored metabolite             • Multi-modality viewing capabilities
images or spectral overview maps, overlayed           • Reporting according to BI-RADS standard
on anatomical images                                  • On-the-fly reconstruction of subtracted images,
                                                        multiplanar reformatted images
• Export of spectroscopy data to a user-accessible    • Elastic image registration to correct for patient
  file format                                            motion
• Relative quantification of spectra, compilation      • Display and analysis of kinetic parameters
  of the data to result table                           (time-course evaluation, color overlay maps to
Image Fusion                                            visualize angiogenesis or curve types)
Image fusion of multiple 3D data sets with alpha      • Graphical volume statistics of lesion
blending, i.e. overlay of two images with manual        Enhancement
setting of the opacity                                syngo BreVis Biopsy
• Multiple 3D data sets from different modalities     syngo BreVis Biopsy is a task card for easy and
  (MR, CT, Nuclear Medicine, PET)                     effective breast biopsy planning.
• Visual alignment, automatic registration, or        • User interface for MR interventional planning
  landmark based registration                         • Guidance through the complete
Soft Tissue Motion Correction                         • MR image based breast biopsy is provided
3D elastic motion correction, for offline 3D correc-   • syngo BreVis Biopsy
tion in all directions over entire 2D and 3D data     • Support of the 2 /4-channel Sentinelle Breast
sets suitable for e.g. soft tissue MR exams             Coil and MR interventional accessories
                                                                                                            7
Not for distribution in the USA.
Note: Any technical data contained in this docu-   Global Business Unit
ment may vary within defined tolerances.
Original images always lose a certain amount of    Siemens Healthcare Sector
detail when reproduced                             Magnetic Resonance
                                                   Henkestr. 127
                                                   DE-91052 Erlangen
Please find fitting accessories:                     Germany
www.siemens.com/healthcare-accessories             Phone: + 49 9131 84-0
www.siemens.com/healthcare
Order No. A91MR-410D-C4-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
syngo.via and MAGNETOM ESSENZA networked
www.siemens.com/MAGNETOM-ESSENZA
syngo.via and MAGNETOM ESSENZA
networked
syngo.via is the new imaging software, creating an exciting experience in efficiency and ease of use –
anywhere1). syngo.via is your agent for productivity throughout your radiology workflow. No other solution
supports and integrates all MR tasks in a comparable way – from planning and scanning to result sharing.
1) Prerequisites include: internet connection to clinical network, DICOM compliance, meeting of minimum hardware require-
   ments and adherence to local data security regulations
Networked Scanner – the scanner workplace for optimized productivity
syngo.via handles images from any MR system. With MAGNETOM scanners, the integration is perfect.
The networking capabilities of the MAGNETOM scanners and syngo.via will transform the technologist
workplace of today. One consistent workflow is offered, from planning, to scanning to viewing, and
processing.
Key features        Host computer of the MAGNETOM ESSENZA is rich-thin-client enabled. The syngo.via
                    client can be run with only one keyboard and one mouse – no cumbersome change
                    of devices necessary.
                    syngo.via offers unique workflows to support the technologist:
                    • Check Protocol: pre-defined protocols are automatically displayed
                    • Initiate Scan: get guidance by additional text info for the optimal scan and patient
                      set-up. Start patient registration directly out of syngo.via
                    • Check images: immediate availability of images, easy quality check of images
                    Automatic transfer of the patient data and planned protocols from syngo.via to the
                    scanner. No need for double entry of information.
                    Automatic selection of the appropriate syngo.via reading workflow
                    syngo.via and MAGNETOM ESSENZA UI – both based on the proven syngo UI concept.
Key benefits         Work with different patients side-by-side without any screen overlays and possible
                    confusions. E.g. begin with patient registration of one patient, while other patient is
                    still scanned.
                    Automatic transfer of information – reduced need for clarifications
                    Higher throughput, reliable results, and reduced costs.
Pre-requisites      Additional monitor and one syngo.via license
Direct Protocol Transfer (DPT)
syngo.via redefines protocol management – providing remote protocol planning, and automated selection
of the right protocols at the scanner. syngo.via offers a dedicated workflow for protocol planning and
distribution. The radiologist can plan the protocols from anywhere in the institutional network.
Key features        Remote protocol planning from any syngo.via client to select or modify a planned
                    protocol (and perhaps add further explanations) for a patient examination before
                    the patient is registered at the MR system. The planed protocol will be automatically
                    transferred to the scanner via DICOM Modality Worklist.
                    The technologist works with the same syngo.x view directly at the scanner – access-
                    ing the same information, without any further handwritten notes or need for
                    clarifications.
                    Automatic transfer of the patient data and planned protocols from syngo.via to the
                    scanner. No need for double entry of information.
                    In addition: Remote Protocol distribution:
                    • upload, change and/or delete any protocol from your MAGNETOM scanners (avail-
                      able for all Tim Systems)
                    • send examination protocols to every other connected scanner
Key benefits         Define standards of care and easily distribute the related protocols among your Tim
                    systems.
                    Save time for clarifications – while minimizing re-scans
                    Easy, automated, and efficient protocol handling – from anywhere
                    DPT works with MAGNETOM ESSENZA and any other Tim system.
Direct Image Transfer (DIT)
After completion of a series of images, they are transferred automatically to syngo.via. Easily view the
images with any syngo.via client immediately after they were acquired.
Key features         This data will be automatically transferred to the syngo.via data base and loaded into
                     the related workflow.
                     Enhanced DICOM MR enables to transfer fMRI data and spectroscopy raw data in new
                     DICOM standard format. In syngo.via and any PACS supporting this standard, these
                     data can be handled.
Key benefits          Images are immediately available throughout the institution. This enables fast and
                     convenient feedback from everywhere.
Direct Image         A direct cable connection is build between the MAGNETOM scanner and the syngo.
Transfer Pro         via server. This ensures a guarantied performance for image transfer.
Seamless workstation integration
syngo.via. integrates smoothly with syngo MultiModality Workstation (MMWP). Open MMWP directly out
of syngo.via, and vice versa.
Key features         Remotely open the same patient at the MMWP easily with syngo Expert-i
                     The MMWP results can then be easily integrated into the syngo.via report
                     syngo.via client can be opened from any MMWP with one click
Key benefits          Remote and easy access of all MMWP applications
                     Smooth integration of results into syngo.via
Not for distribution in the USA.
Note: Any technical data contained in this docu-   Global Business Unit
ment may vary within defined tolerances.
Original images always lose a certain amount of    Siemens Healthcare Sector
detail when reproduced                             Magnetic Resonance
                                                   Henkestr. 127
                                                   DE-91052 Erlangen
Please find fitting accessories:                     Germany
www.siemens.com/healthcare-accessories             Phone: + 49 9131 84-0
www.siemens.com/healthcare
Order No. A91MR-410D-D4-7600 | Printed in Germany | MC.MR-00410 PA 0114 POD | © 01.2014, Siemens AG
MAGNETOM ESSENZA
Parts & Accessories
www.siemens.com/MAGNETOM-ESSENZA
    Parts & Accessories
2
Vertical Table Move
Enables lowering of the patient table down to 55 cm for easy set-up of elderly or very sick patients.
• Non-ferromagnetic, height-adjustable design
Coil Storage Cart
Specially designed non-ferromagnetic cart for easy storage of some of the most commonly used coils
and accessories
May be rolled to convenient locations in the examination room
Additional storage space on the inside of the doors when doors are opened
Coil storage                     Width                 cart closed            140 cm (4’7”)
                                                       cart opened            280 cm (9’2”)
                                 Depth                                        54 cm (1’9”)
                                 Height                                       121 cm (3’12”)
Upper drawer                     Height                                       13.3 cm
Tray                             Height                                       9.0 cm
Lower drawer                     Height                                       24.0 cm
>Additional optional accessories and consumables for MR: www.siemens.com/healthcare-accessories
Upper drawer
Tray
Lower drawer
                                                                                                        3
Not for distribution in the USA.
Note: Any technical data contained in this docu-   Global Business Unit
ment may vary within defined tolerances.
Original images always lose a certain amount of    Siemens Healthcare Sector
detail when reproduced                             Magnetic Resonance
                                                   Henkestr. 127
                                                   DE-91052 Erlangen
Please find fitting accessories:                     Germany
www.siemens.com/healthcare-accessories             Phone: + 49 9131 84-0
www.siemens.com/healthcare
Order No. A91MR-410D-E4-7600 | Printed in Germany | MC.MR-00410 PA 0314 POD | © 03.2014, Siemens AG
MAGNETOM ESSENZA, Tim+Dot System                                    Sales Project / Customer
Datasheet-Box Content
syngo MR D14A
Note: Any technical data contained in this docu-   Global Business Unit
ment may vary within defined tolerances.
Original images always lose a certain amount of    Siemens Healthcare Sector
detail when reproduced                             Magnetic Resonance
                                                   Henkestr. 127
                                                   DE-91052 Erlangen
Please find fitting accessories:                     Germany
www.siemens.com/healthcare-accessories             Phone: + 49 9131 84-0
www.siemens.com/healthcare
Order No. A91MR-410D-40-7600 | Printed in Germany | MC.MR-00410 PA 0314 POD | © 03.2014, Siemens AG