SMC Networks Invivo 500082 User's Manual
Contents
1. 12 Left Side Patient Interface Control Unit PICU 13 Right Side Patient Interface Control Unit PICU 13 Chapter 3 Quality Assurance ccccceeseeeeeenseseenneeesenseeseeeseeeseenseseonneeees 14 Quality Assurance nn o ee oi tesa epi dobe ante 14 SNR Calculations aa ae ee da ena arena piti na aaa 19 Chapter 4 Scanning Set U Die vedie ane den Ooo die ved udov a dead veva 23 Head and Neck Imaging oven ito iona ea oe V einen dobne 23 Selecting the Active Coil ene 23 Field of View and Coverage cccssecccesccceeeeceeeeeceeeeseeeesueecseeeeneeeensaeeens 23 SUNVEY IMAGE a MNE k A a OE ENE ARA 23 Jang AUTOS IA ne ooo ere oar a ai 23 Scanning Step DY Step a a OMAR NEM 24 Chapter 5 Scan Protocols a iiiue vene neb en kO bedeti ee ae veva 25 Chapter 6 Maintenance nn nnnannnnnnnnnannnnnan nana nnnanna 26 eo A a v a na 26 e ee ee ee nec E ee ee ee RE ee 26 Rev 05 Chapter 1 Patient Safety Training Ouality Assurance Indications Contra indications Precautions Cautions This manual contains detailed information on the setup positioning and use of the Invivo Corporation coil Read the insructions carefully and thoroughly before attempting to scan patients with the coil The procedure described in the Quality Assurance Section of this manual should be performed upon receipt of the coil to e2. 15 Geometry Coil Selection channel Combination connection Multi Coil Homogeneity correction FOV mm RFOV Foldoversuppression Matrix scan reconstruction Scan percentage Stacks current type slices Slice thickness mm slice gap gap mm Slice orientation foldover direction Slice scan order Stack display order PlanAlign REST slabs Patient position orientation Contrast Scanmode technique Contrastenhancement Fastlmagingmode shotmode TFE factor shot interval profile order Echoes partial echo TE Flip angle deg TR ms Half Scan Water fat shift Shim 3IB MRIDevic 2345 d no none 400 00 100 00 no 200 50 00 3 A parallel 3 10 00 user defined 10 00 sagittal AP default no no O headfirst supine M2D FFE T1 TFE multi shot P shortest linear 1 no shortest 2000 user defined 1500 no maximum no SPIR TFEprepulse slice selection delay MTC SARmode Gradient mode Motion Cardiac synchronisation Respiratory compensation Flow compensation NSA Dyn ang Angio Quantitative flow Manual start Dynamic study Postproc Preparation phases MIP MPR Images Autoview image Reference tissue Preset window contrast Reconstruction mode Save raw data Push to workstation Hardcopy protocol Ringing filter Silent mode Offc ang Stacks Current Stack Offc AP P mm RL L mm FH H mm Ang AP
3. 17 Rev 05 18 Reconstruct SNR CHECK image for individual channels using the instructions provided below 1 Before running the SNR CHECK scan be sure to have the Save Raw Data option set to Yes under Postproc 2 Do not delete the current scan from the Scanlist 3 Under the Scanlist icon select the Add Rec icon then the Del Recon icon 4 Left mouse select on the scan to perform the reconstructions then select Proceed 5 Change the Synergy selection option from 0 to 2 for reconstruction of the 2nd channel then select Proceedl 6 Select Options and change the name of the reconstruction to 2 7 Repeat steps 3 6 for each channel channels 3 4 5 and change the Synergy selection option to the next channel then rename the scans appropriately for each channel selected i e 2 3 4 5 8 From the Scan List icon delete all scans except those renamed for each element 9 Select Start Scan to start the reconstruction of the images Note Example of reconstructed images are shown below Noas TESTA 12 22 1923 30405 HAMS FEIS ST ss Gyrosean NT Mera 115 TROPICAL a Gyrosean NT itera Se 9 FFEAM SL g AFOV 100 rov Rev 05 SNR Calulations Example 1 Select the reconstructed image from Channel 2 and display an eliptical ROI with a total pixel area of 1300 mm squared Refer to Philips Gyroscan Intera Instructions Manual for ROI help 2 Position ROI in the center of
4. Minimum Value 520 94 Maximum Value 1 Rev 05 Chapter 4 Scanning Set Up Head and Neck Imaging Selecting the Active Coil Field of View and Coverage Survey Image IMPORTANT Using Autoshim One of the advantages of using the Invivo HNC 63 INT Neurovascular Array Coil HNC is the ability to acquire sequences of the head and neck without having to re enter the scan room to change coils and or re center the patient When positioning a patient for a study of the brain as well as an MRA of the carotids center on the head as you would normally do for a routine brain scan Then to acquire a coronal or sagittal SURVEY image for the carotid MRA prescription use an inferior offset of FH 120 and a 240 mm FOV The neurovascular array coil contains both a head coil and aneckcoil The head coil channel 2 neck coil channels 3 4 5 or both head and neck coils channels 2 3 4 5 can be active at any given time To select the active coil s pick the proper channel s from the channel combination ch combination menu on your Intera Operator s Console EXAMPLES HEAD only Select Ch combination 2 NECK only Select Ch combination 3 4 5 HEAD 8 NECK Select Ch combination 2 3 4 5 For head or neck studies a FOV of 200 mm is suggested depending upon head size The HNC 63 INT coil is 280 mm in diameter If the entire coil is active a field of view of 320 mm to 400 mm is suggested You may use a smaller FOV if d
5. ATA under Post Processing Geometry Coil Selection 3IB MRIDevic channel Combination 2345 connection d Homogeneity correction none FOV mm RFOV 100 00 Foldoversuppression no Matrix scan reconstruction 26 Scan percentage 10000 Stacks 1 type parallel slices 3 slicethickness mm 500 slice gap user defined gap mm 1800 slice orientation sagittal foldover direction AP Slice scan order default PlanAlign no REST slabs O Patient position head first orientation supine Contrast Scanmode MS technigue FFE Contrastenhancement no Fast Imaging mode none Echoes partial echo yes TE user defined ms 1500 Flip angle deg 3000 TR user defined ms Half Scan no Water fat shift user defined pixels 2000 Shim no SPIR MTC SAR mode Gradient mode Motion Cardiac synchronisation Respiratory compensation Flow compensation NSA SMART Dyn ang Angio Ouantitative flow Manual start Dynamic study Postproc Preparation phases MIP MPR Images Autoview image Reference tissue Preset window contrast Reconstruction mode S ave raw data Push to workstation Hardcopy protocol Ringing filter Silent mode Offc ang Stacks Stack Offc AP P mm RL L mm FH H mm Ang AP deg RL deg FH deg no no default regular no no yes 2 no full no O M no no no M Grey matter soft immediate yes 20 00 0 00 0 00 0 00 0 00 0 00
6. Part Number 500082 Rev 05 Operator s Manual Model HNC 63 INT Neurovascular Array Coil for the Philips Intera 1 5T MRI System Invivo Corporation Quality System is Certified to ISO 9001 and ISO 13485 1 Invivo Rev 05 February 2002 2002 Invivo Corporation All rights reserved No part of this publication may be reproduced transmitted transcribed stored in a retrieval system or translated into any language in any form by any means without the written permission of Invivo Corporation Licenses and Trademarks The Invivo Logo is a registered trademark of Invivo Corporation Intera is a registered trademark of Philips Medical Systems This manual describes the use and operation for the Invivo Neurovascular Array Coil on the Philips Intera 1 5T MRI Systems Proper performance of this coil is guaranteed only while the coil is being used on the MR system hardware software level specified at the time of purchase Upgrades or other modifications to the system software and or hardware may affect compatibility Prior to upgrading your MR system please contact the Invivo Customer Service Department to discuss coil compatibility issues Failure to do so may void your warranty Attention Consult Accompanying NOTICE Documents THIS EQUIPMENT SHALL BE TRANSPORTED AND STORED UNDER THE FOLLOWING CONDITIONS Type BF Equipment 1 Ambient temperature range of 40 C to 70 C 2 Relative humidity range of 10 TO 100 includ
7. deg RL deg FH deg no invert no shortest no default regular auto no O M no no no M White matter soft immediate 0 00 15 Rev 05 Example of SURVEY images are below note position of slices for the SNR check Proceed to the SNR check on page 16 Eran oF Plansegn EST d O JAH ZOO db ZB O z EF Scan List lar TEST Lk Geometry Offc ang H45 MS FE 15 SA P F FE DO 5 4 j can t Tors ii 43 D L 100 O4 Contrast Motion Info Coil selection jIB MRI Devicij Q Body Knee 3IB MRI Devic Dyn ang ch combination 2305 i 2 3 4 5 O 12 s 123456 FOU mm oze omota 400 00 i 530 00 Postproc Reset RFOV 100 00 25 0 100 00 j Stacks j i Imaging z Lie Bi thick ness mm 5 Wu Si i2 U speciro foldover direction FH AP FH p TE user defined hortest out phase ana T ma 15 00 TA uger defii ad hortest user detined Anatomy ms 200 00 1 00 10000 ol ont HSA Scan list Preparation phases full_ UCO full prep only Clear Help Auto survey hi PP Admin Cancel Proceed Prev Scans EST4 O 12 22 1923 SCOUT 38495 M 01 09 2002 16 21 lin m KU MI TROPICAL MRI yroscan NT Intera 16 Rev 05 Run an SNR CHECK scan using the parameters listed below TIP Save this SNR CHECK scan for future OA scans Position slices for the SNR CHECK as shown on page 15 IMPORTANT Be certain to SAVE RAW D
8. e CI ean n g The Neurovascular Array coil and patient comfort pads may be cleaned by wiping with a cloth dampened with a solution of 30 isopropyl alcohol and 70 tap water Do not pour any cleaning solution directly on the coil Let coil housing and pads dry before use The coil should be stored in an air conditioned scan room or equipment room Storage ii Rev 05 27
9. ent ineterface control unit PICU facing the magnet In this example the PICU is on the left side Slide the holder toward the bore even with the patients knees For systems with PICU on left side of magnet transfer SMC connector across table to the PICU IMPORTANT For SMC cable to reach PICU on left side of magnet patient will need to be in position within the magnet e g coil at magnet isocenter Join the SMC and HNC connectors and place the assembly into the SMC holder as shown above Landmark on the anatomy to be imaged and perform TRAVEL TO SCANPLANE 12 Rev 05 Left Side Patient Interface Control Unit PICU Right Side Patient Interface Control Unit PICU Attach SMC connector to PICU Example above is left side PICU Attach SMC connector to PICU Example above is right side PICU 13 Rev 05 Chapter 3 Ouality Assurance Ouality Assurance 14 Remove the coil top and place the phantom positioner part number 102485 and the phantom part number 102690 as shown in the figures below Replace the coil top LANDMARK Connect the coil to the system as detailed in Chapter 2 Connecting the cable Landmark on the the phantom through the small window in the top of the coil Follow the proceedure found on the next 8 pages Rev 05 Run a SURVEY scan using the parameters listed below TIP Save this SURVEY scan for futurg GA scans An example of the SURVEY images is pn page
10. esired Fold over suppression must be set to YES The Intera body coil may be used at any time while the HNC 63 INT Neurovascular Array Coil is in the scanner This allows a large FOV 400 mm body coil SURVEY to be performed which is helpful in determining the foot head offset required for imaging the neck AUTOSHIM is a feature of Intera software to improve image quality by improving the magnetic field homogeneity within the FOV selected The improvement in image quality is often dramatic when the selected FOV is far off center and when acquiring SPIR images 23 Rev 05 Scanning Step by Step 6 Scan Select Software Release 8 1 1 Choose 3IB MRIDEVIC Software Releases above 8 1 1 choose SMC MRI Select Channel combination s e HEAD only Select Ch combination 2 NECK only Select Ch combination 3 4 5 HEAD amp NECK Select Ch combination 2 3 4 5 PlanSlices Confirm Planning 6 Geometry Page Homogeneity Correction Select NONE 6 Start Scan IMPORTANT Upon scan completion you must change channel combination if imaging a different region System will default to last Channel combination when another scan is Added 24 Rev 05 Chapter 5 Scan Protocols Invivo Corporation recomends that you select imaging protocols that have been established by your radiologists Additional protocols can be found within your Philips Application Guides 25 26 Rev 05 Chapter 6 Maintenanc
11. ikely event that a coil creates smoke sparks or makes an unusually loud noise or if the patient requires emergency assistance Procedures e Stop the scan if one is in progress e Remove the patient from the scan room if medical treatment is needed Rev 05 Technical Considerations N The coil and accessories require special conditions regarding electromagnetic compatibility The coil must be installed and used in a shielded scan room provided with the MR magnet and system The user must ensure that the scan room door is closed during system use Failure to do so may cause reciprocal interference with portable and mobile RF communications equipment affecting the performance of the MR coil and or such equipment The coil should only be used with the accessories specified in the operator s manual The use of accessories other than those specified in the operator s manual may result in decreased ESD immunity of the coil or MR system causing damage to the coil and or system AN The equipment should not be used with other coils or equipment present in the MR scanner except as specified in the Operators Manual Tampering with the cable pins and connector may damage the connector and affect coil or system performance Please verify that connector and pins are not damaged before use Rev 05 Chapter 2 Using the HNC 63 INT Array Coll tt IMPORTANT You must have the Synergy MultiConnect SMC Positioning the device a
12. ing condensation Class II Equipment 3 Atmospheric pressure range of 500 hPa TO 1060 hPa WARNING This product contains chemicals including lead known to the state of California to cause birth 0123 defects or other reproductive harm Wash hands after handling Caution Federal law restricts this device to sale distribution and use by or on the order of a physician Invivo Invivo Corporation Phone 352 336 0010 3545 SW 47th Avenue Fax 352 336 1410 Gainesville FL 32608 info invivocorp com U S A www invivocorp com Rev 05 Introduction This manual describes the safety precautions features use and care of the Invivo HNC 63 INT Neurovascular Array Coil compatible with the Philips Intera 1 5T MRI System Please review this manual thoroughly before using the device lf you have any questions or comments on this manual or need any assistance with the use of the product please contact your Invivo sales representative 1 800 524 1476 Compatibility The Invivo HNC 63 INT Neurovascular Array Coil is compatible with Philips Intera 1 5T MRI systems operating with Release 8 1 1 software or above NOTE Release 8 1 1 software requires a SYNERGY MULTICONNECT patch available through Philips Medical Systems Contact your Philips Representative for this software patch Software releases after 8 1 1 do not require the software patch A SYNERGY MULTICONNECT device is required for use of this product Contact
13. nd Level 8 1 1 or higher software in order for the Intera HNC 63 INT system to recognize the coil Additionally Release 8 1 1 software requires a Synergy MultiConnect patch to enable this coil to be recognized by your system Software releases above 8 1 1 do not Coil on the require the patch Patient Table ri A ah s ag gt ei b m A The HNC 63 INT Neurovascular Array Coil is designed for imaging of the brain cervical spine anterior neck and vasculature in the head amp neck to the aortic arch Polarity i e coil orientation must be maintained to produce acceptable images The coil must be placed on the patient support with the cable exiting the coil on the right as you are facing the magnet The HNC 63 INT coil is designed for head first exams only The HNC coil is designed to rest directly on the patient support With the anterior coil housing removed center the posterior coil housing on the patient support at the magnet end of the patient support Position support pad flush with the end of the HNC Coil The internal coil pad should be centered on the posterior housing The pad serves to provide additional patient comfort during the scan and helps center the patient in the coil and is recommended for optimal coil performance Rev 05 Positioning the Patient When lifting the anterior coil housing always grasp the coil by the apron and the superior end of the housing Never lift the coil housing by the
14. ngs With latches in the open position the anterior housing may be lifted from the posterior housing Extreme care should be taken if attempting to move the HNC in one operation When lifting the anterior housing from the posterior housing always grasp the coil by the apron and superior end IMPORTANT Never lift the coil by the rungs in the patient viewing window or by the viewing mirror Rev 05 Table of Contents HNC 63 INT Neurovascular Array Coil cccccssseeessessecceenseseeeneeseeeeessoens 4 Chapter 1 Patient Safety jeccccciscscacestsecetitydentenvetiewcteenedencnsmstvescsnecdscvwecdnnbundeis 6 PANINO aaan e E E E a mm 6 Quality Assurance sen nena to ln aj ea k A a ei ana ea teen ie 6 A ea er eee eee ee R AE PRAP NE oe eee Renee rer OPERE 6 Contraindications aa ee krta a oa a be nija aaa avta ea a ae 6 21072 0 16 9 cee eee eee ee ee ene a EI NE ee eee 6 LEU OMS a ni E E a a AP EME NEM ELE 7 Emergency Procedures skav oece pija globe ode va kano oa bank 7 Technical Considerations svcscesevesiediasasnssccdtendasasssiadisdasedeaoisassacatecdsdiacadussaricns 8 Chapter 2 Using the HNC 63 INT Neurovascular Array Coil 9 Positioning the HNC 63 INT Coil on the Patient Table 9 Positioning the Patient sano iacsddtetacmasaedtuseusascnatasednedsdeneacnenucosdanessjnadondasdeestan 10 Synergy MultiConnect SMO rane eo ane ee boku b ab peer ija 11 Connecting the 07 e S a a m
15. stablish a baseline of coil performance The procedure should be repeated at regular intervals The coil is indicated for use on the order of a physician in conjunction with an MR scanner as an accessory to produce images of the brain cervical spine anterior neck and vasculature of the head and neck to the aortic arch The operator should be aware of the following contraindications for use related to the strong magnetic field of the MR system Scanning is contraindicated for patients who have electrically magnetically or mechanically activated implants for example cardiac pacemakers The magnetic and electromagnetic fields produced by the MR System and coil may interfere with the operations of these devices AN Scanning patients with intracranial aneurysm clips is contraindicated Precautions should be taken when scanning patients with the following conditions AN Greater than normal potential for cardiac arrest AN Increased likelihood for developing seizures or claustrophobia AN Unconscious heavily sedated or confused physical or mental state AN Inability to maintain reliable communications The following general warning statements apply to scanning with a magnetic resonance system For further details review the warnings in your MR system Operators Manual ABO Do not cross or loop cables Arcing and patient burns could result Route cables out of the magnet so that they do not touch the patient Rev 05 A As
16. sure that the patient is not touching the bore If necessary place pads between the patient and the surface of the bore AN If the patient complains of warming tingling stinging or similar sensations promptly stop the scan procedure examine the patient and contact the responsible physician before continuing the procedure Pay special attention to very young sedated or other compromised patients who may not be able to communicate effectively Patients with ferromagnetic metal should not be scanned because the magnetic field may interact with implanted surgical clips or other ferromagnetic materials AN Persons with cardiac pacemakers or other implanted electronic devices should not enter the magnetic field zone delineated by the MR system manufacturer AN There is a risk to scanning feverish or decompensated cardiac patients AN Facial makeup should be removed before scanning because it may contain metal flakes which can cause skin and eye irritation Permanent eyeliner tattoos may cause eye irritation due to ferromagnetic particles AN Patients who work in environments in which there is a risk of having embedded metallic fragments in or near the eye should be carefully screened before undergoing an MR exam AN Visually inspect the cable insulator jackets strain reliefs and connector boxes before each use Ifthe insulation is broken or if the cable is frayed immediately discontinue use of the device Emergency In the unl
17. the phantom bottle as shown below 3 Bring up the Statistics for ROI right mouse select over the ROI number arbitrary number next to the ROI left mouse select on Statistics from the drop down box and select Statistics again from drop box Record the Signal Mean value Move ROI to background noise as shown below Record the noise standard deviation Divide the signal mean by the noise standard deviation Record this SNR value for future reference Spec gt 50 A ON O O1 Statistics for ROI 1137 Statistics for ROI 1144 ree sM J v 19 Rev 05 SNR Calulations Example 20 Repeat SNR calculations as described on page 18 for the remaining reconstructed images from channels 3 4 5 Statistics for ROI 1189 TN o Statistics for RO 1192 Hide TROPICAL MRI Rev 05 SNR Calulations Example Repeat SNR calculations as described on page 18 for the remaining reconstructed images from channels 3 4 5 Statistics for ROI 1218 FFE M Statistics for ROI 1220 va Hide yroscan ntera WW 1931 s TROPICAL MRI 21 Rev 05 SNR Calulations Example 22 Repeat SNR calculations as described on page 18 for the remaining reconstructed images from channels 3 4 5 Statistics for ROI 1254 J n Image Sc 11 FFE M Sl 3 4 Statistics for ROI 1259 nage sa Imaca 14 ccc M 4 Ss da Mean 2 gt t Standard Deviation 135 9
18. viewing window or mirror a so A A 9 Adjust the patient so their shoulders are snug against the curved arch of the posterior coil housing Firmly hold the anterior coil housing and carefully place it on the posterior coil housing As you lower the anterior coil housing center and seat the RF connector pins while the flat mating surfaces meet Secure the latches on each side of the housing Slide the viewing mirror if necessary for patient viewing Use the window on the anterior coil housing to ensure the patient is centered properly Using posititoning beams center on the anatomy to be imaged 10 Rev 05 The Synergy MultiConnect SMC shown here is a required option to use the HNC 63 INT coil synergy MultiConnect SMC IMPORTANT You must have the SMC device and Level 8 1 1 or higher software on your Intera system Additionally Release 8 1 1 software requires a Synergy MultiConnect patch to enable this coil to be recognized by your system Contact your Philips representative to receive this software patch Software releases above 8 1 1 do not require the patch For more information on Synergy MultiConnect please refer to Intera Release 8 Philips Application Guide Volume 1 Basics Section 3 22 The Synergy MultiConnect SMC is shown here with the HNC coil connector 11 Rev 05 Connecting the Cable Attach the Synergy MultiConnect SMC holder to the same side of the support as the pati
19. your Philips Representative for the Synergy MultiConnect device Manufacturer Invivo Corporation 3545 SW 47th Avenue Gainesville FL 32608 U S A Phone 352 336 0010 Fax 352 336 1410 Web www invivocorp com E mail info Cinvivocorp com For Sales and Service in Europe Invivo Germany GmbH Schweinfurter Strasse 28 97076 Wurzburg Germany Phone 49 0 931 359 76 0 Fax 49 0 931 35976 10 Authorized Representative in Europe GBM Authorised Representative Ltd The White House 2 Meadrow Godalming Surrey GU7 3HN United Kingdom Phone 44 0 7710039721 Fax 441483424 310 Web www mba gbm com E mail martin biggs mba gbm com Rev 05 HNC Neurovascular Array Coil Your HNC 63 INT Neurovascular Array Coil package consists of the following parts Please inspect the package upon receipt to make sure all parts are present and in good order Use this guide to refer to part names thoughout this manual Anterior Coil Housing Viewing Anterior Coil Anterior Coil Apron Posterior GRASP HERE Mirrors Housing GRASP HERE Coil Housing E Patient Window Latch Patient Comfort Pad 1 ji AEA E TAHT AEAT EEN Nii The HNC 63 INT consists of two housings to facilitate lifting and positioning the coil on the patient cradle and patient imaging A latch is located on each side of the housing to secure the housings together and ensure proper electrical connections between anterior and posterior housi
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