magnetom aera, skyra · irreparable damage to rf coil ensure that all rf coils used are connected....

Siemens AG, HealthcareMRdito! GmbHMAGNETOM Aera, SkyraCoilsOperator ManualMR2010-2012M7-01006623010102n.a.EnglishEnglish06/2012n.a.n.a.

MAGNETOM Aera, Skyra 0.0

Operator Manual - Coils 0.0

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www.siemens.com/healthcare

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MTpmTma

anufacturer's notes: 0.0

his product bears a CE marking in accordance with the rovisions of regulation 93/42/EEC of June 14, 1993 for edical products. 0.0

he CE marking applies only to medico-technical products/edical products introduced in connection with the

bove-mentioned comprehensive EC regulation. 0.0

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Overview of Contents

Safety A

General information B

Coils C

Maintenance D

Accessories E

Index F

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Table of Contents

A Safety

A.1 General safety information

B General information

B.1 RF coils

B.2 Positioning the patient

B.3 Quality Assurance

C Coils

C.1 Body coil

C.2 Head and neck

C.3 Upper body and organs

C.4 Joints and extremities

D Maintenance

D.1 Cleaning

E Accessories

E.1 Standard accessories

E.2 Coil accessories

E.3 Vacuum cushion

E.4 Accessories for quality assurance

F Index

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Introduction

Introduction

In order to operate the MR system accurately and safely, the operating personnel must have the necessary expertise as well as knowledge of the complete operator manual. The operator manual must be read carefully prior to using the MR system. 0.0

Layout of the operator man-ual 0.0

Your complete operator manual is split up into several volumes to improve readability. Each of these individual operator manu-als covers a specific topic: 0.0

■ Hardware components (system, coils, etc.)

■ Software (measurement, evaluation, etc.)

Another element of the complete operator manual is the infor-mation provided for the system owner of the MR system. 0.0

The extent of the respective operator manual depends on the system configuration used and may vary. 0.0

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The operator manuals for hardware and software address the authorized user. Basic knowledge in operating PCs and software is a prerequisite. 0.0

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

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Introduction

The current operator manualThis operator manual is a supplement to the MR system opera-tor manual. 0.0

This manual may include descriptions covering standard as well as optional hardware and software. Contact your Siemens Sales Organization with respect to the hardware and software avail-able for your system. The description of an option does not infer a legal requirement to provide it. 0.0

The graphics, figures, and medical images used in this operator manual are examples only. The actual appearance and design of these may be slightly different. 0.0

Male and female patients are referred to as “the patient” for the sake of simplicity. 0.0

References to “Siemens Service” include service personnel authorized by Siemens. 0.0

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Introduction

Important icons

For readability, certain contents are highlighted. In the follow-ing sections, you will find the symbols and their contents used:0.0

✓ Prerequisites for the operating steps to follow

◆ Request for action

■ Item in list

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Problem 0.0

Description of possible source of errors 0.0

◆ Requests for action to solve problems0.0

Notes for optimal use of the system.

Remarks that facilitate work with the system.

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vii0.00.0

Introduction

Product designations in this document

In place of the printed product designations, the following descriptions are used in this document: 0.0

Head and neck 0.0

Upper body and organs 0.0

Product 0.0 Document/Text 0.0

Head/Neck 20, A 1.5T Tim Coil 0.0

Head/Neck 20, A 3T Tim Coil 0.0

Head/Neck 20 0.0

Head 32, A 3T Tim Coil 0.0 Head 32 0.0

TxRx CP Head, A 1.5T Tim Coil 0.0

TxRx CP Head, A 3T Tim Coil 0.0

TxRx CP Head 0.0


Spine 32, A 1.5T Tim Coil 0.0

Spine 32, A 3T Tim Coil 0.0

Spine 32 0.0

Body 18, A 1.5T Tim Coil 0.0

Body 18, A 3T Tim Coil 0.0

Body 18 0.0

1.5T Endorectal Coil 0.0

3T Endorectal Coil 0.0

Endorectal 0.0

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Introduction

Joints and extremities 0.0


Shoulder Small 16, A 1.5T Tim Coil 0.0

Shoulder Large 16, A 1.5T Tim Coil 0.0

Shoulder Small 16, A 3T Tim Coil 0.0

Shoulder Large 16, A 3T Tim Coil 0.0

Shoulder Small/Large 16 0.0

Hand/Wrist 16, A 1.5T Tim Coil 0.0

Hand/Wrist 16, A 3T Tim Coil 0.0

Hand/Wrist 16 0.0

Peripheral Angio 36, A 1.5T Tim Coil 0.0

Peripheral Angio 36, A 3T Tim Coil 0.0

Peripheral Angio 36 0.0

TxRx 15-Channel Knee 1.5T 0.0

TxRx 15-Channel Knee 3T 0.0

TxRx 15 Ch Knee 0.0

TxRx Knee 15, A 1.5T Tim Coil 0.0

TxRx Knee 15, A 3T Tim Coil 0.0

TxRx Knee 15 0.0

CP Extremity 1.5T 0.0 CP Extremity 0.0

TxRx CP Extremity 3T 0.0 TxRx CP Extremity 0.0

Foot/Ankle 16, A 1.5T Tim Coil 0.0

Foot/Ankle 16, A 3T Tim Coil 0.0

Foot/Ankle 16 0.0

Flex Coil Interface 1.5T 0.0

Flex Coil Interface 3T 0.0

Flex Coil Interface 0.0

Tim Coil Interface 1.5T 0.0

Tim Coil Interface 3T 0.0

Tim Coil Interface 0.0

1.5T 4 Ch Flex Small MR Coil 0.0

1.5T 4 Ch Flex Large MR Coil 0.0

3T FLEX SMALL 0.0

3T FLEX LARGE 0.0

Flex Small/Large 4 0.0

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Introduction

Authorized operating personnel

The MAGNETOM MR system must be operated according to the intended use and only by qualified persons with the necessary knowledge in accordance with country-specific regulations, e.g. physicians, trained radiological technicians or technologists, subsequent to the necessary user training. 0.0

This user training must include basics in MR technology as well as safe handling of MR systems. The user must be familiar with potential hazard and safety guidelines the same way the user is familiar with emergency and rescue scenarios. In addition, the user has to have read and understood the contents of the oper-ator manual. 0.0

1.5T Special Purpose 4 0.0

3T Special Purpose 4 0.0

Special Purpose 4 0.0

1.5T Loop 4cm MR Coil/3T LOOP 4 0.0 Loop 4 0.0

1.5T Loop 7cm MR Coil/3T LOOP 7 0.0 Loop 7 0.0

1.5T Loop 11cm MR Coil/3T LOOP 110.0 Loop 11 0.0


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A

A
Safety
A.1 General safety information A.1-1

Coils A.1-1

Quality measurement A.1-2

Measurement phantoms A.1-3

Phantom fluid spills A.1-4

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A-10.0

Safety

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General safety information A.1


A.1

Coils A.1

A.1A.1

Coils in 3T systems A.1

A.1

A.1

All safety information of the valid operator manuals must be adhered to without fail. It is merely supplemented by the notes contained herein.

A.1

CAUTION A.1 Damaged RF coils/coil cables! Warming!

Patient burns

◆ Never run coil cables over the patient's head.

◆ Avoid direct contact between the coil cables and the patient.

◆ Use only operationally satisfactory RF coils/coil cables.

◆ In case of damage, contact Siemens Service.

A.1

CAUTION A.1 Exposure to RF electromagnetic fields!

Burns regarding infants/small children

◆ Do not examine small children in local TxRx coils while ECG leads or ECG electrodes are attached.

MR scanning has not been established as safe for imaging fetuses and infants less than two years of age. The responsi-ble physician must evaluate the benefits of the MR examina-tion compared to those of other imaging procedures.

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A.1-10.00.0

Safety

Effect of antenna A.1 Cables (e.g. from RF coils, ECG cables) that are run together and form loops can act as receiver antennas and become very hot. A.1

A.1

RF coils that are not con-nected A.1

To avoid electrical coupling between the RF coils and the Body coil, the coils must be connected correctly. A.1

A.1

Quality measurement A.1

A.1

A.1

CAUTION A.1 Arcing caused by coil cable loops!

Patient burns

◆ Avoid coil cable loops.

A.1

CAUTION A.1 Coil cables/plugs not connected!

Patient burns

Irreparable damage to RF coil

◆ Ensure that all RF coils used are connected.

◆ Remove disconnected RF coils from the patient table.

A.1

CAUTION A.1 Deactivated RF transmitters (SAR) and gradient (dB/dt) mon-itoring during the quality measurement!

Injury to patient

◆ Ensure that a patient is not located in the magnet.

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Measurement phantoms A.1

When measurement phantoms are used as intended within the scope of quality assurance for RF coils, there is no physical con-tact with measurement phantom fluids. The fluids are sealed inside the measurement phantoms. A.1

Risk due to aerosol forma-tion A.1

If phantom fluid has escaped, inhalable droplets (aerosols) con-taining nickel may form in the event of a fire or atomization caused by strong air currents. Carcinogenic effects cannot be ruled out if these aerosols are absorbed by the body. A.1

Handling and storing A.1

A.1

A.1

CAUTION A.1 Improper handling of measurement phantoms!

Damage to measurement phantoms

Risk of fire due to lens effect

◆ Store the phantoms at 20 °C in a protected location.

◆ Do not drop measurement phantoms.

◆ Do not change measurement phantoms.

◆ Do not store measurement phantoms in a sunny loca-tion.

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Safety

Phantom fluid spills A.1

A.1

The EC safety data sheets and legal regulations do not explicitly mention possible hazards relating to phantom fluids. A.1

Note the different measures to be applied for the various phan-tom liquids. (➡ Page A.1-5 First aid in case of contact with phantom fluid) A.1

A.1

The measurement phantoms for 3T systems contain either a nickel sulfate solution or white oil (this liquid is blue in color).

A.1

CAUTION A.1 Contact with spilled phantom fluid (nickel sulfate)!

Personal injury

◆ Wear protective clothing (gloves, work coat, and gog-gles).

◆ Wear a mask with a filter for inorganic vapors if aerosols (inhalable droplets) are formed.

◆ Avoid skin contact with phantom fluids.

◆ Do not use damaged phantoms.

◆ Ensure that fluids from phantoms are disposed of prop-erly.

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Measures in case of phantom fluid spills A.1

◆ Put on protective clothing (goggles, overalls, and dispos-able gloves).

◆ Absorb the fluid immediately using absorbent material such as sand, sawdust, etc.

◆ Collect the fluid in a plastic bucket.

◆ Prevent phantom fluid from entering the waste water sys-tem.

◆ Change contaminated clothing.

◆ Clean your hands thoroughly using soap and water.

First aid in case of contact with phantom fluid A.1

◆ Always consult a physician immediately.

Skin contamination A.1 ◆ Immediately remove the clothing covering the contami-nated area.

◆ Immediately wash the skin using soap and water.

Eye contamination A.1 ◆ Immediately consult an ophthalmologist.

Swallowing A.1 ◆ Drink plenty of water and induce vomiting immediately.

Swallowing of white oil A.1 ◆ Do NOT induce vomiting.

◆ Ensure that the person lies still.

Inhalation A.1 ◆ Apply fresh air.

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Safety

Mandatory reporting in case of fire A.1

◆ Inform the fire department about the contents of the mea-surement phantoms.

◆ Inform your local fire department that phantom fluids may produce nickelous aerosols.

Disposal of phantom fluids as special waste A.1

◆ Label the container accordingly.

◆ Hire an authorized special waste company for disposal.

◆ It is recommended that you contact the local Siemens Ser-vice office as well as the environmental protection officer or the responsible local authorities.

◆ If you have additional questions, contact Siemens Service.

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B

B
General information
B.1 RF coils B.1-1

Basic principles B.1-1

Coil sockets B.1-2

Attaching RF coils B.1-4

Proper handling B.1-4

Storing RF coils B.1-7

B.2 Positioning the patient B.2-1

Positioning without the Head/Neck 20 B.2-5

Positioning on the RF homogeneity cushion B.2-7

B.3 Quality Assurance B.3-1

Basics B.3-1

Quality measurement B.3-1

Performing quality assurance (software) B.3-2

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B-10.0

General information

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RF coils B.1

RF coils B.1

Basic principles B.1

RF coils are divided into two categories: B.1

■ Transceiver coils (TxRx)

■ Pure receiver coils (Rx)

When the RF coil is used as a receiver coil only, the RF pulse is transmitted by another RF coil that usually acquires a larger area (e.g. the Body coil). B.1

During reception, the signal-to-noise ratio is higher, the closer the RF coil is located to the examination area. This explains why small RF coils have a better signal-to-noise ratio than e.g. the Body coil. They do, however, have a smaller measurement field.B.1

The Body coil is a stationary coil installed in the magnet. B.1

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B.1-10.00.0

General information

Coil sockets B.1

B.1

The coil sockets are located at the head or foot end of the patient table. B.1

B.1

When cleaning the table use the protective cover for coil sockets 5 and 6. B.1

Sockets for cordless coils B.1

B.1

Coil B.1 Coil socket B.1

Head/Neck 20 B.1 5 and 6 B.1

Spine 32 B.1 7 and 8 B.1

Foot/Ankle 16 B.1 5 and 6 B.1

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RF coils B.1

General coil sockets B.1

B.1

Interfaces B.1

B.1

Coil B.1 Coil socket B.1

Head 32 B.1 1 and 2 B.1

TxRx CP Head B.1 1 B.1

Body 18 B.1 1, 2, 3 or 4 B.1

Shoulder Small/Large 16 B.1 1 or 2 B.1

Hand/Wrist 16 B.1 1 or 2 B.1

Peripheral Angio 36 B.1 1, 2, 3 or 4 B.1

TxRx Knee 15 B.1 1 B.1

Coil interface B.1 Coil socket B.1

Flex Small/Large 4 B.1 Flex Coil Interface B.1

Loop 4/7/11 B.1 Flex Coil Interface B.1

Special Purpose 4 B.1 Flex Coil Interface B.1

Endorectal 1.5T B.1 Endorectal Interface with Flex Coil Interface B.1

Endorectal 3T B.1 Endorectal Interface with Tim Coil Interface B.1

TxRx 15 Ch Knee B.1 Tim Coil Interface B.1

TxRx CP Extremity B.1 Tim Coil Interface B.1

CP Extremity B.1 Tim Coil Interface B.1

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General information

Attaching RF coils B.1

B.1

Proper handling B.1

B.1

B.1

◆ Handle RF coils with care.

◆ Store RF coils so that they are protected against mechanical damage.

◆ Only lift and carry RF coils at the lower part.

Spectroscopy only: During X-nucleus measurements you

must remove all 1H coils (“standard” coils, for example, Spine 32) from the patient table. Only use the specific X-nucleus coils.

B.1

CAUTION B.1 Touch into coil socket!

Electric shock, patient burns

◆ Never touch the patient and the inside of the coil socket (with hands, fingers, or other objects) at the same time.

Read carefully through the safety information provided for RF coils in the individual coil chapters.

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RF coils B.1

◆ To avoid cable warming, route the coil cable not in the prox-imity of the RF transmit coil.

◆ Always use the necessary positioning aids and cushions with RF coils.

◆ When you cover the positioning aids and cushions with crepe paper, ensure that the crepe paper does not touch coil contacts.

◆ Do not compress, bend or stretch the coil cables.

B.1

◆ To connect the coil plug: Slide the socket cover with the coil plug away and connect the plug to the socket.

B.1

◆ To remove the coil plug: Grasp the plug housing and lift it up vertically.

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General information

Tim Coil Interface B.1 Some coils are valid for several MR systems. Use the Tim Coil Interface to connect these coils to MAGNETOM Aera or Skyra. B.1

B.1

(1) Socket cover for coil socket

(2) Release for coils

(3) Interface coil plug

(4) Release for Tim Coil Interface

◆ Connect the Tim Coil Interface to the patient table.

B.1

◆ To connect the coil: Slide the socket cover of the Tim Coil Interface with the coil plug away and connect the plug to the socket.

B.1

◆ To remove the coil: Use the release on the Tim Coil Interface.

B.1

◆ To remove the Tim Coil Interface: Grasp the housing and lift it up vertically.

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RF coils B.1

Storing RF coils B.1

For storing the coils as well as the accessories you can use the coil cart. B.1

B.1

Setting up the coil cart B.1 ◆ As shown on the label on the lid, open the coil cart carefully and turn the lid completely to the backside of the cart. Never rest the lid against the wall.

◆ Open the doors completely and lock them using the lateral bolts.

◆ Lock the front wheels after moving the coil cart to the desired position.

◆ Only reposition the coil cart (e.g. for cleaning) if the doors are closed.

◆ Store heavy accessories (e.g. sandbags) only in the center bottom drawer to improve the stability of the cart.

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B.1-70.00.0

General information

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Positioning the patient B.2


B.2

◆ Use positioning aids and table pads to position the patient as comfortably as possible on the patient table.

◆ If the patient's hands or feet protrude over the table end, always use the corresponding positioning aids.

B.2

◆ Ensure the patients feet do not hit the handle at the foot end of the table, especially if the patient is very tall. When positioning the patient in the prone position always use the foot roll and take special care when the table moves out of the magnet.

◆ If you are performing a triggered measurement: position the patient in the supine position where possible.

◆ When examining extremities, ensure correct patient orien-tation and positioning.

B.2

CAUTION B.2 Incorrect patient positioning and fixation of arms and legs!

Pinching of fingers or toes

◆ Ensure that the fingers or toes of the patient do not get caught in the gap between patient table and magnet during table movement.

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B.2-10.00.0

General information

B.2

◆ Depending on the requirements, position the patient in the feet or head first orientation in the direction of the magnet bore.

B.2

Unlike examinations of the patient's torso, for which regis-tration of the image orientation data and positioning choices are limited, imaging of the extremities is more freely selectable. Therefore, registration of image orientation data when imaging extremities may deviate from actual anatom-ical positioning of the patient.

Example: Positioning of the hand■ Right/left■ Palm/back of the hand■ Hand over the head■ Hand to the side along the body

We recommend that patients, especially those suffering from claustrophobia, are positioned with their feet toward the magnet bore.

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B.2

B.2

To obtain optimal image quality and a homogeneous fat sat-uration, ensure the most isocentric position for the patient's extremity to be examined.

Especially in areas with high B0 inhomogeneity, the STIR

technique provides for a more robust fat suppression than spectral fat saturation. Protocols for both variants are included in the Siemens protocol tree.

The increased SAR limits are activated in the First level con-trolled operating mode. In this operating mode it should be ensured that heat dissipation is not impaired by clothing or blankets.

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B.2-30.00.0

General information

Securing the coil B.2 Use the straps attached to the patient table to secure the coil. B.2

B.2

◆ Insert the mounting device of the strap into the T-shaped groove at the side of the patient table.

B.2

◆ To fix the strap: Turn the mounting device up, towards the center until it locks into place.

◆ To remove the strap: Turn the mounting device down into its horizontal position.

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Positioning without the Head/Neck 20 B.2

If you do not use the Head/Neck 20, the head of the patient is positioned in the back-of-the-head support. B.2

The back-of-the-head support must be positioned correctly so that the system knows the exact patient position and can deter-mine the correct SAR values. B.2

Head First position of the pa-tient B.2

B.2

◆ Position the back-of-the-head support on the head-heel insert of the patient table so that it is flush with the edge marking of the head-heel insert.

◆ Position the patient’s head on the back-of-the-head sup-port.

B.2

◆ If needed, insert the lookout mirror carrier into the T-shaped groove on both sides of the patient table.

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B.2-50.00.0

General information

Feet First position of the pa-tient B.2

The head of the patient is positioned on the back-of-the-head support located at the foot end of the patient table. The feet of the patient are positioned on the back side of the head-heel insert. B.2

B.2

◆ Position the patient’s feet in the corresponding recesses for the heels on the head-heel insert.

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Positioning on the RF homogeneity cushion B.2

B.2

B.2

CAUTION B.2 Artifacts in the MR image due to the RF homogeneity cush-ion! When using a short echo time (TE), parts of the RF homogeneity cushion may be visible in the MR image! Through aliasing, the position in the MR image may deviate from its actual location!

Confusing artifacts with pathological structures

◆ Repeat the measurement for the structure in question by using a second orthogonal slice and check whether the position of the structure is reproducible nor not.

◆ Repeat the measurement for the structure in question by varying the “Field of View”. Subsequently check whether the position of the structure is reproducible nor not.

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B.2-70.00.0

General information

B.2

◆ Position the RF homogeneity cushion with the desired side on the patient's abdomen.

B.2

B.2

CAUTION B.2 Gel escaping when the RF homogeneity cushion is dam-aged!

Allergic reaction to skin/eye contact with gel or to swal-lowing gel

◆ Inspect the RF homogeneity cushion daily for damages.

◆ Do not use damaged RF homogeneity cushions.

◆ Do not use the RF homogeneity cushion in the head area of the patient.

◆ Dispose of the gel in accord with national guidelines (special waste disposal).

◆ Change contaminated clothing immediately.

◆ In the event of swallowing: Rinse out mouth, drink plenty of water. Consult a physician.

◆ In the event of skin contact: Thoroughly rinse skin with water.

◆ In the event of eye contact: Thoroughly rinse the open eyes with water. Consult an ophthalmologist.

Use the light localizer for positioning prior to each examina-tion as well as after repositioning the RF homogeneity cush-ion.

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Quality Assurance B.3


Basics B.3

A degraded MR image quality may indicate a malfunctioning RF coil. A quality measurement is performed for each RF coil to ver-ify satisfactory operation. B.3

Quality measurement B.3

Measurement phantoms are used for quality measurements. B.3

B.3

The quality measurement is performed with the quality pro-gram at the syngo Acquisition Workplace. The program checks the signal-to-noise ratio for all RF coils. In addition, it checks the artifact behavior for the Body coil. B.3

B.3

The fluid in the measurement phantoms presents a health hazard. Follow the safety regulations in case of phantom fluid spills.

If the quality measurement results are outside specifica-tions, the phantom fluid may have moved inside the phan-tom. Measurement phantoms must be positioned for at least 3 minutes at rest on the phantom holder.

If the values of the quality measurement for an RF coil are outside specifications, please repeat the quality measure-ment.

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B.3-10.00.0

General information

Performing quality assurance (software) B.3

B.3

Selecting the coil B.3 ◆ Select the Options > Service > Customer QA... menu option.

The dialog window Quality Assurance opens. B.3

B.3

◆ Go to the selection list and select the coil for the quality measurement.

Registering coils B.3 It may be that some coils are not available in the list. Coils of these coil types must be registered before starting the quality assurance. B.3

✓ Coil is connected to the patient table.

◆ In the status bar, click the Update button to add the type of the connected coil to the list.

◆ Wait at least one minute until the update process is done.

The list is updated automatically. B.3

The Help button opens a help feature which describes the steps necessary for performing quality assurance.

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Configuring the quality measurement B.3

During the quality measurement, the signal-to-noise ratio and the signal uniformity of the individual coils are checked. B.3

✓ The coil is selected.

◆ Activate the control box Coil Check.

Starting the quality mea-surement B.3

✓ The quality measurement is configured.

◆ Click the Go button to the lower right in the dialog window Quality Assurance.

The dialog window Workflow Popup opens, including informa-tion for the quality measurement of the coil selected. B.3

◆ Follow the instructions for positioning the coil, the phan-tom, as well as the phantom holder.

◆ Connect the coil to be measured.

◆ Click the OK button in the Workflow Popup dialog win-dow.

The dialog window Workflow Popup closes and the quality measurement starts. B.3

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B.3-30.00.0

General information

During the measurement, messages regarding the measure-ment status are displayed. B.3

B.3

B.3

The quality measurement does not provide satisfactory results?B.3

Parameters are out of specification. B.3

◆ Optimize the position of the phantom.

◆ Optimize the position of the laser light localizer.

◆ Repeat the measurement.

◆ If the repeated quality measurement does not provide sat-isfactory results: Notify Siemens Service.

B.3

Completing the quality mea-surement B.3

✓ The quality measurement is finished.

◆ Click Exit.

A window including a safety query appears that must be con-firmed. B.3

Message B.3 Status of quality measurement B.3

ToDo B.3 Measurement still waiting to be performed B.3

Running B.3 Running B.3

Done B.3 Completed B.3

Parameters correspond to specifications B.3

NotOk B.3 Completed B.3

Parameters are out of specification B.3

Error B.3 Measurement cannot be performed B.3

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C

C
Coils
C.1 Body coil C.1-1

Description C.1-1

Quality measurement C.1-2

C.2 Head and neck C.2-1

Head/Neck 20 C.2-1

Description C.2-1

Use C.2-3


Head 32 C.2-5

Description C.2-5

Use C.2-6


TxRx CP Head C.2-9

Description C.2-9

Use C.2-11


C.3 Upper body and organs C.3-1

Spine 32 C.3-1

Description C.3-1

Use C.3-3


Body 18 C.3-7

Description C.3-7

Use C.3-8


Endorectal C.3-13

Description C.3-13

Use C.3-14


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C-10.0

Coils

C.4 Joints and extremities C.4-1

Shoulder Small/Large 16 C.4-1

Description C.4-1

Use C.4-2


Hand/Wrist 16 C.4-5

Description C.4-5

Use C.4-6


Peripheral Angio 36 C.4-11

Description C.4-11

Use C.4-12


TxRx 15 Ch Knee/TxRx CP Extremity C.4-23

Description C.4-23

Use C.4-25


TxRx Knee 15 C.4-28

Description C.4-28

Use C.4-30


CP Extremity C.4-33

Description C.4-33

Use C.4-35


Foot/Ankle 16 C.4-38

Description C.4-38

Use C.4-39


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C-2 0.0 MAGNETOM Aera, Skyra - Coils0.0

Coils C

Flex Coil Interface C.4-42

Description C.4-42

Connection C.4-43

Flex Small/Large 4 C.4-44

Description C.4-44

Use C.4-45


Loop 4/7/11 C.4-50

Description C.4-50

Use C.4-51


Special Purpose 4 C.4-54

Description C.4-54

Use C.4-55


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C-30.00.0

Coils

0.0

C-4 0.0 MAGNETOM Aera, Skyra - Coils0.0

Body coil C.1

Body coil C.1

Description C.1

Area of application C.1 The main function of the Body coil is to generate a homoge-neous RF magnetic field for the excitation of nuclear spins. C.1

As a receiver coil for MR signals, the Body coil is used only for survey measurements because its signal-to-noise ratio is signif-icantly lower than that of local coils located close to the body. C.1

Configuration C.1 The Body coil is the innermost shell of the three field-generating components: magnet, gradient coil and RF transmitter coil. It is permanently installed in the magnet. C.1

The support tube of the Body coil functions as the inside lining of the magnet bore. It has guide rails for the patient table and, together with other components, is responsible for attenuating noise. C.1

Functionality C.1 The Body coil functions as a transmitter coil during all measure-ments. Exception: when using local transceiver coils. C.1

As a transmitter coil, the Body coil (aided by resonant current loops) produces an alternating magnetic field. The frequency of this magnetic field corresponds to the operating frequency of the MR system. The strength of the magnetic field is selected so that the nuclear spins are deflected according to the require-ments of the selected MR measurement. C.1

The Body coil is detuned for receiving. As a result, the body sig-nals are optimally received by all other transceiver coils without interference from the Body coil. C.1

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C.1-10.00.0

Coils

Quality measurement C.1

◆ Position the phantom holder 23 at the head end on the patient table.

C.1

◆ Connect the phantom holder 24 to the phantom holder 23.

C.1

◆ Position the spherical phantom D240 on the recess of the phantom holder 23.

◆ Position the spherical phantom D165 on the recess of the phantom holder 24.

◆ Position the 15 ml plastic bottle in the corresponding recess on the phantom holder 23.

◆ Align the laser localizer on the center marking of the phan-tom holder 23.

◆ Start the quality measurement. (➡ Page B.3-2 Performing quality assurance (software))

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C.1-2 0.0 MAGNETOM Aera, Skyra - Coils0.0

Head and neck C.2

Head and neck C.2

Head/Neck 20 C.2

Description C.2

Use and function C.2

The Head/Neck 20 provides examinations of the head and the neck (e.g. nape of the neck and vessels of the neck), and com-bined measurements with other coils. C.2

A mirror carrier can be attached to the upper part of the Head/Neck 20. C.2

Accessories (➡ Page E.1-1 Standard accessories) C.2

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C.2-10.00.0

Coils

Configuration C.2

The coil consists of the following components: C.2

C.2

(1) Mirror carrier with mirror(2) Lever for release(3) Upper part(4) Lower part

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Head and neck C.2

Use C.2

Positioning the coil C.2 ✓ The Spine 32 or the table pads are positioned on the patient table.

C.2

◆ Slide the Head/Neck 20 into the lateral recesses at the head end of the patient table so that it locks into the coil sockets 5 and 6.

C.2

◆ Move the lever to release the upper part of the coil and lift it up and off.

◆ Place the relax cushion in the lower part of the coil.

◆ Secure the patient’s head using the corresponding cush-ions.

◆ Use suitable positioning aids.

◆ Position the head of the patient in the lower part of the coil. Ensure that the shoulders touch the lower part of the Head/Neck 20.

C.2

◆ Place the upper part on the lower part and slide it forward until it locks into place.

C.2

For cervical neck examinations, the upper part of the Head/Neck 20 may be omitted for slender patients.

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C.2-30.00.0

Coils

Performing the measure-ment C.2

◆ Align the laser light localizer with the center of the region of interest.

◆ Start the measurement.


The quality measurement for the Head/Neck 20 is performed in two steps: for the head region and for the neck region. C.2

✓ The lower part of the Head/Neck 20 is positioned on the patient table.

◆ Position phantom holder 29 into the lower part of the coil.

C.2

◆ Position the 5300 ml plastic bottle on phantom holder 29 so that the bulge of the bottle is positioned as far as possi-ble in the lower part of the coil.

C.2

◆ Place the upper part on the lower part of the coil and slide it forward until it locks into place.

◆ Align the laser light localizer with the corresponding center marking of the coil.


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Head and neck C.2

Head 32 C.2

Description C.2


The Head 32 is limited to head examinations. C.2

A mirror can be attached and shifted on the mirror carrier. C.2


Configuration C.2


C.2

(1) Mirror carrier with mirror(2) Upper part(3) Release(4) Coil plug(5) Lower part

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C.2-50.00.0

Coils

Use C.2

Positioning the coil C.2 ✓ The Spine 32 or the table pads are positioned on the patient table.

C.2

◆ Position the coil at the head end of the patient table. Ensure that the coil is positioned at the end stop of the table.

◆ Simultaneously pull both releases forward at the upper part of the coil and remove the upper part vertically toward the top.

C.2

◆ Connect the plug of the lower part to the coil socket 1.

◆ Position the neck cushion in front of the lower part and the Relax cushion in the lower part of the coil.

◆ Position the head of the patient on the lower part of the coil.

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Head and neck C.2

◆ If necessary, use additional suitable positioning aids.

C.2

◆ If necessary, position the two head alignment wedges to stabilize the head of the patient.

◆ Place the upper part of the coil so that it locks into place on the lower part.

◆ Connect the plug of the upper part to the coil socket 2.

C.2

◆ If necessary, position the mirror carrier in the holders at the lower part of the coil.

You are able to use the mirror carrier with mirror without the upper part of the coil. C.2


◆ Position the laser light localizer to the center mark on the upper part of the coil.


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C.2-70.00.0

Coils


✓ The lower part of the Head 32 is positioned on the patient table and connected.

C.2

◆ Position phantom holder 29 into the lower part of the coil.

◆ Position the 5300 ml plastic bottle on phantom holder 29 so that the bulge of the bottle is positioned as far as possi-ble in the lower part of the coil.

◆ Place the upper part on the lower part of the coil so that it locks into place.

◆ Connect the plug of the upper part to the coil socket 2.

◆ Align the laser light localizer with the center marking of the coil.

◆ Start the quality measurement.

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Head and neck C.2

TxRx CP Head C.2

Description C.2


The TxRx CP Head is suitable for the following examinations: C.2

■ Vascular examinations in the head

■ E. g., vascular examinations of the base of the skull and the cerebrum

Standard accessories (➡ Page E.1-1 Standard accessories) C.2

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C.2-90.00.0

Coils

Configuration C.2


C.2

(1) Releases(2) Upper part of coil(3) Mirror(4) Center marking(5) Lower part of coil(6) Cable fixation

0.0


Head and neck C.2

Use C.2

Positioning the coil C.2 ✓ The Spine 32 is removed. The table pads are positioned on the patient table.

✓ The serial numbers of the upper part (inside) and lower part (bottom) of the coil match.

C.2

◆ Slide the coil into the front lateral recesses at the head end of the patient table.

◆ Connect the coil plug to coil socket 1.

C.2

◆ Simultaneously press both releases on the upper part of the coil and lift it up and off.

◆ Place the head cushion in the lower part of the coil.


◆ Place the Head-Spine table pad in front of the coil to fill the gap to the table pad 2.

C.2

◆ Position the head of the patient on the lower part of the coil.


◆ For examinations of the base of the skull, position the patient’s head as far inside the coil as possible.

– or – C.2

◆ For examinations of the cerebrum, position the patient’s head so that the eyebrows are lined up with the center marking.

◆ Secure the patient’s head using the head wedges.

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C.2-110.00.0

Coils





✓ Lower part of the coil is positioned on the patient table and connected.

C.2

◆ Position the phantom holder TxRx CP Head in the lower part of the coil.

◆ Position the 1900 ml plastic bottle so that the bottom of the bottle is facing the magnet bore.

C.2

◆ Place the upper part of the coil on the lower part so that it locks into place.


◆ Start the quality measurement (➡ Page B.3-2 Performing quality assurance (software)).

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Upper body and organs C.3


Spine 32 C.3

Description C.3


The Spine 32 is used for examining the spine and for combined measurements with other coils. C.3

Up to four clusters (groups of coil elements) of the Spine 32 can be used at a time. C.3


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C.3-10.00.0

Coils

Configuration C.3


C.3

(1) Carrying handle(2) Lever for release(3) Plug connection

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Use C.3

In the following section, a measurement configuration is shown in the Head First orientation. C.3

Positioning the coil C.3

C.3

◆ Position the Spine 32 so that the coil plugs fit into the coil sockets 7 and 8.

◆ Move the lever to lock the coil in place.

Positioning the patient C.3

C.3

◆ Position the lower part of the Head/Neck 20 in the recess at the head end of the patient table.

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C.3-30.00.0

Coils

◆ Position the table pad 4 on the foot end of the patient table.


◆ Position the patient in the supine position and as straight as possible in the center of the coil.

C.3


◆ Select the region of interest.



Removing the coil C.3

C.3

◆ To remove the coil press the release at the patient table and lift the coil with the handle.

The shoulders must lie against the lower part of the Head/Neck 20.

0.0




For the Spine 32, the quality measurement is performed sepa-rately for every coil element (SP1 - SP8). The plastic bottle must be positioned in the center of the respective coil element for each individual measurement. C.3

C.3

◆ Position the phantom holder 25 on the Spine 32 in the cen-ter of the corresponding coil element.

◆ Align the laser light localizer with the center marking of the phantom holder.

◆ Position the 5300 ml plastic bottle on the phantom holder.


◆ Perform the quality measurement for the coil elements SP1-SP7 in this way.

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C.3-50.00.0

Coils

Quality measurement for coil element SP8 C.3

C.3

◆ Position the phantom holder 25 and the 5300 ml plastic bottle between coil element SP7 and SP8.

◆ Turn the phantom holder 26 upside down and position it next to phantom holder 25 in the direction of the magnet bore.

◆ Position the phantom holder 29 and the 1900 ml plastic bottle on the setup.

◆ Align the laser light localizer with the coil element SP7.


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Body 18 C.3

Description C.3


The Body 18 enables examinations of the following body regions: C.3

■ Upper body and abdomen

■ Pelvis

Depending on the requirements, the coil may be used in the Head First or Feet First orientation. Several Body 18 coils can be used for complete upper body examinations. C.3


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C.3-70.00.0

Coils

Configuration C.3


C.3

(1) Cluster 1(2) Cluster 2(3) Cluster 3(4) Electronic boxes(5) Coil plug

Use C.3

In the following section, an examination of the entire upper body is shown. Two Body 18 coils are used and the patient is positioned Head First. C.3

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Safe handling C.3 ◆ Always position the Body 18 so that the coil cable does not touch the patient’s head.

C.3

◆ Secure the cables with the cable holders in the elongated holes of the patient table.

Positioning the coil C.3 ✓ The Spine 32 is positioned on the patient table.

✓ The lower part of the Head/Neck 20 is positioned.

◆ Position the patient in the supine position with the head toward the magnet.


C.3

◆ Position the Body 18 on the patient's pelvis and connect the coil to socket 1 or 2.

◆ For slim patients, use the RF homogeneity cushion for improved signal homogeneity.

C.3

◆ Position the second Body 18 so that it overlaps the first and is lying against its electronic boxes.

◆ Connect the coil to the next open coil socket.

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C.3-90.00.0

Coils

C.3

◆ For slender patients: Position the Body 18 rotated by 90°.

◆ Secure the connection cable with the cable holders.

Securing the coil combina-tion C.3

C.3

◆ Slide the straps as shown through the flaps of the Body 18.

◆ Secure both coils using the straps provided.

◆ Secure the patient with an additional belt strap. Route the belt strap over the overlapping area of the coil combina-tion.


C.3


◆ Select the two (up to four, depending on the coil configura-tion) corresponding Spine 32 clusters at the syngo Acquisition Workplace.


0.0




The quality measurement must be performed in the Head First and Feet First orientation. The setup is identical for both orien-tations. In addition, the measurement must also be performed with the coil rotated by 90° for the left and the right side. C.3

✓ The Spine 32 is positioned on the patient table.

◆ Position phantom holder 26 on the table.

C.3

◆ Place the phantom holder 27 around the 5300 ml plastic bottle.

C.3

◆ Position the Body 18 on the plastic bottle and secure the coil on the bottle using the straps.

◆ Position the coil with the plastic bottle on the phantom holder 26 so that the coil cable points toward the bottom of the phantom holder.

◆ Ensure that the coil cable is routed through the groove on the bottom of the phantom holder.

◆ Connect the coil plug to a suitable socket.

◆ Align the laser light localizer with the center of the coil.


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C.3-110.00.0

Coils

◆ Perform the measurement successively for each orienta-tion.

C.3

(1) Quality measurement, HeadFirst orientation(2) Quality measurement, FeetFirst orientation(3) Quality measurement, left side(4) Quality measurement, right side

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Endorectal C.3

Description C.3


The Endorectal coil is suitable for examinations of the prostate, colon, and Cervix Uteri. C.3

The Endorectal coil is used only in the Feet First orientation. C.3

The Spine 32 and Body 18 are required for the examination. C.3

The coil is a disposable coil and used only once. C.3


Configuration C.3


C.3

(1) Endorectal coil for 1.5T systems(2) Endorectal coil for 3T systems(3) Disposable coil(4) Endorectal Adapter(5) Endorectal Interface

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C.3-130.00.0

Coils

Use C.3

Contraindications C.3 The Endorectal coil cannot be used if one of the following applies: C.3

■ Major surgery in the rectal area

■ Minor surgery within the last eight weeks (except for tran-srectal needle biopsy)

■ Inflammatory intestinal diseases causing impairments of the rectum and the surrounding structures (e.g. ulcerative colitis, Crohn's syndrome)

■ Strictures due to radiation therapy

■ Obstructive masses within the rectum

■ Complicated haemorrhoids

Safe handling C.3

C.3

C.3

CAUTION C.3 Improper use of the Endorectal coils and Interface!

Injury/burns to patient; incorrect diagnosis

◆ Adhere to the operator manual from the manufacturer of the Endorectal coil.

◆ Only use the Endorectal coils once unless otherwise specified.

◆ Do not clean or sterilize Endorectal coils.

◆ Only use the Endorectal Interface.

◆ To avoid damage, store the Endorectal Interface as described.

0.0



C.3

Preparing the coil C.3

C.3

C.3

(1) Configuration for 1.5T(2) Configuration for 3T

C.3

CAUTION C.3 Incorrect positioning of patient and coil!

Patient burns

◆ Ensure that the patient is in the supine and Feet First position during the MR examination.

◆ Position the legs of the patient on the endo cushion.

◆ Ensure that the Endorectal coil is used only when inserted in the patient’s rectum.

◆ Position the coil in the center and parallel to the axis of the Body coil.

◆ Ensure that the cable of the Endorectal coil is routed below the endo cushion.

◆ Do not route wires and cables of the physiological receptors under/next to the coil or coil cable.

Use the Flex Coil Interface for 1.5T systems and Tim Coil Interface for 3T systems when using the Endorectal coil.

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C.3-150.00.0

Coils


◆ Connect the Endorectal coil to the Endorectal Interface.

◆ Connect the Endorectal Interface to the Endorectal Adapter.

C.3

◆ For 1.5T systems: Connect the Endorectal Adapter to the Flex Coil Interface. (➡ Page C.4-42 Description)

C.3

◆ For 3T systems: Connect the Endorectal Adapter to the Tim Coil Interface. (➡ Page B.2-1 Positioning the patient)

Preparing the patient C.3 ◆ Inform the patient about the examination procedure.

◆ Perform a tactile examination of the rectum.

◆ Check if the urinary bladder is filled to a maximum of 1/3 of its capacity.

◆ Perform a rectal cleaning.

◆ If necessary, administer spasmolytics to avoid motion arti-facts due to peristalsis.

0.0



Positioning C.3

C.3

◆ Position the patient on his side with the feet toward the magnet bore.


◆ Ensure that the blue line on the coil shaft is pointing in the ventral direction.

◆ Insert the coil into the patient’s anus.

C.3

◆ Inject approx. 100 ccm of air into the coil using a conven-tional syringe. Ensure that the patient can tolerate the air volume.

◆ Position the migration stop directly on the patient's anus.

This prevents cranial migration of the coil. C.3

For easier penetration, apply gel (e.g. Install-Gel) to the coil head.

Coil cables and coil connectors must remain dry.

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C.3-170.00.0

Coils

◆ Turn the patient into the supine position.

◆ Position the legs of the patient on the endo cushion. Ensure that the coil cable is routed through the tunnel of the endo cushion.

◆ To ensure optimal image quality, verify that the coil is prop-erly and securely positioned.

◆ Position the Body 18 on the patient's lower abdomen and connect the coil plug.


◆ Align the laser light localizer with the center marking of the Body 18.

◆ At the syngo Acquisition Workplace, select two Spine 32 clusters located under the Body 18 examination area.


0.0




✓ The Endorectal Interface and the Endorectal Adapter are positioned and connected.

✓ For 1.5T systems: The Flex Coil Interface is positioned and connected.

✓ For 3T systems: The Tim Coil Interface is positioned and connected.

Measuring 1.5T systems C.3

C.3

◆ Place the Endorectal coil simulator on the patient table.

◆ Position the special phantom in the Endorectal coil simula-tor.

C.3

◆ Connect the Endorectal coil simulator to the Endorectal Interface.

◆ Ensure that the cable of the coil simulator is fully extended.

◆ Align the laser light localizer with the center of the special phantom for the Endorectal coil.


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C.3-190.00.0

Coils

Measuring 3T systems C.3 Use the quality assurance coil for quality measurements. C.3

C.3

◆ Place phantom holder 26 on the patient table.

◆ Position the coil head in the groove on the bottom of the phantom holder.

◆ Ensure that the blue line on the coil shaft is pointing upward.

◆ Connect the coil to the Endorectal Interface.

C.3

◆ Position the 5300 ml plastic bottle on the coil.

◆ Position the laser light localizer at the center of the 5300 ml plastic bottle.


0.0


Joints and extremities C.4


Shoulder Small/Large 16 C.4

Description C.4


The Shoulder Small/Large 16 is used for examining the shoulder.C.4


Configuration C.4


C.4

(1) Coil plug(2) Guide knob with center marking(3) Shoulder coil cup with shoulder cup cushion(4) Base plate

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C.4-10.00.0

Coils

Use C.4

For optimal image quality with slim patients, the shoulder coil cup should be positioned at the inner position on the base plate. The outer position should be used only for muscular and adi-pose patients. C.4

Positioning the coil C.4 In the following section, the examination of the left shoulder is shown. C.4


✓ The head-heel insert and the back-of-the-head support are positioned on the patient table.

C.4

◆ Position the base plate at the head end of the patient table. Ensure that the base plate is seated correctly in the recess.

◆ Slide the shoulder coil cup onto the guide rail for the shoul-der to be examined.

◆ Connect the coil plug of the shoulder coil cup to the coil socket (left shoulder: 2, right shoulder: 1).

C.4

◆ Position the corresponding base plate cushion, depending on the position of the coil cup.

◆ Place the positioning aids suitable for the current situation.

0.0




C.4

◆ Position the patient in the supine position with the head to the magnet.

◆ Align the shoulder coil cup on the guide rail so that it adapts to the shape of the patient's shoulder.

◆ Ensure the most isocentric position for the shoulder to be examined to obtain optimal image quality.

C.4



Make sure that the distance between the coil cable and the patient's head is sufficient.

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C.4-30.00.0

Coils



C.4

(1) Position of the phantom holder: Shoulder Small 16(2) Position of the phantom holder: Shoulder Large 16

◆ Position the phantom holder 25 on the patient table.

C.4

◆ Position the 5300 ml plastic bottle on the phantom holder so that the bulge of the bottle is facing the magnet tunnel.

C.4

◆ Position the coil on the plastic bottle, so that the bulge of the plastic bottle fits into the coil cup.

◆ Connect the coil plug to sockets 1 or 2.



0.0



Hand/Wrist 16 C.4

Description C.4


The Hand/Wrist 16 is used to examine wrists, hands, and fin-gers. C.4

Depending on the requirements, the coil may be used with the patient in the Head First (prone position) or Feet First (supine position) orientation. For the Feet First orientation, the coil is positioned on the base plate. C.4


Configuration C.4


C.4

(1) Unlocking mechanism(2) Center markings(3) Coil plug(4) Guide knobs(5) Base plate

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C.4-50.00.0

Coils

Use C.4

In the following section, the examination of the right hand is described for the following table positions: C.4

■ Supine/Feet First:

Coil is located in vertical direction on the lateral guide rail C.4

■ Prone/Head First:

Coil is located in horizontal direction on the patient table C.4

C.4

The examination procedure of the left hand is analog to the fol-lowing description - unless the coil is positioned on the opposite side of the patient table. C.4

Examining the hand in the supine position C.4

Positioning the coil C.4 ✓ The Spine 32 or the respective table pads are positioned on the patient table.

C.4

◆ Position the base plate on the patient table.

◆ If required, press on the fixation knob and slide the base plate toward the center of the patient table.

All measurements (including quality measurement) with the Hand/Wrist 16 will function correctly only if the upper part of the coil is fully closed.

0.0



C.4

◆ Using the guide knobs, slide the coil vertically into the recesses on the base plate until it locks into place.

◆ If necessary, use suitable table pads.

◆ Place the elbow pad in front of the coil opening.


Positioning the patient C.4 ✓ The back-of-the-head support is positioned.

✓ Head-heel insert is positioned on the head end of the patient table.

◆ Position the patient in the supine position with the feet toward the magnet.


◆ Open the upper part of the coil with the unlocking mecha-nism.

◆ Position the wrist pad in the coil.

C.4

◆ Position the patient's hand in the coil and ensure that the pad is positioned correctly.

◆ Close the upper part of the coil so that it audibly locks into place.

0.0

C.4-70.00.0

Coils

Examining the hand in the prone position C.4

Positioning the coil C.4 ✓ The Spine 32 or the respective table pads are positioned on the patient table.

◆ Place the Hand/Wrist 16 on the patient table.

◆ Center the coil as much as possible.

C.4

◆ Use suitable table pads for height adjustments.

◆ Connect the coil plug to coil sockets 1 or 2.

◆ Position the wrist pad in the coil.

Positioning the patient C.4 ◆ Use suitable positioning aids.

◆ Position the patient in the prone position with the head toward the magnet.


C.4

◆ Position the patient's hand in the coil and ensure that the pad is positioned correctly.

◆ If necessary, use the sandbags to stabilize the coil.

C.4

◆ Close the upper part of the coil so that it locks into place.

In the horizontal coil position, you can also turn the coil at an angle to adjust it to the patient’s position.

0.0



Performing the measurement C.4

C.4

(1) Center marking for fingers

(2) Center marking for hand

(3) Center marking for wrist

◆ Align the laser light localizer with the corresponding center marking.


0.0

C.4-90.00.0

Coils



C.4

◆ Place the Hand/Wrist 16 in the center on the patient table.



C.4

◆ Position the Hand/Wrist 16 phantom form-locking into the coil.

C.4

◆ Close the upper part of the coil.

◆ Align the laser light localizer with the center marking for the hand.


0.0



Peripheral Angio 36 C.4

Description C.4


The Peripheral Angio 36 is suitable for vascular examinations of the lower extremities. Depending on the requirements, the coil may be used in the Head First or Feet First orientation. C.4

The Peripheral Angio 36 can be used in combination with the Spine 32 and Body 18. The area of examination is expanded by combining these coils. C.4

The delivery volume includes a coil cart for storing the coil as well as additional accessories. If the Peripheral Angio 36 is not in use, it should be suspended at the coil cart. The coil connec-tor should remain in the holder in the coil center. C.4


0.0

C.4-110.00.0

Coils

Configuration C.4


C.4

(1) Coil cart(2) Carrying handles(3) Coil plug in park position(4) Coil elements PA1 - PA6 for left and right extremity(5) Knob for height adjustment

Use C.4

◆ Use only the handles for transporting or positioning the Peripheral Angio 36.

◆ After using, return the coil to the coil cart and only store the coil there to avoid damages.

0.0



Preparing the patient table C.4

Preparing Feet First C.4

C.4


✓ The table pad 4 is positioned.

✓ The back-of-the-head support is positioned.

◆ Insert the leg support into the recess at the head end of the patient table.

◆ Move the two leg supports up to the end stops in the direc-tion of the magnet.

◆ Fold the straps of the leg support and move them to the side.

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C.4-130.00.0

Coils

Preparing Head First C.4

C.4


✓ The lower part of the Head/Neck 20 is positioned.

◆ Position the leg support on the foot end of the patient table.

C.4

◆ Choose the position corresponding to the height of the patient's body by sliding the leg supports accordingly.

◆ Fold the straps of the leg support and move them to the side.


C.4

◆ Position the patient with his lower legs on the leg support.

◆ If necessary, use the lordosis cushion.

0.0




C.4

◆ Hold the coil by the handles and lift it off the coil cart.

◆ Position the coil together with the base between the legs of the patient.

◆ Ensure that the base simultaneously contacts the patient’s crotch and the Spine 32. This is the only way to obtain opti-mal image quality.

C.4

◆ If necessary, adjust the position of the patient.

◆ Optimize the height of the coil by using the height adjust-ment.

◆ Position the coil so that the flexible side parts are located as closely as possible to the legs.

C.4

◆ Connect the coil plug of the coil to coil sockets 1 or 2 (Feet First), or to coil sockets 3 or 4 (Head First).

◆ Stabilize the coil as closely as possible to the legs using the belts.

The Peripheral Angio 36 may also be used for obese patients if the base does not contact the Spine 32 and the flexible side panels do not fully enclose the extremities.

Particularly for obese patients, ensure that the legs or feet do not touch one another.

0.0

C.4-150.00.0

Coils

Positioning the Body 18 C.4 In the following section, the additional use of up to two Body 18 coils is described. C.4

C.4

◆ Position a Body 18 on the patient’s abdomen.

◆ Position the Body 18 on the patient’s abdomen so that it overlaps with the Peripheral Angio 36 and is lying directly adjacent to the Peripheral Angio 36.

◆ Route the coil cable beside the patient to the coil sockets near the patient’s head. But ensure that the cable does not touch the head.

◆ Connect the coil plug of the Body 18 to the respective coil sockets.

C.4

◆ Position a second Body 18 on the patient’s thorax.

◆ Position the Body 18 so that it overlaps with the first Body 18 and is lying against its electronic boxes.

◆ Connect the coil plug of the Body 18 to the free coil socket near the patient’s head.

◆ Ensure that the patient’s arms are lying against the body.

◆ Secure the Body 18 using straps.

0.0




In the following section, the measurement for the Feet First position with two Body 18 coils is described as an example. Measurements in the Head First position are performed in a comparable manner. C.4

C.4

Positions of the coil element pairs 1-6 (1)

Measurements are performed in three different stages. During the measurement, the patient table automatically moves a pre-defined distance. There is no need to reposition the patient. C.4

◆ Align the laser light localizer with the desired measurement stage. Use the line markings on the flexible side panels of the coil.

◆ Select the coil elements at the syngo Acquisition Workplace.


0.0

C.4-170.00.0

Coils


The quality measurement for the Peripheral Angio 36 is per-formed separately for every coil element pair (PA1 - PA6). The plastic bottles must be positioned in the center of the respective coil element for each individual measurement. To simplify posi-tioning, each coil element includes center markings. C.4

C.4

Position of coil element pairs 1-6 (PA1 - PA6) Feet First (2)

C.4

Position of coil element pairs 1-6 (PA1 - PA6) Head First (3)

0.0



Performing the quality measurement - Feet First C.4

Preparing the measurement C.4 ✓ The Spine 32 is positioned on the patient table.

✓ There are no cushions at the head end of the patient table.

C.4

◆ Position the leg support at the head end of the patient table.

◆ Place two phantom holders 18 in front of the leg support.

◆ Place two 1900 ml plastic bottles on the leg supports and move them up to the end stop.

◆ Position the Peripheral Angio 36 on the plastic bottles at the end stop of the leg support.

◆ Ensure that the base of the coil contacts the Spine 32 (height adjustment).

◆ Connect the coil plug to coil socket 1 or 2.

◆ Stabilize the coil as closely as possible to the plastic bottles using the belts.

0.0

C.4-190.00.0

Coils


Beginning with coil element PA1, the plastic bottles must be shifted to the next coil element pair for each subsequent mea-surement. C.4

✓ The two plastic bottles are located at the height of coil ele-ment PA1.

C.4

◆ Align the laser light localizer with the center marking PA1.

◆ Start the quality measurement for coil element pair PA1. (➡ Page B.3-2 Performing quality assurance (software))

C.4

(1) Coil element pair 1 (PA1)(2) Coil element pair 2 (PA2)(3) Coil element pair 3 (PA3)(4) Coil element pair 4 (PA4)(5) Coil element pair 5 (PA5)(6) Coil element pair 6 (PA6)

0.0



◆ Perform the quality measurement for additional coil ele-ment pairs (PA2 - PA6) analogous to the description for PA1. Please ensure that the plastic bottles and the laser light localizer are located at the height of the respective center marking.

Performing the quality measurement - Head First C.4

Preparing the quality mea-surement C.4


✓ There is no cushion at the foot end of the patient table.

C.4

◆ Position the leg support at the foot end of the patient table.

◆ Place two phantom holders 18 in front of the leg support.

◆ Place two 1900 ml plastic bottles on the leg support and move them up to the end stop.

◆ Position the Peripheral Angio 36 on the plastic bottles at the end stop of the leg support.

◆ Ensure that the base of the coil contacts the Spine 32 (height adjustment).


◆ Stabilize the coil as closely as possible to the plastic bottles using the belts.

0.0

C.4-210.00.0

Coils

Performing the quality mea-surement C.4

◆ Start the quality measurements for the coil element pairs (as described for the feet first quality measurement). (➡ Page B.3-2 Performing quality assurance (software))

C.4

(1) Coil element pair 1 (PA1)(2) Coil element pair 2 (PA2)(3) Coil element pair 3 (PA3)(4) Coil element pair 4 (PA4)(5) Coil element pair 5 (PA5)(6) Coil element pair 6 (PA6)

0.0



TxRx 15 Ch Knee/TxRx CP ExtremityC.4

Description C.4


The TxRx 15 Ch Knee is used for examinations of the left or right knee. C.4

The TxRx CP Extremity is also used for examining knees. C.4

The coil can be shifted laterally on the base plate to center it for optimal image quality. C.4


0.0

C.4-230.00.0

Coils

Configuration C.4


C.4

(1) Release(2) Upper part of the coil(3) Recess for Tim Coil Interface(4) Coil plug(5) Release for the coil(6) Lower part of the coil

0.0



Use C.4

C.4

✓ For TxRx15 Ch Knee: The Tim Coil Interfaces are connected to coil sockets 1 and 2.

✓ For TxRx CP Extremity: The Tim Coil Interface is connected to coil socket 1.

✓ The Spine 32 or the table pads are positioned on the patient table.

C.4

◆ Position the foot rest pad on the head end of the patient table.

◆ Position the base plate in a corresponding recess on the patient table, depending on the area of examination.


C.4

◆ Position the coil on the base plate at the height of the patient's knee.

The coil is connected to the system using the Tim Coil Interface. For the coil with two plugs, you need a second interface.

0.0

C.4-250.00.0

Coils

C.4


◆ Connect the coil plug of the lower part (if available) to the Tim Coil Interface.

Positioning the patient C.4 ◆ Position the patient in the supine position with the feet toward the magnet.

◆ Press the release on the base plate and center the coil as much as possible.

◆ Place the positioning aids and cushions best suitable for the current situation. Ensure that the other leg is comfortably positioned (for example, bent the knee slightly and support the knee).

C.4


C.4

◆ Ensure that the patient does not feel too much pressure.

◆ Connect the coil plug of the upper part to the Tim Coil Interface.

◆ Ensure that the coil plug of the upper part is connected to the Tim Coil Interface on the coil socket 1.

0.0








✓ The coil is positioned on the patient table and connected.

C.4

◆ Place the phantom holder 28 in the lower part of the coil.

◆ Position the 1900 ml plastic bottle on the phantom holder so that the bottom of the bottle is facing the magnet bore.

C.4




0.0

C.4-270.00.0

Coils

TxRx Knee 15 C.4

Description C.4


The TxRx Knee 15 is used for examinations of the left or right knee. C.4

The coil can be shifted laterally on the base plate to center it for optimal image quality. C.4


0.0



Configuration C.4


C.4

(1) Release(2) Upper part of the coil(3) Coil plug(4) Release for the coil(5) Lower part of the coil

0.0

C.4-290.00.0

Coils

Use C.4


✓ The head-heel insert is positioned on the head end of the patient table.

◆ Position the base plate in a corresponding recess on the patient table, depending on the area of examination.


C.4

◆ Position the coil on the base plate at the height of the patient's knee.

C.4


0.0




◆ Press the release on the base plate and center the coil as much as possible.

C.4

◆ Position the foot pad on the patient table to stabilize the leg to be examined.

◆ Place the positioning aids and cushions best suitable for the current situation. Ensure that the other leg is comfortably positioned (for example, bent the knee slightly and support the knee).

C.4


C.4






0.0

C.4-310.00.0

Coils



✓ The coil is positioned on the patient table and connected.

C.4

◆ Place the phantom holder 28 in the lower part of the coil.

◆ Position the 1900 ml plastic bottle on the phantom holder so that the bottom of the bottle is facing the magnet bore.

C.4




0.0



CP Extremity C.4

Description C.4


The CP Extremity is used for examining knee joints and foot ankles. C.4

The coil can be shifted laterally on the base plate to center it for optimal image quality. There are two predefined positions on the patient table to position the base plate (knee position and foot ankle position). C.4


0.0

C.4-330.00.0

Coils

Configuration C.4


C.4

(1) Recess for Tim Coil Interface(2) Center marking(3) Release(4) Upper part of the coil(5) Lower part of the coil

0.0



Use C.4

In the following section, an examination of the knee joint is described. Examinations of the ankle are handled in a similar manner. C.4

✓ The Spine 32 or the respective table pads are positioned on the patient table.

✓ The head-heel insert is positioned on the head end of the patient table.

✓ The Tim Coil Interface is connected to coil socket 1.


C.4

◆ Position the base plate with the coil on the patient table.

◆ For foot ankle position: Ensure that the Tim Coil Interface is positioned in the recess on the base plate.

◆ Connect the coil plug to the Tim Coil Interface.

◆ Ensure that the coil cable is routed between the Tim Coil Interface and the coil.

◆ Slide the coil on the base plate and center the coil as much as possible.

◆ Press the release, and slide the upper part in the direction of the magnet bore and lift it up and off.

0.0

C.4-350.00.0

Coils


C.4

◆ Ensure that the joint to be examined is positioned in the center of the coil.


◆ Use the air cushion on the patient's knee to secure the knee inside the coil.

◆ Place the upper part on the lower part of the coil so that the two parts interlock.

◆ Slide the upper part toward the patient until the locking marks match up.





0.0




✓ The Spine 32 or the respective table pads are positioned on the patient table.

✓ The Tim Coil Interface is connected.

✓ The CP Extremity is positioned and connected.

C.4

◆ Place the phantom holder 28 in the center of the coil.

◆ Position the 1900 ml plastic bottle on the coil so that the bottom of the bottle is facing the magnet bore.

C.4




0.0

C.4-370.00.0

Coils

Foot/Ankle 16 C.4

Description C.4


The Foot/Ankle 16 is used to examine feet and ankles. C.4


Configuration C.4

The Foot/Ankle 16 comprises an upper part and a base plate. C.4

C.4

(1) Hand grip

(2) Upper part

(3) Center marking

(4) Lever handle (Release)

(5) Base plate

(6) Tilt locking mechanism

0.0



Use C.4

A sample examination of the right foot/ankle is described. C.4

Positioning the coil C.4 ✓ The Spine 32 is positioned on the patient table.

✓ Table pad 4 is positioned on the patient table.

C.4

◆ Slide the Foot/Ankle 16 into the lateral recesses at the head end of the patient table so that it locks into the coil sockets 5 and 6.

Positioning the patient C.4 ✓ The back-of-the-head support is positioned on the patient table.

C.4

◆ Use the lever handle at the back to remove the upper part from the base plate.

◆ Place the heel cushion in the lower part of the coil.

C.4

◆ Position the foot to be examined on the heel cushion.

◆ Position the foot cushion under the other foot. Relieve the weight of the leg to be examined with the knee cushion.

0.0

C.4-390.00.0

Coils

C.4

◆ Place the upper part on the lower part so that it locks into place.

◆ If necessary, tilt the coil slightly in the direction of the mag-net (with the tilt locking mechanism) to position the patient more comfortably.

C.4




0.0




✓ The Spine 32 and table pads are positioned on the patient table.

✓ Lower part of the Foot/Ankle 16 is positioned on the patient table.

C.4

◆ Position the Foot/Ankle 16 phantom correctly in the lower part of the coil.

C.4

◆ Place the upper part of the coil onto the base plate.



0.0

C.4-410.00.0

Coils

Flex Coil Interface C.4

Description C.4

The Flex Coil Interface is required for connecting the Flex coils, the Loop coils and the Endorectal coil 1.5T. C.4

C.4

(1) Coil socket(2) Plug for coil socket on the patient table

The Flex Coil Interface can be connected to coil sockets 1, 2, 3, or 4 on the patient table. C.4

0.0



Connection C.4

◆ Connect the coil connector of the Flex Coil Interface to a suitable coil socket on the patient table.

◆ Ensure that the cable of the Flex Coil Interface does not hang over the sides of the patient table.

C.4

◆ Connect the coil plug of the coil used to the coil socket of the Flex Coil Interface.

◆ Secure the cable of the Flex Coil Interface with the cable holders.

0.0

C.4-430.00.0

Coils

Flex Small/Large 4 C.4

Description C.4


The Flex coil is available in sizes small and large. Depending on the area to be examined, the coil is positioned on the patient and is used to image the area of the body it covers. C.4

For example, the following regions of the body can be exam-ined: C.4

■ Hand

■ Elbow and shoulder

■ Hip and knee


0.0



Configuration C.4


C.4

(1) Center markings(2) Electronics boxes(3) Coil plug

Use C.4

In what follows, two examination examples are described: C.4

■ Shoulder and hip in supine position (Flex Large 4)

■ Hand and elbow in prone and supine positions (Flex Small 4)

0.0

C.4-450.00.0

Coils

General information C.4 ◆ Use the Flex Coil Interface as described.

◆ Position the coil with the flat side against the region of interest.

C.4

◆ To avoid artifacts, increase the distance between the coil and the area to be examined by using the iPAT cushion.

C.4

Examining the shoulder and hip C.4

C.4


✓ The Flex Coil Interface is connected.

✓ The coil is connected at the Flex Coil Interface.

◆ Attach the strap to the side of the patient table opposite the shoulder to be examined.

◆ Position the coil.

◆ Ensure that the region to be examined is contained within the side flaps of the coil.

◆ Secure the coil with the strap.

Examinations of the shoulder and hip may show strong arti-facts caused by layers of fat.

Ensure that the coil cable does not hang over the sides of the patient table.

0.0



Examining the elbow and hand C.4

C.4

C.4




◆ Position the patient in the prone or supine position with the head to the magnet.

◆ Position the region of interest as centered as possible.

◆ Attach the strap to the bottom side of the coil.

0.0

C.4-470.00.0

Coils

C.4

◆ For examinations of the hand, position the hand wedge and the hand of the patient on the coil.

◆ Wrap the coil around the patient’s hand or elbow.

◆ Secure the coil with the strap.

C.4




For examinations in supine position, it may be necessary to use a strap and/or a sandbag to stabilize the arm.

0.0





✓ The coil is connected to the Flex Coil Interface.

◆ Position phantom holder 26 on the Spine 32.

◆ Position the Flex Coil to be measured with the iPat cushion on the phantom holder.

◆ Attach the coil around the 1900 ml plastic bottle using belts.

C.4

Quality measurement Flex Small (4)

C.4

Quality measurement Flex Large (5)



0.0

C.4-490.00.0

Coils

Loop 4/7/11 C.4

Description C.4


Loop coils are available in the following sizes: C.4

■ 4 cm

■ 7 cm

■ 11 cm

Loop coils are used for examinations of the following body regions: C.4

■ Skin, for example, fingers, wrist bone, or toes

■ Melanoma, birth marks, and other skin anomalies

Loop coils are selected according to the size and type of the area to be examined. They are freely positionable at the patient. Optimal image quality is obtained from the area inside of the coil rings of the Loop coils. C.4


0.0



Configuration C.4

Each coil consists of the following components: C.4

C.4

(1) Coil loop(2) Coil plug

Use C.4

The following applications show examples of using the Loop, 4 cm, in the Head First position. They apply in a similar manner to other Loop coils. C.4

Examining the hand C.4

C.4

0.0

C.4-510.00.0

Coils




◆ For prone positioning: Position the Flex Coil Interface so that the box is centered on the patient table and points to the magnet.

◆ Position the patient in the prone or supine position with the head to the magnet.

◆ Position the region of interest as centered as possible.

C.4

◆ Position the Loop coil on the location to be examined.

– or – C.4

C.4

◆ Slide the Loop coil along the finger to be examined so that it encloses the area of interest.

◆ Secure the Loop coil with a Velcro strap.


◆ Position the laser light localizer in the center of the coil.


0.0




The following description applies to the quality measurements of all Loop coils. The measurement phantoms are handled the same way for all coils. C.4




◆ Position phantom holder 17 on the Spine 32.

◆ Place the Loop coil to be measured into the appropriate recess of phantom holder 17.

◆ Position the 1900 ml plastic bottle on the coil in phantom holder 17.

C.4

◆ Position the laser light localizer at the center mark of the bottle.


0.0

C.4-530.00.0

Coils

Special Purpose 4 C.4

Description C.4


The Special Purpose 4 can be used to examine small body regions near the skin surface. C.4

C.4

Special Purpose 4 for 1.5T (A) and for 3T (B) (6)

(1) Coil cable(2) Coil plug

Standard accessories (➡ Page E.1-1 Standard accessories) C.4

0.0



Use C.4


✓ The lower part of the Head/Neck 20 is positioned on the patient table.

✓ The Flex Coil Interface is connected to coil socket 1 or 2.

C.4

(1) Using the 3T coil at MAGNETOM Skyra(2) Using the 1.5T coil at MAGNETOM Aera

◆ Connect the Special Purpose 4 to the Flex Coil Interface.

◆ Position the coil on the region of interest.



0.0

C.4-550.00.0

Coils


C.4

(1) Configuration for 1.5T(2) Configuration for 3T


✓ The Flex Coil Interface is connected to the socket 1 or 2.

✓ The Special Purpose 4 is connected to the interface.

◆ Position the phantom holder 26 on the patient table.

◆ Position the 5300 ml plastic bottle on the phantom holder so that the bulge of the bottle is facing the magnet bore.

◆ Position the Special Purpose 4 on the plastic bottle.

◆ Secure the coil using the straps.



0.0


0.0

D

D
Maintenance
D.1 Cleaning D.1-1

0.0

D-10.0

Maintenance

0.0

D-2 0.0 MAGNETOM Aera, Skyra - Coils0.0

Cleaning D.1

Cleaning D.1

All instructions in the operator manual regarding cleaning, and when applicable regarding disinfecting and sterilization must be always observed. D.1

This manual only contains cleaning information regarding coils and their accessories. For cleaning information regarding the other system components, please refer to (➡Operator Manual MR system). D.1

Cleaning RF coils and posi-tioning aids D.1

◆ Clean the RF coils and positioning aids using commercially available cleaning and disinfection solutions. Follow manu-facturer's instructions.

◆ Do not use hard or sharp objects (e.g. knives or tweezers) to remove residue.

D.1

Do not pour cleaning fluid on surface areas - always use a damp cloth to clean them.

0.0

D.1-10.00.0

Maintenance

0.0

D.1-2 0.0 MAGNETOM Aera, Skyra - Coils0.0

0.0

E

E
Accessories
E.1 Standard accessories E.1-1

Overview E.1-1

Cushions and positioning aids E.1-2

Set of positioning aids E.1-3

E.2 Coil accessories E.2-1

Overview E.2-1

Head/Neck 20 E.2-1

Head 32 E.2-2

TxRx CP Head E.2-3

Spine 32 E.2-4

Body 18 E.2-4

Peripheral Angio 36 E.2-5

Shoulder Small/Large 16 E.2-5

Foot/Ankle 16 E.2-6

Hand/Wrist 16 E.2-6

Flex Small/Large 4/Loop E.2-7

Endorectal E.2-8

TxRx 15 Ch Knee/TxRx CP Extremity E.2-8

TxRx Knee 15 E.2-9

CP Extremity E.2-10

E.3 Vacuum cushion E.3-1

Description E.3-1

Operation E.3-2

E.4 Accessories for quality assurance E.4-1

Measurement phantoms E.4-1

Phantom holder E.4-4

0.0

E-10.0

Accessories

0.0

E-2 0.0 MAGNETOM Aera, Skyra - Coils0.0

Standard accessories E.1


Overview E.1

The following standard accessories for patient positioning are included in the delivery volume of the MR system. E.1

0.0

E.1-10.00.0

Accessories

Cushions and positioning aids E.1

E.1

E.1 E.1 E.1

Table pad 1 E.1 Table pad 2 E.1 Table pad 3 E.1

E.1 E.1 E.1

Table pad 4 E.1 Head-heel insert E.1 4 belt straps E.1

E.1

E.1

E.1

2 different-sized sandbags, 2 each E.1

1 paper roll holder E.1 Lookout mirror holder E.1

0.0

E.1-2 0.0 MAGNETOM Aera, Skyra - Coils0.0


Set of positioning aids E.1

E.1

E.1 E.1 E.1

1 knee wedge E.1 1 positioning roll E.1 1 back-of-the-head support E.1

E.1 E.1 E.1

2 large triangles E.1 2 small triangles E.1 1 wedge E.1

E.1 E.1 E.1

1 lordosis cushion E.1 4 flat cushions E.1 2 flat wedges E.1

0.0

E.1-30.00.0

Accessories

E.1 E.1

E.1

2 knee cushions E.1 2 different-sized multipur-pose cushions, 3 pieces eachE.1

RF homogeneity cushion (for 3T only) E.1

0.0


Coil accessories E.2


Overview E.2

Specific positioning aids are available for the following coils and are included in the delivery volume of the coils. E.2

Head/Neck 20 E.2

E.2

E.2 E.2 E.2

Relax cushion E.2 Head/Neck cushion E.2 Head stabilization wedges E.2

E.2 E.2 E.2

Clamp cushions E.2 Mirror carrier with mirror E.2 Protective cover for the Head/Neck 20 coil sockets E.2

0.0

E.2-10.00.0

Accessories

Head 32 E.2

E.2

E.2 E.2

Mirror carrier with mirror E.2 Head 32 Relax cushion E.2

E.2 E.2

Head alignment wedges E.2 Neck cushion E.2

0.0



TxRx CP Head E.2

E.2

E.2 E.2

Head cushion E.2 2 head wedges (thin size) E.2

E.2 E.2

Head-Spine table pad E.2 2 head wedges (thick size) E.2

0.0

E.2-30.00.0

Accessories

Spine 32 E.2

E.2

Body 18 E.2

E.2

E.2

Cushion support E.2

E.2 E.2

E.2

2 straps E.2 4 belts E.2 Cardiac spacer cushion E.2

0.0



Peripheral Angio 36 E.2

E.2

Shoulder Small/Large 16 E.2

E.2

E.2

Leg support E.2

E.2

E.2

Base plate pad E.2 Shoulder cup cushion E.2

0.0

E.2-50.00.0

Accessories

Foot/Ankle 16 E.2

E.2

Hand/Wrist 16 E.2

E.2

E.2 E.2 E.2

Knee cushion E.2 Heel cushion E.2 Foot cushion E.2

E.2 E.2

E.2

Wrist pad E.2 Elbow pad E.2 Palm pad E.2

E.2 E.2

E.2

Wedge cushion E.2 Wrist support cushion E.2 E.2

0.0



Flex Small/Large 4/Loop E.2

E.2

E.2 E.2 E.2

Hand wedge E.2 2 soft straps E.2 4 belts E.2

E.2 E.2 E.2

E.2

iPat cushion, large E.2 iPat cushion, small E.2 3 cable holders E.2

0.0

E.2-70.00.0

Accessories

Endorectal E.2

E.2

TxRx 15 Ch Knee/TxRx CP Extremity E.2

E.2

E.2 E.2 E.2

Endorectal Adapter 1.5T E.2 Endorectal Adapter 3T E.2 Endo cushion E.2

E.2 E.2 E.2

Coil pad, 0.25 E.2 Coil pad, 0.50 E.2 Ankle pad E.2

E.2

E.2

E.2

Knee rest pad E.2 Foot rest pad E.2 E.2

0.0



TxRx Knee 15 E.2

E.2

E.2 E.2 E.2

Coil pad, 0.25 E.2 Coil pad, 0.50 E.2 Ankle pad E.2

E.2

E.2

E.2

Knee rest pad E.2 Foot pad E.2 E.2

0.0

E.2-90.00.0

Accessories

CP Extremity E.2

E.2

E.2 E.2 E.2

Knee joint cushion E.2 Leg support E.2 Large ankle cushion E.2

E.2 E.2 E.2

Small ankle cushion E.2 Foot cushion E.2 Air cushion E.2

E.2

E.2 E.2

Foot support E.2 E.2 E.2

0.0


Vacuum cushion E.3

Vacuum cushion E.3

Description E.3

An optional set of vacuum cushions is available for comfortable and stable patient positioning. E.3

E.3

Use of vacuum cushions E.3

E.3

The vacuum cushions are filled with styrofoam beads. When a vacuum cushion is placed around a part of the body and the air is evacuated, the shape of the vacuum cushion stabilizes. E.3

E.3 E.3 E.3

Head cushion E.3 Spine cushion E.3 Small cushion E.3

Vacuum cushion E.3 Area of application E.3

Small cushion E.3 Hands, elbows E.3

ankle E.3

Head cushion E.3 Head, neck E.3

Spine cushion E.3 Torso E.3

Head and spine cushions combined E.3

Whole body E.3

0.0

E.3-10.00.0

Accessories

Operation E.3

Combining head and spine cushions E.3

The additional valve located on the spine cushion allows you to combine it with the head cushion. E.3

◆ Open the additional valve by removing the plug.

◆ Connect the head cushion to the open valve.

Positioning the vacuum cushions E.3

The vacuum cushions may be positioned both on the inside or outside of a coil. E.3

◆ Place the vacuum cushion where needed e.g. in the lower part of the head coil.

◆ If you position the cushion in the head coil, ensure that the hose points toward the foot end of the patient table.

◆ Fit the vacuum cushion to the shape of the body region.

– or – E.3

◆ Position the patient on the patient table with the head on the head cushion.

0.0


Vacuum cushion E.3

Evacuating the vacuum cushions E.3

✓ The vacuum cushion is vented.

E.3

◆ Connect the hose of the vacuum cushion to the corre-sponding connection at the foot end of the patient table.

The vacuum cushion is evacuated. E.3

◆ During evacuation, fit the vacuum cushion so that it sup-ports the corresponding part of the body.

Airing the vacuum cushion after use E.3

✓ The vacuum cushion is evacuated.

◆ Disconnect the hose of the vacuum cushion from the con-nection at the patient table.

After the vacuum cushion is vented, it can be removed. E.3

0.0

E.3-30.00.0

Accessories

0.0


Accessories for quality assurance E.4


Measurement phantoms E.4

E.4

E.4

Plastic bottle, 15 ml E.4

■ Solutes per 1000 g H2O dist.: 3 g MnCl2 * 4 H2O +

5 g NaCl

E.4


■ Solutes per 1000 g H2O dist.: 3.75 g NiSO4*6 H2O

+5 g NaCl

E.4


■ Solutes per 1000 g H2O dist.: 3.75 g NiSO4*6 H2O

+5 g NaCl

0.0

E.4-10.00.0

Accessories

E.4

Spherical phantom D165 E.4

■ Diameter: 165 mm■ Contents: 2570 ml■ Solutes per 1000 g H2O dist.: 1.25 g NiSO4 * 6 H2O

E.4

Spherical phantom D 240 E.4

■ Diameter: 240 mm■ Contents: 7300 ml■ Solutes: MARCOL-Oil + 0.011 g MACROLEX blue

E.4

Hand/Wrist 16 phantom E.4

■ Contents: 1100 ml■ Solutes per 1000 g H2O dist.: 3.75 g NiSO4*6 H2O

+5 g NaCl

E.4

Foot/Ankle 16 phantom E.4

■ Contents: 3300 ml■ Solutes per 1000 g H2O dist.: 3.75 g NiSO4*6 H2O

+5 g NaCl

0.0



E.4

Quality assurance coil for 3T Endorectal E.4

E.4

Special phantom for Endorectal E.4

A powder is included with the special phantom for the Endorectal coil. It is used to prepare the phantom fluid. For additional information, refer to the Operator Manual for the special phantom. E.4

0.0

E.4-30.00.0

Accessories

Phantom holder E.4

E.4

E.4 E.4 E.4

Phantom holder 23 E.4 Phantom holder 24 E.4 Phantom holder 17 E.4

E.4 E.4 E.4


E.4 E.4 E.4


0.0



E.4

E.4 E.4

Endorectal coil simulator E.4 E.4 E.4

0.0

E.4-50.00.0

Accessories

0.0


Index F

Index F

1 F.0

15 Ch Knee Array F.0

Quality measurement C.4-27 F.0

A F.0

Accessories F.0

Coil accessories E.2-1 F.0

Measurement phantoms E.4-1 F.0

Phantom holder E.4-4 F.0

Positioning aids E.1-3 F.0

Standard accessories E.1-1 F.0

Accidents F.0

Measurement phantoms A.1-3 F.0

Phantom fluid spills A.1-4 F.0

Phantom fluid; Disposal of A.1-6 F.0

Phantoms; First aid A.1-5 F.0

B F.0

Body 18 F.0

Accessories E.2-4 F.0

Description C.3-7 F.0


Use C.3-8 F.0

Body coil F.0



C F.0

Cart F.0

Coil cart B.1-7 F.0

Cleaning F.0

Positioning aids D.1-1 F.0

RF Coils D.1-1 F.0

Coil cart B.1-7 F.0

Coil sockets F.0

Overview B.1-2 F.0

Coils F.0


Attachment B.1-4 F.0

Cleaning D.1-1 F.0

Coil cart B.1-7 F.0

Correct handling B.1-4 F.0

Overview B.1-1 F.0

Quality measurement; Overview B.3-1 F.0

Storing B.1-7 F.0

CP Extremity F.0



Examination, knee C.4-35 F.0


Use C.4-35 F.0

CP Extremity 3T F.0


E F.0

Endorectal F.0


Contraindications C.3-14 F.0



Use C.3-14 F.0

Examination F.0

Body 18 C.3-8 F.0

CP Extremity C.4-35 F.0

Endorectal C.3-14 F.0

0.0

F-10.00.0

Index

Flex Small/Large 4 C.4-45 F.0

Foot/Ankle 16 C.4-39 F.0

Hand/Wrist 16 C.4-6 F.0

Head 32 C.2-6 F.0

Head/Neck 20 C.2-3 F.0

Loop coils C.4-51 F.0

Peripheral Angio 36 C.4-12F.0

Shoulder Small/Large 16 C.4-2 F.0

Special Purpose 4 C.4-55 F.0

Spine 32 C.3-3 F.0

TxRx CP Head C.2-11 F.0

TxRx 15 Ch Knee C.4-25 F.0

TxRx CP Extremity C.4-25 F.0

TxRx Knee 15 C.4-30 F.0

F F.0

Fire F.0

Requirement of information A.1-6 F.0

First aid F.0

Contact with phantom fluid A.1-5 F.0

Flex Coil Interface F.0

Connection C.4-43 F.0


Flex Large 4 F.0

Examination hip C.4-46 F.0

Examination shoulder C.4-46 F.0

Flex Small 4 F.0

Examination elbow C.4-47 F.0

Examination hand C.4-47 F.0

Flex Small/Large 4 F.0


Examination C.4-45 F.0

Use and function C.4-44 F.0

Flex Small/Large 4/Loop F.0


Foot/Ankle 16 F.0




Use C.4-39 F.0

H F.0

Hand/Wrist 16 F.0




Use C.4-6 F.0

Head 32 F.0




Use C.2-6 F.0

Head 32 F.0

Performing the measurement C.2-7 F.0

Head/Neck 20 F.0




Use C.2-3 F.0

I F.0

Interfaces F.0

Tim Coil Interface B.1-6 F.0

L F.0

Loop coils F.0





0.0

F-2 0.0 MAGNETOM Aera, Skyra - Coils0.0

Index F

M F.0

Measurement phantoms F.0

Accidents A.1-3 F.0

Technical Data E.4-1 F.0

P F.0

Patient positioning F.0


Coil accessories E.2-1 F.0

Performing B.2-1 F.0

Peripheral Angio 36 F.0



Use C.4-12 F.0

Phantom fluid F.0

Disposal A.1-6 F.0

First aid A.1-5 F.0

Phantom fluid spills A.1-4 F.0

Phantom holder F.0

Overview E.4-4 F.0

Positioning F.0

RF homogeneity cushion B.2-7 F.0

Positioning aids F.0

Overview E.2-1 F.0

Vacuum cushion E.3-2 F.0

Preparing the examination F.0

Positioning the patient B.2-1 F.0

Q F.0

Quality assurance F.0


Quality measurement F.0

15 Ch Knee Array C.4-27 F.0

Basic principles B.3-1 F.0

Body 18 C.3-11 F.0

Body coil C.1-2 F.0

CP Extremity C.4-37 F.0

CP Extremity 3T C.4-27 F.0

Endorectal C.3-19 F.0

Flex Small/Large 4 C.4-49 F.0

Foot/Ankle 16 C.4-41 F.0

Hand/Wrist 16 C.4-10 F.0

Head 32 C.2-8 F.0

Head/Neck 20 C.2-4 F.0

Loop coils C.4-53 F.0

Performing with software B.3-2 F.0

Shoulder Small/Large 16 C.4-4 F.0

Special Purpose 4 C.4-56 F.0

Spine 32 C.3-5 F.0

TxRx CP Head C.2-12 F.0

TxRx Knee 15 C.4-32 F.0

R F.0

RF coils F.0

Basic principles B.1-1 F.0

Coil sockets B.1-2 F.0

S F.0

Safety information F.0

General A.1-1 F.0

SAR F.0

Patient positioning B.2-5 F.0

Shoulder Small/Large 16 F.0




Use C.4-2 F.0

Special Purpose 4 F.0




Spine 32 F.0



0.0

F-30.00.0

Index


Use C.3-3 F.0

Storage F.0

Back-of-the-head support B.2-5 F.0

Positioning aids; coils E.2-1F.0

Positioning aids; Standard E.1-1 F.0

T F.0

Tim Coil Interface F.0

Connection B.1-6 F.0

Description B.1-6 F.0

TxRx 15 Ch Knee F.0



Use C.4-25 F.0

TxRx CP Extremity F.0


Use C.4-25 F.0

TxRx CP Extremity F.0


TxRx CP Head F.0




Use C.2-11 F.0


TxRx Knee 15 F.0


TxRx Knee 15 F.0


TxRx Knee 15 F.0


Use C.4-30 F.0

V F.0

Vacuum cushion F.0

Description E.3-1 F.0

0.0

F-4 0.0 MAGNETOM Aera, Skyra - Coils0.0

© Siemens AG 2010-2012Order No.M7-01006.623.02.01.2406/2012

G

SMMHDGPw

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Siemens AG Wittelsbacherplatz 280333 MuenchenGermany

GH

SHH9GPw

www.siemens.com/healthcare

lobal Siemensealthcare Headquarters

iemens AGealthcare Sectorenkestrasse 1271052 Erlangenermanyhone: +49 9131 84-0ww.siemens.com/healthcare

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iemens AGedical Solutionsagnetic Resonanceenkestr. 127E-91052 Erlangenermanyhone: +49 9131 84-0ww.siemens.com/healthcare

Legal Manufacturer

Siemens AGWittelsbacherplatz 2DE-80333 MuenchenGermany

magnetom aera, skyra · irreparable damage to rf coil ensure that all rf coils used are connected....

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