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GE Healthcare

Tomorrow Today

SIGNA™Works
Standard applications for the
SIGNA™ MR 1.5T portfolio
2 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

SIGNA™Works
Fueling the future of MR

Our SIGNA™Works platform redefines productivity across the breadth of our


core imaging techniques. It takes full advantage of Total Digital Imaging (TDI),
further advancing diagnostics and quickening throughput, while enabling
patient outcomes and your ROI. Comprised of standard, elective and innovative
applications, it is upgradeable and customizable with additional applications to
suit your growing practice.

Standard Applications Innovative Applications


Energize your clinical capabilities with Expand your expertise to the next level, to
all the tools you need to complete an exam. deliver improved image quality, higher efficiency
Imaging solutions cover a variety of contrasts, and a more streamlined workflow, so you
2D and 3D volumetric data and motion perform better than ever before.
correction capabilities.

Please contact your GE Representative


i for more information.
3 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

SIGNA™Works
The new standard is extraordinary

Standard Applications BodyWorks OncoWorks


One of the fastest growing areas in MR, Delivers robust tissue contrast, motion-
BodyWorks allows you to image abdominal insensitive, high temporal and spatial
and pelvic anatomy with user flexibility to resolution imaging techniques that capture
adapt to different patient types. anatomical and morphological data for
oncological assessment.
CVWorks
Gain crucial insights into vascular structure OrthoWorks
and flow dynamics and access morphology, flow, This extensive library of musculoskeletal imaging
function and tissue viability with CVWorks. techniques enables you to image bone, joint
and soft tissue with remarkable tissue contrast.
NeuroWorks
This one-stop solution enables you to image PaedWorks
brain, spine, vascular and peripheral nerve Delivers distinctive child-centered imaging
anatomy with exceptional tissue contrast. techniques that provide ease of use for the
user and clinical excellence for your smallest,
most fragile patients.
4 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

BodyWorks
Standard Applications
Percentage of sites
performing specific
MR procedures:
BodyWorks is GE’s solution for fast body scanning.
With more patients being scanned in the pelvis, 36 % Breast

abdomen, breast and prostate areas than ever before, 88 and Pelvis
% Abdomen

body scanning is one of the fastest growing areas in


MR. Our all-inclusive BodyWorks library allows you 21 % Prostate

to image abdominal and pelvic anatomy with user


flexibility that adapts to different patient types.
BodyWorks includes a range of applications designed
to advance your body imaging capabilities. Source: IMV 2016 MR Market Outlook Report

Please contact your GE Representative for additional BodyWorks applications.


5 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

LAVA PROPELLER eDWI Auto Navigator

BodyWorks

LAVA Abdominal imaging

Liver Acquisition with Volume Acceleration (LAVA)


is a rapidly accelerated, 3D T1 dynamic (DCE) body
imaging technique that uses a unique PSD waveform
to allow for a reduction of scan time needed for
dynamic imaging.

Clinical benefits:
• Produces ARC parallel imaging for short scans
• Turbo mode further reduces scan time up to 50%
• Provides adiabatic special fat suppression for
robust imaging
• Compatible with Auto Navigator for free-
breathing acquisition

Axial 3D LAVA
Multi-phases
6 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

LAVA PROPELLER eDWI Auto Navigator

BodyWorks

Case Study: Assessing focal nodular hyperplasia with a


15-minute multi-arterial protocol using Turbo LAVA
Clinical solutions Procedure
System: SIGNA™ Voyager Turbo LAVA allows for more data
in shorter breath-holds, enabling
Protocols used the ability to perform multi-arterial
Coronal T2 SSFSE, Axial T2 SSFSE dynamic imaging to help depicting
FatSat, Axial DWI b800 breath-hold, FNH lesions.
Axial T1 Turbo LAVA multi-arterial
breath-hold, Axial T1 LAVA post- MR findings Coronal T2 SSFSE, 4.4 mm Axial T1 Turbo LAVA Portal
slices, 15-second phase 17-seconds breath-
contrast breath-hold. Physician diagnosis determined 3 breath-hold hold, 2 mm slice thickness
distinct FNH lesions in both the right
Patient history and left liver’s lobe.
A 45-year-old female patient,
Reference
presented with liver lesions found
Optimal visualization of focal nodular
during an Ultrasound procedure.
hyperplasia: quantitative and qualitative
evaluation of single and multiphasic arterial
phase acquisition at 1.5 T MR imaging.
Axial T1 Turbo LAVA, multi-arterial 3 phases 24-second
https://www.ncbi.nlm.nih.gov/pubmed/27193796 breath-hold, 3 phases, 2.5 mm slice thickness
7 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

LAVA PROPELLER eDWI Auto Navigator

BodyWorks

PROPELLER
PROPELLER Multi-Blade (MB) is a multi-shot Axial T2 PROPELLER
approach that preserves tissue contrast 288 x 288
3.2 mm
regardless of weighting while also reducing 3:54 min
motion artifacts and providing a more signal-
rich image. Additionally, this technique allows
for all contrasts for 2D FSE: T1, T2, STIR and
PD weightings.

Clinical benefits:
• Delivers diagnostic images with reduced
motion-artifacts (respiration and peristalsis)
• Increases productivity and decreases
the number of repeated scans
• Enables sedation-free scanning and
increases patient tolerance
8 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

LAVA PROPELLER eDWI Auto Navigator

BodyWorks

eDWI
Diffusion-weighted imaging (DWI) is used to
image diffusivity of water molecules (Brownian
motion). This enhanced Diffusion-weighted
imaging (eDWI) technique is designed to provide
high signal-to-noise-ratio (SNR) diffusion
images, with short-acquisition time and shortest
possible echo time (TE). Its multi-b feature is
designed to provide measurement of apparent
diffusion coefficient (ADC) map with reduced
effect of perfusion.

Clinical benefits: eDWI fused with Turbo LAVA on Axial eDWI


• Helps to improve patient tolerance READYView b800
40 FOV
with shortened breath-hold time or 5 mm
free-breathing Auto Navigator 3:23 min
• Decreases overall exam sequences and time
9 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

LAVA PROPELLER eDWI Auto Navigator

BodyWorks

Auto Navigator Coronal 3D MRCP


1 x 1 x 1.6 mm
Axial 3D LAVA FatSat Navigated

Auto Navigator uses a tracker to detect the


motion of the diaphragm which enables free-
breathing body imaging acquisition. The Auto
Navigator tracker is automatically placed over
the right hemidiaphragm. The acquisition then
synchronizes the patient's breathing pattern and
minimizes ghosting artifacts.

Clinical benefits: Axial 3D LAVA FatSat Navigated


Axial T2 FatSat PROPELLER Navigated
• Enhances workflow Pancreas – 1.6 x 1.6 x 2 mm

• Eliminates need to use respiratory bellows


• Allows for adjustment of threshold and
acceptance window in real time as
the patient's respiration changes
10 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

CVWorks

31
Standard Applications

An intuitive set of cardiac applications that assess


% 17.7 million
Deaths from CVDs in 2015

morphology, flow, function and tissue viability, and


Cardiovascular diseases 7.4 million
goes deeper into the analysis to gain crucial insights (CVDs) are the #1 cause of Deaths from coronary
death accounting for 31%
into the heart’s vascular structure and flow dynamics. of global deaths in 2015.
heart disease in 2015

Adapts to a variety of different patient types.

World Health Organization, Cardiovascular diseases (CVDs) Fact sheet, Updated May 2017

Please contact your GE Representative for additional CVWorks applications.


11 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

2D FIESTA Cine 2D Phase Contrast iDrive QuickStep Fluoro Trigger MRA

CVWorks

2D FIESTA Cine
The workhorse of functional cardiac imaging, 4-chamber Short axis Long axis
2D FIESTA Cine can be used as a gated
functional sequence or non-gated quick
localizer to assess the heart’s anatomy and
function by providing excellent tissue contrast
between blood pool, myocardium and valves.

Clinical benefits:
• Qualitative assessment of valvular structure
and anatomy
• Used to calculate LV and RV function
and cardiac output in tools such as cmr42
and ArterysTM
12 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

2D FIESTA Cine 2D Phase Contrast iDrive QuickStep Fluoro Trigger MRA

CVWorks

2D Phase Contrast
A quantification sequence used to calculate
flow velocity and measure regurgitation flow
in heart valves or vascular structures.

Clinical benefits:
• Helps to assess aortic stenosis, regurgitation
and shunt evaluation
• Aids in the measurement of anomalies, like
septal defects, and obtaining pulmonary and
systemic flow (Qp:Qs) ratios
13 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

2D FIESTA Cine 2D Phase Contrast iDrive QuickStep Fluoro Trigger MRA

CVWorks

iDrive
Free-breathing, real-time localization and quick
imaging tool that simplifies exam workflow for
cardiac exams with live interactive capability.

Clinical benefits:
• Streamlines cardiac workflow by acquiring
free-breathing localizers
• Avoids breath-holds which elevates patient
comfort throughout entire exam
• Extremely helpful for patients with skewed
anomalies, particularly congenital defects
14 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

2D FIESTA Cine 2D Phase Contrast iDrive QuickStep Fluoro Trigger MRA

CVWorks

QuickStep
An automated multi-station run-off acquisition
with a simplified workflow that prescribes,
acquires and combines images from multiple
locations in a faster acquisition.

Clinical benefits:
• Allows for whole-body vascular scanning
in under 7 minutes
• Acquires mask datasets and provides
subtractions from multiple stations without
any user intervention
• Automatically pastes each station together
to provide a unified data set
15 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

2D FIESTA Cine 2D Phase Contrast iDrive QuickStep Fluoro Trigger MRA

CVWorks

Fluoro Trigger MRA


Fluoroscopic triggering is a real-time bolus Coronal Fast TOF SPGR
detection method of contrast arrival for 512 x 512
FOV 36 cm
vascular scans. 0.9 mm
3:12 min
Clinical benefits:
• Provides real-time detection of the bolus
for right-time, every-time accuracy
• Minimally invasive with no exposure
to ionizing radiation
• Particularly helpful for patients with
slow cardiac output
16 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

NeuroWorks

46
Standard Applications

%
Neuro scans, which include
brain and spine,1 account for
46% of all MR procedures.2
NeuroWorks is GE’s solution for fast neuro imaging.
This one-stop solution enables you to image brain,
spine, vascular and peripheral nerve anatomy with
24 % Spine procedures
22 % Brain procedures
exceptional tissue contrast.
1
Spine as a category could also apply to orthopedics
These motion insensitive techniques feature 2
Source: IMV 2016 Market Outlook
single-click auto-alignment, providing the complete
neuro solution from scanning to post-processing.
NeuroWorks includes a range of applications
designed to advance your neuro imaging capabilities.

Please contact your GE Representative for additional NeuroWorks applications.


17 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube FastBrain eDWI MERGE

NeuroWorks Coronal T2 STIR PROPELLER MB and inverted grayscale 0.8 x 0.8 x 3 mm

PROPELLER
PROPELLER Multi-Blade (MB) is a multi-shot
approach that preserves tissue contrast
regardless of weighting while also reducing
motion artifacts and providing a more signal-
rich image. Additionally, this technique
introduces new contrasts such as T1 FSE.

Clinical benefits: Axial T2 STIR PROPELLER MB Axial T1 PROPELLER MB


• Sedation-free scanning and increased 0.8 x 0.8 x 2 mm 0.8 x 0.8 x 4 mm
patient tolerance
• Reduces overall scan time
• Delivers diagnostic images with reduced
motion-artifacts (respiration and peristalsis)
• Increases productivity and decreases
the number of repeated scans
18 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube FastBrain eDWI MERGE

NeuroWorks

Cube
Cube is our 3D volumetric imaging suite.
This application allows you to suppress
cerebrospinal fluid (CSF) and either white
or gray matter to increase lesion conspicuity.
Scan once, format many.

Clinical benefits:
• Spatial anatomical localization for
Coronal Reformat
tumor evaluation
• Free breathing and respiratory triggered
to reduce motion artifacts
• High slice resolution to evaluate disease
• Decreases flow artifacts
Cube DIR
192 x 192
1.8 mm
4:36 min

Axial Reformat
19 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube FastBrain eDWI MERGE

NeuroWorks

Case Study: Assessing carotid dissection with Cube T1 FatSat


Clinical solutions MR findings
System: Optima™ MR450w GEM Dissection throughout much of the
left internal carotid artery cervical
Protocols used segment. There is less than 50% luminal
Axial Cube T1 FatSat, 2D TOF FSPGR narrowing compared to the right, but
hematoma within the wall expands the
Patient history overall diameter of the artery.
A 42-year-old female patient presented with Axial Cube T1 FatSat Sagittal reformat
Horner’s syndrome and concern for carotid 1 x 1 x 2 mm Cube T1 FatSat
3:19 min
dissection.

Procedure
Examination performed with an Axial
Cube T1 and fat suppression, presenting
a higher resolution, more homogenous fat
suppression and shorter scan time compared
to a traditional axial 2D T1 FatSat. Coronal oblique reformat Axial 2D TOF FSPGR Axial Cube T1 FatSat Coronal reformat,
Cube T1 FatSat Coronal volume Thick MIP with rainbow Cube T1 FatSat
Rendering view color overlay Thick MIP with rainbow
color overlay
20 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube FastBrain eDWI MERGE

NeuroWorks T2 PROPELLER MB 1 min T2 FLAIR PROPELLER MB 1:22 min T2 GRE 56 s

FastBrain
A high-resolution, rapid brain imaging protocol
in 5 minutes or less.

Protocols include:
• T1 • T2 • FLAIR • GRE • DWI

Clinical benefits:
Total
• Provides reliable image quality at scan time
extraordinary acquisition speed 4:45 min Diffusion b1000 14 s T1 PROPELLER MB 1:13 min

• Reduces patient motion artifacts and


the need for rescans
• Offers efficient operating power enabled by
fast and optimized push-button exams
• Compensates for uncooperative patients with
conditions that make it hard to comply
• Helps to increase patient throughput
21 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube FastBrain eDWI MERGE

NeuroWorks

eDWI
Diffusion-weighted imaging (DWI) is used to
image diffusivity of water molecules (Brownian
motion). This enhanced Diffusion-weighted
imaging (eDWI) technique is designed to provide
high signal-to-noise-ratio (SNR) diffusion
images, with short-acquisition time and shortest
possible echo time (TE). Its multi-b feature is
designed to provide measurement of apparent
diffusion coefficient (ADC) map with reduced
effect of perfusion.

Clinical benefits:
• By achieving shorter TE's, eDWI lessens
susceptibility and distortions in problematic
areas (such as temporal lobes in the brain)
• Decreases overall exam sequences and time
22 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube FastBrain eDWI MERGE

NeuroWorks

MERGE Cervical Spine

Multi-Echo Recalled Gradient Echo (MERGE)


uses multiple TE’s to generate superior
contrast and visualization of the different
layers of cartilage in MSK imaging and better
definition of gray/white matter in the spine. It
can be acquired in 2D or in 3D with excellent
spatial resolution, includes water excitation
for elimination of fat, and maintains ligament
visualization while adding soft tissue contrast.

Clinical benefits:
• Distinguishes femoral and acetabular
cartilage in the hip
• Helps visualize scaphoid fractures and
delineation of ligaments in the wrist
• Offers better visualization of lesions in the
spinal cord (e.g., Multiple Sclerosis)
23 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

OncoWorks
Standard Applications
Cancer is a leading cause of The most common causes
death worldwide. Number of of cancer death:
cancer-related deaths in 2015:
OncoWorks is an extensive library comprised

8.8
1,690,000 lung cancer
of robust tissue contrast, motion-insensitive,
571,000 breast cancer
high temporal and spatial resolution imaging 788,000 liver cancer
techniques used for oncological assessment.
million
754,000 stomach cancer
774,000 colorectal cancer

Between
30–50 %
of cancers can
currently be
prevented

World Health Organization


Cancer Fact sheet, February 2017

Please contact your GE Representative for additional OncoWorks applications.


24 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube eDWI LAVA Auto Navigator

OncoWorks

PROPELLER Prostate imaging Female pelvis imaging

PROPELLER Multi-Blade (MB) is a multi-shot


approach that preserves tissue contrast
regardless of weighting while also reducing
motion artifacts and providing a more signal-
rich image. Additionally, this technique allows
for all contrasts for 2D FSE: T1, T2, STIR and Sagittal T2 PROPELLER
PD weightings. 0.8 x 0.8 x 3 mm

Clinical benefits:
• Delivers diagnostic images with reduced
motion-artifacts (respiration and peristalsis)
• Increases productivity and decreases
the number of repeated scans
Coronal T2 PROPELLER Coronal T2 PROPELLER Axial T2 PROPELLER
• Enables sedation-free scanning and 0.6 x 0.6 x 4 mm 0.8 x 0.8 x 3 mm 0.8 x 0.8 x 3 mm
increases patient tolerance
25 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube eDWI LAVA Auto Navigator

OncoWorks

Cube Female Pelvis Cube

Cube is our 3D volumetric imaging technique Axial Cube Sagittal reformat


that can easily be reformatted into any plane.
The SNR-rich sub-millimeter slices can provide
partial volume averaging effect which helps to
visualize even small and subtle abnormalities.

Clinical benefits:
• Scan once, then reformat to any plane
with high sub-millimeter resolution
• Spatial anatomical localization for
abnormalities Coronal reformat
• Higher slice resolution compared to
2D imaging
• Can decrease flow artifacts
• Combines with ARC acceleration to
reduce scan times
26 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube eDWI LAVA Auto Navigator

OncoWorks

eDWI Whole-body diffusion on patient with lymphoma

Diffusion-weighted imaging (DWI) is used to Coronal T1, 3 Stations Coronal STIR, 3 Stations Axial DWI, 6 Stations Axial DWI
image diffusivity of water molecules (Brownian 2:17 min 2:48 min T1 with DWI fused
9:54 min
motion). This enhanced Diffusion-weighted
imaging (eDWI) technique enables high signal-
to-noise-ratio (SNR) diffusion images, with
short acquisition time and shortest possible
Echo Time (TE). Its multi-b feature is designed
to measure apparent diffusion coefficient (ADC)
map with reduced effect of perfusion. Inhance Inflow IR
fused to DWI
Clinical benefits:
• Decreases overall exam sequences and time
• For body imaging, helps to improve patient
tolerance with shortened breath-hold time
or free-breathing Auto Navigator
27 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube eDWI LAVA Auto Navigator

OncoWorks

LAVA
Liver Acquisition with Volume Acceleration Axial LAVA Flex Pre Axial LAVA Venous
(LAVA) is a rapidly accelerated 3D T1 dynamic
(DCE) body imaging technique that uses a
unique PSD waveform to allow for a reduction
of scan time needed for dynamic imaging.

Clinical benefits:
• Produces ARC parallel imaging for
short scans
• Turbo mode further reduces scan time Axial LAVA Arterial Axial LAVA Equilibrium
up to 50%
• Provides adiabatic special fat suppression
for robust imaging
28 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube eDWI LAVA Auto Navigator

OncoWorks

Auto Navigator Axial 3D LAVA

Auto Navigator uses a tracker to detect the


motion of the diaphragm which enables
free-breathing body imaging acquisition.
The tracker is automatically placed over
the right hemidiaphragm so the acquisition
synchronizes the patient's breathing pattern
and minimizes ghosting artifacts.

Clinical benefits:
• Enhances workflow
• Eliminates need to use respiratory bellows
• Allows for adjustment of threshold and
acceptance window in real time as the
patient's respiration changes
29 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

OrthoWorks
Standard Applications
Lower and upper extremity Increase in MR
scans as a proportion of procedure volume
all MR procedures from 2013 to 2016
The OrthoWorks package is an extensive library

24 % 33
+ %
of musculoskeletal imaging techniques that provide
Upper extremities
dynamic imaging of bone, joint and soft tissue with
remarkable tissue contrast. 28
+ %
Lower extremities

Spine scans as a proportion


of all MR procedures

24 %*

Source: IMV 2016 MR Market Outlook


* Spine as a category could also apply
to neurology

Please contact your GE Representative for additional OrthoWorks applications.


30 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube MERGE 2D FSE

OrthoWorks

PROPELLER Standard
Coronal T1 FSE
T2 PROPELLER
FatSat
PD FatSat PROPELLER
Coronal Silent

PROPELLER Multi-Blade (MB) is a multi-shot


approach that preserves tissue contrast
regardless of weighting while also reducing
motion artifacts and providing a more signal-
rich image. Additionally, this technique allows
for all contrasts for 2D FSE: T1, T2, STIR and
PD weightings.

Clinical benefits:
• Delivers diagnostic images with reduced
motion-artifacts for voluntary and involuntary
patient motion (respiration and peristalsis)
• Increases productivity and decreases
the number of repeated scans
• Enables sedation-free scanning and
increases patient tolerance
31 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube MERGE 2D FSE

OrthoWorks

Case Study: Characterizing shoulder


joint pathology with PROPELLER Axial T1 Sagittal T2

Clinical solutions Procedure


System: Optima™ MR450w During a shoulder MR arthrogram exam, T1-
Coil: Shoulder PA Coil weighted PROPELLER MB was used due to its
motion insensitivity. Total exam time was 25
Protocols used minutes, with 20 minutes of scan time.
Axial and Coronal T1 PROPELLER MB, Axial
and Coronal PD FatSat PROPELLER MB, MR findings
Sagittal and Coronal T2 PROPELLER MB MR arthrogram revealed low-grade articular Coronal T1 FatSat Coronal T2
surface partial tear of the supraspinatus
Patient history critical zone. Peripheral linear low signal may
A college-level basketball player, with a relate to small displaced labral tear. Minimal
history of multiple dislocations, presented acromioclavicular joint hypertrophy, 4 mm
with shoulder pain. round low signal focus within the acromion.

Gd-based contrast agents are not approved for intra-articular


administration in the United States and are considered off-label use.
32 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube MERGE 2D FSE

OrthoWorks

Cube Cube PD FatSat

Cube is our 3D volumetric imaging technique


that can easily be reformatted into any plane.
The SNR-rich sub-millimeter slices can reduce
partial volume averaging effect which helps to
visualize even small and subtle abnormalities.

Clinical benefits:
• Scan once, then reformat to any plane with
high sub-millimeter resolution
• Combines with ARC acceleration to reduce
scan times
• Spatial anatomical localization for
abnormalities
• Higher slice resolution compared to 2D imaging
• Can decrease flow artifacts
33 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube MERGE 2D FSE

OrthoWorks

MERGE MERGE
Axial 3D MERGE Water
Excited Coronal 2D MERGE

Multi-Echo Recalled Gradient Echo (MERGE)


uses multiple TE’s to generate superior
contrast and visualization of the different
layers of cartilage in MSK imaging and better
definition of gray/white matter in the spine. It
can be acquired in 2D or in 3D with excellent
spatial resolution, includes water excitation
for elimination of fat, and maintains ligament
visualization while adding soft tissue contrast.

Clinical benefits:
• Distinguishes femoral and acetabular
cartilage in the hip
• Helps visualize scaphoid fractures and
delineation of ligaments in the wrist
34 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube MERGE 2D FSE

OrthoWorks

2D FSE Sagittal T2 FatSat T1 FSE Sagittal reformat Sagittal FSE PD

2D FSE is a standard imaging technique that


accelerates scan time based on Echo Train
Length. It also produces sharp and crisp images
with familiar contrasts, including PD, T1, T2
and STIR weightings. ARC and ASSET can be
used to further accelerate scan times.

Clinical benefits:
• Fast, high-resolution images with sharp
edge detail
• Compatible with Flex for areas that are
difficult to FatSat, such as ankles, toes
and fingers
35 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PaedWorks
Standard Applications
Proportion of MR sites that perform

86
pediatric procedures:

%
PaedWorks offers specialized protocols specifically
designed to meet the needs of your smallest,
most fragile patients. These child-centric imaging
techniques provide ease of use for technologists
and clinical excellence for clinicians.

Source: MV 2016 MR Market Outlook

Please contact your GE Representative for additional PaedWorks applications.


36 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube eDWI BRAVO

PaedWorks

PROPELLER 9-day-old, 3.5 kg, non-sedate, free-breathing exam with 16-channel Large Flex Coil

PROPELLER Multi-Blade (MB) is a multi-shot Coronal T2 frFSE, Auto Navigator Sagittal T2 PROPELLER with Axial T2 PROPELLER,
approach that preserves tissue contrast FOV 20 cm Auto Navigator, FOV 20 cm FOV 20 cm

regardless of weighting while also reducing


motion artifacts and providing a more signal-
rich image. Additionally, this technique allows
for all contrasts for 2D FSE: T1, T2, STIR and
PD weightings.

Clinical benefits:
• Delivers diagnostic images with reduced
motion-artifacts for voluntary and involuntary
patient motion (respiration and peristalsis)
• Increases productivity and decreases
the number of repeated scans
• Enables sedation-free scanning and
increases patient tolerance
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PROPELLER Cube eDWI BRAVO

PaedWorks

Case Study: Assessing a retroperitoneal tumor with PROPELLER


Clinical solutions Procedure Coronal and Sagittal T2 PROPELLER

System: Optima™ MR450w GEM A combination of PROPELLER sequences,


respiratory triggering and Auto Navigator
Protocols used enabled the clinician to perform a Navigated,
Coronal and Sagittal T2 PROPELLER, full free-breathing exam that resulted in
Axial T2 FatSat, Axial T2 PROPELLER, sharp images with minimal respiratory
eDWI free-breathing LAVA Flex ghosting artifacts.

Patient history MR findings


A 9-year-old child presented with a suspected Physician diagnosis determined a
retroperitoneal tumor. retroperitoneal tumor, which was most
likely gangliogloma.
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PROPELLER Cube eDWI BRAVO

PaedWorks

Cube Free-breathing Cube

Cube is our 3D volumetric imaging technique


that can easily be reformatted into any plane.
The SNR-rich, sub-millimeter slices can provide
partial volume averaging effect which helps to
visualize even small and subtle abnormalities.

Clinical benefits:
• Scan once, then reformat to any plane
with high sub-millimeter resolution
• Combines with ARC acceleration to
reduce scan times
• Can decrease flow artifacts
• Spatial anatomical localization for
abnormalities
• Higher slice resolution compared to
2D imaging
39 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube eDWI BRAVO

PaedWorks

eDWI Coronal multi-planar reformat,


acquired at b800

Diffusion-weighted imaging (DWI) is used to


image diffusivity of water molecules (Brownian
motion). This enhanced Diffusion-weighted
imaging (eDWI) technique is designed to
provide high signal-to-noise-ratio (SNR)
diffusion images, with short-acquisition
time and shortest possible Echo Time (TE).
Its multi-b feature is designed to provide
measurement of apparent diffusion coefficient
(ADC) map with reduced effect of perfusion.

Clinical benefits:
• Helps to improve patient tolerance with
shortened breath-hold time or free-
breathing Auto Navigator
• Decreases overall exam sequences and time
40 GE HEALTHCARE SIGNA™WORKS BODYWORKS CVWORKS NEUROWORKS ONCOWORKS ORTHOWORKS PAEDWORKS

PROPELLER Cube eDWI BRAVO

PaedWorks

BRAVO Sagittal BRAVO Axial BRAVO

A neuro imaging solution that produces


excellent T1-weighted contrast between gray
and white matter in a fast, high-resolution
3D acquisition.

Clinical benefits:
• Higher slice resolution compared to
2D imaging
• Scan once, then reformat to any plane
with high sub-millimeter resolution
• Spatial anatomical localization for
abnormalities
• Combines with ARC acceleration to
reduce scan times
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GE Healthcare reserves the right to make changes in specifications and features shown herein, or discontinue the product
described at any time without notice or obligation. Contact your GE Healthcare representative for the most current information. 
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Company. GE Medical Systems, Inc., doing business as GE Healthcare.

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