5.0 Oasis Basic How-To Manual_complete

Basic How-To Manual
Revision History
Manual Revisions
Revisions Date Comments Effective Pages

QS4-110323v1 June 2016 Includes 5.0/5.1 software features All
I-1
QS4-110323v1 Copyright 2016 by Hitachi Medical Systems America, Inc. All rights reserved.
Revision History
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I-2
Introduction
The Oasis Basic How-To Manual is one of a group of manuals designed to guide you through the
operation of the Hitachi Medical Systems America, Inc. (HMSA) Oasis MRI System. The Basic How-To
Manual is presented in a step-by-step format, with accompanying pictures, to improve the ease of use of
your Oasis MRI System.
This basic manual is intended to be a concise guide for the performance of many operations, including
system start-up, registering patients, performing basic exams, reviewing and filming images, common post
processing techniques, and saving images to CD/DVD. Additionally, we have included chapters on the
performance of a variety of exams and imaging.
When used properly, the Oasis MRI System is safe and effective. Misusing the system could result in death
or serious injury to patients, staff, or ancillary personnel.
For detailed safety information, refer to the Oasis Equipment Description and Safety Manual.
Note: References seen throughout this manual (such as Refer to Chapter 4-1, “Post Processing: MIP –
Rotating,” on page 4-1.) refer to chapters within this How-To Manual. References to chapters in the
Advanced How-To Manual (such as Refer to the Oasis Advanced How-To Manual, Chapter 7-2, “PVA
Imaging: PVA Coil – Setup,” on page 7-4. ) may also be seen.
I-3
Introduction
For detailed safety information, refer to the
Oasis Equipment Description and Safety Manual.
Note: Refer to the electronic user instructions on the CD supplied with the Oasis MRI system for
detailed descriptions of the user and safety features described in this manual.
Caution
Hitachi Medical Systems America (HMSA), Inc., has provided recommended protocols that
have been tested and proven to deliver good image quality. If the user deviates from these
recommended protocols, HMSA cannot guarantee image quality.
Caution
The Oasis MRI System is limited by United States Federal law to investigational use for any
indications not listed in the Food and Drug Administration (FDA) 510(k) Indications for Use
statement.
Caution
Federal law restricts this device to sale by or on the order of a physician (or properly licensed
practitioner).
I-4
Chapter 1-1 Overview: Starting Up the System
Start up your system. If the
1
system is in Monitor Service
mode, click Shutdown to power
the system down.
Once shutdown is complete,

2
press the CPU button on the
control unit.
Press the MR button on the
3
control unit.
The start up process is complete

when both the CPU Ready and
MR Ready lights are solid green.
1
3
2
1-1
Chapter 1-1 Overview: Starting Up the System
In the User Name field, enter
4
your user name. In the Password
field, enter your password. Click
Logon to log on to your system.
The launcher window opens with

4 the Launcher bar in the default
location, at the top of the
window. The system is now
ready for scanning.
Caution: Daily quality control activities
must be performed to ensure quality
imaging. For more information, refer to
the Oasis Equipment Description and
Safety Manual.
1-2
Chapter 1-2 Overview: Registering a Patient
Click the Patient Registration
1
a 2 1 icon on the Launcher bar to
open the Patient Registration
window.
Enter data into the fields in the

2
Patient Information area.
Note: Items marked with an

asterisk (*) are required. If
information is not entered in
these fields, default values are
entered by the system.
a If your site has access to
Modality Worklist, select a
patient from the worklist.
Pertinent patient information
automatically loads into the
Patient Information area in the
Patient Registration window.
1-3
Click one of the Anatomical
3
3 Region tabs to select a broad
anatomical region.
Select a more specific anatomical

area by clicking one of the
displayed anatomy picture icons.
Saved protocols that correspond
4
to the selected anatomical area
are displayed in the Protocol
area.
Click to select one of the listed

protocols, or access additional
protocols by clicking User,
System, All, or Protocol
Selector….
1-4
Click a picture icon to select
5
patient orientation.
When patient registration is

6
complete, click Open Exam
Window.
Note: If information is not

entered in the fields for items
marked with an asterisk (*), the
following message appears:
1-5
The Exam window opens with
7
7 your selected protocol loaded in
the Protocol Properties area and
with the scanogram series
selected to begin scanning.
1-6
Chapter 1-3 Overview: Performing the Exam
After preparing the patient, use
1
the Exam window to scan,
1 review, and process the images.
Through the Patient Directory,

2
save images or perform a DICOM
transfer.
Note: For more information on

saving images or performing a
DICOM transfer, refer to Chapter
5, “Storing Images,” on page 5-1.
Use the Filming Tool window to

3
film images.
filming images, refer to Chapter
3, “Review and Filming,” on
2 3 page 3-1.
1-7
Chapter 1 Overview
1-8
Chapter 2-1 Imaging: Scanning a Protocol
To start your scanning, open the

1
For demonstration purposes, a Routine Brain is used. Exam window from the Patient
Registration window. The
selected protocol displays.
2-1
If necessary, add a protocol to

a 2
the Exam window. To add a
protocol, follow these steps:
a Right-click anywhere in the

Protocol Properties area, and
then click Add Protocol.
The Protocol Selector(Open)

window opens, displaying the
user protocols available for
selection.
b
b If no user protocols are available,
select the System Directory.
Select the protocol to be added,
and then click OK.
c Click Save Protocol and update
the name of the protocol, if
desired. The new protocol is
saved in the User Directory.
2-2
Click a task to select it to be

3 3
performed. Tasks can be added,
moved, or deleted.
Tasks included in the selected

protocol are listed in the
Protocol Properties area of the
Exam window.
2-3
If necessary, add scan tasks to
4
the Exam window. To add scan
a
tasks, follow these steps:
then click Add Scan.
or
Click the Add Scan icon at the

bottom of the Protocol
Properties area.
b
The Task Selector(Open) window
opens, displaying the user tasks
available for selection.
b If no user tasks are available,
Double-click the tasks to be
added, or select the tasks and
then click Open.
2-4
If necessary, add post processing tasks
5
a to the Exam window. To add post
processing tasks, follow these steps:
then click Add Post Processing.
or
Click the Add Post Processing

icon at the bottom of the
Protocol Properties area.
The Task Selector(Open) window

b
opens, displaying the user tasks
available for selection.
b If no user tasks are available,
Double-click the tasks to be
added, or select the tasks and
then click Open.
2-5
Click Start. The Start button

6
changes into the Pause button. A
green circle indicates the scan is
running.
The completed scans will be

listed in the Output Series area
of the Exam window.
Completed Scans 6
2-6
Click the S-Map task.

7
7
Select all three planes of
8
scanograms in the Output Series
area.
Drag and drop them into the

Source box.
Source Box Set up the S-Map slice group to
9
include the entire brain.
Click Start.
8
2-7
Click the next task.

10
Select all three planes of

11
area.
10
Drag and drop them into the
Source Box Source box.
Set up slices and FOV based on
12
three-plane scanograms; check
scan parameters.
11
Click Start.
12
2-8
While the task is running, click

13
14 the next task to be performed.
Set up the next scan based on

14
13 three-plane scanograms, or wait
and use output images from a
scan that is currently running.
Select and drag the scanograms

15
/series into the Source box.
Check scan parameters and FOV.
Click Start.
15
2-9
Use the images in the Output

16
Series area to check the image
quality of each acquired series.
Use the Zoom Image icon under

17
the Preview Image area to
enlarge the preview images for
easier viewing.
16
17
2-10
To review images from multiple

18
series, click Review Task in the
Protocol Properties area.
Double-click a series in the

19
Output Series area to load it into
a viewport.
or
Click and drag a series into the

appropriate viewport in the
Review task.
Note: You can review images

from multiple series, but only
series performed in this Exam
window.
18
19
2-11
Repeat Steps 13-19 until all

20
required tasks from the protocol
have been completed.
Protocol
Output Series
Preview Image
2-12
Chapter 2-2 Imaging: 3D TOF
To perform a 3D TOF exam, open

1
the Exam window from the
2 Patient Registration window; the
selected protocol displays.
Tasks included in the selected

For demonstration purposes, a 3D TOF MRA of the Brain is used.
Exam window.
Select the Scanogram SCA task.

2
Click Start. A green circle
1 indicates the scan is running.
2-13

3
3 Select all three planes of
4
area. Drag and drop them into
the Source box.
Set up the S-Map slice group to

5
include the entire brain.
Source Box
Click Start.
2-14
Click the MRA Brain 3D TOF task.

6

7
area. Drag them into the Source
box.
Source Box
2-15
Click anywhere in the sagittal

8
viewport. Position the 3D slab
9 crosshairs so that the 3D slab
covers from mid corpus callosum
to the base of the skull.
Presat
Superior
The walking Presat moves along

Presat
9
with the 3D slab. Make sure the
Presat is 15mm above the top of
the 3D slab.
3D Slab
Click Start to begin the 3D TOF

10
sequence. After the scan is
completed, load the source
images into a MIP task.
8 Note: For more information on
the MIP steps, refer to Chapter
4-1, “Post Processing: MIP -
Rotating,” on page 4-1, and
Chapter 4-2, “Post Processing:
MIP - Sliding,” on page 4-15.
2-16
For demonstration purposes, a 2D TOF MRA of the Carotids is used. To perform a 2D TOF exam, open
1
the Exam window from the
Patient Registration window.
The selected protocol displays.
1 Tasks included in the selected

Exam window.
Select the Scanogram SCA task.
2
2-17
Click Start. The Start button

3
becomes the Pause button.
The completed scans display in

the Output Series area.
Completed Scans
2-18

4
5
the Source box.
Set up the S-Map slice group to

Source Box 6
include the arch and carotids, as
displayed at left.
Click Start.
2-19
Click the Scanogram 2D TOF Sag

7
w/MIP task.
7 8 Select all three planes of
the Source box.
Set up the slice group to center

Source Box 9
on the neck, as displayed at left.
Click Start.
2-20
Click the MRA Carotids 2D TOF

10
task.
In the Output Series area, select

10 11
all three planes of scanograms
and the quick MIP generated
from the Scanogram 2D TOF Sag
w/MIP task. Drag and drop them
into the Source box.
Source Box
Adjust the slice group on the
12
axial and coronal images to be
centered on the neck.
11
2-21
Click anywhere in the sagittal

13
viewport. For proper coverage,
position the slice group
crosshairs between C3-C5. If
more coverage is needed, add
Superior Presat more slices.
14 Presat
The walking Presat moves along
14
with the 2D slices. Make sure
that the Presat is 10mm above
the top of the 2D slices.
2D TOF
13 Slices Click Start to begin the 2D TOF
15
sequence. After the scan is
completed, load the source
images into a MIP task.

Rotating,” on page 4-1, and
2-22
Chapter 2-4 Imaging: S-Map
Why Use the S-Map for Clinical Scanning

NATURAL: The S-Map provides coil intensity information to perform image signal intensity
corrections to improve image uniformity when using multi-channel or surface coils.
RAPID: The S-Map provides coil element sensitivity information when using the RAPID (RCM)
mode. The sensitivity information is used to perform the parallel imaging unwrapping process.
Suggestions for S-Map Positioning

• Always cover all of the anatomy to be scanned by an additional 20% in all directions.
• If the patient moves at any time during the examination, repeat the S-Map before using
NATURAL.
• The S-Map is a 3D data set which is acquired with both the coil being used and the T/R Body
coil. Take care to avoid wrap in both the phase and slice directions, as well as breathing, flow, or
cardiac motion artifacts.
• When performing a breath holding examination, perform the S-Map using the same breath hold
technique (inspiration or expiration) used for the remainder of the examination.
For patient positioning, refer to the Oasis Patient Positioning and Coils Manual.
2-23
How To Position the S-Map:
Brain
a
a Using coronal, sagittal, and axial
images, position the S-Map to
cover the entire head in all
directions, as displayed at left.

Cervical Spine
b Using coronal, sagittal, and axial
center on the cervical spine and
cover the entire neck region in
all directions, as displayed at left.
b
2-24

Lumbar Spine
c c Using coronal, sagittal, and axial
center on the lumbar spine and
cover the entire abdomen in all
directions, as displayed at left.

Elbow
d Using coronal, sagittal, and axial
d center on the elbow and cover
the entire elbow in all directions,
as displayed at left.
2-25
Knee
e e Using coronal, sagittal, and axial
center on the knee and cover the
entire knee in all directions, as
displayed at left.

Ankle
f Using coronal, sagittal, and axial
center on the ankle and cover
the entire ankle in all directions,
f as displayed at left.
2-26
Chapter 2-5 Imaging: Presats
Placing Presats for Imaging
Why we use presaturation pulses for clinical scanning: Types of presaturation pulses:
• Reduce flow artifacts • Normal (Spatial)
• Specific vessel flow • Intermittent
• Anatomy aliasing • Walking
• Breathing motion
Placement of the presats: Imaging above the heart
• To suppress venous flow, the presat should be placed above the slice stack.
• To suppress arterial flow, the presat should be placed below the slice stack.
Placement of the presats: Imaging below the heart
• To suppress venous flow, the presat should be placed below the slice stack.
• To suppress arterial flow, the presat should be placed above the slice stack.
2-27
How To Place Presats for
Imaging: Flow Artifacts
a Click the blue spatial Presat

pulse.
b Using a sagittal image, place the

Presat inferior to the slice
acquisition, as displayed at left.
Presat a
2-28
Imaging: Specific Vessel
Flow - Arterial
c Using a sagittal image, center the
slab as desired. The green
walking Presat moves with the
3D slab. The Presat should be
Presat 15mm above the top of the slab.
c
2-29
Imaging: Specific Vessel
Flow - Venous
d Using the sagittal image, move

the 2D slices as desired. The
green walking Presat moves
along with the slices. The Presat
must be 10mm away from the
slice group.
Presat
d
2-30
Imaging: Flow Artifacts
e Three blue spatial Presat pulses

Presat 1 display for setup. They are used
to prevent flow artifact in the
cord.
f Using the sagittal image, place

one Presat superior, one
anterior, and one inferior to the
Presat 2 spine, as displayed at left.
Presat 3
2-31
Imaging: Axial or Coronal
with R-L Phase - Anatomy
Aliasing
g Using the coronal viewport, click
Presat g
the blue spatial Presat.
h Drag the blue spatial Presat over

to cover the opposite leg. This
prevents the shim from
obtaining data from the opposite
h leg.
2-32
Imaging: Coronal Shoulder -
Breathing Motion
i Using the axial viewport, click
Presat i the blue spatial Presat.
j Place the blue spatial Presat so

that it covers the posterior chest
wall and lung field, as displayed
at left.
2-33
Imaging: Axial Shim of the
k Wrist (Down by the Side)
k Using the axial viewport, click

the blue spatial Presat.
Position it so that it covers the

Presat
body, as displayed at left.
Presat 1 Presat 2
l For bariatric patients, an
additional blue Presat can be
added.
Position them so that they cover

the body, as displayed at left.
2-34
Chapter 2-6 Imaging: Breath Holding
Breath Holding Options Overview

Click the Overview icon to open
1
the Scan Parameter List window.
In the Scan Control section, set

2
Wait Mode to On.
2 Confirm the scan time of the
3
sequence is within the patient’s
breath-holding capabilities.
Breathing instructions can be

4
given manually, or by using the
Auto Voice parameter.
4
Note: If you are using the
Magnacoustics Stereo system,
the patient will hear your voice
or the Auto Voice directly
through the headphones.
2-35
Auto Voice patterns can be set

5
up in the Auto Voice Setting
5 window, accessed from the
System Settings icon.
In the Scan Control section of

6
the Scan Parameter List, Auto
Voice options can be selected for
desired breathing instructions.
2-36
Multi Acquisition: SE, FSE, RSSG

2 1 Multi acquisitions are useful
when trying to acquire a large
number of slices, while
maintaining a low TR (for T1
weighted and/or short scan
3 times for breath holds).
For 2D FSE, GE, and RSSG
2
imaging, when Multi slice is set
to 24, the TR value remains low.
At 530ms, scan time is around 21
seconds.
In the Scan Control area in the
3
Scan Parameter List, set Wait
mode to On so the system will
pause after the prescan for
4 breath hold instructions.
If Multi slice is set to 36, the
4
minimum TR becomes 792ms
(too high for T1 weighted), and
the scan time becomes 31
seconds (too long for patient
breath hold).
2-37
If Multi Acquisition is set to 2,

5 the scan time goes to 59
5 seconds. You can then decrease
the TR to about 500ms so T1
weighting can be maintained,
and scan time decreases to
about 21 seconds.
In the Scan Control area, set
6
Wait# to 1. The Wait# setting
tells the system how many
acquisitions to perform before
pausing. In this example, the
system will pause after
performing one acquisition in
addition to the pause after
prescan.
The system is now set to perform

7
two acquisitions of 18 slices
each, with a pause after the
prescan and a pause between
the acquisitions. Each acquisition
6 takes about 21 seconds, which is
a reasonable breath hold time.
2-38
Multi Acquisition: BASG
1 2a 1 For 2D BASG imaging, when

Multi slice is set to 24, Multi
Acquisition is automatically set
to 24.
If Wait Mode set to On, and

2a
Wait# is set to 0, the system is
set to acquire all 24 slices in one
breath hold time of 18 seconds
with a pause only after the
prescan.
2b 2b If Multi Slice is set to 24, and

Wait# is set to 12, the system is
set to perform two breath hold
scans of 12 slices each, with a
pause after the prescan and a
pause after the first 12
acquisitions. Each of the two
breath hold scan times is 9
seconds.
2-39
Chapter 2-7 Imaging: Dynamic
Set up the slice/slab location for

1
the dynamic task using three
planes.
For demonstration purposes, a Dynamic Breast is used.
The example displayed at left is
an axial TIGRE Dynamic setup.
2-40
Select parameters for dynamic

3 2
studies in the Scan Control area of
2 the Scan Parameter List area.
4
Set Multi Scan Mode to
3
Dynamic.
5
Set Wait Mode to On to pause
4
6 the system prior to starting the
Pre-Contrast (mask).
Set No. of Scan Set to 2 to

7 5
perform both the Pre-
Contrast(mask) and the Early
Post Contrast scans.
Set Pre-Cont. to 1 to run one

6
acquisition, the mask images.
Set Early Post Cont. to 5 to

7
acquire five acquisitions.
Set Wait Mode to Once, so that

the system pauses once before
the first of the five scans.
2-41
For a graphical display of the

8 8
Scan Control area, click the
Dynamic Scan Time Table icon,
found under the Overview icon
on the far right side of Scan
Parameters section of the Exam
window.
The Dynamic Scan Time Table

window opens. This window
9 offers a visual picture of the
dynamic scan process.
Changes made to the parameters

9
in the lower left of this window
are reflected in the graphical
display.
Currently, the graphical display

shows that the system will wait
before the Pre-Contrast scan,
and will wait again before the
Early Post Contrast scan. There
will be a total of five Early Post
Contrast acquisitions.
2-42
The Scan Remaining Time

10
10 window displays the progression
of dynamic scans. For example,
the window at left displays the
progression of five dynamic
breast scans.
The gray box indicates that the

11
first acquisition (Pre-Contrast) is
complete.
The green box indicates that the
12
second acquisition (the first of
five Early Post Contrast
acquisitions) is in progress.
11 14
The four white boxes indicate
13
that there are four more Early
Post Contrast acquisitions left in
the queue.
12 13
The count indicates that the
14
second of six total scans is
currently running.
2-43
For demonstration purposes, a Liver with imaging at
30 seconds, 1 minute, 3 minutes, 5 minutes, and 10 minutes is used.
Select parameters for dynamic
1
studies in the Scan Control area
of the Scan Parameter List
section of the Exam window.
2
Set Wait Mode to On.
2
3
Set No. of Scan Set to 2 to
3
perform both the Pre-Contrast
4 (mask) and Early Post Contrast
scans.
Set Pre-Cont. to 1 to run one
5 4
acquisition, the mask images.
Set Wait Mode to Once, so that

the system pauses before the
Pre-Contrast scan.
Set Early Post Cont. to 5 to

5
acquire five acquisitions.
Set Wait Mode to Every, so that

the system pauses before each
of the scans.
2-44
Set Sync. StopWatch to On. The

6
stop watch feature then
synchronizes to open the
StopWatch window and start
counting when the first Post
Contrast scan is started.
The system is set to pause

7
between each of the Post
Contrast scans but the stop
watch will continue counting.
7
You must check the stop watch,
and then click Continue to start
the Post Contrast scans at the
appropriate times (3 minutes, 5
minutes, and so on).
2-45
In this example, Auto Voice has

8
been activated to give
Inspiration instructions.
A delay time of 5 seconds has

9
been added to both the Pre-
Contrast and the Early Post
Contrast fields. This is the
amount of time needed for Auto
9
Voice to give breathing
instructions, and allow the
patient time to respond to the
instructions.
With the addition of the 5
10
second delay time, you click
Continue 5 seconds before the
appropriate start time for the
scan (2:55, 4:55, and so on).
2-46
Chapter 2-8 Imaging: Gating - Respiratory
Note: Respiratory gating is

typically used with abdominal
scanning when the patient
cannot cooperate with breath
holds or when breath hold times
are unreasonable.
While the patient is sitting or

1
standing, instruct the patient to
take a deep breath. Position the
respiratory bellows over the area
1 that rises as the patient
breathes. The cushioned side of
2 the bellows should be against
the patient.
Adjust the attached white straps

2
so that the belt is tight, but does
not constrict the patient’s
normal breathing. The bellows
must be able to respond to the
patient’s breathing. If the
patient is standing, have them lie
down on the table, and re-check
the fit of the respiratory belt.
2-47
Connect the hose from the

3
respiratory belt to the RESP
connector on the PMM module,
located on the left side of the
3 gantry.
Open the Waveform window at

4
the console by clicking the
Waveform icon on the Launcher
bar.
Click the RESP tab to activate the

5
respiratory gating. The tab turns
4 yellow.
5
2-48
Monitor the waveform for

6 6
approximately 30 seconds to
ensure a strong, steady signal.
The system calculates the
patient’s respiratory rate and
displays it in the WaveForm
window. If the waveform is
erratic or otherwise unstable,
reposition the respiratory belt on
the patient, then check the
8
7 waveform again.
Respiratory gating parameters

7
are located in the Gating section
of the Scan Parameter List. Set
Gating to Resp.
The patient’s respiratory rate is

8
displayed in the upper right
corner of the WaveForm
window. Enter this number in
the Beat Rate field.
2-49
Set Delay Mode to Rate.

9
Set Delay (%) to 10.

11 10
Ensure that Gating Source is set

11
to Resp.
Ensure that Resp Mode is set to

10 Trigger.
9
Check scan parameters in all
12
areas, and then click Start.
2-50
Chapter 2-9 Imaging: Gating - Pulse
Note: Peripheral pulse gating is

typically used when performing
2D TOF scanning of the carotids
and lower legs, as well as with
VASC renal exams. Pulse gating
1 helps to achieve optimal filling of
the vessels.
Attach the pulse wave sensor to

1
the patient’s middle or index
finger so it fits snugly. The sensor
must be positioned so that the
arrow is on top of the fingernail.
Place the patient’s hand by their

2
side. Advise the patient that any
movement of their hand will
interfere with the pulse signal.
Caution: Verify that only the peripheral
gating sensor touches the patient and that
the cables do not come in contact with the
patient. Cable contact can potentially
cause thermal injury.
2-51
Connect the fiber optic cable

3
from the pulse wave sensor to
the PULSE connector on the
PMM module, located on the
left side of the gantry.
Open the Waveform window to
4
check the waveform at the
console by clicking the
bar.
3
Click the PULSE tab to activate
5
the pulse gating. The tab turns
yellow.
4
5
2-52
6 6 Monitor the waveform for

patient’s pulse rate and displays
it in the WaveForm window. If
the waveform is erratic or
otherwise unstable, reposition
the pulse wave sensor on the
7 patient’s finger, then check the
waveform again.
8 7 Pulse gating parameters are

located in the Gating area of
Scan Parameter List. Set Gating
to MS-ECG or Cine.
The patient’s pulse rate is
8
displayed in the upper right
corner of the WaveForm
window. Enter this number in
the Beat Rate field.
2-53
Check scan parameters in all

9
areas.
Options available in the Gating

area depend on the selection
Scan Parameter List Gate Mode
made in the Sequence field of
the Scan Parameter List area.
The Gate Mode options may

include Gate, Trigger,
Retrospective, Delayed, or
MyoPer, depending on the
sequence chosen.
Echo Alloc.
The Echo Alloc options include
Sequential or Centric.
Click Start.
2-54
Chapter 2-10 Imaging: Gating - Cardiac
Note: Cardiac (ECG) gating is

typically used in cardiac exams
and when measuring CSF flow.
ECG gating requires that ECG

1
electrodes be placed on the
1 patient. Before placing the ECG
electrodes on the patient, wipe
the skin on the chest where the
electrodes will be placed with
skin preparation gel. Follow the
application instructions on the
bottle.
Wipe off excess skin preparation

2
gel with clean gauze.
Peel the backing from the

3
electrodes.
2-55
Place the electrodes on the

4
patient’s chest as displayed at
left, left of midline and centered
LA approximately halfway between
4 RA
the sternal notch and the xiphoid
process. Do not place the center
points of the electrodes directly
RL over ribs.
LL
Attach the ECG leads from the
5
induction cord to the
appropriate electrodes. Each
lead is labeled and color-coded
for correct placement around
RL RA LL LA
the heart. Do not press on the
electrodes, as the electrode gel
may escape and adversely affect
the MR signal.
5 • Top right (RA, white)
• Bottom right (RL, green)
• Bottom left (LL, red)
Caution: Do not use ECG patches that have exceeded their expiration date or
appear to be damaged. Failure to comply could subject the patient to thermal • Top left (LA, black)
injury.
Note: If you do not receive a
Caution: Never use electrodes other than those supplied by Hitachi Medical
Corporation. Failure to comply could subject the patient to thermal injury.
usable ECG waveform, the ECG
leads can be rearranged.
2-56
Arrange the induction cord as

6
straight as possible, avoiding
directly touching the skin. The
6 only part that can touch is the
thick part of the cord covered by
a white tube.
Connect the induction cord to the
7
ECG connector on the PMM
module, located on the left side
of the gantry.
Caution: Do not allow gating cables to

come in contact with a surface coil or
surface coil cable. Prevent the EGC lead
wires and cable from coming in contact
with the patient’s skin. Use padding or
other materials to separate the ECG lead
wires and the ECG cable from the patient.
Failure to comply could subject the patient
to thermal injury.
2-57
Check the waveform at the

8
console. To open the Waveform
window, click the Waveform icon
on the Launcher bar.
8 9 Click the ECG tab to activate the

ECG gating. The tab turns
yellow.
9
Monitor the waveform for
10
patient’s heart rate and displays
10 it in the WaveForm window. If
the waveform is erratic or
otherwise unstable, reposition
the electrodes on the patient,
and then check the waveform
again.
2-58
11 11 In the Gating section of the Scan

Parameters List, set Gating to
MS-ECG or Cine.
12
Set Beat Rate to the patient’s
12
13 heart rate located in the upper
right corner of the Waveform
window.
Set Gating Source to ECG.

13
2-59
14 Options available in the Gating

14
area depend on the selection
made in the Gating list (Cine or
MS-ECG).
In Cine Gating, various Gate

15
Modes are available.
16
15 Cine Gating enables you to
16
change the Multi Phase
parameter to set the number of
images to be acquired at
different heart phases of the
cardiac cycle.
16
2-60
MS-ECG Gating uses multiple

17
slices, rather than multiple
phases of the cardiac cycle.
In MS-ECG Gating, the Gate

18
Mode list defaults to Trigger.
Enter or select values for Count

19
and Delay (ms).
18
19
2-61
Chapter 2-11 Imaging: MRCP
Place the RAPID Body coil on the

1 1
table. Place Trough Pads A and D
and Table Pad F as displayed at
left.
Position the respiratory bellows

2
on the patient.
setting up respiratory gating,
refer to Chapter 2-8, “Imaging:
2 Gating - Respiratory,” on
page 2-47.
Place the top of the RAPID Body
3
coil over the patient. Push down
to lock in place.
Align the laser to the center of
4
the RAPID Body coil.
Press and hold Set to advance

Caution: Avoid loops in the cable. Place any excess cable between the patient table and
5
the pads. Prevent the cable from touching the patient or any part of the magnet bore. the patient to isocenter.
Failure to comply could subject the patient to thermal injury.
2-62
Note: HMSA recommends that

all breath hold sequences in this
protocol be performed on
expiration, except the 3D MRCP,
which is respiratory-gated.
Load your site’s MRCP protocol

6
into the Exam window. If your
site does not have one, select
the HMSA - MRCP protocol from
the System Directory.
adding protocols, refer to
Chapter 2-1, “Imaging: Scanning
a Protocol,” on page 2-1.
Select the Scanogram SCA BH

7
task, and then click Start.
2-63
8 8 Select the S-Map BH task.
Load the Scanogram SCA images.
Position the slice group centered

to the body, as displayed at left,
and then click Start.
Select the Cor T2 SS-FSE BH task.

9

9
2-64
Select the Axial T2 SS-FSE BH

10 10
task.
Load the Cor T2 SS-FSE and

Scanogram SCA images.
Position the slice group, as

displayed at left, and then click
Start.
Select the MRCP Axial BH task.

11
Load the Cor T2 SS-FSE , Axial T2
SS-FSE, and Sagittal Scanogram
11 images.
Position the slice group over the

pancreas, as displayed at left,
2-65
Select the MRCP Radial BH task.

12 12
Load the Cor T2 SS-FSE and Axial
T2 SS-FSE images.
Position the radial slice slabs to

include the head of the pancreas
and bile ducts, as displayed at
left. The slices move as one
group.
Add slices, if required, by setting

13
StackCount to the desired
number of slices.
Modify the degree of angulation

between the radial slice stacks
by setting DeltaAngle degrees to
the desired value.
Click Start.
13
2-66
Select the MRCP Cor 3D - Resp.
14
Gate task.
14
Load the Cor T2 SS-FSE images.
Position the slice slab to include
the pancreas and bile ducts, as
displayed at left.
Under the Gating section of the
15
Scan Parameter list, set Beat
Rate to the patient’s respiration
rate from the Waveform
window, and then click Start.
Perform a MIP of the MRCP

16
source data.
15 Rotating,” on page 4-1, and
All of the acquired image series
are saved in the Patient Directory
and can be sent via DICOM to the
required destination.
2-67
Chapter 2-12 Imaging: Enterography
Prep the power injector unit to

1
administer the main bolus of
contrast followed by saline.
2 Dosage and rate are determined

by the radiologist.
2
table. Place Trough Pads A and
D and Table Pad F as displayed at
left.
Place the patient on the table
3
within the coil, as displayed at
left.
3 4 Align the laser to the center of


5
the patient to isocenter.
Caution: Avoid loops in the cable. Place
any excess cable between the patient
Caution: In both test injection and the main scan, the total volume of the contrast table and the pads. Prevent the cable from
agent and saline as well as injection rate should be equal. By doing this, the vessels will touching the patient or any part of the
be at their highest contrast. Varying the total volume and its injection rate will alter the magnet bore. Failure to comply could
time the contrast reaches the target vessel which will reduce the contrast of the vessel. subject the patient to thermal injury.
2-68
Load your site’s enterography

6
protocol. If your site does not
have one, select the HMSA -
Enterography protocol from the
7 System Directory.
8 Select the Scanogram SCA (Free
7
Breathing) task, and then click
Start.
Select the S-Map (Free
8
Breathing) task. Load the
Scanogram SCA images.

to the body, as displayed at left.
Click Start.
2-69
9 Select the Motility - Cor BASG

9
FatSat (FreeBreathing) task.

to include the bowel, as
displayed at left.
Click Start.
10 Select the Motility - Cor BASG
10
(FreeBreathing) task.
Click Copy Option. Select to copy

11
from the Motility - Cor BASG
FatSat (FreeBreathing) task.
Set the Copy Parameters as

OK.
11 Click Start.
2-70
Select the S-Map BH task.

12
12 Load the Scanogram SCA images.
Position the slice group as

displayed at left.
Click Start.
Select the Abdomen - Axial T2

13
SS-FSE BH task.
13 Position the slice group over the

abdomen, as displayed at left,
ensuring coverage of the
superior portion of the bowel.
Click Start.
2-71
Select the Abdomen - Axial

14 14
BASG BH task, and then click
Start.
Note: The SCA Scanogram
images automatically load into
the viewports.
Slice position is automatically

copied from the Abdomen -
Axial T2 SS-FSE BH task.
Select the Abdomen - Axial

15
BASG FatSat BH task, and then
15 click Start.

images will automatically load
into the viewports.

copied from the Abdomen -
Axial T2 SS-FSE BH task.
2-72
Select the Pelvis - Axial T2 SS-

16 16
FSE BH task.

17
Position the slice group over the
17 pelvis, as displayed at left,
ensuring coverage of the inferior
portion of the bowel.
Click Start.
Select the Pelvis - Axial BASG BH
18
18 Note: The SCA Scanogram

the viewports.

copied from the Pelvis - Axial T2
SS-FSE BH task.
2-73
Select the Pelvis - Axial BASG

19 19
FatSat BH task, and then click
Start.
the viewports.

copied from the Pelvis - Axial T2
SS-FSE BH task.
Select the Cor T2 SS-FSE BH task.
20
20
to include the bowel, as
displayed at left.
Click Start.
2-74
Select the Cor BASG BH task, and

21 21
then click Start.
the viewports.

copied from the Pelvis - Cor T2
SS-FSE BH task.
Select the Cor BASG FatSat BH

22

22 images automatically load into
the viewports.

copied from the Pelvis - Cor T2
SS-FSE BH task.
2-75
Select the Cor TIGRE-C BH (Pre)

23 23
task.

24
24 to include the bowel, as
displayed at left.
Select the Fluoro Scan task.

25
Fluoro Position the slice as displayed at
Images left, centering on the aorta.
25
2-76
Select the Cor TIGRE-C BH

26 26
(Arterial) task.
the viewports.

copied from the Cor TIGRE-C
(Pre) BH task.
Select the Cor TIGRE-C BH (90
27
sec) task.
27 Note: The SCA Scanogram

the viewports.

(Pre) BH task.
2-77
Select the Cor TIGRE-C BH (3

28
28 min) task.
the viewports.

(Pre) BH task.
Fluoro Click Start.
Images
The Cor TIGRE-C BH (Pre) scan is
29
performed.
After completing the scan, the

29 system pauses.
Ensure good image quality

before continuing.
2-78
Arm the power injector.
30
Dosage and rate are determined
by the radiologist.
Click Continue to begin the
31
Fluoro Scan task.
Live images are generated in the

fluoro viewports.
Begin the contrast injection of
32
the entire contrast bolus,
31 followed by saline.
Subtracted Fluoro Note: Do not breath hold the
Fluoro Images Images Fluoro Scan task.
As soon as the contrast is seen in

33
the descending aorta, click the
Next button. The first post-
contrast series is acquired.
33 Note: After clicking Next, a 3 to 5
second pause occurs when using
Auto Voice. The amount of time
depends on the Auto Voice
settings.
2-79
For each of the remaining post-

34
contrast series, select the task,
and then click Continue.

are saved in the Patient
Directory and can be sent via
DICOM to the required
destination.
saving images or performing a
DICOM transfer, refer to Chapter
5, “Storing Images,” on page 5-1.
2-80
Chapter 2-13 Imaging: CSF Flow
Position the patient on the table

1
for routine brain or cervical spine
imaging.
2 Attach the pulse wave sensor to
2
the patient’s middle or index
finger so it fits snugly. The sensor
must be positioned so that the
arrow is on top of the fingernail.
Place the patient’s hand by their
3
side. Advise the patient that any
movement of the hand will
interfere with the pulse signal.
Note: If an inadequate pulse

waveform is seen in the
Waveform window, ECG gating
Caution: Verify that only the peripheral can be performed for this study.
gating sensor touches the patient and that
the cables do not come in contact with the
patient. Failure to comply could subject Note: For more information
the patient to thermal injury. about pulse gating setup, refer
to Chapter 2-9, “Imaging: Gating
- Pulse,” on page 2-51.
2-81
Perform routine brain or cervical

4
spine imaging.
Load your site’s sagittal and axial

5
CSF flow tasks into the Exam
6 window. If your site does not
have them, add the CSF Flow -
Axial PC and CSF Flow - Sag PC
7 tasks from the System Directory.
adding tasks, refer to Chapter
2-1, “Imaging: Scanning a
Protocol,” on page 2-1.
Select the CSF Flow - Sag PC

6
task, and load the Scanogram
SCA images into the viewports.
Position the sagittal slice midline

7
in the brain or midline in the
cervical spine through the spinal
cord, as displayed at left.
2-82
Check the pulse waveform at the

8
console by clicking the
bar to open the WaveForm
window.
Click the PULSE tab to activate

9
9 the pulse gating. The tab turns
yellow.
2-83
In the Gating section of the Scan

10
Parameter list, set Beat Rate to
10 the patient’s pulse rate displayed
in the Waveform window.
If the Suggestion Parameters

11
window displays after entering
the patient’s Beat Rate, select
Multi Phase, and then click OK.
11
2-84
In the VENC section of the Scan

12
Parameters list, set the VENC
Direction to the plane in which
12
the CSF flows (H-F).
The Target Vel. is set to 8.
Note: If the target velocity is set

too low, an aliasing artifact or
wrapping around velocity
information within a voxel can
occur.
If the target velocity is set too

high, noise increases in the
velocity image and can affect the
preciseness of the velocity
analysis.
Click Start.
Aliasing Artifact Examples
2-85
Select the CSF Flow - Axial PC

13 13
task, and load the Scanogram
SCA images into the viewports.
For CSF flow evaluation in the

14
brain:
Position an axial slice in the brain
perpendicular to the CSF flow
through the area specified by the
radiologist.
For CSF flow evaluation in the

14 cervical spine:
Set an axial slice in the cervical
spine at the level of the disc
Slice Line Examples
space specified by the
radiologist. Position the slice
perpendicular to the spinal cord.
Slice Line Examples
2-86
In the Gating section of the Scan

15
Parameter list, set Beat Rate to
15 the patient’s pulse rate displayed
in the Waveform window.
If the Suggestion Parameters

16
window displays after entering
the patient’s Beat Rate, select
Multi Phase and then click OK.
16
2-87
In the VENC section of the Scan

17
Parameters list, set the VENC
17 Direction to the plane in which
the CSF flows (H-F).
The Target Vel. is set to 8.
Note: If the target velocity is set

too low, an aliasing artifact or
wrapping around velocity
information within a voxel can
occur.
If the target velocity is set too

high, noise increases in the
velocity image and can affect the
preciseness of the velocity
analysis.
Click Start.
Aliasing Artifact Examples
2-88
Select the Velocity Analysis task.

18 18
If your site’s protocol does not
include one, add it from the
System Directory.
Load the light gray velocity
19
image series into the Velocity
Analysis task.
Set Operation to Dynamic.

20
19
20
2-89
Follow these steps to place an

21
ROI(s) in the area specified by
a the radiologist:
a Go to Overlays > Add ROI >

Ellipse.
b Draw the ROI(s) over the area of

interest.
c When you are finished drawing

ROIs, press the Esc key to enable
Select Mode. ROI size and
placement can then be adjusted.
2-90
Click Apply to All.

22 22
Scroll through the velocity

23
images and note the highest and
lowest velocity values for the
ROIs. Change the Minimum and
Maximum values so that all of
the data points can be seen on
the graph, and then click Start.
Note: The Velocity (Absolute)

cm/s parameters default to a
Minimum of -1.00 and a
Maximum of 0.60.

are saved in the Patient
Directory and can be sent via
DICOM to the required
destination.
2-91
Chapter 2-14 Imaging: Radial Hip
Perform routine hip imaging.

1
4 Load your site’s hip radial

2
protocol into the Exam window.
If your site does not have one,
select one from the System
Directory.
Select the Scanogram Radial

3
task, and load the coronal and
axial images into the viewports.
In the axial and coronal

4
viewports, center the axial and
sagittal slice groups on the
femoral head, as displayed at
left.
2-92
5 In the coronal image viewport,

5
rotate the axial slice group
perpendicular to the
acetabulum. The sagittal slices
are parallel to the acetabulum.
Use the white dotted projection
line to intersect the tips of the
acetabulum, as displayed at left.
In the axial image viewport,
6
rotate the sagittal slices parallel
to the acetabulum.
Axial Slice Group
Use the white dotted projection
line to intersect the tips of the
6 7 acetabulum on the coronal
image, as displayed at left.
Click Start.
In the coronal viewport, use the
7
white dotted projection line to
intersect the tips of the
Click Start.
2-93
Select the Radial PD FSE or

8
Radial PD FSE FatSat task.
Load the Scanogram Radial

9
images and a coronal image
8 series. On the coronal image,
center to the hip, as displayed at
left.
2-94
In the coronal image viewport,

10 10
11 angle the slice perpendicular to
the acetabulum. The white
dotted projection line should
intersect the tips of the
In the Scanogram Radial axial

11
image viewport, angle the slice
so that the white dotted
projection line intersects the tips
of the acetabulum, as displayed
at left.
12
In the Scanogram Radial sagittal
12
image viewport, center the radial
slice group to the femoral head,
as displayed at left.
Click Start.
The image series is saved in the

Patient Directory and can be sent
via DICOM to the required
destination.
2-95
Note: The signal void in the

center of the hip is caused by
cross-talk and does not affect
visualizing the acetabular rim.
Radial PD FSE FatSat Hip Image Example
2-96
Chapter 3-1 Review and Filming: Review In Exam Window
To review images while in an

1 1
Exam window, select the Review
task in the Protocol Properties
area.
Load the series to review from
2
the Series area, using one of the
following methods:
• Double-click the series.
or
• Drag and drop the series into

the appropriate viewport.
or
• Drag and drop the series into

the Source box.
3-1
To change the order of the

4 3 5 3
displayed series in the Review
task, click Details. The Detail
Screen window opens.
In the Displayed Series area,

4
select the series you want to
move from the list.
Use the Up and Down arrows to

5
change the series order.
3-2
Click OK on the Detail Screen

6
window when the changes are
complete.
Changes to the display are

reflected in the Review task.
6 In this example, the T1 FSE
sagittal is now located in the left
viewport.
3-3
To eliminate empty or released

7
viewports, click the Rearrange
Series icon.
Empty and/or released
8
viewports are eliminated, and
viewports containing images are
7 rearranged.
3-4
Chapter 3-2 Review and Filming: Review From Launcher
2 1 To review images using the

1
Launcher bar, click the Review
Task icon to open a Task Review
window.
Notice there are no protocol or

parameters areas.
Click Load to open the Series

2
Selector window.
Double-click a patient study to

3
select it.
3-5
Chapter 3-2 Review and Filming: Review From Launcher
Select the series to be reviewed

4
by double-clicking or by selecting
and then clicking OK. You can
select from multiple exams
and/or multiple patients.
Note: A Review task opened
from the Launcher bar gives
4 access to series from multiple
5 exams and/or multiple patients.
Selected series load to the

5
Review task.
In this example, three different

series on the same patient are
loaded for review.
3-6
Chapter 3-3 Review and Filming: Filming From Review
To film images from a Review

1
task, click the small arrow in the
upper right corner of the
selected viewport.
1
Select the Filming Window
2
option.
A FilmReview window opens.

3
Images may load automatically.
The last page of images is

displayed, with the next open
frame highlighted in teal.
2 Prior to changing the Film Layout
option, be sure to select the first
3 page of the series.
3-7
4 5a 6a 5b To change the film layout, select

4
a different layout from the
dropdown list. Common filming
layouts are saved in the
dropdown list.
Additional layouts are found in
5a
the Layout Selector window,
accessed from the Select Layout
icon.
Layouts with checkmarks appear
5b
in the dropdown list.
Additional layouts can be

6a
created using the Layout Editor
window, accessed from the Edit
Layout icon.
The Layout Editor window

6b
opens.
6b
3-8
In the Review task, select the

7
image or series to be added. The
selected frame is highlighted in
teal.
In this example, a sagittal image

is being added.
In the FilmReview window,

7 8
select the frame where the
image will display, or where the
first image in the series will
display. The selected frame is
highlighted in teal.
Click the Series icon or Image
9a
9a icon in the FilmReview window.
The image or series displays in
9b
the Film Review window.
8 9b
3-9
Select an empty frame in the

10
10 11 FilmReview window.
Click the Scano icon or the Text

11
icon.
A scanogram image or text page
12
opens in the selected frame.
12
3-10
To clear a single frame on the

13
sheet of film, click the frame to
13 14 be cleared. The selected frame is
highlighted in teal.
Click the Clear icon.

14
The selected frame is cleared.

15
15
3-11
To clear all sheets of film, click the

16 16
All X icon.
The FilmReview window returns

to one blank page, with the first
frame highlighted in teal.
3-12
To change additional settings,

17
click the small arrow in the
17 upper right corner of the
FilmReview window.
Click the arrow again to hide the

settings.
The parameters allow you to add

18
calipers, insert or override
frames, change printers, and so
on.
If the Load Series Auto check

19
box is selected, the series
18 selected on the review task
automatically loads when
Filming Window is selected from
the Viewport List menu.
19
3-13
Chapter 3-4 Review and Filming: Filming From Launcher
Open a Review Task window

1 1
with images displayed. Click the
Filming Tool icon on the
Launcher bar to open a Filming
Tool window.
The Filming Tool window has a
2 2
menu and tools for easy
manipulation of images before
filming. These are not found on
the FilmReview window.
Note: The Filming Tool window

does not have auto load
functionality; the remainder of
the Setting area is the same as
the FilmReview window.
3-14
Chapter 4-1 Post Processing: MIP – Rotating
In the Protocol Properties area of
1 the Exam window, click a MIP task
1 to select it.
Load the source data into the

2 viewports by double-clicking the
desired source series in the Series
area.
2 A yellow circle on the MIP task
indicates that the images are
loading.
When loaded, the source data is
Source Data displayed as MIP images in the
orthogonal viewports.
4-1
Click the Projection tab.
3
Set Projection to Rotating.
Coronal Sagittal
Set Mode to MIP.
3 Note: HMSA recommends using

the rotating projection method for
the MIP process.
Axial Output
4-2
Click the Clipping tab to access the
4 clipping icons.
Click the Plus Free Shape icon to

5 include anatomy inside the region
of interest.
4
The pointer becomes a pencil with
a plus sign (+).
4-3
Drag to draw a free shape around
6 the region of interest. If a mistake
is made while creating the region
of interest, right-click to delete.
Double-click to complete the free
shape.
Anatomy inside the drawing is
included in the MIP.
The output viewport updates
automatically once the shape is
created.
6 Updates
Automatically
4-4
To eliminate any mistakes made
7 while clipping, click the desired
Undoes the last clipping that was performed.
option from the Clipping tab.
Deletes all clipping from the active viewport.
Deletes clipping from all viewports.
4-5
Click the Update Orth. Views
8 button on the Clipping tab.
Repeat clipping steps in the

9 coronal and sagittal viewports.
4-6
Click the Minus Free Shape icon to
10 exclude anatomy inside the region
of interest.
10
The pointer becomes a pencil with
a minus sign (-).
In the output viewport only, drag

11 to draw a free shape around
unwanted anatomy, eliminating
areas inside the region of interest.
Note: Additional clipping can

be performed to eliminate
unnecessary background vessels
or anatomy.
11
4-7
The output image can be rotated
12 for additional clipping. To rotate
the output image, click the 3D
12 Rotate button on the Clipping tab.
Drag in the output viewport to

13 rotate the image.
13
4-8
To perform additional clipping
14 in the rotated output viewport,
click the 3D rotation command to
deselect it.
The Minus Free Shape icon
remains selected, and the pointer
is a pencil with a minus sign (-).
To change the output viewport to

15 an orthogonal orientation, right-
click in the output viewport, and
then click Select Mode. Select the
desired orthogonal view button on
the Clipping tab.
15
4-9
After clipping is completed and
16 prior to clicking Start, click the
Projection tab. The parameters
Green check marks
17a displayed vary based on the
indicate functions method selected from the
that will be applied.
Projection list.
To generate MIP images rotated

17a around the Z-axis, enter values
into the StartAngle field and the
To generate rotated
Increment field in the Rotate
MIP images, enter a
StartAngle value and The StartAngle value row. The StartAngle value sets
an Increment value in and the Increment the starting point. The Increment
the Rotate row. value should be zero value sets the degree of rotation
in the Tilt row.
between each MIP image. Enter a
positive value to perform a left-to-
right rotation, or a negative value
for a right-to-left rotation.
Note: To generate images
rotated around the Z-axis,
HMSA recommends the settings
displayed at left. The Increment
value and the Slice Number value
can be varied based on radiologist
preference.
4-10
To generate MIP images rotated
17b around the X-axis, enter values
17b into the StartAngle field and the
Increment field in the Tilt row. The
Green check marks StartAngle value sets the starting
indicate functions point. The Increment value sets
that will be applied. the degree of tilt between each
MIP image. Enter a positive value
to perform a top-to-bottom tilt, or
a negative value for a bottom-to-
The StartAngle value top tilt.
and the Increment
value should be zero
Note: To generate images
in the Rotate row. To generate tilted
MIP images, enter a rotated around the X-axis,
StartAngle value and HMSA recommends the settings
an Increment value in displayed at left. The Increment
the Tilt row.
value and the Slice Number value
can be varied based on radiologist
preference.
4-11
In the Slice area, set Number to
18 the number of MIP images that
will be created.
In the Acquisition area, set

19 Acquisition No. to 1 as this is not a
dynamic data set.
Set Acquisition Scope to Current.
In the Image Quality area, set

20 the parameters to the values
displayed at left. Adaptive Filter
18 can be changed per radiologist
preference.
19
20
4-12
Click Apply. The selected
21 parameters and clipping are
applied to the images.
Use the scroll bar on the output

22 viewport to preview the rotated
MIP images.
Click Clear to perform additional

23 clipping or adjust MIP parameters,
then click Apply again.
The output image retains
clipping that has been performed
previously.
Output
Viewport 21 23
Scroll Bar
22
4-13
Once the MIP images are
24 24 satisfactory, click Start to generate
the MIP series and save it in the
Series area of the Exam window,
and in the Series list for this
patient in the Patient Directory. A
Progress Bar
progress bar displays during MIP
image generation.
Series Entries
in Patient List
Series entries are made in the
Patient List for each of the MIP
processes that were performed,
as well as for the reference images
used for each MIP process.
Note: The MIP acquisition (for

example, Rotate or Tumble) that
is selected when Start is clicked
dictates the output references.
The reference images are the
same for all acquisitions.
Reference Image
Entries in Patient List
4-14
Chapter 4-2 Post Processing: MIP – Sliding
In the Protocol Properties area of
1 1 the Exam window, click a MIP task
to select it.
Load the source data into the

2 viewports by double-clicking the
desired series in the Series area.
A yellow circle on the MIP task
2
loading.
When loaded, the source data is
displayed as MIP images in the
orthogonal viewports.
Source Data
4-15
On the Projection tab, set
3 Projection to Sliding.
Coronal Sagittal
Set Mode to MIP.
The option selected from the
3 Defining View list determines
which axis the MIP images will
reference on.
Axial Output
4-16
In the MIP Setting area, change
4 the annotation as necessary.
In the Setting Parameter area, set

4 5 the following values:
• Thickness: Sets the slice
thickness for projected images
The green check mark
• Angle: Rotates the slice slab to
indicates the function
that will be applied. the degree entered
• Interval: Sets the interval
between each projected image.
• Order: Sets the slice order
when Start is clicked
5 To achieve slice overlap, HMSA
recommends using a Thickness
value greater than the Interval
6 value.
In the Slice area, set Number to

6 the number of MIP images to be
created. Active Slice indicates
which slice is in the output
viewport.
4-17
In the Acquisition area, set
7 Acquisition No. to 1 as this is not a
7
dynamic data set.
Set Acquisition Scope to Current.
8
In the Image Quality area, set
8 the parameters to the values
displayed at left. Adaptive Filter
can be changed per radiologist
preference.
In the Exam window, click the slice

9 slab and position it over the area
of interest.
4-18
Click Apply. The selected
10 parameters and clipping are
applied to the images.
The scroll bar on the right side of
the output viewport can be used
to preview the sliding MIP images.
Click Clear to perform additional

11 clipping or adjust your MIP
parameters, and then click Apply
again.
The output (result) image retains
clipping that has been performed
previously.
10 11
4-19
Once the MIP images are
12 12 satisfactory, click Start to generate
the MIP series and save it in the
Series area of the Exam window,
and in the Series List for this
patient in the Patient Directory. A
Progress Bar progress bar displays during MIP
image generation.
Series entries are made in the
Patient List for each of the MIP
Series Entries in Patient List processes that were performed,
as well as for the reference images
used for each MIP process.
Reference Image Entries in Patient List
4-20
Chapter 4-3 Post Processing: Subtraction – Dynamic
In the Protocol Properties
1 area of the Exam window, click
1
Subtraction Task (Dynamic). The
subtraction task opens with the
subtraction parameters displayed.
4-21
Set Operation to Subtraction.
2
Operation List Pairing Condition List
Set Pairing Condition to Slice
3 Position.
2 3
4-22
Click Load in the Source box
4 area. The Series Selector window
opens.
4 Select the dynamic series to be

5 subtracted.
Note: To see a listing of the

temporal frames within the
dynamic series, click the small
arrow in the bottom right corner
of the Series Selector window.
4-23
8 A column header labeled

6 Acquisition Time should display in
a box in the middle of the Series
Selector window. If it does not
display, drag the Acquisition Time
column header into this box.
Click the first dynamic series to

6 7 select it. These are the Mask
images.
Press and hold the Ctrl key, then
Listing of Dynamic Series
click the second Dynamic series
to select it. This is the first set of
7 contrast enhanced images.
Click OK to load dynamic images

8 into the Subtraction task window.
Highlighted thumbnail images correspond

to the selected dynamic series.
4-24
A yellow circle displays next to the
9 Subtraction task during the image
loading and subtraction process.
9
The live (contrast enhanced)
10 images and mask images will load
in the correct viewports.
10 The large lower viewport will

11 display the subtraction results.
Live Image Mask Image
Subtraction Result
11
4-25
Click Start.
12
The green bar under the Start
button indicates the progress of
the subtraction output images as
they are added to the Series area,
as well as to the Series List for this
patient in the Patient Directory.
12
12
4-26
Repeat the Subtraction process,
13 pairing the mask with each
contrast-enhanced dynamic scan.
In this example, there were a total

14 of five dynamic scans (one mask
or non-contrast scan and four
contrast-enhanced scans).
Scan 1 (mask images) and Scan 3

15
14 (second live or contrast-enhanced
scan) are now selected for the
subtraction process.
Scan 1
Scan 3
15
4-27
Subtracted series will be listed
16 individually in the Series List of the
Patient Directory.
Click a subtracted series to display

17 images in the Image list.
17
16 Image List
4-28
Chapter 4-4 Post Processing: MPR – Parallel
1 1 Perform a 2D or 3D sequence.
2 In the Protocol Properties area,

2 click an MPR task to select it.
4-29
Load images into the viewports. To
3 do this, double-click the desired
Source Box series in the Series area. The
series name will appear in the
Source box.
A yellow circle on the MPR task
loading.
4-30
The MPR toolbar provides specific
4 tools that are necessary when
performing an MPR.
MPR tools can also be selected
from the MPR menu at the top of
4 the Exam window.
Show Reference Lines: Shows the crosshairs that serve as a guide when
placing projection lines.
Lock Reference Lines: Locks reference lines in place so they cannot be

moved by the mouse.
MPR Mode: Allows you to select the type of image to be displayed in the
Axial, Sagittal, and Coronal viewports. Choices include MIP and MPR.
Change Layout: Left-click on the dropdown to change the layout of the

viewports. Choices include E Shape, T Shape, O Shape, and + Shape.
4-31
The MPR task view area is
5 divided into four viewports: three
Coronal Sagittal orthogonal viewports and an
output viewport. Click a viewport
to make it active.
Set Projection to Parallel. The

6 plane selected in the SlicePlane
list is the plane in which slices will
be created.
5
Make additional selections in the
Active 7 Setting Parameter area.
6
Axial Output
4-32
Click the active viewport and
8 adjust the slice lines as needed for
the desired image.
Click Apply. Use the scroll bar in

9 the output viewport to review
images. Click Clear if you need
to make adjustments to the MPR
images, and then click Apply.
When satisfied with the MPR

10 output images, click Start to
generate the MPR series and save
8 it in the Series area and to the
Series List for this patient in the
Patient Directory.
10 9
4-33
Chapter 4-5 Post Processing: MPR – Curved
1 Perform a 2D or 3D sequence.
1 2
In the Protocol Properties area,
click an MPR task to select it.
2
4-34
series in the Series area. The
Source Box
Source box.
A yellow circle displays on the
MPR task while images are
loading.
4-35
performing an MPR.
4 the Exam window.

moved by the mouse.

4-36
Coronal Sagittal
orthogonal viewports and an
to make it active.
Set Projection to Curved.

6
Click Draw Curve.

6 7
Active
Axial Output
4-37
Click to select the viewport to
8 draw in. Drag to draw curved lines
as needed for the desired image.

8 images, and then click Apply.

it in the Series area, and to the
Patient Directory.
9
10
4-38
Chapter 4-6 Post Processing: MPR – Radial
1 Perform a 2D or 3D sequence.
1
2 2 click an MPR task to select it.
4-39
Source Box Source box.
MPR task while images are
loading.
4-40
performing an MPR.
4 the Exam window.

moved by the mouse.

4-41
Coronal Sagittal
orthogonal viewports and an
Active to make it active.
5
Set Projection to Radial. The plane
6 selected in the Slice Plane list is
the plane in which slices will be
created.
6 Make additional selections in the
7 Setting Parameter area.
Axial Output
4-42
Click the active viewport and
8 adjust the slice lines.
When adjusting the slice position
in an MPR task, it is possible to
perform a double oblique of the
slice group.
8
images, and then click Apply.

it in the Series area, and to the
Patient Directory.
10 9
4-43
Chapter 4-7 Post Processing: Image Quality Adjustment – VIVID
1 click an Image Quality Adjustment
1
task to select it.
Source Box
Source box.
Image Quality Adjustment task
while images are loading.
4-44
In the Setting section of the task,
3 VIVID Image is the default setting
that appears.
Set VI Type to the desired VI type.

4
Note: Type 1 provides the least

amount of adjustment; Type 4 the
most.
4
4-45
Click Apply to see the VIVID
5 results in the output viewport. The
Preview Progress window opens.
Select a different VI type, if

6 necessary, and then click Apply
to see new results in the output
viewport. Only the last selected
VI type is applied; this is not an
6
additive process.
To save these images to the Series

7 List in the Series area and in the
Patient Directory, click Start.
5
7
4-46
Chapter 4-8 Post Processing: Image Quality Adjustment – Image Mask
1 click an Image Quality Adjustment
1 task to select it. An input viewport,
output viewport, and Image
Quality Adjustment Setting area
display.
Image Quality
Adjustment
Setting Area
Input Viewport Output Viewport
4-47
The VIVID Image check box is
2 selected by default. Click to clear
the VIVID Image check box so the
2 VIVID image type is be applied.
Click the Add icon at the bottom

3 of the Image Quality Adjustment
Setting area to display additional
filter options.
Click Image Mask Filter.

4
3
4
4-48
Set Mode to Manual.
5
In the Series area, double-click the

6 desired series to load it into the
5 input viewport.
Image Quality Adjustment task
while images are loading.
Input Viewport Output Viewport
4-49
An ROI must be placed on the
7 image to indicate the area that will
be included in the output image.
7
On the Overlays menu, point to
Add ROI, then click Rectangle to
add a rectangular ROI.
4-50
Drag the pointer in the input
8 viewport to initially position and
Rotation Control size the overlay on the region
of interest. When a rectangular
ROI is drawn, the overlay can be
constrained to a square by holding
the Shift key while dragging.
8 15 To further modify or manipulate
9 the ROI, right-click anywhere in
the input viewport, click Select
Mode, and click the edge of the
ROI. Sizing handles appear around
the ROI and it turns green.
9 To resize, drag a handle.
To reposition, drag the center of
the ROI to a new location.
To rotate, drag the rotation
Sizing Handles control.
To stop ROI refinements and
remove the sizing handles, click
anywhere in the input viewport
except the ROI.
4-51
When changes to the ROI are
10 complete, click Apply to see
the filter results in the output
viewport.
The Preview Progress window

11 displays while the filter is being
applied.
11
10
4-52
The results of the Image Mask
12 filter operation are displayed in
the output viewport.
12 To save the images to the Series

13 list in the Series area and in the
The new series, to which an Image

14 Mask filter was applied, is listed
with the notation Mask.
13
14
4-53
Chapter 4-9 Post Processing: Image Quality Adjustment – Adaptive Imaging
Open or add an Image Quality
1 Adjustment task. Click the Add
icon at the bottom of the Image
Quality Adjustment Settings area
to display additional options, and
then click Adaptive Image Filter.
Load the images to the Image

2 Quality Adjustment task.
1
4-54
Chapter 4-9 Post Processing: Image Quality Adjustment – Adaptive Imaging
Click Apply to see the Adaptive
3 Imaging Filter results in the output
viewport. The Preview Progress
window opens.
Select a different filter, if

4 necessary, and then click Apply
to see new results in the output
viewport. Only the last selected
AI type is applied; this is not an
additive process.

4 5 list in the Series area and in the
3
5
4-55
Chapter 4-10 Post Processing: Image Quality Adjustment – Edge Enhancement
Open or add an Image Quality
1 Adjustment task.
Click the Add icon at the bottom

2 of the Image Quality Adjustment
Settings area to display additional
options, and then click Edge
Enhancement Filter.
Move the slider to the right or

3 click the plus (+) icon to sharpen
edge appearance.
Move the slider to the left or click
the minus (-) icon to smooth edge
appearance.
Load the images that are to be

4 filtered.
3
4-56
Chapter 4-10 Post Processing: Image Quality Adjustment – Edge Enhancement
Click Apply to see the Edge
5 Enhancement filter results in
the output viewport. A Preview
Progress window appears.
Change the Smooth or Sharp

6 settings if necessary, and then
click Apply to see new results in
6 the output viewport. Only the last
selected filter is applied; this is not
an additive process.

7
5 List in the Series area and in the
7
4-57
Chapter 4-11 Post Processing: Image Quality Adjustment – Output
A selected filter has a dark teal
1 background to indicate that
changes or adjustments to settings
can be made on this filter.
1 2
Select the check box only for the
2 filter(s) you wish to apply.
In this example, both VIVID and
Image Mask filters will be applied.
Labeling for filters includes the

3 following:
• VI: Image Enhancement
• Mask: Image Mask Filter -
Eliminates Background
• AI: Adaptive Image Filter
3 • Edge: Edge Enhancement Filter
- Sharp/Smooth
4-58
Chapter 5-1 Storing Images: CD/DVD
On the Launcher bar, click the

1
Patient Directory icon to access
the local database.
1 Insert a CD or DVD into the

2
CD/DVD drive.
Note: The system requires

DVD-R or DVD+R. These are
single-use DVDs not inside a
case.
5-1
Select Local Database in the

3
dropdown list.
To store an entire patient study,

4a
right-click the desired patient,
3 point to Send, and then click
CD/DVD.
The patient study is sent to the

4b
Job Queue and then is
automatically written to the
CD/DVD.
If the patient study is not

4a CD/DVD, refer to Step 6.
5-2
To store specific series within a

5a
patient study, in the Patient List,
5a 5c select the desired patient.
In the Series List, press the Ctrl

5b
key and click to select specific
series to store.
Right-click in the Series List area,

5c
point to Send, and then click
CD/DVD.
The selected series are sent to the
5d
Job Queue and then are
CD/DVD.
If the selected series are not

CD/DVD, refer to Step 6.
5-3
If the patient study is not

6a
automatically written to
CD/DVD, click Write CD/DVD to
6a start the storage process.
The Data is not yet written

6b
message updates to say Media
Writing.
6b
5-4
Chapter 5-2 Storing Images: PACS through DICOM
On the Launcher bar, click the

1
Patient Directory icon to access
1 the local database.
5-5
Select Local Database in the

2
dropdown list.
To send an entire patient study,

3
right-click the desired patient,
point to Send, and then click the
desired PACS destination.
5-6
To send specific series within a

4c 4a
patient study, click to select the
patient in the Patient List.
In the Series List, press the Ctrl

4b
key and click to select specific
series to send to PACS.
Right-click in the Series List area,

4c
point to Send, and then select
the desired PACS destination.
5-7
Chapter 5 Storing Images
5-8
Chapter 6-1 MRA: FLUTE – Carotids
Prep the power injector unit to

1

by the radiologist.
Caution: Ensure that the volume and rate of
2 the contrast agent and saline are equal. By
doing this, the vessels will be at their highest
contrast. Varying the volume and rate will
alter the time the contrast reaches the target
vessel which will reduce the contrast of the
vessel.
Place Trough Pads A, C, and D

2
on the table. Place the
Neurovascular coil on the table
along with Table Pads H and F, as
Note: This procedure includes displayed at left.
the use of a contrast agent. Note: If your site does not have
HMSA recommends that a the Neurovascular coil, the
power injector is prepped and Cervical Spine coil can be used;
ready to use before starting. however, coverage of the Aortic
Arch and Circle of Willis may be
sub-optimal.
6-1
Chapter 6-2 MRA: FLUTE – Renals

3
within the coil, as displayed at left.
Align the laser to the sternal
4
notch of the patient.

5
Load your site’s FLUTE carotids

6
have one, select the FLUTE
Carotids protocol from the
System Directory.
6-2
Select the Scanogram SCA task,

7 7
Select the S-Map task. Load the

8
8 position, and then click Start.
Select the Scanogram 2D TOF

9
9 Sag w/ MIP task.

10
10 Position the slice group as
Start.
6-3
11 Select the Pre/Post FLUTE

11
Carotids task.
Load the Scanogram SCA and
12
Scanogram 2D TOF Sag w/ MIP
images.

displayed at left, ensuring
coverage of the carotid and
vertebral arteries.
13
13 displayed at left, centering on
the carotid arteries and low
enough to cover the pulmonary
arteries.
Click Start to begin the pre-
14
contrast (mask) scan.

system pauses. Ensure good
image quality before continuing.
6-4
15 Arm the power injector.

by the radiologist.
16
Fluoro Scan task.
Begin the contrast injection of

17
followed by saline.
16 18 As soon as the contrast is seen
in the carotid arteries, click
Subtracted
Fluoro Images
Fluoro Images Next. The post-contrast (live)
FLUTE carotid images are
acquired.
Note: Shortly after the

a b c d e pulmonary arteries (c) are seen,
the aortic arch (d) will enhance,
followed by the carotid arteries
18 (e).
6-5
19 Select the MIP Carotids task.

19
Load the FLUTE Carotid images
into the MIP Carotids task.
Set Acquisition No. to 2.
20
Set Acquisition Scope to
Current.
Perform MIP functions.

21

20 4-1, “Post Processing: MIP –
Rotating,” on page 4-1 and
MIP – Sliding,” on page 4-15.
6-6
Note: This procedure includes

the use of a contrast agent.
HMSA recommends that a
power injector is prepped and
ready to use before starting.
2 1 Prep the power injector unit to

by the radiologist.
the contrast agent and saline are equal. By
3 vessel.

2
left.
3
within the coil.
6-7

4

5
7 all sequences in this protocol be
performed using breath holding
techniques.
Load your site’s FLUTE renals

6
any excess cable between the patient have one, select the FLUTE
table and the pads. Prevent the cable from Renals protocol from the System
touching the patient or any part of the
magnet bore. Failure to comply could
Directory.
subject the patient to thermal injury. Note: For more information on

7
6-8
Select the Cor BASG BH task.

8 8

Start.
Select the Axial BASG BH task.

9

Start.
9
6-9

10 10
Sag w/ MIP task.

Start.
Select the Pre/Post FLUTE Renals
11
task.
Load the Cor BASG, Axial BASG,
12
and MIP images from the
11 scan.

coverage of the anterior aorta
and at least half of the kidneys.
6-10

13
displayed at left, centering on
the aorta.
13 Click Start to begin the pre-

14
contrast (mask) scan.

system pauses. Ensure good
image quality before continuing.
6-11
Arm the power injector.
15
by the radiologist.
16
Fluoro Scan task.
Live images are generated in the

Fluoro viewports.
16 Begin the contrast injection of

17
followed by saline.
Subtracted
Fluoro Images
Fluoro Images
Note: Do not breath hold the
Fluoro Scan task.
As soon as the contrast is seen in
18
the descending aorta, click Next.
The post-contrast (live) FLUTE
renal images are acquired.
18 Note: After clicking Next, a 3
second to 5 second pause occurs
when using Auto Voice. The
amount of time depends on the
Auto Voice settings.
6-12
19 Select the MIP Renals task.

19
Load the FLUTE Renals images
into the MIP Renals task.
20
Current.
21
4-1, “Post Processing: MIP –
20 Rotating,” on page 4-1 and
6-13
Chapter 6-3 MRA: TRAQ – Renals
Note: This procedure includes

the use of a contrast agent.
HMSA recommends that a
power injector is prepped and
ready to use before starting.
2 1 Prep the power injector unit to

by the radiologist.
the contrast agent and saline are equal. By
3 vessel.

2
left.
3
within the coil.
6-14

4

5

7 all sequences in this protocol be
performed using breath holding
techniques.
Load your site’s TRAQ renals

6
Caution: Avoid loops in the cable. Place protocol. If your site does not
any excess cable between the patient have one, select the TRAQ
table and the pads. Prevent the cable from Renals protocol from the System
magnet bore. Failure to comply could Directory.
subject the patient to thermal injury. Note: For more information on

7
6-15
Select the Cor BASG BH task.

8 8

Start.
Select the Axial BASG BH task.

9

Start.
9
6-16

10
Sag w/ MIP task.
10 Load the Scanogram SCA images.

Start.
Select the CE-MRA Renals TRAQ
11
task.
11
6-17
Load the Cor BASG, Axial BASG,

12
and MIP images from the
scan. Position the slice group as
12 Arm the power injector.

13
by the radiologist.
Click Start and wait for the

14
prescan to complete. Click
Continue and Inject on the
power injector at the same time.
Note: Patients should be
instructed to hold their breath as
long as possible.
6-18

15
Load the TRAQ Renal images
into the MIP Renals task.
Set Acquisition No. to the
16
number of the best image group.

Current.

17
To create a dynamic MIP series,

18
set Acquisition Scope to Whole.
16 Perform routine MIP functions,
then click Start.

6-19
Chapter 6-4 MRA: VASC – Renals

1 1
table. Place Trough Pads A and D
and Table Pad F on the table, as
displayed at left.
Position the respiratory bellows

2
on the patient.
setting up respiratory gating,
refer to Chapter 2-8, “Imaging:
2 Gating – Respiratory,” on
page 2-47.
Place the top of the RAPID Body

3
coil over the patient. Push down
to lock in place.
4
3
5
Caution: Avoid loops in the cable. Place any excess cable between the patient table and
the pads. Prevent the cable from touching the patient or any part of the magnet bore.
Failure to comply could subject the patient to thermal injury.
6-20
Load your site’s VASC renal

6
have one, select the HMSA -
MRA VASC Renal Arteries
protocol from the System
Directory.
7
Select the Scanogram SCA task,
7
6-21
8 Select the S-Map task.

8
Select the Cor BASG (Resp.Gate)

9
task.

9 displayed at left, covering the
aorta through the posterior
border of the kidneys. Add slices
if necessary.
Open the Waveform window
10
and select the RESP tab.
In the Gating parameter section,

set Beat Rate to the patient’s
respiration rate, and then click
10 Start.
6-22
11 Select the Scanogram 2D TOF

11
Sag w/ MIP task.

displayed at left, centered on the
aorta and covering through the
renal pelvis, and then click Start.
Select the Cor VASC

12
Aorta/Renals (Resp. Gate) task.
12 Load the Cor BASG (Resp. Gate)

and Scanogram SCA images.
13 Position the slice group as
13
Place the blue Presats over both

kidneys and vena cava, as
displayed at left. Ensure that the
blue Presats are not placed on
the aorta.
6-23
14 14 In the Gating parameter section,

Start.
Select the Axial VASC

15
Aorta/Renals (Resp. Gate) task.
15 Load the Cor BASG (Resp. Gate)
and Scanogram SCA images.
16
16
coverage of the renal arteries.
Place two of the blue Presats

over the kidneys and vena cava,
as displayed at left. Be sure that
the blue Presats are not placed
on the aorta.
Place the third blue Presat at the

inferior border of the slice slab.
6-24
17 17 In the Gating parameter section,

Start.
Select the Sliding MIP task.

18
Load the Cor VASC Aorta/Renals

19
(Resp. Gate) images into the
Sliding MIP task.
18
Perform MIP functions, and then
20
click Start.
The Sliding MIP images are

reconstructed and are saved in
the Patient Directory.
6-25

21
Load the Axial VASC
Aorta/Renals (Resp. Gate)
images into the MIP Renals task.
22
Current.
23
22 4-1, “Post Processing: MIP –
6-26
VASC Renal MIP images display

in the Review task.
Results may vary.
6-27
Chapter 6 MRA
6-28
Chapter 7 Breast
There are two versions of the Oasis Breast coil:
8-Channel Breast Coil 7-Channel Breast Coil
This section describes the breast imaging process with both versions of the coils. Ensure you follow
the appropriate procedure according to your site’s coil version.
7-1
Chapter 7-1 Breast: 8-Channel Breast Coil
8-Channel Breast Coil

The following items are included with
the 8-channel Breast coil:
a. Head rest
a b c d b. 8-channel Breast coil
c. Torso transition piece
d. Head rest pad
e. Breast coil pad
f. Torso transition piece pad
e f g h g. Breast coil cup plug
h. Fatsat pads (single and triple)
i. Coil biopsy mechanism arms:
Lateral (2), Medial (2)
j. Velcro straps
i i j
k. Solid immobilization plates (4)
* Grid and pillar-post biopsy plates
can be ordered separately
through HMSA sales
administration.
k * * Biopsy plates are single use only.
7-2
Chapter 7-2 Breast: 8-Channel Breast Coil Routine Setup
Position the patient based on
1
one of the following patient
positioning scenarios.
Plan A
Note: If the patient’s back does
c a b not clear the gantry, proceed to
Plan B.
Caution: Do not use the breast coil and
biopsy mechanism with any method not
described here to prevent suboptimal
image quality and/or patient injury.
a Place the Breast coil directly on

the patient table between the
red arrows and the head of the
patient table.
b Place the torso transition piece
on the patient table. Make sure
the guide on the torso transition
piece fits into the slot in the base
of the Breast coil.
c Place the head rest on the
patient table close to the top of
the Breast coil.
7-3
Plan B
a If the patient’s back is touching the
gantry, remove the torso transition
piece. Place pillows or stack
blankets under the patient’s
abdomen for comfort.
7-4
Fat-Saturation Pad Place the fat-saturation pad on

2
the sternum portion of the coil,
under the positioning pad.
Place the patient on the coil in
3
the head-first, prone position.
Center the patient’s sternum on

4
the bridge that separates the
2 two halves of the coil. The
patient’s breasts must be
positioned within each open
cavity, with the central part of
each breast (in the head-to-foot
direction) centered on the
5 transaxial positioning mark on
the coil.
Using the strap, adjust the side
5
wings so they are held firmly
against the sides of the patient.
Adjust the head rest to support
6
the patient’s head.
Place accessory pads under the
7
patient’s arms for support.
7-5

table and the pads. Prevent the cable from
subject the patient to thermal injury.
8 8 Connect the coil cable to the

patient table connector.
Center the laser light to the

9
center of the coil.
Press and hold the Set button on

10
the gantry control panel until the
patient table advances the
patient to the magnet’s
isocenter and stops. The imaging
region centered under the lasers
is now in the center of the
magnetic field. The longitudinal
move counter display on the
gantry is 0.
7-6
Chapter 7-3 Breast: 7-Channel Breast Coil
7-Channel Breast Coil
The following items are included with
the 7-channel Breast coil:
a. Head rest
a b c d
b. 7-channel Breast coil
c. Torso transition piece
d. Head rest pad
e. Breast coil pad
e f g h
f. Torso transition piece pad
g. Breast coil spacer
h. Torso transition piece spacer
i. Breast coil cup plug
i j k j. Breast coil trough pad
k. Fatsat pads (single and triple)
l. Coil biopsy mechanism arms:
Lateral (2), Medial (2)
m. Velcro straps
l l m
n. Solid immobilization plates (4)
* Grid and pillar-post biopsy plates
can be ordered separately
through HMSA sales
administration.
n * * Biopsy plates are single use only.
7-7
Position the patient based on

1
one of the following patient
positioning scenarios.
Plan A
Note: HMSA recommends
a always using the spacers unless
Torso Transition Piece Spacer prohibited by the patient size. If
the patient’s back does not clear
the gantry, proceed to Plan B.
Caution: Do not use the breast coil and
biopsy mechanism with any method not
described here to prevent suboptimal
image quality and/or patient injury.
a Place the Breast coil spacer and

Torso transition piece spacer
Breast Coil Spacer directly on the patient table
between the red arrows and the
head of the patient table.
7-8
Plan A
b Place the Breast coil on top of its
spacer.
d b c
c Place the Torso transition piece
on top of its spacer. Make sure
the guide on the Torso transition
piece fits into the slot in the base
of the Breast coil.
d Place the head rest on the
patient table close to the top of
the Breast coil.
Spacers
7-9
Plan B
a If the patient’s back is touching the
gantry, remove the Torso transition
piece and spacer. Place pillows or
stack blankets under the patient’s
abdomen for comfort. This allows
the Breast coil to remain on the
spacer for optimal image quality.
Note: HMSA recommends

always using the spacers unless
prohibited by the patient size. If
the patient’s back still does not
clear the gantry, proceed to
Plan C.
7-10
Plan C
a If the patient’s back is still
touching the top of the gantry,
remove the spacers and place the
Torso transition piece directly on
the table without the spacers. The
Torso transition piece can also be
removed, and in its place, stack
pillows or blankets to position the
patient comfortably. This allows
the patient’s back to clear the top
of the gantry.
7-11
Fat-Saturation Pad Place the fat-saturation pad on

2
the sternum portion of the coil,
under the positioning pad.
Place the patient on the coil in
3
the head-first, prone position.
Center the patient’s sternum on

4
the bridge that separates the
2 two halves of the coil. The
patient’s breasts must be
positioned within each open
cavity, with the central part of
each breast (in the head-to-foot
direction) centered on the
5 transaxial positioning mark on
the coil.
Using the strap, adjust the side
5
wings so they are held firmly
against the sides of the patient.
Adjust the head rest to support
6
the patient’s head.
Place accessory pads under the
7
patient’s arms for support.
7-12

8 8 Connect the coil cable to the

9
center of the coil.
Press and hold the Set button on
10
the gantry control panel until the
patient table advances the
patient to the magnet’s
isocenter and stops. The imaging
region centered under the lasers
is now in the center of the
magnetic field. The longitudinal
move counter display on the
gantry is 0.
7-13
Chapter 7-5 Breast: Routine Imaging
Follow the routine setup in
1
Chapter 7-2, “8-Channel Routine
Setup,” on page 7-3, or Chapter
7-4, “7-Channel Routine Setup,”
3 on page 7-8.
Load your site’s breast protocol into
2
the Exam window. If your site does
not have one, select a protocol
4 from the System Directory.
5 a Protocol,” on page 2-1.
3
select the Scanogram SCA/S-
Map task, and then click Start.
Select the Shim Axial task. Load
4
the Scanogram SCA images. To
Note: This procedure includes achieve optimal results, perform
the use of a contrast agent. an axial shim only.
HMSA recommends that a Adjust the number of slices so
5
power injector is prepped and that only the bulk of the breast
ready to use before starting. tissue is covered. Too many slices
could result in poor fat saturation.
7-14
Set the optimized 40mm-thick

6
blue Presat at the most posterior
portion of the FOV box. It is used
to null signal from the two bright
spots you may see on the
Optimized 40mm Presat posterior chest wall. The bright
spots are caused by the
proximity of the chest wall to the
transmitter located behind the
top gantry cover.
Regardless if you see the bright

spots or not, do not move the
Presat or adjust the size.
Click Start.
7-15
To perform axial breast imaging,
7 7
select the Axial T2 FSE FatSat
task. Adjust the slice number and
position to assure all tissue from
both breasts is covered.
When performing axial breast fatsat
8
imaging, adjust the pink Regional
Shim to cover both breasts, as
displayed at left, and then click Start.
Average to Large Breasts

8 Set up the pink Regional Shim
box to include the breast tissue
up to the anterior chest wall.
Axial Imaging Regional Shim, Large Breast Sagittal Imaging Regional Shim, Large Breast
Small Breasts
Set up the pink Regional Shim box
8 to include the breast tissue and the
anterior third of the chest so that
the system sees enough Shim data.
Note: Sagittal TIGRE breast
system scan tasks are saved
with Shim Mode set to Volume
to achieve optimal, more
Axial Imaging Regional Shim, Small Breast Regional Shim, Implants
consistent fat suppression.
7-16
To perform sagittal breast

9
imaging, select the Sag T2 FSE
FatSat task. Adjust the slice
number and position to assure
all tissue from both breasts is
covered.
9
When performing sagittal breast
10
10 fatsat imaging, adjust the pink
Regional Shim to cover only the
breast of interest, as displayed at
left.
Note: Sagittal TIGRE breast
system scan tasks are saved
with Shim Mode set to Volume
to achieve optimal, more
consistent fat suppression.
Click Start.
7-17
Navigating the
Frequency Graph
Fat
Pay close attention to the
Frequency Graph every time it is
displayed. Sometimes the center
Water frequency line is shifted to center
on fat instead of water.
This is common when imaging

patients with fatty breasts or
Frequency Graph Before Adjustment Frequency Graph After Adjustment silicone implants; a water peak may
not be prominent, causing the
system to center on the dominant
fat peak or silicone peak.
In such cases, you must move the

blue line over so that it is centered
correctly on water before clicking
Continue.
Note: When performing breast
Examples of Breast Imaging Frequency Graphs
imaging, always keep in mind what
types of tissues and type of
implants, the patient may have as
you look at the Frequency Graph.
7-18
Silicone-Only Imaging
Silicone-only imaging uses a STIR
pulse for fat saturation and the RF
fatsat pulse for water saturation.
When both fat and water saturation
are applied, only the signal from
silicone is seen.
Silicone-Only Imaging Displayed in the Axial, Coronal, and Sagittal Views Silicone precesses at a frequency
very-close-to but slightly-less-than
fat. Therefore on a Frequency
Graph, the peaks would be arranged
Silicone
from left to right:
silicone → fat → water.
Depending on implant size and the

Fat
amount of breast tissue surrounding
the implant, you may not always see
Water
three peaks. You may only see two
peaks: one tall or wide silicone/fat
peak and a smaller water peak.
In every case, center the blue line

over water.
Frequency Graph Demonstration Silicone, Fat, and Water Peaks
7-19
a Identify the peaks. Confirm the

blue Center Frequency is
centered on the water peak.
b In the Offset Frequency field,
enter 260 and press Enter to
ensure optimal water
Silicone Fat
suppression while leaving the fat
Water and silicone signals unaffected.
Note: The green RF FatSat pulse
will shift to the right of the
Center Frequency on the
Frequency Graph, as displayed at
left.
Note: A value lower than 260
a b may display in the Offset
Frequency (Hz) field after you
press Enter. This occurs if the
green line is shifted as far to the
right on the graph as it can
possibly go.
Click Continue.
7-20
Silicone Suppression
Imaging
Different levels of silicone
suppression can be achieved by
adjusting the TI time of the
silicone suppression task.
Recommended TI Times:
400ms = Light suppression
550ms = Medium suppression
650ms = Heavy suppression
The silicone suppression system

scan tasks are saved with the TI
set to 650ms.
Light Suppression Heavy Suppression
TI=400 TI=650
Note: Changing the TR is not
recommended, as the TR and the
TI are directly related. Changing
the TR will impact the optimal TI
time and result in poor silicone
suppression.
7-21
Saline Suppression
Imaging
The saline suppression scans are
FIR sequences with the TI set to
null the signal from saline, while
fat signal remains bright.
Note: Changing the TR and/or TI

are not recommended, as TR and
TI are directly related. Changing
the TR and/or TI will impact
optimal saline suppression.
No Suppression Saline Suppression
7-22
Silicone/Saline Combination Implant Imaging
For patients who have implants that are composed of both silicone and saline, it is
recommended to perform both silicone and saline implant imaging techniques.
Remember to identify the proper peaks and adjust the Frequency Graph as needed.
7-23
Chapter 7-6 Breast: Biopsy Setup
Confirm the patient’s identity as
1
well as the correct side and site of
the biopsy using previous imaging.
Prior to positioning the patient,
2
place an IV so that contrast can
be given during the procedure.
4 5 Follow the routine setup in
3
Chapter 7-2, “8-Channel Routine
Setup,” on page 7-3, or Chapter
7-4, “7-Channel Routine Setup,”
on page 7-8.
Slide the solid immobilization
4
plate into the lateral (long-
handled) mechanism arm.
Note: The solid plates can be
used for firm compression to
help eliminate motion.
Latch the plate in place by
5
pressing the levers down.
6
Push the center button to insert
6
the lateral (long-handled)
mechanism arm into the base of
the coil.
7-24
Chapter 7-6 Breast: Biopsy Setup
Slide the biopsy plate into the

7
medial (short-handled)
mechanism arm.
Latch the biopsy plate in place by
8
pressing the levers down.
7 8
Push the center button to insert
9
the medial (short-handled)
mechanism arm into the base of
the coil.
Apply firm compression to the
10
breast tissue with the plates.
Note: Applying too much

compression can obscure lesions
and restrict IV contrast; applying
too little pressure can
necessitate multiple attempts to
9
sample the lesion.

11
center of the coil. Press Set to
advance the patient into the
magnet.
7-25
Chapter 7-7 Breast: Biopsy Imaging
Follow the biopsy setup steps in
1
Chapter 7-6, “Breast: Biopsy
Setup,” on page 7-24.
3 Load your site’s breast protocol
2
into the Exam window. If your
site does not have one, select a
protocol from the System
4 Directory.
5 a Protocol,” on page 2-1.
3
select the Scanogram SCA/S-
Map task, and then click Start.
Select the Shim Axial task. Load
4
the Scanogram SCA images. To
achieve optimal results, perform
Note: This procedure includes an axial shim only.
the use of a contrast agent. Adjust the number of slices so
HMSA recommends that a 5
that only the bulk of the breast
power injector is prepped and tissue is covered. Too many slices
ready to use before starting. could result in poor fat saturation.
7-26
Set the optimized 40mm-thick

6
blue Presat at the most posterior
portion of the FOV box. It is used
to null signal from the two bright
spots you may see on the
Optimized 40mm Presat posterior chest wall. The bright
spots are caused by the
proximity of the chest wall to the
transmitter located behind the
top gantry cover.
Regardless if you see the bright

spots or not, do not move the
Presat or adjust the size.
Click Start.
7-27
Select the Pre Axial 3D RSSG Loc

7 7
task.
Adjust the slice position to

include the breast of interest,
and adjust the Regional Shim
box to cover the breast, as
displayed at left.
Click Start.
Select the Pre Sag 3D RSSG Loc
8
task.
Position the slice group to

8 include the breast of interest,
and adjust the Regional Shim
box to cover the breast, as
displayed at left.
Click Start.
7-28
Select the Axial TIGRE - Dynamic

9
task.
Position the slice group to

9 ensure all tissue from both
breasts is included and adjust
the pink Regional Shim box, as
displayed at left.
Click Start.
7-29
To determine needle block

10
placement and depth of the
lesion using CAD, send the Pre
Sag 3D RSSG Loc and Axial TIGRE
11 - Dynamic series to CAD. The
radiologist determines the
Needle Block port and depth of
the lesion. The biopsy tool
company supplies the Feducial
marker and the CAD assumes the
point of reference is in the
center of the grid block.
To manually determine needle

11
block placement and depth of
the lesion, load the Pre Sag 3D
RSSG Loc images into the Review
task.
With the radiologist present,

12
scroll to the first sagittal image
containing breast tissue with the
grid “pooching” on the skin.
7-30
Click the Overlays icon, and then

13
14 select the Add Text option. In
small print, enter o and then
right-click and select Select
o
Mode.
Position the o over the Feducial.

14
Scroll to the image displaying the

15
lesion for biopsy.
Click the Overlays icon, and then

16
select the Add Text option. In
small print, enter x and then
13 right-click and select Select
Mode.
o x
Position the x over the lesion to
17
be biopsied.
Scroll back to the level of the

18
skin surface. The x stays visible.
16
7-31
Count the number of rows

19
up/down and left/right on the
grid to the x where the lesion is.
The needle block is to be placed
19 in this opening.
Note: The radiologist determines
which of the needle block
x openings will be used for needle
o guidance.
To manually measure lesion

20
depth, load the Axial TIGRE -
Dynamic images into the Review
task.
7-32
Scroll through the images until

21
you reach the one that best
shows the lesion to be biopsied.
Draw a distance line from the

lesion to the skin surface by
going to Tools > Measurement >
Distance. Click and drag to draw
a measurement line, as directed
by the radiologist. The
measurement is in millimeters.
Note: If the lesion is small, begin
the measurement line at the
edge of the lesion. If the lesion is
large, begin the measurement
line at the middle of the lesion.
Note: The radiologist determines
if 2 cm needs to be added to the
measurement to account for
block width. The biopsy tool
representative will confirm
whether or not this is needed, as
it varies depending on the biopsy
tools being used.
7-33
22 22 After the radiologist performs

initial needle placement, to
verify the obturator position,
select the Axial 3D RSSG Probe
Loc task. Go to Copy Option and
copy slice placement from the
Pre Axial 3D RSSG Loc.
Click Start.
Select the Sag 3D RSSG Probe
23
copy slice placement from the
23 Pre Sag 3D RSSG Loc.
Click Start.
7-34
25 Repeat the Probe Loc Axial and

24
Sag 3D RSSG tasks as needed
until the radiologist had verified
the needle placement is correct
for biopsy collection.
After the radiologist completes

25
25 the biopsy and places the marker
in the breast tissue, select the
Axial 3D RSSG Marker Loc task.
Go to Copy Option and copy
slice placement from the Pre
Axial 3D RSSG Loc.
Click Start.
26
Select the Sag 3D RSSG Marker
26
copy slice placement form the
Pre Sag 3D RSSG Loc task.
Click Start.
7-35
Chapter 7 Breast
7-36
Chapter 8-1 Cardiac Imaging: Patient Setup
Follow the cardiac gating steps in

1
Chapter 2-10, “Imaging: Gating –
Cardiac,” on page 2-55.
Place the RAPID Body coil
2
directly on the patient table in
the area between the red arrows
and the end of the patient table
nearest the magnet.
3 Position the patient supine on
3
the coil, with their arms up.
Center the heart at the transaxial
Patient Positioned with Arms Up
positioning mark on the coil. If
patient size permits, offset the
patient to the right side within
the coil, so that the heart is in
the center of the coil.
If the patient is unable to be

positioned with their arms up,
place their arms at their sides.
Note: If the patient does not fit
using the RAPID Body coil, the
Patient Positioned with Arms Down
Flexible Body coil, large or extra
large, can be used.
8-1
Chapter 8-1 Cardiac Imaging: Patient Setup
Connect the coil cable to the

4
Place the upper portion of the
5
RAPID Body coil on its base.
Push firmly on both sides of the
coil to securely close the coil.
Turn on the lasers and move the
6 6
patient table until the transaxial
midline on the coil is aligned
with the transaxial laser localizer
beam.
7
8-2
Chapter 8-2 Cardiac Imaging: Performing a Cardiac Exam
Follow the cardiac patient setup

1
steps in Chapter 8-1, “Cardiac
3 Imaging: Patient Setup,” on
page 8-1.
Load your site’s cardiac protocol.
2
If your site does not have one,
select a Cardiac protocol from
the System Directory.
3
select the Scanogram SCA BH
task.
Note: For breath hold imaging,
instructions can be performed
manually or with Auto Voice.
Auto Voice can be turned on in
the Scan Control area of each
scan task.
Click Start.
8-3
4 Select the S-Map task.
Adjust the slice position to cover

4 the chest, as displayed at left.
Click Start.
8-4
5 To perform axial cardiac imaging,

5
select an Axial scan task.

Adjust the position and number
of slices to cover the entire
heart, as displayed at left.
View the patient’s heart rate in

6
the WaveForm window.
In the Gating area of the Scan

7
Parameter List, set Beat Rate to
a value a little higher than the
patient’s actual heart rate to
help prevent mis-triggering.
6
Click Start.
7
8-5
To perform left ventricle two

8 8
chamber (vertical long axis)
cardiac imaging, select a 2
Chamber scan task.

Axial images. Position the slice
through the middle of the left
ventricle and atrium. Angle the
slice parallel to the
interventricular septum, as
displayed at left.

9

10
10 patient’s actual heart rate to
Click Start.
8-6
To perform left ventricle short

11 11
axis (SA) cardiac imaging, select
an SA scan task.
Load the Axial and 2 Chamber

12
images.
13 On the Axial image, position the
13
slice perpendicular to the
intraventricular septum.
On the 2 Chamber image, adjust

the slice position to cover the
entire left ventricle, as displayed
at left.
14
15 15 In the Gating area of the Scan

Click Start.
8-7
To perform four chamber cardiac

16 16
imaging, select a 4 Chamber
scan task. Load the 2 Chamber
and SA images.
17 17 On the 2 Chamber image,
position the slice lengthwise
through the center of the left
ventricle.
On the SA image, position the

slice so that it passes through
the center of the left ventricle
and the apex of the right
ventricle, as displayed at left.
18
19 19 In the Gating area of the Scan

Click Start.
8-8
To perform three chamber

20 20
cardiac imaging, select a 3
Chamber scan task.
22 Load the SA and Scanogram Cor

21
images.
On the SA image, position the

22
slice so that it passes diagonally
through the center of the left
ventricle. On the Scanogram Cor
image, position the slice
diagonally through the left
ventricle and aortic bulb, as
displayed at left.
23
24 In the Gating area of the Scan

24
Click Start.
8-9
To perform candy cane views of

25
the aortic arch, select an Oblique
27 Aorta scan task.
26
Axial images.
On the Scanogram Coronal and
27
Sagittal images, center the slice
on the ascending aorta.
On the Axial image, position the

slice so that it passes diagonally
through both the ascending and
descending aorta, as displayed at
left.
29 28

29
Click Start.
8-10
Chapter 8-3 Cardiac Imaging: Interactive Scan Control
3 1 Follow the cardiac patient setup

steps in Chapter 8-1, “Cardiac
Imaging: Patient Setup,” on
page 8-1.
Load a cardiac protocol and
2
select the Scanogram ISC BH
task. If your protocol does not
have one, add the task from the
System Directory.
adding tasks, refer to Chapter 2-
1, “Imaging: Scanning a
Protocol,” on page 2-1.
In the Protocol Properties
3
window, select the Scanogram
ISC BH task.
Note: A Shim is performed

during prescan of the Scanogram
ISC BH task.
8-11
On the All parameter tab, select
4
the desired slice plane. Turn on
Auto Voice if needed.
Click Start to begin the

Scanogram ISC BH task.
When started, the system

performs a prescan and
automatically pauses when the
prescan completes.
If you are instructing the patient
5
for breath holds, give breathing
instructions and then click
Continue.
If you are using Auto Voice,

breathing instructions are given to
the patient after Continue is clicked.
In either case, after Continue is

clicked, the Scanogram ISC BH
task continues to run and images
are displayed in the Fluoro
Viewports on the bottom row of
the Exam window.
8-12
Changes to slice position can be

6
made by manipulating the slice
group in one of the viewports.
The changes are immediately
reflected in the Fluoro Viewport.
While acquiring images with the

7
I-Scan task, the Overview
window can be opened by
clicking the Overview icon.
Parameters in black can be
changed during acquisition.
To save a fluoro image, click Save

8
in the lower right corner of the
Exam window. The saved image
is listed in the Output Series
window. If multiple images are
saved without stopping the I-
Scan, they will be placed in the
same series in the Output Series
window.
8-13
Click Stop in the lower right

9
corner of the Exam window to
stop the ISC Scanogram task. The
last displayed fluoro image is
saved as a series and is listed in
the Output Series area of the
Exam window.
The Scanogram ISC BH task can

be stopped and started multiple
times. Each time, images are
saved, and another series is
created in the Output Series
area and is saved in the Patient
Directory.
Note: I-Scan images can be used
as reference images or used to
copy slice position in the Copy
Option window. The I-Scan and
the selected scan task must be
the same plane in order to use
Copy Option.
8-14
Drawing upon the wide
experience in magnet,
gradient and RF technology
that has made Hitachi the
recognized design innovator
in patient-friendly MRI, Oasis
delivers high-field clinical
utility for today’s advanced
imaging environment. Oasis
is backed by Hitachi Medical
Corporation, a recognized
leader in imaging technology.
Hitachi Medical Systems America Inc.

1959 Summit Commerce Park
Twinsburg, Ohio 44087
Tel: 330.425.1313 800.800.3106
Fax: 330.963.0749
www.hitachimed.com
Hitachi Medical Corporation

Akihabara UDX
4-14-1 Soto-Kanda
Chiyoda-ku, Tokyo 101-0021, JAPAN
Tel: 81.3.3526.8407
Fax: 81.3.3526.8418
© 2016 Hitachi Medical Systems America Inc.

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5.0 Oasis Basic How-To Manual_complete

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Basic How-To Manual

Revisions Date Comments Effective Pages

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Once shutdown is complete,

The start up process is complete

The launcher window opens with

Enter data into the fields in the

Note: Items marked with an

Select a more specific anatomical

Click to select one of the listed

When patient registration is

Note: If information is not

Through the Patient Directory,

Note: For more information on

Use the Filming Tool window to

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To start your scanning, open the

If necessary, add a protocol to

a Right-click anywhere in the

The Protocol Selector(Open)

Click a task to select it to be

Tasks included in the selected

Click the Add Scan icon at the

Click the Add Post Processing

The Task Selector(Open) window

Click Start. The Start button

The completed scans will be

Click the S-Map task.

Drag and drop them into the

Click the next task.

Select all three planes of

While the task is running, click

Set up the next scan based on

Select and drag the scanograms

Use the images in the Output

Use the Zoom Image icon under

To review images from multiple

Double-click a series in the

Click and drag a series into the

Note: You can review images

Repeat Steps 13-19 until all

To perform a 3D TOF exam, open

Tasks included in the selected

Select the Scanogram SCA task.

Click the S-Map task.

Set up the S-Map slice group to

Click the MRA Brain 3D TOF task.

6 Select all three planes of

Click anywhere in the sagittal

The walking Presat moves along

Click Start to begin the 3D TOF

1 Tasks included in the selected

Click Start. The Start button

The completed scans display in

Click the S-Map task.

Set up the S-Map slice group to

Click the Scanogram 2D TOF Sag

Set up the slice group to center

Click the MRA Carotids 2D TOF

In the Output Series area, select