36A79719Q0008-048.pdf

Qty Item Description

1 MAGNETOM Skyra - System MAGNETOM Skyra is designed to provide you the versatility you need to meet the increasing demands in healthcare. Maximize 3T with its core technologies Tim(r) 4G and Dot(r), along with its comprehensive application portfolio and experience unique functionalities to increase patient comfort.

Every case. Every day.

System Design

- Short and open appearance (173 cm system length and 70 cm Open Bore Design) to reduce patient anxiety and claustrophobia

- Whole-body superconductive Zero Helium Boil-Off 3T magnet

- Actively Shielded water-cooled Siemens gradient system for maximum performance

- TrueForm Magnet and Gradient Design

Tim 4G (Total imaging matrix in the 4th generation) for excellent image quality and speed

- Siemens unique DirectRF(tm) technology enabling the all digital-in/ digital-out design

- Dual-Density Signal Transfer Technology

- Tim Coil Interface

Dot (Day optimizing throughput) for higher consistency, flexibility and efficiency

- Dot Display

- Dot Control Centers

- Brain Dot Engine

Tim Application Suite allowing excellent head-to-toe imaging

- Neuro Suite

- Angio Suite

- Cardiac Suite

- Body Suite

- Onco Suite

- Breast Suite

- Ortho Suite

- Pediatric Suite

- Scientific Suite

REQUISITION: 512-B71020

SHIP TO:

WAREHOUSE

V.A. Medical Center

VA MEDICAL CENTER

3900 LOCH RAVEN BLVD

BALTIMORE, MD 21218

Further included

- High performance host computer

- Patient communication: standard headphones and MagnaCoil(tm) In-Ear headset

- Siemens uniqueTimCT FastView localizer and CAIPIRINHA

- syngo MR software including

- 1D/2D PACE

- BLADE

- iPAT²

- Phoenix

- Inline Diffusion

- WARP

- MDDW (Multiple Direction Diffusion Weighting)

- CISS

- DESS

- TGSE

The system (magnet, electronics and control room) can be installed in 31 sqm space. For system cooling either the Eco Chiller options or the Separator is required.

1 Tim [204x48] XQ Gradients #Sk

Tim [204x48] XQ-gradients performance level

Tim 4G with its newly designed RF system and innovative coil architecture enables high resolution imaging and increased throughput.

Up to 204 simultaneously connected coil elements allow in combination with the 48 independent RF channels for the most flex ble parallel imaging and support the most demanding applications.

Maximum SNR is ensured through the new Tim 4G matrix coil technology.

XQ - gradients

The XQ- gradients are designed combining high performance and linearity to support clinical whole body imaging at 3T. The force compensated gradient system minimizes v bration levels and acoustic noise. The XQ gradients combine 45 mT/m peak amplitude with a slew rate of 200 T/m/s.

High-performance measurement and reconstruction system

1 Standard Coil Package 48+ ch#Sk

This package includes:

- Head/Neck 20 DirectConnect

- Spine 32 DirectConnect

- Body 18

- Flex Large 4

- Flex Small 4

- Flex Coil Interface

1 Tim Table #Sk

The new Tim Table is designed for maximized patient comfort and smooth patient preparation.

The unique design of the Tim Table can support up to 250 kg (550 lbs) patients without restricting the vertical or horizontal movement.

1 Pure White Design #T+D

The MAGNETOM Aera / MAGNETOM Skyra design is available in different light and appealing variants which perfectly integrates into the different environments. The color of the main face plate cover of the Pure White Design Variant with the integrated Dot Control Centers and the unique Dot Display is brilliant white surrounded by a brilliant silver trim. The asymmetrical deco area on the left side is colored white matte and also with a brilliant surrounding silver trim.

The table cover is presented also in the same color and material selection.

1 PC Keyboard US english #Tim

Standard PC keyboard with 101 keys.

1 TimTX TrueShape, syngo ZOOMit #Sk

Path to TimTX TrueShape and syngo ZOOMit for MAGNETOM Skyra.

1 Patient Supervision TV #T+D

The supervision solution is customizable and designed to address different site specific requirements. Up to 4 cameras can be optionally connected for patient supervision in the examination or waiting room.

This package contains a special video camera for monitoring the patient during an MR examination, conveniently mounted on the wall of the examination room. The information is displayed on an LCD monitor in the control room, included in this kit.

1 SW syngo MR E11C syngo MR E11C software with new features and applications.

GOBrain protocols (for Aera and Skyra with 48 or more rf-channels).

1 US Government

US government deals/orders/scanners, requiring the IA certification, shall not receive features marked by this license, since these features would not pass the security demands of IA (Information Assurance).

1 Spine Dot Engine #T+D

The Spine Dot Engine provides optimized cervical, thoracic and lumbar spine imaging.

Amongst various features to support streamlined spine workflow is Labeling of the vertebrae suggested by the system, Tim Planning Suite and In-line Composing. syngo WARP with View Angle Tilting (VAT) technique is provided for reducing in-plane geometric distortions syngo WARP can be used throughout the body.

1 Large Joint Dot Engine E11 #T+D

Large Joint Dot Engine optimizes image quality of knee, hip and shoulder scans by proposing the most appropriate protocols according to the examination strategy chosen for the specific patient. It ensures reproducible image quality and streamlines large joint examinations to the greatest extent.

Large Joint Dot Engine features AutoAlign and AutoCoverage for knee, hip and shoulder.

Susceptibility artifact reduction functionality can be used on knee and hip examinations. The WARP technique enables susceptibility artifact reduction functionality, optimized protocols are provided.

With syngo MR E11, the Advanced WARP option is also included.

Inline MPR (Multi Planar Reconstruction) calculations provide increased efficiency, reproducibility and ease of use.

1 Abdomen Dot Engine #T+D

The Abdomen Dot Engine: Personalized Exam Strategies - Guidance - Automatic sequence scaling - Auto Navigator - Auto-FoV - Timeline setup and monitoring - Automatic Voice Commands - Auto Bolus Detection - Inline radial range calculation for MRCP - Inline Subtraction - Inline Registration

1 Advanced Diffusion #T+D

Advanced Diffusion is a package consisting of the diffusion-weighted, readout-segmented EPI sequence RESOLVE and the noise reduced QuietX DWI sequence.

1 SWI #Tim

Susceptibility Weighted Imaging is a high-resolution 3D imaging technique for the brain with ultra-high sensitivity for microscopic magnetic field inhomogeneities caused by deoxygenated blood, products of blood decomposition and microscopic iron deposits. Among other things, the method allows for the highly sensitive proof of cerebral hemorrhages and the high-resolution display of venous cerebral blood vessels.

1 SMS EPI #T+D

Simultaneous Multi-Slice (SMS) EPI enables accelerated imaging for diffusion-weighted (DWI/DTI) and BOLD functional MR imaging. With SMS EPI, scan times for DWI can be reduced by up to 68% and/or images with higher spatial/diffusion resolution can be acquired.

For BOLD imaging, SMS EPI can enable increased temporal sampling of BOLD data acquisitions and/or improved slice coverage/resolution.

1 DTI Package #T+D

The DTI Package is a bundle of:

- Diffusion Tensor Imaging

- DTI Evaluation and

- DTI Tractography syngo

The bundle comprehends all acquisition and postprocessing tools for comprehensive DTI exams.

1 Neuro Perfusion Package #T+D

The Neuro Perfusions Package helps to streamline the clinical workflow by inline post-processing in dynamic susceptibility contrast (DSC) based perfusion imaging. This makes it possible to see perfusion maps immediately.

Perfusion parameter maps are based on a Local Arterial Input function. A corrected relCBV map calculation and motion correction is provided.

1 Neuro Perfusion Eval #T+D

Neuro Perfusion Evaluation syngo provides a task card for detailed post-processing of brain perfusion data sets. Color display of the relative Mean Transit Time (relMTT), relative Cerebral Blood Volume (relCBV), corrected rel CBV, and relative Cerebral Blood Flow (relCBF) is supported. Flexible selection of the Arterial Input Function (AIF) for more reliable analysis taking into account the dynamics over time of the contrast agent enhancement. Furthermore a calculation of maps using automatically selected local Arterial Input Functions (AIF) is provided to reduce the amount of user interactions.

The detailed evaluation of brain perfusion data sets generates parameter maps for TTP and PBP and for the hemodynamic parameters relMTT, relCBV, rel CBVcor and relCBF. These may show perfusion deficits and assist in the diagnosis and grading of e.g. vascular deficiencies and brain tumors.

1 Mapit syngo #Tim

Based on the T1, T2 or T2* properties of the cartilage syngo ParametricMap allows the early detection of osteoarthritic break down of cartilage structures even before morphological changes occur. The method supports therapeutic decisions in individual patients and can be used to control treatments non-invasively, replacing surgeries or biopsies.

The assessment of T1, T2 and T2* properties of tissues in other body regions is also possible.

syngo ParametricMap provides very fast 2D and 3D high resolution imaging sequences and the Inline calculation of parametric maps for the T1, T2 and T2* properties of the imaged tissue.

1 FREEZEit Body MRI Package #T+D

FREEZEit Body Package contains two robust sequences for advanced body imaging: TWIST VIBE and StarVIBE.

- TWIST VIBE is a new fast, high-resolution 4D imaging sequence for multi-arterial liver imaging.

- StarVIBE is a motion insensitive VIBE sequence using a stack-of-stars trajectory.

1 Composing syngo #Tim

This application provides dedicated evaluation software for creation of full-format images from overlapping MR volume data sets and MIPs (starting from syngo MR B13) acquired at multiple stages.

1 TWIST syngo #Tim

This package contains a Siemens unique sequence and protocols for time-resolved (4D) MR angiographic and dynamic imaging in general with high spatial and temporal resolution. syngo TWIST supports comprehensive dynamic MR angio exams in all body regions. It offers temporal information of vessel filling in addition to conventional static MR angiography, which can be beneficial in detecting or evaluating malformations such as shunts. In case of general dynamic imaging, for example an increase in spatial resolution by a factor of up to 2 at 60 seconds temporal resolution (compared to conventional dynamic imaging) is possible due to intelligent k-space sampling strategies. Alternatively, increased temporal resolution at constant spatial resolution is possible.

1 Flow Quantification #Tim

Special sequences for quantitative assessment of flow.

1 Argus Flow

1 Quiet Suite #T+D

Quiet Suite enables complete, quiet examinations for neurology and orthopedics with at least 70% reduction in sound pressure levels.

1 Tim Whole Body Suite #T+D

Tim Whole Body Suite puts it all together. This suite enables table movement for imaging of up to 205 cm (6' 9") FoV without compromise. In combination with Tim's newly designed ultra highdensity array higher spatial and temporal resolution can be achieved along with unmachted flexibility of any coverage up to Whole Body.

For faster exams and greater diagnostic confidence.

1 syngo security package enhanced

Software option providing enhanced security features including user management, password strength definition and audit trail functionality. Additional to the enhanced PHI protection a secure DICOM node communication via protected network communication can be configured.

This package supports customers implementation of defined security policy and definition of different groups of users at the scanner. It still includes support to achieve compliance with the HIPAA "Privacy" rule.

The syngo MR E11C is based on a hardened operating system and restricted syngo software with restricted network communication.

1 Body 18 #Sk

The Tim 4G coil technology with Dual Density Signal Transfer and SlideConnect Technolgy combines key imaging benefits: excellent image quality, high patient comfort, and unmatched flex bility:

- 18 channels (inherent) or up to 30 (in combination with the Spine 32)

- Dual Density Signal Transfer

- Ultra light-weight

- SlideConnect Technology

The Body 18 is part of the standard configuration. The 18-channel coil with its 18 intergrated pre-amplifiers ensures excellent signal-to-noise ratio. The 18 coil elements provide extensive coverage in all directions. The single SlideConnect plug allows for fast and easy patient preparation. The light-weight coil ensures highest patient comfort.

The Body 18 Coil features:

- 18-element design with 18 integrated preamplifiers (3 clusters of 6 elements each)

- Operates in an integrated fashion with the Spine 32 as an 30 channel body coil

- Can be combined with further Body 18 coils for larger coverage

- Can be positioned in different orientations (0°, 90°, 180°, 270°) for patient specific adaptations

- No coil tuning

- iPAT compatible in all directions

The highly flex ble design enables a wide variety of applications including:

- Thorax (incl. heart)

- Abdomen

- Pelvis

- Hip

Typically combined with:

- Head / Neck 20

- Spine 32

- Additional Body 18 coil(s) (optional)

- Peripheral Angio 36 (optional)

- Flex Large 4

- Flex Small 4

- Loop 3T coils (optional)

- Endorectal coil (optional)

1 Shoulder 16 Coil Kit #Sk

The new Tim 4G coil technology with Dual Density Signal Transfer and SlideConnect Technolgy combines key imaging benefits: excellent image quality, high patient comfort, and unmatched flexibility. The Shoulder 16 Coil Kit for examinations of the left or right shoulder consists of a base plate and two different sized iPAT compatible 16 channel coils (Shoulder Large 16 and Shoulder Small 16). These will be attached and can be relocated on the base plate.The 16-element coils with 16 integrated pre-amplifiers ensure maximum signal-to-noise ratio. Shoulder Large 16 and Shoulder Small 16 will be connected via a SlideConnect plug for fast and easy coil set-up and patient preparation.

1 Hand/Wrist 16 #Sk

The new Tim 4G coil technology with Dual Density Signal Transfer and SlideConnect Technology combines key imaging benefits: excellent image quality, high patient comfort, and unmatched flexibility.

Hand/Wrist 16 for examinations of the left or right hand and wrist region consists of a base plate and an iPAT compatible 16-channel coil and allows high resolution imaging of the wrist and the hand within one examination. Hand/Wrist 16 will be connected via a SlideConnect plug for fast and easy patient preparation.

1 TX/RX Knee 15 Flair 3T #Sk

New 15-channel transmitter/receiver coil for joint examinations in the area of the lower extremities.

Main features :

- 15-element design (3x5 coil elements) with 15 integrated preamplifiers

- iPAT-compatible

- SlideConnect Technology

1 Foot/Ankle 16 #Sk

The new Tim 4G coil technology with Dual Density Signal Transfer and DirectConnect Technolgy combines key imaging benefits: excellent image quality, high patient comfort, and unmatched flexibility.

Foot/Ankle 16 for examinations of the left or right foot and ankle region consists of a base plate and an iPAT compat ble 16-channel coil and allows high resolution imaging of the foot and ankle within one examination. Foot/Ankle 16 is a cable-less coil and will be connected via DirectConnect for fast and easy patient preparation.

1 Additional Set of Manuals

Additional set of manuals for the above selected MR system.

1 MR_GOV_RIG_INSTL

1 T+D Preinstall kit for fixed table

1 Standard Cryogens

1 MR Project Management

A Siemens Project Manager (PM) will be the single point of contact for the implementation of your Siemen's equipment. The assigned PM will work with the customer's facilities management, architect or building contractor to assist you in ensuring that your site is ready for installation. Your PM will provide initial and final drawings and will coordinate the scheduling of the equipment, installation, and rigging, as well as the initiation of on-site clinical education.

1 Armrest #MR

1 Initial onsite training 32 hrs

MR_INITIAL_32 Up to (32) hours of on-site clinical education training, scheduled consecutively (Monday - Friday) during standard business hours for a maximum of (4) imaging professionals. Training will cover agenda items on the ASRT approved checklist. Uptime Clinical Education phone support is provided during the warranty period for specified posted hours. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Follow-up training 24 hrs

Up to (24) hours of follow-up on-site clinical education training, scheduled consecutively (Monday - Friday) during standard business hours for a maximum of (4) imaging professionals. Uptime Clinical Education phone support is provided during the warranty period for specified posted hours. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 e.learning CEU subscription (12 mths)

This (12) month multi-modality e.learning subscription will provide access for (10) imaging professionals at the customer site to utilize up to (50 CEUs).

This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Additional onsite training 16 hours

Up to (16) hours of on-site clinical education training, scheduled consecutively (Monday - Friday) during standard business hours for a maximum of (4) imaging professionals. Training will cover agenda items on the ASRT approved checklist if applicable. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Additional onsite training 24 hours

Up to (24) hours of on-site clinical education training, scheduled consecutively (Monday -will cover agenda items on the ASRT approved checklist if applicable. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Additional onsite training 32 hours

Up to (32) hours of on-site clinical education training, scheduled consecutively (Monday -will cover agenda items on the ASRT approved checklist if applicable.This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

2 GOV'T ONLY - MR Training Class

Tuition for (1) government attendee to attend a classroom course of choice at one of the Siemens training centers. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 KKT ECOCHILLER 133L

The KKT ECO 133 -L chiller is a dedicated 20°C cooling system for MAGNETOM Aera and MAGNETOM Skyra which automatically adapts to the different cooling requirements (e.g.

system in operation, standby, ...) to reduce the energy consumption for cooling.

The cooling system must be used in combination with the IFP (Interface Panel), if there is no on-site chilled water supply at all.

The IFP is included in the scope of supply.

1 Chiller Start-up and Warranty for TIM

1 MRXperion injector

The MRXperion injector has the following features:

Streamlined Injection Workflow

Enhanced Point of Care - On-board eGFR and Weight Based Dosing Calculators, an Injection Pressure Graph, and independent Test Inject and KVO functions.

Informatics-ready - Connect with the Radimetrics Enterprise Platform for automated documentation, advanced analytics and viewable patient histories to facilitate standardized injection protocols and enhanced operational consistency.

Maximized Uptime Support - Connect to VirtualCare Remote Support for advanced injector system diagnostics, seamless software updates, and fast repairs.

Price includes installation, training and one year warranty through Bayer Healthcare.

1 MRXperion penetration panel

Includes penetration panel and installation by Bayer.

To be selected only if the customer has no wall outlets in the MR suite and requires the power to be sourced from outside the room.

1 teamplay Welcome & Registration Package teamplay is a cloud-based network that brings together your imaging modality users, the systems' dose and utilization data, and the users' expertise to help you improve the delivery of care to your patients. Basic features are provided free of charge. Premium features (benchmarking, non-Siemens devices) are provided on a trial basis for three months at no charge, and may be used thereafter on a subscription fee basis.

To register: http://teamplay.siemens.com/#/institutionRegistration/1

Offset Part MR_INITAL_32 Initial onsite training 32 hrs

Offset MR_FOLLOWUP_24 hours (

Offset Part 14407354 Additional Set of Manuals

One complimentary biomedical tuition is included with the purchase of this system.

OPTIONS

1 High-End Computing #T+D

Tim 4G power computing upgrade for MAGNETOM Avanto fit, Aera, Skyra and Skyra fit with 48 rf channels. This upgrade brings the power image reconstruction computer to the base Tim [204x48] configuration.

1 Arterial Spin Labeling 3D #T+D

3D acquisition of non-contrast enhanced brain perfusion with a TGSE sequence for mininal susceptibility and full brain coverage. Higher SNR, optimized contrast uniformity and reduced motion sensitivity. Inline calculation of PWI (perfusion weighted images) for a qualitative assessment of brain perfusion.

1 LiverLab #T+D

LiverLab is a system guided workflow to examine the hepatic fat and iron status, as part of the Abdomen Dot Engine.

1 Native syngo #Tim

Integrated software package with sequences and protocols for non-contrast enhanced 3D MRA with high spatial resolution. syngo NATIVE particularly enables imaging of abdominal and peripheral vessels and is an alternative to MR angiography techniques with contrast medium, especially for patients with severe renal insufficiency.

1 QISS #T+D

Software package with QISS sequence, protocols and Dot AddIn for non-contrast enhanced peripheral MRA. QISS particularly enables higher reproducibility than existing methods and is an alternative to MR angiography techniques with contrast medium, especially for patients with severe renal insufficiency.

1 Cardiac Dot Engine, USA #T+D

Cardiac examinations: Dot Cardiac - Customized workflows that are easier to repeat. Using anatomical landmarks, standard views of the heart (such as dedicated long axis and short-axis views), are easily generated and can easily be reproduced using different scanning techniques. Scan parameters are adjusted to the patient's heart rate and automatic voice commands are given.

1 Advanced Cardiac Package #T+D

This package contains special sequences and protocols for advanced cardiac imaging including 3D and 4D syngo BEAT functionalities. It supports advanced techniques for ventricular function imaging, dynamic imaging, tissue characterization, coronary imaging, and more.

1 CS Cardiac Cine #Ae,Sk

This package contains a special sequence and protocols for highly accelerated 2D Cardiac Cine examinations. It allows full coverage of the heart within a single breath-hold for quantitative functional assessment, with a temporal and spatial resolution comparable to standard segmented techniques. Furthermore, it is robust against arrhythmia and breathing artifacts.

1 MyoMaps # 3T

This package contains special sequences and protocols for inline T1 and T2 calculation at the heart. The generation of T1 and T2 parametric maps is enhanced by the use of motion correction. T1 and T2 parametric maps could be used to support assessment of cardiovascular disease.

1 Argus 4D Ventr.Function syngo #Tim syngo Argus 4D Ventricular Function software processes MR cine images of the heart and generates quantitative results for physicians in the diagnostic process.

1 Spectroscopy Package #T+D

The Spectroscopy Package is a comprehensive software package which bundles Single Voxel Spectroscopy, 2D Chemical Shift Imaging, 3D Chemical Shift Imaging and syngo Spectroscopy Evaluation.

Sequences and protocols for proton spectroscopy, 2D and 3D proton chemical shift imaging (2D CSI and 3D CSI) to examine metabolic changes in the brain (e.g. in tumors and degenerative diseases) and in the prostate are included.

Furthermore included is the comprehensive syngo Spectroscopy Evaluation Software which enables fast evaluation of spectroscopy data on the syngo Acquisition Workplace.

1 Peripheral Angio 36 #Sk

The new Tim 4G coil technology with Dual Density Signal Transfer and SlideConnect Technolgy combines key imaging benefits: excellent image quality, high patient comfort, and unmatched flexibility:

- 36 channels

- Dual Density Signal Transfer

- Ultra light-weight

- SlideConnect Technology

The 36-channel coil includes 36 integrated pre-amplifiers for excellent signal-to-noise ratio. The single SlideConnect Plug allows for fast and easy patient preparation.

The Peripheral Angio 36 features:

- 36-element design with 36 integrated preamplifiers, distr buted over 6 planes with 6 elements each

- Operates in an integrated fashion with Body 18 coils and with the Spine 32 .

For Whole-Body examinations also with the Head/ Neck 20

- Automatic table feed and active coil switch

- Can be utilized head and feet first

- Both legs are independently covered with coil elements, maximizing the coil filling factor and the signal-to-noise ratio

- No coil tuning

- iPAT-compatible

- Dual-Density Signal Transfer enables ultra-high density coil designs by integrating key RF components into the local coil

- SlideConnect technology for easy coil set up

- One cable only for easy handling

- Includes special non-ferromagnetic coil cart for safe, user-friendly storage

Applications:

- High-resolution angiography of both legs incl. Pelvis (by additional use of the Body 18) with highest signal-to-noise ratio

- Visualization of the iliac arteries and aorta in combination with Body 18

- Bilateral examinations of long bones of the legs

Typically combined with:

Head/ Neck 20, Body 18, Spine 32, and all flexible coils such as Flex Large 4 or Flex Small 4

1 2/10/16ch Sentinelle BreastCoil #Sk

The 2/10/16-channel Sentinelle Breast Coil can be used as a breast imaging

Qt Item Description coil, a bilateral biopsy coil, as well as a unilateral biopsy coil providing large biopsy access.

This coil consists of a positioning frame with exchangeable coils with different numbers of channels as described in detail in the E text.

The preamplifiers are integrated into the coil.

The coil is iPAT-compatible.

1 Tim Coil Interface 3T

Coil adapter plug for up to 8 receive and 1 transmit channels, in order to connect existing dedicated knee and breast coils (Tx/ Rx 15-channel Knee Coil, CP Extremity Coil, 4-channel BI Breast Coil, 16-channel AI Breast Coil, 2/4/8-channel Sentinelle BreastCoil and (2/10)/16-channel Sentinelle BreastCoil) with all MAGNETOM 3T Systems using Tim 4G-technology.

1 Tx/Rx CP Head Coil #Sk

Circularly polarized no-tune transmit/receive coil with an open patient-friendly design. The integrated transmit mode allows volume selective excitation.

Integrated, extremely low-noise pre-amplifiers permit very high signal-to-noise ratio. Furthermore, the coil is outfit with SlideConnect Technology, allowing for easier patient preparation and less table time for the patient.

1 32-channel Head Coil #Sk

The 32-channel Head Array Coil is an iPAT-compatible "no-tune" receiver coil for MAGNETOM Skyra.

Detailed Technical Specifications

Description

MAGNETOM Skyra - the first 3T Tim+Dot system - integrates the next generation Tim (Total imaging matrix)- Tim 4G and the Siemens unique Dot (Day optimizing throughput) engines enabling workflow efficiency combined with higher diagnostic confidence due to consistent results.

The system includes:

Tim 4G+Dot

Tim 4G provides increased patient comfort and optimized workflow efficiency. Only one patient setup, no repositioning, no changing of coils. Ultra-light-weighted coils with high density of coil elements for maximized patient comfort and increased SNR. Feet-first positioning for almost all examinations possible reduces anxiety and claustrophobia.

Tim 4G with its 4G flex bility, 4G accuracy and 4G speed brings image quality and acquisition speed to a new level.

Dot offers a customizable framework for patient personalization, user guidance and exam automation. Optimized scan strategies are provided and can be selected based on patient condition, which allow for high quality exams even when conditions change. Integrated decision points allow the user to easily add or remove one or a group of protocols with one click. Step by step image and text guidance guides novice users even through the most complicated exams. Exam automation allows optimal timing for breathing, scanning, planning or contrast arrival.

Dot can be easily customized to follow the individual standards of care.

Dot is personalized, guided and automated and designed to improve workflow efficiency and image consistency.

MAGNETOM Skyra with its 70 cm Open Bore design and a system length of only 173 cm gives a patient friendly appearance that can significantly help patients with anxiety or claustrophobia.

Magnet:

- Ultra-short 163 cm long, whole-body superconductive 3T magnet with active shielding (AS) technology with counter coils

- External Interference Shielding (E.I.S.)

- Excellent homogeneity enabled TrueForm magnet design which allows for a cylindrically optimized homogeneity volume resulting in higher image quality (50 × 50 × 45 cm³ DEV, typ. 3.6 ppm based on the 24-plane plot method)

- The magnet has a helium capacity of approximately 1,200 liters and a typical Helium boil-off rate of 0 l/yr during typical, undisturbed clinical operation depending on the sequences used and examination time, and provided the system is serviced in regular intervals.

- It has an integrated magnet cooling system.

- The combination of standard active shim with 3 linear channels (1st order) and 5 nonlinear channels (2nd order) and passive shim allows for maximized magnetic field homogeneity and consistently high image quality for a wide range of applications

Gradient system :

- Actively shielded water-cooled world class gradient system

- All axes force compensated

- TrueForm Gradient Design

DirectRF - RF Transmit/Receive System:

- Fully integrated Transmit- and Receive path in the magnet housing including extremely compact water-cooled solid state amplifier with 37.5 kW peak power

- High dynamic range

- Immediate feedback loop for real-time sequence adaptation

- Integrated no tune transmit/receive Body Coil

- TimTX TrueForm includes innovative techniques in the RF excitation hardware as well as new application and processing features to guarantee uniform RF distribution in all body regions. TimTX TrueForm for MAGNETOM Skyra consists of TrueForm excitation, which uses amplitude and phase transmission settings optimized for dedicated body regions. Feeding the 2 ports of the integrated body coil with an optimized weighting yields a homogeneous B1 distr bution.

- The revolutionary Tim 4G technology allows connecting up to 204 coil elements simultaneously enabling higher SNR and iPAT in all directions. No repositioning of patients is needed even for large Field of View examinations.

- Dual-Density Signal transfer enables ultra-high density coil design by integrating key RF components into the local coil.

Tim Table

- The maximum scan range of the Tim Table is 140 cm. A scan range of 205 cm can be achieved with the Tim Whole Body Suite (optional)

- The maximum patient weight of 250 kg (550 lbs) is valid for horizontal and vertical movements, which ensures maximized patient comfort for obese patients.

- The patient table can be lowered to a minimum height of 52 cm from the floor, for easier patient positioning and better accessibility for geriatric, pediatric or immobile patients. An infusion stand is integrated to ensure fast patient set up also for critical patients.

- Multiple Tim4G coils can be connected at once for efficient and patient friendly examinations.

- The Tim Table can be moved with two clicks into the isocenter - one click to the upmost position and one click into the isocenter.

Dot (Day Optimizing Throughput) engine Dot multiplies the power of Tim resulting in greater image consistency and diagnostic confidence

Dot Control Centers and Dot Display

- The ergonomically designed Dot Control Centers are integrated left and right into the front covers for controlling table movement and interaction with the Dot Display. The Dot Control Centers are well illuminated for easy visual recognition.

- Automated table move up to upmost position, to center position or Home position facilitate smooth patient preparation and will reduce table time

- Variable (6 levels) ventilation and lighting inside the magnet bore or volume adjustments are possible for increased patient comfort

- The Dot Display provides on board guidance for patient set up where it's needed - directly at the scanner.

Information such as patient name or exam type or required patient position, guidance for ECG set up and immediate visualization of physiological curves will be provided for convenient operation.

- Almost all table control functions, including ventilation and illumination of the magnet bore, can be also controlled from the operator console for convenient operation.

Dot Technology Dot gives uniquely tailored, optimized scans configurable to patient condition or clinical question.

Dot provides patient personalization, user guidance and exam automation and is of course configurable by the user to adapt to the different clinical needs and standards of care.

Brain Dot Engine The Brain Dot Engine provides guided and automated workflows customizable to the site specific standards of care for general brain examinations. The Brain Dot Engine supports the user in achieving reproduc ble image quality with increased ease of use and time efficient exams.

The brain workflow can be personalized to the individual patient condition and clinical need. Several predefined strategies are included, which can be easily selected with one click. They can be changed at any time during the brain workflow.

Protocols tailored for use of contrast media are integrated.

- Standard: Standard examination with 2D protocols

- Resolution focus: Examination with 3D protocols (with e.g. SPACE) for detailed views

- Speed focus: Examination with fast 2D protocols (with e.g. HASTE) for further speeding up the exam

- Motion insensitive: Examination with syngo BLADE protocols

- to minimize and correct for the effects of motion automatically

Step-by-step user guidance is seamlessly integrated. Example images and guidance text are displayed for each individual step of the scanning workflow. Both - images and text - are easily configurable by the user.

Easy positioning of the patient with AutoPosition. The patient is automatically placed at the isocenter without any laser marking required.

AutoAlign Head provides automated, positioning and alignment of slice groups to the anatomy, relying on multiple anatomical landmarks. Besides basic brain positioning, AutoAlign Head computes reference position for several other brain structures such as the inner ear, the orbits and the optic nerve.

Automatic real-time calculation of trace-weighted images and ADC maps with Inline Diffusion Technology.

Easy rerun or repeat with functionality allows for reduced table time. Alternatively an exam can be repeated with a changed strategy.

The Brain Dot Engine as all Dot engines can be modified by the user to their individual standard of care.

Tim Application Suite The Tim Application Suite offers a complete range of clinically optimized sequences, protocols and workflow functionalities for all body regions. Excellent head-to-toe imaging can be accomplished with the sequences and features included in this application suite. To enable this comprehensive application range, ten dedicated application packages have been included.

- syngo TimCT FastView

- Neuro Suite

- Angio Suite

- Cardiac Suite

- Body Suite

- Onco Suite

- Breast Suite

- Ortho Suite

- Pediatric Suite

- Scientific Suite syngo TimCT FastView syngo TimCT FastView is a “one go” localizer for the whole body or large body regions such as the whole spine or the whole abdomen. It acquires the complete extended Field of View in one volume with isotropic resolution.

Transversal, coronal and sagittal reformats of the volume are calculated inline and displayed for planning subsequent exams. Moreover, while planning is underway, adjustments are acquired automatically for further time savings in subsequent measurements.

syngo TimCT FastView runs without laser light positioning to further streamline the workflow for several indications.

Neuro Suite Comprehensive head and spine examinations can be performed with dedicated programs. High resolution protocols and fast protocols for uncooperative patients are provided. The Neuro Suite also includes protocols for diffusion imaging, perfusion imaging, and fMRI. It includes for example:

- EPI sequences and protocols for diffusion, perfusion and fMRI for advanced neurological applications.

Diffusion weighted imaging is possible with up to 16 b-values in the orthogonal directions. Dynamic Analysis software (included in standard configuration) enables calculation of:

- ADC maps

- t-test maps from the EPI images for fMRI

- Time-to-Peak maps for perfusion analysis.

- Whole spine protocols acquire in multiple steps via software controlled table movement in a single click.

- 3D isotropic resolution volume imaging using T1 3D MPRAGE / 3D FLASH, SPACE DarkFluid, T2 SPACE and 3D TSE

- T2-weighted high resolution 3D Restore protocols optimized for inner ear examinations

- Whole-spine protocols in multiple steps with software controlled table movement

- 2D and 3D MEDIC protocols for T2-weighted imaging, particularly for C-spine examinations in axial orientation where reproducibility is difficult due to CSF pulsations and blood flow artifacts

- 3D Myelograms with 3D HASTE and 3D True-FISP for anatomical details

- Dynamic sacro-iliac joint imaging after contrast administration using a fast T1-weighted FLASH 2D sequence

- Spine diffusion protocols to differentiate osteoporosis versus tumor infiltration and post-radiotherapy changes versus residual tumor with PSIF sequence

- Precision filter for high spatial accuracy e.g. for neuro intra-operative imaging and stereotactic planning

- 3D CISS (Constructive Interference in Steady State) for excellent visualization of fine structures such as cranial nerves. High resolution imaging of inner ear and spine

- AutoAlign Head LS providing a fast, easy, standardized, and reproducible patient scanning supporting reading by delivering a higher and more standardized image quality

Angio Suite Excellent MR Angiography can be performed to visualize arteries and veins with or without contrast agent.

Contrast-enhanced MRA

- 3D contrast-enhanced MRA protocols for e.g. single step, dynamic, peripheral, whole body MRA with the shortest TR and TE. The strong gradients make it poss ble to separate the arterial phase from the venous phase.

- TestBolus workflow for optimized bolus timing and superb image quality.

- CareBolus functionality for accurate determination of the bolus arrival time and the "Stop and Continue" of the 3D ce-MRA protocol after the 2D bolus control scan.

- Dynamic ce-MRA for 3D imaging over time.

Non-contrast-MRA and venography

- 2D and 3D Time-of-Flight (ToF) protocols for MRA for the Circle of Willis, carotids, neck vessels, and breath-hold protocols for abdominal vessels

- Triggered 2D ToF sequences for non-contrast MRA, particularly of the abdomen and the extremities

- 2D/3D Phase-Contrast

- MR venography with 2D/3D Time-of-Flight (ToF) and Phase-Contrast

- TONE (Tilted Optimized Non-saturation Excitation) and MTC (Magnetization Transfer Contrast) techniques for improved Contrast-to-Noise Ratio (CNR)

Image processing tools

- MPR, MIP, MinIP, and 3D SSD (Multiplanar Reconstruction, Maximum Intensity Projection, Minimum Intensity Projection, Shaded Surface Display)

- Inline MIP for immediate results

- Inline subtraction of pre- and post-contrast measurements

- Inline standard deviation maps of Phase-Contrast measurements for delineation of arteries and veins

Cardiac Suite The cardiac suite covers comprehensive 2D routine cardiac applications, ranging from morphology and ventricular function to tissue characterization. Featuring syngo BEAT 2D in conjunction with iPAT and T-PAT techniques.

Cardiac views

- Fast acquisition of the basic cardiac orientations for further examination planning

- Cardiac scouting provides users with a step-by-step procedure for the visualization and planning of typical cardiac views, e.g. based on TrueFISP or Dark Blood TurboFLASH: short axis, 4-chamber and 2-chamber views.

syngo BEAT

- Unique tool for fast and easy cardiovascular MR imaging

- E.g. 1 click change from FLASH to TrueFISP for easy contrast optimization

- 1-click to switch arrhythmia rejection on / off

- 1-click change from Cartesian to radial sampling to increase effective image resolution (e.g. in pediatric patients) and avoid folding artifacts in large patients Visualization of structural cardiovascular pathologies with CMR – syngo BEAT

- Breath-hold and free breathing techniques for strong contrast between the blood and vascular structures.

Dark Blood TSE and HASTE imaging are available for the structural evaluation of the cardiothoracic anatomy, including vessels or heart valves. Cine techniques (FLASH & TrueFISP) for high-resolution valve evaluation

- Multiple contrasts such as T1- and T2-weighted imaging for use in diseases such as myocarditis (inflammation / hyperaemia), ARVD (fibrous-fatty degeneration) or acute myocardial infarction (edema)

- Dark-blood TSE with motion compensation for high-quality vessel wall imaging in small or large vessels Tools for rapid evaluation of left or right ventricular function

- Acquisition of a stack of short-axis slices (standard segmented FLASH, or advanced segmented TrueFISP)

- Automatic adjustment of the acquisition window to the current heart rate

- Use of the Inline ECG for graphical ECG triggering setup

- Retrospective gating with cine sequences (TrueFISP, FLASH)

- Protocols for whole-heart coverage

- iPAT integration for highest temporal and spatial resolution

- Real-time imaging in case the patient is not able to hold his breath Dynamic imaging and tissue characterization with syngo BEAT

- Protocols for high-contrast and high-resolution tissue characterization

- Protocols for stress and rest imaging with TrueFISP or TurboFLASH contrast support the acquisition of multiple slices with high resolution and arbitrarily adjustable slice orientation for each slice

- T-PAT with mSENSE and GRAPPA for advanced parallel imaging provides fast high-resolution dynamic imaging

- Segmented IR TrueFISP / FLASH with TI scout for optimization of tissue contrast

- Advanced tissue characterization with 2D phase-sensitive IR (PSIR) sequences TrueFISP and FLASH contrast. Magnitude and phase-sensitive images with one acquisition

- Simple: no adjustment of inversion time (TI) necessary with PSIR technique

- Ungated single-shot PSIR imaging for tissue characterization under difficult conditions: free-breathing technique that can be applied even in case of arrhythmia

Physiological Measurement Unit (PMU) - Wireless Physio Control

- Synchronizes the measurement with the physiological cycles (triggering to minimize motion artifacts caused by cardiac and respiratory movements)

- Wireless Sensors

- Wireless Vector ECG / respiration and pulse sensors for physiologically synchronized imaging, rechargeable battery-powered - for optimized patient handling

- Physiological Signals Display

- ECG (3 channels)

- Pulse

- Respiration

- External Trigger Input Display

ECG Triggering:

- Acquisition of multiple slices, e.g. of the heart, at different phases of the cardiac cycle

- Excellent image quality by synchronizing data acquisition with cardiac motion

- Peripheral Pulse Triggering: Reduces flow artifacts caused by pulsatile blood flow

- Excellent image quality by synchronizing data acquisition to the pulsatile blood flow

- Respiratory Triggering: Excellent image quality by synchronizing data acquisition with the respiratory motion

- External Triggering: Interface for trigger input from external sources (e.g. Patient Monitoring System) inside the examination room

- Interface for trigger input from external sources (e.g. pulse generator, trigger sources for fMRI) outside the examination room

- Optical trigger output for fMRI

- Retrospective gating for ECG, peripheral pulse, and external trigger input

Breast Suite MR imaging has proven a very high sensitivity for breast lesions and is the gold standard for the examination of silicone implants. Extremely high spatial and temporal resolution can be achieved in very short measuring times by using iPAT with GRAPPA.

Excellent soft tissue differentiation, customized protocols (e.g. with fat saturation or water excitation or silicone excitation), as well as flexible multiplanar visualization allow for fast, simple and reproducible evaluation of MR breast examinations.

This package includes:

- Quantitative evaluation and fast analysis of the data with colorized Wash-in, Wash-out, Time-To-Peak, Positive-Enhancement-Integral, MIPtime and combination maps with Inline technology or for offline calculation

- High-resolution 2D protocols for morphology evaluation

- High-resolution 3D protocols covering both breasts simultaneously

- Protocols to support interventions (fine needle and vacuum biopsies, wire localization)

- Protocols for evaluating breasts with silicone implants

- Automatic and manual frequency adjustment, taking into account the silicone signal

- Detection of the silicone signal either to suppress the silicone signal, if the surrounding tissue is to be evaluated, or to suppress the tissue signal in order to detect an implant leakage

- SPAIR - robust fat sat (robust fat suppression using an adiabatic frequency selective inversion pulse)

- DIXON - 2-point Dixon with 3D VIBE, the following contrasts can be obtained: in-phase, opposed phase, fat and water image.

- iPAT with GRAPPA for maximum resolution in short time

- Inline subtraction and MIP display

- Offline subtraction, MPR and MIP display

- syngo REVEAL: diffusion imaging for breast exams

- iPAT Extension that allows state-of-the-art sagittal breast imaging

- iPAT Extension allows bilateral 3D sagittal breast imaging with Fat Sat or Water excitation

The Breast Suite also includes:

syngo VIEWS (Volume Imaging with Enhanced Water Signal)

- bilateral - both breasts are examined simultaneously

- axial - the mi k ducts are directly displayed

- fat-saturated or water-excited - fat complicates clinical evaluation and is suppressed

- near-isotropic 3D measurement - the same voxel size in all three directions for reconstruction in any slice direction

- submillimeter voxel - highest resolution for precise evaluation

Body Suite Body Suite covers your needs for clinical body applications. Ultrafast high resolution 2D and 3D protocols are provided for abdomen, pelvis, MR Colonography, MRCP, dynamic kidney, and MR Urography applications.

Siemens unique 2D PACE technique makes body imaging easy allowing for multi-breath hold examinations as well as free breathing during the scans. Motion artifacts are greatly reduced with 2D PACE Inline technology.

This package includes:

- Free breathing 2D PACE applications with 2D/3D HASTE (RESTORE) and 2D/3D TSE (RESTORE)

- Optimized fast single shot HASTE protocols and high-resolution 3D RESTORE protocols based on SPACE and TSE for MRCP and MR Urography examinations

ABDOMEN:

2D:

- T1w (FLASH) breath-hold scans +/- Fat Sat (SPAIR, Q-FatSat, in-/opp-phase)

- T2w (HASTE, TSE/BLADE, EPI ) breath-hold scans +/- Fat Sat (SPAIR, FatSat, STIR)

- T1w (TFL) triggered scans (2D PACE free breathing) in-/opp-phase

- T2w (HASTE, TSE/BLADE, EPI) triggered scans (2D PACE free breathing) +/- Fat Sat (SPAIR,FatSat, STIR) as well as HASTE- and TSE-multi-echo

- Optimized fast single shot HASTE protocols and high-resolution 3D RESTORE protocols based on SPACE and TSE for MRCP and MR urography examinations

3D:

- Dixon (VIBE 2pt-Dixon) breath-hold scans, following contrasts can be obtained: in-phase, opposed phase, fat and water image.

- Dynamic (VIBE + Q-FatSat) protocols for best visualization of focal lesions with high spatial and temporal resolution

- Colonography dark lumen with T1-weighted VIBE

- CAIPIRINHA enables VIBE sequence with improved iPAT2 algorithm to improved abdominal dynamic scans as well as SNR. Reduced patient stress can be achieved through reduced acquisition (and breathhold) times.

PELVIS:

- High-resolution T1w, T2w pelvic imaging (prostate, cervix)

- Isotropic T2w SPACE 3D protocols for tumor search in the pelvis

- Dynamic volume examinations with 3D VIBE

- syngo REVEAL: diffusion imaging for liver and whole body exams

Onco Suite MR imaging has an excellent advantage of soft tissue contrast, multi-planar capabilities and the possibility of selectively suppressing specific tissue e.g. fat or water. This helps visualize pathologies, particularly metastases.

The Onco Suite features a collection of sequences as well as protocols and evaluation tools that guide through a detailed screening of clinical indications, such as in hepatic neoplasms.

This package includes:

- STIR TSE and HASTE, FLASH in-phase and opposed-phase protocols with a high sensitivity…