D-Wave vs. MEP

Information box
The main purpose of this site is to extend the intraoperative monitoring to include the neurophysiologic parameters with intraoperative navigation guided with Skyra 3 tesla MRI and other radiologic facilities to merge the morphologic and histochemical data in concordance with the functional data.
CNS Clinic
Located in Jordan Amman near Al-Shmaisani hospital, where all ambulatory activity is going on.
Contact: Tel: +96265677695, +96265677694.

Skyra running
A magnetom Skyra 3 tesla MRI with all clinical applications started to run in our hospital in 28-October-2013.
Shmaisani hospital
The hospital where the project is located and running diagnostic and surgical activity.


syngo.via is the new imaging software, creating an exciting experience in efficiency and ease of use – anywhere. syngo.via is your agent for productivity throughout your radiology workflow. No other solution supports and integrates all MR tasks in a comparable way – from planning and scanning to result sharing.
Integrated Engine concept
The Engine concept integrates the scanning and reading processes into one holistic workflow and enables you to maximize your scanner and application investment.
Key features The Dot (Day optimizing throughput) Engines optimize the performance of MAGNETOM Skyra and offer patient personalization, user guidance, and exam automation.
syngo.via offers reading workflows, which are optimally adjusted to the Dot Engines for the best reading outcomes
The scanning and reading workflows are easily customizable to the user’s standards of care.

Results from the scanner are optimally displayed in the reading workflows.
Key benefits Guidance, standardization and flexibility is offered for every step of the workflow, reducing the need for further inquiry
Increasing throughput, minimizing recalls, and enhancing quality of care.
Networked MR scanner – the scanner workplace for optimized productivity
syngo.via handles images from any MR system. With MAGNETOM scanners, the integration is perfect. The networking capabilities of the MAGNETOM scanners and syngo.via will transform the technologist workplace of today. One consistent workflow is offered, from planning, to scanning to viewing, and processing.
Key features Host computer of the MAGNETOM Skyra is rich-thin-client enabled. The syngo.via client can be run with only one keyboard and one mouse – no cumbersome change of devices necessary.
syngo.via offers unique workflows to support the technologist:
• Check Protocol: pre-defined protocols are automatically displayed
• Initiate Scan: get guidance by additional text info for the optimal scan and patient set-up. Start patient registration directly out of syngo.via
• Check images: immediate availability of images, easy quality check of images
Automatic transfer of the patient data and planned protocols from syngo.via to the scanner. No need for double entry of information.
Automatic selection of the appropriate syngo.via reading workflow
syngo.via and MAGNETOM Skyra UI – both based on the proven syngo UI concept.
Key benefits
Work with different patients side-by-side without any screen overlays and possible confusions. E.g. begin with patient registration of one patient, while other patient is still scanned.
Automatic transfer of information – reduced need for clarifications
Higher throughput, reliable results, and reduced costs.
Pre-requisites Additional monitor and one syngo.via license

Direct Protocol Transfer (DPT)
syngo.via redefines protocol management – providing remote protocol planning, and automated selection
of the right protocols at the scanner. syngo.via offers a dedicated workflow for protocol planning and
distribution. The radiologist can plan the protocols from anywhere in the institutional network.
Key features Remote protocol planning from any syngo.via client to select or modify a planned
protocol (and perhaps add further explanations) for a patient examination before
the patient is registered at the MR system. The planed protocol will be automatically
transferred to the scanner via DICOM Modality Worklist.
The technologist works with the same syngo.x view directly at the scanner –
accessing the same information, without any further handwritten notes or need for
Automatic transfer of the patient data and planned protocols from syngo.via to the
scanner. No need for double entry of information.
In addition: Remote Protocol distribution:
• upload, change and/or delete any protocol from your MAGNETOM scanners
(available for all Tim Systems)
• send examination protocols to every other connected scanner
Key benefits Define standards of care and easily distribute the related protocols among your Tim
Save time for clarifications – while minimizing re-scans
Easy, automated, and efficient protocol handling – from anywhere
DPT works with MAGNETOM Skyra and any other Tim system.
Direct Image Transfer (DIT)
After completion of a series of images, they are transferred automatically to syngo.via. Easily view the
images with any syngo.via client immediately after they were acquired.
Key features This data will be automatically transferred to the syngo.via data base and loaded
into the related workflow. Enhanced DICOM MR enables to transfer fMRI data and
spectroscopy raw data in new DICOM standard format. In syngo.via and any PACS
supporting this standard, these data can be handled.
Key benefits Images are immediately available throughout the institution. This enables fast and
convenient feedback from everywhere.
Direct Image
Transfer Pro
A direct cable connection is build between the MAGNETOM scanner and the
syngo.via server. This ensures a guarantied performance for image transfer.
Seamless workstation integration
syngo.via. integrates smoothly with syngo MultiModality Workstation (MMWP). Open MMWP directly out of syngo.via, and vice versa.
Key features Remotely open the same patient at the MMWP easily with syngo Expert-i
The MMWP results can then be easily integrated into the syngo.via report
syngo.via client can be opened from any MMWP with one click
Key benefits Remote and easy access of all MMWP applications
Smooth integration of results into syngo.via


syngo. MR General Engine

A rich suite of functionality to cover all of your routine reading and post processing needs. Whatever you need to read, find the right tools, right at hand.


•MR Radiology Workflows: predefined layouts for Head, C-Spine, T-Spine, L-Spine, Whole Spine, Breast, Prostate, Abdomen, Hip and Knee scans.
•MR Cardio-Vascular Workflows: Single Station Angio, Multi Station Angio, Angio TimCT, Angio TWIST, Cardiac Reading
•Subtraction, MeanCurve
•Workflow optimized report template included.
•Disease specific report templates for breast (according to BIRADS Report) and prostate
•MR Misc data: collection of additional data, that have not been loaded in any of the predefined layouts (e.g. additional scans, normally not part of the workflow). A single click that makes sure no data were missed by the user.

Clinical Applications

standard MRA, MR Mammography, Prostate, Neuro and Ortho Reading

Dual monitor. Left: Breast Reading Dual monitor. right
Dual monitor. Left: Prostate Reading Dual monitor. right

Additional Information

My cases, ready. Whether it is the 3D Reference Point, the Auto zooming functionality in multi stage exams, or mean curve and subtraction, the syngo.MR General Engine extends syngo.via by adding software for advanced and routine MR radiology usage. It includes workflows for dedicated MR examinations that load and structure examination results automatically into meaningful layouts, including user support to make sure that no data is missed.

The perfect match to such applications as the Brain Dot Engine; Knee Dot Engine; Abdomen Dot Engine, TWIST, TimCT Angio, and Inline Composing, the syngo.MR General Engine enables an optimized workflow from scanning, to processing, to reading.


Networked Scanner

Modalities and IT become one, within the institution and beyond.
Our Networked Scanner offers you flexibility:
At the individual case level use syngo.via* to change protocols for a specific case.
At the enterprise level standardize and efficiently manage protocols across your MAGNETOM systems.

With Networked Scanner, the radiologist / lead technologist can adjust the scans assigned from the modality work list, and ensure that the patient receives the scan she needs.

Patient Protocol Planning Patient Protocol at the scanner
Protocol Management Upload Protocol Management Distribution

The operator also at any time can optimize the images and adjust strategies during the scan and then immediately manipulate and read the images in syngo.via. This ensures that the radiologists receive the images they need to complete the diagnosis.
Share protocols across the enterprise.
Have a complete overview of all protocols on all systems from any workplace.
Reduce scan downtime when managing protocols.
Match the patient to the right scanner.

Networked scanner enables all of these activities and helps to ensure that the organization receives the structure that it needs.

syngo.MR Onco Engine

Make oncology diagnosis fast, intuitive and more robust.
syngo.MR Onco Engine combines features that allow for efficient oncological reading and reporting.
Included Workflows: Onco Multi-Region, Onco Brain, Onco Liver, Onco TimCT
syngo.MR 3D Lesion Segmentation provides convenient volumetric evaluation of lesions.
Onco Reporting: Each workflow contains a dedicated reporting template and oncological findings classification - including a pictogram for visual information transfer to the referring physician to quickly localize spots of interest. Total tumor load can be calculated. Response calculations comply with RECIST and WHO Response Criteria.
Dual monitor, left: Soft Tissue Dual monitor, right: 3D Lesion Segmentation
Dual monitor, left: Whole-body Overview Dual monitor, right: Whole-body Overview

Additional Information
syngo.MR Onco workflows structure large amounts of data automatically and quickly into layouts focused on oncology reading. Each workflow contains a dedicated follow-up reading layout (optimized for dual monitor support).

The 3D Lesion Segmentation is particularly useful for oncology applications (e.g. volumetric evaluation of tumors, lymph nodes and metastases), but also for non-oncology lesions with sufficient contrast to surrounding tissue. Intuitive editing tools allow adjustment to the segmentation if necessary.

The perfect match to TimCT Onco and the syngo.MR Onco Engine enables an optimized workflow from scanning, to processing, to reading.
syngo.MR Neuro Perfusion Engine

With every tool you need for fast and standardized diagnoses, we are establishing a whole new level of speed and flexibility in acute neurology.
The syngo.MR Neuro Perfusion Engine bundles three Neurology features for detailed brain assessments: MR Neuro Perfusion Evaluation, Automatic local AIF calculation and Perfusion-Diffusion Mismatch calculation.
color display of the relative Mean Transit Time (relMTT)
relative Cerebral Blood Volume (relCBV) relative Cerebral Blood Flow (relCBF)
Flexible selection of the Arterial Input Function (AIF) for more reliable analysis taking into account the dynamics over time of the contrast agent enrichment.
Additional maps such as TTP, corrCBV
Automatically calculates local Arterial Input Function (AIF) and generates the perfusion results.
MR Neuro Perfusion Mismatch: calculates the Perfusion-Diffusion difference.
Disease oriented MR Neurology reporting template included.

Dual monitor, left: Perfusion Evaluation Dual monitor, right: Perfusion Evaluation
Dual monitor, left: Mismatch Evaluation Dual monitor, right: Mismatch Evaluation
Dual monitor, right: Overview  Dual monitor, right: Overview

Additional Information
My cases, ready
Shorten reading preparation: Images are mapped to predefined reading steps that you can determine. You no longer have to search for and organize your images. Ensure that your reading happens on the same set of images every time.

Structured Reading: Standardized Diagnosis. Ensure that your team reads the same images the same way to ensure consistent outcomes. Images and diagnostic steps cannot be forgotten as long as one follows the structured workflow.

Compile your information automatically into a report, whose template suits your needs.
My places, networked
With its client server technology, reading is possible from anywhere* in your organization. Time is brain. Doctors should spend time reading, not walking to a work station.
syngo.MR Cardiac 4D Ventricular Function

Our „hands-off“ post processing allows you to see immediate results when you open your case.
Dual monitor, left: Segmentation Dual monitor, right: Gallery

Instant display of preprocessed segmentation (left ventricle) based on prize-winning algorithm;
Automatic Calculation of ventricular volumes, ejection fraction and myocardial mass
Automatic Calculation of myocardial thickening for all myocardial segments
Semiautomatic processing of the right ventricle
Dynamic evaluation such as time-volume diagrams, filling rate and myocardial wall motion
Integrated and synchronized movie display
Graphical display of results (tables, bull's-eye plot, 4D model of the heart)
Integration of the results in a report for documentation

Clinical Applications
Functional and volumetric evaluation are the cornerstone of every cardiac MR examination in ischaemic heart disease as well as in cardiomyopathies such as myocarditis. Precise analysis of all relevant volumetric parameters such as ejection fraction, stroke volume and e.g. segmental analysis of wall thickening.
Additional Information
My cases, ready. See images presented by type or anatomical view. syngo.via automatically recognizes and sorts them into predefined layouts, preventing mix-up of images by order or location.

Easily review automatically created short and long axis contours with syngo.via’s* guided approach. The software calculates all relevant parameters for cardiac functional analysis and displays them in standardized graphs and tables – from ejection fraction (EF) to regional wall thickening, among others

The perfect match to the Cardiac Dot Engine and Inline VF, syngo.MR Cardiac 4D VF enables an optimized workflow from scanning, to processing, to reading.

  Dual monitor, left: Report Finding details

syngo.mMR General Engine

Biograph mMR and syngo.via* are one. For the first time, Biograph mMR provides MR and PET data as one dataset - molecular MR acquisition data. Every Biograph mMR includes syngo.mMR General to fully utilize this one dataset in your clinical environment.

Automatic loading of mMR data
Visualization in precise registration
Direct Fusion
Lesion propagation between MR and PET
Support of multiple time-point analysis
Summary of the final result in one report
left side of dual-monitor display right side of dual-monitor display
left side of dual-monitor display right side of dual-monitor display

Additional Information
My cases, ready.
Take full advantage of identical Frames of Reference:
Data preparation reduced
MR and PET Markings correlated automatically
Findings linked exactly in the Findings Navigator
Comprehensive set of evaluation tools
Easy creation of findings
My places, networked.
See what you need, where you need it**, how you need it:
Network-wide access for viewing, reading, and collaboration
Collaboration function allows two experts to diagnose the same case at the same time
With suspend/resume, one doctor is notified when the other has finished reporting

This is a neurosurgical site dedicated to intraoperative monitoring to catch in time the early signs of possible functional complications before they evolve to morphologic ones.

Complications in neurosurgery

So as to have a digital data, the best ever made Inomed Highline ISIS system was put in service to provide documented information about the complications.

Directed by Prof. Munir Elias

Team in action.

Starting from July-2007 all the surgical activities of Prof. Munir Elias will be guided under the electrophysiologic control of ISIS- IOM

ISIS-IOM Inomed Highline



Copyright [2017] [CNS Clinic - Jordan - Munir Elias]. All rights reserved