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510(k) Data Aggregation

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    Reference Devices :

    K220939, K250436, K250443, K231617, K191040

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Intended Use / Indications for Use

    Indications for Use for MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea, MAGNETOM Sola Fit, MAGNETOM Viato.Mobile:

    The MAGNETOM system is indicated for use as a magnetic resonance diagnostic device (MRDD) that produces transverse, sagittal, coronal and oblique cross sectional images, spectroscopic images and/or spectra, and that displays the internal structure and/or function of the head, body, or extremities. Other physical parameters derived from the images and/or spectra may also be produced. Depending on the region of interest, contrast agents may be used. These images and/or spectra and the physical parameters derived from the images and/or spectra when interpreted by a trained physician yield information that may assist in diagnosis.

    The MAGNETOM system may also be used for imaging during interventional procedures when performed with MR compatible devices such as in-room displays and MR Safe biopsy needles.

    Indications for Use for MAGNETOM Flow.Elite, MAGNETOM Flow.Neo, MAGNETOM Flow.Rise:

    The MAGNETOM system is indicated for use as a magnetic resonance diagnostic device (MRDD) that produces transverse, sagittal, coronal and oblique cross sectional images, spectroscopic images and/or spectra, and that displays, depending on optional local coils that have been configured with the system, the internal structure and/or function of the head, body, or extremities. Other physical parameters derived from the images and/or spectra may also be produced. Depending on the region of interest, contrast agents may be used. These images and/or spectra and the physical parameters derived from the images and/or spectra when interpreted by a trained physician yield information that may assist in diagnosis.

    The MAGNETOM system may also be used for imaging during interventional procedures when performed with MR compatible devices such as in-room displays and MR Safe biopsy needles.

    Device Description

    The subject device, MAGNETOM Vida with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Vida with syngo MR XA60A (K231560).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • myExam 3D Camera
    • BM Contour XL Coil

    Modified Hardware:

    • RF Transmitter TBX3 3T (TX Box 3)
    • MaRS (Measurement and reconstruction system)

    Software

    New Features and Applications:

    • Brachytherapy Support for use with MR conditional applicators
    • CS Vibe
    • myExam Implant Suite
    • DANTE blood suppression
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • BioMatrix Motion Sensor
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • ASNR recommended protocols for imaging of ARIA
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • 3D Whole Heart
    • Ghost reduction (Dual polarity Grappa (DPG))
    • Fleet Reference Scan
    • AutoMate Cardiac (Cardiac AI Scan Companion)
    • Complex Averaging
    • myExam Autopilot Spine
    • myExam Autopilot Brain and myExam Autopilot Knee
    • Open Workflow

    Modified features and applications:

    • GRE_PC
    • myExam RT Assist workflow improvements
    • Open Recon 2.0
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    The subject device, MAGNETOM Lumina with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Lumina with syngo MR XA60A (K231560). A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • myExam 3D Camera
    • BM Contour XL Coil

    Modified Hardware:

    • RF Transmitter TBX3 3T (TX Box 3)
    • MaRS (Measurement and reconstruction system)

    Software

    New Features and Applications:

    • CS Vibe
    • myExam Implant Suite
    • DANTE blood suppression
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • BioMatrix Motion Sensor
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • Ghost reduction (Dual polarity Grappa (DPG))
    • Fleet Reference Scan
    • AutoMate Cardiac (Cardiac AI Scan Companion)
    • Complex Averaging
    • myExam Autopilot Spine
    • myExam Autopilot Brain and myExam Autopilot Knee
    • Compressed Sensing Cardiac Cine
    • Open Workflow

    Modified Features and Applications:

    • GRE_PC
    • Open Recon 2.0
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    The subject device, MAGNETOM Lumina with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Lumina with syngo MR XA60A (K231560). A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • myExam 3D Camera
    • BM Contour XL Coil

    Modified Hardware:

    • RF Transmitter TBX3 3T (TX Box 3)
    • MaRS (Measurement and reconstruction system)

    Software

    New Features and Applications:

    • CS Vibe
    • myExam Implant Suite
    • DANTE blood suppression
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • BioMatrix Motion Sensor
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • Ghost reduction (Dual polarity Grappa (DPG))
    • Fleet Reference Scan
    • AutoMate Cardiac (Cardiac AI Scan Companion)
    • Complex Averaging
    • myExam Autopilot Spine
    • myExam Autopilot Brain and myExam Autopilot Knee
    • Compressed Sensing Cardiac Cine
    • Open Workflow

    Modified Features and Applications:

    • GRE_PC
    • Open Recon 2.0
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    The subject device, MAGNETOM Vida Fit with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Vida with syngo MR XA60A (K231560).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • myExam 3D Camera
    • Beat Sensor
    • BM Contour XL Coil

    Modified Hardware:

    • RF Transmitter TBX3 3T (TX Box 3)
    • MaRS (Measurement and reconstruction system)
    • Host computers

    Software

    New Features and Applications:

    • Brachytherapy Support for use with MR conditional applicators
    • CS Vibe
    • myExam Implant Suite
    • DANTE blood suppression
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • BioMatrix Motion Sensor
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • ASNR recommended protocols for imaging of ARIA
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • GRE_PC
    • Open Recon 2.0
    • 3D Whole Heart
    • Ghost reduction (Dual polarity Grappa (DPG))
    • Fleet Reference Scan
    • AutoMate Cardiac (Cardiac AI Scan Companion)
    • myExam Autopilot Spine
    • myExam Autopilot Brain and myExam Autopilot Knee
    • Deep Resolve for EPI
    • Deep Resolve for HASTE
    • Physiologging
    • Complex Averaging
    • Open Workflow

    Modified features and applications:

    • myExam RT Assist workflow improvements
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • myExam Angio Advanced Assist (Test Bolus)
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    The subject device, MAGNETOM Sola with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Sola with syngo MR XA61A (K232535).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • BM Contour XL Coil

    Modified Hardware:

    • MaRS (Measurement and reconstruction system)

    Software

    New Features and Applications:

    • Brachytherapy Support for use with MR conditional applicators
    • CS Vibe
    • DANTE blood suppression
    • BioMatrix Motion Sensor
    • SPAIR FatSat Improvements: SPAIR "Abdomen&Pelvis" mode and SPAIR Breast mode
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • ASNR recommended protocols for imaging of ARIA
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • 3D Whole Heart
    • AutoMate Cardiac (Cardiac AI Scan Companion)
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • Ghost reduction (Dual polarity Grappa (DPG))
    • Fleet Reference Scan
    • Deep Resolve Swift Brain
    • myExam Autopilot Spine
    • Open Workflow
    • Complex Averaging
    • Open Workflow

    Modified features and applications:

    • myExam RT Assist workflow improvements
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • myExam Angio Advanced Assist (Test Bolus)
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    The subject device, MAGNETOM Sola with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Sola with syngo MR XA61A (K232535).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • BM Contour XL Coil

    Modified Hardware:

    • MaRS (Measurement and reconstruction system)

    Software

    New Features and Applications:

    • Brachytherapy Support for use with MR conditional applicators
    • CS Vibe
    • DANTE blood suppression
    • BioMatrix Motion Sensor
    • SPAIR FatSat Improvements: SPAIR "Abdomen&Pelvis" mode and SPAIR Breast mode
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • ASNR recommended protocols for imaging of ARIA
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • 3D Whole Heart
    • AutoMate Cardiac (Cardiac AI Scan Companion)
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • Ghost reduction (Dual polarity Grappa (DPG))
    • Fleet Reference Scan
    • Deep Resolve Swift Brain
    • myExam Autopilot Spine
    • Open Workflow

    Modified features and applications:

    • myExam Implant Suite
    • GRE_PC
    • myExam RT Assist workflow improvements
    • Open Recon 2.0
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    The subject device, MAGNETOM Altea with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Altea with syngo MR XA61A (K232535).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • BM Contour XL Coil

    Modified Hardware:

    • MaRS (Measurement and reconstruction system)

    Software

    New Features and Applications:

    • CS Vibe
    • DANTE blood suppression
    • BioMatrix Motion Sensor
    • SPAIR FatSat Improvements: SPAIR "Abdomen&Pelvis" mode and SPAIR Breast mode
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • AutoMate Cardiac (Cardiac AI Scan Companion)
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • Ghost reduction (Dual polarity Grappa (DPG))
    • Fleet Reference Scan
    • Deep Resolve Swift Brain
    • myExam Autopilot Spine
    • Compressed Sensing Cardiac Cine
    • Open Workflow

    Modified features and applications:

    • myExam Implant Suite
    • GRE_PC
    • myExam RT Assist workflow improvements
    • Open Recon 2.0
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    The subject device, MAGNETOM Sola Fit with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Sola Fit with syngo MR XA70A (K250443).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • BM Contour XL Coil

    Modified Hardware:

    • MaRS (Measurement and reconstruction system)
    • Host computers

    Software

    New Features and Applications:

    • Brachytherapy Support for use with MR conditional applicators
    • CS Vibe
    • DANTE blood suppression
    • BioMatrix Motion Sensor
    • SPAIR FatSat Improvements: SPAIR "Abdomen&Pelvis" mode and SPAIR Breast mode
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • ASNR recommended protocols for imaging of ARIA
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • myExam Implant Suite
    • GRE_PC
    • Open Recon 2.0
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • Deep Resolve Swift Brain
    • myExam Autopilot Spine
    • Open Workflow

    Modified features and applications:

    • myExam RT Assist workflow improvements
    • myExam Implant Suite
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    The subject device, MAGNETOM Sola Fit with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Sola Fit with syngo MR XA70A (K250443).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • BM Contour XL Coil

    Modified Hardware:

    • MaRS (Measurement and reconstruction system)
    • Host computers

    Software

    New Features and Applications:

    • Brachytherapy Support for use with MR conditional applicators
    • CS Vibe
    • DANTE blood suppression
    • BioMatrix Motion Sensor
    • SPAIR FatSat Improvements: SPAIR "Abdomen&Pelvis" mode and SPAIR Breast mode
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • ASNR recommended protocols for imaging of ARIA
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • myExam Implant Suite
    • GRE_PC
    • Open Recon 2.0
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • Deep Resolve Swift Brain
    • myExam Autopilot Spine
    • Open Workflow

    Modified features and applications:

    • myExam RT Assist workflow improvements
    • myExam Implant Suite
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE

    The subject device, MAGNETOM Viato.Mobile with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Viato.Mobile with syngo MR XA70A (K250443).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • BM Contour XL Coil

    Modified Hardware:

    • MaRS (Measurement and reconstruction system)
    • Host computers

    Software

    New Features and Applications:

    • CS Vibe
    • DANTE blood suppression
    • BioMatrix Motion Sensor
    • SPAIR FatSat Improvements: SPAIR "Abdomen&Pelvis" mode and SPAIR Breast mode
    • RF pulse optimization with VERSE
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • ASNR recommended protocols for imaging of ARIA
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • myExam Implant Suite
    • GRE_PC
    • Open Recon 2.0
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • Deep Resolve Swift Brain
    • myExam Autopilot Spine
    • Open Workflow

    Modified features and applications:

    • myExam Implant Suite
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE

    With the subject software version, Syngo MR XB10, we are also introducing the following new 1.5T devices, which are part of our MAGNETOM Flow. Platform:

    MAGNETOM Flow.Elite
    MAGNETOM Flow.Neo
    MAGNETOM Flow.Rise

    The subject device, MAGNETOM Flow.Elite, MAGNETOM Flow.Neo and MAGNETOM Flow.Rise with software Syngo MR XB10, consists of new and modified software and hardware that is similar to what is currently offered on the predicate device, MAGNETOM Sola with syngo MR XA61A (K232535).

    A high-level summary of the new and modified hardware and software is provided below:

    New Hardware:

    • Magnet
    • MREF (Magnet Refrigerator)
    • Gradient system
    • Gradient Coil
    • RF System
    • System Cover
    • Patient Table
    • MaRS (Measurement and Reconstruction System)
    • Select&GO Display (TPAN_3G) and Control Panel (CPAN_2G)
    • Body Coil
    • Head/Neck Coil
    • BM Head/Neck Coil (with ComfortSound)
    • BM Contour S Coil
    • BM Contour M Coil
    • BM Contour L Coil
    • BM Contour XL Coil
    • Foot/Ankle Coil
    • BM Spine Coil
    • iTx Extremity 18 Flare
    • Multi-Index MR-RT Positioning (a part of "RT Pro Edition" marketing bundle) (not available for MAGNETOM Flow.Rise)

    Modified Hardware:

    • Gradient Power Amplifier (GPA)
    • SAR Monitoring
    • In-Vivo Shim

    Software

    New Features and Applications:

    • CS Vibe
    • BioMatrix Motion Sensor
    • SPAIR FatSat Improvements: SPAIR "Abdomen&Pelvis" mode and SPAIR Breast mode
    • Deep Resolve Boost for FL3D_VIBE and SPACE
    • Deep Resolve Sharp for FL3D_VIBE and SPACE
    • Preview functionality for Deep Resolve Boost
    • EP2D_FID_PHS
    • EP_SEG_FID_PHS
    • AutoMate Cardiac (Cardiac AI Scan Companion)
    • DANTE blood suppression
    • SMS Averaging for TSE
    • SMS Averaging for TSE_DIXON
    • SMS for BLADE without diffusion function
    • Ghost reduction (Dual polarity Grappa (DPG))
    • Fleet Reference Scan
    • Deep Resolve Swift Brain
    • Quick Protocols
    • myExam Autopilot Spine
    • Open Workflow

    Modified features and applications:

    • myExam Implant Suite
    • GRE_PC
    • myExam RT Assist workflow improvements (not available for MAGNETOM Flow.Rise)
    • Open Recon 2.0
    • Deep Resolve Boost for TSE
    • "MTC Mode" for SPACE
    • SPACE Improvement: high bandwidth IR pulse
    • SPACE Improvement: increase gradient spoiling

    New (general) Software / Platform / Workflow:

    • Select&GO extension (coil-based Iso Centering, Patient Registration at the touch display, Start Scan at the touch display)
    • New Startup-Timer
    • myExam RT Assist (not available for MAGNETOM Flow.Rise)
    • myExam Brain RT-Autopilot (not available for MAGNETOM Flow.Rise)
    • Eco Power Mode Pro

    Modified (general) Software / Platform:

    • Improved Gradient ECO Mode Settings

    Furthermore, the following minor updates and changes were conducted for the subject devices MAGNETOM Vida, MAGNETOM Lumina, MAGNETOM Vida Fit, MAGNETOM Sola, MAGNETOM Altea:

    • Off-Center Planning Support
    • Flip Angle Optimization (Lock TR and FA)
    • Inline Image Filter
    • Automatic System Shutdown (ASS) sensor (Smoke Detector)
    • ID Gain (re-naming)
    • Select&Go Display (Touch Display (TPAN))
    • Marketing bundle "myExam Companion"

    The following minor updates and changes were conducted for the subject devices MAGNETOM Sola Fit and MAGNETOM Viato.Mobile:

    • Off-Center Planning Support
    • Automatic System Shutdown (ASS) sensor (Smoke Detector)
    • ID Gain (re-naming)
    • Select&Go Display (Touch Display (TPAN))
    • Marketing bundle "myExam Companion"

    The following minor updates and changes were conducted for the subject devices MAGNETOM Flow.Elite, MAGNETOM Flow.Neo, MAGNETOM Flow.Rise:

    • Off-Center Planning Support
    • Flip Angle Optimization (Lock TR and FA)
    • Inline Image Filter
    • Automatic System Shutdown (ASS) sensor (Smoke Detector)
    • ID Gain (re-naming)
    • Marketing bundle "myExam Companion"
    • Marketing Bundle "RT Pro Edition"(not available for MAGNETOM Flow.Rise)
    AI/ML Overview

    This FDA 510(k) clearance letter pertains to several MAGNETOM MRI systems with software Syngo MR XB10. The document primarily focuses on demonstrating substantial equivalence to predicate devices through non-clinical testing of new and modified hardware and software features, particularly those involving Artificial Intelligence (AI) such as "Deep Resolve" functionalities.

    Here's an analysis of the acceptance criteria and the studies that prove the devices meet them, specifically for the AI features:

    1. Table of Acceptance Criteria and Reported Device Performance for AI Features

    The document does not explicitly state "acceptance criteria" for the AI features in a numerical format that would typically be seen for a device's performance metrics (e.g., minimum sensitivity, specificity). Instead, the acceptance criteria are implicitly defined by the evaluation methods and the "Test result summary" for each Deep Resolve feature, which aim to demonstrate equivalent or improved image quality compared to conventional methods.

    AI FeatureAcceptance Criteria (Implied)Reported Device PerformanceComments
    Deep Resolve Swift Brain- Quantitative quality metrics (PSNR, SSIM, NMSE) to demonstrate network impact.- Visual inspection to ensure no undetected artifacts.- Evaluation in clinical settings with collaboration partners.- "Impact of the network has been characterized by several quality metrics such as peak signal-to-noise ratio (PSNR), structural similarity index (SSIM) and normalized mean squared error (NMSE)."- "Images were inspected visually to ensure that potential artefacts are detected that are not well captured by the metrics."- "Work-in-progress packages of the network were delivered and evaluated in clinical settings with collaboration partners."The results indicate successful performance in meeting these criteria, suggesting the AI feature performs as intended without negative impact on image quality and with acceptable quantitative metrics.
    Deep Resolve Boost for FL3D_VIBE and Deep Resolve Boost for SPACE- Quantitative evaluations (SSIM, PSNR, MSE) showing convergence of training and improvements over conventional parallel imaging.- Visual inspection to confirm no negative impact on image quality.- The function should allow for faster acquisition or improved image quality.- "Quantitative evaluations of structural similarity index (SSIM), peak signal-to-noise ratio (PSNR) and mean squared error (MSE) metrics showed a convergence of the training and improvements compared to conventional parallel imaging."- "An inspection of the test images did not reveal any negative impact to the image quality."- "The function has been used either to acquire images faster or to improve image quality."The results indicate successful performance, demonstrating quantitative improvements and confirming user benefit (faster acquisition or improved image quality) without negative visual impact.
    Deep Resolve Sharp for FL3D_VIBE and Deep Resolve Sharp for SPACE- Quantitative quality metrics (PSNR, SSIM, perceptual loss).- Rating and evaluation of image sharpness by intensity profile comparisons.- Demonstration of increased edge sharpness and reduced Gibb's artifacts.- "The impact of the Deep Resolve Sharp network has been characterized by several quality metrics such as peak signal-to-noise ratio (PSNR), structural similarity index (SSIM), and perceptual loss."- "The tests include rating and an evaluation of image sharpness by intensity profile comparisons of reconstruction with and without Deep Resolve Sharp. Both tests show increased edge sharpness and reduced Gibb's artifacts."The results directly confirm improved image sharpness and reduced artifacts, meeting the implied performance criteria.
    Deep Resolve Boost for TSE- Similar metrics (PSNR, SSIM, LPIPS) to predicate (cleared) network, both outperforming conventional GRAPPA.- Statistically significant reduction of banding artifacts.- No significant changes in sharpness and detail visibility.- Radiologist evaluation confirming no difference in suitability for clinical diagnostics.- "The evaluation on the test dataset confirmed very similar metrics in terms of peak signal-to-noise ratio (PSNR), structural similarity index (SSIM) and learned perceptual image patch similarity metrics (LPIPS) for the predicate and the modified network with both outperforming conventional GRAPPA as the reference."- "Visual evaluations confirmed statistically significant reduction of banding artifacts with no significant changes in sharpness and detail visibility."- "In addition, the radiologist evaluation revealed no difference in suitability for clinical diagnostics between updated and cleared predicate network."This AI feature directly demonstrates equivalent or improved performance compared to the predicate, with specific mention of "radiologist evaluation" ensuring clinical suitability.

    2. Sample Size Used for the Test Set and Data Provenance

    Since the document distinguishes between training, validation, and testing datasets, the "test set" here refers to the data used for final evaluation of the AI model's performance.

    • Deep Resolve Swift Brain:

      • Test Set Sample Size: The document lists "Validation: 3,616 slices (1.5T validation); 6,048 slices (3T validation)" as part of the split. It also mentions "work-in-progress packages of the network were delivered and evaluated in clinical settings with collaboration partners," implying additional testing, but a specific numerical sample size for this external validation is not provided in detail. However, the initial splits serve as the primary "test set" for performance metrics mentioned.
      • Data Provenance: "in-house measurement," implying retrospective data collected at Siemens' facilities. The document notes that "attributes like gender, age and ethnicity are not relevant to the training data" due to network architecture, but no specific country of origin is stated beyond "in-house."
    • Deep Resolve Boost for FL3D_VIBE and Deep Resolve Boost for SPACE:

      • Test Set Sample Size: The document states 19% of 1265 measurements for validation. It also explicitly mentions "collaboration partners (testing)" indicating an external test set, but a specific numerical breakdown for this is not provided.
      • Data Provenance: "in-house measurements (training and validation) and collaboration partners (testing)." This suggests a mix of retrospective data potentially from various countries where Siemens has collaboration, though specific locations are not listed.
    • Deep Resolve Sharp for FL3D_VIBE and Deep Resolve Sharp for SPACE:

      • Test Set Sample Size: 30% of the 500 measurements are listed for validation, which serves as a test set. This equates to 150 measurements.
      • Data Provenance: "in-house measurements," implying retrospective data from Siemens' research facilities. Specific country not mentioned.
    • Deep Resolve Boost for TSE:

      • Test Set Sample Size: "Additional test dataset for banding artifact reduction: more than 2000 slices."
      • Data Provenance: "in-house measurements and collaboration partners" for training/validation. The "additional test dataset for banding artifact reduction" likely follows the same provenance. Retrospective data.

    3. Number of Experts Used and Qualifications for Ground Truth

    The document does not explicitly state the number of experts used to establish ground truth or their specific qualifications (e.g., "radiologist with 10 years of experience") for any of the Deep Resolve features.

    However, for Deep Resolve Boost for TSE, it mentions:

    • "Visual evaluations confirmed statistically significant reduction of banding artifacts... "
    • "In addition, the radiologist evaluation revealed no difference in suitability for clinical diagnostics..."

    This indicates that radiologists were involved in the evaluation of the Deep Resolve Boost for TSE feature, presumably as experts to establish the clinical suitability. The exact number and their detailed qualifications are not provided. For other features, the ground truth is primarily based on the acquired raw data or manipulated versions of it, without explicit mention of expert review in the ground truth establishment process.


    4. Adjudication Method (for the test set)

    The document does not specify an adjudication method like "2+1" or "3+1" for establishing ground truth or evaluating the test set for any of the AI features. The ground truth for training and validation is derived from the "acquired datasets" which are considered the ground truth due to data manipulation and augmentation from these high-quality source images. For Deep Resolve Boost for TSE, a "radiologist evaluation" is mentioned, implying expert review without detailing a specific adjudication protocol.


    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    The document does not indicate that a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was done to measure the improvement of human readers with AI assistance versus without AI assistance. The evaluations focus on the standalone performance of the AI algorithms in improving image quality metrics and, in one instance (Deep Resolve Boost for TSE, radiologist evaluation), the suitability for clinical diagnostics, rather than the impact on human reader performance.


    6. Standalone (Algorithm Only) Performance

    Yes, standalone (algorithm only) performance was done. The descriptions for each Deep Resolve feature focus entirely on the algorithm's performance in terms of quantitative image quality metrics (PSNR, SSIM, NMSE, MSE, LPIPS), visual inspection for artifacts, and improvements over conventional techniques. There is no mention of a "human-in-the-loop" component in the described performance evaluations for these AI features, except for the "radiologist evaluation" for Deep Resolve Boost for TSE which assessed clinical suitability of the output images, not reader performance with the AI.


    7. Type of Ground Truth Used

    • For Deep Resolve Swift Brain, Deep Resolve Boost for FL3D_VIBE & SPACE, and Deep Resolve Sharp for FL3D_VIBE & SPACE:

      • The ground truth used was the acquired datasets (raw MRI data). The input data for the AI models was then "retrospectively created from the ground truth by data manipulation and augmentation" (e.g., undersampling k-space, adding noise, cropping, creating sub-volumes, cropping k-space to simulate low-resolution input from high-resolution output). This means the AI models were trained to learn the mapping from manipulated (e.g., noisy, low-resolution, undersampled) inputs to the original, high-quality acquired image data.
    • For Deep Resolve Boost for TSE:

      • Similar to above, the "acquired training/validation datasets" were considered the ground truth. Input data was generated by "data manipulation and augmentation" (e.g., discarding k-space lines, lowering SNR, mirroring k-space data).

    In essence, the AI models are trained to restore or enhance images to resemble the high-quality, fully acquired MRI data that serves as the reference ground truth.


    8. Sample Size for the Training Set

    • Deep Resolve Swift Brain: 20,076 slices
    • Deep Resolve Boost for FL3D_VIBE and Deep Resolve Boost for SPACE: 81% of 1265 measurements. (This equates to approximately 1024 measurements).
    • Deep Resolve Sharp for FL3D_VIBE and Deep Resolve Sharp for SPACE: 70% of 500 measurements. (This equates to 350 measurements).
    • Deep Resolve Boost for TSE: More than 23,250 slices (93% of the total dataset).

    9. How the Ground Truth for the Training Set Was Established

    For all Deep Resolve features, the ground truth for the training set was established from acquired MRI datasets (either "in-house measurements" or from "collaboration partners"). These acquired datasets are implicitly considered the "true" or "high-quality" images. The AI models are designed to process inputs that mimic suboptimal acquisition conditions (e.g., undersampled k-space, lower SNR, lower resolution) and generate outputs that match these high-quality acquired images, which serve as the ground truth for learning. The process involved:

    • Retrospective creation: Input data was created retrospectively from the acquired ground truth data.
    • Data manipulation and augmentation: This involved techniques such as:
      • Discarding k-space lines (undersampling).
      • Lowering the SNR level by adding Gaussian noise to k-space data.
      • Uniformly-random cropping of training data.
      • Creating sub-volumes of acquired data.
      • Cropping k-space to generate low-resolution inputs corresponding to high-resolution ground truth.
      • Mirroring of k-space data.

    This approach demonstrates an unsupervised or self-supervised learning paradigm where the ground truth is derived directly from the complete and high-fidelity raw data, and the AI is trained to reconstruct or enhance images from degraded inputs to match this ideal ground truth.

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