ACUSON Sequoia 3.5 VB30 3D/4D Gynecology Presentation

SIEMENS Healthineers SIEMENS Healthineers ... ACUSON Sequoia Ultrasound System 3D/4D Ultrasound Imaging Technology in Gynecology 3.5 (VB30) 1 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The purpose of this presentation is to provide an overview of the ACUSON Sequoia ultrasound system using volume imaging in 3D and 4D. A short review regarding the terminology and technology: Volume transducers are the 9VE4 and 7VC2, which are motorized mechanical transducers that performs 3D imaging and real time 4D gynecological imaging. During a 3D acquisition, a single mechanical (automated) sweep is performed and produces 3 orthogonal dimensions, or planes, as well as a volume rendering. During a 4D acquisition the transducer continuously acquires and displays the volume information. This method is also known as real-time 3D ultrasound where time is considered the fourth dimension. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Outline activation and volume acquisition for mechanical/freehand transducers • 5Z1 BiPlane+ • Describe volume manipulation .... • Demonstrate optimization tools • Explain FlexPlane Tool for mechanical/freehand transducers • Explain Multislice feature for mechanical/freehand transducers • Define volume store and editing • Describe reviewing stored volumes 2 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 2 SIEMENS Healthineers 3D/4D Transducers and technology for gynecology SIEMENS . Healthineers ... 3D Technology 4D Technology 3 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Let’s start by understanding the differences between 3D and 4D technologies. 3D ultrasound is the sequential stacking of B mode and color slices to form a volume of data – giving spatial height, width and depth perception to ultrasound data. It can be acquired in two ways, freehand and mechanically. • Freehand 3D ultrasound is when the user is moving the transducer and the sound beam in a rocked or linear motion to acquire the 3D volume. Transducers that have the 3D Freehand technology for gynecology are: 10EV3 and 9EC4 • Mechanical 3D ultrasound is when the transducer motor moves the crystal and sound beam in a single sweep to acquire the volume data. The transducers that have the 3D mechanical technology are: 7VC2 and the 9VE4 4D ultrasound is the sequential stacking of B mode and color slices over time – to give a real-time display of 3D volume data. This technology allows for the visualization of a 3D baby face in real time. 4D ultrasound can not be performed with a freehand acquisition. There are 2 different technologies for 4D ultrasound. • Mechanical 4D is when the transducer motor moves the crystal and sound beam back and forth consistently to produce a real time 3D volume. The transducers that have the 4D technology are the 7VC2 and the 9VE4 • Electronic 4D in full-volume 4D ultrasound, is all elements of the transducer are fired in sequence and the full aperture of the array is utilized. The transducer that has this technology is the 5Z1. Measurements can only be performed on mechanical or electronic sweeps as these methods are more accurate than a freehand movement. Notes No. 3 SIEMENS Healthineers Activate 3D/4D for mechanical/freehand transducers SIEMENS . Healthineers ... 3D Update ABC Freeze 4 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To enter 3D/4D imaging, press the 3D/4D key on the control panel. The default setting for either 3D or 4D can be customized and saved within the preset. Notes No. 4 SIEMENS Healthineers ROI and VOI for mechanical/freehand transducers SIEMENS .... Healthineers ... Live Region of Interest (ROI) The trapezoidal shape represents the 9VE4 GYN TIB:0.30 entire area that will be acquired for the TIC:0.42 TIS:0.30 volume 35fps 95% 20 Mid OdB/DR65 c=1540 Volume of Interest (VOI) • The corner icons form a rectangular box that represents the boundaries of the rendered volume Clinical Data • The straight green line represents the cut plane 5 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Once activated, the ROI (Region of Interest) is displayed as a blue outline on the image screen. This area represents the entire scan area. The VOI (Volume of Interest) graphic appears as a graphic outline made up of a solid green line and corner icons and defines the content of the rendered volume. The VOI rectangle box can be re-sized and optimized before or after acquisition. Notes No. 5 SIEMENS Healthineers Touch Screen for mechanical/freehand transducers SIEMENS . Healthineers ... 5C1 7VC2 9VE4 GYN Workflow Patient 3D/4D Setup Imaging 3 4 5 Surface Vascular Skeletal Review Report LightSource 6 End Exam 8 VOI 1 2 Reset Curve 3D 4D 7 Transmit Power Quality Angle 95 % Mid 120 º 6 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Once activated the Touch Screen will display the 3D/4D setup tab. The 3D and 4D function keys are available and the active function and will be backlit in orange. 1. 3D: Activates the 3D imaging function in order to perform an automatic sweep 2. 4D: Activates the 4D imaging function in order to view a real-time 3D image 3. Surface: Smooths the image contours, creating a soft sculptured appearance for highlighting surface features. Will use the mode specific selections for opacity percentage and threshold 4. Vascular: (Minimum Intensity Projection) limits the display to minimum-value pixels with the lowest value along each projection of the volume It is a helpful tool when visualizing hypo-echoic lesions and large vascular structures - e.g. adnexa area 5. Skeletal: (Maximum Intensity Projection) limits the display to maximum-value pixels with the highest value along each projection of the volume. May be useful for body structures in obstetrical imaging and intrauterine devices in gynecological applications 6. Light Source: The moveable light source helps increase depth perception, reveal surface details and can provide a deeper understanding of relational anatomy 7. Reset Curve: Resets the curve of the VOI 8. VOI: Enables or disables the VOI. In acquisition mode this allows the entire field of view to be acquired. In rendering mode this activates the rendered volume region of interest. Notes No. 6 SIEMENS Healthineers Touch Screen for mechanical/freehand transducers SIEMENS. Healthineers ... @ 5C1 7VC2 9VE4 GYN Workflow Patient 3D/4D Setup Imaging Surface Vascular Skeletal Review Report LightSource End Exam VOI Reset Curve 4D × Transmit Power Quality Angle 95 % Mid 120º 7 Unrestricted © Siemens Healthineers 2024 Speaker Notes: On the soft key control area, the major pre-acquisition parameters are: Quality: A higher quality setting acquires more slices and typically provides a more detailed reconstructed image. Available values are Low, Mid and High. • High - scan line density with the highest setting enhances the detail resolution of the rendered volume, but decreases the volumes per second during acquisition • Mid - scan line density enhances the volumes per second during acquisition. This results in a limited loss of volume resolution • Low - scan line density has the lowest rendered volume quality, but the highest volumes per second during acquisition Angle: The volume angle determines the distance of the volume sweep. A large angle is equivalent to a larger sweep. The angle range is 20 ° to 145 ° . Notes No. 7 SIEMENS Healthineers Touch Screen for the 5Z1 electronic transducer SIEMENS . Healthineers ... 4D first page 4D second page 0 0 0 1014 HLX 7 5C1 Workflow ? 0 10L HLX Abdomen 501 Workflow Patient Patient Imaging Show MPR Lines MPR LOCK Review Lock Bi-Plane L/R Flip UND Flip Review Report Reset Orientation Reset Cropping A MPR A MIPR B MPR C Report Reset Orientation Reset Cropping End Exam End Exam Bi-Plane+ MPR Line Auto TEQ Cut Plane Free Plane Volume Enhance Harmonics Single V 4D Zoom Capture Type Prospective Cut Plane Wireframe Line Density Size Position Clip Captur MPR Thickness Maps Tint 58 dB Lat Ele 8 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When 4D is active on the 5Z1, there will be two pages on the Touch Screen. The options and layout will be different from the 3D/4D mechanical and the freehand transducers. The Touch Screen will be similar to the Cardiac workflow. The 5Z1 transducer only has 4D imaging and does not have a VOI option. Therefore, when the 3D/4D option is selected, it will launch directly into 4D. If the user needs a 3D volume, select freeze and then select the image key. VOI workflow can be achieved either by selecting 4D Zoom or the Single V option from the Touch Screen. 5Z1 features BiPlane+ which will allow high volume frame rates and will be discussed later in this presentation. The current GI volume manipulation tools will not be available on the 5Z1 including FlexPlane, Multislice or Editing functions including animation. In the cardiac preset, Multislice is available however the controls will be General, Parasternal and Apical C. 8 SIEMENS Healthineers Home base for the mechanical/freehand transducers SIEMENS. Healthineers ... Update Starts acquisition Update Set Size, position and curve of the Position Size Curve ROI/VOI Home Base Display 9 Unrestricted © Siemens Healthineers 2024 Speaker Notes: For the mechanical transducers, the Update key starts the volume acquisition using either 3D or 4D depending on what the user has selected. Before entering a volume acquisition: • Select the Set key to toggle between VOI size, VOI position and ROI curve while using the trackball to adjust the areas of interest • The ROI and VOI curve graphics will change from a solid line to a dotted line during resizing and curve adjustment The Home Base display indicates the selected tool. Notes No. 9 SIEMENS Healthineers Volume monitor layout for mechanical/freehand transducers SIEMENS .... Healthineers ... 5 6 GYN TIB:0.30 TIC:0.59 TIS:0.30 MI:0.87 3D Volume imaging parameters -6dB/DR69 Q Mid V 90 Th 15 Op60 S1 Br-2 Con53 Mapc T5 T3 Volume display field Home Base display Position Size Curve 10 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Volume acquisition imaging parameters such as Gain, Dynamic Range, Quality, Opacity, Brightness, et cetera, are displayed along the upper right side of the image. The image screen area contains the acquired volumes. The Home Base display indicates the functionality of the Update and Set keys. Notes No. 10 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Outline activation and volume acquisition for mechanical/freehand transducers • 5Z1 BiPlane+ • Describe volume manipulation .... • Demonstrate optimization tools • Explain FlexPlane Tool for mechanical/freehand transducers • Explain Multislice feature for mechanical/freehand transducers • Define volume store and editing • Describe reviewing stored volumes 11 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 11 SIEMENS Healthineers BiPlane+ display SIEMENS .... Healthineers ... Abdomen 4D 270º TIB:0.38 TIC:1.58 TIS:0.38 MI:0.96 19fps Angle Rotation 95% 2D H High -7dB DR68 c=1540 LD 3 UA 1 lapC/T3 P1 DR Angle Tilt Angle Clip Capture 68 dB OP R270º [1º 309 -13º Reset Beats Sec 12cm Acquisition image BiPlane+ image 12 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers, 2024 Speaker Notes: When using BiPlane+ there will be 2 images displayed side by side. The acquisition image is on the left and the image on the right will be the BiPlane+ image which is 90° from the acquisition plane. The Angle rotation is located on the soft keys and is displayed at the top of the image to indicate the amount of rotation for each image. The angle rotation will default to 1° increments. Press the Angle Rotation knob to change the increments to 90° when rotating the knob. Please Note: The 5Z1 workflow is the same as the cardiac workflow, therefore there will be inconsistencies for the new GI workflow. This is due to cardiac scanning rotating to the right and GI scanning rotating to the left. Notes No. 12 SIEMENS Healthineers Orientation for sagittal scanning in BiPlane+ SIEMENS. Healthineers ... Acquisition sagittal scanning Orientation of the 5Z1 rotation 0° 0° 90° 270° In GI, the sagittal scan starts the transducer The 5Z1 always rotates to the right, therefore in General notch towards the patient’s head and the Imaging, you will need to change your orientation to correct transverse plane is 90° to the the 270° option, so that it ends in the correct transverse patients right. orientation for sagittal scanning. 13 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using the BiPlane+ feature on the 5Z1, its important to understand how the feature works and to ensure the rotation orientation is correct. The 5Z1 is a cardiac transducer, therefore scanning in cardiac exams, the transducer rotates to the right, whereas in general imaging, the transducer rotation is to the left. Therefore, it is important to know why the Angle rotation is correct depending if the acquisition scanning is in the Sagittal or Transverse plane. We will start with the sagittal scan. When scanning in general imaging 2D, the user will have the transducer notch towards the patient's head, therefore the transverse plane will be 90° to the patients right. In the BiPlane+ feature, the image on the right should be the transverse image or 90° to the patients right. Although it’s important to remember that the rotation of BiPlane is to the right, not the left, therefore it will need to rotate 270° until it reaches the correct orientation. Notes No. 13 SIEMENS Healthineers Orientation for transverse scanning in BiPlane+ SIEMENS. Healthineers ... Acquisition transverse scanning Orientation of the 5Z1 rotation 0° 90° C C 90° 0° In GI, the transducer notch is towards the If the 5Z1 always rotates to the right, then the true patients right and the 90° to that plane is to 90° will be correct, due to the 5Z1 rotation to the the right towards the patient’s head right. 14 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When scanning in the transverse plane in 2D general imaging, the acquisition plane starts at 90° or to the patients right and 90° to that is 0° or towards the patient's head. Therefore, when using BiPlane+, the image on the right should be set to 90° as the acquisition plane is 0° and it rotates to the right which would only need 90° to be at the correct orientation. In Summary, when scanning in sagittal, be sure the orientation is set to 270° and when scanning in transverse, be sure the orientation is set to 90°. Notes No. 14 SIEMENS Healthineers BiPlane+ feature SIEMENS . Healthineers ... 10L4 8V3 5Z1 5V1 Cardiac Workflow Patient 2D Physio Imaging L/R Flip UID Flip Review Report End Exam Bi-Plane- Right Invert Auto TEQ Reset Angle Perpendicular Harmonics Left Both Right 4D Zoom Capture Type O Prospective Frequency DR Angle Tilt Angle Clip Capture H High 55 dB 150€ 1' 30" 19ª Reset 2 Beats Sec 15 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Bi-Plane+ imaging function is available on the 5Z1 transducer. In Bi-Plane+ imaging, the system scans two imaging planes with different rotation and tilt angles and views the planes in a side-by-side display format. Notes No. 15 SIEMENS Healthineers 5Z1 Configuration SIEMENS . Healthineers ... System Configuration Systern Settings Workflow Enhancement 521 Imaging Settings Measurement & Report Diftanes Settings Annotations Features Rotation Free TIME Transducers Rotate 360º O No restrictions Volume Transducers O Limit rotation to 180' O Perpendicular on tilt Connectivity & Network Peripheral Devices Tilt Line Display Systern Management El Auto hide after 1.5 seconds Default BiPSine+ Rotation Angle Left 0", Right 90" O Left O', Right 2709 2707 16 Unrestricted © Siemens Healthineers 2024 Speaker Notes: For all presets, to set up the default angle for BiPlane+ imaging, go to System Configuration > Transducers > Volume Transducers > 5Z1 > Tilt Line Display. Notes No. 16 SIEMENS Healthineers BiPlane+ scan plane and angle indicators SIEMENS .... Healthineers .. Left image: plane is represented by the 5Z1 • Abdomen 4D TIB:0.38 red line 90 TIC:1.58 TIS:0.38 MI:0.96 19fps • Right image: plane is represented by the 95% 2D green line H High -7dB DR68 c=1540 LD 3 UA 1 MapC/T3 P1 12cm 17 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers, 2024 Speaker Notes: The left image is indicated by the red line and the right image is indicated by the green line. Notes No. 17 SIEMENS Healthineers BiPlane+ Touch Screen controls SIEMENS . Healthineers ... • Reset Angle: resets both angles to the default orthogonal position (0° and 90° or 0° and 270°, determined by system configuration) Reset Angle Perpendicular • Perpendicular: aligns right image perpendicular (orthogonal) to the current angle of the left image Left Both Right Angle options • Both: adjusts the angle for both images orthogonally Left: adjusts the angle on the left image only DR Angle Tilt Angle • Right: adjusts the angle on the right image only 55 dB 180º 1º 30º -4º • Reset • Tilt Angle: represents the right view port angle – this can be used to propagate in a perpendicular plane to the anatomy 18 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using the Angle control on the rotary knobs, there are options to adjust the images. Reset Angle resets both angles to the default orthogonal position (0 and 90° or 0 and 270°, determined by configuration of the transducer). Perpendicular aligns right plane perpendicular to the current angle of the left plane. To adjust both planes together, select Both from the Touch Screen and rotate the Angle Soft Key to change the angle in 1˚ or 30˚ increments (press the Soft Key to change). To adjust the left side of the image (red plane only) select Left; to adjust the right image only select Right. The currently active plane(s) indicator will appear bold. Notes No. 18 SIEMENS Healthineers Right Invert for obtaining the correct orientation SIEMENS . Healthineers ... 0 2 0 1014 HLX 5Z1 Abdomen 5C1 Workflow Patient 2D Imaging UR Flip UID Flip Review Report Full FOV End Exam Bi-Plane+ Right Invert Auto TEQ Reset Angle Perpendicular Harmonics Left Both Right 4D Zoon Capture Type Prospective Frequency DR Angle Tilt Angle Clip Capture H High 68 dB LOº R270º 1º 30º 13º Reset [Beats Sec 19 Unrestricted © Siemens Healthineers 2024 Speaker Notes: As we have just learned, it is important to have the correct rotation angle depending if you are in a Sagittal or Transverse plane, therefore there is a short cut key labeled “right Invert” to quickly obtain the correct orientation. For example, if you are in a sagittal plane with a 270° angle rotation and then switch to a transverse plane, instead of manually changing the rotation to 90°, select Right Invert key and the image on the right will change to be in the correct orientation. This will also work when you are in a transverse plane at 90° and go to a sagittal plane and need the 270° rotation. Notes No. 19 SIEMENS Healthineers 5C1 GYN update dual vs 5Z1 GYN BiPlane+ SIEMENS .... Healthineers ... 521 5C1 GYN GYN TIS:0.86 270 TIS:0.38 MI:1.00 MI:1.38 25fps 95% 2D 2D H High H High OdB -4dB/DR65 DR68 c=1540 C=1540 LD 2 LD 2 Compound UA 2 UA 3 MapD/T4 MapD/T4 P2 16cm 16cm Clinical Data Clinical Data 5C1 5Z1 20 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers, 2024 Speaker Notes: Dual is not available on the 5Z1, although has the BiPlane+ feature which is a major advantages of the matrix transducer. Here is a comparison of the 5C1 dual mode and the 5Z1 BiPlane+ mode. Notice the image quality is comparable. 20 SIEMENS Healthineers 5Z1 BiPlane+ workflow SIEMENS ... Healthineers ... • Orientation is important GYN TIS:0.38 ME1.00 • Supports 2D and color 25fps 2D • Tilt Angle represents the right view port angle H High OdB DR68 • Angle Control c=1540 LD 2 UA 2 MapD/T4 Bi-Plane+ Right Invert Reset Angle Perpendicular Clinical Data Left Both Right DR 56 dB Angle Tilt Angle LO. R266. Reses 21 Unrestricted © Siemens Healthineers 2024 Speaker Notes: BiPlane is available from the 2D and 4D Touch Screen and supports 2D and color. When using the BiPlane feature, orientation is important. The user must set up their preferences as mentioned in the previous slides. Tilt Angle represents the right view port angle, and this can be used to propagate in a perpendicular plane to the anatomy (as seen here with the transverse uterus). Angle control rotates the elevation plane with the option of left and right view ports being independent. 21 SIEMENS Healthineers 5Z1 4D workflow SIEMENS .... Healthineers ... • There is no VOI GYN TIS:0.38 • Cut Plane will default to “on” ML:1.00 17fps 95% • User-defined MPR sync and layout H High 4GB/DRE8 C=1540 • Trackball used to align blue line of PDITS MPR C • Arrows will rotate the MPR line • Select the line to move the MPR line • The volume can be rotated via the trackball or the control panel 16cm Clinical Data 22 Unrestricted © Siemens Healthineers 2024 Speaker Notes: As a reminder there is no VOI on the 5Z1. The Cut Plane will default to on and in this example is synced to MPR A. The user can define the MPR sync and layout. The trackball can be used to align the flue line of MPR C. The pointer can be used to select the arrows which will rotate the MPR line. To move the MPR line place the pointer along the line until it changes from a solid line to a dotted line, then with the trackball move the line. The volume can be rotated via the trackball or the X, Y, Z controls on the control panel. 22 SIEMENS Healthineers 5Z1 PW workflow SIEMENS .... Healthineers' ... 4D PW second page Autotrace SA 10LA SZ1 5Z1 Abdomen 50 Workflow Abdomen TIB:2.72 TIC.1.20 Patient 2D Color TIS:0,48 MI:0.66 Imaging PS=129.44 cm/s 11fps ED=40.56 cm/s 95% Timer RI=0.69 2D Review H High 5dB/DR68 C=1540 Report LD 3 UIA 2 MapD/T3 End Exam P3 13cm 59mm 38º -1.50 P1/LD1 PRF 2577 -1.00 S4/ Pr4 MapF/F2 2D + Color -0.50 D PW Frequency DR Edge - m/s Low Maps Tint -80B/ DR60 Mid 0 dB MapD/T5 -- 0.50 GS 2.0 PRF 5952 F 165 23 Unrestricted © Siemens Healthineers 2024 Speaker Notes: For the 5Z1 transducer, the angle correct is on the second Touch Screen page in all states. Auto trace is available although the algorithm has not been updated and the option to change the sensitivity is not available. 23 SIEMENS Healthineers Free Plane workflow SIEMENS .... Healthineers ... • Free Plane is located on the second page TIS.O.S • The Free Plane will appear at the top left of the volume view 2D H High -5dB/DR68 • Toggle between Free Plane and Rotate c#1540 LD 3 UA 2 • Rotate X and Y using the first Soft Key MapD/T3 • Cut the volume with the Position Plane Free Plane Clinical Data Undo Crop Retain Crop Rotate Plane XY Position Plane 24 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Now we will discuss the Free Plane workflow. The Free Plane feature is located on the second page of the Touch Screen when in the 4D mode. The Free Plane will appear at the top left of the volume view. The user may toggle between Free Plane and Rotate by using the trackball. Free Plane is not connected to any MPRs or specific cut planes. The user can place this anywhere. To rotate the Free Plane in X and Y select the first Soft key. To cut into the volume with the Free Plane, select Position Plane located on the second Soft key. 24 SIEMENS Healthineers 5Z1 4D Zoom workflow SIEMENS .... Healthineers ... • A work-around for a VOI is to use 4D Zoom ris.0.38 • Select BiPlane to size and position the ROI • Launch from either Update 4D Zoom or H High 4dB/DR68 Touch Screen 4D Zoom c=1540 LD 3 UA 2 • If needed, select the Cut Plane from the MapD/T3 Touch Screen • Rotate, position MPR lines, sync, and change layouts the same as 4D workflow 16cm Clinical Data et Size Position 25 Unrestricted © Siemens Healthineers 2024 Speaker Notes: As we have previously stated, there is not a VOI available on the 5Z1, although a work around would be to use 4D Zoom. HD Zoom is available by selecting the 3D tab or during live 4D. When BiPlane is selected, a dual screen will appear and the ROI can be sized and positioned axially, laterally and elevationally. To enter HD Zoom, select Update from either the Update key or the Touch Screen 4D Zoom. If the Cut Plane is needed, select it from the Touch Screen. This will be the Cut Plane that is synced to the MPR that is active. The user can rotate and position MPR lines, sync and change the layout the same as 4D workflow. 25 SIEMENS Healthineers 5Z1 Single V (Volume) workflow SIEMENS .... Healthineers ... 5Z1 • Helpful when a VOI is needed with a Cut Plane GYN TIS.0.38 MI:1.00 • Select 4D and then select Single V 17fps 95% • Position the large dot with dotted line like a 2D H High 0dB/DR68 Cut Plane c=1540 LD 3 UA 2 • Select Set and use the trackball to angle in the MapD/T3 P3 direction you want to view from • ROI width and size can be adjusted • Ideal for looking into fluid spaces, such as vessels Clinical Data ze , Position 26 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 Single V feature is a helpful volume viewing tool when the volume box is positioned within the chosen MPR and angled in the direction the user wants to view from. This is also helpful if the user requires a VOI with a Cut Plane. To start, when in 4D, select Single V from the Touch Screen. Position the large dot with dotted line like a Cut Plane (the plane that you want to present in the render). The dot represents the Set point, and the arrow represents the direction of view into the volume slice. Select the Set key and use the trackball to angle in the direction you want to view from. To resize the ROI, use the set keys and trackball. This feature is ideal when viewing fluid filled spaces such as vessels. 26 SIEMENS Healthineers Color (4D) workflow4D color parameters such as 4D color gain and ROI box size and SIEMENS .... Healthineers ... position are exclusively on the touchscreen and soft keys. To allow Z plane rotation Abdomen THE 0 57 TIC 1.88 10L4 HLX Abdom SC1 Workflow TIS 9 57 69vps Patient 4D Color (40) Imaging Reduce FOV IMPR LOCK Review Lock Bi-Plane Report Reset Orientation leset Cropping End Exam 20 + Color 2D Only Color Only Bi-Plane+ Color Crop MPR Lines Dual V Gain 6.5 dB Single V Reset to Start 4D Zoom * X 1 16cm requency Mid Scale Baseline ROTSICE C ROI Position LAt Flers Axial 27 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 also performs color. 4D color parameters such as 4D color gain and ROI size and position are exclusively on the Touch Screen and Soft Keys. 27 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Outline activation and volume acquisition for mechanical/freehand transducers • 5Z1 BiPlane+ • Describe volume manipulation .... • Demonstrate optimization tools • Explain FlexPlane Tool for mechanical/freehand transducers • Explain Multislice feature for mechanical/freehand transducers • Define volume store and editing • Describe reviewing stored volumes 28 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 28 SIEMENS Healthineers Mechanical/Freehand transducer volume Touch Screen SIEMENS . Healthineers ... 501 7VC2 / OVEA GYN Workflow Patient 3D FlexPlane Multislice Editing maging VR MPR Review A Report C VR End Exam eset All VOI 90" 180º 270º Reset Curve Reset Orientation Flip Sync 3D D × DR Map Tint 65 29 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When scanning with a mechanical or freehand transducer, once a 3D volume is acquired, the Touch Screen displays the available functions for manipulation. The four tabs available are: • 3D • Flexplane • Multislice • Editing Touch Screen selections are backlit in orange when activated and gray when available. Keys that are dithered out are not available in the current active mode but may be available in other modes. Some tabs contain additional options on the second page. Notes No. 29 SIEMENS Healthineers Display format for mechanical/freehand transducers SIEMENS .... Healthineers ... 9VE4 / GYN 1014 SC Workflow GYN TIB:0.30 TIC:0.59 TIS:0.30 MI:0.87 Patient 3D FlexPlane Multislice Editing 95% 3D -2dB/DR69 Imaging Q Mid MPR v 90" Th15 Review Op60 S1 Br-5 Report C VR 1 2 3 4 Con53 MPR MapC nd Exam T5 Vol: Reset All VOI 90' 180" 270% T3 Reset Curve Reset Orientation Flip Sync 3D 4D X Light Map 65 Tint 30 Unrestricted © Siemens Healthineers 2024 Speaker Notes: These are the user selectable layout options. 1. Displays all four quadrants 2. Displays the A-plane and rendered volume 3. Displays the A-plane and B-plane on top of the rendered volume 4. Displays any selected plane in a full view format Notes No. 30 SIEMENS Healthineers Reference point for mechanical/freehand transducers SIEMENS .... Healthineers ... 9VE4 GYN • The reference marker is the pivot TIB:0.30 TIC:0.59 point to manipulate the MPR planes TIS:0.30 MI:0.87 95% It represents the point where the A, B, 3D • -2dB/DR69 Q Mid and C plane intersect V 90" Th 15 Op60 • Place the desired anatomy at the Br-5 reference point to display in all three Con53 MPR: MapC planes T5 Vol: T3 3:1 VOI On 31 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The reference marker is the intersection point between the three orthogonal planes. Volume manipulation is facilitated by placing the MPR at the desired location. This subsequently becomes the pivot point around which the planes may be rotated along any of the three axes, without losing its position, as it remains displayed in all three orthogonal planes. Notes No. 31 SIEMENS Healthineers VOI Size and curve for mechanical/freehand transducers SIEMENS .... Healthineers ... Start Position Size Curve Trackball before acquisition Setup Trackball during acquisition 32 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The VOI can be resized, repositioned and curved after acquisition. Use the Set keys to toggle between the tools. Position allows the user to pan the image to the desired location. Size enables resizing of the VOI. The user can use Curve to curve the render view line of the VOI box to exclude extraneous information if desired. A curved VOI will allow demonstration of out of plane anatomy, such as the endometrium on the rendered volume. During acquisition, Setup will appear in the Update key position on the Trackball to take the Notes No. 32 SIEMENS Healthineers. user back to the Setup screen to start again. Notes No. 32 SIEMENS Healthineers Control Panel for mechanical/freehand transducers SIEMENS. Healthineers ... X Z O M PW CW c 2D 33 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The control panel of the system contains rotary dial keys that allow the user to manipulate the MPR slicing as well as the X, Y, and Z axes of the acquired volume. • The MPR Slicing function is manipulated using the 3D/4D control • The X axis is manipulated using the M-mode control • The Y axis is manipulated using the PW Doppler control • The Z axis is manipulated using the Color Doppler control Note: The Update key can be used to toggle between the VOI manipulation tools including the Size, Position and Curve functions. Notes No. 33 SIEMENS Healthineers Quadrant selection for mechanical/freehand transducers SIEMENS .... Healthineers ... 10L4 5C1 65 1 GYN Workflow Multislice MI:0.87 Patient 3D FlexPlane Editing PdB/DR69 Imaging a Mid MPR V.90 Review OPS Report A B Br-5 MPR: MapC End Exam Vol: Reset All VOI 90º 180º 270º Reset Curve Reset Orientation Flip Sync 3D 4D X Light C VR DR Map Tint 65 34 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This allows the user to easily switch between the quadrants for manipulation. The quadrants are referred to as A, B, C, and VR, with quadrants A, B, and C containing the MPR planes of the volume. MPR is the abbreviation of Multi-Planar Reconstruction also known as Multi-planar reformatting and is the term used to refer to the three orthogonal planes collectively. • A is the acquisition plane • B is the elevation plane • C is the coronal plane • VR contains the surface rendered volume In this example, the A-plane is selected and any manipulation using the X, Y and Z controls will apply only to that selected quadrant. The selected plane will be outlined in white on the imaging screen and backlit in orange on the Touch Screen. Notes No. 34 SIEMENS Healthineers Volume rendering rotation for| SIEMENS .... Healthineers ... mechanical/freehand transducers 9VE4 10L4 2 5C1 Workflow GYN TIB:0.30 TIC:0.59 TIS:0.30 MI:0.87 Patient FlexPlane Multislice Editing 95% 3D -2dB/DR69 Imaging Q Mid VR MPR V 90" Th15 Review Op60 S1 BrS Report VR MPR Mapc End Exam Vol Reset All VOI 90º 180º 270- Reset Curve Reset Orientation Flip Sync 3D 4D X Light Threshold Opacity Smooth Brightness Contrast 15 60 65 35 Unrestricted © Siemens Healthineers 2024 Speaker Notes This area allows the user to quickly rotate the rendered volume regardless of the selected plane. In this example the volume has been rotated 90 ° . The Z axis control may also be used to adjust the volume however the VR quadrant must first be selected. Notes No. 35 SIEMENS Healthineers Touch Screen keys for mechanical/freehand transducers SIEMENS .... Healthineers ... 1014 5C1 65 1 GYN Workflow MI:0.87 Patient 30 FlexPlane Multislice Editing PdB/DR69 Imaging a Mid MPR V.90 Review OPS Br-5 Report MPR: MapC End Exa Vol: 1 Reset All VOI 90º 180º 270º 2 Reset Curve Reset Orientation Flip Sync 3D 40 3 4 5 Light DR Map Tint 65 36 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 1. Reset All • Restores the default (or user-defined) settings of other parameters for all quadrants • User-defined settings are those that were in effect when the current volume was first displayed 2. Reset Curve restores the VOI curve to a linear orientation. 3. Reset Orientation restores the default orientation for all quadrants. 4. Flip reverses the render direction. 5. Sync (synchronize) aligns the selected plane and volume orientation (VR). Notes No. 36 SIEMENS Healthineers Touch Screen keys for mechanical/freehand transducers SIEMENS .... Healthineers ... 33 CC GYN TIB. 29 DAX 5C1 15L4 Workflow TIC .58 TIS: 29 ME.p.93 Sups Patient 3D FlexPlane Multislice Editing 4D OdB7DR69 Imaging Surface Vascular Skeletal Review Report ightSource 1 2 End Exam Vol Inversion Up/Down Front/Back Left/Right Down/Up Back/Front Right/Left , X = Threshold Opacity Smooth Brightness Contrast 15 60 65 37 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 1. Inversion: Renders the volume to display anechoic portions of the volume as echogenic areas, and echogenic areas as anechoic to allow for enhanced definition and evaluation of cystic structures, such as ovarian cysts and hydrosalpinx 2. These options control the rotation and viewpoint of the entire volume rending allowing the user to quickly achieve the desired view Notes No. 37 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Outline activation and volume acquisition for mechanical/freehand transducers • 5Z1 BiPlane+ • Describe volume manipulation .... • Demonstrate optimization tools • Explain FlexPlane Tool for mechanical/freehand transducers • Explain Multislice feature for mechanical/freehand transducers • Define volume store and editing • Describe reviewing stored volumes 38 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 38 SIEMENS Healthineers Optimization tools for mechanical/freehand transducers SIEMENS . Healthineers ... @ 501 7VC2 Workflow 5C1 7VC2 Workflow Patient 3D FlexPlane Multislice Editing Patient FlexPlane Multislice Editing Imaging Imaging MAPR MPR Review VR Review VR Report Report C End Exam End Exam Reset All VOI 90 180' 270- Reset All VOI 180 270- 9 Reset Curve Reset Orientation Sync 30 4D Reset Curve teset Orientation Flip Sync 30 Opacity Smooth Brightness Contrast 65 Tint PR Ma Tint 60 39 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The VR and MPR keys activate specific tools applicable to the selected modes or quadrants. When VR is selected the soft keys will display adjustable parameters for the rendered volume (VR). When MPR is selected the soft keys will reflect parameters that will affect the MPR planes (A, B & C). Notes No. 39 SIEMENS Healthineers VR – Threshold for mechanical/freehand transducers SIEMENS ... Healthineers' ... • Sets the threshold for the opacity curve • Removes small echoes or noise that contain values lower than the selected threshold • A lower setting creates a more saturated image • Available for VR mode only Threshold Threshold 47 O 40 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When changing the threshold, all echoes below that level are enhanced in a pink color for a short interval and will be seen on the three MPR images. • Decreasing the value of Threshold will fill in the surface rendered volume with more low- level echoes (voxels). Soft tissues will be enhanced. • Increasing the value of Threshold will remove low level echoes (voxels). It may help to enhance the image when noise, artifacts and/or low-level echo structures are present. Notes No. 40 SIEMENS Healthineers VR- LightSource tints for mechanical/freehand transducers SIEMENS . Healthineers ... LightSource Tints for 7VC2 and 9VE4 Provide diversity in tints and skin tones 3D FlexPlane Multislice Editing • • Provides a more even appearance to Surface Vascular Skeletal the surface render LightSource • Enhance gynecological features Inversion Up/Down Front/Back eft/Right 7VC2 – Nine LightSource Tint options Down/Up Back/Front Right/Left 9VE4 – Seven LightSource Tint options Threshold Opacity Smooth rightness Contrast Tint 15 60 -3 65 41 Unrestricted © Siemens Healthineers 2024 Speaker Notes: LightSource Tints provide diversity in skin tone while capturing additional clinical and diagnostic detail. The use of Tints provide a more even appearance to surface renderings. Tint is adjusted by selecting 3D and adjusting the soft key labeled Tint, when in LightSource. Notes No. 41 SIEMENS Healthineers VR – LightSource tints for mechanical/freehand transducers SIEMENS .... Healthineers' ... 7VC2 9VE4 42 Unrestricted © Siemens Healthineers 2024 Speaker Notes: These examples display the nine LightSource Tint options available on the 7VC2 transducer and the seven LightSource Tint options available on the 9VE4 transducer. Here we can see the enhanced representation of skin tones and diagnostic detail. Notes No. 42 SIEMENS Healthineers VR – Opacity for mechanical/freehand transducers SIEMENS .... Healthineers' ... • Adjusts the percentage of opacity in the volume to create a softer or more sculptured appearance • Decrease the value for a more transparent look • Increase the value for more solid look • Available for VR mode only Opacity Opacity 18 68 43 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Opacity adjusts the percentage of the opacity level on the overall rendered volume density to create a more soft or sculptured appearance. Decrease the value for a more transparent look. Increase the value for a more solid look. The opacity level may be increased up to 86% to enhance pathology such as myoma, fibroma, endometrium disease or hemorrhagic cysts. Notes No. 43 SIEMENS Healthineers VR – Smooth for mechanical/freehand transducers SIEMENS ... Healthineers ... • Adjusts the amount of smoothing applied in the rendered volume • Range is 0 – 3 • Available for VR mode only Smooth Smooth W O 44 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Smooth adjustments affect the display of the surface rendered volume. Select from a range of 0 – 3. Notes No. 44 SIEMENS Healthineers VR – Brightness for mechanical/freehand transducers SIEMENS .... Healthineers ... • Adjusts the brightness of the rendered volume • An increase in brightness increases the saturation of voxels that have a higher and lower voxel value • Available for VR mode only Brightness Brightness -16 9 45 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Brightness enhances the voxel saturation. The optimal selection is dependent on the 2D gain during acquisition. Notes No. 45 SIEMENS Healthineers VR – Contrast for mechanical/freehand transducers SIEMENS .... Healthineers ... • Adjusts the percentage of contrast on the rendered volume • Increase the value for increased contrast or decrease for less contrast • Available for VR mode only Contrast Contrast 45 66 46 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Contrast allows greater visualization of voxels next to each other. An optimal contrast setting will enhance depth perception and delineation of anatomy such as the endometrium. Notes No. 46 SIEMENS Healthineers VR – Tint SIEMENS .... Healthineers ... • Applies the selected Tint to the rendered volume in Surface/Vascular/Skeletal • Some Tint colors may require image adjustment • A separate tint control is available for the MPR’s and in LightSource 47 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When VR is selected the Tint key applies the selection to the rendered volume. Determine which tint color is preferred for the volume display. It is recommended to adjust Tint prior to adjusting other parameters. Re-optimization for Threshold, Dynamic Range, Brightness and/or Contrast may be necessary after applying a different tint. Notes No. 47 SIEMENS Healthineers MPR – Dynamic Range SIEMENS .... Healthineers' ... • Adjusts the number of gray shades 65 09 displayed • Increase for a softer image • Decrease for more contrast • Available in the MPR mode only DR DR 37 80 48 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Dynamic Range affects the number of gray shades that are displayed. Increase the Dynamic Range to produce a “softer” image; decrease Dynamic Range to produce an image with more contrast. Notes No. 48 SIEMENS Healthineers MPR - Map SIEMENS .... Healthineers' ... • Selects a processing curve that assigns echo amplitudes to gray levels • Uses the same maps as 2D • Available for MPR planes Map Map D G 49 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Gray Map selection selects a processing curve that assigns gray shades to echo amplitudes. The maps affect all three MPR images. Notes No. 49 SIEMENS Healthineers MPR - Tint SIEMENS .... Healthineers' ... • Applies the selected Tint to the MPR images • A separate tint control is available for the VR Tint Tint 4 7 50 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When MPR is selected the Tint key applies the selection to the three MPR planes. Notes No. 50 SIEMENS Healthineers Measurements SIEMENS .... Healthineers ... 65 9VE4 GYN TIB:0.30 TIC:0.59 TIS:0.30 MI:0.87 95% 3D x ... x -2dB/DR68 Q Mid Caliper V 90 Th 15 Op60 S1 Br-5 Con53 MPR MapC T5 Vol: T3 Endo Thick (TA)=0.99 cm 51 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Measurements may be performed on the MPR planes when scanned with a mechanical transducer. The measurement function is not available on the rendered volume. Measurements are not available on the 3D freehand transducers. Notes No. 51 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Outline activation and volume acquisition for mechanical/freehand transducers • 5Z1 BiPlane+ • Describe volume manipulation .... • Demonstrate optimization tools • Explain FlexPlane Tool for mechanical/freehand transducers • Explain Multislice feature for mechanical/freehand transducers • Define volume store and editing • Describe reviewing stored volumes 52 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 52 SIEMENS Healthineers FlexPlane SIEMENS .... Healthineers ... • Visualization of anatomy along any plane or shape Review Patient FlexPlane 3D/4D Review Multislice Editing • Reduces planar manipulation (X-Y-Z) naging Line Clear Al Slice 1 Review Report Trace Spline Slice 3 Slice 2 End Exam 180º 270" Q Hide Line Undo Reset Orientation Flip Line Thickness Brightness Contrast Tint 2mm Rotate Line otate Slice 65 3 € 53 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The FlexPlane allows the user to obtain and visualize anatomy of any shape along any plane. This is especially useful when imaging complex or irregularly shaped structures, anatomy and abnormalities and reduces the need for planar manipulation. Notes No. 53 SIEMENS Healthineers FlexPlane SIEMENS .... Healthineers ... • Quickly display endometrium 9VE4 GYN TIB.0.25 TIC:0.53 TIS:0.25 • Allows for visualization of out of plane anatomy 54 Unrestricted © Siemens Healthineers 2024 Speaker Notes: FlexPlane may be helpful in displaying uterine anomalies or intrauterine devices. Additionally, its application in pelvic floor assessment has grown significantly in recent years. Notes No. 54 SIEMENS Healthineers FlexPlane SIEMENS . Healthineers ... Review Patient FlexPlane 3D/4D Review Multislice Editing Imaging Line Clear All Slice 1 Review Report Trace Spline Slice 3 Slice 2 End Exam 90º 180 270" Hide Line Undo Reset Orientation Flip Line Thickness 2mm Rotate Line Rotate Slice Brightness Contrast Tint 65 55 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The user can choose from: • Line – A straight line in any direction • Trace – A freehand line traced in any direction • Spline – An open spline controlled by selecting the set key along the path of the spline Notes No. 55 SIEMENS Healthineers FlexPlane SIEMENS .... Healthineers ... SVE4 OYN TIB 0 25 TIC 0 53 TIS 0 25 MIO.90 MapCat's Redraw Redraw Start Start Set Set Draw Draw Line Image 1 2 3 56 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Once the desired option is chosen: 1. Press either Set control to begin the line 2. Press either set key again to end the Line/Trace tools or to change the direction of the Spline tool (Double-click either Set control to end the Spline) 3. To redraw the slice press the Update control Note: The rendered slice will be displayed from top (slice beginning) to bottom (slice ending) in the direction of the tool used. Notes No. 56 SIEMENS Healthineers FlexPlane SIEMENS .... Healthineers ... 9VE4 GYN Review TIB.0.25 TIC:0.53 TIS:0.25 MI:0.90 Patient FlexPlane 30/4D Review Multislice 2 Editing 85% Imaging Line Clear All Slice 1 Review Report Trace Spline Slice 3 Slice 2 End Exam 1 90 180º 270º Hide Line Undo Reset Orientation 3 Flip Line Rotate Line Rotate Slice Brightness Tint 57 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 1. Up to 3 slices may be created and will be displayed in the format chosen. 2. The system will display the slices in the format chosen. 3. The rendered slice may be rotated using the area or by selecting the “rotate slice” soft key Notes No. 57 SIEMENS Healthineers FlexPlane SIEMENS. Healthineers ... Review Patient FlexPlane 3D/4D Review Multislice Editing Imaging Line lear All Slice 1 Review Report Trace Spline Slice 3 Slice 2 End Exam 1 2 90€ 180º 270º Hide Line Undo Reset Orientation 3 Flip Lin Thickness Brightness Contrast Tint 2mm Rotate Line Rotate Slice 65 4 5 6 58 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 1. Hide Line: Removes the Slice line from the reconstructed image 2. Undo: Reverts the line position or visibility from the latest modification 3. Flip Line: Reverses the area of the render plane with respect to the thickness (Available for .5mm – 20mm thickness) 4. Thickness: Adjusts the slice thickness of the rendered volume (Off will enable the MPR and will allow measurements to be activated) 5. Rotate Line: Rotates the FlexPlane slice in a clockwise or counter-clockwise position 6. Rotate Slice: Rotates the entire active slice image in a clockwise or counter-clockwise position Notes No. 58 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Outline activation and volume acquisition for mechanical/freehand transducers • 5Z1 BiPlane+ • Describe volume manipulation .... • Demonstrate optimization tools • Explain FlexPlane Tool for mechanical/freehand transducers • Explain Multislice feature for mechanical/freehand transducers • Define volume store and editing • Describe reviewing stored volumes 59 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 59 SIEMENS Healthineers Multislice display layout SIEMENS .... Healthineers ... Review 150.27 Patient FlexPlane 3D/4D Review Multislice Editing Imaging SABORES Review Repor End Exam Slices Distance Position of Slices 2 mm 0 mm Range Position 60 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Multislice tab contains options for viewing multiple slices of the selected MPR plane at the same time. It is often referred to as a CT or MRI view. Select the desired plane as previously discussed using the A, B and C keys. The area outlined in orange allows the user to choose the desired layout. This controls how many slices are displayed on the imaging screen. Note: Once entering MultiSlice, the rendered volume is disabled. Notes No. 60 SIEMENS Healthineers Multislice display layout SIEMENS .... Healthineers ... 31 0 9VE4 9VE4 GYN TIB:0.27 TIC:0.56 TIC:0.56 TIS:0.27 TIS:0.27 MI:1.28 MI:1.28 95% 3D 3D 5dB/DR65 5dB/DR65 Q High Q High V 120" V 120" Th15 Th15 Op70 Op70 SO SO Bro Bro Con50 Con50 MPR: MPR: MapC MapC T5 T5 Vol: Vol: T7 61 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Let’s review the two image examples: • The left image displays a 4:1 format with a 2x2 layout and the defined slices from the selected plane • The right image displays a 3x3 grid layout and the defined slices of the selected plane • The orange arrows indicate the center slice in the range appearing as a yellow line on the slice graphic and a white outline on the displayed plane The user may rotate the slices in X, Y, and Z axis while in Multislice mode. Notes No. 61 SIEMENS Healthineers Multislice optimization SIEMENS .... Healthineers ... Review OVE4 GYN TIB:0.27 TIC:0.56 Patient FlexPlane 3D/4D Review Multislice TIS:0.27 Editing MI:1.28 95% Imaging BUDRAR 5dB/DRES Q High V 120 Review V 120 Op 70 Report VR Conso MPR. End Exam Mapc Vol Slices 7 Distance Position of Slices 2 mm 0 mm Range Position 62 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The soft keys allow the user to define the options for Multislice display. Notes No. 62 SIEMENS Healthineers Multislice graphic SIEMENS .... Healthineers ... • Solid yellow line – Center slice displayed with white outline around corresponding slice • Solid white line – Displayed slices • Dashed white line – Available slices 63 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Multislice graphic displays solid yellow, solid while, and dashed white lines that correspond to the slice selections. Notes No. 63 SIEMENS Healthineers Slices SIEMENS .... Healthineers ... • Defines the number of slices evaluated • Options are 1–17 • May be adjusted further using additional optimization tools Less Slices More Slices 64 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Slices soft key defines how many slices are available. These slices can further be adjusted using additional tools. Notes No. 64 SIEMENS Healthineers Distance SIEMENS .... Healthineers ... • Defines the distance between slices • Options are 0.5 mm-50 mm • Slice graphic will reflect changes ............. ...... • Increase for global view of region • Decrease for greater detail Less Distance More Distance 65 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Distance soft key allows the user to define a specific distance between slices in the region of interest. Increase the distance to spread out the displayed slices in order to obtain a more global view of the region. Decrease the distance to reduce the area between slices and provide greater detail. Notes No. 65 SIEMENS Healthineers Position of slices SIEMENS .... Healthineers ... • Defines the area of interrogation • The slice graphic will indicate the position of the slices • Indicated by the slice graphic lines • Anatomy outside of the slice graphic is not available for display Higher Position Lower Position 66 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Position of Slices soft key enables the user to define the area of the scanned anatomy that they wish to interrogate. Notes No. 66 SIEMENS Healthineers Range Position SIEMENS .... Healthineers ... • Defines the slices displayed at any given time • Rotate to scroll through the available slices previously selected 8 EEEEEE • Slice graphic reflects the area currently displayed • Number of white solid lines on the graphic is dependent on the selected layout Higher Range Position Lower Range Position 67 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Range Position soft key allows the user to choose which slices will be displayed on the current screen and is represented by the solid white lines. This is equivalent to scrolling through the slices. Notice that the position of the slices, indicated by the dashed white lines, has not changed. Notes No. 67 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Outline activation and volume acquisition for mechanical/freehand transducers • 5Z1 BiPlane+ • Describe volume manipulation .... • Demonstrate optimization tools • Explain FlexPlane Tool for mechanical/freehand transducers • Explain Multislice feature for mechanical/freehand transducers • Define volume store and editing • Describe reviewing stored volumes 68 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 68 SIEMENS Healthineers Image and volume storage SIEMENS .... Healthineers' ... Clip Image 69 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When acquiring volume images, the volume will automatically be stored any time an image or clip is acquired. This enables the user to perform further manipulation on any image or clip acquired while in 3D/4D mode. The volume clip will be exported in .avi format. Press the Image control to save individual images. To store a 4D clip press the Clip control. The default clip length or type (Prospective vs Retrospective) may be adjusted on the second page of the Touch Screen menu, or in System Configuration > Imaging Settings > Capture Settings. Alternatively, you may hold down the clip control for up to 10 seconds for a customized clip capture. For the 5Z1 to store a 3D volume, freeze a 4D image and select the image key. Stored volumes are marked with a cube graphic. Stored 4D volume clips are marked with a cube containing a “play” icon. Note: The maximum length of volume 4D Cine store is 10 seconds Notes No. 69 SIEMENS Healthineers Additional controls SIEMENS ... Healthineers ... Review Patient FlexPlane 30/4D Review Multislice Editing Imaging Volume Editing Animation Review Report End Exam Undo All Redo Last Undo Last Line Open Spline Closed Spline 70 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To edit and remove unnecessary structures, select the Editing tab on the Touch Screen. There are three tools available for editing: • Line • Open Spline • Closed Spline Notes No. 70 SIEMENS Healthineers Line SIEMENS .... Healthineers ... 71 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To use the Line editing tool: 1. Select Line 2. Using the trackball and Set keys draw a line delineating a border for the removal area 3. Place the scissor icon in the image segment that you want to remove, and press Set 4. The area in which the caliper is placed will be removed Notes No. 71 SIEMENS Healthineers Open Spline SIEMENS .... Healthineers ... 72 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To use the Open Spline editing tool: 1. Select Open Spline 2. Using the trackball and Set keys draw a line segment delineating a partial border for the removal area 3. Continue to use the trackball and Set keys to add as many connecting segments as desired, then either double click the Set key or select the Update key to end 4. Place the scissor icon in the image segment that you want to remove, and press Set 5. The area in which the caliper is placed will be removed Notes No. 72 SIEMENS Healthineers Closed Spline SIEMENS ... Healthineers ... 73 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To use the Closed Spline editing tool: 1. Select Closed Spline 2. Using the trackball and Set keys draw a line segment delineating a partial border for the removal area 3. Continue to use the trackball and Set keys to add as many connecting segments as desired, then either double click the Set key or select the Update key to end 4. The system will automatically draw a line from the first caliper to the last caliper closing the spline 5. Place the scissor icon in the image segment that you want to remove, and press Set 6. The area in which the caliper is placed will be removed Notes No. 73 SIEMENS Healthineers Additional edit controls SIEMENS ... Healthineers ... Review Patient FlexPlane 3D/4D Review Multislice Editing Imaging Volume Editing Animation Review Report End Exam Undo All Redo Last Undo Last Line Open Spline Closed Spline 74 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Undo All: Reverses all edits performed by replacing all removed areas Undo Last: • If one or more edits have been completed the last area removed will be undone • If an editing function is active, the last line segment or caliper placement will be undone Redo Last: • If one or more edits have been completed the last edit reversed using the Undo Last key will be redisplayed • If an editing function is active, the last line segment or caliper placement reversed using the Undo Last key will be redisplayed Notes No. 74 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Outline activation and volume acquisition for mechanical/freehand transducers • 5Z1 BiPlane+ • Describe volume manipulation .... • Demonstrate optimization tools • Explain FlexPlane Tool for mechanical/freehand transducers • Explain Multislice feature for mechanical/freehand transducers • Define volume store and editing • Describe reviewing stored volumes 75 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 75 SIEMENS Healthineers 3D/4D review volume data SIEMENS .... Healthineers ... Review Patient FlexPlane 3D/4D Review Multislice Editing Imaging VR MPR Review Report VR End Exam Reset All VOI 900 180º 270º Reset Curve Reset Orientation Flip Sync Threshold Opacity Smooth Brightness Contrast Tint 15 60 76 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To review the stored volumes, press the Review key on the Touch Screen. Stored volumes are marked with a cube graphic. Stored volume clips are marked with a cube containing a “play” icon. To manipulate a stored volume: • Use the pointer and set key to select the desired volume • Select the 3D/4D tab to activate the volume editing features • If a 4D clip has been activated, you may use the cine review controls as required Notes No. 76 SIEMENS Healthineers Trademarks and disclaimers SIEMENS . Healthineers ... ACUSON Sequoia is a registered trademark of Siemens Medical Solutions USA, Inc. .... 77 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 77 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? 78 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 78