ACUSON Sequoia 3.5 (VB30) Custom Calculations Presentation

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON Sequioa Ultrasound System Custom Calculations Release 3.5 (VB30) Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Custom Calculations and Structured Reporting (SR) Mapping • Sagittal Uterine Area Sequoia • Lambert for Testicular Volume • Chitty equation to derive HC Sequoia • Philips PI (TCD) 2 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Let’s begin with an overview of custom calculations and structured reporting (SR) mapping. Notes No. 2 SIEMENS Healthineers Custom Calculations SIEMENS . Healthineers ... • System Configuration > System Configuration Measurement & Report > Systern Settings Workflow Enhancement Custom Calorations Formula Sk Mapping Custom Calculations > Imaging Settings Formula 1 Measurement & Report Nome depart Section Measurement Formula T Congenital Heart Raguse Touch Screen Measurement Config MaxiTA Arch Citstal,cm).[Ao Arch Tiaras Dititem)) Custom Measurement Label Now Custom Calculations Copy Hesport OB Tables Edit Ensure the formula and units are correct and then click Sirve Some Carloer Show iny Meatured Birgit Annotations Show in Rapact Features › Transducer > Connectivity & Network Delete ATAN Min OF AlW > Peripheral Devices System Management AAA MA (Fast Repair] AAA (Pust Repair) AP SR Mapping MA (Past Repair) Diam MA (Past Repair] Tram Diam MA AP MA Dilam MA dit from SMA AAA Sac Lengen 3 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • Custom calculations can be added by accessing System Configuration > Measurement and Report > Custom Calculations. • Custom calculations can be SR (Structured Report) mapped. • Customized labels can be created to support new equations in System Configuration > Measurement and Report > Custom Measurement label. Notes No. 3 SIEMENS Healthineers Custom Calculations SIEMENS . Healthineers ... 1. Name of equation (14-character limit) Formula SR Mappin 2 3 4 2. Output units of equation 1 Name Units Precision Report Section 3. Decimal point precision 5 4. Report display area 5. Area of equation input Ensure the formula and units are correct and then click Save. 6 El Show in Measured Results Save Cancel E Show in Report 6. Selection for display results 9 xam Package Result Labels 7. Exam package dropdown 7 Abdomen Accel ATAN Min Min Of Any Time TAN Max Max Of Any 8. List of labels for equation input AAA V1 COS Abs Mean Of Any AMA (Post Repair) V2 SIN First 9. Result labels when type of measurement 8 AAA (Post Repair) AP PS AAA (Post Repair) Diam ED 11 needs to be specific AMA (Post Repair) Trans Diam Units AAA AP sqft mm/sa 10. Input units pl AAA Diam cmis AAA dist from SMA log misa 11. Mathematical input area AAA Sac Length Add 10 4 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Theses are the fields used when creating a custom calculation. It is important to note when creating a custom calculation and a customized label is needed, the custom label must be created first. 1. Name of equation (14-character limit) 2. Output units of equation 3. Decimal point precision 4. Report section 5. Area of equation input 6. Selection for display results 7. Exam package dropdown 8. List of labels for equation input 9. Result labels when type of measurement needs to be specific (e.g. circumference or area; peak systolic vs end diastolic) 10. Input units 11. Mathematical input area (numbers, characters, functions – can also use keyboard) Notes No. 4 SIEMENS Healthineers Custom Calculations SIEMENS . Healthineers ... SR Mapping 1 Custom Calculations Formula S& Mapping 4 1. Select the SR Mapping tab LE Lambert LVOTIBSA SK Template Text String for SR Rt Lambert OB/GYN LVOT/BSA 2. Select the appropriate SR Template New 2 Concept Code Meaning Cardiac Index 3. Select the SR Template section Copy Coding Scheme Designator . SR Template Sectio 3 4. Complete SR Mapping for a given Left Ventricle Code value F-32110 equation surement Method Delete ontinuity Equation by Velocity Time I V Finding Site Left Ventricle Outflow Tract Flow Direction Antegrade Flow SR Mapping Cardiac Cycle Point Peak Systolic Image View Apical four chamber Save Cancel 5 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Custom calculations can be SR (Structured Reporting) mapped. 1. Select SR Mapping tab 2. Select appropriate SR Template 3. Select SR Template section 4. Complete SR Mapping for given equation Notes No. 5 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Custom Calculations and Structured Reporting (SR) Mapping • Sagittal Uterine Area Sequoia • Lambert for Testicular Volume • Chitty equation to derive HC Sequoia • Philips PI (TCD) 6 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Now, let’s look a few examples for creating a custom calculation. Notes No. 6 SIEMENS Healthineers Area Equation SIEMENS. Healthineers ... Equation: Sagittal Area of Uterus = Formula SR Mappin Uterine length (L) x Uterine depth (H) Name Units Precision Report Section Uit Sag Area V Female Pelvic Organs How to enter: [Uterus (EV) Length,cm]*[Uterus (EV) AP.cm] [Uterus (EV) Length,cm]*[Uterus (EV) AP,cm] Ensure the formula and units are correct and then click Save. Show in Measured Results Cancel Show in Report 1. Select labeled measurement from GYN package 4 Exam Packag 1 Result Labels ATAN Min Min Of Any 2. Select cm as input unit TAN Max Max Of Any Rt Ureter COS Abs Mean Of Any 3. Ensure (*) asterisk is used for multiplication Rt Uterine A Rt Uterine A Diam First Uterus (EV) AP 4. Save once equation is complete and correct report 3 Uterus (EV) Length Units 2 section is selected Uterus (EV) Width Uterus (TA) AP Uterus (TA) Length Uterus (TA) Width Add 7 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The first equation example is for the Sagittal Area of the Uterus. Notes No. 7 SIEMENS Healthineers Area Equation: MDA and Report view SIEMENS. Healthineers ... Measurement Display Area Summary/Store Report Sequoia 1 Uterus (EV) Length=8.34 cm Patient 2 Uterus (EV) AP=4.48 cm Ut Sag Area=37.36 cm2 Female Pelvic Organs Uterus (EV) Length 8.34 cm Ut Sag Area 37.36 cm* Uterus (EV) AP 4.48 cm GYN Assessment Female Pelvic Organs Uterus (EV) Length 8.34 cm Ut Sag Area 37.36 cm2 Uterus (EV) AP 4.48 cm 8 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide verifies the equation is correctly displaying the results in the MDA and report. Notes No. 8 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Custom Calculations and Structured Reporting (SR) Mapping • Sagittal Uterine Area Sequoia • Lambert for Testicular Volume • Chitty equation to derive HC Sequoia • Philips PI (TCD) 9 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 9 SIEMENS Healthineers Volume equation SIEMENS . Healthineers ... Equation: Lambert equation for testicles = xam Package esult Labels L x W x H x 0.71 Testis ATAN Min Min Of Any TAN Max Max Of Any ow to enter: Rt Epididymis Width COS Abs Mean Of Any [Rt Testicle Length,cm]*[Rt Testicle AP, Rt Pampiniform Plexus Diam Rt Scrotal Wall SIN First cm]*[Rt Testicle Width, cm]*0.71 Rt Testicle AP Rt Testicle Length 1 Units sqrt Forumda SR Mapping 1. Select labeled measurements from Name Precision Report Section Testis package Rt Lambert Val 2 Testh |Rt Testide Length,cm].[RI Testide AP,cm].[R1 Testicle Width,cm]*0.71 2. Input as shown above for Rt testicle Copy 3 3. Once saved and in repository, select Copy save the formula and smits sie conect and then dick Save. Formula SR Mapping 4. Hover over Rt for each label and change Name Units Precision Report Section to Lt Lt Lambert Vol 5 mi 2 Testis [Lt Testide Length,cm]*[Lt Testide AP,cm].[Lt Testicle Width,cm] *0.71 5. Ensure label is renamed to Lt Lambert Vol 4 aula and units are correct and then dick Save. 10 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This is the Lambert equation for testicles. 1. Select labeled measurements from Testis package. 2. Input as shown for Rt testicle. 3. Once saved and in repository, select Copy. 4. Hover over Rt for each label and change to Lt. 5. Ensure label is renamed to Lt Lambert Vol. Notes No. 10 SIEMENS Healthineers Volume equation: MDA and Report view SIEMENS. Healthineers ... MDA Store Report 1 Rt Testicle Length=3.71 cm Testis Side-by-Side 2 Rt Testicle AP=2.17 cm 3 Right Left Rt Testicle Width=1.95 cm Rt Testicle Vol=8.22 cm3 Testide Length 3.71 cm 3.75 cm Rt Lambert Vol=11.15 ml Testide AP 2.17 cm 2.37 cm Testide Width 1.95 cm 2.11 cm Testide Vol 8.22 cm3 9.82 cm2 Testis Rt Testicle Length 3.71 cm Lt Testicle Length 3.75 cm Rt Testicle AP 2.17 cm Lt Testicle AP 2.37 cm Rt Testicle Width 1.95 cm Lt Testicle Width 2.11 cm Rt Testicle Vol 8.22 cm3 t Testicle Vol 9.82 cm' Rt Lambert Vol 11.15 ml Lt Lambert Vol 13.31 ml 11 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide verifies the equation is correctly displaying the results in the MDA and report. Notes No. 11 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Custom Calculations and Structured Reporting (SR) Mapping • Sagittal Uterine Area Sequoia • Lambert for Testicular Volume • Chitty equation to derive HC Sequoia • Philips PI (TCD) 12 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 12 SIEMENS Healthineers Diameters with a circumference output SIEMENS . Healthineers ... Using Chitty equation derive HC using BPD and OFD, Formula SR Mapping then gestational age (GA): π(d¹ + d²)/2 Name 2 3 Units Precision Report Section HC Circ 1 Custom Fetus Measurem V where d¹ = BPD, d² = OFD How to enter: [pi]*([(Fetal)BPD,cm]+[(Fetal)OFD,cm])/2 Ensure the formula and units are correct and then click Save. 1 Show in Measured Results Save Cancel El Show in Report Exam Package Result Labels 1. Create new equation name HC Circ ATAN Min Of Any TAN Max Max Of Any 2. Input equation ensuring input and outputs are cm (Fetal)Binoc D COS Abs Mean Of An (Fetal)BPD SIN First 3. Ensure Report section is Custom Fetal Measurements (Fetal)Cerebellum (Fetal)Cist Magna (Fetal)Clavide (Fetal)CRL (Fetal)CSP 2 (Fetal)Ductus V A Vmax (Fetal)Ductus V D Vmax Add 13 Unrestricted © Siemens Healthineers 2024 Speakers Notes: This is the Chitty equation for Head Circumference using the BPD and the OFD. Notes No. 13 SIEMENS Healthineers Diameters with a circumference output: SIEMENS. Healthineers ... MDA and Report view MDA Store Report Fetus Information 1 BPD=7.49 cm Clinical Age / EDD DO 30w 0d (4/8/2023) GA=30w 0d 39% US Age / EDD 31w 3d (3/29/2023) - Average EFW% FFW 2 OFD=9.76 cm Hadlock (BPD, HC, AC, FL) GA=30w 0d 44.2% Fetal Biometry BPDa=7.6 cm Value / Method GA/ Growth Author HC Circ=27.10 cm BPD 7.71 cm 7.71 31w Dd (x3w 1d) Hadlock Last 67.7% Hadlock BPDa 7.9 cm OFD 10.26 cm 10.26 31w 6d ASUM 2003 Last 95.4% ASUM 2003 Custom Fetus Measurements Value HC Circ 28.23 cm Fetal Ratios 14 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide verifies the equation is correctly displaying the results in the MDA and report. Notes No. 14 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Custom Calculations and Structured Reporting (SR) Mapping • Sagittal Uterine Area Sequoia • Lambert for Testicular Volume • Chitty equation to derive HC Sequoia • Philips PI (TCD) 15 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 15 SIEMENS Healthineers Doppler equation SIEMENS . Healthineers ... Input Philips PI (TCD) equation PI (TCD) = PSV – ED/Mean TCD Formula SR Mapping where Mean TCD is PSV/3 + 2 × ED/3. Name Units Precision Report Section This equation rearranges to PI TCD = 3(PSV-ED) / (PSV + 2 x RI MCA PITCD 2 Transcranial ED). 3.([Rt Prox MCA M1.PS,cm/s]-[Rt Prox MCA MT.ED.cm/s])/(|RI Prox MCA M1.PS,cm/s]+2º[Rt Prox MCA M1.ED.cm/s]) to enter: 3*([Rt Prox MCA M1.PS,cm/s]-[Rt Prox MCA Ensure the formula and units are correct and then click Save. M1.ED,cm/s])/([Rt Prox MCA M1.PS,cm/s]+2*[Rt Prox MCA Show in Measured Results 4 Save Cancel M1.ED,cm/s]) Show in Report Exam Package tesult Labels TC 1 Time ATAN Min Min Of Any V1 1. Input as shown above from the TCI exam package and find TAN Max Max Of Any RT PCA P1 V2 Abs Mean Of Any appropriate label COS Rt PCA P2 PS 2 Rt PCoA ED SIN First 2. Select PS and ED from Result Labels to ensure PSV and ED Rt Prox MCA MI Mean TCD Rt Prox MCA M2 are input correctly in the equation Rt Prox Ophthalmic A minds Rt Terminal ICA Select cm/s as the correct input units for each label cm/s 3 3. Rt Terminal Vert A log Rt Vert Atlas Loop Add 4. Save once input is correct 16 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide shows how to input the Philips Pulsatility Index equation for the right middle cerebral artery (MCA). Notes No. 16 SIEMENS Healthineers Doppler equation SIEMENS . Healthineers ... An equation must be made for each label and laterality w to Enter: Fredsion Report Section RE UCAN ICO 1 LI MCA P TCD 3 Transcarval 3*([Lt Prox MCA M1.PS,cm/s]-[Lt Prox MCA M1.ED,cm/s])/([Lt Prox 3.([Ut Prox MCA MI.P cmis[-DA Prox MCA MT.ED,cm/[Est Prox MCA M1.Ps,omis] - 2º ]RT FTOx MCA MI ED,conis]] MCA M1.PS,cm/s]+2*[Lt Prox MCA M1.ED,cm/s]) 2 4 5 1 Show in Messaged Results Show in Beport Select Rt MCA PI TCD from Custom Calculations 6 1. Exam Package Abdomen ATAN Min Cl Ary repository TAN Mesen Of Arry AM (Post Repair) 2. Select Copy AMA (Pust Repair) AP First AMA (Post Repair) frame Dient 3. Rename for the correct laterality MMAP AM Dum AMA eist from SMA AMA Sac length 4. Hover over Rt and type Lt within equation 5. The equation will alert users when there is a discrepancy by underlining in Red and will not allow user to Save 6. Once input select Save and it will save to the repository 17 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide shows how to input and change the laterality of the Philips Pulsatility Index equation. Notes No. 17 SIEMENS Healthineers Doppler equation: MDA and Report view SIEMENS . Healthineers ... Input Philips PI(TCD) equation PI TCD = 3 (PSV - ED) / (PSV + 2 x ED) MDA Store Report Lt Prox MCA M1 15L.4 PS=64.88 cm/s Carotid Transcranial ED=32.64 cm/s TIS:0.39 MIO 27 RE MCA PITCD 0.82 LE MCA PI TCD 0.74 MD=30.63 cm/s TAMx=43.74 cm/s . 25fps TAMn=33.98 cm/s Right Left RI=0.50 20 SV Depth Mean TCD SV Depth Mean TCD PI=0.78 H Mid Mean TCD =- 43.39 cm/s 00B DR55 C=1540 Prox MCA M1 57.22 27.00 0.53 25 37.07 64.88 32.64 0.50 Lt MCAPI TCD=0.74 43.39 LD 2 cm/s nm cris cmts cm/s cm/s Compound UA 1 MapC/TS P2 General P3/ LD2 PRF 3125 52/PT4 MacF/F1 -60 2D + Color PW Pen -70B/ DR65 MapD/T5 GS 1,5 PRF 3868 F 100 18 Restricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide verifies the equation is correctly displaying the results in the MDA and report. Notes No. 18 SIEMENS Healthineers How to input SIEMENS . Healthineers ... A custom calculation in custom equation Enter a custom equation using an existing custom How to Enter: Formula equation Input Philips PI TCD PI (TCD) = PSV – ED/ Carutien Beits Ivechion Report Section Rt Vert PITCD Mean TCD 1 Transcranial LE MACA MI TED LE vert Mo TCH CICECHAR Pios Vert A.P5,un]-[(TC)k Frex Vert A.ED,cmb IM(CakXt Vert Man |CD,cms] 2 4 Ht Lambert Vol RUE MALA ISTCD How to enter: Entre the formulo and units are correct and then click Save Show in Measured Results Swe ([TCI)Rt Prox Vert A.PS,cm/s]-[TCI]Rt Prox Vert Show in fisport Ht Vert PI TCD A.ED,cm/s])/[(Calc)Rt Vert Mn TCD,cm/s] Custom Caladatiom 3 din Min Of Any Max CHE Any /1000)) 4 How to enter: 10^((-1.599+0.144*([Fetal)BPD,cm])+0.032*([(Fetal)AC,C,cm]) Ensure the formula and units are correct and then click Save. Show in Measured Results Save Cancel 0.111*([(Fetal)BPD,cm]^2*[(Fetal)AC,C,cm])/1000)) Show in Report - Exam Package Result Labels 5 Abdomen Accel ATAN Min Min Of Any 1. Create new equation Name Warsof 1977 Time TAN Max Max Of Any AAA COS Abs Mean Of Any 2. Ensure input measurement Units are in cm AMA (Post Repair) V2 AMA (Post Repair) AP SIN First 3. Output Unit is kg for kilograms AAA (Post Repair) Diam ED AAA (Post Repair) Trans Diam Units 2 4. And input equation as above AAA AP mmisa AAA Diam cris 5. For AC measurement ensure C is selected from Result Labels AAA dist from SMA AAA Sac Length Add 6. Select Custom Fetal measurements for Report Section – this section will be available once you enter the first Fetal label 21 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide shows how to input the Warsof EFW equation. Note: Exam Package will always default to Abdomen for New, Copy, or Edit – so always ensure you have the correct Exam Package. Note: The report section Custom Fetus Measurements becomes available for selection after you enter the first fetal label. Notes No. 21 SIEMENS Healthineers How to input: SIEMENS . Healthineers ... A regression formula How to Enter: Enter the obstetric outcome measurement in mm using ASUM Formula formula: AC = –0.0469 (GA)² + 13.204 (GA) – 90.946 (r² = SR Mapping Name 1 2 Units 0.984) Precision Report Section 5 AC ASUM mm 2 Custom Fetus Measuremv -0.0469-([(Fetal Calc)AC,w]}\2+13.204.([(Fetal Calc)AC,w]) 90.946 How to enter: -0.0469*([(FetalCalc)AC,w])^2+13.204*([(Fetal Calc)AC,w])- 4 Ensure the formula and units are correct and then click Save. 90.946 Show in Measured Results Save Cancel Show in Report Exam Package General Calculations 3 Result Labels 1. Create new equation named AC ASUM ATAN Min Min Of Any TAN Max Max Of Any 2. Make output units mm (Calc)Uterus (EV) Vol COS Abs Mean Of Any (Calc)Uterus (TA) Vol (Fetal Calc)AC SIN First 3. Find AC measure for weeks in General Calculations (Fetal Cak:)AFI (Fetal Calc)AFI 2 Units 4. Input as above and save (Fetal Calc)AFI 3 (Fetal Calc)Ao Root/MPA Diam 5. Ensure Report section is Custom Fetal Measurements (Fetal Calc)AoV Annulus Area's Months (Fetal Calc)AoV Area (Vmax) Add 22 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide shows how to enter the AC ASUM regression equation. Note: the (r² = 0.984) piece in the equation indicates how well the regression formula performs Notes No. 22 SIEMENS Healthineers How to input: SIEMENS . Healthineers ... A regression formula gestational age Using ASUM formula to give AC gestational age: Formula SR Mapping AC (GA) = 0.0000367 (AC)²+ 0.07715 (AC) + 7.192 (r² = Name 1 Units 2 Precision Report Section 5 0.999) ACASUM GA W 2 Custom Fetus Measurem V 0.0000367*(1(Fetal)AC.C ., mm])^2+0.07715"](Fetal)AC.C.mm]+7.192 How to enter: 4 0.0000367*([(Fetal)AC.C,mm])^2+0.07715*[(Fetal)AC.C,m Ensure the formula and units are correct and then click Save. Show in Measured Results Save Cancel m]+7.192 2 Show in Report Exam Package OB 3 Result Labels ATAN afin Min Of Any 1. Create new equation name AC ASUM GA TAN Max Max Of Any (FetaJAC D1 2. Make output units w D2 COS Abs Mean Of Any (Fetal)AFI 2 Q1 (Fetal)AFI 2 Q2 SIN First 3. Find AC measure for mm in Exam Package under OB (Fetal)AFI 2 Q3 (Fetal)AFI 2 Q4 Units 4. Input as above and save (Fetal)AFI 3 Q1 mm (Fetal)AFI 3 Q2 cm (Fetal)AFI 3 Q3 log 5. Ensure Report section is Custom Fetal Measurements (Fetal)AFI 3 Q4 Add 23 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide shows how to enter the ASUM AC regression formula. Note: the (r² = 0.999) portion of the equation indicates how well the regression formula performs. Notes No. 23 SIEMENS Healthineers MDA and Report view: SIEMENS . Healthineers ... Obstetric regression formula Using ASUM formula to give AC gestational age: AC (GA) = 0.0000367 (AC)²+ 0.07715 (AC) + 7.192 (r² = 0.999) MDA Store Report 902 1 AC=200.59 mm OB GA=24w 1d TIB:0.26 AC ASUM=200.50 mm TIS:0.26 AC ASUM GA=24w 1d MI:0.89 31fps Fetus Information 80% 2D Clinical Age / EDD H Low US Age / EDD 24w 1d (5/25/2023) -Average EFW% 1dB/DR65 c=1540 EFW -Hadlock (BPD, HC, AC, FL) LD 3 Compound UA Off Fetal Biometry MapD/T5 Value GA Author Growth Author AC 200.59 mm 24w 1d ASUM 2003 Custom Fetus Measurements AC ASUM GA 24w 1d AC ASUM 200.50 mm 10cm Clinical Data 24 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide verifies the equation is correctly displaying the results in the MDA and report. Notes No. 24 SIEMENS Healthineers How to input: SIEMENS . Healthineers ... Cardiac indexing Create index for LVOT VTI and BSA: Formula SR Mapping LVOT VTI/BSA = no units Name 1 Units 2 Precision Report Section 4 LVOTIBSA v LV How to enter: [LVOT VTI.VTI,cm)/[(Calc)BSA,m2] ([LVOT VTI.VTI,cm])/[(Calc)BSA,m²] Ensure the formula and units are correct and then click Save. E Show in Measured Results Save Cancel 1. Create new equation name LVOT/BSA El Show in Report Exarn Package Result Labels 2. Make output units blank and input equation as above General Calculations 3 ATAN Min Of Any TAN Max Max Of Any 3. Select LVOT VTI from Cardiac Package (tip: type LVOT (Cak)USA COS Abs Mean Of Any and it will shortcut to all LVOT measurements). (Calc)Clinical Age (Calc)Fibroid 1 Vol SIN First Select BSA from General Calculations. (Calc)Fibroid 2 Vol (Calc)Fibroid 3 Vol (Calc)Fibroid 4 Vol units 4. Report Section select LV (Calc)Fibroid 5 Vol (Calc)GB Vol (Calc)Isthmus Mass 1 Vol Add 25 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide shows how to enter the index for the LVOT VTI and BSA Notes No. 25 SIEMENS Healthineers MDA and Report view: SIEMENS. Healthineers ... Cardiac Indexing Create index for LVOT VTI and BSA: LVOT VTI/BSA = no units MDA Store Report 5V1 Value Method Cardiac TIS:0.90 AoV Stenosis MI:0.64 AoV Area (VTI) 36fps LVOT VTI 11.66 cm Avg 11.66 95% ADV Area (Vmax) LVOT VTI=11.66 cm LVOT Vmax LVOT Vmax=0.61 m/s 2D 0.61 mls Avg 0.61 LVOT Mean Grad=0.8 mmHg H High AR LVOT/BSA=6.59 7dB/DR60 AR Area & RF (PISA) LVOT Peak Grad=1.5 mmHg LD 2 UA 2 LVOT VII 11.66 cm Avg 11.66 15cm 97mm MapC/T5 AR RF (Doppler) P2 LVOT VI 11.66 cm Avg 11.66 D PW LV -40 Low Value Method GS 3.0 20 PRF 3906 LVOT F 200 11.66 cm Avg 11.66 -cm/s LVOT Vmax 0.61 mls Avg 0.61 LVOT Peak Grad 1.5 mmHg -- 20 LVOT Mean Grad 0.8 mmlig 0.8 -- 40 Value Method -- 60 LVOTIESA 6.59 Mitral Valve -80 Value -100 MV Stenosis MV Area (VTI) LVOT VII 11.66 cm Avg 11.66 26 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide verifies the equation is correctly displaying the results in the MDA and report. Notes No. 26 SIEMENS Healthineers Frequently Asked Questions SIEMENS. Healthineers ... Can I make a whole new general calculation Why can’t I put any input or output unit in the tool that isn’t dependent on a label equation? measurement? The input and output unit for the entered Note: Indices such as PI, RI, Mean TCD have a equation must be correct – regardless of the general tool or measurement on the system or unit used when performing the examination – if derived from auto trace. Custom Doppler and the input and output units used in the equation all custom equations must be made using are correct and align with the input units used labeled measurements – so you cannot make a to create the equation. So, always refer to the new general equation that can be used without reference document, article or study and a label being assigned. For example, if you want ensure that the units used are correct, e.g., cm to make Philips PI (TCD) equation or a new in a regression formula. Mean TCD equation, it must be assigned to a vessel, e.g., Rt Dist Vert, Rt Prox MCA M1. What can make this quicker is using the copy function for each side. 27 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 27 SIEMENS Healthineers Frequently Asked Questions cont’d SIEMENS. Healthineers ... Why does the custom equation I’ve input show a negative, even though I have chosen in system configuration to not show a negative and only show an absolute value? Enter Abs (XXX…) around the entire custom equation – as below: Abs(([(TCI)Rt Prox Vert A.PS,cm/s]/3)+2*([(TCI)Rt Prox Vert A.ED,cm/s]/3)) If the user creates a custom calculation and makes it an absolute value, if that calculation is then put into another custom calculation, will it use the absolute value or its true mathematical value? The mathematical value will be used. the equation will always be correct. But it will never show a negative if input with Abs(XXX…) Where do I put my custom OB calcs in the report section – I can’t find it? Start typing your equation, as soon as you input an OB label measurement, the option Custom Fetus Measurements will become a dropdown option in the Report Section. 28 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 28 SIEMENS Healthineers Frequently Asked Questions cont’d SIEMENS. Healthineers ... Why can’t I enter a custom calculation? Can I create diameter measurements to give a Check that you don’t have an active circumference output that converts to exam/study first. If you don’t, then check gestational age output, e.g., APAD and TAD = AC that you haven’t made a measurement on a circumference and BPD and OFD = HC labelled measurement while you aren’t in a circumference? study. You’ll have to end the exam and then Yes and no. You can get a circumference output re-enter the system configuration. to give weeks and days, but it cannot be linked to an author to give the correct gestational age. The gestational age will be a derivative of the output circumference, so if the output is 16.0 cm, the gestational age will be 16w 0d. If it is 16.5 cm, it will be 16w 4d. Sequoia BPD=4.80 cm Sequoia GA=20w 4d >99.5% 1 BPD=5.12 cm GA=21w 4d >99.5% BPDa=4.5 cm BPDa=4.7 cm HC Circ=16.01 cm HC Circ=16.51 cm HC Circ wks=16w 0d HC Circ wks=16w 4d 29 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 29 SIEMENS Healthineers Frequently Asked Questions cont’d SIEMENS. Healthineers ... Why are my weeks/days completely off? What is wrong with this obstetric equation? It is crucially important that you have your input values correct. Below is an example of the difference between having cm as an input vs. mm. The correct input value is mm. Fetal Biometry 1 Cerebellum=2.69 cm Value GA Author Growth Author GA=24w 0d 72.5% Cerebel mm=24w 0d Cerebellum 2.69 cm 24w Od (+1w Od) Hill 72.5% Verburg Cerebell=8w 5d Custom Fetus Measurements Cerebell 8w 5d Cerebel mm 24w Od How do I input a log number and ‘to the power of’? ^ is a log or “to the power of”, and here is how to use them: Log10 = 10^ 10² = ^2 10³ = ^3 30 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 30 SIEMENS Healthineers Frequently Asked Questions cont’d SIEMENS. Healthineers ... Can I compare opposite sides in the same Name Units Precision import Section CIA ratio equation, i.e., right and left in the same Rt CIA.P5,cmis)|LE CIA test.PS,com/] equation? Yes. However, the equation will not save. 2 Ensure the firmla and unts are correct and then click Save The inputs are set up to only save if you have Show in Measured Results Save Cancel Show in Report the same side in the equation. Exam Package 1 Reant Labels Alidamen Min Min Of Any TAN Max Max Of Any LE CHA Aneurysm Diam A workaround for this is to create a custom cas Mean Of Arty LI CHA Aneurysm Trans Duam LI CIA AP First label measurement of that label and rename it, LICIA Diam MD If CA test so it’s “Rt” or “Lt”. LE CA Trans Diam mens LECI Dam Take the modifiers off in custom labels and LE CIV Reflux Time ensure they have a different name, so you can Adid distinguish them. 1. Create a custom label, find it in Exam Package 2. Insert into equation, now you will be able to Save 31 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 31 SIEMENS Healthineers Frequently Asked Questions cont’d SIEMENS. Healthineers ... Why are my left and right custom When I increase the measurement, calculations display the wrong way I start getting negative numbers, round on the report? why is that? It depends on which one you If an equation regresses or becomes entered first – always try to input the out of range, it could go into right side first and then copy and negative numbers. This will be most make the left side. This will insure noticeable in obstetrics during a they will locate correctly in the gestational measurement. It reflects report. the equation and typically only occurs in measurements that are not typically performed clinically (as in the screenshot on the right). We typically don’t measure a Cerebellum of up to 12 cm, so the 1 Cerebellum=12.15 cm GA=OOR >99.5% likelihood of getting into this Cerebel mm =- 41.21 w situation will be low. 32 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 32 SIEMENS Healthineers Frequently Asked Questions cont’d SIEMENS. Healthineers ... Can I SR map custom calculations/equations? Why can’t I find the Cardiac section in the Yes, you can, refer to slide 7. Tool will SR map Report Section? to Cardiac, Vascular, OB/GYN and Fetal Echo This is because the Cardiac report section is templates, same as custom measurement broken up into the many domains of the heart labels. e.g. Aortic valve, LV, RV diastolic function etc. So, scroll through the dropdown and find the Will SR map equations made with custom part of the heart that the cardiac equation calculations that are already mapped? makes the most sense in. Or you can place it The tool will not map two custom calculations in the Custom Measurements that are from different SR templates, e.g., Cardiac with Vascular. 33 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 33 SIEMENS Healthineers Frequently Asked Questions cont’d SIEMENS . Healthineers ... Why is my custom calculations repository Formula asking to verify these equations? CVITESTES' ok Mapping Edited anything with these equations LVOTIUSA Rt Lambert New creates a conflict; you will have to edit the rt ov jb Copy rUnt Ov equation so it will correctly save. Edit Most likely, this is caused by incorrect SR mapping. Check that your SR inputs are Delete Abdomin correct through the SR Mapping tab. Mit SR Mapping MMA Dam Ah diz from SIA Verify alf eginations with an asterisk (*) 34 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 34 SIEMENS Healthineers Trademarks and disclaimers SIEMENS. Healthineers ... ACUSON Sequoia is a trademark of Siemens Medical Solutions USA, Inc. The products/features mentioned in this document may not be commercially available in all countries. Due to regulatory reasons their Sequoia future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Sequoia 35 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 35 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? 36 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 36