ACUSON Maple System Measurements

Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue Continue ACUSON Maple System Measurements Master Template HILS2218 | Effective Date: 25-Mar-2022 ? ACUSON Maple™ Ultrasound System Measurements Online Training This course is a high-level overview of the measurement packages and customization of the measurement packages. The course objectives are listed below. Review Measurement Workflow 1 Understand the steps to configure measurements 2 No audio accompanies this page. Welcome ? Introduction Welcome to the ACUSON Maple system online training. This course is a high-level overview of the Measurement package on the ACUSON Maples system is very robust and can be customized for each exam type and according to the users’ needs. This online training is comprised of short videos that explain the measurement application and workflow. Introduction Audio Script: Welcome to the measurement training on the ACUSON Maple ultrasound system. This is a high-level overview of the measurement packages and customization of the measurement packages. The measurement package on the ACUSON Maple system is very robust and can be customized for each exam type according to the users needs. This online training is comprised of short videos that explain the measurement application and workflow. ? Launch Measurements Launch Measurements This module will cover the activation and use of the measurement application. Select the Caliper key to begin. Touch Screen Layout ? Touch Screen Layout Once activated, the measurement Touch Screen menu will display the calculation package that is associated with the preset being used. In this example, the abdominal preset is active. The layout of the Touch Screen is intuitive and easy to navigate. The measurements and calculations for all exam types are available and may be changed on frozen or live imaging, as well as on image in review by selecting the desired package as shown here. The top of the Touch Screen displays the available calculation subsets. Modifiers sit below the subsets. Modifiers allow the user to select options such as laterality for a measurement. Specific anatomy labels occupy the middle of the Touch Screen. Folders may also be created to group specific measurements in order to streamline the Touch Screen layout. The Touch Screen supports a maximum of three pages. Subsequent pages are accessed by swiping the Touch Screen to the right or left. Styles allow the user to customize the layout of the labels on the main Touch Screen display without creating a new exam. There are three factory Styles that may be customized or copied and customized on the system. ? Volume Measurements Volume Measurements Some anatomical labels have a volume measurement associated with them. Labels with a small triangle in the corner contain all of the component labels necessary to measure the volume. When the master label is selected on the Touch Screen, the individual volume components will be displayed on the screen. The first label in the series will be highlighted and active. Once the measurement has been completed, the system will automatically advance to the next label until all components have been measured. ? Activating a Measurement Activating a Measurement When selecting the Caliper key, the imaging screen will display an active point in the center of the image. Active calipers are green in color. Use the trackball to move the active caliper around the imaging screen and the Update key to toggle between the two points. Once the desired position is reached, use either one of the Set keys to anchor a point. Once a caliper is anchored, the caliper point will turn yellow. To edit a measurement, select the Update key. This will toggle between the calipers to allow editing of the last measurement performed. The Select Next Soft Key is used to cycle through the previous caliper sets for editing of any displayed measurement. To delete a measurement, select Delete Soft Key. The location of the measurement display area, or MDA, may be changed on the imaging screen. To move the MDA select the Pointer option from the Control Panel. Then move the pointer into the MDA, and the MDA will be outlined in blue. Press, the Set key to pick up the MDA, then use the trackball to move it to the desired location. Release the Set key to place the MDA at the new location. ? Shadow Calipers Shadow calipers are available in Elasticity Imaging. Shadow Calipers Shadow calipers are a useful tool that allows the user to visualize the area of the caliper on both images when the Shadow calipers are on. The Shadow key on the Touch Screen will be blue and the active caliper will be mirrored on the opposite image. ? Measurement Display eSie Measure™ workflow acceleration package Measurement Display A customizable generic toolbar sits at the bottom of the touch screen. Some of the options available include 2D distance, ellipse, distance, or area ratios, three distance volume measurements, area of stenosis, and volume flow. Additional generic measurements are available under the More key, located on the right side of the touch screen. It is important to understand that generic measurements appear on the imaging screen and on captured images only and do not appear on the measurement report. The Soft Keys can also be customized to display measured results on the imaging screen. Summarize MDA allows the user to display all measurements on the imaging screen without accessing the report. In the OB exam, where multiple fetuses are measured, the Fetal Compare key will display the fetal biometry in a side-by-side display on the imaging screen. The Results Compare Soft Key allows the user to compare laterality measurements such as left and right kidney. Some measurement packages contain automated measurement options such as Auto follicle, Auto OB, and eSie measure. Labels involved in the automated option contain a small dot in the upper left corner of the Touch Screen label. Automated measurements may be turned manually on or off using the related Touch Screen key. ? Measurement Report Configure drop-down format with pre-programmed sections. Pre-programmed Assessment sections: OB Early OB Carotid Upper Extremity Vascular Customization options and the ability to add an assessment section to other reports is available in System Configuration. Measurement Report Labeled measurements are entered into the report once the measurement is anchored and completed on the imaging screen. Select the Report key on the left side of the Control Panel to access and display the report. The onscreen report displays the patient demographics, report type, navigation pane, labeled and measured anatomy with up to five displayed results for each label, and print store report options. A navigation pane in the upper left corner allows the user to quickly access different sections of the report. The small arrow in the heading of each section allows the user to hide sections from the display. Print options are located at the bottom of the page. The assessment section allows the user to enter a clinical assessment on anatomy that is routinely imaged, such as the fetal heart in an OB exam. Assessments can be configured in a dropdown format with pre-programmed selections. Pre-programmed assessment sections are available for OB, Early OB, Carotid, and Upper Extremity Vascular exam. Customization options and the ability to add an assessment section to other reports is available in System Configuration. For OB Exams fetal growth charts may be displayed as part of the report. Graphs may be customized for the desired parameter such as BPD or AC by chart author. The layout can also be set to either a one-by-one or two-by-two appearance. A comment section is available to enter summary comments into the patient report. Comments may be added manually using the keyboard or from a predefined list by selecting the Load Comments key. Note that multiple comments from the predefined list may be added. Customization options are available in System Configuration. ? Adding Images in the Report Adding Images in the Report Images may also be inserted into the body of the report. To add an image, move the pointer over to the desired thumbnail on the right side of the screen. Press the Set key to add the image to the report. To remove an image, move the pointer into the report until an X appears in the right corner. Once the X appears, move the pointer onto the X and press Set, the image will be removed. Up to 20 images may be added into the report image section. Store and Close the Report ? Store and Close the Report Exam reports are sorted into the patient's image file by selecting the Store Report key at the bottom of the page. Reports may also be exported as a PDF document to an attached USB by selecting the Export PDF option at the bottom of the page. The same options displayed on the report are available on the Touch Screen menu. The option to close the report is also found here. To close the report, either reselect the Report key, select Close on the Touch Screen, or press the 2D rotary dial on the Control Panel. General Measurement Configuration ? General Measurement Configuration To customize the measurement options, select the System Configuration icon on the Touch Screen. Then select the Measurement section. System-wide measurement settings are found within the General tile. The General tab contains the global settings for the Caliper or measurement function. The Guidelines section contains options to remove the dotted line between calipers or show or hide Doppler and M-mode guidelines. The Marker Display Settings section allows customization of the caliper type, size, and default position. The Heart Rate Tool indicates the number of heart cycles to be measured when calculating heart rate. Shearwave measurements may be set to meters per second or Kilopascals in the section. Customization of the Wall Motion Scoring may be done in this section. And here, the MDA settings may be adjusted. Select different background opacity, or default position in each of the three modes. Units and Precision of generic measurements are selected here. And Default Tool selections may be made in this section. The Exam Specific tab includes additional customization. Configure Measurement Styles ? Configure Measurement Styles Styles allow the user to customize the appearance of the measurement Touch Screen for four different user preferences. Select the Style you wish to edit or create a new one by selecting, Add New Style. Enter the desired name, root style, and select, OK. You may also edit the style name by selecting this option. Select here to delete a custom style. The Factory Styles may not be deleted. Configure Measurement Touch Screen ? Configure Measurement Touch Screen The Touch Screen menu displays the current layout of the selected Touch Screen, as well as a library of all labels and calculations. If multiple styles are in use, the user must first select the appropriate style here to display the correct page prior to making any customized alterations. To add a label to the Touch Screen, first, select the desired label from the library, then select the top arrow, the label will appear on the first empty space. To change the position of the measurement, simply select the label you wish to move, then select the position you wish to move it to. Finally, select Swap. Configure Measurement Groups ? Configure Measurement Groups Measure continuously links a combination of user-selected measurement labels together in a sequence. Once the first label in the sequence has been completed, the remaining labels will automatically be activated. Measure Continuously is commonly used when measuring organ volumes such as the kidney or during cardiac imaging. To link a sequence of measurements to be continuous, first ensure that the Measurement Continuously option has been selected. Next, place the desired measurements in the order you wish them to be performed. Use the pointer and Set key to check the boxes between each measurement. The measurements will now appear backlit in a different color. To remove a measurement from the sequence. And then unselect the checkbox in the preceding label. Measurements may also be grouped into a folder for easy access. Group measurements may be recognized by the small file icon on the tile and may be placed on the top row for general imaging exams or on the top two rows in cardiac exams. To edit the contents of a group, select the group name, then use the same process to customize the tiles as previously discussed. To add a group, select the Add Group option. Enter the group name and select OK. To edit a group name, select the Edit Group option. To remove a group from the Touch Screen, select the group, then select the bottom arrow to move the group to the master library. To permanently delete a custom group, select the Delete Group option. The generic measurement toolbar may be customized per exam. These options are found in the library under Tools. If the toolbar is full, one of the tools must first be removed and placed back into the library to make room for a replacement. The Soft Keys may also be customized by choosing from the selections available in the drop-down menu. The Left Panel tab allows customization of the measurement panel on the left of the imaging screen. Configure Measurement Labels ? Configure Measurement Labels Measurement labels may be added, copied, edited, or deleted from this menu. To add a new custom label, select New. Enter the new label name, the Exam type, Report Section, and report Display Value. Select a modifier if desired. Then select whether to share data between exams or to highlight abnormal results. Choose the measurement mode to display the available tools, then select the desired tool. You may now select the unit and precision. Labels may be copied and edited. This is useful if an existing label contains most or all of the desired parameters of the new label. Select the desired label and then select Copy. Enter the new name and complete the customization as previously discussed. Labels may also be edited for name, Exam type, Report Section, unit precision, and other reasons. To edit, select the desired label, then select, Edit, and complete the desired customization. Configure Formulas ? Configure Formulas Formulas may be added, copied, edited, or deleted from the Formula tab. To add a new formula, select New. Enter a formula name, unit, and precision. Input the formula using numbers, functions, or other anatomy variables, then select Save. Existing formulas may be copied or edited as well. Once the formula is created, it must be added to the Touch Screen for the exam preset. Formulas are found in the library under calculations and are added in the same manner as labels. Configure OB Tables ? Configure OB Tables Additional customization is available in the OB exam preset. To add custom, OB table, select the desired exam type. Then select Formula. Select the appropriate area and then select New. Enter the reference name or author, the variable label, and enter the range for the table. To enter numerical data, select Table under Data Type, then select the table unit. Highlight the first cell to begin entering table data. Additional rows will populate as soon as valid data is entered into the current row. When you are finished, select Save. To enter a formula, select Formula under data type. Enter the formula and standard deviation limit formula. Then select Save. Existing OB tables may also be copied or edited using the appropriate selections shown here. Once the table is created, it may be configured under the associated parameter. Customize Measurements in the Report ? Customize Measurements in the Report The report section allows the user to determine what information is displayed in the Patient Report as well as how it is laid out. To display all sections listed, select the checkbox on top of the selected area. Uncheck the box to hide all sections. To show or hide an individual section, select the appropriate checkbox. Use the arrows to reorder the report sections to user preference. Anatomy Assessment fields are available for all exams and are preloaded for OB and early OB reports. To add an assessment item, select the measurement package. Then enter the anatomy label and select Add. You may also create custom assessment results here. Enter the assessment result in the field and press Add. Like the contents of the report section, Anatomy Assessments can be shown or hidden from view within the report. Anatomy Assessments and results may also be reordered using the arrows. Use the Delete icon to delete any custom anatomy entries. To add a custom comment, select the Comment section. Select the desired exam and enter the comments in the spaces provided. Custom comments can also be configured into the report. A single custom logo may be added in the Print Preview section. To add a site logo, insert a USB containing a JPEG or PNG of the desired logo into one of the system's USB ports. Select Load to view the file contents of the USB on the screen. Select the desired JPEG or PNG file. The logo will be added into the logo window area. Only one logo may be added to the system. To add a new or different logo, the existing logo must first be deleted. This section allows you to add up to three lines of custom text to the report. First, select the desired font size and type, then enter the custom text. Custom signatures may also be added here by entering the desired signature and then select Add. ? Course Review Congratulations! You have completed the ACUSON Maple Ultrasound System Measurements Online Training. Select the numbered buttons below to review the material presented in this course. Or, select measurement workflow and configuration topics from the Table of Contents. Understand the steps to configure measurements Review measurement workflow 1 1 1 2 2 2 Course Review Understand the Steps to Configure Measurements Customization begins under System Configuration then Measurements General measurements control global settings for Caliper and measurement function The Marker Display Settings control caliper type, size, and default position Styles allow customization of the look of the Touch Screen Touch Screen layout can be adjusted based on the Style selected and then edited Manage the label, order, type of measurement, and grouping of the measurements on the Touch Screen Soft Keys are managed from the drop down menu in System Configuration under Soft Keys Soft Key labels may be added, copied, edited, or deleted Formulas may be added, copied, edited, or deleted from the Formula tab OB tables can be added, edited, or deleted and are available in the OB exam preset The report section allows the user to determine what information is displayed in the patient report as well as how it is laid out Select the in the upper right corner to return to the Course Review page. Review Measurement Workflow The measurements and calculations for all exam types are available from the Touch Screen The top of the Touch Screen displays the available calculation subsets, modifiers are located below subsets, and anatomy specific labels are located in the middle Styles allow the user to customize the layout of the labels to display Three factory Styles can be copied and customized of an unlimited number of style choices Labels with a small triangle in the corner contain all of the component labels necessary to measure the volume Active calipers are green then yellow when anchored Edit calipers with the Update key The measure display area or MDA can be moved within the imaging area Generic measurements appear on the imaging screen and on captured images only and do not appear on the measurement report Reports can contain labeled measurements, images, and comments Select the in the upper right corner to return to the Course Review page. Disclaimer Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. ACUSON Maple and eSie Measure are trademarks of Siemens Medical Solutions USA, Inc. © Siemens Healthcare GmbH 2023 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer No audio. Word count: 0 Exit Press Exit to close this training and return to the ACUSON Maple system training area. ? ACUSON Maple Ultrasound System Measurements Online Training. Completion details, certificates tab Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Videos should default to the optimal resolution. However, to change the video resolution select the gear icon. Click the X in the upper right corner to exit the navigation help. Video Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Question Bank 1 ACUSON Maple System Measurements QR700000019 FINAL CDV Color Doppler Velocity Freeze Still image generated by tapping the Freeze key on the control panel. Imaging parameters Displays a list of imaging settings for the active operating mode. Live Imaging This is actively using ultrasound in real-time. OB Obstetric Ultrasound is commonly called OB ultrasound OB - Fetal Growth Chart Some ultrasound measurements that are used in conjunction with other parameters to help calculate the gestational age, length, and weight of the fetus. Common OB ultrasound measurements include the biparietal diameter (BDP), femur length (FL), head circumference (HC), occipitofrontal diameter (OFD), abdominal circumference (AC), and humerus length (HL). Patient Banner Displays patient information, operator, institution, the system date and time. Patient Browser The patient browser displays a list of patient studies in the selected storage location, for example, the local database (hard disk), a configured server, or a USB storage device. Patient Demographics Patients Name, Identification Number, Date of Birth, Age, Gender, Height, Weight, Body Surface Area (BSA), and Blood Pressure (BP mmHg). Set The Set keys are along side of the Trackball Split The 2D image is split into two different display of the same image side-by-side with and without CDV. System Configuration The location on the ultrasound system where the user can enter the utility menus. Thumbnail panel Displays reference images of stored clips, images, and volumes. Trackball Identifies the functions currently assigned to the trackball and surrounding controls on the control panel. In this course, the trackball keys are named Set. Two-Dimensional Two-dimensional or 2D is used to define a non-volumetric ultrasound image. USB Universal Serial Bus Worklist This includes DICOM Worklist for querying and retrieving the patient worklist schedule from the hospital or radiology information system. 1.1 Welcome 1.2 Introduction 1.3 Launch Measurements 1.4 Touch Screen Layout 1.5 Volume Measurements 1.6 Activating a Measurement 1.7 Shadow Calipers 1.8 Measurement Display 1.9 Measurement Report 1.10 Adding Images in the Report 1.11 Store and Close the Report 1.12 General Measurement Configuration 1.13 Configure Measurement Styles 1.14 Configure Measurement Touch Screen 1.15 Configure Measurement Groups 1.16 Configure Measurement Labels 1.17 Configure Formulas 1.18 Configure OB Tables 1.19 Customize Measurements in the Report 1.20 Course Review 1.21 Disclaimer