ARTIS icono ceiling QuantWeb LVA workflow Job Aid - USA

SIEMENS Healthineers QuantWeb LVA Workflow ARTIS icono/ pheno VE2x with syngo Application Software VE2x US Effective Date 08/30/2022| HOOD05162003298438 OUS Job Aid Effective Date 13 Apr 2022 | HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 QuantWeb - SIEMENS Healthineers Table of Contents Starting QuantWeb 3 General Functions and Settings Toolbar 5 Analysis Toolbar 6 ED/ES Frame 7 Marking the Ventricle Outline 8 LVA Preliminary Analysis 9 Correcting the Contour 10 Epicardial Wall Analysis ´ 11 Wall Motion Analysis 12 Report 14 Calibration 15 Additional Measurements and Annotation Toolbar 16 Sharing the Results 17 2 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Starting QuantWeb - SIEMENS Healthineers Activating the Apps Segment QuantWeb features quantification of coronary ---- - - and peripheral arteries, analysis of the left Apps Live ventricle of the heart, and vessel Fractional Viewer Flow Reserve (vFFR) calculation. 30 SAN Apps Once suitable images have been loaded and Uni Box 1 Un Box 2 displayed in a Live or Viewer segment, select Un Box Wall 3 Apps for one of the other image segments. The QuantWeb application is started in the No Data Load Apps segment. Please note: The QCA3D, QVA3D and vFFR workflows require two angiograms of the artery which are at least 30 degrees apart from each other. CARD 30 98 3 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Starting QuantWeb - SIEMENS Healthineers Sending the Image to Quant Click the Send to Quant icon to load the image Segment Menu Quant Images Calibration Analysis in the Segment Menu > Apps tab. It can take a few seconds. Measvorent Send To Quant Annotation OCA Storing OCIO Send To Quant Scene CARD 10 9 K > 4 HOOD05162003269706 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| Unrestricted © Siemens Healthineers, 2022 General Functions and Settings Toolbar SIEMENS Healthineers Relevant messages: Quant Calibration Report All relevant user guidance, warnings and AP 6 LAO 36.5" / CRA 4.4' errors will be listed and can be reviewed. OCA User settings: Settings for manual obstruction analysis 53 / 106 OCAND reference type, local diameter, screen size settings and user guidance. ❶ Extra information: Licenses and manufacturer information. ? Button tooltips: Shows the names of each tool. ? O 5 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Analysis Toolbar SIEMENS Healthineers Starting LVA 1 1. Choose the image to be analyzed. Then select the applicable AP Quant Image Calibration Anahans Report P VFFR & LAO 36.5" / CRA 4.4' PRO 1.G. / CRA 0.1 analysis mode Left Ventricle VFRE Analysis - LVA. OCA QCA You can determine the ejection IVA 53 / 106 OVA fraction and the wall motion of the 1 left cardiac ventricle. LVA Please note: The availability of the QCA3D analysis modes is based on the licenses on your system. QVA3D 0 O 2 6 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 ED/ES Frame SIEMENS Healthineers Selecting the Frame 2 After the software has detected the 0.1348 mm/Pixel ED 6 ES End Diastole ED frame and the End Auto 12/18/2014 11:04:11 AM RAO 36.6º / CRA 0.3º Systole ES frame automatically, you 15 FPS can also determine the ED and ES frame manually. Then mark the ventricle outline on ED and ES separately. ❷ ● 7 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Marking the Ventricle Outline SIEMENS Healthineers To mark a ventricle outline, use one of two methods: a) Automatic: To draw a diameter at the end of the aortic valve, left-click on the two points separately, then left- click on the apex. a) b) Splines: 1. To draw a diameter at the end of the aortic valve, left-click on the two end points separately. 2. Select multiple points by right-clicking along the edges of the ventricle up to the first spline node and finish by double-clicking on the end point. 3. Correct the outline by dragging the spline point. 4. Add the spline point by left-clicking or delete the spline point by double-clicking on a spline point. b) 8 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 LVA Preliminary Analysis SIEMENS Healthineers After automatically detecting the contour on ED and ES, the system provides the analysis data. Quant Images Calibration Analysis Report Quantitative Coronary Analysis Ejection Ed volume 51.73 Es volume 11.15 Stroke volume 40.58 Cardiac output 2.84 Fraction 78 % ml ml ml I/Min _ Patient information Name Patient ID Date of birth Cardiac output: Once you have typed in the Heart rate manually in Gender Male the patient information, the Cardiac output result is shown. Heart rate Heart rate bpm Height 176 Weight 76 kg Apply 9 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Correcting the Contour SIEMENS Healthineers Select Correct Contour to modify the ED 0.1348 mm/Pixel ES correct outline with multiple left-clicks Auto 12/18/2014 11:04:11 AM RAO 36.6º / CRA 0.3" and end by double-clicking. 15 FPS 10 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Epicardial Wall Analysis SIEMENS Healthineers 0.1348 mm/Pixel ED 6 Auto 12/18/2014 11:04:11 AM Select the Draw Epicardial Wall icon and place RAO 36.6º / CRA 0.3º 15 FPS multiple points by left-clicking on the outline of the epicardial wall in the ED phase of RAO and then end by double-clicking. Delete an epicardial wall by clicking this icon. The wall volume is calculated as the volume of the whole left ventricle wall volume according to the distance between the endocardium contour and the epicardium contour. The wall thickness is indicated in mm. 5 11 HOOD05162003269706 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| Unrestricted © Siemens Healthineers, 2022 Wall Motion Analysis – SIEMENS Healthineers Centerline and Regional Normalized Motion a) Centerline: Between the ED and ES contours a % centerline is defined. 100 equidistant chords 5 perpendicular to this centerline are defined to 10 10 evaluate the abnormal wall motion. O 25 SO 75 30 Standard Deviation 70 2 1 a) -2 50 O 25 Mean motion b) Regional: Describes the displacement of the left Antero Basal 40 % Antero Lateral 85 % ventricular wall from the ED to the ES. The Apical 23 % Diaphragmatic 66 % ventricle wall between the aortic valve point Postero Basal 17 % and the fornix is divided into five anatomical 75 wall segments. The fornix is the right mitral 50 25 valve point, which is closest to the apex. 0 - 2 3 b) 12 HOOD05162003269706 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| Unrestricted © Siemens Healthineers, 2022 Wall Motion Analysis - SIEMENS Healthineers Radial and Slager c) Radial: Describes the displacement between ED Mean motion Antero Basal 40 % and ES over 100 radial lines. Antero Lateral 35 % Apical 23 % Diaphragmatic 66 % 10 Postero Basal 17 % 30 75 50 25 2 3 4 c) 50 d) Slager: This method is used to describe the Contribution of Regions to Global EF (CREF) Antero Basal 12.4 % Antero Lateral 19.8 % Apical 5.3 % displacement between the ED and ES of Diaphragmatic 12.3 % Postero Basal 21.3 % particular points on the left ventricular wall 11 postero Basal 2.1 21.31% Antero Basal1 12.44% 5 6.3 2.5- based on the contraction model. A total number 6.3 2.2 4.8 2.8 of 20 points is used. 11 15Diaphragmatic 4.4 5.8 12.35% Antero Literal 19.77% 15 3.5 19 Apical d) 19 5.34% 1.3. % O 13 HOOD05162003269706 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| Unrestricted © Siemens Healthineers, 2022 Report SIEMENS Healthineers 1. Select the Report tab. If there is more Quant Images Calibration Analysis Report IC_430020 CAG RF2.12 than one page use the < or > arrow to Left Ventricle Analysis move forward and backward. LVA results Page 1 / 5 2. Store the report in the Patient RAO (Frontal) Browser on the ARTIS system. End Diastole End Systole Please note: The stored report can also be opened later via the Patient Browser in the image segment Viewer1, Viewer2, and 3D sharing. A Report Details Ventricle Analysis V Report creation date 04/02/2022 EF 54 % 14 HOOD05162003269706 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| Unrestricted © Siemens Healthineers, 2022 Calibration SIEMENS Healthineers The acquired images have already been calibrated on the Quant Images Calibration Analysis Report QuantWeb Quantitative Coronary Analyits ARTIS system automatically. If additional calibration is Calibration Calibration 2014 10:51:11 AM required, then you need to do this before sending or use the methods O 90.1ª / CRA 0.4 methods 10 FPS Calibration method in QuantWeb: Auto calibration · Auto calibration 0.1255 mm/Pixel 0.1419 mm/Pixel Auto Auto Catheter calibration • Open the Calibration tab. . Catheter calibration Curved Choose between Catheter calibration (4Fr-12Fr) and O Curved French • Straight Distance calibration (5-200mm). Size 7.0 V French CDistance calibration mm/Pixel Catheter, Curved 7.0 San 15 5mm Please note: When an image is calibrated, measurements are omen Pixel Distance calibration provided in mm. Applied Size 15 mm 0.1255 mmy/ Porel mm/Pixel 3 / 85 Accept < > Calibrat mm/Pixel 15 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Additional Measurements and Annotation Toolbar SIEMENS Healthineers Measure the length of the distance Quant Images Calibration Analysis Report Quantitative Coronary Analysis Measure the angle between the two lines 0.1255 mm/Pixel Measure the area of the polygon A Add the text with the arrow A 16 HOOD05162003269706 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| Unrestricted © Siemens Healthineers, 2022 Sharing the Results SIEMENS Healthineers By clicking on the Share icon, you can share the Apps segment and the results in the control room with the Apps segment in the examination room. QUANTWEIL, @ Live A Q 19cm Refi A QUANTWEB Quant ...... 1.CARD program_3 (15.0 f/s) Image Information 13122.110754 c 5.fluoro normal (15.0 p/s) Share Quant QuantWeb 7:20 PM Image Information 12122110754 Page 2 / 2 120 14 1 13.12.2.1107.5 5 000.0 min 7.1001 155.30 Sop bestance UID 914121519 0.00 uGym3 2194 0.00 mGy B 0.00 pGym2 Angulation CRADY" 0.00 mGy Ret1 8 Ref2 8 713 mwn @ 19cm 11235cm @ 19cm 18235cm Sap Leguance UID 0014121510 215.4. Play Pause 21/16 LAD MIT- 6% RellA Image 1)- Angulation CRA 4S" Serien numbers ** Image + $ Scene !!! 710 mm O No corimunication with ACE, SC O Please note: The exam room display layout should include the Apps segment. 17 HOOD05162003269706 Effective Date: 13 Apr 2022| HOOD05162003269706 OUS Effective Date: 13 Apr 2022| Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers 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. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 18 OUS Effective Date: 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022