ARTIS icono ceiling QuantWeb QVA QCA workflow Job Aid - USA

SIEMENS Healthineers QuantWeb QCA or QVA Workflow ARTIS icono/ pheno VE2x with syngo Application Software VE2x US Effective Date: 0830/2022 I HOOD05162003298438 OUS Job Aid Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Table of Contents SIEMENS Healthineers Starting QuantWeb 3 General Functions and Settings Toolbar 5 Analysis Toolbar 6 Marking a Vessel 7 Marking a Single Vessel 8 Marking a Bifurcation 9 Correcting the Vessel Wall 10 Preliminary Analysis 11 Report 15 Calibration 16 Additional Measurement and Annotation Toolbar 17 Sharing the Results 18 2 OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Starting QuantWeb SIEMENS Healthineers Activate Apps Segment QuantWeb features quantification of coronary and peripheral --------- arteries, analysis of the left ventricle of the heart, and vessel Fractional Flow Reserve (vFFR calculation. LIVE Vewert Once suitable images have been loaded and displayed in a Apps Un Box Live or Viewer segment, select Apps for one of the other Un Box 2 image segments. Un Box Wat 3 The QuantWeb application is started in the Apps segment. No Data Load Please note: The QCA3D, QVA3D, and vFFR workflows require two angiograms of the artery which are at least 30 degrees apart from each other. CARO 30 IN 3 Data on file Effective Date 13 Apr 2022| HOOD05162003269706 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 ------- - in the Segment Menu > Apps tab. It can take a APPS Segment Menu & X Quant Images Calibration Analysis few seconds. AP Meassurent Send To Quant OCA Storing Apps OCIO Send To Quant 0 CARD 10 9 K K 4 Data on file Effective Date 13 Apr 2022| HOOD05162003269706 OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 General Functions and Settings Toolbar SIEMENS Healthineers Relevant messages: Quant Calibration Report All relevant user guidance, warnings and AP. 4 RAO 13,2" / CRA 24.6" 4 LAO 51.5* / CAU 19.7" errors will be listed and can be reviewed. COCA User settings: Settings for manual obstruction analysis 11761 31/ 61 OCAID 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. ? 5 Data on file OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Analysis Toolbar - SIEMENS Healthineers Starting the QCA or QVA 1 1. Select the image and choose the QCA or AP Quant Calibration Anahyph Report QVA analysis mode. VFFR AP; 4 RAO 13,2 / CRA 24.6" 4 LAO 51.5* / CAU 19.7" With Quantitative Coronary Analysis (QCA) and ❶1 Quantitative Vessel Analysis (QVA), you can determine the dimensions and stenosis severity EVA 11761 31/ 61 of the coronary and other vessel arteries. QVA OCAID LVA Please note: The availability of the analysis modes is based on the licenses on your system. QCA3D QVA3D 0 6 Data on file OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Marking a Vessel SIEMENS Healthineers 2 • Mark a vessel after selecting the image of Quant Images Calibration Analysis Report Quantitative the scene. There are several ways to mark Coronary Analysis 0.1419 mm/Pixel the vessel for contour detection. Auto 0.00 / 0.0 10 FPS P 2 Marking a vessel Detected Contour 7 Data on file Data on file OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Marking a Single Vessel SIEMENS Healthineers Mark a single vessel segment using one of three methods: a) Start automatic contour detection by left- clicking on the vessel of the stenosis segment (one point). P P P b) Place a starting point at the proximal part P of the vessel by left-clicking and end at D D the distal part D of the vessel by double- D clicking (two points). c) Set multiple points by left-clicking inside the lumen of the vessel from the proximal a) b) c) part P, and end at the distal part D by double-clicking. 8 Data on file OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Marking a Bifurcation SIEMENS Healthineers To mark a bifurcation vessel, use one of three methods (QCA only): a) Start by left-clicking on the proximal part P of the vessel, P P then right-click on the distal part of the main branch M and then double-click on the distal part of the side branch S. b) Place multiple points by left-clicking inside the lumen of the vessel from the proximal part P, then right-click on the end of the main branch M. Set multiple points on the side branch S S S by left-clicking and finish by double-clicking when you reach the end point. M M c) Mark a branch: A branch vessel can be added if a single a) b) vessel is already segmented. Please note:: When the bifurcation is indicated as ostial the side branch is analyzed independently from the main branch. The diameter of the distal side branch is much smaller than the main branch. 9 Data on file OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Correcting the Vessel Wall SIEMENS Healthineers 3 • The system detects the vessel walls and Quant Images Calibration Analysis Report prompts you to correct the contour and Quantitativo Coronary Analyals minimum luminal diameter in yellow 0.1419 mm/Pixel automatically after marking the vessel. Auto 10 FPS If it is necessary to modify the vessel wall or the IT segment, you can manually correct the right one along with the vessel wall by selecting this button. 3 10 Data on file OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis SIEMENS Healthineers Standard obstruction analysis based on Quant diameter or area is performed automatically. Images Calibration Analysis Report Quantitative Coronary Analysis Select the Analysis tab to see the results: Diameter Area (4) (5) 4 5 Diameter Reference diameter mm (1) Vessel diameter 1 (3) 3 3.6 3- (2) Lesion diameter 2 (1) 1 (3) Reference diameter 3 (2) 2 ------. 0.6 o 0 5 10 (4) Health (Ref) vessel 15 20 25 30 4 35 40 mm Segment Obstruction SubSegment Local Diameter (5) Obstruction border 5 11 OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis SIEMENS Healthineers Manual Obstruction Manual obstruction analysis to move the reference diameter manually. Diameter lesion 1.43 mm % Stenosis 61 % P Reference diameter 3.71 mm Length 14.99 mm Move obstruction area manually Manual obstruction analysis 12 12 Effective Date 13 Apr 2022| HOOD05162003269706 OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis SIEMENS Healthineers Segment Tab The Segment tab provides the segment information. The Subsegment tab shows the information about bifurcation including the main and side branch. Diameter Area . Densitometric . Circular P mm2 16.9 15 10 7.3 ? 10 15 20 25 30 35 40 mm Segment Obstruction SubSegment Local Diameter Segment tab 3 Diameter Area Diameter · Reference diameter mm -------- 3.8 i 1.4 N o ? 18 20 22 24 26 mm Segment Obstruction i SubSegment Local Diameter M S Subsegment tab 13 Effective Date 13 Apr 2022| HOOD05162003269706 OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis SIEMENS Healthineers Adding a Marker Quant Images Calibration Analysis Report Artis Icono VE21 Quant Quantitative Coronary Analysis ? | 26/08/1949 (72y) Under the Local Diameter tab, you can find the 0.0955 mm/Pixel 2 D (mm) Auto 08/10/2021 06:33:08 1.63 mm local diameter information. RAO 30.9º / CAU 33º 2.52 mm 15 FPS 2.56 mm Averaging length used for local diameter analysis: 3.00 mm Use Add Marker to draw a Local Diameter and add Add Marker Remove Marker a measurement position. Add Marker 35 / 87 O < > Diameter Area Diameter mm 2 239 HILL N 1.4 O ? 8 10 12 14 16 18 20 2mm Segment Obstructionii SubSegmenti Local Diameter 14 Data on file OUS Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Report SIEMENS Healthineers 1. Select the Report tab. If there is more than Quant one page use the < or > arrow to move Images Calibration Analysis Report Quantitative forward and backward. QCA diameter results Page 1 / 2 2. Store the report in the Patient Browser on the ARTIS system. Analysis Information Obstruction results Lesion Proxi Distal Distal mal Main Side Minimum 1.05 mm Please note: The stored report can also be % Stenosis 52 % Reference 2.20 opened later via the Patient Browser in the image mm Lesion 32.70 segment Viewer1, Viewer2 and 3D sharing. EM position mm Maximum Mean Branch type Non ostial Main Side Next page Report creation date 04/02/2022 Obstruction length 10.06 mm > HELIOS A Amper Total plaques Institution name 3.62 mm2 Klinikum area 15 Data on file 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 16 Data on file Effective Date 13 Apr 2022| HOOD05162003269706 OUS Effective Date 13 Apr 2022| HOOD05162003269706 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. PLANTWEIL Live A & 49cm Ref1 A Apps QUANTWEB L I- 1.CARD program_3 (15.0 f/s) Image Information 3.122.190754 cs 5.fluoro normal (15.0 p/s) Share Quant QuantWeh 17720 RAO 36.1' Argibien CRART Spring rammiber 7:20 PM Image Information Page 2/2 13.12.2.1107.5 Argibton 17.1001 155.30 [@ 000.0 min Sop Lessance UID 00091 121519 2194 0.00 ₥Gym2 Image frame 0.00 mGy Angulabor CRA DI' 0.00 uGyme Seles number 0.00 mGy 9184 mm Rot1 B Ref2 B @ 19cm 18235cm 1.3.12.2. 1007.5 @ 49cm Sap Lestance UID 00014121510 $1235cm 215.4. Image frames LAO B.T" Play/Pause Angulation @ ReflA Image 1- 914 mm ** Image + 719mm $ Scene 11. O No communication with ACE, SC O Please note: The exam room display layout should include the Apps segment. 17 Data on file OUS Effective Date 13 Apr 2022| HOOD05162003269706 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