ARTIS icono VE21 QuantWeb LVA Workflow Job Aid - USA

SIEMENS Healthineers QuantWeb LVA workflow ARTIS icono/ pheno VE21 with syngo Application Software VE21 Template Effective Date: 10 Aug 2021| HILS 2223 Job Aid Effective Date 15 Aug 2022 | HOOD05162003293816 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 Mark the Ventricle Outline 8 LVA Preliminary Analysis 9 Correct 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Unrestricted © Siemens Healthineers, 2022 Starting QuantWeb - SIEMENS Healthineers Activate 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 After suitable images are loaded and displayed Uni Box 1 Un Box 2 in a Live or Viewer segment, select Apps for one Un Box Wall 3 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Unrestricted © Siemens Healthineers, 2022 Starting QuantWeb - SIEMENS Healthineers Send image to Quant Click the Send to Quant icon to load the image APPS Segment Menu Quant Images Calibration Analysis in the Segment Menu > Apps tab. It can take a AP few seconds. MAnotation Send To Quant OCA Boring Aops Send To Quant Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 General Functions and Settings Toolbar SIEMENS Healthineers Shows 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: It shows the names of each tool. ? O 5 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Analysis Toolbar - SIEMENS Healthineers Start LVA 1 1. Choose the image to be analyzed. AP Quant Image Calibration Anahans Report Then select the applicable 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 ED/ES Frame - SIEMENS Healthineers Select 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 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Mark 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. B. Splines: A 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 left 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 left double-clicking on a spline point. B 8 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 LVA Preliminary Analysis SIEMENS Healthineers After auto 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: After typing in the Heart rate manually in the Gender Male patient information, the Cardiac output result is shown. Heart rate Heart rate bpm Height 176 Weight 76 kg Apply 9 Effective Date 15 Aug 2022 | HOOD05162003293816 Unrestricted © Siemens Healthineers, 2022 Correct Contour SIEMENS Healthineers ED 0.1348 mm/Pixel ES 16 Select Correct Contour to modify the Auto 12/18/2014 11:04:11 AM RAO 36.6º / CRA 0.3' correct outline with multiple left-clicking 15 FPS and end by double left-clicking. 10 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. 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 RAO 36.6º / CRA 0.3º 15 FPS place 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. 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 O 0 25 50 75 evaluate the abnormal wall motion. 30 Standard Deviation 2 o A -2 - 50 Mean motion Antero Basal 40 % B. Regional: Describes the displacement of the left Antero Lateral 35 % Apical 23 % ventricular wall from the ED to the ES. The Diaphragmatic 66 % Postero Basal 17 % ventricle wall between the aortic valve point % and the fornix is divided into five anatomical 75 50 wall segments. The fornix is the right mitral 25 valve point, which is closest to the apex. O 2 3 -LL B 12 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Report SIEMENS Healthineers Quant Images Calibration Analysis Report • Select the Report tab. If there is more Left Ventricle Analysis than one page use the < or > arrow to LVA results Page 1 / 5 move forward and backward. RAO (Frontal) • Store the report in the Patient Browser End Diastole End Systole on the ARTIS system. Please note: The stored report can also be opened later via the Patient Browser in the image segment Viewer1, Viewer2 and Ventricle Analysis A Report Details V Report creation date 04/02/2022 EF 54 % 3D sharing. 14 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Calibration SIEMENS Healthineers The acquired images have already been calibrated on the Quant Images Quantitative Coronary Analyits Calibration Analysis Report QuantWeb ARTIS system automatically. If additional calibration is Calibration Calibration 2014 10:51:11 AM required, then you need to do this before sending or using methods O 90.1ª / CRA 0.4 methods 10 FPS the 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 • Select 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. 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 Data on file. Effective Date 15 Aug 2022 | HOOD05162003293816 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. QUANTWELL, @ Live A & 19cm Ref1 A QUANTWEB Quant ......... 1.CARD program_3 (15.0 f/s) Image Information < 5.fluoro normal (15.0 p/s) Share Quant ¿porll QuantWeh 7:20 PM Image Information Page 2 / 2 1 3.12 2.1667.5 5 000.0 min 1001 155.30 14121519 0.00 uGym3 2194 0.00 mGy image framed 0.00 |Gym2 Angulation CRADS' 0.00 mGy Ref1 8 Ref2 B Q 19cm 11235cm 11.122.1 @ 19cm 47.100419530 11235cm Sap Leguance UID 000014121510 215.4. Play Pause 21/16 LAD MIT ReflA linage il- Angulation CRA 4S" Image +! Scene i/- 710 mm O No corimunication with ACE, SC O Please note: The exam room display layout should include the Apps segment. 17 Data on file. Effective Date 15 Aug 2022 | HOOD05162003293816 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Unrestricted © Siemens Healthineers, 2022