ARTIS icono VE21 QuantWeb QCA or QVA Workflow Job Aid - USA

SIEMENS Healthineers QuantWeb QCA or QVA workflow ARTIS icono/pheno VE21 with syngo Application Software VE21 Template Effective Date: 10 Aug 2021| HILS 2223 Effective Date 15 Aug 2022 | HOOD05162003293816 Unrestricted © Siemens Healthineers, 2022 Table of Contents SIEMENS Healthineers Starting QuantWeb 3 General Functions and Settings Toolbar 5 Analysis Toolbar 6 Mark a Vessel 7 Mark a Single Vessel 8 Mark a Bifurcation 9 Correct the Vessel Wall 10 Preliminary Analysis 11 Report 15 Calibration 16 Additional Measurement and Annotation Toolbar 17 Sharing the Results 18 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 Data on file. Unrestricted © Siemens Healthineers, 2022 Starting QuantWeb - SIEMENS Healthineers Send image to Quant Click the Send to Quant icon to load the image in the Segment Menu > Apps tab. It can take a Live Q # = Apps Segment Menu 3 X few seconds. Quant Images Calibration Analysis Measporent Annotation Send To Quant Storing Apps Send To Quant Scene CARD 10 9 4 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. 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: It shows the names of each tool. ? 5 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Analysis Toolbar - SIEMENS Healthineers Start 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) ❶1 and Quantitative Vessel Analysis (QVA), you can determine the dimensions and stenosis EVA 11761 31/ 61 severity of the coronary and other QVA OCAID vessel arteries. LVA Please note: The availability of the analysis QCA3D modes is based on the licenses on your system. QVA3D 0 6 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Mark 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Mark a Single Vessel SIEMENS Healthineers Mark a single vessel segment using one of three methods: a) Automatic contour detection by left-clicking P on the vessel of the stenosis segment P (one point). b) Place a starting point at the proximal part P D of the vessel by left-clicking and end at the D D distal part D of the vessel by left double- clicking (two points). b) c) Set multiple points by left-clicking inside the a c) lumen of the vessel from the proximal part P, and end at the distal part D by left double-clicking. 8 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Mark 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 with a left double-click when you reach the endpoint. 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Correct the Vessel Wall SIEMENS Healthineers Quant 3. The system detects the vessel walls and Images Calibration Analysis 3 Report Quantitative prompts you to correct the contour and Coronary Analysis minimum luminal diameter in yellow 0.1419 mm/Pixel 1 Auto automatically after marking the vessel. 0.0º / 0.0º 10 FPS If it is necessary to modify the vessel wall or the segment, you can manually correct the right one along with the vessel wall by selecting this button. 3 P 10 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis SIEMENS Healthineers Standard obstruction analysis based on Quant diameter or area is automatically performed. 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 35 40 mm 4 Segment Obstruction SubSegment Local Diameter (5) Obstruction border 5 11 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. 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 15 Aug 2022 | HOOD05162003293816 Data on file. 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 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis – SIEMENS Healthineers Add Marker Quant Images Calibration Analysis Report Artis Icono VE21 Quant Quantitative Coronary Analysis 9 | 26/08/1949 (72y) 0.0955 mm/Pixel 2 D (mm) Under the Local Diameter tab, you can find the Auto 08/10/2021 06:33:08 1.63 mm RAO 30.9º / CAU 33º 2.52 mm 15 FPS 2.56 mm W N . local diameter information. Averaging length used for local diameter analysis: 3.00 mm Add Marker Remove Marker Use Add Marker to draw a Local Diameter and add Add Marker a measurement position. 35 / 87 < > Diameter Area Diameter mm 2 2ª9 1.4 OFN ? 4 16 10 12 14 16 18 20 2mm N - Segment Obstruction SubSegmenti Local Diameter 14 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Report SIEMENS Healthineers Select the Report tab. If there is more than one Quant page use the < or > arrow to move forward Images Calibration Analysis Report Quantitative and backward. QCA diameter results Page 1 / 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 % Stenosis 52 % Reference 2.20 Please note: The stored report can also be mm Lesion 32.70 opened later via the Patient Browser in the image EM position mm segment Viewer1, Viewer2 and 3D sharing. 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 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. 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 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. 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