ARTIS icono VE21 QuantWeb QCA3D or QVA3D Workflow Job Aid - USA

SIEMENS Healthineers QuantWeb QCA3D or QVA3D 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 Mark a Vessel 7 Mark a Bifurcation 8 Select the Second Projection 9 Mark the Vessel on Second Projection 10 Preliminary Analysis 11 Report 14 Additional Measurement and Annotation Toolbar 15 Sharing the Results 16 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 ventricle of the Live heart, and vFFR calculation. After suitable images are loaded and displayed in a Live or Viewer segment, select Apps for one of the other image segments. Uni Exa wall The QuantWeb application is started in the No Dat Apps segment. Please note: The QCA3D, QVA3D and vFFR workflows require two angiograms of the artery which are at least 30 degrees apart. CARD 10IN 3 Data on file. 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 =- -- ---- - Live in the Segment Menu > Apps tab. It can take a Q * Segment Menu Quant images Calibration Analysis few seconds. Measvorerst Annotation Send To Quant Storing Apps Send To Quant 0 CARD 10 % K 4 Data on file. Effective Date 15 Aug 2022 | HOOD05162003293816 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 QCA3D or QVA3D 1. 1 Select the first projection image and choose AP Quant the QCA3D or QVA3D analysis mode. VFFR AP 4 RAO 13,2ª / CRA 24.6" 4 LAO 51.6 / CAV 197 OCA With QCA3D or QVA3D, you can determine the QCA shape of the coronary/other arteries in three dimensions based on two T 31/ 61 31/61 QVA two-dimensional images. LVA Please note: The availability of the analysis QCA3D 1 modes is based on the licenses on your system. QVA3D 6 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Mark a Vessel – SIEMENS Healthineers First Projection TU FPS 2 • Start the contour detection by marking the vessel on the first projection after selecting the image of the scene. Mark a single vessel segment using one of two methods: ❷ 2 a) Place a starting point at the proximal part P of the vessel by left-clicking and end at the distal part D of the vessel by left double-clicking (two points). b) Set multiple points by left-clicking inside the lumen P P of the vessel from the proximal part P, and end at D the distal part D by left double-clicking. D Please note: In 3D workflows QCA3D, QVA3D, and a) b) b) vFFR, calibration is not necessary. a) Marking a vessel b) Marking a vessel Detected Contour 7 7 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. 8 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Select the Second Projection SIEMENS Healthineers 3. 3 Once the contour is drawn for the first image, the second projection image can be 0.00 / 0.0º 10 FPS utilized. Select the image from either the second projection guidance map or by directly selecting the thumbnail images. Please note: 4 is the series ID of an existing series image that is close to the green area where optimal angulation is located on this map and X indicates the current C-arm angulation. RAO 90º LAO ❸ 3 4 CRA & CAU CRA 8 X 43 / 85/ CAU RAO-90º LAO ? 9 9 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Mark the Vessel on Second Projection SIEMENS Healthineers Once a contour is drawn on the first image, on the second image so-called epi-polar lines are shown for: • The extremes from the other viewing direction • The viewing direction from the first to the second projection 5 5 After the contour detection on the second projection, it automatically determines the common image point, the red dot. If it has been 43 / 85 placed in the wrong area, drag it O O O < > to the right point manually. 10 10 Effective Date 15 Aug 2022 | HOOD05162003293816 Data on file. Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis SIEMENS Healthineers Standard obstruction analysis Quant based on diameter or area is Images Calibration Analysis Report Quantitative automatically performed. Coronary Analysis Diameter Area (4) Diameter Reference diameter Select the Analysis tab to see the results: (5) 4 5 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 mm 4 35 40 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 the 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 3D Mode and Segments 0.0º 3D Mode is generated after the contour 0.0º detection on two projections. P The Segment tab provides the segment information. The Subsegment tab shows information about bifurcation including main and side branch. Diameter Area · Diameter Reference diameter mm A A' ---- _ 3.5 3 2 2.5 ? 8 10 12 14 16 18 mm O- Segment Obstruction SubSegmenti 13 13 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 Quant Images Calibration Analysis Report IC 2CC 20M20 LIFLANC CIVI KER_1 one page use the < or > arrow to move Quantitative Analysis forward and backward. QCA 3D Diameter and area results Page 1 / 2 Analysis Information Obstruction results • Store the report in the Patient Browser on the ARTIS system. LAO 79* Diameter Area CRA 49.2" Lesion 1.48 mm 1.72 mm- % Stenosis 26 % 45 % Reference 1.99 mm 3.12 mm Maximum 2.02 mm 3.21 mm Mean 1.75 mm 2.42 mm CCC Obstruction length 4.00 mm Total percentage stenosis 37 % Please note: You can also open the stored Total plaques volume 4.71 mm Total reference volume 12.67 mm report via the Patient Browser in the image D Vessel results segment Viewer1, Viewer2 and 3D sharing. Diameter Area Minimum 1.48 mm 1.72 mm Bienort creation date 04/02/2022 Maximum 2.14 mm 3.59 mm Previous page HELIOS Mean 1.91 mm 2.89 mm V Institution name Amper Klinikum Vessel length 15.20 mm 14 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 15 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. 16 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 17 Effective Date 15 Aug 2022 | HOOD05162003293816 Unrestricted © Siemens Healthineers, 2022