ACUSON Origin 2.0 4D Heart AI Quick Card

Quick Reference Card 4D HeartAI ACUSON Origin Ultrasound System 2.0 software version O 0 4D Heart AI is a clinical application providing AI-driven analysis of cardiac chamber size and function. It quantifies all visible cardiac chambers in 4D transthoracic imaging, and performs analysis on visible ventricles in 4D transesophageal imaging. AI-powered analysis includes ejection fractions, volumes, strain, left ventricular (LV) cardiac output, and LV mass. 4D Heart AI is available on images with or without an ECG. Step 1 4D • Optimize 2D imaging • Launch 4D imaging from the control panel • Cine workflow: freeze live 4D image > select 4D HeartAI on touch screen 4D Heart AI • Review workflow: select 4D image in Review > select A4C ED A4CES 3 ( 15.0vps 4D HeartAI on touch screen Note: Bullseye analysis is only available from Review workflow. AZC ED AZC ES Beat 1 of HR (bpm) 45 GLS (%) CO (l/min) 3.2 Mass (o) 42.3 LA EF (%) GLS (%) SA ESY COM) 50.6 EF (%) EDV (ml) 51.9 ESV (ml) 86.7 SV (ml) 49.5 ESV (ml) 30.1 EDV (ml) 15.2 SIEMENS Healthineers Step 2 ED ES 4D clip without ECG Move Set Go To • Rotate ED soft key to end diastolic frame and press the soft key • Rotate ES soft key to confirm end systolic frame of same cardiac cycle and press the soft key Analyze • Tap Analyze on the touch screen Step 3 RV LV Select/ deselect chambers to show contours and analysis • ED-ES View shows end diastolic and end systolic contour of RA LA selected chambers • Detailed View shows either ED or ES frame of selected chambers Use soft keys to go between key frames ED-ES Detailed Bullseye - ED-ES View View View • Bullseye View shows strain analysis of selected chambers (left ventricle and left atrium) otate SAX View Ci X Y Z Slice Enable Step 4 Edit Contour Edit Contour enables contour editing of selected chamber(s) • Select one chamber at a time for contour edit, axis markers auto align to chamber Edit Contour only on the ED or ES frames Analyze - • Edit Contour available in ED-ES View, Detailed View • Use SAX View (soft key) rotation to slice through selected chamber(s) • Use trackball and set key to adjust contour • Select Analyze after completing edits Tip: Moving cursor closer to contour edits a smaller portion, moving cursor further from contour edits a larger portion. Step 5 Beats Analyzed • Select Delete Contour to remove current contour Exclude Beat 3 Delete Contour only on the ED or ES frames - • Three-point manual placement points will become active Delete Contour Add Contour • To cancel retracing of contour, select Update key Tip: Follow on-screen guide for placement of three points. Adding the RV contour requires six points. Average Result 2 siemens-healthineers.com/ultrasound Step 6 Beats Analyzed Exclude Beat 3 • Select Add Contour to add a contour Add Contour only on the ED or ES frames E - • Select chamber and key frame for adding contour Delete Contour Add Contour • Three-point manual placement points will become active Tip: Follow on-screen guide for placement of three points. Adding the RV contour requires six points. Average Result Step 7 Beats Analyzed Exclude Beat • Select Beats Analyzed – up to five 3 = • Select Average Result to average multiple beats • Select Exclude Beat to remove a beat from averaged results Delete Contour Add Contour = Average Result Step 8 LV Epi • Select LV Epi to activate the LV epicardium contour and obtain LV mass • In Edit Contour mode, rotate LV Epi Offset soft key to change LV Epi Offset epicardial contour thickness K - Step 9 [%] Global Longitudinal Strain 15.0vps Bullseye View 40 Select Direction / Longitudinal / Circumferential 20 • results displayed OK • Select Timing / Phase / PSS / ESS / Time to Peak / -20 Post Systolic Indexed results displayed 500 1000 [ms] Select Curve / Volume / Segmental Strain / LV End Systolic Strain [%] - Beat 1 of 1 Beat 1 of 1 HR (bpm) 45 • Anterior LV Global Strain results displayed EF (%) 63.1 CO (l/min) ESY (1) GLS (%) -210 42.3 117.7 -19 -20 -25 LA -26 EF (%) GLS Cond (%) -26.0 48.3 EDV (ml) 18.4 GLS Res (%) GLS Cont (%) -22.3 ESV (ml) 50.6 Lateral -17 -26 Septal -17 -21 -24 .19 20 Inferic siemens-healthineers.com/ultrasound 3 For the proper use of the software or hardware, please always use At Siemens Healthineers, we pioneer breakthroughs in healthcare. the Operator Manual or Instructions for Use (hereinafter collectively For everyone. Everywhere. By constantly bringing breakthrough “Operator Manual”) issued by Siemens Healthineers. This material is innovations to market, we enable healthcare professionals to deliver to be used as training material only and shall by no means substitute high-quality care, leading to the best possible outcome for patients. the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest Our portfolio, spanning from in-vitro and in-vivo diagnostics version of the software and hardware available at the time of the to image-guided therapy and innovative cancer care, is crucial training. The Operator Manual shall be used as your main reference, for clinical decision-making and treatment pathways. With our in particular for relevant safety information like warnings and strengths in patient twinning, precision therapy, as well as digital, cautions. data, and artificial intelligence (AI), we are well positioned to take on the biggest challenges in healthcare. We will continue to build Note: Some functions shown in this material are optional and might on these strengths to help fight the world’s most threatening not be part of your system. diseases, improving the quality of outcomes, and enabling access to care. Certain products, product related claims or functionalities described in the material (hereinafter collectively “Functionality”) may not We are a team of 66,000 highly dedicated employees across more (yet) be commercially available in your country. Due to regulatory than 70 countries passionately pushing the boundaries of what’s requirements, the future availability of said functionalities in possible in healthcare to help improve people’s lives around the any specific country is not guaranteed. Please contact your local world. 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. ACUSON Origin is a trademark of Siemens Medical Solutions USA, Inc. Siemens Healthineers Ultrasound owns the rights to all images. Siemens Healthineers Headquarters Manufacturer Siemens Healthineers AG Siemens Medical Solutions USA, Inc. 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