ACUSON Origin Onscreen Measurements Presentation

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON Origin Ultrasound System On-screen Measurement & Report 2.0 software version 1 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This presentation is intended to describe how to use measurement functions on the ACUSON Origin Ultrasound System. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Identify access to measurement feature and screen information • Explain editing and deleting measurements • List cardiac specific measurement options • Examine report access, layout and editing • Outline printing options CO 2 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Let’s begin by explaining how to access the measurement function and identifying what information is contained on both the touch screen and imaging screen. Notes No. 2 SIEMENS Healthineers Accessing measurement feature SIEMENS. Healthineers ... x ... X Measure Update AI Freeze 3 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To access measurement functions, press the Measure key on the left side of the trackball. Measurement access is available during review and during active examinations on frozen and cine images. Notes No. 3 SIEMENS Healthineers Touch screen display layout SIEMENS. Healthineers ... Exam Package Cardiac Main label Patient Dimensions Vessels Simpson (Volume) RVIRA Valves LV Mass A-L groups Imaging PISA Qp/Qs Custom Review Report LV d Series RVID d PLAX IVS d PLAX LVID d PLAX LVPW d PLAX End Exam Label LV s Series LVID s PLAX sub-groups Ao Root d LA A-P Diam s PLAX LVOT Diam s RVOT Diam X O Open Trace 20 Trace Vol MOD LV Series Ellipse Spline Angle More Clear Screen Edit Caliper Cine Hide Results Select 4 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Configuration of the measurement touch screen layout is found in System Configuration > Measurement & Report > Touch Screen Measurement Config and is covered in a separate presentation dedicated to measurement configuration. When the measurement function is activated, the touch screen displays the label groups and sub- groups that are available within the chosen exam package. Each group or sub-group contains labels that are organized by exam type, such as cardiac, or mode type, such as renal vascular. To use a labeled measurement from the touch screen: • Access the measurement function by pressing the Measure key on the control panel • Select the label you wish to use from the touch screen – the system activates the measurement tool associated with the chosen label • Position and anchor the beginning and ending measurement markers using the trackball and Set key Labels can be added to a measurement that has already been anchored on the screen by selecting the label from the touch screen once the “generic” measurement has been completed. The measurement will be “labeled” as long as the selected measurement label supports the chosen generic measurement tool. If the measurement label does not support the generic measurement tool, the ultrasound system will activate the measurement tool that is associated with the chosen label. You must re-measure the object onscreen in this instance. Notes No. 4 SIEMENS Healthineers Touch screen display layout SIEMENS. Healthineers ... Default Exam Package Right / Left Carotid options are Patient displayed on Right Left Imaging every page Review Prox CCA Prox ICA Prox ECA Bulb Subclav A Vert A Report Mid C Mid ICA Mid ECA Modifiers are End Exam embedded ist CCA Dist ICA Dist ECA within labels X O Ellipse 20 Trace Open Trace %Stenosis-A %Stenosis-D Volume Depth More Clear Screen Edit Caliper Cine Hide Results Select 5 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Depending on the exam package utilized, modifiers for right and left will be displayed on each page of the touchscreen allowing the user to advance through pages without the need to return to another page to label the laterality. Modifiers, such as proximal and distal, are embedded in the touchscreen labels. Notes No. 5 SIEMENS Healthineers Touch screen display layout SIEMENS . Healthineers ... Measurement folders Exam Package Cardiac Patient Dimensions Vessels Simpson (Volume) RVIRA Valves LV Mass A-L Imaging PISA Review Qp/Qs MV AOV Report MV AoV TV PV End Exam MR PISA Radius MV Annulus d MR Aliasing Velocity MR VC Width MR (PISA) MR RF (Doppler) MR (PISA) MR RF (Doppler) O Open Trac 20 Trace Vol MOD LV Series Spline Angle More Clear Screen Edit Caliper Select Cine Hide Results 6 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Labels with a small triangle () in the corner contain a folder of associated measurements, such as MR PISA Radius and MV Annulus d. For this example, when all associated measurements are performed, it will result in the calculated value for MR PISA. To use these folders, select the label from the touch screen to display the contents of the folder. When configuring the touch screen, the user can add the entire folder (both measurements) or a single component of the folder such as MR PISA Radius. Notes No. 6 SIEMENS Healthineers Touch screen display layout SIEMENS. Healthineers ... Continuous measurement series Exam Package Cardiac Patient Dimensions Vessels Simpson (Volume) RVIRA Valves LV Mass A-L Imaging PISA Qp/Qs Custom Review Report LV d Series RVIO & FLAX LVID d FLAX End Exam IVS d PLAX LVID d PLAX LVPW d PLAX × @ O Distance Open Trace 2D Trace Vol MOD Ellipse Spline Angle More Clear Screen Edit Caliper Cine Hide Results Select 7 Unrestricted © Siemens Healthineers 2024 Speaker Notes: A series label with a small triangle () in the corner will open a series of continuous measurements such as seen here with LV d Series. To use this folder, select the label LV d Series from the touch screen. The series opens preceded with an arrow and displays the continuous measurements within the folder. Here we see IVS d PLAX, LVID d PLAX, and LVPW d PLAX. The first measurement in the series will be active. If the user wishes to measure a different label than the one that is active, simply select the alternate label key. Selecting an alternate label negates the continuous measurement feature of the series and auto deselects the highlighted orange arrow. When configuring the touch screen, the user can add the entire folder (all three measurements) or a single component such as IVS d PLAX. Notes No. 7 SIEMENS Healthineers Continuous measurement series example SIEMENS. Healthineers ... • In this LV Series example, once a measurement within a series is completed, the next measurement is automatically activated • Press Toggle Caliper (Update) to toggle between the calipers to edit position and alignment • To edit set calipers, select Edit Caliper from soft key menu, then press Toggle Caliper to toggle and edit markers 40bp GO To ES 8 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this LV Series example, once a measurement within a series is completed, the next measurement is automatically activated. The series continues until the last measurement is performed. Press Toggle Caliper (Update) to toggle between the calipers to edit position and move the trackball to adjust the alignment. To edit set calipers, select Edit Caliper from the soft key menu, then press Toggle Caliper to toggle and edit markers. Note: The active caliper is teal and, once set, turns yellow in color. Notes No. 8 SIEMENS Healthineers Touch screen display layout SIEMENS . Healthineers ... Exam Package Cardiac Patient O Dimensions Vessels Simpson (Volume) RVIRA Valves LV Mass A-L INS d PLAY Imaging PISA Qp/Qs Custom 20 Review OdBIDRSS Report LV d Series RVID d PLAX INS d PLA LVID d PLAX LVPW d PLAX End Exam IVS d PLAX LVID d PLAX LVPW d PLAX RVOT Diam ppen Trace 20 Trace Vol MOD LV Series More X 1 Clear Screen dit Caliper Seled)) Cine Hide Results F12308 9 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When the caliper is activated, a depth measurement is shown on the screen until the first caliper is locked in place, then the second caliper of the series is activated. Notes No. 9 SIEMENS Healthineers Generic measurements SIEMENS . Healthineers ... Tool bar Above Baseline Exam Package Cardiac Patient Mitral Valve Aortic Valve Tricuspid Valve ulmonic Valve Pulmonary Veins DTI Imaging PISA Qp/Qs Review Report End Exam MV DT MV E Vmax MV A Vmax MV Area (PHT) MV VTI MR Vmax MR VTI LV dP/dt H Heart Rate Acceleration D- Track Clear Screen Edit Caliper Cine Angle Correct Select Hide Results H -- + Velocity Auto VTI Time PHT Heart Rate Acceleration D-Trace 10 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Generic (unlabeled) measurement options are available in the tool bar at the bottom of the touch screen and are dependent on the imaging mode at the time. Unlabeled measurements will not populate on the report page, the measured value will only be located on a stored image. Options for the tool bar change with the imaging mode and are not customizable. Notes No. 10 SIEMENS Healthineers Generic measurements SIEMENS . Healthineers ... “More” General Abdominal Exam Package Vascular Renal Vascular Abdomen % Distance Ratio Area Ratio Angle Auto Calcs Vol Flow Patient Right Left Imaging More Review Abdomen Miscellaneous Report Prox Aorta Liver Spleen Kidney Pre-Void Bladder IVC End Exam Mid Aorta Pancreatic Duct GB Wall Thickness Cortical Thickness Post-Void Bladder Dist Aort More CBD CHD × O Ellipse 2D Trace Open Trace %Stenosis-A Stenosis-D Volume Depth More Clear Screen Edit Caliper Select Cine Hide Results 11 Unrestricted © Siemens Healthineers 2024 Speaker Notes: If the user requires a generic measurement that is not contained on the tool bar, additional generic measurements are sometimes available under More on the right side of the touchscreen. The available “More” measurements are dependent on the Exam Package being used. Select More to open the generic measurement menu selection and then select the desired measurement. Note that generic measurements will not appear on the measurement report, only on the imaging screen. Notes No. 11 SIEMENS Healthineers Accessing additional exam calculation packages SIEMENS . Healthineers ... Exam Package Cardiac Patient Cardiac Abdomen Breast Carotid Early OB Fetal Echo Imaging Review GYN Ped Hi LEA LEV MSK Neo Head Report OB Ediatric Abdomen Pelvis Penile Prostate Renal End Exam TCI Testis Thyroid UEA UEV Clear Screen Edit Caliper Select Cine Hide Results 12 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To access other exam packages, select the Exam Package key in the upper right corner of the touch screen. All exam packages are accessible to the user regardless of the exam preset being used. Notes No. 12 SIEMENS Healthineers Active / locked caliper trackball options SIEMENS . Healthineers .. 5V1 1 IVS d PLAX=0.98 cm Cardiac Cardiac LVID d PLAX=4.87 cm TIS:0.73 1 IVS d PLAX=0.98 cm TIS:0.73 LVPW d PLAX=1.11 cm MI:0.89 LVID d PLAX=4.87 cm LVPW d PLAX=1.11 cm MI:0.89 LV Vold (Teichholz)=111.2 ml 71fps 71fps 95% LV Vold (Teichholz)=111.2 ml 95% 2D 2D H High H High 3dB/DR60 3dB/DR60 LD 1 LD 1 UA 3 UA 3 MapE/T5 MapE/T5 PZ P2 16cm 43bpm Lead 11 DON Fr 83 43bpm Lead 11 Active Caliper Locked Caliper 13 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Active calipers are teal in color. Locked, or anchored calipers, are yellow in color. The Update key is used to toggle between the caliper set when placing the caliper(s) on a structure in the imaging field. Use the Set keys on either side of the trackball to lock / anchor the caliper(s) in the desired location. When the caliper set is anchored / locked in place the toggle feature is no longer active. The dotted line can be removed between the caliper points in System Config > Measurement & Report > Measurement > General > 2D mode. Note: The measurement will also be finalized if the Text or Body Marker tool is selected. Notes No. 13 SIEMENS Healthineers Reposition the measurement display area (MDA) SIEMENS . Healthineers ... 521 Cardiac TIS:0.34 MI:0.95 2 8 3 32 cm 54fps 3 D-2.47 cm 2D 3 B-3.8% em OdB/DRSS 2 D-2.20 cm 3 B 2.29 cm 16cm 16cm Lead Of Fr12 14 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Should the measurement display area (MDA) default position be within the imaging field, or require a different area on the screen, the MDA can be moved. To reposition the MDA, use the trackball to point and select the MDA. Press the Set key once to “pick up” the MDA then use the trackball to move the MDA to the desired location. Once at the desired location, select the Set key again to place the MDA. Notes No. 14 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Identify access to measurement feature and screen information • Explain editing and deleting measurements • List cardiac specific measurement options • Examine report access, layout and editing • Outline printing options CO 15 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will explain editing and deleting of onscreen measurements. Notes No. 15 SIEMENS Healthineers AI measurement editing SIEMENS . Healthineers' ... • Press Edit Caliper soft key to activate caliper edit Review • Use trackball and set key method • Rotate Edit Caliper soft key to alternate between • Point and click adjustments for editing 5V1 Cardiac(2) TIS:1.04 measurement sets MI:0.09 Click set key to set 24fps • 100% 2D H High 0dB/DR61 • Selecting the X box will delete c=1540 LD 2 measurement(s) MapG/T5 • Selecting the box will accept .00 L64B measurement(s) General Use Update key to toggle and the Set key to lock caliper P1/LD2 • PRF 3472 1.00 53/Pr2 MapF/F2 2.00 2D + Color D CW Low 4.00 -3dB/DR60 MapE/T9 5.00 PRF 20661 F 340 5-6.00 16 Unrestricted © Siemens Healthineers 2025 Speaker Notes: • AI Measure editing is based on the trackball point and click • Select Set to activate caliper or contour position for editing • Use the trackball to move the caliper to the new location and select Set to anchor the caliper in the new position • When the user moves the Pointer close to a heart cycle, the cycle is highlighted • Two checkbox buttons appear on top of the cardiac cycle, one red X button and another green Check button • Selecting the green check will accept the measurements • Selecting the red X will delete the measurements • Adjustment of the peak velocity and the beginning or end of a Doppler trace can be performed by point and click with the trackball • Improvements were made to editing Doppler border tracings • User can select a small or large portion of a Doppler trace for edit, or adjust an entire curve Notes No. 16 SIEMENS Healthineers • B-Mode and M-mode measurements can be selected and edited by point and click with the trackball Notes No. 16 SIEMENS Healthineers Editing / updating a completed measurement SIEMENS. Healthineers .. • • Press Edit Caliper soft key to activate caliper edit Press Edit Caliper soft key to activate caliper edit MV E Vmax=0.60 m/s 5Z1 2 MV DT=159 ms Cardiac • Rotate Edit Caliper soft key to alternate between TIS:0.72 • Rotate Edit Caliper soft key to alternate between MV A Vmax=0.73 m/s 4 MV E Vmax=0.59 m/s MI:0.35 5 MV DT=144 ms 24fps measurement sets measurement sets 6 MV A Vmax=0.71 m/s 95% 2D H High 7dB/DR55 LD 2 Edit Caliper UA 2 MapC/T5 c Select 100 Mid OdB General PRF 4098 -60 D PW Mid • • Use Update key to toggle and the Set key to lock caliper Use Update key to toggle and the Set key to lock caliper GS 3.0 PRF 5814 F 250 Update Toggle Caliper Set Set 6.3 sec Cal 1 Cal 2 17 Unrestricted © Siemens Healthineers 2025 Speaker Notes: If the user selects all measurements and the on-screen measurement display area turns yellow, measurement editing reverts back to the previous measurement edit style using the Edit Caliper softkey. To edit a completed measurement, select the Edit Caliper soft key at the bottom of the touch screen. The last completed measurement reactivates, indicated by changing to teal in color. Rotate the Edit Caliper soft key to alternate between multiple measurement sets when more than one cardiac cycle is analyzed. The Update key above the trackball toggles between caliper points of a set of measurements. Use the trackball to move the caliper to the new location and select Set to anchor the caliper in the new position. If the user wishes to edit a different caliper set than the last one placed on the screen, rotate the soft key until the desired measure turns teal. Follow the steps listed above to reposition the caliper. Notes No. 17 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Identify access to measurement feature and screen information • Explain editing and deleting measurements • List cardiac specific measurement options • Examine report access, layout and editing • Outline printing options CO 18 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Different exam types have measurement specific options associated with them. In this section we will take a closer look at measurement options in cardiac exams. Notes No. 18 SIEMENS Healthineers Deleting a caliper SIEMENS. Healthineers' ... With the measurement function active: 5Z1 Cardiac • Select the Delete key on control panel for single 1 LVOT Diam s=2.09 cm LVOT Area s=3.43 cm2 0 95 2 Ao Sinus d-3.27 cm 54fps measurement deletion 95% 2D H Mid -5dB/DR55 Delete Mapc/75 P1 • Select Clear Screen to delete all measurements Clear Screen 14cm 56bpm Lead Il Fr1053 Toggle; Caliper Set Set Cal 1 Cal 2 19 Unrestricted © Siemens Healthineers 2024 Speaker Notes: There are two options to delete calipers placed on the imaging screen. With the caliper function active: 1. Select the Delete key on the control panel to delete a single caliper point or a single (last) completed measurement 2. Select the Clear Screen to delete all measurements on the imaging screen. Any text on the imaging screen will also be deleted. Note that when a completed labeled measurement is removed / deleted from the image screen, it will still remain in the patient report. Notes No. 19 SIEMENS Healthineers Fetal heart rate measurement SIEMENS . Healthineers ... With the M-mode sweep completed: Fetus A Add Exam Package Fetus Fetal Echo • Activate the caliper function Patient Imaging Default on touch screen is to Fetus A - Routine Right Heart Left Heart • Review manually select alternate fetus if multiple Report • Select Fetal HR on touch screen and End Exam Atrial FHR Vent FHR Fetal HR measure the appropriate beat(s) Fetal HR • Number of beats for measurement is displayed in lower left corner of image M. Distance M Slope AM Heart Rate screen Clear Screen Edit Caliper Select Cine Hide Results • Number of beats can be set in system configuration 20 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To measure a fetal heart rate, activate the caliper function after obtaining and freezing an appropriate M-mode sweep. The default fetus will be to Fetus A. If there are multiple fetuses to measure, manually select the correct fetus from the touch screen options. Note that if you have not selected more than one fetus at the start of the exam there is an option to Add Fetus located on the touch screen. Select the Fetal HR option from the touch screen – the systems will activate the measurement tool associated with the label. Measure the appropriate beat or beats on the image screen using the trackball and Set key to place the caliper markers. The number of beats that are required for the measurement are indicated in the bottom left corner of the touch screen when the measurement is active / selected. This number of beats used in a measurement can be configured in System Config > Measurement & Report > Measurement > General [Heart Rate tool]. Notes No. 20 SIEMENS Healthineers Accessing AI Measure feature SIEMENS. Healthineers ... X ... X Measure Update AI + Freeze 21 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To access the AI Measure feature, press the AI key on the left side of the trackball. AI measurements are available during review and during active examinations on frozen and cine images and must have an ECG. Notes No. 21 SIEMENS Healthineers AI measurement options SIEMENS. Healthineers ... Spectral Doppler AI measurements B-mode AI measurements • TR • LV d TR A • PV VTI PV VTI Al • LV s • RVOT VTI RVOT VTI AI LV d Al • MV inflow MV inflow Al LVS N • MR VTI MR VTI AI • AoV VTI AOV VTI AI • LVOT VTI LVOT VTI NI • AR PHT AR PHT A M-mode AI measurements • LV Tissue Doppler AI measurements • Ao / LA • DTI Lat DTI Lat Al LV AI • DTI Med DTI Med Al Ao / LA AI • DTI RV DTI RV AI 22 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The AI measurements available during 2D B-mode, M-mode, spectral Doppler and tissue Doppler imaging are listed here. B-mode imaging from parasternal long axis view supports AI measurements for: • LVd • LVs M-mode imaging from parasternal long axis view supports AI measurements for: • LV • Ao / LA Spectral Doppler imaging supports AI measurements for: • TR • PV VTI • RVOT VTI • MV inflow • MR VTI • AoV VTI • LVOT VTI • AR PHT Notes No. 22 SIEMENS Healthineers Tissue Doppler DTI imaging supports AI measurements for: • DTI Lat • DTI Med • DTI RV Notes No. 22 SIEMENS Healthineers Left ventricle SIEMENS . Healthineers .. AI measurement example Review 5V1 Cardiac TIS:0.71 MI:0.99 36fps 95% 20 BORRO 13cm o0% Fri 556pm Lead ! 23 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This video demonstrates use of the AI Measure feature performing automated left ventricular end-diastolic measurements. Notes No. 23 SIEMENS Healthineers Right ventricular outflow tract (RVOT) VTI SIEMENS . Healthineers ... AI measurement example Frozen Cardiac TIS:0.78 MI:0.45 93fps 95% 17cm Mapct 0dB/DR70 MapE/T6 GS 3.0 PRF 4717 F 250 1-100 2.9 sec 20 Cine X Total: 27 24 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This video demonstrates use of the AI Measure feature performing spectral Doppler measurements for the right ventricular outflow tract (RVOT) This video demonstrates use of the AI Measure feature to perform spectral Doppler measurements for the right ventricular outflow tract VTI. This video demonstrates use of the AI Measure feature to perform spectral Doppler measurements for the right ventricular outflow tract VTI. VTI. Notes No. 24 SIEMENS Healthineers Left ventricle M-mode SIEMENS . Healthineers .. AI measurement example Live 5Z1 Cardiac ME.1.32 50fps 6dB/DR65 14 cm 0GB/DRGO X Total: 15 25 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This video demonstrates use of the AI Measure feature performing M-mode measurements of the left ventricle. This video demonstrates use of the AI Measure feature to perform M-mode measurements for the left ventricle. This video demonstrates use of the AI Measure feature to perform M-mode measurements for the left ventricle. Notes No. 25 SIEMENS Healthineers AI measurement of spectral Doppler SIEMENS . Healthineers .. Adjusting the number of cardiac cycles assessed Above Baseline Exam Package Cardiac 1 LVOT VTI=22.02 cm 5Z1 LVOT Vmax=0.90 m/s Cardiac LVOT Mean Grad=1.8 mmHg TIS:0.72 Patient Mitral Valve Aortic Valve Tricuspid Valve Pulmonic Valve Pulmonary Veins DTI 2 LVOT VTI=21.73 cm MI:0.35 LVOT Vmax=0.90 m/s 22fps LVOT Mean Grad=1.7 mmHg 95% Imaging 3 LVOT VTI=23.55 cm PISA QPIQs LVOT Vmax=0.97 m/s 2D LVOT Mean Grad=1.8 mmHg 7dB/DR55 H High Review 4 LVOT VTI=22.07 cm LVOT Vmax=0.94 m/s LD 2 Report LVOT Mean Grad=1.7 mmHg MapC/T5 UA 2 * 15cm 5 LVOT VTI=22.41 cm End Exam LVOT Vmax=0.92 m/s C LVOT Mean Grad=1.6 mmHg Mid AOV VTI AoV Vmax AR Slope 63 6 LVOT VTI=22.07 cm OdB LVOT Vmax=0.99 m/s 20 General VOT Mean Grade 8 mmHg PRF 4098 LVOT VTI LVOT Vmay LV VRT EVOT VI-22.35 cm -- cmis D LVOT Vmax 1.01 m/ PW LVOT Mean Grad=118 mmHg Mid LVOT VTI=22.99 cm - GS 3.0 LVOT Vmax=1.03 m/s PRF 5814 LVOT Mean Grad=2 0 mmHg Time 9 LVOT VTI=22.03 cm LVOT Vmax=0.99 m/s -60 Clear Screen Cycles Edit Calipe Angle Correct LVOT Mean Grad= 1.8 mmHg Cine Hide Results LVOT SV-68.5 ml) LVOT Peak Grad=3.9 mmHg -- 100 Cycles 9 9.0 sec 26 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Once an AI measurement is performed on a spectral Doppler trace, the user can change the number of cardiac cycles assessed by rotating the Cycles soft key. The user can choose to assess every cardiac cycle that is on the imaging screen. Note that the last five labeled measurements performed store to the report. Notes No. 26 SIEMENS Healthineers AI measurement of spectral Doppler example SIEMENS . Healthineers ... Adjusting the number of cardiac cycles assessed Review 78 = Cardiet TIS:0.7 BdB/DR55 Mapc/ 464644¢ 27 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Once an AI measurement is performed on a Doppler trace, the user can change the number of cardiac cycles assessed by rotating the Cycles soft key Notes No. 27 SIEMENS Healthineers Cardiac chamber measurement SIEMENS . Healthineers ... Three-point method of discs Default contour shapes are based on different cardiac chambers and views when performing manual measurements Apical 4 chamber Apical 2 chamber • RV, RA, LA, LV • LA, LV 28 Unrestricted © Siemens Healthineers 2025 Speaker Notes: Default contour shapes are based on the different cardiac chambers and views: • Apical 4 chamber • RV, RA, LA, LV • Apical 2 chamber • LA, LV Notes No. 28 SIEMENS Healthineers Cardiac chamber measurement SIEMENS . Healthineers ... Example video: LA and RA measurement When placing the 3-point method 13 0 5Z1 Cardiac of chamber contouring: TIS:0.38 MI:0.90 52fps 95% Start left-to-right, or right-to-left 2D • H High 6dB/DR52 • Third point is placed at either: • Apex of ventricles • Roof of atria • Edit contours using the trackball and set keys 19cm 53bpm Lead Off One Pointer 29 Unrestricted © Siemens Healthineers 2025 Speaker Notes: Default contour shapes are based on the different cardiac chambers and views. This video example shows the manual measurement method performed on the left and right atria. Note that when placing the 3-point method for contouring, always start left-to-right, and then the third point is either at the apex of the ventricles or the roof of the atria. Notes No. 29 SIEMENS Healthineers Cardiac chamber contour editing SIEMENS. Healthineers ... 1. Anchor points can be adjusted after the initial 2 placement 2. Smoother contours when editing smaller sections 3. Ability to adjust larger sections of the chamber and perform shape persistent full wall edits 1 3 30 Unrestricted © Siemens Healthineers 2025 Speaker Notes: 1. Anchor points can be adjusted after the initial placement 2. Smoother contours when editing smaller sections 3. Ability to adjust larger sections of the chamber and perform shape persistent full wall edits Notes No. 30 SIEMENS Healthineers Unlabeled (generic) trace SIEMENS . Healthineers .. • The traditional 2D Trace method is available as a generic caliper measurement 69 15-27 cm A- 14.05 CM • Select Undo to erase using the trace • A generic measurement will not populate into the patient report • Use the Pointer and Set keys to edit the trace Lead il O Open Trac Stenosis O Volume Clear Screen Undo Edit Caliper Cine Hide Results Select 31 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • The traditional 2D trace method, in which contours are drawn continuously with the trackball, is available as a generic caliper measurement • Select Undo from the soft keys to erase, or back up erase using the trackball • Select the update “End” key above the trackball to complete the trace • Use the pointer and set key to edit a section of the trace; the active are for edit will appear orange as seen here • Moving the orange cursor arrow closer to the contour edits a smaller portion • Moving the orange cursor arrow further from the contour edits a larger portion • Generic measurements do not populate into the patient report Notes No. 31 SIEMENS Healthineers 2D HeartAI measurements SIEMENS. Healthineers • 2D HeartAI is a clinical software application used to visualize and quantify cardiac function using A4C ED CT A4C ES 66 fps acquired 2D clips • AI-driven detection and contouring of all four chambers • Bi-plane results for the left ventricle and left atrium are derived from contours • Tracks and estimates global longitudinal strain (GLS), ejection fraction (EF), volume and area A4C Results (Beat 1 of 1) HR (bpm) 64 Bi-Plane Results LV LA RV RA LV LA measurements, and stroke volume EF (%) 61.5 GLS (%) 25.2 GLS FW (%) 20.3 GLS (%) 42.2 EF (%) 66.6 GLS (%) GLS (%) -25.2 ESV (ml) 42.6 FAC (%) 32.4 ESV (ml) 25.1 | GLS (%) -27.1 ESV (ml) SV (ml) 47.1 ES Axis (cm) 4.7 EDA (cm2) 14.5 ES Axis (cm) 4.0 SV (ml) 49.7 ES Axis (cm) EDV (ml) 76.6 ESA (cm2) 9.8 EDV (ml) 74.6 ESV (ml) 29.5 ESV (ml) 24.9 Note: See the 2D HeartAI presentation for additional details 32 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 2D Heart is a clinical software application used to visualize and quantify cardiac function using acquired 2D clips of the heart. The software uses an artificial intelligence algorithm to detect and contour all four chambers of the heart. Analysis results include global longitudinal strain (GLS), ejection fraction (EF), volume and area measurements, and stroke volume (SV). Routine Bi-plane measurements for the LV and LA can be obtained with AI-enabled analysis using 2D HeartAI . See the 2D HeartAI presentation for more information on workflow and analysis with this feature. Notes No. 32 SIEMENS Healthineers 4D HeartAI measurements SIEMENS .. Healthineers 4D HeartAI clinical application quantifies cardiac W3C ES A2C ES A4C ES 15.0vps • size and function using acquired 4D clips • AI-driven analysis of cardiac chambers • All four chambers in transthoracic imaging • Left and right ventricles in transesophageal imaging SAX ES Beat 1 of 1 HR (bpm) 45 LV EF (%) 60.2 EDV (ml) GLS (%) 16.7 ESV (ml) 47.1 • Assessment of ejection fraction (EF), global CO (l/min) 3.2 Mass (g) 119.1 longitudinal strain (GLS), volumes, cardiac output LA EF (%) 57.7 EDV (ml) 18.3 and LV mass GLS (%) 33.8 ESV (ml) 43.3 RV EF (%) 49.5 ESV (ml) EDV (ml) 86.5 RA EF (%) 48.3 ESV (ml) 30.0 EDV (ml) 155 Note: See the 4D HeartAI presentation for additional details 33 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 4D HeartAI is a clinical software application used to visualize and quantify cardiac chamber size and function using acquired 4D clips of the heart. It supports assessment of all four cardiac chambers in 4D transthoracic imaging and supports assessment of the left and right ventricles in 4D transesophageal imaging. The software uses an artificial intelligence algorithm to detect and contour the cardiac chambers. Analysis includes ejection fraction (EF), global longitudinal strain (GLS), volumes, cardiac output, as well as cardiac mass when the epicardial contour is applied. Please see the 4D HeartAI presentation for more information on workflow and analysis with this feature. Notes No. 33 SIEMENS Healthineers Cardiac Doppler measurements SIEMENS . Healthineers ... Touch screen • Doppler measurement options Above Baseline Exam Package Cardiac are organized into folders in a similar manner as 2D Patient Mitral Valve Aortic Valve Tricuspid Valve Pulmonic Valve Pulmonary Veins DTI Imaging Folders are configurable in PISA Qp/Qs • Review both content and layout Report End Exam MV E Vmax MV DT MV A Vmax MV Area (PHT) MV VTI MR Vmax MR VTI LV dP/dt Velocity Auto VTI VTI PHT Heart Rate Acceleration D-Trace More Clear Screen Edit Caliper Select Cine Angle Correct 60 0 60 Hide Results 34 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • Doppler measurement options are organized into folders in a similar manner as the 2D measurements; separated by anatomical structure and physiology, such as tissue Doppler imaging • Folders are configurable in both content and layout Notes No. 34 SIEMENS Healthineers Cardiac Doppler measurements SIEMENS . Healthineers ... Auto VTI Exam Package • Semi-automated tracing Above Baseline Cardiac method for spectral Doppler Patient Mitral Valve Aortic Valve Tricuspid Valve Pulmonic Valve Pulmonary Veins DTI • Available during live imaging Imaging PISA Qp/Qs Review • Can be configured to be associated with a specific Report VTI measurement label (i.e. End Exam LVOT VTI) MV E Vmax MV DT MV A Vmax Measurements associated MV Area (PHT) MV VTI MR Vmax MR VTI LV dP/dt • with a measurement label will be entered into the Velocity PHT Heart Rate Acceleration D-Trace Report Clear Screen Edit Caliper Select Cine Angle Correct 60 0 60 Hide Results 35 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • Auto VTI is a semi-automated method for tracing spectral Doppler • It is available during live imaging only • Generic measurement tools, such as Auto VTI, can be customized and configured to associate with labeled VTI measurements, such as LVOT VTI • Measurements associated with a measurement label will be entered into the Report Notes No. 35 SIEMENS Healthineers Cardiac Doppler measurements SIEMENS . Healthineers .. Generic VTI • Select VTI from the touch screen 19 • Perform the trace using the trackball and set key • Press Set key to place first caliper at the beginning of the spectral Doppler tracing, and place second caliper at the end of the spectral Doppler Velocity H Heart Rate Acceleration D Trace Clear Screen Edit Caliper Hide Results 36 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To perform this measurement, simply select VTI on the touch screen. Press the Set key to place the starting caliper point on the baseline at the beginning of the spectral tracing. As the user moves the pointer across the spectral tracing, a semi-automated trace is generated. The user can roll the trackball backwards to erase the trace. Press the Set key again at the end of the spectral Doppler to complete the trace. Notes No. 36 SIEMENS Healthineers Cardiac Doppler measurements SIEMENS . Healthineers .. Trace • The traditional trace method is available for spectral Doppler measurements • Select Undo or back up erase using the trackball to edit the trace P1/LD2 0.40 PRF 4386 33/Pr1 0.60 MapF/F2 Once the measurement is set, select Edit Caliper 2D + Color • -1.00 PW to edit Low 1.20 1dB/DR60 MapE/T5 Auto VI vn Time eart Rate Acceleration Clear Screen Edit Caliper Angle Correct ++ Cine Hide Results 60 0 60 37 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The traditional continuous trace method (with the trackball) is available for spectral Doppler measurements. • Select Undo or back up erase using the trackball to edit the trace • Once the measurement is set, select Edit Caliper to edit Notes No. 37 SIEMENS Healthineers Edit heart rate (HR) SIEMENS. Healthineers ... Package Configuration • HR Edit allows manual entry of a Touch Screen Layout Editor HR Edit heart rate Name Imaging Mode Cardiac 2D Measurement Label Library • For use in cases where an ECG is Cardiac unavailable HR Edit imensions Vessels HR Entry PISA OpiCes • Select HR Edit and enter the heart rate using touch screen number keys Save Cancel LV d Series • Select Save 80 bpm • Note that this may need to be added Ao Root d 7 8 to the touch screen in Touch Screen 9 Measurement Config New Page 4 5 6 1 2 3 Clear O 38 Unrestricted © Siemens Healthineers 2024 Speaker Notes: HR Edit allows manual entry of a heart rate. This is useful in cases where an ECG may not be available, but a heart rate is needed for a calculated measurement. • Select HR Edit and enter the heart rate using the touch screen number keys • Select Save Notes No. 38 SIEMENS Healthineers Right atrial (RA) pressure SIEMENS. Healthineers ... • Select Tricuspid Valve folder • Select RA Pressure Above Baselive Exam Package • Enter the estimated value Patient Select Save Mitral Valve Aortic Valve Tricuspid Valve Pulmonic Valve Pulmonary Veins DTI RA Pressure • meging Review PISA OpiQs Report Save Cancel End Exam TR Vmax TR VTI RA Pressure TVE Vimax TV A Vmax TV VTI 0 mmHg 7 8 9 Clear Screen Edit Callper Gine Angle correct Hide Results 4 5 6 1 Clear N O 39 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When performing spectral Doppler assessment of tricuspid regurgitation, the right atrial pressure must be manually entered to calculate pulmonary artery systolic pressure (PASP). • Select the Tricuspid Valve folder on the touch screen • Select RA Pressure and enter the desired value using the touch screen number keys • Select Save Note that in this release of the ACUSON Origin ultrasound system, the RA Pressure label may need to be added for use in Touch Screen Measurement Config. Notes No. 39 SIEMENS Healthineers Proximal isovelocity surface area (PISA) measurements SIEMENS . Healthineers ... Select PISA folder Exam Package • Cardiac • Select the valve for desired Patient regurgitation assessment Dimensions Vessels Simpson (Volume) RVIRA Valves LV Mass A-L Imaging • Mitral Valve (MV) PISA Qp/Qs Review • Aortic Valve (AoV) Report Tricuspid Valve (TV) MV AOV TV PV • End Exam • Pulmonic Valve (PV) MR Aliasing Velocity MR VC Width MR (PISA) MR RF (Doppler) × A O .4. Distance Open Trac Vol MOD LV Series Ellipse Soline Angle More Clear Screen Edit Caliper Select Cine Hide Results 40 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The proximal isovelocity surface area (PISA) measurement package on the ACUSON Origin ultrasound system supports quantitative assessment of mitral regurgitation, aortic regurgitation, tricuspid regurgitation, and pulmonic regurgitation. The PISA calculation for effective regurgitant orifice area (EROA) requires: • Radius measurement in color Doppler imaging • Aliasing velocity value in color Doppler imaging • Maximum velocity (Vmax) measurements in spectral Doppler Additionally, the regurgitant volume and regurgitant fraction calculation requires: • Valve annulus measurement in 2D B-mode imaging • Velocity time integral (VTI) measurements in spectral Doppler Note: Measurement labels are accessible according to the imaging mode. Notes No. 40 SIEMENS Healthineers Proximal isovelocity surface area (PISA) measurements SIEMENS . Healthineers' ... Mitral regurgitation labels example Above Baseline Exam Package Color Doppler labels Cardiac Patient Mitral Valve MV Aortic Valve Tricuspid Valve Pulmonic Valve Pulmonary Veins DTI Aov MV AOV Imaging MR Aliasing Velocity MR VC Width MR PISA Radius MV Annulus d Review PISA Qp/Qs Report MR (PISA) MR RF (Doppler) MR (PISA) MV Aov TV nd Exam MR Aliasing Velocity MR VTI MR Vmax Spectral Doppler labels MV Aov MV ADV MR RF (Doppler) MR Aliasing Velocity MR VTI MR Vmax MVVTI, Annulus MV Site 2 VTI Auto VTI Tiene H More MR (PISA) MR RF (Doppler) MR RF (Doppler) Heart Rate oceleration Clear Screen Edit Caliper ++ Cine Angle Correct Select 50 0 60 Hide Results 41 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To calculate PISA, the user must perform the required measurement labels for calculations within selected valve. Here we see examples of measurement labels to complete in order to quantitatively assess mitral regurgitation Note: Measurement labels are accessible according to the imaging mode. Notes No. 41 SIEMENS Healthineers Effective regurgitant orifice area (EROA) measurement example SIEMENS . Healthineers ... ADV TV 95 MR PISA Radius MV MR Aliasing Velocity MR VTI MR Vmax 1 MR PISA Radius=0.47 cm 1 MR Vmax=4.66 m/s MR PISA=1.39 cm2 MR (PISA) MR RF (Doppler) MR Peak Grad=86.9 mmHg MR EROA=0.10 cm2 15cm 95mm Save Cancel 32. emls 32 cmis 7 9 4 5 6 1 2 15cm 3 Clear 0 42 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To calculate the effective regurgitant orifice by PISA, the user must perform the required measurement labels for the selected valve. In this mitral regurgitation example, we see the color Doppler baseline shift is adjusted downward in the direction of the regurgitant jet. • Select MR PISA Radius from the touch screen and perform the labeled measure; measuring from the leaflet coaptation to the point of color Doppler aliasing • Select MR Aliasing Velocity from touch screen and enter the aliasing velocity using the touch screen number keys • Select MR Vmax from the touch screen and perform the labeled measure Note: Measurement labels are accessible according to the imaging mode. Notes No. 42 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Identify access to measurement feature and screen information • Explain editing and deleting measurements • List cardiac specific measurement options • Examine report access, layout and editing • Outline printing options CO 43 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will examine how to access the patient report and report layout. Notes No. 43 SIEMENS Healthineers Report enhancement SIEMENS . Healthineers ... • Approximately 60% of duplicated labels were removed Imaging mode Total labels Duplicated labels • Some were kept as they make sense clinically to be 2D 493 106 saved in more than one place in the report Doppler 514 127 • Summary layout is organized into three columns and M-mode 61 8 each row is in the same line • Report headings and subgroups are bold • Store Report is in new Summary layout • No changes were made to: • Edit Report • Stress Echo • 2D HeartAI • 4D HeartAI 44 Unrestricted © Siemens Healthineers 2025 Speaker Notes: Compared to the ACUSON Origin 1.0 software release, approximately 60% of duplicated labels were removed from the report. Some duplicate labels were kept as they made sense clinically to be saved in more than one place in the report. The Summary layout is now organized into 3 columns and each row is in the same line. The manor report headings and subgroups are bold. When using Store Report, it is in the new Summary layout. No changes were made to: • Edit Report • Stress Echo • 2D HeartAI • 4D HeartAI Notes No. 44 SIEMENS Healthineers Report summary comparison SIEMENS . Healthineers .. ACUSON Origin 1.0 ACUSON Origin 2.0 MV Inflow MV Anrufus MY E VITUS 000.00 cm MR VTI MV Analund 000.00 or 000.00 cm DO0.50 cm MV Analund A.P LV MHIT 000.00 crm MI Peak Cred 000.50 cm 000.00 cm 000.00 cm MR Mean Good 000.00 cm 000.00 cm Mw Acod Slope 000.00 0m 000.60 cm 009.00 cm MV Decel Slope 000.00 0 MR VIC With 000.00 cm MV Annals SM-L 000.00 or MY PHT 000.00 0% MR Area & FF (PISA) MVVTI Annulas 009.00 or MY Area (PHT) 000.00 os MRPISA Radius DO0.00 can 000.00 or 000.00 cm ME Aliasing Velocity MV Stenosh 000.00 or MRVTI MY Area Primetry 000.00 cm MVEIA (Vehatva) 000.00 cm 000.50 cm 000.00 cm 000.00 cm MVArrulasd 000.00 cm MY Weak 000.00 cm MV Cardiac Output MVVTL Anssluss 000.00 cm MY Peak Grad 009.00 cm MY Assks d 000.00 0% MR PISA 000.00 cm MV Vean Grad 009.00 or MY VTI, Annules 000.00 or MRERCA 000.00 can MY Area (VTI) 000.00 os MR Volume (PISA) Dof Dans MY Antekn Area 000.00 cm MEFF (TSA] 000.00 cm MR RF (Doppler) VVVTI 000.00 cm MY Arrulas d MY Area [VTI] 000.00 cm Eck Report 000.00 crm 000.00 cm MVVTL Mesks 000.60 cm MY Area CASA] MV She 2 Dur 000.00 cm VIV PISA Rodes 009:00 um MV Sise 2 Vn 000.00 cm VV Fussel Angle 009.00 or MV Annulat Arra 000.00 can 000.00 or 000.00 or MY Site 2 Area MY Site 2 54 MR Volane (Doppler) 000.60 cm MRRF (Deppler) 000.00 cm 45 Unrestricted © Siemens Healthineers 2025 Speaker Notes: On the left we see the ACUSON Origin 1.0 software version Summary layout with 2 columns. On the right we see the ACUSON Origin 2.0 software version Summary layout with 3 columns. The removal of many duplicated labels and values make the report summary appear more organized. Notes No. 45 SIEMENS Healthineers Report access SIEMENS . Healthineers ... Report access from 5V1 5Z1 Z6T Cardiac Lumos X CW2 Workflow touch screen Patient 2D Physio Imaging L/R Flip U/D Flip Review Report End Exam Bi-Plane+ Auto TEQ Reset Angle × Harmonics DTI 4D Zoom Capture Type Prospective Frequency DR Angle H Mid 55 dB Clip Capture 1º 30 Beats Sec 46 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To access the report, select Report on the left side of the touch screen. The user does not need to have the measurement feature active, as the report option is always displayed on the touch screen no matter what mode the user is currently in. To exit the report, select another option such as Imaging to return to the imaging screen or Patient to return to the patient demographic page. Notes No. 46 SIEMENS Healthineers Report edit layout SIEMENS. Healthineers ... SIEMENS Healthineers Patient Report Section Patient History AR Area & RF (PISA) Cardiac LVOT Diam's 1.70 cm heading 2D Heart Al Navigation LVOT VTI 9.22 cm Avg 29.27 29.61 25.79 40 Heart Al AR RF (Doppler) 29 Aorta pane LVOT Diam's 1.70 cm 1.70 AOV VOT VII 9.27 29.61 25.79 LV Scroll bar LVOT Areas LV Diastolic Function MV LVOT SV 64.0 RV Diastolic Function DI 0.76 Veins Images Value Method Thumbnails Expand or Summary Comments PLAX collapse all IVS d PLAX 0.96 cm 0.91 fields LVID d PLAX 4.15 cm 4.18 4.12 LVPW & PLAX 0.98 cm 0.98 0.98 Measured results LVSD & PLAX 2.97 on Avg 2.92 3.02 Summary Collapse All Available Export to PDF functions Store Repor Edited Value " 47 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The general layout of the report contains: • A navigation pane to quickly move the user to any part of the report • Results are divided into anatomy-based sections with the measured results listed below • An option to expand or collapse all fields / sections is available • A scroll bar that allows the user to manually move around the report from top to bottom / section to section • Image thumbnails • Available functions such as export to PDF or store report Notes No. 47 SIEMENS Healthineers Navigation pane SIEMENS. Healthineers ... • Navigation pane contains links to different report sections SIEMENS ... Healthineers Patient Report • Sections are organized by anatomy Patient History An open / active section heading is highlighted in orange Cardiac • 2D Heart Al • All reports / sections that have data are listed 4D Heart Al • Any sections that have been “hidden” in system Aorta configuration will not be listed even if measurement data AoV has been obtained LV LV Diastolic Function MV RV Diastolic Function Veins mages Summary Comments 48 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The navigation pane allows the user to easily jump between different sections of the report. Sections are organized by anatomy and open or active section headings will be highlighted in orange. All areas of the report that contain measured data will be listed, however if any sections have been “hidden” in the system configuration, the section will not be listed / displayed even if a measurement was taken. If the user wishes to have the hidden measurement data displayed, they will have to go to System Config > Measurement & Report > Report and check off the section they wish to now display. Notes No. 48 SIEMENS Healthineers Report content structure SIEMENS . Healthineers ... • Sections can be individually collapsed by selecting the - LV Value Method “+” or “ - ” for that section LVOT VOT VTI 0.15 cm 20.48 20.28 19.87 20.34 19.78 • Maximum of five labeled measurements will be LVOT Vmax 0.93 m/s Ava 0.98 10.08 0.89 0.92 0.89 displayed LVOT Peak Grad 3.5 mm LVOT Mean Grad 1.5 1.7 1.4 • Display method options are determined by tool type 1.5 1.2 V Diastolic Function and can be manually altered from default for all exams Mitral valve Value Method Value Method LVOT MV Inflow LVOT VT 20.15 cm Avg V 20.48 20.26 20.34 19.78 MV E Vmax 0.39 m/s 0.39 0.39 0.39 LVOT Vmax 0.93 m/s Last 0.98 O.98 0.89 0.92 0.89 MV A Vmax 0.74 m/s Avg 0.76 0.75 0.71 LVOT Peak Grad 3.5 mmilg Avg MV DT 414 ms Avg 443 440 360 Min LVOT Mean Grad 1.5 mmilg Max 1.5 1.7 MV EIA 0.53 + LV Diastolic Function MV AJE 1.90 - Mitral Valve MV Stenosis Value MV Area (VTI) MV Inflow Collapse All • “Side-by-side” options available for some labels with left / right options Edited Value * 49 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • The report sections can be individually collapsed by selecting the plus (+) or minus (-) sign by the section heading • A maximum of five labeled measurements can be displayed at one time • If more than five measurements are taken, only the last five will be displayed • The display method can differ between labels as some options are not available for all labels • While Method of measurement can be configured to a default in system configuration, the user may choose a different display method • Use the Pointer to open the drop-down menu of choices and select the alternate Method display type • For some labels with laterality such as carotids, a “side-by-side” section is available that displays each result with the contralateral result in side-by-side columns Notes No. 49 SIEMENS Healthineers Function keys SIEMENS . Healthineers' ... Function keys relating to the report are displayed on the Touch screen display options touch screen and imaging screen Store Report Transfer Report OB History • Store Report • Print Report Transfer Report Print Report Export To PDF Edit Report • • Export to PDF • OB History Imaging screen display options • Edit Report Summary • Summary Export to PDF Store Report Transfer Report Print Report 50 Unrestricted © Siemens Healthineers 2024 Speaker Notes: There report function keys are displayed on both the touch screen and the imaging screen. These keys are: • Store Report • Print Report • Transfer Report • Export to PDF • OB History • Edit Report • Summary These function keys allow the user to: • Store the report automatically as images to the patient exam • Print the report to an offline device if configured (USB or Printer server) • Transfer the structured report while still in progress (exam has not been ended) • Export the report in PDF format to an offline storage device such as a USB • Add OB history to an in progress (registered) patient • Edit the report information • Show the report summary Notes No. 50 SIEMENS Healthineers Available assessments SIEMENS . Healthineers ... Assessment sections are available for: Feta Fetal Assessment • Abdomen Placenta Placenta Location Anterior Posterior Gyn Fundal Mid • Fight Laterat Left Lateral = Low lyleg Partial Previa Early OB - fetal and maternal Marginal Previa Complete Previa • Placenta Grade • OB - fetal and maternal Placenta Cord Imertion Placenta Comments • Fetal Echo Arellotic Fhad Carotid J Vessel Cond • • Hip Abdominal Assessment Comment or drop-down menu formats available Liver Echotestuse Fatty atration Custom assessments can be added in system configuration Por Portal Vein - GYN Assessment Uterus Uterus Comments Endometrium Endometrium Comments 51 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Preloaded assessment packages are available for: • Abdomen • Gyn • Early OB – fetal and maternal • OB – fetal and maternal • Fetal Echo • Carotid • Hip Assessments can be in a drop-down format with pre-determined content or freeform comments. Use the keyboard to enter freeform comments in the field provided. Custom assessments can be added – the steps to add custom assessment are covered in the Measurement Configuration presentation. Notes No. 51 SIEMENS Healthineers Summary comments SIEMENS. Healthineers ... • A section for summary comments is available for - Summary Comments each exam type EXAM WITHIN NORMAL LIMITS GB REMOVED • Comments can be freeform and added by using the keyboard to enter the specific comment • If pre-programmed comments are available, select the Load Comments key • Custom comments can be added in system configuration Load Comments Collapse All 52 Unrestricted © Siemens Healthineers 2024 Speaker Notes: A section for adding summary comments to a patient report is available to the user. Comments can be added manually using the keyboard or selected from a pre-defined list that has been created in the measurement configuration. To view the list of pre-defined comments, select the Load Comments key at the bottom of the section. The steps to add custom summary comments is covered in a separate presentation dedicated to Measurement Configuration. Notes No. 52 SIEMENS Healthineers Summary comments SIEMENS. Healthineers ... Add pre-programmed comments To add comments: Comments Lists Cardiac Hx of smoking Select Load Comments Load Comments HIN: YES • Heart Surgery or Stent: Rhuematic Fever: Use the Pointer to highlight the chosen CHest Pain: • Shortness of Breath: Fatigue: comment Dizziness: Syncope: Edema: HX of Stroke: Select OK Fever of unknown origin: • Pacemaker: Murmur: Arrythmia: • Comment will populate report Multiple comments can be added to a single report one comment at a time OK Cancel 53 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To add pre-programmed comments to a report: • Select Load Comments at the bottom of the screen • Comments list will be displayed on the screen • Use the Pointer to highlight the comment you wish to add • Select OK to add the comment Note that you can add multiple pre-programmed comments to a report, however they must be added one at a time. Notes No. 53 SIEMENS Healthineers Add images to report SIEMENS . Healthineers .. SIEMENS Quick Healthineery Patient Report Drop-down for Patient History navigation to Carotid display layout Images images section Summary Comments WWW ETun PCA Summary Collapse AN Export to PDF Store Report Edited Value 54 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Images can be added to the patient report from the thumbnail panel. To add an image to the report: • Move the Pointer over the image you wish to add • Use the Set key to add the image from the thumbnails to the report (single “click”) The user has the option to choose the display format of any added images by selecting the desired format from the drop down options. The minimum layout display is 1 x1 and the maximum layout display is 5 x 4. The example shown here is a 2 x 2 display. To remove an image from the report: • Select the desired image in the report display • Select Delete There is no maximum for adding images to the exam, however the more images that are added to the exam, the larger the patient report becomes. Notes No. 54 SIEMENS Healthineers Edit report SIEMENS . Healthineers' ... Report data can be edited Touch screen display • • Select Edit Report and use the set key, Store Report Transfer Report OB History trackball, and keyboard to input the new values Print Report Export To PDF Edit Report (continued next slide) 55 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Report data values can be manually edited by using the Edit Report function. The Edit Report key is displayed on the touch screen. To edit a value, select either Set key to enable editing, then use the Set key, trackball, and keyboard to input the new values into the report (the step-by-step instructions are covered in the next slide). Notes No. 55 SIEMENS Healthineers Edit report SIEMENS . Healthineers ... Once the Edit Report function is selected: - Mitral Valve Value Method Use the Pointer and Set key to select / highlight the MV Inflow • MV E Vmax 0.55 0.53 0.32 value to be edited MV A Vmax 0.59 m/s Avg 0.60 0.60 0.56 MV DT 188 ms 162 193 MV EIA 0.90 • Use the keyboard to enter the new value or use the MV AJE 1.11 Delete key on the touch screen to remove value MV Annulus MV Annulus d 32.00 cm 32.00* entirely Avg MV Cardiac Output MV Annulus d 32.00 am Avg 32.00. • Move to another cell with the Tab key or trackball MV Annulus Area 804.25 a MV Stenosis to complete change / deletion MV Area (VI) LVOT Diam's 2.21 a 2.21 • Edited values will be indicated by an asterisk (*) in LVOT VTI 23.87 cm 22.49 25.06 24.07 the data cell and noted at the bottom of the report MR Vmax 4.66 m/s Avg 4.66 Collapse All Edited Value " 56 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Once the Edit Report function is selected: • Use the Pointer and Set key to select and highlight the value to be edited • Start typing on the keyboard to replace the value or use the touch screen Delete key to remove the entry entirely • Move to another cell using the Tab key on the keyboard or the trackball to complete the change or deletion Any value that has been edited will be indicated by an asterisk (*) in the data cell Notes No. 56 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Identify access to measurement feature and screen information • Explain editing and deleting measurements • List cardiac specific measurement options • Examine report access, layout and editing • Outline printing options CO 57 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This section will outline the report printing options available on the ACUSON Origin ultrasound system. Notes No. 57 SIEMENS Healthineers Print / store report SIEMENS. Healthineers ... SIEMENS Healthineers Patient Report Patient History Touch screen Report Maternal Assessment - Fetus store report Patient Fetal Hiometry Store Report OB History Biophysical Profile option Imaging Fetal Assessment Fetus Images Review wiet Beport Export To PDF ummary Fetal Growth Charts Images Report Summary Comments End Exam Ta Caps Lock Enter Imaging screen Summary Shift Delete store report Export to PDF Of History Ctrl Alt #+ option Store Report 58 Unrestricted © Siemens Healthineers 2024 Speaker Notes: There are options to transfer and print the report on both the touch screen and the imaging screen when the report is selected. To store the entire report as images in the patient file, select Store Report on the touch screen or on the imaging screen using the Pointer. All report pages with data will be stored as a single report. Sections that were hidden or de-selected in the system configuration will not be stored with the report - even if there were measurements taken for that section. To add these sections back into the report the user must go back into system configuration and check off (turn on) the sections. Steps to turn off or on report sections is covered in a separate measurement configuration presentation. The report can also be stored as individual screenshots using the Capture key on the Control Panel. The report can also be sent (“printed”) to a USB in PDF format. If structured reporting is utilized / configured, the SR report data can be sent to an external location during an exam or at the end [close] of an exam. To send the SR report without closing the exam, select the Transfer Report key on the touch screen or the imaging screen. A Print Report option is also available on the touch screen and imaging screen if there is an external printer configured to the ultrasound system. The key will only be available / active if the printer is configured. Notes No. 58 SIEMENS Healthineers Store report command SIEMENS. Healthineers ... ORIGN, 3.5 Patient ID Accession # 2D Heart" Sex LV Overall GLS -18.59 Study M-mode Comments Aorta EF GLS -18.2 Ao Root Left Atrium Maes 110.56 Size & Function Operator CO 3.5 IVS d Ap Root d EDV 103.51 ESV LVD d Aortic Valve PLAX Dimensions SV 49.6¢ LVPW d Mitral Valve ED Axis 8.56 LVO S AoV LA AP Dam & PLAX PLAX ES Axis 7.16 Ao diLA's HR IVSILVAW ADV VII LA SÃO d IVS d PLAX MV Inflow Pulmonary Valve LV NFS ADV Vmax LVO d PLAX MV E Vmax RVOT LV EF ADV Peak Gred LVAW d PLAX MV A Vmax EF 69.3 LY Vol d ADV Mean Grad LVID s PLAX MV DT 22.55 cm RVOI VII 18.27 cm -18.81 IVSILVPW MV EM PY Vmax 0.99 mis RVOT Vmax 0.81 mls 104.9g LY Vols AVA (VTI) 5.01 LV SV AVA (Vmad) LY Relative Wall Thickness PV Feck Grad 3.9 mmHg RVOT Peak Grad 2.6 mmig MV AIE ESV 103.6r LV Mass ASE PV Mean Grad 2.1 mmlig RVOT Mean Grad 1.3 mmilg AVA (Vmean) LV Mass ASE Volumes: Teichhole PVAT 116 ms RVOT AT 142. ms 71.81 ADV AT IVET 328 ms RVOT ET 356 ms AOV ET LV %FS (Teichholz) PV ATIET 0.35 RVOTILVOTVTI 0.83 ADV ATIET LV EF (Teichholz) LY Vol d (eichholz) Tricuspid Valve LV Vals (Teichhatz) PW DTI LV 5V (Teichhate) Pulmonary Artery TV e' Vmax (1) 10.535 cmis TR Vmax 2.30 ml TV a' Vmax (L.) 13.842 cmis TR Peak Grad 21.2 mmilig Pulm Vasc Resistence TV s' Vmax (L) 12.985 cmis TR VIRax TY ella' (L) 0.76 RVOTVTI PVR 59 Unrestricted © Siemens Healthineers 2025 Speaker Notes: If Store Report is used to save the report after multiple exams have been performed on the same patient, the report will be saved over several pages as one single report. If the user requires a separate report for each exam type, the report must be saved and the exam ended for each exam type before the user moves to the next exam. Closing / ending each exam after the report has been saved is the only way individual reports can be generated. Notes No. 59 SIEMENS Healthineers Summary SIEMENS . Healthineers ... • Identify access to measurement feature and screen information • Explain editing and deleting measurements • List cardiac specific measurement options • Examine report access, layout and editing • Outline printing options CO 60 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 60 SIEMENS Healthineers Trademarks and disclaimers The products/features mentioned in this document may not be commercially available in all countries. Due to regulatory reasons their future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. ACUSON Origin is a trademarks of Siemens Medical Solutions USA, Inc. At Siemens Healthineers, our purpose is to enable healthcare providers to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalizing healthcare. An estimated five million patients worldwide everyday benefit from our innovative technologies and services in the areas of diagnostic and therapeutic imaging, laboratory diagnostics and molecular medicine as well as digital health and enterprise services. We’re a leading medical technology company with over 120 years of experience and 18,500 patents globally. With over 50,000 employees in more than 70 countries, we’ll continue to innovate and shape the future of healthcare. Siemens Healthineers Headquarters Manufacturer Siemens Healthineers AG Siemens Medical Solutions USA, Inc. Siemensstr. 3 Ultrasound 91301 Forchheim, Germany 22010 S.E. 51st Street Phone: +49 9191 18-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-heathineers.com/ultrasound 61 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 61 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? QR700015823 62 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 62