ACUSON Origin Quick Reference Guide

ACUSON Origin Ultrasound System Quick Reference Guide 1.0 SW Release siemens-healthineers.com/ultrasound SIEMENS Healthineers At Siemens Healthineers, we pioneer breakthroughs 2 in healthcare. For everyone. Everywhere. By constantly bringing breakthrough innovations to market, we enable healthcare professionals to deliver high-quality care, leading to the best possible outcome for patients. Our portfolio, spanning from in-vitro and in-vivo diagnostics to image-guided therapy and innovative cancer care, is crucial for clinical decision-making and Table of contents treatment pathways. With our strengths in patient twinning, precision therapy, as well as digital, data, System Overview 3 and artificial intelligence (AI), we are well positioned Getting Started 14 to take on the biggest challenges in healthcare. We 2D and M-mode 26 will continue to build on these strengths to help fight Color and Spectral Doppler 48 the world’s most threatening diseases, improving the Measurements and Reports 69 quality of outcomes, and enabling access to care. Text, Body Markers and Arrows 79 We are a team of 66,000 highly dedicated employees Data and Image Management 89 across more than 70 countries passionately pushing 3D/4D Volume Imaging 103 the boundaries of what’s possible in healthcare to Care and Cleaning 127 help improve people’s lives around the world. System Overview 3 1. Flat Panel Display Monitor 1 ALAUNT 2. Touch Screen 3. Power On / Off (hibernation) 2 4. Control Panel (height and swivel 7 3 adjustable) 4 8 5. Retractable Keyboard 5 6. 4 Transducer Ports 7. Storage Basket 6 8. Gel Warmer 9 9. Additional Storage 10 10. Swivel Wheels and Wheel Lock System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 4 11. Articulating Arm (tilt, swivel, raise, lower) 11 12. Storage Basket 16 13. Storage Tray (Printer) 12 14. Rear Handle 17 15. Rear Storage Bin 13 18 16. 2 USB Ports 14 17. Transducer Holders 19 SIEMENS 15 Heolthiseers 18. Cable Hanger ACUSON Origin 19. Air Filter System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 5 Power on and Hibernation mode 1. Press the Power key to turn the system on or to enter the system shutdown 1 menu 2. Select Shut Down to turn the system off 3. Select Restart to reboot the system ABC 4. Select Hibernate to enter hibernation mode which allows the system to power on in less than 40 seconds System Shutdown A full Shutdown is recommended every 24 hours or 20 hibernates to maintain optimal performance. Hibernates Remaining: 20 Complete Data Transfer 4 3 2 Hibernate Restart Shut Down Cancel System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 6 Control Panel 1. Power 2 2. Soft Key Rotary Controls 1 3. DGC Controls 4. Contrast CEUS 3 PW 5. M-mode 4 5 7 8 9 6 10 Update 6. Continuous Wave Doppler UT ABC 11 (CW) .... Pulsed Wave Doppler (PW) Delete .... 7. 8. 2D Mode Freeze 9. Color Doppler 10. 3D / 4D 11. Zoom System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 7 Control Panel 12. User-defined Key 13. Text, Body Marker, Arrow 14. Pointer 15. Forward / Backward CEUS 16. Delete 12 13 14 17 20 Updat 17. Measurements ABC 19 19 18. AI Key 22 Delete 21 .... 19. Left / Right Set Keys 15 16 18 23 24 20. Update Freeze 21. Trackball 25 22. Capture 23. Depth 24. Dual 25. Freeze System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 8 Monitor Screen Layout 1. Imaging Status Indicator Frucen 2 3 4 7 2. Auto TEQ 1 3. InFocus MV s' Vmax (L)=8.501 cm/s 5 4. Orientation Marker 2 MVe' Vmax (L)-7.182cm/s 3 MV a' Vmax (L)e 11,433 ca/s MV 3º Vmax (Lj=7.915 cm/2 5 MV e' Vmax (L)=7.475cm/s MV a' Vmax (L)-11.873 cm/s 5. Image Display MV -' Vmax (L)-8.208cm/s MVEle*(L)=5.36 MV a' Vmax (L)-12.095 cm/s 8 6. Measured Results 6 548/CRS 9 (movable) 7. Imaging Parameters 8. Depth Indicator 9. Thumbnail Display 3.5 sec 10. Trackball Functions 10 11 11. Delete Image 12 12. Status Icons System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 9 Touch Screen Layout 1 2 3 1. Login / Logoff 5V1 Cardiac 4 521 Workflow 2. System User Manual 6 Patient 2D 5 Physio 3. System Configuration 7 Imaging 4. Transducers UR Flip UND Flip 8 Review 5. Imaging Modes 9 Report 6. Patient Registration 10 End Exam 7. Imaging Menu 8. Review Auto TEQ X 9. Report 10. End Exam Harmonics DTI Capture Type Prospective Frequency DR Clip Capture H High 58 db Beats Sec System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 10 Touch Screen Layout 11. User-defined selection 5V1 521 Cardiac 18 Workflow 12. User-defined selection Patient 2D Physio 13. Pointer Imaging 14. Additional Selections UR Flip UND Flip Review 15. Rotary Soft Keys Report 16. Orange Highlighting = End Exam Active Selection 17. Gray Highlighting = 11 Auto TEQ Available Selection X 12 18. Workflow Applications 16 Harmonics DTI 17 Capture Type 13 Prospective 19. Page Navigation 14 19 Frequency 15 DR Clip Capture H High 58 db Beats Sec System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 11 Dual-option Keyboard Text Body Marker NTOW Exam Package Abdomen Patient Title Text Imaging Review Report End Exam Tab W U P Caps Lock S D F G H K Enter Shift C IN Delete Ctrl Alt Clear Screen Select Line Text Size Home Set Home Retractable Keyboard Virtual Keyboard – To access, press ABC on the control panel and select Keyboard icon. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 12 Connecting Transducer 1. Ensure the lever lock is in the left, unlocked position 3 2. Align the connector and press into the 2 transducer port (an audible click ensures 1 the transducer is connected) 3. Place the lever into the right, locked position System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning System Overview 13 Wheel Locks 1. Pressing the left green pedal places the wheels in a swivel lock position to enable steering 2. To lock the wheels, press the right red pedal 3. Both pedals can be aligned to place the system in a neutral position and unlock the wheels System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 14 Patient Registration – Manual New Patient Preregister 1. Select Patient on the Touch Screen Patient 1. Select Patient on the Touch Screen Patient 2. Enter patient information 2. Enter patient information 3. Select Exam type 3. Select Exam type 4. Select Start Study 4. Select Preregister to add the patient to the worklist for later selection Tip: Transducer and Exam can also be selected from the Touch Screen after patient registration by selecting the Imaging tab. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 15 Patient Registration – Manual Patient Registration Local Database Worklist Paused Studies Patser Exam Patient Name Patient 10 Procedure Date & Time Accession No PATIENTCV. ECHIO. Last Name PATIENTCV 2 Exam Cardlas 3 1234 Carclac First Name ECHO Middle Name Requested Procedure Patient ID 1234 Date of Birth Gender O Male Female @ Other Request ID Age 55 Years Accession No Height Comments Weight BP BSA Institution Institution Name Performing Physician Referring Physician Operator Short Form Refresh Ogar Worklist 4 Start Study Cancel System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 16 Patient Registration – Worklist 1. Select Patient Patient 2. Select Worklist on the Imaging Screen, if necessary 3. Select the desired patient or search by Name, Procedure, Patient ID, etc. 4. Select Start Study System must be connected to a HIS / RIS server to access patient worklist. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 17 Patient Registration – Worklist Patient Registration 2 Local Database Worklist Paused Studies 3 Patien Exam Patient Name Patient IO Procedure Date & Time Accession No 3 PATIENTCV, ECHO, Last Name PATIENTCV Exam Cardiac 1234 Cardiac First Name ECHO Middie Nome Requested Procedure Patient ID 1234 Date of Birth Gender O Male Female O Other Request ID Age 55 Years Accession No Helight Comments Weight np ESA Institution Institution Name Performing Ptrysician Referring Ptrysician Operator Short Form Refresh Dear Worklist 4 Start Study Cancel System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 18 Edit Study 1. Select the Patient key Patient 2. Select Correct on the image screen 3. Modify desired data fields 4. Select OK System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 19 Edit Study Patient Registration Local Database Worklist Q Patient Exam Patient Name Patient ID Exam Date & Time Accession No Last Name PATIENT 111 Exam Fiest Nanse 3 Middle Name Requested Procedure Patient D 1111 Date of Birth 01 2001 Gender O Male O Female Other Request ID Age 19 Years Accession No A study Is currently active. Heigh Comments Weight BSA Institution History Institution Name LMP M D YYYY Performing Prysician DOC M YYYY Aborta Referring Physician EDD D YYYY Para Operator Clinical Age 0 Wwwet Dos Ectopics No. Fetuses Short Form Correct 2 Refresh 4 OK Carkel System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 20 Transducer /Study 1. Select Imaging SV1 Cardiac 2 2. Select the transducer on the Patient Patient Cardiac TCI Protocols Touch Screen Edit 1 Imaging 3 3. Select the desired Exam preset DID Flip Review Review Report Report End Exam End Exam Auto TED Harmonics Frequency DR System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 21 Transducer Gesture Control Transducer gesture control allows the transducer to be selected by double- 5V1 tapping the handle. 5Z1 Transducers with gesture control will display a semi-circular icon next to the transducer on the Touch Screen: ACUSON • 5V1 • 5Z1 • 10L4 • 14L5 • 7L2 • 5C1 • 9C2 • DAX System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 22 Store, Print, and Clip Store To capture a still image press Freeze and roll trackball to desired frame. Press Capture. Update Patient To capture a clip, press Capture x ... x Measure Imaging while in live imaging mode. Capture Review To print, press Print on the AI Report touch screen.1 End Exam Freeze × 1 A compatible printer must be connected Tip: Capture length is adjustable on the Touch and assigned to the print function in Screen during live scanning. the Configuration menu before using selection. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 23 Review and End Exam 1. Select Review Review 2. Select the desired layout Patient Review on the Touch Screen Imaging 2 Single Select Multiple Select 3. Rotate Page to move II Compare 4 1 leview between images Report Select All Select None 4. Select Compare to 5 End Exam Flag Delete Image(s) Protocol Text Sort By display selected images Off Time side-by-side Copy to Film 5. Select End Exam to end the study 3 Left Margin Right Margin Sync Mode Playback Cine Page Current None 14 of 83 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 24 Restart an Exam 1. Select Patient on Patient Registration the Touch Screen 2 Local Database WorkSint Paused Studies Patient Exam Patient Patient Name Date & Time Accession No ¥ CARDIAC ) 2222 Lact Name CARDIAC ? Cada ¥ CAROTID 2 123 Fint Name 123 Cardiac 3 Middle Name Reyqueuned Procedure 23.01.24-13:3 .. Parlent ID 2222 2. Select Local PATIENTS 02082023 Cardiac(2) Date of Birth D MYY PATIENTS Cardas Gender a Mile a Female Cthier Request D Database STRESS ECHO 01122023 23.02.08-145_ Accession No Unknown ¥ Unknown 23.02.08-125. Height Comments ¥ Unknown 23.02.08-13:4 .. wright 3. Select to highlight VASCULAR Cardat VASCULARI 21.03.08 09 4 .. Carotid(2) ESA patient study from Institution list Institution Name Performing Physician 4. Select Append Referring Propsican Operator Study Short Form Loud To Review 4 Append Study Now Study Cancel System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Getting Started 25 Restart an Exam 5. Select Start Study Patient Registration Local Datahace Workdies Patient I xam Patient Natre Accention No Last Name FATIENT Exam Abdomen First Name Mididie Name Requested Procedure Patient ID 123456 Date of Birth 01 DE 1977 Gender a Male Ethe Request ID Click Cancel to select a different patient or study 43 Years rection No wighe Comments Weighs Incritution MP Perlori Ptrysician M Aborta PtyySician Opecalor - No. Fetuses Tip: Images, clips and volumes can be added Short Form to a closed study 5 Start Study Cancel within 24 hours. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 26 Control Panel Z x CEUS M PW 2D CW 4D Update U1 ABC Zoom x ... x Measure PO Capture Delete (Depth Dual AI Freeze System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 27 Control Panel 2D Control Panel Controls Function Enters / exits 2D-mode or adjusts overall 2D gain / brightness 2D Rotate to adjust overall gain Manually adjusts gain / brightness at depth DGC Default all slide pods in the center, slide pod(s) to increase / decrease brightness Magnifies the image Rotate to increase or decrease image magnification Zoom Press to activate ROI (region of interest) for magnification and increased frame rate (HD Z) Note: Zoom available on live and frozen image Depth Adjusts the scanning depth Rotate left/right to adjust depth System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 28 2D Control Panel 2D Control Panel Controls Function Displays two separately acquired images side by side Dual Press Dual to activate and toggle between images Press the 2D key to exit Note: Only Live Dual available in cardiac presets Increases the line density /frame rate Press Set key and roll trackball to size sector 2D Sector Width Press Set key and roll trackball to position Press Set key to Set Note: Not available on linear transducers System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 29 2D Touch Screen 5V1 5Z1 Cardiac Workflow Patient 2D Physio Imaging U/R Flip U/D Flip Review Report End Exam × Auto TEQ Harmonics DTI Capture Type Prospective Frequency DR Clip Capture H Mid 58 dB Beats Sec System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 30 UltraArt UltraArt allows the user to select preferred image parameter settings by choosing an image from several 20 choices before they are applied. Select UltraArt to choose from available selections. Left Margin System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 31 2D Touch Screen 2D Controls Function Allows the user to select preferred image parameter settings by choosing an image from several choices before they are applied UltraArt Settings are Off, 1, 2, and 3 Note: Available on live or frozen image Increases contrast and lateral resolution, reduces noise and clutter Harmonics Select to activate / deactivate Note: Available on live image only Automatically and continuously optimizes gain, DGC and suppresses Auto TEQ noise in real time Select to activate / deactivate Activates two simultaneous images in full screen or dual format Live Dual Select to activate / deactivate Press C (color Doppler) to display color Doppler on one of the images System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 32 2D Touch Screen 2D Controls Function Capture Type and Selects the type and length of clip capture Clip Length Select prospective or retrospective capture and clip length Displays a count-up timer in the lower right corner of the imaging Timer screen Select to activate / deactivate Enhances contrast resolution and boundary detection Compounding Select to activate / deactivate Adjust compounding level by rotating the Line Density soft key Note: Available on abdominal and vascular transducers (Live image only) Displays linear or trapezoid image format Trapezoid Select to activate / deactivate Note: Available on live image only, available on linear transducers only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 33 2D Touch Screen 2D Controls Function Adjusts orientation on the image screen U/D and R / L Flip Select to activate / deactivate Note: Available on live or frozen image Enables biopsy needle guide function with angle selection Biopsy Select to activate and choose from available angles (1–5, A & B) Note: Curved and linear transducers only Image Size Adjusts the size of the displayed image on the monitor Select to choose size (1–5) System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 34 InFocus InFocus technology dynamically focuses the image at all depths, resulting InFocus in improved contrast resolution, lateral resolution and image uniformity. E Press the InFocus soft key to activate adjustable focal zones when in Contrast Imaging mode or when using linear or curved array transducers. 5V1 5Z1 Cardiac Cardiac TIS:0.73 TIS:0.01 MIO.89 MIO 20 74fps 38fps 95% 2D 20 DdB.DR60 H Hgh UA Off dB/DR54 MapG/T5 LO 1 PS UA 2 MapE/T3 Contrast P1 0dD/DR70 P2 16cm 16cm 565pm Lead Il 785pm InFocus On InFocus Off System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 35 2D Soft Keys 2D Controls Function Dynamically focuses the image at all depths, resulting in improved contrast resolution, lateral resolution and image uniformity InFocus / Focal Zones Press the InFocus soft key to activate adjustable focal zones Rotate to adjust focal zone position Note: Adjustable focal zones are available in Contrast Imaging and with linear and curved array transducers Balances between resolution and penetration Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 36 2D Soft Keys 2D Controls Function Balances between resolution and frame rate Rotate to balance between resolution and frame rate when Line Density compounding is disabled Rotate to increase / decrease level of compounding when compounding is enabled Note: Available on live image only Adjusts number of gray shades displayed DR Rotate clockwise for a softer/ grayer image (Dynamic Range) Rotate counterclockwise for more contrast Note: Available on live or frozen image Selects a processing curve that assigns echo amplitudes to gray shades Map Rotate to select desired Map Note: Available on live and frozen image System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 37 2D Soft Keys 2D Controls Function Colorizes the gray-scale image Tint Rotate to select desired Tint Note: Available on live and frozen image Adjusts the level of acoustic energy delivered to the patient Transmit Power Rotate to increase / decrease (applies to all active imaging modes) Note: Available on live image only, changes mechanical and thermal indices Frame averaging – determines the number of frames combined into the final image Persist Rotate clockwise to increase frame averaging Rotate counterclockwise to demonstrate motion System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 38 2D Soft Keys 2D Controls Function Steers the field of view (FOV) Steer Rotate to steer left, center or right Note: Available on live image only, available on linear transducers only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 39 M-mode Control Panel x CEUS M PW 2D CW 4D Update U1 ABC Zoom x ... x Measure PO Capture Delete Depth Dual AI Freeze System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 40 M-mode Control Panel M-mode Controls Function Enters / exits M-mode or adjusts overall M-mode gain Press to activate / deactivate M (M-mode) Rotate to adjust overall M-mode gain Roll trackball to position M-line Note: Available on live image only Adjusts the size or position of the M-mode cursor M-mode Cursor Press left or right Set keys to move between modes Note: Available on live image only Enters / exits color M-mode With color Doppler (C) activated, press M (M-mode) Color M-mode Position M-line and Press M Press M to exit Note: Only available with cardiac transducers System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 41 M-mode Control Panel M-mode Controls Function Modifies the angle of the cursor based on patient anatomy and is independent of the transducer orientation Anatomic M-mode When in M-mode, rotate the Angle soft key to enter Anatomic M-mode To reposition the anatomic M-mode cursor, roll the trackball To reset anatomic M-mode, press Reset on the soft keys To exit anatomic M-mode, press 2D System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 42 M-mode Touch Screen 10L4 5V1 7L2 Cardiac Workflow Patient 2D Color M Mode Physio Imaging Review Report End Exam DTI Playback Cine Clip Capture KN Frs Beats 3 Beats Sec System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 43 M-mode Touch Screen M-mode Controls Function Full Screen Trace / Split Screen Trace / Changes the M-mode display format Full Screen 2D Select the desired format to activate Increases contrast and lateral resolution, reduces noise and clutter Harmonics Select to activate / deactivate Note: Available on live image only Sharpens the appearance of the M-mode sweep Edge Increase for more sharpness Decrease for less sharpness System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 44 M-mode Soft Keys M-mode Touch Screen Controls Function Balances between resolution and penetration Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only Selects a processing curve that assigns echo amplitudes to gray shades in the M-mode sweep Map Rotate to select desired Map Note: Available on live and frozen image Colorizes the M-mode sweep Tint Rotate to select desired Tint Note: Available on live and frozen image System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 45 M-mode Soft Keys M-mode Touch Screen Controls Function Adjusts the number of gray shades displayed in the M-mode sweep DR (Dynamic Range) Rotate clockwise for a softer/ grayer sweep Rotate counterclockwise for more contrast Note: Available on live or frozen image Adjusts the scrolling speed of the M-mode sweep Sweep Speed Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on live and frozen image Views the M-mode sweep based on patient anatomy, independent of transducer orientation utilizing angle rotation Angle Rotate to adjust angle Note: Available only on Cardiac transducers System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 46 Panoramic Imaging (linear transducers only) 1. Select the Workflow key Workflow 5. Use Panoramic review controls after 2. Select Panoramic completing the acquisition to size, Panoramic rotate, pan, zoom or measure the 3. Press the Update key to acquire image the image Acquire 6. Use the Cine function to recall single 4. Press Freeze to end acquisition, frames for review Unfreeze to reactivate acquisition or the Update key 7. Select Exit to exit Panoramic imaging Pause to Pause / Continue as desired Tip: Available in Power Doppler. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 2D and M-mode 47 Panoramic Imaging 521 5VI IOL4 Carotid SCI 1 Workflow Patent 2D Panoramic imaging Flex Ruler Restore Redaplay 7 Exit Review Report Best Fit 5 End Exam 5 6 Cine Rotate Pan Set System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 48 Color Doppler Control Panel x EUS M PW 2D CW 4D Update U1 ABC Zoom x ... x Measure PO Capture Delete Depth Dual AI Freeze System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 49 Color Doppler Control Panel Color Doppler Controls Function Enters / exits color Doppler or adjusts overall color Doppler gain C Press to activate / deactivate color Doppler mode (Color Doppler) Rotate to increase / decrease color Doppler gain Note: Available on a live image only Adjusts the color ROI Increase frame rate by decreasing the color ROI width or depth Color Box Size / Position Press Set to alternate between Size / Position Roll the trackball to resize or reposition color ROI Note: Available on a live image only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 50 Color Doppler Touch Screen 5V1 10L4 7L2 5Z1 ECHOLC X CW2 Workflow Patient 2D Color Protocols Physio Imaging L/R Flip UID Flip Review Report Invert Al Assist A4C End Exam 2D + Color 2D Only Color Only TV AV / LVOT MV Coronary MV+AV Pulm V Low General High DTI Frequency Filter Mid Scale Baseline 2 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 51 Color Doppler Touch Screen Color Doppler Controls Function Alternates between color and power Doppler modes Color (Doppler) and Select Color to apply colors based on velocity and direction of flow Power (Doppler) Select Power to apply colors based on flow amplitude Note: Available on live image only. Power Doppler not available on cardiac transducers Color Display Modes Turns color display or 2D image off when in color Doppler Select to activate desired format Reverses the colors depicting forward and reverse flow in the color ROI and the color bar Invert Select to activate / deactivate Note: Available on live or frozen image System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 52 Color Doppler Touch Screen Color Doppler Controls Function Displays two live images side-by-side in Full Screen mode with and without color Doppler Live Dual Select to activate / deactivate Note: Available on live image only Optional feature for real-time view recognition software AI Assist Note: Available on the 5V1 and 5Z1 transducers only and in the cardiac preset System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 53 Power Doppler Touch Screen (not available on cardiac transducers) 5Z1 5V1 10L4 5C1 Workflow Carotid Patient 2D Color Physio Imaging U/R Flip UID Flip Biopsy Off Review Report End Exam 2D + Color 2D Only Color Only Live Dual Auto Doppler Dir Power Low General High Color Power Filter Frequency Line Density Steer Scale 3 Pen 200 -20 0 20 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 54 Power Doppler Touch Screen (not available on cardiac transducers) Color Doppler Controls Function Applies color based on flow amplitude and direction of flow (towards Directional Power or away from the transducer) Select Dir Power to activate / deactivate when Power menu is active Color Doppler parameter optimization for specific flow types or Color Doppler Flow Presets anatomy specific applications Select from Low, General, High, Coronary, Renal or Aorta dependent on the preset and transducer selected System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 55 Color Doppler Soft Keys Color Doppler Controls Function Balances between resolution and penetration independent of the 2D frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Frequency Select Manual to manually change frequency Select Auto to have the system automatically change frequency based on the color Doppler ROI depth position (5C1 and 10L4 transducers only) Note: Available on live image only; Auto Color availability is transducer and preset dependent Selects a processing curve that assigns the velocity / velocity variance (Color) or flow amplitudes (Power) to a range of colors Map Rotate to select desired Map Note: Available on live and frozen image System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 56 Color Doppler Soft Keys Color Doppler Controls Function Adjusts the level of acoustic energy delivered to the patient in color Doppler mode Tx Power (Transmit Power) Rotate clockwise to increase power Rotate counterclockwise to decrease power Note: Available on live image only, changes mechanical and thermal indices Adjusts spatial averaging (smoothing) for color flow Smooth Increase for flow sensitivity Decrease for color spatial resolution Note: Available on live image only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 57 Color Doppler Soft Keys Color Doppler Controls Function Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on live and frozen image Adjusts the range of flow velocities displayed above and below the Baseline baseline Rotate to adjust the baseline of the active mode Prioritizes the display of grayscale or color flow data Priority Increase for greater vessel color fill Decrease to prioritize grayscale and less vessel color fill System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 58 Color Doppler Soft Keys Color Doppler Controls Function Adjusts the time that the color flow data remains in the ROI before being replaced by another color Persist (Persistence) Increase for greater vessel color fill Decrease to increase temporal resolution Note: Available on live image only Adjusts the color wall filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on live image only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 59 Spectral Doppler Control Panel x EUS M PW 2D CW 4D Update U1 ABC Zoom x ... X Measure PO Capture Delete Depth Dual AI Freeze System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 60 Spectral Doppler Control Panel Spectral Doppler Controls Function Enters / exits spectral Doppler or adjusts overall spectral Doppler gain Press to enter/ exit PW (pulsed wave) Doppler Roll trackball to position Doppler gate Press PW to activate the strip Rotate PW to adjust overall spectral Doppler gain Enters / exits continuous wave Doppler or adjusts the overall continuous Doppler gain CW (continuous wave) Press to enter/ exit Doppler Roll trackball to position the cursor Press CW to activate the strip Rotate CW to adjust overall continuous Doppler Gain Alternates between the Doppler spectrum and the 2D image Update Press once to alternate between Doppler/ 2D Note: Available on live image only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 61 Spectral Doppler Touch Screen 5V1 10L4 5Z1 Carotid X CW2 Workflow Patient 2D Color PW Imaging CCEE 13 + Review Report Auto Trace Auto Trace Above Baseline End Exam Invert Off Auto TEQ Live/Live Frequency - + Filter + Low 60 Gate Size Sweep Speed Baseline Scale Angle Correct Steer ::: 1.5 mm 60 mm/s PRF HPRF 60 60 0 60 -26º -26 0 26 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 62 Spectral Doppler Touch Screen Spectral Doppler Controls Function Allows the user to select preferred Doppler display settings UltraArt Settings are Off, 1, 2, and 3 Note: Available on live or frozen image DTI Activates the Doppler Tissue imaging feature for cardiac exams (Doppler Tissue imaging Select to activate / deactivate capability) Note: Available in Spectral Doppler and on live imaging Full Screen Trace / Split Screen Trace / Changes the spectral Doppler display format Full Screen 2D Select the desired format to activate Reverses the Doppler spectrum (negative values display above the baseline) Invert Select to activate / deactivate Note: Available on live or frozen image System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 63 Spectral Doppler Touch Screen Spectral Doppler Controls Function Automatic tracing and display of PW Doppler measurements Select to activate / deactivate Auto Trace Select settings for data above, below or on both sides of the baseline Note: Available on live or frozen image Optimizes spectral Doppler gain, baseline, scale and dynamic range automatically on freeze Auto TEQ With Doppler spectrum active, select to activate / deactivate Note: Available on live image only Displays both the 2D image and spectral Doppler tracing in real-time Live / Live (Triplex) Select to activate / deactivate Note: Available on live image only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 64 Spectral Doppler Touch Screen Spectral Doppler Controls Function Sharpens the appearance of the Doppler sweep Edge Increase for more sharpness Decrease for less sharpness Adjusts the volume of the Doppler function Volume Press + or - to adjust level System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 65 Spectral Doppler Soft Keys Spectral Doppler Controls Function Balances between resolution and penetration independent of the 2D frequency or color frequency Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only Adjusts sample volume size Gate Size Rotate clockwise to increase size Rotate counterclockwise to decrease size Note: Available on live image only Adjusts the scrolling speed of the Doppler spectrum Sweep Speed Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on live and frozen image System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 66 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts the range of velocities displayed Baseline Rotate to adjust the baseline of the active mode Note: Available on live or frozen image Adjusts the pulse repetition frequency (PRF) Rotate clockwise to increase PRF Scale Rotate counterclockwise to decrease PRF Press Scale to activate High Pulse Repetition Frequency (HPRF) Note: Available on live image only Adjusts the spectral Doppler signal filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on live image only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 67 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts number of gray shades displayed DR Rotate clockwise for a softer/ grayer spectrum (Dynamic Range) Rotate counterclockwise for a blacker/whiter spectrum Note: Available on live or frozen image Selects a processing curve that assigns echo amplitudes to gray shades in the Doppler spectrum Map Rotate to select desired Map Note: Available on live and frozen image Colorizes the Doppler spectrum Tint Rotate to select desired Tint Note: Available on live and frozen image System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Color and Spectral Doppler 68 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts the PW Doppler angle Steer Rotate to adjust the steering angle Note: Available on live image only, available only on linear transducers Adjusts the PW Doppler angle Angle Correct Rotate to adjust the steering angle or press to cycle through 60 / 60 / 0 degrees Note: Available on live image only, available only on linear transducers System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 69 Unlabeled Measurements 1. Acquire an image and press the 4. Roll the trackball to position the first caliper Freeze key Freeze 5. Press Set to anchor 2. Press Measure 6. Roll the trackball to position the second x ... x caliper Measure 7. Press Set to complete the measurement 3. To change the measurement type 8. Roll the trackball to activate additional choose from the available displayed caliper sets options or select More for additional measurement types Unlabeled measurements do not enter into Tip: Measurements can be performed on frozen, the exam report. CINE and stored images. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 70 Unlabeled Measurements Exam Package Above Baseline Cardiac Patient Mitral Valve Aortic Valve Tricuspid Valve Pulmonic Valve Pulmonary Veins DTI Imaging PISA QPIQs Review Report End Exam AOV VTI AoV Vmax AR Slope LVOT VTI LVOT Vmax LV IVRT 2 2 H -- + Velocity Auto VTI VII Time PHT Heart Rate Acceleration D-Trace More Clear Screen Undo Edit Caliper Cine Angle Correct Hide Results Select 60 0 60 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 71 Labeled Measurements 1. Acquire an image and press the 5. Press Set to anchor Freeze key Freeze 6. Roll the trackball to position the second 2. Press Measure caliper x ... x 7. Press Set to complete the measurement, send Measure the labeled value(s) to the patient report and / or activate additional measurements 3. Select the desired measurement label 8. Select Exam Package to display additional labeled measurement packages 4. Roll the trackball to position the first caliper Tip: The measurement label can be selected before or after calipers are placed. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 72 Labeled Measurements Exam Package Cardiac Patient LV RV LA RA Arteries Veins Imaging MV Aov TV PV Shunts Pericardial Effusion Review Report IVS d PLAX LVID d PLAX LVPW d PLAX 2 LV Vol d A4C LV Vol d A2C End Exam LVOT Diam s LV Vol s A4C LV Vol s A2C LV d Series LVID s PLAX LV Mass A-L HR Edit LVOT CO O Distance Open Trace 20 Trace Vol MOD LV Series Ellipse Spline Angle More Clear Screen Last Caliper Cine Hide Results Fr 23 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 73 Edit Measurements (Labeled and Unlabeled) Edit Completed Measurement 1. Select the Last Caliper soft key to activate calipers and cycle between caliper sets Last Caliper 2. Press Update to toggle between active calipers Update 3. Press Delete on the control panel to delete the active measurement Delete 4. Select Clear Screen soft key to delete all measurements and annotations Clear Screen 5. Rotate Undo to edit a trace measurement Undo System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 74 Edit Measurements (Labeled and Unlabeled) Reposition Measurement Results 1. Move an active caliper over the MDA results (a teal outline will appear around the outside of the MDA area) 2. Press the Set key to “pick up” the MDA result box 3. Drag the MDA Results to the new location 4. Press the Set key again to place the MDA Results System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 75 Report Review the Report 1. Select Report to enter/ exit report page Report 2. Select Store Report to capture the report as an image(s) Store Report 3. Select Print Report on the imaging screen or the printer icon on the Touch Screen to send to connected external printer 4. Select Export to PDF to save report to a USB Export to PDF 5. To edit the report, select Edit Report and then roll the trackball to the desired measurement Edit Report to edit Only labeled measurements appear on the report. An * appears for any edited measurement. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 76 Report SIEMENS Healthineers Patient Report Patient History LV - Cardi ac Value Value 2D Heart N Dimensions IV Mass ASE LV PLAX IVS d PLAX 0.94 on mages IVS & PLAX 0.94 cm LVID d PLAX 4.57 on Summary Comenceits LVID & PLAX 4.57 cm LVPW d PLAX 0.76 cm LVPW & PLAX 0.76 cm LV Mass ASE 126.27 g LVID & PLAX 3.00 cm LV Mass ASE/ESA 71.3 ghY' IVSAVPW 1.24 LV MISS ASEME 0.8 gen LVID CiBSA 2.58 cmin) Volumes: Telichholz LVID d PLAX 6.57 cm LVID SBSA 1.69 cmin? LVID & PLAX 3.00 on LV Relative Wall Thickness (LVRWT) 0.33 LV %45 (Teichholz) 34.4 % Volumes: Cubed LV EF (Teichholz) 63.5 LVID d PLAX 4.57 cm LV Vol d (Teichholz) 95.9 r LVID & PLAX 3.00 cm LV Vol s (Teichholz) 35.0 14 LV %FS Cubed 34.4 % LV Vol d (TokchiholzKBSA 54.2 rime Edit Report 5 Collapse All 4 Export to PDF 2 Store Report Transfer Report 3 Print Report System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 77 Report Import Images into the Report 1. Select Report key to enter/ exit report page Report 2. Select Images on the Imaging Screen 3. Select the display format on the touch screen 4. Roll the trackball to the thumbnail image and press the Set key to transfer to the images section 5. To delete the image from the report, place the cursor over image and click the “X” in the upper right corner of the image Tip: Up to 20 images can be stored to the Summary. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Measurements and Reports 78 Report SIEMENS Healthineers Patient Report Patient History 4 Carotid 2 mages Summary Comments 31 --- .... Edit Report Collapse All Export to PDF ........ Store Report Transfer Report Print Report System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows 79 Text Text located under the Title tab will Text Body Marker Exam Package Arrow TO not be changed as often, e.g., RIGHT or LEFT, while text located under the Patient Title Text Text tab will change more often. Imaging Review RIGHT MCA MI ACoA Text Replace Fields (1) will replace Report LEFT MCA M2 PCGA the text when selecting different text End Exam ACA A1 OPTHALMIC A from the same field on the same line. 1 ACA A BASILAR A Selecting choices from Additional PCA P VERTEBRAL A Text (2–3) will add to the line of text X PCA P2 ICA rather than replacing text. 2 3 Text Size To move the text, place the cursor in Clear Screen Select Line Home Set Home the text and press the Set key. The line of text becomes teal and can Text Replace Additional Text be moved anywhere in the Image (1) (2–3) Screen. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows 80 Text Modifying Text from an Active Text Body Marker Exam Package Arrow Carotid Exam Patient Title Text 1. Select Review LEFT 4 Imaging 2. Select the desired image to 1 Review RIGHT SAG PROX CCA JUGULAR display Report LEFT TRV MID BULB SUBCLAVIAN End Exam DIST BIFURCATION 3. Press ABC ABC ICA 4. Select overwrite icon ECA 5. Enter the word over the area and VERTEBRAL space until the word is covered Clear Screen Select Line Text Size Cine Home Set Home 6. To reposition the edited text, press the Set key twice to activate the text 7. Press Image to save the modified text System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows 81 Text Modifying Text from a Patient Registration Closed Exam 2 Local Dutabase Worklo Paused Shades Flank Name Accinvision No 1. Select Patient on the 3 CARERAC 2 31:2023 10% Last Name CARDIAC Z ¥ CARDED 2 1/12/2023 2:58 First Name 208/2023 4 07 Middle Name Touch Screen 123 Cardiac Requested Procedure ¥ MODEL 1 1/24423 23.01.24 133 104/2023 1:37- Fallort D 2222 02012023 ¥ PARENTS 7977 218:2023 2:00 Gender @ Vale @ femule 2. Select Local Database ¥ STRISSTOHO 01122021 1/12/2023 9:00 Unknown 23.02.08-145 288-2023 2:50 4ª Unknown 21.07.08-125 Comment 23.02.08-134 2282023 1:48 3. Select to highlight ¥ VASCULAR 3 Cardiac 2002023 3:21 VASCULART patient study from list Institution Institution Name 4. Select Append Study Performing Ptoniolan Operator 5. Select Start Study Son forms Loud To Review 4 Append Study how Study Cancel System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows 82 Text 6. Select Review Text Body Marker Arrow Exam Package Carotid 7. Select the desired image 1 atient display Title Text LEFT 9 Imaging 8. Press ABC ABC 6 Review FIGHT SAG CCA JUGULAR PROX Report 9. Select overwrite icon LEFT TRV BULB SUBCLAVIAN MID End Exam BIFURCATION DIST 10. Enter the word over the area and space until the ICA word is covered ECA X 5 11. Press Image to save the VERTEBRAL modified text Clear Screen Select Line Text Size Home Set Home Tip: Text can be modified on a closed study within 24 hours and will appear as an added image. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows Text Icons Controls Function Controls Function Activates /deactivates text cursor ABC Delete and the text Touch Screen menu Deletes text at the cursor Sets default position for the text Moves the cursor between separate Set Home Select Line cursor text lines Positions the cursor at the home Home Displays the next or previous page, location when available Temporarily hides text Caps Lock Activates Caps Lock functionality on the digital QWERTY keyboard Deletes all text, pictograms or Clear Screen arrows Text Size Changes the size of the text 1 Text, Body Markers and Arrows 84 Text 1. Press the ABC key on Text Body Marker Arrow 3 Exam Package the control panel ABC Cardiac Patient 2. Select the desired Title Text 4 Imaging annotation on the Review Touch Screen RIGHT PV LA TRANS PLAX LVOT Report LEFT IVC LV CORONAL PSAX RVOT 3. Select Exam Package End Exam to access text from a RA SVC AO A4C 2 CH 2 different exam type RV MV ASC 4 CH PA AV AZC APEX 4. Select the Keyboard icon on the Touch Screen to TV SAG A3C AORTA activate / deactivate the Clear Screen Select Line Text Size digital QWERTY keyboard Home Set Home System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows 85 Body Markers 1. Press the ABC key on the control panel ABC 2. Select the Body Marker tab 3. Select the desired Body Marker from the Touch Screen 4. Use the Body Marker widget on the Touch Screen to adjust transducer orientation / position 5. Press Set to anchor 6. Press the Trackball soft key on the Control Panel to toggle between Transducer Marker Trackball Trackball and Body Marker for repositioning Body Marker Transducer Marker 7. Press Delete on the control panel to delete the Body Marker Tip: Body Marker options can be customized in the System Configuration Menu. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows 86 Body Markers Exam Package Text 2 Body Marker Arrow Cardiac Patient Imaging Review 3 Report End Exam 4 6 Clear Screen Trackball Transducer Marker Transducer Marker On System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows 87 Arrows 1. Press the ABC key on the control panel ABC 2. Select the Arrow tab on the Touch Screen 3. Use the Arrow widget to adjust arrow orientation and tail length 4. Roll the trackball to position 5. Press Update to add additional arrows 6. Press Delete on the control panel to delete the last arrow or Clear Screen to delete all markings 7. Press Previous Arrow to cycle through multiple arrows 8. Press ABC to exit Arrow function ABC Tip: Unlimited arrows can be added. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Text, Body Markers and Arrows 88 Arrows Exam Package Text Body Marker Arrow 2 Patient 4 Imaging Review Report 3 End Exam Update 5 6 7 Clear Screen Previous Arrow System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 89 Review Images Review Images on Current Study 1. Select Review on the Touch Screen Review 2. Select the desired layout on the Touch Screen 1:1 2:1 4:1 6:1 9:1 16:1 3. Rotate the Page soft key to view more images Page 8 of 8 4. Select Imaging or 2D to exit Imaging System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 90 Review Images Review Images from a Closed Study 1. Select Patient on the Touch Screen Patient 2. Select Local Database on the Imaging screen 3. Select the desired study 4. Select Load to Review 5. Select the desired display format on the 1:1 2:1 4:1 Touch Screen 6:1 9:1 16:1 6. Rotate the Page soft key to view more images Page 13 of 33 7. Select Imaging or 2D to exit Imaging System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 91 Review Images Patient Beghtration 2 4 -- 3 Cancel MOOEL 1 1423 2301 26133 7373 01122021 2101.06-145. 2142.06-125 2340:06-134 Cape Lock CM 4 Apprend Study System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 92 Delete Images Delete Images from a Current Study or in Review 1. Select Pointer from the Touch Screen 2. Select an image on the thumbnail panel to highlight 28 2 3. Press the Delete button on the control panel or select Delete Image(s) from the Touch Delete 20 Screen Delete Image(s) 30 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 93 Export to Network 1. Select the patient name in the Patient Browser 2. Choose the preconfigured PACS network destination name and select Send Tip: Images automatically send to PACS if the system is configured to send during the exam or at the end of the exam. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 94 Export to Network Patient Browser Source Media - Search Local Database Patient Name Accession No. Operator Import from off-line Patient ID Date of Birth Gender Clear Search Period Custom Range Study List Search within results Show All Patient Name Patient ID Exam Date & Tinte Size (MB) X DISCO 23.03.07-16:38:5 ... 3/7/2023 01:38:54 PM 0 7 V Unknown 23.03.07-16:28:1 ... 3/7/2023 04:28:19 PM 1 3 ¥ Unknown 23.03.07-15:48:3 ... 3/7/2023 03:18:38 PM 6 36 X Unknown 23.03.07-14:54.0. 3/7/2023 02:54:05 PM 1 0 3 ¥ Unknown 23.03.07-12:48:0 ... 3/712023 12:48:08 PM 0 1 45 ¥ KT PHARM 23.03.02-16:49:5 ... 3/7/2023 04-49:57 PM 0 17 218 ¥ KT STRESS 23.03.02-16:29:4 ... 31212023 01:29:47 PM 0 24 375 1 ¥ SSR116, MC AC 23.03.02-10:02:5 ... 312/2023 10:02:59 AM 22 25 365S ¥ 558116, MC.GB 23.03.01-14:19:1 ... 3/1/2023 02:19:11 PM 3 0 406 V SSR116, MC_MMS 23.03.01-13:52:4 3/1/2023 01:52:45 PM 4 393 Il TEST 23.02.28-16:15:4 ... 2128/2023 04:15:43 PM 0 ¥ Unknown 23.02.28-15:08:2 ... 2/28/2023 03:08:20 PM 0 2 10 V KI IMAGES 23.02.28 14:15:3 ... 2128/2023 02:15:34 PM 26 33 1548 II SOTAERRT 23.02.28-12:07:2 .... 2128/2023 12:07:24 PM O 0 QueryfRetrieve ¥ Anonymous2022-11-11-11-48-4-225 Anonymous 11/11/2022 11:48:18. 10 59 3981 Total: 32 Selected: 1 (3.6 GB) Print Preview Delete Sorry UP-D711MD Print TEST Send Export Job Status Load to Review 2 New Study System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 95 Export Study to CD-R/DVD or USB 1. Insert CD-R/DVD or USB 5. Select the desired destination 2. Select the patient name in the Patient 6. Select Export Browser 7. Select Job Status on Imaging Screen or 3. Select Export Touch Screen to verify transfer 4. Next, select the following depending on your preference: DICOM Acoustic Data Include DICOM Viewer Enable DICOM GDSF PC Format (AVI JPEG) Tip: Exporting DICOM with Acoustic Data will De-Identify allow re-import of advanced application Rename file or Anonymous will populate studies in raw data format for analysis. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 96 Export Study to CD-R/DVD or USB Patient Browser Source Media - Search Local Database Patient Name Accession No. Operator ... Import from off-line Patient ID Date of Birth Gende NI Clear Scaect Period Custom Range Study List Search within results Show All Patient Name Patient 10 Exam Date & Time Siec (MB) 2 CARDIAC 2 2272 Cardiac 258/7023 1:05:30 PM Unknown 23.02.08-12:56:2 248/2023 12:56:25 PM 21 Query Retrieve Total: 2 Selected: 1 (0.0 MR) Print Preview Delete Print Send Export Job Status Discontinue Study Pause Study 3 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 97 Export Study to CD-R/DVD or USB Export Avaltable Media Patent Here Destination Description USS 5 Import Local 20902023 10:58 06 Local Patient Name the formil Import ort 250023 11:23 32- Loca Succeeded CARIRAC 2 2222 DICOM PATHENICY, ECHO 7 Acoustic Data El Include DICOM Viewer 4 El Enable DICOM GSOF Opeloen [ De-identity Tells Anonymous 6 Export Close System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 98 Import from USB or CD-R/DVD 1. Insert CD-R/DVD or USB Patient Browser 2. Select Import from Offline 3. Select source Source Media and Path Source Media 4. Select patient study Local Database 5. Select Import Available: 866.8 GB / 894.3 GB 6. Select Job Status from the Touch screen 2 Import trom off-line to view upload progress 7. Screen will provide status • Loading Bar • Succeeded Tip: Press and hold the Ctrl key on the keyboard Failed to select multiple studies. • System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 99 Import from USB or CD-R/DVD Import from off-line Patient Registration Patient Browser Source Media 6 A: 3 3 Patient Query/Retrieve Job Status Path Imaging A: Cardiac 22 21 Mi Cardiac11 4 4 Job Status DICOM Type Patient Name Dbject Poded Destination Status Description 0 M general SS sport Image: 124 208/2023 1:09:48 PM Local Failed MODEL 1 12423_20230124_133716 Import Image: 187 2/8/2023 1:11:03 PM Local 7 00 PATIENT 5_20230208_080842 SE Drill 1 SS 0 M SE Drill 2 SS 5 [ Servicelmages [ M STRESS ECHO_20230112_090802 5 Import Close System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 100 Query /Retrieve from PACS 1. Select Query / Retrieve in the Patient Browser 2. Enter the patient search parameters 3. Select the desired study 4. Select Import Tip: Enter multiple parameters for a targeted query. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 101 Query /Retrieve from PACS Patient Browser Basic Search Patient Name From To Node Source Media 2 Local Database Patient ID Study Date Date of Birth Study Time Import from off -line Sex Any Accession Number Modality Period Cintom Range Advanced Search Show Nl Study Description From To Study ID PPS Start Date Referring Physician PPS Start Time Reporting Physician Body Part Exam Study Instance UID Performing Physician Series Instance UID Request Procedure ID Series Number Scheduled Procedure ID Series Description Approval Status + Reporting Search Search Clear Type New Query Name Save Delete 3 1 Query Retrieve Print Preview Job Status Import 4 Import Job Status Image List Discard search results on dose Close System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Data and Image Management 102 Anonymize a Patient Study 1. Select Patient/ Patient Browser Export 2. Select the desired study from the Local Ancatable Media 4 Database Patient Name Patient ID Size (MB) Status Fee Format Cardiac 6 1111 154 DNICOM 1 Acoustic Data Include DICOM Viewer 3. Select Export Enable DICOM GSOF O PC Format (IPEGAVI) 4. Select the Available Media 5 Options 11 De identify Prefix Anonymous 5. Select De-Identify, enter a name 6. Select Export a. The system copies the study to the new destination and replaces the date of Total: 1 Selected: 1 (154.0 MB) exam with the date when the patient 6 Export Close identifying information was removed from the file. Tip: All patient-identifying information is removed from b. The Patient ID is Anonymous the exam, for example, images of the patient registration page and patient report. The new patient folder contains only images and clips from the exam. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 103 Workflow The clinical workflow for Volume Imaging Step 1: Setting Up for Acquisition includes setup, acquisition, and post- • acquisition steps. Select an image preset and adjust the imaging parameters for the transducer and exam • Optimize the image while scanning during 2D-mode or 2D-mode with color • Press the 4D control and perform further volume optimization if needed • Size and position the region of interest and volume of interest to acquire large or small areas within the MPRs • Adjust the axis markers within the MPRs • Sync the VR image to any of the three MPRs System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 104 Volume Review Acquire a Basic Volume Acquire a Volume with 4D Zoom 1. Obtain optimized 2D image 1. Obtain optimized 2D image 2. Press 4D on the control panel 2. Press 4D Zoom Setup 4D Zoom Setup 3. Press Clip Store to acquire the volume 3. Adjust region of interest (ROI) in each plane to included desired anatomy 4. Press 4D Zoom Setup on the control panel 5. Press Clip Store to acquire the volume Tip: 4D Zoom is best used when capturing data for a particular structure of interest. It provides a focused image of that structure and achieves higher spatial resolution. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 105 Volume Review 1. 4D – raw data review Review format which allows for 1 2 post processing volume 4D Review manipulation Multislice MPR Lock Lock Bi-Plane 2. Review – allows viewing of acquired images Reset Orientation Reset Cropping A B C Sync Sync Sync MPR A MPR B MPR C MPR Lines Free Plane Cut Plane 3D Caliper Single V 4D Heart Al System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 106 Volume Imaging Planes There are three imaging planes, 18 G 521 Cardiac known as multiplanar reconstructions A TIS:0.43 MI:0.95 (MPRs): 21.0vps 95% 4D 1. Lateral – right-to-left H Mid 34B.DR55 MPR (red A plane) T5 Vol: B T7 2. Elevation – front-to-back (green B plane) 3. Coronal /Axial – top-to-bottom (blue C plane) C The color-coded axis markers within each MPR correspond to the plane of the same color. The volume image is referred to as the volume rendering (VR). System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 107 Volume Image Layout 1 2 3 4 1. A / B / C / Volume – three MPRs displayed vertically with VR 2. A / B / C / Volume – quad layout with three MPRs and VR 000 3. A / B / Volume – lateral and elevation planes displayed horizontally with VR 4. A / B Volume – lateral and elevation A B C planes displayed vertically with VR 5. A Plane – lateral plane only 5 6 7 8 6. B Plane – elevation plane only 7. C Plane – coronal plane only 8. Volume – VR only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 108 Sync MPR Sync MPR orients the volume rendering to any of the three MPRs. Sync Sync Sync MPR A MPR B MPR C In this example, the VR is synced to 18 CC 521 Cardiac TIS:0.43 MPR A. MI:0.95 21.0vps 95% 4D H Mid -3dB/DR55 PR T6 Vol: T7 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 109 4D Volume Imaging – Control Panel x EUS M PW 2D CW 4D Update U1 ABC Zoom x ... x Measure rer Capture Delete Depth Dual AI Freeze System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 110 4D Volume Imaging – Tools X Y Z Rotation Controls The X Y Z controls are located on the Z control panel and can be used to adjust x the volume rendering. PW 2D C X – adjusts the volume in an up and CW 4D down direction. Y – adjusts the volume in a left-to-right direction. Z – rotates the volume clockwise or counter-clockwise. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 111 4D Volume Imaging – 4D Touch Screen 5V1 5Z1 TDS X CW2 Workflow Patient 4D Physio Imaging Multislice Ref.Plane Lock OO Lock Bi-Plane Review 000 Report Reset Orientation Reset Cropping A B Syn Sync Sync MPR A MPR B MPR C End Exam Bi-Plane+ MPR Lines Slice Sync Auto TEQ Cut Plane 3D Caliper Harmonics Single V 4D Zoom Setup Capture Type Prospective Frequency Line Density DR Size Position Clip Capture H Mid High 56 dB Vol Lat Elev Lat Elev 3 Beats Sec System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 112 4D Volume Imaging – Soft Keys 4D Controls Function Enters / exits 3D/4D mode or 4D gain 4D Press to activate / deactivate Rotate 4D to adjust the gain for the volume and the reference planes Selects optimized volume rendering parameters, including opacity and Volume Enhance transparency Increase for more opacity Decrease for more transparency 4D Display Modes Changes the display layout in volume imaging Includes variations of the MPRs and volume rendered image MPR Lock Locks the axis markers within the MPRs MPR Lock Bi-Plane Locks the axis markers in the A and B MPRs only System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 113 4D Volume Imaging – Soft Keys 4D Controls Function Selects a processing curve that assigns echo amplitudes to gray levels Map in the volume or MPR reference plane Press soft key to alternate between the volume and MPR then rotate to change the map Changes the color of the volume by adding blue, sepia, gold to the gray in a gray map Tint Press soft key to alternate between the volume and MPR then rotate to change the tint Enables or disables the cut plane function for viewing anatomy of Cut Plane interest in a volume Press to turn on / off Hides or displays the wireframe of the cut plane around the volume Cut Plane Wireframe Press to turn on / off System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 114 4D Volume Imaging – Soft Keys 4D Controls Function Enables viewing of the anatomy in sequential order, similar to MRI or Multislice CT Press to activate / deactivate Displays the axis markers onto the volume rendering MPR Lines Press to activate / deactivate Aligns the orientation of a selected slice within the volume Slice Sync Press inside the volume rendering to move axis markers within the MPRs Adjusts the thickness (mm) of the MPRs MPR Thickness Increase value for added thickness Decrease value for reduced thickness System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 115 4D Volume Imaging – Soft Keys 4D Controls Function Restores the default orientation of all axis markers within the MPRs Reset Orientation Press to reset Reset Cropping Cancels any cropping changes made to the volume Press to reset System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 116 4D Volume Imaging – Volume Size and Position The Size soft key adjusts the size of the 4D Size Position B-mode sector Vol Lat Elev Lat Elev • Press down to alternate between Lat and Elev Rotate to adjust ROI size larger or smaller Cardiac • TIS:0.43 MI:0.93 20.4vps 95% 4D The Position soft key adjusts the position of the 4D B-mode sector • Press down to alternate between Lat and Elev • Rotate to adjust position of the ROI within the MPR System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 117 4D Volume Imaging Tools – MPR Lines & Slice Sync Function: Displays the MPR axis markers onto the volume rendered image. MPR Lines Slice Sync • Select MPR Lines on the 4D touch screen. Once MPR Lines is selected, Slice Sync becomes available. • When Slice Sync is activated, use the cursor within the volume rendered image to click and automatically synchronize the axis markers within the MPRs to that location. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 118 4D Volume Imaging Tools – Bi-Plane+ Function: Simultaneously displays two imaging Go to Right planes with different rotation and tilt angles Bi-Plane+ in a side-by-side format to enable individual manipulation of the planes. Tift Size Position • Select Bi-Plane+ on the touch screen to activate / deactivate 521 Cardiac TIS:0.38 MI.0.95 30fps 95% Trackball and Set key controls 20 H High -18B • Tilt: use trackball to adjust bi-plane+ tilt DR58 LD 2 UA 2 Size: adjust sector size MapDIT5 • P1 • Position: adjust position of the sector 14cm Lead 11 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 119 4D Volume Imaging Tools – Bi-Plane+ • Select Left, Both, or Right to adjust the angles separate or together Left Both Right • Press the Angle soft key to adjust in 1° or 30° increments (press Reset Angle on the Left Plane Right Plane Both Planes touch screen to reset angles to default orthogonal orientation) 0° 90° 0° 90° 0° 90° • Use the trackball or Tilt Angle soft key to adjust the tilt (press Reset to return to 0 degrees) Angle Tilt Angle 1º 30º -18º Reset System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 120 4D Volume Imaging Tools – Free Plane Function: Independent cut plane that can be freely adjusted around the volume for cropping. Rotate Plane Position Plane XY • Press the Rotate Plane soft key to alternate between the X and Y planes; rotate soft key to :26T:38.8'C Cardiac TIS:0.43 rotate plane orientation along the X or Y axis MI.0.80 30.5vps 95% 40 • Rotate the Position Plane soft key to adjust Mid 3dB/DR60 MPR the position of the plane T5 Vol 100% Fr13 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 121 4D Volume Imaging Tools – Multislice Function: Enables viewing of the anatomy in sequential order, similar to MRI or CT. Slices Distance Position of Slices 5 2 mm 0 mm • Rotate the Slices soft key to increase / decrease number of slices 521 Cardiac TIS 0.43 MIO.97 • Rotate Distance soft key to increase / decrease 16.1vps 95% 4D distance between slices H Mid dB/DR36 Q Mid V 64 • Rotate the Position of Slices soft key to adjust Th 15 Op70 S2 between horizontal or vertical positioning of Br-B Con50 MPR slices MapE/T5 Vol MapE/T6 100% Fr21 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 122 4D Volume Imaging Tools – Single V Function: Allows cropping and visualization of a structure from a designated point of interest. Single V 1. Select Single V from the touch screen 521 2. Place cursor within an MPR at or slightly Cardiac TIS:0.43 MI:0.97 above the anatomy of interest and press 16.1vps 95% 4D the Set key H Mid -4dB/DR36 Q Mid 3. Drag the arrow in the direction for desired V 64 Th 15 Op70 view 52 Br-3 Con50 MPR: 4. Rotate the Box Width soft key to adjust the MapE/T5 Vol: ROI size MapE/T6 5. Use the set keys to activate the yellow circle or the arrow to adjust the position of the ROI 100% Fr12 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 123 4D Volume Imaging Tools – Dual V Function: Simultaneously displays two views of the same volume from opposite viewing angles Dual V by displaying two orthogonal reference planes and two opposing volume views. 5Z Cardiac TIS:0.43 1. Obtain a 4D volume, for example of the MI:0.97 16.1vps 95% mitral valve 40 HMd -5JB/DR45 2. Select Single V from the touch screen and Q Mid V 84 Th15 set ROI Op70 SO Dr-8 Con50 3. Select Dual V from the touch screen MPR: MapEITS Vol: 4. Rotate the Box Width soft key to adjust the MapEITE ROI size 5. Use the set keys to activate the yellow circle or the arrow to adjust the position of the ROI Tip: The two volumes can be individually rotated. 100% Fr19 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 124 4D Volume Imaging – 4D Color Touch Screen 5Z1 8V3 5V1 10L4 Cardiac Workflow Dual V Patient 4D Color (40) Physio Imaging MPR Lock DO Lock Bi-Plane Review 000 Report Reset Orientation Reset Cropping A B Sync Sync Sync MPR A MPR B MPR C End Exam 2D + Color 2D Only Color Only Bi-Plane+ Color Crop MPR Lines Cut Plane Single V 4D Zoom Setup Frequency C ROI Size C ROI Position Filter Mid Scale Baseline Lat Elev Axial Lat Elev Axial System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 125 4D Volume Imaging – Soft Keys 4D Controls Function 2D + Color, 2D Only, Changes the display of volume color Doppler and B-mode Dual V Color Only Press to adjust to desired display Restores the default orientation of all axis markers within the MPRs Reset Orientation Press to reset Reset Cropping Cancels any cropping changes made to the volume Press to reset System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning 3D/4D Volume Imaging 126 4D Volume Imaging – Adjusting Color Region of Interest (ROI) The C ROI Size soft key adjusts the size of the 4D color Doppler region of interest. C ROI Size C ROI Position Dual V Lat Elev Axial Lat Elev Axial • Press down to alternate between Lat and Elev • Rotate to adjust ROI size larger or smaller The C ROI Position soft key adjusts the position of the 4D color Doppler region of interest. • Press down to alternate between Lat and Elev • Rotate to adjust position of the ROI within the MPR 70bpm Lead 11 System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Care and Cleaning 127 Cleaning and Disinfecting the System 1. Power off the system and unplug the power supply 2. Use a clean gauze pad or lint-free cloth, lightly moistened with a mild detergent, to wipe the surface of the system 3. Use a clean, lint-free cloth to dry the surface 4. As required, use an approved disinfectant wipe to disinfect the system and accessories 5. Plug the power cord into the power supply Tip: Ensure that fluids do not seep into any openings on the system. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Care and Cleaning 128 Cleaning the Trackball 1. Rotate the ring around the trackball counter - clockwise and carefully lift the ring to remove Update 2. Remove the trackball 3. Clean the ring, trackball and trackball assembly with a cotton swab or lint-free pad moistened with a mild detergent solution 4. As required, use an approved disinfectant wipe to disinfect the ring, trackball and trackball assembly 5. After allowing the trackball components to completely dry place the trackball into the assembly 6. Place the ring over the trackball, aligning the tab with the point of attachment on the assembly, and rotate clockwise until the ring snaps into place System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning Care and Cleaning 129 Cleaning the Air Filter 1. Power off the system and unplug the power supply 2. Push the air filter tray to release the locking mechanism and then pull the tray from the system 3. Rinse the air filter tray with running water and allow filter to completely dry ACUSON Origin 4. Slide the dry air filter back into the system 5. Plug the power cord into the power supply Tip: Air filter should be checked and cleaned weekly to maintain proper system cooling. System Getting 2D & Color & Spectral Measurements Text, Body Data & Image 3D/4D Volume Care & Overview Started M-mode Doppler & Reports Markers & Arrows Management Imaging Cleaning For the proper use of the software or hardware, please The reproduction, transmission or distribution of this always use the Operator Manual or Instructions for Use training or its contents is not permitted without express (hereinafter collectively “Operator Manual”) issued by written authority. Offenders will be liable for damages. Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator All names and data of patients, parameters and Manual. Any material used in this training will not be configuration dependent designations are fictional and updated on a regular basis and does not necessarily reflect examples only. the latest version of the software and hardware available at All rights, including rights created by patent grant or the time of the training. The Operator Manual shall be used registration of a utility model or design, are reserved. as your main reference, in particular for relevant safety Siemens Healthineers Ultrasound owns the rights to all information like warnings and cautions. images. Certain products, product related claims or functionalities Note: Some functions shown in this material are optional (hereinafter collectively “Functionality”) may not (yet) be and might not be part of your system. commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities ACUSON Origin, Auto TEQ, Clarify, DTI, InFocus, and UltraArt in any specific country is not guaranteed. Please contact are trademarks of Siemens Medical Solutions USA, Inc. your local Siemens Healthineers sales representative for the most current information. Siemens Healthineers Headquarters Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 22010 S.E. 51st Street Phone: +49 9131 84-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · 14117 1123 online only · ©Siemens Medical Solutions USA, Inc., 2023