ACUSON P500 Ultrasound System syngo® Velocity Vector Imaging™ Video

Singo VBI will process both global longitudinal strain and global circumferential strain for the left ventricle. It will also process left atrial strain and right ventricular strain. The software uses a 3 point contour method for tracking. And this is the same software that is available on the Acuson Sequoia. Redwood and juniper. Let's transition to the P500 ultrasound system. And walked through processing a data set and single vvi. Gonna open the browser from the control panel. I'm going to double click a study that's in here. I'm going to page down. I'm going to go ahead and select all of the images. And then on the left I'm going to say show selected. Remember to do this before starting the singo vvi application. If you are missing images, you will not be able to put them back into the application without exiting. I'm placing the images and their corresponding chambers of place. The apical 4 chamber, the apical 2 chamber, and the apical 3 chamber. I'm going to proceed. You can see on the screen the left and right set key are used to mark your first and 2nd. Contour markers and then the update key. Is for marking the third contour marker at the apex. So all I did was hit the left set key. Wanna go one? 2. And then the update key. And I'm gonna. Process the analysis for in systole and then the end diastolic contour will come up next. Umm? Editing a few of the contour points. By pressing the left set key. Dragging it and pressing the left set key again. I'm just going to come outside and double click the left set key and it will process. That contour. So we see we have the two Chamber. Now let's do the four chamber. It will first go to in systole, so I'm going to left click. Left click. Then come to the apex. Press the update key. Come outside of the contour and double click the left set key. To process that contour. And the same double click the left set key outside of the contour to process the four chamber. You can see the bullseye is filling in. Now let's process typical three chamber. Left set key. What's that key? And update. Here I'm going to grab the red one because it makes a bigger. You can move a larger segment. Just adding some of the contour points I'm going to come outside of the contour and double click the left set key to do the analysis. And I'll just accept this for the endostyle and you can see we have a full bullseye and we have the model. Here's your endo systolic and in systolic marker. You can change the timing of end, diastolic and end systole by coming over the bottom of the markers holding down the left set key and moving it. With the red as being the volume curve and icely should be on the peak. Of the curve. And in systole, should be on the through or the lowest volume point of the curve. So we have an ejection fraction of 57.7%. And a GLS of negative 21. I can click and go into segmental analysis. And I can click through the views for the four chamber. The two chamber. And the three chamber view. And this is the one strain analysis. You can select between velocity displacement. As well as strain rate. You can come over to the touch screen and select save to report. And I'm going to go into review. And although the system will store and save bookmarks once the analysis has been done, the report is always going to use the last performed measure.

10 102 44 19.8 20 -15 -25 20% -20 100% 29/03/2022 23_03_2022_02_45_49 0.0 2.8 03_11_2021_11_42_20 009 22/7 008 010, 25/8 30/16 39/1 30/ 81 30 2/3 85 84 78 48 79 1/1 27 28 32 33 34 83 35 2022 2021_07_22_09_12_54 3. 0.00 -24.00 700 2100 142.00 420.00 55.00 120.00 55.32 -05 -10 -25.0 20.7 12.7 -22.1 -30 -20.6 -35 10203040506070 .63 1400 -20.7 -28.00 155.00 105.00 -28.3 24.5 -20.4 -19.0 28.3 16. 20.4 19.0 21.8 -22 .38 1. 1950 335.00 -21 20.1 25. .93 4.93 27.00 46.85 18. 44.00 18.1 -21.17 93 81.50 47.02 28.0 24.0 5.06 -23.9 19.9 -28.0 18.8 25.2 119.00 3.9 -18.8 1300 17. 110 15.5 20.2 19 3.5 15 16.4 5.19 22. 47 2020% 27.0 26.00 369 335 15.60 5.20 -5.20 -10.40 426 2275 20.80 975 431 23.20 -17.40 1750 2450 1050 457 12 1625 10.40 -21.05 006 93.15 110.18 110.83 39.02 57.70% 57.87 58.28 57.70 -21.05% 21.76 22.10 21.05 4.23% 3.72 13.69 4.23 100.98 139.74 140.47 60.85 60.94 56.62% 61.48 56.62 -21.41% -23.08 -21.41 46.23 47.0 38.9 -21.76 -22.10 23.08 38.90 60.9 56.46 22.80 39.0 57.8 Sie Siemen Siemens Healthineers presents Ultrasound System 3.0 Release Review syngo VVI Technology List available analysis This video provides an overview of the syngo VVI feature on the ACUSON P500 system. Explain steps to perform strain measurements There is no audio on this slide. Master Template HILS2218 | Effective Date: 25-Mar-2022 syngo VVI · Analysis Settings · Global Longitudinal Strain (GLS) · Global Circumferential Strain (GCS) S D % Average 2D Syst. Myo Longitudinal Strain% 20 % 102 % EF GLS · Left Atrial (LA) Strain · Right Ventricular (RV) Strain % Averag Additional measurements Same as · ACUSON Sequoia™ Ultrasound System · ACUSON Redwood™ Ultrasound System ACUSON P500 ACUSON 29/03/2022 02:21:48 P4-2 Cardiac Physio Echo MI 0.80 TIS 0.7 TIB 0.7 DTCE Med Dyn R 60 dB THI 3.6 MHz 56 fps Fr 184 0 bpm Reset Cine Rate Markers U/D Flip 15 cm Dual Fr184 Print Clear Delete ED Frame Set Start ... Previous DTCE Tint Frame Next Frame Dyn R Map ES Frame Set End M ... Med Play 60 dB Stress Pause Patient Browser Show Files Show All Source Media [D:] Local Disk Disk Space: Queue Patient Last Name Patient ID Search Clear Search New Study Study List Total Studies: 14(14) Restart E Patient Name Date/Time Archived 23/03/2022 02:45 0.1 HD 03/03/2022 06:04 03/03/2022 00:05 44.1 HD 02/03/2022 23:44 HD 31/12/2021 01:12 TEST CAROTID, Loading ... 29/12/2021 06:21 15/12/2021 07:24 08/12/2021 04:28 03/11/2021 11:42 164.2 HD SG, 03/11/2021 08:16 0.0 HD,USB 11/08/2021 15:02 315.2 HD,USB 2021_08 11 14 00 00 11/08/2021 14:00 324.6 HD,USB 28/07/2021 15:41 471.8 HD,USB 22/07/2021 09:12 495.1 HD,USB Scrolling Export Output Device Not Active Send from SE 23 03 2022 02 45 49 CAROTID 0.0 H 29/03/2022 02:22:05 Date: to Total S Review Select all Clear all Show Slide Selected Teaching AHP File Close Study Report Return to Imaging Set Start Set End Save Rate 1 Marker Select | Deselect Layout Full Screen Page 44 / 81 Off 61 /85 66/ 85 41 / 85 Thumbnails Bookmark Selection 2022 03 29 00:58:49 [A2C] 2022 03 29 00:54:47 [A3C] Exit 2022 03 29 00:54:47 2022 02 24 05:54:31 [A3C] 2022 02 24 04:18:03 [A4C] 02 16 03:22:40 [A2C] 2022 02 16 03:22:40 [A3C] Preview Apical X Sax Atrium A4C SAX MV Image Data DTCE Lew Save to SAX PM RV SAX APEX [A4C] 2022 03 29 00:5 022 03 29 00:5 2022 03 29 Clip 16 03:22:40 2022 02 16 03:22:40 [A3C] Endo+Epi MMode Contour Loading ..... -Segmental Analysis 040/84 034/1309/2755 ms. A2C 059/84 017/1930/2755 ms. FROSK VC10 ICV 2021/07/22 09:49:36 MI 0.78 DTCE Low 0 dB 60 fps 66 bpm End Set 039/84 034/1275/2755 ms. ES O 019/84 034/0604/2755 ms. O 042/84 034/1376/2755 ms. 001/84 034/0000/2755 ms. Delete/Calculate 14 cm a2 ed es EndoGLS Volume Calculating [A2C] Longitudinal Strain (Endo ) % ES Border ED Border Peak TTP% Phase Constant-Shape contraction a2c Syst. Endo Longitudinal Strain% dVidt 56.880 2184 -MMode 040/84 034/1309/2759 ms. ES O 2021/07/22 09:35:11 MI 0.83 11 dB 58 fps 65 bpm -Segmental Analysis. Images 001/84 017/0000/2759 ms. (65 bpm) Calculating [A4C] -Segmental Analysis- ms eD ml Average A3C 037/78 034/1191/2571 ms. ES O 2021/07/22 09:50:17 MI 0.98 3 dB 67 bpm a3c 5 525.2 One label has changed position, would you like to apply the same (proportional) changes to the remaining clips? Longitudinal OK Cancel Shape contraction Syst. Endo Longitudi 69.499 1345 O ES Velocity Displacement Strain Strain Rate Reverse Peak Radial Long/Rot 0837 ms ongitudinal Strain (endo 16-apical lateral 14-apical septal 839 ms Maximum Opposing Wall Delay : 34 ms es-gcs endo -25.87 % 426 ms e s mS Average 0928 ms Pk % ES TTP ms 22.1 -22.1 27.3 -24.5 19.1 -16.8 930 ms 12-mid ant/lat 25.7 -25.7 -22.9 -22.7 Delay : 121 ms 459 ms 15-apical inferior 07-mid ant 906 ms Delay : 33 ms 4-apical septal y : 34 ms Results Description Summary Print Preview Export PDF Print Report Exam Specific Information Indications BP (mmHg) Systole Diastole Height kg Velocity Vector Imaging Label Value Method V1 V2 V3 V4 V5 Left Ventricle A4C, A2C, A3C EDV 110.83ml Last ESV 47.02ml SD-Ttp-LS 140.47ml 60.94ml BSA Disclaimer Please note that the learning material is for training purposes only. For the proper use of the sottware or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively "Operator Manual") issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, the future availabillty of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. ACUSON P500, ACUSON Redwood, ACUSON Sequoia, ACUSON Juniper and Velocity Vector Imaging are trademarks of Siemens Medical Solutions USA, Inc. syngo is a registered trademark of Siemens Healthcare GmbH. Siemens Healthcare GmbH 2022 91052 Erlangen, GermanylTelephone: +49 9131 84-Olsiemens-healthineers.com HOOD05162003273703 Effective Date: 02 June 2022 SIEMENS Healthine