ACUSON P500 Ultrasound System 3.0 Measurements and Text Presentation

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON P500 Ultrasound System Measurements and Text 3.0 Software Release 1 Unrestricted © Siemens Healthineers 2022 Unrestricted Speaker Notes: This presentation provides an overview of the Measurement, Text, Body Marker and Arrow features. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... SIEMENS • Review Measurement Functionality • Discuss Customized Measurements • Examine the Report • Explain Text Annotations • Discuss Body Marker and Arrow SIEMENS 2 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Here are the objectives and we will start with reviewing the measurement functionality. Notes No. 2 SIEMENS Healthineers General Measurements SIEMENS. Healthineers ... Exam Specific User-Defined User-Defined Measurements Labels Abdomen / Ped OB / Early OB 2D- 40 Abdomen M-mode – 10 Small Parts ( Thyroid) Doppler – 25 MSK Gynecology Breast CV and PV (arterial) PV ( Venous) Renal Neo Head Emergency Med Superficial MSK Cardiac / Ped echo Pelvis 3 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The ACUSON P500 ultrasound system has measurements, calculations and reports designed to support 18 imaging applications, as indicated here. All exam-types support standard and compound measurements in 2D, M-Mode and Doppler. All measurement methods can be customized, for example, volume by Dist 1, Dist 2, Dist 3, or by Ellipse 1, or Ellipse 1 + 1 Dist. Notes No. 3 SIEMENS Healthineers Measurement Functionality SIEMENS . Healthineers ... 20 C PW 2D C PW VF 10-6 CV CV Lt ECA PI = 1,93 CH5-2 Abdomain Abdomen Tx Power 100% RI = 0.86 Tx Power 100% MI 0.78 S/D = 7.00 MI 0.80 CCA PYOK TIS <0.1 PS = 61.3cm/s TIS 0.8 TIB <0.1 ED = 7.3cm/s TIB 2.7 CCA Md 6.3 MHZ TAmax = 22.7cmla 27 MHZ 3651 Hz 3651 Hz Gate 1.5 mm Gate 4.0 mm CCA Dist 8 4B 17 fps 8 fps ICA FROM ICA Mit ICA Dist ECA Freqa - 0.85KHZ Pga=02mmHg ... Delete All Delete Manual Velocity PS RED Delete All Delete Measurement Package Standard Measurement 4 Unrestricted © Siemens Healthineers 2022 Speaker Notes: When in a measurement package, the left panel control keys show the measurements associated with that package. When a direct measurement such as a PI, RI or Velocity, then the menu only displays the choices available. Notes No. 4 SIEMENS Healthineers Measurement Functionality SIEMENS . Healthineers ... 2D VF13-5 Small Parts Small Parts Tx Power 100% MI 0.71 Right TIS <0.1 TIB <0.1 TRV ASC 2 DTCE High AP Dyn R 75 dB THI 8.9 MHZ 0 dB SAG 60 fps Fr 595 Left x ... x Measure TRV AP 7 SAG D1 = 8.0mm D2 D2 = 4.6mm D3 = 5.4mm D4 = 5.5mm D5 = 4.4mm D6 = 6.7mm D7 = 5.8mm D8 = 4.6mm 4 cm 1 F1595 Print Clear Delete Angle Area Distance Ellipse Volume Edit Delete All Delete MDA Posit ... %Stenosis Ratio Trace Ler Flow Volu ... Delete Undo Delete 5 Unrestricted © Siemens Healthineers 2022 Speaker Notes: This is an example of the measurement 2D screen. Press Measure to activate the calipers in any mode. 1. The left panel control keys convert to a measurement/calculation menu for dedicated and customized labels. 2. The soft keys convert to measurement specific functionalities. Most are standard measurements, but also some workflow functionalities are: Delete All, Undo, Measurement Display Area (MDA) Position and Delete. Notes No. 5 SIEMENS Healthineers Measurement Functionality SIEMENS . Healthineers ... 2D ACUSON SIEMENS L10-5v Small Parts Small Parts Tx Power 100% MI 0.90 Right TIS 0.1 TIB 0.1 Edit TRV ASC 1 DTCE Low AP Dyn R 65 dB THI 8.0 MHZ -2 dB Set Set SAG 44 fps Fr 1148 Left TRV SAG D1 = 6.3mm D = 4.6mm 4 cm Fr1148 Dear Delete Angle Arro Ellipse Edit Volume Delete A Delete Trace MDA Posit ... %Stenosis Distance Ratio Trace Len. Flow Valu ... Delete Unde Delete 6 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To measure using a measurement label: 1. Select Measure on the control panel (the image may be frozen, live or a cine playback). 2. Select the measurement type from the soft keys. 3. Select the label before or after the measurement, if using a measurement package. 4. Swipe or press the touch pad to position the caliper. Active measurements are displayed in green. 5. Anchor the caliper by selecting the Set key or touching the touch pad. Anchored measurements are displayed in yellow. 6. Swipe the touchpad to bring up the next caliper. Note the following system behaviors: 1. Edit will jump between the calipers in a given measurement to allow adjustments before they are set. 2. Delete will delete the active (green) caliper then sequentially remove one set of measurements at a time. 3. Delete All will remove all calipers and set measurements on the screen. 4. MDA position changes the display location of the measurements display on the screen. 5. Undo backs up a trace measurement before it is set. Notes No. 6 SIEMENS Healthineers Measurement Functionality - Edit a Measurement SIEMENS . Healthineers ... VF 10-5 THYROID Tx Power 100% MI 1.01 TIS 0.3 TIB 0.3 ASC 2 Edit DTCE Med Dyn R 75 dB THI 8.0 MHZ 2 dB 39 fps Set Set NOD 1 SAG = 10.2mm 4 cm 4 1 F1741 Select Next Delete Al Delete 7 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To Edit a measurement: The user can edit only the last set of measurement markers. 1. Press the Edit touchpad key to select and reposition the ending marker. 2. Press the Edit touchpad key repeatedly to select and reposition markers in the reverse sequence. • Edit will jump between the calipers in a given measurement to allow adjustments before they are set • Delete will delete the active (green) caliper then sequentially remove one set measurement at a time • Delete All will remove all calipers and set measurements on the screen Notes No. 7 SIEMENS Healthineers eSie Measure TM Workflow Acceleration Package SIEMENS .... Healthineers .. P4-2 Cardiac IVSd 1 = 10.4mm P4-2 IVSs 1 = 12.7mm Tx Power LVIDd 2 = 49.6mm Cardiac Tx Power LVIDs 2 = 30.8mm MI 0.86 LVPWd 3 = 10.2mm MI 0.86 LVPWs 3 = 14.3mm TIS 0.8 EDV = 116.1mL TIS 0.8 ESV = 37.3mL TIB 0.8 TIB 0.8 EF = 67.87% DTCE Low DTCE Loy FS = 37.90% Dyn R 75 dB Dyn R 75 SV = 78.8mL THI 3.6 MHZ THI 3.6 MHZ 0 dB 0 dB 51 fps 51 fps Fr 238 Fr 257 63 bpm 62 bpm 8 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The eSie TM Measure workflow acceleration package automates cardiac routine measurements in 2D, M-mode and spectral Doppler using advanced pattern recognition technology. The eSie Measure package is integrated with the eSieScan TM workflow protocols. An Electrocardiogram (ECG) is required to utilize the eSie Measure package. Notes No. 8 SIEMENS Healthineers eSie Measure Workflow Acceleration Package SIEMENS . Healthineers .. Review P4-2 Cardiac* IVSd 1 = 12.1mm Tx Power LVIDd 2 = 46.3mm MI 0.97 LVPWd 3 = 6.7mm TIS 0.9 EDV = 110.7mL TIB 0.9 EF = 70,64% Slide DTCE Me FS = 40.12% Dyn R 60 SV = 78.2mL THI 4.0 MHZ 4 dB 9aching 51 fps Fr 1191 64 bpm Study Archived Report Return to Imaging 101 Layout Full Screen Page Print Export Delete On 617 9 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To perform a measurement using the eSie Measure function, there must be an image or clip with at least one heart-beat and an ECG trace. 1. Activate the measurement function. 2. Press eSie Measure. 3. Press the required measurement group with the eSie Measure icon. 4. The system traces the image, displays a set of measurement results, and activates the last marker of the last measurement. 5. To manually perform an eSie Measure measurement or series, select the measurement label in the task pane and then position and anchor the markers. 6. If a message displays indicating that the system was unable to perform the measurement on the current image, select OK. 7. The system activates the measurement function. 8. To reposition a marker, select and then anchor the marker in the required location. Notes No. 9 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... SIEMENS • Review Measurement Functionality • Discuss Customized Measurements • Examine the Report • Explain Text Annotations • Discuss Body Marker and Arrow SIEMENS .:::::::::::::: : 10 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Next, we will review the customized measurements. Notes No. 10 SIEMENS Healthineers Customized Measurements SIEMENS . Healthineers ... Measurement and Report Configuration 2D Mode User-Defined Measurement Label Patient User-Defined 1 Label Name Abdomen Measurement Method Distance Distance Exam Delete Current 2D Mode Label .. .... . ..... Review ...... Measurement Method >> M-Mode User-Defined Measurement Label Measurement Order >> ................. User-Defined 1 abel Name Report User-Defined Measurement Labels >> Measurement Method Distance ............. : Comments Library >> Delete Current M-Mode Label Browser General Configuration >> Anatomy Assessments >> Doppler Mode User-Defined Measurement Label Config User-Defined 1 Label Name Measurement Method Velocity Help Delete Current Doppler Label 11 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The measurement packages can be customized in the Configuration Menu. User-Defined Measurement Labels allows the user to designate special measurement labels and there are: • 40 x 2D mode • 10 x M mode • 25 x PW Spectral Doppler mode For most applications, these are the six measurement/calculation factors that users can customize. Notes No. 11 SIEMENS Healthineers Customized Measurements SIEMENS. Healthineers ... Default Measurement Method Area Ellipse Measurement Method >> Measurement Order >> Volume 3 Dist Jser-Defined Measurement Labels >> % Stenosis Area - %Stenosis Comments Library >> 2D Mode Ratio Distance Ratio General Configuration >> M-Mode Ratio Distance Ratio Anatomy Assessments >> Flow Volume Area - Flow Volume PI Trace PI Auto 12 Unrestricted © Siemens Healthineers 2022 Speaker Notes: In the Measurement Method option, the user can adjust by mode (2D, M-mode and Doppler) and by method (area, volume, %stenosis, 2D mode ratio, M-mode ratio, flow volume and PI trace). Notes No. 12 SIEMENS Healthineers Customized Measurements - General Configuration SIEMENS . Healthineers ... Caliper Configuration Caliper Default Position Center Measurement Method >> Caliper Size Large Measurement Order >> ............ Caliper Pattern Dx Jser-Defined Measurement Labels >> Measurement Results Background Con Off Comments Library >> General Configuration >> - Measurement Result Display Anatomy Assessments >> 2D Mode Bottom Doppler / M-Mode Bottom 13 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The Measurement Order allows the user to configure: • Caliper default position • Caliper size and pattern • Measurement Results Background • Measurement display area The depth measurement is activated from this screen. Notes No. 13 SIEMENS Healthineers OB Customized Measurements SIEMENS . Healthineers ... Display Items >> SIEMEN User-Defined Measurement Labels >> 5/06/2015 20:55:03 User-Defined EFW Formulas >> CH5-2 User-Defined MA Data >> LatePreg Tx Power 100% User-Defined GA Data >> ......... MI 0.55 User-Defined Ratio Formulas >> TIS 0.6 Growth Analysis Graphs >> TIB 1.9 2.7 MHZ Anatomy Assessments >> 3472 Hz Gate 3.0 mm 2 dB M&R > > Item & Reference Selection >> : OB 13 fps 20 Mode M-Mode | Doppler | Ratio | EFW/USMA | Growth Analysis | 54 mm Label OFD ATD Measurement Item Author Average / Direct ASD BPD Direct UL Direct BN Add HC Hadlock TL AC Hadlock Direct CL Remove FL Hadlock Direct CRL Yolk Sac HL Jeanty Direct MSD Move Up AFI Direct GS Ant CV Post CV Move Down Labels PI RI S/D PS ED Umb A 1 0.67 ; 0.5 2.05 47.1cm/s 23,0cm/s 20 14 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The OB application has many different selections for customizing the report. 1. They are accessed through the Item and Reference Selection Tab. Author customization can be selected for: 2D, M-mode, Doppler, Ratio, EFW/USMA and Growth Analysis calculations. 2. Common Configuration illustrations, which provides a suite of additional customization for: • Display items • Measurement labels (up to 5) • EFW formula (up to 5) • MA data (up to 20) • GA data (up to 20) • Ratio formulae (up to 5) in the following categories: CI, HC/AC, FL/BPD, FL/AC, TCD/AC, LVW/HW • Growth analysis graph display (1x1 or 2x2) • Anatomy assessment (extensive programmed options to choose from, or ability to label ones own). The depth measurement is activated from this screen. Notes No. 14 SIEMENS Healthineers Cardiac Customized Measurements SIEMENS. Healthineers ... Configuration M&R >>>> Measurement Order : Cardiac General 1 Heading | Label General 2 Custom Keys Display Mode 2D-Mode Exam Soft Keys Measurement Labels Measurement Order M&R Pulmonary Valve AVILA RV Report Mod.Simpson Aortic Valve Text Annotation Single Plane Mitral Valve Simpson BP Measurement Method >> Body Marker Bi-Plane Simpson SP Wireless Bullet Cubed(2D) Teichholz(2D) LV Mass A-L Calculation Item >> Network Gibson(2D) LA Vol(A-L) Service LV Mass T-E PISA(MR) Clip Store LA Vol(Simp) Add QPIQs Display Items >> Archive RA Vol(A-L) RA Vol(Simp) Remove Comments Library >> Authorization PISA(MS) Printer General Configuration >> Barcode Utility Anatomy Assessments >> Stress Echo eSieScan Default Previous Save Cancel 15 Unrestricted © Siemens Healthineers 2022 Speaker Notes: There are also many options for customizing the Cardiac calculations. The user can customize what labels to show and in what order. There are two tabs: • Heading: Is a list of measurement groups for the measurement menu. The measurement groups include measurement labels. • Label: Is a list of measurement labels for the corresponding measurement group on the measurement menu. Notes No. 15 SIEMENS Healthineers Exam Specific - Customized Measurements SIEMENS . Healthineers ... Label Author BPD Hadlock GB Wall CRL Hansmann CBD GS Tokyo Aorta EDV Measurement Method >> ESV Bladder Volume - Calculation Item >> GS Display Items >> Imaged Transversely CRL Comments Library >> Imaged Sagittally BPD General Configuration >> BI Trans D Anatomy Assessments >> BI Trans W General HR Measurement Method . ECG M-Mode BI Sag D -Measurement Screen BI Sag L Abbreviate Measurement Results Display 16 Unrestricted © Siemens Healthineers 2022 Speaker Notes: There are many other exam specific measurement packages that also can be customized in addition to Cardiac and OB. Early OB, Gynecology, Pediatric Echo, Cerebrovascular, PV, Arterial, Small Parts (supports Thyroid up to 15 nodules), Renal, and Extensive Emergency Medicine including FAST and Lung. Please review the owner’s manual or system configuration menu for complete options. This is an example of the Emergency EM (Emergency Medicine) package. It has unique customizable calculation items: • Author selections for BPD, CRL and GS (the defaults are listed here) • Customization of bladder volume imaging • Options to customize the HR Measurement Method • The option to abbreviate the Measurement Display, this is useful to streamline EM practice by de-cluttering the monitor display. Notes No. 16 SIEMENS Healthineers Exam Specific - Customized Measurements SIEMENS . Healthineers ... P4-2 Cardiac AOd 5 = 27.7mm LAs diam 6 = 42.1mm Tx Power AOd/LAs = 0.66 LAs/AOd = 1.52 MI 0.89 TIS 0.8 eSie Measure Settings TIB 1.4 THI F 3.6 MHZ -5 dB eSie Measure On @ Off 59 bpm Heart Cycle to Display 16 cm M-Mode W Doppler WN - Default Previous 17 Unrestricted © Siemens Healthineers 2022 Speaker Notes: In the Measurements & Report menu, there are two options for eSie Measure Settings. eSie Measure may be turned on or off and there are three choices available to display heart cycles in M-mode and Doppler: 1, 2, or 3. • If the operator chooses 1, then one heart cycle will be measured • If the operator chooses 2, then two heart cycles will be measured • If the operator chooses 3, then three heart cycles will be measured Please Note: Heart cycles need to be displayed to be measured. If the operator modifies the sweep speed and the system cannot see a complete heart cycle, the system will not measure the data set. Notes No. 17 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... EMENS • Review Measurement Functionality • Discuss Customized Measurements • Examine the Report • Explain Text Annotations • Discuss Body Marker and Arrow SIEMENS 18 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Next, we will review the Report page. Notes No. 18 SIEMENS Healthineers Standard Reports SIEMENS . Healthineers ... Exam Specific Information Indications 2D Measurements > M Measurements D Measurements Anatomy Description Report System Serial Number: 391635 ACUSON SIEMENS Results 2x2 Description Images Summary X Close Study 0 Scrolling Print Preview Export PDF Print Report 19 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The system offers customizable reports that can be created into a Report and downloaded as a Portable Document Format (PDF). This is especially useful in the point of care market and in offices where the customer needs to upload a report into the Electronic Health Record (EHR). The Report is divided into four sections: • Results: This is a summary of the measurements performed in the exam (2D, M-mode and PW Spectral Doppler mode). • Description: In this section, the user can populate pre-programmed anatomy assessment descriptors from the Measurement and Report (M&R) Configuration screen. • Images: This is the area of the report where (up to 20) images from the study can be displayed. • Summary: This the section that users create and populate anatomical or pathological descriptors. Notes No. 19 SIEMENS Healthineers Customize Reports SIEMENS. Healthineers ... Report ection rt Sections Patient == General 1 = Exam General 2 RA VOI(A-L) Custom Keys Review Display Exam Report Soft Keys M&R Report Browser Report Report Order Print Preview Text Annotation Site Information Config Lago Body Marker Font Text 2 Help Wireless Font Text 3 Font Signature Reference Values Display Adult Cardiac Reference Values Add Remove . off 20 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The user can customize the report for their specific needs. Press Config and scroll down to Report. There are two sections: • Report Order: This is the area where the user can define which “sections” of measurements are displayed on the report. • Print Preview: This allows the user to customize reports with the facility logo (directly from a Universal Serial Bus (USB). It must be in Joint Photographic Experts Group (JPEG) format and not be in a folder on the USB device. There can be dedicated text (the facility mission statement or values for example) and the physician’s signature. Notes No. 20 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... SIEMENS • Review Measurement Functionality • Discuss Customized Measurements • Examine the Report • Explain Text Annotations • Discuss Body Marker and Arrow SIEMENS 21 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Next, we will discuss the text annotations. Notes No. 21 SIEMENS Healthineers Accessing Text SIEMENS. Healthineers ... 4 4 • Press “T” key on Alphanumeric ...... keyboard to access Text Annotations stavet 22 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To access the text feature, press the “T” key on the alphanumeric keyboard. Notes No. 22 SIEMENS Healthineers Text Types SIEMENS . Healthineers ... 2D System Serial Number : PP3008 ACUSON SIEMENS 24/03/2015 17:48:00 CH5-2 SITIC EM ................... Tx Power 100% Text A Free Fluid TIS 0.4 TIB 0.4 Liver ASC 1 DTCE Med Dyn R 80 dB CBD THI 3.6 MHZ Gallbladder 27 fps Text B Pancreas Free Fluid| Kidney Heart IUP Annotation Aorta 18 cm Library Appendix Position Set Home Position Hide Text Select Nex Clear Screen Delete Line Delet 23 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The system has a predefined annotation library per exam by default on the system. In addition, there is Text A (Top Left) and Text B (Top right). The user can add free form text by placing the cursor in the desired location and use the alphanumeric keyboard to type. Notes No. 23 SIEMENS Healthineers Accessing Text SIEMENS. Healthineers ... Text Annotation Exam EM Patient General 1 Annotation Library Text A | Text B | Exam General 2 Enable Auto Complete Available Annotations Selected Annotations Custom Keys Left Free Fluid Right Liver Review Display CBD Coronal Gallbladder Exam Pancreas Kidney Report Soft Keys Modify Heart M&R Add Aorta Appendix Browser Bowel Report Remove Celiac Axis Colon Text Annotation Diaphragm Config Duct Body Marker Duodenum GB Help Wireless Ilium Lobe Network Porta Hepatis Portal Vein Renal Arterv Default Save Cancel 24 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To configure the text, press the Config key on the control panel and scroll down to the Text Annotation. • Select the exam you would like to customize. There are three types of text available, Annotation Library, Text A and Text B. The blank area is where the user would enter customized text. • Checking Enable Auto Complete will finish words that are similar from the Annotation Library. The user can go to the annotation library where different factory defaults are based on the exam. • The up and down arrows on the right allow the user to select a specific annotation and move it to the desired location. Notes No. 24 SIEMENS Healthineers Customizing Text SIEMENS. Healthineers ... Text Annotation Text Annotation Exam EM Exam EM Annotation Library| Text A Text B Annotation Library TextA | Text B | LUNG V Enable Auto Complete Enable Auto Complete Available Annotations Selected Annotations Available Annotations Selected Annotations Left Renal Artery Left Renal Calyx Right Renal Calyx Right Renal Pelvis Sagittal Renal Pelvis Sagittal Renal Vein Trans Renal Vein Trans SMA ISMA SMV SMV Stomach Modify Stomach Adrenal Gland Modify Adrenal Gland Ureter Add Ureter Urinary Bladder Add Urinary Bladder IVC JIVC Remove Prox Prox Remove Mid Mid Distal Distal LLD LLD RLD RLD Prone Prone Supine Supine Trendelenburg Trendelenburg Upright Upright Coronal *LUNG Default Default Save Cancel Save Cancel 25 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To customize the text: • Select the type of text to add if its Annotation, Text A or Text B. • Type in the desired word(s) in the blank area. • Press Add in the menu and note that it is added to the bottom of the list . Notes No. 25 SIEMENS Healthineers Using Text SIEMENS . Healthineers ... 2D C PW System Serial Number : 391635 ACUSON SIEMENS 11/06/2017 11:38:34 VF 10-5 R11 = 0.83 22.6 UR SITIC CV" Text Tx Power 100% S/D1 = 5.95 PS1 = 50.5cm/s CCA TIS <0.1 Left ED1 = 8.5cm/s TIB <0.1 ECA ICA 5,3 MHZ 3551 Hz Gate 1.5 mm ECA -9 dB 17 fps Text Soft Keys Bifurcation Bulb Jugular V. Subclavian A. Soft Keys Vertebral A. Plaqu Occlusion 46.5 mm's Home Set Hom dide Text Select Next Position Clear Screen Delete Line |Delete Word 26 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Press the “T” on the keyboard to activate the text feature. Press the Text A, Labeled L/R, or Text B, labeled S/T/C, it will cycle through the choices programmed in the configuration menu. Please note: Once custom labels have been added to text to A or B, the labels will revert from L/R and S/T/C to A and B, therefore, the user will need to remember what type of information is there. Touch or select the word to populate from the annotation library in the left panel control keys to display the text. The user can also start typing on the keyboard to populate text. The placement is based on the last cursor placement. Freeform text using the keyboard defaults to all caps. The soft keys can be controlled via the hard keys on the control panel or thought the touch screen by pressing the desired selection. Please note: The soft keys cannot be altered or changed or moved to a different location. Notes No. 26 SIEMENS Healthineers Moving Text SIEMENS . Healthineers ... 2D System Serial Number : PP3008 ACUSON SIEMENS 24/03/2015 17:48:06 CH5-2 UR SITIC Tx Power 100% MI 0.68 Free Fluid TIS 0.4 TIB 0.4 Liver ASC 1 DTCE Med Dyn R 80 dB CBD THI 3.6 MHZ 0 dB Gallbladder 27 fps Pancreas Free Fluid Kidney Heart IUP Aorta Appendix 27 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To move text, use the Touch pad and place the cursor in the word and press one of the select keys and the text will turn green. It can now be moved via the touch pad. Select the Text key to set it in the position and it will turn white again. Please note, only one type of text is movable at once. If moving text frequently, it is important to customize the Annotation library to contain more descriptors and only 15 characters including spaces are available. Notes No. 27 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... SIEMENS • Review Measurement Functionality • Discuss Customized Measurements • Examine the Report • Explain Text Annotations • Discuss Body Marker and Arrow SIEMENS 28 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Finally, we will discuss the body markers and arrows. Notes No. 28 SIEMENS Healthineers Access Body Markers SIEMENS. Healthineers ... 4 O A 4 4 Press the “)O(” key on the Alphanumeric keyboard to access the Body Markers GO 29 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To access the body markers, press the Body Marker key on the alphanumeric keyboard. Notes No. 29 SIEMENS Healthineers Customize Body Marker Locations SIEMENS. Healthineers ... eneral 2 Patient ID Patient Save an image of the Patient screen after registering a patient. Hide Patient Banner ............... Exam Common Mode Review General 1 Delete Body Marker on Unfreeze General 2 Delete Text on Unfreeze Report Body Marker Location Upper Right . Lower Right Custom Keys Patient Registration Short Form Display Browse Config Help Save Cancel 30 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To customize the location of the body marker, go to Configuration > General 2 > Body Marker Location > Upper or Lower right. Notes No. 30 SIEMENS Healthineers Customize Body Markers SIEMENS . Healthineers ... Body Marker Exam Abdomen General 1 Available Body Markers Selected Body Markers General 2 Custom Keys Display ........................ Exam Add Soft Keys Remove M&R Report Text Annotation Body Marker Wireless Network Default Save Cancel 31 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To customize the body markers, press Config and scroll to the body marker and the image will be displayed under Available Body Markers. The default body markers are pre-selected per exam type, although any body marker can be added to any preset of a customized preset. As in text, additional body markers can be added from the available body markers by pressing the Add or Remove key. Selecting the Up key will move a Body Marker to the left and Down moves it to the right. To add a body marker to a specific preset, highlight the desired body marker from the available list and, select Add and it will move it to the selected body markers. Select the up/down arrows to place it is the desired order. Notes No. 31 SIEMENS Healthineers Using Body Markers SIEMENS . Healthineers ... 20 C PW VF10-5 CV" RI1 = 0,83 Body Markers Tx Power 100% S/D1 = 5.95 MI 0.78 Left PS1 = 50.5cm/s TIS <0.1 ED1 = 8.5cm/s TIB <0.1 ECA 5.3 MHZ 3561 Hz Gate 1.5 mm Oo OO .9 dB callis 17 fps Soft Keys 2 1 46.5 min's mint Clear Delete Change Marker Rotate Change Body Marker Delete Set Set 32 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The available pre-programmed Body Markers are displayed on the Left Control Panel Keys. To change a Body Marker, select the specific Body Marker in the Action Key area, change via the touch pad or soft key control or select Change Body Marker. The selected body marker shows in white and the transducer in green. The soft keys can be controlled via the hard keys on the control panel or thought the touch screen by selecting the desired Body Marker. To change the transducer location, use the Touch Pad to move the transducer to the desired location. To rotate the transducer, select Rotate or use the soft key controls on the control panel. To delete the body marker, select Delete. Please Note: The soft keys cannot be altered or changed or moved to a different location. Notes No. 32 SIEMENS Healthineers Accessing the Arrow Feature SIEMENS. Healthineers ... 4 4 A 4 4 Press the “ ” key on Alphanumeric keyboard 33 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To access the Arrow feature, press the “ “ key on the alphanumeric keyboard. Notes No. 33 SIEMENS Healthineers Accessing the Arrow Feature SIEMENS. Healthineers ... CH5-2 Abdomen Tx Power 100% MI 0.66 TIS 0.4 TIB 0.4 ASC 1 DTCE High Dyn R 75 dB THI 3.6 MHZ New Rotate Select Arrow Delete All Delete 0 dB 20 fps 16 cm New Rotate Select Arrow Delete All Delete Set 34 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Using the soft keys, rotate the arrow by selecting the Rotate key. The arrow rotates in 30- degree increments. Select New to add another arrow while in the arrow menu. After exiting the arrow menu, pressing the Arrow key and it will add another arrow to what is on the screen. Selecting the Select Arrow key above the touch pad toggles between the arrows to allow movement, rotation or deletion. Notes No. 34 SIEMENS Healthineers Trademarks and Disclaimers SIEMENS. Healthineers ... • eSie Measure and eSieScan workflow protocols are a registered trademark of Siemens Medical Solutions USA, Inc. 35 Unrestricted © Siemens Healthineers 2022 Speaker Notes: No speaker notes. Notes No. 35 SIEMENS Healthineers Thank you! SIEMENS. Healthineers ... Questions? 36 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Questions? Notes No. 36