ACUSON Maple 1.0 Measurement Configuration Presentation

SIEMENS Healthineers SIEMENS Healthineers ... ACUSON Maple Ultrasound System Measurement Configuration Software Release 1.0 1 Unrestricted © Siemens Healthineers 2023 Unrestricted Speaker Notes: The purpose of this presentation is to provide instruction for measurement configuration on the ACUSON Maple ultrasound system. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement configuration access and homepage layout • Review the General icon • Analyze the Exam Specific icon layout • Discuss Configuration • Examine patient report 2 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Here are the objectives of this presentation. We will begin with discussing the measurement configuration access and the home page layout. Notes No. 2 SIEMENS Healthineers Measurement configuration access SIEMENS. Healthineers ... A 7C2 Abd Add Exam Workflow 2D Contrast Elasticity SieScape ? eSieScan Clarify VE Persist Full Screen Extensive View Clarify VE Levels Edge L/R Flip U/D Flip Clear Biopsy Screen THI Biopsy Line Off Hide Patient Physio Settings > 4B Split Param Clip Settings Full FOV End Exam V High Density DICE Med R/S 3 Tint Focus Width TEQ Gain MultiHertz 5.0 MHZ Adv. SieClear Dyn R 68 dB Map Image Size 2 Tx Power 100% 3 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The measurement package on the ACUSON Maple™ ultrasound system is very robust and can be customized for each exam type according to the user’s needs. To access the configuration menu, select the Configuration icon from the Touch Screen. Notes No. 3 SIEMENS Healthineers Measurement configuration home page SIEMENS . Healthineers ... System Configuration Measurement General 1 General 2 Display Custom Keys Soft Keys Exam General Measurement Text Annotation Body Marker Stress Echo eSie5can Contrast Clip Store Printer Barcode Abdominal Obstetrics Gynecology Small Parts Pediatrics Neonatal Wireless Network Utility Archive Security Service Vascular Urology Echocardiogramhy Musculoskeletal IntraOperative Report Cose 4 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once in the configuration menu, select the Measurement tab to access the homepage for the customization of each exam measurement package. The homepage for measurement configuration consists of three distinct sections: • General icon – system-wide and exam specific customizations • Style selection – preloaded and customizable selection lists for what is displayed within the measurement function • Exam Specific icons – customize each individual exam, create folders, and determine which generic functions are displayed These icons and their contents will be discussed at length during this presentation. Notes No. 4 SIEMENS Healthineers Measurement options SIEMENS. Healthineers ... Styles Style 1 Style 1 Edit Style Name Add New Style Delete Style Style 1 Style2 Style3 Abdominal Obstetrics Gynecology Small Parts Pediatric Neonatal Vascular Urology Echocardiogramhy Musculoskeletal IntraOperative Report 5 Unrestricted © Siemens Healthineers 2023 Speaker Notes: We will begin by discussing Styles. Each exam preset has customizable “style” options available that determine what measurement labels are displayed on the Touch Screen. There are three different default measurement styles available in the drop-down menu that are labeled Style 1, Style 2, and Style 3. Each style can be used as is or copied and customized to fit a specific doctor, exam or site. Each style can be configured for 2D, Doppler and M-mode Touch Screen contents. The maximum number of styles that can be added by the user is 20. Notes No. 5 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement configuration access and homepage layout • Review the General icon • Analyze the Exam Specific icon layout • Discuss Configuration • Examine patient report 6 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss the General icon. Notes No. 6 SIEMENS Healthineers Measurement options SIEMENS. Healthineers ... Styles – Edit, Add, Delete Style1 Edit Style Name Add New Style Delete Style Abdominal Obstetfics Gynecology Small Parts Pediatric Neonat Edit Style Add New Style Confirmation Style Name Style3 Style Name 1 Style (DrGriffin) will be deleted. It cannot be restored. Do you want to continue? Copy From Style3 Yes OK Cancel OK Cancel 7 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To add, edit or delete a style, use the menu keys found on the style tool bar. The factory default styles can be renamed to something other than Style 1, 2 or 3. • To edit the style name, select the style from the drop-down menu and select the Edit Style Name key with the pointer. A dialogue box will appear onscreen with the current style name that you have chosen to edit • Use the keyboard to change the name of the style and select OK to complete the change; the style will now be listed with its new name in the drop-down styles menu New styles can also be added, however, they must be copied from an existing style and then customized within each exam measurement package. • To add a new style, use the Pointer to select the Add New Style key from the style tool bar and a dialogue box will open onscreen • Within the dialogue box, choose the style you wish to copy from the drop-down menu and enter the new style name in the space provided and select OK to complete the process; your new style will be listed in the drop-down menu of style selections Customization of this new style is done in each exam measurement package and will be covered later in this presentation. All copied/customized styles can be deleted by selecting the Delete Style key. • Select the style you wish to delete from the styles drop-down list, then select Delete Style; a dialogue box will appear onscreen to confirm the deletion by selecting Yes and the style will no longer be listed in the drop-down menu of styles and it cannot be restored Please note: Factory styles, even if renamed, cannot be deleted. Notes No. 7 SIEMENS Healthineers Measurement tab SIEMENS . Healthineers ... General icon System Configuration Measurement General 1 General 2 Display Custom Keys General am Specific Measurement Results Display Settings Soft Keys 20 Calipers V| Draw dotted lines between callp 20 M Doppler Background Opacity Measurement Doppler / M.Mode O On (0/100) OF Default Position Text Annotation Marker Display Settings Body Marker Small Large Stress Echo Type Object eSieScan Caliper Default Position Depth Contrast O Center of Image Cip Store Heart Rate Tool Units and Precision (General Tools) Default Toal Printer Number of Heart Cydes 2 . Units Precision 2D Mode Barcode Distance 2 Distance Wireless Shearwave Maturement Units Distance Area Velocity (m/s) M Mode Elasticity (kPa) Distance Network Volume D Mode Velocity wall Mation Scoring Velocity 16 Segments O 17 Segment A-4Stenosis Segment Model A-Flow Volume Ellose Report View Type View Plane Bull's Eye Bo Restore Defaults 8 Unrestricted © Siemens Healthineers 2023 Speaker Notes: System-wide measurement settings are found within the General icon in the measurement tab. These system-wide measurement settings are divided into general options, such as font size or caliper type, and exam specific options, such as Auto OB or eSie Measure™ workflow acceleration package for cardiac. We will begin by exploring the general options on the right side of the screen. Notes No. 8 SIEMENS Healthineers General icon SIEMENS. Healthineers ... System-wide settings System-wide settings for 2D, M and Doppler modes Measurement Results Display Settings Background Opacity of Measurement Display Area 2D M Doppler • Background Opacity (@/100) (MDA) Default Position D 22.9 mm D 27.8 mm 1 D 30.7 mm Zero Opacity 50% Opacity 100% Opacity MDA • Units and Precision – General Tools • Set default measurement type for distance, M, Units and Precision (General Tools) Default Tool Units Precision D modes, etc. 2D Mode Distance cm Distance Distance Variable settings between modes Area cm3 M Mode Distance Volume • Position of MDA cms D Mode Velocity Velocity cmis A-%Stenosis Ellipse Time ms A-Flow Volume Ellipse Restore Defaults 9 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Measurement background opacity of the measurement display area (MDA) are system-wide settings and do not differ between modes. Use the Pointer to slide the adjustment point to the desired size or opacity. Note that font size can be adjusted on the Touch Screen during an exam and will remain that size until changed, even after shutdown. Background opacity ranges from transparent to black the further the adjustment point is moved from left to right; notice the appearance of a box outline around the measurement number as the opacity increases. The default position of the MDA can differ between modes. Select the mode from the tabs found in the Measurement Results Display Settings and use the Pointer to position the MDA within the window representing the imaging screen below. Default settings for units and degrees of precision for each general (“generic”) measurement tool (distance, area, volume, etc.) are also set within the general tab. Use the Pointer to select the desired units and precision from the choices available in the drop-down menus. These options will apply to a tool when it is not attached to a specific measurement label. Notes No. 9 SIEMENS Healthineers General icon SIEMENS. Healthineers ... General options tab • Marker Display Settings General | Exam Specific • Size – small/large Guide Line x.x 2D Calipers Draw dotted lines between calipers * * * *. * Doppler / M-Mode O On of Small Large Marker Display Settings • Type – object/number Size Small Large • Caliper Default Position – center/depth Type Object Number Caliper Default Position Depth Center of Image • Guideline for Doppler/M-mode and On/Off • Heart Rate Tool settings (heart cycle options 1-5) Heart Rate Tool Number of Heart Cycles • Shearwave Measurement Units Shearwave Measurement Units • Wall Motion Scoring settings for cardiac O Velocity (m/s) Elasticity (kPa) Wall Motion Scoring Segment Model 16 Segments 17 Segments Report View Type View Plane Bull's Eye Both 10 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The left side of the screen contains two tabs: One for General and one for Exam Specific settings. General settings apply to all exams, such as caliper size, type and default position onscreen when the caliper function is activated. Use the Pointer to select a small or large size caliper in either an object or number type icon during display. The user can choose to have the caliper show a depth measurement from the skin line when activated or appear without the measurement in the center of the screen. The Guide Line for Doppler and M-mode can be deactivated here (default is On) and the number of heart cycles can be set from the drop-down menu under the heart rate tool. Shear wave Measurement Units displayed on the report, and the options for Wall Motion Scoring’s model and type are also found within the General tab. Please note: The Shear wave Measurement Units option found here does not affect the unit that is displayed onscreen (both units are displayed onscreen). Notes No. 10 SIEMENS Healthineers General icon SIEMENS . Healthineers ... Exam Specific options tab – Obstetrics Separate customizable options for each obstetrical General Exam Specific application: Application Obstetrics • OB Add 1 week to EDC • Early OB Growth Authors • Advanced OB Display growth analysis for all growth authors in: Percentile SD Measurement and display parameters OB • Standard Deviation Growth Analysis Graphs Display GA/EDC onscreen Link Studies O Manual Automatic • Graph layout Graph Layout 1X1 O 2X2 • • BPD measurement markers AC Measurement • HC and AC display settings V AC with TAD / APAD Measurement Auto OB On/Off default selection Display SD / Growth Percentile Notice of estimated Age 1.5 SD Display GA O On Off Display EDC . On Off 11 Unrestricted © Siemens Healthineers 2023 Speaker Notes: There is also an Exam Specific tab within the General icon. This tab contains features that are specific to certain applications, such as OB or Cardiac. This is an example of the Obstetrics Exam Specific options that contain options for OB, Early OB and Advanced OB. There is a slider bar on the right side that allows the user to scroll down the page for all options and all OB exams. Measurement parameters, report parameters, and display parameters for all OB exams are found within this folder, including the default setting for Auto OB. Please note: Each OB application – General OB, Early OB, and Advanced OB – are listed separately and can be configured to fit the given exam. For example, the user may choose to have Auto OB defaulted On for the General OB preset but defaulted Off for Early OB. Notes No. 11 SIEMENS Healthineers General icon SIEMENS. Healthineers ... Exam Specific options tab – Echocardiography Separate customizable options for each cardiac General Exam Specific application: Application Echocardiography Adult Echo Adult Echo • General • Ped Echo HR Measurement Method ECG Doppler / M-Mode Auto Stat • Neo Echo Default RAP 10mmHg Heart rate measurement method eSie Measure Setting eSie Measure On Off • ECG Display of Heart Cycles M-Mode • Doppler/M-mode Doppler • Auto Stat Ped Echo General Default RAP setting (right arterial pressure) HR Measurement Method ECG Doppler / M-Mode Auto Stat eSie Measure settings Default RAP 10mmHg eSie Measure Setting eSie Measure On Off Display of Heart Cycles M-Mode C 12 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Echocardiography, much like obstetrics, has several exam-specific options for each cardiac application preset. Adult Echo, Ped Echo, and Neo Echo can be customized separately for the HR Measurement Method, Default RAP, and eSie Measure package. Scroll down to display the Neo Echo options. Select the desired option from the drop-down menus or selection box located next to the parameter using the Pointer and the Set key. Please note: The default eSie Measure Setting can differ between exams in both activation (On or Off) and number of heart cycles displayed. Notes No. 12 SIEMENS Healthineers General icon SIEMENS . Healthineers ... Exam Specific options tab Applications without Exam Specific options: General Exam Specific • Abdominal Application Abdominal • Small parts • Neonatal • Vascular • Urology • Musculoskeletal (MSK) • Intraoperative 13 Unrestricted © Siemens Healthineers 2023 Speaker Notes: There are some applications without Exam Specific options: • Abdominal • Small parts • Neonatal • Vascular • Urology • Musculoskeletal (MSK) • Interoperative These applications will be blank in content when selected from the drop-down menu. Notes No. 13 SIEMENS Healthineers General icon SIEMENS. Healthineers ... Exam Specific options tab Genera Exam Specific Gynecology application default setting for Auto Follicle Application Gynecology On/Off GYN Auto Follicle Config Auto Follicle On Off Pediatric Hip application default setting for Sonometer Genera Exam Specific display on screen On/Off Application Pediatrics Ped Hip Pediatric Hip GRAF Setting Sonometer on screen option show Hide 14 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Auto Follicle default setting for Gynecology and on screen Sonometer display option for Pediatric Hip are also found in the Exam Specific tab. Notes No. 14 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement configuration access and homepage layout • Review the General icon • Analyze the Exam Specific icon layout • Discuss Configuration • Examine patient report 15 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss the exam specific icon layout. Notes No. 15 SIEMENS Healthineers Exam-specific icons SIEMENS. Healthineers ... Style 1 Edit Style Name Add New Style Delete Style Abdominal Obstetrics Gynecology Small Parts Pediatric Neonatal Vascular Urology Echocardiogramhy Musculoskeletal IntraOperative Report 16 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Customization of individual exam presets is found within each exam category icon. Use the Pointer to select an exam category and display the customizable options onscreen. The next slide will explore the Abdominal icon contents. Notes No. 16 SIEMENS Healthineers Exam-specific icons SIEMENS . Healthineers ... Overview 2 Touch Screen Left Pane OB Table Edit Label Formula 3 ityle1 1 Abd 4 20 Doppler Renal All Labels and Calcs Touch Screen 5 Abdominal RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously Bowel None 7 Q Liver Length GB Wall Thickness GB Length CBD CHD FAST AAA Lung AAA AP Kidney Length Kidney Width Kidney AP Spleen Volume Aorta AAA dist from SMA AAA Sac Length Add Group Pancreas Head Pancreas Body Pancreas Tail INC AAA Trans Anast 1 Edit Group Anast 2 Delete Group Ao Bif 6 Ao Bif AP Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow Volume Ao Bif Trans Ao Stent Graft Undo/Redo Ao Stent Graft AP Summarize MDA Report Delete Ao Stent Graft Trans Font Size MDA Aorta Swap Restore Defaults ARA ARA Origin Art Anast CAD 17 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once an icon is selected, available setting options for the exam type are displayed. The components on the page are: 1. The list of associated exams – In this case, the Abdomen exam type is associated with Renal, FAST, and Lung exams as well; to configure these exams, select the exam from the left and the homepage for those exams will populate the screen 2. There are tabs for configuring the Touch Screen, Left Panel, etc., at the top and the page content will change with each selected tab – this homepage content is for the Touch Screen only – the remaining tabs (Left Panel, OB Table, Edit Label, Formula) will be covered in the upcoming slides 3. The different Styles for each exam are found under the drop-down menu on the right and each style can be customized within the exam type 4. Tabs for customizing the different modes – 2D, M-mode, and Doppler – are accessed with the Pointer 5. Drop-down menus for the content available in each exam and mode and are accessed with the Pointer and the contents of the drop-down menu will be covered in the next slide 6. The options will be displayed in a list below; if the list is longer than the display area, there is a slider bar to access the unseen portion 7. If combinations of labels are used, for example, in a volume, the user has the option to Measure Continuously for that sequence of measurements and Measure Continuously will automatically populate the next measurement in the series; turning off Measure Continuously will mean the user must select each component of the volume individually instead of the system automatically activating the next measurement when the previous one in the sequence is completed Notes No. 17 SIEMENS Healthineers Exam-specific icon SIEMENS. Healthineers ... drop-down menu options Touch Screen Left Panel Edit Label Formula Style1 Abd 2D Doppler All Labels and Cales Touch Screen Renal All Labels and Cales Abdominal Labels RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously Bowel Calculation Group Liver Length GB Wall Thickness GB Lengt CBD CHD Delete A FAST Function Tools Kidney Length AAA AP Kidney Width Kidney AP Spleen Volume Aorta Delete A Lung AAA dist from SMA AAA Sac Length Add Group Pancreas Head Pancreas Body Pancreas Tail IVC Report AAA Trans Anast 1 Edit Group Anast 2 Delete Group Ao Bif Ao Bif AP B Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosi: D-Flow Volume Ao Bif Trans Ao Stent Graft Undo/Redo Ao Stent Graft AP MDA Summarize MDA Report Delete Ao Stent Graft Trans Font Size Aorta Swap Restore Defaults ARA ARA Origin Art Anast CBD 18 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The drop-down menu of available content for each exam is broken into several categories. They are: • All Labels and Calcs which consists of all measurement options for the Touch Screen including series calculations, such as specific organ volumes • Labels only - This list consists of all individual measurements minus the organ specific series measurements, such as Splenic Volume • Calculation contains the organ specific series measurements but no individual Labels • The list found under Group contains packets or folders of several measurements that are grouped together; for example, a folder called “liver Doppler” containing all the measurements specific to a liver transplant can be created by the user and this newly created group can be added to Touch Screen and when selected, the folder will open and display the contents to the user; having a Group folder expands the use of a single Touch Screen key and keeps the Touch Screen contents streamlined • Function contains options, such as Delete, Delete All, and Report and these can be added to the Touch Screen in any mode – as indicated by the letter A – thus the user has the functions always available to them even when not in the active mode they are associated with • Tools is the final option in the drop-down menu and the bar containing the tools list (indicated by the letter B) are generic measurements that the user may require during the exam; the tool bar content can differ between exams and a total of eight different tools can be displayed Notes No. 18 SIEMENS Healthineers Exam-specific icons SIEMENS. Healthineers ... Overview – continued Touch Screen Left Pane OB Table Edit Label Formula Style 1 Abd 20 Doppler Renal All Labels and Calcs Touch Screen Abdominal Abd 8 RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously Bowel None Q Liver Length GB Wall Thickness GB Length CBD CHD FAST AAA Kidney AP Spleen Volume Lung Kidney Length Kidney Width AAA AP Aorta AAA dist from SMA AAA Sac Length Add Group Pancreas Head Pancreas Body Pancreas Tail IVC AAA Trans Anast 1 Edit Group Anast 2 Delete G Ao Bif 9 Ao Bif AP 10 Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow Volume Ao Bif Trans Ao Stent Graft ndo/Redo Ao Stent Graft AP 11 Font Size MDA Summarize MDA Report Delete Ao Stent Graft Trans Aorta 12 Restore Defaults ARA ARA Origin 13 Art Anast CBD 19 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Continued from previous slide: 8. A copy of the Touch Screen layout for configuration is shown here with associated labels, and any labels added to the display will appear on the Touch Screen in the same position/location 9. There are a total of 24 Touch Screen labels available per page, with three pages total; the pages are accessed by using the Pointer and Set key to select one of the white dots at the bottom of the Touch Screen display 10. A tool bar for generic measurements is customizable and available to the user when in the measurement function 11. The function bar associated with the soft keys on the Touch Screen and the rotary dials on the Control Panel have some flexibility as to what items are displayed and where 12. If required, the user can reload the default layout/selections on the page by selecting Restore Defaults 13. To return to the measurement exam icon homepage, select the Home icon with the Pointer Notes No. 19 SIEMENS Healthineers Exam-specific icon SIEMENS. Healthineers ... Rotary dial/soft key options Touch Screen Left Panel dit Label Formula Style1 Abd 20 Doppler All Labels and Calcs Touch Screen Renal Abd Abdominal RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously Bowel Liver Length GB Wall Thickness GB Lengt CBD CHD FAST AAA Kidney Length Kidney Width Kidney AP Spleen Volume Aorta Lung AAA AP AAA dist from SMA AAA Sac Length Add Group Pancreas Head Pancreas Body Pancreas Tail IVC AAA Trans Anast 1 Edit Group Anast 2 Delete Group Ao Bif Ao Bif AP Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow Volume Ao Bif Trans Ao Stent Graft Undo/Red Delete Ao Stent Graft AP Delete All Ao Stent Graft Trans Font Size Font Size Summarize MDA MDA Delete MDA Opacity Report Aorta MDA Rotation Result Compare Undo/Redo C Summarize MDA Restore Defaults ARA ARA Origin Art Anast CBD 20 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Options for customization of the soft keys at the bottom of the Touch Screen that are associated with the rotary dials on the Control Panel are below the tools options. Using the Pointer, select the downward arrow on the right side of the key you wish to change to display the drop-down menu of available options (C). Select the desired option from the list using the Pointer. Notes No. 20 SIEMENS Healthineers Exam-specific icon SIEMENS . Healthineers ... drop-down menu options Touch Screen 2D All Labels and Calcs Labels Calculation Group Function Abd Abd Abd Abd Abd Abd None None Q AAA AAA GB Liver Doppler Delete 1 Ellipse AAA AP AAA AP Kidney Volume Delete All 2 Distance Avg AAA dist from SMA AAA dist from SMA Liver Report 3 Distance Avg AAA Sac Length AAA Sac Length Spleen Volume 4 Point Dist AAA Trans AAA Trans Transplant Kidney Vol 5 Point Dist Anast 1 Anast 1 6 Point Dist Anast 2 Anast 2 A-%Stenosis Ao Bif Ao Bif AFI Ao Bif AP Ao Bif AP AP Depth Ao Bif Trans Ao Bif Trans Area Ratio Ao Stent Graft Ao Stent Graft Auto Stenosis Ao Stent Graft AP Ao Stent Graft AP Auto Trace Ao Stent Graft Trans Ao Stent Graft Trans Cardiac Axis Aorta Cross Angle ARA ARA D-%Stenosis ARA Origin ARA Origin d:D Ratio Art Anast Art Anast Disk CBD CRD Disk Trace 21 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Here is an example of the contents of each category for the 2D mode of the Abdomen exam available for the Touch Screen. Note how the contents of each category change from the All Labels and Calcs selections through to the Tools list. Each mode (2D, M-mode and Doppler) will have different options available under each category. Due to the extensive list of available options and number of exam types, we will not be going through each exam individually. This example is presented as a generalization to help better understand the contents of each category and how they differ. Notes No. 21 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement configuration access and homepage layout • Review the General icon • Analyze the Exam Specific icon layout • Discuss Configuration • Examine patient report 22 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss the measurement Touch Screen configuration. Notes No. 22 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Touch Screen Select Touch Mode and Touch Screen Left Panel Edit Label Formula Screen tab Style 1 Style Abd 20 selection All Labels and Calcs Touch Screen Renal Abd RIGHT LEFT NONE PROX DIST NONE Measure Continuously Bowel Select to Exam type Liver Length GB Wall Thickness GB Length CBD CHD options FAST add label AAA Spleen Volume Lung Kidney Length Kidney Width Kidney AP AAA AP Aorta to Touch AAA dist from SMA AAA Sac Length Add Group Pancreas Head Pancreas Body Pancreas Tail Screen AAA Trans Anast 1 Edit Group Label Anast 2 Delete Group Ao Bif D-Flow options Ao Bif AP Distance Ellipse Spline Cross Angle TVol 3 Dist ET-%Stenosis Ao Bif Trans Volume Ao Stent Graft Undo/Redo Ao Stent Graft AP MDA Summa MDA Report Delete Access to Ao Stent Graft Trans Font Size Aorta Restore Defaults additional ARA ARA Origin pages A Art Anast CBD 23 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To configure the Touch Screen: • Use the Pointer to select the Touch Screen tab from the tab options at the top of the page • Then select the exam type, mode (2D-, M-mode, Doppler) and Style from the appropriate list or drop-down menu you wish to customize The default Touch Screen layout and associated labels will be displayed on the screen. To add additional labels to the Touch Screen: • Select the label from the list of label options and use the arrow key adjacent to the list to add the label • If there is a label displayed that is not required, use the Pointer to highlight the label and the reverse arrow to add the label back into the options list • To save time, multiple labels can be highlighted and added or highlighted and removed at one time If the page becomes full, additional pages are accessed by selecting one of the white dots at the bottom of the page with the Pointer; a maximum of three pages are available Notes No. 23 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Label Swap Touch Screen Left Panel Edit Label Formula Style1 Select label 20 Doppler to be moved Renal All Labels and Calcs Touch Screen RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously Bowel Liver Length GB Wall Thickness GB Length CBD CHD FAST AAA Spleen Volume AAA AP Aorta Lung Kidney Length Kidney Width Kidney AP AAA dist from SMA AAA Sac Length Add Group Pancreas Head Pancreas Body Pancreas Tail AAA Trans Select new Anast 1 Edit Group Anast 2 Delete Group label Ao Bif Ao Bif AP Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow location Ao Bif Trans Volume Ao Stent Graft Undo/Rede Ao Stent Graft AP MDA Summarize MDA Report Delete Ao Stent Graft Trans Font Size Swap Swap Restore Defaults ARA ARA Origin A Art Anast CBD 24 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Repositioning labels on the Touch Screen during configuration is done by using the Swap feature: • Use the Pointer to highlight the label you wish to move, as well as the new location, then select the Swap option from the bottom of the screen; only one label can be swapped at a time Notes No. 24 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Measure Continuously Measure Continuously Touch Screen Left Panel Edit Label Formula Style1 Measure Continuously ON GYN 20 Doppler function Pelvic Floo All Labels and Calcs Touch Screen box contains GYN RIGHT LEFT NONE V Measure Continuously check mark Uterine Length Uterine Width Uterine AP  Bladder neck-Symphysh Cervix (EV) Endometrium Cervix Len Cervix (TA) Cervix descent Add Group Colored Otry Langth (tv) Cervix Len labels with CRL Cyst 1 (GYN) Delete Orolio check mark Cyst 2 (GYN) Last label Cyst 3 (GYN) Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow in corner Cyst 4 (GYN) Volume in series is Cyst 5 (GYN) Undo/Red box Endo Thick AP (EV) MDA Summarize MDA Report Delete unchecked Endo Thick AP (TA) Font Size Endo Thick Length (EV) Shap Restore Defaults Endo Thick Length (TA) Endo Thick Width (EV) Endo Thick Width (TA) Endometrium 25 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Measure Continuously is a feature used in conjunction with series measurements, such as volume, and is on by default in most Styles. The option to turn it off and on is located in the upper right side of the screen above the Touch Screen keys. A checkmark in the box indicates that the function is turned on. The labels involved in the continuous measurement will change color from white to yellow, orange, green, etc., depending on how many label sets are linked to Measure Continuously. This color change will be reflected on the Touch Screen during live scanning when in the measurement function. All labels, except the last one in the series, will have a checkmark in the corner box of the label indicating that they are part of a series measurement sequence. The absent checkmark in the last label indicates the end of the measurement sequence. If the user wishes to add another measurement to the series, a checkmark is placed in the box of the last label once the additional (new) label has been placed next to it on the Touch Screen layout. Adding the check mark to the label tells the system that the new label is part of the series. The new label will not have a check mark indicating that the series now terminates with that label. Notes No. 25 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Measure Continuously Measure Continuously Touch Screen Left Panel OB Table Edit Label Formula Style3 Function box OFF 20 Doppler is unchecked Touch Screen Early OB All Labels and Calcs  RIGHT LEFT NONE Measure Continuously Fetal Echo BPD HC FL GA by CRL/BPD OB (Adv) Clavicle OFD APAD TA TADIAPAD CRL HL CSP CTR Area Add Group Q1 Q2 Q4 Cyst 1 (GYN) Labels Cyst 2 (GYN) Edit Group Growth Graph Cyst 3 (GYN) gray in Delete Group Cyst 4 (GYN) All labels Cyst 5 (GYN) Distance Ellipse color Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow Volume EFW1 lack check EFW2 mark boxes Fibroid 1 Font Size Summarize MDA Report Delete Fibroid 2 Restore Defaults Fibroid 3 Swap Fibroid 4 A Fibroid 5 Fibula 26 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If Measure Continuously is off, there will be no check mark in the function box, the label text will be gray in color, and the label itself will lack a check mark box in the upper right corner. Please note: In some exam types or styles, Measure Continuously is defaulted off. Notes No. 26 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Add Group Touch Screen eft Panel Edit Label Formula Style 1 Abd 20 Doppler Touch Screen Renal All Labels and Calcs Abd RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously Bowel Aorta Main RA CHA Dialogue FAST Select to AAA IMA box to Lung Anast 1 Anast 2 add new name NO BI Add Group Ao Stent Graft Group Name SIEMENS DOPPLER group group Aorta ARA Delete Group Add Group ARA F Suprarenal Ao ARA Origin D-Flow ARA Origin / Suprarenal Ao OK Cancel Time Volume Arcuate A Inf Arcuate A Mid Summarize MDA Report Delete Arcuaté A Sup Font Size Select OK Art Anast Celiac A Origin to save Celiac A Origin, Postprandial A CHA group CIA 27 Unrestricted © Siemens Healthineers 2023 Speaker Notes: New groups of labels can be added to the Touch Screen menu. Creating a Group allows the user to have access to a list of measurements without cluttering up the Touch Screen, as this list of labels sits within one key. Once the key is selected, the list of labels are displayed on the Touch Screen. To add a new group of labels: • Select Add Group to launch a dialogue box and type in the new Group Name in the space provided • Select OK to add the newly created group label to the Touch Screen keys A maximum of 54 labels can be added to a Group (18 labels x three pages). Notes No. 27 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Add Group auch Screen eft Panel Edit Label Formula Style 1 Abd 20 Doppler All Labels and Calcs Touch Screen Renal Abd RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously File icon  Bowel Aorta Main RA CHA SIEMENS DOPPLER indicates a FAST AAA Celiac A Origin Splenic A SMA IMA group label Lung Anast 1 Anast 2 Ao Bif Add Group Ao Stent Graft Aorta Edit Group ARA Delete Group Use arrow ARA / Suprarenal Ao ARA Origin Velocity PI Auto 1 Manual Time D-Flow ARA Origin / Suprarenal Ao Volume Arcuate A Inf Undo Redo to display Arcuate A Mid MDA Summarize MDA Report Delete Arcuate A Sup Font Size group Art Anast Restore Defaults Celiac A Origin Celiac A Origin, Postprandial A CHA CIA 28 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The newly created group label, in this example “Siemens Doppler”, will appear on the screen in one of the blank keys in the top line of the Touch Screen keys. If the top line of keys are already fully populated with labels and there are no blank keys, the group label will appear on the next page containing a blank/open space in the first line of keys. The default location on the first line is related to how the Group opens up on the Touch Screen when activated during measurement. When in configuration, a file icon on the lower right corner of the Touch Screen key alerts the user that the key label contains a Group. To open the Group and begin adding labels, use the Pointer to select the small downward arrow on the key. Notes No. 28 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Add Group auch Screen eft Panel Edit Label Formula Style 1 Abd 20 Doppler Touch Screen Renal All Labels and Calcs General Abd RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously Bowel imaging group Aorta Main RA CHA SIEMENS DOPPLER location FAST AAA AAA Anast 1 Anast 2 Ao Stent Graft Lung Anast 1 Anast 2 Ao Bif Add Group Ao Stent Graft Aorta Edit Group ARA Delete Group ARA / Suprarenal Ao ARA Origin Velocity RI PI Auto 1 Manual HR Time D-Flow Open group to ARA Origin / Suprarenal Ao Volume Arcuate A Inf Undo Redo add labels Arcuate A Mid MDA Summarize MDA Report Delete Arcuate A Sup Font Size Art Anast Celiac A Origin Restore Defaults Celiac A Origin, Postprandial A CHA CIA 29 Unrestricted © Siemens Healthineers 2023 Speaker Notes: When the Group is open, the blank labels for configuration display in the bottom three rows of the Touch Screen. The layout display location is the reason why all Groups can only be placed in the first row of the Touch Screen keys in General Imaging. Adding labels to a Group is done the same way as the regular Touch Screen keys once the Group is opened and the blank keys are displayed. Use the Pointer to select label(s) and the arrow to add to the open Group. Labels can be swapped around the keys using the Swap selection as explained in an earlier slide. A maximum of 54 labels can be added to a Group (18 labels x three pages). Notes No. 29 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Add Group Touch Screen Left Panel Edit Label Formula Adult Echo 20 Doppler All Measurement Touch Screen Ped Echo Adult Ech No labels for Measure Continuously Neo Echo Mitral Valve ADIRA laterality or Cardiac location EPSS (Adult Echo) groups HR Edit MV Arca Add Group AOd LAs diam MV Diam Edit Group Distance Ellipse Spline Cross Angle Vol 3Dist ET\Stenosis UndolRedo MDA Report Delete eSie Measure Font Size Restore Defaults A 30 Unrestricted © Siemens Healthineers 2023 Speaker Notes: There is an exception for the location of a Group label found in the Cardiac application. The measurement labels for Cardiac lack the laterality and location label options (right, left, proximal, mid, etc.) required for General Imaging. Without these labels, the number of configurable measurement label keys for Cardiac expand to include the row used by laterality and location for General Imaging. As a result, Groups on a Cardiac Touch Screen can be located on the first and second lines of the Touch Screen. Groups will still open and populate the bottom three rows regardless of their location on the first or second line of the Touch Screen keys. In this example, the AO/LA Group on the first row is open and displayed on the bottom three rows of the Touch Screen, even though the Group is located on the top row with a row in between it. The result is that Groups located on the top row of a Cardiac screen have the same number of labels as Groups located on the second row. Notes No. 30 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Left Panel Touch Screen Left Panel Edit Label Formula Style 1 20 Doppler Measurement List Highlight Renal All Labels and Calcs Liver Length VI Measure Continuously Abd label to be Bowel GB Wall Thickness moved GB Length FAST CBD ... AAA Lung AAA AP CHD AAA dist from SMA Kidney Length AAA Sac Length Add Group Kidney Width Arrows to AAA Trans Anast 1 Kidney AP Add or Anast 2 Edit Geos change label AD Bif Spleen Volume Miete Crois location remove Ao Bif AP Aorta Ao Bif Trans labels Pancreas Head Ao Stent Graft Ao Stent Graft AP Pancreas Body Ao Stent Graft Trans Pancreas Tail Aorta ARA IVC ARA Origin A Art Anast CBD Restore Defaults 31 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The tab next to the Touch Screen tab is the configuration options for the Left Panel, as it is configured separately from the Touch Screen. The same label lists are available for the left panel as for the Touch Screen and the labels are added/removed from the left panel in the same manner by way of the bidirectional arrows. Mode selection tabs for 2D, M-mode and Doppler as well as choice of Styles are activated the same as when configuring the Touch Screen tab. Label position on the left panel is accomplished by using the up and down arrows next to the selected labels and moving them up and down the list. To move a label, use the Pointer to highlight the label you wish to move; then select the appropriate arrow to move the label to the new position. Please note: Measure Continuously check marks and associated label color change appear on the Left Panel labels as well as the ability to Add Groups to the measurement list. Notes No. 31 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Edit Label Touch Screen Left Panel Edit Label Formula Style 1 Abd 20 Doppler All Labels and Calcs Renal eport Section 2D Mode Measurement None Label Bowel Exam Abd Value Display Type Last AAA LURL. Prox/Mid/Dist. Highlight Value FAST AAA AP AAA dist from SMA Data Shared Between Exams AAA Sac Length Display Area V MDA V Report Anast 1 Supporting Tools 6um Anast 2 New Ao Bif Edit 2D Mode M Mode D Mode Ao Bif AP Ao Bif Trans Ao Stent Graft Copy Available Method Selected Method Ao Stent Graft AP Ao Stent Graft Trans Delete Name Units Precision Aorta ARA ARA Origin Art Anast CBD Celiac A Origin Celiac A Origin, Postprandial CHA CHD CIA CIA Aneurysm CIA Aneurysm AP CIA Aneurysm Trans CIA AP Save CIA Stent CIA Stent AP Restore Defaults CIA Stent Trans 32 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Edit Label tab allows the user to add new labels as well as edit components of existing factory or custom labels. To add a new label: • Select the New key to activate the information fields and define the label parameters • Name the new label in the space provided using the keyboard User-defined label names can contain up to 64 characters including spaces. Notes No. 32 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Edit Label Touch Screen Left Panel Edit Label Formula Style1 Abd 20 Doppler All Labels and Cales Renal Label NEW LABEL Report Section 2D Mode Measurement Bowel Exam Abd Value Display Type Last Abd JAMA Lt./Rt. V Prox/MidiDist Highlight Value FAST AAA AP AAA dist from SMA Data Shared Between Exams Display Area V MDA V Report Abd AAA Sac Length Renal Lung AAA Trans Anast 1 New Supporting Tools Bowel Anast 2 FAST AD Bif Edit 2D Mode M Mode D Mode Lung Ao Bif AP Ao Bif Trans GYN AD Stent Graft Copy Available Method Selected Method AD Stent Graft AP Distance O Distance (D) Name Pelvic Floor Units Precision Ao Stent Graft Trans Aorta Delete Breast ARA Testis ARA Origin Distance Art Anast Open Trace Penile Thyroid Celiac A Origin Auto Trace Celiac A Origin, Postprandial Ped Hip CHA Ped Abd CHD CIA CIA Aneurysm CIA Aneurysm AP CIA Aneurysm Trans CIA AP Save CIA Stent CIA Stent AP tore Defaults CIA Stent Trans 33 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once the label has been named, the user must define the label by choosing the exam it will be linked to. Several exam types are available in a drop-down menu below the label name. Additional parameters, such as Report Section, Value Display Type and Laterality/Location, must also be defined for the new label. Under the Supporting Tools options, the user can decide which type of measurement action will be linked to the label. In this example, the label is defined as a Distance calculation with a point-to-point distance measurement rather than an Open Trace or Auto Trace. The default setting for the Units and Precision of any new measurement regardless of type have been predefined in the General icon in the system-wide settings. This default setting can be edited once the label is saved and added to the label list. Select Save to complete the new label addition. Notes No. 33 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Edit Label Touch Screen Left Panel Edit Label Formula Stylet Abd 20 Doppler All Labels and Cales Renal Label NEW LABEL Report Section 2D Mode Measurement Bowel Exam Abd Value Display Type Last Liver Highlight Value FAST Liver AP Liver Length Liver Mass 1 Data Shared Between Exams Display Area V MDA Lung Liver Mass 10 Liver Mass 2 New Supporting Tools Edit Liver Mass 3 Liver Mass 4 Edit ZD Mode @ M Mode D Mode Liver Mass 5 Liver Mass 6 Liver Mass 7 Copy Available Method Selected Method Liver Mass B Distance Distance (D) Units Liver Mass 9 Name Precision Liver Width Dilate LPV Distance Main RA Main RA Origin Open Trace MHV MPV Auto Trace Neck Diam Neck Length NEW LABEL Outflow Vessel 1 Outflow Vessel 2 Pancreas Body Pancreas Duct Pancreas Head Save Pancreas Tail Portal V Anast Restore Bulaults Portal V. Pre Anast 34 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The newly created label, in this example called “NEW LABEL”, will appear in the master drop- down list that contains all the existing labels. If the user wishes to change any parameters of the new label, this is accomplished using the Edit function. Using the Pointer, choose the new label from the master list and then select Edit. All previously defined fields may be altered including the Units and Precision. There is a benefit to being able to alter the default Unit or Precision for any individual label in that the user is able to measure a structure, such as the gall bladder wall, in millimeters, while other labels, such as kidney length, remain in centimeters. A single measurement unit type does not fit all measurement situations – the ACUSON Maple ultrasound system measurement package has the flexibility to easily meet these needs and not force the user to a “one size fits all” unit type. Notes No. 34 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Edit Factory label Touch Screen Left Panel Edit Label Formula Stylet Abd 20 Doppler All Labels and Cales Renal Label AORTA 2 Report Section 2D Mode Measurement, D Mode Mv Bowel Exam Abd, Renal, FAST, Ped Abd Value Display Type Last AAA Lt./Rt. V Prox/MidiDist Highlight Value FAST AAA AP AAA dist from SMA AAA Sac Length Data Shared Between Exams Display Area V MDMA Lung AAA Trans Anast 1 Supporting Tools Copy Anast 2 AD Bif Edit 2D Mode @ M Mode D Mode Ao Bif AP Ao Bif Trans Available Method AD Stent Graft Copy Selected Method Ao Stent Graft AP Distance (D) Units Precision Ap Stent Graft Trans Dilate Distance Name Aorta Open Trace (D) ARA Distance Open Spline (D) ARA Origin Art Anast Open Trace CHO Celiac A Origin Auto Trace Celiac A Origin, Postprandial CHA CHD CIA CIA Aneurysm CIA Aneurysm AP CIA Aneurysm Trans CIA AP Save CIA Stent CIA Stent AP Restore Defaults CIA Stent Trans. 35 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Labels can also be copied and renamed. If an existing label already contains all the necessary criteria, copying and renaming it to fit your desired label is a short cut to creating customized labels. To copy a label: • Open the Edit Label of the exam icon you wish to add the label to; then select the label you want to copy from the master list of available labels • Select Copy and the label parameters will populate on the right side of the screen; rename the label and select Save to complete the process Notes No. 35 SIEMENS Healthineers Configuration SIEMENS. Healthineers ... Cardiac Labels – Add New • All Echocardiography exam Measurement types have label categories Touch Screen Left Panel Edit Label Formula Style1 • All other exams do not have Adult Echo 20 All Labels and Calcs Touch Screen label categories TEE Adult Echo Ped Echo Mitral Valve Neo Echo EPSS HR (ECHE) MV Area Add Group MV Diam All Labels and Calcs Edit Group Delete Group Carotid None Distance Ellipse Spline Cross Angle Vol 3 Dist ET-Stenosis Disk Q UndalReda Font Size MDA Report Sie Measure Restore Defaults Cose 36 Unrestricted © Siemens Healthineers 2023 Speaker Notes: When creating new labels for any cardiac preset, the workflow differs from that of general imaging exams. This is due to the fact that cardiac presets contain different categories of measurements related to anatomy, pathology or formulas (i.e., Simpson’s method). Notes No. 36 SIEMENS Healthineers Configuration SIEMENS. Healthineers ... Cardiac Labels – Add New “None” category for Measurement Cardiac is at bottom of list Touch Screen Left Panel Edit Label Formula Stylet Adult Echo 20 Doppler All Labels and Calcs TEE Touch Screen Adult Echo Ped Echo Mitral Valve RA Vol AL Neo Echo Tricuspid Valve QpiQs Pulmonary Valve Add Group PR Pulmonary Vein Edit Grou ImVcfc ESWS Delete Grou Tel Index None Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis Disk UndalRedo Font Size MDA Report esie Measure Restore Defaults Cose 37 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Cardiac contains the same “None” folder at the bottom of the categories list that is found in the general measurements display. This “None” folder becomes important when creating custom measurement labels for cardiac as all custom measurement labels will be located in this folder unless the label was copied and renamed from an existing category. Notes No. 37 SIEMENS Healthineers Configuration SIEMENS . Healthineers' ... Cardiac Labels – Add New Touch Screen Left Panel Edit Label Formula Stylet 20 20 20 Doppler All Labels and Cales All Labels and Calcs All Labels and Calcs ortic Valve None test label Report Section 2D Mode Measurement hortic Valve Label Exam Adult Echo Value Display Type AVA (Vmax) AV Area LE/RE Prow/MidiDist Label does Label Highlight Value AVA (VTI) ™ label AVA (Vmax) CI AVA (VTI) Data Shared Between Exams Display Area CI MDA V Report not CO appears in HR CO Supporting Tools HR (Edit) appear in HR (Edit) LVOT Diam “None” LVOT Diam O 2D Mode M Mode D Mode Op/Os OpiQs Qp-Qs Qp-Qs Copy Available Method selected Method Aortic list SV Delete Distance Distance (D) Name Units Precision Valve list Distance Open Trace Open Spline Save re Defaults 38 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the user tries to create a custom label in the Edit Label tab for the Aortic Valve category following the same steps that were outlined for general imaging, the label will not be listed in the Aortic Valve list after Save – it will instead be found in the None category. To have a new custom label be listed in a category other than None, the new label must be copied from an existing label in that category and renamed. Notes No. 38 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Cardiac Labels – Copy/Add New ouch Screen Left Panel Edit Label Formula Style 1 2D M 20 All Labels and Calcs Adult Echo Doppler AOILA Ped Echo All Labels and Calcs 1 3 ADILA Label RV test label Report Section AOILA, AOILA (M) Q kam Adult Echo, Ped Echo, Neo Echo Neo Echo Value Display Type Last ACS AOd AOd/LAS ACS LE./Rt. Prox/MidiDist Highlight Value AOd AOS AOUILAS Data Shared Between Exams Display Area V MDA V Report LAd Diam AOS LAs Diam LAd Diam LAs Diam New Supporting Tools LAs/AOd 5 RV Diam 2 LAS/AOd PV Dian Edit 2D Mode M Mode D Mode *RV test label 5 Copy Available Method Selected Method Delete Distance O Distance (D) Name Units Precision Distance Open Trace Open Spline 4 Save Restore Defaults 39 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To add a custom label to a specific category: 1. Select the category from the drop-down menu you wish to add the label to 2. Select the label you want to copy – it must contain the parameters required for the new label 3. Rename the label to the new custom label name 4. Select Save 5. The new label will be displayed with an asterisk [*] before the name in the chosen category Please note: Not all labels can be copied and renamed. If a label cannot be copied, the Copy key will remain inactive (grayed out) and will not be selectable when the label is highlighted from the master list. Notes No. 39 SIEMENS Healthineers Measurement Configuration SIEMENS . Healthineers ... OB Table Touch Screen Left Panel OB Table Edit Label Formula Style 1 Gestational Age Growth Analysis Graphs Ratio GA (BPD) Hadlock Growth (BPD) Hadlock Hadlock Early off GA (BPDa) Hadlock Growth (HC) Hadlock Cerebellum/AC Meyer GA (HC) Hadlock Growth (AC) Hadlock Lat VentrHW Obstetrics Johnson etal (cho GA (AC) Hadlock Growth (AFI) Moore FLIAC Hadlock GA (FL) Hadlock Growth (LV-A) Nicolaides HCIAC Campbell GA (HL) Growth (APTD x TTD) ISUM FU/RPO Hohler GA (Foot) Mercer Growth (CD) Hadlock GA (OFD) ASUM Growth (Cist Magna) Nicolaides GA (FTA) Osaka Growth (Clavicle) Yarkoni GA (APTD x TTD) Tokyo Growth (CRL) Hadlock GA [TAD) Merz Growth (EFW1) Hadlock GA (APAD) Merz Growth (William EFW1) William GA (Uina) Jeanty Growth (EFW2) Hadlock Same Author for All Labels Estimated Fetal Weight Hadlock Apply EFW 1 Hadlock1 - (AC, FL) EFW 2 Hadlock4 . (BPD, HC. AC, FL) USGA Average Restore Defaults 40 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The OB Table tab is only found within the Obstetrics exam icon. Under the OB Table tab, select the appropriate table using the drop-down menu under each growth parameter. Please note: You can have different tables for each label or select the Same Author for All Labels option. Notes No. 40 SIEMENS Healthineers Measurement Configuration SIEMENS . Healthineers ... Formula – New table Touch Screen Left Panel 08 Table Edit Label Formula Stylet Table type Gestational Age Ratio Growth Analysis Graphs Custom Q Reference O Formula Farty 08 GA (BPD) - Hadlock Reference (Author) GA (BPO) . Merz Fetal Echo GA (BPD) - Lasser Variable Label Comtant GA (BPD) - Rempen Variable 08 (Adv) Label Value GA (EPD) - Tokyo New 20 Mode GA (BPD) - Osaka Label Units Proximity GA (SPD) - ISUM NONE NON! GA (BPD) - ASUM GA (BPDa) - Hadlock GA (BPDa) - Merz Select New GA (BPDa) - Lasser Data Type GA (BPDa) - Rempen to begin GA (BPDa) . Tokyo GA (BPDa) - Osaka entering GA (BPDa) - JSUM Week GA (BPDa) - ASUM table GA (HC) - Hadlock Operador GA (HC) - Merz GA CHO) - Lasser 0 1 2 3 4 56789 GA(AO) - Hadlock GA (AC) - Metz A GA (AC) - Lasser GA (AC) . JSUM 41 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the clinical site requires the use of a table that does not exist on the ultrasound system, a new table can be added by either data entry (line by line) or by inputting a formula: • Within the Formula tab, select the table type you wish to add or create – Gestational Age, EFW, Ratio or Growth Analysis; for this example, we will select Gestational Age • Once the Gestational Age table type has been defined, select New to activate the custom data fields for entering the new table information Please note: The Custom tab is only for formula entries. Notes No. 41 SIEMENS Healthineers Measurement Configuration SIEMENS . Healthineers ... Formula – Custom GA table addition Touch Screen Left Panel OB Table Edit Label Formula Stylet Gestational Age Ratio Growth Analysis Graphs Custom Q Reference Farty 08 Weeks Days Low Limit Value Up Limit GA (BPD) - Hadlock Reference [Author) 0.0 0.0 GA (BPO) . Merz 1 Test Fetal Echo GA (BPD) - Lasser Variable Label GA (BPD) - Rempen 08 (Adv) GA (EPD) - Tokyo 2 GA (BPO) GA (BPD) - Osaka Range GA (BPD) - ISUM GA (BPD) - ASUM GA (BPDa) - Hadlock GA (BPDa) - Merz GA (BPDa) - Lasser GA (BPDa) - Rempen 3 Date Type GA (BPDa) . Tokyo Table Formula GA (BPDa) - Osaka GA (BPDa) - JSUM week Day GA (BPDa) - ASUM GA (HC) - Hadlock GA (HC) - Merz GA CHO) - Lasser Clear Cell Clear All GA (AO) - Hadlock Dear Line GA (AC) - Metz A GA (AO) - Lasser GA (AC) . JSUM 42 Unrestricted © Siemens Healthineers 2023 Speaker Notes: 1. The first step in entering the new table data is to add a table name in the Reference (Author) space provided and the table will be listed with this name in the master table list 2. Next, define the variable – for the GA table example the choices will be BPD, HC, AC, etc., - as well as the range in weeks from the first entry to the last; Data Type and Result Unit must also be defined 3. Once all the reference fields have been filled in, the chart data – Weeks, Days, Low Limit, Value and Up Limit – can be entered and the chart will continue to add new lines as you progress through the data entry Please note: New custom reference author names (i.e. “John Smith”) and variable labels (i.e. “Radius”) can be added by entering the new name within the spaces provided. Custom chart reference author and variable label names are not limited to only the choices that are listed in the drop-down menu from factory. Notes No. 42 SIEMENS Healthineers Measurement Configuration SIEMENS . Healthineers ... Custom GA chart/Save Touch Screen Left Panel OB Table Edit Label Formula Style 1 Gestational Age Ratio Growth Analysis Graphs Gestational Age OR EFW Custom Reference Weeks Days Low Limi Value Up Limit Early OB GA (BPD) . Hadlock Reference (Author) 3.0 4.0 5.0 GA (FTA) . Osaka 5.0 Fetal Echo GA (BPD) - Merz Test 7.0 D'E GA (APID x TTD) - Tokyo GA (BPD) - Lasser 5.0 8.0 Variable Label 5.0 6.0 GA (TAD) - Merz 9.0 OB (Adv) GA (BPD) - Tokyo GA (BPD) 5.0 7.0 GA (APAD) - Merz 10.0 6.0 11.0 GA (Uina) -Jeanty GA (BPD) - Osaka 8.0 Chry Range 7.0 9.0 12.0 GA (Binoc D) - Jeanty GA (8PD) - JSUM 7.0 10.0 13.0 GA (Binoc D) - Tongsong GA (BPD) . ASUM B.O GA (Tibia) " Jeanty GA (BPDa) - Hadlock 9.0 12.0 GA (Clavicle) - Yarkconi GA (BPDa) - Merz Dritte 10.0 13.0 17.0 GA (CRL) - Hadlock GA (BPDa) . Lasser Data Type 10.0 14.0 18.0 GA (CRL) . Robinson GA (BPDa) - Rempen Table Formula 11.0 15.0 19.0 GA (CRL) - Hansmann GA (BPDa) . Tokyo 12.0 16.0 20.0 GA (CRL) . Lasser GA (EPDa) - Osaka Result Unit 0.0 0.0 0.0 GA (CRL) - Tokyo GA (BPDa) - JSUM Week Day GA (CRL) - Osaka GA (BPDa) - ASUM GA (CRL) - JSUM GA (HC) - Hadlock GA (CRL) - ASUM GA (HO) - Merz GA (Mean Sac Diam) - Hellman GA (HO) -Lasser GA (AC) . Hadlock Clear Cell Clear Lin Clear All GA (Mean Sac Diam) - Rempen GA (GSD) - Tokyo GA (AC) - Merz GA (AC) - Lasser GA (BPD) - "Test GA (AC) - JSUM Save 43 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once all values for the table have been entered, select Save to verify the table and add it to the list of available tables. The new table will appear in the list under chart type (i.e. Gestational Age) and the name provided in the Reference space. Notes No. 43 SIEMENS Healthineers Measurement Configuration SIEMENS. Healthineers ... Custom Formula Touch Screen OR Table Ede Label Stylet Touch Screen Edit Label Stylet Gestational Age CGmerch Analysis Grunge Cantom Formul Reference Formula Formula Name NHA 20 Mulde Value 2D Mode LOpy Output Value Label Whyits Proximity NONE NONE Edit NONE NON NONE NONE mm NONE NONE IN CON TAY ATAN NOG 0 1 2 3 4 5 6 7 89 SIN COS TAN' 'ATAN LOG OB Custom Formula Tab General Imaging Custom Formula Tab 44 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Custom measurement formulas can be added for both OB and general exams. Any custom formulas added under the Custom tab for OB are not related to a biometry table, but are general parameter calculations, such as “A over B minus C” for a selected variable. The maximum number of characters available for a user defined formula is 64. Please note: The other table type tabs found in OB (Gestational Age, EFW, Ratio, Growth Analysis Graphs) are absent in the general imaging formula tab. Notes No. 44 SIEMENS Healthineers Measurement Configuration SIEMENS . Healthineers ... Restore Defaults Touch Screen Left Panel Edit Labe Formula Stylet 20 Doppler Touch Screen Renal Tools RIGHT LEFT NONE PROX MID DIST NONE Measure Continuously Bowel None Liver Length GB Wall Thickness GB Length CBD CHD FAST Confirmation Lung Spleen Volume Aorta 1 his will restore the factory settings. Your settings cannot be recovered. Do you want to continue? INC Yes AFI Restore Defaults AP Depth Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow Volume Area Ratio Auto Stenosis Undo/Red Auto Trace MDA Summarize MDA Report Delete Cardiac Axis Font Size Cross Angle Restore Defaults D-%Stenosis d:D Ratio Disk Disk Trace 45 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Touch Screen, Left Panel, OB Table and Edit Label tabs all contain a Restore Default option at the bottom of the page. The Formula tab does not have this option. Notes No. 45 SIEMENS Healthineers Custom formula using body surface area (BSA) SIEMENS. Healthineers ... Echocardiography Custom formulas using BSA are only Register New Patient supported in the Echocardiography 1. New Patient Paleet Demographics measurement configuration menu H/ Edit Patient Data Last Name BSA TEST33 Patient ID First Name Date of Birth DD MM YYYY Age Gender Male Female Other For custom BSA formulas to work, the Height 170 BSA 1.97 weight 85 user must enter Height and Weight for mmHg patient’s exam Height 170 cm BSA 1.97 m2 Weight 85 kg BP mmHg Additional Info Order Information Performing MD referring MD Sonographer OK Cancel 46 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Custom formulas using body surface area (BSA) are only supported within the Echocardiography exam icon. It is essential to remind that height and weight must be entered during the patient’s registration for custom formulas using BSA to work. Notes No. 46 SIEMENS Healthineers Creating a custom formula using BSA SIEMENS . Healthineers ... Echocardiography To access: 1. Select System Configuration 2. Select Measurement 1 System Configuration Measurement 3. Select Echocardiography 2 General Edit Style Name Add New Syte Delete Sty Neonatal 3 Echocardiogramhy IntraOperative Report Cose 47 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To access the Echocardiography measurement configuration menu: 1. Select System Configuration 2. Select Measurement 3. Select Echocardiography Notes No. 47 SIEMENS Healthineers Creating a custom formula using BSA SIEMENS. Healthineers ... Echocardiography To begin creating a new custom formula: Measurement 1. Select exam type Touch Screen Left Panel 2 Formula 2. Select Formula 1 Adult Echo Custom 3. Select New Q Reference Formula TEE Formula Name Ped Echo Variable Neo Echo New Label Value Adult Echo 2D Mode - Output Value Label Units Units LLIRL. Proximity Copy Unit BSA NONE NONE Edit Precision IVSd (Teichholz) mm NONE NONE Delete LVIDd (Teichholz) mm NONE NONE LVPWd (Teichholz mm NONE NONE RVAWd (Teichholz mm ¥ NONE NONE 3 New RVDd (Teichholz) mm NONE NONE Operation Copy SIN COS TAN 'ATAN LOG 2 3 45 6 7 8 IN EXP SORT ABS A Edit Delete Cose 48 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To begin creating a new custom formula in the Echocardiography measurement configuration menu: 1. Select Adult Echo 2. Select Formula 3. Select New Notes No. 48 SIEMENS Healthineers Creating a custom formula using BSA SIEMENS. Healthineers ... Echocardiography 1. Define Formula Name Touch Screen Left Panel Edit Label Formula Style 1 2. Select Unit and Precision of Custom measure Adult Echo Reference Formula 3. Choose exam type TEE 1 ormula Nam 7 4. Select mode of measure Ped Echo Constan Variable 5. Listed available factory labels Neo Echo New Label Value 3 Adult Echo 4 2D Mode ,Output Value Label Units LL./Rt. Proximity 6. Available operations for Unit LV 2ch EDV (Simp ml NONE NONE creating custom equation 2 Precision LV 2ch ESV (SimpimL > NONE NONE 7. Custom Formula displays as Delete 5 EDV (Simpson SP) mL. NONE ~ NONE ESV (Simpson SP) mL NONE NONE created LVLd apical (Simp mm NONE NONE LVAd sxMV (Simp cm2 NONE NONE 6 "SIN COS TAN' 'ATAN LOG 0 1 2 3 4 5 6 7 8 9 LN EXP SORT "ABS A Save Select Save to complete formula Close 49 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To create a custom Formula, all the components of the equation must be defined: 1. Define the Formula Name • The Formula Name appears with the equation results in the measurement display area (MDA) and on the report page under 2D Mode Measurement 2. Select the output value’s Unit and Precision of measurement from the available drop-down menus 3. Factory labels displayed depend on the selected exam type from the drop-down menu 4. Select measurement mode from the drop-down menu (2D Mode, M Mode, D Mode) • The measurement mode selected determines the listed factory labels 5. Select desired labels from the factory default list to create a custom formula • Custom labels are not supported in creating custom formulas 6. Use the desired combination between the available operations and labels to create the custom formula (Please note: You must adhere to the order of operations when creating the formula) 7. The custom formula displays in this field as it is being created Notes No. 49 SIEMENS Healthineers Custom formula using BSA example SIEMENS . Healthineers ... Echocardiography Measurement “Invalid formula format” Touch Screen notification appears when a Left Panel Edit Label Formula Style1 custom formula is not created Adult Echo correctly Q Reference Formula TEE EDVKBPS Formula Name (( 'LV 4ch EDV (Simpson BP)' + 'LV 2ch EDV (Simpson BP)) / 2) ("BSA EDVi(BP) Ped Echo Constant Variable Confirmation Neo Echo New Label Value Adult Echo 2D Mode Copy output Value Label Units Lt.IRt. Proximity Unit mU/m2 LV 4ch EDV (Simp cm3 V NONE NONE X Invalid formula format. Please check formula equation. Edit Precision LV 2ch EDV (Simpcm" > NONE NONE Delete BSA m2 NONE NONE OK IVSd (Teichholz) mm ¥ NONE NONE LVIDd (Teichholz) mm Y NONE NONE LVPWd (Teichholz mm NONE NONE SIN COS TAN ATAN LOG 0 1 2 3 4 5 6 7 8 9 IN EXP SORT "ABS A 50 Unrestricted © Siemens Healthineers 2023 Speaker Notes: In the example displayed, a new custom formula was created for the left ventricular end diastolic volume biplane measurement indexed to body surface area. As custom formulas are created and saved for the selected exam type, they populate to the list under the Custom tab. The Formula display field shows the variables and order of operations selected for creating this example. Please note: If the created equation does not use factory defined labels and/or the correct order of operations, the system will display the message “Invalid formula format. Please check the formula equation.” Notes No. 50 SIEMENS Healthineers Display of custom formula results using BSA example SIEMENS . Healthineers ... Echocardiography Adult Echo Patient CJ Exam Specific Information Exam E Simpson BP E LA Vol (Simp) E 2D Mode Measurement 2 LVIDd 45.0 mm Report Images 1 |VSd 13.5 mm Comments 3 LVPWd 11.6 mm EDV 92.45 mL LVIDDI 23.0 mm/m2 ~ 2D Mode Measurement Label Method Value V1 LVIDDi Last 23.0 mm/m2 13 cm LVIDSi Last 13.4 mm/m2 LVESV(BP) Last 27.73 m/m2 LAESV(BP)i Last 23.11 mU/m2 51 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once the last labeled measurement(s) is performed for any given custom formula during an active exam, the custom formula’s result will appear in the MDA and can also be found on the report page. Here we see an example of a performed labeled measurement showing custom formula results using BSA. Custom formula results appear in the MDA and on the report page under 2D Mode Measurement. Notes No. 51 SIEMENS Healthineers Common custom formula equations with BSA SIEMENS . Healthineers ... Echocardiography • LVIDDi Left Ventricular Internal Diameter diastole indexed ‘LVIDd (Teichholz)’ / ‘BSA’ • LVIDSi Left Ventricular Internal Diameter systole indexed ‘LVIDs (Teichholz)’ / ‘BSA’ • LVEDV(BP)i Left Ventricular End Diastolic Volume biplane indexed ((‘LV 4ch EDV (Simpson BP)’ + ‘LV 2ch EDV (Simpson BP)’) / 2) / ‘BSA’ • LVESV(BP)i Left ventricular End Systolic Volume biplane indexed ((‘LV 4ch ESV (Simpson BP)’ + ‘LV 2ch ESV (Simpson BP)’) / 2) / ‘BSA’ • LAESV(BP)i Left Atrial End Systolic Volume biplane indexed ((‘LA 4ch ESV (LA Vol Simp)’ + ‘LA 2ch ESV (LA Vol Simp)’) / 2) / ‘BSA’ • RAESVi Right Atrial End Systolic Volume indexed ‘4ch (RA Vol Simp)’ / ‘BSA’ 52 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The following are some of the common custom formula equations using body surface area in echocardiography. The exact labels and order of operations required for use on the ACUSON Maple ultrasound system are listed. A hyperlink for downloading a ZIP file of these presets can be shared via email as needed: • Extract the ZIP file download and save the backup at the first root level folder and select Preset_Backup on a clean thumb drive • Upload the Preset_Backup using Restore in the service menu Please note: For additional information on back-up and restore, please refer to the ACUSON Maple Ultrasound System Getting Started presentation. Notes No. 52 SIEMENS Healthineers Custom formula using BSA - key reminders SIEMENS . Healthineers ... Echocardiography • Height and weight must be entered during patient registration for custom formulas using BSA to work • Must use at least one or more predefined measurement labels in addition to BSA • Custom label cannot be used in custom formula (only factory loaded labels are available for use in custom formulas) • Custom formula names are unique for each exam type under the Echocardiography measurement configuration menu 53 Unrestricted © Siemens Healthineers 2023 Speaker Notes: There are a few key reminders worth mentioning when creating custom formulas: • Patient’s height and weight must be entered during patient registration for custom formulas indexed to BSA to work • At least one or more predefined measurement labels in addition to BSA must be used • Custom label cannot be used in creating custom formula (only factory default labels are supported in creating custom formulas) • Custom formula names are unique to the exam type for which they were created (they can not be used in another exam type) Notes No. 53 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement configuration access and homepage layout • Review the General icon • Analyze the Exam Specific icon layout • Discuss Configuration • Examine patient report 54 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Lastly, we will discuss the patient report. Notes No. 54 SIEMENS Healthineers Patient report SIEMENS . Healthineers ... Measurement Report 4 Category Tabs Report Anatomy Section Assessment Comments Print Preview Report 55 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Configuration of exam reports is located in the Report icon in the bottom corner of the System Configuration Measurement Tab. There are four category tabs available for configuration: • Report Section • Anatomy Assessment • Comments • Print Preview Notes No. 55 SIEMENS Healthineers Patient report SIEMENS. Healthineers ... Report Section Anatomy Assessment Comment Print Preview Exam Abd Exam Specific Information Prox CHA VHD Report 2D Mode Measurement M Mode Measurement Mid CHA Dist CHA D Mode Measurement Portal V Pre Anast VTq Measurement Portal V Anast Assessment Portal V Anast/Pre Anast Vel Images Celiac A Origin Splenic A Comments Prox Splenic A Mid Splenic A Dist Splenic A Aorta Prox Aorta Mid Aorta Report Section Dist Aorta Suprarenal Ao Main RA Origin Prox Main RA Origin Mid Main RA Origin Dist Main RA Origin Lt. Main RA Origin Lt Prox Main RA Origin Lt Mid Main RA Origin 56 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Report Section contains options for what sections are displayed on the report. Sections can be selected or de-selected for display by using the Pointer to check/uncheck the box beside the listed options. Some sections, such as the the D Mode Measurement section, will display a list of labels on the right side. These labels are displayed on the report page if the measurement label has been used during the exam. The user can select the order by which the labels will populate into the report page by highlighting a label then using the arrows to change its position. These labels cannot be deleted. Notes No. 56 SIEMENS Healthineers Patient report SIEMENS . Healthineers ... Report Section Anatomy Assessment Comment Print Preview Exam Delete Chlete Assessment Order Selection Order Report Fetal Heart Motion Motion Seen 4Ch heart No Motion Seen RVOT Not Applicable LVOT Single AD Arch 1 of 2 Ductal Arch 2 of 2 Fetal Number Multiple Fetal Position Vertex Placenta Location Breech Previa Transverse Anatomy Placenta Grade Oblique Assessment AF Volume Variable Placental Cord Yes Facial Profile NO Lips/Palate Adequate Increased Lateral Ventricles 00000000000003 57 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Anatomy Assessment section of the report displays a list of specific anatomy, position or quantity related to an individual exam. This feature is most frequently used in the OB exam report to verify fetal anatomy as seen or not seen as well as lie, presentation and number of fetuses involved in the exam. The column on the left contains the specific anatomy, whereas the column on the right contains the drop-down assessment options for the given anatomy. For example, the Fetal Heart Motion highlighted on the left will have drop-down options on the report page for Motion Seen, No Motion Seen or Not Applicable. The order of both columns can be changed by using the up and down arrows on the side of the column. Changing the list order will affect where the item is displayed on the report page. Notes No. 57 SIEMENS Healthineers Patient report SIEMENS. Healthineers ... Anatomy Assessment Report Section Anatomy Assessm Comments Print Preview Report Section Anstormy Assessment Comments Print Preview Exam Exam NEW Add Delete Delete Add Delete Assessment Order election Orde Assessment Order Selection Order Fetal Heart Motion .NEW Motion Seen 4Ch heart Fetal Heart Motion No Motion Seen RVOT 4Ch heart Not Applicable LYOT RVOT Single Ao Arch LVOT 1 of 2 Ductal Arch Ao Arch 2 of 2 Fetal Number Ductal Arch Multiple Fetal Position Fetal Number Vertex Placenta Location Fetal Position Breech Previa Placenta Location Transverse Placenta Grade Previa Oblique AF Volume Placenta Grade Variable Placental Cord AF Volume Yes Facial Profile Placental Cord No Lips/Palate Facial Profile Adequate Lateral Ventricles Lips/Palate Increased 000000000000000 58 Unrestricted © Siemens Healthineers 2023 Speaker Notes: New items can be added to the assessment list and assessment result by using the Add feature at the top of each column: 1. Use the Pointer to activate the name field of either column, then use the keyboard to type in the new label name 2. Select Add and the assessment label will appear on the master list of the column you have added it to Please note: If a new assessment label has been added to the left column, the drop-down options for the report must be selected from the right column. All new assessment labels will have blank drop-downs unless they are manually populated from the options available on the right. Assessment options can also be added to exams that have no existing factory assessment options on the report. Notes No. 58 SIEMENS Healthineers Patient reports SIEMENS . Healthineers ... Report Section Anatomy Assessment Comments Print Preview Exam Abd Comment 1 Exam within normal limits Comment 2 GB removed Report Comment 3 Comment 4 Comment 5 Comment 6 Comment 7 Comment 8 Comment 9 Comment 10 Comment 11 Comment 12 Comment 13 Comments Comment 14 Comment 15 Comment 16 Comment 17 Comment 18 Comment 19 Comment 20 59 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Customized comments can be added to the report from the Comments tab. Use the keyboard to add up to 20 comments. Notes No. 59 SIEMENS Healthineers Patient report SIEMENS. Healthineers ... Report Section Anatomy Assessment Comments Print Preview Site Information Section Display Logo Hide institution Text 1 Hide patient information Font Report Text 2 Font Text 3 Load Remove Font Signature Add Print Preview Remove 60 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Print Preview tab allows the user to customize the appearance of the PDF report with logos, text or a signature as well as the options hide patient or institution information. Notes No. 60 SIEMENS Healthineers Patient report SIEMENS. Healthineers ... Logo customization Report Section Anatomy Assessment Comment Print Preview Report Section Anatomy Assessment Comments Print Preview Site Information Site Information Logo Text 1 Logo Text 1 Font Font Text 2 SIEMENS Healthineers Text 2 SIEMENS Healthineers Font Text 3 Text 3 Load Remove Load Remove Font Signature Signature Load Image Cancel Ranoye 61 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To add a site logo: • Insert a USB into the USB port containing a JPEG or PNG of the desired logo • Select Load to view the file contents of the USB on the screen • Highlight the desired logo from the files that are displayed and select Load Image from the bottom of the dialogue window • The logo will be added to the Logo window area To remove the logo, select Remove from the options located below the Logo window area. Notes No. 61 SIEMENS Healthineers Patient report SIEMENS. Healthineers ... Personalized text and signature Report Section Anatomy Assessment Comment Print Preview Report Section Anatomy Assessment Comments Print Preview Site Information Site Information Logo Text 1 Logo Text 1 SIEMENS recision Healthcare Font SIEMENS Font Text 2 Healthineers ' Healthineers Text 2 Font Font Text 3 Load Remove Font Load Remove Font Signature Fort Ford able Regular Signature Arial Regular Arial WT J for Sieme- Cancel Arial WT SC for Sier Bold REEE Calibri Bold Italic Cambria Black Dr Griffin Sangle AaBbYyZz Lamoye 62 Unrestricted © Siemens Healthineers 2023 Speaker Notes: In addition to a customized logo, a custom statement of up to three lines and 32 characters per line, can be added to the report. To add a customized statement, use the Pointer to activate one of the three available Text areas and type in the desired text. This example used “Precision Healthcare” as the custom statement text. Once the text is entered, the user can further customize the font type, font style and the size of the statement text by selecting the Font key to open the font dialogue box on screen. All fonts, font styles and sizes that are available in a typical Word document are available for selection. To add a custom signature: • Use the Pointer to activate the signature space and type in the desired signature • Select Add and the custom signature will appear in the signature window on the right To remove a signature, highlight the text with the Pointer and select Remove. Notes No. 62 SIEMENS Healthineers Patient report SIEMENS . Healthineers ... PDF with logo/text example ACUSON 07/12/2017 HOSPITAL NAME 07/22/1987 PATIENT NAME 05_15_2020_09_00_33 Abd Report Institution Institution information Customized logo SIEMENS Healthineers Precision Healthcare and statement text Institution Name HOSPITAL NAME Performing MD DR NAME Referring MD DR NAME 2 Patient Sonographer SONGRAPHER NAME information Patient Information Patient Name PATIENT NAME Patient ID 05_15_2020 09 00 33 Scroll to access full Age 32Years Gender Male Height 6ft Oin Weight 190lb 0oz BSA 2.08m2 BP (mmHg) Study Date report 05/15/2020 Export options Export PDF Print Report Store Report 63 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The patient report can be exported to a USB in PDF format. This is an example of the PDF report demonstrating the customized logo and text that were used as the example on the previous slide. Notes No. 63 SIEMENS Healthineers Patient report SIEMENS. Healthineers ... Print Preview > Section Display Section Display contains options to control what is Print Preview displayed in report section Display Hide institution Options are: Hide patient information Hide institution Font • • Hide patient information Font Selecting these options will shorten report length when Font displaying, exporting or storing it to patient file Remove 64 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Print Preview tab also contains options to decrease the length of the report: • Hide institution • Hide patient information Please note: Selecting one or both of these options will not remove all the patient or site information from the report, as the objective of these configuration options is to shorten the length of the report rather than anonymize it. When selected, these options will serve to reduce the report length when displaying, exporting or storing the report to the patient file. Notes No. 64 SIEMENS Healthineers Patient report > Store Report example SIEMENS. Healthineers ... “Hide” JOHN DOE Thyroid Report 1234567 Thyroid Report 1234567 Instituti 2D Mode Measurement Institution Name HOSPITAL NAME Label Method Value V2 V3 V5 Performing MO DR ABG Rt Thyroid Lobe SAG Last 10.1 mm Referring MD Rt Thyroid Lobe AP Last 7.4 mm Sonographer Rt Thyroid Lobe TRV 74 Last 6.7 mm Patient Information Rt Thyroid Lobe Volume Last 0.24 mL 2D Mode Side by Side Patient Name Patient ID JOHN DOE Age Weight Gender Label Left Height BSA Right Thyroid Lobe SAG 10.1 mm BP (mmHg) budy Date 06/08/2020 Thyroid Lobe AP 7.4 mm Thyroid Lobe TRV 6.7 mm 2D Mode Measurement Thyroid Lobe 0.24 mL Volume Label Method Value V2 V3 Rt Thyroid Lobe SAG Last 10.1 mm Images Rt Thyroid Lobe AP Last 7.4 mm Rt Thyroid Lobe TRY Last 6.7 mm Rt Thyroid Lobe Volume Last 0.24 mL 2D Mode Side by Side Label Right Left Thyroid Lobe SAG 10.1 mm Thyroid Lobe AP 7.4 mm Thyroid Lobe TRV 6.7 mm Thyroid Lobe 0:24 mL Volume Images “Not Hidden” “Hidden” 65 Unrestricted © Siemens Healthineers 2023 Speaker Notes: This is an example of a report stored to the patient image file using the Store Report key. The image on the left does not have any “hide” option selected in the Print Preview configuration area, thus the patient information and institution information is displayed within the body of the report. The image on the right has both “hide” options selected within the Print Preview Section Display area. The resulting “hidden” stored report contains no patient information or institution information sections within the body of the report, however, the patient name remains in the upper left corner of the stored report header. Notes No. 65 SIEMENS Healthineers Patient report > PDF example SIEMENS . Healthineers ... “Hide” ATIENT NAME DR NAME SONGRAPHER NAME HOSPITAL NAME PATIENT NAME DR NAME SONGRAPHER NAME 5_15_2020_09_00_33 2Years M 05/15/2020 05_15_2020_09_00_33 32Years M HOSPITAL NAME 05/15/2020 PITAL NAME PATIENT NAME HOSPITAL NAME 05_15_2020_09_00_33 PATIENT NAME 07/22/1987 05_15_2020_09_00_33 Thyroid Report Thyroid Report Inestausion 2D Mode Measurement Institution Name HOSPITAL NAME Label Method Value V3 V4 V5 Performing MD DR NAME Isthmus AP 2.13 mm 2.13 Referring MD DR NAME 2 Rt Thyroid Lobe Volume Last 0.63 mL Sonographer SONGRAPHER NAME Rt Thyroid Lobe TRV 8.51 mm 8.51 Rt Thyroid Lobe SAG 17.82 mm 17.82 Patient Information Rt Thyroid Lobe AP 8.72 mm 8.72 2D Mode Side by Side Patient Name PATIENT NAME Patient ID 05_15_2020_09_00_33 Label Right Left Age 32Years Gender Male Thyroid Lobe Volume 0.63 mL Height 6ft Oin Weight 190lb 0oz BSA 2.08m2 Thyroid Lobe TRV 8.51 mm BP (mmHg) Study Date 05/15/2020 Thyroid Lobe SAG 17.82 mm Thyroid Lobe AP 8.72 mm 2D Mode Measurement Images Label Method Value V3 V5 Isthmus AP Last 2.13 mm 2.13 Rt Thyroid Lobe Volume Last 0.63 mL Export PDF Print Report Store Report Report Export PDF Print Report Store Report “Not Hidden” “Hidden” 66 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the Hide Patient Information or Hide Institution Name has been selected in the Print Preview, the PDF will reflect those options and the report will be shortened. Note that the institution name and the patient name remain in the header on the PDF – “hiding” these pieces of information using the settings within System Configuration will only remove them from the main body of the report, not the report entirely. For more information on report configuration, please refer to the dedicated ACUSON Maple Measurement and Report Configuration presentation. Notes No. 66 SIEMENS Healthineers SIEMENS . Trademarks and Disclaimers Healthineers ... • ACUSON Maple and eSie Measure workflow acceleration package are trademarks of Siemens Medical Solutions USA, Inc. 67 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No Speaker Notes. Notes No. 67 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS . Healthineers ... Questions? 68 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No Speaker Notes. Notes No. 68