ACUSON Maple 1.0 Measurement On Screen How To and Report Presentation

SIEMENS Healthineers SIEMENS Healthineers ... ACUSON Maple Ultrasound System Measurement On Screen How To and Report Software Release 1.0 1 Unrestricted © Siemens Healthineers 2023 Unrestricted Speaker Notes: In this presentation, we will discuss the ACUSON Maple™ ultrasound system measurement on screen, how to and report. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement access and screen information • Illustrate display customizations • Describe measurement labeling and accessing alternate calculation packages • Identify the Measurement Display Area and on screen options • Explain editing and deleting measurements • Discuss exam specific measurements • Examine Report access and printing 2 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Here are the objectives for this presentation. We will begin with discussing the measurement access and screen information. Notes No. 2 SIEMENS Healthineers Accessing measurements SIEMENS . Healthineers ... 3014D : Depen / Focus O 0000 O Body Marker Print Store 2 3 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The measurement function is arranged by exam type and is accessed by selecting the Caliper key on the Control Panel. Once activated, measurements and calculations for all exam types are available and can be placed on the following image types: • Real-time or frozen 2D images • Frozen M-mode and Doppler spectrums • Stored images in review The system also provides some exam-specific measurements and calculations for certain specialized exam types such as obstetrics and echocardiography. Customization of exam types is found in System configuration > Measurements and will be covered in a separate presentation. Notes No. 3 SIEMENS Healthineers 4 Measurement onscreen display SIEMENS . Healthineers ... 7C2 Abd Tx Power 100% MI 0.85 Edit TIS 0.9 TIB 0.9 ASC 1 DICE Med Dyn R 68 dB THI 5.0 MHZ Set Set 0 da 17 fps 4 Unrestricted © Siemens Healthineers 2023 Speaker Notes: After selecting the Caliper key, an active caliper point will appear in the center of the imaging screen. Active calipers are green in color. • To anchor the first caliper point, press the Set key on either side of the trackball; anchored or locked calipers will turn from green to yellow in color • Activate the second caliper point by rolling the trackball and moving the caliper point to the desired location; repeat the Set key action to anchor it in place • To edit any of the measurements, select Edit from the trackball pad • A corresponding Measurement Display Area (MDA) will appear onscreen in a predefined position displaying the measured value; the position of the MDA is customizable in the System configuration > Measurement > General and will be covered in a separate presentation • To exit the measurement function, unfreeze the image or press the Caliper key Notes No. 4 SIEMENS Healthineers 5 Left panel onscreen display SIEMENS . Healthineers ... Abdominal 7C2 Abd Alid Renal Bowel Tx Power 100% MI 0.85 FAST Lung TIS 0.9 TIB 0.9 eft None ASC 1 DTCE Med Mid Dist None Dyn R 68 dB THI 5.0 MHZ Liver Length 0 dB 17 fps GB Wall Thickness Gif Length CHD CHD Kidney Length Kidney Width Kidney AP Sieen Volume Aorta 16 cm Pancreas Hend Pancreas Body Pancreas Tail NC 5 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Two measurement menus are available for use once the caliper function has been activated – one on the image screen and the other on the Touch Screen. The onscreen measurement menu will appear beside the imaging area in the left panel. This menu is customizable and can contain appropriate modifiers for view or dimension, such as right or left, proximal or distal, as well as anatomy specific labels, such as kidney length or bladder volume. This field can be configured with the same parameters as the Touch Screen menu or configured differently to reflect different user needs. Configuration for the left panel measurement menu can be found in System Configuration > Measurements > [Exam Icon] > Left Panel and will be covered in a separate presentation. Notes No. 5 SIEMENS Healthineers 6 Left panel on/off SIEMENS . Healthineers' ... L10-5v L10-Sv Carotid Carotid Tx Power 98% Tx Power 98% MI 0.88 MI 0.88 TIS 0.2 TIS 0.2 TIB 1.0 4.0 MHZ CCA 5580 Hz 5580 Hz Gate 1.0 mm Gate 1.0 mm JdB 3 dB 32 fps 32 fps EE 6 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the user decides not to utilize the left panel menu or visually does not want it on the screen, it can be hidden by selecting the tab on the side or top of the panel with the system pointer. To redisplay the left panel, use the pointer to select the arrowed tab on the far-left side of the screen. Notes No. 6 SIEMENS Healthineers 7 Touch Screen display layout SIEMENS . Healthineers ... Abd Renal Bowel FAST Lung Style Exam Abdominal ? Right Left None Prox Mid Dist None Liver Length GB Wall Thickness GB Length CBD CHD Rt Kidney Length Rt Kidney Width Rt Kidney AP Spleen Volume Prox Aorta Clear Screen Pancreas Head Pancreas Body Pancreas Tail Prox IVC Hide Patient Image O X Distance Ellips Spline Cross Angle Vol 3 Dist ET- 9% Stenosis More Undo/Redo MDA Font Size On Summarize MDA Report Delete 70 18 125 7 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The measurement menu displayed on the Touch Screen is very robust and customizable. As with the example on the left, the Touch Screen menu can contain modifiers for view, position and anatomy specific labels. Additional pages of labeled measurements are available by swiping the Touch Screen to the left or right. Additional pages are indicated to the user by dots at the bottom of the Touch Screen above the tool bar. There are 24 measurement labels available per page with three pages in total. A wide range of generic measurements are available on the Touch Screen (separate from the labeled measurements) and can be customized to the tool bar at the bottom of the Touch Screen in system configuration. The Cine function is available while you are in the measurement page. For more information on measurement configuration, please refer to the ACUSON Maple ultrasound system Measurement Configuration presentation. Notes No. 7 SIEMENS Healthineers Generic measurements SIEMENS . Healthineers ... Tool bar Abd Renal Bowel FAST Lung Abdomin ? Right Left None Prox Mid Dist None Liver Length GB Wall Thickness B Length CBD CHD t Kidney Length Rt Kidney Width Rt Kidney AP Spleen Volume rox Aorta Clear Screen Pancreas Head Pancreas Body Pancreas Tail Prox IVC Hide Image Param O Ellipse Spline Cross Angle vol 3 Dist ET.%Stenosis Undo/Redo MDA Summarize MDA Report Delete Font Size 14 On Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow 8 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The layout of the tool bar menu is user defined and exam independent, meaning that the contents can differ between exam types. Customization is found in system configuration. The tool bar has space for eight different generic measurements. Please note: The unit of measurement for generic tools can be set within System Configuration > Measurements > General [icon] > General [tab]. Selected unit(s) for the generic measurement tools may be different from that of the labeled measurement package, as the unit of measure for a specific exam (i.e., Abdomen) is set within System Configuration > Measurements > General [icon] > Exam Specific [tab] > [exam type]. For more information on measurement configuration, please refer to the ACUSON Maple ultrasound system Measurement Configuration presentation. Notes No. 8 SIEMENS Healthineers Generic Measurements SIEMENS . Healthineers ... “More” Abd Renal Bowel FAST Lung ? RIGHT LEFT NON Distance Open Trace AutoTrace 2 Distance 3 Distance × Liver Length GB Wall Thick ET-%Stenosis Auto Stenosis D.%Stenosis A-%Stenosis Cross Angle Rt Kidney Length Rt Kidney W O d:D Ellipse Trace Spline Hip Angle d:D Ratio Clear ... Screen Pancreas Head Pancreas Bd % % Hide Dist Ratio Vol Ratio Area Ratio Strain Ratio D-Flow More A -Flow Patient Image Param Vol 1 Dist Vol 2 Dist Vol 3 Dist 1 Ellipse Vol 1E + 1D Disk Trace Disk End Exam O Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow More Undo/Redo MDA Main Exam Font Size On Summarize MDA Report Delete Abdominal 9 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the user requires a generic measurement that is not contained on the tool bar, all other generic measurements are available under the More soft key on the right side of the Touch Screen. Select More to open the generic measurement menu selection and then select the desired measurement. Please note: Generic measurements appear only on the imaging screen and not on the measurement report. As noted on the previous slide, generic measurement tools can have different display units than those used in an exam-specific exam package. For more information on measurement configuration, please refer to the ACUSON Maple ultrasound system Measurement Configuration presentation. Notes No. 9 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement access and screen information • Illustrate display customizations • Describe measurement labeling and accessing alternate calculation packages • Identify the Measurement Display Area and on screen options • Explain editing and deleting measurements • Discuss exam specific measurements • Examine Report access and printing 10 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss how to customize the display function. Notes No. 10 SIEMENS Healthineers Font size SIEMENS. Healthineers ... Liver Length 37.8 mm CBD 1.8 mm Liver Length GB Wall Thickness 47.9 mm 37.8 mm CBD 1.8 mm Spleen Length 143.3 mm GB Wall Thickness 47.9 mm Rt Kidney Length 108.2 mm Spleen Length 143.3 mm Rt Kidney Length 108.2 mm Rt Kidney Width 49.2 mm Rt Kidney Width 49.2 mm Rt Kidney AP 57.9 mm Rt Kidney AP 57.9 mm Lt Kidney Length Lt Kidney Length 136.7 mm 136.7 mm Lt Kidney Width 47.1 mm Lt Kidney Width 47.1 mm Lt Kidney AP 38.9 mm Lt Kidney AP 38.9 mm Dist Aorta 14.5 mm 14.5 mm Rt Kidney Volume Dist Aorta 161.4 mL Lt Kidney Volume 131.1 ml Rt Kidney Volume 161.4 mL Lt Kidney Volume 131.1 mL Undo/Redo Font Size 11 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Font Size can be adjusted onscreen during or after a labeled measurement and will retain that size until it is changed by the user. The last size chosen will continue even after system reboot. To adjust the size of the font, locate the rotary control on the left side of the Control Panel directly below the soft key labeled Font Size. Rotate the dial to the right or left to obtain the desired size. Please note: The soft key labeled Font Size shares the key space with Undo/Redo. Undo/Redo is used for open trace edits and is only active when a measurement is in use. To toggle between the two options if both are available, press down on the associated dial until the desired selection is white (active). Notes No. 11 SIEMENS Healthineers 12 Caliper icons and size SIEMENS . Healthineers ... D 46.3 mm 46.3 mm Small Objects Large D 46.3 mm - D 46.3 mm 1 D 5.8 mm 2 D 6.0 mm Numbers 12 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Two options are available for caliper identifiers – objects and numbers. This is configured in the system configuration and cannot be changed by a Touch Screen command. Two caliper sizes are available, small and large; they are also determined and set in system configuration. Please note: The maximum number of caliper sets that can be displayed onscreen is 20. Notes No. 12 SIEMENS Healthineers 13 Caliper default position SIEMENS . Healthineers .. Depth Caliper Setting Center Callper Setting D 76.1 mm 13 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Another configurable option is for default caliper position. While both options display the initial caliper in the center of the screen, one option displays just the caliper while the other option displays a depth from the skin line with the first caliper. The depth setting is convenient for quickly determining the depth of a mass, pocket of fluid for OB, etc. Notes No. 13 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement access and screen information • Illustrate display customizations • Describe measurement labeling and accessing alternate calculation packages • Identify the Measurement Display Area and on screen options • Explain editing and deleting measurements • Discuss exam specific measurements • Examine Report access and printing 14 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss how to label measurements and access alternate calculation packages. Notes No. 14 SIEMENS Healthineers Styles SIEMENS . Healthineers ... Abd Style Exam Renal Bowel FAST Lung Style1 Abdominal Right Left None Prox Mid Dist None Style Style1 Liver Length GB Wall Thickness GB Length CBD CHD Style1 Style2 Style 3 Rt Kidney Length Rt Kidney Width Rt Kidney AP Spleen Volume Prox Aorta Clear Screen Pancreas Head Pancreas Body Pancreas Tail Prox IVC Hide Patient Param End Exam Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis More Undo/Redo MDA Font Size 14 On Summarize MDA Report Delete 15 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Each exam preset – abdomen, vascular, small parts, etc. – has different style options as to what measurement labels are displayed on the Touch Screen. There are three different default measurement styles available with each exam measurement package which can be used as is or copied and customized to fit a specific doctor, exam or site. The different styles (default or custom) can be accessed under the Style soft key in the upper right corner of the Touch Screen. The default styles are labeled 1, 2 and 3. The content of each style is exam-dependent – some are more basic in their content, whereas others contain a long list of measurements. In general, Style 1 is the most universal and contains the measurements most commonly used; Style 3 will have continuous measurements (i.e., volumes) defaulted off. Editing, copying and creating new styles is done in system configuration and will be covered in a separate presentation. Notes No. 15 SIEMENS Healthineers Anatomical labels SIEMENS . Healthineers ... Carotid Venous Arterial TCD Style Exam Style1 Vascular Laterality Position Right Left None Prox Mid Dist None choice choice reflected in reflected label Rt Prox CCA Rt Prox ICA Rt Prox ECA Rt Prox Vert A in label Innom A Rt Bulb Rt Prox Subclav A Clear Screen Anatomical label Result Compare Image Param O Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis More Undo/Redo MDA Summarize MDA Report Delete Font Size 14 On 16 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once the calculation package is activated, the Touch Screen will display the selectable options along with the anatomical label. The selectable options include laterality and position of the measurement. Please note that in the selectable options for position – Prox, Mid, and Dist – an additional option of None is listed. If the user does not wish to identify the position of the measurement, selecting None will change, for example, “Rt Prox CCA” to “Rt CCA”. Notes No. 16 SIEMENS Healthineers 17 Labeled measurements SIEMENS . Healthineers ... Abd Renal Bowel FAST Lung Style Exam Abdominal 7C2 Abd Tx Power 98% MI 0.72 ? TIS 0.9 Right Left None Prox Mid Dist None TI8 0.9 ASC 1 DICE High Dyn R 68 dB Liver Length GB Wall Thickness THI 4.4 MHZ GB Length CBD CHD 6.89 mm 31 fps Rt Kidney Length Rt Kidney Width Rt Kidney AP Spleen Volume rox Aorta screen Pancreas Head Pancreas Body Pancreas Tail Prox IVC 1 CBD 6.89 mm Hide Patient Shadow Image X Distance O Ellips Spline Cross Angle Vol 3 Dist ET-9%Stenosis Indo/Redo Cine ont Size 14 On Summarize MDA Report Delete 26 17 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Labels that have no associated position will not reflect any position even if one is selected. This example has the Prox position selected, however, the onscreen measurement has no position designation. Notes No. 17 SIEMENS Healthineers Groups SIEMENS . Healthineers ... A Abd Bowel FAST ? RIGHT LEFT NONE PROX MID DIST NONE Group Spleen Volume Spleen Length Spleen AP Spleen Width contents Group Rt Kidney Length Rt Kidney Width Rt Kidney AP Spleen Volume Prox Aorta folder Clear Screen Pancreas Head Pancreas Body Pancreas Tail Prox IV Hide Patient Image Param End Exam Distance More Undo/Redo MDA Summarize MDA Report Delete Main Exam Font Size On Abdominal 18 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Several labels can be grouped together in one folder. Labels that contain groups have a small arrow in the upper right corner. When these labels are selected, the folder opens and populates the labels onscreen that are contained within that group. The user can select the volume or individual measurements within that volume. For example, only spleen length can be selected rather than the spleen volume. Groups are customizable and can be created for serial measurements or groups of measurements for a specific exam type, such as a liver Doppler. Customization of Groups will be covered in a separate presentation. Notes No. 18 SIEMENS Healthineers Left panel SIEMENS . Healthineers ... Obstetrics VA V Vascular SmallPart 08 Early OB Fetal Echo Carotid Venous Arterial Breast Testis Penile OB (Adv) TCD Thyroid Modifiers Right Lef None Right Left None Right Left None OW Fetal Head Prox Mid Dist None Nodule Fetal Abdomen CCA Thyroid Lobe SAG 000 Fetal Extremity ICA Isthmus AP O BPD ECA Parathyroid UD 1 . HC Vert A Isthmus Mass 1 Groups Innom A Isthmus Mass 2 UD 2 . FL Bulb Isthmus Mass 3 HL Subclav A Isthmus Mass 4 O OFD Isthmus Mass 5 Neck Mass 1 TAD Neck Mass 2 Q1 Neck Mass 3 Q2 Neck Mass 4 Q3 Neck Mass 5 Q4 Superior Thyroid A Cerebellum Inferior Thyroid A Lat Vent Cist Magna 19 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The same modifiers and groups are found onscreen on the left panel and are selected with the system pointer. Notes No. 19 SIEMENS Healthineers Completed measurements SIEMENS. Healthineers ... Touch Screen A Abd Renal Bowel FAST Lung Exam Vascailat 14L4v Caratid 2 Venous Arterial Tr Power 100% MI0.31 Right Left None Prox Mid Dist None TIS 0.7 TIB 1.1 6.3 MHZ Left None Rt Thyroid Lobe Rt Thyroid Lobe Gate 0.5 rere o.8mm SAG 7.1 mm TRV Rt Thyroid Lobe AP Isthmus AP Nodule None 13 40 20 fps CCA 0.71 AAA AP 1.96 cm 2.38 ARA AAA Sac Length .19 cm ICA Rt Mid CCA RI 0.73 SID 3.64 scheer ECA PS 82.2 0 22.6 cm/s Hide Vert A ED Bulb O Cross Angle ET NSten UndofRedo MDA cine ont Size Summarize MD 14 Report Measured value displayed with check mark indicating Measured value value entered in to report displayed on label line 20 Unrestricted © Siemens Healthineers 2023 Speaker Notes: When measurements are completed, the value associated with the label will be displayed on both the Touch Screen and the left panel below or beside the label. This feature is a very convenient check for the user to ensure the measurement has been done or to see the value of the measurement without having to open a report page or review feature. Notes No. 20 SIEMENS Healthineers Accessing other calculation packages SIEMENS . Healthineers ... Abd Renal Bowel FAST Lung Style Exam Style1 Abdominal Right Left None Prox Mid Dist None Liver Length GB Wall Thickness GB Length CBD CHD Rt Kidney Length Rt Kidney Width Rt Kidney AP Spleen Volume Prox Aorta Exam Clear Screen Pancreas Head Pancreas Body Pancreas Tail Prox IVC Abdominal Hide Patient Image Param O Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis More Undo/Redo MDA Summarize MDA Report Delete Font Size 14 On 21 Unrestricted © Siemens Healthineers 2023 Speaker Notes: All measurement packages are available for all exam presets and transducers. For example, the user can have a vascular preset active and access the abdominal measurement package. There are several options to access other exam measurement packages. The first is by selecting the Exam soft key in the upper right corner of the Touch Screen. A menu of available exam calculation packages will populate the screen. Select the desired package on the Touch Screen and the onscreen measurement options will change to the new selection. Notes No. 21 SIEMENS Healthineers Accessing other calculation packages SIEMENS . Healthineers ... Abd Renal Bowel FAST Lung OB Early OB Fetal Echo OB (Adv) Carotid Venous Arterial TCD Abd Renal Bowel FAST Lung ? RIGHT LEFT NONE PROX MID DIST NONE Liver Length GB Wall Thickness GB Length CBD CHD Rt Kidney Length Rt Kidney Width Rt Kidney AF Spleen Volume Prox Aorta Pancreas Head Pancreas Body Pancreas Tail Prox IVC 22 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Other exam packages can also be activated from the tab on the Touch Screen. Please note: This mode of activation is limited to the measurement packages within the exam type grouping. For example, if the user has the abdominal calculation package active and needs to activate the carotid measurement package, they must use the Exam soft key. Notes No. 22 SIEMENS Healthineers 23 Accessing other calculation packages SIEMENS . Healthineers ... Abdominal 7C2 Abd Alid Renal Tx Power 98% Bowel MI 0.79 FAST Lung TIS 0.9 TIB 0.9 Right Left None ASC 1 DTCE Med Mid Dist None Dyn R 68 dB THI 5.0 MHZ Aorta 5 dB Drop down menu access CHA Celiac A Origin Splenic A SMA IMA 13 cm 23 Unrestricted © Siemens Healthineers 2023 Speaker Notes: As with the tabs on the Touch Screen, other exam packages can be accessed from the Left Panel through a drop-down menu. All exam packages are available under the main drop-down menu. Notes No. 23 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement access and screen information • Illustrate display customizations • Describe measurement labeling and accessing alternate calculation packages • Identify the Measurement Display Area and on screen options • Explain editing and deleting measurements • Discuss exam specific measurements • Examine Report access and printing 24 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss the MDA and onscreen options. Notes No. 24 SIEMENS Healthineers 25 Measurement Display Area (MDA) SIEMENS . Healthineers .. PreVoid Bladder Length 55.2 mm 2 PreVoid Bladder AP 57.7 mm 3 PreVoid Bladder Width 66.2 mm PreVoid Bladder Vol 110.4 mL Fr274 25 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Measurement Display Area, or MDA, will appear on the imaging screen with each measurement taken and any associated values, such as volume or ratio, once all the components of the measurement are completed. Notes No. 25 SIEMENS Healthineers 26 Repositioning MDA SIEMENS . Healthineers ... 11L4 D 3.6 mm 2 D 7.9 mm 3 D 13.5 mm 1 D 3.6 mm 2 D 7.9 mm 3 D 13.5 mm 3.5 cm 3.5 cm 1D 3.6 mm 2 D 7.9 mm 3 D 13.5 mm 26 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Should this default position be within the imaging field or required in a different area on the screen, the MDA can be moved: • Activate the Pointer and place it within the MDA area and a blue box will appear around the MDA indicating it is ready to move • Hold down the Set key and use the trackball to move the MDA to the desired location • Once the desired location has been reached, release the Set key to place the MDA Please note: The MDA can also be placed along the bottom of the screen in a lateral type display. Drag the MDA to the very bottom of the screen and when the Set key is released, the square or rectangular MDA will spread out laterally across the bottom of the screen. Notes No. 26 SIEMENS Healthineers 27 MDA on/off SIEMENS . Healthineers ... D 3.6 mm 2 D 7.9 mm D 13.5 mm 3.5 cm 3.5 cm MDA MDA On Off 27 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The MDA can also be turned off from view by the soft key located at the bottom of the Touch Screen or the dial associated with the soft key. The soft key will display the current status of the MDA (on or off) – selecting it will change it to the opposite status. To turn the MDA off: • Select the MDA On soft key or press down on the associated rotary knob • The soft key display will change to MDA Off • To redisplay the MDA on screen, select the MDA Off soft key or use the associated rotary knob Please note: The caliper points remain on the screen even when the MDA has been turned off. Notes No. 27 SIEMENS Healthineers 28 Summarize MDA SIEMENS . Healthineers ... Summarize MDA Liver Length 175.6 mm CBD 4.7 mm GB Wall Thickness 5.1 mm Rt Kidney Length 144.7 mm Lt Kidney Length 110.7 mm Prox Aorta 18.3 mm Lt Prox Main RA PS 25.4 cm/s Rt Prox Main RA PS 27.9 cm/s 28 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Summarize MDA is a soft key and dial option on the Touch Screen. A summary of measurements entered into the report will appear on screen when the summary is pressed. The summary can be moved around the screen in the exact same fashion as the measurement list: • Select the Pointer and a highlight (blue) box will appear around the measurement summary • Hold down the Set key and use the Track Ball to drag the box to another location • Release the Set key to place the box/summary in the new location Notes No. 28 SIEMENS Healthineers 29 Result Compare SIEMENS . Healthineers ... 14L4va A Carotid Venous Arterial TCD Style Style1 Exam Vascular Caretid Tx Power 100% MI 1.17 TIS 0.2 2 TIB 1,3 Right Left None Prox Mid Dist None 4.0 MHZ Gate 0.6 mm 9 dB Lt Prox CCA Lt Prox ICA Lt Prox ECA Et Prox Vert A 24 fps 0.52 1 Lt Prox CCA RI 0.77 Rt Prox CCA RI 0.81 S/D 4.39 19 min Innom A Rt Bulb Rt Prox Subclav A PS 77.5 cm/s ED 17.6 cm/s Screen Lt ICA/ CCA (s) 0.93 Rt ICA / CCA (s) 0.77 Lt ICA/ CCA (d) 0.90 Rt ICA /CCA (d) 0.70 Patient Result Compare mage O O X Ellose Spline Cross Angle Vol 3 Dist ET.9%Stenosis More Undo/Redo MDA Font Size On Summarize MDA Report Delete 29 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Result compare is available in the carotid calculation package and allows the user to compare resistive indices (RI) and ratios between the left and right sides onscreen. Activation of Result Compare is done by selecting the soft key on the Touch Screen and is only available if the opposing side has already been measured. Notes No. 29 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement access and screen information • Illustrate display customizations • Describe measurement labeling and accessing alternate calculation packages • Identify the Measurement Display Area and on screen options • Explain editing and deleting measurements • Discuss exam specific measurements • Examine Report access and printing 30 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss editing and deleting measurements. Notes No. 30 SIEMENS Healthineers 31 Editing/updating a measurement SIEMENS . Healthineers ... D 47.9 mm 2 D 49.9 mm Edit 3 D 45.6 mm 4 D 37.7 mm 5 D 34.9 mm Set Set D 36.5 mm Select Next 31 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To edit a measurement: • Select the Edit key above the trackball and the last measurement reactivates which is indicated by turning from yellow to green • Use the Edit key to toggle between the two caliper points of the set • Select Set to anchor the new caliper position To edit a different caliper set than the last one placed, use the soft key labeled Select Next. Continue pressing the soft key or the associated dial until the desired set turns green. Notes No. 31 SIEMENS Healthineers 32 Editing/updating a measurement SIEMENS . Healthineers .. Ellipse manipulation . Activate caliper – choose generic or Select Set key to anchor point(s) Select Edit key to toggle between labeled ellipse and trackball to expand ellipse all points to alter shape / size Edit Edit O Ellipse Set Set Set Set AC 32 Unrestricted © Siemens Healthineers 2023 Speaker Notes: For measurements that require multiple manipulations prior to setting, such as an ellipse, use a combination of the Set key and the Edit key: • Activate the caliper and choose the desired measurement • Use the Set key to anchor the point(s) and the trackball to expand the ellipse; the Edit key will allow the user to toggle through the points during the manipulation of the size or shape of the measurement area • Use the Set key to anchor the last caliper point and complete the measurement Notes No. 32 SIEMENS Healthineers Deleting a measurement SIEMENS . Healthineers ... Abd Renal Bowel FAST Lung Style Exam Style1 Abdominal ? Right Left None Prox Mid Dist None Liver Length GB Wall Thickness GB Length CBD CHD Rt Kidney Length Rt Kidney Width Rt Kidney AP Spleen Volume Prox Aorta Clear Screen Pancreas Head Pancreas Body Pancreas Tail Prox IVC Shadow Image Param O × Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis More Undo/Redo MDA Cine Font Size 14 On Summarize MDA Report Delete 33 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To delete a measurement: • Use the Delete soft key on the Touch Screen or press down the associated rotary knob; this will delete one measurement at a time • Delete All can be added to the Touch Screen labels in System configuration > Measurement > Exam Type > Function Notes No. 33 SIEMENS Healthineers Deleting a measurement SIEMENS . Healthineers ... Abd Renal Bowel FAST Lung Exam Abdominal 2 Right Left None Prox Mid Dist None Liver Length GB Wall Thickness GB Length CBD CHD Result Compare Lt Kidney Length Lt Kidney Width Lt Kidney AP Spleen Volume Prox Aorta 20.78 mm 3.60 mm 16.91 mm Clear Screen Pancreas Head Pancreas Body Pancreas Tail Prox IVC Hide Image Param End Exam O X 51 3 Dist More Delete Delete All Select Next Indo/Redo 14 34 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Additional deletion options will appear on the bottom row of the Touch Screen when the Edit function is activated from the trackball pad. Please note: If Delete All is selected, only the measurements are deleted. Any text will remain on the screen. Notes No. 34 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement access and screen information • Illustrate display customizations • Describe measurement labeling and accessing alternate calculation packages • Identify the Measurement Display Area and on screen options • Explain editing and deleting measurements • Discuss exam specific measurements • Examine Report access and printing 35 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss the exam specific measurements. Notes No. 35 SIEMENS Healthineers syngo® Auto OB measurements on/off SIEMENS . Healthineers ... Orange dot indicates Auto OB key is No orange dot indicates Auto OB key is Auto OB is ON blue when ON Auto OB is OFF grey when OFF OB OB Fetal Echo OB (Adv) Exa A OB OB Fetal Echo OB (Adv) ? Right Left None A D Auto ? Right Left None A D Auto BPD HO AC FL GA by CRL/BPD BPD HC AC FL GA by CRL/BPD HL OFD APAD TAD TADIAPAD HL OFD APAD TAD TADIAPAD Q1 screen 02 03 Q4 Q1 Q2 Q3 Q4 Cervix Le Growth Graph Cervix Len Growth Graph End Exam O Ellipse Solve End Exam O X Distance Cross Angle Mal 3 Dis ET-4 Stenos Distance Ellipse Cross Angle Vol 3 Dist ET-%Stenosis Undo/Redo MDA ont Size Summarize MDA Report Delete Cine Undo/Redo On MDA 148 Summarize MDA Report Delete Cine 14 ont Size On 36 Unrestricted © Siemens Healthineers 2023 Speaker Notes: syngo Auto OB measurements is defaulted on or off in the system configuration. However, the function can be deactivated by the user for an active exam on the Touch Screen, if required. If syngo Auto OB measurements is on, a small orange dot will appear in the corner of the measurement labels included in the feature, and the Auto OB soft key will be illuminated blue. To deactivate the syngo Auto OB measurements function for a single exam, select the Auto OB soft key on the Touch Screen. The orange dots will no longer be on the parameter labels and the Auto OB soft key will no longer be blue. Setting the default for syngo Auto OB measurements will be covered in a separate presentation. Please Note: If there is no detectable anatomy onscreen and the syngo Auto OB measurements feature is active, a message box will appear onscreen stating “Cannot detect anatomy”. The caliper point will remain active in the center of the screen waiting for user input. The user can change the number of fetuses during scan. Notes No. 36 SIEMENS Healthineers OB M-mode/fetal heart rate SIEMENS . Healthineers ... OB Early OB Fetal Echo OB (Adv) Obstetrics Obstetrics A Early CB Fetal Echo OB (Adv) Right Left None A B C D Night Left None Fetal HR Fetal HR Clear Screen Hide Patient Growth Graph Image Param End Exam Distance Time HR Dist Ratio Undo/Redo MDA ont Size 14 On Summarize MDA Report Delete Cine 40 37 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If an M-mode sweep has been taken for fetal heart rate, activating the caliper will populate the Touch Screen with the Fetal HR label. The Fetal HR label is also available on the left panel onscreen. Notes No. 37 SIEMENS Healthineers syngo® Auto Follicle* SIEMENS . Healthineers ... GYN exam preset To perform an Auto Follicle measurement: Exam A GYN Pelvic Floor Gynecology 1. Tap the required measurement label on the ? Touch Screen Right Left None Auto Follicle 2. Roll the trackball to position the Uterine Length Uterine Width Uterine AP Follicle measurement marker and then press Set; Rt Follicle Rt Follicle 2 Rt Follicle 3 Rt Follicle 4 Rt Follicle 5 the system will trace the borders of the Screen follicle Rt Follicle 6 Rt Follicle 7 Rt Follicle 8 Rt Follicle 9 Rt Follicle 10 Hide Patient 3. Press Set to confirm the measurement Image Rt Follicle 11 Rt Follicle 12 Rt Follicle 13 Rt Follicle 14 Rt Follicle 15 4. Repeat steps 2 and 3 for each follicle End Exam Distance O Ellinge Spline Cross Angle Vol 3 Dist ET-NStenosis Undo/Redo MDA Font Size Summarize MDA Report Delete Cine 14 On *Only available in gynecological exams. 38 Unrestricted © Siemens Healthineers 2023 Speaker Notes: syngo® Auto Follicle is available in the gynecology calculation package. As with syngo Auto OB measurements, when syngo Auto Follicle is active, an orange dot will be visible on the follicle label. To turn Auto Follicle off or on, select the soft key on the Touch Screen. If the function is active, the soft key will be blue in color; if inactive, the soft key will be gray. To perform a syngo Auto Follicle measurement: 1. Select the required measurement label on the Touch Screen 2. Roll the trackball to position the measurement marker and then press Set and the system will automatically trace the borders of the follicle 3. Press Set to confirm the measurement 4. Repeat steps 2 and 3 for each follicle Please note: The system will display a message of “cannot detect anatomy” if the follicle cannot be detected. This feature is only available in gynecology exams. Notes No. 38 SIEMENS Healthineers Pediatric Hip measurement: Hip (α+β), Hip (β+α), Hip (α) SIEMENS. Healthineers ... Tools for pediatric hip Ped Hip ed Abd Exam Pediatrics measurements ? Right Left None Rt Hip Angle Flexed FHC Rt Stressed FHC Screen Hide Patient Derap Param End Exam d:D Distance Ellipse Hip (a) Hip (@+3) Hip (B+a) d:D Ratio More Undo/Redo MDA On Rotate Size Delete Cine Font Size 14 53 39 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The tools for measuring a pediatric hip measurement are located on the touchscreen: Hip (α+β), Hip (β+α), Hip (α). The default measurement is Hip (α+β). Notes No. 39 SIEMENS Healthineers Pediatric Hip measurement: Femoral Head Coverage (FHC) SIEMENS. Healthineers ... Tool: %FHC %FHC tool is the default ( Capture Daintime: Monday, January 30, 2023 13:04:28] Ped Hip Ped Abd Exam • ediatric measurement • User can rotate the 2 Right Left None baseline and adjust the size of the ellipse Rt Hip Angle Rt Flexed FHC Rt Stressed FHC Clear Screen Hide Patient Image Param End Exam O d:D d:D Distance d:D Ratio More Undo/Redo MDA Rotate Size Font Size Delete 4 On 53 40 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Femoral Head Coverage (%FHC) is an additional tool for pediatric hip measurements. The softkey menu has additional tools for rotating the baseline and adjusting the size of the ellipse. Notes No. 40 SIEMENS Healthineers Proximal isovelocity surface area (PISA) SIEMENS . Healthineers ... measurement package Adult Echo TEE Ped Echo Neo Echo Style Dimension ADLA Simpson EF LA Volume Valves • Mitral regurgitation Right Heart LV Mass A.L. LA MOI (AL) PISA (R) PISA CARD PISA (TR) MR Radius MR Allasing Vel Adult Echo TEE Ped Echo Neo Echo Dimension ADLA Simpson EF LA Volume Valves • Aortic regurgitation Right Heart PISA [MR) PISA CARD PISA CIN AR Rad us AR Aliasing Vel Adult Echo TEE Ped Echo Neo Echo Style Dimension ADLA Simpson E LA Volume Valves • Tricuspid regurgitation Right Heart LV Mass A.L. LA VOI (AL) PISA (MR) PISA (AR) TR Radius Allesing Vel 41 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The proximal isovelocity surface area (PISA) measurement package supports quantitative assessment for mitral regurgitation, aortic regurgitation and tricuspid regurgitation. The PISA calculation for effective regurgitant orifice area (EROA) requires: • Radius measurement in color Doppler • Aliasing velocity value in color Doppler • Velocity time integral (VTI) measurement in spectral Doppler (EROA calculation is not supported using a labeled maximum velocity measurement) Please note: Measurement labels are accessible according to the imaging mode. Notice the VTI labels that are dithered out. The ACUSON Maple ultrasound system uses the term effective orifice area (EO Area) to refer to EROA. Notes No. 41 SIEMENS Healthineers Enhanced measurement tool for PISA radius SIEMENS . Healthineers ... The enhanced PISA radius tool displays like a bow • Tool allows up or down measurement Caliper Start point • Assists in identifying caliper direction • Ease of measuring color Doppler flow convergence from point of leaflet coaptation to point of color Doppler aliasing (hemisphere) Caliper Start point 42 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The enhanced PISA radius tool displays like a bow and allows for an up or down measurement depending on the direction of the regurgitant lesion being assessed. The caliper’s starting point is placed at the level of leaflet coaptation for the valve being assessed. As the user moves the second caliper to the point of color Doppler aliasing, the green dotted hemisphere overlays the flow convergence. Notes No. 42 SIEMENS Healthineers 43 Enhanced measurement tool for PISA radius SIEMENS . Healthineers ... Automated PISA velocity Aliasing velocity value can be obtained automatically when measuring with the PISA Radius label while in color Doppler PISA (MR) 99.9 PISA (AR) 30.1 MR Radius 7.5 mm 7.2 mm MR Radius MR Aliasing Vel AR Radius 33.3 cm/s MR Flow Rate 17.69 mL/s AR Radius AR Aliasing Vel 30.1 cm/s AR Flow Rate 98.04 mL/s Caliper Start point cm/s Caliper Start point Note: Baseline shift should be adjusted in direction of regurgitant jet 43 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The aliasing velocity value is obtained automatically when using the PISA Radius label for measuring when in color Doppler. The application will automatically obtain the aliasing velocity which is dependent on the color Doppler scale’s baseline shift. In the first example on the left, the mitral regurgitation aliasing velocity of 33.3 cm/s was automatically obtained with a downward baseline shift and an upward radius measurement. In the second example on the right, the aortic regurgitation aliasing velocity of 30.1 cm/s was automatically obtained with an upward baseline shift and a downward radius measurement. Please note: The color Doppler scale’s baseline shift should always be adjusted in the direction of the regurgitant jet being assessed. Notes No. 43 SIEMENS Healthineers 44 Performing PISA tricuspid regurgitation (TR) example SIEMENS . Healthineers ... Enhanced PISA radius tool PISA (TR) Caliper Start point Note: Baseline 36.4 shift is adjusted in TR Radius TR Aliasing Vel 36.4 cm/s cm/s direction of TR Radius 5.0 mm regurgitant jet TR Flow Rate 57.18 mL/s TR Aliasing Vel 36.4 cm/s TR Radius 5.1 mm 14 cm Z TR Flow Rate 59.49 mL/s 44 Unrestricted © Siemens Healthineers 2023 Speaker Notes: In this PISA tricuspid regurgitation (TR) example, the baseline shift is adjusted downward in the direction of the regurgitant jet. The aliasing velocity value of 36.4 cm/s is obtained automatically when using the TR Radius label for measuring while in color Doppler. Please note: The PISA radius tool’s caliper is starting at the point of leaflet coaptation, and the hemisphere overlays the flow convergence as the user measures to the point of color Doppler aliasing. Notes No. 44 SIEMENS Healthineers 45 Performing PISA tricuspid regurgitation (TR) example SIEMENS . Healthineers .. Measuring velocity time integral (VTI) 60.2 PISA (TR) 14 cm 1 TR VTI 840.0 mm Cm/s TR VTI TR Vmax 271.0 cm/s -200 TR Vmean 192.0 cm/s TR PGmean -100 17.80 mmHg TR Flow Rate 59.49 mL/s -cm/s TR PGmax 29.38 mmHg 100 TR EO Area 21.95 mm2 200 TR Flow Vol 18.44 mL -300 45 Unrestricted © Siemens Healthineers 2023 Speaker Notes: This slide demonstrates the velocity time integral (VTI) measurement. After the user has performed all required measurements for the PISA calculation (radius, aliasing velocity and VTI), the effective regurgitant orifice area is derived. Here we see an EO Area of 21.95 mm2 . Notes No. 45 SIEMENS Healthineers 46 Manual PISA radius velocity SIEMENS . Healthineers ... Aliasing velocity value can also Echocardiogramhy be manually entered Adult Echo TEE Ped Echo Neo Echo • Select the Aliasing Vel Dimension label AOILA Simpson EF Manually enter color LA Volume • Valves Input Value Doppler scale’s baseline Op/Qs shift value LV Mass A-L MR Aliasing Vel 33.3 cm/s LA Vol (A-L) PISA (MR) OK Cancel PISA (AR) PISA (TR) 15 cm PISA (MR) MR Aliasing Vel 46 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The system does allow for manual entry of the aliasing velocity value. To do this, select the Aliasing Vel label from the Touch Screen and manually key in the color Doppler scale’s baseline shift value. In this example, the user would manually key in 33.3 and select OK. Notes No. 46 SIEMENS Healthineers 47 eSie Left Heart measurement package* SIEMENS . Healthineers ... P4-2 Node Echo Add Exam Workflow : D ess Echo ? 2D eSieLH eSieScan UND Flip LV 4ch EDV 106.2 cm LA 4ch EDV 15.2 cm Screen LUR Flip ED Frame ES Frame LV 4ch ESV 44,9 cm LA 4ch ESV cm EF4 2% Patient Physio Settings> 4B Set Start Marker Set End Marker SV4 30 mL S14 28 mLim LA EF4 Reset Markers End Exam Tint DICE Low Dyn R 60 dB Map D Cine Speed *Only available during live imaging; requires an ECG signal. 47 Unrestricted © Siemens Healthineers 2023 Speaker Notes: eSie Left Heart™ measurement package is an automated method for measuring a Simpson’s biplane in the apical 4CH and the apical 2CH views. The eSie Left Heart package tracing is achieved by using an algorithm trained on a large image database of apical 4CH and 2CH adult transthoracic 2D echo views annotated (manually measured) by clinical experts. To utilize the eSie Left Heart package: • From a live apical 4 chamber view with an ECG trace, freeze the image, select eSieLH from the Touch Screen and press Print Store on the Control Panel • Repeat this for a live apical 2 chamber view to save a Simpson’s biplane measurement • To edit the automated tracing, use the cursor to select the green box markers and move to the desired position before selecting Print Store Please note: The eSie Left Heart package is only available during live imaging and not from review. The patient must be connected to an ECG for the eSie Left Heart package to work. Notes No. 47 SIEMENS Healthineers 48 eSie Left Heart measurement package* SIEMENS . Healthineers ... Auto chamber detection LV 4ch EDV 106.2 cm2 LA 4ch EDV LV 4ch EDV 112.3cm 15.2 cm2 LV 4ch ESV 44.9 cm2 LV 4ch ESV 47.0 cm LA 4ch ESV 44.0 cm3 EF4 58.15 % EF4 SV4 65.30 mL 57,72 % SV4 S14 33.32 mUm3 61.30 mL 514 31.28 mL/m2 LA EF4 65:45 % Fr 1 208 / Fr1222 Fr569 Fr6oz *Only available during live imaging; requires an ECG signal. 48 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Chamber detection with the eSie Left Heart package provides automated recognition of either both the left ventricle and the left atrium, or just the left ventricle when the left atrium is not in the field of view. Notes No. 48 SIEMENS Healthineers 49 eSie Left Heart measurement package* SIEMENS . Healthineers .. Auto view recognition LV 2ch EDV 121.2 cm LA 2ch EDV 20.2 cm2 LV 2ch ESV 56.9 cm3 LA 2ch ESV 46.6 cm EDV (BP) 120.22 mL LV 4ch EDV 106.2 cm3 ESV (BP) 52.61 mL LA 4ch EDV 15.2 cm2 EF2 53.05 % LV 4ch ESV 44.9 cm2 EF (BP) 56.24 % LA 4ch ESV 44.0 cm3 SV2 64.30 ml SV 67.61 mL EF4 57,72 % S12 32.81 mL/m SV4 1.30 ml 34.49 ml./m2 514 28 mL/m LA EF2 56.65 % LA EF4 LA Vol-I 23.18 ml/m2 LA EDV (BP) 17.76 mL LA ESV (BP) 45.44 mL LA EF (BP) 60.92% LVESV(BP)I 26.51 mL/m2 LAESV(BP)i 23.11 mL/m2 4 Fr1206 Fr1222 4 Fr1026 Fr1042 *Only available during live imaging; requires an ECG signal. 49 Unrestricted © Siemens Healthineers 2023 Speaker Notes: eSie Left Heart package provides automatic view recognition of the apical 4 chamber and the apical 2 chamber view. Notes No. 49 SIEMENS Healthineers 50 eSie Left Heart measurement package* SIEMENS . Healthineers ... Auto view recognition A ? @SieLH Previous frame SHE ED Next frame Previous frame Next frame 4CH 2CH LV 4ch EDV LV 4ch ESV EStrate LV 4ch EDV 106.2 cmn' LA 4ch EDV 15.2 cm' LV 4ch ESV 44.9 cm2 LA 4ch ESV Clear 44,0 cm' Screen LA 4ch EDV LA 4ch ESV EF4 57.72 % SV4 534 Hide LA EF4 Patient TV 2ch ESv Image Param Exit LA2ch EDV A2ch. ESV End Exam *Only available during live imaging; requires an ECG signal. 50 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the software recognition for the view is not correct, the user can edit the view name from the Touch Screen after entering the eSie Left Heart package. For example, if the user wanted this image labeled 2CH instead of 4CH, the user would select 2CH from the Touch Screen to relabel before pressing Print Store. Notes No. 50 SIEMENS Healthineers 51 VTI/trace measurements SIEMENS . Healthineers .. Cardiac exam preset AV VTI 20.6 cm AV Vmax 0.98 m/s AV Vmean 0.62 m/s AV PGmax 3.8 mmHg AV PGmcan 1.9 mmHg Edit Set Set Undo/Redo Delete Delete All Select Next Note: Measurement results are not removed from the report when you delete a completed labeled measurement from the image screen 51 Unrestricted © Siemens Healthineers 2023 Speaker Notes: A VTI trace is obtained by selecting the measurement and using the trackball to trace, and then using the Set key to complete the measurement. To edit a VTI measurement: 1. Use the trackball for back up erase 2. Press Update, rotate Undo/Redo to remove or edit a segment of trace, reposition and anchor the caliper with trackball and set key Notes No. 51 SIEMENS Healthineers eSie Measure workflow acceleration package SIEMENS . Healthineers ... Cardiac exam preset Adult Echo Ped Echo Neo Echo Exam Echocardiogramhy Echocardiogram .... Adult Echo Ped Ech Neo Echo Mitral Valve Aortic Valve Tricuspid Valve Pulmonic Valve Pulmonary Vein Diastolic Function Mitral Valve DTI PISA (MR) AVA (VTI) Tei Index QpiQs Aortic Valve AV VTI AV Vmax AR PHT AR Decel Time AV VTI AV Vmax Clear LVOT VTI LVOT Vmax IVRT AR PHT Hide Patient AR Decel Time HR Image . LVOT VTI Param LVOT Vmax Pl Auto M Velocity VTI Time More IVRT Undo/Redo MDA eSie Measure HR Font Size Report Delete On Cine 77 *Only available during live imaging and with an ECG. 52 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The eSie Measure workflow acceleration package is an automated measurement method available for 2D mode, M-mode, and spectral Doppler. eSie Measure package availability is indicated by an orange dot beside the measurement on both the Touch Panel and the Touch Screen. In this example, the AV VTI and LVOT VTI is displayed with eSie Measure package options. eSie Measure package can be defaulted on/off in the configuration menu or activated during an exam from the soft keys. Notes No. 52 SIEMENS Healthineers 53 Auto Stat feature SIEMENS . Healthineers ... C5-2v 9VE4 14L4a Carotid Add Exam Workflow 2D C PW Contrast Elasticity SieScape eSieScan Auto Stat ? On/Off Full Screen Extensive View Mute Trace Direction Clear Screen Simult Auto Stat Trace Direction Above Sensitivity Hide Patient Physio Settings > Full D Update Rate Sensitivity 5 Off Image Param Clip Settings Invert Mean Trace Mean Trace MultiHertz 4.0 MHZ Filter 188 Hz Dyn R 60 dB Tint Tx Power 98% Options available Gate 1.5 mm Scale 6250 Hz Baseline Map A Sweep Volume 11 when On 53 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Auto Stats are available on the ACUSON Maple system. The Auto Stat command is located on the right side of the Touch Screen within the PW Tab. When the feature is turned on, the key is highlighted in blue. When the feature is turned off, the key is gray. Next to the Auto Stat key is the control for Trace Direction. Available trace directions are Above [the baseline], Below [the baseline], and Both [above and below the baseline]. To change the direction of the trace, select the Trace Direction key to display the menu choices. Once the desired choice is selected, the menu will close. Once the Auto Stat feature is activated, the user can customize the sensitivity or add a mean trace to the display. Selecting the Sensitivity key will display the menu containing the range of available sensitivities. Once a sensitivity option is chosen, the menu will close automatically. To add a Mean Trace, select the Mean Trace key – the key will be highlighted in blue when the mean trace is active and gray when it is off (not active). Notes No. 53 SIEMENS Healthineers 54 Auto Stat feature SIEMENS . Healthineers ... PI = 1.54 RI = 0.71 27 mm canis S/D = 3.44 Auto Stat PS = 77.3 cm/s ED = 22.5 cm/s Trace Direction TAmax = 35.5 cm/s 54 Unrestricted © Siemens Healthineers 2023 Speaker Notes: During activation of the Auto Stat feature, the user can choose which part of the trace the Auto Stat measures from the drop-down menu populating the Touch Screen when the Auto Stat soft key is selected. This is an example of Auto Stat Trace Direction Above, where the yellow trace line will only trace the Doppler signal which is above the baseline. Notes No. 54 SIEMENS Healthineers 55 Auto Stat feature SIEMENS . Healthineers ... PI = RI = canis S/D = Trace Direction PS = 20 mm ED = Below TAmax = 55 Unrestricted © Siemens Healthineers 2023 Speaker Notes: This is an example of the Auto Stat Trace Direction Below. Notice that the yellow trace line only outlines the Doppler signal that is below the baseline. Notes No. 55 SIEMENS Healthineers 56 Auto Stat feature SIEMENS . Healthineers ... PI = 15.00 RI = 1.00 S/D = XX Trace Direction PS = 73.2 cm/s 20 m ED = 0.0 cm/s Both TAmax = 4.9 cm/s 56 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The third Auto Stat Trace Direction option is labeled “Both” as it will trace all signal(s) that are above and below the baseline during the sweep. Notes No. 56 SIEMENS Healthineers 57 Auto Stat feature SIEMENS . Healthineers ... PI = 15.00 RI = 1.00 S/D = XX PS = 73.2 cm/s 20 mm Mean Trace ED = 0.0 cm/s TAmax = 4.9 cm/s TAmean = 3.0 cm/s 57 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the user wishes to add a mean trace to the sweep, select the Mean Trace soft key. When the feature is on, the key will be highlighted in blue and a blue line will appear on the sweep indicating the mean value of the trace. Notes No. 57 SIEMENS Healthineers Auto Stat feature SIEMENS . Healthineers ... Options when caliper function is active Carotid Venous Arterial TCD Style Exam A Style1 Vascular Right Left None Prox Mid Dist None Rt Prox CCA Rt Prox ICA Rt Prox ECA Rt Prox Vert A Innom A Below Rt Bulb Above Both Rt Prox Subclav A Clear Screen Trace Direction Above Hide Patient Result Compare Image Param Velocity PI Auto PI Manual HR Time D-Flow Undo/Redo MDA Mean Trace Sensitivity Delete Cine Font Size 14 On Off 46 58 Unrestricted © Siemens Healthineers 2023 Speaker Notes: When the caliper function is active, the user can turn the Mean Trace on or off from the available soft keys; it is also possible to adjust the degree of trace sensitivity on the signal. The sensitivity for the trace has options ranging from 0 thru 7. The Trace Direction key is still displayed on the main Touch Screen when the image is frozen. If the user desires to change the direction of the trace when the image is frozen, selecting the key will display the available options. Once the new option is selected, the frozen image will display the new trace direction choice. Notes No. 58 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Explain measurement access and screen information • Illustrate display customizations • Describe measurement labeling and accessing alternate calculation packages • Identify the Measurement Display Area and on screen options • Explain editing and deleting measurements • Discuss exam specific measurements • Examine Report access and printing 59 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Lastly, we will discuss how to access and print the report. Notes No. 59 SIEMENS Healthineers Report access SIEMENS . Healthineers ... Report Steer Depth i Focus O IHHHI 00.00 Report O UD 2 Body Marker Caliper Print Store Clip Store O UD 3 60 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Reports can be accessed from either the Report key on the keyboard or the Touch Screen soft key and associated rotary knob. Notes No. 60 SIEMENS Healthineers 61 Report layout SIEMENS . Healthineers .. Patient demographics Max # of displayed values Report Carotid Patient Name type Patient Number ACUSON Date Esaen Soccific Information Exam Specific Information Section D Mode Measurement Indication Carotid Assessment navigation Right Loft Iruitpes Systole Diastole Systole Diastole pane Comments ~ D Mode Measurement Labol Method Value VI vs Hide Rt Prax CCA (RI) Scroll 0.65 section 0.65 2.83 report EN Z option 73.1 cms 73.1 Last 25.8 Cmk LE PIOX CCA (MI) 0.68 Method 0.66 Stored 2.98 options Last 67.9 cm/ 70.7 67.9 report ED Last 22.1 cm/ 23.7 22.3 thumbnail Rt Prox ICA-(80) Print/ 0.54 0.54 export Print Preview Export PDF Print Report Store Report options 61 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The onscreen report display is customizable but typically displays: • The report type • Patient demographics • Method (last, mean, etc.) • A maximum of five displayed values A navigation pane in the upper left corner allows the user to jump to different sections of the report quickly; the small arrow in the heading of each section enables hiding sections from display. Print options are located at the bottom of the page. Please note: • If more than five measurements are taken, the last five are displayed on the Report • The Print Report key will send a copy of the report to either the on-board external printer or other computer devices (for example, a laptop) Notes No. 61 SIEMENS Healthineers Report banner SIEMENS. Healthineers ... Hide option (System Configuration > General 2) Imaging SIEMENS Healthingers PATIENT ONE 1777777 DOCTOR A SONOGRAPHER A HOSPITAL NAME 05/21/2020 10:33:47 mode “Not Hidden” Report display Carotid PATIENT ONE DOCTOR A SONOGRAPHER A 7777777 39Years M HOSPITAL NAME 05/21/2020 Q Eram Specific Information A Exam Specific Informa Imaging withMENS 05/21/2020 10:34:14 mode “Hidden” Report display Carotid 05/21/2020 CJ Eram Specific Information ~ Exam Specific Information 62 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Note that the contents of the patient report banner is directly linked to the contents of the imaging mode banner. Any customizations made to the imaging banner will be directly reflected within the report banner when the report is displayed on the imaging screen. The ACUSON Maple system has the option to hide the patient information from view within the System Configuration > General 2. Selecting this option will “hide” the patient information from view during an active exam or displayed report. This feature will not remove the patient name from any report that is stored to the system by using the Store Report option or exported in a PDF format. For more information on how to configure the patient banner, please refer to the ACUSON Maple System Configuration presentation. Notes No. 62 SIEMENS Healthineers Touch Screen layout SIEMENS . Healthineers ... Navigation Report soft keys ? Results xyz Assessment Images Comments Print Preview Close Growth Graph Print Report Export PDF Quik Trend Store Report Clear Print/export Screen options OB report Hide Patient options A D Image Param 63 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Touch Screen contains navigation keys similar to the navigation pane displayed onscreen in the left panel. Results display the exam-specific measurement results such as indication or LMP. Assessment will display the descriptive notes section of the report menu. The Assessment section contains a list of specific anatomical features, such as fetal anatomy for an OB exam, that can be checked off as seen or not seen or commented on by the user. If images or comments are added to the report, selecting the Images or Comment keys will jump the display to those specific sections of the report. Specific OB report navigation options include Growth Graph and Quik Trend. Selecting Growth Graph will move the display directly to the section of the report containing the graphical representation(s) of the fetal biometry measurements. Selecting Quik Trend will display the current data with previous study data for comparison. Note that this feature is only available if the previous study data has been manually entered into the system using OB History, or if previous studies have been performed on (and stored on) the system and are linked to the current exam. If multiple fetuses have been measured, use the “A, B, C, D” selection keys to display the appropriate fetus report for viewing, storing or printing. The print and export options are displayed on the right side of the screen. Options include Print Preview, Print Report, Store Report and Export PDF. These print/export options will be discussed later in this presentation. Notes No. 63 SIEMENS Healthineers 63 SIEMENS Healthineers 64 Report example > add images SIEMENS . Healthineers ... Vascular example Patient Name Patient Name Patient Number ACUSON Date Patient Number ACUSON Date ~ Exam Specific Information Indications BP (mmHg) Right Left Systole Diastole Systole Diastole Ra Pro CLAMI 3.85 D Mode Measurement SD Label Method Value V2 Rt Prax CCA (RI) EA V4 Vs Last 0.65 0.65 SID 2.83 2.83 PS Last 73.1 cm/s 73.1 ED Last 25.8 cmis 25.8 Lt Prox CCA (RI) Last 0.68 0.66 SID 3.08 2.98 3.08 PS Last 67.9 cmis 70.7 67.9 ED Last 22.1 cm/s 23.7 22.1 Rt Prax ICA (RI) Last 0.54 0.54 64 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Images can be added to the Report by using the Pointer and the Set key to click and drop the desired image into the image section of the Report. Up to 20 images can be added into the report image section. This is an example of a vascular report with multiple images added to the patient report. Notes No. 64 SIEMENS Healthineers Report SIEMENS . Healthineers ... Image layout options Report Carotid HOSPITAL NAME 05/21/2020 Exam Specific Information A Images Carotid Assessment 32 * Row x Column Images Comments 5x2 Print Preview Export PDF Print Report Store Report 65 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The image layout within the report can be customized to the needs of the user. The drop-down is located in the top left of the Images section and can be accessed by using the Pointer and Set key. Select the appropriate layout from the list provided. A guide for Row and Column related to the image order is displayed next to the layout drop-down menu. Notes No. 65 SIEMENS Healthineers Report example > exam-specific options SIEMENS . Healthineers ... Obstetrics example Onscreen navigation pane Touch Screen navigation Report Standard report OB options Results Assessment Images Comments Exam Specific Information Identifier Growth 2D Mode Measurement Graph for OB specific 2D Ratio multiple Quik Trend options CyZ Assessment E) Biophysical Profile gestations Growth Graph A B C D ]Images Comments 66 Unrestricted © Siemens Healthineers 2023 Speaker Notes: In the OB report, the results for each fetus will be displayed individually. Select the desired fetus (A, B, C, D) from the identifier on either the Touch Screen or the left panel. There are two OB specific options – Growth Graph and Quik Trend. Growth graph analysis graphs display the upper limit, mean and lower limit for predicted fetal growth patterns according to the selected reference (Hadlock, Osaka, etc.). Quik trend will display exam data from previous studies. Note that these studies must be stored on the system and linked to the current study or manually entered for up to 20 previous exams. Notes No. 66 SIEMENS Healthineers Report example > layout SIEMENS . Healthineers ... Obstetrics example A Exam Specific Information Populated from Indications registration Num of Fetuses 1 LMP DDIMMIYYYYES Clinical GA d Clinical EDC DDIMMIYYYY AB Calculated with US GA Based On Average US GA 21w1d US EDC 07/03/2018 exam measurements EFW 1 Hadlock1 AC,FL,USMA 383.2g=61.3g (0.0Lb 14.00z=0.0Lb 2.00z) Maximum EFW 2 Hadlock4 BPD, HC,AC,FL, USMA 378.5g=56.0g(0.0Lb 13.00z=0.0Lb 2.00z) number of Calculation 2D Mode Measurement displayed type/author values Label GA Author Value V1 V2 V3 V4 V5 choices BPD 20w4d=1w5d Hadlock Last 48.4 mm 482 48.4 HC 20w5dz1w3d Hadlock Last 184.1 mm 184.1 AC 21w3d=2wod Hadlock Last 163.8 mm 163.8 FL 20wOdz 1w6d Hadlock Last 2.3 mm 32.3 67 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The OB report page will have some areas, such as indication and LMP, automatically populated from the patient registration page. The user can modify the chart author and which value is displayed (mean, last, etc.) with drop down menus. Any alterations to the clinical composite menstrual age or clinical estimated date of confinement causes the system to recalculate the date of the last menstrual period. To alter or delete any measurements, use the Pointer and Set key to highlight the value and type in a new value or delete the value. Notes No. 67 SIEMENS Healthineers Report example > assessment usage SIEMENS. Healthineers ... Obstetrics example ^ 20 Ratio Biophysical Profile Label Value ange Low Range High Growth Author Fetal Fetal Movements CI 72.02 Hadlock Fetal Breathing Movements FLIAC 19.72 Hadlock Fetal Tone HCIAC 1.12 Campbell Amniotic Fluid Volume FUIBPD 66.74 Hohler Total Score A Assessment Growth Graph oad Defaults Dear All Set as Default 1X1 O 2x2 Os History Link Studies Fetal Heart Motion lotion Seen 4Ch heart Seen RVOT LVOT Hadlock Ao Arch EFW1 AC Hadlock Ductal Arch mm 400 Fetal Number Fetal Position Placenta Location Previa None Placenta Grade AF Volume Adequate 2009 Placental Cord Facial Profile Lips/Palate Lateral Ventricles Choroid Posterior Fossa Nuchal Fold c.Soine Seen T-Spine Seen HC Hadlock AFI Moore 68 Unrestricted © Siemens Healthineers 2023 Speaker Notes: As discussed in a previous slide, some exams contain the option to add assessments for anatomy or observations. The OB report is one of these exam types, as it contains an area for assessment of the fetal anatomy and movements. These fields can be populated by the user one by one, or a set of predefined defaults can be entered by selecting the Load Defaults at the top of the section. The choices contained in the Load Defaults are customizable. Notes No. 68 SIEMENS Healthineers Report example > comments usage SIEMENS . Healthineers ... Add pre-programmed comments Report Abd 06/04/2020 Load Comments Exam Specific Information 2D Mode Measurement 2D Mode Side by Side Images Comments GB REMOVED POST SURGICAL FIU EXAM A Comments Select Close Comments GB REMOVED Load Comments POST SURGICAL FIU EXAM Manually add comments Signature Print Preview Export FOF Print Report Store Report 69 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Comments can be added to the report manually by using the keyboard or by selecting options that have been added in system configuration. To add a manual comment, use the keyboard (virtual or tactile) to enter any information in the space provided in the Comments area. To add pre-programmed comments, select the Load Comments key within the report to display the available options. Use the Pointer and Set key to highlight the comment you wish to add, and press Select. Multiple comments can be added to the report. For more information on configuring pre-programmed comments for an exam report, please refer to the ACUSON Maple Measurement and Report configuration presentation. Notes No. 69 SIEMENS Healthineers Print reports > Store Report command SIEMENS . Healthineers ... A Report ? Results xyz Assessment Images Comments Print Preview Close Print Report Export PD Store report using Touch Screen key or Store Report Print Store key on the Clear Screen Control Panel Hide Patient Image Param End Exam 70 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To store the report: • Select the Store Report key on the Touch Screen and this will store only the report that is displayed on the imaging screen; if more than one report has been used (i.e., Thyroid and OB), then each report will need to be stored separately • To access additional reports, use the drop-down menu located in the onscreen left panel • Select and display alternate reports and select the Store Report key on the Touch Screen to add to the patient image file • Reports that are stored using the Store Report option will reflect any configuration(s) to show or hide patient or institution information The Print Store key located on the Control Panel can also be used to store the displayed report. However, this will store the report as seen on the imaging screen. Any unpopulated portions of the report will not be removed. A report printed in this manner will also not be compressed into a shorter, more easily displayed format as with the Store Report command. Notes No. 70 SIEMENS Healthineers Print reports SIEMENS. Healthineers ... PDF format ACUSON ACUSON Date Patient Name Abd Report Date 2D Mode Measurement Institution Label Method Value V1 V2 V3 V4 VS Liver Length 176.1 mm 176.1 GB Length 59.9 mm 59.9 SIEMENS Spleen Length 97.1 mm 97.1 58.3 Export PDF Healthineers " Spleen AP 58.3 mm Spleen Width 120.1 mm 120.1 Spleen Volume 356.0 mL Hospital Name ACUSON Rt Kidney Length Last 107.7 mm Performing MD Lt Kidney Length 108.5 mm 108.5 Referring MD Images Sonographer Patient Information Patient Name Patient Name Patient ID 0123456789 Gender Other Height Weight BSA P (mmHg) Study Date 24/10/2017 71 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The PDF can be exported to a USB by inserting a USB into the connection port on the system and selecting Export PDF from the Touch Screen. Notes No. 71 SIEMENS Healthineers Report > Print Preview SIEMENS . Healthineers ... Hide institution and patient information ATIENT NAME DR NAME SONGRAPHER NAME PATIENT NAME DR NAME SONGRAPHER NAME 5_15_2020_09_00_33 2Years M HOSPITAL NAME 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 V4 V5 Performing MD DR NAME Isthmus AP 2.13 mm 2.13 V3 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 Ooz 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” 72 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the Hide Patient Information or Hide Institution Name has been selected in the system configuration, the PDF will reflect those options and the report will be shortened. Please note: 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 and not from the report entirely. Notes No. 72 SIEMENS Healthineers 73 Print reports SIEMENS . Healthineers ... PDF format to patient images Patient Name Patient number ACUSON 25/10/2017 ACUSO 25_10_2017_15_10_33 D Mode Measurement Label Method Value V1 V2 V3 V4 V5 Rt Prox CCA (RI) RI Last 0.65 0.65 S/D Last 2.83 2.83 PS Last 73.1 cm/s 73.1 ED Last 25.8 cm/s 25.8 Lt Prox CCA (RI) RI Last 0,68 0.00 0.68 S/D Last 3.08 3.08 PS Last 2.9 67.9 cm/s 70.7 67.9 ED Last 22.1 cm/s 23.7 22.1 Rt Prox ICA (RI) RI Last 0.54 0.54 S/D Last 2.15 2.15 PS Last 55.6 cm/s 55.6 ED Last 25.8 cm/s 25.8 Lt Prox ICA (RI) RI Last 0.58 0.58 S/D Last 2.36 PS Last 46.0 cm/s 46.0 "TTTT ED 19.5 cm/s 19.5 Rt Prox ECA (RI) Report EXPORT PDF Print Report 73 Unrestricted © Siemens Healthineers 2023 Speaker Notes: As mentioned in a previous slide, the user can also store the report by using the Print Store key on the Control Panel. This option will store an image of what is currently displayed. If a user prefers a white background, use the Print Preview option to display the PDF on the imaging screen and then press the Print Store key to store the visible area. Please note: This option will not store the entire report automatically – the user must scroll and display all portions of the report and select the Print Store key each time. Notes No. 73 SIEMENS Healthineers Close report SIEMENS . Healthineers' ... Report Close report Results @xyz Assessment Images Comment Report Close options Report Print Report Export PDF Store Report Clear Screen Hide Patient 2D Image Param End Exam 74 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To close or exit a report, select Close from the Touch Screen or press the Report key or the 2D key on the Control Panel. Notes No. 74 SIEMENS Healthineers Trademarks and Disclaimers SIEMENS . Healthineers ... ACUSON Maple, eSie Left Heart measurement package and eSie Measure workflow acceleration package are trademarks of Siemens Medical Solutions, USA, Inc. syngo® Auto Follicle and syngo® Auto OB measurements are registered trademarks of Siemens Healthcare GmbH 75 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No Speaker Notes. Notes No. 75 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS . Healthineers ... Questions? 76 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No Speaker Notes. Notes No. 76