ACUSON Maple 1.0 Stress Echo Presentation

SIEMENS Healthineers SIEMENS Healthineers ... ACUSON Maple Ultrasound System Stress Echo Workflow Protocols and Configuration 1.0 Software Release 1 Unrestricted © Siemens Healthineers 2023 Unrestricted Speaker Notes: The purpose of this presentation is to provide an overview of the Stress Echo workflow protocols and configuration of the ACUSON Maple Ultrasound System. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Describe the user interface • Illustrate protocol configurations • Explain quick protocol configuration • Discuss step-by-step workflow • Describe stress review • Summarize quick exam 2 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Here are the objectives for this presentation. We will start with describing the user interface. Notes No. 2 SIEMENS Healthineers ACUSON Maple stress echo SIEMENS . Healthineers ... Key features Supports six user-definable factory default protocols View Control workflow Comprehensive Wall Motion Scoring Package 3 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The ACUSON Maple™ system supports standard and six user-definable protocols, optional View Control workflow features and a comprehensive wall motion scoring package. Notes No. 3 SIEMENS Healthineers User interface SIEMENS . Healthineers ... Reference image selection Region of interest (ROI) Thumbnail panel ROI size/position 4 Unrestricted © Siemens Healthineers 2023 Speaker Notes: It is important to be familiar with the user interface. This is the Stress Echo layout screen prior to the start of the Stress Echo exam. Once the Stress Echo option is selected from the Touch Screen, the controls for the Stress Echo package are available on the Touch Screen. The region of interest (ROI) is in the middle and the thumbnail panel is on the right side. Details regarding the ROI position and size as well as the thumbnail panel will be explained in the following slides. Right panel displays reference images of stored images and clips or provides functions for workflow such as eSieScan™ workflow protocols or Stress Echo. During review, double-click a thumbnail to display the image in a full-screen format. You can also add thumbnails to the reports. Imaging parameters displays a list of imaging settings for the active operating mode. Notes No. 4 SIEMENS Healthineers Region of interest (ROI) SIEMENS . Healthineers ... To modify the ROI size/position: • Press the left or right Set key to move between position or size • Modify ROI size or position using the trackball • To confirm size, press the left or right Set key again 5 5 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss the region of interest. It is important to note, that the ROI is dynamic. The size may be modified according to the user preference. This is a great feature to use because patients heart sizes vary. To modify the ROI size: • Press the left or right Set key to move between position or size • Modify ROI size or position using the trackball • To confirm the size, press the left or right Set key again Notes No. 5 SIEMENS Healthineers Review Screen – Image screen SIEMENS . Healthineers ... • Review or Selection Mode (allows for renaming of veiws) • Image layout selection 6 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Stress Echo Review offers two viewing modes—Review or Selection Mode. In the Selection Mode, a single image can be selected by using the Right or Left Set key. The selected image will be outlined in white. Notes No. 6 SIEMENS Healthineers Review Screen – Touch Screen SIEMENS . Healthineers ... 1 1. Review or Selection mode Review Mode Selection Mode 2 Rest 2. Image layout selection Accept all Defer 1 up 2x1 2x2 3x2 PLAX 3. Rename View options Reject all 3×3 4x3 4x4 5x4 3 PSAX 4. End Protocol or Pause Protocol A4C Text Overlay Sync Mode Rename View 4 Loop Alig Full R-R None A2C End Protocol Pause Protocol ED Frame ES Frame Go to Next Group Cine Speed Cine End Marker 100% Cine Frame Cine Start Marker 10 7 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Stress Echo Review Screen differs from the resting Review Screen. This slide illustrates the options for the resting Review Screen: Sort, Compare, WMS Scoring, Stress Echo Report and the Stress Echo Views. • Sort – sorts the acquired images by view or stage • Compare – compares views for two stages • WMS Scoring – the system provides the function for user-assigned wall motion scores. It assigns a wall motion score (WMS) to specific segments within each view (representative loop) • Stress Echo Report – the measurement report for Stress Echo is displayed only during a stress echo protocol • Stress Echo Views – views that make up the protocol Notes No. 7 SIEMENS Healthineers Wall motion scoring (WMS) screen SIEMENS . Healthineers .. WMS Segments Rest and Post Views WMS Selections Normal - 2 Hypokinetic 3 Akinetic 4 Dyskinetic Mkinetk Dyukinak Armseyuval 5 Aneurysmal Set not sored sag term to Nonral X Unable to interpret Set of segments to Mirmul Dear al segreeres Set unscored segments to Normal Set all segments to Normal Clear all segments 8 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Wall motion scoring is typically used when a physician needs to monitor a patient’s wall motion abnormalities. To perform a wall motion scoring: • Acquire at least one view • Select Review Mode • Next, select WMS Scoring, and the wall motion scoring selection menu will appear • Place the cursor over the desired view segment and select either the left or right on the Touch Screen • A drop-down menu will appear with multiple choices (Normal, Hypokinetic, Akinetic, Dyskinetic, Aneurysmal, Unable to interpret, Set unscored segments to Normal, Set all segments to Normal, Clear all segments) • Select and assign the most appropriate choice • Select Page to label the additional views Notes No. 8 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Describe the user interface • Illustrate protocol configurations • Explain quick protocol configuration • Discuss step-by-step workflow • Describe stress review • Summarize quick exam 9 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss the protocol configurations. Notes No. 9 SIEMENS Healthineers Creating a Stress Echo protocol SIEMENS. Healthineers ... Configuration menu Configuration General 2 • Select Configuration General 1 Display Custom Keys Soft Keys Exam Measurement Text Annotation Body Marker Stress Echo eSieScan Clip Store • Select Stress Echo Printer Barcode Wireless Network Utility Archive Clear Screen Authorization Service Hide Patient Image Param Close 10 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To access the Configuration menu, press the Configuration icon on the Touch Screen and then select Stress Echo. Notes No. 10 SIEMENS Healthineers Protocol overview SIEMENS . Healthineers ... Stress Echo Protocols Pharmacology Rest PLAX Pharmacology Continuous Post PSAX Bicycle AAC Bicycle continuous ADC Treadmill treadmill Continuous Protocol Stage View Copy Add Rename Delete Clip Settings Additional Settings Clip Store Type Continuous Start Stage Timer Clips per Captur At Start of Stage Clip Length : Enter Review Screen : Time Beat beats Non Capture Offset After View Capture Time After Stage Capture O R-Wave frames 11 Unrestricted © Siemens Healthineers 2023 Speaker Notes: It is important to set up the Stress Echo protocol according to the user preferences To access the Stress Echo protocols, select Config > Stress Echo. This is where the protocol is set up or edited. Under Protocol, there are six default options. The factory default is set for four Stages and four Views. The factory default cannot be edited, but a copy of the factory default can be duplicated and edited. The editing tools are: Copy, Add, Rename and Delete. Depending on what is highlighted, the choices are different. For example, Pharmacology > Rest is highlighted, the options are Capture Settings and Additional Settings. Notes No. 11 SIEMENS Healthineers Protocol settings SIEMENS . Healthineers ... Stress Echo Protocols Pharmacology Rest Pharmacology Continuous Post Bicycle Bicycle continuous Treadmill Treadmill Continuous Protocol Copy PPV Rename Delete Protocol Settings leview Settings ROI On Display Format : 4x4 Allow Selection of Multiple Clips per View Default Playback Mode : Full R.R Default Playback Speed : 100% Default Clip Sorting O By View By Stage Export Import Restore Defaults : Protocol 12 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Protocols have two settings options: Protocol settings and Review settings. The Protocol settings allows for the ROI to be On and/or Allowing Selection of Multiple Clips per View. The Review settings allow for changes in the Display Format, Default Playback Mode, Default Playback Speed and the Default Clip Sorting. Display format options are: 1x1, 2x1, 2x2, 3x2, 3x3, 4x4, 5x4. Default Playback Mode – select the required section of the clips to play when activated from the default playback mode. Default Playback Speed – select the required playback speed in the Stress Echo Review Screen. Default Clip Sorting options: By View, By Stage. Notes No. 12 SIEMENS Healthineers Stage settings SIEMENS . Healthineers ... Stress Echo Protocols Pharmacology Rest PLAX Pharmacology Continuous Post PSAX Bicycle A4C Bicycle continuous AZC Treadmill Treadmill Continuous Stage Copy Add Rename Delete Clip Settings Additional Settings Clip Store Type : Continuous Start Stage Timer : Clips per Capture At Start of Stage Clip Length : Enter Review Screen : Time None Beat Capture Offset : After View Capture Time After Stage Capture R-Wave frames 13 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Stage has two modifiable settings – Capture Settings and Additional Settings. • Clip Capture – retrospective, prospective or continuous • Clips per Capture – for the non-continuous stage, select the number of clips stored when acquisition is activated from the Clips per capture • Capture Length – selects the type of acquisition in heartbeats or time Start Stage Timer specifies when the stage time is activated from the drop-down list. In the Enter Review Screen – choose when to enter the Review Screen: none, after view capture or after stage capture. Additional settings options: Start Stage Timer: Enter Review Screen options: None, After View Capture, After Stage Capture Notes No. 13 SIEMENS Healthineers View settings SIEMENS . Healthineers ... Stress Echo Protocols Pharmacology Rest PAX Pharmacology Continuous PSAX Bicycle A4C Bicycle continuous Treadmill Treadmill Continuous View Copy Add Rename Delete Clip Settings Additional Settings Clip Store Type : Start Stage Timer Clips per Capture At Start of Stage Clip Length : Enter Review Screen : Time Beat beats None Capture Offset : After View Capture Time After Stage Capture R-Wave frames 14 Unrestricted © Siemens Healthineers 2023 Speaker Notes: There are four modifiable settings for view: Copy, Add, Rename and Delete. • Copy allows for copying a view and there are two selections: Pre-defined List and Custom • The Pre-defined List has commonly added views, as illustrated on the slide • The Custom option allows for customized wording for the additional view • Add – adds a view • Rename – renames a view • Delete – deletes a view Notes No. 14 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Describe the user interface • Illustrate protocol configurations • Explain quick protocol configuration • Discuss step-by-step workflow • Describe stress review • Summarize quick exam 15 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss a quick protocol configuration. Notes No. 15 SIEMENS Healthineers Quick protocol configuration SIEMENS . Healthineers ... Highlight Protocol Change Protocol Name Probocch System Configuration Suess Echo Pharmacology Pharmacology Continuous PSAX Pharmacology Bicyde Phanacalogy Cardinacus Bicycle continuous Treadmill Treadmill Continuous Copy Factory Stress Echo Protocol Copy Add Rename Delete TIP Choose a different protocol name from factory default 16 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To quickly configure a protocol: • Highlight a protocol • Copy a factory Stress Echo protocol • Change protocol name to a desired name Please note: Choose a different protocol name from the factory default Notes No. 16 SIEMENS Healthineers Quick protocol configuration SIEMENS . Healthineers ... Modify Capture and Additional Settings Stress Echo Probocchi Pharmacology Rest Pharmacology Continuous PSAX Bicycle AMC Bicycle contiriuacus Treadmill Treadmill Continuous Copy Add Persime Chip Settings Clip Store Type : Continuous Addnord Settings cart Stage Timer At Start of Stage Clip Length : Enter Review Screen 1 Time None Beat Capture Offset : After View Capture Time After Stage Capture H-Wave 17 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Last, modify Capture Settings and Additional Settings. These are “set and forget” features. Please note: Confirm Clip Capture: Prospective, Retrospective, Continuous Confirm view acquisition order Notes No. 17 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Describe the user interface • Illustrate protocol configurations • Explain quick protocol configuration • Discuss step-by-step workflow • Describe stress review • Summarize quick exam 18 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss the step-by-step workflow. Notes No. 18 SIEMENS Healthineers Begin an exercise stress echo SIEMENS . Healthineers ... Select New Patient Patient Browser Review 1 + New Patient n' Edit Patient Last Name First Name OK Cancel Patient ID Clear Screen Hide Patient Image Param End Exam 19 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The following slides are a description of how to do an exercise stress echocardiogram, step-by- step workflow. Select New Patient. Notes No. 19 SIEMENS Healthineers Activate Stress Echo Protocol SIEMENS . Healthineers ... 1. Select a cardiac transducer P4-2 Workflow Adult Echo Add Exam 2. Select Stress Echo 2D Contrast eSieLH Stress Echo SieScan • A pop-up window appears • Select the desired protocol • A ROI appears on the image screen 3. To acquire the images, select Clip Store Protocol Selection Pharmacology 9X/ Treadmill Continuous oft Pharmacology Continuous 6 Bicycle "a Bicycle continuous Cancel Treadmill 20 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To activate a Stress Protocol: 1. Select a cardiac transducer 2. Select Stress Echo and a pop-up menu appear, select desired protocol and an ROI will appear on the screen 3. To acquire the images, select Clip Store The system has six protocols: Pharmacology, Pharmacology Continuous, Bicycle, Bicycle Continuous, Treadmill and Treadmill Continuous. If a protocol has not been configured, choose the desired protocol exam. Notes No. 20 SIEMENS Healthineers Rest stage: Enter selection after view captures SIEMENS . Healthineers ... 1. Select Selection Mode on the Touch Screen Stress Echo 2. Position cursor and press left or right Set key to select image Review Mode Selection Mode 3. Image will outline in white • If desired, choose multiple images • Double-click on the left or right Set key to progress to the next view 4. Repeat the steps for all resting images 21 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once all the images are acquired, to review the images, select Review. Change the Layout per the customer preference. Notes No. 21 SIEMENS Healthineers Post stage: Continuous capture with view control SIEMENS. Healthineers ... 1. Select Clip Store to begin acquisition 2. Select Clip Store to stop acquisition for the current view 3. Select Clip Store again to begin acquisition of the next view in the protocol Dual Zoom 4. To end the capture, select Clip Store or Pause Protocol if additional images outside the application are desired 5. System will enter Review Mode x ... x Caliper Print Store 1 Clip Store Print Store 2 22 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If the user prefers to capture post stress images with continuous capture and view control: 1. Select Clip Store to begin acquisition 2. Select Clip Store to stop acquisition for the current view 3. Select Clip Store again to begin acquisition of the next view in the protocol 4. To end the capture, select Clip Store or Pause Protocol if additional images outside the application are desired 5. System will enter Review Mode Notes No. 22 SIEMENS Healthineers Post Stage: Continuous capture without view control SIEMENS. Healthineers ... 1. Select Clip Store to begin acquisition and acquire all the views 2. Select Clip Store to end the acquisition 3. The system can be configured to enter Review Mode Dual Zoom automatically or the user can manually select review mode on the control panel x ... x Caliper Print Store 1 Clip Store Print Store 2 23 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To capture post stress images without view control: 1. Select Clip Store to begin acquisition and acquire all the views 2. Select Clip Store to end the acquisition 3. Select Review to enter Review Mode Notes No. 23 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Describe the user interface • Illustrate protocol configurations • Explain quick protocol configuration • Discuss step-by-step workflow • Describe stress review • Summarize quick exam 24 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will describe how to review a stress exam. Notes No. 24 SIEMENS Healthineers Review post stress: Selection mode with view control SIEMENS . Healthineers .. • Once images are acquired, the application will Stress Echo automatically advance to the Selection Mode Selection Mode • User will have the option to change the layout Review Mode 1 up 2x1 2x2 3×2 PLAK 09:45:11 3x3 4x3 4x4 5x4 SS BPM • Select Page to see the view options Page 3/27 25 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once images are acquired, the application will automatically advance to the Selection Mode and Sort By View If desired, change the Layout Select Page to see view options available for selection Notes No. 25 SIEMENS Healthineers Review post stress: Selection mode with view control SIEMENS . Healthineers ... 1. Select the left or right Set key to select the clip, once selected, the clip will be highlighted in white 2. Double-click the Set key to confirm all the clip selections; The application will progress to the next view for selection 3. Repeat steps 1 and 2 until all the desired views are selected 26 Unrestricted © Siemens Healthineers 2023 Speaker Notes: 1. Press the left or right Set key to select the clip • Once selected, the clip edge will be highlighted in white • Select one or more images 2. Double-click the left or right Set key to confirm all clip selections • The application will progress to the next view for selection 3. Repeat steps 1 and 2 until all desired views are selected • A check mark will be placed next to the selected view Notes No. 26 SIEMENS Healthineers Review Post Stress: Selection without view control SIEMENS . Healthineers ... • Capture all the views by selecting Clip Store • Select Clip Store to end the capture • The system can be configured to enter Review Mode automatically or the user can manually select Review Mode on the control panel 27 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If capturing clips without View Control is desired, follow the below steps: 1. Capture all views by selecting Clip Store 2. Once all views have been captured, select Clip Store to end the capture 3. Select Review to view all the captured clips The stress application will automatically advance the operator to Selection Mode. Notes No. 27 SIEMENS Healthineers Review post stress: Selection mode without view control SIEMENS . Healthineers .. • Select Page to scroll through the clips • Select Rename View to rename a clip Stress Echo Select the View Name first, then select Review Mode Selection Mode • the desired clip to be renamed 1 up 2x1 2x2 3x2 None PLAX PSAX A4C A2C Sync Mode Rename View None 28 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To review the acquired clips and select clips for analysis: 1. Select Page to scroll through clips 2. Select Rename View to rename a clip • This is done by selecting the clip name first (PLAX, PSAX, A4C, A2C), then selecting the clip 3. Select Exit or select Rename View to exit Notes No. 28 SIEMENS Healthineers Review post stress: Selection mode without view control SIEMENS . Healthineers ... • Select Review Mode to view Selected Clips Stress Echo • If desired, select Sort By View or By Stage Review Mode Selection Mode • If desired, a Compare option is also available • “Dog ears” will denote whether multiple images were selected By View By Stage Sort By Stage Compare 29 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To view chosen clips: 1. Select Review Mode 2. If desired, select Sort by View or by Stage 3. If a different layout is desired, select Layout to view various options 4. If the user selected multiple images, dog ears will appear on the right side of the image 5. Click on the “dog ears” to view the other selected images for analysis Notes No. 29 SIEMENS Healthineers Review selected clips with and without view control SIEMENS . Healthineers ... • Select Review Mode to view selected clips • If desired, select Rename View to rename a clip • Select the clip name first, select the desired clip to be renamed None PLAX PSAX A4C A2C Sync Mode Rename View Loop Alig. Full R- None 30 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To view chosen clips: • Select Review Mode to view selected clips • If desired, select Rename View to rename a clip • Select the clip name first, and then select the desired clip to be renamed Notes No. 30 SIEMENS Healthineers General Review SIEMENS . Healthineers ... • A General Review for Stress Echo option is available • Reviews multiple images simultaneously • In Review Mode, the General Review is located on the Touch Screen WMS Scoring General Review 31 Unrestricted © Siemens Healthineers 2023 Speaker Notes: In the Review Mode, a General Review option is available to evaluate images simultaneously. The General Review for Stress Echo does not include any images acquired outside of the Stress Echo protocol. Notes No. 31 SIEMENS Healthineers End the stress protocol SIEMENS . Healthineers .. • Select End Protocol on the Touch Screen to end the stress protocol Stress Echo • Standard imaging screen will be displayed Review Mode Selection Mode Sort If desired, capture non-stress images By View Compare 1 up 2x1 2x2 3x2 WMS Scoring • Reference Compare To 3x3 4x3 4x4 5x4 General Review EDIES Split Text Overlay Sync Mode Loop Alig. Full R.R End Protocol Pause Protocol ED Frame ES Frame = 32 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To end the protocol, select End Protocol. Additional Stress Echo images may not be captured once End Protocol has been selected. However, this will not end the study, non-stress images may still be captured. If the user captured images without View Control and desires to capture more Stress Echo images: 1. Select Return to Imaging 2. The ROI box will appear (if ROI was selected in the protocol) 3. Select Clip Capture to acquire more images If desired, the operator may select WMS to assign wall motion scores to left ventricle segments. Notes No. 32 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Describe the user interface • Illustrate protocol configurations • Explain quick protocol configuration • Discuss step-by-step workflow • Describe stress review • Summarize quick exam 33 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Finally, we will summarize a quick exam. Notes No. 33 SIEMENS Healthineers Quick stress echo exam SIEMENS. Healthineers ... • Determine the Stress Echo workflow and customize protocol • Begin the study • Obtain images outside the Stress Echo protocol • Launch the Stress Echo protocol • Evaluate the flexibility of the protocol by using View Control or without using View Control 34 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Before the demo, configure the factory protocol. To do a quick Stress Echo demo, follow the below steps: Begin the study: • Obtain images outside the Stress Echo protocol • Launch the Stress Echo protocol • Emphasize the flexibility of the protocol by demonstrating the touch panel options Notes No. 34 SIEMENS Healthineers SIEMENS . Trademarks and Disclaimers Healthineers ... • ACUSON Maple and eSieScan workflow protocols are trademarks of Siemens Medical Solutions USA, Inc. 35 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No speaker notes. Notes No. 35 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS . Healthineers ... Questions? 36 Unrestricted © Siemens Healthineers 2023 Speaker Notes No speaker notes. Notes No. 36