ACUSON Sequoia 3.5 VB30 Auto IMT Presentation

SIEMENS Healthineers SIEMENS Healthineers ... ACUSON Sequoia Ultrasound System Auto Intima Media Thickness (IMT) with preview function Release 3.5 (VB30) 1 Unrestricted © Siemens Healthineers 2024 Speaker notes: This presentation covers the Auto Intima Media Thickness (IMT) with preview function on the ACUSON Sequoia ultrasound system. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Discuss Auto IMT technology • Discuss M&R LEECCO • Explain Auto IMT acquisition • Show Auto IMT video 2 Unrestricted © Siemens Healthineers 2024 Speaker notes: Next, we will discuss the measurements and report (M&R) package. Image: HOOD05162003330011 Notes No. 2 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS . Healthineers ... Purpose • Measures two inner layers • Establishes risk profiles • Classifies patients with intermediate vascular disease • A vascular age will not be calculated 3 Unrestricted © Siemens Healthineers 2024 Speaker notes: The Auto IMT with preview function can be performed in a few simple steps. After placing a region of interest (ROI) over the wall of the vessel, it automatically locates and measures the thickness of the two inner layers of the carotid artery, the tunica intima and the tunica media. This technology will help to establish risk profiles, and to classify patients with intermediate vascular disease. Patients that already have calcified plaque present in the carotid artery, are usually excluded from having this evaluation. When complete, a vascular age will not be calculated. Notes No. 3 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS . Healthineers ... Purpose Normal Values Age 10 • ~ 0.4 - 0.5 mm 50 + • ~ 0.7 – 0.8 mm or more1 1 Uptodate.com/contents/carotid-intima-media-thickness 4 Unrestricted © Siemens Healthineers 2024 Speaker notes: The normal IMT value at age ten is approximately 0.4–0.5 mm. For those who are 50 and older, the range is approximately 0.7–0.8 mm or more. 1 1 uptodate.com/contents/carotid-intima-media-thickness Notes No. 4 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS ... Healthineers .. Technology • All linear transducers • B-mode images • Frozen images/Review images • Guidance function – dotted vertical line • ROI (region of interest) placement ............................................................... ] 5 Unrestricted © Siemens Healthineers 2024 Speaker notes: Auto IMT is available on all linear transducer B-mode images and can be performed on frozen images, zoomed frozen images and images in review. There is a dotted guidance line to the left of the ROI to help support more consistent alignment. Once the ROI is placed, a preview of the intima outline can be seen. The outline can be easily edited if adjustments are needed. Notes No. 5 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS .... Healthineers ... Technology Auto IMT report results Output • Results seen are configurable Per label configuration C10 • Max Maximum and Mean Mean • Min • Minimum (optional) 4 • Intima Media Thickness (IMT) – C10 (optional) • Japan required output 6 Unrestricted © Siemens Healthineers 2024 Speaker notes: The Auto IMT results displayed in the report are configurable using the per label configuration page in System Configuration > Measurement & Report. The maximum and mean values are always displayed in the measurements display area (MDA). The C10 value is a measurement used in Japan and is automatically calculated when placing the dotted reference line at the origin of the bulb. The measurement is located 10 mm from the bulb origin, as shown in this enlarged view, indicated by the two triangles at the left edge of the intima tracings. Displaying the Minimum (Min) or C10 values are optional. The measurement and report package and steps to perform an IMT measurement will be covered later in the presentation. Notes No. 6 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Discuss Auto IMT technology • Discuss M&R LEECCO • Explain Auto IMT acquisition • Show Auto IMT video 7 Unrestricted © Siemens Healthineers 2024 Speaker notes: Next, we will discuss the measurements and report (M&R) package. Image: HOOD05162003330011 Notes No. 7 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS . Healthineers ... Measurement & Report System Configuration System Settings Workflow Enhancement General Exam Package bram Specific Per Label Configuration Imaging Settings Abdomen Label Name : MA Measurement & Report Default Tool and Method Find Similar Labels 20 Distance ] Label Touch Screen Measurement Config Custom Measurement Label Doppler RI-SID Custom Calculations AAA (Post Repair) AAA AP Diam Report AAA AP Diam (Post Repair) OB Tables AAA Sac Length Output Show Unit Precision AAA Sac Length (Post Repair) Annotations AAA Trans Diam 0.00 Features AMA Trans Diam (Post Repair) Accel 0.00 AAA dist from SMA Transducer ARA Origin cm 0.00 Connectivity & Network AD BIf (Post Repair) 0.00 Ao Bif AP Diam 0.00 Peripheral Devices crr's Ao Bif AP Diam (Post Repair) MD Systern Management Ao Bif Trans Dlam 0.00 Ap BIf Trans Diam (Post Repair) 0.00 AD Bifurcation 0.00 Art Anast CBD 0.00 CHA TAMn 0.00 CHD TAMK 0.00 CIA 000 CIA (Post Repair) Time O CIA AP Diam CIA AP Diam (Post Repair) CIA Aneurysm Histoire Delis Abonmes 8 Unrestricted © Siemens Healthineers 2024 Speaker notes: The Auto IMT technology allows the user to customize the values to display in the report and on the monitor in the MDA. • First, select the configuration icon in the upper left corner of the Touch Screen to enter the System Configuration page • Select Measurement & Report on the monitor and then select Measurement Notes No. 8 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS . Healthineers ... Measurement & Report System Configuration Systern Settings General Exam Package Exam Specif Por Label Configuration Workflow Enhancement Imaging Settings Carotid Label Name : Bulb y Measurement & Report Default Took and Method Find Similar Labels Measurement 20 Distance Land Touch Screen Measurement Config Label Custom Measurement Label Doppler RI-S/D Bulb IMT Custom Calculations Dist CCA Report Dist CCA IMT OB Tables Dist ECA Output Show Unit Precision Dist ICA Annotations Dist ICA IMT SStenosis 0.00 Features Dist Innom A 0,00 Dist Subclay A Transducer Dist Vert A cmist 0.00 Connectivity & Network ECA cm 0.00 Innom A Peripheral Devices ED cmi's 0.00 Mid CCA System Management Mid CCA IMT MO Cmi's 0.00 Mid ECA 0.00 Mid ICA 0.00 Mid ICA IMT PS m/s Mid Innom A RI 0.00 Mid Subclay A SID 0.00 Mid Vert A TAMn comis 0.00 Prox CCA Prox CCA IMT TAMX 0.00 0000 Prox ECA Prox ICA Prox ICA IMT Restore: Big 9 Unrestricted © Siemens Healthineers 2024 Speaker notes: Next, select the Per Label Configuration tab at the top right and select the Carotid exam from the exam drop-down menu. Notes No. 9 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report System Configuration System Settings › Workflow Enhancement General Exam Package Bram Specific Per label Configuration Imaging Settings · Measurement & Report Carotid Label Name : Dist CCA IMT Measurement Default Tool and Method Find Similar Labels Touch Screen Measurement Config IMT Custom Measurement Label Bulb Custom Calculations Bulb IMT Report OB Tables OHSI CCA IMT UNSLECA Output Annotations Show Precisión Dist ICA · Features Dist ICA IMT 0.00 Transducer Dist Innom A Max 0.00 Dist Subcav A Connectivity & Network Dist Vert A 0.00 Peripheral Devices ECA 0.00 System Management Innom A Mid CCA Mid CCA IMT Mid ECA Mid ICA Mid ICA IMT Mid Innom A Mid Subclav A Mid Vert A Prox CCA Prox CCA IMT Prox ECA Prox ICA Apply to Simir Label 10 Unrestricted © Siemens Healthineers 2024 Speaker notes: Next, select the measurement to be customized. Here for example, the Dist CCA IMT measurement is selected. Select the Default Tool and Method drop-down menu for the Dist CCA IMT carotid exam measurement. There is only one option in this menu which is IMT, and it will already be selected. Notes No. 10 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report System Configuration System Settings General Exam Packag Bram Specific Per label Configuration Workflow Enhancement Imaging Settings Carotid Label Name : Dist CCA IMT Measurement & Report Default Tool and Method Find Similar Labels Measurement 20 IMT Last 1 Label Touch Screen Measurement Config Labe Custom Measurement Label Bulb Bulb IMT Custom Calculations Dist CCA Report CHISI CCA IMT Dist ECA OB Tables Output Precision Dist ICA Annotations Dist ICA IMT 0.00 Features Dist Innom A Max Dist Subcav A Mears Transducer Dist Vert A > Connectivity & Network ECA Max Innom A Peripheral Devices Mid CCA Systern Management Mid CCA IMT Mid ECA Min Mid ICA Mid ICA IMT Mid Innom A Mid Subclav A Max Mid Vert A Prox CCA Prox CCA IMT Prox ECA Last Prox ICA Apply To Simile Label Prox ICA IMT Average 11 Unrestricted © Siemens Healthineers 2024 Speaker notes: The Default Tool and Method drop-down menu allows the user to choose one IMT value to display in the report summary: the Minimum, Maximum, Last or Average number. If Average is selected, only the Average of all measurements that were obtained will be displayed in the report Summary. The individual measurements that were saved can be found under the Edit Report option on the monitor or Touch Screen. During an examination, regardless of the Method chosen for display in the report, the values in the MDA will be from the current image measurements just performed. Notes No. 11 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report System Configuration Systern Settings General Exam Packag Bram Specific Per label Configuration . Workflow Enhancement Imaging Settings Carotid Label Name : Dist CCA IMT y Measurement & Report Default Tool and Method Find Similar Labels Measurement Q 20 IMT [] Label Touch Screen Measurement Config Labei Custom Measurement Label Bulb Bulb IMT Custom Calculations Dist CCA Report CHISI CCA IMT OB Tables Dist ECA Dist ICA Annotations Dist ICA IMT EEEE 0:00 Features Dist Innom A 0.00 Dist Subcbv A ›Transducer Dist Vert A 0.00 ECA 0.00 Connectivity & Network › Peripheral Devices Innom A Mid CCA System Management Mid CCA IMT Mid ECA Mid ICA Mid ICA IMT Mid Innom A Mid Subclav A Output Show Unit Precision Mid Vert A Prox CCA Prox CCA IMT C10 mm V 0.00 Prox ECA Prox ICA Max mm V 0.00 Mean mm V 0.00 Min mm V 0.00 12 Unrestricted © Siemens Healthineers 2024 Speaker notes: Next, under Output, customize the output values to display in the on-screen MDA. The Maximum and Mean values will always appear in the MDA, although the C10 and Minimum values are displayed optionally and will only be shown in the MDA by checking the corresponding box in the Show column. Notes No. 12 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report System Configuration System Settings Workflow Enhancement General Exam Packag Bram Specific Per label Configuration System Settings > Workflow Enhancement Carotid Label Name : Dist CCA IMT Default Tool and Method Find Similar Labels Imaging Settings 20 IMT v. Measurement & Report Measurement Bulb Touch Screen Measurement Config Bulbs IMT Dist CCA Custom Measurement Label CHISI CCA IMT Custom Calculations Dist ECA Precision Dist ICA EEEE Report Dist ICA IMT 0.00 OB Tables Dist Innom A mm 0.00 - Annotations Dist Subcav A Dist Vert A 0.00 ECA 0.00 Transducer Innom A Connectivity & Network Mid CCA mm Mid CCA IMT Peripheral Devices Mid ECA System Management Mid ICA Mid ICA IMT cm Mid Innom A Mid Subclav A Mid Vert A Prox CCA Prox CCA IMT Prox ECA Prox ICA Apply to Simir Label Prox ICA IMT 13 Unrestricted © Siemens Healthineers 2024 Speaker notes: The Unit drop-down menu allows the choice to display a millimeter or centimeter value in the MDA. Notes No. 13 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS . Healthineers ... Measurement & Report System Configuration System Settings Workflow Enhancement General Exam Packag Bram Specific Per label Configuration Imaging Settings Carotid Label Name : Dist CCA IMT Measurement & Report Default Tool and Method Find Similar Labels Measurement Q 20 IMT Touch Screen Measurement Config Labei Custom Measurement Label Bulb Repart Bulb IMT Dist CCA OB Tables CHISI CCA IMT Dist ECA Annotations Output Precision 0.00 V Dist ICA Show Features Dist ICA IMT Connectivity & Network Dist Innom A Max 0 Dist Subcav A › Peripheral Devices Maar Dist Vert A 0.00 System Management ECA Innom A 0.0 Mid CCA Mit CCA IMT Mid ECA 0.00 Mid ICA Mid ICA IMT Mid Innom A Mid Subclav A 0.000 Mid Vert A Prox CCA Prox CCA IMT Prox ECA Prox ICA Apply to Similar Label 14 Unrestricted © Siemens Healthineers 2024 Speaker notes: The Precision drop-down menu enables the user to select up to three decimal places to show in the MDA. Notes No. 14 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report SIEMENS Patient Report Healthineers Patient History - Intima Media Thickness (IMI) Carotid Images Value Summary Comments RI Dist CCA IMT Mean 0.71 m Max 0.78 mm Carotid Assessment RI CCA LI CCA RI CCA Plaque Description LI CCA Plaque Description Rt CCA Diameter Lt CCA Diameter Reduction Reduction Rt CCA Comments LE CCA Comments Rt BIF L BIF Rt BIF Plaque Description Lt BIF Plaque Description Rt BIF Diameter Reduction Lt BIF Diameter Reduction Rt BIF Comments Lt BIF Comments Rt ICA LE ICA Rt ICA Haque Description LE ICA Plaque Description Edit Repart Collapse All Store Report 15 Unrestricted © Siemens Healthineers 2024 Speaker notes: Measurements are located on the Report page. It allows the user to see the summary of measurements that were obtained during the study as shown here. The Edit Report function is also located here. To enter the Edit report page, select Edit report from the monitor or Touch Screen. Notes No. 15 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report 1. Edit Report SIEMENS Healthineers Patient Report Patient History - Intima Media Thickness (IMT) Carotid 3 Method 2. “X” to delete Mean Method 3 Summary Comments Fet Dist CCA IMT 0.71 0.78 measurement 0.68 0.78 2 Max 0.71 0.78 0.78 Last 0.70 0.78 3. Select Method - Carotid Assessment 4 Avg RI CCA LECCA Min 4. Carotid Assessment RI CCA Plaque Description LI CCA Plaque Description Rt CCA Diameter Lt CCA Diameter Reduction Reduction Max RI CCA Comments Lt CCA Comments Note: Minimum or C10 values RT BIF LE BIF - Rt DIF Plaque Description Lt BIF Plaque Description can only be edited before Rt BIF Diameter Reduction Lt BIF Diameter Reduction RT HIF Comments Lt BIF Comments beginning an exam W N De IrA 1 Edit Repor Collapse All Store Report Edited Value * 16 Unrestricted © Siemens Healthineers 2024 Speaker notes: In Edit Report the individual measurements saved during the exam will be displayed there. It also allows the user to delete measurements or change the Method value displayed in the report Summary. Select the “X” next to a measurement to delete it. The Method or value to display in the report can also be changed here, which include Last, Average, Minimum, Maximum or any individual measurement saved. Select Edit Report again to go back to the Summary report page. A Carotid Assessment package is also available, if desired. Note: The Minimum or C10 values can only be edited before beginning an exam. Notes No. 16 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report • Entering custom System Configuration Serial number. 0 measurements System Settings Workflow Enhancement Exam Package Imaging Settings 4 bel Root" Modifier 2 Measurement Type 1. System Measurement & Report DIST CCA 2 Total Measurement System Settings . Workflow Enhancement Exam Package Segments Configuration > Touch Screen Measurement Config Imaging Settings Carotid None El Mid 1 Dist [] Origin 1 Custom Measurement Label · Messeremété & Report 3 Measurement & Report Measurement Tools SR Template Sil Mapping Touch Screen Menuettent Config OB Tables Logy Report > Custom Imaging Mode 20 Mode Annotations Dertom Calculations 2D Mode Tool Label Measurement Label Features Papert O Doppler Mode Angle Connectivity & Network CB Tables O M Mode Annotation Area > Peripheral Devices e Features Lecomference > System Mansgement · Tiamducht Intima IMedia Thickness (IMt) Distance 2. Exam Package > Connectivity & Network Wal MOD Fenpineal Devices Carotid System Management Distance Ratin Stenosis 3. Select New IMT DIST CCA 2 4. Enter measurement Save All & Close Cancel AM in the Label Root field psnshot saved to Cilsynaptservicerisorseimage/2022 m00 314_12_m4 3.624 0,5g" 17 Unrestricted © Siemens Healthineers 2024 Speaker notes: To enter custom IMT measurements: • Select the System Configuration icon from the Touch Screen to enter System Configuration • Select Measurement and Report and then Custom Measurement Label • Select Carotid under the Exam Package drop-down • Select the New • Enter label measurement name in the Label Root field (here it is DIST CCA2) Notes No. 17 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report 1. Select Exam System Configuration Serial number. 0 Package > Carotid System Settings Workflow Enhancement Exam Package Madetiers Measurement Type Imaging Settings Catotid DIST CCA2 2 total 2. Select Modifier – Measurement & Report Customs measurements Measurement Exam Package Segments Right/Left Touch Screen Measurement Config 1 Carotid 3 None 1 23 Dist [] Origin Carotid] Sunday A Custom Measurement Label 4 R Template Sil Mapping Custom Calculations Cogy 20 Mode 3. Select Segments – Report 08-Tables GEA IMT 2D Mode Tools Label CA O Doppler Mode None, Prox, Mid, Annotations Angle O M Mode Features ICA IMT Area Distal, Origin Decomference Transducer Innom A import Section Vert A Intima IMedia Thickness (IMT) Distance Connectivity & Network Val MOD Peripheral Devices Alle Ratio 4. Under Tools Tab > System Management Distance Ratin Stenosis 2D Mode > Select IMT IMT DIST CCA 2 5. Select Save All & 5 ive All & Close Cancel A Close 18 Unrestricted © Siemens Healthineers 2024 Speaker notes: 1. Select Carotid from the second Exam Package drop-down 2. Select the Right/Left modifier so the measurement is available on both sides 3. Select the Segment from the choices listed that corresponds to the added measurement (None, Prox, Mid, Distal or Origin) 4. Under the Tools tab, select the Imaging Mode as 2D Mode and be sure IMT is also selected in the right column 5. Select Save All & Close to finish Notes No. 18 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report System Configuration 1. System Config > System Settings Measurement & Report Package Configuration 4 Touch Screen Layout Editor Workflow Enhancement Imaging Settings Name ng Mode · Measurement & Report 1 Carotid 3 2D 2. Touch Screen Measurement Touch Screen Measurement Co 2 Measurement Label Ubrary Measurement Config Custom Measurement Label Carotid Default 5 Custom Calculations Report Modifiers OB Tables Bulb Bulb IMT 3. Select Carotid Annotations Dat CCA Features Dat CCA IMT Measurement Package Dist DIST CCA IMT3 Prox DIST CCA IMT ist DIST CCA IMT Transducer Diist ECA Mid DIST CCA IMT3 Connectivity & Network Dist ICA Dist ICA IMT Peripheral Devices Dist Innom A System Management Dist Subclav A(Carotid) 4. Select Touch Screen Dist Vert A(Carotid) ECA Innom A Layout Editor Mid CCA Mid CCA IMT Mid DIST CCA IMT3 Mid ECA Mid ICA 5. Select Custom to see new Mid ICA IMT Mid Innom A New Page measurements Restore Defaults: Carotid 19 Unrestricted © Siemens Healthineers 2024 Speaker notes: To ensure the custom label is in the desired position, select System Configuration. • Select Measurement & Report, and then select Touch Screen Measurement Config • The Carotid measurement package should still be selected • Select Touch Screen Layout Editor tab and notice the two tabs below, Default and Custom • The Default Touch Screen layout is seen first • Select the Custom tab to see the new custom measurement Notes No. 19 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report – move measurement To move measurement to first System Configuration page: System Settings Package Configuration Touch Screen Layout Editor Workflow Enhancement Imaging Settings Name ng Mode 1. Press Set to select Measurement & Report Carotid 20 Measurement measurement Touch Screen Measurement C Measurement Label Library Custom Measurement Label Carotid 3 Custom Custom Calculations Modifiers Report 2. Place into Library – Press OB Tables Set again to drop 1 Annotations 2 Features DIST CCA 2 Dist DIST CCA 2 ›Transducer Dist DIST CCA 2 3. Select Default tab Connectivity & Network Peripheral Devices System Management New Page 20 Unrestricted © Siemens Healthineers 2024 Speaker notes: To move this measurement to the first page: 1. Press the Set key to select the measurement - roll the trackball and measurement to the Measurement Label Library on the left 2. Press the Set key to drop the measurement into the Library 3. Select the Default tab to see measurement display from first page Notes No. 20 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Measurement & Report 1. Select new measurement System Configuration with Set key . System Settings > Workflow Enhancement Package Configuration Touch Screen Layout Editor > Imaging Settings Name taging Mode · Measurement & Report 2. Roll and drop into Carotid 2D Touch Screen Measurement Config position Measurement Label Library Custom Measurement Label Carotid Detal Custom Custom Calculations Report Modifiers 06 Tables Bulb IMT > Annotations DRE CCA Dit CCA IMT › Features 1 Prox ECA But Subdey A Mert A Transducer DRE ECA PROX CCA PROXICA DIE ICA Connectivity & Network DELICA IMT Peripheral Devices Dot innom A Mid CCA Mid ICA Mid ECA PYOx CCA IMT Prow ICA IMT Dit Subclav A(Carotid) System Management Dht Vert AlCaratids ECA DAT CCA Dat ICA Dust EC 2 Pist DIST CCA IMT ME CCA IMT MidICA IMT Innom A Mid CCA Mid CCA IMT Mid DIST CCA IMT3 Dist CCAIME Det ICA INMY MId ECA MIDICA Mid ICA IMT Mid innom A New Page Restore Defaults: Carotid 21 Unrestricted © Siemens Healthineers 2024 Speaker notes: Select the new measurement from the previous slide moved into the library with the Set key. Roll the trackball to the position desired on the page and press Set to drop it into position. Notes No. 21 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Discuss Auto IMT technology • Discuss M&R LEECCO • Explain Auto IMT acquisition • Show Auto IMT video 22 Unrestricted © Siemens Healthineers 2024 Speaker notes: Next, we will discuss how to acquire an Auto IMT measurement. Image: HOOD05162003330011 Notes No. 22 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS .... Healthineers ... Acquisition – Step Two • Select compatible transducer and Carotid 18L6 exam preset TIB:0.35 TIC:0.95 TIS:0.35 MI:1.05 36fps • Acquire an image of the carotid artery and 95% bulb H High 7dB/DR60 c=1540 • Press Freeze 3.5cm 2 23 Unrestricted © Siemens Healthineers 2024 Speaker notes: Performing an IMT measurement can be performed in a few simple steps. • First, select a linear transducer and the Carotid preset, as Auto IMT is not available on the non-linear transducers • Acquire an image of the distal carotid artery and bulb • Ensure the vessel image is perpendicular to the ultrasound beam and clearly shows the intimal lining • Press Freeze Notes No. 23 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS .... Healthineers ... Acquisition – Step Two • Press Caliper on the control panel 18L6 Carotid TIB:0.35 TIC:0.95 TIS:0.35 • Select an IMT measurement from the Touch Screen MI:1.05 95% Dist CCA IMT 2D H High 7dB/DR60 c=1540 • Reference line and ROI appear 3.5cm z 24 Unrestricted © Siemens Healthineers 2024 Speaker notes: Next, press Caliper on the control panel. Select an IMT measurement on the Touch Screen and the dotted vertical reference line and the ROI will appear on the image. Notes No. 24 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS ... Healthineers .. Acquisition – Step Two Guidance function – dotted vertical line supports consistent alignment ROI is: • 1 cm from the guide Guide • 1 cm in length ROI 1 cm 1 cm 25 Unrestricted © Siemens Healthineers 2024 Speaker notes: This is an example of the reference line and ROI magnified. The reference line is 1 cm from the ROI. The ROI is 1 cm in length. Notes No. 25 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS .... Healthineers .. Acquisition – Step Three • Roll trackball and place the dotted reference 18L6 Carotid line at the desired position TIB:0.35 TIC:0.95 TIS:0.35 MI:1.05 36fps 95% • Press Update (Preview) key to enter Preview 2D mode H High 7dB/DR60 c=1540 • Roll trackball to erase - press Update to re- enter Preview mode again • Press either Set key to enter Edit mode Press Update (End) to save the measurement 3.5cm • End and enter in the report Set Edit 26 Unrestricted © Siemens Healthineers 2024 Speaker notes: Next, roll the trackball and place the dotted reference line at the desired position with the ROI over the desired area of the CCA posterior wall. Protocols will vary from institution to institution; therefore, placement of the ROI varies. Once the ROI is placed, a preview of the intima outline will be displayed. The outline can be easily edited by pressing the Update key to enter the Preview mode. The user will now see the two teal lines tracing the intima. The user can roll the trackball again to reposition the reference line and ROI. Next, press Update again to re-enter Preview mode. Once satisfied with the placement, press either Set key to enter the Edit mode. Notes No. 26 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS .... Healthineers .. Acquisition – Step Four • Editable tracing will be teal 18L6 Carotid TIB:0.35 TIC:0.95 • Use trackball, cursor and Set keys to adjust TIS:0.35 MI:1.05 36fps 95% 2D H High • Press Update (End) to save measurement 7dB/DR60 c=1540 • Press Image to store the image and save the measurement to the report 3.5cm End Set Edit 27 Unrestricted © Siemens Healthineers 2024 Speaker notes: Once in Edit mode, the more anterior trace will now be teal, indicating the line that can be edited. Use the trackball and the cursor to readjust the tracing if needed. Place the cursor where you want the new trace to be and press either Set key to adjust the line. When finished editing the top tracing, roll the trackball posteriorly, if desired. Now, the more posterior line will be teal, indicating it can be edited. Use the cursor, trackball and Set key to adjust the tracing, if desired. Press Update (End) to complete the measurement and store it in the report or press Image to end editing, store the image, and enter the measurement into the report. Notes No. 27 SIEMENS Healthineers Auto IMT with Preview Function SIEMENS. Healthineers ... Acquisition – Note • Add Carotid preset to the 18L6 Spot System Configuration System Settings transducer y Workflow Enhancement Image Preset Editor Global Settings Image Freset Configuration Imios Presets Image Preset Clarify Color Power 2D (Contrast Contrast Carolkd Exam Aasociation • System Configuration > Procedure Configuration LR HIP Imaging Settings Workflow Enhancements > > Measurement & Report · Annotations Image Preset > Image Preset Features Connectivity & Network Editor tab Trapezoid Peripheral Devices System Management Add transducer to selected exam • Select Carotid Preset Transducer 1816 Auto TEC Ada transducer Preset Steer • Select Add Transducer MSK OK Cancel • Select 18L6 ge screen may vary due to the dependency of g on other imaging parameters. • Select OK 28 Unrestricted © Siemens Healthineers 2024 Speaker notes: If using the 18L6 transducer, it will have to be linked to the carotid preset in the System Configuration. This will allow the transducer preset and measurements to be linked together. • Select System Configuration and then Workflow Enhancements • Next select Image Preset on the left menu, and look under the Image Preset Editor tab • Now, select the Carotid Preset from the drop-down menu and select Add transducer. The “Add transducer to selected exam” box will appear • Click on the transducer drop down and select the 18L6. Do not change the preset, you will not find a Carotid option • Press the 18L6 on the Touch Screen and the 18L6 transducer will now have a carotid exam preset option Notes No. 28 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Discuss Auto IMT technology • Discuss M&R LEECCO • Explain Auto IMT acquisition • Show Auto IMT video 29 Unrestricted © Siemens Healthineers 2024 Speaker notes: Lastly, we will demonstrate an Auto IMT being performed. Image: HOOD05162003330011 Notes No. 29 SIEMENS Healthineers Auto IMT Video SIEMENS .... Healthineers ... SIEMENS Frozen caged 83 5210% H High B&B/ DR60 Fr86 30 Unrestricted © Siemens Healthineers 2024 Speaker notes: This is a video showing the Auto IMT with Preview function. • Start by acquiring the image with the vessel wall perpendicular to the ultrasound beam so the intimal lining will pop • Use the jugular vein as a window, if able. Ask the patient to valsalva and help to distend it • Rotate the Zoom control to enlarge the image, if desired • Press Caliper and select an IMT measurement from the Touch Screen • Roll the trackball and place the ROI over a section of the posterior wall of the CCA. Press Update to enter Preview mode • Roll the trackball if adjustments are needed • Press Update to re-enter Preview mode or press Set to enter the Edit mode and adjust the tracings, if needed • To edit a tracing, roll the trackball and the cursor to the anterior tracing and place the cursor where you want to adjust it • Notice the active tracing to be edited is teal, repeat the same steps with the posterior tracing • Press Update or Image to end editing and enter the values into the report Notes No. 30 SIEMENS Healthineers Summary SIEMENS . Healthineers ... • Discuss Auto IMT technology • Discuss M&R LEECCO • Explain Auto IMT acquisition • Show Auto IMT video 31 Unrestricted © Siemens Healthineers 2024 Speaker notes: No speaker notes. Image: HOOD05162003330011 Notes No. 31 SIEMENS Healthineers Trademarks and disclaimers SIEMENS . Healthineers ... ACUSON Sequoia is a registered trademark of Siemens Medical Solutions USA, Inc. LEECCO 32 Unrestricted © Siemens Healthineers 2024 Speaker notes: No speaker notes. Image: HOOD05162003330011 Notes No. 32 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? 33 Unrestricted © Siemens Healthineers 2024 Speaker notes: No speaker notes. Notes No. 33