ACUSON Sequoia 3.5 VB30 5Z1 Abdominal Transducer

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON Sequoia Ultrasound System What‘s New 3.5 (VB30) 5Z1 Transducer 1 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this presentation, we will discuss all the new features of the ACUSON Sequoia 3.5 (VB30) release. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Review 5Z1 Transducer Sequoia • BiPlane+ Feature • 4D Imaging 2 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here are the objectives for this presentation. Notes No. 2 SIEMENS Healthineers 5Z1 Transducer SIEMENS. Healthineers ... 5Z1 ACUSON 3 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 transducer is a matrix array. A matrix array is a two-dimensional (2D) arrangement of ultrasonic elements that emit and receive sound waves to create images. Matrix arrays have several advantages, including: Beam control • The 2D arrangement of transducer elements allows for control of the sound beam in two perpendicular angles, allowing for steering and focusing in a volume. 3D and 4D imaging • Matrix arrays can be used to perform 3D and 4D ultrasonography, which can be used in the abdominal and gynecology presets. Notes No. 3 SIEMENS Healthineers 5Z1 Transducer SIEMENS. Healthineers ... Form factor Vector Design Matrix, Single Crystal, Volume 5Z1 Number of elements 2304 Gesture detection Yes Bandwidth 0.9-3.8 MHz ACUSON Axial and lateral Resolution .95 mm and 1.94 mm Field of view 90°s for 2D 90 x 90°s for 4D Physical footprint 25.0 x 19.9 mm Total weight 855 g (Transducer handle: 120 g) Maximum depth Max. display depth 30 cm Contrast imaging Yes Additional Features UltraArt off, 1, 2, 3 Trophon compatible Yes 4 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 transducer is a matrix array and will now be available in the Abdomen and GYN preset. The features that will be available are 2D Bi-Plane+, 2D Bi-Plane Color, 4D Volume and 4D Color. The UltraArt has been reoptimized to improve image quality. Notes No. 4 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Review 5Z1 Transducer Sequoia • BiPlane+ Feature • 4D Imaging 5 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 5 SIEMENS Healthineers BiPlane+ Display SIEMENS . Healthineers ... Abdomen 4D 270º TIB:0.38 TIC:1.58 TIS:0.38 MI:0.96 19fps Angle Rotation 95% 2D H High -7dB DR68 c=1540 LD 3 UA 1 lapC/T3 P1 DR Angle Tilt Angle Clip Capture 68 dB .O. R270º [1º 309 -13º Reset Beats Sec 12cm Acquisition Image BiPlane+ Image 6 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using BiPlane+ there will be 2 images displayed side by side. The acquisition image is on the left and the image on the right will be the BiPlane+ image which is 90° from the acquisition plane. The Angle rotation is located on the soft keys and is displayed at the top of the image to indicate the amount of rotation for each image. The angle rotation will default to 1° increments. Press the Angle Rotation knob to change the increments to 90° when rotating the knob. Please Note: The 5Z1 workflow is the same as the cardiac workflow, therefore there will be inconsistencies for the new GI workflow. This is due to cardiac scanning rotating to the right and GI scanning rotating to the left. Notes No. 6 SIEMENS Healthineers BiPlane+ Feature SIEMENS. Healthineers ... 10L4 8V3 5Z1 5V1 Cardiac Workflow Patient 2D Physio Imaging L/R Flip UID Flip Review Report End Exam Bi-Plane- Right Invert Auto TEQ Reset Angle Perpendicular Harmonics Left Both Right 4D Zoom Capture Type O Prospective Frequency DR Angle Tilt Angle Clip Capture H High 55 dB 150€ 1' 30" 19ª Reset 2 Beats Sec 7 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Bi-Plane+ imaging function is available on the 5Z1 transducer. In Bi-Plane+ imaging, the system scans two imaging planes with different rotation and tilt angles and views the planes in a side-by-side display format. Notes No. 7 SIEMENS Healthineers 5Z1 BiPlane+ SIEMENS . Healthineers ... BiPlane+ BiPlane SVI Cardiac 2 Lumos Workflow 521 Intracardiac Workflow Patient 20 Physio Patient Physio Imaging Imaging LUR Fip UND Flip UR FIO LAD Flip Review Review Report Report TOR FON End Exam End Exam Bi-Planet Right Invert Bi-Plane Right Invert Auto TEQ Reset Angie Perpendicular wto TEQ heset Angie Harmonics Left Both Right D Zoom Capture Type Harmonics Both Right D Zoom aprove Type X Prospective Prospective DR 60 dB Angle at Angle Up Capture Frequency DR 60 de Angle p Capture H High LORSO- Beats 54C Mid LO" RSO. Beats 546 8 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 5Z1 transducer has the BiPlane+ feature. The “+” sign indicates that the transducer has the Tilt Angle capability. Notice that the image on the right for the Lumos catheter does not have the Tilt Angle capability. Biplane+ supports 2D and Color. Notes No. 8 SIEMENS Healthineers BiPlane+ scan plane and angle indicators SIEMENS . Healthineers ... • Left image: plane is represented by the red line 90 • Right image: plane is represented by the green line Abdomen 4D 90º TIB:0.38 TIC:1.58 TIS:0.38 19fps 95% 2D H High -7dB DR68 c=1540 LD 3 UA 1 MapC/T3 P1 12 cm 9 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The left image is indicated by the red line and the right image is indicated by the green line. Notes No. 9 SIEMENS Healthineers BiPlane+ Touch Screen controls SIEMENS. Healthineers ... • Reset Angle: resets both angles to the default orthogonal position (0° and 90° or 0° and 270°, determined by system configuration) Reset Angle Perpendicular • Perpendicular: aligns right image perpendicular (orthogonal) to the current angle of the left image Left Both Right Angle options • Both: adjusts the angle for both images orthogonally DR Angle Tilt Angle • Left: adjusts the angle on the left image only 55 dB 180º 1º 30º -4º Reset • Right: adjusts the angle on the right image only • Tilt Angle: represents the right view port angle – this can be used to propagate in a perpendicular plane to the anatomy 10 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using the Angle control on the rotary knobs, there are options to adjust the images. Reset Angle resets both angles to the default orthogonal position (0 and 90° or 0 and 270°, determined by configuration of the transducer). Perpendicular aligns right plane perpendicular to the current angle of the left plane. To adjust both planes together, select Both from the Touch Screen and rotate the Angle Soft Key to change the angle in 1° or 30° increments (press the Soft Key to change). To adjust the left side of the image (red plane only) select Left; to adjust the right image only select Right. The currently active plane(s) indicator will appear bold. Notes No. 10 SIEMENS Healthineers Orientation for Sagittal scanning in BiPlane+ SIEMENS. Healthineers ... Acquisition Sagittal Scanning Orientation of the 5Z1 rotation 0° 0° 90° 270° In GI, the Sagittal scan starts the transducer The 5Z1 always rotates to the right, therefore in General notch towards the patient’s Head and the Imaging, you will need change your orientation to the correct transverse plane is 90° to the 270° option, so that it ends in the correct transverse patients right orientation for sagittal scanning *Please view the animations 11 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using the BiPlane+ feature on the 5Z1, its important to understand how the feature works and to ensure the rotation orientation is correct. The 5Z1 is a cardiac transducer, therefore scanning in cardiac exams, the transducer rotates to the right, whereas in general imaging, the transducer rotation is to the left. Therefore, it is important to know why the Angle rotation is correct depending if the acquisition scanning is in the Sagittal or Transverse plane. We will start with the sagittal scan. When scanning in general imaging 2D, the user will have the transducer notch towards the patient's head, therefore the transverse plane will be 90° to the patients right. In the BiPlane+ feature, the image on the right should be the transverse image or 90° to the patients right. Although it’s important to remember that the rotation of BiPlane is to the right, not the left, therefore it will need to rotate 270° until it reaches the correct orientation. Notes No. 11 SIEMENS Healthineers Orientation for Transverse scanning in BiPlane+ SIEMENS. Healthineers ... Acquisition Transverse Scanning Orientation of the 5Z1 rotation 0° 90° C C 90° 0° In GI the transducer notch is towards the If the 5Z1 always rotates to the right, then the true patients right and the 90° to that plane is to 90° will be correct, due to the 5Z1 rotation to the the right towards the patient’s head right *Please view the animations 12 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When scanning in the transverse plane in 2D general imaging, the acquisition plane starts at 90° or to the patients right and 90° to that is 0° or towards the patient's head. Therefore, when using BiPlane+, the image on the right should be set to 90° as the acquisition plane is 0° and it rotates to the right which would only need 90° to be at the correct orientation. In Summary, when scanning in sagittal, be sure the orientation is set to 270° and when scanning in transverse, be sure the orientation is set to 90°. Notes No. 12 SIEMENS Healthineers 5Z1 Configuration SIEMENS . Healthineers ... System Configuration Systern Settings Workflow Enhancement 521 Imaging Settings Measurement & Report Diftanes Settings Annotations Features Rotation Free TIR Transducers O Rotate 360 No restrictions Volume Transducers O Limit rotation to 180' O Perpendicular on tilt Connectivity & Network Peripheral Devices Tilt Line Display Systern Management El Auto hide after 1.5 seconds Default BiPSine+ Rotation Angle Left 0", Right 90" O Left O', Right 2709 2707 13 Unrestricted © Siemens Healthineers 2024 Speaker Notes: For all presets, to set up the default angle for BiPlane+ imaging, go to System Configuration > Transducers > Volume Transducers > 5Z1 > Tilt Line Display. Notes No. 13 SIEMENS Healthineers Right Invert for obtaining the correct orientation SIEMENS . Healthineers ... 0 2 0 1014 HLX 5Z1 Abdomen 2 5C1 Workflow Patient 2D Imaging UR Flip UID Flip Review Report Full FOV End Exam Bi-Plane+ Right Invert Auto TEQ Reset Angle Perpendicular Harmonics Left Both Right 4D Zoon Capture Type Prospective Frequency DR Angle Tilt Angle Clip Capture H High 68 dB LOº R270º 1º 30º 13º Reset [Beats Sec 14 Unrestricted © Siemens Healthineers 2024 Speaker Notes: As we have just learned, it is important to have the correct rotation angle depending if you are in a Sagittal or Transverse plane, therefore there is a short cut key labeled “right Invert” to quickly obtain the correct orientation. For example, if you are in a sagittal plane with a 270° angle rotation and then switch to a transverse plane, instead of manually changing the rotation to 90°, select Right Invert key and the image on the right will change to be in the correct orientation. This will also work when you are in a transverse plane at 90° and go to a sagittal plane and need the 270° rotation. Notes No. 14 SIEMENS Healthineers 5Z1 BiPlane+ Rotation Angle SIEMENS .... Healthineers ... BiPlane+ 4D Left 0° Right 90° 5Z1 Abdomen 4DI 90º TIB:0,38 TIC:1.58 TIS:0.38 MI:0.96 19fps 95% 2D H High -7dB DR68 c=1540 LD 3 UA 1 MapC/T3 AO IVC IVC Ao 12 cm 12cm 15 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Orientation must be correct to display the anatomy the user requires. In this example, the BiPlane is set at 90°, with the left side of the image at 0° and the right at 90°. Notice in the transverse plane, the aorta and IVC are displayed in the opposite orientation as the image in MPR B. Notes No. 15 SIEMENS Healthineers 5Z1 BiPlane+ Rotation Angle SIEMENS . Healthineers ... BiPlane+ 4D Left 0° Right 90° 5Z1 5Z1 SC Abdomen 4D Abdomen Workflow 90º TIB:0.38 TIC:1.58 TIS:0.38 MI:0.96 19fps 95% 2D UR Flip UID Flip H High -7dB DR68 c=1540 Full FOV LD 3 UA 1 MapC/T3 P1 Bi-Plane+ Right Invert IVC Ao eset Angle Perpendicular Left Both Right 4D Zoom Capture Type Prospective DR Angle Tilt Angle Clip Capture 58 dB LOº R270º 1º 30º -13ª Reset Beats Sec 12 cm 16 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this example of a sagittal image, the image on the right is displayed in the incorrect rotation of 90°, There are 2 ways to change to the correct orientation. 1. With the Angle rotary knob, change the right side of the image to 270°, it will rotate in 1° increments. Press the knob to change it to 90° increments 2. Select the Right Invert key from the Touch Screen This will also work when you want to change the angle from 270° to 90° when you are in a transverse plane. Notes No. 16 SIEMENS Healthineers 5Z1 BiPlane+ Rotation Angle SIEMENS . Healthineers ... BiPlane+ 4D Left 0° Right 270° 5Z1 Abdomen 4D 270 TIB:0.38 TIC:1.58 TIS:0.38 MI:0.96 19fps 95% 2D H High -7dB DR68 c=1540 MapC/T3 IVC AO IVC AO 12 cm 12cm 17 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this example, the rotation is a 270° in a sagittal scan. Notice that the IVC and AO are correctly viewed in the MPR B frame. Notes No. 17 SIEMENS Healthineers 5Z1 BiPlane+ Rotation Angle SIEMENS . Healthineers ... BiPlane+ 4D Left 0° Right 90° 5Z1 Abdomen 4D 90º TIB:0.38 TIC:1.58 TIS:0.38 MI:0.96 19fps 95% H High -7dB DR68 C=1540 LD 3 UA 1 MapC/T3 P1 IVC IVC 12cm 12cm 18 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this example of a transverse liver, notice the IVC is displayed correctly from the right side of the image to the MPR B plane using the 90° rotation Notes No. 18 SIEMENS Healthineers 5Z1 Transducer SIEMENS. Healthineers .. BiPlane imaging – Tilt Angle 5Z1 Abdomen 270 TIB:0.38 TIC:1.59 TIS:0.38 MI:0.96 17fps 95% 2D Go to Right H High OdB DR68 c=1540 LD 3 UA 2 MapD/T3 P3 Tilt Size Position Tilt Line Display Auto hide after 1.5 seconds 14cm 19 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Tilt feature allows real time display of the orthogonal plane to the image on the left. It may be moved throughout the entire image. The Tilt Angle is indicated by the green arrow at the bottom of the left image and can be adjusted from the trackball or by rotating the Tilt Angle Soft Key. A green line will appear for a few seconds when the Tilt Angle is adjusted and then disappear. The line can be displayed at all times by unchecking the Auto Hide option in System Configuration > Transducers > Volume Transducers > 5Z1 > Tilt Line Display. Notes No. 19 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Review 5Z1 Transducer Sequoia • BiPlane+ Feature • 4D Imaging 20 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 20 SIEMENS Healthineers 5Z1 4D Abdomen and GYN workflow SIEMENS. Healthineers ... 4D first page 4D second page 0 0 0 1014 HLX 7 5C1 Workflow 0 2 . 10L HLX Abdomen 501 Workflow Patient Patient Imaging Show MPR Lines MPR LOCK Lock Bi-Plane L/R Flip UND Flip Review Review Report Reset Orientation Reset Cropping A MPR A MIPR B MPR C Report Reset Orientation Reset Cropping End Exam End Exam Bi-Plane+ MPR Line Auto TEQ Cut Plane Free Plane Volume Enhance Harmonics Single V 4D Zoom Capture Type Prospective Cut Plane Wireframe Line Density Size Position Clip Captur MPR Thickness Maps Tint 58 dB Lat Ele 21 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When in 4D, there will be two pages on the Touch Screen. The options and layout will be different from the 3D/4D mechanical and the freehand transducers. The Touch Screen layout will be similar to the Cardiac workflow. The 5Z1 transducer has 4D imaging and does not have a VOI option. Therefore, when the 3D/4D option is selected, it will launch directly into 4D. If the user needs a 3D volume, select freeze and then select the image key. VOI workflow can be achieved either by selecting 4D Zoom or the Single V option from the Touch Screen. The current GI volume manipulation tools will not be available on the 5Z1 including FlexPlane, Multislice or Editing functions including animation. In the cardiac preset, Multislice is available however the controls will be General, Parasternal and Apical C. Notes No. 21 SIEMENS Healthineers 5Z1 UltraArt Settings SIEMENS . Healthineers .. UltraArt 1 UltraArt 2 UltraArt 3 Los Mapa/7: BOLD – Default setting 22 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this example of a transverse kidney, notice the gradual progression of the increase in image quality as you approach the UltraArt 3 setting. Notes No. 22 SIEMENS Healthineers 4D UltraArt Smoothing Options SIEMENS . Healthineers ... Smoothing 1 (S1) Smoothing 2 (S2) Smoothing 3 (S3) Abdomen TIB:0.43 TIC:1:77 T15:0.43 ME0.98 10.1vps 95% 23 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here are examples of the different 4D smoothing options for the MPRs and volume. Notes No. 23 SIEMENS Healthineers 5Z1 GI Dual workflowthis is Live Dual, which follows Cardiac workflow. There is SIEMENS . Healthineers .. no update dual on 5Z1 GI presets 5Z1 Abdomen TIC:1.80 TIS:0.54 MI:0.90 15fps 95% 2D H High 2dB/DR65 c=1540 LD 3 UA 2 Dual MapD/T4 P3 C Mid 3.5dB Aorta P1/LD1 PRF 2451 S3/Pr4 MapF/F3 2D y Color 12cm 24 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 has live dual only. Notes No. 24 SIEMENS Healthineers 5C1 GYN update dual vs 5Z1 GYN BiPlane+ SIEMENS . Healthineers .. 5C1 5Z1 5C1 521 GYN GYN TIS:0.86 TIS:0.38 MI:1.38 270 MI:1.00 25fps 19fps 95% 95% 2D H High H High -4dB/DR65 OdB c=1540 DR68 LD 2 C=1540 Compound LD 2 UA 3 UA 2 MapD/T4 apD/T4 P2 P3 16cm 16cm Clinical Data Clinical Data 25 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Update Dual is not available on the 5Z1, however it has the BiPlane+ feature which is a major advantages of the matrix transducer. Here is a comparison of the 5C1 dual mode and the 5Z1 BiPlane+ mode. Notice the image quality is comparable. Notes No. 25 SIEMENS Healthineers 5Z1 Color Abdomen and GYN SIEMENS . Healthineers' ... Abdomen GYN 10L HLX Abdomen 5C1 Workflow FA HU 5C1 Workflow Patient 2D Color Patient 20 Color maging Reduce FOV UR Flip UND Flip duce FOV LUR Flip WD Flip Review Review Report Invert Report Invert End Exam End Exam 20+ Color 2D Only Color Only Bi-Planet 20 + Color 2D Only Color Only Bi-Plane+ Kidney Aorta Reset Angle Uterus Ovary Reset Angle LOW General High 4D Zoom Low General High 4D Zoom Frequenc Baseline Angle Filter Frequenc Scale Angle Filter Scale Baseline Mid Mid (1' 30" 26 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 Color defaults on the Touch Screen are the same between the Abdomen and GYN presets. Notes No. 26 SIEMENS Healthineers 5Z1 PW Workflow SIEMENS. Healthineers ... 4D PW second page Autotrace 10L A HLX 5Z1 5Z1 Abdomen 5C Workflow Abdomen TIB:2.72 TIC.1.20 Patient 2D Color TIS:0,48 PS=129.44 cm/s 11fps Imaging ED=40.56 cm/s ' Timer RI=0.69 2D Review H High 5dB/DR68 C=1540 Report LD 3 UA 2 End Exam MapD/T3 P3 13cm 59mm 38º C Low -3dB - 1.50 Aorta P1/LD1 PRF 2577 - 1.00 S4/ Pr4 MapF/F2 2D + Color -0.50 -mis Low Frequency Angle Correct DR 60. 60 dB Edge -80B/ DR60 Mid (60 0 60 Maps Tint MapD/T5 -0.50 GS 20 PRF 5952 F 165 ............................................. . - 1.00 27 Unrestricted © Siemens Healthineers 2024 Speaker Notes: For the 5Z1 transducer, the PW Angle Correct is on the second Touch Screen page in all states. Therefore, it can be moved to the first page via the configuration page. Auto trace is available. Notes No. 27 SIEMENS Healthineers 5Z1 4D acquisition MPR A SIEMENS . Healthineers ... Cut Plane on with Wireframe Cut Plane only Cut Plane off 521 Abdomen TIB:0.43 TIC:1.77 TIS:0.43 MI:0.98 18.1vps 95% 4D H Mid 7dB/DR68 V 64º Th 15 Op70 S2 Br-8 Con50 MPR MapD/T3 Vol: MapE/T2 13cm 28 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an example of what a volume will display when selecting MPR A in red. The display will default to: • MPR A • Cut Plane • Cut Plane Wireframe on Also shown here is the difference between displaying the cut plane and when it is off. Notes No. 28 SIEMENS Healthineers 5Z1 4D acquisition MPR B SIEMENS . Healthineers ... Cut Plane on with Wireframe Cut Plane only Cut Plane off 5Z1 Abdomen TIB:0.43 TIC:1.77 TIS:0.43 MI:0.98 18.1vps 95% 4D H Mic 7dB/DR68 Q Mic V 64' Th 15 Op7( Br-E Con5( MPR MapD/T3 Vol MapE/T2 13cm 29 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an example when selecting the MPR B, notice the green color box. Notes No. 29 SIEMENS Healthineers 5Z1 4D acquisition MPR C SIEMENS . Healthineers ... Cut Plane on with Wireframe Cut Plane only Cut Plane off 5Z1 Abdomen TIB:0.43 TIC:1.77 TIS:0.43 MI:0.98 18,1vps 95% 4D H Mid 3dB/DR68 3df 3dE Q Mid V 64º Th 15 Op70 S2 Br-8 Con50 MPR MapD/T3 Vol: MapE/T2 M Me 30 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is the display for MPR C, notice the blue color box. Notes No. 30 SIEMENS Healthineers Free Plane graphic display SIEMENS . Healthineers .. 5Z1 Cardiac TIS:0.43 MI:1.02 18.0vps 4D 31 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This video is an example of using Free Plane in a volume. Notice when the plane is in front of the volume it is displayed in green. As soon as it goes 50% towards the back of the volume it turns orange. Notes No. 31 SIEMENS Healthineers Free Plane workflow SIEMENS . Healthineers ... 5Z1 GYN • Free Plane is located on the second page TIS 0.38 MI:1.00 17fps • The Free Plane will appear at the top left of the 95% 2D H High volume view -5dB/DR68 • URZ Toggle between Free Plane and Rotate ApDITS • Rotate X and Y using the first Soft Key • Cut the volume with the Position Plane Free Plane 16om Clinical Data Undo Crop Retain Crop Rotate Plane XY Position Plane 32 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Free Plane feature is located on the second page of the Touch Screen when in the 4D mode. The Free Plane will appear at the top left of the volume view. The user may toggle between Free Plane and Rotate by using the trackball. Free Plane is not connected to any MPRs or specific cut planes. The user can place this anywhere. Again, when the plane is green is in front of the volume and when it turns orange, it is behind the volume. To rotate the Free Plane in X and Y select the first Soft Key. To cut into the volume with the Free Plane, select Position Plane located on the second Soft Key. Notes No. 32 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers' ... 4D Zoom workflow 5Z1 4D Zoom GYN TIS:0.38 MI:1.00 17fps 96% 2D H High -4dB/DR68 • A work around for a VOI is to use 4D c=1540 LD 3 UA 2 Zoom MapD/T3 P3 • Select BiPlane to size and position the ROI • Launch from either Update 4D Zoom or Touch Screen 4D Zoom • If needed, select the Cut Plane from the Touch 16cm • Rotate, position MPR lines, sync and Clinical Data change layouts the same as 4D workflow 33 Unrestricted © Siemens Healthineers 2024 Speaker Notes: As we have discussed, there is not a VOI available on the 5Z1, although a work around to this issue would be to use 4D Zoom. HD Zoom is available by selecting the 3D tab or during live 4D. When BiPlane is selected, a dual screen will appear and the ROI can be sized and positioned axially, laterally and elevationally. To enter HD Zoom, select Update from either the Update key or the Touch Screen 4D Zoom. If the Cut Plane is needed, select it from the Touch Screen. This will be the Cut Plane that is synced to the MPR that is active. The user can rotate and position MPR lines, sync and change the layout the same as 4D workflow. Notes No. 33 SIEMENS Healthineers 5Z1 Single V (Volume) workflow SIEMENS . Healthineers .. 521 GYN TIS:0.38 Single V MI:1.00 17mm 2D H High OdB/DR68 C#1540 LD 3 UA 2 MapD/T3 P3 • Helpful when a VOI is needed with a Cut Plane • Select 4D and then select Single V • Position the large dot with dotted line like a Cut Plane • Select Set and use the trackball to angle in 16cm Clinical Data the direction you want to view from • ROI width and size can be adjusted • Ideal for looking into fluid spaces such as vessels 34 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 Single V feature is a helpful volume viewing tool when the volume box is positioned within the chosen MPR and angled in the direction the user wants to view from. This is also helpful if the user requires a VOI with a Cut Plane. When in 4D, select Single V from the Touch Screen. Position the large dot with dotted line like a Cut Plane (the plane that you want to present in the render). The dot represents the Set point, and the arrow represents the direction of view into the volume slice. Select the Set key and use the trackball to angle in the direction you want to view from. To resize the ROI, use the set keys and trackball. This feature is ideal when viewing fluid filled spaces such as vessels. Notes No. 34 SIEMENS Healthineers 5Z1 Dual V Workflow SIEMENS . Healthineers .. 5Z1 Abdomen TIB 0.31 TIO:0.92 • Mainly a Cardiac workflow when TIS:0.31 M:1.38 demonstrating valves 5,5vps 95% 4D • Useful when wanting a volume view in the CH Mid 3dB/DR68 opposite direction ...... @ Mid V 64 • Select Dual V from the Touch Screen Th15 Op70 S2 26 Br-8 Con50 MAPR MapD/T3 Vol MapE/T2 C ,5dB Dual V Aorta P1/LD1 PRF 2083 Pr4 Th15/ Op70 MPR MapF/F2 2D + Color Single V Reset to Start Vol: MapF 2D + Color 8cm 35 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Dual V is helpful when the user would like to view anatomy from the opposite direction. This feature is mainly used in Cardiac exams when viewing valves. It can also be useful when the user is looking a vessels through a stenosis or Endovascular Aneurysm Repair (EVAR). Select Dual V from the Touch Screen to activate this feature. Notes No. 35 SIEMENS Healthineers 4D Color workflowZ plane rotation SIEMENS. Healthineers .. Abdomen THE 0 57 TIC 1.86 10L4 HLX Abdom SC1 Workflow TIS 9 57 69vps Patient 4D Color (40) Imaging Reduce FOV MPR LOCK Review Lock Bi-Plane Report Reset Orientation leset Cropping End Exam 20 + Color 2D Only Color Only Bi-Plane+ Color Crop MPR Lines Dual V Gain 6.5 dB Single V Reset to Start 4D Zoom * X 1 16cm requency Mid Scale Baseline ROTSICE C ROI Position LAt Flers Axial 36 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 also performs 4D color. 4D color parameters such as 4D color gain and ROI size and position are exclusively on the Touch Screen and Soft Keys. Notes No. 36 SIEMENS Healthineers Trademarks and disclaimers SIEMENS. Healthineers ... ACUSON Sequoia and UltraArt are registered trademarks of Siemens Medical Solutions USA, Inc. Sequoia syngo is a registered trademark of Siemens Healthcare GmbH. 37 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes Notes No. 37 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? 38 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes Notes No. 38