ACUSON Sequoia 3.5 VB30 AI Abdomen Presentation

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON Sequoia Ultrasound System AI Abdomen Release 3.5 (VB30) 1 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this presentation, we will discuss all the new features of the ACUSON Sequoia 3.5 (VB30) AI Abdomen Technology. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Introduction to AI Abdomen Sequoia • AI Abdomen General Configuration • AI Abdomen Workflow • AI Abdomen Protocol Workflow • AI Abdomen Annotations and Measurements • AI Abdomen Optimization 2 Unrestricted © Siemens Healthineers 2024 Speaker Notes: We will begin with an Introduction to AI Abdomen, where we’ll provide an overview of the AI Abdomen tool, and its core functionalities. Next, we'll discuss the AI Abdomen General Configuration, focusing on how to set up and customize the tool according to specific exam and user needs. We will then cover two operational modes: AI Abdomen Without Protocol, which looks at the technology in non-protocol workflows, and AI Abdomen With Protocol, which details how it can be integrated into standardized protocols. Finally, we'll explore AI Abdomen Optimization, offering tips and best practices to maximize the tool’s efficiency and effectiveness in clinical settings. Notes No. 2 SIEMENS Healthineers What is AI Abdomen and how does it work? SIEMENS. Healthineers ... Machine Learning: • Confidence Level algorithm with Live 24.02.16-16:25:28-STD-1.3.12.2.1107 .. 04:29:41 PM 2/16/2024 view classification runs at 27fps abdomenAl 0/ 17 Captured 501 TH Abdomen TIB:0.85 TIC:4.62 • Trained algorithms on thousands of Rt Kigney Sag TIS:0.85 Para Trass MI:1.38 Byer Kidsy Langth images from various hospitals over AL Kichry Itam THE multiple years Buts Kdney With Rips Basey AP Comouna Spleen Sag Automated Abdominal Exam Tool: Splen Lengm Arts Spleen Trans • Recognizes anatomy in Real time Spleen Width scanning Spkren AP Lett Kidney Lengm • Automatically measures, labels, and LE Kidney Trans 12cm Leht Kidney Wirtin SPLEEN SAG displays body/transducer marker for Lett Kidney AP appropriate anatomy • Automatically places captured images into the designated pr preferred protocol order 3 Unrestricted © Siemens Healthineers 2024 Speaker Notes: AI Abdomen leverages advanced machine learning algorithms. These algorithms have been trained on thousands of images collected from multiple hospitals and systems, ensuring robustness and accuracy. The Confidence Level algorithm ensures the reliability of the automated annotations, and the view classification operates at 27 frames per second, providing real-time insights. The Automated Abdominal Exam Tool recognizes anatomy during real-time scanning, automatically measures, labels, and displays body/transducer markers for appropriate anatomical identification. The system ensures that captured images are correctly placed into the protocol order, significantly enhancing workflow efficiency. Once the confidence level threshold is met, the system processes the image using post-processed data, which is sensitive to settings such as gain levels, UltraArt, and depth. This step ensures that the AI does not use raw images but instead relies on optimized images for better accuracy and consistency. This step also enhances the overall quality and reliability of the diagnostic process, allowing clinicians to focus more on patient care and less on manual measurement and annotation. Once confidence level percentage has been met, the system will then and/or measures the image. Once the system reaches a certain confidence level, it automatically proceeds to measure the identified anatomical feature in the image. AI uses post processed image: • Does not use raw image • AI is sensitive to gain levels, UltraArt, depth, etc. Notes No. 3 SIEMENS Healthineers AI Abdomen: Seamless anatomy labeling & measurement SIEMENS. Healthineers ... AI Abdomen: Compatible with both Protocol Scanning and Non-Protocol Scanning AI Abdomen Manual Protocol Scanning No AI No AI RIGHT UNER SAG 4 Unrestricted © Siemens Healthineers 2024 Speaker Notes: AI Abdomen emphasizes the power of the Deep Learning AI algorithm by seamlessly labeling and measuring anatomy for a complete abdominal exam. It is highly versatile, being compatible with both Protocol Scanning and Non-Protocol Scanning. The above visual comparison shows three scenarios: AI Abdomen, Manual Scanning without AI, and Protocol Scanning without AI. The first image highlights the efficiency of AI Abdomen, showcasing how the system automatically annotates and measures anatomical structures. The manual scan image (middle) illustrates the traditional method, which lacks automation and requires more effort and time from the clinician. The protocol scanning without AI image shows the limitations of protocol-based scans without the advanced capabilities of AI assistance. Note the hand motion indicator lines on each image. Notes No. 4 SIEMENS Healthineers AI Abdomen: View classification and measurement SIEMENS. Healthineers ... accuracy testing View Classification Testing: • Focuses on identifying and labeling anatomical views • AI results are compared to expert-determined classifications AI Abdomen: Compatible with both Protocol AI Abdomen Manual Protocol Scanning • Success is based on AI correctly identifying views at least Scanning and Non-Protocol Scanning 75-80% of the time No AI No AI Measurement Accuracy Testing: • Focuses on measuring anatomical structures (e.g.,., organ sizes) from images • AI-generated measurements are compared to manual expert measurements • Success is based on the AI's measurements being within an acceptable error range 5 Unrestricted © Siemens Healthineers 2024 Speaker Notes: View Classification Testing: • Focuses on identifying and labeling anatomical views • AI results are compared to expert-determined classifications • Success is based on AI correctly identifying views at least 75-80% of the time Measurement Accuracy Testing: • Focuses on measuring anatomical structures (e.g.,., organ sizes) from images • AI-generated measurements are compared to manual expert measurements • Success is based on the AI's measurements being within an acceptable error range In summary, View Classification Testing focuses on the system’s ability to identify and label anatomical structures based on a set of predefined views, while Measurement Accuracy Testing evaluates the precision of automated caliper placements, and the correctness of the distances measured by the system. Both tests rely on comparisons with expert-generated "ground truth" data but differ in their objectives and what is being evaluated. Notes No. 5 SIEMENS Healthineers Compatible transducers & technologies with AI Abdomen SIEMENS . Healthineers ... • Color Mode: Available • Wide Field of View (WFOV): Available Sequoia • Fullscreen: Available • Biopsy Mode: Available • Trapezoid imaging: Available in this imaging mode only on linear transducers CO TIP AI Measure can be disabled during any interventional procedures 6 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using AI Abdomen, Color, Wide Field of View (WFOV) and Fullscreen modes are available. However, AI Abdomen is only available on linear transducers when in Trapezoid imaging. You can use Biopsy Mode but remember to disable AI Measure during interventional procedures to prevent unintended measurements. Notes No. 6 SIEMENS Healthineers Compatible transducers & technologies with AI Abdomen SIEMENS . Healthineers ... • 10L4 Transducer: Needle enhancement available Sequoia • This configuration is available on transducers compatible with these presets, excluding the 5Z1 • Custom presets can be developed based on the Abdomen and Abdomen Difficult presets, with access to technologies such as the Renal Preset CO TIP AI Measure can be disabled during any interventional procedures 7 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 10L4 Transducer also supports needle enhancement while using AI Abdomen. This configuration is available on transducers compatible with the Abdominal and Abdominal Difficult presets, excluding the 5Z1. Custom presets can be developed based on the Abdomen and Abdomen Difficult presets, with access to technologies such as the Renal Preset. Notes No. 7 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Introduction to AI Abdomen Sequoia • AI Abdomen General Configuration • General Configuration • Protocol Configuration • AI Abdomen Workflow • AI Abdomen Protocol Workflow • AI Abdomen Annotations and Measurements • AI Abdomen Optimization 8 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the AI Abdomen general configuration. Notes No. 8 SIEMENS Healthineers AI Abdomen general configuration SIEMENS. Healthineers ... AI Abdomen Configuration Summary: • Allows clinicians to document exams by acquiring Sequoia images in any order • Semi-automatically labels, body markers, and transducer markers, including measuring organs in real-time • Reduces the number of keystrokes and user interactions Supports automatic measurement upon freezing CO • the image 9 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The AI Abdomen feature allows clinicians to document exams by capturing images in any order, providing flexibility in workflow. The feature semi-automatically labels organs in real-time, reducing the need for manual input. The user also has the option to have the anatomy measured after freezing the image. This feature minimizes the number of keystrokes and user interactions, streamlining the scanning process and improving patient throughput. Notes No. 9 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers .. 17 Essential views for complete exams Rt Liver Sagittal Rt Liver Trans Rt Kidney Sagittal Rt Kidney Trans Pancreas Trans Pancreas Sagittal Lt Liver Sagittal Lt Liver Trans Lt Kidney Sagittal Lt Kidney Trans Aorta IVC GB Sagittal GB Trans Spleen Sagittal Spleen Trans CBD 10 Unrestricted © Siemens Healthineers 2024 Speaker Notes: AI Abdomen supports 17 views for an abdominal exam. These views are essential for a detailed and thorough assessment of the abdomen, covering all critical anatomical structures. Notes No. 10 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... 12 Essential measurements for complete exams GB Wall Thickness Liver Length Rt Kidney Length Rt Kidney AP, Width Spleen Length Spleen Ap, Width Lt Kidney Length Lt Kidney AP, Width CBD 11 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 12 key measurements are supported by AI Abdomen to decrease manual measurements. Note that three of the measurements have both AP and width which accounts for the three additional images that appear to be missing. Additionally, these measurements can provide flexibility and be customized to fit the specific needs of the clinician. Notes No. 11 SIEMENS Healthineers AI Abdomen configuration SIEMENS . Healthineers ... System Configuration • AI Abdomen General System Settings Configuration overview General Regional Settings (Restart Required) Institution Information Display Language Keyboard Institution Name Patient English English Sequoia 3.5 Workflow Enhancement Date Format Physician or Operator Imaging Settings MIDIYYYY AM/PM Performing Physicians Measurement & Report Add › Annotations 9116/2024 08 : 40 : 35 AM + › Features Time Zone Transducers (UTC-05:00) Eastern Time (US & Canada) Connectivity & Network Units Delete Peripheral Devices Hekght and Weight System Management O Metric (cm / kg) Aurio O English (ft. in / lb. oz) Confirmation Beep Volume Rotate Controls on the Control Panel Store Image and Clip Low Increase Depth Increase Fools Depth Clockwise O Clockwise Gesture Detecting Transducer O Counterclockwise Counterclockwise Gesture Settings Increase Zoom Enable Gesture Detecting Clockwise O Counterclockwise 12 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this video example, the available sections of AI Abdomen in the general configuration are demonstrated. Notes No. 12 SIEMENS Healthineers AI Abdomen Configuration SIEMENS. Healthineers ... 1. Select Apply to All Transducers and Exams Al Abdomen Configuration 2. Select AI Abdomen 1 Apply to All Transducers and Exams Transducer Exam 2 3 3. Select AI Measure on Freeze 5C1 V Abdomen Enable Al Abdomen Al Measure on Freeze Each preset and transducer can be configured separately. 5C1 18L6 Abdomen 2D TIP If Enable AI Abdomen is disabled, AI Measure is still available, and AI Abdomen will not appear on that transducer or preset Al Abdomen Al Measure on Freeze 13 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To enable the AI Abdomen feature, go to System Configuration > Features > AI Abdomen > Enable AI Abdomen and check the box. Another option is to select AI Abdomen from the Touch Screen. Select the Apply to All Transducers and Exams from the System Configuration menu to enable the feature for all transducers and exams. Each preset and transducer can be configured separately. To enable the AI Measure on Freeze option, select the check box in the System Configuration menu or from the Touch Screen. Notes No. 13 SIEMENS Healthineers AI Abdomen configuration disabled on preset and protocols AI Abdomen button no longer visible on 2D tab AI Abdomen button no longer visible on Protocol Tab Abdome Workflow Abdomen Workflow Patient 20 Patient 2D Protocols Imaging Biopay Imaging UR Flip UND Flip Timer Pause Protocol Exit Review Review Report Panoramic Fun FOY Report TRV PANCREAS SAG PANCREAS IVC AORTA LEFT SAG LIVER LEFT TRV LIVER End Exam End Exam RIGHT TRV LIVER RIGHT SAG LIVER CBD SAG GB TRV GB RIGHT SAG KIDNEY Auto TEQ Live Dual Clarity RIGHT TRV KIDNEY SAG SPLEEN TRV SPLEEN LEFT SAG KIDNEY LEFT TRV KIDNEY Harmonic Compounding Wide FOY Frequency H Mid InFocus ine Density Add View Rename View Reorder Delete Progression Manual Remain Frozen 14 14 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The AI Abdomen feature is disabled on both the 2D and Protocol tabs, as shown on this slide. On the 2D tab, the AI Abdomen button is no longer visible, indicating that the feature is unavailable for the current preset and/or disabled in general configuration. Similarly, on the Protocol tab, AI Abdomen is also absent, confirming that AI Abdomen is disabled in protocol configuration as well. If AI Abdomen is disabled in general configuration but enabled in protocol, it will still not be available when pausing protocol. Notes No. 14 SIEMENS Healthineers AI Abdomen configuration SIEMENS. Healthineers ... Available in Abdomen and Abdomen Difficult Presets: Al Abdomen Configuration Customizable annotations and measurements for Apply to All Transducers and Exams • Transducer specific exams Exam SC1 5C1 DAX • Configurable for both protocol and non-protocol 1014 workflows 712 903 11M3 10V4 • Available in Transducers supporting Abdomen and 4V1 BV3 Abdomen Difficult exams except 5Z1 TVC2 9C2 11M2 • Custom Presets can be built off Abdomen and Abdomen Difficult presets Al Abdomen Configuration Apply to All Transducers and Exams asducer 5C1 Abdomen V Enable Al Abdomen E Al Measure on Freeze Abdomen Available Views Abd-Difficult Enable All Views 15 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The AI Abdomen feature is accessible in both Abdomen and Abdomen Difficult presets, offering customizable annotations and measurements for specific exams. It supports configuration for both protocol and non-protocol workflows. Please Note: The names of annotations in the AI Abdomen annotation section cannot be changed. for example,, terms like “Right Sagittal Liver" cannot be modified to "Sagittal Liver.“ This feature is available on transducers compatible with these presets, excluding the 5Z1. Additionally, custom presets can be built from the Abdomen and Abdomen Difficult presets, for example, a Renal preset. Notes No. 15 SIEMENS Healthineers AI Abdomen annotation SIEMENS. Healthineers ... AI Abdomen Annotation System Configuration Configuration: System Settings Workflow Enhancement Abdomen Configuration Imaging Settings › Measurement & Report Apply to All Transducers and Exams • Default AI Abdomen Views Annotations Transducer Exam Features 5CI Abdomen El Enable Al Abdomen El Al Measure on Freeze cannot be modified Protocols Stress Echo Available Views 40 Heart N Enable All Views 20 Heart N ACETA Annotations associated with AORTA • Al Assist CBD Annotations & lody Markers EL SAG GB Measurements Al Abdomen the label can be edited and Transducers E TRV GB Annotations Body Mark will appear on image Connectivity & Network fareducer Market Peripheral Devices E LEFT SAG KIDNEY o off ! System Management LEFT TRV KIDNEY RIGHT SAG KIDNEY RIGHT TRY KIDNEY LEFT SAG LIVER NORTA E LEFT TRV LIVER Delete Body Marker RIGHT SAG LIVER 23 EL E RIGHT TRY LIVER Reset Position Apply to All Views SAG PANCREAS Restore Detuets 16 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The default AI Abdomen labels are preset and cannot be altered. However, annotations linked to these labels can be customized and will reflect on the corresponding images. Notes No. 16 SIEMENS Healthineers AI Abdomen body and transducer markers SIEMENS . Healthineers ... • Supports all abdominal Body Markers Body Markers Transducer Marker • Supports Transducer Markers O On O Off 27 Orientation Delete Body Marker 90 TIP Transducer Marker and Body Marker can be disabled individually 17 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This feature supports all abdominal Body Markers and Transducer Markers, allowing for accurate identification and orientation during exams. Both the Transducer Marker and Body Marker can be enabled or disabled individually for each view in System Configuration, providing flexibility based on the needs of each specific exam. Please Note: The configuration must be adjusted for each exam and transducer to ensure the correct markers are applied, enhancing the accuracy and consistency of the imaging process. Notes No. 17 SIEMENS Healthineers AI Abdomen measurement configuration SIEMENS. Healthineers .. • Predefined System Configuration • System Settings . Workflow Enhancersent measurements can Al Abdomen Configuration Imaging Setting . Manurement & Report [] Apply to All Transducers and Exam be de-selected + Annotations Transducer Exam Features SC1 Abdomen Protocols Stress Echo 4D Heart~ Enable Al Wiews • Labels must be 20 Heart ADETA LEFT SAG KIDNEY N Amht selected from each N Atxborren Transducers Enable Al Mezsure individual exam and . Consectivity & Network + Peripheral Devices LEFT SAG KIDNEY 13 Kidney Length System Management LEFT TRY KIDNEY [] Kidney AP transducer separately FIGHT SAG KIDNEY Available Views FIGHT TRY KIDNEY Enable All Views LEFT SAG LIVER LEFT TRY UIVER AORTA LEFT TRV KIDNEY FIGHT SAG LIVER CBD Annotations & Body Markers FIGHT TRY UIVER SAG GB SAG PANCREAS TRV GB Enable Al Measure IVC LEFT SAG KIDNEY 23 Kidney Width E Kidney AP LEFT TRV KIDNEY RIGHT SAG KIDNEY RIGHT TRV KIDNEY LEFT SAG LIVER In a volume measurement, ensure AP is turned is turned off LEFT TRV LIVER TIP RIGHT SAG LIVER from one of the views (SAG/TRV) to avoid redundant RIGHT TRV LIVER SAG PANCREAS measurements 18 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The AI Abdomen Measurement Configuration allows for the customization of predefined measurements, which can be deselected if not needed for a specific exam. Labels must be carefully selected individually for each exam and transducer to ensure accurate measurements. For measurements that require a volumetric measurement, verify that the AP measurement is turned off in one of the views (SAG/TRV) to avoid redundant measurements. This configuration must be done for each exam to maintain precision and consistency across different scans. Notes No. 18 SIEMENS Healthineers AI Abdomen configuration SIEMENS . Healthineers ... Custom renal preset The Custom Renal preset System Configuration • System Settings was created off the General Regional Settings (Restart Required) Institution Information Abdomen factory preset Display Language Keyboard Institution Name Patient English English Sequoia 3.5 Workflow Enhancement Date Format Twne Format Pfrysician or Operator Imaging Settings MIDIYYYY AM/PM Performing Physicians V • Video demonstrates how › Measurement & Report Time Add to configure view >Annotations 9/16/2024 08 : 35 :21 AM > Features Time Zone classification and Transducers (UTC-05:00) Eastern Time (US & Canada) Connectivity & Network Units Delite measurement per Peripheral Devices Height and Weight @ Metric (cm / kg) transducer System Management O English (ft, In / lb. oz) Audio Confirmation Beep Volum Rotate Controls on the Control Panel Store Image and Clip Increase Depth Increase Focus Depth Clockwise O Clockwise Gesture Detecting Transducer O Counterclockwise Counterclockwise Gesture Settings Increase Zoom 27 Enable Gesture Detecting Clockwise O Counterclockwise 19 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this video example, a custom Renal preset was created off the Abdomen factory preset. This video demonstrates how to select and configure the view classification and measurement per transducer. Notes No. 19 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... Custom preset configuration Preset Customization: Al Abdomen Configuration 1. The Custom Preset must be built first before it can 3 ]Apply to All Transducers and Exams be selected in the AI Abdomen configuration Transducer Exam 1 2. The Custom Preset built in this example was Renal, 5C1 Renal V Enable Al Abdomen E Al Measure on Freeze and it was based off Abdomen; it can also be Abdomen Available Views Abd-Difficult based off Abdomen Difficult Enable All Views Renal 2 3. Disable “Apply to All Transducers and Exams” 4. AI Abdomen will only label or measure the selected views chosen Please Note: This must be done for each exam and transducer - Cmactivity & listwon OK 4 RIGHT SAG CONTY DJ IEET SAGEMIR 13 ASGIIT SAG IMA ----- 20 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this example, a custom preset was created for renal imaging, based on the Abdomen preset, though it could also be based on Abdomen Difficult to access specific labels and measurements. To customize a preset, go to AI System Configuration menu: • Disable the Apply to All Transducer and Exams • Select the newly customized preset, in this example the Renal preset from the Exam drop down menu • Under the Available Views selection, select only the renal measurements available • Under the Annotation, Body Marker and Measurements tabs, select the desired options for that preset When using a custom preset, AI Abdomen will only label or measure the anatomical views that were selected. This ensures that the tool is tailored to the specific needs of the exam, enhancing precision and workflow efficiency. Notes No. 20 SIEMENS Healthineers AI Abdomen imaging SIEMENS . Healthineers ... Custom renal preset • All labels except those related Live to Kidneys have been disabled; notice how no other view is classified other than MI:1 38 95% Kidney 2D H Mid OdB/DR65 c=1540 Compound 16cm 21 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this video example, a custom Renal preset was created off the Abdomen factory preset. Notice that it only recognizes the kidney views annotation and measurements, as the other views were disabled in the configuration menu. Notes No. 21 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Introduction to AI Abdomen Sequoia • AI Abdomen General Configuration • General Configuration • Protocol Configuration Sequoia • AI Abdomen Workflow • AI Abdomen Protocol Workflow • AI Abdomen Annotations and Measurements AI Abdomen Optimization CO • 22 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss AI Abdomen protocol configuration. Notes No. 22 SIEMENS Healthineers AI Abdomen with protocol SIEMENS . Healthineers ... AI Abdomen With Protocol Summary: Sequoia • Automatically selects the appropriate protocol view and measurements • Ensures images are captured in a predefined order Sequoia • AI Abdomen can be integrated with current or new protocols CO 23 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The AI Abdomen feature also works with the Protocol feature. When Auto Protocols is enabled, the appropriate protocol view, labels and measurements are engaged, ensuring that images are captured in a predefined order. This streamlines the exam process and enhances consistency. Notes No. 23 SIEMENS Healthineers Setting up AI Abdomen within protocols SIEMENS . Healthineers ... 1. Access the Protocols and View System Configuration section System Settings Workflow Enhancement Protecals and View 2 Imaging Settings Multiple Select Protocol Name › Measurement & Report Enable Al Abdomen 3 Abdomen hidd Protocol Abdomen AN Measure on Freeze 2. Ensure AI Abdomen is available - Annotations Progression Breast And View Automatic Append Paused Images . Features Cardiac Manual Within the Protocol and selected within the Protocol 1 O At the End of the Protocol > Cardac Advanced End Protocol protocol Stress Echo Automatically end when all views At Exit Protocol 4D Heart Al completed D Remain in acquisition Carotid Police Teil C Enter Report 2D Heart Al O Enter Review Copy Export Order Al Assist TRV PANCREAS 3. Activate Enable AI Abdomen 3 Collapse Left Panel Nl Abdomen Delete SAG PANCREAS Transducers IVC 4 Connectivity & Network AORTA View Details LEFT SAG LIVER 4. Deselect Collapse Left Panel to > Peripheral Devices System Management LEFT TRY LIVER make views and modes visible RIGHT TRY LIVER RIGHT SAG LIVER when starting an exam SAG GB import TRV GB Export TIP If AI Abdomen is turned off in general configuration but turned on in protocol, it will not be available when pausing protocol 24 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Initial steps for setting up AI Abdomen within a protocol are listed below and explained further on the next several slides. System Configuration: Within protocols and view, AI Abdomen is available to select within a protocol. Ensure the Enable AI Abdomen is selected. When deselecting Collapse Left Panel, this will make views and modes visible when beginning an exam. Notes No. 24 SIEMENS Healthineers AI Abdomen protocol configuration SIEMENS. Healthineers ... System Configuration System Settings > Workflow Enhancement Al Abdomen Configuration > Imaging Settings › Measurement & Report Apply to All Transducers and Exams › Annotations Transducer Exam Features SC1 Enable Al Abdomen E Al Measure on Freeze Protocols Stress Echo Available Views AD Heart Al Enable All Views 20 Heart Al AORTA AORTA Al Assist CBD Al Abdomen SAG GB Annotations & Body Markers Measurements Transducers TRV GB Armotations Body Markers › Connectivity & Network Transducer Marker › Peripheral Devices LEFT SAG KIDNEY System Management LEFT TRV KIDNEY RIGHT SAG KIDNEY RIGHT TRV KIDNEY E LEFT SAG LIVER ln ) . Orientation LEFT TRY LIVER AORTA Delete Body Marker RIGHT SAG LIVER X 53 24 RIGHT TRV LIVER Reset Position Apply to All Views SAG PANCREAS 25 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, this video will demonstrate configuration in AI Abdomen while using protocol. Notes No. 25 SIEMENS Healthineers AI Abdomen with protocol SIEMENS . Healthineers ... 1. Uncheck Collapse Left Panel Al Abdomen Enable Al Abdomen Al Measure on Freeze 2. Views and Modes will Append Paused Images at Livet Trans be visible when O Within the Protocol 2 O Bad Trans beginning an exam At the End of the Protocol At Exit Protocol It Cove Sar O Remain in acquisition O Enter Report Enter Review Rt KIDNEY SAG Solen lercth Layout 1 ]Collapse Left Panel TIP Views cannot be selected from left side of panel 26 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using protocols, uncheck the Collapse Left Panel option in the configuration. This action will allow the views and modes to be visible when starting an exam. When checking the Collapse Left Panel option in the configuration, the views and modes will not be visible on the left side of monitor but are available to select during the exam. Notes No. 26 SIEMENS Healthineers Setting up AI Abdomen within protocols SIEMENS. Healthineers ... 1. In Protocol setup, got to View tab View Body Markers & Text and assign AI Anatomy Recognition view View Name Mode Selection TRV PANCREAS 2D Al Anatomy Recognition 1 TRV PANCREAS Color LEFT TRV KIDNEY . Velocity RIGHT SAG KIDNEY . Power RIGHT TRV KIDNEY Color Steer LEFT SAG LIVER O None LEFT TRV LIVER RIGHT SAG LIVER RIGHT TRV LIVER SAG PANCREAS TRV PANCREAS SAG SPLEEN Save Image With ar TRV SPLEEN Auto Trace On 27 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To set up AI Abdomen within Protocols, go to System Configuration > Features > Protocols. Go to View tab and assign an AI Anatomy Recognition view. Notes No. 27 SIEMENS Healthineers Setting up AI Abdomen within protocols SIEMENS . Healthineers ... 1. Go to the Body Markers & Text View 1 body Markers & Text Measurements tab, annotate the image Annotation 2. Select the associated Body Marker TRV PANCREAS 3. Select Transducer Marker On, x 0 23 if needed Reset Position Apply to all views Body Marker Exam Abdomen 3 Transducer Marker On Off 2 Orientation 0 Delete Body Marker 28 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Go to the Body Markers & Text tab, annotate the image Select the associated body marker Select Transducer Marker On, if needed Notes No. 28 SIEMENS Healthineers Setting up AI Abdomen within protocols SIEMENS. Healthineers ... 1. Select Measurementstab View Body Markers & Text 1 asurements Number of Measurement Labels 2. Check Enable AI for the selected O None 02 0 3 [] Save Image With and Without Measurements label Label Exam Imaging Mode Label Abdomen 2D OD OM Liver Length 2 Enable Al Label Exam Imaging Mode Label 20 . D . M Label Exam Imaging Mode Label 2D @ D . M It will only recognize anatomy for TIP measurement during protocol when Enable AI is selected. 29 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Go to the Measurement tab and Enable AI Measurement for the selected label. In protocol, Enable AI needs to be selected for that measurement, otherwise it will not recognize measurement. AI View only recognizes anatomy associated with the selected view (See Slide 26). for example,, in Right Sag Kidney, selecting Kidney Width won’t enable AI as it’s not linked to that view. Additionally, if the view is set to the left, AI won’t activate. For Right Sag Kidney, only Kidney AP and Kidney Length will trigger the AI feature. Notes No. 29 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Introduction to AI Abdomen Sequoia • AI Abdomen General Configuration • AI Abdomen Workflow • AI Abdomen Protocol Workflow • AI Abdomen Annotations and Measurements • AI Abdomen Optimization 30 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss AI Abdomen workflow without protocol. Notes No. 30 SIEMENS Healthineers AI Abdomen status indicators SIEMENS . Healthineers .. AI Abdomen enabled AI Abdomen paused 5C1 AI 501 Renal 1 Liver Length=17.09 cm Abdomen TIB:0.66 TIB:1.37 TIC:3.63 TIC:4.10 2 TIS:0.66 TIS:1.37 MI:1.38 MI:1.27 27fps 12fps 95% 95% 2D H Mid H Mid -5dB/DR65 0dB/DR65 c=1540 Compound Compound C Auto OdB General PRF 1042 16cm RIGHT TRV KIDNEY 16cm RIGHT SAG LIVER Author | Department 31 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this slide, we demonstrate the AI Abdomen functionality with visual indicators showing its status. On the left image, AI Abdomen is enabled, as indicated by the orange label. This setting ensures that the system actively recognizes and labels anatomical structures in real-time. Conversely, the right image shows the AI Abdomen feature paused, indicated by the white label, meaning the system is not currently performing automatic anatomical recognition. AI Abdomen will resume after unfreezing the image. In order to disable AI Abdomen, it must be deselected from Touch Screen. Understanding these indicators is crucial for effectively utilizing the AI Abdomen feature during ultrasound examinations. Always check the color of the AI label to ensure the correct mode is active for your imaging needs. Notes No. 31 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... Beginning an exam Non-Protocol Workflow: SC1 Renal 18L6 15L4 1014 Workflow • Begin the abdominal exam Patient 2D Activate the AI Abdomen tool Imaging Al Abdomen Al Measure • AM Freeze L/R Flip UID Flip Biopsy Review Off Timer Report Full FOV • AI starts classifying images in real- Panoramic time End Exam • The system displays annotations and Auto TEQ Live Dual Clarify body markers based on the AI's Off classification and configuration X Harmonics Compounding Wide FOV settings Frequency DR InFocus Line Density H Mid 65 dB 32 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To begin an exam with AI Abdomen, initiate the abdominal exam and activate the AI Abdomen tool. The AI will then classify images in real-time, and the system displays annotations and body markers based on the AI's classification. Notes No. 32 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... During an exam Non-Protocol Workflow: • Press Freeze NASperTen • If view has associated measurements and the system is set to AI Measure On Freeze, it will denty open measurements and automatically Woke FOV measure; otherwise, AI Measure can be the Density manually selected by selecting the AI Ruler option on Touch Screen Patient Review CHO fo Oset Screen 33 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When you press freeze, the AI will calculate the measurement points if AI Measure on Freeze is highlighted, and the system will open the calculations. This can be disabled from Touch Screen or in configuration per exam. Otherwise, you can manually open the calculations by activating the AI measure icon in lower right showing the orange circle with the ruler. If the measurement is still not recognized, the full menu will open, and the user can select the measurement. Notes No. 33 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... During an exam Non-Protocol Workflow: Abdomen Miscellaneous • AI Abdomen and AI Measure have Prox Aorta Liver Spleen Kidney Pre-Void Bladder IVC different algorithms Mid Aorta Pancreatic Duct GB Wall Thickness Cortical Thickness Post-Void Bladder • If AI Abdomen view Annotation is not recognized or one with a specific Dist Aort CBD CHD measurement enabled, AI measure ruler option can be selected to O Ellipse 20 Trace Open Trac %Stenosis-A Stenosis- D Volume choose measurement options for Clear Screen Edit Caliper Select Cine Hide Res recognition 34 Unrestricted © Siemens Healthineers 2024 Speaker Notes: If the measurement is not recognized, the full menu will open, and the user can select the measurement. AI Abdomen and AI Measure use different algorithms. If the view classification fails, AI Measure can still make measurements. for example,, if scanning the CBD and AI Abdomen labels the liver or pancreas, the user can delete the incorrect label and select AI Measure. If no measurement is tied to the view, the entire measurement menu will appear, allowing the user to select CBD. Review and accept, edit, or delete the AI Abdomen measurements as needed. Save the image to confirm the AI Abdomen’s annotations and measurements. Notes No. 34 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... During an exam Non-Protocol Workflow: Abdomen Miscellaneous • AI Abdomen specific labels will Prox Aorta Liver Spleen Kidney Pre-Void Bladder IVC appear, select the appropriate measurement and system will try and Mid Aorta Pancreatic Duct GB Wall Thickness Cortical Thickness Post-Void Bladder measure automatically. Dist Aort CBD CHD • Review, accept, edit, or delete AI Abdomen measurements O Ellipse 20 Trace Open Trac %Stenosis-A Stenosis- D Volume Clear Screen Edit Caliper Select Cine Hide Res • Save the image to confirm AI Abdomen's work 35 Unrestricted © Siemens Healthineers 2024 Speaker Notes: If the measurement is not recognized, the full menu will open, and the user can select the measurement. AI Abdomen and AI Measure use different algorithms. If the view classification fails, AI Measure can still make measurements. for example,, if scanning the CBD and AI Abdomen labels the liver or pancreas, the user can delete the incorrect label and select AI Measure. If no measurement is tied to the view, the entire measurement menu will appear, allowing the user to select CBD. Review and accept, edit, or delete the AI Abdomen measurements as needed. Save the image to confirm the AI Abdomen’s annotations and measurements. Notes No. 35 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... Finishing an exam Non-Protocol Workflow: Report Patient • There is no pre-defined number of views Store Report Transfer Fupart OB History for using AI Abdomen Imaging Review Print Report Export To PDF Summary • Once exam is completed the user can Report select the report page to view labeled End Exam measurements Tab W U O • Review images and select End Exam aps Lock D G H Enter Shift Z X V B M Delete Ctrl Alt 36 Unrestricted © Siemens Healthineers 2024 Speaker Notes: There is no set number of views required to finish an exam with AI Abdomen. After completing the exam, users can navigate to the Report page to view the labeled measurements. Finally, review the images and select End Exam to finalize the process. Notes No. 36 SIEMENS Healthineers AI Abdomen workflow SIEMENS . Healthineers ... 5C1 Abdomen T18 0.85 ME 1.38 33fps 95% HMid 5dB/DRES RIGHT SAG KIDNEY et Stom Funktion 37 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here we have an example of AI Abdomen without protocol. Notice how the user images throughout the Abdomen and the annotations and measurements automatically adjust based on the view. Notes No. 37 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Introduction to AI Abdomen Sequoia • AI Abdomen General Configuration • AI Abdomen Workflow • AI Abdomen Protocol Workflow • AI Abdomen Annotations and Measurements • AI Abdomen Optimization 38 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the AI Abdomen workflow with protocol. Notes No. 38 SIEMENS Healthineers AI Abdomen protocol workflow SIEMENS . Healthineers ... • Start Protocol, AI Abdomen loads and classifies images in real-time Sequoia • System update's view; press freeze, AI computes measurements (auto or manual) Sequoia • Select label, review/edit measurements, save to confirm • Only views that are specifically attached to AI Abdomen will be automatically classified within a protocol • AI Abdomen enabled will override protocol view when CO that anatomic location is identified 39 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To follow the AI Abdomen protocol workflow, begin by starting the abdominal protocol with AI Abdomen, which will load and classify images in real time. The system will then update the protocol view based on AI's classification. When ready, press freeze to proceed. Only views that are specifically attached to AI Abdomen will be automatically classified within a protocol. If a view, such as MPV, is created without AI recognition, it will not be recognized by the AI. If measurements are needed, the AI will compute them automatically, or you can manually activate the measurements. Mode activation varies based on the view, and different behaviors may apply depending on whether AI Abdomen is activated. Review the AI's measurements, make edits as necessary, and save the image to confirm the AI's classification and measurements. Notes No. 39 SIEMENS Healthineers AI Abdomen protocol workflow SIEMENS. Healthineers ... 9C2 • Ensure AI Abdomen is kolomen 501 15L4 Workflow enabled in general Patient Protocols configuration, or it will not Imaging Pause Protocol Al Abdomen I Messure Review on Freeze Exit appear when protocol is paused Report LIVER SAG PANCREAS INC AORTA EFT SAG LIVER LEFT TRY LIVER End Exam RIGHT TRY LIVER RIGHT SAG LIVER CBD SAG GB TRV GB RIGHT SAG KIDNEY • Pausing AI Abdomen is RIGHT TRY KIDNEY SAG SPLEEN TRV SPLEEN LEFT SAG KIDNEY EFT TRV KIDNEY available during protocol • Protocol Body Markers & Text Add View Rename View Reorder Delete Progression Remain Frozen view name is what will appear Body Markers & Text on the image; classification AI Annotation Abdomen view name can be linked to that name LIVER SAG 40 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In the AI Abdomen Protocol Workflow, it is essential to ensure that AI Abdomen is enabled in the general configuration, allowing flexibility in managing the workflow and adjusting the system as needed during the scanning process. If AI Abdomen is not enabled, it will not appear when the protocol is paused. Protocol Body Markers & Text view name is what will appear on the image; classification AI Abdomen view name can be linked to that name. Notes No. 40 SIEMENS Healthineers Protocol workflow with AI Abdomen SIEMENS . Healthineers ... • Protocol checklist can be collapsed bdamenAl 2117 Captured 5C1 Abdomen LI Uiver Trans TH TIB:0.21 • AI icon: Orange (active), White TIC:1.13 Rt Liver Sag TI5:0.21 MI:1.38 (suspended); reactivates on unfreeze Liver Lengths 33fps 95% Rt Liver Trans 20 H Mid CHD -1dB/DR65 C=1540 Cho Compound • When pausing AI in protocol, system will GB Traes revert to designated protocol view Ga Wall Treckeness BE Lier TraI GB Sag Rt Kidney Sag Cannot select view from left panel Fight Kidney Length • Rt Kidney Trans Right Kidney Width Right Kidney AP • Freeze and select view on the right panel; Spreen Sag Rt KIDNEY SAG must remain frozen Spleen Length 12 of 17 41 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss protocol workflow behavior. The protocol checklist can be collapsed by selecting by utilizing the pointer on control panel and selecting arrows. AI icon: Orange (active), White (suspended); reactivates on unfreeze. When AI is paused in a protocol, the system will revert to the designated protocol view and pause the protocol itself, automatically advancing to the next view, where the protocol is highlighted in white. You cannot select a view from the left panel. Freeze and select view on the right panel; it must remain frozen. Notes No. 41 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... Pausing in protocol • Pause & Resume AI Abdomen is Live available by selecting update on 2/ 17 Captured 501 LIUver Trans Abdomen control panel TIB:0.21 TIC:1.13 Rt Liver Sag QTHE TI5:0.21 Le Liver Trunk MI:1.38 Liver Lengths 33fps 95% Reverts to protocol view (white box) Rt Liver Trans 2D • H Mid CBD -1dB/DR65 C=1540 CHO Compound • Select Remain Frozen if not correct GB Tries Ga Wall Treckness view Rt Lir Trans GB Sag Rt Kidney Sag Fight Kidney Length • This allows for a different view Rt Kidney Trans 88 selection before resuming AI Right Kidney Width Right Kidney AP Spreen Sag Rt KIDNEY SAG Spleen Length 12 of 17 42 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Pause & Resume AI Abdomen is available by selecting update on control panel. When pausing the AI in protocol mode, the system will automatically pause AI processing and revert to the designated protocol view, indicated by the white box on the screen. This ensures that the user can review or adjust the image as needed before resuming AI functions. This feature helps maintain workflow consistency and allows for manual intervention when necessary, ensuring that the protocol steps are followed accurately. Notes No. 42 SIEMENS Healthineers Protocol workflow with AI Abdomen SIEMENS . Healthineers .. • After view with measurement is recognized FIGHT SAD KIDNEY in protocol, it will not attempt to remeasure again even with AI Measure On Freeze enabled POR.DANS • When manually selecting another view, it will remain on that view until image is SAC: PANCREAS frozen/unfrozen or acquired • A protocol view with color or when color RIGHT SAG KIDNEY ACEITA is activated manually, AI Abdomen view classification will not relabel view until color is disabled 43 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, this video will demonstrate some of the workflow behaviors in AI Abdomen while in protocol. In the Protocol Workflow with AI Abdomen, once a view with a measurement is recognized in the protocol, the system will not remeasure it, even if AI Measure On Freeze is enabled. When manually selecting another view, it will stay on that view until the image is either frozen, unfrozen, or newly acquired. Additionally, if a protocol view involves color or color is manually activated, the AI Abdomen classification will not relabel the view until the color is disabled. Notes No. 43 SIEMENS Healthineers Protocol workflow with AI Abdomen SIEMENS . Healthineers ... ₹ Abdome Of 18 Views FIGHT SAG NOONE • Top thumbnail view will always display AI UGHT TRY LIVEN Rt kidney AP-4.67 cm Abdomen view detected and current RIGHT TRY LIVER RIGHT SAG UMER classification Divertengis SAG GR • View will also highlight in green in left panel, TRV GR GRWall Thickness and switch based on detected classification SAG PANCREAS • When acquiring a cine loop and sweeping through multiple views, the view name and SAG SPLEEN Sptres terug RIGHT SAG KIDNEY AORTA protocol will remain at the last point where AI Abdomen detected a specific view. 44 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In the Protocol Workflow with AI Abdomen, the top thumbnail view consistently displays the detected AI Abdomen view and the corresponding classification. Additionally, the left panel highlights the view in green, automatically switching based on the system’s detected classification. When acquiring a cine loop and sweeping through multiple views, the view name and protocol will remain at the last point where AI Abdomen detected a specific view. Notes No. 44 SIEMENS Healthineers AI Abdomen with protocol SIEMENS . Healthineers ... Live Lt Kidney Sag abdomenAl 0 / 17 Captured 501 Abdomen G& Sag TIB:0.74 TIC:4.01 Rt Kidney Sag THE TIS:0.74 Pano Trans MI:1.38 Right Kidney Length 25fps 96% Rt Kidney Trans 2D H Mid Right Kidney Width 0dB/DR65 c=1540 Pano Sag Right Kidney AP Compound Spleen Sag THE Spleen Length Aorta Spleen Trans Spleen Width Spleen AP LE Kidney Sag THE MVC Left Kidney Length Lt Kidney Trans THE 14cm Left Kidney Width Lt KIDNEY SAG Le Liver Say Lett Kidney AP Sue Position 16 of 17 45 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This video demonstrates the AI Abdomen protocol workflow when integrated with AI Abdomen. Notes No. 45 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Introduction to AI Abdomen Sequoia • AI Abdomen General Configuration • AI Abdomen Workflow • AI Abdomen Protocol Workflow • AI Abdomen Annotations and Measurements • AI Abdomen Optimization 46 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the AI Abdomen workflow with protocol. Notes No. 46 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... Anatomy labeling & measurement Enhances workflow in key current Live Lt Kidney Sag measurement and annotation abdomenAl 0 / 17 Captured Optimizing for seamless workflow in ----- 501 scenarios: the most common failure modes: Abdomen G8 5ag TH TIB:0.74 TIC:4.01 Pano Trans Rt Kidney Sag TIS:0.74 MI:1.38 Right Kidney Length 25fps Missing labels •No label 95% • Rt Kidney Trans 2D H Mid Right Kidney Width 0dB/DR65 c=1540 Pana Sag Right Kidney AP Compound •Correct organ, wrong orientation • Having incorrect orientation Spleen Sag Spleen Length Aorta • Multiple organs present in Sploon Trans •Multiple organs present in frame image Spleen Width Spleen AP Lt Kidney Sag Left Kidney Length Lt Kidney Trans 14cm Left Kidney Width Lt KIDNEY SAG Le Liver Sog Lett Kidney AP 16 of 17 PPV = (# True Views)/(# View Predictions) 47 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The video highlights how AI Abdomen optimizes workflow by addressing current scanning issues, such as missing labels, images that have the organs in the wrong orientation, and multiple organs present in the image. Notes No. 47 SIEMENS Healthineers AI Abdomen measurements and annotations SIEMENS . Healthineers ... Abdominal Measurements: Abdominal Annotations: • Left Kidney: Length, Width, AP • Kidney (left/right, long/trans) Sequoia • Right Kidney: Length, Width, AP • Liver (left/right, long/trans) Liver: Length Spleen (long/trans) Sequoia • • • Spleen: Length, Width, AP • Pancreas (long/trans) • Gall Bladder: Wall Thickness • Gallbladder (long/trans) • Common Bile Duct • Common Bile Duct O • Aorta • IVC 48 Unrestricted © Siemens Healthineers 2024 • Speaker Notes: The AI Abdomen tool offers a range of automated measurements and annotations to enhance diagnostic accuracy and efficiency. Key measurements include the length, width, and AP dimensions of the left and right kidneys, the length of the liver and spleen, the wall thickness of the gallbladder, and the common bile duct. In terms of annotations, the tool automatically labels various anatomical structures such as the kidneys, liver, spleen, pancreas, gallbladder, common bile duct, aorta, and IVC in both longitudinal and transverse views. These features streamline the scanning process by reducing manual input and ensuring consistent, accurate documentation of essential abdominal structures. Notes No. 48 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... AI Measure on freeze AI Measure On Freeze The AI Measure tool (orange circle with a ruler) can also be manually triggered when AI Measure on Freeze is off 5C1 1 Liver Length=16.62 cm Abdomen TIB:0.66 TIC:3.63 TIS:0.66 MI:1.38 27fps 95% 2D Abdomen Miscellaneous H Mid 1dB/DR65 c=1540 Prox Aorta Liver Spleen Kidney Pre-Void Bladder npound IVC Mid Aorta Pancreatic Duct GB Wall Thickness Cortical Thickness Post-Void Bladder Dist Aor CBD CHD 2D Trace Open Trac %Stenosis Volume Clear Screen Edit Caliper [Select Cine Hide Res Ll RIGHT SAG LIVER 49 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When the AI Measure On Freeze is active on the Touch Screen, the system automatically calculates and displays the measurement. You can access the AI Measure tool from the Touch Screen, the orange circle with the ruler, to adjust or confirm the measurements. This tool can be utilized even if view classification (annotation) is not recognized. The tool provides options for selecting different anatomical structures and measurement types, ensuring accurate and efficient assessments during the exam. When AI Measure on Freeze is off, the orange circle button triggers the AI Measure tool manually, allowing users to perform measurements. Notes No. 49 SIEMENS Healthineers AI Abdomen view classification and measurement SIEMENS . Healthineers ... • With AI Abdomen and AI Warknow Measure On Freeze Posent enabled, the system will Imaging AN Abdomen Timer automatically label and Panoramic image Size measure if measurement view detected Live Dual Cup Length • The system will Left Margin automatically display all Right Margin measurement labels Abdomen Miscellaneous available RIGHT SAG KIDNEY Prox Aorta Liver Spleen Kidney Pre-Void Bladder INC Mid Aorta Pancreatic Duct GB Wall Thickness Cortical Thickness Post-Void Bladder Dist Aorta CBD CHO Clear Screen Edit Caliper Cine 50 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide highlights the AI Abdomen View Classification and Measurement capabilities. When both AI Abdomen and AI Measure On Freeze are enabled, the system automatically detects a measurement view and labels the appropriate anatomy. It also measures relevant structures if applicable. The system will then display all available measurement labels, streamlining the process for the user by automatically handling labeling and measurement tasks, thus enhancing efficiency and accuracy in abdominal imaging workflows. Notes No. 50 SIEMENS Healthineers AI Abdomen view classification and measurement SIEMENS . Healthineers ... • Disabling AI Abdomen CBD GR wall Liver Length before or during an exam, Thickness still allows access to AI Right Kidney Spleen Length mittal Length Measure Ruler tool on Light Kidney Right Kidney Transverse AP Left Kidney Width Left Kidney ransverse AP Spleen Touch Screen Width & AP X • Select Caliper button, then AI Measure Ruler on the 9C2 Abdomen 1504 Workflow Touch Screen Patient Imaging 1 Abdomen L/R Flip LID FIP Timer • Any label can be selected, Review and system will Report Panoramic Image Size End Exam automatically label based on pattern recognition Live Dual EP Length Left Margin Right Margin 51 Unrestricted © Siemens Healthineers 2024 Speaker Notes: If the view icon is not present and a measurement cannot be obtained, manual measurement is necessary. Cine is available, and when cine is stopped, you can activate the AI Caliper icon to launch the measurement. AI Measure functions independently of AI Abdomen. AI Measure Ruler icon displays the available measurements in the AI Abdomen package only. If AI Abdomen is turned off, view detection is not available. In such cases, touch the AI Measure button and select the label from the menu. Notes No. 51 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers ... Editing measurement label • Edit measurement by moving the Trackball to hover over the Liver Length-16.41 cm Comen o TIC 3,83 1. Liver Length=16.41 cm desired caliper (yellow) TIS 0.08 @BIORES • Caliper will become active (turns Compound green) when selected • Press the Set key to activate the caliper RIGHT SAG LIVER RIGHT SAG LIVER • Place the caliper at the desired location on the image 52 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To edit a measurement in AI Abdomen, move the Trackball to hover over the desired caliper until it becomes active and turns green. Then, press the Set key to activate the caliper and position it where needed on the image. Notes No. 52 SIEMENS Healthineers AI Abdomen SIEMENS. Healthineers ... Editing annotation label Live Scanning: • If AI Abdomen is engaged and an annotation is deleted during live scanning, the annotation will not automatically return Frozen: • Deleting an annotation while the scan is frozen will result in AI Abdomen attempting to reclassify view once the scan is unfrozen • AI Abdomen requires an active scanning process to re-annotate correctly after deletion TIP When editing a label in AI Abdomen, select ABC and this will allow you to change the label if it is available in the text package columns. 53 Unrestricted © Siemens Healthineers 2024 Speaker Notes: If an annotation is deleted during live scanning, it will not automatically return when using AI Abdomen. Users would need to freeze and un-freeze or reengage AI Abdomen again for pattern recognition. To address this issue, you can freeze and unfreeze the scan or turn off and then turn on the AI Abdomen. If you delete an annotation while the scan is frozen, the AI will recognize the pattern again once it's unfrozen. Active scanning is necessary to re-annotate correctly. Deleting annotations in real-time should deactivate the AI (displaying white), but it may still attempt to annotate. Notes No. 53 SIEMENS Healthineers AI Abdomen SIEMENS. Healthineers ... Editing annotation label Live 5C1 Abdomen TIB:0.68 TIC:3,72 TIS:0.68 MI:1.38 2D H Mid odB/DR65 c=1540 Compound 160m LEFT TRV LIVER 54 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, is a video example of how to edit and annotation with AI Abdomen. Notes No. 54 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Introduction to AI Abdomen Sequoia • AI Abdomen General Configuration • AI Abdomen Workflow • AI Abdomen Protocol Workflow • AI Abdomen Annotations and Measurements • AI Abdomen Optimization 55 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss best practices for AI Abdomen optimization. Notes No. 55 SIEMENS Healthineers AI Abdomen SIEMENS. Healthineers ... Optimizing performance and addressing challenges • Optimal Imaging Techniques: Adjust gain levels for clear imaging; AI performance depends on the sonographer’s ability to identify anatomy • Handling AI Limitations: Manual adjustments may be necessary for complex cases; rely on sonographer expertise, especially when AI struggles with multiple anatomies or cine loop recognition • Cine clip acquisition: This may result in label changes or image capture issues without freezing In protocol, cine clip acquisition may cause the system to unfreeze if another view is TIP recognized within the protocol during cine loop. To prevent this, keep the system frozen and cine through frames 56 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using AI Abdomen, adjust gain levels properly for clear imaging, as AI performance heavily relies on the sonographer’s ability to identify anatomy. In situations where AI encounters difficulties, such as with multiple anatomies or cine loop recognition, manual adjustments and sonographer expertise are necessary. Additionally, during cine clip acquisition, there may be label changes or image capture issues if freezing isn't utilized. To avoid unintended unfreezing in protocol during cine loop, ensure the system remains frozen and cine through frames as needed. Notes No. 56 SIEMENS Healthineers AI Abdomen best practices SIEMENS . Healthineers ... Adjust Settings: • Ensure the image you capture is clear and of high quality. If you are struggling to obtain a clear image, the AI will also struggle • Decrease the imaging depth • Narrow the field of view (FOV) when appropriate, for example,, when imaging the gallbladder (GB) RIGHT SAG KIDNEY • Use the optimized UltraArt setting to enhance image clarity Video successhay saved Vidio length 00:00-18 TIP The better the image is optimized (correct probe selection, frequency, gain, UA, etc.) , the better the recognition 57 Unrestricted © Siemens Healthineers 2024 Speaker Notes: For high performance of the AI abdomen feature try these tips: • Ensure the image you capture is clear and of high quality. If you are struggling to obtain a clear image, the AI will also struggle • Decrease the imaging depth • Narrow the field of view (FOV) when appropriate, for example,, when imaging the gallbladder (GB). Also in certain instances, reducing the FOV can cause AI to mislabel the kidneys due to an obstructed view of the liver. • Use the optimized UltraArt setting to enhance image clarity The better the image is optimized (correct probe selection, frequency, gain, UA, etc.) , better recognition Notes No. 57 SIEMENS Healthineers AI Abdomen Optimization SIEMENS. Healthineers ... AI Possible Struggles: DAX Abdomen • AI may struggle with distinguishing between similar TIB:0.80 TIC:3.29 TIS:0.80 structures in a Sagittal ML view, such as the left MI:1.18 2D liver, pancreas, and aorta, or confuse splenomegaly with the liver • Multiple anatomical structures in the same view can challenge AI, particularly when right and left kidneys are present • Pathologies that alter the appearance of anatomy, like cysts that maintain structure, may still be detected, but conditions like polycystic kidney or liver metastasis may not be recognized by AI 13cm TIP If you are presented with a sole image with no text, if sonographer can’t name anatomy, AI will not either 58 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The AI may encounter challenges in specific scenarios, such as distinguishing between the left liver, pancreas sagittal, and aorta in a sagittal midline (ML) view. It may also confuse splenomegaly with the liver or struggle when both right and left kidneys are in view. Additionally, AI can have difficulty when multiple anatomical structures are present in the same view or when pathology alters the appearance of anatomy, such as with cysts or polycystic kidney disease. If the sonographer cannot identify the anatomy in a sole image without text, the AI will likely struggle as well. Notes No. 58 SIEMENS Healthineers AI Abdomen best practices SIEMENS. Healthineers ... 11M3 dorman Abdomen Abdomen T18:0.51 TIB:1.00 TIB:0.39 TIC:1.38 TIC:0.64 TIS:0.39 TIS:0.51 MED.93 MEO.52 2D 2D 13cm sa Scm IVC SAG IVC SAG IVC SAG 59 Unrestricted © Siemens Healthineers 2024 Speaker Notes: For the first image, ensure the IVC is clearly visualized by adjusting the depth and gain settings to provide a clean, distinct view of the vessel. Proper alignment of the transducer is essential to maintain a straight, continuous image of the IVC. In the second image, maintain a steady hand and consistent pressure to avoid compressing the IVC, which can alter its appearance. For the third image, optimize the focus to clearly delineate the IVC from surrounding structures. Adjust the depth to capture the full length of the IVC in a single frame, ensuring that no sections of the vessel are cut off or obscured by adjacent tissues. Notes No. 59 SIEMENS Healthineers AI Abdomen best practices SIEMENS . Healthineers ... Technically difficult study DAX DAX 1 Spleen Length=11.04 cm Abdomen 1 Liver Length=17.19 cm Abdomen TIB:0.37 TIB:0.57 TIC:2.12 TIC:2.93 TIS:0.37 TIS:0.57 ME:1.01 MI:1.22 19fps 17fps 95% 95% 2D 2D H Pen H Low 0dB/DR60 0dB/DR60 C=1540 c#1540 LD 3 Compound UA 2 MapC/TS MapC/T5 *20cm 17cm RIGHT SAG LIVER SAG SPLEEN Fr195 F1891 Accept All 60 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notice that Liver and Spleen measurement were still captured with high degree of accuracy even with suboptimal conditions. Notes No. 60 SIEMENS Healthineers AI Abdomen Best Practices SIEMENS. Healthineers ... Optimizing performance and addressing challenges Troubleshooting and Tips Handling Complex Cases: • The AI may struggle with overlapping anatomies or pathology that changes the normal appearance of structures • Only works in Trapezoid on Linears In such cases: • Manually adjust settings to optimize image quality • Select the AI Abdomen on Touch Screen to help the system identify and label anatomy even if initially undetected 61 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When handling complex cases, the AI may struggle with overlapping anatomies or pathologies that alter the normal appearance of structures, and it only works with Trapezoid on Linears. In such situations, manually adjust settings to optimize image quality, and Select the AI Abdomen on Touch Screen to help the system identify and label anatomy even if initially undetected. Notes No. 61 SIEMENS Healthineers AI Abdomen SIEMENS . Technique improvement tips Healthineers ... • Suboptimal Imaging Techniques: Abdor TIB.C • Incorrect Gain Settings MIC • Improper Depth and Field of View (FOV) -4dB/DI c=1! • Inadequate Ultrasound Settings Compoi • Lack of Manual Adjustments • Inadequate Cine Clip Acquisition 62 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using AI Abdomen, suboptimal imaging techniques can significantly hinder AI performance. Incorrect gain settings, whether too high or too low, can obscure important details, making it difficult for the AI to accurately identify structures. Improper depth and field of view (FOV) settings can confuse the AI, leading to errors in measurements and annotations. Inadequate ultrasound settings overall result in unclear images, further affecting AI accuracy. It's crucial to intervene with manual adjustments when the AI struggles; otherwise, missed measurements can occur. Additionally, failing to properly freeze images during cine clip acquisition can negatively impact labeling accuracy, making it essential to adhere to proper imaging protocols. Notes No. 62 SIEMENS Healthineers Trademarks and disclaimers SIEMENS. Healthineers ... ACUSON Sequoia and UltraArt are trademarks of Siemens Medical Solutions USA, Inc. Sequoia syngo is a registered trademark if Siemens Healthineers AG. 63 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 63 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? 64 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 64