ACUSON Sequoia™ 3.5 VB30 Contrast Quick Card

Quick Card Contrast-Enhanced Ultrasound1 – General Imaging ACUSON Sequoia Ultrasound System 3.5 (VB30) siemens-healthineers.com/sequoia i. skills! 1 At the time of publication, the United States Food and Drug Administration has cleared ultrasound contrast agents only for use in left ventricular opacification (LVO), liver, and vesicoureteral reflux (VUR). Check the current regulation for the country where you are using this ultrasound system for contrast agent clearance. SIEMENS Healthineers . Step 1 • Select an appropriate contrast-compatible transducer and exam • Press the CEUS key on the control panel • Select the desired image layout (Fig. 1, Fig. 2) Fig. 1: Live Dual display format Fig. 2: Full screen display format with the contrast image on the left and the B-mode image on the right Step 2 ow MI Mid M 2D Contrast 2D Only Contrast Only • Select Agent Type on the touch screen (Fig. 3) Tip: Low MI contrast agents include LUMASON®/ Agent Type Fig. 4: Contrast display mode Low M options SonoVue®, DEFINITY® and OPTISON™; Sonazoid™ is considered a Mid MI contrast agent Fig. 3: Agent Type selection options • Select the contrast display mode (Fig. 4) Contrast Only 15 sec 30 sec 45 sec 60 sec 90 sec - 2D Only - 2D + Contrast Timer Live Dual Burst Clip Length - 30 sec • Ensure the desired clip capture length is selected, Fig. 5: Clip capture length options or select an alternate length from the available options (Fig. 5) Tip: Prior to saving any contrast clips and/or altering the clip length setting, ensure that the PACS server can accommodate the selected clip size. Step 3 Exit • If required, configure the steps for Configure Flash Flash Sequence (bubble destruction) Step 1 Step 2 Sequence Burst Contrast Imaging nd of SPOLier Burst Time • Choose options for (Fig. 6) Peak Hold Live Imaging Stay Live uto Freeze sec Step 1 – Burst Time maging Duration - Step 2 – Contrast Imaging state and duration 10 sec - Step 3 – End of Sequence state - Flash Sequence Clip Capture Fig. 6: Configure Flash Sequence Steps 1–3 2 siemens-healthineers.com/sequoia Step 4 Measurements • Prepare the patient for the contrast agent injection Shadow (e.g, consent, I.V. insertion, practice breathing, etc.) Duplicates and displays a measurement on the adjacent image for a comparison of lesion size and/or location • Position the patient comfortably and ensure that the area of interest is as close to the transducer face as • On a live or frozen image, possible to minimize depth press Caliper (Fig. 10a) x . . . x Caliper • Optimize the contrast image (depth, gain, etc.) Fig. 10a • Select Shadow (Fig. 10b) • Prepare the contrast agent as per product guidelines • Measure the right or left image Shadow • Select Shadow to exit the measurement if shadow Fig. 10b measurements are not desired Note: Shadow measurements are available on live, frozen or reviewed images. Step 5 Tips and Techniques • Start the Timer at the conclusion • Practice quiet breathing with the patient before the of the contrast agent injection Timer contrast run – sometimes a breath hold is necessary. (Fig. 7) Fig. 7 • Small lesions are best visualized in long axis versus • Start the Clip capture at the a transverse plane, as lesions will move in that plane appearance of the first bubble Clip during respirations. on the imaging screen (Fig. 8) Fig. 8 • Optimize your image before injection – changes in • Continue pressing the Clip Capture depth, gain, etc., during the contrast run can have an key at the termination of each clip adverse effect on calculation/quantification software. (if necessary) for the duration of • the contrast run The patient’s history is very important; cardiac issues may delay contrast arrival in the region of interest, just as a mechanical heart valve can destroy bubbles as they pass through them. • If no contrast is seen in the field of view, check the I.V. site to ensure the contrast has not gone interstitial (use a linear transducer to scan the injection site if necessary). Step 6 (optional controls) Burst • Engage a bubble destruction option if necessary during the Flash Sequence exam (Fig. 9a) Fig. 9a: Bubble • Engage the Peak Hold persistence destruction options option if necessary during the Burst and/or Flash exam (Fig. 9b) Sequence Tip: A Peak Hold persistence is an excellent tool for use in cases Peak Hold of low contrast agent concentration Fig. 9b: Peak Hold in the ROI persistence option siemens-healthineers.com/sequoia 3 For the proper use of the software or hardware, please always use At Siemens Healthineers, we pioneer breakthroughs in healthcare. the Operator Manual or Instructions for Use (hereinafter collectively For everyone. Everywhere. Sustainably. As a leader in medical “Operator Manual”) issued by Siemens Healthineers. 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With the unique combination of Note: Some functions shown in this material are optional and might our strengths in patient twinning2, precision therapy, as well as not be part of your system. digital, data, and artificial intelligence (AI), we are well positioned to take on the greatest challenges in healthcare. We will continue Certain products, product related claims or functionalities described to build on these strengths to help overcome the world’s most in the material (hereinafter collectively “Functionality”) may not threatening diseases, enable efficient operations, and expand access (yet) be commercially available in your country. Due to regulatory to care. requirements, the future availability of said functionalities in We are a team of more than 71,000 Healthineers in over 70 countries any specific country is not guaranteed. Please contact your local passionately pushing the boundaries of what is possible in Siemens Healthineers sales representative for the most current healthcare to help improve the lives of people around the world. information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. 2 Personalization of diagnosis, therapy selection and monitoring, aftercare, and managing health. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. ACUSON Sequoia is a trademark of Siemens Medical Solutions USA, Inc. DEFINITY is a registered trademark of Lantheus Medical Imaging, Inc. LUMASON and SonoVue are registered trademarks of Bracco Diagnostics Inc. OPTISON™ and Sonazoid™ are trademarks of GE Healthcare. Siemens Healthineers Ultrasound owns the rights to all images. Siemens Healthineers Headquarters Manufacturer Siemens Healthineers AG Siemens Medical Solutions USA, Inc. Siemensstr. 3 Ultrasound 91301 Forchheim, Germany 22010 S.E. 51st Street Phone: +49 9191 18-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · QR700011392 15684 1124 online · ©Siemens Medical Solutions USA, Inc., 2024