ACUSON Sequoia 3.5 VB30 Freehand 3D Presentation

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON Sequoia Ultrasound System Freehand 3D Release 3.5 (VB30) 1 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this presentation, we will discuss Freehand 3D, on the ACUSON Sequoia ultrasound system 3.5 (VB30) release. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Discuss What is Freehand 3D? Sequoia • Review Setup • Review Acquisition • Discuss Editing options 2 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here are the objectives for this presentation. Notes No. 2 SIEMENS Healthineers Freehand 3D SIEMENS. Healthineers ... What is Freehand 3D? • Cost effective 10EV3 GYN TIS:0.47 MI:0.74 • Ergonomic 95% 3D Mid 5dB/DR65 • Utilizes standard 2D transducers Q High V 50 Th 15 Op60 • Quickly visualize spatial anatomy in 3D S3 Bro Con50 MPR • Natural extension of existing workflow MapB/T5 Vol: MapA/T3 • No need to change to a 3D/4D transducer • Simple workflow 3 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Freehand 3D provides manually acquired volumes and offers a cost-effective, ergonomic and efficient volume imaging method using standard transducers. Users can visualize 3D spatial relational anatomy as a natural extension to their existing clinical workflow. Also, it offers a more ergonomic workflow, without changing to a specialized, mechanical or matrix transducer. Since this is a manual acquisition, it is not geometrically accurate, and measurements can not be performed. It has a very simple workflow to seamlessly add 3D volumes to almost any exam. Notes No. 3 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Available Transducers 5C1 OB 5C1 TIB:0.37 • 5C1 OB TIS:0.37 TIB:0.83 MI:1.38 95% • 9C2 TIS:0.83 MI:1.38 95% 3D 9EC4 3D H Mid H High -3dB/DR65 • 4dB/DR65 MPR • 10EV3 Q High T5 Th60 Vol Op72 T4 10L4 52 • Bro Con60 • 11M2 MPR MapC/T4 Vol 11M3 MapA/T3 • • 15L4 • 18H6 • 18L6 • 22L6 linical Data 4 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Freehand 3D is available on all transducers and in all presets listed here. Here are examples of a freehand acquisitions of the right kidney and a fetal face. Notes No. 4 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Discuss Why Freehand 3D? Sequoia • Review Setup • Review Acquisition • Discuss Editing options 5 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, let’s review the setup Touch Screen for Freehand 3D. Notes No. 5 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Setup Touch Screen 1. Render mode 10EV3 GYN 6/ 9EC4 Workflow 2. VOI On/Off Patient 3D Setup 3. Scan direction Imaging Surface Vascular Skeleta Review 4. Acquisition type Report LightSource 1 5. Quality of sweep End Exam 2 VOI Reset Curve 3 X 4 Rocked Linear Transmit Power 5 Quality 95 % Mid 6 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The render mode, section 1, includes Surface, Vascular, Skeletal and LightSource rendering. Surface rendering can be used to acquire a sweep of a baby’s face or an organ like a gallbladder. Skeletal rendering can be used to acquire anatomy like the fetal spine. In section 2, the user also has the option to choose the Render mode and if the Volume of interest (VOI) is on or off, even after the acquisition is complete. Under sections 3 and 4, currently the scan direction and acquisition mode sections will appear dithered out as there is only one option active for each. The scan direction is from the patient’s right to left when the transducer notch is towards the patient’s head, or inferior to superior, when the transducer notch is rotated 90° to the patient’s right. For the acquisition type, there will be one of two choices, either Rocked or Linear depending on the transducer activated. Linear will be active for all linear transducers and Rocked will be for the remaining transducers. Choose the Quality of the sweep desired using the rotary control numbered 5. The options are Low, Mid and High, and the higher the quality, the slower the sweep over a longer period of time. Notes No. 6 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Discuss Why Freehand 3D? Sequoia • Review Setup • Review Acquisition • Discuss Editing options 7 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Now, we’ll discuss the Freehand 3D acquisition workflow for rocked and linear acquisitions. Notes No. 7 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... VOI On or Off Start ON VOI On Position Size Curve Start VOI Off OFF 8 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Users can select the VOI to be on or off. This slide shows what will be displayed on the monitor for each option. The VOI can be selected before the acquisition or during editing, after the acquisition is complete. Note the trackball parameters are different for each state. Along with Size and Position, Curve is available to activate the curved-top VOI option when the VOI is on. Notes No. 8 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Acquisition workflow - Rocked 1. Select 3D/4D on the control panel 0 0 0 2 Abdomen Workflow 2. Adjust Touch Screen parameters Patient 30 Setu 3. Find the middle of the target anatomy imaging Angle the probe to the right of or inferior to the Surface 4. Vascular Skeletal Review target Report LightSource 5. Press Start and perform a single sweep in the End Exam short axis 2 VOI 6. Right to left or inferior to superior Reset Curve 7. Follow timing of the progress bar locked Lindas X 4 Transmit Power 95 % Quality 1 5 4D start Position Size Curve 9 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, to begin a rocked acquisition, select the appropriate transducer and then select 3D/4D on the control panel. Adjust the Touch Screen parameters if needed. Find the middle of the target anatomy in the short axis and position the transducer to the right of, or inferior to the target anatomy for the sweep. Press Start located at Home Base above the trackball to begin the acquisition. This sweep will be either right to left, or inferior to superior. Follow the progress bar to see how fast to scan and the length of the acquisition. It is recommended to match your sweep speed to the progress bar until the acquisition is complete, although the user can press freeze to stop and complete the sweep. If not, the volume acquired will often be a poor quality and show the acquisition was too slow or too fast. Notes No. 9 SIEMENS Healthineers Freehand 3D SIEMENS. Healthineers ... Rocked OB acquisition 10 Animations: Ondrej Culko Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an animated example demonstrating the rocked acquisition during an OB exam. Notice the paintbrush like motion of the transducer during the acquisition. Notes No. 10 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers .. 5C1 OB TIB:1.01 TIS:1.01 MI:1.29 35fps 95% 2D H High OdB/DR65 c=1540 LD 2 Compound UA 3 MapC/T4 Clinical Data Age (EDD) 25w 5d . 100m EDD 9/25/2024 n Sue Cun 11 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is a rocked acquisition of a fetal spine acquisition utilizing the 5C1 transducer. Since the spine can be in any orientation when scanning an OB, find the spine in a sagittal view. In the short axis, angle out to the left or right of the midline and press Start to begin the acquisition. Again, notice the progress bar and follow for speed and acquisition length. Notes No. 11 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Rocked uterus acquisition 12 Animations: Ondrej Culko Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an animated example demonstrating the rocked acquisition during an endovaginal exam. Notice the paintbrush like motion of the transducer during the acquisition. Notes No. 12 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers .. OYN 72fps B/DR67 UA 2 MapB/TE 13 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is a rocked acquisition utilizing the 9EC4 transducer. After finding the center of the uterus, angle out to the patients right of the area to be acquired and press Start. While rocking the transducer from the right adnexa to the left adnexa, notice the progress bar. When complete, the volume and MPR’s will appear. Notes No. 13 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Acquisition workflow - Linear 1. Select 3D/4D on the control panel 0 0 0 2 Abdomen Workflow 2. Adjust Touch Screen parameters Patient 30 Setu 3. Find the middle of the target anatomy imaging Surface 4. Angle the probe to the right of or inferior to the Vascular Skeletal Review target Report LightSource 5. Press Start and perform a single sweep in the End Exam short axis keeping the transducer flat 2 VOI 6. Right to left or inferior to superior Reset Curve 7. Follow timing of the progress bar locked Lindas X 4 Transmit Power 95 % Quality 1 5 4D start Position Size Curve 14 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 1. To begin a linear acquisition, select an appropriate linear transducer and then select 3D/4D on the control panel 2. Adjust the Touch Screen parameters if needed 3. Find the middle of the target anatomy 4. In the short axis, position the transducer to the right of, or inferior to the target anatomy for the sweep 5. Press Start located at Home Base above the trackball to begin the acquisition. Perform a single sweep in the short axis keeping the transducer flat 6. This sweep will be either from the patient’s right to left, or inferior to superior 7. Follow the progress bar to see how fast to scan and the length of the acquisition It is recommended to match your sweep speed to the progress bar until the acquisition is complete, although the user can press freeze to stop and complete the sweep. If not, the volume acquired will often be a poor quality and show the acquisition was too slow or too fast. Notes No. 14 SIEMENS Healthineers Freehand 3D SIEMENS. Healthineers ... Linear generic acquisition 15 Animations: Ondrej Culko Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an animated example demonstrating a linear acquisition on an extremity. Notice the notice the transducer is kept flat as it is moved from the start to the end point during the acquisition. This motion will be the same that is used for any linear transducer on any other anatomy. Notes No. 15 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Linear acquisition - Breast 15L4 Breast TIS:0.06 MI:0.28 40fps 95% High DdB/DR70 c#1446 LD 2 Compound UA 3 MapC/T4 P2 16 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide demonstrates a linear acquisition of a fibrocystic breast. In this example the user turns the VOI On. Note the speed of the sweep and the progress bar. The user then changes between the render modes available, and finishes using the Invert option. See the ACUSON Sequoia 3D/4D OB or GYN presentations for additional information on Invert. Notes No. 16 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Discuss Why Freehand 3D? Sequoia • Review Setup • Review Acquisition • Discuss Editing options 17 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Finally, we’ll discuss the editing options available in Freehand 3D. Notes No. 17 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Editing Options VOI On VOI Off 0 2 0 1014 A 15L4 Workflow 10L HLX 15L4 Workflow Patient FlexPlane Multislice Editing Patient FlexPlane Multislice VR MPR Imaging Review Review MPR Report Report End Exam End Exam Reset All VOI 90+ 180º 270+ Reset All VOI 9 Reset Curve Reset Orientation Sync Reset Orientation Light hreshold Opacity Smooth Brightness Contras Tint DR Map Tint 65 18 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Once the acquisition is complete, there are many edit options available. Notice here that the edit Touch Screen will change depend on if the VOI is On or Off. More options are available including an Editing tab when the VOI is On. See the ACUSON Sequoia 3D/4D OB or GYN presentations for additional information on the VOI. Notes No. 18 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers' ... FlexPlane tab 5C1 • Visualization of anatomy in any Abdomen Workflow plane or shape Patient 3D FlexPlane Multislice Editing • See the ACUSON Sequoia 3D/4D Imaging OB or GYN presentation for Line Clear All Slice 1 Review additional explanation of Report Trace Spline Slice 3 Slice 2 FlexPlane features End Exam 90" 180º 270º Hide Line Undo Reset Orientation Flip Line hickness Rotate Slice 2mm Rotate Lin Brightness Tint 60 19 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here are the Touch Screen options available under the FlexPlane tab. FlexPlane allows for visualization of anatomy in any plane or shape. See the ACUSON Sequoia 3D/4D OB or GYN presentation for additional explanation of FlexPlane features. Notes No. 19 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers' ... Multislice tab • View multiple slices of a selected 5C1 Abdomen Workflow MPR plane Patient 3D FlexPlane Multislice Editing • See the ACUSON Sequoia 3D/4D Imaging OB or GYN presentation for Review additional explanation of Report VR Multislice features End Exam Slices Distance Position of Slices 0 mm Range Position 2 mm 20 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here are the Touch Screen options available under the Multislice tab. The Multislice tab contains options for viewing multiple slices of the selected MPR plane at the same time. See the ACUSON Sequoia 3D/4D OB or GYN presentation for additional explanation of Multislice features. Notes No. 20 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers' ... Editing tab – Volume Editing • Remove unnecessary structures 5C1 Abdomen Workflow from a volume Patient 3D FlexPlane Multislice Editing • See the ACUSON Sequoia 3D/4D Imaging Volume Editing Animation OB or GYN presentation for Review additional explanation of Editing Report features End Exam Undo All Redo Last Indo Last Line Open Spline Spline 21 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here are the Touch Screen options available under the Editing tab. The Volume Editing tab contains options for removing unwanted structures or areas from the volume. Remember, measurements can not be performed on Freehand 3D volumes. See the ACUSON Sequoia 3D/4D OB or GYN presentation for additional explanation of Editing features. Notes No. 21 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers' ... Editing tab – Animation • Remove unnecessary structures 5C1 Abdomen Workflow from a volume Patient 3D FlexPlane Multislice Editing • See the ACUSON Sequoia 3D/4D Imaging Volume Editing Animation OB or GYN presentation for Review additional explanation of Editing Report features End Exam Undo All Redo Last Indo Last Line Open Spline Spline 22 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Also under the Editing tab, the Animation tab contains options to animate the volume. See the ACUSON Sequoia 3D/4D OB or GYN presentation for additional explanation of the Animation feature. Notes No. 22 SIEMENS Healthineers Trademarks and disclaimers SIEMENS. Healthineers ... ACUSON Sequoia is a registered trademark of Siemens Medical Solutions USA, Inc. .... Author | Department 23 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 23 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? 24 Unrestricted © Siemens Healthineers 2024 Speaker Notes: No speaker notes. Notes No. 24