ACUSON Sequoia 3.5 (VB30) What's New Cardiology Presentation

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON Sequoia Ultrasound System What‘s New Cardiology 3.5 (VB30) 1 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this presentation, we will discuss all the new cardiac features of the ACUSON Sequoia ultrasound system 3.5 (VB30) release. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... •Discuss addition of new features • 5Z1 transducer for cardiac • AI Assist • 4D HeartAI • TraceAI •Review workflow and application enhancements •Workflow enhancements •5V1 imaging improvements (UltraArt) •Cardiac report/Measurement changes •Stress Echo •2D HeartAI •AI Measure •4D Changes 2 Unrestricted © Siemens Healthineers 2024 Speaker Notes: First, we will discuss the new cardiac features that were added with the 3.5 software release. Notes No. 2 SIEMENS Healthineers 5Z1 transducer – single transducer solution for 2D and SIEMENS. Healthineers ... 4D volume imaging 1 AR 8kope-2.22 m/s" Vmax+3:35mit Viise2 33 m/s AR DT-1505 ma AR PHT-442 ms AR 8iops-2 22 m/s' Vreax-3.40 m/s Veine2.33 m/s AR DT-1571 ma AR PHT-460 ms AR Siape-1.94 m/s? Vmax-1.38 m/s Visine2.41 m/s AR DT-1742 m AR PHT-510 Ms a.die silils 3 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 transducer is a single solution transducer that provides both 2D and 4D transthoracic imaging. It has a single crystal matrix design, ergonomic handle and small footprint. The transducer supports 2D, color Doppler, PW, CW, M-mode, Contrast, Bi-Plane+ and Stress echo. The 5Z1 transducer offers real-time full volume (90x90) imaging in 2D and color Doppler with clinically relevant frame rates. 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, 4, 5 Trophon compatible Yes 4 Unrestricted © Siemens Healthineers 2024 Speaker Notes: These are the specifications for the transducer. Notes No. 4 SIEMENS Healthineers 5Z1 transducer – system configuration SIEMENS. Healthineers ... 5Z1 transducer settings: System Configuration • TET • Select Transducer>Volume Transducers > System Settings >5Z1 > Workflow Enhancement BiPlanes Settings > Imaging Settings Rotation Free Ti • BiPlane+ settings Measurement & Report > Annotations . Rotate 360 No restrictions • Rotation: > Features O Uimit rotation to 180' O Perpendicular on tikt • Rotate 360° Transducers Limit rotation to 180° Tat Line Display • Volume Transducers 23 Auto hide after 1.5 seconds > Connectivity & Network • Free Tilt: Peripheral Devices Default Birtane+ Rotation Angle • No restrictions System Management O Left 0', Right 90 • Perpendicular on tilt Tilt Line Display Left 0", Right 270" • • Auto hide after 1.5 seconds 270 • Default BiPlane+ Rotation Angle • Left 0°, Right 90° • Left 0°, Right 270° 5 Confidential © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 BiPlane+ default settings can be configured in the System Configuration Menu > Transducers> Volume Transducers > 5Z1. Setting include: • BiPlane+ settings • Rotation: Rotate 360° - Limit rotation to 180° - • Free Tilt: No restrictions - Perpendicular on tilt - • Tilt Line Display Auto hide after 1.5 seconds - • Default BiPlane+ Rotation Angle Left 0°, Right 90° - Left 0°, Right 270° - Notes No. 5 SIEMENS Healthineers AI Assist SIEMENS. Healthineers ... • Utilizes live view recognition for AI-enabled placement of color Doppler region of interest • (ROI) and spectral Doppler sample Saves exam time • Standardizes exams • View recognition for 12 standard transthoracic cardiac views • Reduces user reach and repetitive motion • Flexibility to override auto placement and can • easily switch between auto and manual Improvement in consistency and reproducibility • Available on 5Z1, 5V1, and 8V3 6 Unrestricted © Siemens Healthineers 2024 Speaker Notes: AI Assist is a deep learning AI technology that utilizes live view recognition to perform AI- enabled placement of color Doppler region of interest (ROI) and spectral Doppler (PW / CW) gate and is available on the 5Z1, 5V1, and 8V3 transducers. View recognition is available for the 12 standard transthoracic cardiac ultrasound views (PLAX, PLAX RVIT, PLAX RVOT, PSAX AV, PSAX, A4C, A5C, A2C, A3C, SUBC 4C, SUBC IVC, and SSN). AI Assist offers flexibility to the user with the ability to override and easily switch between AI-driven and manual placement. Incorporating AI Assist into routine workflow has the potential to save exam time, standardize exams, and improve consistency and reproducibility all while reducing user reach and the risk for repetitive motion injury. Notes No. 6 SIEMENS Healthineers AI Assist SIEMENS . Healthineers .. 5V1 Cardiac TIS:1.03 MI:1.03 44fps H Mid 3dB/DR60 Color Physio 18cm 48bpm Lead Il Auto TEQ Update Harmonics Capture Type Prospective 7 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This is an example of AI Assist. Note how easily it recognizes each view and places the color region of interest and sample gate. AI Measure can easily be incorporated into AI Assist as shown in this video. For a complete understanding of AI Assist, please refer to the ACUSON Sequoia AI Assist PowerPoint presentation. Notes No. 7 SIEMENS Healthineers 4D HeartAI SIEMENS .. Healthineers • Clinical guidelines recommend 3D evaluation for cardiac size and function1 • 3D strain analysis is faster with good reproducibility compared to 2D2 • 3D strain is more accurate with less variability due to entire LV cavity detection3 • AI-enabled analysis: Chamber contouring for size and function 1 ----- - • • 4D strain analysis of left heart MAC ES 1 15:00pm • Assessment: • All visible chambers in TTE • Visible ventricles in TEE Best 1 of 1 • Available without ECG Sources | 1. Mitchell, Carol, et al., Journal of the American Society of Echocardiography (2019) 32;1 S 2. Hasanfatta, Naeem et al., ACTA Scientific Clinical Case Reports (2022) 3;6: 45-56 8 3. Kosarju, Ateet, et al., Left Ventricular Ejection Fraction. StatPearls Publishing (2023) Jan Unrestricted © Siemens Healthineers 2024 Speaker Notes: Before we discuss 4D Heart technology, lets highlight the relevance and value of performing 4D imaging as part of an echocardiogram. Clinical guidelines recommend 4D evaluation of cardiac chamber size and function as part of a comprehensive exam1 Assessment of myocardial mechanics is also recommended. Reports have shown that 4D strain . analysis can be more beneficial than 2D strain analysis2 4D strain analysis is faster and more accurate with good . reproducibility and less variability. 4D strain enables analysis of all left ventricular wall segments from a single 4D dataset that is not limited by geometrical assumptions that are inherent with 2D strain. The 4D HeartAI feature performs analysis of cardiac chamber size and function. AI-powered analysis includes ejections fractions, volumes, 4D strain of the left heart, left ventricular (LV) cardiac output, and LV mass. The application performs analysis of all visible cardiac chambers when scanning with the 5Z1 transducer in 4D transthoracic imaging and performs analysis on visible ventricles when scanning with the Z6T transducer in 4D transesophageal imaging. 4D HeartAI is available on imaging with or without an ECG. Based on internal validations 4D Heart has a • 96% accuracy for detecting LV ED and ES volumes using both TTE and TEE. * • 96% accuracy in MPR identification and alignment*. For a complete understanding, please review the ACUSON Sequoia 4D Heart presentation. • Data on file • Sources | 1. Mitchell, Carol, et al., Journal of the American Society of Echocardiography (2019) 32;1 • 2. Hasanfatta, Naeem et al., ACTA Scientific Clinical Case Reports (2022) 3;6: 45-56 • 3. Kosarju, Ateet, et al., Left Ventricular Ejection Fraction. StatPearls Publishing (2023) Jan Notes No. 8 SIEMENS Healthineers 4D HeartAI workflow video SIEMENS . Healthineers .. 25 5Z1 Cardiac TIS:0.43 MI:0.95 21.0vps 95% 4D H Mid 0dB/DR71 S3 Br-8 Con50 MPR: MapD/T4 Vol: MapE/Ty 58bpm Lead 11 100% Fr2 Pointer 3D Rotate Cine Pan 9 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here we see a 4D clip that was launched in Review. 4D HeartAI is then selected from the touch screen to perform analysis. Analysis takes approximately 20 seconds per cardiac analyzed. The feature provides analysis for up to 5 cardiac cycles. Notes No. 9 SIEMENS Healthineers TraceAI SIEMENS. Healthineers ... AI-based, semi-automated workflow for measuring ovoid/ orifice-type structures on 2D MPRs generated from volume Cardiac 521 22 Lumos Workflow rendered images Patient 4D Physio 3D Caliper Imaging Exit • Integrated into 3D Caliper tool Review • Available on all cardiac 4D volume transducers Report Left Right Mitral 01 • Reshapes and snaps the circle contour to the End Exam Inferior Superior Tricuspid borders of the structure being measured Medial Lateral Aortic • Provides area, circumference, and min/ max diameter measurements Anterior Posterior Septal Pulmonar • Can also be linked to 3D calipers for distance measurements Clear Screen Edit Radius Playback Cine ++ Frs Margina] Hide Results 10 Unrestricted © Siemens Healthineers 2024 Speaker Notes: TraceAI is an AI-based, semi-automated workflow for measuring ovoid or orifice-type • structures, such as LAA, on 2D MPRs generated from volume rendered images. • It is available on the 5Z1 and Z6T. • This tool provides a quick way to obtain area, circumference, maximum and minimum diameter measurements on orifice-type anatomic structures for 4D datasets and see the 3D rendered measurement graphics in the volume image. • This AI-assisted contour tool also offers easy border editing, customized naming of a measurement and the ability to link to individual 3D calipers for distance measurements. SIEMENS Healthineers TraceAI SIEMENS . Healthineers ... AI overview Type of AI used to train the tool: Data used to train the tool: Limitations of use: • Deep learning (neural network) AI model • Volumetric ICE, TEE & TTE datasets from • Poor image quality; including anatomical & • 1000+ patients’ data collected from six SC2000 procedure driven variation; as well as clinical centers, including volumetric ICE, • MPRs containing orifice structures were device interference TEE & TTE analyzed • Models were trained to mitigate influence AI model training included both supervised • Generated 15,000+ contours on entire of affecting factors, including random • & semi-supervised training dataset, covering a variety of structures rotation & adding Gaussian noise (chambers, LAA ostium, annuli, etc.) 11 Unrestricted © Siemens Healthineers 2024 Speaker Notes: What type of AI was used to train the Trace AI tool: • The DTI (Digital Technology and Innovations) group used a deep learning (neural network) AI model. • Collected more than 1000 patients’ data from six clinical centers, including volumetric ICE, TEE and TTE. • The AI model training consists of both supervised training and semi-supervised training. What data was used to train the tool: • Datasets were collected from the ACUSON SC2000 system. • MPRs containing orifice structures from volumetric ICE, TEE & TTE were analyzed. • 15,000+ contours are generated on the entire dataset, covering a variety of structures (chambers, LAA ostium, annuli, etc.). Are there any limitations of use? • Poor image quality - including anatomical and procedure driven variation, as well as device interference . • The AI models were trained to mitigate the influence of affecting factors including random rotation and adding Gaussian noise. SIEMENS Healthineers TraceAI SIEMENS. Healthineers ... Simplified AI workflow overview Selected 2D MPR AI applies deep Non-AI post- + placement of learning processing Final border contour + circle contour algorithm contour refinement measurements AI model analyzes Outputs initial User can adjust border 3D rendered graphics input of 2D MPR and segmentation of the via a series of post- are displayed on MPRs initial placement of orifice using training processing steps to & volume dataset & circle contour by user from deep learning AI refine segmentation MDA shows calculated model using editing tools results 12 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • Here is simplified workflow overview: • Using input from both the selected 2D MPR and the initial placement of the circle contour defined. by the user, the AI model applies the deep learning algorithm and outputs an initial border tracing of the orifice. • The user can then adjust the shape of the border to refine the contour using editing tools in post-processing. Any editing/ adjustments are non-AI steps. • The final border contour is displayed on 2D MPRs and the volume dataset and the MDA shows the calculated measurements. SIEMENS Healthineers TraceAI: SIEMENS . Healthineers ... Workflow video ZGT: < 37ºC Cardiac TIS:0.43 MI:0.88 30.8vps 95% 4D 1.9cm 4D Z 13 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This is the video demonstrating the AI trace feature. 1. Acquire a volume image or select volume image from Review 2. Adjust MPRs to align with orifice/ structure to be measured 3. Press Freeze 4. Scroll to desired frame for measuring orifice/ structure 5. Select 3D Caliper button from touch screen 6. Select TraceAI from 3D caliper tab 7. A circle graphic will appear on the MPR 8. Center circle contour over the selected orifice/ structure 9. Use the Radius dial to adjust the diameter of the circle 10. Re-center circle over the selected orifice, if needed 11. Press the Set key 12. Edit the borders of the trace as necessary 13. Press Accept (Update) key SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Discuss addition of new features • 5Z1 transducer for cardiac imaging • AI Assist • 4D HeartAI • TraceAI • Review workflow and application enhancements • Workflow enhancements (Full/Reduce FOV, HD Zoom) • 5V1 imaging improvements (UltraArt) • Cardiac report/Measurement changes • Stress Echo • 2D HeartAI • AI Measure • 4D changes 14 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will review the workflow and application enhancements. Notes No. 14 SIEMENS Healthineers Full FOV (field of view) – reset sector size SIEMENS. Healthineers ... 5Z1 Cardiac TIS:0.38 MI:0.90 52fps 95% 10V4 2D 8V3 Workflow H High 5dB/DR57 LD 2 Patient 20 Physio MapD/T5 Imaging P1 UR Flip UID Flip Review Report Full FOV End Exam Bi-Plane+ Auto TEQ Reset Angle Harmonics DTI 4D Zoom Capa Type Prospective 19cm Frequency DR Angle Clip Capture 60 d Beats Src 48bpm Lead Il Sat Son Position 15 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The system can increase and decrease the vector size or field of view. This is useful to remove rib artifacts from the image or to increase the frame rate. To adjust the vector size, press the left Set key to activate Size and use the trackball to increase or decrease the size. To adjust the position of the vector, press the right Set key to activate Position and move the vector to the right or left. A new feature is once you make a change in the vector size, Full FOV (Field of View) will pop-up on the Touch Screen. Pressing Full FOV will return to a full field of view eliminating the need for pressing the trackball and set keys. Whenever the 2D FOV size is reduced, the Full FOV selection on the touch screen becomes available for the user to reset the sector size to full field of view. The Full FOV option on the touch screen is dithered when the imaging sector is at full field of view. This function is available in Bi-plane+ and Dual imaging. Full FOV is available on vector, curved, and linear (only when Trapezoid is active) transducers for all exam presets during live imaging. 15 SIEMENS Healthineers Reduce FOV (field of view) SIEMENS . Healthineers ... 5Z1 Cardiac TIS:0.38 MI:0.90 95% 2D 20 5V1 10V4 8V3 Workflow H High 5dB/DR57 LD 2 Patient 2D Color Physio UA 3 MapD/T5 Imaging duce FOV L/R Flip UND Flip Review Report Invert Al Assist None End Exam 2D + Color 2D Only Color Only Bi-Plane+ AV /LVOT MV Coronary Reset Angle PV / RVOT MV+AV LV LOW General High DTI 4D Zoom 19cm Frequency Scale Baseline ngle Filter Mid 456pm Lead Il Set Stre Position 16 Unrestricted © Siemens Healthineers 2024 Speaker Notes: During live imaging, when a color Doppler region of interest is activated and placed, the Reduce FOV option becomes available on the Touch Screen. Selecting Reduce FOV will narrow the lateral 2D image just to the outside of the color Doppler region of interest. This increases frame rate for 2D imaging, and volume rate for 4D imaging. This function does not impact the imaging depth. This function is available during Bi-plane+, Dual imaging, 2D imaging and 4D imaging. During live imaging, whenever a color Doppler region of interest is activated and placed, the Reduce FOV option becomes available on the touchscreen. Selecting Reduce FOV will narrow the lateral B-mode image just to the outside of the color Doppler region of interest. This increases frame rate for 2D imaging, and volume rate for 4D imaging. This function does not impact the imaging depth. This function is available during Bi-plane+, Dual imaging, 2D imaging and 4D imaging. 16 SIEMENS Healthineers HD Zoom image quality enhancement SIEMENS . Healthineers ... Appropriate scaling in HD Zoom improves lateral and spatial resolution balanced with reduction in temporal resolution HD Zoom Scaling factor (increased transmit lines when in HD Zoom) Probe Fundamental Harmonics 2D + color Doppler 5V1 (Cardiac) LD1: 2.0 LD1: 2.0 1.3 LD2&3: 1.5 LD2&3: 1.5 5Z1 (Cardiac) LD1: 2.0 LD1: 2.0 1.3 LD2: 1.5 LD2&3: 1.7 LD3: 1.2 8V3 (Cardiac) 1.7 1.5 1.3 HD Zoom (Origin 1.0) HD Zoom (Origin 2.0) Number of Tx for HD Zoom Number of Tx for HD Zoom Number of Tx defined for full FOV x (HD Zoom ROI / FOV lateral size) Number of Tx defined for full FOV x (HD Zoom ROI / FOV lateral size) = = x HD Zoom scale factor 17 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The scaling factors for the affected transducers is listed above. Previously in 3.0, to achieve HD Zoom, the number of transmit lines for a full field of view multiplied by the HD Zoom / ROI /field of view lateral size was used to create the HD Zoom. With 3.5, the number of transmit lines for a full field of view multiplied by the HD Zoom / ROI /field of view lateral size multiplied by the HD Zoom factor is used to create the HD Zoom. By using the scale factor, it improves lateral and spatial resolution. In some cases (linear transducers primarily, a small reduction in frame rate may be evident, but overall resolution is improved. With other transducers, the reduction of frame rate may not happen depending on the size of the ROI. 17 SIEMENS Healthineers HD Zoom image quality enhancement SIEMENS . Healthineers .. 5V1 Cardiac TIS:0.94 Cardine MI:1.20 H High H High 2dB/DR.55 UAS MaporTS PRE 4545 S2/Pr1 ... ... .. 18 Unrestricted © Siemens Healthineers 2024 Speaker Notes: During live imaging, users can select Zoom on the control panel which automatically zooms to the color Doppler region of interest. This is available during 2D imaging, Bi-Plane+ imaging and Dual. During live 4D imaging, in addition to using the 4D Zoom on the touchscreen, double clicking Zoom on the control panel launches 4D Zoom setup. Selecting Zoom on the control panel again takes the user into 4D Zoom. Note that the HD Zoom region of interest is slightly larger than the color Doppler region of interest. 18 SIEMENS Healthineers 5V1 cardiac transducer - optimization change summary SIEMENS. Healthineers ... • UltraArt Optimization: • Increased number of UltraArt selections (Off, 1 ~ 5) • New optimization on UltraArt 1, 3, and 5 • UA3 from 3.0 (VA20A) • 2D Frame Rate Improvements: • Frame rate improvement on HLow and HHigh (default depth 16 cm) • 2D HD Zoom: • IQ improvement on 2D and 2D behind Color • Color Improvements • Re-optimized color smoothing 19 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This following summarizes the key optimization changes for the 5V1 Cardiac transducer. The UltraArt selections were expanded to five settings, adding new optimizations for settings 1, 3, and 5, and incorporating UltraArt 3 from the 3.0 software release. Frame rate improvements for HLow and HHigh at a default depth of 16 cm enhance smoothness and reliability. 2D HD Zoom now offers better image quality in both 2D and behind Color, ensuring clarity even when zoomed in. Additionally, color smoothing has been re-optimized for reduced artifacts and more accurate color representation Notes No. 19 SIEMENS Healthineers 5V1 transducer SIEMENS. Healthineers ... UltraArt universal image processing enhancements 5V1 Off Cardiac TIS:0.72 47fps Off 95% 4dB/DR58 CUA'S Speckle MapD/T P1 Reduction UltraArt Origin 2.0 Contrast Enhancement Off No change 1 New Edge 2 No change Enhancement 3 New Motion 4 Previously UA 3 Compensation 5 New 11cm Dynamic Range Control Lead Il Fr1843 20 Unrestricted © Siemens Healthineers 2024 Speaker Notes: UltraArt universal image processing unifies multiple parameters of image optimization in a single touch. The intensity of enhancement applied to the image increases as the number increases. The image on the right is changing every few seconds progressing through the UltraArt universal image options of Off, with no optimization applied, to 1, 2, 3, 4 and 5. For the 5V1 transducer, UltraArt settings 1, 3, and 5 are new. Note that images are no longer displayed on the touch screen. 20 SIEMENS Healthineers 5V1 Cardiac – UltraArt SIEMENS. Healthineers ... UA Off UA1 UA2 UA3 UA4 UA5 Default 21 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This image demonstrates the 5V1 Cardiac transducer showcasing the different UltraArt settings. As we progress through each setting, you will notice the incremental improvements in image quality and clarity. Previously, there were options (Off, 1,2,3) and the selection were made from the touch screen. With this release, we now select the number directly from the Touch Screen and the image is only displayed on the imaging monitor. • UA Off: This is our baseline without any UltraArt enhancements • UA1 and UA2: Initial levels of UltraArt, starting to enhance image quality by reducing noise and improving contrast • UA3 Default: The default setting for UltraArt, providing a balanced enhancement that is suitable for most standard imaging needs • UA4 and UA5: These settings further enhance the image, providing higher contrast and clarity, particularly beneficial in complex diagnostic cases Each clip demonstrates the capability of UltraArt to improve diagnostic confidence by offering clearer and more detailed images. By observing the progression from UA Off to UA5, clinicians can select the appropriate level of enhancement based on the specific diagnostic requirements Notes No. 21 SIEMENS Healthineers Deep dive into UltraArt SIEMENS Healthineers ** UltraArt: parameter enhancement by level Speckle Reduction Edge Enhancement Dynamic Range Control Higher levels = More granular noise Higher levels = Edge enhancement Higher levels = Amplified luminance suppression, resulting in a becomes more significant. Sharper edges differences, emphasizing key details and smoother, clearer image. Improves with clearer borders, aiding in structural improving contrast. Enhances visualization visibility of low-contrast structures. definition. Improves detection of of tissue interfaces and fine structures. abnormalities and tissue differentiation. Contrast Enhancement Motion Compensation Higher levels = more pronounced global Higher levels = Improved & Better contrast. Enhanced differentiation adaptation to motion, reducing artifacts between tissues, improving visibility of for stable image quality. Ensures critical structures. Highlights vessel walls consistency during dynamic scanning and organ boundaries more effectively. scenarios. “Shimmer Reduction” 22 22 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To further explain UltraArt and the changes that are applied to the image, lets take a deeper dive into the technology. 1. Speckle Reduction: • Increasing Levels: Higher levels of UltraArt increase the intensity of speckle reduction. This means that more granular noise (speckle) is suppressed, resulting in a smoother and clearer image. The suppression aims to improve the visibility of low-contrast structures while minimizing the random granular pattern in the image. 2. Contrast Enhancement: • Increasing Levels: As the levels increase, there is a more pronounced adjustment of both local and global contrast. This helps in improving the differentiation of adjacent tissues, making it easier to distinguish between different anatomical structures. Increased levels lead to enhanced contrast between structures, thereby making features like vessel walls, organ boundaries, and other critical anatomical markers more visible. 3. Edge Enhancement: • Increasing Levels: With higher UltraArt levels, edge enhancement becomes more significant. The algorithm sharpens the edges of structures, making them better defined. This results in clearer borders for features like organ margins, making it easier to detect structural abnormalities. The sharpening effect becomes more prominent, emphasizing the differences between tissues. 4. Motion Compensation: • Increasing Levels: Motion compensation also becomes more effective as levels increase. The algorithm adapts to bulk motion more accurately, which is particularly useful during dynamic scanning scenarios or when scanning moving organs. This reduces motion artifacts and contributes to a stable image quality. Typically appreciated more in abdominal vasculature. 5. Dynamic Range Control: • Increasing Levels: Higher levels of UltraArt lead to increased adjustments in dynamic range control. This parameter ensures better differentiation of luminance between the structures in the image, making the finer details more prominent. It emphasizes the differences between high-contrast areas, such as tissue interfaces, enhancing the overall quality and diagnostic value of the image. Summary of Parameter Changes as Levels Increase: • Speckle Reduction: Greater suppression of granular noise for a smoother image. • Contrast Enhancement: Increased contrast adjustment for better tissue differentiation. • Edge Enhancement: More pronounced sharpening of structure edges for better definition. • Motion Compensation: Enhanced correction of motion artifacts for consistent image quality. • Dynamic Range Control: Amplified luminance differences for emphasizing key structures. 22 SIEMENS Healthineers 5V1 transducer 2D optimization SIEMENS . Healthineers ... Sequoia 3.0 Sequoia 3.5 5V1 Cardiac 5V1 TIS:0.71 MI:1.01 TIS:0.72 36fps MI:0.91 95% 47fps 95% 2D H High 2D 0dB/DR60 H High LD 2 0dB/DR60 UA 2 LD 2 MapD/T5 MapD/T5 P1 P1 14cm 14 cm 75bpm Lead Off 856pm Lead il 23 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This is a comparison demonstrating the overall improvement in image quality with the 5V1 transducer. 23 SIEMENS Healthineers 5V1 transducer color Doppler smoothing SIEMENS. Healthineers .. Sequoia 3.0 Sequoia 3.5 5V1 5V1 Cardiac TIS:1.00 TIS:1.02 MI:1.00 MI:1.02 19fps 16fps 95% 95% 2D 2D H High OdB/DR60 OdB/DR60 UA 2 MapD/T5 MapD/T5 P1 C Mid OdB OdB General P1/LD2 P1/LD3 PRF 4545 PRF 4545 S3/Pr1 S2/Pr1 MapF/F2 MapF/F2 2D + Color 2D + Color 14cm 14cm 72bpm Lead Off 83bpm Lead Il 24 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Color smoothing adjusts the level of spatial (both axial and lateral) averaging used to smooth the flow pattern display • Settings are 1-4 (low to high) In the 3.5 release, based on user feedback, color Doppler processing has been refined along with different default settings providing the user smoother and less pixelated color Doppler imaging. 24 SIEMENS Healthineers Measurement changes SIEMENS . Healthineers ... PISA velocity calculator units match color Doppler scale units 95 Save Cancel 1 MR PISA Radius=0.47 cm MR PISA=1.39 cm2 32 cm 7 8 amis 4 5 6 2 3 Clear - 15cm O 25 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When entering the PISA aliasing velocity on the touchscreen calculator, the unit of measure now matches the color Doppler scale unit of measure. Previously, users had to convert cm/s to m/s when entering a value for the color Doppler aliasing velocity measurement. Notes No. 25 SIEMENS Healthineers Cardiac chamber measurement improvements SIEMENS . Healthineers .. Default contour shapes are based on different cardiac chambers and views when performing manual measurements Apical 4 chamber Apical 2 chamber • RV, RA, LA (LV untouched*) • LA, LV 26 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Default contour shapes are based on the different cardiac chambers and views: • Apical 4 chamber • RV, RA, LA (LV untouched*) • Apical 2 chamber • LA, LV Notes No. 26 SIEMENS Healthineers Cardiac chamber measurement SIEMENS. Healthineers .. Example video: LA and RA measurement • When placing the 3-point 13 01 5Z1 Cardiac method of chamber contouring TIS:0.38 MI:0.90 52fps 95% Start left-to-right, or right-to-left 2D • H High 6dB/DR52 • Third point is placed at either: • Apex of ventricles • Roof of atria 19cm 53bpm Lead Off One Pointer 27 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Default contour shapes are based on the different cardiac chambers and views. This video example shows the manual measurement method performed on the left and right atria. Note that when placing the 3-point method for contouring, always start left-to-right, and then the third point is either at the apex of the ventricles or the roof of the atria. Notes No. 27 SIEMENS Healthineers Cardiac chamber contour editing SIEMENS . Healthineers ... 1. Anchor points can be adjusted after the initial 2 placement 2. Smoother contours when editing smaller sections 3. Ability to adjust larger sections of the chamber and perform shape persistent full wall edits 1 3 28 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 1. Anchor points can be adjusted after the initial placement 2. Smoother contours when editing smaller sections 3. Ability to adjust larger sections of the chamber and perform shape persistent full wall edits Notes No. 28 SIEMENS Healthineers Report enhancement SIEMENS. Healthineers ... • Approximately 60% of duplicated labels were removed Imaging mode Total labels Duplicated labels • Some were kept as they make sense clinically to be 2D 493 106 saved in more than one place in the report Doppler 514 127 • Summary layout is organized into 3 columns and each M-mode 61 8 row is in the same line • Report headings and subgroups are bold • Store Report is in new Summary layout • No changes were made to: • Edit Report • Stress Echo • 2D HeartAI • 4D HeartAI 29 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Approximately 60% of duplicated labels were removed from the report. Some duplicate labels were kept as they made sense clinically to be saved in more than one place in the report. The Summary layout is organized into 3 columns and each row is in the same line. The manor report headings and subgroups are bold. When using Store Report, it is in the new Summary layout. No changes were made to: • Edit Report • Stress Echo • 2D HeartAI • 4D HeartAI Notes No. 29 SIEMENS Healthineers Report summary comparison SIEMENS . Healthineers .. ACUSON Sequoia 3.0 ACUSON Sequoia 3.5 MV Inflow MV Anrufus MY E VITUS 000.00 cm MR VTI MV Analund 000.00 or 000.00 cm DO0.50 cm MV Analund A.P LV MHIT 000.00 crm MI Peak Cred 000.50 cm 000.00 cm 000.00 cm MR Mean Good 000.00 cm 000.00 cm Mw Acod Slope 000.00 0m 000.60 cm 009.00 cm MV Decel Slope 000.00 0 MR VIC With 000.00 cm MV Annals SM-L 000.00 or MY PHT 000.00 0% MR Area & FF (PISA) MVVTI Annulas 009.00 or MY Area (PHT) 000.00 os MRPISA Radius DO0.00 can 000.00 or 000.00 cm ME Aliasing Velocity MV Stenosh 000.00 or MRVTI MY Area Primetry 000.00 cm MVEIA (Vehatva) 000.00 cm 000.50 cm 000.00 cm 000.00 cm MVArrulasd 000.00 cm MY Weak 000.00 cm MV Cardiac Output MVVTL Anssluss 000.00 cm MY Peak Grad 009.00 cm MY Assks d 000.00 0% MR PISA 000.00 cm MV Vean Grad 009.00 or MY VTI, Annules 000.00 or MRERCA 000.00 can MY Area (VTI) 000.00 os MR Volume (PISA) Dof Dans MY Antekn Area 000.00 cm MEFF (TSA] 000.00 cm MR RF (Doppler) VVVTI 000.00 cm Eck Report 000.00 crm MY Arrulas d 000.00 cm MY Area [VTI] 000.00 cm MVVTL Mesks 000.60 cm MY Area CASA] MV She 2 Dur 000.00 cm VIV PISA Rodes 009:00 um MV Sise 2 Vn 000.00 cm VV Fussel Angle 009.00 or MV Annulat Arra 000.00 can 000.00 or 000.00 or MY Site 2 Area MY Site 2 54 MR Volane (Doppler) 000.60 cm MRRF (Deppler) 000.00 cm 30 Unrestricted © Siemens Healthineers 2024 Speaker Notes: On the left we see the ACUSON Sequoia 3.0 software version Summary layout with 2 columns. On the right we see the ACUSON Sequoia 3.5 software version Summary layout with 3 columns. The removal of many duplicated labels and values make the report summary appear more organized. Notes No. 30 SIEMENS Healthineers Store report command SIEMENS. Healthineers ... ORIGN, 3.5 Patient ID Accession # 2D Heart" Sex LV Overall GLS -18.59 Study M-mode Comments Aorta EF GLS Ao Root Left Atrium Operator Maes 110.50 Size & Function IVS d Ao Root d CO 3.51 EDV 103.51 ESV 53.90 LVD d Aortic Valve PLAX Dimensions SV 49.61 LVPW d LA AP Dam & PLAX Mitral Valve ED Axis 8.56 LVOS AOV ES Axis 7.10 Ao diLA's PLAX IVSILVAW ADV VTI LA SÃO d IVS d PLAX MV Inflow Pulmonary Valve HR LV NFS ADV Vmax LVO d PLAX MV E Vmax RVOI LVER ADV Peak Grad LVAW d PLAX EF 69.34 LY Vol d ADV Mean Grad LVID s PLAX MVDT 22.55 cm RVGT Vil 18.27 cm -18.81 PY Vmax 0.99 mis RVOT Vmax 0.81 mês 104.9 LY Vols AVA (VT) LV Relative Wall Thickness MV ME PV Peck Grad 3.9 mmHg RVOT Peak Grad 2.6 mmHg LV SV AVA (Vmax) ESV 103.61 LV Mass ASE PV Mean Grad 2,1 mmHg RVOT Mean Gred AVA (Vmean) BIE LV Mass ASE Volumes: Teichhole PVAT 116 ms RVOTAT 142 ms 71.81 ADV AT PVET 328 ms RVOT ET 356 ms AOV ET LV %FS (Teichholz) PVATIET 0.35 RVOTILVOT VII 0.83 ADV ATIET LV EF (Teichholz) LY Vol d (eichholz) Tricuspid Valve LV Vals (Teichhatz) PW DEI LV 5V (Teichhate) Pulmonary Artery TV e' Vmax (1) 10:535 cmis TR Wmax 2.30 m's TV a' Vmax (1) 13.842 cmis TR Peak Grad 21.2 mal19 Pim Vasc lesistence TV ' Vmax (L) 12.985 cmis TR Vmax TV e'la' (L) 0.76 RVOTVTI PVR 31 Unrestricted © Siemens Healthineers 2024 Speaker Notes: If Store Report is used to save the report after multiple exams have been performed on the same patient, the report will be saved over several pages as one single report. If the user requires a separate report for each exam type, the report must be saved and the exam ended for each exam type before the user moves to the next exam. Closing / ending each exam after the report has been saved is the only way individual reports can be generated. Notes No. 31 SIEMENS Healthineers Stress echo SIEMENS . Healthineers ... General enhancements • Baseline save parameters – image settings are from Post baseline are saved and carried over to remaining stages of stress protocol • Spectral Doppler and contrast settings added • Baseline parameters are restored for paused and resumed stress echo protocols • Clip capture for multiple layout in stress echo (4-up 30 % 44 BPM layout) • Capture from Stress Echo Review (Stage or View layout) • Will display in Exam Review (12) 32 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Several changes were made to enhance the stress echo package. • Baseline save parameters – image settings are from baseline are saved and carried over to remaining stages of stress protocol Spectral Doppler and contrast settings added Baseline parameters are restored for paused and resumed stress echo protocols • Clip capture for multiple layout in stress echo (4-up layout) Capture from Stress Echo Review (Stage or View layout) Will display in Exam Review Notes No. 32 SIEMENS Healthineers Stress echo SIEMENS. Healthineers ... Baseline save parameters 1. Capture ROI Position 19. Color Doppler – Scale (2D) 2. Capture ROI size 20. Color Doppler – Invert (2D) 3. Depth (2D) 21. Color Doppler – Persistence (2D) 4. B Transmit Power (2D) 22. Color Doppler – Color Suppression (Priority?) 5. B mode Gain/Brightness (2D) (2D) 6. MultiHz (2D) 23. Color Doppler – CD ROI Pos/Size (2D) 7. 2D ROI Pos 24. Spectral Doppler - Baseline position 8. 2D ROI Size 25. Spectral Doppler - Doppler Scale 9. Dynamic Range (2D) 26. Spectral Doppler - Doppler Gain 10. Map (2D) 27. Spectral Doppler - Doppler Maps New in 3.5 11. Tint (2D) 28. Spectral Doppler - Gate Size 12. L/R Flip (2D) 29. Spectral Doppler - Cursor position 13. Up/Down Flip (2D) 30. Spectral Doppler - Angle Correct 14. Persistence (2D) 31. Contrast Gain 15. Tissue Contrast Enhancement (TCE) (2D) - 32. Capture ROI Activation (UltraArt) 33. Biplane parameters 16. Color Doppler - Gain/Brightness (2D) 17. Color Doppler – MultiHz (2D) 18. Color Doppler – Baseline (2D) 33 Unrestricted © Siemens Healthineers 2024 Speaker Notes: These are the Baseline Save parameters. The changes are highlighted that were added. Baseline parameters only save when view control is used. Notes No. 33 SIEMENS Healthineers Stress echo SIEMENS . Healthineers ... View color coding • Views are color coded in Rest and Post stages • Includes Navigation Panel, Stress Echo Review, Exam Review, and Thumbnails Treadmill Rest Acquired PLAX PSAX AAC AZC Post 74 - VIEW Acqulted Selected PLAX PSAX AAC AZC 34 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The image displayed demonstrates the look and functionality of the imaging screen during selection mode. The views are color coded in the navigation panel, on the left-hand side of the monitor, as well as the imaging screen (Stress Echo Review and Exam Review) and the exam Thumbnails. SIEMENS Healthineers Stress echo SIEMENS . Healthineers ... Post stage – Reference Clip Displays a clip of the same current Treadmill • Reference View 5V1 view from the Rest stage Rest Cardiac Rest 16 . PLAX TIS:0.72 MI:0.91 68 BPM 95% 2D • Allows the user to a reference to Post H High 2dB/DR60 obtain the same window in Post stage Acquired Seincted LD 2 PLAX PSAX • Select Reference Clip from the touch MAC screen in Post acquisition AZC • Displayed clip will change with acquisition of each view when view Post PLAX control is used <12) 16cm z AN Load 18 Reference Clip 35 Unrestricted © Siemens Healthineers 2024 Speaker Notes: A dynamic Refence Clip is now available in the Post stage. This allows the user to have a reference to the image acquired in the Rest stage so that they can obtain the same window in the Post stage. Select Reference Clip from the touch screen in the Post stage for side-by-side display of the current post image and the acquired rest clip. The displayed clip will change along with acquisition of each view when view control is used. SIEMENS Healthineers 2D HeartAI SIEMENS . Healthineers' ... LV length variation message A4C Segmental Strain • Length variation message appears on Bullseye 104 View page -10 • Available when more than one view is analyzed VX NO AZC -40 -50 • Alerts the user if there is more than a 10% 200 400 600 800 1000 1200 [ ms ] variation in LV ED Axis (length) ED Axis Variation> 10%: A4C -9,7cm. A2C =9.2cm. A3C -8.0cm LV Peak Systolic Strain [%] Tracking Results (Summary) X Anterior LV 20 AVG EF (%) • Quality check to ensure LV is not foreshortened A4C GLS (%) 27.8 V for more accurate analysis A3C 46 bpm AZC GLS (%) 27.9 57 fps A3C GLS (%) -21.6 AVG GLS (%) 25.8 PSD (ms) 1722 • LV ED Axis does not need to be selected in system configuration for the message to appear on the bullseye page MX N ED Axis Variation>10%: A4C =9.7cm. A2C =9.2cm. A3C =8.0cm Author | Department 36 Unrestricted © Siemens Healthineers 2024 Speaker Notes: An LV length variation message will appear on the Bullseye View page when at least two views are analyzed. It is intended to alert the user if there is more than a 10% variation in the LV ED Axis (length) which can indicate that the LV is foreshortened in one of the views acquired. The LV ED Axis option does not need to be selected in system configuration for the message to appear on the bullseye page. Notes No. 36 SIEMENS Healthineers 2D HeartAI SIEMENS . Healthineers ... Contour brightness Allows users to control the transparency A4 A4C A4C • of the contours • Enables visualization of underlying X X anatomy MX AZC A2C AZC • Available in ED-ES View, Single View, and Bullseye View • 10 – 100% (transparency – opacity); X located on the soft keys A3C A3C • Value chosen is retained for subsequent exams MX N 10% 70% 100% 37 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The brightness of the tracking contours displayed on the bullseye page for the LV and LA can be adjusted. The option is available from the soft keys on the ED-ES View, Single View, and Bullseye View pages. The user can choose between 10-100%. The lower the number, the more transparent the contours appear, which allows the user to visualize underlying anatomy. The higher the number, the brighter the contours appear, which allows the user to see the contours better. Notes No. 37 SIEMENS Healthineers 2D HeartAI SIEMENS . Healthineers ... Contour editing 1. Edit displayed ED and / or ES contours A4C Segmental Strain % 40 2. Cine to the second ED in the current beat and 20 apply edits O X 20 3. Select Bullseye View to re-analyze with new A2C -40 contours 200 400 600 800 1000 1200 [ ms ] ED Axis, Variation> 10%: A4C =9.3cm. A2C =9.2cm. A3C =7.7cm LV Peak Systolic Strain, [%] Tracking Results (Summary) Note: Editing of the second ED may not always be X Anterior necessary but can be helpful in challenging cases. 20 AVG EF (%) 30 59.2 > A4C GLS (%) -27.2 AZC GLS (%) 46 bpm 23.7 57 fps A3C GLS (%) 19.5 AVG GLS (%) -23.5 PSD (ms) 98.1 Septa ED #1 ES ED #2 -20 38 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Occasionally, the second ED frame for 2D Heart bullseye view analysis may need to be edited. This can be helpful with tracking in challenging cases. 1. Edit contours on first ED and ES frames 2. Cine to the second ED frame and apply edits 3. Select Bullseye View to re-analyze with new contours NOTE: Editing of the second ED only changes timing results, and not the GLS results. Notes No. 38 SIEMENS Healthineers AI measurement editing SIEMENS . Healthineers ... • Press Edit Caliper soft key to activate caliper edit • Use trackball and set key method Review • Rotate Edit Caliper soft key to alternate between 5V1 • Point and click adjustments for editing Cardiac(2) TIS:1.04 measurement sets MI:0.09 24fps • Click set key to set 100% 20 H High • Selecting the box will delete 0dB/DR61 c=1540 LD 2 measurement(s) MapG/15 • Selecting the box will accept .00 LodB General measurement(s) Use Update key to toggle and the Set key to lock caliper P1/LD2 • PRF 3472 1.00 53/Pr2 MapF/F2 2.00 2D + Color D -- 3.00 CW Low 4.00 -3dB/DR60 MapE/T9 .5.00 PRF 20661 F 340 5-6.00 39 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • AI Measure editing is based on the trackball point and click • Select Set to activate caliper or contour position for editing • Use the trackball to move the caliper to the new location and select Set to anchor the caliper in the new position • When the user moves the Pointer close to a heart cycle, the cycle is highlighted • Two checkbox buttons appear on top of the cardiac cycle, one red X button and another green Check button • Selecting the green check will accept the measurements • Selecting the red X will delete the measurements • Adjustment of the peak velocity and the beginning or end of a Doppler trace can be performed by point and click with the trackball • Improvements were made to editing Doppler border tracings • User can select a small or large portion of a Doppler trace for edit, or adjust an entire curve • 2D and M-mode measurements can be selected and edited by point and click with the Notes No. 39 SIEMENS Healthineers trackball Notes No. 39 SIEMENS Healthineers Editing / updating a completed measurement SIEMENS . Healthineers ... • Press Edit Caliper soft key to activate caliper edit 1 MV E Vmax=0.60 m/s 5Z1 2 MV DT=159 ms Cardiac Rotate Edit Caliper soft key to alternate between 3 MV A Vmax=0.73 m/s TIS:0.72 • 4 MV E Vmax=0.59 m/s MI:0.35 5 MV DT=144 ms 24fps measurement sets 6 MV A Vmax=0.71 m/s 95% 2D H High 7dB/DR55 LD 2 Edit Caliper UA 2 MapC/T5 C Select 100 Mid OdB General PRF 4098 D PW Use Update key to toggle and the Set key to lock caliper Mid • GS 3.0 PRF 5814 F 250 Update Toggle Caliper ................................................................................................ Set Set 6.3 sec Cal 1 Cal 2 40 Unrestricted © Siemens Healthineers 2024 Speaker Notes: If the user selects all measurements and the on-screen measurement display area turns yellow, measurement editing reverts back to the previous measurement edit style using the Edit Caliper softkey. To edit a completed measurement, select the Edit Caliper soft key at the bottom of the touch screen. The last completed measurement reactivates, indicated by changing to teal in color. Rotate the Edit Caliper soft key to alternate between multiple measurement sets when more than one cardiac cycle is analyzed. The Update key above the trackball toggles between caliper points of a set of measurements. Use the trackball to move the caliper to the new location and select Set to anchor the caliper in the new position. If the user wishes to edit a different caliper set than the last one placed on the screen, rotate the soft key until the desired measure turns teal. Follow the steps listed above to reposition the caliper. Notes No. 40 SIEMENS Healthineers 4D cardiac imaging enhancements SIEMENS . Healthineers ... General Enhancements • Imaging depth value • Increased volume image size in full screen + 3:1 layout • MPR & VR image re-positioning of off- eeeepc center acquired images • 4D Lines/ Show MPR Lines • Free Plane MPR reference graphic overlay Applications • 3D Distance 41 Unrestricted © Siemens Healthineers 2024 Speaker Notes: What’s new for the ACUSON Sequoia in 4D cardiac imaging. These changes apply to the Z6T transducer and were implemented on the 5Z1 transducer as well. Notes No. 41 SIEMENS Healthineers Imaging depth value SIEMENS . Healthineers ... ZGT: < 37ºC Cardiac TIS:0.33 MI:1.03 32.0vps 95% 4D 18 cm : 18cm : ............... 42 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • Imaging depth value will now be displayed in the lower left-hand corner of the image screen when imaging in 4D, similar to where depth value is currently displayed on 2D images. • When in an individual 2D MPR layout (MPR A, B, or C), the imaging depth value does not currently display on the image screen. • This is a known behavior. However, present functionality of this feature with the depth displayed on layouts which only include 4D volume images should meet user needs at this time. • While in Review, imaging depth value for 4D images will not display on screen if the Review tab is active on the touch screen. • The 4D tab must be selected on touch screen for the imaging depth value to display on 4D images. SIEMENS Healthineers Increased volume image size in 3:1 stacked layout & full SIEMENS . Healthineers ... screen display SVI Workflow Patient Physio Imaging Multislice Show MPR Lines MPR Lock Review Lock Bi-Plane Report Reset Orientation Reset Cropping APRA MPR & NMPRC End Exam 4D Lines Auto TEQ Cut Plane 3D Caliper Harmonics Single V D Zoom Capture Type respective Line Density Mid Size Position 66 dB Clip Capture Sequoia 3.5 43 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • When performing 4D imaging in both the 3:1 Stacked Layout AND in Full Screen Display the volume rendered image size has been increased compared to prior software revisions. • The 4D volume image size is approximately 25% larger when in imaging in both the 3:1 Stacked Layout AND in Full Screen Display. Both settings must be selected to activate the size increase. SIEMENS Healthineers 4D lines SIEMENS . Healthineers ... SVI Workflow Patient Physio Multislice Show MPR Lines MPR Lock Review Lock Bi-Plane Report Reset Orientation Reset Cropping A MPR C End Exam Bi-Plane+ 4D Lines Slice Sync Auto TEQ Cut Plane 3D Caliper Harmonics Single V 4D Zoom Capture Type Prospective Frequency H Mid Line Density Mid Size Position Clip Capture Boots Sec 44 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • Previously labeled MPR Lines on the 4D touch screen, 4D Lines is an existing feature that has been renamed on page 1 of the 4D touch screen for the ACUSON Sequoia 3.5 software release. • It is available on all 4D transducers (5Z1, Z6T). • When active, 4D Lines displays the position of the MPR lines on the volume rendered image. This feature is independent of displaying MPR reference lines on the 2D MPRs & applies only to the volume image. • Show or hide the intersecting MPR reference lines on the volume rendered image by selecting or de-selecting the 4D Lines button on page 1 of the 4D touch screen. SIEMENS Healthineers Show MPR lines SIEMENS . Healthineers ... Workflow Patient Imaging Show MPR Lines MPR Lock Review Multislice Lock Bi-Plane Report leset Orientatic Reset Cropping A MPR End Exam Bi-Plane+ 4D Lines Auto TEQ Cut Plane 3D Caliper Harmonics Single V 4D Zoom Capture Type Prospective requency Line Densit Jip Capture H Mid DR Size Position Mid Lo BEv Beats Sec 45 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • Show MPR Lines is a new feature for the ACUSON Sequoia system. When active, Show MPR Lines overlays a graphic on the 2D MPRs to indicate the position of the MPR lines within each 2D rendered image plane. • This feature allows the user to show/ hide the MPR reference line positions on the 2D MPRs, as needed. • Show MPR Lines is not available when Single V or Dual V feature is active. SIEMENS Healthineers Free Plane: SIEMENS . Healthineers ... MPR reference graphic overlay ZGT: < 37ºC Cardiac TIS:0.33 MI:1.03 32.0vps 95% 4D .................................................................................................. 46 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • When manipulating the Free Plane, the system will now display reference graphic overly in each individual MPR indicating the position of the Free Plane relative to the 4D volume dataset to act as a guide and allow for alignment of the Free Plane with the structure of interest when cropping the volume. • The color of the line displayed in the MPRs is synced with color of the Free Plane in the volume viewport. SIEMENS Healthineers 3D Distance: SIEMENS . Healthineers .. Measurement tool 3D Distance allows user to perform linear 5Z Cardia measurements on 2D MPRs generated from TIS:0.4: MI.O.9. 26.5vp 959 volumetric datasets with a single tool HM V64 OPT • Available on all 4D cardiac transducers pons • Integrated into the 3D Caliper tool MAPC/T. MapE/T • System automatically launches second caliper and links the two 3D calipers with a dashed (.1, . 2)=8.37cm line and calculates the distance between the two points • 3D rendered graphics, as well as associated labels will display in the MPRs, as well as the volume dataset *MDA and 3D caliper graphics not to scale; enlarged for training purposes. 47 Unrestricted © Siemens Healthineers 2024 Speaker Notes: • Performing individual distance measurements on 3D/ 4D images is now further streamlined with the 3D Distance measurement tool. This tool allows users to perform linear measurements on MPRs generated from 3D/ 4D volume images. • This tool is built from the 3D Caliper tool. 3D distance measurements can be performed in any of the 2D MPR viewports created from a volumetric dataset. • The system automatically links two 3D calipers with a dashed line and calculates the distance between the two points. • The distance value is provided in the measurement display area in real-time and the 3D rendered graphics are displayed on the 2D MPRs, as well as on the corresponding location within the volume dataset. Notes No. 47 SIEMENS Healthineers 3D Distance: SIEMENS . Healthineers .. Workflow video 6Z1 Cardiac TÍS:0.43 MI:0.95 26.5vps 95% 4D H Mid OdB/DR69 Q Mid V 64ª Th15 Op70 S2 Br-8 Con50 MPR MapC/T4 Vol: MapE/T7 Fr103 42bpm Lead 11 Bo Callper 48 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Workflow: • After selecting 3D Caliper from the 4D tab on touch screen, the system will place an active 3D caliper in one of the 2D MPRs, depending on the selected layout. • When all three MPRs are visible, the 3D caliper is launched in the MPR C by default, when in a 2x1 layout it will launch in MPR A. 1. From the 3D Caliper page of touch screen, select the Distance tool to perform a linear measurement. 2. Using the trackball, position the 1st active caliper at the desired location within any of the 2D MPRs. • Active 3D calipers are indicated with an “x” icon on the image screen. 3. Use the left/ right track ball arbitration controls to anchor or set the location of the first caliper. • Once the first caliper is set, the on-screen icon changes from an “x” to a solid dot and the system automatically launches a 2nd active caliper near the location of the 1st set caliper. The two calipers are connected by a dashed line. 4. Use the trackball to position the 2nd active caliper at the desired location and anchor or Set the caliper using the left/ right trackball arbitration controls. 5. The linear measurement quantification updates & displays in real-time in the MDA. SIEMENS Healthineers Summary SIEMENS. Healthineers ... • Discuss addition of new features • 5Z1 transducer for cardiac imaging • AI Assist • 4D HeartAI • TraceAI • Review workflow and application enhancements • Workflow enhancements (Full/Reduce FOV, HD Zoom) • 5V1 imaging improvements (UltraArt) • Cardiac report/Measurement changes • Stress Echo • 2D HeartAI • AI Measure • 4D changes 49 Unrestricted © Siemens Healthineers 2024 Speaker Notes: We have : • Discussed the addition of new features • 5Z1 transducer for cardiac imaging • AI Assist • 4D HeartAI • TraceAI • Reviewed the workflow and application enhancements • Workflow enhancements (Full/Reduce FOV, HD Zoom) • 5V1 imaging improvements (UltraArt) • Cardiac report/Measurement changes • Stress Echo • 2D HeartAI • AI Measure • 4D changes Notes No. 49 SIEMENS Healthineers Trademarks and disclaimers The products/features mentioned in this document may not be commercially available in all countries. Due to regulatory reasons their future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. ACUSON Sequoia, AI Assist, AI Measure, and TEQ are trademarks of Siemens Medical Solutions USA, Inc. At Siemens Healthineers, our purpose is to enable healthcare providers to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalizing healthcare. An estimated five million patients worldwide everyday benefit from our innovative technologies and services in the areas of diagnostic and therapeutic imaging, laboratory diagnostics and molecular medicine as well as digital health and enterprise services. We’re a leading medical technology company with over 120 years of experience and 18,500 patents globally. With over 50,000 employees in more than 70 countries, we’ll continue to innovate and shape the future of healthcare. 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-heathineers.com/ultrasound 50 Unrestricted © Siemens Healthineers 2024 Notes No. 50 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? 51 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 51