ACUSON Sequoia 3.5 VB30 What's New Presentation

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON Sequoia Ultrasound System What‘s New Overview 3.5 (VB30) 1 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this presentation, we will discuss all the new features of the ACUSON Sequoia ultrasound system 3.5 (VB30) release. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates 2 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here are the objectives for this presentation. Notes No. 2 SIEMENS Healthineers Touch Screen & Configuration Changes SIEMENS. Healthineers ... • Touch Screen layout changes to UltraArt, Line Density, SWE, Panoramic, Protocol and Clarify just to name a few Sequoia • System Configuration additional menu options • These changes will be discussed in further details throughout the individual trainings 3 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Recent updates include changes to the touchscreen layout, specifically to features like UltraArt, Line Density, SWE, Panoramic, Protocol and Clarify just to name a few. Additionally, there are new options available in the system configuration menus. These are just some of the updates and will be covered in more detail during individual training sessions, where each change will be explained and demonstrated. Notes No. 3 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Increase Depth, Zoom, Focus • Increase Depth System Configuration System Settings Regional Settings (Restart Required) Institution Information • Increase Zoom Display Language Keyboard Institution Name Patient English V English >Workflow Enhancement Date Format Tine Formal Physician of Operator › Imaging Settings MIDIYYYY AM/PM Performning Physicians • Increase Focus Measurement & Report Dato Time Add Annotations 7/26/2024 08:13:23 AM Features Time Zone Transducers (UTC-08:00) Pacific Time (US & Canada) Connectivity & Network Urits > Peripheral Devices Height and Weight System Management Metric (cm / kg) Audio English (ft. in / ID. 02) Confirmation Beep Volume Hotate Controls on the Control Panel 2 Store Image and Clip Low Increase Depth Increase Focus Depth Clockwise O Clockwise Gesture Detecting Transducer O Counterclockwise Counterclockwise Gesture Settings Increase Zoom Enable Gesture Detecting Dockwise O Counterclockwise Restore Defaults 4 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In the latest configuration menu update, we've streamlined the control settings to enhance user customization and efficiency. Users can now customize the rotation settings for key imaging parameters directly from the control panel. The options available include choosing a clockwise or counterclockwise direction for the following: • Increase Depth • Increase Zoom • Increase Focus Depth Notes No. 4 SIEMENS Healthineers Configuration SIEMENS . Healthineers ... Changes and Additional Menu Items • New menu options System Configuration > System Settings available under features > Workflow Enhancement Protocols and View and configuration options > Imaging Settings [] Multiple Select Protocol Name Abdomen Al Abdomen Measurement & Report Enable Al Abdomen Abdomen Add Protocol Al Measure on Freeze within protocols > Annotations Progression TRV PANCREAS Features SAG PANCREAS Add View O Automatic O Manual Within the Protocol Protocols O At the End of the Protocol MVC Select All Views End Protocol New Cardiac menu Stress Echo AORTA 2 Automatically end when all views At Exit Protocol • completed Remain in acquisition 4D Heart ^ LEFT SAG LIVER Replace Text O Enter Report LEFT TRV LIVER O Enter Review options 2D Heart ^ Export Order Al Assist RIGHT TRV LIVER Copy TRV PANCREAS Collapse Left Panel Al Abdomen RIGHT SAG LIVER Delete SAG PANCREAS > Transducers CBD MVC Connectivity & Network SAG GB AORTA Peripheral Devices View Details LEFT SAG LIVER > System Management LEFT TRV LIVER RIGHT TRV LIVER RIGHT SAG LIVER 5 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The configuration page has been updated to include new menu options under features and protocol configuration. These options allow for greater customization within the AI Abdomen tool and include additional settings for cardiac configuration. Notes No. 5 SIEMENS Healthineers Touch Screen SIEMENS . Healthineers ... Changes – 2D 1. Panoramic 5C1 1816 Abdomen 20 15L4 7VC2 Workflow 2. Clarify Patient 2D Imaging 3. Line Density Al Abdomen L/R Flip UID Fli Biopsy Timer Review Off 4. Workflow Report 1 Panoramic Füll FOV End Exam 2 4 Workflow Auto TEQ Live Dual Clarify Off Fusion rotocols Modality Compare Harmonics Compounding Wide FOV Physio 3 Stress Echo Frequency DR InFocus Line Density H Mid 55 dB 6 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here we can see the new appearance of the Touch Screen and Workflow Menu to see where many functions are now located: 1. Panoramic 2. Clarify 3. Line Density 4. Workflow Notes No. 6 SIEMENS Healthineers Touch Screen SIEMENS . Healthineers ... Changes – SWE 1. VT rotary control 5C1 1816 Abdomen 2 15L4 8V3 Workflow 2. Transparency Patient 2D Virtual Touch Imaging PSWE / UDFF SWE Review Report End Exam Quality Velocity VT m/s 2 Live Dual 1 Transparency + Compounding 309% Frequency Min Velocity Max Velocity Min Elasticity Max Elasticity H Mid 0.5 50 7 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here we can see the new appearance of the touch screen for SWE. Transparency can be controlled by using the VT rotary control, but a new option is now available on the Touch Screen. Notes No. 7 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Review New Transducers Sequoia • • HLX – High Frequency Linear Transducer • 11M2 • 5Z1 • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates 8 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the new HLX, High frequency linear transducer. Notes No. 8 SIEMENS Healthineers HLX Transducer SIEMENS. Healthineers ... Features and benefits Designed for MSK, Breast and small parts • Penetration & Resolution: Designed imaging, including superficial vascular to provide superior clarity for applications. breast, MSK, small parts, and superficial vascular imaging • Broad Bandwidth: Operates in the HLX higher frequency range from 6MHz MSK TIB:0.08 to 22MHz, ensuring versatile MI:0.37 48fps 95% application 20 Res DdB/DR65 • Enhanced Focusing: Improved near LD 2 Compound field focusing for clearer images UA 3 MapC/T4 Da ACUSON • Versatility: Complements the 15L4 for thyroid, breast, testicular, and MSK imaging applications. 10 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The new HLX or High Frequency Linear transducer is designed for superior clarity for MSK, breast, and small parts imaging, including superficial vascular applications. Key features include InFocus Imaging, which enhances near-field resolution, broad bandwidth, excellent signal-to-noise ratio, Slow Flow, which improves the visualization of low-velocity blood flow, Next-Gen 2D SWE for advanced shear wave elastography, and versatile application across different imaging needs, complementing the 15L4 transducer. Additionally, it supports CEUS (Contrast Enhanced Ultrasound) for better lesion characterization, next Gen Ultra-Art for improved image processing, Needle Visualization to aid in interventional procedures, and Gesture Detection for seamless operation. Together, these features make the HLX transducer highly effective for detailed and accurate breast imaging. Notes No. 10 SIEMENS Healthineers HLX Transducer Form factor Linear HLX Design 1D Array Number of elements 256 Bandwidth (-6dB) 6-24 MHz Center Frequency (-6dB) 11 MHz ACUSON Axial and lateral 0.1 mm and 0.2 mm Resolution Field of view 34.8 mm Physical footprint 46.6 x 11.5 mm Total weight 744 g Max depth 80 mm 11 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The HLX transducer is designed with a 35mm field of view (FOV) and features a 1D array with 256 elements. It can image effectively at depths ranging from 0.5cm to 8.0cm. It operates in a bandwidth of 6 – 22 MHz with a center frequency of 11 MHz. For MSK (Musculoskeletal) applications, the HLX transducer is optimized for superficial and general MSK imaging with a speed of sound at 1540m/s and 1580m/s. It includes features such as B/C/D, CEUS, SlowFlow, VT, Needle Visualization, and UDFF for research purposes. In thyroid imaging, it is optimized for small/average and pediatric thyroid, submandibular gland, and parotid deep cervical lymphatic chain with a sound speed of 1540m/s. It includes features like B/C/D, CEUS, SlowFlow, VT, Strain, and Needle Visualization. Notes No. 11 SIEMENS Healthineers HLX Transducer HiX Contrast Yes Additional Features Freehand 3D, Slow flow, UltraArt, Next-Gen 2D SWE, Needle Enhancement ACUSON Gesture detection Yes Trophon compatible Yes 12 Unrestricted © Siemens Healthineers 2024 Speaker Notes: For testicular imaging, the HLX is optimized for both adult and pediatric testicles, epididymis, and pampiniform plexus with a sound speed of 1540m/s. The features include B/C/D, CEUS, SlowFlow, and Needle Enhancement. In breast imaging, the HLX transducer is optimized for small/average fatty to glandular breasts, nipple/areolar region, and lymphatic chain in axilla, interpectoral, and infraclavicular regions. It operates at sound speeds of 1540m/s, 1480m/s, 1460m/s, and 1446m/s and includes features such as B/C/D, CEUS, SlowFlow, VT, Strain, and Needle Enhancement. For vascular access, it is optimized for superficial arterial (radial, temporal) and venous access, especially in extremities, and carotid bulb with a sound speed of 1540m/s. The features include B/C/D, CEUS, SlowFlow, and Needle Enhancement. Notes No. 12 SIEMENS Healthineers HLX Transducer SIEMENS . Healthineers ... Breast Imaging HLX Breast HLX TIS:0.13 Breast MI:0.32 TIS:0.13 46fps MI:0.32 95% 95% 2D Res 2D 6dB/DR70 Res c=1540 6dB/DR75 c=1540 D1 Compound LD 1 iCompound MapK/T3 UA 3 MapK/T4 3.5cm 3.5cm 13 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here are some images demonstrating excellence in breast imaging. Note the clarity of the clarity of the skin line in the near field and clarity of tissue layers at depth. Notes No. 13 SIEMENS Healthineers HLX Transducer SIEMENS . Healthineers .. Breast Imaging HLX HLX Breast CC Breast CC TIS:0.03 TIS:0.15 MI:0.29 MI:0.36 43fps 95% 95% 2D High 4dB/DR65 6dB/DR65 c=1446 LD 2 LD 1 Compound Compound UA 4 MapD/T3 MapC/T3 P2 P2 5cm 14 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In the first image, the transducer clearly visualizes a cystic structure with defined borders and internal floating debris areas, showcasing its ability to differentiate between fluid-filled complex areas and solid masses. The second image highlights the transducer’s capability to delineate intricate breast tissue structures, offering high resolution and contrast. The use of high frequency enhances the visualization of superficial tissues, skin line, and at the same time allows penetration to chest wall and small anatomical details, ensuring precise diagnosis. Notes No. 14 SIEMENS Healthineers HLX Transducer SIEMENS. Healthineers ... Vascular Access (Temporal Artery) Vascular Access HLX Vascular Access TIS:0.12 MI:0.91 T15:0.08 371ps MI:0.68 95% 30fps 2D H Res DGD DRES 1540 LD 2 pound UA 3 PO/T4 PZ Jmm 60 D-0.10 cm 15 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The HLX transducer is also highly effective for temporal artery imaging, crucial for diagnosing giant cell arteritis (GCA). It is recommended as the first imaging modality for assessing mural inflammatory changes in the temporal and axillary arteries. The B-mode frequency for temporal arteries should range between 15-21 MHz, while 7-15 MHz is suitable for extracranial supra-aortic arteries. High-quality linear probes are essential for accurate imaging. Utilizing color Doppler helps demonstrate the blood flow within the artery, and adjusting the B- mode settings enhances the artery's visibility. The Doppler waveform shows the flow pattern, which is critical for diagnosing inflammatory changes. Proper settings and adjustments, such as image depth and focal zones, are important to avoid artifacts and ensure clear imaging. Notes No. 15 SIEMENS Healthineers Breast imaging uniformity SIEMENS . Healthineers ... 18L6 15L4 HLX Breast CC TIS.0.21 TIS:0.05 MI-0,48 MI.0.28 95% 2D High -1dB/DR70 c-1446 LD Compound LA 4 MapC/T3 P2 4.5am 16 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide demonstrates the consistency in breast imaging quality across different transducers: 18L6, 15L4, and HLX. Each image shows similar clarity and detail, ensuring that regardless of the transducer used, high-quality imaging is maintained. The 18L6 and 15L4 are established choices, while the HLX introduces improved features such as enhanced resolution and better near-field focusing. This consistency aids in diagnostic confidence and seamless workflow integration across different scanning scenarios. Notes No. 16 SIEMENS Healthineers MSK imaging uniformity SIEMENS . Healthineers ... HLX 18H6 15L4 18L6 17 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In these clips you can see the uniformity in musculoskeletal (MSK) imaging quality across different transducers: HLX, 18H6, 18L6, and 15L4. The cine loops display tendon fibers with consistent clarity and detail, demonstrating that each transducer provides reliable and high- quality imaging. The HLX transducer is highlighted for its superior resolution and reduced noise, ensuring excellent visualization of tendon structures. This uniformity ensures that clinicians can achieve optimal imaging results regardless of the specific transducer used, supporting accurate diagnosis. Notes No. 17 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Review New Transducers Sequoia • • HLX – High Frequency Linear Transducer • 11M2 • 5Z1 • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates 18 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the new 11M2 microconvex transducer. Notes No. 18 SIEMENS Healthineers 11M2 Transducer SIEMENS. Healthineers ... Pediatric Abdominal and Neonatal Head Transducer 11M2 Form factor Microconvex Design 1D, Single Crystal (binary) Number of elements 192 Bandwidth (-6dB) 2-10 MHz ACUSON Center Frequency (-6dB) 6.26 MHz Axial and lateral .27 mm and .51 mm Resolution Field of view Normal FOV: 100 deg Wide FOV: 130 deg Physical footprint 34.4 x 13.7 mm Total weight 660 g Max depth 140 mm 19 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 11M2 transducer is a Microconvex device specifically designed for pediatric abdominal and neonatal head imaging. It features 192 elements and operates with a center frequency of 6.26mHz. The transducer provides high axial and lateral resolution, with a field of view of 85 degrees for 2D imaging and 130 degrees in WFOV mode. It has a physical footprint of 27mm, and the weight of the transducer head is 86g. The depth range for this transducer is 3cm-14cm, making it suitable for its intended pediatric applications. Notes No. 19 SIEMENS Healthineers 11M2 Transducer SIEMENS . Healthineers ... Pediatric Abdominal and Neonatal Head Transducer 11M2 Contrast Yes Additional Features Freehand 3D, Wide FOV, Slow ACUSON flow (abdomen), Clarify VE, UltraArt Gesture detection Yes Trophon compatible Yes 20 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 11M2 supports gesture detection, contrast imaging, Freehand 3D, WFOV, Slow Flow color Doppler in the abdomen preset, Clarify VE and the new UltraArt options. It is also compatible for use with the Trophon disinfection system. Notes No. 20 SIEMENS Healthineers 11M2 Transducer SIEMENS. Healthineers ... Wide Field of View Wide FOV 130 degrees 85° 130° 11M2 11M2 Abdomen TIB:0.96 TIB:0.92 TIC:2.10 TIC:2.16 TIS:0.96 TIS:0.92 MI:0.98 MI:1.01 35fps 30fps 95% 95% 2D 2D H Mid H Mid 0dB/DR65 0dB/DR65 c=1540 c=1540 LD 1 LD 1 Compound Compound UA 3 UA 3 MapD/T5 MapD/T5 P2 P2 10cm 10cm 21 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 11M2 has a wide field of view option available on the Touch Screen that increases the imaging area from 85° to 130°. Notes No. 21 SIEMENS Healthineers 11M2 Transducer SIEMENS . Healthineers .. Abdomen 11M2 11M2 Abdomen Abdomen TIB:0.96 TIB:1.04 TIC:2.14 TIC:2.19 TIS:0.96 TIS:1.04 MI:0.92 MI:1.00 49fps 12fps 95% 95% 2D 2D H Mid H Mid 0dB/DR65 2dB/DR65 c=1540 LD 1 c=1540 LD 1 Compound UA 3 Compound MapD/T5 UA 3 MapD/T5 P1 C Mid 1.5dB Kidney P2/LD3 PRF 833 S1/Pr4 MapF/F3 2D + Color 7cm 22 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide demonstrates the excellent 2D image resolution, color sensitivity, and frame rates of the 11M2 transducer. Notes No. 22 SIEMENS Healthineers 11M2 Transducer SIEMENS. Healthineers ... Abdomen Slow Flow - PW Doppler 11M2 11M2 Abdomen Abdomen TIB:1.12 TIB:1.97 TIC:2.17 TIC:1.32 TIS:1.12 TIS:0.47 MI:0.97 MI:0.44 18fps 10fps 95% 95% 2D 2D H Mid H Mid 0dB/DR65 2dB/DR65 c=1540 LD 1 LD 1 Compound UA 3 Compound MapD/T5 MapD/T5 P2 8cm 45mm Aorta 25571 2.5dB 100 Slow S3/ Pra P2/LD3 MapF/F4 PRF 525 2D + Color S1/Pr4 D MapA/F3 PW 2D + Color Low 0dB/DR65 20 MapD/T5 6523 E 60 I .............................. 23 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here we can see the color Slow Flow technology available on the abdomen preset. We can appreciate the tiny interlobular arteries at the periphery of the cortex. The image on the right demonstrates the spectral Doppler performance in an aorta. Notice the crisp waveform and clean spectral window. Notes No. 23 SIEMENS Healthineers 11M2 Transducer SIEMENS. Healthineers ... B Mode – Neonatal Head 11M2 11M2 Neonatal Head Neonatal Head TIC:2.07 TIC:2.04 MI:1.07 MI:1.01 25fps 32fps 95% 95% 2D 2D H Low H Low 0dB/DR65 0dB/DR65 c=1540 c=1540 LD 1 LD 1 Compound Compound UA 2 UA 2 MapD/T5 MapD/T5 P3 12cm 13cm SAG ML RT 24 24 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide demonstrates the 11M2 2D imaging in a neonatal head. Note the detail and contrast resolution, especially at depth. Notes No. 24 SIEMENS Healthineers 11M2 Transducer SIEMENS . Healthineers ... Neonatal Head Color Comparison 11M3 11M2 11M2 Neonatal Head Neonatal Head TIC:2.04 TIC: 1.69 MI:1.00 MI:0.35 11fps 95% 95% 2D 2D H Low H Low 0dB/DR65 0dB/DR65 c=1540 LD 3 LD 1 Compound Compound UA 2 UA 2 MapD/T5 MapD/T5 P3 P3 C Mid Mid 12cm 60mm 60º OdB OdB General General -3.00 P3/ LD3 P3/LD3 PRF 1250 PRF 1453 S2/ Pr4 MapF/ F3 MapF/F3 -2.00 2D + Color 2D + Color D - 1.00 PW 948/ DR60 -m/s MapD/T5 GS 2.5 13cm PRF 9615 -- 1.00 F 50 25 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: These slides show the color and spectral Doppler performance in a neonatal head. The color has excellent spatial and temporal resolution while maintaining the clarity of the 2D image. Notes No. 25 SIEMENS Healthineers 11M2 Transducer SIEMENS . Healthineers .. Freehand 3D – Neonatal Head 4:1 Format Multislice 11M2 Neonatal Head 11M2 TIC:1.87 Neonatal Head MI:1.15 TIC:1.57 95% MI:1.06 95% 3D 3D OdB/DR65 H Mid Q Mid DdB/DR65 Q Mid Op64 Th65 S2 Op64 Bro S2 Con60 Con60 MPR MapaVIS MPR apD/T5 MapA/T3 Vol: apA/T3 13cm 26 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Freehand 3D is also available on the 11M2 transducer. There is amazing rendering reconstruction as demonstrated in these neonatal head MPR images utilizing multislice. Notes No. 26 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Review New Transducers Sequoia • • HLX – High Frequency Linear Transducer • 11M2 • 5Z1 • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates 27 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the 5Z1 Matrix transducer. Notes No. 27 SIEMENS Healthineers 5Z1 Transducer SIEMENS. Healthineers ... Animation • Matrix array 5Z1 • Beam control • 3D/4D imaging ACUSON 28 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 transducer is a matrix array. A matrix array is a two-dimensional (2D) arrangement of ultrasonic elements that emit and receive sound waves to create images. Matrix arrays have several advantages, including: Beam control • The 2D arrangement of transducer elements allows for control of the sound beam in two perpendicular angles, allowing for steering and focusing in a volume. 3D and 4D imaging • Matrix arrays can be used to perform 3D and 4D ultrasonography, which can be used in the abdominal and gynecology presets. Notes No. 28 SIEMENS Healthineers 5Z1 Transducer SIEMENS. Healthineers ... BiPlane+ display 5Z1 Abdomen 4D 270º TIB:0.38 TIC:1.58 TIS:0.38 MI:0.96 19fps Angle Rotation 95% 2D H High -7dB DR68 c=1540 LD 3 UA 1 MapC/T3 DR Angle Tilt Angle Clip Capture 68 dB .O. R270º [1º 309 -13º Reset Beats Sec 12cm Acquisition Image BiPlane+ Image 29 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When using BiPlane+ there will be 2 images. The acquisition image is on the left and the BiPlane+ image on the right. The Angle rotation is located on the Soft Keys and is displayed at the top of the image to indicate the amount of rotation on the right image. Please Note: The 5Z1 workflow is the same as the cardiac workflow, therefore there will be inconsistencies for the new GI workflow. This inconsistency is because in 3D cardiac scanning, users rotate the image to the right and users in GI scanning rotate the image to the left. Notes No. 29 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers ... BiPlane+ scan plane and angle indicators • Left image: plane is represented by the red line 90 • Right image: plane is represented by the green line Abdomen 4D 90º 13.0.00 MI:0.96 19fps 95% 2D H High -7dB DR68 c=1540 LD 3 UA 1 MapC/T3 P1 12 cm 30 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The left image is indicated by the red line and the right image is indicated by the green line. Notes No. 30 SIEMENS Healthineers 5Z1 Transducer SIEMENS. Healthineers ... BiPlane+ configuration System Configuration System Settings Workflow Enhancement 521 Lumos Imaging Settings Measurement & Report BiPlanet Settings Annotations Rotation Fron Ilit Transducers Rotate 360º No restrictions Volume Transducers O Umit rotation to 180" O Perpendicular on tilt Connectivity & Network Peripheral Devices Tiin Line Display System Management Auto hide after 1.5 seconds Default Biplane+ Rotation Angle O Left 0'. Right 90" Left OF, Right 270 270 31 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To set up the default angle for BiPlane+ imaging for all presets, go to System Configuration > Transducers > Volume Transducers > 5Z1 > Tilt Line Display. Notes No. 31 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers ... GI Dual workflowthis is Live Dual, which follows Cardiac workflow. There is no update dual on 5Z1 GI presets 521 Abdomen TIB:0.54 TIC:1.80 TIS:0.54 MI:0.90 15fps 95% 2D H High -2dB/DR65 c=1540 LD 3 UA 2 MapD/T4 P3 Dual C Mid -3.5dB Aorta P1/LD1 PRF 2451 S3/Pr4 MapF/F3 2D + Color 12cm 32 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 has live dual only. Color is available when in live dual. Notes No. 32 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers .. 5C1 GYN dual vs 5Z1 GYN BiPlane+ 5C1 – Dual 5Z1 – BiPlane+ 5C1 521 GYN GYN TIS:0.86 TIS:0.38 MI:1.38 270 MI:1.00 25fps 19fps 95% 95% 2D H High H High -4dB/DR65 OdB c=1540 DR68 LD 2 C=1540 Compound LD 2 UA 3 UA 2 MapD/T4 apD/T4 P2 P3 16cm 16cm Clinical Data Clinical Data 33 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Dual mode function is not available on the 5Z1, however, it has the BiPlane+ feature which is a major advantage of the matrix transducer. Here is a comparison of the 5C1 dual mode and the 5Z1 BiPlane+ mode. Notice the image quality is comparable. Notes No. 33 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers .. Free Plane graphic display 5Z1 Cardiac TIS:0.43 MI:1.02 18.0vps 4D 34 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This video is an example of using Free Plane in a volume. Notice when the plane is in front of the volume it is displayed in green. When the plane is moved 50% towards the back of the volume, it turns orange. Notes No. 34 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers ... Free Plane workflow 5Z1 GYN • Free Plane is located on the second page TIS 0.38 MI:1.00 17fps • The Free Plane will appear at the top left of the 95% 2D H High volume view -5dB/DR68 • URZ Toggle between Free Plane and Rotate ApDITS • Rotate X and Y using the first Soft Key • Cut the volume with the Position Plane Free Plane 16om Clinical Data Undo Crop Retain Crop Rotate Plane XY Position Plane 35 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The Free Plane feature is located on the second page of the Touch Screen when in the 4D mode. The Free Plane will appear at the top left of the volume view. The user may toggle between Free Plane and Rotate by using the trackball. Free Plane is not connected to any MPRs or specific cut planes. The user can place this anywhere. Again, when the plane is green is in front of the volume and when it turns orange, it is behind the volume. To rotate the Free Plane in X and Y select the first Soft Key. To cut into the volume with the Free Plane, select Position Plane located on the second Soft Key. Notes No. 35 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers ... 4D Zoom workflow 521 GYN • A work around for a VOI is to use 4D TIS:0.38 MI:1.00 17fps Zoom 96% 2D H High • Select BiPlane to size and position the -4dB/DR68 c=1540 ROI LD 3 UA 2 MapD/T3 • Launch from either Update 4D Zoom or P3 Touch Screen 4D Zoom • If needed, select the Cut Plane from the Touch • Rotate, position MPR lines, sync and change layouts the same as 4D workflow 16cm Clinical Data 36 Unrestricted © Siemens Healthineers 2024 Speaker Notes: As we have discussed, there is not a VOI available on the 5Z1, although a work around to this issue would be to use 4D Zoom. HD Zoom is available by selecting the 3D tab or during live 4D. When BiPlane is selected, a dual screen will appear and the ROI can be sized and positioned axially, laterally and elevationally. To enter HD Zoom, select Update from either the Update key or the Touch Screen 4D Zoom. If the Cut Plane is needed, select it from the Touch Screen. This will be the Cut Plane that is synced to the MPR that is active. The user can rotate and position MPR lines, sync and change the layout the same as 4D workflow. Notes No. 36 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers ... Single V (Volume) workflow 521 GYN TIS:0.38 • Helpful when a VOI is needed with a Cut MI:1.00 17mm Plane 2D H High • Select 4D and then select Single V OdB/DR68 C#1540 LD 3 • Position the large dot with dotted line like a UA 2 MapD/T3 P3 Cut Plane • Select Set and use the trackball to angle in the direction you want to view from • ROI width and size can be adjusted • Ideal for looking into fluid spaces such as vessels 16cm Clinical Data 37 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 Single V feature is a helpful volume viewing tool when the volume box is positioned within the chosen MPR and angled in the direction the user wants to view from. This is also helpful if the user requires a VOI with a Cut Plane. When in 4D, select Single V from the Touch Screen. Position the large dot with dotted line like a Cut Plane (the plane that you want to present in the render). The dot represents the Set point, and the arrow represents the direction of view into the volume slice. Select the Set key and roll the trackball to angle in the direction you want to view from. To resize the ROI, use the set keys and trackball. This feature is ideal when viewing fluid filled spaces such as vessels. Notes No. 37 SIEMENS Healthineers 5Z1 Transducer SIEMENS . Healthineers .. Dual V workflow 5Z1 Abdomen TIB 0.31 • Mainly a Cardiac workflow when TIO:0.92 TIS:0.31 demonstrating valves M:1.38 5,5vps 95% • Useful when wanting a volume view in the 4D CH Mid opposite direction 3dB/DR68 ...... @ Mid • Select Dual V from the Touch Screen V 64 Th15 Op70 S2 26 Br-8 Con50 MAPR MapD/T3 Vol MapE/T2 C ,5dB Dual V Aorta P1/LD1 PRF 2083 Pr4 Th15/ Op70 MPR MapF/F2 2D + Color Single V Reset to Start Vol: MapF 2D + Color 8cm 38 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Dual V is helpful when the user would like to view anatomy from the opposite direction. This feature is mainly used in Cardiac exams when viewing valves. It can also be useful when the user is looking a vessels through a stenosis or Endovascular Aneurysm Repair (EVAR). Select Dual V from the Touch Screen to activate this feature. Notes No. 38 SIEMENS Healthineers 5Z1 Transducer SIEMENS. Healthineers .. 4D Color workflow color parameters such as 4D color gain and ROI box size and position are exclusively on the Touch Screen and Soft Keys. To allow Z plane rotation Abdomen THE 0 57 TIC 1.86 10L4 HLX TIS 9 57 Abdom SC1 Workflow 69vps Patient 4D Color (40) Imaging Reduce FOV IMPR LOCK Review Lock Bi-Plane Report Reset Orientation leset Cropping End Exam 20 + Color 2D Only Color Only Bi-Plane+ Color Crop MPR Lines Dual V × Gain 6.5 dB + Single V Reset to Start 4D Zoom 16cm Frequency Mid Scale Baseline ROTBIKE C ROI Position Lat Elere Axial 39 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5Z1 also performs color. 4D color parameters such as 4D color gain and ROI size and position are exclusively on the Touch Screen and Soft Keys. For further information, please refer to the ACUSON Sequoia 3.5 VB30 5Z1 presentation. Notes No. 39 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Workflow • Discuss Freehand 3D • Review Imaging Updates 40 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss AI Abdomen workflow. Notes No. 40 SIEMENS Healthineers What is AI Abdomen and how does it work? SIEMENS. Healthineers ... Machine Learning Developed by DTI: • 04:29:41 PM 2/16/2024 Confidence Level algorithm with view Live 24.02.16-16:25:28-STD-1.3.12.2.1107 .. abdomenAl 0/ 17 Captured classification runs at 27 frames per second, providing real-time insights 501 TH Abdomen TIB:0.85 TIC:4.62 Rt Kigney Sag TIS:0.85 Para Trass MI:1.38 • Trained algorithms on thousands of images Byer Kidsy Langth AL Kichry Itam THE from various hospitals over multiple years Buts Kdney With Rips Basey AP Comouna Automated Abdominal Exam Tool: Spleen Sag Splen Lengm • Arts Recognizes anatomy in Real time scanning Spleen Trans Spleen Width • Automatically measures, labels, and displays Spkren AP body/transducer marker for appropriate Lett Kidney Lengm anatomy LE Kidney Trans 12cm Leht Kidney Wirtin SPLEEN SAG • Automatically places captured images into Lett Kidney AP the designated or preferred protocol order 41 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 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, Ultra Art, and depth. This ensures that the AI does not use raw images, but instead relies on optimized images for better accuracy and consistency. This 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. AI uses post processed image: • Does not use raw image • AI is sensitive to gain levels, Ultra Art, depth, etc. Notes No. 41 SIEMENS Healthineers AI Abdomen SIEMENS . Healthineers .. Seamless Anatomy Labeling & Measurement AI Abdomen: Compatible with both Protocol Scanning and Non-Protocol Scanning AI Abdomen Manual Protocol Scanning No AI No AI FIGHT LIVER SAG WOO WOO 42 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: AI Abdomen emphasizes the power of our Deep Learning AI algorithm in seamlessly labeling and measuring anatomy for a complete abdominal exam. AI Abdomen is highly versatile, being compatible with both Protocol Scanning and Non-Protocol Scanning. The 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 AI automatically annotates and measures anatomical structures. The manual scan image 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. This slide underscores the efficiency, accuracy, and consistency provided by AI Abdomen, reducing clinician workload and improving diagnostic precision. Notes No. 42 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 43 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: AI Abdomen supports 17 views for a complete abdominal exam. These views are essential for a detailed and thorough assessment of the abdomen, covering all critical anatomical structures. By providing such extensive coverage, AI Abdomen ensures that no anatomical detail is overlooked, enhancing the accuracy and reliability of diagnostics. Notes No. 43 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 44 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 12 key measurements are supported by AI Abdomen to ensure a complete and accurate abdominal exam. Additionally, these measurements can be customized to fit the specific needs of the clinician, providing flexibility and ensuring that the most relevant data is captured for each patient. Notes No. 44 SIEMENS Healthineers AI Abdomen with Protocol for Seamless Anatomy SIEMENS. Healthineers ... Labeling & Measurement Optimizing for seamless workflow Live LI Kidney Su in the most common failure abdomenAl 0/17 Captured 5C1 modes: Abdomen GH Sag TIB:0.74 TIC:4.01 Rt Kidney Sag TH TIS:0.74 Para Trans Right Kidney Length • Improved accuracy in organ Rt Kidney Trans TE 2D identification and labeling Right Kidney Width 0GB/DR65 PIN H c=1540 Right Kidney AP Compound • Automated measurements with Spleen Sag Sploon Length real-time feedback Spleen Trans Spleen Width • May reduce scanning time by Spleen AP minimizing manual adjustments Lt Kidney Sag TH Left Kidney Length • Enhances consistency in imaging Lt Kidney Trans 14cm Le Liver So across different users Left Kidney Width Lt KIDNEY SAG Left Kidney AP • Supports customized protocol settings for specific clinical needs PPV = (# True Views)/(# View Predictions) The product here presented is still under development and therefore not commercially available. Its future 45 availability cannot be guaranteed. Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this example, the utilization of the AI Abdomen tool facilitates the seamless labeling and measurement of anatomy, with a focus on both the Kidneys and Liver. This video showcases how AI Abdomen enhances workflow by mitigating common failure modes, such as the absence of labels, correct organs appearing in the wrong orientation, and multiple organs within the frame. The tool also improves organ identification and labeling accuracy, provides automated measurements with real-time feedback, reduces scanning time by minimizing manual adjustments, enhances consistency in imaging across different users, and supports customized protocol settings tailored to specific clinical needs. For further information, please refer to the ACUSON Sequoia 3.5 VB30 AI Abdomen presentation. Notes No. 45 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates 46 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the new HLX, High frequency linear transducer. Notes No. 46 SIEMENS Healthineers Freehand 3D SIEMENS. Healthineers ... What is Freehand 3D? 10EV3 • Cost effective 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 • No need for measurements • Simple workflow 47 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. 47 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 • HLX linical Data 48 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. 48 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Rocked OB acquisition 5C1 OB TIB:1.01 TIS:1.01 MI:1.29 35fps 95% 2D H High DdB/DR65 C=1540 LD 2 Compound UA 3 MapC/T4 Clinical Data Age (EDD) 25w 5d 10cm EDD 9/25/2024 Size Curve 49 Animations: Ondrej Culko Unrestricted © Siemens Healthineers 2024 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. 49 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers ... Rocked uterus acquisition DEC4 GYN TIS:0,38 MI.0.63 72fps 95% DdB/DR57 c-1540 LD 1 Compound UA 2 MapB/TS 50 Animations: Ondrej Culko Unrestricted © Siemens Healthineers 2024 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. 50 SIEMENS Healthineers Freehand 3D SIEMENS . Healthineers .. Linear generic acquisition 15L4 Breast TIS:0.06 MI:0.28 40fps 95% 2D High DdB/DR70 Compound PpCIT 51 Animations: Ondrej Culko Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an animated example demonstrating a linear acquisition on an extremity. 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. For further information on Freehand 3D including setup, acquisition and editing options, please refer to the ACUSON Sequoia 3.5 VB30 Freehand 3D presentation. Notes No. 51 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates • Factory Tint Change/Line Density • UltraArt • Contrast • OB • Needle Enhancement • HD Zoom • Auto TEQ On Freeze • Doppler Auto Trace Performance 52 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the new HLX, High frequency linear transducer. Notes No. 52 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... Factory Tint Default 5C1 Abdomen TIB:0.74 2D TIC:4.06 H Mid TIS:0.74 MI:1.38 35fps -1dB/DR65 c=1540 Sequoia 2D H Mid LD 1 -1dB/DR65 c=1540 Compound LD 1 Compound UA 3 UA 3 MapC/T4 MapC/T4 P2 P2 14cm 53 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In response to customer feedback, we have updated the factory global tint setting, changing the default to 4. Notes No. 53 SIEMENS Healthineers Imaging updates Line Densities LD Transitions 10L4 Display Description Carotid TIS:0.16 MI:1.20 56fps 95% Highest frame rate, lowest spatial 2D LD 1 H Mid resolution 0dB/DR60 c=1540 LD 1 Compound UA 3 LD 2 Mid range for frame rate and spatial MapC/T4 P2 resolution LD 3 Highest spatial resolution, lowest frame rate 4cm 54 54 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Additional line density options have been added to many transducers. This clip shows how the image changes as line density is increased. Notice that as line density is increased the spatial resolution increases, and the frame rate decreases. Notes No. 54 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates • Factory Tint Change/Line Density • UltraArt • Contrast • OB • Needle Enhancement • HD Zoom • Auto TEQ On Freeze • Doppler Auto Trace Performance 55 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the new improved UltraArt imaging. Notes No. 55 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... UltraArt TM Reimagined Spatial, Temporal, Depth Sequoia Based Optimization Sequoia Speckle Reduction and Edge Enhancement Contrast Enhancement Motion Compensation 56 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Now, UltraArt has been reimagined with new image processing algorithms advancing image quality to the next level. Conventional Speckle reduction is usually just applied in the spatial domain. New UltraArt algorithms are utilizing speckle reduction, edge enhancement and contrast enhancement in different ways and optimizing them at each depth. The new algorithm applies speckle reduction in both the spatial and temporal domains. It also includes motion compensation to help reduce flickering artifacts in the image to improve image aesthetics and help decrease eye fatigue. Notes No. 56 SIEMENS Healthineers Imaging updates UltraArt TM revolutionized UI Current User Interface Design New User Interface Design A ? TOLD Off 2 3 Patient 2D Review Report 2 Auto TEQ Change to Off 2 3 4 5 Charity 3 Auto TEQ Live Dual 57 57 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Updated user interface design highlights the transition from the current user interface to the new user interface to enhance efficiency and use. The current design offers 4 image selections and navigation buttons, which can be less intuitive and more time-consuming for users. The new design offers up 4 and 6 selections, depending on the transducer selected, and simplifies interactions with a streamlined layout featuring larger, clearly labeled choices. This improvement helps enhance user efficiency and workflow, and the new algorithm applies additional optimizations in addition to conventional speckle reduction. The new interface's intuitive design allows for quicker access to essential functions, leading to a more customized user imaging experience. Notes No. 57 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... UltraArt TM new selections UA Off UA 1 UA 2 UA 3 UA 4 UA 5 58 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an example of the UltraArt choices for transducers with 6 available selections. UltraArt now introduces an expanded aesthetic range, offering more options to suit user image preferences. This slide shows the differences from UA Off through UA 5, starting with a raw, unenhanced image and progressing to a smoother look with increasing speckle reduction and contrast. Multiple parameters are adjusted at each step, saving the clinicians time, allowing them to customize the appearance of ultrasound images, helping to improve image aesthetic and user satisfaction. Users can highlight specific anatomical details or enhance overall image clarity, ensuring better patient outcomes and a more tailored imaging experience. Notes No. 58 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates • Factory Tint Change/Line Density • UltraArt • Contrast • OB • Needle Enhancement • HD Zoom • Auto TEQ On Freeze • Doppler Auto Trace Performance 59 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the new HLX, High frequency linear transducer. Notes No. 59 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... Contrast changes and improvements Category Description Resolution Improved overall resolution and sensitivity. Sequoia Pen Sensitivity New pen technology offers better sensitivity than previous models. LD2 Resolution LD2 shows significant resolution quoia improvement over LD1. Sensitivity LD1 provides enhanced sensitivity. Macrovascularization LD1 is optimized for better macrovascularization imaging. Microvascularization LD2 excels in micro vascularization imaging, specifically for profusion. Display Imaging Type Description Improved frame rate and LD1 Derived B-mode sensitivity LD2 Current Contrast setting Lower frame rate, better detail 60 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide outlines key improvements in contrast imaging. The overall resolution and sensitivity has been enhanced. The new pen technology also contributes to better sensitivity, while LD1 and LD2 are optimized for macro and micro vascularization imaging, respectively. For imaging types, LD1 offers improved frame rate and sensitivity in derived B-mode, whereas LD2 focuses on better detail at a lower frame rate in the current contrast setting. Notes No. 60 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... Contrast changes and improvements Sequoia Release Transducer 3.0 5C1, 9C2, 15L4 Sequoia 3.1 5V1, 5Z1 3.5 DAX, 4V1, 8V3, 10V3, 7L2, 10L4, 11M2, 11M3 CO 61 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide outlines which transducers were improved in the most recent releases. Included changes within these transducers New Line Densities aimed at improving frame rate and resolution for various transducers, such as DAX, 4V1, 7L2, 8V3, 10L4, 10V4, 11M2 and 11M3. Additionally, new MultiHz settings were added to DAX to enhance CPS resolution, particularly improving the Mid frequency setting for better image quality. Specific transducers, including the 4V1, 8V3, and 10V4, were adjusted with new penetration settings to improve performance in deeper imaging, and further optimization was made to the 7L2 and 10L4 transducers for both penetration and resolution. These changes are designed to enhance the overall imaging capabilities and resolution across a range of clinical applications Notes No. 61 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... Contrast improvements 5C1 liver 3.0 (VB10) 3.5 (VB30) 5C1 Abdomen TIB:0.00 TIC:0.00 TIS:0.00 MI:0.09 9fps 0.2% 2D Mid 0dB/DR60 LD 1 UA 2 Contrast MapC/T5 Mid PA EdB:DR70 LD 2 Contrast UAOH! Mid MapE/T1 P2 0dB/DR70 Contrast Only LD 3 UA Off MapE/T1 P2 Contrast Only 14cm 02:44 62 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In the ACUSON Sequoia 3.0 ultrasound system contrast image, the standard imaging quality exhibits notable noise and lesser clarity, with lower contrast resolution making it difficult to discern finer details in tissue structures. The image appears darker and more granular. In comparison, the ACUSON Sequoia 3.5 ultrasound system contrast image shows significant improvements in contrast resolution, with enhanced clarity and better differentiation of tissue structures. The image is brighter and sharper, indicating improved sensitivity and frame rate, and it provides better visualization in both B-mode and contrast-only modes. The ACUSON Sequoia 3.5 ultrasound system features an improved frame rate and sensitivity, allowing for better detection and visualization of tissue structures. Notes No. 62 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... Contrast improvements 5C1 liver LD 1 LD 2 10L4 10L4 Abdomen Abdomen TIB:0.00 TIB:0.01 TIC:0.01 TIC:0.01 TIS:0.00 TIS:0.01 MI:0.12 MI:0. 12 15fps 9fps 01:09 01:00 63 Unrestricted © Siemens Healthineers 2024 Speaker Notes: On this slide, the images compare the 10L4 transducer using different line densities (LD1 and LD2) within the same software version, focusing on a kidney and a cystic structure. LD1 (Left Image): Exhibits standard imaging quality with noticeable noise and lower contrast resolution, making finer details of the kidney and cystic structure harder to discern. LD2 (Right Image): Shows improved contrast resolution, better clarity, and sharper images with reduced noise. Enhanced sensitivity and frame rate lead to better visualization of the kidney and cystic structure in both B-mode and contrast-only modes. Notes No. 63 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates • Factory Tint Change/Line Density • UltraArt • Contrast • OB • Needle Enhancement • HD Zoom • Auto TEQ On Freeze • Doppler Auto Trace Performance 64 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the OB improvements. Notes No. 64 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... OB imaging improvement objectives Imaging Improvements: • 5C1 Transducer Enhancements • Clutter, Noise, and Haze Reduction • Shimmer Artifact Minimization • Bone Clarity • HDZoom Quality Improvement • UltraArt and Line Density Options • AutoTEQ Consistency PW Sensitivity, and AutoTrace 65 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The 5C1 transducer provides even more imaging consistency with newly optimized default settings. We've enhanced UltraArt to reduce clutter, noise, and haze with better contrast and edge algorithms. Shimmer artifacts, especially at high UltraArt settings, are minimized with balanced optimizations. For clearer bone representation, especially spinal elements and the posterior skull, we've adjusted whites and edges. HDZoom quality is improved with increased transmit lines across densities and frequencies. The 5C1 transducer now also offers expanded UltraArt settings and three new line densities. AutoTEQ is more consistent across body types and gestational ages due to algorithm improvements. Finally, PW sensitivity and AutoTrace have been enhanced for better performance and reduced noise. Notes No. 65 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... OB HDZoom improvements 30w0d fetal heart 3.0 (VB10) 3.5 (VB30) 5C1 5C1 OB OB TIB:1.24 TIS:1.24 MET. MI:1.16 ME1.15 51fps 522 95% 2D 2D H High H High 0dB/DR65 1dB/DR65 c=1540 c=1540 LD 2 LD 2 Compound Compound UA 2 MapD/T5 MapD /T P2 P2 clinical Data Clinical Data Age (EDD) Age (EDD) 30w 1d 30w 1d EDD EDD 9.6cm HD Z 5/6/2024 9.6cm HD Z 5/6/2024 66 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In this slide, we compare the HDZoom performance in versions 3.0 and 3.5 using a 30-week fetal heart image. 3.0 Displays the standard imaging quality and detail for the 30-week fetal heart. 3.5 Shows enhanced imaging quality with improved lateral detail and clarity. Notes No. 66 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... OB uterine artery PW improvements 25w5d 3.0 (VB10) 3.5 (VB30) 5C1 OB TIB:2.31 TIB 2,30 TIC:0.59 TIS 0 27 TIS:0.39 MI.0.60 MI:0.54 13fps 12fps 95% 95% 2D H High H Mid DdB/DRES 108/DR65 C=1540 LD 2 0=1540 Compound LD 2 UA 3 UA 2 MapC/T4 MapC/T4 P2 C amis High General 12 cm 49mm odB General 12cm 48mm P2'LD2 PRF 2551 53/PY4 PRF 2404 MapF/F3 S3/Pr4 20 + Cokx 1.00 MapF/F3 1.00 D 2D + Color PW Low D -2dB/DR65 PW -0.50 MapD/T5 -0.50 Low G520 GS 2.0 PRF 5882 F 50 PRF 4310 F 40 0.50 Clinica Das Clinical Data 9/25/2024 -- 0.50 25w 5d 885.5911910 ........................................................................................................ 25/09/24 67 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide demonstrates the pulsed wave (PW) Doppler improvements in uterine artery imaging from version 3.0 to 3.5 at 25 weeks and 5 days. On the left, version 3.0 shows the baseline doppler quality. On the right, version 3.5 exhibits enhanced clarity, with better resolution and more detailed flow patterns in the uterine artery. These advancements contribute to more accurate assessments of blood flow, crucial for fetal monitoring and maternal health. Notes No. 67 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... OB improved contrast resolution 25w5d 3.0 (VB10) 3.5 (VB30) 5C1 OB 5C1 TIB:0.33 OB TIC:1.48 TIB:0.33 TIS:0.33 TIS:0.33 MI:1.38 26 fps 35fps 95% 2D 2D H High 0dB/DR65 0dB/DR65 c=1540 c=1540 LD 2 Compound MapC/T4 UA 3 MapC/T4 P2 Clinical Data Clinical Data Age (EDD) Age (EDD) 25w 5d 25w 5d EDD EDD 9cm 25/09/24 9/25/2024 68 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide demonstrates the enhanced contrast resolution capabilities between versions 3.0 and 3.5 at 25 weeks and 5 days gestation. On the left, the 3.0 version displays the imaging quality of the spinal cord and cauda equina, near field soft tissue layers, and myometrium. On the right, the 3.5 version shows significant improvements in contrast resolution. This enhancement allows for clearer differentiation of the spinal cord and cauda equina, providing more detailed visualization of the near field soft tissue layers and the myometrium. Improved contrast resolution is crucial for more accurate fetal assessments and better diagnostic outcomes. Notes No. 68 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates • Factory Tint Change/Line Density • UltraArt • Contrast • OB • Needle Enhancement • HD Zoom • Auto TEQ On Freeze • Doppler Auto Trace Performance 69 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the Needle Enhancement technology. Notes No. 69 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... Needle Enhancement workflow 3.0 (VB10) review 10L4, 15L4, 18L6 (all exams, all 18L6 5C1 10L4 • Breast Workflow frequencies and all angles) Patient 2D License controlled Imaging • UR Flip UID Flip Biopsy Timer Review • Improved Needle Enhancement when Report Minimum Needle Biopsy mode is engaged 1 9th End Exam Speed of Sound 2-1446 Trapezoid 90% 270 • B mode (including in Trapezoid) Auto TEQ X Harmonics Frequency DR 65 dB InFocus 70 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In the 3.0 (VB10) release, Needle Enhancement is on the 10L4, 15L4 and 18L6 transducers for all exams, all frequencies and for all angles, although required a license. The Needle Enhancement feature only worked when you were in the Biopsy mode. It will also image when in Trapezoid mode. Notes No. 70 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... Needle Enhancement workflow 3.0 (VB10) review 1. Select Biopsy 18L6 > 5C 10L4 Breast Workflow Patient 2D 1 Imaging WIR Flip JID Flip Biopsy Review 3 Timer Report Minimum Needle Length End Exam Speed of Sound c=1446 rapezoid 90" 270% Auto TEQ × Harmonics Frequency Select the Angle DR InFocus H Mid 65 dB Needle Enhancement is active 71 Unrestricted © Siemens Healthineers 2024 Speaker Notes: To enable the Needle Enhancement in 3.0 (VB10): 1. Select Biopsy Notes No. 71 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... Needle Enhancement workflow 3.0 (VB10) review 2. Select Biopsy Angle 3. Select OK Biopsy Needle Guide Angle Tap the angle button to show the area of interest within the guidelines. 2 WACH Off 3 OK 72 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 2. Select the Angle 3. Select OK Notes No. 72 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... Needle Enhancement workflow 3.0 (VB10) review 4. Needle visualization is active HOLA TIS 0.22 41fps 20 H Mid 0dB/DR65 c#1446 LO 1 Compound UA 2 4 MapC/TS Bepsy: 3 73 Unrestricted © Siemens Healthineers 2024 Speaker Notes: 3. Needle visualization is active with the biopsy guide lines Notes No. 73 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers . Needle Enhancement 3.0 (VB10) review - breast 18L6 18L6 Breast Breast TIS:0.29 TIS:0.27 MI:0.58 38fps 95% 95% 2D Mid 0dB/DR70 DdB/DR70 c=1446 C-1446 LD 3 Compound Compound UA 2 MapD/T5 MapD/TS P3 4.5cm 4.5cm Biopsy: B Without Needle Enhancement With Needle Enhancement and Biopsy guide 74 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an example of Needle Enhancement off and when Biopsy mode is active with the biopsy guide. Notice how the needle is clearly seen on the video on the right with the biopsy guides. Notes No. 74 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... 3.5 (VB30) biopsy mode off – Needle Enhancement on 10L4, 15L4, 18L6 and HLX 15L4 • Breast Workflow Patient 2D • Purchasable license Imaging 1. To access Needle Enhancement Al Abdomen L/R Flip Review 2 Biopsy Off Timer Report 2. Biopsy mode must be Off 1 End Exam Speed of Sound 3. Only available at 0° c-1446 Trapezoid 4 3 270% Auto TEQ 4. Available in Trapezoid imaging Harmonics Compounding 5 5. Image Rotation & Compounding dithered out Frequency DR InFocus Line Density Mid 55 dB 75 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Needle Enhancement is available on the 10L4, 15L4, 18L6 and HLX in all exams, all frequencies and at all angles. It is only available through the new Needle Enhancement icon located on the Touch Screen. In the 3.5 (VB30) release, the workflow will be the same, except that Needle Enhancement icon will no longer be automatically activated in Biopsy mode. To access Needle Enhancement, Biopsy mode must be Off. Only available at 0°. It is available in Trapezoid imaging and image rotation will be dithered out. Other modes will be dithered or unavailable when Needle Enhancement is active, such as compounding and U/D Flip. This will also be license controlled and available in B mode and trapezoid imaging. Notes No. 75 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... 3.5 (VB30) biopsy mode on – Needle Enhancement off 1. Biopsy mode is On 5C1 11M3 18L6 Breast 7VC2 Workflow 2. Needle Enhancement icon is Patient 2D unavailable Imaging L/R Flip 1 Biopsy Timer Review UID Flip 3. Compounding and image rotation Report Minimum Needle modes dithered 2 Length End Exam Speed of Sound Trapezoid 4 3 90 4. Available in Trapezoid imaging 270" Auto TEQ Clarify Harmonics Compounding 3 Frequency DR InFocus Mid 70 dB 76 Unrestricted © Siemens Healthineers 2024 Speaker Notes: On this slide, Biopsy mode is On. Notice the Needle Enhancement icon is dithered and no longer accessible on the Touch Screen. Also, certain modes will be dithered when Biopsy mode is active, such as compounding and image rotation. Notes No. 76 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers .. Needle Enhancement 3.5 (VB30) workflow 15L4 Breast SC 11M3 1816 TIS:0.07 Breast 7VC2 Workflow MI:0.43 42fps 95% Patient 2D 2D Mid 0dB/DR65 Imaging c#1446 LUR Flip Biopsy Compound Off Timer Review Report Full FOV End Exam Speed of Sound Trapezoid 90 270- Auto TEQ Harmonic Compounding * × 1 Frequency DR InFocus Line Density Mid 70 de 77 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here we can see when Needle Enhancement is activated, the new icon is displayed on the upper left corner of the image in orange. Notes No. 77 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... Needle Enhancement 3.5 (VB30) off – on Needle Enhancement Off Needle Enhancement On Live 15L4 15L4 Breast Breast TIS:0.05 TIS:0.05 MI:0.58 MI:0.58 50fps 50fps 95% 95% 2D 2D Mid Mid 5dB/DR65 5dB/DR65 c=1446 c=1446 Compound Compound 3cm 3cm 78 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an example of Needle Enhancement off and on. Notice how well the needle is displayed on the right image and the Needle Enhancement icon is orange during live imaging. It will disappear if the image is frozen, but enhancement will stay On. Notes No. 78 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... Needle Enhancement 3.5 (VB30) live – frozen Live Image - Icon On Frozen Image – Icon Off 18L6 18L6 15:0.24 MI:0.67 Breast 42fps TIS:0.24 95% MI:0.67 42fps 2D 95% Mid 0dB/DR70 2D Mid c=1446 LD 3 0dB/DR70 Compound c=1446 UA 2 LD 3 MapD/T5 Compound UA 2 MapD/T5 P3 4cm 4cm 79 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When entering the biopsy mode, Needle Enhancement will automatically turn Off. When you freeze the image, the icon will disappear, although the needle will remain enhanced. Notes No. 79 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... Needle Enhancement states UI Control State Biopsy Needle Enhancement Imaging 1 Off Off Enhancement Off 2 On Off (Dithered) Enhancement Off 3 Off On Enhancement On 80 Unrestricted © Siemens Healthineers 2024 Speaker Notes: In summary, listed here in this chart are all the different states of using Needle Enhancement. Note that it will not be available at any time when the biopsy mode is active. Notes No. 80 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates • Factory Tint Change/Line Density • UltraArt • Contrast • OB • Needle Enhancement • HD Zoom • Auto TEQ On Freeze • Doppler Auto Trace Performance 81 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the improved HD Zoom technology. Notes No. 81 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... HDZoom IQ Enhancements Key Highlights: • Curved Transducers (5C1, 7VC2, 9C2, etc.): Optimized for all exams for 3.0 (VB10) 3.5 (VB30) comprehensive imaging 5C1 • Linear Transducers (15L4, 18L6, HLX): Abdomen T18:1.00 TIC:4,03 Engineered for all exams, delivering TIS:1.00 MI:1.27 45fps critical detailed views 95% H Mid 24B/OR65 c-1540 • Vector/Sector Transducers (5V1, 5Z1, LD 2 Compound UA 3 8V3): Enhanced specifically for MADD/T5 PZ superior cardiac imaging Scaling Factors: • Increased transmit lines in HDZoom improve lateral resolution and spatial detail without compromising temporal resolution. 82 Unrestricted © Siemens Healthineers 2024 Speaker Notes: HDZoom IQ technology from Siemens Healthineers revolutionizes image clarity and spatial resolution across all exam types. For curved, linear, and vector/sector transducers, HDZoom IQ consistently delivers superior image quality. This technology enhances diagnostic confidence by providing clear and detailed views crucial for accurate diagnoses. Key highlights include optimized imaging for various transducer types and advanced scaling factor technology that improves lateral resolution and spatial detail without compromising temporal resolution. Notes No. 82 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... 3.0 vs 3.5 HDZoom Enhancements HDZoom Overview Old HDZoom Sequoia 3.0 (VB10): • How It Works: The number of transmissions (Tx) needed for HDZoom is calculated by taking the total number of transmissions defined for the full field of view (FOV) and adjusting it based on the ratio of the HDZoom region of interest (ROI) to the lateral size of the FOV New HDZoom Sequoia 3.5 (VB30): • Improved Calculation: The new method builds on the old calculation by adding a scale factor. This means you still start with the total number of transmissions for the full FOV and adjust it based on the ratio of the HDZoom ROI to the lateral size of the FOV, but now you also multiply by a scale factor to enhance accuracy and detail 83 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The HDZoom feature has been enhanced from 3.0 to 3.5. In 3.0, the number of transmissions (Tx) for HDZoom was determined by adjusting the total transmissions for the full field of view (FOV) based on the ratio of the HDZoom region of interest (ROI) to the lateral size of the FOV. The ACUSON Sequoia 3.5 ultrasound system software improves this calculation by introducing a scale factor. This new factor, combined with the original method, provides greater accuracy and detail in imaging. Notes No. 83 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... HDZoom IQ improvement: optimization summary HDZoom IQ Improvement Transducer Type Transducer Exam Curved 5C1, 7VC2, 9C2, 11M2, 9VE4, 10EV3 All Exams Linear 15L4, 18L6, HLX All Exams Vector/Sector 5V1, 5Z1, 8V3 Cardiac Only 84 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The HDZoom IQ Improvement aims to enhance image resolution and spatial detail across various probes while balancing temporal resolution. Curved probes like 5C1, 7VC2, 9C2, 11M2, 9VE4, and 10EV3 are optimized for all exams, ensuring consistent high-quality imaging. Linear probes such as 15L4, 18L6, and HLX also benefit from these improvements across all exams. For vector/sector probes, including 5V1, 5Z1, and 8V3, the enhancements are specific to cardiac exams. These optimizations are crucial for achieving better imaging performance and accuracy, which is essential for detailed diagnostics in both general and specialized medical applications. Scaling Factors Explained: 1. Fundamental Scaling Factor: This indicates the number of transmit lines used in fundamental imaging modes. For example, a scaling factor of LD1: 2.0 means that the number of transmit lines is doubled compared to the standard mode, enhancing lateral resolution and detail. 2. Harmonics Scaling Factor: This refers to the number of transmit lines used in harmonic imaging modes. Higher scaling factors in harmonics mean improved spatial detail and clarity, especially useful in capturing fine structures and reducing noise. 3. 2D + Color Scaling Factor: This represents the scaling in 2D and color Doppler modes. A scaling factor of 1.3 means a 30% increase in transmit lines, balancing the need for better resolution with maintaining Notes No. 84 SIEMENS Healthineers temporal resolution, crucial for capturing dynamic cardiac movements. Notes No. 84 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... HDZoom enhancements 5C1 OB 26W5D 3.5 3.0 (VB10) 3.5 (VB30) 5C1 OB OB TIB:0.61 TIC:1.79 TIS.1 MI: 1.19 TIS:0.61 42fps MI:1.38 95% 2D 2D H High dB/DR65 dB/DR65 c=1540 C=1540 LD 2 LD 2 Compound UA 3 MapC/T4 MapC/T4 P2 Clinical Data Clinical Data Age (EDD) Age (EDD) 26w 5d 26w 5d EDD EDD 8.5cm HD Z 19/07/24 9.1cm HD Z 7/19/2024 85 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide demonstrates the HDZoom IQ improvement in fetal kidney imaging at 26 weeks and 5 days. The comparison between 2.5/3.0 and 3.5 settings highlights the trade-off between frame rate and spatial resolution. The 3.5 setting provides enhanced spatial resolution, offering clearer and more detailed images, which is critical for precise fetal kidney assessment. The improvement from 3.0 to 3.5 showcases the ability of HDZoom to maintain image clarity and detail while improving the spatial resolution necessary for accurate diagnostics. Notes No. 85 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... HDZoom Enhancements 18L6 MSK 3.0 (VB10) 3.5 (VB30) 18L6 18L6 MSK MSK TIB:0.28 TIB:0.28 MI:1.37 MI:1:37 48fps 95% 95% 2D H High H High -2dB/DR65 -2dB/DR65 c=1580 c=1580 LD 2 LD 2 ompound Sompound UA 2 UA 2 MapC/T4 MapC/T4 P3 P3 1cm HD Z 1cm HD Z 86 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: This slide demonstrates the HDZoom IQ improvement for musculoskeletal (MSK) imaging using the 18L6 transducer. The comparison between the 2.5/3.0 and 3.5 settings shows the trade-off in frame rate to achieve better spatial resolution. The 3.5 setting provides superior fascicular detail and clearer delineation of the bifid median nerve, palmaris, and flexor retinaculum. This enhancement ensures more precise diagnostics and improved image clarity, demonstrating the benefits of the HDZoom technology in detailed MSK imaging. Tradeoff is frame rate to improve spatial resolution – bifid median nerve with better fascicular detail, and better delineation of palmaris and flexor retinaculum Notes No. 86 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... 2D + Color HDZoom: new workflow 3.0 (VB10) 3.5 (VB30) 17:47 07/07/24 HOZOOM 24.07-07-20:44:12.DST-1.3.12.2.1107 .. 08:46:34 PM 07/07/24 MAPDITS 87 Unrestricted © Siemens Healthineers 2024 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The new 2D + Color HDZoom workflow offers a streamlined process, launching directly into HDZoom with a single press of the Zoom control. This feature adds a 10% border around the color box, eliminating the need for multiple steps and enhancing overall efficiency. Previously, users had to press Zoom twice, with color filling the HDZoom box. This update significantly simplifies the workflow, providing a smoother and faster experience. Notes No. 87 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates • Factory Tint Change/Line Density • UltraArt • Contrast • OB • Needle Enhancement • HD Zoom • Auto TEQ On Freeze • Doppler Auto Trace Performance 88 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the new Auto TEQ On Freeze feature. Notes No. 88 SIEMENS Healthineers Imaging updates SIEMENS. Healthineers ... Auto TEQ On Freeze • All transducers and Workflow Enhancement Imaging Settings Exam Presets presets Abdomen General Capture Settings Imaging Mode Imaging Cursor Workhow Freeze Behavior Doppler Auto IEQ Image Parameter Display • System Configuration 13 Enable Cursor Mode Default Menu on Touch Screen Parameters > Measurement & Report Gain > Imaging Settings > Annotations Doppler and M-Mode Mode Menu 2 Dynamic Range . Features Imaging Mode > 23 Enable Automatic Color Invert Transducers Play/Pause CINE 27 ScaledBaseline Doppler Auto TEQ on Freeze Doppler Auto TEQ on > Connectivity & Network Doppler Mode Thermal Index Display + Peripheral Devices O off On Freeze Systern Management Display Format 1/2 20, 1/2 Trace Doppler Auto TEQ Target Spectral Intensity M Mode PW • Auto TEQ On Freeze Display Format appears on the touch 213 20, 1/3 Trace Medium screen 90 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is the configuration menu. Auto TEQ On Freeze is available on all transducers and presets. Go to System Configuration > Imaging Settings > Imaging Mode > Doppler Auto TEQ on Freeze. If this is not enabled, it will not be seen as an option on the touch screen and no adjustments will automatically be made to the spectrum after freezing. Notes No. 90 SIEMENS Healthineers Imaging updates SIEMENS . Healthineers ... Auto TEQ On Freeze touch screen – enabled • When the feature is 10L4 8V3 11M3 Carotid 5C1 Workflow enabled, scale and baseline will Patient 2D Color PW automatically optimize Imaging on freeze 10 Review • When the feature is Report Auto Trace disabled, scale and baseline are set by the End Exam Auto TEQ Invert user and remain On Freeze unchanged after freeze Off Auto TEQ Filter 60 × " Sweep Speed Scale Angle Correct 60 mm/s Baseline PRF 60º 60 0 60 91 Unrestricted © Siemens Healthineers 2024 Speaker Notes: When the Auto TEQ on Freeze is selected on the touch screen, the parameters selected in the configuration will automatically be optimized when frozen. When the feature is not selected, parameters set by the user remain unchanged after freeze. Notes No. 91 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Explain Touch Screen/Configuration Changes Sequoia • Review New Transducers • Explain AI Abdomen • Discuss Freehand 3D • Review Imaging Updates • Factory Tint Change/Line Density • UltraArt • Contrast • OB • Needle Enhancement • HD Zoom • Auto TEQ On Freeze • Doppler Auto Trace Performance 92 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Next, we will discuss the improvements to the Doppler Auto Trace technology. Notes No. 92 SIEMENS Healthineers Doppler auto trace improvements SIEMENS. Healthineers ... • Improved performance of auto tracing that provides more accurate, consistent, and repeatable measurements • Improve mean tracing that improves volume flow measurement • Sensitivity control to increase/decrease maximum PW tracing • Improve tracing algorithm robustness by reducing failed tracing in specific use cases: • PW Auto Trace artifacts with user gain change • Aliasing introduced by baseline and scale change • Transducers improved: 5V1 on TCI, DAX, 5C1, 9C2, 11M2, 11M3, 7L2, 10L4, 14L5, 15L4 and HLX 93 Unrestricted © Siemens Healthineers 2024 Speaker Notes: The improved performance of the Doppler Auto trace provides more accurate, consistent, and repeatable measurements that are less dependent on gain, baseline, and scale, and in some cases of aliasing compared to Sequoia 3.0 (VB10). The Improved mean tracing also improves the volume flow measurement. There is new Sensitivity control to increase/decrease maximum PW tracing. The new algorithm robustness will reduce failed tracing in specific use cases: • PW Auto trace artifacts with user gain change • Aliasing introduced by baseline and scale change Transducers that have been improved: 5V1 on TCI, DAX, 5C1, 9C2, 11M2, 11M3, 7L2, 10L4, 14L5, 15L4 and HLX. Notes No. 93 SIEMENS Healthineers Doppler auto trace improvements SIEMENS . Healthineers ... 0 7 0 90 712 Abdomen Workflow Patient 2D Color PW Imaging 10 + Review Report Auto Trace Auto Trace Above Baseline End Exam Auto TEQ Sensitivity On Freeze Invert 10 + Off Auto TEQ Live/Live Frequency Filter 60 + Low Gate Size Sweep Speed Scale Angle Correct 2 mm 60 mm/s Baseline PRE HPRE 60 0 60 94 Unrestricted © Siemens Healthineers 2024 Speaker Notes: A sensitivity option has been added to the PW Touch Screen for further optimization of the trace. Sensitivity levels range from 0-20. Notes No. 94 SIEMENS Healthineers Comparison with 3.1(VB20A) SIEMENS . Healthineers 3.1 VB20 3.5 VB30 10L4 10L4 Carotid Carotid TIS:0.73 TIS:0.73 MI:0.37 MI:0.37 18fps 18fps 95% 30 95% 2D 2D H Mid H Mid 0dB/DR60 0dB/DR60 C=1540 C=1540 LD 1 LD 1 Compound Compound UAZ UA 2 MapC/T5 P2 MapC/T5 30 P2 old cmis new se 14 C 31mm 60ª Pen General 6cm 31mm 60" General P2/ LD2 P2/ LD2 PRF 3086 S3/ Pr4 S3/ Pr4 -100 MapF/ F3 -100 MapF / F3 2D + Color 2D + Color D PW Low Low 10dB/ DR60 10dB/ DR60 MapD/T5 MapD/T5 GS 1.5 GS 1.5 -cm/s PRF 5000 cm/s PRF 5000 F 60 F 60 PS=99.96 cm/s ED=41.13 cm/S ............... PS=93.11 cm/s RI=0.59/ ED=39.41 cm/s RI=0.58 95 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is a comparison of a waveform using Doppler Auto Trace showing the great improvement on the 3.5(VB30) release. Notes No. 95 SIEMENS Healthineers Comparison with 3.1(VB20A) TCI SIEMENS . Healthineers ... 3.1 VB10 3.5 VB30 5V1 TCI 5V1 TIB:3.04 TCI TIC.1.22 PS=87.93 cm/s TIS:0.47 ED=38.08 cm/s TIC:1.16 MI:0.56 TAMx=55.5 cm/s MI:0.57 7 12fps TAMn=28.8 cm/s 10fps RI=0.57 95% PS=141.55 cm/s 95% ED=66.10 cm/s PI=0.95 TAMx=74.6 cm/s Mid Mean TCD=54.70 cm/s MIO OdB/DR60 TAMn=38.9 cm/s 0dB/ DR60 RI=0.53 c=1540 c=1540 PI=1.40 LD 2 LD 2 Mean TCD=91.25 cm/s UA 2 UA 2 MapC/T5 MapC/T5 70 cm/s P3 70 P3 cm/s C 16cm 56mm Pen Pen 1dB 16cm 54mm OdB General General - 1.50 P2/ LD1 -1.50 P2/LD1 PRF 3289 PRF 3289 52/ Pr4 S2/Pr4 - 1.00 MapF/F2 - 1.00 MapF/F2 2D + Color 2D + Color ₩0.50 D PW 0.50 Pen PW OdB/ DR60 Pen MapD/T2 0dB/DR60 GS 4.0 - m/s MapD/T2 PRF 4717 GS 4.0 F 80 PRF 4545 F 100 .............-- 0.50 -0.50 96 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Here is an example of a Transcranial Imaging (TCI) exam and the great improvement of the trace keeping to the spectrum and not including the noise. Notes No. 96 SIEMENS Healthineers 5Z1 NEW AI Assist NEW Single transducer AI-powered real- solution for 2D time view and 4D recognition & transthoracic automated Doppler placement for 12 imaging standard TTE views 2D HeartAI Sequoia Trace AI NEW AI powered Shared AI-powered estimates of left automatic contouring ventricular Service & measurement of a volumes and GLS selected anatomic with or without Cardiology orifice contrast 4D HeartAI NEW AI Measure AI-powered Automates the volume chamber analysis with and quantification process for M-mode, 2D without an ECG imaging, spectral and with one click tissue Doppler 97 Restricted © Siemens Healthineers 2024 Speaker Notes: 5Z1 4D volume imaging solution for 2D and 4D TEE. Single crystal technology. 4D HeartAI 4D HeartAI is 98% accurate with MPR Identification and alignment. There is 96% accuracy between manual contours and 4D HeartAI . UltraArt Image Processing The algorithm performs speckle reduction in both the spatial and temporal domains helping to improve image customization and reduce eye strain. AI Assist AI Trace HLX 1. 11658868-ETP-001-01 - Accuracy and Verification Report pg 7 - *average Notes No. 97 SIEMENS Healthineers 5V1/5Z1 Imaging Enhancements 4D Tools Stress Echo Single V, Dual V, Free Plane & 3D Reference Clip & Color Coding Calipers (.1W Langth, 62)-4.37cm ... UltraArt TM Universal Image Processing Sequoia Speckle reduction and Shared image processing Service HLX high frequency Off 1 2 Cardiology transducer TEMPORAL Sequoia Superficial vascular 102 imaging including the Temporal Artery 3 14 De 4 5 16 CHT Slow Flow 1111 Microvasculature Technology LON 98 PS-92.27 cm/s ED-11.74 cm/s .................................................................... la Restricted © Siemens Healthineers 2024 Speaker Notes: Additional Cardiology updates and improvements on ACUSON Sequoia 3.5 (VB30). Notes No. 98 SIEMENS Healthineers Trademarks and disclaimers SIEMENS. Healthineers ... ACUSON Sequoia and UltraArt are registered trademarks of Siemens Medical Solutions USA, Inc. Sequoia syngo is a registered trademark if Siemens Healthcare GmbH. 99 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 99 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS. Healthineers ... Questions? 100 Unrestricted © Siemens Healthineers 2024 Speaker Notes: Notes No. 100