ACUSON Sequoia™ Ultrasound System Virtual Touch 2D SWE-Small Parts | 2.5 (VA50) Software Release

Quick Reference Card Virtual Touch™ 2D SWE ACUSON Sequoia™ Ultrasound System (VA50) siemens-healthineers.com/ultrasound HOOD05162003359504 | Effective Date 20-June-2023 Using 2D shear wave elastography (SWE) to measure shear velocity (Vs) in meters per second (m/s) and elasticity (E) in kilopascal (kPa) for applications in Small Parts Step 1 18L6 Step 3 Breast SWE • Select compatible transducer and • SWE tab is default application on exam preset1 touch screen Step 2 Step 4 Update VT • Press VT (Virtual Touch) located on • If required, roll the trackball control panel to reposition the region of interest (ROI) • If required, press the right or left Set key and roll the trackball to resize ROI (if necessary) • Use minimal scanning pressure to prevent pre-compression effect • Press Update on the control panel to begin acquisition 1 2D SWE imaging is compatible with 5C1, 9C2, DAX: General, Abdomen; 10L4: General, Thyroid, Breast, MSK; 15L4, 18L6: General, Thyroid, Breast. SIEMENS Healthineers Step 5 • When the acquisition is complete, the system automatically freezes, emits one audible “beep” and activates the Velocity or Elasticity display mode • Adjust Min and/or Max Velocity or Elasticity Increase range if measured value exceeds Min Velocity Max Velocity Min Elasticity Max Elasticity - range by displaying “High” 0.5 4 50 Decrease range if better visualization of - velocity of stiffness differences is needed • To check the quality of your image prior to measurement, ensure that the Quality and Quality Velocity Displacement map options are selected and m/s displayed on the touch screen above the Dual display. If the maps are not displayed, Live Dual select either of the keys to open the pop-up menu of map choices • Measurements should be taken in regions with high quality (green to yellow-green) Velocity Elasticity Quality Displacement Displacement 2D Only m/s kPa 2 in the Quality display Velocity • Correlate the areas in the Velocity or Quality m/s Elasticity image with shear wave signal-to- noise ratio and Displacement amplitude Note: During freeze, a cooling timer indicates remaining seconds until transducer is available for image acquisition. During a short cooling time (e.g., 1–2 seconds), the timer appears and then disappears very quickly. Step 6 • If required, the units (m/s and kPa) may be altered by selecting the desired unit from Velocity Elasticity the touch screen display options m/s kPa • To display the SWE image in full screen format (if desired), select the Live Dual key Live Dual to exit the split screen format • If required, rotate the VT rotary dial on the control panel to change the transparency of the 2D SWE image VT 2 siemens-healthineers.com/ultrasound Measurements Shear Velocity and Elasticity Measurements can be performed or viewed in the Velocity, Elasticity, Quality or Displacement display Shear Velocity modes. • Press Caliper on the control panel – Shear Velocity 18L6 2:0 39 20 63 is the default measurement tool IC 0.00 TIS 0.39 65fps • Roll trackball to position measurement ROI. ROIs 20 should be placed at the same depth in the image OdB/DR65 for comparison measurements of normal/abnormal SWE tissue. In Live Dual, the measurement ROI can be Transp: 60% placed on either image. • If needed, rotate the ROI Diameter to resize • Shear wave measurements and measurement ROI depth and diameter are displayed near image (Fig. 1) 1 Vs Median=2.36 m/s E Median=16.7 kPa Depth=0.86 cm Diam=0.30 cm To display a measurement in the report, select the 2 Vs Median=1.12 m/s • E Median=3.8 kPa desired measurement label Depth=0.87 cm Diam=0.30 cm • If desired, press Set key and roll trackball to perform Fig. 1: Velocity display mode in Live Dual format and shear wave additional measurements or select Delete on the measurements of a breast lesion. control panel to delete the measurement • Select Report on the left side of touch screen to view, store, print or transfer shear wave measurements Note: If the measurement ROI value exceeds the current maximum velocity or elasticity setting, the measured results display HIGH for the shear wave value. If the measurement ROI value is lower than the current minimum velocity and elasticity setting, the measured results display LOW. The measured results display X.XX (for velocity) or XX.X (for elasticity) if the shear wave was not detected within the ROI or if a measurement is performed outside the ROI. Shadow Calipers Shadow Shadow calipers are used to duplicate and display a measurement on the adjacent image to compare the 1 D=0.30 cm size and/or location of a lesion. Velocity 10L4 Breast In Live Dual, press Caliper on the control panel TIB:0.67 • TIC:1.14 FIS-0.67 MI:1.16 • Select the measurement tool 54fps 95% 2D H High • Shadow is activated as a default on the touch screen 0dB/DR65 c=1446 SWE Measure the right or left image Transp: 60% • • The Shadow measurement is displayed in the measured results Tip: Shadow may be used with the Shear Velocity tool when Live Dual is activated. 4cm 1 D=1.64 cm siemens-healthineers.com/ultrasound 3 For the proper use of the software or hardware, please always use At Siemens Healthineers, we pioneer breakthroughs in healthcare. the Operator Manual or Instructions for Use (hereinafter collectively For everyone. Everywhere. By constantly bringing breakthrough “Operator Manual”) issued by Siemens Healthineers. 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We will continue to build Note: Some functions shown in this material are optional and might on these strengths to help fight the world’s most threatening not be part of your system. diseases, improving the quality of outcomes, and enabling access to care. Certain products, product related claims or functionalities described in the material (hereinafter collectively “Functionality”) may not We are a team of 66,000 highly dedicated employees across more (yet) be commercially available in your country. Due to regulatory than 70 countries passionately pushing the boundaries of what’s requirements, the future availability of said functionalities in possible in healthcare to help improve people’s lives around the any specific country is not guaranteed. Please contact your local world. Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. ACUSON Sequoia and Virtual Touch are trademarks of Siemens Medical Solutions USA, Inc. Siemens Healthineers Ultrasound owns the rights to all images. Siemens Healthineers Headquarters Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 22010 S.E. 51st Street Phone: +49 9131 84-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · HOOD05162003359504 · Effective date 20-Jun-2023 · 13836 0623 online · ©Siemens Medical Solutions USA, Inc., 2023