ARTIS icono ceiling VE23 QuantWeb QCA or QVA Workflow

SIEMENS Healthineers QuantWeb QCA or QVA Workflow ARTIS icono/ pheno VE2*with syngo Application Software VE2* Template Effective Date: 10 Aug 2021| HILS 2223 Job Aid Effective Date 13 Apr 2022| HOOD05162003288193 *Version VE21 or higher Unrestricted © Siemens Healthineers, 2022 Table of Contents SIEMENS Healthineers Starting QuantWeb 3 General Functions and Settings Toolbar 5 Analysis Toolbar 6 Marking a Vessel 7 Marking a Single Vessel 8 Marking a Bifurcation 9 Correcting the Vessel Wall 10 Preliminary Analysis 11 Report 15 Calibration 16 Additional Measurement and Annotation Toolbar 17 Sharing the Results 18 2 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Starting QuantWeb - SIEMENS Healthineers Activate Apps Segment QuantWeb features quantification of coronary A ----- and peripheral arteries, analysis of the left ventricle of the heart, and vessel Fractional Viewers Flow Reserve (vFFR) calculation. Viewe22 Apps Once suitable images have been loaded and Un Box 1 Urs Dox 2 displayed in a Live or Viewer segment, select Un Box Wall 3 Apps for one of the other image segments. The QuantWeb application is started in the No Data Load Apps segment. Please note: The QCA3D, QVA3D and vFFR workflows require two angiograms of the artery which are at least 30 degrees apart from each other. CARO 19 98 3 Effective Date 13 Apr 2022| HOOD05162003269706 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Starting QuantWeb - SIEMENS Healthineers Sending the Image to Quant Click the Send to Quant icon to load the image in the Segment Menu > Apps tab. It can take a Q . = Segment Menu 3 X few seconds. Quant Calibanation Analysis Anoution Sand To Quare Send To Quant : 0 Scene CARD 10 9 4 Effective Date 13 Apr 2022| HOOD05162003269706 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 General Functions and Settings Toolbar SIEMENS Healthineers Relevant messages: Quant Images Calibration fispon All relevant user guidance, warnings and AP 4 RAO 33.2' / CRA 24.5 4 LAO 51.6 / CAU 10.7" errors will be listed and can be reviewed. OCA GNA User settings: Settings for manual obstruction analysis 31/61 31 /61 OCAID reference type, local diameter, screen size settings and user guidance. ❶ Extra information: i Licenses and manufacturer information. ? Button tooltips: 0 Shows the names of each tool. 2 5 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Analysis Toolbar - SIEMENS Healthineers Starting the QCA or QVA 1 1. Select the image and choose the QCA or AP Quant Images Calibration #spon QVA analysis mode. VFFR AP 4 RAO 33.2ª / CRA 24.5 4 LAO 51.6 / CAU 10.7" With Quantitative Coronary Analysis (QCA) ❶1 and Quantitative Vessel Analysis (QVA), you QCA can determine the dimensions and stenosis 31/61 31 /61 severity of the coronary and other vessel QVA OCAJO arteries. LVA Please note: The availability of the analysis QCA3D modes is based on the licenses on your system. QVA3D 6 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Marking a Vessel SIEMENS Healthineers 2 Quant • Mark a vessel after selecting the image of Images Calibration Analysis Report Quantitative the scene. There are several ways to mark Coronary Analysis 0.1419 mm/Pixel the vessel for contour detection. Auto 0.0" / 0.0" 10 FPS P 2 Marking a vessel Detected Contour 7 Effective Date 13 Apr 2022| HOOD05162003269706 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Marking a Single Vessel SIEMENS Healthineers Mark a single vessel segment using one of three methods: a) Start automatic contour detection by left- P clicking on the vessel of the stenosis P segment (one point). b) Place a starting point at the proximal part P D D of the vessel by left-clicking and end at the D distal part D of the vessel by double-clicking (two points). c) Set multiple points by left-clicking inside the a b) c) lumen of the vessel from the proximal part P, and end at the distal part D by double- clicking. 8 Effective Date 13 Apr 2022| HOOD05162003269706 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Marking a Bifurcation SIEMENS Healthineers To mark a bifurcation vessel, use one of three methods (QCA only): a) Start by left-clicking on the proximal part P of the vessel, P P then right-click on the distal part of the main branch M and then double-click on the distal part of the side branch S. b) Place multiple points by left-clicking inside the lumen of the vessel from the proximal part P, then right-click on the end of the main branch M. Set multiple points on the side branch S S S by left-clicking and finish by double-clicking when you reach the end point. M M c) Mark a branch: A branch vessel can be added if a single a) b) vessel is already segmented. Please note:: When the bifurcation is indicated as ostial the side branch is analyzed independently from the main branch. The diameter of the distal side branch is much smaller than the main branch. 9 Effective Date 13 Apr 2022| HOOD05162003269706 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Correcting the Vessel Wall SIEMENS Healthineers Quant 3. The system detects the vessel walls and prompts you to Images Calibration Analysis 3 Report Quantitative correct the contour and minimum luminal diameter in Coronary Analysis yellow automatically after marking the vessel. 0.1419 mm/Pixel 1 Auto 0.0º / 0.0º If it is necessary to modify the vessel wall or the segment, 10 FPS you can manually correct the right one along with the vessel wall by selecting this button. P W 10 Effective Date 13 Apr 2022| HOOD05162003269706 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis SIEMENS Healthineers Standard obstruction analysis based on Quant diameter or area is performed automatically. Images Calibration Analysis Report Quantitative Coronary Analysis Select the Analysis tab to see the results: Diameter Area (4) (5) Diameter 4 5 Reference diameter mm (1) Vessel diameter 1 (3) 3 3.6 3 (2) Lesion diameter 2 (1) 1 (3) Reference diameter 3 (2) 2 0.6 0 0 10 15 20 25 30 35 40 mm (4) Health (Ref) vessel 4 Segment Obstruction SubSegment Local Diameter (5) Obstruction border 5 11 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis – SIEMENS Healthineers Manual Obstruction Manual obstruction analysis to move the reference diameter manually. Diameter lesion 1.43 mm % Stenosis 61 % P Reference diameter 3.71 mm Length 14.99 mm Move obstruction area manually Manual obstruction analysis D 12 12 Effective Date 13 Apr 2022| HOOD05162003269706 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis – SIEMENS Healthineers Segment Tab The Segment tab provides the segment information. The Subsegment tab shows the information about bifurcation including the main and side branch. Diameter Area · Densitometric . Circular P mm2 15 ............................ 16.9 10 7.3 ? 10 15 20 ‘25 30 35 40 mm Segment Obstruction SubSegment Local Diameter Segment tab 3 Diameter Area Diameter · Reference diameter mm ........ 3.8 i 1.4 N o ? 18 20 22 24 26 mm SubSegment M S Segment Obstructioni Local Diameter Subsegment tab 13 Effective Date 13 Apr 2022| HOOD05162003269706 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Preliminary Analysis – SIEMENS Healthineers Adding a Marker Quant Images Calibration Analysis Report Artis Icono VE21 Quant Quantitative Coronary Analysis ? | 26/08/1949 (72y) 0.0955 mm/Pixel 2 D (mm) Under the Local Diameter tab, you can find the Auto 08/10/2021 06:33:08 1.63 mm RAO 30.9º / CAU 33º 2 2.52 mm 15 FPS 3 2.56 mm local diameter information. Averaging length used for local diameter analysis: 3.00 mm Add Marker Remove Marker Use Add Marker to draw a Local Diameter and add Add Marker a measurement position. 35 / 87 < > Diameter Area Diameter mm 2 239 1.4 OFN ? 4 16 10 12 14 16 18 20 22mm N - 00 - Segment Obstruction SubSegment ™ Local Diameter 14 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Report SIEMENS Healthineers • Select the Report tab. If there is more than one Quant page use the < or > arrow to move forward and Images Calibration Analysis Report Quantitative Caramary Analysis backward. QCA diameter results Page 1 / 2 • Store the report in the Patient Browser on the ARTIS system. Analysis Information Obstruction results Lesion Proxi Distal Distal mal Main Side Minimum 1.05 mm Please note: The stored report can also be opened % Stenosis 52 % Reference 2.20 later via the Patient Browser in the image segment mm Lesion 32.70 Viewer1, Viewer2 and 3D sharing. position mm Maximum Mean Branch type Non ostial Main Side Next page < Report creation date 04/02/2022 Obstruction length 10.06 mm HELIOS Amper- Total plaques Institution name 3.62 mm2 Klinikum area 15 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 Additional Measurements and Annotation Toolbar SIEMENS Healthineers Measure the length of the distance Quant Images Calibration Analysis Report Quantitative Coronary Analysis Measure the angle between the two lines 0.1255 mm/Pixel Measure the area of the polygon Add the text with the arrow A 16 Effective Date 13 Apr 2022| HOOD05162003269706 Unrestricted © Siemens Healthineers, 2022 Sharing the Results SIEMENS Healthineers By clicking on the Share icon, you can share the Apps segment and the results in the control room with the Apps segment in the examination room. QUANTWER Live A @, 49cm Ref1 A Apps QUANTWEB L Quant I- 1.CARD program_3 (15.0 f/s) ---- Image Information Peps 2/ 2 1.4.122.1 9J75.4 à 5.fluoro normal (15.0 p/s) Share Quant QuantWeb 17/20 RAO 361ª Maths Coronary Laayuda 3D Insuiges Analyin Heport 7:20 PM Image Information 4.0 ms Page 2/2 LORY 1.3.122190754 0>2500008216.4 1.3.12.2.1967.5 Gy Gy CRA 45" 47.1004156.30 E@ 000.0 min Sop lestance UD 000014321510 722 met 092610900000 210.4 0.00 pGym2 0.00 mGy Image bram 17/20 RAD 36.1ª B Angulation CRA D.3+ 0.00 pGym2 Series number 0.00 mGy 934 mm Ref1 B Ref2 B 713 mm @ 19cm 11235cm 12.2.1107.5 4.7.1004156.30 @ 49cm Sop Instance UD 000014121510 :235cm 032610900000 2164 Image frame 21/16 Rotation LAD 39. Play/Pause Angulation CRA 45 Seies narbe RefTA Image 1) 984 mm 500 710 mm ++ Image +! $ Scene 11- O No communication with ACE, SC O Please note: The exam room display layout should include the Apps segment. 17 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local 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. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 18 Effective Date 13 Apr 2022| HOOD05162003288193 Unrestricted © Siemens Healthineers, 2022