4D Transthoracic Volume with Color Flow Doppler

SIEMENS teview Only / ME /TIS: / TIB PHZECHO* / 4216 18 vps / 150 mm bom / NTH General 90/81 mmHg 40 2. BMHe TEQ: 1 / Offset: 0 de 4D C P CDV / 2.0MHE 1.5 db 13 1 40 Trawpc Cropping Mode FERR Colar Map 1.50 m/s Mavie Controls Reset Orientation Total 17 5: 38 C: 13 V. 20 ... :::::::::::::::::: .... :::::::::::::::: :. asonic 100 SOUND Quick Reference Card 4D Transthoracic Volume with Color Flow Doppler ACUSON SC2000 Ultrasound System, Release 5.0 SIEMENS Healthineers siemens.com/SC2000 Transthoracic 4D Color Flow Volume Acquisition Throughout the data acquisition process, the desired volume rate is 16-20 vps. 20 vps is recommended TIPS for eSie Flow quantification software. 1. Select 4Z1c volume transducer. 2. Obtain and optimize 2D apical long axis (3 chamber) window. 3. Press the 4D button (defaults to harmonic imaging). 4. Press the Color button (automatically switches to fundamental imaging for higher volume rates). 5. Press the Priority button on the control panel to activate 4D settings. 4D) c Color Volume Enhance 3 6. Optimize 4D (B-mode) settings. a. Adjust 4D Gain setting to optimize left ventricular visualization. b. Make sure valves are well-visualized. Turn off color if needed. c. Decrease Depth to increase volume rate (include entire left ventricle if volume rate allows). d. Narrow azimuthal(x) and elevational(z) sectors using the LCD display controls to include both the mitral and aortic annulus. Azimuthal(x) side to side Elevational(z) front to back Coronal(y) top to bottom 2 | siemens.com/SC2000 Transthoracic 4D Color Flow Volume Acquisition Volume Tilt SpaceTime Submode Vol Size T1 Preset 1 Az 72* Push down to toggle between azimuthal and Move trackball side-to-side for elevational and azimuthal direction; front-to- change size back for elevational. 7. Press Priority button on control panel to activate color settings. 4D C Color Volume Enhance 8. Optimize color settings. a. Adjust azimuthal(x) and elevational(z) planes (LCD display controls) to include color flow within the mitral and aortic annulus. Space Time Vol Po Vol Size T1 Az Az 32 Sector position (push down to toggle between azimuthal and elevational) Sector size (push down to toggle between azimuthal and elevational) I. Freeze image and choose three-plane view from graphic user interface to view coronal plane and ensure entire volume of color is included in azimuthal and elevational planes. Acquisition Cardue / PHSECHO" / 421 Transducer 4Z1c 14 vps / 180 form Exam bom / Gen How 172/90 mmhg DR: 45 cd 05 de olume Enhance Elevational color box Cut off of color seen in not wide enough coronal(y) reference plane 3 | siemens.com/SC2000 Transthoracic 4D Color Flow Volume Acquisition b. Adjust color Gain so there is no color overwrite or drop out. c. Adjust color Scale to reduce aliasing of color Doppler within each annulus. 16 vps / 550 mm tons / Ote Flow Color aliasing at 40 inflow region – increase scale 9. If volume rate remains lower than 16 vps, do the following to increase: a. Toggle to the T2 setting on the left LCD Display. SpaceTime T1 Submode Vol Size Preset 1 Az 72. Space Time b. Decrease Depth and / or sector sizes (b-mode and color) while still including the mitral and aotic annuli. 10. Once B-mode and color settings have been optimized with desired volume rate, acquire at least three beats (more when arrhythmias are present). a. For retrospective capture, Freeze image and Clip Capture Freeze Clip Capture ACUSON SC2000 is a trademark of Siemens Medical Solutions USA, Inc. Siemens Healthineers Headquarters Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen 685 East Middlefield Road Germany Mountain View, CA 94043 Phone: +49 9131 84 0 USA siemens.com/healthineers Phone: +1-888-826-9702 siemens.com/ultrasound 4471 0717 online | © Siemens Medical Solutions USA, Inc., 2017