ACUSON Juniper™ Ultrasound System Measurement Online Training VB10 | 1.5 Software

Continue Button HOOD05162003172863 | Effective Date 19-Mar-2021 Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? ACUSON Juniper™ Ultrasound System Measurement Online Training VB10 | 1.5 Software Welcome to the measurement training for the ACUSON Juniper ultrasound system. This is a high-level overview of the measurement packages and customization of the measurement packages. The course objectives are listed below. Review Measurement Workflow 1 Understand the Steps to Configure Measurements 2 Welcome The Audio Script is below: Welcome to the measurement training for the ACUSON Juniper ultrasound system. This is a high-level overview of the measurement packages and customization of the measurement packages available on the ACUSON Juniper system. The course objectives are listed below. ? Overview of Measurement Training The Measurement package on the ACUSON Juniper system is very robust and can be customized for each exam type and according to the users’ needs. This online training is comprised of short videos that explain the measurement application and workflow. Select Next to continue. Overview of Measureent Training The Audio Script is below: The Measurement package on the ACUSON Juniper system is very robust and can be customized for each exam type and according to the users’ needs. This online training is comprised of short videos that explain the measurement application and workflow. Select Next to continue. ? Measurement Workflow This measurement training will illustrate the workflow of the measurement application, measurement packages, calculations, and reporting. Select the orange tab arrows to learn more about the measurement application on the ACUSON Juniper system. Overview Activation Interface Reporting Tab Title 5 > Measurement Workflow Base Layer - Measurement Workflow The Audio Script is below (the VO is still in work): This measurement training will illustrate the workflow of the measurement application, measurement packages, calculations, and reporting. Select the tab arrows to learn more about the measurement application on the ACUSON Juniper. Overview - The video file name: overview.mp4 Vtt file name: overview.vtt The Audio Script is below: This module will cover the activation and use of the measurement application. Select the Caliper key to begin. Once activated, the measurement Touch Screen menu will display the calculation package that is associated with the preset being used. In this example, the abdominal preset is active. The layout of the Touch Screen is intuitive and easy to navigate. The measurements and calculations for all exam types are available and may be changed on frozen or live imaging, as well as on image in review by selecting the desired package as shown here. The top of the Touch Screen displays the available calculation subsets. In the abdominal calc package, an option for dedicated renal labels is available. Modifiers sit below the subsets. Modifiers allow the user to select options such as laterality for a measurement. Specific anatomy labels occupy the middle of the Touch Screen. Folders may also be created to group specific measurements in order to streamline the Touch Screen layout. The Touch Screen supports a maximum of three pages. Subsequent pages are accessed by swiping the Touch Screen to the right or left. Styles allow the user to customize the layout of the labels on the main Touch Screen display without creating a new exam. There are three factory styles that may be customized or copied and customized on the system. Or the user may add an unlimited number of Styles. A style type must be selected prior to the start of an exam. Some anatomical labels have a volume measurement associated with them. Labels with a small triangle in the corner contain all of the component labels necessary to measure the volume. When the master label is selected on the Touch Screen, the individual volume components will be displayed on the screen. The first label in the series will be highlighted and active. Once the measurement has been completed, the system will automatically advance to the next label until all components have been measured. Activation - The video file name: activation.mp4 Vtt file name: activation.vtt The imaging screen will display an active point in the center of the image. Active calipers are green in color. Use the trackball to move the active caliper around the imaging screen and the Update key to toggle between the two points. Once the desired position is reached, use either one of the Set keys to anchor a point. Once a caliper is anchored, the caliper point will turn yellow. To edit a measurement, select the Update key. This will toggle between the calipers to allow editing of the last measurement performed. The Select Next soft key indicated by the arrow is used to cycle through the previous caliper sets for editing of any displayed measurement. To delete a measurement, select Delete soft key. The location of the measurement display area, or MDA, may be changed on the imaging screen. To move the MDA select the Pointer option from the Control Panel. Then move the pointer into the MDA. The MDA will be outlined in blue. Press, the Set key to pick up the MDA, then use the trackball to move it to the desired location. Release the Set key to place the MDA at the new location. Shadow calipers are a useful tool that allows the user to visualize the area of the caliper on both images when the Shadow calipers are on, the Shadow key on the Touch Screen will be blue and the active caliper will be mirrored on the opposite image. This allows correlation of measured areas when using Elastography. Interface - The video file name: interface.mp4 Vtt file name: interface.vtt The Audio Script is below: A customizable generic toolbar sits at the bottom of the Touch Screen. Some of the options available include 2D distance, ellipse, distance, or area ratios, three distance volume measurements, area of stenosis, and volume flow. Additional generic measurements are available under the More key, located on the right side of the Touch Screen. It is important to understand that generic measurements appear on the imaging screen and on captured images only and do not appear on the measurement report. The Soft Keys can also be customized to display measured results on the imaging screen. Summarize, MDA allows the user to display all measurements on the imaging screen without accessing the report. In the OB exam, where multiple fetuses are measured, the Fetal Compare key will display the fetal biometry in a side by side display on the imaging screen. The Results Compare soft key allows the user to compare laterality measurements such as left and right kidney. Some measurement packages contain automated measurement options such as Auto follicle, Auto OB, and eSie measure. Labels involved in the automated option contain a small dot in the upper left corner of the Touch Screen label. Automated measurements may be turned manually on or off using the related Touch Screen key. Reporting - The video file name: reporting.mp4 Vtt file name:reporting.vtt The Audio Script is below: Labeled measurements are entered into the report once the measurement is anchored and completed on the imaging screen. Select the Report key on the left side of the Control Panel to access and display the report. The onscreen report displays the patient demographics, report type, navigation pane, labeled and measured anatomy with up to five displayed results for each label, and print store report options. A navigation pane in the upper left corner allows the user to quickly access different sections of the report. The small arrow in the heading of each section allows the user to hide sections from display. Print options are located at the bottom of the page. The assessment section allows the user to enter a clinical assessment on anatomy that is routinely imaged, such as the fetal heart in an OB exam. Assessments can be configured in a dropdown format with pre-programmed selections. Pre-programmed assessment sections are available for OB, Early OB, Carotid, and Upper Extremity Vascular exam. Customization options and the ability to add an assessment section to other reports is available in System Configuration. For OB Exams fetal growth charts may be displayed as part of the report. Graphs may be customized for the desired parameter such as BPD or AC by chart author. The layout can also be set to either a one-by-one or two-by-two appearance. A comment section is available to enter summary comments into the patient report. Comments may be added manually using the keyboard or from a predefined list by selecting the Load Comments key. Note that multiple comments from the predefined list may be added. Customization options are available in System Configuration. Images may also be inserted into the body of the report. To add an image, move the pointer over to the desired thumbnail on the right side of the screen. Press the Set key to add the image into the report. To remove an image, move the pointer into the report until an X appears in the right corner. Once the X appears, move the pointer onto the X and press set, the image will be removed. Up to 20 images may be added into the report image section. Exam reports are stored to the patient's image file by selecting the Store Report key at the bottom of the page. Reports may also be exported as a PDF document to an attached USB by selecting the Export PDF option at the bottom of the page. The same options displayed on the report are available on the Touch Screen menu. The option to close the report is also found here. To close the report, either reselect the Report key, select Close on the Touch Screen, or press the 2D rotary dial on the Control Panel. Select Next to continue. Measurement Workflow Reporting Measurement Workflow Interface Measurement Workflow Activation Measurement Workflow Summary ? Measurement Configuration In this module you will observe some operational steps used to customize measurements, styles, labels, reports, create formulas, and configure measurement workflow on the ACUSON Juniper system. Select each of the numbered steps below to learn more about some custom options available in the measurement application. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 7 7 7 8 8 8 Measurement Configuration Base Layer - Measurement Configuration The Audio Script is below: In this module you will observe some operational steps used to customize measurements, styles, labels, reports, create formulas, and configure measurement workflow on the ACUSON Juniper system. Select each of the numbered steps below to learn more about some custom options available in the measurement application. 1. Configuration The video file name: 3.config_wo_cc.mp4 Vtt file name: config.vtt The Audio Script is below: To customize the measurement options, select the System Configuration icon on the Touch Screen. Then select the Measurement section. System wide measurement settings are found within the General tile. The General tab contains the global settings for the Caliper or measurement function. The Guidelines section contains options to remove the dotted line between calipers or show or hide Doppler and M-Mode guidelines. The Marker Display Settings section allows customization of the caliper type, size, and default position. The Heart Rate Tool indicates the number of heart cycles to be measured when calculating heart rate. Shearwave measurements may be set to meters per second or Kilopascals in the section. Customization of the Wall Motion Scoring may be done in this section. And here, the MDA settings may be adjusted. Select different font sizes, background opacity, or default position in each of the three modes. Units and Precision of generic measurements are selected here, and Default Tool selections may be made in this section. The Exam Specific tab includes additional customization. 2. Styles Configuration The video file name: styles.mp4 Vtt file name:styles.vtt The Audio Script is below: Styles allow the user to customize the appearance of the measurement Touch Screen for different user preferences. Select the style you wish to edit or create a new one by selecting, Add New Style. Enter the desired name, root style, and select, OK. You may also edit the style name by selecting this option. Select here to delete a custom style. The factory styles may not be deleted. 3. Touch Screen Configuration The video file name: touchscreen.mp4 Vtt file name: touchscreen.vtt The Audio Script is below: The Touch Screen menu displays the current layout of the selected Touch Screen, as well as a library of all labels and calculations. If multiple styles are in use, the user must first select the appropriate style here to display the correct page prior to making any customized alterations. To add a label to the Touch Screen, first, select the desired label from the library, then select the top arrow, the label will appear on the first empty space. To change the position of the measurement, simply select the label you wish to move, then select the position you wish to move it to. Finally, select Swap. Measure continuously links a combination of user selected measurement labels together in a sequence. Once the first label in the sequence has been completed, the remaining labels will automatically be activated. Measure Continuously is commonly used when measuring organ volumes such as the kidney or during cardiac imaging. To link a sequence of measurements to be continuous, first ensure that the Measurement Continuously option is selected. Next place the desired measurements in the order you wish them to be performed. Use the pointer and set key to check the boxes between each measurement. The measurements will now appear backlit in a different color. To remove a measurement from the sequence, reorder the measurements so that the label you wish to remove is last in the sequence and then unselect the checkbox in the preceding label. Measurements may also be grouped into a folder for easy access. Group measurements may be recognized by the small file icon on the tile and may be placed on the top row for general imaging exams or on the top two rows in cardiac exams. To edit the contents of a group, select the group name, then use the same process to customize the tiles as previously discussed. To add a group, select the Add Group option. Enter the group name and select OK. To edit a group name, select the Edit Group option. To remove a group from the Touch Screen, select the group, then select the bottom arrow to move the group to the master library. To permanently delete a custom group, select the Delete Group option. The generic measurement toolbar may be customized per exam. These options are found in the library under Tools. If the toolbar is full, one of the tools must first be removed and placed back into the library to make room for a replacement. The Soft Keys may also be customized by choosing from the selections available in the drop down. The Left Panel tab allows customization of the measurement panel on the left of the imaging screen. 4. Label Configuration The video file name: label.mp4 Vtt file name: label.vtt The Audio Script is below: Measurement labels may be added, copied, edited, or deleted from this menu. To add a new custom label, select New. Enter the new label name, the exam type, report section, and report display value. Select a modifier if desired. Then select whether to share data between exams or to highlight abnormal results. Choose the measurement mode to display the available tools, then select the desired tool. You may now select the unit and precision. Labels may be copied and edited. This is useful if an existing label contains most or all of the desired parameters of the new label. Select the desired label and then select Copy. Enter the new name and complete the customization as previously discussed. Labels may also be edited for name, exam type report section, unit precision, and other reasons. To edit, select the desired label, then select, Edit, and complete the desired customization. 5. Formula Configuration The video file name: formula.mp4 Vtt file name: formula.vtt The Audio Script is below: Formulas may be added, copied, edited, or deleted from the Formula tab. To add a new formula select New. Enter a formula, name, unit, and precision. Input the formula using numbers, functions, or other anatomy variables, then select Save. Existing formulas may be copied or edited as well. Once the formula is created, it must be added to the Touch Screen for the exam preset. Formulas are found in the library under calculations and are added in the same manner as labels. 6. OB Tables Configuration The video file name: ob.mp4 Vtt file name: ob.vtt The Audio Script is below: Additional customization is available in the OB exam preset. To add custom, OB table, select the desired exam type. Then select Formula. Select the appropriate area and then select New. Enter the reference name or author, the variable label, and enter the range for the table. To enter numerical data, select Table under Data Type, then select the table unit. Highlight the first cell to begin entering table data. Additional rows will populate as soon as valid data is entered into the current row. When you are finished, select Save. To enter a formula select Formula under data type. Enter the formula and standard deviation limit formula. Then select Save. Existing OB tables may also be copied or edited using the appropriate selections shown here. Once the table is created, it may be configured under the associated parameter. 7. Report Configuration The video file name: report.mp4 Vtt file name:report.vtt The Audio Script is below: The report section allows the user to determine what information is displayed in the patient report as well as how it is laid out. To display all sections listed, select the checkbox on top of the selected area. Uncheck the box to hide all sections. To show or hide an individual section, select the appropriate checkbox. Use the arrows to reorder the report sections to user preference. Anatomy Assessment fields are available for all exams and are preloaded for OB and early OB reports. To add an assessment item, select the measurement package. Then enter the anatomy label and select Add. You may also create custom assessment results here. Enter the assessment result in the field and press Add. Like the contents of the report section, Anatomy Assessments can be shown or hidden from view within the report. Anatomy Assessments and results may also be reordered using the arrows. Use the Delete icon to delete any custom anatomy entries. To add a custom comment, select the Comment section. Select the desired exam and enter the comments in the spaces provided. Custom comments can also be configured into the report. A single custom logo may be added in the print preview section. To add a site logo, insert a USB containing a JPEG or PNG of the desired logo into one of the system's USB ports. Select Load to view the file contents of the USB on the screen. Select the desired JPEG or PNG file. The logo will be added into the logo window area. Only one logo may be added to the system. To add a new or different logo, the existing logo must first be deleted. This section allows you to add up to three lines of custom text to the report. First, select the desired font size and type, then enter the custom text. Custom signatures may also be added here by entering the desired signature and selecting Add. Select Next to continue. Report Configuration 7 OB Table Configuration 6 Formula Configuration 5 Label Configuration 4 Touch Screen Configuration 3 Styles Configuration 2 Configuration 1 ? Course Review Congratulations. You have completed the ACUSON Juniper™ Ultrasound System Measurement Online Training. Select the numbered buttons below to review the material presented in this course. Understand the Steps to Configure Measurements Review Measurement Workflow 1 2 Course Review Understand the Steps to Configure Measurements Customization begins under System Configuration then Measurements. General measurements control global settings for Caliper and measurement function. The Marker Display Settings control caliper type, size, and default position. Styles allow customization of the look of the Touch Screen. Touch Screen layout can be adjusted based on the Style selected and then edited. Manage the label, order, type of measurement, and grouping of the measurements on the Touch Screen. Soft Keys are managed from the drop down menu. Labels may be added, copied, edited, or deleted. Formulas may be added, copied, edited, or deleted from the Formula tab. OB tables can be added, edited, or deleted and are available in the OB exam preset. The report section allows the user to determine what information is displayed in the patient report as well as how it is laid out. Review Measurement Workflow The measurements and calculations for all exam types are available from the Touch Screen. The top of the Touch Screen displays the available calculation subsets, modifiers are located below subsets, and anatomy specific labels are located in the middle. Styles allow the user to customize the layout of the labels to display. Three factory Styles can be copied and customized of an unlimited number of style choices. Labels with a small triangle in the corner contain all of the component labels necessary to measure the volume. Active calipers are green then yellow when anchored. Edit calipers with the Update key. The measure display area or MDA can be moved within the imaging area. Generic measurements appear on the imaging screen and on captured images only and do not appear on the measurement report. Reports can contain labeled measurements, images, and comments. Disclaimer 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's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. 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. ACUSON Juniper™ is a trademark of Siemens Healthineers GmbH. 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. Copyright © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? ACUSON Juniper™ Ultrasound System Measurement Online Training VB10 | 1.5 Software Completion Navigation Help Select the icon above to open and to close the menu. Click Next to continue. Next Welcome Slide Choose the desired tab to view the glossary or menu. Click Next to continue. Next Prev Welcome Slide Select the CC icon to display closed captioning (subtitles) on pages without video. Click Next to continue. Prev Next Caption Icon add subtitles Navigate by selecting each of the orange tab arrows. Click Next to continue. Next Prev Tab In slides without video, the timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Prev Timeline Select to play the video. Click Next to continue. Next Prev Play Video Videos on the page are not controlled by the orange progression bar. Begin and adjust the video using the video tool bar. Audio and Closed-Caption controls are also available on the video tool bar. Click Next to continue. Next Prev Timeline Navigate to the main page by selecting the orange X in the upper right corner. Click Next to continue. Next Prev Close Tab Navigate by selecting each of the numbered slides in order. Click the in the upper right corner to exit the navigation help. X slideshow Question Bank 1 HOOD05162003172863 | Effective Date 19-Mar-2021 CDV Color Doppler Velocity Freeze Still image generated by tapping the Freeze key on the control panel. Imaging parameters Displays a list of imaging settings for the active operating mode. JPEG image file Joint Photographic Experts Group (JPEG) is a type of image file extension. Live Imaging This is actively using ultrasound in real-time. OB Obstetric Ultrasound is commonly called OB ultrasound OB - Fetal Growth Chart Some ultrasound measurements that are used in conjunction with other parameters to help calculate the gestational age, length, and weight of the fetus. Common OB ultrasound measurements include the biparietal diameter (BDP), femur length (FL), head circumference (HC), occipitofrontal diameter (OFD), abdominal circumference (AC), and humerus length (HL). Patient Banner Displays patient information, operator, institution, the system date and time. Patient Browser The patient browser displays a list of patient studies in the selected storage location, for example, the local database (hard disk), a configured server, or a USB storage device. Patient Demographics Patients Name, Identification Number, Date of Birth, Age, Gender, Height, Weight, Body Surface Area (BSA), and Blood Pressure (BP mmHg). PNG image file Portable Networks Graphic (PNG) is a type of image file extension. Set The Set keys are alongside of the Trackball Split The 2D image is split into two different display of the same image side-by-side with and without CDV. System Configuration The location on the ultrasound system where the user can enter the utility menus. Thumbnail panel Displays reference images of stored clips, images, and volumes. Trackball A pointing device that is integrated with the Control Panel. In this course, the keys along either side of the trackball are named Set. Two-Dimensional Two-dimensional or 2D is used to define a non-volumetric ultrasound image. USB Universal Serial Bus User Interface Physical elements such as the Control Panel, Touch Screen, Rotary key, and Soft Keys that the user interacts with to control the ultrasound machine. Worklist This includes DICOM Worklist for querying and retrieving the patient worklist schedule from the hospital or radiology information system. 1 HOOD05162003172863 | Effective Date 19-Mar-2021 1.1 Welcome 1.2 Overview of Measureent Training 1.3 Measurement Workflow 1.4 Measurement Configuration 1.5 Course Review 1.6 Disclaimer 1.7 Completion