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ACUSON Redwood™ Ultrasound System Job Aid for 3D Controls

This job aid reviews functionality for both the 9VE4 and 9EC4 (Freehand or Rocked) 3D acquisitions on the ACUSON Redwood ultrasound system 2.0.

ACUSON Redwood™ Ultrasound System Job Aid for 3D Controls ACUSON Redwood™ Ultrasound System VA20 Software This document reviews functionality for both the 9VE4 and 9EC4 (Freehand or Rocked) 3D acquisitions. Always consult the user’s manual for more detailed in- formation for each transducer. Components of a Volume Rendering (VR) A B The 3D volume data set is a series of 2D images gathered over a timed • acquisition The 9VE4 is an automated mechanical calibrated acquisition of the • volume data set The 9EC4 requires a manual freehand sweep to acquire a volume • data set C VR The multiplanar renderings (MPR), are displayed on the X and Y-planes as • a pixel generated image MPR and VR planes labled. The 3D VR adds a Z-plane, creating the voxel and adding depth to the im- • age The MPRs are displayed in three planes labeled A, B and C, with the VR • (depending on image format settings selected) Image format settings. A reference dot is displayed at the green intercept point on the active • plane (i.e., A, B or C) and can be viewed in the middle of the A, B or C im- age when that plane is active Rotation of the MPR images and VR data sets occurs on all three Axes • around the intercept point X - Axis rotates horizontally • Y - Axis rotates vertically • Z - Axis rotates clockwise • Intercept point or counterclockwise A+ X - Axis around the intercept point Z - Axis Acquisition of a Volume Data Set 9VE4 Y -Axis Volume data sets acquired with the automated transducer containing Qualita- 3D tive information. Begin acquisition by: 4D Press 3D/4D control on the keyboard to enter 3D or 4D-imaging options • During acquisition, hold the 9VE4 transducer stationary, apply even pres- • sure, while positioning transducer within the center of anatomy Once 3D acquisition is started, transducer will automatically ac- • 3D/4D control is located on quire data starting from the right of centered anatomy and ending the keyboard and is activated to the left (size of acquisition is determined by angle setting) with a push. Note the page Using the smallest Region of Interest (ROI) or Volume of Interest (VOI), icon in the upper right of • acquires the smallest sweep angle possible for the best resolution image. This control allows Ensure all anatomy of interest (side to side and front to back) is in- paging through the volume • cluded within ROI data by rotating this control, when the VR is active. Each of the planes have a rotational control knob (X, Y and Z) on the keyboard. Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date: 10 Aug 2021 | HILS/HOOD05162003074494 Job Aid Effective Date: 31, October 2021 | HILS/HOOD05162003226288 Job Aid | ACUSON Redwood™ Ultrasound System Understanding 3D Controls Effective Date: 31 October 2021 | HOOD/HILS HOOD05162003226288 Quality setting adjusts the amount of data acquired within the • sweep, the volume rate, speed of acquisition, and resolution 9EC4 The 9EC4 transducer requires a manual sweep to obtain the volume data The manual sweep should be acquired in a smooth, continual • speed, from patient’s right to left, (for a sagittal sweep), and a su- perior to inferior sweep (for a transverse acquisitions) Follow these steps to perform a sagittal acquisition: • Press 3D/4D control on the keyboard to enter 3D- • imaging options (4D is not available with a free- hand sweep) 9EC4 transducer orientation marker is positioned at • 12:00 o’clock Transducer orientation is Start with transducer handle to the left of the pa- • at 12:00 o’clock position tient and handle moves from Begin sweep by slowly moving transducer handle to • patient‘s left to right for the patient’s right for a right to left acquisition sagittal sweep Follow these steps to perform a transverse acquisition: • 9EC4 transducer handle is positioned with the • orientation indentation at the 9:00 o’clock position Handle is positioned down towards the table • Begin sweep by moving the transducer handle up- • wards sweeping through anatomy of interest Press Freeze to stop acquisition if sweep is shorter • than Rocked timeline Transducer orientation is at 9:00 o’clock position and handle moves from a The Rocked timeline displays the amount of sweep time available as well as the angle of volume data acquired down position upwards This information is available at the bottom right of the monitor for a transverse sweep • during a volume acquisition Adjust this timeline and angle with the Quality and Scan Angle • adjustments Press the Freeze to stop acquisition if all of timeline is not • Rocked needed 90 º / 18 sec Sampling of Controls available for the voxel and volume adjustments Angle Rocked acquisition Determines the angle of the sweep and the size of 3D volume • timeline can be shortened acquired for the freehand acquisition, the angle and time is dis- by pressing the Update played on the Rocked icon key above the trackball to abreviate a sweep time. Quality Adjusts the resolution and sweep speed between Low, Mid, and • High Opacity Adjusts the transparency of the voxel • Page 2 of 3 Job Aid | ACUSON Redwood™ Ultrasound System Understanding 3D Controls Effective Date: 31 October 2021 | HOOD/HILS HOOD05162003226288 Brightness Changes the voxel saturation • Smooth Averages the edges of the voxels with adjacent voxels to smooth • the volume image appearance Threshold Decreasing threshold removes low-level echoes while increasing • threshold adds low-level echoes Contrast Raises or lowers the brightest levels within an image • Tint Applies assigned color shades to the gray scale • 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 (here- inafter 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. The ACUSON Redwood™ ultrasound system is a trademark of Siemens Medical Solutions USA, Inc. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Page 3 of 3

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