ACUSON SC2000™ Volume Imaging Ultrasound System – eSie VVI™ Velocity Vector Imaging (VVI)

ACUSON SC2000™ Volume Imaging Ultrasound System – eSie VVI™ Velocity Vector Imaging (VVI) Calculate GLS Acquisition of Apical Views 1) Set clip capture to 3 beats 2) Optimize the apical 4 chamber and 2 chamber images  Frame rate 70-90 FPS  Do not use RES - Do not foreshorten - Do not under gain  Have patient hold their breath to limit movement during the capture  Ensure good endocardial borders 3) Extended R-R capture must be turned on (remember to turn off when VVI image acquisi- tions are completed) 4) Freeze image and click Clip store 5) Repeat steps 1-4 for each apical view Launching and Performing VVI Strain Application 1) Right click on image and select VVI 2) Freeze image and scroll to when endocardial borders are optimally visualized 3) Select view and trace contours 4) Left click to place points in the endocardium (Be sure to leave out trabeculae and papil- lary muscles) 5) Right click to end the trace 6) Add Epi Contour a. Use arrows to adjust width (Width defaults to 10mm) 7) Select ANALYSIS 8) Turn off vectors and watch the tracking a. To Edit, go back to contour step and scroll through the frames b. Edit endocardial points that are not tracking well i. Left click to grab green dot, left click to drop ii. Click scissor icon to erase entire trace if you want to redo c. Press ANALYSIS again SIEMENS Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Healthineers Master Template: EFF Date 22 Aud 17 | HOOD/HILS HOOD05162002977510 Jobaid: Effective Date: 12/07/2018 | HOOD/HILS Job Aid | ACUSON SC2000™ Ultrasound System – eSie VVI™ Velocity Vector Imaging (VVI) Calculate GLS Effective Date: 12/7/2018 | HOOD05162002977510 9) Go to segmental tab to view strain graph and view Avg(s) for that view (Note: GLS shown is total length change for all segments, you want to look at Avg(s) inside of the view) 10) Repeat steps until apical 4, 2, and long axis are analyzed a. The last picture you take should be the bulls-eye view and document the AVG(s)% on report Export Results from the Summary Screen 1) Pick single or multiple heart cycles (results will be averaged) 2) Launch report, select worksheet and VVI strain 3) Segmental longitudinal strain values are displayed in the upper left 4) Use DVR capture to save this screen image Trace Review LVA VVI 63 fps / 150 mm 94 bpm / BDC Gamma 25 94/60 mmHg Setup --- 2D --- H4.3MHZ / 6 dB Contour TEQ: 2 / Offset: 4 dB DR: 60 dB O Med / S1 E: 0 / DO M: E BRA Store in Progress Endo/Epi Thickness Epi Contour On O Analysis Epicardial Contour Bullseye Results 100% 91 bpm 0058/151 016/0904/2395 ms 63 fps Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 2 of 6 Job Aid | ACUSON SC2000™ Ultrasound System – eSie VVI™ Velocity Vector Imaging (VVI) Calculate GLS Effective Date: 12/7/2018 | HOOD05162002977510 Tracking Review LVA VVI 63 fps / 150 mm 91 bpm / BDC Gamma 25 94/60 mmHg --- 2D --- Setup H4.3MHz / 6 dB Contou TEQ: 2 / Offset: 4 dB Analysis DR: 60 dB HAR Med / S1 O E: 0 / DO M: E R3D L3D Store in Progress Endo Vectors Off O Epi Vectors Endo Trajectories Endocardial Vectors Epi Trajectories Off Segmental Deformation Off Parametric Radial/Trans Off Parametric Long/Circ Off Border On 100% 91 bpm Summary 0146/151 Bullseye Results 016/2299/2395 ms 63 fps Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 3 of 6 Job Aid | ACUSON SC2000™ Ultrasound System – eSie VVI™ Velocity Vector Imaging (VVI) Calculate GLS Effective Date: 12/7/2018 | HOOD05162002977510 Segmental and Avg Strain Review Only Max Opp Wall Delay 80.0 ms (03-06) AVG(c) 31.50 % Transverse Strain [Accuracy # 3.656] 65.00 0652 ms Review 292.0 307.0 38.1 40.6 52.00- LVA 39.00- VVI 339.0 339.0 19.2 61.9 26.00 Gamma 25 13.00 276.0 196.0 -12.3 39.1 setup Avg(s) 31.00 0.00 Contour Time To Peak ms Peak % -13.00 Analysis O 652 -61.1 61.1 -26.00 35.05 O Rocking: +0.28 .39.00- 03 -Basal Inf Sept -52.00 CAO 09-Mid Inf Sept 14-Apical Septal 55.00 AO AMO Mo PÃO Mc 16-Apical Lateral m 300 600 1900 1200 1500 1800; 2100 100% 12-Mid Ant Lat 06-Basal Ant Lat Longitudinal Strain (Endo) [Accuracy + 2.207] Average Curve On 35.05 91 bpm 37.00 0652 ms 0058/151 Show Phase Off 016/0904/2395 ms 29.60 Reverse Pk Radial/Trans Off Longitudinal Strain (Endoj x 63 fps 22.20 Reverse Pk Long/Rot Off Display All Curves Max Opp Wall Delay 96.0 ms (14-16) GLS -16.50 % 14.80 Area Curra Off 7.40 $07.0 403.0 -35.1 -10.3 4.000 339.0 355.0 -7.8 20.7 -7.40 18 Summary 14.80 06-Basal anterolateral Bullseye Results 450.0 Ava(c) -16.00 -22.20 466.0 -6.0 Avg(s) -17.10 1-22.8 -29.60- Time To Peak ms Peak % 37.00 Ao m 300 AMo AMO MAO AMO Mc 652 -35.1 35.1 600 900 1200 : 1500 1800 2100 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 4 of 6 Job Aid | ACUSON SC2000™ Ultrasound System – eSie VVI™ Velocity Vector Imaging (VVI) Calculate GLS Effective Date: 12/7/2018 | HOOD05162002977510 Bulls-Eye Review Only Overall Peak A3C Ant Sept Time to Peak A3C Ant Sept +25% 100% Review LVA A4C Inf Sept A2C Ant A4C Inf Sept A2C Ant VVI -14 -20 468 389 371 Gamma 25 -39 -28 346 322 370 -10 322 Setup 240 18 356 Contour -13 -20 327 352 Analysis -19 -16 -23 403 457 Inf Ant Lat Inf 405 Ant La Summary Bullseye Results -25% -27 378 0% View Apical Inf Lat Inf Lat Layer Endo Parameter Strain Direction Longitudinal Overall Peak Endo Long Strain Time to Peak Endo Long Strain Avg A4C 16.99 % TPK A4C 389.56 ms Avg A2C -16.23 % TPK A2C 338.72 ms Avg A3C -25.01 % TPK A3C 362.53 ms Avg(s) 19.41 % MOWD (13-15) 82 ms Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 5 of 6 Job Aid | ACUSON SC2000™ Ultrasound System – eSie VVI™ Velocity Vector Imaging (VVI) Calculate GLS Effective Date: 12/7/2018 | HOOD05162002977510 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. 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 reser ved. Copyright © Siemens Healthcare GmbH ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018 Page 6 of 6