ACUSON SC2000 Ultrasound System eSie PISA volume analysis

ACUSON SC2000™ Ultrasound System eSie™PISA volume analysis 1. To start an eSie PISA exam, select the eSie™PISA volume analysis and eSie LVA™ volume LV analysis applications from the Workflow section of the patient demographics page. Workflow Card Sample MILVA ORVA PISA 2. Acquire a Continuous Wave Doppler tracing at Mitral Valve showing MR velocities. 0GB / MI: 0.10 / TIS: Cardiac / ECHO CF. / 4V1c 0.69 m/s 23 fps / 190 mm 108 bpm / General ..- 2D --- H4.0MHZ 98 mm DR: 65 dB 0.69 m/s Color --- CDV / 2.0MHZ -7 dB 2.00 - --- CW --- 1.75MHZ DR. 60 Sweep: 67 3 4.00 3. Use eSie Measure™ workflow acceleration package or measure velocities manually and acquire a VTI calculation. MI: 0.10 / TIS: 1.00 Cardiac / ECHO CF* / 4V1c 0.69 m/s 23 fps / 190 mm 108 bpm / General 14.0MHZ 1 MR VTI = 1.604 m DR: 65 GB MR Vmax = 5.13 m/s MR Mean Grad = 64.2 mmHg MR Peak Grad = 105.4 mmHg Color -- AT = 215 msec CDV / 2.0MHz -7 dB ET = 427 msec 2 MR VTI = 1.592 m -CW --- MR Vmax = 5.06 m/s 1.75MHZ MR Mean Grad = 64.0 mmHg 3 dB / DR: 60 MR Peak Grad = 102.4 mmHg Sweep: 67 AT = 186 msec ET = 423 msec 3 MR VTI = 1.588 m MR Vmax = 5.04 m/s MR Mean Grad = 65.0 mmHg MR Peak Grad = 101.4 mmHg AT = 199 msec ET = 414 msec V = 1.076 m/s PG = 4.63 mmHg SIEMENS www.usa.siemens.com/healthcare Page 1 of 5 4. Left click (select) to accept the measurement to the report page. Note: ERO will not be calculated in the final eSie PISA™ analysis data unless a VTI is performed. WR 5. For Left Ventricular Analysis (LVA) using the 4Z1c transducer, obtain a volume from the 4-chamber view. 06/01/2012 13:12:42 OdB / MI: 1.07 / TIS: 0.48 / TIB: 0.48 / TIC: 1.37[1] Vascular / CHCC" / 4Z10 31 vps / 140 mm 47 bpm / CHCC' 2.8MHZ 7 dB DR: 60 dB 00% 38/38 FRM 6. Select the required volume on the review screen and then click LVA on the menu. Or... Review Only OdB / MI: 1.0 TIS 04/ TIB: DA Value Arview 7 dB / DR: 80 GB 12/4 40 100 VELre Movie Controls Reset Orientation Ber Eek : 06 / 20 SIEMENS www.usa.siemens.com/healthcare Page 2 of 5 7. Right-click (next) the volume in the thumbnail panel or on the review screen and left click (select) LVA. Perform analysis and Export to Report Page. Note: LVA provides stroke volume, required for regurgitant fraction calculation. Review Only AMC SAX LVA Edt Contours Volume LL EF 60.70 % EDV 148.15 ml ESV 58.22 ml HVA SV 89.93 ml Movie Controls Go to E Go to ED Start / Stop OLVA 20: 2V. 8. Obtain the appropriate volume captured with Color Doppler Velocity, showing PISA at the mitral valve. OdB / MI: 1.16 / TIS: 0.91 Cardiac / ECHO CF* / 4V1c 1.28 m/S 33 fps / R 66.7 mm 110 bpm / Gen Flow --- 2D --- H4.0MHZ -3 dB DR: 65 dB 0.26 m/s Volo CDV / 2.0MHZ -7 dB 100% 28/49 FRM 9. To activate eSie PISA analysis on the review screen, click PISA on the menu. LVA PISA Delete Export to ... SIEMENS www.usa.siemens.com/healthcare Page 3 of 5 10. Select Valve. Review Only 05/18/2011 2:49 PM Rrrire Ode / MI: 0.5 23 vps 120 mm Step 1: Initialization Volume Review 15 04/TIB: 04 Cardiac Gen Flow 76 bpm ID Comman -4D PISA 2.8MHZ -14 dB / DR: 65 dB -.- Color- CDV / 2.5MHZ 1 dB 1.3 Uwe Ore contois in 22 / 55 select frame D.37 100 % Prants Edt PISA Analysis LVA Movie Controls Cine PISA 11. Adjust color baseline using either the hard key or the up / down on the user interface menu. 12. Use Cine control to select appropriate PISA frame. Note: Frame measured should correspond to the ECG timing for the maximum velocity fd Y U_ t b ch y X ] b h\ Y J H = HUY . SIEMENS www.usa.siemens.com/healthcare Page 4 of 5 13. Set seed point on ventricular side of valve coaptation with arrow pointing in the direction of regurgitation. Review Only 1 2:49 PM HEvew 23 vps 120 mm Step 1: Initialization Voues Arview Cardiac Gen Flow Select valve pulsa, Aart 76 bpm Treingid Pulmonary). AD Comman -4D 2.8MHZ -14 GB / DR: 65 dB -Color- Banine MV CDV / 2.5MHZ 1 de 13 Um One curmult lo 22/ 55 100 1.4 %of send ponts an main PISA Analysis LYA Draw Tpe Set first point at sales regiagitation pet Zoom as needed 15 Agat 5 1 6 Proceed la Edt Step Cine PISA 14. Click PISA Analysis on the menu to review the analysis results. 04/TIB Review Volume Review 4D Common Miyal Regug bien Measurement Current Peak PISA Volume PISA 11.76 11.76 cm2 Initialization Aliasing Velcoty 0.24 024mb Is Flow Rate 257:35 287.35 mil's 1.51 1.51m ERO 0.54 8.54 cm2 Peak Regurg Vol 11.38 11.35ml Baseline Peak Velocity 632.89 cm/s Priority 4D Gain Edit PISA Analysis LVA 15. Click Export Results to save the analysis results to the worksheets and patient report. PISA Analysis OnJOH Priorit SIEMENS www.usa.siemens.com/healthcare Page 5 of 5