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ACUSON P500 2.0 Measurements and Text

Step by Step document that helps the learner utilize the measurement and text capabilities of the ACUSON P500, Release 2.0

SIEMENS Healthineers Measurements and Text ACUSON P500™ Ultrasound System, Release 2.0 Product and System Training HC US MSC S SET Unrestricted C Siemens Medical Solutions USA, Inc. 2017 This presentation provides an overview of the Measurement, Text, Body Marker and Arrow features. Objectives SIEMENS Healthineers. Review Measurement Functionality Discuss Customized Measurements Examine the Report Explain Text Annotations Discuss Body Marker and Arrow .--- HC US MSC S SET Page 2 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 General Measurements SIEMENS Healthineers Exam Specific ACUSON P500TM User-Defined Measurements Ultrasound System Release 2.0 Abdomen / Ped Abdomen OB / Early OB MSK Small Parts ( Thyroid) Breast Gynecology CV and PV (arterial) PV ( Venous) Neo Head Renal User-Defined Emergency Med Labels Superficial MSK Cardiac / Ped echo 2D- 40 Pelvis M-mode - 10 Doppler - 25 HC US MSC S SET Page 3 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The ACUSON P500 system has measurements, calculations and reports designed to support 18 imaging applications, as indicated here. All exam-types support standard and compound measurements in 2D, M-Mode and Doppler. All measurement methods can be customized, eg volume by 1 Dist, 2 Dist, 3 Dist, 1 Ellipse, I Ellipse + 1 Dist. Measurement Functionality SIEMENS Healthineers' ... 2D $1009/2017 11:33:14 C PW System Serial Number : PP3008 ACUSON 30/01/2015 11:15:03 20 C PW System Serial Number : 391635 ACUSON CH5-2 VF 10-5 LEE Abdomen Abdomen CV CV Lt ECAPI = 1,93 Tx Power 100% Tx Power 100% RI = 0.86 MI 0.60 MI 0.78 S/D = 7.00 TIS 0.8 CCA Prox TIS <0.1 PS = 51.3cm/s TIB 2.7 TIB <0.1 ED = 7.3cm/s 2.7 MHZ CCA Mid 5.3 MHZ TAmax = 22.7cm/s 3551 Hz 3551 Hz Gate 4.0 mm 258 Gate 1.5 mm 6 &B CCA Dist 9 dB 8 fps 17 fps luivert ICA Prox ICA Mid ICA Dist ECA 42) VA V2 - 24/7cm/s PG2 =0.2mmHg Freq2 = 0.85KHz dear Delete How Volu ... Time PI Auto PI Manual Velocity Delete All Delete LIDA Posit .- MDA Delete All Delete VIN? ... PS & ED Position Acceleration Delete Velocity Delete All Delete Measurement Package Standard Measurement HC US MSC S SET Page 4 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 When in a Measurement package, the Left Panel Control Keys show the measurements associated with the package. When a direct measurement such as a PI, RI or Velocity, then the menu only displays the choices available. Measurement Functionality SIEMENS Healthineers ... 2D SIEMENS VF13-5 Small Parts Small Parts Tx Power 100% MI 0.71 Right TIS <0.1 TIB <0.1 TRV ASC 2 DTCE High AP Dyn R 75 dB THI 8.9 MHZ 0 dB SAG 60 fps Left X ... x TRV Measure AP SAG D1 = 8.0mm D2 = 4.6mm D3 = 5.4mm D4 = 5.5mm D5 = 4.4mm D6 = 6.7mm D7 = 5.8mm D8 = 4.6mm Fr595 Print Clear Angle Area Distance Ellipse Volume Edit Delete All Delete Trace MDA Posit ... %Stenosis Ratio Trace Len ... Flow Volu ... Delete Set Undo Delete HC US MSC S SET Page 5 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 This is an example of the ACUSON P500 measurement 2D screen. Press measure to activate the calipers in any mode. 1. The left panel control keys convert to a measurement/calculation menu for dedicated and customized labels. 1. The Soft Keys convert to measurement-specific functionalities. Most are standard measurements but also some workflow functionalities are represented (Delete All, Undo, MDA Position and Delete). Measurement Functionality SIEMENS Healthineers ... 2D ACUSON SIEMENS L1 L10-5v Small Parts Small Parts Tx Power 100% MI 0.90 Right TIS 0.1 TIB 0.1 Edit TRV ASC 1 DTCE Low AP Dyn R 65 dB THI 8.0 MHZ -2 dB SAG 44 fps Fr 1148 Set Set Left .. TRY ... AP SAG D1 = 6.3mm D = 4.6mm 4 cm Fr1148 Delete Angle Area Distance Ellipse Volume Edit Delete All Delete Trace MDA Posit ... %Stenosis Ratio ............................. Trace Len. Flow Volu ... Delete Undo Delete HC US MSC S SET Page 6 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: To measure an using a Measurement label image: 1. Select Measure on the control panel (the image may be frozen, live or a cine playback). 2. Select the Measurement type from the Soft Keys. 3. Select the Label before of after the measurement if using a measurement package. 4. Swipe/ Tap the touch pad to position the caliper. Active measurements are in green. 5. Anchor the caliper by selecting the Set key or touching the touch pad. Anchored measurements are in yellow. 6. Swipe the touchpad to bring up the next caliper. Note the following system behaviors: 1. EDIT will jump between the calipers in a given measurement to allow adjustments before they are set. 2. DELETE will delete the active (green) caliper then sequentially remove one set measurement at a time 3. DELETE ALL will remove all calipers and set measurements on the screen 4. MDA Position changes the display location of the Measurements display on the screen. 5. Undo backs up a trace measurement before it is set. Measurement Functionality - Edit a Measurement SIEMENS Healthineers' ... VF 10-5 THYROID Tx Power 100% MI 1.01 TIS 0.3 Edit TIB 0.3 ASC 2 DTCE Med Dyn R 75 dB THI 8.0 MHZ 2 dB Set Set 39 fps Fr 741 NOD 1 SAG = 10.2mm 74 1 Fr741 Edit Delete ............................................. Select Next Delete All Set HC US MSC S SET Page 7 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Edit a measurement. The user can edit only the last set of measurement markers. 1. Press the Edit touchpad key to select and reposition the ending marker. 2. Press the Edit touchpad key repeatedly to select and reposition markers in the reverse sequence. 1. EDIT will jump between the calipers in a given measurement to allow adjustments before they are set. 2. DELETE will delete the active (green) caliper then sequentially remove one set measurement at a time 3. DELETE ALL will remove all calipers and set measurements on the screen eSie Measure™ Workflow Acceleration Package SIEMENS Healthineers ... P4-2 P4-2 Cardiac IVSd 1 = 10.4mm Cardiac IVSs 1 = 12.7mm Tx Power LVIDd 2 = 49.6mm LVIDs 2 = 30.8mm MI 0.86 LVPWd 3 = 10.2mm Tx Power MI 0.86 LVPWs 3 = 14.3mm TIS 0.8 EDV = 116.1mL TIS 0.8 ESV = 37.3mL TIB 0.8 TIB 0.8 EF = 67.87% DTCE Low DTCE Lo FS = 37.90% Dyn R 75 dB THI 3.6 MHZ Dyn R 75 SV = 78.8mL THI 3.6 MHZ 0 dB 0 dB 51 fps 51 fps Fr 238 Fr 257 63 bpm 62 bpm HC US MSC S SET Page 8 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The eSie Measure workflow acceleration package automates cardiac routine measurements in 2D, M- mode and spectral Doppler using advanced pattern recognition technology. The eSie Measure package is integrated with the eSieScan protocols. An ECG is required to utilize the eSie Measure package. eSie Measure Workflow Acceleration Package SIEMENS Healthineers ... Review SIEMENS 21_07_2017_15_31_10 O ACUSON 21/07/2017 15:39:23 6 P4-2 Cardiac" IVSd 1 = 12.1mm Select all Clear all Tx Power LVIDd 2 = 46.3mm MI 0.97 LVPWd 3 = 6.7mm TIS 0.9 EDV = 110.7mL TIB 0.9 EF = 70.64% Show Show DTCE Me FS = 40.12% Dyn R 60 SV = 78.2mL THI 4.0 MHZ Teaching AMP 4 dB 51 fps Fr 1191 64 bpm Jose Report Echo Report Return to Imaging Echo Layout Full Screen Page Print Export Delete 1x1 On 617 HC US MSC S SET Page 9 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: To perform a measurement using the eSie Measure Function: Prerequisite: An image or clip with at least one heart beat and an ECG trace. 1. Activate the measurement function. 2. Tap eSie Measure. 3. Tap the required measurement group with the eSie Measure icon. The system traces the image, displays a set of measurement results, and activates the last marker of the last measurement. 4. To manually perform an eSie Measure measurement or series, select the measurement label in the task pane and then position and anchor the markers. 5. If a message displays indicating that the system was unable to perform the measurement on the current image, click OK. The system activates the measurement function. 6. To reposition a marker, select and then anchor the marker in the required location. Objectives SIEMENS Healthineers. Review Measurement Functionality Discuss Customized Measurements Examine the Report Explain Text Annotations Discuss Body Marker and Arrow .--- HC US MSC S SET Page 10 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Customized Measurements SIEMENS Healthineers . Measurement and Report Configuration 20 Mode User-Defined Measurement Label User-Defined 1 Abdomen Label Name Measurement Method Distance Patient Delete Current 2D Mode Label| Measurement Method >> Exam Measurement Order >> M-Mode User-Defined Measurement Label User-Defined Measurement Labels >> User-Defined 1 Label Name ............................. Review: "". Measurement Method Distance ........................ Comments Library >> Delete Current M-Mode Label Report : General Configuration >> Anatomy Assessments >> -Doppler Mode User-Defined Measurement Label Browser: User-Defined 1 Label Name Measurement Method Velocity Config Delete Current Doppler Label Help HC US MSC S SET Page 11 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 The measurement packages can be customized in the Configuration Menu. User-Defined Measurement Labels allows the user to designate special measurement labels: 40 x 2D mode 10 x M mode 25 x PW Spectral Doppler mode For most applications, these are the six measurement/calculation factors that users can customize. Let’s examine some representative examples. Customized Measurements SIEMENS Healthineers . Default Measurement Method Area Ellipse Volume 3 Dist Measurement Method >> Measurement Order >> % Stenosis Area - %Stenosis User-Defined Measurement Labels >> 2D Mode Ratio Distance Ratio Comments Library >> General Configuration >> M-Mode Ratio Distance Ratio Anatomy Assessments >> Flow Volume Area - Flow Volume PI Trace PI Auto HC US MSC S SET Page 12 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Measurement Method The user can adjust the default measurement method, by mode (2D, M-mode and Doppler) and by method (area, volume, %stenosis, 2D mode ratio, M-mode ratio, flow volume and PI trace). Customized Measurements - General Configuration SIEMENS Healthineers . Caliper Configuration Caliper Default Position Center Measurement Method >> Caliper Size Large Measurement Order >> User-Defined Measurement Labels >> Caliper Pattern Comments Library >> Measurement Results Background On Off General Configuration >> Anatomy Assessments >> -Measurement Result Display 2D Mode Bottom Doppler / M-Mode Bottom HC US MSC S SET Page 13 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 General Configuration The user can configure: • Caliper default position • Caliper size • Measurement display area. The depth measurement is activated from this screen. OB Customized Measurements SIEMENS Healthineers ... Display Items >> User-Defined Measurement Labels >> SIEMENS User-Defined EFW Formulas >> 05/08/2015 20:55:03 User-Defined MA Data >> CH5-2 41.7 LatePreg User-Defined GA Data >> Tx Power 100% User-Defined Ratio Formulas >> MI 0.55 TIS 0.6 Growth Analysis Graphs >> TIB 1.9 Anatomy Assessments >> 2.7 MHZ 3472 Hz Gate 3.0 mm 2 dB cmis M&R > > Item & Reference Selection >> : OB 13 fps 2D Mode M-Mode | Doppler | Ratio | EFW/USMA Growth Analysis 54 mm 12 cm Label ATD Measurement Item Author Average / Direct -60 ASD BN SPD Hadlock Direct Direct Add HC Hadlock Direct AC Hadlock Direct Remove CRL FL Direct HL Jeanty Direct 20 GS Move Up AFI Direct Ant CV Post CV Move Down ....................................... -cm/s Labels PI RI PS ED Umb A 1 0.67 0.51 S/D 2.05 47.1cm/s 23,0cm/s . - 20 ..................................................... HC US MSC S SET Page 14 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 OB The OB application has many different selections for customizing the report. For example: 1. Author customization for: 2D, M-mode, Doppler, Ratio, EFW/USMA, Growth Analysis calculations. These are accessed through the Item and Reference Selection Tab 2. Common Configuration illustrations, which provides a suite of additional customization for: • Display items • Measurement labels (up to 5) • EFW formula (up to 5) • MA data (up to 20) • GA data (up to 20) • Ratio formulae (up to 5) in the following categories: CI, HC/AC, FL/BPD, FL/AC, TCD/AC, LVW/HW • Growth analysis graph display (1x1 or 2x2) • Anatomy assessment (extensive programmed options to choose from, or ability to label ones own)The depth measurement is activated from this screen. Cardiac Customized Measurements SIEMENS Healthineers . Configuration M& R >> Measurement Order : Cardiac General 1 Heading Label General 2 Custom Keys Display Mode 2D-Mode Exam Measurement Labels Soft Keys Measurement Order M&R Pulmonary Valve AVILA Report Mod.Simpson Aortic Valve Mitral Valve Text Annotation Single Plane Simpson BP Measurement Method >> Body Marker Bi-Plane Simpson SP Wireless Bullet Teichholz(2D) Cubed(2D) LV Mass A-L Calculation Item >> Network Gibson(2D) LA Vol(A-L) Service LV Mass T-E Display Items >> Clip Store LA Vol(Simp) Add QPIQs Archive RA Vol(A-L) RA Vol(Simp) Remove Comments Library >> Authorization PISA(MS) Printer General Configuration >> Barcode Utility Anatomy Assessments >> Stress Echo eSieScan Default Previous Save Cancel HC US MSC S SET Page 15 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: There are also many options for customizing the Cardiac Calculations. The user can customize what labels to show and in what order. There are two tabs: Heading: List of measurement groups for the measurement menu. The measurement groups include measurement labels. Label: List of measurement labels for the corresponding measurement group on the measurement menu. Exam Specific - Customized Measurements SIEMENS Healthineers Label Author EM BPD Hadlock GB Wall CRL Hansmann CBD Tokyo Aorta GS EDV ESV Measurement Method >> -Bladder Volume GS Calculation Item >> Imaged Transversely CRI Display Items >> Imaged Sagittally BPD Comments Library >> Trans D General Configuration >> BI Trans W Anatomy Assessments >> General HR Measurement Method ECG M-Mode EM BI Sag D Measurement Screen BI Sag L V Abbreviate Measurement Results Display HC US MSC S SET Page 16 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes There are many other Exam Specific measurement packages that also can be customized in addition to Cardiac and OB.. Early OB, Gynecology, Pediatric Echo, Cerebrovascular, PV, Arterial, Small Parts (supports Thyroid up to 15 nodules), Renal, and Extensive Emergency Medicine. Please review the owners manual or system configuration menu for complete options. This is an example of the Emergency EM (Emergency Medicine) package. It has unique customizable calculation items: • Author selections for BPD, CRL and GS (the defaults are listed here) • Customization of bladder volume imaging • Options to customize the HR Measurement Method • Also option to abbreviate the Measurement Display, useful to streamline EM practice by de- cluttering the monitor display. Exam Specific - Customized Measurements SIEMENS Healthineers P4-2 Cardiac AOd 5 = 27.7mm LAs diam 6 = 42.1mm Tx Power AOd/LAs = 0.66 LAS/AOd = 1.52 MI 0.89 TIS 0.8 eSie Measure Settings TIB 1.4 THI F 3.6 MHZ -5 dB eSie Measure On Off 30 fps 59 bpm Heart Cycle to Display 16 cm M-Mode 3 Doppler WN - Default Previous -15 HC US MSC S SET Page 17 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: In the M & R menu, there are two options for eSie Measure Settings. In the eSie Measure Settings, eSie Measure may be turned On or Off. In the eSie Measure Settings, there are 3 Choices available to display heart cycles in M-mode and Doppler: 1, 2, or 3. If the operator chooses 1, then one heart cycle will be measured. If the operator chooses 2, then two heart cycles will be measured. If the operator chooses 3, then three heart cycles will be measured. Note: Heart cycles need to be displayed to be measured. If the operator modifies the sweep speed and the system cannot see a complete heart cycle, the system will not measure the data set. Objectives SIEMENS Healthineers. Review Measurement Functionality Discuss Customized Measurements Examine the Report Explain Text Annotations Discuss Body Marker and Arrow .--- HC US MSC S SET Page 18 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Standard Reports SIEMENS Healthineers ... Exam Specific Information Indications 2D Measurements M Measurements D Measurements Anatomy Description Report System Serial Number : 391635 ACUSON SIEMENS Abdomen Images 2x2 Results Description Images Summary X Close Study 0 Scrolling Print Preview Export PDF Print Report HC US MSC S SET Page 19 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Speaker Notes The system offers Customizable reports that can be created into a Summary and downloaded as a pdf. This is especially useful in the point of care market and in offices, where the customer needs to upload a report into the Electronic Health Record. It is subdivided into 4 sections: 1. Results. This is a summary of the measurements performed in the exam [2D, M-mode and PW Spectral Doppler mode] 2. Description. In this section, the user can populate pre-programmed anatomy assessment descriptors from the M&R CONFIG screen. 3. Images. This is the area of the report where (up to 20) images from the study can be displayed. 4. Summary. This the section that users create and populate anatomical or pathological descriptors. Additional note: the report can be exported as a pdf. Customize Reports SIEMENS Healthineers report Report Order Print Preview Qview General 1 Exam OB Available Report Sections Selected Report Sections General 2 2D Mode Measurements 2D Mode Ratios Doppler Mode Measurements Custom Keys Display Report Report Order Print Preview Qview Exam Site Information Soft Keys Logo Text 1 M&R Font Report Text 2 Font Text Annotation Load Remove Text 3 Font Body Marker Wireless Signature Add Remove HC US MSC S SET Page 20 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes The user can customize the report for their specific needs. There are three sections. 1. Report Order. This is the area where the user can define which “sections” of measurements are displayed on the report. 2. Print Preview. This allows the user to customize reports with the facility logo (direct from USB). It must be jpeg. and not in a folder on the usb device, dedicated text (the facility mission statement or values for example) and the physician’s signature. 3. Qview. This will be covered in the Connectivity lecture. The ultrasound system can be configured to connect to a network, so that the report can be viewed on a web interface. Objectives SIEMENS Healthineers. Review Measurement Functionality Discuss Customized Measurements Examine the Report Explain Text Annotations Discuss Body Marker and Arrow .--- HC US MSC S SET Page 21 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Accessing Text SIEMENS Healthineers A 4 4 A Press "T" key on Alphanumeric keyboard to access Text ......... Annotations 4 4 HC US MSC S SET Page 22 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes To access the text feature, Press the “T” key on the alphanumeric keyboard. Text Types SIEMENS Healthineers 2D System Serial Number : PP3008 ACUSON SIEMENS 17:48:00 Text A CH5-2 UR SITIC .................... Tx Power 100% MI 0.68 Free Fluid TIS 0.4 .. TIB 0.4 Liver ASC 1 DTCE Med Dyn R 80 dB CBD THI 3.6 MHZ 0 dB Text B Gallbladder 27 fps Pancreas Kidney Free Fluid| Heart IUp Annotation Aorta Library Appendix Home Position Set Home Select Next Position lide Text Clear Screen Delete Lin Delete Set Set HC US MSC S SET Page 23 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes The system has an predefined annotation library per exam by default on the system. In addition, there is Text A (Top Left) and Text B (Top right). In addition, placing the cursor and using the alphanumeric keyboard the user can add free form text. Accessing Text SIEMENS Healthineers Text Annotation Exam EM General 1 Annotation Library Text| Text B | General 2 Enable Auto Complete Custom Keys Available Annotations Selected Annotations Display Left Free Fluid Right Liver Sagittal CBD Exam Trans Gallbladder Coronal Pancreas Kidney Soft Keys Modify M&R Add Aorta Appendix Report Remove Celiac Axis Colon Diaphragm Text Annotation Duct Duodenum GB Body Marker Ilium Lobe Wireless Porta Hepatis Portal Vein Renal Arterv Network Default Save Cancel HC US MSC S SET Page 24 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes To configure text, press the CONFIG key on the control panel. Scroll down to Text Annotation. The menu shown on the right is displayed. First, select the exam you would like to customize. There are three types of Text available ( Annotation Library, Text A and Text B). Checking “Enable Auto Complete” will finish words that are similar from the Annotation Library Text Types SIEMENS Healthineers Text Annotation Exam EM Annotation Library TextA | Text B | Enable Auto Complete Available Annotations Selected Annotations Left Free Fluid Right Liver Sagittal CBD Trans Gallbladder Coronal Pancreas Kidney Modify Heart IUP Add Aorta Appendix Bowel Remove Celiac Axis Colon Diaphragm Duc Duodenum GB Ilium Lobe Porta Hepatis Portal Vein Renal Arterv Default Save Cancel HC US MSC S SET Page 25 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes To configure text, press the CONFIG key on the control panel. Scroll down to Text Annotation. The menu shown on the right is displayed. First, select the exam to customize. There are three types of Text available ( Annotation Library, Text A and Text B). The annotation library contains different factory defaults based on the exam. The blank area is where the user would enter customized text. The up and down arrows on the right allow the user to select a specific annotation and move it to the desired location. Checking “Enable Auto Complete” will finish words that are similar from the Annotation Library. Customizing Text SIEMENS Healthineers Text Annotation Text Annotation Exam EM Exam EM Annotation Library| Text | Text | Annotation Library Text A | Text B | LUNG V Enable Auto Complete Enable Auto Complete Available Annotations Selected Annotations Available Annotations Selected Annotations Left Renal Artery Left Renal Calyx Right Renal Calyx Right Renal Pelvis Sagittal Renal Pelvis Sagittal Renal Vein Trans Renal Vein Trans SMA SMA SMV SMV Stomach Modify Stomach Adrenal Gland Adrenal Gland Modify Ureter Add Ureter Add Urinary Bladder Urinary Bladder IVC IVC Prox Remove Prox Remove Mid Mid Distal Distal LLD RLD RLD Prone Supine Supine Trendelenburg Trendelenburg Laright Upright Coronal Coronal *LUNG Default Default Save Cancel Save Cancel HC US MSC S SET Page 26 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes First select (the type of text to add)— (Annotation, Text A and Text B). Type in the desired (Word or Words) in the blank area. Press “Add” in the menu and note that it is added to the bottom of the list. Move up to the desired placement. Using Text SIEMENS Healthineers .. 2D C PW ACUSON SIEMENS VF 10-5 22.6 UR SITIC CV" RI1 = 0.83 Tx Power 100% S/D1 = 5.95 Text MI 0.78 Left PS1 = 50.5cm/s ·· CC TIS TIB <0.1 ECA ED1 = 8.5cm/s 2 ICA 5.3 MHZ 3551 Hz Gate 1.5 mm 22.6 ECA -9 dB 17 fps Bifurcation 4 cm Z . Soft Keys Bulb Jugular V. Subclavian A Vertebral A. -cm/s Plaque 20 Occlusion 1 46.5 mm/s 17 Print Clear Delete ..................... Home Position Set Home Position Hide Tex Select Next Clear Screen Delete Line Delete Word Set Set HC US MSC S SET Page 27 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes Press the T on the keyboard to activate the text feature. Press the Text A (Labeled L/R) or Text B (labeled S/T/C) – It will cycle through the choices programmed in the configuration menu. Note: Once custom labels have been added to text to A or B, the `labels will revert from L/R and S/T/C to A and B so the user will need to remember what type of information is there. Touch or Select the word to populate from the annotation library in the left panel control keys. The placement is based on the last cursor placement or start typing. As a note, Freeform text using the keyboard defaults to all Caps. The soft keys can be controlled via the hard keys on the control panel or thought the touch screen by pressing the desired selection. Note: These soft keys cannot be altered or changed or moved to a different location. Moving Text SIEMENS Healthineers 2D System Serial Number : PP3008 ACUSON SIEMENS 24/03/2015 17-48.06 CH5-2 UR SITIC EM Tx Power 100% MI 0.68 TIS 0.4 TIB 0.4 Liver ASC 1 DTCE Med Dyn R 80 dB CBD THI 3.6 MHZ 0 dB Gallbladder 27 fps Pancreas Free Fluid Kidney Heart IUP Aorta 18 cm Appendix HC US MSC S SET Page 28 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes To move Text, use the Touch pad and place the cursor in the word and press one of the select keys. It will turn green. It can now be moved via the touch pad. Pressing the text key will set it in the positon and it will turn white again. Please Note: Only one type of text is movable at once. If moving text frequently is important, customizing the Annotation library to contain more descriptors may be preferred. (eg. RT Sag GB, ) 15 characters including spaces is available. Objectives SIEMENS Healthineers. Review Measurement Functionality Discuss Customized Measurements Examine the Report Explain Text Annotations Discuss Body Marker and Arrow .--- HC US MSC S SET Page 29 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Access Body Markers SIEMENS Healthineers Press the ")O(" key on the Alphanumeric keyboard to access the Body Markers 4 HC US MSC S SET Page 30 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes To access the body markers, press the body marker key on the alphanumeric keyboard. Customize Body Marker Locations SIEMENS Healthineers jeneral 2 Patient ID Save an image of the Patient screen after registering a patient. Hide Patient Banner Common Mode General 1 Delete Body Marker on Unfreeze Delete Text on Unfreeze General 2 Body Marker Location Upper Right · Lower Right Patient Registration Short Form Custom Keys Display Save Cancel HC US MSC S SET Page 31 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes To customize the location of the body mark, go to the Configuration Menu, Select General 2 and next select between Upper or Lower right. Customize Body Markers SIEMENS Healthineers Body Marker Exam Abdomen General 1 Available Body Markers Selected Body Markers General 2 Custom Keys Display Exam Add Soft Keys Remove M&R Report Text Annotation Body Marker ................ Wireless Network Default Save Cancel HC US MSC S SET Page 32 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes To customize the body markers. Cycle to body marker and the menu on the right is activated. The default body markers are pre-selected per exam type but any body marker can be added to any preset of customized preset. As in text, additional body markers can be added from the available body markers by pressing the “Add” or “Remove” key. Pressing the “Up” key will move a Body Marker to the left and “Down” moves it to the right. To add a body marker to a specific preset, highlight the desired body marker from the available list and , press “Add” . It will move it to the Selected Body Markers. Using the up/down arrow, place it is the desired order. Using Body Markers SIEMENS Healthineers ... 20 C PW ACUSON SIEMENS VF10-5 CV RI1 = 0.83 22.6 Body Markers Tx Power 100% S/D1 = 5.95 MI 0.78 PS1 = 50.5cm/s TIS <0.1 Cert ECA ED1 = 8.5cm/s TIB <0.1 5.3 MHZ 3551 Hz Gate 1.5 mm Oo -9 dB cimis 17 fps Soft Keys AAAAA 46.5 mm/s Clear Delete .............. Change Rotate Change Body Marker Delete Ser Set HC US MSC S SET Page 33 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Speaker Notes The available pre-programmed Body Markers are displayed on the Left Panel Control Keys. To change a Body Marker press the specific Body Marker in the Action Key area, change via the touch pad or soft key control or press the specific soft key labeled Change Body. The body marker shows the transducer in green. The soft keys can be controlled via the hard keys on the control panel or thought the touch screen by pressing the desired selection. To change the transducer location (in green on the body marker), use the Touch Pad to move the transducer to the desired location. To rotate the transducer, tap the soft key on the touch panel (Rotate) or use soft key controls on the control panel. To delete the body marker, press Delete. Note, these soft keys cannot be altered or changed or moved to a different location. As in text, additional body markers can be added from the available body markers by pressing the “Add” or “Remove” key. Pressing the “Up” key will move a Body Marker to the left and “Down” moves it to the right. To add a body marker to a specific preset, highlight the desired body marker from the available list and , press “Add” . It will move it to the Selected Body Markers. Using the up/down arrow, place in the desired location. Accessing the Arrow Feature SIEMENS Healthineers Press the "" " key on Alphanumeric keyboard .................................................... HC US MSC S SET Page 34 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes To access the Arrow feature, Press the Arrow key on the alphanumeric keyboard Accessing the Arrow Feature SIEMENS Healthineers CH5-2 Abdomen Tx Power 100% MI 0.66 TIS 0.4 TIB 0.4 ASC 1 DTCE High Dyn R 75 dB THI 3.6 MHZ New Rotate Select Arrow Delete All Delete 0 dB 20 fps Set New Rotate Select Arrow Delete All Delete HC US MSC S SET Page 35 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes Using the soft keys, rotate the arrow by tapping the Rotate key. The arrow rotates in 30 degree increments. Press New to add another arrow while in the Arrow menu. After exiting the Arrow menu, press the Arrow key and it will add to what is on the screen. Pressing the Select Arrow key above the touch pad selects between the arrows to allow Movement, Rotation or Deletion. Summary SIEMENS Healthineers. Review Measurement Functionality Discuss Customized Measurements Examine the Report Explain Text Annotations Discuss Body Marker and Arrow .--- HC US MSC S SET Page 36 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Questions HC US MSC S SET Page 37 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Questions?

  • ACUSON
  • P500
  • Measurements
  • Text
  • ultrasound