eSie Measure™ Workflow Acceleration Package – 5.1 software release USA

Welcome to the Siemens Healthineers eSie Measure™ Workflow Acceleration Package with 5.1 software release for 2D Imaging, M-mode and spectral Doppler online course.   During the course, there will be a lot of detailed information.   This course has more information in the form of links and interactions placed on the following pages.  To successfully complete this course, please view all available content.   We hope you enjoy our course.    Click on the arrow  at the bottom right of each page to continue. Congratulations! You have completed the eSie Measure™ Workflow Acceleration Package course. This on-line course covered the use of the eSie measure package with 2D imaging, M-mode and spectral Doppler.  Listed below are the key points presented in this tutorial. Take time to review the material before you try the final assessment.   Download Course Review : (click this link)   In this tutorial you have learned to:    Activate the eSie Measure™ Workflow Acceleration Package for 2D imaging, M-mode and/or spectral Doppler measurements   Identification of the technology behind this feature   Better understanding of the benefits with the use of the eSie measure packages   How to distinguish the improvement of quality due to lower measurement variability and improved workflow by reducing user’s interaction time with the images and simplifying complicated tasks   Gained expertise to implement Edit and Delete feature when needed Upon completion of this course, the learner will be able to:   Comprehend how to activate the eSie Measure™ Workflow Acceleration Package for 2D imaging, M-mode and/or spectral Doppler measurements   Identification of the technology behind this feature   Understand the benefits and the use of the eSie Measure packages   Distinguish the improvement of quality due to lower measurement variability, improved workflow by reducing user’s interaction time with the images and simplifying complicated tasks   Gain expertise to implement Edit and Delete feature when needed Within this section we will review eSie measure packages for 2D imaging, M-mode and spectral Doppler measurements and some of the technology that drives “one click” results.  It has been noted that there can be a wide range of user measurement variability and results, within an imaging department. Many different methods of measurements can be employed; such as measuring leading edge to leading edge, mid edge to mid edge, and other techniques.  The use of Artificial Intelligence Powered algorithms, (AI-Powered) and the eSie measure packages can standardize measurement results. Learn more about the technology Learn More About the Technology Behind eSie Measure Package Tab TitleTextMeasurements Available With the use of the eSie measure package there are a total of 140 measurements available for both Adult Echo and Pediatric Echo packages.     eSie measure package is available for Transthoracic echocardiogram (TTE), Pediatric echocardiogram and Transesophageal echocardiogram (TEE) applications.  Currently there are: 7 - 2D imaging measurements for TTE   45 - M-mode measurements for TTE   22 – Spectral Doppler measurements with up to 3 spectral wave forms assessed for each measurement   ​22 spectral Doppler measurements for both TTE and TEE examinations  Benefits The use of eSie measure package can bring many benefits to the department. Some of these are: Standardizing measurement results   Streamlining workflow by reducing users interaction time with the images   Lowers measurement variability and simplifies complicated tasks eSie Access™ Measurement Interface The calculation list is displayed utilizing eSie Access™ measurement interface. The eSie Access interface presents the user with the correct measurement list as per mode in use.   This allows the “single click” measurement method.  The eSie Access also displays the calculation list on the right side of the screen to show measurements made, as well in the results box on the image. If any of the measurements or caliper points are edited, repositioned or deleted; the results will be updated and instantaneously displayed in the calculation list, displaying the new results.   Tip:  To standardize measurements within a department, it is suggested to resist moving the caliper points unless they are obviously placed incorrectly.   Misplaced calipers can occur when sub optimal images are measured and there is not enough pixel information for automatic placement. The configuration around the trackball provides an ergonomic design. The Controls and Soft Keys conveniently placed around the trackball are referred to as the home position.  Working in the home position minimizes hand movements and reaching, allowing the user to quickly navigate through each task. This same configuration of trackball, Controls and Soft Keys located on the control panel are mirrored as icons on the bottom of the image. The user can either activate the appropriate Control or Soft Key on the control panel; or use the active pointer and trackball to choose the associated icons on the bottom of the image by pointing to the icon with the active arrow and pressing the Select control. Letting the user choose the method of measuring, allows a freedom of using the workflow best suited for that user.   Control Simulation Control Simulation Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/trackball_exp2019_2/index.htmlPDF File: Soft Keys Simulations Soft Keys Simulations Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/2019_SoftKeys_V2a/index.htmlPDF File: Now that there is a sense on how the Controls and Soft Keys function around the trackball, let’s begin with activating the eSie measure package.  This will be a review of each workflow. Evaluate the next pages to check out each workflow:   Press Freeze (if image is not already frozen). Press ED Soft Key The image will transition to the optimal end diastolic phase of the heart cycle. Using the eSie Access™ measurement interface: Press the Next control or right click.  This will activate a drop-down Measurement Menu.  Using the active arrow, point to the LV/ED measurements to be completed. Press Select to choose this measurement.  All of the LV/ED measurements are performed.  The calculation list will be displayed on the right side of the screen to show measurements made and also displayed on the image. Note: The last cursor point on the last measurement is still active and will move if the trackball is moved. Choosing another function (i.e. Select control, Acquire control or pressing the ES Soft Key), will set all measurements.     eSie Measure Package / 2D Imaging Example of eSie Measure Package / 2D Imaging Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/2DMeas.mp4PDF File: M-mode – PLAX with M-line cursor through AO and LA Press Freeze Using the eSie Access™ measurement interface: Press the Next control or right click.  This will activate a drop-down Measurement Menu   Using the active arrow, point to the AO/LA measurements to be completed   Press Select to choose this measurement    The AO/LA measurements are performed.  The calculation list will be displayed on the right side of the screen to show measurements made and also displayed on the image Example of M-mode Measurement M-mode Measurement Example Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/Mmode.mp4PDF File: How to Move the Measurement Box How to Move the Measurement Box on Image If the measurement results box on the image overlays important data, this box can be moved.  Move active arrow over box and press Select.  Note the box boarder color will change and user can now move the results box to a different location on the screen using the trackball.  Press Select to set.  Results box will remain in this location until re-positioned To edit individual caliper placement(s) or whole measurements, for M-mode follow these steps.  An example of an edit is seen with the labeled icons below. M-mode Press Select Set to reactivate the first caliper position, (caliper turns green).  The active caliper can now be repositioned. Set caliper by pressing Select or continue pressing the Next control to continue progressing to other calipers or measurement to be edited   To Delete: press Select Set to activate the edit mode, and then continue pressing Next until the whole measurement to be edited is highlighted in green.  Press Delete to remove measurement All edits can be completed by pressing the Select control.  Note that all measurements and calculations will be updated  immediately on the calculation list.                                                                                              Editing M-mode Measurements Editing M-mode Measurements Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/MmodeEdit.mp4PDF File: To edit individual caliper placement(s) or whole measurements, follow these steps.  An example of  an edit is seen with the labeled icons below. 2D Imaging  Press Select Set to reactivate the first caliper position, (caliper turns green).  The active caliper can now be repositioned. Set caliper by pressing Select or continue pressing the Next control to continue progressing to other calipers or measurement to be edited   To Delete: press Select Set to activate the edit mode, and then continue pressing Next until the whole measurement to be edited is highlighted in green.  Press Delete to remove measurement All edits can be completed by pressing the Select control.  Note that all measurements and calculations will be updated immediately on the calculation list. How to Move Measurement Box How to Move Measurement Box on Image If the measurement results box on the image overlays important data, this box can be moved.  Move active arrow over box and press Select.  Note the box boarder color will change and user can now move the results box to a different location on the screen using the trackball.  Press Select to set.  Results box will remain in this location until re-positioned. Edit Example Edit Example Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/2D_Edit.mp4PDF File: Explore the links below for the Glossary, References, and Further Reading opportunities. Glossary Glossary ED – End Diastole ES – End Systole ED/ES – End Diastolic/End Systolic LV – Left Ventricle PLAX – Parasternal long axis TTE – Transthoracic Echocardiogram TEE – Transesophageal Echocardiogram AI Powered – Artificial Intelligence powered algorithm AO - Aorta LA - Left Atrium MV - Mitral Valve MR - Mitral Regurgitation VTI - Velocity Time Integral  References / Further Reading References / Further Reading References: Roee S Lazebnik, MD.Ph.D, Siemens Medical Solutions, USA, Inc., Ultrasound, Mountain View CA  USA, Knowledge-based Workflow 2008   S. Michelle Bierig, MPH, RDCS, FASE, Donna Ehler, BS, RDCS, FASE, Margaret L. Knoll, RDCS,    FASE, Alan D. Waggoner, MHS, RDCS STANDARDS FOR THE CARDIAC SONOGRAPHER: A Position Paper – ASE Guidelines JASE           2009   Donna Ehler, BS, RDCS, Dennis K. Carney, RCVT, Ann L. Dempsey, MEd, RDCS, Rick Rigling           BS, RDCS, Carol Kraft, BS, RDCS, Sandra A. Witt, RDCS, Thomas R. Kimball, MD, Eric J. Sisk, BA, RDCS, Edward A. Geiser, MD, Cris D. Gresser, RN, RDCS, and Alan Waggoner, MHS, RDMS,Guidelines for Cardiac Sonographer Education: Recommendations of the American Society of Echocardiography Sonographer Training and Education Committee 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 are examples only.   eSie Measure™  workflow acceleration package is a trademark of Siemens Medical Solutions, USA, Inc. eSie Access™ measurement interface is a trademark of Siemens Medical Solutions, USA, Inc.   ACUSON SC2000™ PRIME 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.   Copyright © Siemens Healthcare GmbH 2019                                                     Within this course are links available that present with interactons and more information.  Please review the navigation instructions in the link below. Instructions Navigation Instructions Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/Navigation_Instructions_HB_Final_E/index.htmlPDF File: Spectral Doppler – TEE image with spectral tracing though MV with MR Note: Doppler measurements are available on both TTE and TEE spectral wave forms. Using the eSie Access™ measurement interface Press the Next control or right click.  This will activate a drop-down Measurement Menu Using the active arrow, point to the MR Flow measurements to be completed Press Select to choose this measurement  The MR Flow measurements are completed.  The calculation list will be displayed on the right side of the screen to show measurements made and also displayed on the image ​Note:  User has the ability to configure the number of spectral wave forms to be traced in the Setup configuration menu.  One, two or three complete cardiac cycles or wave forms can be configured. The number of wave forms measured can have some limiting factors. The sweep speed used and number of complete wave forms displayed can limit the number of wave forms measured.     Setting three wave forms to be measured with patients that present with irregular rhythms such as Atrial Fibrillation, can greatly improve the workflow to meet the cardiology guidelines and recommendations. Many societies suggest multiple measurements for these conditions for more accurate patient results. eSie Measure Package Spectral Doppler Example Spectral Doppler Example Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/eSieDoppler(1).mp4PDF File: How to Move Measurement Box on Image How to Move Measurement Box on Image If the measurement results box on the image overlays important data, this box can be moved.  Move active arrow over box and press Select.  Note the box boarder color will change and user can now move the results box to a different location on the screen using the trackball.  Press Select to set.  Results box will remain in this location until re-positioned To Edit Spectral Doppler Measurements Press Select Set to reactivate the first caliper position, (caliper turns green).  The active caliper can now be repositioned   Set caliper by pressing Select or continue pressing the Next control to continue progressing to other calipers or measurement to be edited  If a Velocity Time Integral (VTI) measurement was performed, the tracing will highlight in green when toggling through the points with the Next control.  The user can use the trackball to back over tracing to erase, then re-tracing spectral Doppler wave form by moving forward.  A measurement may be deleted by pressing Select Set to activate edit mode Press Next until the whole measurement to be edited is highlighted in green Press Delete to remove measurement  All edits can be completed by pressing the Select control.  Example of Editing a Spectral Wave Form Example of Editing a Spectral Wave Form Instructions:Flash File:HTML5 File:/content/generator/Course_90022195/DopplerEdit.mp4PDF File: