eSie PISA Volume Analysis

SIEMENS Review ONy Step 3: Analysis Volume Volume Review .fis Flow PISA Intalization PISA Aralysis 0.34 m/s Movie Controls ::::::::::: :: :: : :: :: ::::::: :::::::: sonic 100 BAJOUND Quick Reference Card eSie PISA Volume Analysis for Mitral Regurgitation ACUSON SC2000 Ultrasound System, Release 5.0 SIEMENS Healthineers siemens.com/SC2000 eSie PISA Volume Analysis Refer to 4D color flow data acquisition guide prior to using eSie PISA analysis software. TIP Instructions are also present in the Task Pane. 1. Obtain a continuous wave Doppler tracing of mitral regurgitation. a. Click Next (right click) and select MR flow from eSie measure drop down. BS Van Gest . 71.1 medig AT - 215 mset AT & 145 meses b. Trace the mitral valve inflow VTI and measure the mitral valve annulus in order to obtain a regurgitant fraction. c. Save measurement by pressing Select (left click) and Static Capture. 2. In Review, or from the thumbnails, click Next (right click) on the desired 4D mitral regurgitation volume and select PISA. a. Select MV from the image menu. MV b. Move the Baseline in the direction of mitral regurgitation jet (down for TTE; up for TEE), between 30-40 m/s. Baseline c. Freeze and scroll to the desired systolic frame with the best flow convergence. TIP What makes a good flow convergence? Uniform color (better tracking; less editing) • Easy to distinguish from flow above the valve (atrial side) • Entire volume is visible in all three planes (color is not cut off) • 3. Use the Slice Wheel 0 to pan through volume and find frame with the best flow convergence; adjust MPRs around flow convergence. Adjust MPRs 2 | siemens.com/SC2000 eSie PISA Volume Analysis 4. Move cursor onto the image and set Seed Point above the valve (atrial side) at leaflet coaption. 5. Pull arrow in the direction of regurgitation and click Select to set. Cok 10 TIP To verify if Seed Point is placed correctly, locate the LCD control labeled Display 2D+Color and turn left to remove color. 6. Click PISA Analysis tab on the Image Menu to review results. Review Volume Volume Review PISA Initialization Mitral Regurgitation Baseline Measuremitet Current Peak Volume PISA 2.36 2.36 cm2: Peak Velocity Masing Veloci Inst Flow Rate 8689 86.61 mi's Priority Peak POF 1.50 m 4D Gain ERO 0.17 0.17 cm2 Edit Peak Regurg Vol 27.21 21:21 ml PISA Analysis TIP Select the Color Cut Plane option to better visualize the 3D flow convergence. Review Volume Volume Review PISA Initialization Edit PISA Analysis LVA siemens.com/SC2000 | 3 7. Editing – changing the size of the PISA mesh will result in calculation changes. a. From the Image Menu, select b. Next, select c. Click inside the green PISA mesh to activate the Add Tool. Add Tool Erase Tool d. Use trackball to modify the PISA mesh. e. Click Select to update results. f. Decrease the PISA size by clicking outside the PISA mesh, activating the Erase Tool. g. Use trackball to erase and Select to update. 8. Change the size of the add/erase tools for precise editing. Review Volume Volume Review e Sie Flow PISA Initia Fication Edit Baseline Priority 4D Gain PISA Analysis Siemens Healthineers offers three shared service cardiovascular products: ACUSON P500, ACUSON S Family and ACUSON X700 ultrasound systems. The ACUSON SC2000 PRIME is the only dedicated premium cardiovascular ultrasound offering in Siemens Healthineers cardiology segment. ACUSON SC2000, eSie PISA, ACUSON P500,ACUSON S Family and ACUSON X700 are trademarks of Siemens Medical Solutions USA, Inc. Siemens Healthineers Headquarters Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen 685 East Middlefield Road Germany Mountain View, CA 94043 Phone: +49 9131 84 0 USA siemens.com/healthineers Phone: +1-888-826-9702 siemens.com/ultrasound Published by Siemens Healthcare GmbH ∙ Printed in the USA ∙ 4471 0917 ∙ © Siemens Medical Solutions USA, Inc., 2017