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ACUSON Juniper fourSight™ 4D Ultrasound Imaging Technology - VA10 & VB10 | 1.5 Software

This quick reference guide shows you how to use foursight™ 4D ultrasound imaging technology (VA10 and VB10 | Software 1.5)

ACUSON Juniper ultrasound system Version VA10 & VB10 SW Quick Reference Guide fourSight™ 4D Ultrasound Imaging Technology siemens-healthineers.com/juniper SIEMENS Healthineers" ACUSON Juniper SIEMENS HOOD05162003111582 - August 11, 2020 Healthineers 2 Table of content --- Getting Started 4 Acquiring 3D/4D Volumes 12 Volume Optimization Tools 20 Editing Tools 30 Data Management 36 Cine, Animation and Reset 40 SubPresets 44 Advanced fourSight Technology 48 SIEMENS ... Healthineers 3D/4D Guidelines and Tips 62 ACUSON Juniper HOOD05162003111582 - August 11, 2020 LAg Introduction 3 This Quick Reference Guide contains brief descriptions and instructions for the functions most commonly used to perform 3D/4D exams for OB/GYN: • fourSight 4D transducer technology provides real-time 3D/4D images and is supported on the 9VE3 and 8VC3 transducers • Advanced fourSight imaging offers enhanced 3D/4D acquisition which includes MultiSlice, Thick Slice Imaging (TSI) and Curved multi- planar rendering (MPR) Getting Started HOOD05162003111582 - August 11, 2020 Getting Started 4 Transducer and Exam type 1. Select the transducer 7C2 9VE3 8VC3 OB 1 Early OB GYN Abd 2. Choose exam type 3. Press 3D/4D key on the control panel OB Pelvic Floor 3D / 4D OB (Adv) 2 Fetal Echo HOOD05162003111582 - August 11, 2020 3D/4D Touch Screen Entry Page 5 4. Determine 3D or 4D method 3D 4D ROI 5. Choose Quality factor 4 Quality 6 SubPreset > 3D 4D 6. Adjust Angle size Angle 55° 6 5 Angle 65 Quality 6 Tip: 4D live fetal face Quality should be set on 5. 3D AutoSweep fetal face and/or anatomic structures Quality should be set on 6. EarlyOB exams – use 3D AutoSweep with Quality set on 6. Getting Started HOOD05162003111582 - August 11, 2020 Getting Started 6 3D/4D Touch Screen Entry Page 7. SubPreset default list Begins with 2nd/3rd Tri ROI Opacity mode Starts with Spine MaxIP SubPreset > 7 3D 4D Offers a setting Soft with Opacity surface mode Angle 65 º Quality 6 Tip: Once a user-defined SubPreset is programmed, it will be displayed. To define a SubPreset, refer to section SubPreset. HOOD05162003111582 - August 11, 2020 Home Base Area 7 1. Press Update key • Starts volume acquisition 1 2. Press Set key • Size and position the ROI/VOI 2 2 • VOI resizing is available on a frozen image or during live 4D Tip: Default mode of 3D or 4D method depends on the exam selection in the configuration set-up menu. Getting Started HOOD05162003111582 - August 11, 2020 Getting Started 8 Define ROI/VOI Size 1. Region-of-interest (ROI) • Represents the entire volume to be acquired 8VC3 OB • Press Set key to adjust ROI via the trackball Tx Power 100% 3 MI 0.91 TIS 0.4 TIB 0.4 2. Volume-of-interest (VOI) ASC 1 DTCE Med Dyn R 72 dB • Symbolizes the rendered volume to display THI 4.4 MHZ -10 dB VOI is connected with ROI when 3D/4D 22 fps • 1 is started 2 3. The dotted line represents the Cut plane and the teal arrow demonstrates the render direction GA 32w Note: The teal arrow will not be visible while scanning Tip: Default mode of 3D or 4D method depends on the exam selection in the configuration set-up menu. HOOD05162003111582 - August 11, 2020 Axis of Rotation 9 Y N PW C X O Angle M 00.00 Tip: The trackball can also be used to rotate the Note: The M rotary control allows the user to volume on each axis, using the Update key move through the volume slices in the active to cycle between X, Y and Z-axis. plane Getting Started HOOD05162003111582 - August 11, 2020 Getting Started 10 Rotation Symbols 3 MPRs – Multiplanar Rendered volume Panning reconstruction X-axis LA X-axis MPRs Y-axis Y-axis Volume Z-axis Z-axis Resize VOI HOOD05162003111582 - August 11, 2020 11 Getting Started HOOD05162003111582 - August 11, 2020 Acquiring 3D/4D Volumes 12 Monitor Layout 1. Patient banner Fetal Phantom 1 OBIG Dr. Babyface 007 ACUSON Juniper Today 12:00 2. Volume imaging parameters 8VC3 OB fet Phanom UD 3 3. Volume display field 7 dB .................................................... Opacity Opacity 60 Dyn R 40 4. Volume orientation icon Contrast 62 Brightness 44 Smooth 75 Low Th 70 5. Cine buffer Map D Tint 2 1.8 vps 2 ............................. 4 5 Vol7 HOOD05162003111582 - August 11, 2020 Monitor Layout 13 Advanced fourSight 4D MultiSlice TS Curved MPR Volume display area A B 90º C D 270 180º 4D Cine > Wireframe VOI On VOI Size Volume adjustment area Editing > Reset > CutPlane RenderDir Render Up/Down Opacity SubPreset > Animation > 3D 4D Angle 55 Quality 6 Map D Dyn R 60 Tx Power 100% Volume optimization and soft keys Smooth 50 Contrast 58 Opacity 60 Tint 2 LowTh 64 Brightness 46 Acquiring 3D/4D HOOD05162003111582 - August 11, 2020 Volumes Acquiring 3D/4D Volumes 14 Volume and Multiplanar Reconstruction Nomenclature Transducer 9VE3 GYN Phantom A plane B plane Sagittal view Transverse view C plane Z D Coronal view Rendered volume Volume reference orientation icon HOOD05162003111582 - August 11, 2020 Reference Point 15 Render mode: MPR only VOI on • The reference marker or point is the pivotal point to navigate through the volume • It represents the point where the A, B and C plane intersect • Placing the point on a specific target displays the anatomy in ........ .. all three planes Reference point ...... GYN Phantom Acquiring 3D/4D HOOD05162003111582 - August 11, 2020 Volumes Acquiring 3D/4D Volumes 16 Volume Display Tools 1. Quadrant selection A B • The active quadrant will be highlighted in blue on the touch screen and will have a 1 green outline on the monitor C D 2. Display format • Changes the format for the volume and MPRs 2 3. Volume orientation • Rotates in 90° steps 0º 90 3 Tip: Push the Select key to quickly go between 270º 180º a 1:1 volume display to a 4:1 quadrant display. HOOD05162003111582 - August 11, 2020 Render Mode Selections 17 Selects a display method for the volume quadrant Render 1 1. Press Render on the touch screen Opacity 2. A list of various render modes appears, select MinIP MeanIP Opacity a render mode (i.e. MaxIP for fetal spine) 2 MaxIP Slice MPR Only Acquiring 3D/4D HOOD05162003111582 - August 11, 2020 Volumes Acquiring 3D/4D Volumes 18 Plane View Mode VOI Off enables the CutPlane method • Volume data not displayed beyond a plane • Press VOI Off, press CutPlane and choose A or B plane • Slice through the volume via M-mode key • Wireframe graphic appears Tip: This mode is most often used during GYN imaging. HOOD05162003111582 - August 11, 2020 19 Off A B Off A B CutPlane O CutPlane A M B Acquiring 3D/4D HOOD05162003111582 - August 11, 2020 Volumes Volume Optimization Tools 20 Pre-processing Tool: Sweep Angle • The Angle rotary control will control the width • The angle setting only affects the display of the (distance) of the sweep B and C planes • A smaller Angle setting results in a narrower • The A plane is not affected sweep while a larger Angle results in a wider sweep Angle 10° Angle 45° Angle 65° B B B Angle 55° C C C Fetal Phantom Fetal Phantom Fetal Phantom HOOD05162003111582 - August 11, 2020 Pre-processing Tool: Quality Setting 21 • The Quality setting determines how many slices • The more slices that are present the better the are taken in a single sweep resolution • A higher Quality factor results in more slices • Use the Quality rotary control to adjust the The more slices that are present in a sweep the quality number • more closely together they will be stacked Quality 6 Quality 3 B Quality 6 B C C Fetal Phantom Fetal Phantom Volume Optimization HOOD05162003111582 - August 11, 2020 Tools Volume Optimization Tools 22 Re-size Volume-of-interest (VOI) 1. Press VOI size on the touch screen O. • The Pan icon changes to the Re-size icon VOI Size 1 2 2. Change the VOI size using the trackball 3. To return to VOI panning, press VOI size again GYN Phantom • The Re-size icon changes to the Pan icon VOI HOOD05162003111582 - August 11, 2020 4. Move the A plane to the render view direction 23 (Cut plane-straight line on the top of the VOI) Z 5 into the area of interest C 5. If necessary, rotate the Z-axis on the A plane with the C rotary control to make the endometrium parallel to the teal cut plane 5 4 line • The Pan icon changes to the Z-axis rotation icon in the A plane VOI GYN Phantom Volume Optimization HOOD05162003111582 - August 11, 2020 Tools Volume Optimization Tools 24 Pre and Post-processing Tools • The six rotary controls on the user interface correspond to the functions above them on the touch screen • Press the rotary control to choose the desired tool, then rotate to select a setting Angle 55° Quality 4 Map D Dyn R 60 Tx Power 100% Smooth 50 Contrast 56 Opacity 45 Tint 2 LowTh 50 Brightness 48 HOOD05162003111582 - August 11, 2020 Pre and Post-processing 25 Low Threshold Opacity • Sets the LowTh high or low for the opacity • Adjusts the percentage of Opacity in the curve volume to create a soft or more sculptured appearance • Removes small echoes or noise that contain values lower than the selected threshold • Decrease the value for a more transparent look • Lower settings create a more saturated image • Increase the value for a more solid look • Available for Opacity mode only • Available for Opacity mode only Brightness Contrast • Adjusts the percentage of brightness in the • Adjusts the percentage of contrast in the rendered volume rendered volume • An increase in brightness increases the • If the fetal face appears very smooth, use a saturation of voxels that have a higher and higher contrast value to add more depth and lower voxel value feature definition • Available for Opacity mode only • Available for Opacity mode only Volume Optimization HOOD05162003111582 August 11, 2020 Tools Volume Optimization Tools 26 Pre and Post-processing Smooth Map • Adjusts the percentage of Smoothing applied • Selects a processing curve that assigns echo in the rendered volume amplitudes to gray levels • Increase for a “fleshy’ look (i.e. fetal face) • Uses the same Maps as 2D • Available for Opacity mode only • Available for MPR planes HOOD05162003111582 - August 11, 2020 27 Dynamic Range • Affects the range of the gray scale information Dyn R 75 displayed LowTh 42 • Applied to MPRs and rendered volume separately Default MPRs at 60 dB Fetal Phantom - Default render mode with 45 dB - • Fetal face utilizes less dynamic range than 2D Dyn R 40 LowTh 42 Tip: The rendered volume must be active Fetal Phantom (outlined in green) to apply any Dynamic range adjustments. Volume Optimization HOOD05162003111582 - August 11, 2020 Tools Volume Optimization Tools 28 Pre and Post-processing Tint 14 Tint 11 Tint 11 co Opacity Applies the selected tint to the active Cp • Dyn R 44 quadrant Low Th 43 • Tint can be adjusted separately between MPRs and volume • Watch when changing Tint on an optimized volume as some Tints may require image adjustment Tint 10 Tint 15 • Default volume set to Tint 14 Contrast 50 • Default MPRs set to Tint 2 Low Th 42 1.8 vpe HOOD05162003111582 - August 11, 2020 OB and GYN Measurements 29 1. Activate an MPR quadrant BYC3 OE Default 1 Obstetrics A 11 do D4 Opacity 2. Press Caliper Opacity 80 D2 Dyn R 45 OB Early OB Fetal Echo Contrast 50 Brightness 34 OB (Adv) Smooth 75 Low Th 42 Map A 3. Place the cursor on the first point Tint 12 Right Left None 1 D 72.1 mm via trackball 2 D 39.3 mm 3 D 58.7 mm Fetal Head 4D 32.8 mm D1 Fetal Abd 4. Press Se t Fetal Extremities BPD 5. Add the measurement result into D3 HC the fetal biometry table using the Fetal Phantom AC FL Select rotary control Note: Measurements can not be 2 3 4 5 performed on a manual sweep volume x ... x Caliper Select Tip: Auto OB measurements are not active in fourSight 4D. Fetal biometry can be measured manually and added into the report. Volume Optimization HOOD05162003111582 - August 11, 2020 Tools Editing Tools 30 Curved VOI 1. Press VOI on the touch screen VOI 2. Select Curved on the touch screen Curved 1 • A cross appears on the top in the center Off On Curved 2 3. The Pan icon changes to the Curved icon 4. Roll the trackball to desired location Convex form Concave form 5. Press ESC to exit and return to panning +x+ 3 4 5 S Esc HOOD05162003111582 - August 11, 2020 Polygon 31 1. Press Editing Editing > 1 2. Choose Polygon 3. Position and anchor the starting point via 2 trackball and then press Set key Polygon For each segment of the Polygon, roll the trackball to position the ending point and 3 then press Set 4. Press Set to complete the Polygon 4 5 5. Position the cursor where data will be removed (inside or outside the Polygon ) 6 7 6. Press Set 7. To exit, press Exit on the touch screen Exit 8 HOOD05162003111582 - August 11, 2020 Editing Tools Editing Tools 32 Trace Trace defines an area from a “free-form” drawn outline: Editing > 1 1. Press Editing 2 2. Choose Trace Trace 3. Position and then anchor the starting point with the Set key 3 4 4. Roll the trackball to trace the area of interest 5 Position and then anchor the ending point 7 5. 6 with the Set key 6. Position the cursor where data will be Exit 8 removed (inside or outside the Trace area) 7. Press Set 8. To exit, press Exit on the touch screen HOOD05162003111582 - August 11, 2020 Eraser 33 To erase data in a volume or slice: Editing > 1 1. Press Editing 2. Choose Large Eraser or Small Eraser • The system displays a circle-shaped cursor Large Eraser • Position and anchor the ending point 2 22 3. Roll the trackball to erase data Small Eraser 4. Press Set to complete the edit 4 5. To exit, press Exit on the touch screen 3 Exit 5 HOOD05162003111582 - August 11, 2020 Editing Tools Editing Tools 34 Cutting Method with VOI Off • Displays with a wireframe 1 Parallel Cut • Six planes are available to remove the voxels outside the selected plane 2 • To activate: 1. Press Parallel Cut with VOI Off 2. For each plane to be used in the edit, roll 3 the trackball to position the plane 3. Press Update 4 4. Press Set to complete the edit 5 Exit 5. To exit, press Exit on touch screen HOOD05162003111582 - August 11, 2020 35 HOOD05162003111582 - August 11, 2020 Editing Tools Data Management 36 Storing a Volume • The system does not automatically save the volume when you print or store images 1 • Store the volume if you plan to retrieve the volume after Clip Store the examination ends 2 Save volume X 1. To store a volume press Clip Store with the image O AD Cine 3 frozen C 4D Single volume 2. A dialogue box appears OK Cancel 3. To store a 4D cine clip, select 4D Cine and select OK 4. To store a single volume, select 4D Single volume Save volume X and select OK C 4D Cine 5. A thumbnail will be displayed with a volume icon to @ AD Single volume ..................................................... 4 denote it is a saved volume OK Cancel Tip: Refer to the manufacturer’s user manual for the proper handling and operating instructions for the device connected to your system. 5 HOOD05162003111582 - August 11, 2020 Storing and Printing 37 Images stored or printed of the volume are single frame images 1. Press either Print Store 1 / Print Store 2 key on the control panel that is configured for storing or printing Print Store 1 Clip Store Print Store 2 1 2 1 2. Press Clip Store to store an avi-file 3. A thumbnail will be displayed with a cine icon to denote it is a saved clip 3 HOOD05162003111582 - August 11, 2020 Data Management Data Management 38 Recalling a Stored Volume For best results, you should have the volume transducer active before recalling images / volumes for manipulation 1 3 Review Pointer 1. Press Review button on the control panel 2. A volume Data graphic icon is displayed on each image that is associated with a stored 3D/4D volume 4 3. Select the Pointer on the Volume icon 4. Double-click Set 2 HOOD05162003111582 - August 11, 2020 5. Once a 4D cine volume is stored, the 4D 39 5 cine folder appears on the touch screen for access to the cine buffer 6. The cine buffer presents the volume counter 7. The cine buffer displays the volume indicator 8. Use the Select rotary control to cycle through the cine volume 8 Select Tip: The volume can be edited and additional 5 Vol6 images and/or volumes can be stored. 7 6 HOOD05162003111582 - August 11, 2020 Data Management Cine, Animation and Reset 40 4D Cine Options Freeze the image and use the trackball to go through the frames within the cine buffer 1 1. Cine 4D back using the Trackball 2. Or turn the Select rotary control 2 3. Press 4D Cine for more options Select 4D Cine > 3 Play and pause Set Start Marker Set End Marker Sets a margin Reset Markers Cine Speed Selects cine speed 1 HOOD05162003111582 - August 11, 2020 L4g Volume Animation 41 1. To enable automatic rotation of the volume, press Animation 1 Animation > 2. Adjust the settings for Speed, Angle, Axis and Clip by turning the corresponding rotary 4 3 control 3. To pause animation, press Pause 5 Exit 4. Press to play the animation 5. To exit animation, press Exit on the touch screen 2 Soft keys: animation setting Angle Speed Axis Clip Time 60 Slow Axial 4sec Cine, Animation and Reset HOOD05162003111582 - August 11, 2020 Cine, Animation and Reset 42 Volume Reset Tools Press the Reset folder to access more options Reset > Reset Orientation Reset Ori. • Restores the default orientation for all quadrants Reset All Reset All • Restores the default orientation • Resets the default multi-planar rendering, volume orientation, and all display parameters to their original values Flip Flip • Flips the image 180 degrees HOOD05162003111582 - August 11, 2020 Synchronization in Plane view mode 43 Sync • Aligns the orientation of a selected slice within the active MPR with the volume when VOI is switched off • It is a helpful tool, when using the Cut plane with the A or B plane Exit • To exit Reset tools, press Exit on the touch screen Cine, Animation and Reset HOOD05162003111582 - August 11, 2020 SubPresets 44 Create a SubPreset First, change desired 3D/4D parameters (e.g. Render method, Low Threshold, SubPreset > 1 DynR, Format and/or Contrast ) Define 2 1. Press SubPreset SubPreset X 2. Press Define Spine Apply 2nd/3rd Tri Soft New 3 3. Select New Save current setting as ... Default Fetal Phantom 4. Type in a SubPreset name Set as default Delete 4 5. Select OK OK Cancel Rename Move Up 5 Move Down Close HOOD05162003111582 - August 11, 2020 6. Select Apply and the new SubPreset will 45 SubPreset X display on the touch screen Spine Apply 2nd/3rd Tri 6 7. Numerous options are available to sort in Soft Fetal Phantom New the Subpreset folder Face 20w Face 25w Default Face 30w 8. Examples of user-defined SubPresets Uterus 3D Overwrite Overy 3D 7 Delete EarlyOB 3D Early OB 4D Rename Spine 3D CorpCallosum 3D Move Up Endometrium 3D IUD 3D Move Down more 1 more 2 Close Spine 2nd/3rd Tri Soft Fetal Phantom Face 20w Face 25w Face 30w Uterus 3D 8 Tip: SubPresets can be applied on a frozen Overy 3D EarlyOB 3D Early OB 4D Spine 3D volume. CorpCallosum 3D Endometrium 3D IUD 3D more 1 more 2 more 3 more 4 more 5 SubPresets HOOD05162003111582 - August 11, 2020 SubPresets 46 Configuration Menu Prioritize 3D/4D entry method O 1 Exam 2 1. Press the Configuration menu icon 2. Select Exam Exam OB 3 V 3. Point and click the exam type via drop-down menu and select the exam type OB, GYN, EarlyOB 4. Select e.g. Exam OB with 4D 3D/4D Default Selection 3D 4D 4 5. Select e.g. Exam GYN with 3D 5 3D 4D HOOD05162003111582 - August 11, 2020 47 SubPresets HOOD05162003111582 - August 11, 2020 Advanced fourSight Technology 48 MultiSlice • To initiate MultiSlice, press Multislice on the touch screen MultiSlice • Multislice allows viewing of multiple A Plane B Plane 2×2 3x3 slices in the same plane at the same 2 time C Plane 1 4x4 6x6 To perform: 3 • 4 Horizontal Vertical 1. Select the MPR plane 2. Choose the Layout display 3. Select the Format to display the number of slices on screen at one time 4. Select the slice orientation to display the images in the MPR plane HOOD05162003111582 - August 11, 2020 5. Press Prev Page or Next Page 49 to move the range incrementally 5 Prev Page Next Page 6. Press Prev Image or Next Image to move through slices within the 6 selected range Prev Image Next Image 7. Turn the rotary control below the Slice Spacing to adjust the distance in mm Slice Spacing 1.0mm 7 C 8. To optimize the MPR’s, turn the rotary control below the image Map Tint Dyn R parameter D 2 45 8 C HOOD05162003111582 - August 11, 2020 Advanced fourSight Technology Advanced fourSight Technology 50 MultiSlice Layout Image example: chosen format 3:1, 9VE3 Early OB A layout 3x3 and vertical lines on 4 dB Opacity A plane Dyn R 50 Contrast 44 Brightness 20 Map L • The plane order on 3:1 format is A, B Tint 2 and C • The image highlighted with the yellow B box corresponds to the selected slice within the display and its position within the slice graphics C • MPR rotation is possible in the X, Y and Z-axis GYN Phantom Z HOOD05162003111582 - August 11, 2020 MultiSlice Full Screen 51 1. Slice spacing displayed in mm • Selected slice spacing is 3.5 mm 2. Current slice number 3. Total number of slices 4. The green marked asterisk indicates 1 the center slice of the total number 70.0 mm 20/41 73.5 mm 21/41 of slices acquired * 4 Tip: The user has the ability to rotate the slices in the X, Y, or Z-axis while in full screen display by using the major mode keys on the control panel. 80.5 mm 23 41 84.0 mm 24 41 2 3 HOOD05162003111582 - August 11, 2020 Advanced fourSight Technology Advanced fourSight Technology 52 Thick Slice Imaging (TSI) • To initiate Thick Slice Imaging, press TSI on the touch screen TSI • Thick Slice Imaging (TSI) allows the user to define a view plane (cut plane) and create a A/A 1 A/C Slice Thickness 20mm 2 certain thick slice in the region of interest Render To perform TSI: Opacity 3 • 1. Select the option of planar display • A/C view is the default Smooth Contrast Opacity 40 56 65 2. Adjust the desired thickness in mm 4 Tint LowTh 3. Access other render modes Brightness 1 30 58 4. Various image optimization tools are available • Use the rotary control below the imaging parameter to make changes HOOD05162003111582 - August 11, 2020 Thick Slice Imaging (TSI) A/C Plane 53 1. The teal line represents the center of the thickness within the cut plane 2. Image example displays a 20 mm slice thickness 1 Note: The yellow lines will not be visible during acquisition 3. TSI icon with C plane pictogram GYN Phantom 3 Z Illustration how TSI works: Example with 20 mm 2 3 10 mm 1 10 mm HOOD05162003111582 - August 11, 2020 Advanced fourSight Technology Advanced fourSight Technology 54 Thick Slice Imaging (TSI) A/C Plane 1. The Position line is fixed 2. Trackball is linked with the A plane • Move the A plane into the anatomic area 1 • The yellow line illustrates render direction and will not be visible during acquisition 3. Select the Pointer and Set key to access 2 the C plane. The C plane outline will now become gray 4. Use the C rotary control for clockwise Z-axis rotation N Pointer C 3 3 4 HOOD05162003111582 - August 11, 2020 Rotating A plane: 55 3 1. Activate A plane, use Pointer and Set key and C plane becomes a green outline 2. Press Update key 3. The Pan icon changes into TSI rotate icon • Move the trackball to rotate into anatomical view • If you need to rotate the C plane, activate 1 the C plane by using the Pointer and the GYN Phantom Set key • Use the C rotary control for Z-axis rotation Z Pointer C 1 2 4 Note: TSI thickness is still 20 mm. HOOD05162003111582 - August 11, 2020 Advanced fourSight Technology Advanced fourSight Technology 56 Thick Slice Imaging (TSI) A/A Plane 1. Press A/A on the touch screen A/A 1 Slice Thickness 2mm 3 2. The reference dot appears without a line 3. Press Slice Thickness to change the slice GYN Phantom thickness if desired • This image example has a 2 mm thickness 4. TSI icon changes into the A plane pictogram 2 4 HOOD05162003111582 - August 11, 2020 Curved MPR 57 • To initiate, press Curved MPR on the touch Curved MPR screen • The function of Curved MPR is to reformat the Multiplanar images into the curved plane • It allows the user to set points along a curved object in order to straighten it • The placement of the points tells the software where to put the center of the image • The process is called “warping”, the effect is “straightening” HOOD05162003111582 - August 11, 2020 Advanced fourSight Technology Advanced fourSight Technology 58 Curved MPR 1. Choose a draw method, press Line, Spline or Trace on the touch screen Line Spline 2. Variable image optimizations are available 1 To change a parameter, use the rotary key ~ • Trace under the soft key Map Tint Dyn R B 1 60 2 HOOD05162003111582 - August 11, 2020 Curved MPR with Spline Method 59 1. Position the crosshair at the top of the anatomic structure Spline • Use the trackball in combination with Update key to set the Spline points GYN Phantom • Once you have finished drawing the line, press Set 1 2. The straightened image is displayed to the right 2 3. To rotate the C plane, Use the Pointer to activate the C plane then use the Set key to set the C plane 4. Use the C rotary control for Z-axis rotation Z Pointer C 3 4 HOOD05162003111582 - August 11, 2020 Advanced fourSight Technology Advanced fourSight Technology 60 Curved MPR with Spline Method Reposition the Curved MPR line, if necessary: 1. Activate the A plane by using Pointer and Set key 2. Position the Pointer over the red dot in the middle of the line, then a hand icon appears 3. Press and hold the Set key and move the trackball to pan the Curved MPR line Tip: If you only press Set instead of pressing and holding Set, the traced line disappears and you must repeat the trace. HOOD05162003111582 - August 11, 2020 Rotate Curved MPR Line 61 1. The A plane must be active 2 1 2. Position the Pointer over either end of the line, then a circle rotation icon appears 3. Press and hold the Set key and move the trackball to rotate the Curved MPR line 4. To exit TSI function, press Exit on the touch screen 2 GYN Phantom Pointer 3 4 Tip: If you only press Set instead of pressing and holding Set, the traced line disappears and you must repeat the trace. HOOD05162003111582 - August 11, 2020 Advanced fourSight Technology 3D/4D Guidelines and Tips 62 To obtain quality 3D/4D volumes • Avoid moving the transducer while in volume Positioning the Transducer: acquisition • Avoid a true mid-sagittal view when performing • A lighter push with the volume transducer fetal face provides better results in 3D/4D performance • View from the side produces the best rendered • For GYN 3D use the full 90 degree sweep angle images for fetal face • Choose the region of interest to include the • Create user-defined SubPresets for each occipital region trimester • The target should be in the center • Just one “press” on SubPreset folder reduces optimization time • For fetal face imaging use the nose and mouth HOOD05162003111582 - August 11, 2020 Conditions affecting good volumes are: 63 • Maternal abdominal wall • Amniotic fluid consistency • Fetal face skin development and fetal movements • If borders are not well defined, adjust LowTh , DynRange, Brightness and Contrast in combination HOOD05162003111582 - August 11, 2020 3D/4D Guidelines and Tips The products /features mentioned in this document may not At Siemens Healthineers, our purpose is to enable be commercially available in all countries. Due to regulatory healthcare providers to increase value by empowering reasons their future availability cannot be guaranteed. them on their journey towards expanding precision Please contact your local Siemens Healthineers organization medicine, transforming care delivery, and improving for further details. patient experience, all enabled by digitalizing healthcare. Images used in this guide are for educational purposes only. An estimated five million patients worldwide everyday They have been modified or compressed and may not reflect benefit from our innovative technologies and services in the actual image quality of the system. the areas of diagnostic and therapeutic imaging, laboratory ACUSON Juniper and fourSight are trademarks of Siemens diagnostics and molecular medicine as well as digital Medical Solutions, USA, Inc. health and enterprise services. We’re a leading medical technology company with over 120 years of experience and 18,500 patents globally. With over 50,000 employees in more than 70 countries, we’ll continue to innovate and shape the future of healthcare. Siemens Healthineers Headquarters Legal Manufacturer & Published by Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 22010 S.E. 51st Street Phone: +49 9131 84-0 Issaquah, WA 98029 siemens-healthineers.com USA Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · Order No. A91US-647-1C-4A00 · Printed in Germany · 9239 0820 © Siemens Medical Solutions USA, Inc., 2020 - HOOD05162003111582 - August 11, 2020

  • Juniper
  • ACUSON Juniper
  • 4D
  • foursight
  • 3D
  • three D
  • four D
  • VOI
  • ROI
  • MPR
  • multiplanar
  • volume
  • reference point
  • sweep angle
  • volume of interest
  • region of interest
  • opacity
  • threshold
  • measurements
  • 4D cine
  • MultiSlice
  • thick slice