ACUSON S2000 ABVS Quick Reference Guide

ACUSON ANVS ACUSON ABVS Automated Breast Volume Scanner HELX EVOLUTION COUNT ACUSON S2000 Automated Breast Volume Scanner (ABVS) Quick Reference Guide SIEMENS siemens.com/ultrasound Healthineers Contents 2 System Components 3 On-screen Controls 6 ACUSON ABVS Getting Started LETRASOUND SYSTEM 8 Patient Positioning 12 ABVS Protocol Views 14 Acquisition 18 Ending the Exam 22 System Components 3 1. Ultrasound System 2 3 2. ABVS Column 3. ABVS Articulating Arm 4. ABVS Scanning Pod Featuring 14L5BV Transducer ACUSON ABYS 1 5. Single use membrane 4 HELX EVOLUTION 5 System Components System Components 4 1. Arrow Button Initiates view acquisition 2. Lock / Unlock Button Locks and unlocks the ABVS arm 3. +/- Stabilization Pressure Adjusts the level of pressure applied to the breast 1 2 3 + 1. VGA Non-Widescreen I/O Module Widescreen I/O Module 5 2. USB USB should be inserted into the port Op on the right 3. Transducer Connector Port 1 Attaches to DVI adapter 1 2 2 3 9L4 System Components On-screen Controls 6 1. Preset SIEMENS Optimized settings for volume acquisition based 14L5BV Breast on the estimated size of the breast. A is smallest 17fps 2D-100% size; D+ is largest size. GEN 11.00 MHZ 848/DR7O Cup size refers to the patient’s bra cup size. MapC/ 2. Gain 1 2 3 4 5 3cm 6 Adjusts the overall gain or brightness of the Preset Gain Depth Breast LAP Unlock image. A LR 3.0cm Lock 3. Depth Adjusts the depth of the field of view in centimeters. 7 4. R or L Breast Identifier Selects the right or left breast identifier. 5. Active View Indicates the active ABVS protocol view. 7. End Exam Ends the current study and saves the acquired 6. Lock / Unlock volume data to the ultrasound system’s hard Enables or disables pressure and pivot motion disk. of the scan arm. 1. Change View 7 SIEMENS 7 Allows the user to change the active view label TSI Depth Mark 14L5BV Nipple "Breast 1.0mm before accepting. 20%. 100% GEN Change 1 R70 View 2. Shadow Correction Activates or deactivates removal of the nipple Shadow 2 Correction shadow from the image. 6 O Silhouette 3 3. Silhouette Activates or deactivates removal of noise or Accept 4 non-tissue related data from the image. Reject 4. Accept / Reject View Finalizes the active view label and nipple 5 marker position. 5. Laterality Marker Indicates which breast is currently being scanned. 7. TSI Depth Enables the user to preview the coronal plane 6. Nipple Marker of the acquisition from skin line to chest wall. Marks the location of the nipple as a reference point. On-screen Controls Getting Started 8 1. Turn on the ABVS arm using the toggle switch on the back of the column. Note: This must be done before turning on the OFF ACUSON S2000 system. ON 2. Turn on the ACUSON S2000 system. 3. Insert the connector into the system port and turn the lock clockwise from horizontal to vertical until it locks into position. acuson 9L4 4. Attach the magnetic single use membrane to 9 the transducer pod. 5. Press the “Patient” Key on the ACUSON S2000 system. Patient Review End Exam Report Getting Started Getting Started 10 6. Register the patient in the PATIENT Scheduler Search Last Name DI & The browser. First Name Compet Acorsivon No Middle Name Short Foon Dels of fluth mixyyyy HISTORY Relening Phyvos Browser Sex Uale Female EXAM Addtonal Inta Openitcx Protocol Surt Study Appena Ducy Preregister Cancel Refresh List Hide 7. Select the 14L5BV transducer Exam icon on the touch screen. Breast > 1214 9L4 14L5BV : More The transducer pod will illuminate and the 14L5BV transducer completes a calibration scan. Transducer, exam and protocol can also TIP be selected from the touch screen after patient registration. 11 Getting Started Patient Positioning 12 Place the patient in a supine position. • Turn the patient into a posterior oblique position • to raise the breast to be scanned toward the pod. Support the patient by placing a triangular • sponge behind his/her back. Adjust the patient’s position until the breast is • evenly distributed across the chest wall. If needed, raise the patient’s arm above his/her • head to evenly distribute the breast tissue and adjust the bed in the head up or down (trendelenburg or reverse trendelenburg) position. 13 Patient Positioning ABVS Protocol Views 14 ABVS Protocol Views The protocol automatically acquires views of each breast in a customizable sequence, beginning with the right and ending with the left. Each view has a pre-determined label: R AP, right anterior to posterior L AP, left anterior to posterior (center region of breast) (center region of breast) R LAT, right lateral L LAT, left lateral (side of breast near mid-axillary line) (side of breast near mid-axillary line) R MED, right medial L MED, left medial (side of breast near sternum) (side of breast near sternum) R SUP, right superior L SUP, left superior (top of breast) (top of breast) R INF, right inferior L INF, left inferior AP 15 Place the pod over the central portion of the breast so that it is parallel with the chest wall. SIEMENS Acquisition should include: Superior and inferior tissue borders • Symmetrical round breast • Lateral Place the lateral edge of the pod along the mid axillary line. Scoop and flatten the breast tissue so that it is parallel to the chest wall. Acquisition should include: Superior and inferior borders • of lateral breast to include the axillary tail Edge of tapering lateral breast • tissue ABVS Protocol Views ABVS Protocol Views 16 Medial Place the medial edge of the pod along the opposite sternal edge. SIEMENS Gently lower the center of the pod onto the breast and slide laterally until adequate contact is visualized. Acquisition should include: Superior and inferior borders of • the medial breast to include the inframammary fold Sternum, rib and intercostal • muscle medially Superior 17 Place the superior edge of the pod just below the clavicle. Roll pod toward the nipple. Acquisition should include: Superior aspect of the breast • from the clavicle to the nipple Inferior Place the inferior edge of the pod SIEMENS 2 inches below the breast border. Slide the pod toward the nipple until adequate contact is visualized. Acquisition should include: Inferior aspect of the breast from • the inframammary line to the nipple ABVS Protocol Views Acquisition 18 Step 1 Attach a single use membrane. • Step 2 Place the patient in a supine position. • Place a supportive cushion so that the • patient’s nipple is pointing toward the ceiling. Position arm to evenly distribute the breast • tissue. Step 3 19 Evenly apply lotion to the breast using a spatula • or tongue depressor. Step 4 Place the pod over the breast and center • according to the desired view. SIEMENS Step 5 Lock the transducer. • Apply a small amount of pressure to stabilize • the breast. Acquisition Acquisition 20 Step 6 Verify the correct view. • Select the cup size preset and ensure the depth • is correct. Som A LR Ensure adequate contact to provide consistent • coverage. Step 7 Press arrow to initiate image acquisition. • The complete scan will go in the direction of the • arrow usually from inferior to superior. Step 8 21 Before “accepting” the volume, use the “slice • position key” on the ACUSON S2000 system or the “TSI Depth” key on the touch screen to scroll through the volume. Step 9 14450 30-130% OCH Place the nipple marker over the nipple. 11.00 M • Verify view type is correct and modify if • necessary. Press “Accept”. • Acquisition Ending the Exam 22 When all views are completed for both breasts, • select “End Exam” key on the control panel. The data set transfers either manually or Patient Review • automatically to syngo.Ultrasound Breast Analysis (sUSBA) for physician interpretation. End Exam Report Remove and discard the single use membrane. • Clean the transducer and pod with an approved • cleanser. 23 Ending the Exam The products / features mentioned in this document may not be commercially available in all countries. Due to regulatory reasons their future availability cannot be guaranteed. Please contact your local Siemens organization for further details. Images used in this guide are for educational purposes only. They have been modified or compressed and may not reflect the actual image quality of the system. ACUSON S2000 ABVS is a trademark of Siemens Medical Solutions, USA, Inc. syngo is a registered trademark owned by Siemens Healthcare GmbH. Siemens Healthineers Headquarters Legal Manufacturer 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, USA siemens.com/healthineers Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · Order No. A91US-462-1C-4A00 · Printed in Germany · 5445 10170.7 © Siemens Medical Solutions USA, Inc., 2017