SC2000 Stress Without View Control

To begin a stress echo on the SC 2000, begin with the patient demographic page. Select exercise stress under workflow, then select OK. As we begin to scan, get the desired view and optimize the image to begin the stress exam, select the 4th soft key to start the stress protocol. The ROI or region of interest Box has now appeared using the trackball. You can move the ROI to get the image in the entire ROI box. Select next from the home base and this will allow you to change the size of the ROI box. Select next to go back and position the ROI box. Please note the display on the bottom right of the screen. This allows you to keep track of what views stage and images acquired. Press clips store to acquire the resting parasternal long axis. Images All images are required prospectively. Double click the preferred image. The system will advance you to the next rest stage. Press clips store to acquire the short Axis images, double click the preferred image. Press clips store to acquire the resting apical four chamber view. Double click on the preferred image. Press clips store to acquire the apical two chamber images and double click the preferred image. Select review on the control panel to bring up selected resting images. So like compare with the first soft kitovu all rest images. By selecting sort on the left sided menu, you can view the resting images by stage or by view. Now you are ready to capture the postexercise images. Press clips store to begin the continuous acquisition. Start with the apical four chamber, then two chamber parasternal long axis and finish with the short axis. Again, note the display on the bottom right. It is showing the number of images acquired because we are not using view control. All images will show up in the apical four chamber required box. Press clips store again to stop or pause acquisition to acquire additional images at peak, such as the tricuspid valve select pause protocol. Obtain the view of the tricuspid valve, select color and position color box over the tricuspid valve press. CW Anneline CW cursor across the tricuspid valve press. Enter hit freeze to stop acquiring waveforms. Optimize The CW Doppler waveforms. Bring the pointer onto the screen over the waveforms. And right click for access to easy measurements, select TR VMAX, notice the measurement point automatically goes to the TR VMAX, adjust if necessary. Now to select the post Images, press review on the control panel. All images were obtained without view control, so we must rename the desired post images. Press select key on the preferred clip, right click on the selected image to label it by using the scroll wheel to choose appropriate name. Select and right Click to rename remaining images. To View images, select the first soft key to compare. Select sort and select by view. This displays the pre and post clips by view. Scroll through the pages with the scroll wheel. This concludes a stress echo without view control performed on the SC 2000.

ECHO SIEMENS SC2000 SIEMENS 8C2000 SIEMENS SIEMENS sc2000 SIEMENS Exercise Stress TRESS ECHO STRESS ECHO Acquisition Other other Other other SIEMENS SIEMENS 18050312.3400327 18050312.2400327 18C503123400327 18050.3123400327 18050312340032'7 18050.3123400.327 Other 180503123400.327 000 180503123400327 180.503123400327 Ml: 1.21 ITIS: 0.93 oo o Exercise Stress ECHO OdB Ml: 0.10 ITIS: 1.00 Ml: 1.07 / TIS: 0.85 Ml: 1.22 I TIS: 0.93 Ml: 1.23 / TIS: 0.93 Ml: 1.07 ITIS: 0.85 other 00:34:419 00:34:41 e 00:34:41 Post 00:34:41 00:38:35 00:38:19 Exercise Stress 1.07 37 19 49 32 16 21 50% 26 Cardiacl* / 4V1c Cardiacl* 14VIc Cardiacl* / 4VIc Cardiacl* 1 4VIc Cardiacr / 4VIc ccc cc Cardiacl • 1.07 PLAX e) Exercise Stress Stress Echo : 4Vfc A4C PLAX PSAX P SAX - BPM .68 BPM •61 BPM 41 BPM .61 BPM 61 BPM 59 BPM 56 BPM 65 BPM BPM 56 BPM 65 BPM 59 P SAX A2C 50 64 BPM Patient Demographics Vmax P SAX Ml: 1.07 Ml: 1.07 Ml: 107 1.07 107 Cardiacl• 18 63 BPM ecc cc TR Peak Grad = 16.1 mmHg (DOC) Acquisition Poquisition Acquisition Echo Patient ID- patient ID STRFSS FCHO TRESS ECHO Cardiac'* Sync 56 58 26 24 Echo Stress Echo Stress Echo : Exam Preset 0.69 m/s 0.69 mis M/dd/yyw Acquisition Date of Birth- Date of Birth Cardiacl• First Name Transducer •Transducer - Transducer Transducer 4V1c 4Vfc 4V1c 4V•1c 75 fps 1 160 mm 22 fps 1 160 mm 23 fps 1 160 mm 75 fps / 160 mm Exam Preset Stress Echo : 20 26 4V1c Selection compare Cornpare Compare NTHI General* General First Name Exam Preset Exam Preset Cardiac'* Cardiac' • Cardiacl* Cardiac" Cardiacl• Cardiacl*• Cardiacl • Cardiacl' Cardiacl• Cardiac"• Cardiacl* Cardiac'* Exam Preset Stress Sex Other • Other Opher PLAX Exam Preset H4.OMHz / 15 dB Page H4.OMHz / 14 dB 1--14.0MHz / 14 dB H4.OMHz / 13 dB H4.OMHz / 20 dB 1--14.0MHz / 13 dB 1--14.0MHz 17 dB H4.OMHz 13 dB 1-14.0MHz / 13 dB DR: 57 dB DR: 57 dB Page 13 of 16 6 of 16 7 of 16 4 of 4 1 of 1 2 of2 20f2 2 of stage: 40f4 Cardiac'* Request Information 16 Ptage: 20 Playback —Color— page stage: TV E Vmax Loop Aligned 20f2 Go to Exam Review 12D CDV 2.0MHz CDV / 2.0MHz 31 32 48 58 Syne Sync Loop Aligned 50 20 120 Systole only 20 120 0.69 0.69 mis Playback Playback. Systole only 50% 50% Loop Aligned 19/58 Persistence Persistence —Playback Speed +164 59 152 Playback Speed 20 60% 50% 60 13/53 20/58 Systole only TEQ Operator Playback By Stage Add Stage Playback Speed 70 TEQ TEQ Add Stage TV VTI ep e-o eo Workflow DTCE Capture ROI Persistence TV VTI Tips eo e) DTCE DTCE Post Review 000 Post Stress 26 40 48 50 56 52 20 28 15 58 59 51 Post Rest 00:35:28 00:34:41 Rest on TV VTI Annulus 13 15 4054 26 20 16 49 A4C A4C A2C MC 68 BPM 63 BPM 72 BPM 65 BPM BPM 59 BPM 56 BPM 68 BPM 65 BPM PSAX P SAX 60 BPM 60 8PM 61 BPM 56 BPM 66 BPM 1 BPM 64 BPM OPM Capture Capture Preview TV vmax 67 BPM 5 BPM Ml: 1.07 Ml: 107 Ml: 1.07 1.07 63 Capture 0.50- Ml: 1.07 capture ROI 51 1.07 Exercise Stress Ml: 1.07 DTCE on 66 Capture ROI Exam Information 1.07 Capture capture ROI ALL nomes and data of patients, parameters and configuration dependent designations are fictional and examples only. Rest A4C 1.60 1.070 1. Rest Post Next PLAX A2C •capture ROI 60 Stress Echo stress stren strens stress ECh0 capture ROI capture stress Stress capture ROI on Transducer Post Next Rest P SAX PLAX BP (Sid) Stress Echo A4C PLAX eo e-o e-o Rest Echo Rest PSAX ECG In ROI ECG in ROI ECG ROI ECG In ROI ECG in ROI on on Stress Echo Exam Preset Indication Cardiac 1' Cardiacl*• Cardiac 1 • Cardiacl• Go to Exam Review on €0 Height Echo capture ROI eo e) eo 2.00- 0.00- Copyright O Siemens Healthcare GmbH 2018 PSAX Additional Information Weight 000 1.00 00:01 0 00 PLAX P SAX 00:01 GO to Exam Review 1:15 00:01 PSAX BSA- 2.60- 2.00- •1.00- 50 capture 6 of750 Acquired Clips: Acquired Sl Acquired l Acquired Sel Acquired 18 of750 O of750 00:01 ccc • Selection / Stage: - Rest Go to Exam Review PSAX Stage: Rest stage: Stage: Stage: Post Ptage: Post Rest Rost stage: View Acqutr•d cc ccc ovie s Veview ecc • Custom Information Veview Acquired VIew Acquired Review View Acquired VI ew Acquired Sel Actuived Acquired Sel Acquired Sl Acquired Clips: View Selected Selectedn Acquired sel Acquired Page Up/Down Veview View Review View ove o o Of750 Acquired A4C 21 15 20 17 16 11 PSAX Defer Selection End Capture I Preset 2 Normal Norma \ custom ove o ov o owe o Post on os 34 —PLAX P SAX p SAX PSAX A4C A2C Stress Echo : Stress Echo Selection I Selection Select Se Add Stage I Compare Compare compare Add Stage Protocol : Add Protocol : Protocol : A Update Add ocol : Selection Select Set Stop stop Acquired Actuived Active Protocol : Protocol : I Pause I pause Pause Actuived I Pause Select Com Acquired l are PLAX A4C A2C A2C ov o Total 4 P SAX PLAX A4C A2C o to Exam Review A2C O Stage Total 2 Total 4 Total Normal Total 8 Total 20 26 4V1c 59 30 58 20 15 56 16 17 36 Go to Exam Review Update 20 FOV 20 FOV Stress Echo 2D FOV Stress Echo 2D FOV Review Veview Cine Stress Echo Stress Echo 20 FOV 2D FOV Echo Stress Echo : TEQ unable to compute gains. Selected s: 12 s: 16v:o s: oc 16 s: o c: 16 s: oc: 16v:o s: o c: 53 s: 11 Selection Select selection Select Select Se pos S Menu Pos Size Next Post Rest Menu Size Pos Size pos Size Selection