syngo. Ultrasound Breast Analysis Quick Reference Guide

W .0000000000 ACUSON S2000 syngo®.Ultrasound Breast Analysis Quick Reference Guide SIEMENS siemens.com/ultrasound Healthineers Introduction 2 syngo®.Ultrasound Breast Analysis Table of content (sUSBA) is a software-only solution for offline review of 3D volume data and Set-up and Configuration 3 2D images from the ACUSON S2000™ sUSBA Work Area 6 Automated Breast Volume Scanner Patient Browser Functions 8 (ABVS) ultrasound system. The software is 3D Hanging Protocols 16 optimized for breast ultrasound workflow, making 2D review and manipulation of Hanging Protocols Prior Comparison 24 3D ABVS data more efficient than ever. General Hanging Protocols 28 It provides image analysis and reporting Study Display Tools 32 with comprehensive tools for data review Image Manipulation Tools 40 all in one place. The report supports the Orientation and Image Reset Tools 48 – American College of Radiology BI-RADS® Slice Thickness and IP Settings 52 ultrasound lexicon classifications. Marking Tools 54 Report and Finalization 64 Keyboard Shortcuts 70 Note: 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. Set-up and Configuration 3 Starting sUSBA Starting sUSBA 1. Double-click the program icon 3 on the desktop to start sUSBA. 2. Enter the following information into the data entry field: User-name – admin • Password – 3dus • 3. Select the Wrench icon to enter the Settings menu. ? X 3 Set-up & Configuration Set-up and Configuration 4 Setting-up a New User 1 Personal Preferences System Settings Network Jeers Lek Name 1. Select the Users tab. Pastweed Service Password 3 Doctor Name bacter Name 2. Select New User to create a profile. 3. Enter the user information: Enter password Confrm password ness User-name – admin • Save 4 Lancel First name / last name / title • 4. Create a password or select the option to use your windows password from 2 5 the drop-down menu. Personal Preferences System Settings Network Ubers 5. Press Save User Name Lak Name Authentication Hetbod . Service Password byacan doct doct 4 Assigning Rights 3 5 1. Select user type under Rights tab using the drop-down Fersonal Preferences Setem Settings Network Users menu. Rights Last Name First Name Tele Authentication Method Adrain Administrator sy Breast Analysis Password 2. Press Save. Servke APSRA Password Reporting physici Doctor Name Doctor Name Password 1 3. Select the logout icon in the upper right hand corner of the screen to exit. 2 Now User Delite User Sik Password Create Backup Fe Restore from Backup ... Restore Default Revert Save Set-up & Configuration sUSBA Work Area 6 14 15 1 SIEMENS 2 H =X SERIES & IMAGES 3 13 9 7 WAT 5/22/2006 16:37:45 AM 4 nage From Other 30.des 50 mm 11 10 6 8 12 FINDINGS RAP - 11 50 mm 5 100 mm L4g 7 1. Patient Browser 9. Upper-left corner menu provides tools to 2. Patient and study information manipulate images 3. Study Navigator 10. Lower-left corner menu provides tools to adjust the display of 3D ultrasound images 4. Reference Lines 11. Breast body marker (pictogram) indicates 5. Common Tools (Snapshot, Hide/Show Overlays, position of the current slice relative to the Open Report) anatomy 6. Vertical scroll bar with slider to step through 12. Nipple marker the view in the indicated direction: Head to foot, right to left, or anterior to posterior 13. Image information (including the system where the image was acquired), view, slice number, 7. Upper-right corner menu provides tools to total slices, depth, and overlap of slices mark findings, perform measurements, and insert annotations 14. User Manual 15. Preference Tab 8. Lower-right corner menu provides tools to remove changes to the image USBA Work Area Patient Browser Functions 8 The patient browser displays the Select the Binocular icon to open Worklist. When a patient study is the Patient Browser: sent to the system, the available functions will appear in the menu: Open Study • Query /Retrieve SIEMENS Doctor Name • Work Lists Import • 4 >>> Export • Process • Reopen • Open a Patient Study 9 1. To open a study, first select Patient Browse the patient name. Search Name Status Sex Date of | Content Time Point Date Last Read By Run Soarch 1 AEVS, 012015 Local'Deferred F 2 studien 6/22/20 ... Doctor Workspace Tralalag408, Tiala ... Local'Outgoing 33/201 ... Ductos 2. Select Open or double-click Use this search as the default Clear Delete Sare ... on the patient name. Search Parameters Local orly If the study is completed, Include local patiente in search • Name: double clicking on the Patient ID: Date of Birth: study will open it for Study date: review only. Accestion No.: Referring physician: Modalcies: CT 3. To edit a completed study, MR select Reopen to modify US markings. 3 2 Import .. Export ... Process Reccen Delete DICOM Retrieve Open TIP The study will open in the Single Slice layout (default setting) unless a different preference is set in the Preference menu (F3). Patient Browser Functions Patient Browser Functions 10 Query /Retrieve 1. To retrieve a study on a @ Patien Browser DICOM node, locate the 1 Search 4 7 Name A Status Sex Date of Birth Content Time Point Run Search . Training)2Multiple Cy ... LocalNew AEN'S Workspace . Tralalag36IDC_12 LocalPreliminary ABV'S search tool in the patient + Training]7Scar_FA_12 Local/New AUV'S Use this search as the default . Training fSMedullary ... LocalNew AEN'S . Training 16Phyllodes_12 Locallow AUV'S browser. Clear Delete Save ... Search Parameters 2 Local orly 6 2. Select the source from the Include local patients in search Name: drop-down menu from the Patient ID: 3 Date of Birth: Search Parameters area Study date: The default is Local only. Accestion No.: • Referring physician: Modalcies: CT 3. Enter the patient name / ID MR or accession number. 5 4. Select Run Search. Import ... Export. Process Reccen Delete DICOM Retrieve Open 5. Select the studies and select DICOM retrieve. 6. Delete the information in the 7. Select Run Search again and Search window and reselect patient study will be listed in Local Only on the drop-down the browser. menu. Import Studies 11 To import a study from a disk or a drive: Date of sith Carcere Local Preliminary AN'S 1. Select the patient name. JA_12 LocalNow NUN'S 2. Select Import. 1 3. Select the data source. 4. Select Import. 2 i Import Look in: 11 C:\Users\siemens'Deskto ASES For Field DEC2_016 L My Computer 02Multiple Cysts_12 2 siemens OSIDC_12 OOIDC_12 07Scar_FA_12 15MedularyCA_12 3 10Pmy/lodes_12 012010 MM-Studies Files of type: DICOM Inages (".don) 4 Carcel Patient Browser Functions Patient Browser Functions 12 Export Studies To export a study to a DICOM node, drive or CD/DVD: Nana status Date of Beth Content Tien Point IroniagloMultiple Cy ... Localllow MITVS Training(IDC_12 Local Preil ABVS raialag@Scar FA 12 Locallow TrainingtStedallary ... Locallow ABVS 1. Select the patient name. aining16Phyllodes 12 Locallow MITVS 1 2. Select Export. 3. Select the destination from the Export Menu. 4. Select Export. 2 Sweort Dxport. Process Reopen Delete DICOM Retrieve Coen Export Type of Export 3 Users can export patient studies, Export to DICOM node TIP findings and snapshots to inserted media such as a CD/DVD, network Export to file system C:\Users\siemens\Desktop\QRG drive or USB. @ Export to CD/DVD Export entire study 4 O Only export findings and report Mark study as archived Export Cancel Process Studies 13 To process a study: 1. Select the patient name. sen CRCA - 2. Select Process. --- 1 3. The Status column indicates the progress of the operation. --- - 2 3 - ---- LAWY - - TIP Processing a study will remove all markings and edits and return the study to a New (Bold) status. Patient Browser Functions Patient Browser Functions 14 Study Navigator 1. Laterality Hanging (Right Breast) 1 2. Laterality Hanging 2 (Left Breast) CODO DOOD 3. Hanging Buttons 4. List of Findings 3 5. List of Markings 4 5 15 Patient Browser Functions 3D Hanging Protocols 16 Hangings “Hangings” are similar to the layout of film displayed with a light box. Each 1 hanging combines and synchronizes 2 segments for review of views. 3 1. Hangings for 3D images 2. Hangings for Current / Prior Comparison 3. Hangings for 2D images If a patient had a prior study, TIP there will be a third row of hanging protocols. Use the second row hanging to compare prior studies. Prior studies will be labeled in red. Laterality Hangings 17 1. The laterality hanging is labeled either SERIES & IMAGES Right Breast or Left Breast. 3D US Images Right Breast 2. When selected, transverse is displayed RAP 1 RLAT on the top row. RMED - BB Left Breast 3. Coronal views are displayed on the LAP bottom row as AP, LAT and Med LLAT LMED 3 acquisitions. 2 16 TIP If any of the above views were not acquired, the system displays the 3 views that were completed. 3 3D Hanging Protocols 3D Hanging Protocols 18 MultiSlice 1 1. The MultiSlice hanging displays adjacent slides of the selected views -> and adjusting the number of rows HH and columns shown. 1 TIP This view is helpful when comparing lesions found at different depths. Coronal Side-by Side 1 19 V 1. The Coronal Side-by-Side hanging icon H 2. Left breast display in the coronal pane of the selected view 3. Right breast display in the coronal pane of the selected view 3 2 1 -- TIP All tools are applied to both segments. This view is helpful when assessing asymmetry. 3D Hanging Protocols 3D Hanging Protocols 20 Single Slice 1 1. Single Slice hanging icon V 2. Large Coronal plane image 3. Smaller Transverse plane image --- 4. Smaller Sagittal image plane 2 3 1 4 -- US Wide 1 21 1. US Wide hanging icon 2. Large transverse plane image HH 3. Small Coronal plane image Small Sagittal plane image 2 4. 1 4 -- 3 3D Hanging Protocols 3D Hanging Protocols 22 Study Overview 1. Displays the coronal plane in all views SIEMENS Doctor Name Work Lists All TrainingOSIDC The number of segments • SERIES & IMAGES corresponds to the number il 30 US Images 1 HI Right Breast of 3D imaging in the study. RAP RLAT RMED - HH Left Breast LAP LLAT LMLD 1 Lgg 23 3D Hanging Protocols Hanging Protocols Prior Comparison 24 Prior Comparison Coronal Side-by-Side 1. Coronal plane hanging icon 2. Current study 1 3. Most recent prior study 4. The prior study will be labeled with Prior in red text 3 2 1 4 Prior 1 4 Prior Comparison Transverse Side-by-Side 25 1. Transverse plane hanging icon 2. Displays the transverse plane of the 1 EE selected view for the most recent prior study 3. Displays the transverse plane of the 2 selected view for the current study 4. The prior study will be labeled with Prior in red text 4 1 3 Prior 1 4 Hanging Protocols Prior Comparison Hanging Protocols Prior Comparison 26 Prior Comparison Vertical Side-by-Side 1. Displays the coronal, transverse and sagittal plane of the selected view for HH 1 the current study below the coronal, EE transverse and sagittal planes of the selected view for the most recent prior study. 2. The prior study will be labeled with Prior in red text. 1 Prior 1 2 Prior Comparison Horizontal Side-by-Side 27 1. Displays the coronal, transverse and sagittal plane of the selected view 1 for the current study adjacent to the coronal, transverse and sagittal planes of the selected view for the most recent prior study. 2 2. The prior study will be labeled with Prior in red text. 1 Prior 1 2 Hanging Protocols Prior Comparison General Hanging Protocols 28 General Comparison Hangings General comparison hangings are used to compare 3D ultrasound slices to other types of images including 2D ultrasound or multi-modality images. 1 2 3 1. 1 X 2 displays two large adjacent segments 2. 2 X 2 displays four quadrant segments 3. 2 X 3 displays six segments in a layout of 2 rows and 3 columns General Comparison Hangings 1 x 2 Display 29 1. 1 X 2 displays two large adjacent T segments 1 - 1 General Hanging Protocols General Hanging Protocols 30 General Comparison Hangings 2 x 2 Display 1. 2 X 2 displays four quadrant segments 1 1 LAg General Comparison Hangings 2 x 3 Display 31 1. 2 X 3 displays six segments in a layout of 2 rows and 3 columns 1 1 General Hanging Protocols Study Display Tools 32 Study display tools allow the user to modify how SERIES & IMAGES the tools and markings are displayed on the work II nicht Breast WAT area. Tools include: Show /Hide Orientation and Tool Overlays • Show /Hide DICOM Text • Show /Hide Markings • Sync Scrolling On /Off • Snapshot / Screenshot • Breast Body Markers • FINDINGS Show /Hide Orientation and Tool Overlays 33 The Show /Hide Orientation and Tool Overlays manages which tool indicators are shown on the screen. When selected, the breast body markers, reference lines, ruler, scrolling tool and orientation indicators will not be visible. = XYZ Show S ITT = XYZ ... Hide DD O ITT = Show Hide Study Display Tools Study Display Tools 34 Show /Hide DICOM Text The Show /Hide DICOM Text option controls the display of patient information. When selected, the date of the study, patient name and image identification number are not be visible. = Show S TTT = - XYZ ... Hide 5 ITTT = Show Hide Show /Hide Markings 35 The Show /Hide Markings option controls the display of the nipple marker, annotations, arrows, location and / or measurement markings. When selected, these markings will not be shown. = Show S TTT - = = XYZ Hide TTT = Show Hide TIP This may be useful when creating snapshots of lesions. Study Display Tools Study Display Tools 36 Sync Scrolling On /Off The Sync Scrolling On /Off option controls the depth at which scrolling is synced on coronal side-by-side hangings. When turned off segments will scroll independently. On I S = On Off TTT = Off - L4g Snapshot 37 Snapshot enables the capture of static MRIES & MAGES images in a single segment. 1 1. Snapshots are included in the current finding and saved with the study. 2. If a finding does not exist, the program creates a folder named Other Images. 3. To create a snapshot, select the Snapshot icon and click the desired FINDINGS 2 segment. 3 Study Display Tools Study Display Tools 38 Screenshot Screenshots are captured images of é multiple segments displayed in the 1 Alt S work area. 1. To create a screenshot of the entire work area, press Alt + S or 2. Hold down Alt while selecting the 2 Alt snapshot icon and clicking the desired segment. Breast Body Markers 39 Body Markers are a graphical display to provide orientation information about a reference point in the displayed 3D ultrasound slice and the breast laterality. Additional data displayed below the body marker includes: Coronal Sagittal 1. Distance of the reference point from the skin line 2. Distance of the reference point from the nipple Skin: 20.0 mm Nipple: 75.0 mm 3. Angle of the reference point from the Transverse 11 h nipple in hours (o’clock position) Study Display Tools Image Manipulation Tools 40 Image manipulation tools change the SIEMENS Doctor Name Work Lists susba ABVS, 012016 D.O.B.: 8/21/1948 | F | ABV5012016 appearance of displayed images and optimize anatomy of interest. These SERIES & IMAGES 3D US Images $2000 include: - HB Right Breast RAP Coronal 95 / 411 1.0 mm RAP 0.77 RLAT Reference Point RMED • RSUP Window / Level - HE Left Breast • LAP LLAT Invert • LMED LSUP Zoom / Pan Images From Other Studies • LIG 18/6/2016 cranio.ca. Magnifier • SIEMENS Doctor Name Rotate Work Lists susba ABVS, 012016 D.O.B.: 8/21/1948 | F | ABV5012016 • Scrolling SERIES & IMAGES to Reference Point R • 3D US Images Window/Level W BE Right Breast nvert 11 1.0 mm F10 RAP RLAT Zoom/Pan N RMED Magnifier M RSUP Rotate O HE Left Breast LAP Scrolling LLAT LMED LSUP Images From Other Studies MG 10/6/2016 Reference Point 41 The Reference Point tool Reference Point R deactivates the currently selected Window/Level W tool and reactivates the reference Invert 11 1.0 mm F10 point (crosshair) tool. Zoom/Pan N Magnifier M Rotate O Scrolling TIP The keyboard shortcut for this frequently used tool is “R”. Image Manipulation Tools Image Manipulation Tools 42 Window / Level The Window / Level tool adjusts the Reference Point R image contrast and brightness. Window/Level W To adjust the contrast click the image Invert 11 1.0 mm F10 • and drag the mouse side-to-side. Zoom/Pan Z Magnifier M To adjust brightness click the image and Rotate • O drag the mouse up and down. Scrolling - TIP The keyboard shortcut for this frequently used tool is “W”. Invert 43 The Invert tool reverses the black Reference Point R and white settings in an image. Window/Level W Invert 11 1.0 mm F10 Zoom/Pan Z Magnifier M Rotate O Scrolling TIP The keyboard shortcut for this frequently used tool is “F10”. Image Manipulation Tools Image Manipulation Tools 44 Zoom / Pan The Zoom / Pan is a multifunction tool Reference Point R adjusts the size and position of the displayed Window/Level W image. Invert 11 1.0 mm F10 To Zoom, left-click the Zoom / Pan icon Zoom/Pan Z • Magnifier M and move up and down to zoom in and out Rotate O To Pan, move the cursor to the center of Scrolling • the image, left-click and hold down on the desired plane and move the mouse. TIP The keyboard shortcut for this frequently used tool is “Z”. Magnifier 45 The Magnifier tool enlarges Reference Point R (magnifies) a specific region within Window/Level W the image. Invert 11 1.0 mm F10 Zoom/Pan Z Magnifier M Rotate O Scrolling - TIP The keyboard shortcut for this frequently used tool is “M”. Image Manipulation Tools Image Manipulation Tools 46 Rotate The Rotate tool adjusts the image Reference Point R orientation. Window/Level W Place the Reference Point on area of Invert 11 1.0 mm F10 • interest. Zoom/Pan Z Magnifier M Select the Rotate tool. Rotate • O Scrolling - Position the pointer near the center of • the image segment and drag the image in the desired direction. TIP The keyboard shortcut for this frequently used tool is “O”. Scrolling 47 The Scrolling tool steps through slices of Reference Point R an image by dragging the mouse up and / or Window/Level W down in each segment. Invert 11 1.0 mm F10 Zoom/Pan Z Magnifier M Rotate O Scrolling - TIP The keyboard shortcut for this frequently used tool is “I”. Image Manipulation Tools Orientation and Image Reset Tools 48 The Orientation and Image Reset tools are located in the lower right corner of the segment. $2000 ABVS. 012016 52000 AUVS. 012016 012016 SaJAN 302 /097 1.0 mm DOS: SAC F SagIN 302 /097 1.0 mm DOS: SAC: P 43 3M 50 mm 50 mm Orientation Home - Orientation Tools 49 The Orientation tool changes the displayed Coronal 3 orientation of the selected view. This may be Sagittal 2 used when comparing views on the general Transverse comparison hangings. Orientation Home A $2000 AUVS. 012016 012036 SagIN 302 /097 1.0 mm DOS: SAC F 43 3M Cororal 3 Sacital 2 Trareverse Orientation Home Orientation & Image Reset Tools Orientation and Image Reset Tools 50 Image Reset Tools The Image Reset tools enable removes Nipple Marker changes made to the images including: Rotation Window/Level Nipple marker location • Zoom/Pan Rotation settings • All A Window / Level Home A • Zoom / Pan • A.S. 012036 012036 All SagIN 302 /097 1.0 mm DOS: SAC F • Nipple Marker Rotason TIP The keyboard shortcut for this Window Level frequently used tool is “A”. Zoom Pan N Home 51 Orientation & Image Reset Tools Slice Thickness and IP Settings 52 The Slice Thickness option allows the user to select the thickness of the slices displayed (0.5 mm 8 mm), as well as the slice overlap Max IP – (None, 25%, 50%, or 75%) . Mean IP Slice Settings .. Max IP limits the display to maximum- • value pixels by selecting pixels with the highest value along each projection of the volume. Slice Settings Slice Settings Mean IP limits the display to average- Slice overlap: None • Slice thickness: ................ 1.0 mm value pixels by selecting pixels with the arithmetic mean value along each projection of the volume. Save Cance 53 Slice Thickness & IP Settings Marking Tools 54 Marking tools are found in the upper right corner of each segment. Location Marker L Use Marking tools to: Measurement D Text Marking X Mark locations 6/22/ • Arrow Marker C Perform measurements • Add annotations (text) Al -X • Insert arrows • ABVS, 012016 012016 DOB: Sex: F 6/22/2016 10:37:45 AM Location Marker 55 The Location Marker + records an area of interest on a current 3D ultrasound image Location Marker L 1 and is displayed on all three orthogonal Measurement D views ( coronal, sagittal and transverse). Text Marking X 6/22/ To Mark a location: Arrow Marker C 1. Select the Location Marker tool and click on the desired area. C Create Location Marker X Add to finding: Finding # 1 Finding name: None 2. Modify the information in the dialogue 2 Finding # 1 Category: Create new finding ... box: Finding comment: Finding Name • BI-RADS® Category • Finding Comments • Interpreting Physician’s Comments • Interpreting Physician's Comment: 3. Select Create. 3 IDon't show this dialog again Create Cancel Marking Tools Marking Tools 56 Measurement Marker 1. Press D on the keyboard or left-click the 5. Right-click on the measurement to delete Measurement icon on the upper right a single measurement or to delete all hand corner of the image. measurements. 2. Drag the pointer to the area of measurement. 6. Measurement results can be found in the Left-click to place the first point, drag the Markings Area or Markings section of the 3. pointer to the 2nd point and left-click to lock Study Navigator. in the measurement. 7. Finalized measurements are displayed in white. 4. If a Finding Folder exists, a dialog box will pop-up to choose: a. To add the measurement to the existing Finding Folder. b. To create a new Finding Folder. c. To create the measurement without assigning it to any Finding Folder. 57 Location Marker L Measurement D 1 Text Marking X Q Arrow Marker C Ceite Measurenur X Add to finding: Finding .1 4 Finding namec Finding Category: O: Incomplete Finding comment: Interpreting Physician's Comment: 6 ----- Dont show this dialog acan Create Cancel Marking Tools Marking Tools 58 Text Annotations Marker 1. Select the Text Annotation Marker from the 4. Right-click on the annotation to delete the upper right corner menu or press the shortcut X. selected text or all text of this type. 2. Left-click to create the annotation. 5. Create or assign a finding. 3. left-click, press Return or Enter to set the marking: a. Press Shift+Enter for a line break. b. Double-click onto the marking to edit the text. TIP Make sure the marking creation dialog box is disabled. 59 Location Marker L Measurement D Text Marking X 1 Arrow Marker C Polos 2 Marking Tools Marking Tools 60 Arrow Marker 1. Select the Arrow Marker from the upper right corner menu or press the shortcut C . 2. Left-click the desired location and place the arrow. 3. Resize or adjust the orientation of the arrow by dragging the handle. 4. Create or assign a finding. 61 Location Marker L Measurement D MMMMM Text Marking X Q Arrow Marker C 1 2 Marking Tools Marking Tools 62 Reviewing Images in a Study 1. Left-click on the hanging icon option of choice 4. Align an area of interest with the transverse, to view the images to be read. coronal, and sagittal data sets. a. Use the mouse wheel to scroll through the 5. Left-click to turn sync off and then left-click on slices. the area of interest in each volume. b. Use the mouse pointer for moving the 6. Turn Sync back on and scroll volumes together. Reference Point. All segments of a 3D hanging are 7. To compare the 3D Ultrasound images to c. automatically synchronized. 2D Ultrasound images or images of other modalities, left-click on the bottom row of the 2. For viewing multiple 3D images of one breast 2D Hanging Protocol icon on the navigation image side by side, select the Lateral Hanging menu. of this breast. (Click on “Right Breast” or “Left Breast” in 8. Select images to compare from the Series Menu • the Study Navigator.) on the left and drag and drop them into the space. 3. The slice thickness can be preset and saved in Preferences (F3) to any size from .5 mm to 8.0 mm. (The most common is 1.0 mm.) • 63 Marking Tools Report and Finalization 64 Review the Report The Report contains the following information: Training SOC_12. Trainingb. Ultrasound Report: Training06IDC_12 Patient’s Name and Signature • Study Information Report Summary Identification Information TrainingIK DC_12 Patient Interpreting Physician BI-RADSS Calogories Dactar Mare Appendix of Images Finding Information and PaBertID Lot Breast Birth Dute Highly suggestive of • milgrano Di RADS" 5) Finding #1 - Highly suggestive of malignancy (BI-RADS Study 5) Location Body Marker Study Dafe Roh Breast Negative DH-RADS* 1) Referring Ptrysician LLAT Measurements • Interpreting Physician's Comment Snapshots • Comments Findings in this Study • Bi-RADS® Information Dalance lo shin Distance • Physician Name and • .Langh LLATAnedartemal) 45 mm Signature Page 2 of 5 65 1. Left-click Report icon or Alt+R to view the report. 2. Information cannot to be edited on the report. FINDINGS + 2 a. Editing can only be done in the Finding Folder or on the image. 3. The Report will demonstrate pathology as well as: a. Position b. Distance from the nipple c. Distance from the skin d. Snapshot of the area of interest 1 e. Measurements if done 4. To print the report, left-click the Print button at Findings in this Study the top of the report. Finding #1 : Incomplete (BI-RADS 0) View name: RAP Position: 11 o'clock Distance to skin: 12.0 mm 3 Distance from nipple: 26.5 mm Report & Finalization Report and Finalization 66 Review the Report TIP If the system is set to auto-transfer to PACS, the Once a study is completed, it may be opened report is automatically sent with the created TIP again as a “Read-only” file unless Reopen is snapshots after completing the study. selected on the Patient Browser. a. This allows the same user that completed it to reopen the study with complete review capabilities. b. This will also allow the study to be reopened but will delete all findings and open it as a new study. Complete the Study 67 1. To complete a study, select the Complete or 4. To continue reviewing the study, click Cancel. Defer icon (or press F12) in the Study Navigator. 5. To finish review, click Complete. 2. A confirm box will appear and a selection is 6. To allow a second read, click Complete necessary to close a study. Preliminary. 3. To pause the review of the currently open case, 7. When Complete is selected, a dialogue box click Defer. will appear to export either the entire study or report to the desired destination. TIP When a study is completed, all finding snapshots and the report are automatically sent to your archive device. Report & Finalization Report and Finalization 68 Complete or Defer X ? You are going to close study: ABVS, 012016, 6/22/2016 10:21:50 AM, ABVS 2 To edit the study later, click Defer. To complete a preliminary review, click Complete preliminary. To complete the final diagnosis, close the study and select an archive, click Complete. Note: When a study is closed and archived, it cannot be modified. Defer Complete preliminary Complete Cancel 3 6 5 4 Expert Type of Export 0 Export to DICOM noda . Export to file system C\Users \sierterniDesktopigRo 7 FINDINGS Export to CD/DVD Export entire study . Orly export findings and report Mark shudy as archived Export Cancel 1 V Complete the Study 69 The report default assigns a • Complete Report BI-RADS® 1 to any study that is ? The study you are about to complete has no findings. Do you want to save this report with the category BI-RADSB 1 (Negative) or do completed without findings. you want the report not to be exported? Don't show this dialog again Complete as BI-RADS@ 1 Do Not Export Report Cancel A confirmation window appears • after each study unless “Don’t Workflow Preferences show this dialog again” is selected. Show study overview when study opens Show finding creation dialog Show marking creation dialog The dialogue window is activated • ¥ Show snapshot creation dialog in the Workflow Preferences Show report completion dialog section of the settings menu. Report & Finalization Keyboard Shortcuts 70 Shortcuts Functions Shortcuts Functions Open sUSBA Help and Info F10 Invert F1 Screen F11 Hide or Display Study Navigator F2 Open the Patient Browser F12 Close the Case F3 Open the Preferences Tool Change the selected segment to F4 Open the Print Tool 1 transverse orientation F5 Study Overview Hanging Change the selected segment to 2 sagittal orientation F6 MultiSlice Hanging Change the selected segment to F7 Side-by-Side Hanging 3 coronal orientation F8 Single Slice Hanging Reset all to original settings A (same as Home All) F9 US Wide Hanging 71 Shortcuts Functions Shortcuts Functions Open and close full-screen view M Activate magnifier B of a segment (one on one image) O Activate rotation tool C Activate arrow marker tool R Activate reference point tool D Activate measurement tool Create a snapshot of the active Hide breast / clock position, and S segment G scrolling slider T Hide text overlay H Hide markings W Activate window level I Activate scrolling tool X Activate text marking tool L Activate location marker tool Y Toggle synchronization Keyboard Shortcuts Keyboard Shortcuts 72 Shortcuts Functions Shortcuts Functions Z Activate Zoom / Pan Right Arrow Go to the next View Alt +F4 Log out and quit sUSBA Left Arrow Go to previous View Crtl+R Change the appearance of or hide Up Arrow Scroll toward the top of the the Reference Point scrolling slider Alt+R Open Report View Scroll toward the bottom of the Down Arrow scrolling slider Alt+S Create a snapshot of the work area Go to the next patient with an . unread current study Alt+T Open monitor test image + Zoom in on the selected segment Alt+tab Allow switching between windows (applications) LAg 73 Shortcuts Functions Zoom out on the selected - segment Home / End Go to first / last slice Shift+Up Increase slice thickness Arrow Shift+Down Decrease slice thickness Arrow TIP Keyboard shortcuts for software version VA30A Keyboard Shortcuts Breast Imaging Portfolio 74 Siemens Healthineers offers a wide range of breast imaging products – the ACUSON S2000 Automated Breast Volume Scanner, the ACUSON S Family, ACUSON X Series and ACUSON NX Series. - ACUSON S2000 Automated Breast Volume Scanner ACUSON S Family 75 ACUSON NOK3 FSI ACUSON NX3 ACUSON NX2 ACUSON X Series ACUSON NX Series 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 Healthineers 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 S3000, ACUSON S2000, ACUSON S1000, ACUSON X700, ACUSON X600, ACUSON X300 PE, ACUSON NX3 Elite, ACUSON NX3 and ACUSON NX2 are trademarks of Siemens Medical Solutions, USA, Inc. syngo is a registered trademark of Siemens Healthcare GmbH. BI-RADS is a registered trademark of the American College of Radiology (ACR). 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-477-1C-4A00 · Printed in Germany · 5446 1117X · © Siemens Medical Solutions USA, Inc., 2017