ACUSON Sequoia™ Ultrasound System Virtual Touch 2D SWE-Small Parts | VA25 Software Release

This quick reference guide helps you understand the 2D SWE for small parts using the ACUSON Sequoia ultrasound system with the VA25 software.

ACUSON Sequoia ultrasound system VA25 SW release Virtual Touch 2D SWE Quick Reference Card COBY Using 2D shear wave elastography (SWE) to measure shear velocity (Vs) in meters per second (m/s) and elasticity (E) in kilopascal (kPa) | Small Parts Application Step 1 OL4 Step 3 Breast SWE • Select compatible transducer and • SWE tab is default application on exam preset1 touch screen Step 2 Step 4 Update • Press VT (Virtual Touch) located on VT • Roll trackball to reposition control panel the region of interest (ROI) • Press right or left Set key and roll trackball to resize ROI • Use minimal scanning pressure to prevent pre-compression effect • Press Update on control panel to begin acquisition 1 2D SWE imaging is compatible with 5C1, DAX: General, Abdomen; 10L4: General, Thyroid, Breast, MSK; 18L6: General, Thyroid, Breast. SIEMENS Healthineers Step 5 Step 6 Unit • When acquisition is complete, system automatically m/s • If desired, select Unit m/s to display freezes, emits one audible “beep” and activates the 2D SWE image as an elasticity Velocity or Elasticity display mode image in kPa SWE Live Dual • Adjust Min and/or Max Velocity or Elasticity • If desired, select Live Dual to display Increase range if measured value exceeds range by the SWE image in full-screen format - displaying “High” or, • If desired, select SWE to hide / display Decrease range if better visualization of velocity of - 2D SWE or, VT stiffness differences is needed • Rotate VT on control panel to change • Rotate Shear Wave to view Quality and Displacement transparency of 2D SWE displays Measurements should be taken in regions with - high quality (green to yellow-green) in the Quality display Correlate the areas in the Velocity or Elasticity - image with shear wave signal-to-noise ratio and Displacement amplitude Note: During freeze, a cooling timer indicates remaining seconds until transducer is available for image acquisition. During a short cooling time (e.g., 1–2 seconds), the timer appears and then disappears very quickly. Shear Wave Min Velocity Max Velocity Velocity 0.5 6.5 2 Measurements Shear Velocity and Elasticity -- + Measurements can be performed or viewed in the Velocity (or Elasticity), Quality or Displacement Shear Velocity display modes. 18L6 • Press Caliper on the control panel IB:0.39 TIC 0.63 6 .0.39 • Shear Velocity is default measurement tool 85% Roll trackball to position measurement ROI. In 2D • OdB/DR65 Live Dual, the measurement ROI can be placed 1446 SWE on either image. Transp: 60% • If needed, rotate ROI Diameter to resize • Shear wave measurements and measurement ROI depth and diameter are displayed near image (Fig. 1) 1 Vs Median=2.36 m/s • To display measurement in report, select E Median=16.7 kPa Depth=0.86 cm measurement label Diam=0.30 cm 2 Vs Median=1.12 m/s E Median=3.8 kPa Depth=0.87 cm • If desired, press Set key and roll trackball to Diam=0.30 cm perform additional measurements Fig. 1: Velocity display mode in Live Dual format and shear wave Select Delete on the control panel to delete the measurements of a breast lesion. • measurement • Select Report on left side of touch screen to view, store, print or transfer shear wave measurements Note: If measurement ROI value exceeds the current maximum velocity or elasticity setting, the measured results display HIGH for the shear wave value. If measurement ROI value is lower than the current minimum velocity and elasticity setting, the measured results display LOW. The measured results display X.XX (for velocity) or XX.X (for elasticity) if the shear wave was not detected within the ROI or if a measurement is performed outside the ROI. Shadow Shadow Duplicates and displays a measurement on the adjacent image for a comparison of lesion size and/or location. 1 D=0.30 cm • In Live Dual, press Caliper on the control panel • Select measurement tool • Shadow is activated as a default on the touch screen • Measure the right or left image • The Shadow measurement is displayed in the measured results Tip: Shadow may be used with the Shear Velocity tool when Live Dual is activated. 3 For the proper use of the software or hardware, please always use At Siemens Healthineers, our purpose is to enable healthcare the Operator Manual or Instructions for Use (hereinafter collectively providers to increase value by empowering them on their journey “Operator Manual”) issued by Siemens Healthineers. This material is towards expanding precision medicine, transforming care delivery, to be used as training material only and shall by no means substitute and improving patient experience, all enabled by digitalizing the Operator Manual. Any material used in this training will not be healthcare. updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the An estimated 5 million patients globally everyday benefit from our training. The Operator Manual shall be used as your main reference, innovative technologies and services in the areas of diagnostic and in particular for relevant safety information like warnings and therapeutic imaging, laboratory diagnostics and molecular medicine, cautions. as well as digital health and enterprise services. Note: Some functions shown in this material are optional and might We are a leading medical technology company with over 170 years not be part of your system. of experience and 18,000 patents globally. With more than 48,000 dedicated colleagues in 75 countries, we will continue to innovate Certain products, product related claims or functionalities described and shape the future of healthcare. in the material (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. ACUSON Sequoia and Virtual Touch are trademarks of Siemens Medical Solutions USA, Inc. Siemens Healthineers Ultrasound owns the rights to all images. 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 Phone: 1-888-826-9702 Published by Siemens Medical Solutions USA, Inc. · HOOD05162003086363 · 8986 0620 online · ©Siemens Medical Solutions USA, Inc., 2020