Z6Ms Cropping Tools

We're going to cover some of our cropping tools beginning with seashell, so I'm going to call your attention to the user interface on the left side of the screen seashell. Exists right here and we do have a hover menu. The normal 4D display will be 3 reference planes to the left side and our volume on the right. Our current display of the volume is what we call a cut plane. We're looking at half the volume to the back, but the other half towards the front exists as well, and that's the advantage of C. When I select it, it will put the volume together. Crack it open and we can see half to back as well as half to front. Your XYZ planes are still available to you when you're in. Seashell X will move the volume in a yes fashion. Y inin O fashion and Z will spin so that you have the correct anatomical reference. This might be helpful in a pre watchman evaluation if you want to look at the entire left atrial appendage anatomy. If you're doing a left ventricular volume, seashell also lets you see the entire LV before you are able to clip or do a left ventricular analysis. I'd like to review with you dual dual V is a 40 cropping tool unique to Siemens. We access dual V on the left user interface. When we access dulvy it brings up a region of interest. This region of interest allows us to look at the mitral valve and mitral regurgitation from the left atrium down and from the left ventricle up. We can edit that region of interest, making it narrower. Or taller? We also have access to our XY&Z planes. So we're gonna cover some quick optimization tools for navigating a 4D volume. I wanna point out the mitral valve key right here in the user interface. This will allow the system to try to find the info's view of the mitral valve quickly for you. You can further use the XYZ planes to put that directly in Foss. This tool might be helpful along with easy sync when you're navigating a volume for a mitral clip placement, I'm going to take my cursor. To the reference plane a. And you can see this easy sync symbol, which I can quickly due to plane B. And the plane C. So a combination of using the mitral valve hot key as well as easy sync might help you quickly navigate a 4D volume. Also note that the mitral valve key can also be programmed to your user defined button two, which will do the same function. We're gonna cover using your access markers and navigating a 4D volume, and in this case we're looking at an aortic valve and we would like to arrive at a short axis in fonts view. The first tool I'm going to use is my easy sync tool. I've taken my mouse up into plane A and I'm going to left Click to sync my volume to the short axis view. Now I'm going to go down to plane B and you can see that when I hold my mouse in the middle of the XY axis markers, I can move them both together. So I'm going to left click and pull them down into the center of the valve. And now I want to change my access markers so that I'm more in line with the valve when I hover out to the edges of the excess marker. This is a axis rotation. I'm simply going to left click and Orient that plane so that I am parallel to the valve. I can also come down to plain C. And I consider the access markers here as well. And change my orientation so that I'm going to be exactly in Foss with that valve. And as I've moved those access markers you can see now at the volume side of the screen that I have achieved as short access aortic valve infas. For some cases you will want to trace an orifice area, whether that's a regurgitant orifice area and atrial septal defect area. So in this case we're going to use the mitral valve and the first thing I'm going to do is send me to the frame that I feel like displays the regurgitant orifice area the best. The next thing I'm going to do is go over to my user interface and you can see that my display currently is the A&B plane on the left and the volume on the right. I'm going to change that to 4 equal quadrants. Now the next thing I'm going to do is use my reference lines and I'm starting in the a plane. I'm going to move both my X&Y planes. Placing them directly in the orifice area and adjusting. So that I am perpendicular moving to the B plane. And adjusting it. Until I feel like. I'm able to display. The correct region to Orphis area in plain C. So now that we've positioned the access markers and identified the orifice area, I'm just going to use my maximize minimize in the seaplane. And then initiate my measurements and my trace tool. And this will allow me. To quickly trace. And identify what the area of that orphis area is.

40 20 90 56 16 Z6Ms Cropping Tools SieShell & XYZ Dual V SIEMENS e Button Mitral Valve Button 4D NOON CONFERENCE Axis Markers for Aortic Value Axis Markers for Orifice Area SC2000 Prime Complete Review Only / MI: / TIS: / TIB: 0.58 m/s 10 vps / 90 mm 67 bpm / General 4.5MHz 3 dB TEQ: 1 / Offset: 0 dB DR: 60 dB CDV / 3.3MHz Other Review Volume Volume Review 0 dB Color Volume Enhance Priority Transparency e Sie Valves LVA Movie Controls Reset Orientation Box Edit : On / Off Cine S 14C 20 V 30 Change display to a quad view S: 14 C: 20 V: 30 Use Axis Markers to identify the largest orifice area Total 64 Adjust TE 0.58 m Movcon Freeze and use cine wheel to scroll to the correct frame 16 / 20 Readjust axis markers to display the largest orifice area Turn color off Maximize coronal plane D'art : On / Off Click on measurements tool and use generic trace to either mark or draw to obtain the area and circumference of the orifice. Note: cannot be performed on volume image. Adult Echo Aorta 2D Ao d PLAX Ao Annulus Diam d Ao Sinus d Ao ST jnct d Ao Annulus Diam s Ao Root d Ao Root s Ao Arch Diam Ao Arch Diam Dist Ao Arch s Trans Prox Ao Arch s Trans Dist Ao Asc d Ao Asc s Ao Desc Diam Ao Isthmus d Ao Abdominal Diam Ao Thoracic Diam Coarct Diam Delete Set Cine Calc Next Mark / Draw 1 Area = 0.01 cm2 Circumference = 0.18 cm Undo -Color- Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively "Operator Manual") issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (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. Copyright C Siemens Healthcare GmbH 2018 Global Siemens Healthineers Headquarters Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84 0 siemens.com/healthineers