3D/4D for Gynecology ACUSON Sequoia Ultrasound System 2.0 Release

Quick Reference Card 3D/4D for Gynecology ACUSON Sequoia Ultrasound System 2.0 Release siemens-healthineers.com/ultrasound/new-era-ultrasound/acuson-sequoia ACUSON Sequoia SIEMENS Healthineers Getting Started The 3D volume data set is a series of 2D images gathered over a timed acquisition. • The 9VE4 and 7VC2 transducers perform an automated mechanical calibrated acquisition of the volume data set Step 1 3D 4D • Press 3D / 4D control • Select 3D or 4D from the touch screen 3D 4D Step 2 VOI • Place the Volume of Interest (VOI) to include the anatomy desired. The VOI can be curved by selecting the Curve option on the trackball left set key. • The Volume of Interest box may be deactivated by selecting the VOI key on the touchscreen. When disabled the entire field of view will be acquired in the volume. 3D • Press the Update key and the system will automatically acquire a sweep and display the volume 4D Update • Press the Update key to start the acquisition. The system will enter live 4D imaging, select Freeze to stop the acquisition Step 3 3D clip • Press Image to store a volume 4D • During live acquisition, press the Clip key to store a 4D clip Image • Press the Image key to store a single volume on a frozen image Stored 3D volumes are marked with a cube graphic Stored 4D volume clips are marked with a cube containing a “play” icon 2 siemens-healthineers.com/ultrasound Render Modes There are four render modes available: Surface Vascular Skeletal • Surface: Smooths image contours, creating a soft sculptured appearance for highlighting surface features of soft tissue LightSource • Vascular: (Minimum Intensity Projection) best for visualizing hypo- echoic lesions and vascular structures • Skeletal: (Maximum Intensity Projection) best for intrauterine devices and bony structures • Light Source: helps increase depth perception, reveal surface details, provides an element of texture, and can provide a deeper understanding of relational anatomy. Light The adjustable light source direction is automatically activated in a 1:1 layout but may be activated / deactivated in any layout by selecting the Light key on the touch screen. Use the trackball to adjust the direction of the light. FlexPlane The FlexPlane tool allows the user to obtain and visualize FlexPlane anatomy of any shape along any plane. This is especially useful when imaging complex or irregularly shaped structures. The user can choose from: Line • Line – A straight line in any direction • Trace – A freehand line traced in any direction • Spline – An open spline controlled by selecting the Trace Spline set key along the path of the spline Once the desired option is chosen: • Press either Set control to begin the line Start Start Draw • Press either set key again to end the Line / Trace tools or to change the direction of the Spline tool (Double-click either Redraw Set control to end the Spline) Set Set Draw Redraw • To redraw the slice press the Update control Position Use the rotary soft keys to adjust volume thickness as well as line or slice orientation. Thickness 2mm Rotate Line Rotate Slice Note: To enable measurements on the rendered image, set the thickness to Off. siemens-healthineers.com/ultrasound 3 MPR & VR Orientation Adjust the Multiplanar Renderings (MPR) and the volume using the rotation tools on the control panel. These controls can be used during 4D live acquisition. VR • Select the desired quadrant from the touch screen • The MPR slicing function is manipulated using the 3D/4D control CW • The X axis is manipulated using the M-mode control • The Y axis is manipulated using the PW-Doppler .......... control • The Z axis is manipulated using the Color Doppler Use the rotation tools on the touch screen to quickly 90ª 180º 270ª rotate the volume rendering by set degrees. Multislice Multislice The Multislice tab contains options for viewing multiple slices of the selected MPR plane at the same time. It is often referred to as a CT or MRI view. • Select the desired plane using the A, B and C keys A • Select the desired layout from the touchscreen • Use the rotary soft keys to adjust the number of slices, distance between slices and the position of the slices Slices Distance Position of Slices 5 2 mm 0 mm Editing Editing The editing tab contains options for removing unnecessary structures Closed • Select the desired tool from the touchscreen Line Open Spline Spline • Using the trackball and Set keys delineate the area for removal Place the scissor icon in the area to be removed Undo All • and press the Set key to finalize Edits may be reversed using the touch screen Redo Last Undo Last • options 4 siemens-healthineers.com/ultrasound Additional Optimization - Acquisition Scan Angle Quality • Determines the angle of the sweep and the size • Adjusts the resolution and sweep speed between Low, of 3D volume acquired for the freehand Mid, and High acquisition, the angle and time is displayed on the Rocked icon Additional Optimization - VR Threshold Brightness • Decreasing threshold removes low-level echoes while increasing threshold adds low-level • Changes the voxel saturation echoes Opacity Contrast • Adjusts the transparency of the voxel • Raises or lowers the percentage of contrast to enhance differences in tissue Smooth Tint • Averages the edges of the voxels with adjacent • voxels to smooth the volume image appearance Applies assigned color shades to the gray scale Additional Optimization - MPR Dynamic Range • Decreasing threshold removes low-level echoes while increasing threshold adds low-level echoes Map • Adjusts the transparency of the voxel Tint • Applies assigned color shades to the gray scale Review • Select Review from the touch screen with the pointer, select the image for review Patient Imaging Review • Select the 3D / 4D tab on the touch screen to activate volume manipulation Report tools if desired • Any additional images stored while the volume is active in the 3D / 4D tab will be stored as volumes or volume clips. Additional images stored while in the 3D/4D Review Review tab will be stored as still images. siemens-healthineers.com/ultrasound 5 For the proper use of the software or hardware, please always use At Siemens Healthineers, we pioneer breakthroughs in healthcare. the Operator Manual or Instructions for Use (hereinafter collectively For everyone. Everywhere. By constantly bringing breakthrough “Operator Manual”) issued by Siemens Healthineers. This material is innovations to market, we enable healthcare professionals to deliver to be used as training material only and shall by no means substitute high-quality care, leading to the best possible outcome for patients. the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest Our portfolio, spanning from in-vitro and in-vivo diagnostics version of the software and hardware available at the time of the to image-guided therapy and innovative cancer care, is crucial training. The Operator Manual shall be used as your main reference, for clinical decision-making and treatment pathways. With our in particular for relevant safety information like warnings and strengths in patient twinning, precision therapy, as well as digital, cautions. data, and artificial intelligence (AI), we are well positioned to take on the biggest challenges in healthcare. We will continue to build Note: Some functions shown in this material are optional and might on these strengths to help fight the world’s most threatening not be part of your system. diseases, improving the quality of outcomes, and enabling access to care. Certain products, product related claims or functionalities described in the material (hereinafter collectively “Functionality”) may not We are a team of 66,000 highly dedicated employees across (yet) be commercially available in your country. Due to regulatory more than 70 countries passionately pushing the boundaries requirements, the future availability of said functionalities in of what’s possible in healthcare to help improve people’s lives any specific country is not guaranteed. Please contact your local around the world. 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 is a trademark of Siemens Medical Solutions USA, Inc. Siemens Healthineers Ultrasound owns the rights to all images. Siemens Healthineers Headquarters 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-healthineers.com Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · HOOD05162003254089 · 11617 0222 online · ©Siemens Medical Solutions USA, Inc., 2022