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BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

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Presentation on theme: "BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue."— Presentation transcript:

1 BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue

2 CONTENTS page Loop Selection from MOD - unenhanced1/2 Loop / Page Overview - unenhanced3 LV-Volumes / EF biplane a4-CV endsyst. 4/5 a4-CV enddiast. 6a2- CV endsyst. 7a2- CV enddiast. 8 LV-Volumes / a 3CV monoplane a4-CV endsyst. 9 a4-CV enddiast. 10 Wall Motion Analysis11 EBD / Image Quality12 page Loop Selection from MOD - SonoVue 13/14 Loop / Page Overview - SonoVue15 LV-Volumes / EF biplane a4-CV endsyst. 16/17 a4-CV enddiast. 18 a2-CV endsyst. 19 a2-CV enddiast. 20 LV-Volumes / a 3CV monoplane a4-CV endsyst. 21 a4-CV enddiast. 22 Wall Motion Analysis23 EBD / Image Quality24 Contrast Quality / Artifacts24

3 Selection of acquired Loops from MOD (1) Selection of acquired Loops from MOD (1) Touch 2D, Freeze and touch Loop 1 Touch Delete all pages to empty storage buffer, 2 Touch Disk Retrieve 3 Loop Selection from MOD Loop Selection from MOD 1 UNENHANCED

4 Selection of acquired Loops from MOD (2) Selection of acquired Loops from MOD (2) Select patient ---N (  Native) (List All Studies) and confirm with o.k. (data loading takes approx. 5 min) 1 Touch Display, touch Preset, select BBG012 Native 2 Touch Loop, touch Display, You can toggle through the loops/pages by turning the respective knob. For measurements of biplane EF start with page 1 from 8 (1/8), i.e. apical 4 CV unenhanced 3 Loop Selection from MOD Loop Selection from MOD 2 UNENHANCED

5 Loop/Page Overview Loop/Page Overview - native Loop Selection from MOD Loop Selection from MOD Page 1 = a 4 CV Page 2 = a 2 CV Page 3 = a 3 CV Page 4 = SAX Page 5 = Colour Kinesis - a 4 CV Page 6 = Colour Kinesis - a 2 CV Page 7 = Colour Kinesis - a 3 CV Page 8 = Colour Kinesis - SAX 3 UNENHANCED

6 LV-Volumes and EF biplane (LVAs ap 4 - MOD) LV-Volumes and EF biplane (LVAs ap 4 - MOD) Freeze Loop 1/ Page 1 Select a 4CV unenhanced endsystolic frame (by trackball) 1 Touch Analysis and EF & Volumes 2 Touch EF (MOD-bp) and LVAs ap 4 MOD 3 EF biplane EF biplane a 4CV s a 4CV s 4 UNENHANCED Record all Measurements on SVHS Videotape

7 LV-Volumes and EF biplane (LVAs ap 4 - MOD) LV-Volumes and EF biplane (LVAs ap 4 - MOD). Move cursor to position at endocardial border of basal septal segment on mitral valve insertion 1 Press Trace 2 Press Enter twice 4 Press Erase 6 Perform Tracking 3 Print Out (for documentation of LV-Volumes) 5 EF biplane EF biplane a 4CV s a 4CV s 5 UNENHANCED

8 LV-Volumes and EF biplane (LVAd ap 4 - MOD) LV-Volumes and EF biplane (LVAd ap 4 - MOD) Select enddiastolic frame (by trackball) 1 2 Touch LVAd ap 4 MOD Move cursor to position at endocardial border of basal septal segment on mitral valve plane. 3 Press Trace 4 Press Enter twice 6 Press Erase 8 Perform Tracking 5 Print Out (for documentation of LV-Volumes) 7 EF biplane EF biplane a4CV d a4CV d 6 UNENHANCED

9 LV-Volumes and EF biplane (LVAs ap 2 - MOD) LV-Volumes and EF biplane (LVAs ap 2 - MOD) Select endsystolic frame (by trackball) 2 3 Touch LVAs ap 2 MOD Move cursor to position at endocardial border of basal inferior segment on mitral valve plane. 4 Press Trace 5 Press Enter twice 7 Press Erase 9 Perform Tracking 6 Print Out (for documentation of LV-Volumes) 8 Touch Loop, touch Display, Go to page 2 from 8 (2/8) (a2CV) 1 EF biplane EF biplane a2CV s a2CV s 7 UNENHANCED

10 LV-Volumes and EF biplane (LVAd ap 2 - MOD) LV-Volumes and EF biplane (LVAd ap 2 - MOD) 3 Move cursor to position at endocardial border of basal inferor segment on mitral valve plane. 5 7 Touch Report + Print Out report 10 Perform Tracking Print Out (for documentation of LV-Volumes) 8 Deactivate Results Box 6 EF biplane EF biplane a2CV d a2CV d Insert derived volumes (--> see print outs) / EF (--> see report) from biplane and monoplane a4CV measurements into CRF-Page 15 8 UNENHANCED Select enddiasstolic frame (by trackball) 1 Touch LVAd ap 2 MOD Press Trace 4 Press Enter twice 9 2

11 LV-Volumes and EF monoplane a3CV (LVAs ap 4 - MOD) LV-Volumes and EF monoplane a3CV (LVAs ap 4 - MOD) 3 Press Trace and Perform Tracking 7 Press Enter twice 8 Press Erase Touch Loop, touch Display, Go to page 3 from 8 (3/8) (a3CV) EF a 3CV EF a 3CV a3CV s a3CV s 4 Touch EF (MOD-bp) and LVAs ap 4 MOD Move cursor to position at endocardial border of basal posterior segment on mitral valve plane. Select endsystolic frame (by trackball) 2 Touch Analysis and EF & Volumes Touch Erase All and confirm with Enter 1 5 9 UNENHANCED 6 11 Print Out (for documentation of LV-Volumes) 10

12 LV-Volumes and EF monoplane a3CV (LVAd ap 4 - MOD) LV-Volumes and EF monoplane a3CV (LVAd ap 4 - MOD) Select enddiasstolic frame (by trackball) 1 3 Touch LVAd ap 4 MOD Move cursor to position at endocardial border of basal inferior segment on mitral valve plane. Press Trace 4 Press Enter twice 7 Touch Report + Print out Report 9 Perform Tracking 5 Print Out (for documentation of LV-Volumes) 8 2 Deactivate Results Box 6 EF a 3CV EF a 3CV a3CV d a3CV d Insert derived volumes (--> see print outs) / EF (--> see report) from monoplane a3CV measurements into CRF-Page 15 10 UNENHANCED

13 Wall Motion Analysis Wall Motion Analysis Perform segmental WMA (16 segment model). CK (loops 5-8) may be used as additive information 2 WMA Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 11 UNENHANCED

14 Endocardial Border Delineation Endocardial Border Delineation Perform segmental EBD (16 segment model). 2 EBD Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 12 UNENHANCED Image Quality Image Quality Assess overall image quality according to the score given on page 15 of the CRF 2 Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1

15 Selection of acquired Loops from MOD (1) Selection of acquired Loops from MOD (1) Touch 2D, Freeze and touch Loop 1 Touch Delete all pages to empty storage buffer, 2 Touch Disk Retrieve 3 13 Loop Selection from MOD Loop Selection from MOD SonoVue

16 Selection of acquired Loops from MOD (2) Selection of acquired Loops from MOD (2) Select patient ---S (  SonoVue) (List All Studies) and confirm with o.k. (data loading takes approx. 5 min) 1 Touch Display, touch Preset, select BBG012 SonoVue 2 Touch Loop, touch Display, You can toggle through the loops/pages by turning the respective knob. For measurements of biplane EF start with page 1 from 8 (1/8), i.e. apical 4 CV SonoVue 3 14 Loop Selection from MOD Loop Selection from MOD SonoVue

17 Loop Overview Loop Overview - SonoVue Loop Selection from MOD Loop Selection from MOD Page 1 = a 4 CV Page 2 = a 2 CV Page 3 = a 3 CV Page 4 = SAX Page 5 = Colour Kinesis - a 4 CV Page 6 = Colour Kinesis - a 2 CV Page 7 = Colour Kinesis - a 3 CV Page 8 = Colour Kinesis - SAX 15 SonoVue

18 LV-Volumes and EF biplane (LVAs ap 4 - MOD) LV-Volumes and EF biplane (LVAs ap 4 - MOD) Freeze Loop 1/ Page 1 Select a 4CV unenhanced endsystolic frame (by trackball) 1 Touch Analysis and EF & Volumes 2 Touch EF (MOD-bp) and LVAs ap 4 MOD 3 16 EF biplane EF biplane a 4CV s a 4CV s SonoVue Record all Measurements on SVHS Videotape

19 LV-Volumes and EF biplane (LVAs ap 4 - MOD) LV-Volumes and EF biplane (LVAs ap 4 - MOD). Move cursor to position at endocardial border of basal septal segment on mitral valve insertion 1 Press Trace 2 Press Enter twice 4 Press Erase 6 Perform Tracking 3 Print Out (for documentation of LV-Volumes) 5 17 EF biplane EF biplane a 4CV s a 4CV s SonoVue

20 LV-Volumes and EF biplane (LVAd ap 4 - MOD) LV-Volumes and EF biplane (LVAd ap 4 - MOD) Select enddiastolic frame (by trackball) 1 2 Touch LVAd ap 4 MOD Move cursor to position at endocardial border of basal septal segment on mitral valve plane. 3 Press Trace 4 Press Enter twice 6 Press Erase 8 Perform Tracking 5 Print Out (for documentation of LV-Volumes) 7 18 EF biplane EF biplane a4CV d a4CV d SonoVue

21 LV-Volumes and EF biplane (LVAs ap 2 - MOD) LV-Volumes and EF biplane (LVAs ap 2 - MOD) Select endsystolic frame (by trackball) 2 3 Touch LVAs ap 2 MOD Move cursor to position at endocardial border of basal inferior segment on mitral valve plane. 4 Press Trace 5 Press Enter twice 7 Press Erase 9 Perform Tracking 6 Print Out (for documentation of LV-Volumes) 8 Touch Loop, touch Display, Go to page 2 from 8 (2/8) (a2CV) 1 19 UNENHANCED EF biplane EF biplane a2CV s a2CV s SonoVue

22 LV-Volumes and EF biplane (LVAd ap 2 - MOD) LV-Volumes and EF biplane (LVAd ap 2 - MOD) 3 Move cursor to position at endocardial border of basal inferor segment on mitral valve plane. 5 7 Touch Report + Print Out report 10 Perform Tracking Print Out (for documentation of LV-Volumes) 8 Deactivate Results Box 6 Insert derived volumes (--> see print outs) / EF (--> see report) from biplane and monoplane a4CV measurements into CRF-Page 18 20 Select enddiasstolic frame (by trackball) 1 Touch LVAd ap 2 MOD Press Trace 4 Press Enter twice 9 2 EF biplane EF biplane a2CV d a2CV d SonoVue

23 LV-Volumes and EF monoplane a3CV (LVAs ap 4 - MOD) LV-Volumes and EF monoplane a3CV (LVAs ap 4 - MOD) 3 Press Trace and Perform Tracking 7 Press Enter twice 8 Press Erase Touch Loop, touch Display, Go to page 3 from 8 (3/8) (a3CV) 4 Touch EF (MOD-bp) and LVAs ap 4 MOD Move cursor to position at endocardial border of basal posterior segment on mitral valve plane. Select endsystolic frame (by trackball) 2 Touch Analysis and EF & Volumes Touch Erase All and confirm with Enter 1 5 21 6 11 Print Out (for documentation of LV-Volumes) 10 EF a 3CV EF a 3CV a3CV s a3CV s SonoVue

24 LV-Volumes and EF monoplane a3CV (LVAd ap 4 - MOD) LV-Volumes and EF monoplane a3CV (LVAd ap 4 - MOD) Select enddiasstolic frame (by trackball) 1 3 Touch LVAd ap 4 MOD Move cursor to position at endocardial border of basal inferior segment on mitral valve plane. Press Trace 4 Press Enter twice 7 Touch Report + Print out Report 9 Perform Tracking 5 Print Out (for documentation of LV-Volumes) 8 2 Deactivate Results Box 6 Insert derived volumes (--> see print outs) / EF (--> see report) from monoplane a3CV measurements into CRF-Page 18 10 22 EF a 3CV EF a 3CV a3CV d a3CV d SonoVue

25 Wall Motion Analysis Wall Motion Analysis Perform segmental WMA (16 segment model). CK loops 5-8) may be used as additive information 2 WMA Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 23 SonoVue

26 EBD 24 SonoVue Endocardial Border Delineation Image Quality Endocardial Border Delineation Image Quality Perform segmental EBD (16 segment model). 2 Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 Assess overall image quality according to the score given on page 15 of the CRF 2 Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1

27 Contrast Quality - Artifacts Contrast Quality - Artifacts Assess contrast artifacts according to the score on page 18 of the CRF 2 Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 Artifacts 25 SonoVue


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