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BBG 012

Loop Selection from MOD. EF biplane. EF a 3CV. WMA. EBD. Image Quality. UNENHANCED. BBG 012. Study -Echocardiography - Onsite Evaluations and Measurements. SonoVue. Loop Selection from MOD. EF biplane. EF a 3CV. WMA. EBD. Image Quality. CONTENTS.

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BBG 012

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  1. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements SonoVue Loop Selection fromMOD EF biplane EF a 3CV WMA EBD Image Quality

  2. CONTENTS page Loop Selection from MOD - SonoVue 13/14 Loop / Page Overview - SonoVue 15 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 Analysis 23 EBD / Image Quality 24 Contrast Quality / Artifacts 24 page Loop Selection from MOD - unenhanced 1/2 Loop / Page Overview - unenhanced 3 LV-Volumes / EF biplane a4-CV endsyst. 4/5 a4-CV enddiast. 6 a2-CV endsyst. 7 a2-CV enddiast. 8 LV-Volumes / a 3CV monoplane a4-CV endsyst. 9 a4-CV enddiast. 10 Wall Motion Analysis 11 EBD / Image Quality 12

  3. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED Selection of acquired Loops from MOD (1) Touch 2D, Freeze and touch Loop 1 2 Touch Delete all pages to empty storage buffer, Touch Disk Retrieve 3 1

  4. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED 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 2 Touch Display, touch Preset, select BBG012 Native 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 2

  5. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED Loop/Page Overview - native 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

  6. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane(LVAs ap 4 - MOD) 1 Freeze Loop 1/ Page 1 Select a 4CV unenhanced endsystolic frame (by trackball) 2 Touch Analysis and EF & Volumes 3 Touch EF (MOD-bp) and LVAs ap 4 MOD Record all Measurements on SVHS Videotape 4

  7. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane (LVAs ap 4 - MOD) 1 Move cursor to position at endocardial border of basal septal segment on mitral valve insertion 2 Press Trace 3 Perform Tracking 4 Press Enter twice Print Out (for documentation of LV-Volumes) 5 6 Press Erase . 5

  8. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane(LVAd ap 4 - MOD) 1 Select enddiastolic frame (by trackball) 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 5 Perform Tracking Press Enter twice 6 7 Print Out (for documentation of LV-Volumes) 8 Press Erase 6

  9. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane(LVAs ap 2 - MOD) 1 Touch Loop, touch Display, Go to page 2 from 8 (2/8) (a2CV) 2 Select endsystolic frame (by trackball) Touch LVAs ap 2 MOD 3 Move cursor to position at endocardial border of basal inferior segment on mitral valve plane. 4 5 Press Trace 6 Press Enter twice 7 Perform Tracking Print Out (for documentation of LV-Volumes) 8 Press Erase 9 7

  10. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane(LVAd ap 2 - MOD) 1 Select enddiasstolic frame (by trackball) Touch LVAd ap 2 MOD 2 Move cursor to position at endocardial border of basal inferor segment on mitral valve plane. 3 4 Press Trace 5 Perform Tracking 6 Deactivate Results Box 7 Press Enter twice Print Out (for documentation of LV-Volumes) 8 Touch Report + Print Out report 9 Insert derived volumes (--> see print outs) / EF (--> see report) from biplane and monoplane a4CV measurements into CRF-Page 15 10 8

  11. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF monoplane a3CV(LVAs ap 4 - MOD) 1 Touch Erase All and confirm with Enter Touch Loop, touch Display, Go to page 3 from 8 (3/8) (a3CV) 2 3 Select endsystolic frame (by trackball) 4 Touch Analysis and EF & Volumes 5 Touch EF (MOD-bp) and LVAs ap 4 MOD Move cursor to position at endocardial border of basal posterior segment on mitral valve plane. 6 10 Print Out (for documentation of LV-Volumes) 7 Press Trace and PerformTracking Press Erase 11 Press Enter twice 8 9

  12. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF monoplane a3CV(LVAd ap 4 - MOD) Select enddiasstolic frame (by trackball) 1 Touch LVAd ap 4 MOD 2 3 Move cursor to position at endocardial border of basal inferior segment on mitral valve plane. 4 Press Trace Perform Tracking 5 6 Deactivate Results Box 7 Press Enter twice 8 Print Out (for documentation of LV-Volumes) Touch Report + Print out Report 9 10 Insert derived volumes (--> see print outs) / EF (--> see report) from monoplane a3CV measurements into CRF-Page 15 10

  13. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED Wall Motion Analysis Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 Perform segmental WMA (16 segment model). CK (loops 5-8) may be used as additive information 2 11

  14. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality UNENHANCED Image Quality Endocardial Border Delineation Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 2 Perform segmental EBD (16 segment model). Assess overall image quality according to the score given on page 15 of the CRF 2 12

  15. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue Selection of acquired Loops from MOD (1) Touch 2D, Freeze and touch Loop 1 2 Touch Delete all pages to empty storage buffer, Touch Disk Retrieve 3 13

  16. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue 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 2 Touch Display, touch Preset, select BBG012 SonoVue 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

  17. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue Loop Overview - SonoVue 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

  18. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane(LVAs ap 4 - MOD) 1 Freeze Loop 1/ Page 1 Select a 4CV unenhanced endsystolic frame (by trackball) 2 Touch Analysis and EF & Volumes 3 Touch EF (MOD-bp) and LVAs ap 4 MOD Record all Measurements on SVHS Videotape 16

  19. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane (LVAs ap 4 - MOD) 1 Move cursor to position at endocardial border of basal septal segment on mitral valve insertion 2 Press Trace 3 Perform Tracking 4 Press Enter twice Print Out (for documentation of LV-Volumes) 5 6 Press Erase . 17

  20. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane(LVAd ap 4 - MOD) 1 Select enddiastolic frame (by trackball) 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 5 Perform Tracking Press Enter twice 6 7 Print Out (for documentation of LV-Volumes) 8 Press Erase 18

  21. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue UNENHANCED a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane(LVAs ap 2 - MOD) 1 Touch Loop, touch Display, Go to page 2 from 8 (2/8) (a2CV) Select endsystolic frame (by trackball) 2 Touch LVAs ap 2 MOD 3 4 Move cursor to position at endocardial border of basal inferior segment on mitral valve plane. 5 Press Trace 6 Press Enter twice Perform Tracking 7 Print Out (for documentation of LV-Volumes) 8 9 Press Erase 19

  22. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF biplane(LVAd ap 2 - MOD) Select enddiasstolic frame (by trackball) 1 2 Touch LVAd ap 2 MOD Move cursor to position at endocardial border of basal inferor segment on mitral valve plane. 3 Press Trace 4 5 Perform Tracking Deactivate Results Box 6 Press Enter twice 7 Print Out (for documentation of LV-Volumes) 8 Touch Report + Print Out report 9 Insert derived volumes (--> see print outs) / EF (--> see report) from biplane and monoplane a4CV measurements into CRF-Page 18 10 20

  23. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF monoplane a3CV(LVAs ap 4 - MOD) Touch Erase All and confirm with Enter 1 Touch Loop, touch Display, Go to page 3 from 8 (3/8) (a3CV) 2 3 Select endsystolic frame (by trackball) 4 Touch Analysis and EF & Volumes 5 Touch EF (MOD-bp) and LVAs ap 4 MOD Move cursor to position at endocardial border of basal posterior segment on mitral valve plane. 6 10 Print Out (for documentation of LV-Volumes) 7 Press Trace and PerformTracking Press Erase 11 Press Enter twice 8 21

  24. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality SonoVue a 4CV s a4CV d a2CV s a2CV d a3CV s a3CV d LV-Volumes and EF monoplane a3CV(LVAd ap 4 - MOD) Select enddiasstolic frame (by trackball) 1 Touch LVAd ap 4 MOD 2 3 Move cursor to position at endocardial border of basal inferior segment on mitral valve plane. Press Trace 4 Perform Tracking 5 6 Deactivate Results Box 7 Press Enter twice 8 Print Out (for documentation of LV-Volumes) Touch Report + Print out Report 9 Insert derived volumes (--> see print outs) / EF (--> see report) from monoplane a3CV measurements into CRF-Page 18 10 22

  25. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality Artifacts SonoVue Wall Motion Analysis Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 Perform segmental WMA (16 segment model). CK loops 5-8) may be used as additive information 2 23

  26. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality Artifacts SonoVue Endocardial Border Delineation Image Quality Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 Perform segmental EBD (16 segment model). 2 Assess overall image quality according to the score given on page 15 of the CRF 2 24

  27. Loop Selection from MOD EF biplane EF a 3CV WMA EBD Image Quality Artifacts SonoVue Contrast Quality - Artifacts Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob. 1 Assess contrast artifacts according to the score on page 18 of the CRF 2 25

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