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

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

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

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

BBG 012

Study -Echocardiography - Onsite Evaluations and Measurements

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

UNENHANCED

Loop Selection fromLoop Selection from MODMOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

SonoVue

Page 2: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

CONTENTS

page Loop Selection from MOD - unenhanced

1/2Loop / Page Overview - unenhanced

3

LV-Volumes / EF biplanea4-CV endsyst.

4/5 a4-CV enddiast. 6 a2-CV endsyst. 7 a2-CV enddiast. 8

LV-Volumes / a 3CV monoplanea4-CV endsyst.

9 a4-CV enddiast. 10

Wall Motion Analysis11

EBD / Image Quality12

pageLoop Selection from MOD - SonoVue

13/14Loop / Page Overview - SonoVue 15

LV-Volumes / EF biplanea4-CV endsyst.

16/17 a4-CV enddiast. 18 a2-CV endsyst. 19 a2-CV enddiast. 20

LV-Volumes / a 3CV monoplanea4-CV endsyst.

21 a4-CV enddiast. 22

Wall Motion Analysis 23

EBD / Image Quality 24

Contrast Quality / Artifacts 24

Page 3: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

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 MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

1

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Page 4: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

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 MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

2

UNENHANCED

Page 5: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

Loop/Page Overview Loop/Page Overview - native

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

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

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Page 6: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplaneLV-Volumes and EF biplane (LVAs ap 4 - MOD)(LVAs ap 4 - MOD)

Freeze Loop 1/ Page 1

Select a 4CV unenhancedendsystolic frame

(by trackball)

1

Touch Analysis and EF & Volumes

2

Touch EF (MOD-bp) and LVAs ap 4 MOD

3

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV d

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UNENHANCED

Record all Measurements on SVHS Videotape

Page 7: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplane LV-Volumes and EF biplane (LVAs ap 4 - MOD)(LVAs ap 4 - MOD)

.

Move cursor to position at endocardial border of basal septal segment on mitral valve insertion

1

Press Trace2

Press Enter twice 4

Press Erase6

Perform Tracking3

Print Out

(for documentation of LV-Volumes)5

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV d

5

UNENHANCED

Page 8: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplaneLV-Volumes and EF biplane (LVAd ap 4 - MOD)(LVAd ap 4 - MOD)

Select enddiastolic frame (by trackball)

1

2 TouchLVAd ap 4 MOD

Move cursor to position at endocardial border of basal septal segment on mitral valve plane.

3

Press Trace4

Press Enter twice 6

Press Erase8

Perform Tracking5

Print Out

(for documentation of LV-Volumes)7

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV d

6

UNENHANCED

Page 9: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplaneLV-Volumes and EF biplane (LVAs ap 2 - MOD)(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 Trace5

Press Enter twice

7

Press Erase9

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

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV d

7

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Page 10: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplaneLV-Volumes and EF biplane (LVAd ap 2 - MOD)(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

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV 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 Trace4

Press Enter twice

9

2

Page 11: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF monoplane a3CVLV-Volumes and EF monoplane a3CV (LVAs ap 4 - MOD)(LVAs ap 4 - MOD)

3

Press Trace and Perform Tracking7

Press Enter twice 8 Press Erase

Touch Loop, touch Display, Go to page 3 from 8 (3/8) (a3CV)

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV d a3CV sa3CV sa3CV da3CV d

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

Page 12: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF monoplane a3CVLV-Volumes and EF monoplane a3CV (LVAd ap 4 - MOD)(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 Trace4

Press Enter twice 7

Touch Report + Print out Report9

Perform Tracking5

Print Out

(for documentation of LV-Volumes)8

2

Deactivate Results Box 6

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV d

Insert derived volumes (--> see print outs) / EF (--> see report) from monoplane a3CV measurements into CRF-Page 15

10

10

UNENHANCED

Page 13: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

Wall Motion AnalysisWall Motion Analysis

Perform segmental WMA (16 segment model).

CK (loops 5-8) may be used as additive information

2

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

Touch Loop,touch Display,You can toggle through the loops/pages by turning the respective knob.

1

11

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Page 14: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

Endocardial Border DelineationEndocardial Border Delineation

Perform segmental EBD (16 segment model).

2

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob.

1

12

UNENHANCED

Image QualityImage 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

Page 15: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

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 MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

SonoVue

Page 16: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

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 MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

SonoVue

Page 17: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

Loop Overview Loop Overview - SonoVue

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

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

Page 18: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplaneLV-Volumes and EF biplane (LVAs ap 4 - MOD)(LVAs ap 4 - MOD)

Freeze Loop 1/ Page 1

Select a 4CV unenhancedendsystolic frame

(by trackball)

1

Touch Analysis and EF & Volumes

2

Touch EF (MOD-bp) and LVAs ap 4 MOD

3

16

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV dSonoVue

Record all Measurements on SVHS Videotape

Page 19: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplane LV-Volumes and EF biplane (LVAs ap 4 - MOD)(LVAs ap 4 - MOD)

.

Move cursor to position at endocardial border of basal septal segment on mitral valve insertion

1

Press Trace2

Press Enter twice 4

Press Erase6

Perform Tracking3

Print Out

(for documentation of LV-Volumes)5

17

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV dSonoVue

Page 20: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplaneLV-Volumes and EF biplane (LVAd ap 4 - MOD)(LVAd ap 4 - MOD)

Select enddiastolic frame (by trackball)

1

2 TouchLVAd ap 4 MOD

Move cursor to position at endocardial border of basal septal segment on mitral valve plane.

3

Press Trace4

Press Enter twice 6

Press Erase8

Perform Tracking5

Print Out

(for documentation of LV-Volumes)7

18

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV dSonoVue

Page 21: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplaneLV-Volumes and EF biplane (LVAs ap 2 - MOD)(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 Trace5

Press Enter twice

7

Press Erase9

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

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV dSonoVue

Page 22: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF biplaneLV-Volumes and EF biplane (LVAd ap 2 - MOD)(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 Trace4

Press Enter twice

9

2

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV dSonoVue

Page 23: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF monoplane a3CVLV-Volumes and EF monoplane a3CV (LVAs ap 4 - MOD)(LVAs ap 4 - MOD)

3

Press Trace and Perform Tracking7

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

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV d a3CV sa3CV sa3CV da3CV dSonoVue

Page 24: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

LV-Volumes and EF monoplane a3CVLV-Volumes and EF monoplane a3CV (LVAd ap 4 - MOD)(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 Trace4

Press Enter twice 7

Touch Report + Print out Report9

Perform Tracking5

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

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

a 4CV sa 4CV sa4CV da4CV da2CV sa2CV sa2CV da2CV da3CV sa3CV sa3CV da3CV dSonoVue

Page 25: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

Wall Motion AnalysisWall Motion Analysis

Perform segmental WMA (16 segment model).

CK loops 5-8) may be used as additive information

2

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA

Touch Loop,touch Display, You can toggle through the loops/pages by turning the respective knob.

1

ArtifactsArtifacts

23

SonoVue

Page 26: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA ArtifactsArtifacts

24

SonoVue

Endocardial Border DelineationEndocardial Border Delineation Image Quality 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

Page 27: BBG 012 Study -Echocardiography - Onsite Evaluations and Measurements UNENHANCED SonoVue.

Contrast Quality - ArtifactsContrast 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

Loop Selection from MODLoop Selection from MOD EF biplaneEF biplane EF a 3CVEF a 3CV Image QualityImage QualityEBDEBDWMAWMA ArtifactsArtifacts

25

SonoVue