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Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

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Page 1: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Siemens Acuson 3D TEEBruce Bollen, MD

Missoula AnesthesiologyInternational Heart Institute of Montana

Missoula, Montana

Page 2: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

SCA Echo WeekMarch 23-27, 2015

Atlanta, GA

Page 3: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens Matrix Array TEE probe

Over 2,000 piezo crystals in transducer

Allows simultaneous biplane imaging

Designed for acquisition of 3D matrix volumes

Probe programmable for preferred views

Designed to minimize thermal issues

Page 4: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens 4D Matrix Volume Analysis

Siemens Acuson 3D allows 4D volume analysis Allows for 4D Volume Review using

multiplane reconstruction of 3D volume sets into 2D cropped planes– D’art 3D volume viewing

– Slice (multislice capabilities) of 3D volumereview using 2D cropped planes

– Allows orientation of image in cropped plane by rotation, up, down.

Page 5: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

MV 4D Volume Assessment

Page 6: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

AV (Root) 4D Volume Assessment

Page 7: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens 3D volume eSie Valve Programs

Utilizes eSie Valve analysis programs to simplify valve analysis– Mitral

• Multiplane cropping• PISA assessment• MV modeling

– Aortic • Multiplane cropping• AV (Root) modeling

– Aortic – Mitral• Combines MV and Aortic models.

Page 8: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

eSie Valve- Mitral Valve

Utilizes eSie Valve keys to set up MV orientation for anlaysis

4 boxes of echo: 3 2D cropped planes and 4th of 3D image/model

Page 9: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Beginning of eSie Valve Mitral

Page 10: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

eSie Valve- mitral opened

Page 11: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

eSie valve MV modeling

Siemens eSie valve allows MV modeling with various ways to view

Page 12: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve MV Modeling

Page 13: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve MV Modeling

Page 14: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve MV Modeling

Page 15: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve MV Modeling -Analysis

Page 16: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve Aortic Valve

Page 17: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve Aortic Valve (Root)

Page 18: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve Aortic Valve -Modeling

Page 19: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve Aortic Valve Modeling

Page 20: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve AV Modeling Analysis Analysis - Surgical

Page 21: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve AV Modeling Analysis Analysis - Diagnosis

Page 22: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens eSie Valve AV Modeling Analysis Analysis - Intervention

Page 23: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens combined AV-MV Modeling

Siemens has developed a combined AV-MV modeling system

Potential to look at AV-MV interactions

Frame Rate resolution will be one diagnostic concern

Page 24: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens Combined AV-MV Modeling

Page 25: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Siemens LV and RV Modeling

Siemens Also has LV and RV modeling programs with their 4D analysis

Page 26: Siemens Acuson 3D TEE Bruce Bollen, MD Missoula Anesthesiology International Heart Institute of Montana Missoula, Montana

Dr. Bollen 2015

Post Procedure Analysis Singo Dynamics- Siemens overall imaging

storage system for CT, MRI, Cath, and echo Utilizes advanced E2 applications for CT, MRI Can utilizes eSie Applications Ultrasound Workstation- For those hospitals

with Siemens echo machine, but without Singo Dynamics system.

Ultrasound Workstation utilizes eSie Applications.