ACUSON S2000 Ultrasound System Quick Reference
Contents
1. 2D System Overview Release 3 0 www siemens com S2000 Introduction This Quick Reference Guide contains brief descriptions and instructions for the functions most commonly used to perform 2D and Doppler exams This supplement contains both standard and optional features but is not a substitute for the system User Manual Image Disclaimer Images used in this guide are for educational purposes only They have been modified or compressed and may not reflect the actual image quality of the system Note This guide shows multiple workflow options keyboard and mouse for Release 3 0 UI refers to the Control Panel and is noted Ul Contents Exam Basics 2D Controls Color amp Spectral Doppler Optimization Measurements amp Calculations Text amp Pictograms Data amp Image Management Siemens Exclusive Technologies Exam Basics Press the Power On Off Switch on the upper left side of the UI to turn the system on and off A green blinking light indicates the power is on The Standby option will quickly turn on or shut 6 Click OK or press the Store button on the UI to start the exam Optional if Using the Patient Scheduler Modality Work List down the system within 30 seconds t Patient Registration Patient Registration Button Icon Begin an Exam 1 Press the Patient Registration button on the UI or click the Patient Registration icon on the toolbar 2 Enter the p2. Press Report F1 to activate Reports to 16 images on the Report page ae 2 Scroll to view the Report pages 3 Click on Store Report to capture the entire formalized worksheet 4 Click End Exam to close the patient study Note Transfer Report will send DICOM measurements to structured reporting in PACS customers must have structured reporting capabilities Import Images into the Report 1 If necessary press Report F1 to activate Reports 2 Scroll down to the bottom of the Report screen and click on an image in the thumbnails Exam 2D Color amp Spectral MEER Text amp Data amp Image Exclusive amp Calculations Text amp Exam 2D Color amp Spectral Measurements Data amp Image Exclusive Pictograms Move Text Text amp Pictograms Enter Text 1 Press the Text key to activate the cursor i 2 Roll the trackball to place the cursor in the appropriate place in the image 3 Type the text and press Select or if configured press the appropriate Text _ LLL Note Text A B C and D can be customized and reordered for each exam preset The system can be preset to automatically enter the Text Menu by pressing the Gain Freeze Cine button Tip When typing press Tab to auto complete the annotation The annotation can be configured to be on or off 1 If necessary press the Text key to activate the cursor Roll the trackball to place the cursor within the te
3. Text amp Data amp Image Exclusive Technologies syngo eSieCalcs Native Tracing Software purchasable option CS 1 During 2D imaging press the Gain Freeze Cine button 2 Press the Calcs button Select the eSieCalcs menu option 4 Roll the trackball to move the cursor into the image 5 Press the Next key to activate ROI box Note Next toggles between the two active calipers allowing movement of the ROI box and a change in size 6 Press Select to calculate and display the measurement Ww Adjust an eSieCalc Measurement 1 Press Next to reactivate calipers 2 Roll the trackball to trace a new area of interest 3 Press Select to recalculate measurement Tip When placing the ROI box over the area of interest do not make the box too big Global Siemens Headquarters Siemens AG Wittelsbacherplatz 2 80333 Muenchen Germany Global Siemens Healthcare Headquarters Siemens AG Healthcare Sector Henkestr 127 91052 Erlangen Germany Phone 49 9131 84 0 www siemens com healthcare Legal Manufacturer Siemens Medical Solutions USA Inc Ultrasound 1230 Shorebird Way Mountain View CA 94043 USA Phone 1 888 826 9702 www siemens com healthcare
4. 15 and can be adjusted on live or image frozen images and in M mode and PW Doppler Tissue Harmonic Press the soft key on the home base to turn on or off Imaging THI Reduces noise clutter with better contrast enhancement and improved axial resolution over fundamental imaging Toggle the MultiHz key up or down Rotate the Zoom control to increase or decrease image magnification Roll the trackball to pan the image Note Zoom magnifies from the center of the onscreen image use pan to bring in the area of interest Available on live or frozen images and in M mode and PW Doppler 2D Imaging Features Items in the table below are arranged alphabetically Feature To Use Feature ASC Dual Click on the ASC Dual option in the 2D tab of the onscreen Image menu to Display two live _ display images side by side Note The left side displays the image without spatial compounding and the A right displays with spatial compounding Can only be used when a level of ASSC 3 or higher is selected Dual Press the Dual key to activate dual screen display Side by side imaging Toggle the Update key to go between left and right images Note Color must be activated before entering Dual mode Measurements Text amp Data amp Image Exclusive Color amp Spectral PAD s e DOL AD Color amp Spectral Measurements Text amp Data amp Image Exclusive Controls Live Dual Select the Live Dual
5. DVD 1 Insert the CD R DVD 2 Press Patient Browser F2 to open the Patient Browser and Local Database 3 Select the patient name s Tip Hold CTRL to select more than one patient name 4 Use one of the following transfer methods below Transfer in DICOM Format 1 With patient s selected select the Transfer drop down menu 2 Select Archive to CD R Note syngo fastView and Showcase DICOM viewers will be burned onto the CD R or DVD Transfer in PC Format AVI or JPEG 1 With the patient s selected select the Transfer drop down menu 2 Select Export to CD in PC Format Transfer to a USB Drive in PC Format 1 With the patient s selected select the Transfer drop down menu 2 Select Export to USB in PC format Note The USB must have an export folder on it to accept images Import All Images from a CD to the Local Database 1 Insert the CD R DVD 2 Press Patient Browser F2 to open the Patient Browser Exam 2D Color amp Spectral Measurements Text amp Data amp Image VECOM Technologi Exam 2D Color amp Spectral Measurements Text amp Data amp Image Management 3 Click on CD 4 Click on the Transfer drop down menu 5 Click on Import from Off line Note Image s will be removed when the exam is closed Resend an Exam to PACS 1 Press Patient Browser F2 to open the Patient Browser 2 Click on Local Database 3 Click on the patient name 4 Click the Archive to icon o
6. option in the 2D tab of the onscreen Image menu Display two live images Note Can be used with color at any time side by side SieScape Panoramic Select SieScape from the Feature menu on the left side of the screen Imaging Press the Update key to start acquiring image Scan through area of interest in a long axis of the transducer Press Gain Freeze Cine to stop the acquisition Note Once an image is frozen roll the trackball to rotate the image Use the Scroll wheel or Zoom control to zoom Use Restore to bring the image back to original size Press the Calcs key to measure on a SieScape image Use the Gain Freeze Cine wheel to Cine through the SieScape image Steer Image Press the Priority key to activate Steer Linear transducers only Roll the trackball to steer the FOV left or right Improve the angle of Note ASC must be off or set to SC2 insonance between anatomy and the ultrasound beam Trapezoid Press the soft key to activate Trapezoid image format Linear transducers only Press the Next key to go between position and size of the image Allows more visualization of tissue on the screen Color Doppler amp Spectral Doppler Optimization eee Color Doppler Imaging v Items in the table below are arranged alphabetically To Adjust Control Do This Image Knob Baseline Toggle the Baseline key up or down Yes Color Doppler Energy and Press the soft key to cycle between CDE and velocity No Color
7. system configuration menu to assign print and or store functions to the Print button Review an Image Press the Review button during an active exam to view and delete images Note The system must be preset to transfer images at end of exam in order to delete images from Review mode Press the Review button or double click a thumbnail image to activate Review mode during an active exam Activate Review on a Previous Exam 1 Press Patient Browser F2 to open the Patient Browser 2 Click on the Patient Folder 3 Double click the Image icon to load the patient exam into Review Use Compare Mode Available on the Review screen under Tools gt 1 Press the Review button 2 Click on two images from the thumbnails 3 Click on Compare to display the images side by side 2D Controls Basic System Optimization The chart below identifies presets that can be customized and saved to the Image knob Items in the table below are arranged alphabetically To Adjust Control Do This Image Knob 2D Sector Width Press the Priority key to select 2D FOV Increase line density Roll the trackball to sector in the width of the image frame rate Press the Next key to go between Size and Position of 2D FOV Press the Select key to lock the image size Note Manually re size the image to return to full screen Rotate the Depth control Dynamic Range Toggle the Dynamic Range key up or down to add o
8. time Rotate the Menu control to change the level 0 4 Note Can only be adjusted when using SieClear 2 and not when using Advanced SieClear Spatial Compounding ASSC Increased persistence averages more frames over time creating a smoother image Decreased persistence averages fewer frames over time creating a grainier image Post Processing Maps Rotate the second LED control on the right side of the UI to Selects a processing select and apply curve that assigns Note Maps range from A F and can be adjusted on live or Gee to frozen images and in M mode and PW Doppler PAD Color amp Spectral Measurements Text amp Data amp Image Exclusive Controls PAD _ Color amp Spectral Measurements Text amp Data amp Image Exclusive Controls SieClear Spatial Rotate the first LED on the left side of the UI to change the Compounding and compounding level Advanced SieClear Note The selected transducer determines how many levels of Spatial Compounding compounding are available Utilizes multiple lines of sight to provide improvements in contrast resolution and border detection Space Time Rotate the first LED control on the right side of the UI Spatial resolution vs Note Increase for better spatial resolution and decrease for temporal resolution better temporal resolution Tints Rotate the third LED control on the right side of the UI Colorizes the grayscale Note Tints range from 0
9. Doppler Velocity color CDV No Color Gain Rotate the C control Engage Color Doppler Press the C control No Exit Color Doppler Press the PW control or press the 2D control to return to No imaging Frequency Toggle the MultiHz key up or down Yes Image Presets Rotate the Image knob to change image presets Press the Image knob to view a list of all available image presets 2D E N Ee Measurements Text amp Data amp Image Exclusive Doppler Optimization 3 ii Exam 2D Color amp Spectral Measurements Text amp Data amp Image Exclusive Doppler Optimization Invert Press the Invert button Change the orientation of the Color Doppler velocity display ROI Size and Position With color active press the Next key to alternate between Size and Position Roll the trackball to adjust size and position Scale Toggle the Scale key up or down to increase or Pulsed Repetition Frequency decrease PRF Spatial Resolution and Rotate the first LCD control on the left side of the UI Speed Note Spatial resolution is inversely proportional to temporal resolution Press the Priority key to activate C ROI Press Next and select Steer Roll the trackball to get to the proper angle mm PW Doppler oar Items in the table below are arranged alphabetically To Adjust Control Do This Image Knob Angle Correct Press the 0 60 control to cycle through angle correction R
10. M control again to activate spectral waveform Press the M control to exit or Press the 2D control to exit and return to 2D imaging M mode Cursor Press Next to select Size or Position Roll the trackball to make adjustments Note The active function is displayed in green Sweep speed can be adjusted during real time or on a frozen M mode Doppler strip Measurements Perform an Unlabeled Measurement amp Calculations 1 Roll the trackball to place the first caliper in the area of interest neral M rement Tool Sener Measiciten TOAS 2 Press Next for the second distance caliper Activate Calculations or ellipse control one of two methods 3 Press Select to anchor a caliper or enter a Press the Calcs button to activate measurement the measurement function on 4 Press Next to go between the active real time or frozen images calipers or 5 Press Priority to reactivate locked caliper Press the Gain Freeze Cine button sets or scroll through different caliper sets to automatically go to Calcs Tip To delete the caliper set press the Delete must be preset in the Setup menu soft key or Cine back one position Exam 2D Color amp Spectral Measurements Text amp Data amp Image Exclusive amp Calculations Exam 2D Color amp Spectral Measurements Text amp Data amp Image Exclusive amp Calculations Perform a Labeled Measurement and Add it to the Report Package Note Application spec
11. atient name ID and other exam information 3 Press the TAB key or roll the trackball to move to the next data field 4 Select the proper Transducer and Study type from the drop down menus 5 Select a Workflow Protocol from the Protocol list optional 1 Press Patient Browser F2 to open the Patient Browser 57 Double click on the Patient Scheduler icon to view an updated Work List Highlight the patient name press the first letter of the last name to quickly scroll the list Click on the Patient drop down menu and select Register Select the appropriate transducer and Study Type on the Patient Demographic page 2D Color amp cimizati Measurements Text amp Data amp Image Exclusive Basics Exam 2D Color amp Spectral Basics UI to start the exam Note If the patient name does not appear in the Work List a Click on View at the top of the page b Select Patient based work list query c Enter the patient last name d Click on Get Work List Store and Review Images 1 Press the Store button to save a static image on the local ea CO 2 Press Clip Store to acquire and save a clip to the local database 3 The saved data displays in the thumbnail panel at the bottom of the screen Print an Image Press the Print button to print the onscreen image Measurements Text amp Data amp mer e Exclusive 6 Click OK or press the Store button on the Note Use the
12. ific measurements are particular to one study type The measurement tools and labels are organized by the active imaging mode and application e g abdomen Only labeled measurements are copied to a patient report 1 Press the Gain Freeze Cine button 2 Click on a measurement label e g Liver Note A measurement label can also be selected after calipers are placed 3 Roll the trackball to place the first caliper in the area of interest 4 Press Next to activate the second caliper 5 Press Select or Store to complete a measurement and send the value s to the Report 6 Press Priority to reactivate locked caliper sets or scroll through different caliper sets Additional Measurements ale 2 3 4 Activate the Report page Click on the Page 1 drop down menu on the imaging screen Scroll down to the desired page Press Select to activate page Perform Advanced Measurements e g Volume Measurement 1 Select the Compound drop down menu from the top left hand side of the screen when Calcs are active Select the appropriate measurement from the drop down list Stenosis Volume Area Ratio Distance Ratio or Volume Flow Calculation Reports 3 Roll the trackball to drag the image into Calculation worksheets and reports are appropriate square offered for each preset when labeled 4 Press Select to anchor the image measurements are entered Note Click on the Format icon to display up 1
13. or amp Spectral Measurements Uae Data amp Image Exclusive Pictograms Exam 2D Color amp Spectral Measurements Text amp Data amp Image Management Data amp Image Management Restart an Exam 1 Press Patient Browser F2 to open the Patient Browser 2 Select the patient name and click on the middle yellow folder 3 Click on the Patient drop down menu and select Register 4 Select the transducer and operator initials 5 Click OK Note Restart is available at all times New images can be added to the existing patient exam End an Exam 1 Press the Review button 2 Click on End Exam Note Starting a new patient also ends a current exam Send Patient Exam to PACS 1 Press Patient Browser F2 to open the Patient Browser 2 Select the Archive To icon 3 Select Destination 4 Select Archive To Note This can be done before closing the study Tip Closing a study will automatically send to PACS if the system is preset to Send on study close Delete Images from an Active Case 1 Click on an image from the thumbnail 2 Click on the Delete icon located on the lower right of the screen Note The system must be preset to Send at the End of Exam or the image will not be deleted Delete Images from Review During an Active Exam 1 Press Review 2 Click and highlight the image to delete 3 Press the Delete soft key Transfer an Exam from the Hard Drive to CD R
14. otate the 0 60 control to fine tune the angle Baseline Toggle the Baseline key up or down Yes Frequency Toggle the MultiHz key up or down Yes Gate Size Roll the Scroll wheel up or down Yes Yes Overall Doppler Gain Rotate the Doppler PW control No PW Doppler Press the PW control to engage PW Doppler Roll the trackball to position the cursor Press PW again to start spectral waveform or press Update Note Press Next to go between Position and Steer Press the PW control or press the 2D control to exit PW Doppler and return to imaging Scale Toggle the Scale key up or down to increase or decrease Pulsed Repetition Frequency PRF 2D eo fol at Tle Measurements Text amp Data amp Image Exclusive Doppler Optimization 3 ii Exam 2D Color amp Spectral Measurements Text amp Data amp Image Exclusive Doppler Optimization Te Steer Press the Priority key Select the PW gate Press Next to steer Roll the trackball to adjust the steer angle Press Select to lock in the angle Sweep Speed Rotate the LCD control on the right side of the UI Note Sweep speed can be adjusted during real time or on a frozen M mode Doppler strip J M mode CS Items in the table below are arranged alphabetically e To Adjust Control Do This M mode Press the M control to engage M mode Roll the trackball to adjust the position of the M mode cursor Press the
15. r remove Adjust grayscale the amount of grayscale levels levels within an Note Can be used on live or frozen images image Dynamic TCE Rotate the second LED control on the left side of the UI Provides speckle Note Settings include Off Low Medium and High As the reduction and contrast level is increased both Dynamic TCE speckle reduction and enhancement contrast enhancement are increased Edge Rotate the third LED control on the left side of the UI Note Range is 0 4 4 applies the most edge enhancement Focal Zones Rotate the Focus control for position Control position and Press the Focus control to select the number of focal zones number of focal zones Frequency Toggle the MultiHz key up or down on the UI to adjust the yes frequency HD RES Write Zoom Press the Zoom control to initialize HD RES Rotate the Zoom control to adjust the size of ROI box Press Zoom again to activate RES Note When RES is activated HDZ appears on the lower right corner of the screen Image Presets Rotate the Image control on the UI to change the image preset Press the Image control to see a list of currently available image presets Overall Gain Press the TEQ button Rotate the 2D control Rotate the Gain Freeze Cine wheel Adjust the DGCs Note Adjust according to user preference Persistence Select the Persistence option located on the 2D tab of the Weighted average of onscreen Image Menu frames over
16. r select Archive to from the drop down menu 5 Select the destination 6 Select Archive to De Identify a Patient Teaching Files Name Changes 1 a A WN 6 f Press Patient Browser F2 to open the Patient Browser Click on Local Database Click the patient name Click on the image folder Click on Patient drop down menu and select De Identify Rename the exam Click OK Note The new case will be added to the Local Database within minutes 3D 4D volumes will not be transferred for re manipulation Exclusive Technologies Clarify Vascular Enhancement Technology purchasable option During 2D imaging press the Clarify soft Roll the trackball to place the ROI box Press Next to go between Size and Roll the Scroll wheel to adjust the level of 1 least sensitive 7 most sensitive syngo Auto OB purchasable option 1 Ensure the OB exam type is selected gt 2 Press the Calcs button Note Available Auto OB measurements are highlighted in green 3 Click on the desired measurement semi automated measurements are live onscreen 4 Press Next to go between the cursors active and available 5 Press Select to lock in the measurement and transfer it to the Report page Tip Press Store to transfer the measurement Labels Measurements Text amp Data amp Image Exclusive n amp lati Technologies Exam 2D Color amp Spectral Measurements
17. xt Double click Select to highlight text is highlighted in green Roll the trackball to the new location and press Select Drag and Drop Text 1 If necessary press the Text key to activate the cursor 2 Position the cursor in the text to move 3 Double click Select to highlight text is highlighted in green Roll the trackball to move the selection over the text to be replaced and press Select Delete Text Note The Delete Arrow soft key deletes one arrow at a time starting with the last arrow 1 If Calcs is active press the soft key and placed onscreen select either Clear Screen Delete Word or Delete Line Add a Pictogram s U anina hee active wo a hold the 1 Press the Body Marker key on the FAEN AG PETRE S CRATER bottom right side of the keyboard rt Place an Arrow s 2 Rotate the Scroll wheel to cycle through 1 Press the Arrow Up button on the pictograms bottom right side of the keyboard 3 Press Next to go between Position and 2 If necessary press Next to rotate the Rotation ortie ankar direction of the arrow 4 Roll the trackball to position the marker on 3 Roll the trackball to position the arrow and the pictogram and press Select press Select Delete a Pictogram Note Use the steps above to place additional 1 Press the Delete Body Marker or Clear arrows Screen soft key Delete an Arrow s 1 Press the Delete Arrow or the Clear Screen soft key Exam 2D Col
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