1. Philips 3D TEE Bruce Bollen, MD Missoula Anesthesiology
International Heart Institute of Montana
Missoula, Montana

2. SCA Echo Week March 23-27, 2015 Atlanta, GA

3. Mihara et al
Figure 13. Three-dimensional analysis of AVC. Example of the Philips QLAB quad screen displaying the 3D dataset of the aortic valve at the aortic annular level (A–D) and at the commissure level (E–H). (A) The ‘‘true’’ aortic annular plane through the three nadirs of the aortic cusps (red dot) in the midsystolic phase. We moved the 2D cutting plane in 3D spaces to get an optimal long-axis view for each cusp and looked at both long-axis and short-axis images simultaneously (A,B) to confirm the precise location of the calcification and its artifact. Next we evaluated the calcification at the leaflets near the nadir (B, red arrow). Finally the short-axis plane was moved to the commissure level (E,F) to evaluate the calcification at the commissure. (C) and (G) show another long-axis view. (D) and (H) show 3D volume image. 2D, Two-dimensional; 3D, three-dimensional; AVC, aortic valve calcification.10
Figure 14. Paravalvular regurgitation was assessed quantitatively by the sum of the cross-sectional area of the vena contracta in the short-axis view.10

4. Philips 3D TEE Probe
3D matrix TEE probe with over 2,000 piezo crystals
Allows 2D X-plane imaging
Allows 3D Matrix image acquisition
Probe programmable for preferred views
Designed for flexibility ease of use

5. Philips 3D Applications
Allows 2D X-plane imaging
Live 3D
3D Zoom
Full Volume 3D
3D volume analysis: Q-Lab
3DQ, 3DQ advanced
Mitral Valve Analysis
MVQ (Q-Lab 7.0 to 9.3) matrix ie33
MVN (Mitral Valve Navigator Q-lab 10 and above) on Epiq machine

6. 3DQ: Philips 3D Matrix volume analysis:
Allows Multi Planar Reconstruction (MPR)
Allows 2D LVEF by Simpson method
Allows dimensional measurements
i-slice multi slice application

7. 3DQ Advanced: Philips 3D matrix volume analysis
Allows Multi Planar Reconstruction (MPR)
i-slice multi slice application
3D LVEF assessment with wall motion analysis

8. Phillips Matrix Multi Planar Reconstruction (MPR)

10. I-slice in 3DQ and 3DQ Advanced

11. Phillips Mitral Valve i-Slice

12. Phillips Aortic Root Matrix MPR and i-Slice

13. 3D LVEF Assessment
Philips 3DQ LV 2D Model Philips 3DQ Advanced LV 3D Model

14. MVQ: Mitral Valve Quantification
Original Philip’s mitral valve analysis packet
Multi step
Extensive mitral valve annular and leaflet measurements

16. MVN: Mitral Valve Navigator
On Philips Epiq machines
More automated mitral valve assessment
Extensive mitral valve annular and leaflet measurements

17. Philips Post Procedure Analysis
Q-Station: desktop image storage and processing
Q-lab software for personal laptop or computer