1. Siemens Acuson 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. 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

4. 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 volume review using 2D cropped planes
Allows orientation of image in cropped plane by rotation, up, down.

5. MV 4D Volume Assessment

6. AV (Root) 4D Volume Assessment

7. Siemens 3D volume eSie Valve Programs
Utilizes eSie Valve analysis programs to simplify valve analysis
Mitral
Multiplane cropping
PISA assessment
MV modeling
Aortic
AV (Root) modeling
Aortic – Mitral
Combines MV and Aortic models.

8. 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

9. Beginning of eSie Valve Mitral

10. eSie Valve- mitral opened

11. eSie valve MV modeling
Siemens eSie valve allows MV modeling with various ways to view

12. Siemens eSie Valve MV Modeling

13. Siemens eSie Valve MV Modeling

14. Siemens eSie Valve MV Modeling

15. Siemens eSie Valve MV Modeling -Analysis

16. Siemens eSie Valve Aortic Valve

17. Siemens eSie Valve Aortic Valve (Root)

18. Siemens eSie Valve Aortic Valve -Modeling

19. Siemens eSie Valve Aortic Valve Modeling

20. Siemens eSie Valve AV Modeling Analysis Analysis - Surgical

21. Siemens eSie Valve AV Modeling Analysis Analysis - Diagnosis

22. Siemens eSie Valve AV Modeling Analysis Analysis - Intervention

23. 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

24. Siemens Combined AV-MV Modeling

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

26. 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.