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

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

3. Dr. Bollen 2015 GE Vivid 3D TEE Probe u Over 2,000 piezo crystals in transducer u Allows simultaneous 2D biplane imaging u Allows simultaneous 2D tri-plane imaging u Designed for acquisition of 3D matrix volumes u Probe programmable for preferred views u Designed for flexibility ease of use

4. Dr. Bollen 2015 Matrix Array 2D Utilization Matrix Array 2D Utilization u Tri-plane: 3 simultaneous 2D images to be obtained –With and without color –May set the image TEE rotational angle Allows simultaneous ME 4ch, ME 2ch, ME LAX Allows simultaneous ME 4ch, ME 2ch, ME LAX u Bi-Plane: Two 2D orthogonal simultaneous views. –Allows second orthogonal plane to be defined on first plane image –Second plane able to steer/adjust –With and without color

5. Dr. Bollen 2015 GE Matrix Biplane Imaging (X-plane)

6. Dr. Bollen 2015 GE Matrix Triplane Imaging

7. Dr. Bollen 2015 GE 3D Mitral Valve: En Fosse View

8. Dr. Bollen 2015 GE 3D Matrix Analysis: Designed for Ease of Use u Allows 4D analysis of matrix array set data –3D view orientation ME slices ME slices ME align ME align –Multi Plane Reconstruction (MPR) options Flexi slice Flexi slice Multi slice Multi slice u Multiple Matrix Array Cropping options –2 Click crop (similar to Tom Tec D’Art) –Crop Tool: Cropping by color plane u Specialized MV analysis program u LV and RV Analysis packet

9. Dr. Bollen 2015 GE 3D Provide ME Slices: Instant Mid Esophageal Slicing

10. Dr. Bollen 2015 GE 3D Provides ME Align: allows custom alignment of centroid, and change slice angle alignment around centroid

11. Dr. Bollen 2015 ME Align: Note slice angles around centroid have been modified

12. Dr. Bollen 2015 Flexi Slice: 2D Multi Planar Reconstruction u Allows three 2D plane cropping boxes of 3D matrix data set u Allows for measurements

13. Dr. Bollen 2015 Flexi-Slice of Mitral Valve

14. Dr. Bollen 2015 Flexi Slice: Allows image rotation to the view you want, allows plane manipulation

15. Dr. Bollen 2015 Flexi Slice allows orientation by crop box color square, and red dot localization

16. Dr. Bollen 2015 Flexi Slice allows 2D measurements

17. Dr. Bollen 2015 GE Multi Slice applied to Mitral Valve

18. Dr. Bollen 2015 GE Multi Slice applied to LV

19. Dr. Bollen 2015 GE 2 Click Crop for matrix views orientation (similar to d’Aart)

20. Dr. Bollen 2015 GE 2 Click Crop focusing on LVOT

21. Dr. Bollen 2015 GE allows Crop Box Cropping

22. Dr. Bollen 2015 GE MV Analysis: Uses Tom Tec Program

23. Dr. Bollen 2015 GE MV Analysis: Uses Tom Tec Program

24. Dr. Bollen 2015 GE MV analysis allows application of measurements

25. Dr. Bollen 2015 GE has LV and RV Analysis

26. Dr. Bollen 2015 GE Post Procedure Analysis GE Post Procedure Analysis u Centricity-GE’s overall imaging storage system for CT, MRI, Cath, and echo u Utilizes advanced applications for CT, MRI u Can utilizes GE Echo Pack Applications u GE Echo Pack for those hospitals without Centricity