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  • 8/8/2019 CardIQ Xpress Pro Quickstep Guide Rev1Ver1

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    GE Healthcare

    Publications

    Direction elibDOC0296904Rev 1 Ver 1

    CardIQ XpressTM ProQuick Step Guide

    2007 General Electric Company. All rights reserved.Operating Documentation

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    Table of Contents

    Introduction.........................................................................................................................................................3 Product Description.........................................................................................................................................3

    CardIQ Xpress ProFeature List .................................................................................................................................4Pre-Requisites.......................................................................................................................................................................4

    Caution Statements.........................................................................................................................................5Geometric Accuracy .......................................................................................................................................................... 5Vessel Quantification and Tracking ............................................................................................................................5Vessel Quantification and Tracking ............................................................................................................................6Saving and Filming Images ............................................................................................................................................7

    Volume Viewer Tips ............................................................................................................. ............................8Volume Viewer Shortcuts ........................................................................................................ .....................9CardIQ Tools ...................................................................................................................................................................................9CardIQ XpressTM Pro Protocols ................................................................................................................10Launching CardIQ XpressTM Pro.............................................................................................................. 13CardIQ XpressTM Pro Workflow................................................................................................................ 15

    Step 1: Angiographic View Selection........................................................................................................................15Step 2: Vessels to Analyze .............................................................................................................................................16Step 3: AVA Tools: Edit/Measure.................................................................................................................................16Step 4: Add Measurements...........................................................................................................................................17Step 5: Report (option 1).................................................................................................................................................18Step 5: Report (option 2).................................................................................................................................................18

    Tree VR Protocol Step 1 .............................................................................................................................. 19

    Step 1: Automatic Vessel Selection...........................................................................................................................19Cardiac Transparency........................................................................................................... ...................... 20Ejection Fraction - Left Ventricle ............................................................................................................ 21Cardiac Reformat ............................................................................................................... ........................... 24Create a Beating Heart Movie.............................................................................................................. 252D Cardiac Review........................................................................................................................................26

    Card Review 1.....................................................................................................................................................................26Card Review 2.....................................................................................................................................................................27Card Review 3.....................................................................................................................................................................27Oblique Review...................................................................................................................................................................28

    2

    Quick AVA .......................................................................................................................................................... 29

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    IntroductionAs with any medical imaging process, only qualified personnel should use this equipment.You must be aware of the limitations of the basic imaging modality and of ensuing image

    processing. This includes understanding the limitations of the initial series acquisition, image-processing technology used, and image display methods.

    This Support and Quickstep Guide together with the Operator Manual are Training materialsavailable on line on the workstation. Users need to review operating procedures on a regular basis,paying special attention to Caution statements. Keep this training guide as well as the operatormanual available while using the CardIQ Xpress Pro software. This manual is designed as a QuickStep Guide only. It should be used in conjunction with the CardIQ Xpress Pro Operators Manual, andVolume Share 2 Operators Manual, as it is not cover all aspects or features of the CardIQ Xpresssoftware.

    This guide is sectioned into individual chapters to describe the workflow and provide instructions forthe use of the features in CardIQ Xpress Pro. There is no correct order in which you should use theseprotocols

    If you want to benefit from additional training, please contact your GE Healthcare User Servicesrepresentative for assistance.

    Product DescriptionCardiovascular CT imaging using multi-slice CT technology is a new and exciting clinical applicationwhich may make significant impacts to cardiovascular disease management as a non-invasiveimaging technique. Multi-slice detector CT, which has been quickly adopted by the clinicalcommunity, has the advantage of being easy-to-use, reliable and accessible, in comparison toother invasive or non-invasive cardiac imaging techniques. One of the critical components for aneffective cardiac CT application is a fully integrated post-processing and analysis tool tailored forcardiac imaging.

    The CardIQ Xpress Prooption is designed to provide an easy-to-use and time-effective means forcardiovascular image manipulation. CardIQ Xpress Prooption is an integrated post processingimage analysis software dedicated for the application of cardiovascular imaging on Volume Share 2

    (AW) platform. This software option can be used to effectively display, reformat and analyze 2D or3D cardiac CT images for qualitative or quantitative assessment of heart anatomy and coronaryartery vessels from single or multiple cardiac phase image data sets. Potential clinical applicationsinclude: coronary artery calcification assessment, imaging of cardiac morphology, coronary arteryimaging and assessment, bypass graft patency, post intervention follow-up and functionalassessment.

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    CardIQ Xpress ProFeature List

    Quick AVA Dynamic AVA Vessel Database Phase Drop for multi-phase datasets Vessel Analysis Protocols Single & multi-phase Vessel Tracking Combined RT and LT Side Vessel Tracking Customizable Screen Layouts Dual and Single Reference Measurements for Stenosis Assessment Length, Diameter, Volume and Angle Calculation Plaque Identification Color Identification Semi-automated Curved Planar Reformats VR Vessel Tree with automatic vessel detection

    VR Heart & Heart Graft Protocols Reformat Protocols Automated Cardiac Reformat Protocols Cardiac Transparency Protocol Multi-Phase Registration Beating & Rotating VR Heart Output (JPEG/MPEG Data Export) One Touch Cath Angles Ejection Fraction Protocol Angiographic View Improved Movie Tool

    Report Generation Tool

    Pre-RequisitesDICOM image data setsVolume Share 2Volume Viewer 3

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    Caution Statements

    This Chapter reviews the most important information for the safe operation of the VesselIQ Xpress

    software. Please review this documentation before using the software.

    Geometric Accuracy

    The Lumen and 3D views that are displayed and created using the CardIQ Xpress Pro softwareshould be used for orientation purposes only, NOT for diagnostic purposes.

    When creating the Lumen view within CardIQ Xpress Pro, it is necessary to change the threedimensional centerline into a straight line. This transformation results in a degree of geometricdistortion of the anatomic features displayed in this view. Use the correlated 2D views to verify

    findings.

    The 3D views, can be clipped to clearly show the vessel being analyzed among the surroundingtissue, and may not include all vascular anatomy.

    The distance, angle and area measurements created in this software are only accurate if all thesegments used to create the measurement are longer than the inter-slice distance of the data setbeing used.

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    Vessel Quantification and Tracking

    The accuracy of vessel quantification and tracking is highly dependant on, image quality, imageresolution, inter-slice distance, artifacts, pathology, and contrast enhancement.

    It is the responsibility of the user to verify the results of the tracking and quantification of the lumensegments before using the data for diagnosis.

    In case of incorrect tracking or quantification, the user must use the provided edit centerline andedit section tools to make any corrections necessary.

    Accuracy of cross sectional distance measurements should be +/- 10% for vessels with a diameterbetween 10 and 20 voxels. It should be +/- 5% for vessels with a diameter greater than 20 voxels.

    Accuracy of cross sectional area measurements should be +/- 40% for vessels with a diameterbetween 10 and 20 voxels. It should be +/- 20% for vessels with a diameter greater than 20 voxels.

    Accuracy of volume measurements should be +/- 40% for vessels with a diameter and a lengthbetween 10 and 20 voxels. It should be +/- 20% for vessels with a diameter and a length greaterthan 20 voxels.

    Accuracy should be better than +/- 10 degrees for angle measurements.

    To access the accuracy of the measurements performed with the Volume Viewer 3 application,please review the section titled, Measurement Accuracy in the Volume Viewer 3 user guide.

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    Vessel Quantification and Tracking (cont.)

    In exams with very tortuous vessels, and/or severe pathology, the automatic centerline algorithmmay not always follow the true path of the vessel lumen. The user should always examine andverify that the computed centerline tracking is accurate otherwise the user if necessary correct theresult either by modifying the centerline via the edit centerline tool, or add intermediate trackingpoints and repeating the centerline detection process.

    Saving and Filming Images

    After archiving/saving images and before leaving the application, always verify that the archivedimages are correct by reviewing them in the viewer.

    Before archiving images used for diagnosis, verify that the image orientation annotation and thepatient information is displayed correctly.

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    Volume Viewer Tips

    Arrows next to buttons indicate a drop down menu. Click the arrow to open and close thesemenus.

    Rest the cursor over a button and a tool tip appears describing the button function.

    Typically click [Next] and [Back] to navigate through the wizard panels.

    Watch the progress bar at the bottom of the desktop. It shows the task progress when loadingdata or images.

    To remove a measurement or annotation from a viewport, right-click on the annotation andselect Delete or drag and drop it outside of the viewport.

    To change the cursor shape, the trace tool or always hide reference image complete thefollowing steps:

    a) Open the [Display] tab and select [Display options].b) Set preferences in General tab.c) Click again on [Display options] or click [X] to close the window.

    When mouse mode is set to Page/Rotate, Zoom or Roam, double click on the viewport toenlarge it and display it as full screen.

    Right-click to see short-cut pathways for several features, e.g. Save Image, Hide ReferenceImage, Create a Trace, Delete Trace, etc.

    Right-click over red annotation to see if there is a pull-down menu.

    Place the mouse cursor over DFOV or image location and left-click, right-click, or middle clickand drag to change DFOV or image location.

    Place the cursor over red RAS coordinates, click, and drag to roam the image.

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    Volume Viewer Shortcuts

    H In vessel analysis tap the H key to hide the green contour lines around the tracked vessel.

    S Tap the S key to save the image in the viewport where your mouse cursor is placed.

    C Tap the C key to hide the 3D cursor, tap the C key again to turn 3D cursor back on.

    F1 Tap the F1 key to film the image in the viewport where your mouse cursor is placed.

    F2 - Tapping the F2 key will update the filmer to the identical layout of the screen and film allimages on the screen.

    CardIQ Tools

    MPR 3D controls thickness of MIP, MinIP and VR 2D images

    AutoSelect use add / remove structure, add / remove vessels to edit a 3D volume

    Quick AVA single click and two click methods for depositing points onto a vesseland obtaining a centerline tracking from any protocol.

    3D color box area with color-coding

    Report Cursor click on report cursor and then click on anatomy of interest toobtain RAS coordinates and HU values

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    CardIQ XpressTM Pro ProtocolsCardIQ Xpress Pro Protocols Description

    1Angiographic View:Provides tracking for both Left and Right coronary arteriesfrom an angiographic view image

    2

    Tree VR:This protocol generates a VR model of the coronary arterialtree and continues with vessel analysis for left and rightcirculation.

    3

    Heart VR:VR Image of the heart automatically segmented from the

    surrounding thorax structures.

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    2D Cardiac Review:Use this protocol to perform a 2D analysis of the coronaryarteries and mediastinum. Left and Right monitors are set to

    large oblique views, 90 degrees from one another. Use theReview Steps area to step through and review optimal anglesfor each artery.

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    GE HealthcareCardIQ Xpress Pro Protocols Description

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    Cardiac Reformat:This protocol automatically generates axial, short axis, 2chambers long axis and 4 chambers long axis views. When

    loading a multi-phase data use this protocol to view chambersin a phase cine loop.

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    Left Coronary Analysis:Use this protocol to analyze the Left Coronary ArteryCirculation. A step-by-step guide is used to define the arteriesto analyze, place measurement points, and identify plaque.

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    Right Coronary Analysis:Use this protocol to analyze the Right Coronary ArteryCirculation. A step by step guide is used to define the arteriesto analyze, place measurement points, and identify plaque.

    8Coronary Analysis:Use this protocol to analyze a single coronary artery. Optimalwhen imaging By-pass Grafts, anomalous vessels orsignificantly diseased or tortuous vessels.

    Phase Registration:Reformat protocol that supports multi-phase datasets andallows a user to do phase registration.

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    GE HealthcareCardIQ Xpress Pro Protocols Description

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    Ejection Fraction:Use this protocol to calculate Ejection Fraction along withEnd Systole, End Diastole, and Stroke Volume for the left

    ventricle.

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    Cardiac Transparency:Use this protocol to display the Coronary Artery Tree alongwith the chambers in a transparent mode. This may beespecially helpful for displaying anomalous vessels.

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    Cardiac:VR Image of the heart in surrounding bony thorax.

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    Heart Graft:Creates a VR image of the heart. This protocol is ideal forpatients who have had by-pass surgery. It also is ideal forfull-gated chest acquisitions.

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    Launching CardIQ XpressTM ProStep What you select How or Why you select it

    1

    Select the exam and series to beanalyzed from the browser.

    2

    You have two options to launch theapplication:

    Select the volume viewer tabor

    Select CardIQ Xpress from theApplications area located onthe left panel.

    2(cont.) If CardIQ Xpress is not listed in the

    applications area, click on the Morebutton, and choose from the list ofinstalled applications.

    If you still do not see CardIQ Xpresslisted, please contact your GE Field

    Engineer or GE Sales Representativeto ensure this application should beinstalled.

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    Step What you select How or Why you select it

    3

    To find the Vessel Analysis protocolseither,

    Select the anatomic area ofinterest by clicking on the bodypart, or

    Select the appropriate anatomictab.

    4

    To further filter the protocols (if needed),select the filter CardIQ from the list offilters located at the top of the screen.You will see the CardIQ protocolsdisplayed on the screen.

    5

    To launch a protocol, simply click on theprotocol icon you want with the leftmouse.

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    CardIQ XpressTM Pro WorkflowStep What you select How or Why you select it

    1 The Cardiac Vessel Analysis protocols are

    built with a step-by-step guide. Theworkflow for the protocols is basically thesame, however some protocols will vary inthe number of steps.

    The guide will contain both the instructionson how to perform each step and thenecessary controls (buttons, menus, etc).

    The user should read the CardIQ XpressTM Pro UserGuide in addition to this quickstep guide, as thisdocument will not cover all features.

    (For this example, we have used the Angiographicview protocol)

    1(cont.)

    Step 1: Angiographic View Selection

    Step 1, enables the user to make anynecessary edits to the 3D MiP image that isautomatically segmented by the software.

    The tools available on this panel are theAuto Select tools that allow the user togrow or add back into the 3D MiP modelany structure, or vessel that was removedduring the segmentation process.

    In addition, the user may send theangiographic view directly to the CardiacReport by using the Sent to Reportbutton. This will generate six separateviews angled in predefined positions to

    simulate cath views. This will be added tothe Reporting Tool software which cangenerate a separate document as thereport.

    (Refer to the CardIQ Xpress Pro User Guide fordetailed instructions)

    Click the [next] button to proceed

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    Place the Start of section point first inorder to track a branch.Next, depositpoints in all the vessels of interest. To skip a

    vessel, simply left click the next vessel onthe list, then place your point.

    To undo a deposited point, click on thecheck mark in the box corresponding tothe vessel. Then redeposit the point in thedesired location.

    Hints:

    Placing the point in the center of thecontrast enhanced lumen on the 2D views,

    produces better tracking results, thanplacing the point on the 3D views.

    When placing the points, place the point inthe distal portion as far as you want thevessel to be tracked

    3 Step 3: AVA Tools:Edit/Measure

    At Step 2, the screens update to display the

    curved, lumen, oblique, x-sectional, andsegmented Volume Rendering views foreach branch traced. The views will bedisplayed based on the default layout forthe protocol.

    At this step, the user should review eachbranch of interest by rotating around thecurved view, reviewing x-section andlongitudinal views.

    (Refer to the CardIQ Xpress ProTM

    User Guide forViewport control instructions)

    The user should verify that the software has:

    Identified the vessel correctly

    Quantified the vessel cross-section at eachlocation of interest correctly

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    (cont.)On the wizard panel at step 3, there is anumber of tools & measurement options:

    AVA Preferences Help

    Save State Advanced Views Edit (Centerline and Section) Color Identification Stenosis Aneurysm Register Reporting

    (Refer to the CardIQ Xpress ProTM User Guide fordetailed descriptions and instructions)

    Click the [Next] button to proceed once alldesired measurements have been done

    4 Step 4: Add Measurements

    At this step, the user may add additionalmeasurements that are not included inStep 4. These measurements will be addedto the final report at the end of theprotocol.

    To add a measurement, click on themeasurement button then follow theinstructions on the panel.

    To modify or delete manual measurementsthat have been added, click on the [ModifyPrevious Measurements] button.

    (Refer to the CardIQ XpressTM Pro User Guide formore detailed descriptions & instructions)

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    (cont.)To remove a measurement, select themeasurement to be deleted, then click onthe [Remove] button. This will remove themeasurement from the final VesselAnalysis report at the end of the protocol.

    A user may also change the name of ameasurement by clicking on the [Modify]button. This will open another panelallowing the user to type in a new name.

    (Refer to the CardIQ XpressTM Pro User Guide fordetailed descriptions & instructions)

    When all modifications are done, click onthe [Close] button to return to Step 4 panel.

    Click the [Next] button to proceed

    5 Step 5: Report (option 1)The last step is to view the report that isdisplayed in tabular form. The report lengthwill vary depending on the number ofmeasurements generated. You can vieweach page by clicking on the forward &backward arrows.

    At any time during the analysis, the usercan click on the [Back] button to return to aprevious step and make any necessarycorrections or additions. When done, clickon the [Select Output] tab to export and/orsave the report.

    Step 5: Report (option 2)The second option to export the report is touse the Reporting Tool Software availablewithin the CardIQ XpressTM Pro Software.

    This will generate a dictated type reportthat can be printed, sent to PACS, or savedto CD.

    (Refer to the CardIQ XpressTM Pro User Guide formore detailed information on Reporting)

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    Tree VR Protocol Step 1Step What you select How or Why you select it

    1 Step 1: Automatic Vessel SelectionAll of the vessel analysis protocols

    workflow is the same, except for Step1 of the Tree VR protocol.

    This protocol starts with the softwareautomatically segmenting the AorticRoot, then the user will use the AutoSelect feature to GROW in thecoronary vessels.

    Simply place your 3D cursor on one ofthe coronary vessels, then click on the[Display Vessel] button. The softwarewill automatically Grow in the vesselselected.

    Once you have all the vessels Grownin, you will have a complete VR Modelof the Coronary Artery circulation.

    If the software fails to Grow in thevessel, click on the [Auto Select]button to manually grow in the vessel.

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    Cardiac TransparencyStep What you select How or Why you select it

    1Once you have your Vessel Tree

    created, you can then create aCardiac Transparency model of theentire circulation and heartchambers.

    Click on the Cardiac Transparencylocated in the Review Steps area ofthe left panel.

    Click [Next] to continue

    The software performs autosegmentation and the chambers,myocardium, and the bones will beadded back to the Vessel Tree model.

    Use the slider bars to control thetransparency of the chambers,vessels, or myocardium.

    Objects can also be turned off by

    clicking on the icon of the eye besidethe objects name.

    Using the Cardiac Transparencyprotocol allows the user to createmany different volume renderedimages of the heart and the variousstructures.

    (Refer to the CardIQ XpressTM Pro User Guidefor more detailed instructions)

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    Ejection Fraction - Left VentricleStep What you select How or Why you select it

    1From the CardIQ protocol page, select

    the Ejection Fraction Functionalanalysis protocol. This protocol willprovide calculations for Left VentricleEjection Fraction, Stroke Volume, EndSystolic and End Diastolic Volumes.

    2 After loading the desired phases, theheart will be automatically orientated

    into a four chamber long axis, shortaxis and vertical long axis views.

    To put the heart into a beating motionclick the [Card] button and the Cinebutton, located on the review controlbar, to perform a phase cine loop. Clickthe [Card] button to stop the movieloop.

    3Click on [Adjust Long Axis] or [AdjustShort Axis] if adjustments to theorientations are needed.

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    Clicking the [Adjust Long Axis] buttonwill display the oblique line on theSagittal image.

    Typically angling through the apex ofthe right ventricle will result in a goodfour-chamber view. The four-chamberview is displayed in the upper rightviewport.

    Hint: use the images provided on the wizardpanel to help you to make necessarycorrections.

    5

    Clicking the [Adjust Short Axis] buttonwill display the oblique line on the four-chamber view.

    Position the solid yellow lineperpendicular to the septum to producea short axis view in the lower rightviewport.

    Click [Next] to continue.

    6 Use the arrow keys to page through thephases. First, identify end systole andclick [Store Phase].

    You will then see the selected phaserecorded in the End Systole row.Continue paging through the phasesusing the arrows until you identify End

    Diastole. Click [Store Phase] again tostore the selected phase in the enddiastole row.

    Click [Next] to continue.

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    Position the 3D cursor in the midportion of the Mitral Valve and click[Store Position].

    The image will automatically switch tothe end systolic phase, position the 3Dcursor in the mid portion of the MitralValve for this phase and click [StorePosition].

    Click [Next] to continue.

    8 The left ventricle at ES and ED will be

    segmented. A volume rendered imageof the left ventricle is displayed alongwith the contour lines on the fourchamber and short axis views.

    The contour lines maybe edited byusing the Add Structure, RemoveStructure and Scalpel tools located onthe wizard panel. When satisfied withthe contour of the ventricle at ES andED.

    Click [Next] to see the results.

    9

    The following calculations are displayedat this step:

    Ejection Fraction Stroke Volume End Systolic Volume End Diastolic Volume

    Click [Send to Report] to add thisinformation to the report or rightmouse click and select [Save Image] tosave individual images or click [SaveScreen] to save all images.

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    Cardiac Reformat

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    Step What you select How or Why you select it

    1 Cardiac Reformat automaticallygenerates

    Sagittal View Four chamber long axis view Short axis view Vertical long axis view

    (Vertical long axis view is behind the wizardpanel).

    Follow the same steps as described in theEjection Fraction chapter to adjust the

    angles of these views if needed.

    2 Create Batch:

    To create batch reformats of any view:

    Click the corresponding batchbutton

    Position the batch lines on theview

    Then select output mode

    Output:

    On the Modify Batch screen, selectoutput then choose how you want toexport the series of images generated:

    Film Save Film & Save Filmer Images Filmer Movie Function (will not show up unless

    CardIQ Function is installed.

    Note: Auto launch into CardIQ Function is notavailable through the Direct Connect feature. Ifusing Direct Connect CardIQ Function must belaunched from the patient list screen.

    Short

    AxisLong

    AxisVertical

    Long

    Axis

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    Create a Beating Heart Movie

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    Step What you select How or Why you select it

    1 In order to create a moving, Beating Heartmovie file, you must load all 10 phases of the

    R-to-R interval. If you do not have all phases,the cine loop will not display smoothly, butrather choppy.

    First, click on the [Movie] button located onthe left panel under the Film/Save tab.

    2 Capture Images:

    To create a movie, you must capture the

    image that you want to see in motion twice.This can be a 3D model or a 2D image.

    First make sure view is in the REDviewport

    Second click on the [Add a new step]Button TWICE (you should see the sameimage in Step 1 & Step 2

    On the Wizard Panel, set the numberof heart cycles to 2

    Click on [Preview] or Select Outputpreference and apply.

    Output:

    Select output then choose how you want toexport the series of images generated:

    Film Save Film & Save Filmer Images Filmer Movie

    If you choose to save the movie, a pop-upwindow will open allowing the user to namethe movie. This file will then be located on thebrowser in the patients series area.

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    2D Cardiac ReviewStep What you select How or Why you select it

    1On the Cardiac protocol page, you

    will find a protocol that leads youthrough a 2D review of the coronaryarteries.

    2 Use the Review Steps as a guide tostep through 3 different layoutsoptimized for the coronaryanatomy.

    Oblique Review is designed to easilyobtain a x-sectional view of a lesionwithout creating a centerline. Ifvessel tracking is needed thenCoronary Analysis and Quick AVAare readily available.

    3 Card Review 1Sets the orientation for both the left

    and right screens to angles to bestdemonstrate the greater structuresof the heart and mediastinum.The Left Monitor displays thechambers and great vessels. Scrollup and down through the dataset toreview.

    Hint: Double clicking on the viewport willmake scrolling easier.

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    The Right Monitor displays thechambers of the heart and thedescending aorta.

    5 Card Review 2

    The Left Monitor will demonstratethe proximal coronary arteries and

    the chambers of the heart with aLAO Caudal View. Again, doubleclick to isolate the left monitor willmake it easier to scroll through thedataset.

    6The Right Monitor provides an LAOCranial View for the LAD and thediagonals. Double click to isolate

    the right monitor and page throughthe dataset.

    7 Card Review 3

    The Left Monitor provides a short

    axis view to best demonstrate theright coronary artery. Double clickto isolate the left monitor and pagethrough the dataset.

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    The Right Monitor provides an RAOCaudal View of the LCX, PDA andPLB. Double click to isolate the rightmonitor and page through the

    dataset.

    9 Oblique ReviewThis layout provides an easy way to

    create x-sectional images withoutgenerating a centerline.

    Using the axial image, position theoblique tool over the vessel ofinterest; align the solid yellow linealong the orientation of the vessel.

    Next click on the oblique view in thetop left viewport and position thesolid yellow line of the oblique toolto be perpendicular to the vessel.

    This will generate a x-sectional viewof the vessel at that location.

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    Quick AVA

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    Step What you select How or Why you select it

    1 Quick AVA provides you with the capability toquickly perform quantitative analysis of a

    lesion from any 3D, Reformat, or VesselAnalysis protocol by a single click or twoclicks. This means that you no longer have tostart in a Vessel Analysis protocol in orderhave full Vessel Analysis capabilities.

    The Quick AVA buttons are available on theSegment or My Tools palette in VolumeViewer 3 located on the left panel.

    Warning:If Quick AVA is launched within a Vessel

    Analysis protocol after vessel tracking hasbeen performed, it will erase all trackedvessels, and start over.

    2 Single Click Quick AVA:

    A Single or one-click Quick AVA requires justa single click anywhere in the vessel ofinterest.

    From any Volume Viewer 3 protocol, click theone-click Quick AVA button, then click in thevessel of interest on any view. The softwarewill automatically track the vessel in bothdirections proportionally to the diameter ofthe vessel.

    Two Click Quick AVA:

    A Two-click Quick AVA requires just two clicksanywhere in the vessel of interest.

    From any Volume Viewer 3 protocol, click thetwo-click Quick AVA button. The software willprompt you to deposit two points, a Startpoint, and an End point. In between thesetwo points, the software will track the vesseland calculate the centerline.

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    GE HealthcareStep What you select How or Why you select it

    1When the vessel has been tracked anddisplayed, the vessel name will be Vessel 1,annotated V1.

    Right click on the Red V1 annotation toaccess the build in Vessel Database, thenmove your mouse to the anatomy of interest,and choose a name from the list. The trackedvessel will be renamed from V1 to thename you selected from the list.

    This vessel database is available anytimewithin Vessel Analysis. You can also accessthis database to configure your protocols

    making it easier and faster.

    (Refer to the CardIQ XpressTM Pro User Guide formore information on the Vessel Name Database)

    2 After tracking a vessel with Quick AVA, theleft panel will update displaying six buttons.To open any Vessel Analysis protocol panelclick on the following buttons:

    Vessels to Analyze

    AVA Tools: Edit/Measure Add Measurements Report

    By clicking on any of these buttons, you willopen the main Wizard Guide Panel and haveaccess to all the features within any VesselAnalysis protocol.

    Click [Delete Traces] to erase any previouslytracked vessel.

    Click [Start New] to track another vessel.