Quick Reference Guide
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2D System Overview - Release 3.0
ACUSON S2000 Ultrasound System Quick Reference Guide
www.siemens.com/S2000
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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 UI.
Contents ▪ Exam Basics ▪ 2D Controls ▪ Color & Spectral Doppler Optimization ▪ Measurements & Calculations ▪ Text & Pictograms ▪ Data & Image Management ▪ Siemens Exclusive Technologies
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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 down the system, within 30 seconds. 6. Click OK or press the Store button on the UI to start the exam Patient Registration Button
Patient Registration 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 patient 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)
Exam Basics
Optional if Using the Patient Scheduler (Modality Work List) 1. Press Patient Browser (F2) to open the Patient Browser 2. Double-click on the Patient Scheduler icon to view an updated Work List 3. Highlight the patient name (press the first letter of the last name to quickly scroll the list) 4. Click on the Patient drop-down menu and select Register 5. Select the appropriate transducer and Study Type on the Patient Demographic page
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
6. Click OK or press the Store button on the 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 database 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
Data & Image Management
Exclusive Technologies
Note: Use the 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
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5 Use Compare Mode ▪ Available on the Review screen under Tools 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
2D Sector Width
▪ Press the Priority key to select 2D FOV ▪ Roll the trackball to sector in the width of the image ▪ Press the Next key to go between Size and Position of 2D FOV ▪ Press the Select key to lock the image size
Increase line density/ frame rate
Image Knob
No
Note: Manually re-size the image to return to full screen. Depth
Exam Basics
▪ Rotate the Depth control
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
No
Data & Image Management
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Dynamic Range
▪ Toggle the Dynamic Range key up or down to add or remove
Adjust grayscale levels within an image
the amount of grayscale levels Note: Can be used on live or frozen images.
Dynamic TCE
▪ Rotate the second LED control on the left side of the UI
Note: Settings include Off, Low, Medium and High. As the Provides speckle 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 Control position and number of focal zones
▪ Rotate the Focus control for position ▪ Press the Focus control to select the number of focal zones
Frequency
▪ Toggle the MultiHz key up or down on the UI to adjust the 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
Exclusive Technologies
Yes
Yes
Yes No
Yes
No
Note: When RES is activated, HDZ appears on the lower right corner of the screen.
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7 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
Yes
image presets
Overall Gain
▪ Press the TEQ button ▪ Rotate the 2D control ▪ Rotate the Gain Freeze / Cine wheel ▪ Adjust the DGCs
No
Note: Adjust according to user preference. Persistence Weighted average of frames over time
Post Processing Maps Selects a processing curve that assigns echo amplitudes to grayscale levels
Exam Basics
▪ Select the Persistence option located on the 2D tab of the
onscreen Image Menu ▪ 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.
Yes
▪ Rotate the second LED control on the right side of the UI to
select and apply Note: Maps range from A-F and can be adjusted on live or frozen images and in M-mode and PW Doppler.
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Yes
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
SieClear Spatial Compounding and Advanced SieClear Spatial Compounding
Data & Image Management
Exclusive Technologies
▪ Rotate the first LED on the left side of the UI to change the compounding level Note: The selected transducer determines how many levels of compounding are available.
Utilizes multiple lines of sight to provide improvements in contrast resolution and border detection
Yes
Space/Time Spatial resolution vs. temporal resolution
▪ Rotate the first LED control on the right side of the UI Note: Increase for better spatial resolution and decrease for better temporal resolution.
Yes
Tints Colorizes the grayscale image
▪ Rotate the third LED control on the right side of the UI Note: Tints range from 0-15 and can be adjusted on live or frozen images and in M-mode and PW Doppler.
Yes
Tissue Harmonic Imaging (THI) Reduces noise clutter with better contrast enhancement and improved axial resolution over fundamental imaging
▪ Press the soft key on the home base to turn on or off ▪ Toggle the MultiHz key up or down Yes
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9 ▪ Rotate the Zoom control to increase or decrease image
Zoom
magnification
▪ Roll the trackball to pan the image
No
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 images side-by-side with and without compounding
display
Dual Side-by-side imaging
Note: The left side displays the image without spatial compounding and the right displays with spatial compounding. Can only be used when a level of ASSC 3 or higher is selected.
▪ Press the Dual key to activate dual screen display ▪ Toggle the Update key to go between left and right images Note: Color must be activated before entering Dual mode.
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Live Dual
Data & Image Management
Exclusive Technologies
▪ Select the “Live Dual” 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 Imaging
▪ Select SieScape from the Feature menu on the left side of the screen ▪ 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 ▪ Roll the trackball to steer the FOV left or right
Linear transducers only Improve the angle of Note: ASC must be off or set to SC2. insonance between anatomy and the ultrasound beam Trapezoid Linear transducers only Allows more visualization of tissue on the screen
▪ Press the soft key to activate Trapezoid image format ▪ Press the Next key to go between position and size of the image
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Color Doppler & Spectral Doppler Optimization Color Doppler Imaging Items in the table below are arranged alphabetically.
To Adjust / Control
Do This
Baseline
▪ Toggle the Baseline key up or down ▪ Press the soft key to cycle between (CDE) and velocity
Color Doppler Energy and Color Doppler Velocity Color Gain Engage Color Doppler Exit Color Doppler
Image Knob
color (CDV)
▪ Rotate the C control ▪ Press the C control ▪ Press the PW control or press the 2D control to return to imaging
Frequency Image Presets
▪ Toggle the MultiHz key up or down ▪ Rotate the Image knob to change image presets ▪ Press the Image knob to view a list of all available image
Yes No No No No Yes Yes
presets
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Invert
Data & Image Management
Exclusive Technologies
▪ Press the Invert button Yes
Change the orientation of the Color Doppler velocity display ROI Size and Position
▪ With color active, press the Next key to alternate
Scale
▪ Roll the trackball to adjust size and position ▪ Toggle the Scale key up or down to increase or
between Size and Position
No
Pulsed Repetition Frequency (PRF)
decrease
Yes
Spatial Resolution and Speed
▪ Rotate the first LCD control on the left side of the UI Note: Spatial resolution is inversely proportional to temporal resolution.
Yes
Steer
▪ Press the Priority key to activate C ROI ▪ Press Next and select Steer ▪ Roll the trackball to get to the proper angle
No
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13 PW Doppler Items in the table below are arranged alphabetically.
To Adjust / Control
Do This
Angle Correct
▪ Press the 0/60° control to cycle through angle correction ▪ Rotate the 0/60° control to fine tune the angle ▪ Toggle the Baseline key up or down ▪ Toggle the MultiHz key up or down ▪ Roll the Scroll wheel up or down ▪ Rotate the Doppler (PW) control ▪ 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
Baseline Frequency Gate Size Overall Doppler Gain PW Doppler
Image Knob
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 Pulsed Repetition Frequency (PRF)
Exam Basics
▪ Toggle the Scale key up or down to increase or decrease
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Yes Yes Yes Yes No
No
Yes
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Steer
Sweep Speed
TEQ
Data & Image Management
▪ 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 ▪ Rotate the LCD control on the right side of the UI
Exclusive Technologies
Yes
Note: Sweep speed can be adjusted during real-time or on a frozen M-mode Doppler strip.
Yes
▪ Press the TEQ button
No
M-mode Items in the table below are arranged alphabetically.
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 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 14
15 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.
Overall Gain
▪ Rotate the M control
Measurements & Calculations General Measurement Tools Activate Calculations (one of two methods):
▪ Press the Calcs button to activate the measurement function on real-time or frozen images or ▪ Press the Gain Freeze/Cine button to automatically go to Calcs (must be preset in the Setup menu)
Exam Basics
Perform an Unlabeled Measurement 1. Roll the trackball to place the first caliper in the area of interest 2. Press Next for the second distance caliper or ellipse control 3. Press Select to anchor a caliper or enter a measurement 4. Press Next to go between the active calipers 5. Press Priority to reactivate locked caliper sets or scroll through different caliper sets Tip: To delete the caliper set, press the Delete soft key or Cine back one position.
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Exclusive Technologies
Perform a Labeled Measurement and Add it to the Report Package
6. Press Priority to reactivate locked caliper sets or scroll through different caliper sets
Note: Application-specific 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
Additional Measurements 1. Activate the Report page 2. Click on the Page 1 drop-down menu on the imaging screen 3. Scroll down to the desired page 4. 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 2. Select the appropriate measurement from the drop down list: Stenosis, Volume, Area Ratio, Distance Ratio or Volume Flow
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17 Calculation Reports
▪ Calculation worksheets and reports are offered for each preset when labeled measurements are entered 1. Press Report (F1) to activate Reports 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).
3. Roll the trackball to drag the image into appropriate square 4. Press Select to anchor the image Note: Click on the Format icon to display up to 16 images on the Report page.
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 Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Text & Pictograms Enter Text 1. Press the Text key to activate the cursor 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 button 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
Data & Image Management
Exclusive Technologies
Move Text 1. If necessary, press the Text key to activate the cursor 2. Roll the trackball to place the cursor within the text 3. Double-click Select to highlight (text is highlighted in green) 4. 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) 4. Roll the trackball to move the selection over the text to be replaced and press Select
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19 Delete Text 1. If Calcs is active, press the soft key, and select either Clear Screen, Delete Word or Delete Line Tip: If Calcs is not active, press and hold the Text key until the screen is cleared.
Place an Arrow(s) 1. Press the Arrow Up button on the bottom right side of the keyboard 2. If necessary, press Next to rotate the direction of the arrow 3. Roll the trackball to position the arrow and press Select Note: Use the steps above to place additional arrows.
Note: The Delete Arrow soft key deletes one arrow at a time, starting with the last arrow placed onscreen.
Add a Pictogram(s) 1. Press the Body Marker key on the bottom right side of the keyboard 2. Rotate the Scroll wheel to cycle through pictograms 3. Press Next to go between Position and Rotation of the marker 4. Roll the trackball to position the marker on the pictogram and press Select
Delete a Pictogram 1. Press the Delete Body Marker or Clear Screen soft key
Delete an Arrow(s) 1. Press the Delete Arrow or the Clear Screen soft key
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & Image Management
Exclusive Technologies
Exam Basics
Measurements 2D Text & Color & Spectral Controls Doppler Optimization & Calculations Pictograms
Data & 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.
Data & Image Management
Exclusive Technologies
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.
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