Acuson X700 Ultrasound System: Start Here

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here
www.siemens.com/ultrasound
ACUSON X700™ ultrasound system

3D/4D Imaging Quick Reference Guide
Answers for life.

Introduction
This Quick Reference Guide contains brief

descriptions and instructions for the functions
most commonly used to perform 3D/4D exams
for OB/GYN. This supplement is not a substitute
for the system User Manual.
fourSight™ 4D transducer technology provides
real-time 3D/4D images and is supported
on the C7F2 and EV9F4 transducers. 3D/4D
imaging is available on Abdomen, OB, Early
OB, Fetal Echo and GYN exams.
Advanced fourSight™ technology offers
enhanced 3D/4D acquisition, data rendering
and post-processing functionality which
includes MultiSlice, Thick Slice Imaging (TSI)
and Curved MPR.
Contents
Acquiring 3D/4D Volumes

Volume Imaging Optimization
Display Formats and Rotation
Rotating the Volume and/or Slice
Resetting Orientation
Reference Orientation Cube
Editing the Volume
3D/4D Animation
Data Management
Storing the Volume
Storing and Printing Images
Recalling a Stored Volume
Creating SubPresets
Advanced fourSight Technology
1 2 3

Frequently Used Keys for 3D/4D
Soft Keys
Page
3D/4D
Update View
Print/Store
Select Clip/
Volume Store
Set
Freeze
Acquiring Volume Imaging Display Formats Editing 3D/4D Data Creating Advanced
3D/4D Volumes Optimization and Rotation the Volume Animation Management SubPresets fourSight
1 2 3
Note: For additional pages of soft key selections, ◾◾ If necessary, select either 3D or 4D with the
rotate the Page control located in the middle of soft key toggle.
the soft key toggles. Press the Page control to
◾◾ Resize the VOI by using the trackball and
alternate between active modes
pressing the SET key to switch between size
◾◾ Optimize the 2D image as necessary and position.
(for example: depth, MultiHertz,
◾◾ Place the dotted line of the VOI in fluid directly
dynamic range (DR)).
in front of the anatomy of interest.
◾◾ Press the 3D/4D key on the control panel.
◾◾ Press the Page control for 3D/4D SubPreset
options (Spine, 2nd/3rd Trimester, Soft).
1 2 3
◾◾ Increase or decrease Angle based on anatomy ◾◾ When frozen, press Clip Store to store the
to be imaged with the soft key toggle. volume (this will be stored in the patient
browser and can be recalled and edited at any
◾◾ Select appropriate Quality with the soft key
time).
toggle (increasing Quality improves the
resolution and increases the acquisition time). ◾◾ Select the 4D Cine soft key toggle to edit
frames within the cine buffer.
◾◾ Select Steering Angle when using the EV9F4.
◾◾ Rotate the Select rotary knob to go through the
◾◾ Press the Update View key to begin the
frames within the cine buffer (“cine back”).
acquisition.
◾◾ The VOI may be turned On, Off, or set to
◾◾ Press Clip Store during acquisition to store a
Curved by pressing the Page control to 4D
clip of the 4D, or press Print/Store to store a still
(if necessary) and cycling through the options
image.
on the VOI soft key toggle.
◾◾ Press Freeze to stop the 4D volume acquisition.
1 2 3
◾◾ Low Threshold (LowTH): ◾◾ Smoothing (Smooth):

-- Selectively removes darkest gray shades and -- Adjusts the percentage of smoothing applied.
removes background noise, plumps up Increase for a “fleshy “look. Decrease for a
surface. more detailed look (early 2nd trimester).
-- Rejected data displays in green on the slices.
The green identifies values below the
selected threshold and indicates what will
be removed in the volume. For example, in
the case of a baby face, you want the green
to describe the profile.
1 2 3
◾◾ Opacity: ◾◾ Dynamic Range (DR):

-- Adjusts the percentage of opacity to change -- Controls the overall contrast resolution,
overall image density. applies selected resolution to selected
-- Applies an opacity curve to the volume to quadrant or slices.
create a soft, sculptured appearance for ◾◾ Brightness:
highlighting surface features. Increase for a
more solid look. Decrease for a more -- Adjusts the percentage of brightness in the
transparent look. 2D-mode data of the volume.
-- An increase in brightness increases the
◾◾ Tint:
saturation of voxels that have a higher voxel
-- Applies the selected tint to the volume or value and increases the brightness of voxels
selected slice. that have a lower voxel value.
◾◾ Maps: -- After acquisition, brightness may be
controlled by turning the 2D knob.
-- Assigns a processing curve that applies to all
MPRs. Map A is applied to the volume. ◾◾ Contrast:
-- Adjusts the percentage of contrast.
1 2 3
To Exit fourSight 4D Imaging

◾◾ Press the 3D/4D button to return to 4D set up at
any time to reposition the VOI.
◾◾ Press the 3D/4D button again to return to 2D
imaging
-or
◾◾ Push the 2D mode control once to return to live
2D imaging
1 2 3 4
A B B
D A
C D C
Display Format 4x1 Display Format 3x1
◾◾ Quadrants are labeled A, B, C, and D. ◾◾ Tip: Push the Select control to go between
a 1:1 volume display and a quadrant display.
◾◾ Quadrant D contains the volume.
◾◾ Press the Rotate soft key toggle to rotate
◾◾ Quadrants A, B, and C contain arbitrary slices of
volume independently of the other quadrants
the volume: each slice is orthogonal to the
(270° for cephalic presentation, 90° for breech).
other two slices.
◾◾ Rotate the Angle control to move cut plane
through (translate) volume and MPR’s.
1 2 3 4

Rotating the Volume and/or Slice
◾◾ Select the desired quadrant (press Quadrant -or

soft key toggle).
◾◾ Select the desired quadrant (press Quadrant
◾◾ The system displays the graphic for the selected soft key toggle).
rotation function on the upper left of the
◾◾ Rotate the mode control knob for the desired
quadrant.
axis of rotation.
◾◾ Press the Update View key to cycle through the
-- X-axis Doppler mode control.
X, Y, Z rotations and Pan function.
-- Y-axis Color mode control.
◾◾ Roll the trackball to rotate or pan.
-- Z-axis M-mode control.
1 2 3 4

Resetting Orientation
Adjust the orientation of the volume and the ◾◾ To align the volume orientation to that of the
slices using Reset soft key toggles. selected slice:
Rotate the Page control until you see the Reset>> -- Select a slice.
soft key toggle. The reset soft keys will then be -- Press the Sync soft key toggle.
displayed.
◾◾ Flip: Flips the image 180 degrees.
◾◾ Sync: Aligns the orientation of a selected slice
with the volume: ◾◾ Reset Orientation (Reset Ori.): Restores the
default orientation for all quadrants.
-- Select the volume.
◾◾ Reset All: Resets the default MPR, volume
-- Press the Sync soft key toggle.
orientation, and all display parameters to their
original values.
◾◾ Press the >>Back soft key toggle to return to
the main menu
1 2 3 4

Reference Orientation Cube
Blue: Front of volume.

Red: Rear of volume / end of scan.
Light blue: Location of cut plane.
Apex of pyramid: Represents the location of the
transducer.
To change the render direction, cycle through the
options under the Render Direction (RenderDir)
soft key.
1 2 3
Editing the Volume
Once a desired image is obtained, press Freeze. ◾◾ Parallel Cut (VOI must be off):
Rotate the Page control, then press the Editing>>
-- Press the Parallel Cut soft key toggle.
soft key toggle. The editing soft keys will then be
displayed. -- The trackball is arbitrated to the closest
plane, move plane to desired position, press
Update View to cycle planes.
-- To move to the furthest planes, rotate the
volume.
-- Press SET to complete the edits.
1 2 3
Editing the Volume
◾◾ Niche (VOI must be off): ◾◾ Trace:

-- Press the Niche soft key toggle. -- Press the Trace soft key toggle.
-- The trackball is arbitrated to sizing Niche. -- Press the SET key to anchor the first point,
and then roll the trackball to trace the area to
-- Press the Update View key to cycle through be erased.
the three planes individually.
-- Press the SET key to end Trace.
-- Press the SET key to complete the edits. -- Roll the trackball to move cursor over area
to be removed from the volume, press the
◾◾ Polygon:
SET key.
-- Press the Polygon soft key toggle.
-- Press the SET key to anchor the first point;
press the Update View key to anchor
remaining points.
-- Press the SET key to complete the outline.
-- Roll the trackball to move cursor over area
to be removed from the volume, press the
SET key.
1 2 3
Editing the Volume
◾◾ Large/Small Eraser: ◾◾ Undo Last Edit:

-- Press soft key toggle up for Large Eraser or -- Removes most recent edit, can be repeatedly
down for Small Eraser. selected to sequentially remove previous
-- Move trackball to place eraser icon over area edits.
to be removed. ◾◾ Undo All Edits:
-- Press SET to activate eraser.
-- Removes all performed edits.
-- Move trackball to “erase” desired area.
-- Press the >>Back soft key toggle to return to
-- Press SET to deactivate. the main menu
3D/4D Animation
Once a desired image is obtained, press Freeze, ◾◾ Axis: Selects rotation axis: Axial or Lateral.
rotate the Page control, then press the
◾◾ Choose angle, speed, and axis; then press the
Animation>> soft key toggle.
Animation soft key toggle to start the object
moving.
◾◾ Angle: Selects rotation range 30°–360°.
◾◾ Clip Time: Selects the clip length for an
◾◾ Speed: Selects rotation speed: Slow, Medium, animated volume. Press Clip Store to store a
or Fast. clip of the volume in motion.
1 2 3
Data Management
Storing the Volume
The system does not automatically save the

volume when you print or store images. Store the
volume if you plan to retrieve the volume after
the examination ends.
◾◾ To store a volume, press Clip Store with the
image frozen.
◾◾ A dialogue box will appear. Choose one of the
following:
-- To store a 4D cine clip, select 4D Cine and
select OK.
-- To store a single volume, select 4D Single
volume and select OK.
◾◾ A thumbnail will be displayed with a volume
icon in the upper left corner to denote it as a
saved volume.
1 2 3
Data Management
Storing and Printing Images
Images stored or printed of the volume are single-

frame images.
◾◾ Press either PRINT/STORE key on the control
panel that is configured for storing or printing.
◾◾ Note: An image of the volume can be printed.
The volume itself (all its multiple frames)
cannot be printed.
1 2 3
Data Management
For best results, have the same transducer and ◾◾ A volume data graphic (icon) is displayed on
exam active before recalling images/volumes. each image in Review that is associated with a
stored 3D/4D volume.
◾◾ Press the Patient Browser key on the top row
of the QWERTY keyboard. ◾◾ Roll the trackball to highlight image with
associated volume icon.
◾◾ Select the patient name from the study list that
contains the 3D/4D volume(s). ◾◾ Click on the volume icon.
◾◾ Double-click SET. ◾◾ Volume can be edited and images stored.
◾◾ Images and volumes will now be displayed in
Review.
Creating SubPresets
◾◾ Push the page control to highlight the

SubPresets tab.
◾◾ Press the Define soft key toggle.
◾◾ Select New, and then name the new SubPreset.
◾◾ If desired, check the box “Set as default”.
◾◾ Select OK, select Apply.
◾◾ The new SubPreset will display on the soft keys
as an option.
SubPresets allow the user to save customized
◾◾ Other options are Overwrite, Delete, or
3D/4D settings. There are three predefined
Rename a SubPreset.
SubPresets: Spine, 2nd/3rd Tri (trimester), and
Soft. ◾◾ Note: There are two pages of SubPresets
available per transducer.
◾◾ First, change desired 3D/4D parameters
(for instance: Render, Low Threshold or
Brightness).
1 2 3 4 5

To activate Advanced fourSight technology, push

the page control to highlight the Advanced tab.
1 2 3 4 5

MultiSlice
MultiSlice enables you to view anatomy of

interest in sequential order, similar to a CT or MRI
scan.
◾◾ Press the MultiSlice soft key toggle.
◾◾ Select Quadrant (A, B, C or D) with soft key
toggle.
◾◾ Select Horizontal or Vertical slice orientation
with soft key toggle.
◾◾ Select Layout with soft key toggle.
◾◾ Select Slice Spacing with soft key toggle.
1 2 3 4 5

Thick Slice Imaging (TSI)
Thick Slice Imaging improves contrast resolution ◾◾ Select Slice Thickness.

in the volume.
◾◾ To scroll, rotate the Angle control.
◾◾ Press the TSI soft key toggle.
◾◾ To cine, rotate the Select control.
◾◾ Select View (A/A or A/C).
◾◾ Select Set to pan the view plane. the main menu.
◾◾ Select Update View to rotate the view plane
(must be in A/C view).
1 2 3 4 5

Curved MPR
You can use curved MPR to straighten curved

anatomy (such as a fetal spine).
◾◾ Press the Curved MPR soft key toggle.
◾◾ Select Line, Spline, or Trace tool soft key
toggle.
1 2 3 4 5

Curved MPR
◾◾ For Line trace tool: ◾◾ For Spline or Trace tool:

-- Select the starting point and then position -- Select the starting point.
the cursor on the ending point. -- To set individual points along the curve, roll
-- Press SET to anchor the point and complete the trackball and then press UPDATE VIEW at
the line curve. intervals.
-- Reposition line by clicking on center red dot, -- To delete the most recently drawn segment
hold SET, and roll the trackball. of the curve, press Backspace on the
-- Reposition line rotation by hovering over QWERTY keyboard.
either end of curved line until a rotation icon -- Press SET to anchor the last point and
appears. complete the curve.
-- Hold SET, roll the trackball. -- The volume quadrant displays the curved
anatomy as straightened.
the main menu.
The products/features mentioned in this document may ACUSON X700, Advanced fourSight and fourSight are
not be commercially available in all countries. Due to trademarks of Siemens Medical Solutions USA, Inc.
regulatory reasons their future availability cannot be
guaranteed. Please contact your local Siemens organization
for further details.
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.
Global Siemens Headquarters Global Siemens Legal Manufacturer

Siemens AG Healthcare Headquarters Siemens Medical Solutions USA, Inc.
Wittelsbacherplatz 2 Siemens AG Ultrasound
80333 Muenchen Healthcare Sector 685 East Middlefield Road
Germany Henkestraße 127 Mountain View, CA 94043
91052 Erlangen USA
Germany Phone: +1-888-826-9702
Phone: +49 9131 84-0
CC US 2322 0714 iPDF | © 07.2014, Siemens Medical Solutions USA, Inc.
www.siemens.com/healthcare

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Start

ACUSON X700™ ultrasound system

Answers for life.

This Quick Reference Guide contains brief

Acquiring 3D/4D Volumes

Acquiring 3D/4D Volumes

Acquiring 3D/4D Volumes

Acquiring 3D/4D Volumes

Volume Imaging Optimization

◾◾ Low Threshold (LowTH): ◾◾ Smoothing (Smooth):

Volume Imaging Optimization

◾◾ Opacity: ◾◾ Dynamic Range (DR):

Volume Imaging Optimization

To Exit fourSight 4D Imaging

Display Formats and Rotation

Display Formats and Rotation

◾◾ Select the desired quadrant (press Quadrant -or

Display Formats and Rotation

Display Formats and Rotation

Blue: Front of volume.

Editing the Volume

Editing the Volume

◾◾ Niche (VOI must be off): ◾◾ Trace:

Editing the Volume

◾◾ Large/Small Eraser: ◾◾ Undo Last Edit:

The system does not automatically save the

Images stored or printed of the volume are single-

◾◾ Push the page control to highlight the

Advanced fourSight Technology

To activate Advanced fourSight technology, push

Advanced fourSight Technology

MultiSlice enables you to view anatomy of

Advanced fourSight Technology

Thick Slice Imaging improves contrast resolution ◾◾ Select Slice Thickness.

Advanced fourSight Technology

You can use curved MPR to straighten curved

Advanced fourSight Technology

◾◾ For Line trace tool: ◾◾ For Spline or Trace tool:

Global Siemens Headquarters Global Siemens Legal Manufacturer

CC US 2322 0714 iPDF | © 07.2014, Siemens Medical Solutions USA, Inc.

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