Philips 3D TEE

Bruce Bollen, MDMissoula Anesthesiology

International Heart Institute of MontanaMissoula, Montana

Dr. Bollen 2015

SCA Echo WeekMarch 23-27, 2015

Atlanta, GA

Dr. Bollen 2015

Mihara et al

Figure 14. Paravalvular regurgitation was assessed quantitatively by the sum of the cross-sectional area of the vena contracta in the short-axis view.10

Figure 13. Three-dimensional analysis of AVC. Example of the Philips QLAB quad screen displaying the 3D dataset of the aortic valve at the aortic annular level (A–D) and at the commissure level (E–H). (A) The ‘‘true’’ aortic annular plane through the three nadirs of the aortic cusps (red dot) in the midsystolic phase. We moved the 2D cutting plane in 3D spaces to get an optimal long-axis view for each cusp and looked at both long-axis and short-axis images simultaneously (A,B) to confirm the precise location of the calcification and its artifact. Next we evaluated the calcification at the leaflets near the nadir (B, red arrow). Finally the short-axis plane was moved to the commissure level (E,F) to evaluate the calcification at the commissure. (C) and (G) show another long-axis view. (D) and (H) show 3D volume image. 2D, Two-dimensional; 3D, three-dimensional; AVC, aortic valve calcification.10

Dr. Bollen 2015

Philips 3D TEE Probe

3D matrix TEE probe with over 2,000 piezo crystals

Allows 2D X-plane imaging

Allows 3D Matrix image acquisition

Probe programmable for preferred views

Designed for flexibility ease of use

Dr. Bollen 2015

Philips 3D Applications Allows 2D X-plane imaging Live 3D 3D Zoom Full Volume 3D 3D volume analysis: Q-Lab

– 3DQ, 3DQ advanced– Mitral Valve Analysis

• MVQ (Q-Lab 7.0 to 9.3) matrix ie33• MVN (Mitral Valve Navigator Q-lab 10

and above) on Epiq machine

Dr. Bollen 2015

3DQ: Philips 3D Matrix volume analysis:

Allows Multi Planar Reconstruction (MPR)

Allows 2D LVEF by Simpson method

Allows dimensional measurements

i-slice multi slice application

Dr. Bollen 2015

3DQ Advanced: Philips 3D matrix volume analysis

Allows Multi Planar Reconstruction (MPR)

i-slice multi slice application 3D LVEF assessment with wall

motion analysis

Dr. Bollen 2015

Phillips Matrix Multi Planar Reconstruction (MPR)

Dr. Bollen 2015

Dr. Bollen 2015

I-slice in 3DQ and 3DQ Advanced

Dr. Bollen 2015

Phillips Mitral Valve i-Slice

Dr. Bollen 2015

Phillips Aortic Root Matrix MPR and i-Slice

Dr. Bollen 2015

Philips 3DQ LV 2D Model Philips 3DQ Advanced LV 3D Model

3D LVEF Assessment

Dr. Bollen 2015

MVQ: Mitral Valve Quantification

Original Philip’s mitral valve analysis packet

Multi step Extensive mitral valve annular

and leaflet measurements

Dr. Bollen 2015

Dr. Bollen 2015

MVN: Mitral Valve Navigator

On Philips Epiq machines More automated mitral valve

assessment Extensive mitral valve annular

and leaflet measurements

Dr. Bollen 2015

Philips Post Procedure Analysis

Q-Station: desktop image storage and processing

Q-lab software for personal laptop or computer