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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