GE Healthcare

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Direction elib DOC0296904

Rev 1 Ver 1

CardIQ XpressTM Pro

Quick 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™ Pro Feature List ................................................................................................................................. 4
Pre-Requisites....................................................................................................................................................................... 4
Caution Statements.........................................................................................................................................5
Geometric Accuracy .......................................................................................................................................................... 5
Vessel Quantification and Tracking ............................................................................................................................ 5
Vessel Quantification and Tracking ............................................................................................................................ 6
Saving and Filming Images ............................................................................................................................................ 7
Volume Viewer Tips .........................................................................................................................................8
Volume Viewer Shortcuts .............................................................................................................................9
CardIQ Tools ................................................................................................................................................................................... 9
CardIQ XpressTM Pro Protocols ................................................................................................................ 10
Launching CardIQ XpressTM Pro.............................................................................................................. 13
CardIQ XpressTM Pro Workflow................................................................................................................ 15
Step 1: Angiographic View Selection........................................................................................................................15
Step 2: Vessels to Analyze .............................................................................................................................................16
Step 3: AVA Tools: Edit/Measure.................................................................................................................................16
Step 4: Add Measurements...........................................................................................................................................17
Step 5: Report (option 1).................................................................................................................................................18
Step 5: Report (option 2).................................................................................................................................................18
Tree VR Protocol Step 1 .............................................................................................................................. 19
Step 1: Automatic Vessel Selection...........................................................................................................................19
Cardiac Transparency................................................................................................................................. 20
Ejection Fraction - Left Ventricle ............................................................................................................ 21
Cardiac Reformat .......................................................................................................................................... 24
Create a “Beating Heart” Movie.............................................................................................................. 25
2D Cardiac Review........................................................................................................................................ 26
Card Review 1.....................................................................................................................................................................26
Card Review 2.....................................................................................................................................................................27
Card Review 3.....................................................................................................................................................................27
Oblique Review...................................................................................................................................................................28
Quick AVA .......................................................................................................................................................... 29

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Introduction
As 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 materials
available 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 operator
manual available while using the CardIQ Xpress Pro software. This manual is designed as a Quick
Step Guide only. It should be used in conjunction with the CardIQ Xpress Pro Operators Manual, and
Volume Share 2 Operators Manual, as it is not cover all aspects or features of the CardIQ Xpress
software.

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

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

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

The CardIQ Xpress™ Pro option is designed to provide an easy-to-use and time-effective means for
cardiovascular image manipulation. CardIQ Xpress™ Pro option is an integrated post processing
image 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 or
3D cardiac CT images for qualitative or quantitative assessment of heart anatomy and coronary
artery vessels from single or multiple cardiac phase image data sets. Potential clinical applications
include: coronary artery calcification assessment, imaging of cardiac morphology, coronary artery
imaging and assessment, bypass graft patency, post intervention follow-up and functional
assessment.

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CardIQ Xpress™ Pro Feature 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-Requisites
DICOM image data sets
Volume Share 2
Volume 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 software
should 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 three
dimensional centerline into a straight line. This transformation results in a degree of geometric
distortion 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 surrounding
tissue, and may not include all vascular anatomy.

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

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Vessel Quantification and Tracking
The accuracy of vessel quantification and tracking is highly dependant on, image quality, image
resolution, 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 lumen
segments before using the data for diagnosis.

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

Accuracy of cross sectional distance measurements should be +/- 10% for vessels with a diameter
between 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 diameter
between 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 length
between 10 and 20 voxels. It should be +/- 20% for vessels with a diameter and a length greater
than 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 algorithm
may not always follow the true path of the vessel lumen. The user should always examine and
verify that the computed centerline tracking is accurate otherwise the user if necessary correct the
result either by modifying the centerline via the edit centerline tool, or add intermediate tracking
points and repeating the centerline detection process.

Saving and Filming Images

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

Before archiving images used for diagnosis, verify that the image orientation annotation and the
patient 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 these
menus.

• 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 loading
data or images.

• To remove a measurement or annotation from a viewport, right-click on the annotation and

select Delete or drag and drop it outside of the viewport.

• To change the cursor shape, the trace tool or always hide reference image complete the
following 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 to
enlarge it and display it as full screen.

• Right-click to see short-cut pathways for several features, e.g. Save Image, Hide Reference
Image, 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 click
and 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 all
images 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 vessel
and 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 to
obtain RAS coordinates and HU values

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CardIQ XpressTM Pro Protocols

CardIQ Xpress Pro Protocols Description
1
Angiographic View:
Provides tracking for both Left and Right coronary arteries
from an angiographic view image

2
Tree VR:
This protocol generates a VR model of the coronary arterial
tree and continues with vessel analysis for left and right
circulation.

3
Heart VR:
VR Image of the heart automatically segmented from the
surrounding thorax structures.

4
2D Cardiac Review:
Use this protocol to perform a 2D analysis of the coronary
arteries and mediastinum. Left and Right monitors are set to
large oblique views, 90 degrees from one another. Use the
Review Steps area to step through and review optimal angles
for each artery.

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CardIQ Xpress Pro Protocols Description
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Cardiac Reformat:
This protocol automatically generates axial, short axis, 2
chambers long axis and 4 chambers long axis views. When
loading a multi-phase data use this protocol to view chambers
in a phase cine loop.

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

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

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

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

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CardIQ Xpress Pro Protocols Description
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Ejection Fraction:
Use this protocol to calculate Ejection Fraction along with
End 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 along
with the chambers in a transparent mode. This may be
especially 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 for
patients who have had by-pass surgery. It also is ideal for
full-gated chest acquisitions.

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Launching CardIQ XpressTM Pro
Step What you select How or Why you select it
1

Select the exam and series to be

analyzed from the browser.

You have two options to launch the

application:
• Select the volume viewer tab
or
• Select CardIQ Xpress from the
Applications area located on
the left panel.

2
(cont.) If CardIQ Xpress is not listed in the
applications area, click on the More
button, and choose from the list of
installed applications.

If you still do not see CardIQ Xpress

listed, please contact your GE Field
Engineer or GE Sales Representative
to ensure this application should be
installed.

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Step What you select How or Why you select it
3

To find the Vessel Analysis protocols

either,
• Select the anatomic area of
interest by clicking on the body
part, or
• Select the appropriate anatomic
tab.

To further filter the protocols (if needed),

select the filter “CardIQ” from the list of
filters located at the top of the screen.
You will see the CardIQ protocols
displayed on the screen.

To launch a protocol, simply click on the

protocol icon you want with the left
mouse.

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CardIQ XpressTM Pro Workflow
Step What you select How or Why you select it
1 The Cardiac Vessel Analysis protocols are
built with a step-by-step guide. The
workflow for the protocols is basically the
same, however some protocols will vary in
the number of steps.

The guide will contain both the instructions

on how to perform each step and the
necessary controls (buttons, menus, etc).

The user should read the CardIQ XpressTM Pro User

Guide in addition to this quickstep guide, as this
document will not cover all features.

(For this example, we have used the Angiographic

view protocol)

1 Step 1: Angiographic View Selection

(cont.)
Step 1, enables the user to make any
necessary edits to the 3D MiP image that is
automatically segmented by the software.

The tools available on this panel are the

Auto Select tools that allow the user to
grow or add back into the 3D MiP model
any structure, or vessel that was removed
during the segmentation process.

In addition, the user may send the

angiographic view directly to the Cardiac
Report by using the “Sent to Report”
button. This will generate six separate
views angled in predefined positions to
simulate cath views. This will be added to
the Reporting Tool software which can
generate a separate document as the
report.

(Refer to the CardIQ Xpress Pro User Guide for

detailed instructions)

Click the [next] button to proceed

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2 Step 2: Vessels to Analyze
Place the “Start of section” point first in
order to track a branch. Next, deposit
points in all the vessels of interest. To skip a
vessel, simply left click the next vessel on
the list, then place your point.

To undo a deposited point, click on the

check mark in the box corresponding to
the vessel. Then redeposit the point in the
desired location.

Hints:
• Placing the point in the center of the
contrast enhanced lumen on the 2D views,
produces better tracking results, than
placing the point on the 3D views.
• When placing the points, place the point in
the distal portion as far as you want the
vessel to be tracked

3 Step 3: AVA Tools:

Edit/Measure
At Step 2, the screens update to display the
curved, lumen, oblique, x-sectional, and
segmented Volume Rendering views for
each branch traced. The views will be
displayed based on the default layout for
the protocol.

At this step, the user should review each

branch of interest by rotating around the
curved view, reviewing x-section and
longitudinal views.
(Refer to the CardIQ Xpress ProTM User Guide for
Viewport control instructions)

The user should verify that the software has:

• Identified the vessel correctly

• Quantified the vessel cross-section at each
location of interest correctly

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3 On the wizard panel at step 3, there is a
(cont.) number 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 for

detailed descriptions and instructions)

Click the [Next] button to proceed once all

desired measurements have been done
4 Step 4: Add Measurements
At this step, the user may add additional
measurements that are not included in
Step 4. These measurements will be added
to the final report at the end of the
protocol.

To add a measurement, click on the

measurement button then follow the
instructions on the panel.

To modify or delete manual measurements

that have been added, click on the [Modify
Previous Measurements] button.

(Refer to the CardIQ XpressTM Pro User Guide for

more detailed descriptions & instructions)

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

A user may also change the name of a

measurement by clicking on the [Modify]
button. This will open another panel
allowing the user to type in a new name.

(Refer to the CardIQ XpressTM Pro User Guide for

detailed descriptions & instructions)

When all modifications are done, click on

the [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 is
displayed in tabular form. The report length
will vary depending on the number of
measurements generated. You can view
each page by clicking on the forward &
backward arrows.

At any time during the analysis, the user

can click on the [Back] button to return to a
previous step and make any necessary
corrections or additions. When done, click
on the [Select Output] tab to export and/or
save the report.

Step 5: Report (option 2)

The second option to export the report is to
use the Reporting Tool Software available
within the CardIQ XpressTM Pro Software.
This will generate a “dictated” type report
that can be printed, sent to PACS, or saved
to CD.
(Refer to the CardIQ XpressTM Pro User Guide for
more detailed information on Reporting)

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Tree VR Protocol Step 1
Step What you select How or Why you select it
1 Step 1: Automatic Vessel Selection
All of the vessel analysis protocols
workflow is the same, except for Step
1 of the Tree VR protocol.

This protocol starts with the software

automatically segmenting the Aortic
Root, then the user will use the Auto
Select feature to “GROW” in the
coronary vessels.

Simply place your 3D cursor on one of

the coronary vessels, then click on the
[Display Vessel] button. The software
will automatically “Grow” in the vessel
selected.

Once you have all the vessels “Grown”

in, you will have a complete VR Model
of the Coronary Artery circulation.

If the software fails to “Grow” in the

vessel, click on the [Auto Select]
button to manually grow in the vessel.

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Cardiac Transparency
Step What you select How or Why you select it
1
Once you have your Vessel Tree
created, you can then create a
Cardiac Transparency model of the
entire circulation and heart
chambers.

Click on the “Cardiac Transparency”

located in the Review Steps area of
the left panel.

Click [Next] to continue

The software performs auto

segmentation and the chambers,
myocardium, and the bones will be
added back to the Vessel Tree model.

Use the slider bars to control the

transparency of the chambers,
vessels, or myocardium.

Objects can also be turned off by

clicking on the icon of the eye beside
the object’s name.

Using the Cardiac Transparency

protocol allows the user to create
many different volume rendered
images of the heart and the various
structures.

(Refer to the CardIQ XpressTM Pro User Guide

for more detailed instructions)

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Ejection Fraction - Left Ventricle
Step What you select How or Why you select it
1
From the CardIQ protocol page, select
the Ejection Fraction Functional
analysis protocol. This protocol will
provide calculations for Left Ventricle
Ejection Fraction, Stroke Volume, End
Systolic and End Diastolic Volumes.

2 After loading the desired phases, the

heart will be automatically orientated
into a four chamber long axis, short
axis and vertical long axis views.

To put the heart into a beating motion

click the [Card] button and the Cine
button, located on the review control
bar, to perform a phase cine loop. Click
the [Card] button to stop the movie
loop.

3
Click on [Adjust Long Axis] or [Adjust
Short Axis] if adjustments to the
orientations are needed.

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4
Clicking the [Adjust Long Axis] button
will display the oblique line on the
Sagittal image.

Typically angling through the apex of

the right ventricle will result in a good
four-chamber view. The four-chamber
view is displayed in the upper right
viewport.

Hint: use the images provided on the wizard

panel to help you to make necessary
corrections.

5
Clicking the [Adjust Short Axis] button
will display the oblique line on the four-
chamber view.

Position the solid yellow line

perpendicular to the septum to produce
a short axis view in the lower right
viewport.

Click [Next] to continue.

6 Use the arrow keys to page through the

phases. First, identify end systole and
click [Store Phase].

You will then see the selected phase

recorded in the End Systole row.
Continue paging through the phases
using the arrows until you identify End
Diastole. Click [Store Phase] again to
store the selected phase in the end
diastole row.

Click [Next] to continue.

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7
Position the 3D cursor in the mid
portion of the Mitral Valve and click
[Store Position].

The image will automatically switch to

the end systolic phase, position the 3D
cursor in the mid portion of the Mitral
Valve for this phase and click [Store
Position].

Click [Next] to continue.

8 The left ventricle at ES and ED will be

segmented. A volume rendered image
of the left ventricle is displayed along
with the contour lines on the four
chamber and short axis views.

The contour lines maybe edited by

using the Add Structure, Remove
Structure and Scalpel tools located on
the wizard panel. When satisfied with
the contour of the ventricle at ES and
ED.

Click [Next] to see the results.

9
The following calculations are displayed
at this step:

• Ejection Fraction
• Stroke Volume
• End Systolic Volume
• End Diastolic Volume

Click [Send to Report] to add this

information to the report or right
mouse click and select [Save Image] to
save individual images or click [Save
Screen] to save all images.

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Cardiac Reformat
Step What you select How or Why you select it
1 Cardiac Reformat automatically
generates

• Sagittal View
• Four chamber long axis view
• Short axis view
• Vertical long axis view
(Vertical long axis view is behind the wizard
panel).

Follow the same steps as described in the

Ejection Fraction chapter to adjust the
angles of these views if needed.

2 Create Batch:
To create batch reformats of any view:

• Click the corresponding batch

button
• Position the batch lines on the
Short Long Vertical view
Axis Axis Long
Axis • Then select output mode

Output:
On the Modify Batch screen, select
output then choose how you want to
export 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 not

available through the Direct Connect feature. If
using Direct Connect CardIQ Function must be
launched from the patient list screen.
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Create a “Beating Heart” Movie
Step What you select How or Why you select it
1 In order to create a moving, “Beating Heart”
movie 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, but
rather choppy.

First, click on the [Movie] button located on

the 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 RED
viewport
• Second click on the [Add a new step]
Button TWICE (you should see the same
image in Step 1 & Step 2
• On the Wizard Panel, set the number
of heart cycles to 2
• Click on [Preview] or Select Output
preference and apply.

Output:
Select output then choose how you want to
export the series of images generated:

• Film
• Save
• Film & Save
• Filmer Images
• Filmer Movie

If you choose to save the movie, a pop-up

window will open allowing the user to name
the movie. This file will then be located on the
browser in the patients series area.

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2D Cardiac Review
Step What you select How or Why you select it
1
On the Cardiac protocol page, you
will find a protocol that leads you
through a 2D review of the coronary
arteries.

2 Use the Review Steps as a guide to

step through 3 different layouts
optimized for the coronary
anatomy.

Oblique Review is designed to easily

obtain a x-sectional view of a lesion
without creating a centerline. If
vessel tracking is needed then
Coronary Analysis and Quick AVA
are readily available.

3 Card Review 1
Sets the orientation for both the left
and right screens to angles to best
demonstrate the greater structures
of the heart and mediastinum.
The Left Monitor displays the
chambers and great vessels. Scroll
up and down through the dataset to
review.
Hint: Double clicking on the viewport will
make scrolling easier.

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4
The Right Monitor displays the
chambers of the heart and the
descending aorta.

5 Card Review 2
The Left Monitor will demonstrate
the proximal coronary arteries and
the chambers of the heart with a
LAO Caudal View. Again, double
click to isolate the left monitor will
make it easier to scroll through the
dataset.

6
The Right Monitor provides an LAO
Cranial View for the LAD and the
diagonals. Double click to isolate
the right monitor and page through
the dataset.

7 Card Review 3
The Left Monitor provides a short
axis view to best demonstrate the
right coronary artery. Double click
to isolate the left monitor and page
through the dataset.

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8
The Right Monitor provides an RAO
Caudal View of the LCX, PDA and
PLB. Double click to isolate the right
monitor and page through the
dataset.

9 Oblique Review
This layout provides an easy way to
create x-sectional images without
generating a centerline.

Using the axial image, position the

oblique tool over the vessel of
interest; align the solid yellow line
along the orientation of the vessel.

Next click on the oblique view in the

top left viewport and position the
solid yellow line of the oblique tool
to be perpendicular to the vessel.

This will generate a x-sectional view

of the vessel at that location.

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Quick AVA
Step What you select How or Why you select it
1 Quick AVA provides you with the capability to
quickly perform quantitative analysis of a
lesion from any 3D, Reformat, or Vessel
Analysis protocol by a single click or two
clicks. This means that you no longer have to
start in a Vessel Analysis protocol in order
have full Vessel Analysis capabilities.

The Quick AVA buttons are available on the

Segment or My Tools palette in Volume
Viewer 3 located on the left panel.

Warning:
If Quick AVA is launched within a Vessel
Analysis protocol after vessel tracking has
been performed, it will erase all tracked
vessels, and start over.

2 Single Click Quick AVA:

A Single or one-click Quick AVA requires just
a single click anywhere in the vessel of
interest.

From any Volume Viewer 3 protocol, click the

one-click Quick AVA button, then click in the
vessel of interest on any view. The software
will automatically track the vessel in both
directions proportionally to the diameter of
the vessel.

Two Click Quick AVA:

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

From any Volume Viewer 3 protocol, click the

two-click Quick AVA button. The software will
prompt you to deposit two points, a Start
point, and an End point. In between these
two points, the software will track the vessel
and calculate the centerline.

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Step What you select How or Why you select it
1
When the vessel has been tracked and
displayed, the vessel name will be Vessel 1,
annotated “V1”.

Right click on the “Red” V1 annotation to

access the build in Vessel Database, then
move your mouse to the anatomy of interest,
and choose a name from the list. The tracked
vessel will be renamed from “V1” to the
name you selected from the list.

This vessel database is available anytime

within Vessel Analysis. You can also access
this database to configure your protocols
making it easier and faster.

(Refer to the CardIQ XpressTM Pro User Guide for

more information on the Vessel Name Database)

2 After tracking a vessel with Quick AVA, the

left panel will update displaying six buttons.
To open any Vessel Analysis protocol panel
click on the following buttons:

• Vessels to Analyze
• AVA Tools: Edit/Measure
• Add Measurements
• Report

By clicking on any of these buttons, you will

open the main Wizard Guide Panel and have
access to all the features within any Vessel
Analysis protocol.

Click [Delete Traces] to erase any previously

tracked vessel.

Click [Start New] to track another vessel.

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