2 - 3D4D On ARIETTA V70 and ARIETTA V60

3D4D ARIETTA V70 and V60
Set Up of the system and new features
29th – 30th August 2017
Luca Mastrogirolamo
Luca Mastrogirolamo © Hitachi Medical Systems Europe 2017 All rights reserved.
Contents
1.  Concept of Presets

2.  Define the quality of Hi Def 3D and 4D
3.  Renderings and how to use them
4.  Main Parameters to adjust in 3D4D
5.  How to set up the system in different clinical applications
Concept of the Preset
To set up 3D4D on ARIETTA V70 & V60 we have two options:
Embedded
Dedicated on
3D Preset Anatomy 3D Setting in the
With 4 QSS Preset normal anatomy QSS
- 2D OR
- 3D (Anatomy) Dedicated 3D QSS.
- Skeleton Attention! 2D settings
- Corpus Callosum is effecting 3D
performances
Luca Mastrogirolamo © Hitachi Medical Systems Europe 2017 All rights reserved. 3
Recommended Preset for Surface rendering
Set Up of Basic 2D Image (2nd Trimester)

•  Slightly higher Contrast
•  THI Mode -> FmT (HdTHI if easy patient)
•  Freq / Receiving Filter -> Low / Reso (to be changed if needed)
•  HiRez ->5
•  Persist -> 0
•  Line Density ->3
•  Echo Enhancement ->2
•  Color Map -> E
•  Post Process -> S Curve Gamma 1.3 Reject 5
•  Compound ->On Type 1
2D Setting
Recommended presets Vs Modified preset
HiRez 1 – HdTHI – Graymap 10

3D ROI and Curve Shapes
How to set the ROI for 3D4D + Curve Shapes
Pre-Formed Curves or
defined by user
Hi Def 3D
Image Parameters to define the quality
Line Density Frame Density

(3D) (3D)
Scan Angle
Frame Density changes the frame density of the

The combination of the parameters is
mechanical scan direction.The lower the frame
density, the higher the volume rate.
affecting the Quality of the 3D
Luca Mastrogirolamo
Reconstruction
© Hitachi Medical Systems Europe 2017 All rights reserved. 7
Hi Def 3D
Golden Preset
Line Density 1 Line Density 4 Line Density 2
Frame Density Low Frame Density High Frame Density Medium
Fast Acquisition Slow Acquisition Good Balance of

And Low Quality And High Quality Acquisition time and Quality
Hi Def 3D – Scan Angle
Scan Angle 30% Scan Angle 100%

Small FOV. Good for early pregnancy Wide FOV for 2nd/3rd Trimester
Luca Mastrogirolamo
Scan Angle Affects the quality of 3D
4D Mode
4D allow to see 3D reconstruction in real time.

Volume Rate (VPS) is affecting the quality of the reconstruction
Line Density 1 -Frame Density Low Line Density 4 -Frame Density High
Scan Angle 70% -> 3.9VPS Scan Angle 100% -> 0.8VPS
Up to 9.5 with Scan angle 10%
4D Mode
Golden Presets to balance the image quality and the VPS
Line Density 2 – Frame Density High – Scan Angle 90% ->1.8VPS

Renderings
Surface Skeleton S. Sharp
Preferred for anatomy Designed for fetal bone For surface rendering
Default in Golden sctructures. that sharpens the
Presets Requires more structures.
smoothing on the set Lower 3D Brightness
up is needed
Good for “Dark” 2D
Image
Renderings
MIP X Ray Lighted
MIP renders the image at the Renders the image at the Reflective surface rendering.
highest echo intensity that is average echo intensity that is Enhance the three-dimensions
generated over the ray (the line generated over the ray (the line with a sense of depth using
of sight from the camera of sight from the camera lighting.
position). position). Useful for solid structures,
Semi-transparent image, useful Renders an image that is more internal organs and gynecology
for observing fetal skeletal transparent compared to “MIP”
structures and internal organs. Useful for Internal organs and
CNS
Renderings
S Smooth Other (RMM) How to Set Up RMM

•  Select [Rendering Mode Mix] on
the touch panel.
•  Select a combination from [Surf.
Sharp + Lighted], [Surf. Smooth
+ Lighted], [Surf. Sharp + MIP] or
[Surf. Smooth + MIP] on the
touch panel.
•  Set a mix ratio in [Mix Ratio] on
the touch panel.
Example: When the combination
type is [Surf. Sharp + Lighted] and
the [Mix Ratio] is “30/70” “S. Sharp”
For surface rendering that Rendering Mode Mix S.Smooth
will be displayed at 30% while
smoothen the structures. + MIP – Mix Ratio 50/50
Surface with less power Rendering for internal “Lighted” will be displayed at 70%.
Good for contrasted 2D image parenchymal organs.
0/100 30/70 50/50 70/30 100/0
Main Parameters to adjust on 3D4D
Opacity
Control
Smoothing Lower
(3D) Threshold
Gamma 3D
(3D) Brightness
Opacity = Main Parameter
The gauge that lets you adjust the surface opacity level for a 3D image is called Opacity Control.
A high opacity level will display the surface of the image, while a low opacity level will render the
surface more transparent / translucent.
GP
Opacity 1 GP Opacity 12 Opacity 16

Less information of surface Good balance of Less filtered. Risk of lines
More translucent. information of surface and of the surface
Not for surface clear image.
Lower Threshold
Lower Threshold is filtering Low Brightness Echo Noise. It represents one of the most important
parameters to adjust image quality and amount of information to show
GP
Lower Threshold 9 GP Lower Threshold 40 Lower Threshold 96

Low filtering -> noisy image Good balance for 2nd trim Too much filtering. Risk of
Surface. Removes noise removing too much
and clear the structures information
3D Brightness
Adjust the brightness of a 3D image on a rendered 3D image
GP
3D Brightness 1 GP 3D Brightness 8 3D Brightness 16

Low Brightness on 3D Good balance of brightness High bright image. Too
image on surface rendering intense for surface.
Suitable for S.Sharp
Depth Attenuation
Configures the level for changing the brightness in the depth direction to apply effective contrast
to the 3D image. Configures the contrast level for displaying regions close to the viewpoint as
bright and those farther away as dark
Depth Attenuation 1 Depth Attenuation 5 Depth Attenuation 10

Low effect of depth. Mid Level of depth Big effect of shadowing in
shadowing the deep points. Fading
background effect
Color Depth
Color is used from upper edge of Clipping Box to back to enhance the sense of depth in 3D
images.This function is available only for RMM Surf. Sharp + Lighted & Surf. Smooth + Lighted
Color Depth OFF Color Depth On Color Depth OFF Color Depth On
Color Depth Shift
Color Depth shift: The lower the value, the further the color at the back will extend to the front and
the larger the value, the smaller the back color area will be.
Color Depth Shift 55 Color Depth Shift 63

Good balance of shift Almost no shift
Color Depth Contrast
Color Depth contrast: The higher the value, the greater the difference between the basic color
and color depth in the image.
Color Depth Contrast 10 Color Depth Contrast 55 Color Depth Contrast 63

Faded color Depth on all Balanced contrast for this High color depth contrast to
3D image depth highlight the depth
Luca Mastrogirolamo differences
Color Depth Maps
Multiple Color Depth Maps are available
A B C D E
F G H I J
Smoothing (3D)
Smoothing (3D) applies smoothing to volume data which has been created. This setting only
applies to 3D images. It does not apply to cross-sectional images.
New algorithm from previous version
GP
Smoothing (3D) OFF GP Smoothing (3D) MID2 Smoothing (3D) HIGH

Surface rendering is raw Best option for Surface It applies high level of
rendering smoothing. Good for crispy
Luca Mastrogirolamo surface
Gamma (3D)
Gamma (3D) changes the brightness of the 3D. It adjust the echo brightness of the reconstructed
image.
GP
Gamma (3D) 1 Gamma (3D) 4 Gamma (3D) 16

Default GP level. Good Higher level of brightness Very high brightness and
balance of brightness echo echo lines artifacts
4D Shading
Realistic rendering that displays the surface like a fetoscopy. More natural effect and lifelike skin
tones are used.
A Light Source is available to highlight and use the shadowing for a more realistic effect.
Do not place the source of light in the front.

You lose the Shadowing effect and the color tones
Shadowing
Shadowing in 4DShading changes the directionality of light. The higher the value, the higher the
directionality. Diffuse to direct light effect
Shadowing 0 Shadowing 4 Shadowing 10

Diffuse light effects. Faded Medium Lighting with more Direct light with high
shadow is applied directional effect directionality. Spotlight
effect
Light Enhancement Front/Back
•  Light Enhancement Front adjusts the front brightness of a 3D image. Changes the power of the lighting in
the front part
•  Light Enhancement Back adjusts the back brightness of a 3D image and change the lighting in the back of
the 3D image
GP
Light Enh Front 3 Light Enh Front 7 Light Enh Front 10
GP
Light Enh Back 0 Light Enh Back 5 Light Enh Back 10

1St Trimester
On 1st trimester scanning the Set up of the ROI is important.

Big ROI includes lot of background structures. Small ROI defines better the anatomy of the baby
Big ROI Thin ROI
Set Higher Quality (Line Density 4 – Frame Density High – Scan Angle approx 50%).
Lower Threshold 28/30 ( Lower value to increase information) – Smoothing MID2/High
1st Trimester
•  To get a nice transparent image of the baby use 4DShading with the backlight
•  The high quality set up gives good image quality of MPR plans
Transparent image of the Good MPR image quality

baby with backlight with High Quality setting
1st Trimester
Color Depth with surface rendering is effective in 1st trimester.

Set Low Level of Lower Threshold and modify the smoothing according to the structure you have
to show. The smaller the structure, the lower the smoothing.
Embryo. Very early pregnancy 12 Weeks 13 Weeks
3rd Trimester
The Set up for 3rd Trimester is similar to the one for the 2nd trimester.
An enlarged FOV is needed and slightly lower frequency.
2D Setup
•  Freq / Receiving Filter -> Low / Low (to be changed if needed)
•  HiRez ->5
•  Persist -> 0
•  Line Density ->3
3D Setup
•  Scan Angle 90/100%
•  Line Density 2
•  Frame Density Medium
Spine
3D of the spine needs a specific rendering and some changes to preset:

Rendering Skeleton – Opacity 10-13 – Lower Threshold 35 or lower – Gamma 1-7
Gamma 1 Gamma 7
Fetal Brain – Corpus Callosum
For Fetal Brain examination use a setup similar to 3rd Trimester scanning:
2D Setup
•  Freq / Receiving Filter -> Low / Low (to see well the fetal brain structures)
•  HiRez ->5
•  Persist -> 0-2
•  Line Density ->3/4
3D Setup (High Quality)

•  Scan Angle 90/100%
•  Line Density 3/4
•  Frame Density High
How to see Corpus Callosum from a surface rendering:

Fast solution
•  Start from normal 4 Views in Surface
•  Change to XRay rendering for a very fast visualization
For X Ray Rendering set higher Gamma (3D) and no change of the gain
How to see Corpus Callosum from a surface rendering:

VSI solution
•  VSI can be obtained with Xray, Surface and MIP renderings
21W
X Ray Rendering MIP Rendering

VSI Slice Thickness 8mm VSI Slice Thickness 8mm
Gamma 3D 7
MSI (Multi Slice Imaging) with VSI view is useful to explore the whole brain
Setup of MSI with VSI:
•  RefC (or the plane needed)
•  MSI Slice Thickness 1.5-2.0mm
•  VSI Thickness 8-10mm
•  Gamma(3D) 7-1
FMPR (Free Axis of MPR) is useful to quickly search for cross-sectional images of a specific
structure.
Fetal Face and Palate
MSI Imaging is useful for fetal face and palate

Same setting of Fetal Brain

2 - 3D4D On ARIETTA V70 and ARIETTA V60

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Formats disponibles

3D4D ARIETTA V70 and V60

Set Up of the system and new features

29th – 30th August 2017

1. Concept of Presets

To set up 3D4D on ARIETTA V70 & V60 we have two options:

Set Up of Basic 2D Image (2nd Trimester)

Recommended presets Vs Modified preset

HiRez 1 – HdTHI – Graymap 10

How to set the ROI for 3D4D + Curve Shapes

Image Parameters to define the quality

Line Density Frame Density

Frame Density changes the frame density of the

Fast Acquisition Slow Acquisition Good Balance of

Scan Angle 30% Scan Angle 100%

4D allow to see 3D reconstruction in real time.

Golden Presets to balance the image quality and the VPS

Line Density 2 – Frame Density High – Scan Angle 90% ->1.8VPS

Surface Skeleton S. Sharp

MIP X Ray Lighted

S Smooth Other (RMM) How to Set Up RMM

Opacity 1 GP Opacity 12 Opacity 16

Lower Threshold 9 GP Lower Threshold 40 Lower Threshold 96

Adjust the brightness of a 3D image on a rendered 3D image

3D Brightness 1 GP 3D Brightness 8 3D Brightness 16

Depth Attenuation 1 Depth Attenuation 5 Depth Attenuation 10

Color Depth Shift 55 Color Depth Shift 63

Color Depth Contrast 10 Color Depth Contrast 55 Color Depth Contrast 63

Multiple Color Depth Maps are available

Smoothing (3D) OFF GP Smoothing (3D) MID2 Smoothing (3D) HIGH

Gamma (3D) 1 Gamma (3D) 4 Gamma (3D) 16

Do not place the source of light in the front.

Shadowing 0 Shadowing 4 Shadowing 10

Light Enh Front 3 Light Enh Front 7 Light Enh Front 10

Light Enh Back 0 Light Enh Back 5 Light Enh Back 10

On 1st trimester scanning the Set up of the ROI is important.

Big ROI Thin ROI

Transparent image of the Good MPR image quality

Color Depth with surface rendering is effective in 1st trimester.

Embryo. Very early pregnancy 12 Weeks 13 Weeks

3D of the spine needs a specific rendering and some changes to preset:

3D Setup (High Quality)

How to see Corpus Callosum from a surface rendering:

How to see Corpus Callosum from a surface rendering:

X Ray Rendering MIP Rendering

MSI Imaging is useful for fetal face and palate

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1.  Concept of Presets