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e SmartScore Quickstep Technical Guide

GE Medical Systems

Revision 0

SmartScore 3.5
Quick Step Technical Guide

2340477-100

Operator’s Documentation

For Investigational Use Only


6/11/02
e SmartScore Quickstep Technical Guide
Configuration
Contents at a Glance
3

Select Protocol 6

How to Use SmartScore 9

Report Set Up 21

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e SmartScore Quickstep Technical Guide Configuration

Configuration
• Parameters can be customized so that
each time SmartScore is loaded, the
settings will default accordingly.
• These defaults will apply under the
ANALYZE and REPORT tabs.

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e SmartScore Quickstep Technical Guide
Under CONFIGURATION tab ANALZYE button
Configuration

• Preset defaults can be set-up so that


every time SmartScore is initialized the
software will use these presets.
• Preset options are:
• screen format
• image ww/wl
• display annotation
• highlight scorable region.

• These defaults will be used on the


ANALYZE tab under IMAGES and
REGION buttons respectively.

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e SmartScore Quickstep Technical Guide
Under CONFIGURATION tab OUTPUT button
Configuration

• Defaults can be set for export


Options from the application.

• This is linked directly to


the REPORT tab OUTPUT
button.

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e SmartScore Quickstep Technical Guide
Selecting a protocol

Selecting a Protocol

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e SmartScore Quickstep Technical Guide
Selecting a protocol

SMARTSCORE PROTOCOL

Select the Series to be analyzed,


then select the Volume Analysis Tab

Select Cardiac for the


protocol category

Select the
SmartScore
Protocol

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e SmartScore Quickstep Technical Guide
Selecting a protocol

Create a Shortcut to SmartScore (Optional)

On the browser, select More Software


Then select Software Manager This will
open the list of software options installed.

On the Software Manager, with your


Left mouse key, select SmartScore.
Then with your middle mouse key, click and
drag cursor to one of the four buttons available
for presets to place the shortcut on the browser.

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e SmartScore Quickstep Technical Guide How to use SmartScore

How To Use SmartScore


• Once SmartScore is selected
a template showing the
loading progress appears.

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e SmartScore Quickstep Technical Guide How to use SmartScore

Threshold Warning:

This message will appear on a previously scored a patient with one default threshold, if that threshold as a
default has been altered.

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e SmartScore Quickstep Technical Guide
STUDY tab PATIENT button
How to use SmartScore

• Fill in any additional


information not already auto
filled from scan acquisition.

• Any information supplied


will be shown on the
patient report.

• Colored buttons indicate


only one selection per
row.

• Check marks will indicate


that multiple fields can be
selected.

• Scroll bar on the right margin


to continue to fill in
additional patient
demographics.

•These additional fields are


input in the PREFERENCES
tab.
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e SmartScore Quickstep Technical Guide
Under ANALYZE tab IMAGES button
How to use SmartScore

• Depending upon scan set up


either 1,3, or 5 images will
appear on a prospective gated
data set.

NOTE: If scoring a retro-


spectively gated data set more
images can be scrolled through.

• The highlighted blue icon in


the upper left corner
indicates that this image is
the selected image per location.

• Images can be deselected


Superior and inferior to the
coronary arteries by clicking
on the blue highlighted icon in
the upper left image corner.

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e SmartScore Quickstep Technical Guide
ANALYZE tab IMAGES button under the SELECT icon
How to use SmartScore

• The SELECT box will be used


for retrospective gated acquisitions
or to load a new EKG file.

• This allows the ability to partition


the images per heartbeat.

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e SmartScore Quickstep Technical Guide How to use SmartScore

ANALYZE tab IMAGES button DISPLAY icon

• DISPLAY button allows screen


configuration changes.

• This menu will default


to the preferences already set
under the CONFIGURATION
tab, ANALYZE button.

• Options can be changed for the


current patient by clicking the
DISPLAY icon.

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e SmartScore Quickstep Technical Guide How to use SmartScore

ANALYZE tab REGIONS button

Select the vessel icon to be


scored at the bottom of the
page.

Draw a box around the plaque


in the vessel, using the left
mouse key. When you release
the mouse all the scorable
pixels will highlight.
NOTE: This box should be 50%
larger that the area of plaque.

The A,B, and C buttons have no


predefined ROI meaning, and are
available for scoring additional
user defined areas.
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e SmartScore Quickstep Technical Guide

ANALYZE tab REGIONS button DISPLAY icon


• During image review the
physician can click on the
DIAGNOSTIC button and type
in a diagnosis of the anatomy.

• This box can be clicked on and


moved anywhere on the screen.

• The message will then be


entered into the report.

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e SmartScore Quickstep Technical Guide
ANALYZE tab REGIONS button DISPLAY icon
How to use SmartScore

• DISPLAY button allows the screen


configuration changes.

• This menu will default


to the preferences already set
under the CONFIGURATION
tab, ANALYZE button.

• Options can be changed for the


current patient by clicking the
DISPLAY icon.

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e SmartScore Quickstep Technical Guide
REPORT tab SCORES button
How to use SmartScore

• Select the appropriate tab to


view the scores with each
different algorithms. Each
individual vessel is scored as
well as a total column to add
all vessels and A, B, and C.

NOTE: When printing out


The total score on the patient
report it is optional whether
A, B, and C regions will be
Included. To include select
SCORE TABLE in the
Preferences tab card. Next
Select A, B, and C to be
Scored along with the main
vessels

• Click the Send button


to export report feature
defaults.

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e SmartScore Quickstep Technical Guide
REPORT tab PREVIEW icon
How to use SmartScore

• Patient report can be


previewed before printing.
All text fields will show but
no images.

• Click the Send button to


output patient report
according to default settings.

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e SmartScore Quickstep Technical Guide
REPORT tab OUTPUT button
How to use SmartScore

• OUTPUT button allows report


configuration changes. This menu
will default to the preferences
already set under the
CONFIGURATION tab, OUTPUT
button.

• Options can be changed for the


current patient by clicking the
OUTPUT button.

• Select the send button to


output patient report according to
user defined preferences.

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e SmartScore Quickstep Technical Guide
QUIT tab
How to use SmartScore

• Once completed click on the


quit button to exit software.

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e SmartScore Quickstep Technical Guide Preferences

Report Set-Up

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon

Header/Physician list:
• This section is to establish the
default report.

• The colored buttons indicate the


location of the logo and address.

• Physician list will fill in all of


the names on the report that have
show in report checked.

• This list can be sorted and


placed in the report.

• Number of columns will


automatically sort the list
accordingly.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Patient Demographics:
• Check the “show in report”
column to determine which
patient demographics will appear
in the patient report.

Additional Fields:
• Up to 20 additional patient
demographics can be added to
show in the report. Field value
can be single line text or multi
line text depending on the
amount of information needed.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon

Generic Message:
• This message comes standard
with the SmartScore software.
Can customize this message to
their preferences by typing in
the text field.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Diagnostic Message:
• This field will come from the
Message typed in under the
Analyze tab, Region button,
Diagnostic. See p. 16.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Score Interpretation:
• This area can be used as a
tool to show a global
overview of how a change in
the patients score will affect
the outcome.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Score Summary/Comparison:
• Select which score to have
printed on the report.

NOTE: If no previous score was


entered on the study page then
the score comparison study
section will not print on report.

Ranking Guide:
• The ranking guide page
located in the PREFERENCES
tab GUIDE button needs to be
filled out.

• Patients can be compared to


each other by age, gender, or
score.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Category:
• Clinical information based on
Calcium scores to include:
•Diagnosis
•Clinical Interpretation
•Gender
•Age Issues
•Recommended Clinical
Actions.

The 75% Table:


• Allows entry of different
information for patients
whose scores are in the 75%
of calcium scores.

Note: If table is blank, all


patient reports will print from
the “Normal” table. If the 75%
table has any information and
the score is in the 75% it will
pull from this 75% table.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Score Table:

Algorithm:
• Allows ability to determine
which algorithms to print in the
report. Any algorithm with a
check mark will print.

Vessel Types:
• Main Vessels: Will give the
score for the LMA, LAD,
LCX, RCA, and PDA only.

• Additional Vessels: Will give


the score for the A, B, and C
labels.

Having both checked will


Report all the vessels together.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Diagrams:

Optional:
• Image of the heart can be
printed on the report to show
the anatomy of the vessels.

• Position of where to place


the diagram in the report is
also selectable.

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e SmartScore Quickstep Technical Guide

PREFERENCES tab CUSTOMIZE icon


Select Images:

• Pre-select the images to


include in the report.

• Pre-select the number of


images per sheet.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Physician Signature:

• Electronic signatures can be


added to the patient report.

• The signatures will have to be


retrieved from a floppy disc
and stored in GIF format.

• Define the placement of the


signature on the report via
radial buttons at the bottom at
the bottom of the screen.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon


Up/Down arrows:
The up and down arrows will move the
highlighted section headers of the report
up and/or down in position on the patient
report.

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e SmartScore Quickstep Technical Guide
PREFERENCES tab CUSTOMIZE icon
Preferences

Undo Button:
This button will undo the last
function/step performed.

NOTE: If these buttons are


not black then they are inactive
and there are no steps that can be
undone.

Redo Button:
This button will redo the last
function/step performed.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab CUSTOMIZE icon

+ Button:
More sections can be added to the report by clicking NEW button and selecting a section.

- Button:
Sections can be removed by highlighting section in margin and clicking REMOVE button

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e SmartScore Quickstep Technical Guide
PREFERENCES tab Settings icon
• Select font type
by clicking on the pull
down menu. Font size
is customizable as well.

• Select whether to
export the report in
PDF or HTML formats.

• Select margins for


configuring report.
Select the footer
information to be
printed on the bottom
of the report.

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e SmartScore Quickstep Technical Guide
PREFERENCES tab Templates: • Save multiple report templates in
the software as well as onto floppy
disk. A list of template names will
appear in the lower left margin. To
change templates click on the name
and the new template will be used.

• The GEMS template may not be


removed. Other templates can be
deleted by clicking on the Delete
icon.

• All templates will be saved


to the hard drive automatically.
To save to floppy as a back up,
highlight the report to be saved and
click on the arrow pointing to the
right. To restore from the floppy the
user will highlight the report on the
floppy side and click the arrow
pointing to the left.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab GUIDE icon


Guide:
• One of several tools that can
be used to rank patients into a
percentile by age, gender, and
score.

• This guide will increment by


5% according to age, gender,
and score.

• This ranking guide needs to


be filled out after software
installation.

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e SmartScore Quickstep Technical Guide Preferences

PREFERENCES tab PREVIEW icon


Preview:

• Preview the layout


of the report at anytime by
clicking on preview.

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e SmartScore Quickstep Technical Guide

g GE Medical Systems
______________________________
PO Box 414
Milwaukee, WI 53201-0414 USA

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