 I'm going to try to make this as practical as we can. Max has to talk about this web page that we have there. It's for free. Feel free to actually go in and enjoy. I'm going to give you the address first of all. I don't have any disclosures to discuss with the audience. So I think it's very handy. It helps a lot. And it took a lot of time for everyone to actually put that together. And it's for free, which is the most important part. So here you have the address. They're going to have that at the very end of the course with the presentations. And you just need to go there. And then here you're going to be able to see all the manipulations that Max just did. But the most important is, I think, the hands-on for the image application. And the good thing is it's going to be an interactive interface. So we are going to talk here about the Phoenix Epic 7. It's the one that we have in our OR. And afterwards, we're going to talk about the BB9. So the machine that you're going to be working with is the E95, which is an updated version. At the time that we did the videos, we had the OR one. So this is what is going to come. When you go there, you have a little bit of introduction. How are we going to actually manage all that? And what are the notes that you are actually going to need to press for that? So to start with, that's part of what Max actually is playing, optimization, focus, and gain. I think it's very important. When you guys are taking a 2D image before you're going to get a 3D, you need to optimize your gain and your focus. That's extremely important. You need to actually go with the focus. And you need to focus on the structure of interest. If we want the mitre bottle, we want the doter. If we want the LB, I would actually focus over here. And then be sure that you actually have the proper image before actually hitting the 3D. And as Wendy was explaining in the first lecture, it's extremely important. If your 2D image is bad, you're not going to be able to get a good 3D image with that. So we are going to go through the whole possibilities. But we are actually using the Philips machine, OK? We are going to talk about explained like 3D full volume and 3D zoom. Here, we are going to start with explained, OK? So when we talk about explained, this kind of thing is going to give you the perspective of the image that we have in our classical. For example, we are using from the 4D chamber. And then you're going to get upper ventricular plane. But it's going to be in real time. I know it's 2D images, but you really are using 3D technology here. So your matrix is actually doing that. And it's cutting the planes. And it's allowing you to see that. I think that's very important when we are visualizing our tick balls. You can get them in the both planes. But when you are visualizing the left anti-cord, you can actually get the full anterior inferior wall. And not only the inferior septal and the anterior lateral, OK? And this is going to be applied for the cascade ball or for whatever structure we want. For example, when I go to the left lateral appendix, I like to have this explained because it's really going to help me to have the two views there at the same plane. So you can see, is that a little left lateral appendix? Or is that a trombone? So these two images can give you a lot of information regarding that. So I think it's a very easy way to actually start yourself to introduce the capabilities of your machines, OK? So this is an example of the short axis. Then as the moment you put your cursor in the center, you will actually explain now, and it's doing that, too. So and then you will be able to actually assess the two images at the same time. This is very handy, too, for procedural things. Like when you are inserting a guide wire, you can see it in two planes. When you are actually doing a micro clip, it's actually really handy, too. So there are several applications that we can actually use it to. Same thing for the right ventricle, from the transcript view, and you're going to be able to actually see the whole walls, OK? So moving along, so this is an example of a Dabern Sapiens III. I personally think it's very important when you're actually measuring your annulus to know exactly where you are cutting. If you actually are displaying an X-plane, you can certainly see what's the shape of your RT area just before actually doing that. You can even use that afterwards and we will explain you how in the clinical cases to actually measure the 3D RT valve area or the 3D LBUT area, which is probably more accurate if the RT valve area is classified and how to get a real area. Because most of us know like the LBUT is elliptic, more than circular. Now that is what we are assuming. And this is a good case after the deployment before inserting the valve. The cardiologist is recording the valve and we can see actually the flap. We know for sure here in the 3D image, this is your right coronary cast. We don't know for sure if this is the north or the left. As soon as you get the X-plane, we all know in the antenatal septum that the flap is actually in the non-coronary cast and you can tell the cardiologist. So those are examples on how to use that technology. So going over the next step, so life 3D, it's probably the easiest way. So you go there, you just press your note on life 3D and automatically an image will be generated. As Wendy was explaining at the beginning, those are narrow images. So you have 60 degrees, but then you have only elevational planes, will be only 30 degrees. So it doesn't capture a lot. So that's not a good image, for example, for visualizing the left ventricle because you are not going to be able to get the whole volume there. But this is a good image to get a full, for example, in a short axis of the outfit. Well, to get an impression is that valve by Casca don't notice this is going to help me. This will give you probability right there. So what we do that, and as Wendy was explaining, it's not so important how big is the pyramid. Because now we have specifically on the phillips you have the elevation. So you can actually focus what you want to be. You can be in the center, as you can see here. And you can be in the front and the back. And you can manipulate that to go on top of the ventricle in the center or just in the back. And then you have the elevation of width, which is going to allow you to increase the sector. But you will pay a price for that. Whenever you increase your sector, your quality image is going to be decreased. So we need to be a little bit and play between the two. But this one is really good for actually procedures. It gives you a high temporal and spatial resolution. And it's a very good clarity. If you're inserting a catheter and you want to visualize it with 3D. So it's mostly reserved for that. So those are examples. So I want to give you a little head up. So this is the new x8 from Phillips. The quality is actually pretty good. So they are able to provide a single big in color up to 16-inch. You will find that doing 3D color is sometimes difficult to get the right image. And you normally need to get it. And then you will have the possibility of actually this detail with the ventilation. The counter is not always easy to actually take an image, especially when you are in the OR. So now they are providing this new probe that is able to actually see the 16-inch, which is more or less what we are going to see. It's actually the same with GE2. So again, an example of an hour's equal and how to use this technology. So another mode is like the full volume. So this is going to be 90 per 90 per unit. You can actually increase it to a maximum of 120 and 120, which is pretty cool. And that's the modality that you guys are going to want to use when you are assessing your light ventricle, your left ventricle, big, bigger structures. You want to have a good quality. So you have it there, which is going on the volume. I know, as Marc was mentioning, I always like to have my 2D planes, which is going to be 4-chamber, and this is going to be 2-chamber. So to be sure that I'm including the whole ventricle. And once you are here, I think it's important to know that the image that is generated is from the back of the heart. Because if we have the whole image here, and it's a pyramid of 90 per 90, you will only be able to see the surface of the heart, and everything will be yellow. So what they do is, they give you that image. But if you want, you can reset cropping, and then you will get the full picture. So but this is easy for us to orient it. But that doesn't mean that the image that you are capturing is half the left ventricle. It's the whole left ventricle there, OK? So that's important for us. And again, same thing for here, elevation of width and elevation of front, back, and center. You can increase your sectors to both sides. We will play with the machine, and we will do that. And then the gating, OK? So one of the things is, from we go there, we can actually gate to actually try to obtain a better frame rate, OK? So what we do is, the line density, imagine that you have 10 lines in a single image. You have 10 lines for the heart. Imagine that this is a city that gives you 10 cuts, and it's in a single image, OK? So what we are going to do is reduce that to, if we go to six bits, to a six. And those 10 cuts are going to be in one image, and in the other, and in the other. So the quality is much better. But if there is movement, like ventilation, so you are actually going to be, to have as the charge of the image, are moving one from the other, OK? But I think it's a very handy tool. So those are examples, again, for the ventricles. So my recommendation, you go, imagine that you have everything in as much as you can. Sometimes when you have big ventricles, it's even difficult to catch everything and to get a good, a decent frame rate, OK? Then you can actually go and in image selection. You can select. You are actually happy with that. And then you can actually use the software from the machine to generate a 3D ejection fraction. And we will show you how to do that afterwards in the workshop, OK? So those are examples of the right ventricle and volume, OK? The technology actually from the machine, and you can actually provide them. The problem with that is this software is actually generated for the left ventricle. And here, we are missing normally part of them from the ULAR work. So you will get an approximation of how much it is. But it's not as accurate as our dedicated software for the right ventricle, OK? So and more examples from the Arctic cloud, OK? So you go to the long axis. Doesn't matter if you're getting the long axis or axis. As soon as you get email filibation, you're going to include everything. You can come from here, from the short axis, and those are the images. If you take it from the short axis, this image is going to be here. This image is going to be here. We can put color, which I think for the color is good. You can actually see it from here. And then you can do many, many things afterwards, like tracing the ventricle area and things like that, OK? So it's very good technology. For full volume, it's my personal recommendation when you go to actually do 3D color. It's the best quality of the image. You can actually use 3D zoom or 3D live. But I personally think with full volume and cropping the image to the minimum, it gives you, for me personally, the best quality image, OK? 3D zoom. So this is super heavy. This is especially, I think, mostly dedicated for the mitral and the tachaspid bar. It's going to generate a short pyramid, OK? Normally we are talking between the other ones between around like 60 degrees. That's what it's generating. But because it's cropping, you can actually position the box and you can move the size of the box. And as was what you had mentioned, if you want to go for the mitral bar, I would always recommend to actually take a little bit, go to a five-temper and take a little bit of the arctic bar because you want to re-enter yourself. And you want to present that to the searcher in an AM phase view, which is your arctic bar in the top and the nicest mile of the mitral below, OK? And then we'll be showing you how to actually do that, OK? I'm going to put some examples of 3D zoom, OK? So this is by caspid bar that we have, where we can see perfectly the raffi. We can see with color over here and again. So this is 52 words. At the moment that you go to color, you need to actually give everything, like the 6 bits to actually be able to reach 15 hertz there when we were able to actually do that with a single bit with an improv, OK? So those are the things that the new technologies are actually going to help us a lot, OK? So we are going to change now and we are going to go to the G, OK? So the same thing will actually come up. It will display the whole screen. You will have how to actually follow on. And the good thing is that you are going to be pressing the notes and telling the program what do you want to do, and then it will show you to do, OK? So when we go to the G and on the new machine, you don't need to do that. And the Thragnaker V, like the software in the new G machine, is going to actually give you an optimal focus. So you will not need to do that. You have an old EEV9, so you will actually need to do actually this. Same thing for the game. I think that's important. The game is going to be 2D0, OK? Compared to the other one, which we don't want to actually formally have that. I think that's an important difference between the two platforms, OK? So acquisition mode, so guess what? So more dv, yes. That's the equivalent to the X plane from Phillips, OK? And it's basically the same. You have the note there, you press, and you have the two structures. One does also the other, OK? It's at 90 degrees, it's a single time, it's a scanning, and we personally wanted to assess if you want your left ventricle, or if you want your left ventricle, and see both chambers at the same time, if you want your aortic valve to be seen in both views at the same time, or if you want your aortic valve, basically same in the same time, OK? So an example is, for example, of the right ventricle. That's actually from one of the many pulmonary and arperectomies that we go here. And it's actually good, because you can formally see your right ventricle, and for example, you can actually see the hole in the volar wall, but we are not able to actually see here. And you can see how the mobility is with a single clip, OK? So now we are going to talk about the birds view, OK? So the birds view in G is close to what is the life within Phillips, OK? It's a short section, it's 50 degrees, but it only has like 10 of elevational net, OK? You can always increase it, and you have the voting queers. You can always increase how much you want, but they normally use it for actually seeing like very close structures, or if you want to actually do like a procedural structure. The same things and the same features that we have with the film, we have the front and the back, and by default it is going to be the center. So that's the images that you are going to actually be changing. And again, with the volume, you're going to be able to actually expand it more, reduce it, and then on the lateral, getting bigger or smaller, OK? So what happens if we want to actually get a little bit better frame rate? And as you can see here, it's per second. That's how much is increased, OK? The moment that you go there, you are actually from 1 to 2 to 3 to 4 to 6. It's the maximum recommended that the 3D guidelines from American Society of the FECO are required, like as per guidelines, to try to actually get it at 4 bits, if you can, for the quality to be actually better, OK? So I think it's actually another functionality that we need to be aware of. So those are examples. If the overview can give you this, it's not very thick. It will never increase the whole RV, but the bed and assessment are at least a 3D image. It's actually pretty handy, too. So we are going to go now to the medium and large volumes. Those are going to be the equivalents for the full volume in the fillet, so I'm going to say it. Like you have the medium size, it's small pyramid of 35 per 35, and the large size is 60 per 60. Remember, the full volume gives you like 90 per 90, so it's bigger, actually. Those ones are a little bit smaller. And normally, what they will think, 60 per 60, I think, with this large volume is actually the alpha, micro, and sort of tricuspid. 35 per 35, you can actually go to the left of the appendix and get a little growth there. And it really doesn't matter, because at the end, you're going to be able to play with your volume and decide how much of these data sets that we were talking you want to include. The minimum to get you the maximum information that should be the goal when we are doing really OK. And then, again, all those images can be gated. So you have one bit, your frame rate is going to be standard. The moment that you start to actually get more bits, the better that your image is actually going to get. And especially for software analysis, it's always good to have a good frame rate, so you can get more accurate results, OK? So this is some examples of large volume acquisitions where you can actually afterwards use the software to have your ref calculator, same thing for the RB, a specific RB design on the new B95, OK? And it will give you the injection fraction, fraction rate change, and even you have COK. So those are examples of million-volume acquisitions. And the software that can actually be used afterwards, you actually determine measurements. And those are going to be automated. And you are going to play with them in the handset, OK? So just to finish, we have the 4D zoom, which is the key one into the 3D zoom. And again, it's the same principle, OK? It's just a little block. So you go there, 4D zoom prepared. And then you will get the region of interest. You can actually move where you want. And you can actually increase the size. And then once it's actually done, you can go to the right. And then you're actually structuring everything. When you're happy with the sector that you want to include, then you're going to actually choose press. And then the image is going to generate. And from there, we are going to manipulate it from the clock. So some examples of that are, for example, for the mitral bar, OK? Same thing with color, you would choose press the color. And then you would get images like those ones. And a lovely category from the search and discovery, OK? So thank you very much. I think it's now time to take a little break and enjoy the coffee, OK?