Philps 4

QLAB Advanced Quantification Software
User Information Update

Release 10.2
4535 617 50561 Rev A

May 2014
© 2014 Koninklijke Philips N.V. All rights reserved. Published in USA.

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2 QLAB User Information Update 4535 617 50561

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Acknowledgments
The Insight Toolkit (ITK)
Copyright © 1999-2008 Insight Software Consortium All rights reserved. Redistribution and use in source and binary forms, with or
without modification, are permitted provided that the following conditions are met:
Redistributions of source code must retain the above copyright notice, this list of conditions and the following disclaimer.
Redistributions in binary form must reproduce the above copyright notice, this list of conditions and the following disclaimer in the
documentation and/or other materials provided with the distribution.
Neither the name of the Insight Software Consortium nor the names of its contributors may be used to endorse or promote
products derived from this software without specific prior written permission.
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PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER
CAUSED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR
OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
The Visualization Toolkit (VTK)
Copyright © 1993-2008 Ken Martin, Will Schroeder, Bill Lorensen All rights reserved.
Redistribution and use in source and binary forms, with or without modification, are permitted provided that the following
conditions are met:
Redistributions of source code must retain the above copyright notice, this list of conditions and the following disclaimer.
Redistributions in binary form must reproduce the above copyright notice, this list of conditions and the following disclaimer in the
documentation and/or other materials provided with the distribution.
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promote products derived from this software without specific prior written permission.
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PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE AUTHORS OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT,
INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT
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ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING
IN ANY WAY OUT OF THE USE OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
QLAB User Information Update 4535 617 50561 3

Contents
Contents
1 Read This First ................................................................................................................9
2 QLAB Software .............................................................................................................. 11
Cinebar Controls .................................................................................................................. 11
Exporting Data (PC Version of QLAB Software) ...................................................................11
QLAB System Requirements (PC Version of QLAB Software) ..............................................11
3 Studies .......................................................................................................................... 13
Data Panel (PC Version of QLAB Software) ..........................................................................13
4 Auto 2D Quantification ................................................................................................. 15
a2DQ Fundamentals ............................................................................................................ 15
a2DQ Workflows .................................................................................................................. 16
aEF-FAC Region of Interest Tasks ................................................................................16
aTMAD Region of Interest Tasks ..................................................................................16
Overlays and Measurements Tasks .............................................................................16
Show and Hide Tasks ...................................................................................................16
a2DQ Preferences ................................................................................................................ 17
a2DQ Workflow Procedures ................................................................................................ 17
Adding an aEF/FAC Apical Trace ..................................................................................17
Editing an aEF/FAC Border ROI ....................................................................................18
Adjusting a SAX ROI .....................................................................................................18
Drawing BiPlane ROIs ...................................................................................................18
Adding Time Measurements to the Waveform ...........................................................18
Adding Anchor Points for aTMAD Quantification ........................................................19
2D Cardiovascular Reports ................................................................................................... 19
Image Acquisition for a2DQ ................................................................................................. 20
5 Auto Cardiac Motion Quantification ............................................................................. 21
aCMQ Workflows ................................................................................................................. 21
Cardiac Cycles Tasks .....................................................................................................21
Region of Interest Tasks ...............................................................................................21
Global Results Tasks .....................................................................................................21
aCMQ Preferences ............................................................................................................... 22
aCMQ Fundamentals ........................................................................................................... 23

Contents
aCMQ Workflow Procedures ............................................................................................... 23

Adding an Apical ROI Manually ....................................................................................23
Editing an Apical ROI ....................................................................................................23
Editing a SAX ROI .........................................................................................................24
Drawing BiPlane ROIs ...................................................................................................24
Global Results ...................................................................................................................... 25
aCMQ References ................................................................................................................ 25
6 Cardiac Motion Quantification Stress ............................................................................ 27
CMQ-Stress Workflow ......................................................................................................... 27
Cardiac Cycle Tasks ......................................................................................................27
CMQ-Stress Preferences ...................................................................................................... 27
CMQ-Stress Fundamentals .................................................................................................. 28
CMQ-Stress Workflow Procedures ...................................................................................... 28
Adding an Apical ROI ...................................................................................................29
CMQ-Stress Results .............................................................................................................. 30
Global Results ...................................................................................................................... 31
7 Cardiac 3D Quantification ............................................................................................. 33
Cardiac 3DQ Workflow Procedures ..................................................................................... 33
Editing a Template Trace .............................................................................................33
8 Cardiac 3D Quantification Advanced ............................................................................. 35
Image Acquisition for Cardiac 3DQ Advanced .....................................................................35
9 Mitral Valve Navigator .................................................................................................. 37
Aligning the Image ............................................................................................................... 37
10 General Imaging 3D Quantification ............................................................................... 39
GI3DQ Controls .................................................................................................................... 39
Advanced Measurements ............................................................................................39
GI3DQ Fundamentals ........................................................................................................... 39
Image Presentation Views ...........................................................................................39
Navigation Guides ........................................................................................................40
MPR Crosshair Rotation Options .................................................................................40
iSlice View ....................................................................................................................40
GI3DQ Procedures ............................................................................................................... 41

Contents
Selecting a View ...........................................................................................................41

Cropping an MPR View ................................................................................................41
Adding a 3 Distance Volume Measurement ................................................................41
GI3DQ Results ...................................................................................................................... 42
11 Strain Quantification ..................................................................................................... 43
SQ Basic Controls ................................................................................................................. 43
SQ Procedures ..................................................................................................................... 43
Selecting a Sub-Region .................................................................................................43
12 Region of Interest Quantification .................................................................................. 45
ROI Preferences ................................................................................................................... 45
ROI Fundamentals ............................................................................................................... 45
ROI Curve Fitting ..........................................................................................................45
ROI Drawing Edits ........................................................................................................45
13 General Imaging Parametric Quantification (PC Version of QLAB Software) .................. 47
GIPQ Preferences ................................................................................................................. 47
GIPQ Procedures .................................................................................................................. 48
Editing an ROI Border ..................................................................................................48
14 Vascular Plaque Quantification ..................................................................................... 49
VPQ Workflow Procedures .................................................................................................. 49
15 Elastography Analysis ................................................................................................... 51
EA Procedures ...................................................................................................................... 51
16 Elastography Quantification .......................................................................................... 53
EQ Procedures ..................................................................................................................... 53
17 QLAB Compatibility Tables ............................................................................................ 55

Contents

Read This First
1 Read This First

This User Information Update extends and enhances the information contained in the user
information provided with the QLAB software. The information in this update corresponds to
the sections and headings in your user information. This manual provides information for both
the QLAB software integrated with the ultrasound system and for the PC version of the QLAB
software. Information that applies to a specific version is noted.
Please keep this update with your ultrasound system or workstation.

Read This First

Cinebar Controls QLAB Software
2 QLAB Software
The information in this section extends and enhances the information contained in the user
information provided with the QLAB software. Be sure to read the user information provided
with your QLAB software and strictly observe all warnings and cautions.
Cinebar Controls
Before you can use the spacebar to play or pause a loop, the pointer must be in the QLAB
image area. To play or pause the loop, do any of the following:
• Move the pointer over the image and press the spacebar.
• Use the Play or Pause controls in the cinebar.
Exporting Data (PC Version of QLAB Software)

In the ROI and GIPQ Q-Apps, you can choose to include either summary data or all data in the
exported .xls file. See “ROI Preferences” on page 45 and “GIPQ Preferences” on page 47.
QLAB System Requirements (PC Version of QLAB

Software)
In addition to the operating systems listed in the QLAB User Manual, the QLAB software also
supports the following:
• Windows 8.1, 32-bit
• Windows 8.1, 64-bit
• Windows 8, 32-bit
• Windows 8, 64-bit

QLAB Software QLAB System Requirements (PC Version of QLAB Software)

Studies (PC Version of QLAB Software) Studies
3 Studies
Studies (PC Version of QLAB Software)
For more information about working with studies, see the QLAB Help or the QLAB User Manual.
Data Panel (PC Version of QLAB Software)

Disregard references to the Remote Data section of the Data Panel and to the User Selectable
Repository in the QLAB Help and in the QLAB User Manual.
Disregard the topic titled "Archiving Data to a DICOM Archive" in the QLAB Help and in the
QLAB User Manual. The QLAB software cannot access data storage locations on a PACS or a
DICOM device connected to your network.
Browsing to DICOM Data Locations (PC Version of QLAB Software)

1. Click the Studies tab.
2. On the Data panel, in the Local Data area, right-click Browse to Files and select Open New
Tab.
3. On the Data panel, right-click Browse to Files again and select Open....
4. Browse to the location of your local DICOM data, select the DICOMDIR file, and then click
Open.
The tab you created in step 2 is populated with the data from your local DICOM data
source.

Studies Data Panel (PC Version of QLAB Software)

a2DQ Fundamentals Auto 2D Quantification
4 Auto 2D Quantification
For more information about the a2DQ Q-App, see the QLAB Help or the QLAB User Manual.
Auto ROI
Automated border detection (Auto ROI) is not available on image loops acquired by Philips
pediatric and TEE transducers.
aTMAD Workflow
The aTMAD workflow uses automated tracking that is applied to all frames in the image loop to
track the location of the midpoint of the annulus through the current beat.
a2DQ Fundamentals
Auto Tissue Motion Annular Displacement (aTMAD)
The Auto Tissue Motion Annular Displacement (aTMAD) workflow provides global cardiac
quantification based on angle-independent tracking of the cardiac valve's annular motion
through the current beat.
a2DQ Support for Smart Exams and Stress Exams

If an exam protocol (also called a "Smart Exam") has been defined on your ultrasound system,
or if you acquire an image during a Stress Exam, each loop you acquire has a defined view
name. For example, your protocol may include the AP4 and AP2 views for longitudinal strain,
and the SAX M view for circumferential strain.
NOTE
For information about working with exam protocols, see the Help for your ultrasound system.

Auto 2D Quantification a2DQ Workflows
When you load one or more of these views into the a2DQ Q-App, the appropriate ROI template
is selected automatically as you move from view to view. All you need to do manually to
quantify each view is:
• For the AP4 and AP2 views, set the annular and apical points.
• For the SAX M view, fit the ROI to the myocardium.
a2DQ Workflows
aEF-FAC Region of Interest Tasks
You can perform the following task in addition to the aEF-FAC Region of Interest tasks
described in the QLAB Help.
Name Description
Loop <#> Displays the selected loop in the image area.
aTMAD Region of Interest Tasks

Apical three-chamber (AP3) view is not supported for the Automated Tissue Motion Annular
Displacement (aTMAD) region of interest.
Disregard this entry in the table in the QLAB Help.
Overlays and Measurements Tasks

Function is not an available control in the Overlays and Measurements section of the control
panel. Disregard this entry in the table in the QLAB Help.
Show and Hide Tasks

Waveform is not an available task in the Show and Hide section of the control panel.
Disregard this entry in the table in the QLAB Help.
To show or hide the waveform display, select or deselect Show Waveform in the a2DQ
preferences. See “a2DQ Preferences” on page 17.

a2DQ Preferences Auto 2D Quantification
a2DQ Preferences
The following preferences are available in the aEF/FAC preferences and in the aTMAD
preferences, in addition to those listed in the QLAB Help.
Name Description
Playback Loop An Overlay/Loop preference. Select this preference to
play the loop by default.
Show Waveform A Waveform Display preference. This setting controls
the display of the waveform.
Transparency An Overlay/Loop preference. Sets the transparency of
image overlays.
a2DQ Workflow Procedures

The Q-App procedures vary somewhat, depending on how the ultrasound image data is
acquired. The following is a typical scenario for the workflow tasks or image-processing
procedures. The scenario provides an overview of the tasks involved in using the Q-App. For the
concepts you should understand, see the topics on fundamentals.
1. Select the workflow.
2. If the image is from a Smart Exam or a Stress Exam, select a view.
3. Draw the appropriate border on the image. This step applies only if you draw the ROI
manually.
4. In the Overlays and Measurements section of the control panel, select an overlay and
select an appropriate CK Mode.
5. View the report under the Results section of the control panel (aEF/FAC workflow only).
6. Save and export results and modified images.
Adding an aEF/FAC Apical Trace

For apical templates, place the first reference point on the left side of the image at the mitral
valve, place the second reference point at the right side of the mitral valve, and then place the
third reference point at the apex of the left ventricle.

Auto 2D Quantification a2DQ Workflow Procedures
NOTE
To achieve accurate and consistent segmentation, the placement of the anchor or reference
points must be aligned with the view type. For apical four-chamber views, place the points on
the septal wall, the lateral wall, and then the apex. For apical two-chamber views, place the
points on the inferior wall, the anterior wall, and then the apex.
1. Select the aEF/FAC workflow.

2. Select a frame from the loop.
3. Select the view (AP4 or AP2).
4. Click on the left of the mitral valve.
5. Click on the right of the mitral valve.
6. Click the apex.
Editing an aEF/FAC Border ROI

Adjust the placement of the border for image frames where the blood-tissue border is not well
defined or accurately applied.
1. In the Region of Interest section of the control panel, click Edit.
The ROI border and editing points are highlighted.
2. Adjust the editing points as needed.
3. When the edit is complete, click Compute to calculate the results.
Adjusting a SAX ROI

You can adjust the SAX ROI on any frame in the loop.
For more information about adjusting the SAX ROI, see the QLAB Help.
Drawing BiPlane ROIs

In the aTMAD workflow, you can draw BiPlane ROIs on any frame in the loop.
For more information about drawing BiPlane ROIs, see the QLAB Help.
Adding Time Measurements to the Waveform

You can measure the time between any two data points in the same waveform type for a single
image sequence.

a2DQ Workflow Procedures Auto 2D Quantification
You can either add time measurements or compare points on a waveform. To enable time
measurements, you must click Time Caliper.
1. Select the waveform type.
2. In the Overlays and Measurements section of the control panel, click Time Caliper.
3. Click to select the first point of interest.
A selected data point is designated by a white crosshair through the point.
4. Click a second image data point to select it.
A green measurement line appears. When you set the second point, the line is labeled and
the measurement label appears in the results.
Adding Anchor Points for aTMAD Quantification

When adding anchor points for aTMAD quantification, the third anchor should be placed into
the myocardium near the pericardium.
For more information about adding anchor points, see the QLAB Help.
2D Cardiovascular Reports
The 2D cardiovascular reports do not include Delta Time. Disregard this entry in the table in the
QLAB Help.
The following results are available in addition to the results listed in the QLAB Help.
Name Description
Biplane EDV Indicates the average of the AP2 and AP4 EDV values.
Biplane ESV Indicates the average of the AP2 and AP4 ESV values.
Biplane EF Indicates the average of the AP2 and AP4 EF values.

Auto 2D Quantification Image Acquisition for a2DQ
Image Acquisition for a2DQ

The performance and results obtained depend upon the quality of the image data that you
intend to analyze. The following can improve image quality and your quantification results:
• Use a good ECG signal and acquire one or more heart beats.
• Whenever possible, you can ask the patient to suspend breathing for a few seconds during
image acquisition to minimize translation of the heart.
• Ensure the apical views are not foreshortened.
• Set the gain levels high during acquisition to ensure a good dynamic range.
• Ensure all cardiac structures are clearly and completely within the data volume.
• Take care to eliminate artifacts from the surroundings of the heart. Items such as rib
artifacts and shadowing inhibit the tracking accuracy.
• Use a high frame rate during acquisition.
• Avoid out-of-plane motion on the short-axis image.
• XRES processing can be on or off.
NOTE
For EPIQ systems, iU22 systems, and iE33 systems, set the 2D Native Data Export option.
NOTE
When acquiring images on the iU22 and iE33 ultrasound systems, ensure that you do not have
both black-and-white and color suppression enabled.

aCMQ Workflows Auto Cardiac Motion Quantification
5 Auto Cardiac Motion Quantification

For more information about the aCMQ Q-App, see the QLAB Help or the QLAB User Manual.
Auto ROI
Automated border detection (Auto ROI) is not available on image loops acquired by Philips
pediatric and TEE transducers.
aCMQ Workflows
Cardiac Cycles Tasks
The following control is available, in addition to those listed in the QLAB Help.
Name Description
Manual Allows you to enter cardiac phase data.
Region of Interest Tasks

Next Loop and Prev. Loop are not available tasks in the following sections of the control panel:
• Global Region of Interest
• User-Defined Region of Interest
• aTMAD Region of Interest
• BiPlane Region of Interest
Disregard these entries in the tables in the QLAB Help.
To select a loop, use the Loop <#> control.
Global Results Tasks

The Global Results section of the control panel allows you to perform the following task:

Auto Cardiac Motion Quantification aCMQ Workflows
Name Description
Export BE Enables you to create a secondary capture for each
displayed bull's-eye plot and export it.
Show and Hide Tasks

Waveform is not an available task in the following sections of the control panel:
• Global Show and Hide Tasks
• User-Defined Show and Hide Tasks
• aTMAD Show and Hide Tasks
Disregard this entry in the tables in the QLAB Help.
To show or hide the waveform, select or deselect Show Waveform in the Global, the
User‑Defined, or the aTMAD preferences.
aCMQ Preferences
The following preferences are available, in addition to those listed in the QLAB Help.
Name Description
Default Myocardial Transit (Global preferences only) An ROI preference setting that allows you to change the
default band width of the region of interest.
Fixed Y Scale Waveforms (Global preferences only) A Waveform Display preference setting that controls the
vertical scale used on the waveform display. If selected,
the data is graphed against a fixed scale. If deselected,
the data is graphed against a relative scale.
image overlays.

aCMQ Fundamentals Auto Cardiac Motion Quantification
aCMQ Fundamentals
Workflow-Driven Analysis
Global Results are available only if you use the Global workflow.
Auto Tissue Motion Annular Displacement (aTMAD)

The Auto Tissue Motion Annular Displacement (aTMAD) workflow provides global cardiac
quantification based on angle-independent tracking of the cardiac valve's annular motion
through the current beat.
Cardiac Cycles
QLAB software can import mechanical timing data derived from Doppler measurement analysis
performed on some ultrasound systems. For more information, see the Help for your
ultrasound system.
aCMQ Workflow Procedures

Adding an Apical ROI Manually
third reference point slightly into the endocardial border in the left ventricle.
For more information about adding an apical ROI, see the QLAB Help.
Editing an Apical ROI

defined or accurately applied.
The ROI border and editing points are highlighted.
2. Adjust the editing points as needed.
3. When the edit is complete, click Compute to calculate the results.

Auto Cardiac Motion Quantification aCMQ Workflow Procedures
Editing a SAX ROI

defined or accurately applied, or manually draw a new border.
2. Click on the part of the region to be adjusted.
3. Drag the active border region into a new shape or position.
4. Click to release the anchor point.
5. Click Compute to calculate the results.
Drawing BiPlane ROIs

In the aTMAD workflow, you can draw BiPlane ROIs on any frame in the loop.
For more information about drawing BiPlane ROIs, see the QLAB Help.

image sequence.

Global Results Auto Cardiac Motion Quantification
Global Results
The following results values are displayed to the right of the bull's eye diagrams in addition to
those listed in the QLAB Help:
• Biplane EDV Indicates the average of the AP2 and AP4 EDV values.
• Biplane ESV Indicates the average of the AP2 and AP4 ESV values.
NOTE
The diagram captioned "Pseudo 17 Solid Color Bull's Eye" in the QLAB Help is actually a Rotated
17 Smooth Color Bull's Eye.
aCMQ References
The following reference applies to aCMQ, as well as the references listed in the QLAB User
Manual.
Chan, R., Manzke, R., Dalal, S., et al. "Image-based speckle tracking for tissue motion
characterization in a deformable cardiovascular phantom." Proc. SPIE 6920, Medical Imaging
2008: Ultrasonic Imaging and Signal Processing, 69200U, 2008.

Auto Cardiac Motion Quantification aCMQ References

CMQ-Stress Workflow Cardiac Motion Quantification Stress
6 Cardiac Motion Quantification Stress

For more information about the CMQ-Stress Q-App, see the QLAB Help or the QLAB User
Manual.
CMQ-Stress Workflow
Cardiac Cycle Tasks
Name Description
Manual Allows you to enter cardiac phase data.
Show and Hide Tasks

Waveform is not an available task in Show and Hide section of the control panel. Disregard this
entry in the table in the QLAB Help.
To display the waveform, select Show Waveform in the CMQ-Stress preferences. See “CMQ-
Stress Preferences” on page 27.
CMQ-Stress Preferences
The following preferences are available, in addition to those listed in the QLAB Help.

Cardiac Motion Quantification Stress CMQ-Stress Fundamentals
Name Description
Default Myocardial Transit An ROI preference setting that allows you to change the
default band width of the region of interest.
Fixed Y Scale Waveforms A Waveform Display preference setting that controls the
vertical scale used on the waveform display. If selected,
the data is graphed against a fixed scale. If deselected,
the data is graphed against a relative scale.
image overlays.
CMQ-Stress Fundamentals
Cardiac Cycles
QLAB software can import mechanical timing data derived from Doppler measurement analysis
performed on some ultrasound systems. For more information, see the Help for your
ultrasound system.
CMQ-Stress Workflow Procedures

The Q-App procedures vary somewhat, depending on how the ultrasound image data is
acquired. The following is a typical scenario for the workflow tasks or image-processing
procedures. The scenario provides an overview of the tasks involved in using the Q-App. For the
concepts you should understand, see the topics on fundamentals.
NOTE
The CMQ-Stress Q-App does not support Philips stress ECG data. Disregard these topics in the
QLAB Help: "Associating Stress Stages with ECG Events," "Associating Stress Views with ECG
Leads," and "Scrolling ECG Traces Within a Stage."

CMQ-Stress Workflow Procedures Cardiac Motion Quantification Stress
1. Select a stage and, optionally, a view or subloop on the Stages/Cardiac Cycles/View section
of the control panel.
2. Click the Region of Interest section of the control panel and draw the appropriate border
on the image.
3. Click the Overlays and Measurements section of the control panel and then adjust the
parametric overlay and waveforms to suit the data. If necessary, compute the results again.
4. To browse to a different loop, click Prev. Loop or Next Loop.
5. On the Global Results tab, do any of the following:
• Select a per-stage or summary results to view.
• Export bull's-eye plots.
6. Save and export results and modified images.
Adding an Apical ROI

third reference point at the highest point in the left ventricle.
NOTE
To achieve accurate and consistent segmentation, the placement of the anchor or reference
points must be aligned with the view type. For apical four-chamber views, place the points on
the septal wall, the lateral wall, and then the apex. For apical two-chamber views, place the
points on the inferior wall, the anterior wall, and then the apex.
1. Select the view (AP4, AP3, or AP2).

2. Click on the left of the mitral valve.
3. Click on the right of the mitral valve.
4. Click the apex.
5. Adjust the placement of the border if necessary.
The tracking algorithm and results computation run automatically, and the borders are
displayed on the image.

Cardiac Motion Quantification Stress CMQ-Stress Workflow Procedures

image sequence.
CMQ-Stress Results
The following results are available, in addition to those listed in the QLAB Help.
Name Description
EDV End-diastolic volume of the left ventricle derived from an
area measurement taken at the R-wave of the cardiac
cycle.
EF Ejection fraction. A value derived from the end-diastolic
volume and end-systolic volume measurements,
representing the percentage of the blood emptied from
the ventricle during contraction.
ESV End-systolic volume of the left ventricle derived from an
area measurement taken at the end-systole of the
cardiac cycle.

Global Results Cardiac Motion Quantification Stress
Global Results
The following results values are displayed to the right of the bull's eye diagrams in addition to
those listed in the QLAB Help:
• Biplane EDV Indicates the average of the AP2 and AP4 EDV values.
• Biplane ESV Indicates the average of the AP2 and AP4 ESV values.

Cardiac Motion Quantification Stress Global Results

Cardiac 3DQ Workflow Procedures Cardiac 3D Quantification
7 Cardiac 3D Quantification
For more information about the Cardiac 3DQ Q-App, see the QLAB Help or the QLAB User
Manual.
Cardiac 3DQ Workflow Procedures

Editing a Template Trace
When you manipulate the borders of a template trace or when you hover the cursor over a
border, the yellow border lines thicken. When you move the pointer over a border, the chords
of the template are removed, and the mitral annulus anchor points and apex anchor points
become yellow squares.
To move an anchor point, click the corresponding yellow square to activate the anchor point.
To manipulate the border anchor points, move the pointer near the border contour, and one or
more of the anchor points along the border become small yellow circles.
Previous versions of the QLAB software turned manipulated borders green and displayed
anchor points in green.
For more information about editing a template trace, see the QLAB Help.

Cardiac 3D Quantification Cardiac 3DQ Workflow Procedures

Image Acquisition for Cardiac 3DQ Advanced Cardiac 3D Quantification Advanced
8 Cardiac 3D Quantification Advanced

For more information about the Cardiac 3DQ Advanced Q-App, see the QLAB Help or the QLAB
User Manual.
Image Acquisition for Cardiac 3DQ Advanced
WARNING
A foreshortened left ventricle in the MPR views results in inaccurate volume calculations.
Cardiac 3DQ Advanced does not calculate mass.

Cardiac 3D Quantification Advanced Image Acquisition for Cardiac 3DQ Advanced

Aligning the Image Mitral Valve Navigator
9 Mitral Valve Navigator

For more information about the MVN Q-App, see the QLAB Help or the QLAB User Manual.
Aligning the Image

MVN does not support transthoracic acquisitions. Disregard the note regarding transthoracic
acquisitions in the QLAB Help.

Mitral Valve Navigator Aligning the Image

GI3DQ Controls General Imaging 3D Quantification
10 General Imaging 3D Quantification

For more information about the GI3DQ Q-App, see the QLAB Help or the QLAB User Manual.
GI3DQ Controls
Measurements and their corresponding results and mesh appear in the same color. This feature
enables you to easily identify which measurement corresponds to which result and to which
mesh.
Advanced Measurements
Name Description
3 Distance Volume Activates the tool for calculating volume derived from
three distance measurements.
GI3DQ Fundamentals
Image Presentation Views
The GI3DQ controls provide a variety of combinations for the presentation of image data. The
options are distributed among the View, iSlice, Trim/Crop, and Image Adjust tabs.
Disregard references in the QLAB Help to the Volume and MPR tabs.
Slab
The Slab option is on the Trim/Crop tab.

General Imaging 3D Quantification GI3DQ Fundamentals
Slice Plane
The Slice Plane option is on the View tab.
Navigation Guides
The MPR X-Hair options are on the View tab. Disregard references in the QLAB Help to the
Volume and MPR tabs.
MPR Crosshair Rotation Options

The MPR Link navigation control is on the View tab. Disregard references in the QLAB Help to
the Volume and MPR tabs.
iSlice View
The iSlice view presents the source MPR as a series of slices. You can select the source MPR for
the slices, the layout of the slices, the depth and interval of the slices, and the number of slices.
The orthogonal MPR views display the guides for the slices, as shown below. When the number
of slices exceeds the display grid, the presentation indicates the visible slices using solid lines
and the slices outside of the displayed grid appear as dotted lines. You can move the grid up
and down the slices or increase the number of slices shown in the grid.
The 3D Volume view is replaced with a grid, the size of which is determined by the Layout
selection. The Layout grid sizes are: 2x2, 3x3, 4x4, and 5x5. Depending on the number of slices
you have set, you may see some or all of the slices. You can use Slice Up and Slice Down to
change the slices displayed in the grid. Slice Down moves the slices closer to the first slice. Slice
Up moves the slices closer to the last slice.
Each image in the grid is numbered and the number corresponds to the slice guide numbers.
iSlice Slice Guide

GI3DQ Procedures General Imaging 3D Quantification
The Depth (mm) control sets the location for the first slice. As you decrease the depth, the first
slice moves towards the transducer position in the Source control. As you increase the depth,
the first slice moves away from the transducer position in the Source control.
The Interval (mm) control sets the width of the slices. The slices are equal widths. The Interval
(mm) multiplied by the Slices gives you the entire width of the series of slices. For example: An
image with Slices set to 10 and Interval (mm) set to 3.5 mm has a total slice width of 35 mm.
You can set the number of Slices to any value between 4 and 30.
GI3DQ Procedures
Selecting a View
You can organize the presentation of image data by using the Layout optimization controls.
1. Click the iSlice tab.
2. Click the Layout (2x2, 3x3, 4x4, or 5x5).
Cropping an MPR View

The Trim Mode option ROI Box is on the Trim/Crop tab. Disregard references in the QLAB Help
to the MPR tab.
Adding a 3 Distance Volume Measurement

This measurement uses three distances drawn within a single MPR view or across multiple MPR
views to calculate a volume. You cannot edit a 3 Distance Volume measurement after you
create it.
1. Click the Tools tab in the control panel.
2. Click Advanced Measurements.
3. Click 3 Distance Volume.
4. Click the initial anchor position in any MPR view.
5. Right-click the terminal anchor position.
6. Repeat steps 4 and 5 until you have completed three distance measurements.
The three distance measurements and the volume value appear in the results.

General Imaging 3D Quantification GI3DQ Results
GI3DQ Results
The following results are available, in addition to those listed in the QLAB Help.
Name Description
Dist 1 The length in cm
Volume The volume in ml, derived from the three distance
measurements.

SQ Basic Controls Strain Quantification
11 Strain Quantification
For more information about the SQ Q-App, see the QLAB Help or the QLAB User Manual.
SQ Basic Controls
The following controls are not available in the SQ Q-App:
• Clear Toggles
• Clear Sub Regions
• Disable Time Measurements
• Enable Time Measurements
Disregard these entries in the table in the QLAB Help.
To return to the full display from a sub-region, press T (on the keyboard). See “Selecting a Sub-
Region” on page 43.
To enable time measurements, use the Time Caliper control. See “Adding Time Measurements
to the Waveform” on page 43.
SQ Procedures
Selecting a Sub-Region
To return to the full display after selecting a sub-region, press T (on the keyboard).
For more information about selecting a sub-region, see the QLAB Help.

image sequence.

Strain Quantification SQ Procedures

ROI Preferences Region of Interest Quantification
12 Region of Interest Quantification

For more information about the ROI Q-App, see the QLAB Help or the QLAB User Manual.
ROI Preferences
The following preferences are available in the ROI preferences in the PC version of the QLAB
software, in addition to those listed in the QLAB Help.
Name Description
Full Data An Exported Excel Format preference setting. This
setting includes all results in the exported .xls file.
Summary An Exported Excel Format preference setting. This
setting includes only summary information in the
exported .xls file.
ROI Fundamentals
ROI Curve Fitting
The Auto Curve Fit and Clear controls are not available until you select a curve fit type in the
ROI Q-App Curve Fitting preferences.
ROI Drawing Edits

You do not need to select an ROI before editing its borders. Move your pointer over the border
and click a set point to edit. (Earlier versions of the QLAB software required you to right-click
within an ROI drawing, click a result, or press the Tab key to select an ROI before you could edit
borders.)
When you select or hover over an ROI, the thickness of the ROI outline increases. (Earlier
versions of the QLAB software displayed selected ROI outlines in green.)

Region of Interest Quantification ROI Fundamentals

General Imaging Parametric Quantification (PC Version of QLAB
GIPQ Preferences
Software)
13 General Imaging Parametric

Quantification (PC Version of QLAB
Software)
For more information about the GIPQ Q-App, see the QLAB Help or the QLAB User Manual.
NOTE
The GIPQ Q-App is not available in the United States.
GIPQ Preferences
The following preferences are available for the GIPQ Q-App, in addition to those listed in the
QLAB Help.
Name Description
Full Data An Exported Excel Format preference setting. This
setting includes all results in the exported .xls file.
Summary An Exported Excel Format preference setting. This
setting includes only summary information in the
exported .xls file.

General Imaging Parametric Quantification (PC Version of QLAB GIPQ Procedures
Software)
GIPQ Procedures
Editing an ROI Border
borders.)

VPQ Workflow Procedures Vascular Plaque Quantification
14 Vascular Plaque Quantification

For more information about the VPQ Q-App, see the QLAB Help or the QLAB User Manual.
VPQ Workflow Procedures


Vascular Plaque Quantification VPQ Workflow Procedures

EA Procedures Elastography Analysis
15 Elastography Analysis
For more information about the EA Q-App, see the QLAB Help or the QLAB User Manual.
NOTE
The EA Q-App is only available in the United States.
EA Procedures
borders.)

Elastography Analysis EA Procedures

EQ Procedures Elastography Quantification
16 Elastography Quantification
For more information about the EQ Q-App, see the QLAB Help or the QLAB User Manual.
NOTE
The EQ Q-App is not available in the United States.
EQ Procedures
borders.)

Elastography Quantification EQ Procedures

QLAB Compatibility Tables
17 QLAB Compatibility Tables

For more information about QLAB image compatibility, see the QLAB User Manual.
2D Images and Loops

The a2DQ and aCMQ Q-Apps support 2D single-plane and 2D BiPlane image loops acquired by
any Philips cardiac transducer.
For BiPlane images in aCMQ, only the aTMAD workflow is supported.
The CMQ-Stress Q-App supports 2D single-plane image loops acquired by any Philips cardiac
transducer.

QLAB Compatibility Tables

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QLAB Advanced Quantification Software

User Information Update

4535 617 50561 Rev A

© 2014 Koninklijke Philips N.V. All rights reserved. Published in USA.

2 QLAB User Information Update 4535 617 50561

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aCMQ Workflow Procedures ............................................................................................... 23

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Selecting a View ...........................................................................................................41

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1 Read This First

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Exporting Data (PC Version of QLAB Software)

QLAB System Requirements (PC Version of QLAB

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Data Panel (PC Version of QLAB Software)

Browsing to DICOM Data Locations (PC Version of QLAB Software)

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a2DQ Support for Smart Exams and Stress Exams

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aTMAD Region of Interest Tasks

Overlays and Measurements Tasks

Show and Hide Tasks

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a2DQ Workflow Procedures

Adding an aEF/FAC Apical Trace

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1. Select the aEF/FAC workflow.

Editing an aEF/FAC Border ROI

Adjusting a SAX ROI

Drawing BiPlane ROIs

Adding Time Measurements to the Waveform

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4. Click a second image data point to select it.

Adding Anchor Points for aTMAD Quantification

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Image Acquisition for a2DQ

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5 Auto Cardiac Motion Quantification

Region of Interest Tasks

Global Results Tasks

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Show and Hide Tasks

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Auto Tissue Motion Annular Displacement (aTMAD)

aCMQ Workflow Procedures

Editing an Apical ROI

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Editing a SAX ROI

Drawing BiPlane ROIs

Adding Time Measurements to the Waveform

4. Click a second image data point to select it.

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6 Cardiac Motion Quantification Stress

Show and Hide Tasks

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