Smartscore 3.5

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
Configuration
Contents at a Glance
3
Select Protocol 6
How to Use SmartScore 9
Report Set Up 21
6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 2

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.

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.

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.

Selecting a protocol
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

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.

e SmartScore Quickstep Technical Guide How to use SmartScore
How To Use SmartScore

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

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.

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.
Under ANALYZE tab IMAGES button
• 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.

ANALYZE tab IMAGES button under the SELECT icon
• 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.

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.

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.
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.

ANALYZE tab REGIONS button DISPLAY icon
• DISPLAY button allows the screen

configuration changes.
• This menu will default

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

DISPLAY icon.

REPORT tab SCORES button
• 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.

REPORT tab PREVIEW icon
• 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.

REPORT tab OUTPUT button
• OUTPUT button allows report

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

OUTPUT button.
• Select the send button to

output patient report according to
user defined preferences.

QUIT tab
• Once completed click on the

quit button to exit software.

e SmartScore Quickstep Technical Guide Preferences
Report Set-Up

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.


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.

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


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


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.


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.


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.


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.


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.


Select Images:
• Pre-select the images to

include in the report.
• Pre-select the number of

images per sheet.


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.


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.

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.

+ 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

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.

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.

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.

PREFERENCES tab PREVIEW icon

Preview:
• Preview the layout

of the report at anytime by
clicking on preview.

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

Smartscore 3.5

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e SmartScore Quickstep Technical Guide

For Investigational Use Only

How to Use SmartScore 9

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 2

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 3

• Preset defaults can be set-up so that

• These defaults will be used on the

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 4

• Defaults can be set for export

• This is linked directly to

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 5

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 6

Select the Series to be analyzed,

Select Cardiac for the

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 7

Create a Shortcut to SmartScore (Optional)

On the browser, select More Software

On the Software Manager, with your

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 8

How To Use SmartScore

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 9

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 10

• Fill in any additional

• Any information supplied

• Colored buttons indicate

• Check marks will indicate

• Scroll bar on the right margin

•These additional fields are

• Depending upon scan set up

NOTE: If scoring a retro-

• The highlighted blue icon in

• Images can be deselected

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 12

• The SELECT box will be used

• This allows the ability to partition

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 13

ANALYZE tab IMAGES button DISPLAY icon

• DISPLAY button allows screen

• This menu will default

• Options can be changed for the

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 14

ANALYZE tab REGIONS button

Select the vessel icon to be

Draw a box around the plaque

The A,B, and C buttons have no

ANALYZE tab REGIONS button DISPLAY icon

• This box can be clicked on and

• The message will then be

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 16

• DISPLAY button allows the screen

• This menu will default

• Options can be changed for the

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 17

• Select the appropriate tab to

NOTE: When printing out

• Click the Send button

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 18

• Patient report can be

• Click the Send button to

6/11/02 GE Medical Systems 2340477-100 Rev 0 Page 19

• OUTPUT button allows report

• Options can be changed for the