TAVI Planning Software: 3mensio Structural Heart™

With the introduction of the Medicare item numbers on January 1st 2018 for TAVI/TAVR, 3mensio Structural Heart™ enables your business to support the provision of this service to your referrers and patients.

CDN are distributing partners for 3mensio from Pie Medical Imaging. We foster close relationships with key opinion leaders which adds value to the surgical and interventional departments we work with. Robust business partnerships with device manufacturers have helped CDN and 3mensio become a leading company in pre-operative planning and sizing software. Local professional support assures you have the help you need, when you need it.

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Optimise your Workflow

The 3mensio Workstation contains two modules: Structural Heart and Vascular. 3mensio Structural Heart contains dedicated workflows to assess structures in the heart in order to plan different procedures. 3mensio Structural Vascular is dedicated to sizing and planning of EVAR, TEVAR and FEVAR procedures in a quick, easy and reliable way.

Its intuitive user interface simplifies your workflow, enabling you to quickly and accurately visualise and analyse the vasculature, aortic and mitral valves. You will generate one report of each session with multiple series and multiple imaging modalities. With 3mensio Structural Heart you can gain better insight into your patient’s pathology and ultimately complete less invasive and more precise procedures.

Key Features

Mitral Valve Assessment

Determine the anatomy and dimensions of your patient’s mitral valve with this dedicated workflow. After loading the data, you’re only one mouse click away from a clear view of the mitral valve cross section. The ED and ES phase and volumes are automatically determined. Trace and evaluate the contour of the valve with a few clicks, which gives a clear view of the saddle-like shape. Calcification can be assessed by using the Hockey Puck.

Measurements & Simulation

3mensio’s Mitral Valve option provides practical tools to assess LV anatomy and perform measurements in 3D space. A possible LVOT obstruction can be assessed using a virtual valve. You can simulate the optimal C-arm rotation with the Angio View.

Aortic Root Automatic Segmentation

Prepare for Aortic Root measurements within a few seconds due to automatic segmentation of the ascending aorta. Manually adjust the lumen centre line and the annulus plane.

Assessment of Anatomy

3mensio Structural Heart offers several tools to efficiently assess the anatomy of the aortic valve.

• MinIP: inspect the anatomy of the valve without the obstruction of the calcifications
• Hockey Puck: assess calcifications from all sides
• Simulated Angio View

Versatile Measurement Capability

• Diameters (perpendicular to the centre line), such as the aortic annulus, the sinotubular junction and the left ventricular outflow tract
• Lengths, for example the distance from the base of the valve to the coronary ostia
• The angulation of the aortic arch
• Calcium scoring

Left Atrial Appendage Workflow

The Left Atrial Appendage Workflow provides a fast view to assess the anatomical shape and orientation of the LAA in 3D. Simply place two landmarks to localise the ostium. The application provides diameters along the LAA and lets you indicate a ring to mark the ostium of the appendage. The Angio View is essential for planning of the procedure. Additionally, Volume Rendered and long-axis views help to understand the anatomical structures in the atrium. Thrombus will easily be recognized throughout the different views.

New Features in Version 10.1

If you are on an older version of 3mensio now is the time to schedule an upgrade to version 10.1. These additional features to empower your clinical process. Upgrade is straightforward and quickly managed by the local CDN support team.

RVOT and Pulmonary Valve Assessment

Segment, define centrelines in Diastolic or Systolic phases, and perform measurements with a few clicks of the mouse. Visualise a simulated stent or conduit with control of the diameter and calculate length of the stent required. Trace the Coronary Arteries, then return to the measurements window and use automatic lumen detection to visualise the arteries.

Tricuspid Analysis

Identify the Tricuspid Annulus in the Long or Short axis view and the RV-Line is automatically generated. Tracing the tricuspid annulus is then an easy process utilising auto-rotation around the RV Line. Edit notations, define the coronary vessel and perform RCA to Annulus measurements easily and quickly. Assess the possible interference of the RV trabeculae using segmentation view and the “Virtual Valve” placement in the images. Finally use the IVC and SVC workflows to assess and measure angles, tortuosity and tangents.

3D Print Output

The 3D print Workflow allows you to create and modify a segmented volume that can be exported as an .STL file. The STL file can be used for example for 3D printing. Add a logo, define the resolution quality and calculate the blood volume before exporting.

Approach Routes Supported

Femoral approach

At the touch of a button, the centre lumen line is presented as a straight line, allowing you to easily and precisely perform length measurements. Use the Stretched View to visualise calcification, vessel diameter and tortuosity of both iliacs in one single overview. Enter the catheter’s French size to see it instantly projected over the complete trajectory. The Angio View lets you simulate the optimal C-arm rotation.

Subclavian approach

Look into vessel diameters, calcifications and tortuosity, all combined in the Stretched View with this workflow dedicated to the subclavian. Have the software automatically draw a centre line through the lumen and simulate the optimal C-arm rotation using the Angio View. This workflow is what you need to enter the OR fully prepared.

Direct Approach

The direct access creates automatically a perpendicular catheter to the aortic valve. The path of the catheter can be followed from valve plane to the skin. Calcifications of the ascending aorta can be assessed for trans-aortic access. Skin, ribs, vessels can be visualised while planning the trans-apical access and can be used to perpendicularly access the mitral and aortic valve. Important arteries like LIMA and RIMA can be traced and visualised in synchronised views as VR or simulated angio views.

Septal Crossing

Appreciate and visualise anatomical structures of the heart on the simulated Angio View. The structures that can be defined are the Aortic Valve, Intra-atrial Septum, Superior and Inferior Vena Cava, Mitral Annulus and/or LAA Ostium Rings.

Coronary CTA

3mensio Coronary CTA can help to assess the coronary arteries for suspect coronary artery disease. Extract the coronary artery tree automatically. Display vessels using stretched and cross-sectional views. Quantify lesions by measuring the vessel diameter at different positions. Prepare your coronary procedures with 3mensio Coronary CTA. Use the simulated angio view to interactively determine the optimal C-arm projection before treatment. Better understanding of vessel overlap and foreshortening allows you to save contrast and radiation during the procedure.

Fast Calcium Scoring

3mensio Calcium Scoring provides fast and easy quantification of calcifications in the coronary arteries. Classify calcifications with one click and obtain its Agatston score, volume and mass.

Usability is key

Developed with dedicated workflow assistants after selecting the desired workflow, you will be guided through the preparations for measurements.

Direct data import

3mensio Structural Heart works with all major medical imaging formats of US/echo, XA and CTA and can access multiple data stores on the network, CD, DVD, USB or the internet. Connecting to your PACS is as easy as can be.

Easy Installation

The 3mensio Structural Heart software can be installed on virtually any modern Windows based laptop or desktop, eliminating the need for specialised hardware and facilitating communication with your patients.

Local Installation

CDN has a dynamic team of excellent software developers who provide support for 3mensio Structural Heart and 3mensio Structural Vascular in Australia. Based in NSW with a head office in Sydney, CDN is ready to provide installation and support

Where to purchase 3mensio Structural Heart™ TAVI planning software

3mensio Structural Heart is available in Australia from Central Data Networks. If you are interested in receiving a quote, scheduling a demonstration of the software or finding out more, please don’t hesitate to contact us.