Turning images

into answers
Philips QLAB 10 cardiac and vascular ultrasound quantification software
 Providing insight
to support your
clinical decisions
How do you measure confidence? For clinicians around the world, the answer is QLAB.
QLAB is a collection of advanced clinical tools that are fast, easy to use, and provide you
with results that are reproducible and consistent, bringing confidence to every study.

QLAB 10 adds exceptional

power and intelligence to
advanced quantification
• New user interface
• New Q-Apps that utilize anatomical intelligence
• Exam worklist instead of an image-based interface
for ease of use
• Patient study management, image review,
and advanced visualization and quantification

When you use QLAB, you can rest assured that each You can customize the capabilities of QLAB with
clinical tool is based on proven algorithms that have been the tools that best suit your needs, whether simply
field-tested in rigorous research environments. QLAB to determine ejection fraction or when dealing with
is designed to make it easy to get the data you need the complexities of managing cardiovascular disease,
to drive decisions that can result in quality patient ischemia, heart failure, structural heart disease, or the
care and operational efficiencies. oncology patient receiving cardio-toxic chemotherapy.

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 QLAB is for you if you
are interested in
• Proven quantification for exams that
are easier to perform, more reproducible,
Anatomical Intelligence Ultrasound (AIUS)
and deliver new levels of clinical information
AIUS is designed to elevate the ultrasound system from
• Viewing, manipulating, and measuring
a passive to an actively adaptive device. With advanced
3D data sets
organ modeling, image slicing, and proven quantification,
• Advanced image analysis tools for
exams are easier to perform, more reproducible,
2D and 3D quantification and color
and deliver new levels of clinical information.
Doppler quantification
• Performing contrast studies
AIUS ranges from automating repetitive steps
• Off-cart cardiac viewing, rendering
to full-blown computer-driven analysis with minimal
and advanced quantification in 2D, color,
user interaction – all using anatomic intelligence and
and 3D imaging modes
all providing the results you need. In fact, many of our
• Creating graphic files in BMP, TIF,
tools come with ZeroClick technology, which means
JPG, MOV, WMV, and AVI formats
that, once loaded, the tool does it all for you.
for presentation purposes
• Comprehensive measurement reporting

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The following Q-Apps are available with QLAB 10
Q-App Clinical Application Benefit
Intima Media Automatic carotid intima media Fast and easy access
Thickness (IMT) thickness measurement to IMT data

Region of Interest Echo contrast and color images Extract acoustic data
(ROI) from images

Strain Quantification Provides functional data from color Derive displacement, strain,
(SQ) tissue Doppler velocities and strain rate

Advanced 2D Q-Apps
Automated • Automatic border detection of LV • The ideal tool of every
2D Cardiac • Rapid access to proven 2D EF echo lab, a2DQA.I. gives
QuantificationA.I. and volumes 2D EF with one click on
(a2DQA.I.) • Choose between the Biplane every patient without any
Simpson’s method/TMAD manual tracing
(using annulus motion) • TMAD provides a validated
index that correlates with
EF, which is especially useful
on the technically difficult
patient

Automated • Based upon 2D speckle tracking Fast and easy way to acquire
Cardiac Motion • Automatically places a ROI based both EF and GLS at the same
QuantificationA.I. upon the selected anatomical time on the images acquired
(aCMQA.I.) view and generates measurements
of both global and regional
myocardial functions
• Provides a table, 17-segment
bull's-eye, and a variety of
waveform displays
• LV ejection fraction (EF),
end systolic volume (ESV),
and end diastolic volume (EDV)
also provided

* Note: Not all Q-Apps are compatible with all products. Please contact your sales representative for additional information.
Utilizes Anatomical Intelligence
A.I.

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 Advanced 2D Q-Apps (continued)
CMQ Stress Based on 2D speckle tracking Fast and easy-to-use interface
technology, provides a method designed specifically for stress
for assessing global, regional, echo exams
and local cardiac function
at rest and peak exercise

Advanced 3D Q-Apps
Cardiac 3D View, slice, and display 3D volumes Ability to manipulate 2D
Quantification and measure distance and areas planes to get more accurate
(3DQ) from 2D MPR views to get biplane biplane 2D EF with no
LV volume, ejection fraction (EF), foreshortening
and LV mass calculations

Advanced Cardiac • Measures LV endocardial volumes, • Semi-automated Q-App to

3D Quantification stroke volume (SV), and true measure global 3D ejection
(3DQA) 3D ejection fraction (EF) using fraction with no geometric
semi-automated border detection assumption
in 3D space • Also provides simultaneous
• Offers timing assessment for each timing information for heart
of 17 minimal regional volumes failure assessment
and determines a synchronicity
index for all volume segments
or a user-selectable group of
volume segments

Mitral Valve NavigatorA.I. • Easy-to-use guided tool to • Easy-to-interpret model

(MVNA.I.) provide a comprehensive list of in eight guided steps
MV and its supporting anatomical • More basic measurements
measurements and calculations regarding annulus and leaflet
• Requires a volume from can be acquired in just
Live 3D TEE four steps

* Note: Not all Q-Apps are compatible with all products. Please contact your sales representative for additional information.
Utilizes Anatomical Intelligence
A.I.

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 Accurate and fast
ejection fraction
calculations
An essential component of nearly every echo exam, ejection fraction is among the chief
echocardiographic parameters predictive of impending left ventricular dysfunction and clinical
deterioration, and is an important factor to consider when planning surgical correction.

Common methods, such as M-mode or 2D distance (M-mode parasternal long axis)

measurements are quick and well-established. However, they may sacrifice accuracy for speed,
which is particularly problematic given that small differences in ejection fraction can indicate
considerable differences in patient management.

Automated Cardiac 2D QuantificationA.I.

The QLAB solution suite (a2DQA.I.) with ZeroClick technology

The ideal tool of every echo lab, a2DQA.I. with

for ejection fraction (EF) ZeroClick technology utilizes anatomical intelligence

and uses Auto-ROI to drive the automatic border
detection of the LV and provide rapid access
• Automated Cardiac 2D QuantificationA.I. – a2DQA.I.
to proven 2D EF and volumes.
• Automated Cardiac Motion QuantificationA.I. – aCMQA.I.
• Cardiac 3D Quantification – 3DQ
Automated Cardiac Motion QuantificationA.I.
• Advanced Cardiac 3D Quantification – 3DQ Advanced
(aCMQA.I.) with ZeroClick technology
The ZeroClick technology of aCMQA.I. uses speckle
mechanics to provide reproducible 2D Global
Longitudinal Strain (GLS) speckle measurements.
Speckle provides predictive information in many cardiac
pathologies and has been validated to show outcomes
in heart failure and aortic stenosis. An accurate EF
can also be obtained simultaneously, giving you access
to both EF and GLS at the same time.

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Cardiac 3D Quantification (3DQ) Cardiac 3D Quantification Advanced (3DQA)
Cardiac 3D Quantification (3DQ) allows you to view, Cardiac 3D Quantification Advanced (3DQ Advanced)
crop, rotate, and perform advanced measurements, revolutionizes echo quantification and extends the
such as biplane LV mass and EF, on Live 3D echo images. diagnostic power of Live 3D echo by providing
Because 3DQ uses the 3D data set generated by an semi-automated, on-cart and off-cart analysis of true
xMATRIX transducer, it avoids some of the geometric LV volumes – using all the voxels to generate a full
problems that are common with conventional 2D 3D endocardial border. 3DQA computes 3D LV global
methods of measuring EF, such as apical foreshortening. and regional volumes and EF, allowing a complete
LV function and timing assessment in few minutes.

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Less guesswork
in diagnosing ischemia
Stress echo can be the first line of defense The QLAB solution suite
in diagnosing ischemia. But if the study is for ischemia
inconclusive, stress echo becomes a time-wasting
detour on the road to diagnosis and treatment. Complementing these technologies, QLAB offers several
tools that enhance the efficacy, efficiency, and objectivity
of stress exams.

One of the biggest challenges to conclusive studies Ischemic heart disease

is obtaining consistent views at rest and peak stress. • Automated Cardiac Motion QuantificationA.I – aCMQA.I
Subjective and operator-dependent, stress echo • Automated Cardiac Motion Quantification Stress Echo
diagnosis can be an exercise in frustration for – CMQ Stress
patient, cardiac sonographer, and physician alike, • Parametric Quantification and Region of Interest
and indeterminate studies lead to unnecessary time, – PQ and ROI
expense, and radiation exposure in the cardiac cath • Any of the EF Q-Apps
lab. Philips has developed echo system technologies
that help make it easier to get the images you need
for conclusive results. PureWave crystals produce
exceptional image quality at frequencies from
1 to 5 MHz, enabling imaging of technically difficult
patients with excellent penetration and few artifacts.

The X5-1 xMATRIX transducer with iRotate provides

an innovative new way to complete an entire stress
echo protocol, including acquisition of four-chamber,
two-chamber and three-chamber 2D images, from
the same window following peak exertion without
moving the transducer.

QLAB tools can be accessed on the Q-Station workstation,

which is fully compatible with Philips StressVue ECG. All stress
stages and views can be sent to Q-Station from StressVue,
where they are automatically loaded for efficient global and
regional quantification using CMQ Stress.

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CMQ Stress
Based on 2D speckle tracking technology, CMQ Stress
provides a new method for assessing global, regional,
and local cardiac function at rest and peak exercise.
These clinical tools offer a suite of measurements
and parametric displays to analyze the layers of the
myocardium and their mechanics without tissue
Doppler imaging angle dependency limitations.
Using the 17-segment ASE left ventricular model,
CMQ Stress provides additional information for many
clinical applications such as regional ventricular wall
motion and global assessments.

Using iRotate Stress, apical views are acquired and analyzed in CMQ Stress,
providing global strain, peak, and time-to peak strain.

Parametric Quantification
Parametric Quantification (PQ) helps you review and
analyze contrast intensities within the heart, further
capture information that is either complex or not
readily apparent in the original images, and express
that data in an easy-to-interpret, color-coded format.

Parametric Quantification supports color-coded representation of contrast

intensity and replenishment rate.

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 Managing heart failure patients
Cardiac Resynchronization Therapy can improve
the survival rates of heart failure patients who
respond to this therapy. However, the established
method of assessment doesn’t always accurately
predict a positive response, resulting in inefficient
and ineffective use of an expensive therapy.
Any new assessment method must be easily
integrated into standard echo studies. In addition,
it would be useful to have a tool to plan where
to place pacemaker electric leads to correct
the asynchronous beating of the left and
right ventricles.

Automated Cardiac Motion QuantificationA.I.

The QLAB solution suite

(aCMQA.I.) with ZeroClick technology
aCMQA.I. based on 2D speckle tracking technology
provides a method for assessing global and regional for heart failure
cardiac function. It offers a suite of measurements
and parametric displays to analyze trans-myocardial QLAB offers comprehensive 2D and 3D advanced
mechanics without tissue Doppler imaging angle quantification tools for assessing heart failure patients.
dependency limitations. Using the 17-segment
ASE left ventricular model, aCMQA.I. provides • Intima Media Thickness – IMT
additional information for many clinical applications • Automated Cardiac Motion Quantification – aCMQA.I.
such as ventricular wall motion and mechanical • Advanced Cardiac 3D Quantification – 3DQ Advanced
synchrony assessments with the time-to-peak
measurements provided.

3DQ Advanced
In addition to accurate data for assessing global
function based on LV volume, EF, and stroke volume,
3DQ Advanced allows simultaneous display of 17
regional waveforms, enabling temporal comparisons
between segments. This is a potentially valuable tool
for cardiac synchronization studies based on regional
timing data and for any investigation of segmental
severe ischemic heart disease. The ability to perform
objective segmental comparisons may also play
a valuable role in assessing the effect of therapeutic
or mechanical interventions such as cardiac
resynchronization therapy.

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Advancing treatment
of structural heart disease
As the incidence of structural heart disease rises, accurate visualization and measurement methods are
increasingly desired to perform complex therapies. Reference studies have shown that patients with mitral
valve repair live longer than patients with replaced valves, and measurement of structures is essential
to determine device size.1 Pre-planning consultations with surgeons can improve OR efficiency if they
include accurate information that surgeons may use to choose therapy methods and devices. In addition,
as minimally invasive repair techniques come to the forefront for patients who cannot withstand surgery,
confidence of the landscape is even more important in the absence of direct visualization.

Cardiac 3D Quantification (3DQ)

Cardiac 3D Quantification (3DQ) allows you to view, The QLAB solution suite
crop, rotate, and perform advanced measurements,
such as biplane LV mass and EF, on Live 3D echo images. for structural heart disease
It gives you the 2D distance and area measurements on
the MPRs, providing you access to 2D views that you • Cardiac 3D Quantification – 3DQ
can’t get with a traditional 2D transducer. • Advanced Cardiac 3D Quantification –
3DQ Advanced with Aortic Valve Area (AVA)
Image - Shot for measuring distance for TAVR
3DQ Advanced with Aortic Valve Area (3DQA) • Mitral Valve NavigatorA.I. – MVNA.I.
3D-based LV stroke volume measurements obtained
from 3DQ Advanced may prove to be a valuable tool for
surgical planning because they provide data for objective Mitral Valve NavigatorA.I. (MVNA.I.)
aortic valve area assessment. Mitral Valve NavigatorA.I. (MVNA.I.) provides 3D MPR
measurements of the mitral valve anatomy and
associated structures. It also enables accurate 3D
modeling of the annulus, leaflets, and aorta. Based
on Live 3D TEE information, MVNA.I. provides you
with a clinical decision support tool to help enhance
diagnostic confidence, surgical planning, follow-up care,
and communication between clinicians and with patients.
MVNA.I. takes a Live 3D volume of the mitral valve and
turns it into an easy-to-interpret model in eight guided
steps. It guides you through the entire process using
simple commands and clear graphics, making this a much
easier tool to use than previous mitral quantification
tools. MVNA.I. allows the user to work to a basic model,
Mitral Valve NavigatorA.I. provides 3D MPR measurements which looks at the annulus and basic leaflet data in four
of the mitral valve anatomy and associated structures as well steps, all the way to an advanced model that includes
as a model to aid with understanding and communication. coaptation and segmentation of the MV leaflets.

1. Mohty D, Orszulak TA, Scaff HV, Avierinos JR, Tajik JA, Enriquez-Sarano M. Very long-term survival and durability of mitral valve repair for mitral valve prolapse.
2001 Sep 18:104(12 Suppl 1):11-17.

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 Working for you
Philips offers a variety of configurations that make it easy to integrate QLAB into your connected
departmental workflow. You can use QLAB on the EPIQ 7 and EPIQ 5 ultrasound systems, on the Philips
specialized Q-station, on many third-party PACS systems,* and even on home and office computers.

You can use QLAB on

• EPIQ 7 ultrasound system
• EPIQ 5 ultrasound system
• iE33 xMATRIX ultrasound system
• iE33 ultrasound system
• iU22 xMATRIX ultrasound system
• iU22 ultrasound system
• CX50 ultrasound system
• CX30 ultrasound system
• HD15 ultrasound system
• HD11XE ultrasound system
• PACS from several manufacturers*
• Your home or office computer

* Check with your PACS manufacturer or Philips Account Manager

for available QLAB solutions.

QLAB on Xcelera
Philips also offers QLAB on Xcelera, our leading echo and most of the computational results generated in
lab management system. Depending on the version of QLAB can be integrated into Xcelera clinical reports.
QLAB installed, the 2D and 3D quantification modules You can also populate your Xcelera image database
on Xcelera can provide you with the same QLAB with images captured in QLAB. QLAB clinical results
functionality as other QLAB products, allowing you can now benefit from exclusive Xcelera trending
to perform cutting-edge quantitative analysis when reporting capabilities and be shared across Xcelera
and where you desire. Also, QLAB on Xcelera has clients. The Xcelera application is designed to seamlessly
the same interface as other QLAB products, integrate future QLAB enhancements.

Please visit www.philips.com/QLAB

© 2013 Koninklijke Philips N.V. Philips Healthcare is part of Royal Philips

All rights are reserved.
www.philips.com/healthcare
healthcare@philips.com
Philips Healthcare reserves the right to make changes in specifications
and/or to discontinue any product at any time without notice or obligation
and will not be liable for any consequences resulting from the use of this Printed in The Netherlands
publication. 4522 962 96041 * SEP 2013