excellence in digital healthcare tomtec zero tomtec datacenter

Excellence in Digital HealthcareMay 2020

AboutCliniCAl SolutionSAppliCAtionS

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toMtEC ZErotoMtEC DAtACEntErtoMtEC ACADEMyiMprESSuM

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ToMTec was founded in 1990 and our headquarters are located in Munich, Germany. our products encompass a wide range of 2D and 3D/4D technologies for visualization, automated image analysis, quantification, reporting and image management.

ToMTec proudly offers solutions for adult and pediatric cardiology, obstetrics, gynecology, radiology and vascular diagnostics. We partner with industry experts to deliver education and best practice sharing via toMtEC ACADEMy.

At ToMTec, we are passionate about providing world-class support and service for all of our customers.

ToMTec stands for “excellence in Digital healthcare”. our mission and core value is a commitment to continuous improvement, delivery of excellent image and analysis quality, ease-of-use, reproducibility through automation, world-class service, support and education.

ToMTec focuses on emerging, future technologies like cloud-based Software Solutions, Artificial Intelligence and Virtual Reality to support healthcare providers in delivering best possible patient care.

The company maintains close working relationships with many leading universities and research institutes around the world.

toMtEC imaging Systems GmbH is a global leader in medical imaging software solutions. Specializing in ultrasound, toMtEC offers state-of-the-art solutions for our clinical customers and industry partners.


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Solution for all your needs in Cardiovascular imaging

toMtECArEnAIncReASe effIcIency & DIAGnoSTIcQuAlITy

workfLow IntegratIon muLtI-moDaLIty VenDor neutraL automatIon CLInICaL use


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rIsk management

theraPy monItorIng

Monitor subclinical markers for left ventricular dysfunction

track clinical markers to assess patient outcome

CLInICaL areas

CLInICaL neeDs

¬ cardio-oncology

¬ Diabetes

¬ Pulmonary hypertension (early stage)

¬ coronary Artery Disease

¬ Valvular heart Disease

¬ Subclinical marker for lV Dysfunction

¬ consistent results

¬ high reproducibility

¬ Solutions tailored to individual needs

CLInICaL areas

¬ heart failure

¬ AV optimization

¬ Pulmonary hypertension

¬ consistent results independent from vendor

¬ clinical marker to monitor response to treatment

¬ changes in ef ¬ changes in end-Diastolic Volume ¬ changes in GlS

¬ high reproducibility through automation

CLInICaL neeDs

DIagnostIC ImagIng

struCturaL heart DIsease

Efficient multi-modality image review with access to clinical tools

increase diagnosticconfidence

CLInICaL areas

¬ Multimodality image review (uS/cath...)

¬ Automated measurement import from all imaging devices

¬ offline measurements (echo, Vascular, XA)

¬ Review of prior studies

CLInICaL areas

CLInICaL neeDs

¬ MV Repair/Replacement

¬ ASD/VSD closure

¬ clinical guidance to determine time of intervention for asymptomatic vs. symptomatic patients

¬ comprehensive pre-surgical assessment for device selection and communication with surgeons

¬ Verify cardiac cT findings

¬ complete ASD/VSD assessment (Size / Shape / location)

CLInICaL neeDs managemen

t monItorIng heart D

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rIsk theraPy

struCtura

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IagnostIC

outpatient clinics to detect functional or structural disorders:

¬ heart failure

¬ coronary Artery Disease

¬ congenital heart Disease

¬ Valvular Disease


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DIagnostIC ImagIng

Efficient study review ToMTec’s solutions have been designed with the needs of a busy cardiovascular laboratory in mind. With the ability to quickly retrieve and navigate through studies, clinicians are now able to efficiently interpret patient data, while having access to all relevant clinical tools. our software enables clinicians to review images from all diagnostic modalities, including previous studies to cross examine clinically warranted findings. All measurements that are performed on the cart are imported and populated to worksheets or reports.

In addition, the user has the ability to perform any echo, vascular or cath lab measurements offline. Both the tools for clinical practice and advanced analysis are vendor neutral and seamlessly integrated into your workflow.

rIsk management

Monitoring of high risk patients Patients that are currently treated for conditions such as hTn, cAD, diabetes or undergoing chemotherapy are at risk to develop heart failure. The ability to closely monitor subclinical markers is essential to detect even subtle changes in cardiac function. This allows clinicians to properly manage patients in order to minimize the risk of developing heart failure. Accurate measurements that are not impacted by user variability are needed. Automated strain imaging solutions provide highly reproducible data which can be used as subclinical markers to monitor cardiac function before visual changes are observed. ToMTec has a portfolio of automated 2D and 3D strain imaging solutions to support clinicians in managing these patients.

DIagnostIC QuaLIty

iMAGE-CoM1

2D and 3D multi-modality image viewer with automated measurements and access to advanced quantification

Cath-QCA1

Clinical solution for quantitative coronary analysis based on an automated contour detection of coronary angiograms

CArDiAC MEASurEMEntS1

Complete echocardio-graphic measurement package with labeled M-Mode, Doppler and 2D measurements

DiGitAl SubtrACtion AnGioGrApHy (DSA)1

Enhanced display of peripheral vessels with automatic image summation over time and compensation of motion artifacts

VASCulAr MEASurEMEntS1

Vascular measurement package with labeled measurements for all major vessels

StrESS ECHo1,3

Solution to review and analyze exercise and pharmaceutical stress echo studies

rEportinG1

Web-based structured reporting solution to generate professional reports in a quick and intuitive way: Echo (TTE, TEE, TEE Pre/Post OP, Stress, Pediatric, Fetal), Vascular & Generic Reporting.

4D lV-AnAlySiS1

3D Quantification of left ventricular volume and function

4D rV-FunCtion1

Quantification of right ventricular volumes, function

2D StrAin1,4

Global and regional assessement of myocardial mechanics



AutolV1

“Two click” Biplane left ventricular volume quantification with automated contour proposals for EF assessment

AutoiMt1

Solution to analyze intima-media thickness of the carotid artery

AutoStrain lV/rV/lA1

The application provides measurement tools for Strain analysis. It is powered by auto View Recognition, auto Contour Placement and speckle tracking.

AutolA1

Biplane La volume quantification by just selecting two clips

pEDiAtriC MEASurEMEntS1

Measurement package with a comprehensive range of 2D, M-Mode and Doppler pediatric measurements


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theraPy monItorIng

Assess therapy outcome close monitoring based on precise data of heart failure patients is essential. Monitoring specific data allows providers to better manage and thus potentially slow down the progression to later stages of chf.

Response to treatment and the prognosis of these conditions are directly related to the stage of the disease and the time treatment is initiated. echocardiography is the procedure of choice in the assessment and workup for patients suffering from chf and/or RV-failure. The ability to closely monitor changes in volume allows clinicians to assess the trend of how a specific condition progresses and alter treatment plans as required. ToMTec has products that allow users to monitor changes in volume, based on automated solutions for 2D and 3D echocardiography.

struCturaL heart DIsease

increase diagnostic confidence With new transcatheter therapies and minimally invasive valve repair procedures the need for advanced imaging prior to the intervention has increased.

ToMTec’s software solutions for the analysis of the mitral valve apparatus and also the aortic valve, give surgeons and interventional cardiologists a clear understanding of even the most complex anatomy. The most accurate and current information increases diagnostic confidence to successfully perform both transcatheter and surgical interventions.

InCreaseeffICIenCy

4D lV-AnAlySiS1


4D rV-FunCtion1

Quantification of right ventricular volumes, function



2D StrAin1,4


4D CArDio-ViEW1,2

Generic three dimensi-onal software solution. Distance, area, curve and angle measurements for pathologies like aSD, VSD size and location


The application provides measurement tools for Strain analysis. It is powered by auto View Recognition, auto Contour Placement and speckle tracking

4D MV-ASSESSMEnt1

Comprehensive assessment and quantification of mitral valve anatomy and function based on an automated contour detection of MV annulus and leaflets

iMAGE-CoM1

2D and 3D multi-modality image viewer with automated measurements and access to advanced quantification

4D lV-AnAlySiS1


AutolA1


1 Is part of ToMTec-ARenA.

2 4D cARDIo-VIeW and ToMTec-ARenA are trademarks of ToMTec Imaging Systems Gmbh.

3 STReSS echo is called echo-coM.

4 2D STRAIn is called 2D cARDIAc PeRfoRMAnce AnAlySIS.

AutolV1

“Two click” Biplane left ventricular volume quantification with automated contour proposals for EF assessment

AutoiMt1




AutolA1


improve efficiency and diagnostic quality!

CliniCAl AppliCAtion portFoliotomteC arenatta2 Lot40


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bASiCyour Daily useroutine reading and reporting, manual measurements and worksheet

ESSEntiAlSAutomated, reproducible, Fast speed-up your workflow, improve diagnostic quality and reproducibility



StrESS ECHo1,3


Cath-QCA1

Clinical solution for quan-titative coronary analysis based on an automated contour detection of coronary angiograms

iMAGE-CoM1

2D and 3D multimodality image viewer with auto-mated measurements and access to advanced quantification

3D option iMAGE-CoM1

Display of 3D/4D cardiac ultrasound side-by-side with 2D images

Cath-QlVA1

Quantification of left ventricular volumes and function


Complete echocardiographic measurement package with labeled M-Mode, Doppler and 2D measurements



rEportinGConsistent high quality reportsCustomized structured reporting, guideline conform measurements

MMS

REPORTINGSRs

MMS

REPORTINGSRs

GEnEriCComprehensive structured reporting package that can be readily adapted to customer needs for a dedicated medical area

MEASurEMEnt MAppinG SErViCE1

Standardization of different DICOM SR formats, tremendously reducing mapping efforts to information and reporting systems

ADult ECHoComprehensive structured reporting package that offers clinical workspaces for TTE, TEE, TEE Pre/Post OP and Stress echocardiography

pEDiAtriC AnD FEtAlComprehensive structured reporting package that offers clinical workspaces for pediatric and fetal echocardiographic reports

VASCulArComprehensive structured reporting package that offers clinical workspaces for vascular venous and arterial exam types

AutolA1


cARDIo VASculAR ulTRASounD



foR RouTIne AnD ADVAnceD APPlIcATIonS

iMAGE-CoM1

advanced cathlab viewer with Biplane imaging support, display of ECG and acquisition angles


Enhanced display of peripheral vessels with automatic image summation over time and com-pensation of motion artifacts

cAThlAB

cAThlAB

AutoiMt1




AutolV1

“Two click” Biplane left ventricular volume quantification with auto-mated contour proposals for EF assessment

1 Is part of ToMTec-ARenA. 2 4D cARDIo-VIeW and ToMTec-ARenA are trademarks of ToMTec Imaging Systems Gmbh. 3 STReSS echo is called echo-coM. 4 2D STRAIn is called 2D cARDIAc PeRfoRMAnce AnAlySIS.

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prEMiuMAdvanced research and Clinical toolstools for expert users in both, research and clinical environments

4D CArDio-ViEW1,2

Generic three dimensio- nal software solution. Distance, area, curve and angle measurements for pathologies like aSD, VSD size and location

4D MV-ASSESSMEnt1

Comprehensive assessment and quantification of mitral valve anatomy and function based on an auto-mated contour detection of MV annulus and leaflets

2D StrAin1,4


4D lV-AnAlySiS1


4D rV-FunCtion1

Quantification of right ventricular volumes and function

aD

Van

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the cardiovascular solution for routine and advanced workflows at hand

iMAGE-CoM


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VAluABle eXTenSIonS

iMAGE-CoM offers a vast number of offline measurements. the iMAGE-CoM measurement modules provide measurement capabilities for echocardiography and vascular examina-tions, and for X-ray angiographic images.

iMAGE-CoM has been developed to speed up your workflow in the daily routine.

MAIn feATuReS

clInIcAl BenefITS

¬ a study can be reviewed with various functions like different screen tiles, zoom, flip, rotate etc.

¬ More efficient use of your ultrasound machines by image acquisition with modality and measuring in IMaGE-COM.

¬ Better traceability and transparency of the measurements through a link between each measurement and the corresponding image.

imaging review

¬ Multi modality viewer

¬ Vendor neutral 3D/4D MPR viewer

¬ all TOMTEC applications can be launched from IMaGE-COM

¬ Side-by-side comparison (US, Xa, NM, IVUS, IVOCT)

¬ Complete review of secondary studies and quick acess to prior finalized reports

¬ aVI, BMP, JPEG or DCM export

¬ “DSa” digital subtraction angiography

¬ Filter on thumbnails preview (2D, 3D, SR, PDF, Bookmark)

¬ Dual monitor setup capability (combined with Reporting)

ultrasound (uS) and X-ray Angiography (XA)

¬ automated US measurements value import

¬ Xa viewer with biplane imaging support, display of ECG, acquisition angles

¬ Smart link between measurement and image

¬ Images and worksheet on different monitors

¬ Workflow support through measurement tools

¬ Worksheet management ¬ up to five values for each parameter ¬ avg, first, last, min, max selection

¬ Xa analysis for Coronary Stenosis Quantification and Left Ventricle analysis (auto/manual)

¬ Measurement export in different formats (auto/manual)

¬ Cardiovascular measurement packages for 2D echo, M-Mode and Doppler studies

¬ Control for completeness of measurement data

Cath-QCA1

Clinical solution for quantitative coronary analysis based on an automated contour detection of coronary angiograms

AutolV1

“Two click” Biplane left ventricular volume quanti fication with automated contour proposals for EF assessment

Cath-QlVA1





Display of 3D/4D cardiac ultrasound images side-by-side with 2D images




Enhanced display of peripheral vessels with automatic image summation over time and compensation of motion artifacts

cARDIoVASculAR ulTRASounD

cAThlAB

1 Is part of ToMTec-ARenA. ToMTec -ARenA is a trademark of ToMTec Imaging Systems Gmbh.

AutolA1


AutoiMt1


Comprehensive image-review and measurementsiMAGE-CoM1 is an established DiCoM viewer for ultrasound (uS) and X-ray Angiography (XA) examinations. prior studies can easily be compared with current examinations and simultanously displayed with uS, XA and iVuS, iVoCt/oCt and nM examinations.

iMAGE-CoM provides a comprehensive feature set for review of still images and image sequences.



iMAGE-CoMoptionSMeASuReMenTS

Image-Com oPtIons*

cARDIAc MeASuReMenTS VASculAR MeASuReMenTS PeDIATRIc MeASuReMenTS

* IMAGe-coM oPTIonS are part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

¬ Re-measurement of complete studies

¬ all measurements, including measurements imported from US systems, are summarized in the Worksheet

¬ Link between measurement and image: one click to get from the measurement to the image

Complete echocardiographic measure-ment package with labeled M-Mode, Doppler and 2D measurements.

Comprehensive vascular measurement package with labeled measurements for all major vessels


¬ Up to five values for each measurement parameter with individual selection of the final value according to average, first, last, minimum or maximum

¬ Manual or automated measurement export in several formats: DICOM Structured Report: TID5100, TID5200, TID5220, TID3202, TID3213; EPICXML; XML

¬ Generic measurements can be assigned to a specific measurement value in a later stage (first measure, then label)

¬ Generic measurements such as distance, area, time, acceleration/deceleration, VTI, velocity

extensive solution for cardiovascular offline measurements and multi-purpose processing of findings

IMAGe-coM Measurements offer a huge number of offline measurements. DIcoM SRs from uS carts are automatically imported into a comprehensive worksheet for easy comparison, re-measuring and export. findings can easily be transferred to report or eMR/hIS and are available for later data mining and further analysis.

export of multiple findings can be selected individually according to average, lowest, highest, first or last. conformity to common guidelines: ASe, IAc, Acc and eSc.

Import from modality, re-measure, manage and export all your findings

MEASurEMEntS


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3D option IMAGe-coM

3D echo data vendor-independent review

3D imaging navigation and rendering

¬ 3D imaging navigation and rendering

¬ Real-time 3D volume rendering

¬ D↑art navigation tool with `auto cropping`

¬ Navigation options via reference images (LOI: Lines of intersection), center point navigation and image navigation (sweep, rotate, pan, orbit)

¬ auto-sweep through dataset

Visualization of vendor- independent 3D echo-data

¬ Color-coded 3D display for optimal depth display

¬ Setting of threshold and transparency

¬ Switch from rendering to cross plan views

empower the Image-Com review and measurement workflow

¬ Empower the IMaGE-COM review and measurement workflow

¬ Measurements on a 2D or MPR view

¬ Exporting of aVI/BMP, screenshots and measurements

¬ Side-by-side comparison 2D and 3D

* 3D oPTIon IMAGe-coM is part of ToMTec-ARenA. ToMTec-ARenA and D↑art are trademarks of ToMTec Imaging Systems Gmbh.

2D/3D clinical study evaluation – it has never been so easy!

Display 3D/4D cardiac ultrasound datasets side-by-side with 2D images. It can read and process proprietary 3D data formats of most vendors. The display and navigation of multiplanar reconstructions (MPRs) and volume rendering (VR) helps to analyze complex morphologies in 3D. With the unique navigation tool D↑art, 3D views can be cropped easily with just two mouse-clicks.


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Biplane left ventricular volume quantification with only three clicks

AutolV

* AutolV is part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

AutolV* is an automated measurement of Simpson’s biplane method.

By selecting apical 2- and 4-chamber views, AutolV automatically proposes initial contouring of the left ventricle in end-diastole and end-systole.

left ventricular volumes and ejection fraction results are visualized for immediate assessment of left ventricular function.

standard LV volume measurements with minimal user interaction

¬ automated contouring in end-diastole and end-systole

¬ Verification of automated results by manual contour editing possible

¬ Volumes and EF are displayed immediately

Precise results within seconds

¬ Guideline conform measurements

¬ automated biplane Simpson’s method

¬ High reproducibility due to automation without user interaction

¬ approved algorithm by multicenter study

remain in your regular clinical workflow

¬ Stay in your regular review application

¬ No additional software has to be opened

¬ Directly access your results in the worksheet and report

analysis of the left ventricle with three clicks – integrated in your clinical workflow

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SimpsonEDV 99.92 mlESV 38.10 mlSV 61,81 mlEF 61.9%


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AutolA

Biplane lA volume quantification with only three clicks

left Atrial volume is one of several parameters to identify diastolic dysfunction and a marker for lA pressure elevation.

AutolA* is a fast and intuitive automation of Simpson’s biplane method.

By selecting apical 4- and 2-chamber views, AutolA automatically finds end-systoleand proposes tracings of the leftatrial blood tissue interface.

standard La volume measurements with minimal user interaction

¬ automated contouring of maximal volume in end-systole

¬ Verification of automated results by manual contour editing possible

¬ Volume is displayed immediately

ensures diagnostic quality results

¬ Guideline-conform measurement

¬ automated biplane disk summation

¬ High reproducibility due to automation without user interaction

remain in your regular clinical workflow

¬ Stay in your regular review application


¬ Directly access your results in the worksheet and report

* AutolA is part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

esV

La volume measurement with three clicks — integrated in your clinical workflow

a4C a2C


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AutoiMt

* AutoIMT is part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

AutoIMT* is an automated ToMTec solution for the quantification of the intima media thickness. By defining a region of interest on a vascular long axis view AutoIMT automatically calculates the maximal and mean intima media thickness as well as the standard deviation and the quality index.

autoImt

¬ automated contour detection of lumen-intima and media-adventitia vessel walls

¬ Calculation of max and mean value of IMT

¬ Calculation of standard deviation and IMT quality index

Imt quantification with high precision and reproducibility

¬ automated contouring

¬ Immediate calculation of max and mean IMT as well as the SD and QI.

¬ Contour overlay for visual result verification possible

¬ aCCF/aHa guideline conform

Integrated in Image-Com workflow

¬ Easy measurement in familiar software environment


¬ Results in the worksheet and report

complete and automated intima media thickness quantification

automated Imt quantification – integrated in your clinical workflow


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StrESS ECHo

The intuitive workflow solution to review and analyze your 2D stress echo studies

* STReSS echo is called echo-coM and is part of ToMTec ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

STReSS echo* is optimized to provide a streamlined workflow for routine stress echo analysis.

The software immediately arranges the automatically synchronized loops for rapid viewing.

Additional shuffle functions are available for the comparison of arbitrary loops. An easy Wall Motion Scoring with quick assignment tools makes your analysis more comfortable.

sorting and scoring of stress echo studies

¬ Reduced mouse clicks by functions like auto-layout, sorting and synchronisation

¬ Quick browse through all selected clips in the review by using the dog-ear

analysis and reporting of stress echo loops

¬ Easy colour-coded Wall Motion Scoring with quick assignment tools

¬ 16- and 17-segment scoring layouts

¬ Export of Wall Motion Scoring values to TTa reporting

Customization

¬ User setting options for an optimal customization to your personal preferences

¬ Different scoring options like 4, 5 or 7 points model

¬ Different workflow options – with or

without pre-selection of clips

your vendor independent offline solution for pharmacological and exercise stress echo analysis

stress eCho

Simple, fast workflow for robust and reproducible GlS measurements

AutoStrain lV/rV/lA

* AutoStrain lV/RV/lA is part of ToMTec-ARenA. ToMTec -ARenA is a trademark of ToMTec Imaging Systems Gmbh.

Cardiac motion analysis based on 2D clips

¬ auto View Recognition: autoSTRaIN recognizes a4C, a2C and a3C view and assigns labels

¬ auto Contour Placement: automated contour definition and speckle tracking for user review

¬ Cardiac cycle can be defined manually in case of missing or bad ECG signal

¬ Support of TTE and TEE data

flexible and standardized LV function assessment

¬ Robust, reproducible one-button GLS measurements for each view and average

¬ Waveform analysis for each view or all segments together

¬ Possibility to exclude segments with bad visibility

Deformation imaging of rV and La

¬ Direct measurement of La reservoir, conduit and contraction strain

¬ La reference time point at end-diastole or right before atrial contraction

¬ Global RV and free wall strain measurement

¬ Supported strain analysis tool to perform LV, RV or La function assessment

Cardiac function assessment of LV and beyond – strain analysis dedicated to La and rV

autostrain LV/rV/La

The AutoStrain* application provides measurement tools for Strain analysis of the left ventricle (lV), the right ventricle (RV) or the left atrium (lA) to assess cardiac function.

Just by selecting the loops and starting the application, the user gets immediate results based on automated proposals for view labels and endocardial border definitions based on Speckle tracking. This allows the user to focus directly on the interpretation of measurments.


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2D StrAin

Vendor independent speckle tracking analysis to quantify cardiac wall motion in 2D ultrasound data

* 2D STRAIn is called 2D cARDIAc PeRfoRMAnce AnAlySIS and is part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.


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2D STRAIn* is a vendor independent, offline solution for the quantification of cardiac deformation. Detailed analysis of myocardial velocity, displacement, strain and strain rate is performed based on 2D speckle tracking in the long or short axis views of the left ventricle, in the right ventricle or in the left atrium. Basic parameter assessment as well as advanced quantifications, together with comprehensive result export options, make 2D STRAIn suitable for research and routine use.

one application for a variety of indications

¬ Regional myocardial function analysis

¬ assess diastolic function

¬ Early detection of heart function impairment in cardiomyopathies

¬ Monitor subclinical changes or therapy over time

Versatile analysis options

¬ analysis of LV, RV and Left atrium

¬ Bull‘s eye analysis based on long axis or short axis views

¬ Same analysis independent from ultrasound system

advanced cardiac motion assessment

Semi-automatic initial contour proposal

¬ Extensive export options for further post-processing

¬ Regional analysis of velocity, displacement, strain and strain rate

¬ advanced motion visualization

Versatile analysis of left ventricle, right ventricle or left atrium

2D straIn

FEtAl 2D StrAin

Versatile analysis of the fetal heart

* feTAl 2D STRAIn is called feTAl 2D cARDIAc PeRfoRMAnce AnAlySIS and is part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.


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feTAl 2D STRAIn* is a vendor independent, offline solution for the quantification of cardiac deformation of the fetal heart. Detailed analysis of myocardial velocity, displacement, strain and strain rate is performed based on 2D speckle tracking in the long axis views of the left ventricle and right ventricle. Basic parameter assessment as well as advanced quantifications, together with comprehensive result export options, make feTAl 2D STRAIn suitable for research and routine use.

one application for a variety of indications

¬ Regional myocardial function analysis

¬ assess diastolic function

¬ Early detection of heart function impairment in cardiomyopathies and congenital pathologies

¬ Monitor subclinical changes or therapy over time

Versatile analysis options

¬ analysis of LV, RV on the same 4CH clip

¬ Possibility to set different ES and ED for LV and RV for severe dyssynchrony cases

¬ Same analysis independent from ultrasound system

advanced cardiac motion assessment

¬ Semi-automatic initial contour proposal

¬ Extensive export options for further post-processing

¬ Regional analysis of velocity, displacement, strain and strain rate

¬ advanced motion visualization

Vendor independent speckle tracking analysis to quantify cardiac wall motion in 2D ultrasound data

fetaL 2D straIn

eD es

4D lV-AnAlySiS

3D Quantification of left ventricular global and regional function

* 4D lV-AnAlySIS is part of ToMTec-ARenA. ToMTec -ARenA and Beutel are trademarks of ToMTec Imaging Systems Gmbh.

4D lV-AnAlySIS* is a vendor independent offline solution for lV assessment based on 3D speckle tracking. It provides an automated workflow for quantitative and reproducible analysis of left ventricular function and global strain values.

Regional strain analysis is mapped onto the lV model and shown in a bull’s eye plot for clear visualization.

All results can be stored and exported for routine, advanced and research applications.

fast and easy analysis of global and regional deformation

¬ automated adjustment of view planes

¬ Easy editing of Beutel* surface in end-diastole and end-systole

¬ Volumes and GLS are displayed in tracking review

ready for clinical use

¬ Supports 3D data from ultrasound systems of multiple vendors (TEE and TTE)

¬ Fast, easy to use and accurate quantification (no geometrical assumptions)

¬ Reproducible results through automated workflow

global and regional clinical parameters

¬ accurate and reproducible volumes, EF and LV-mass

¬ Global/regional longitudinal and circumferential strain

¬ Twist and torsion

¬ Displacement

Quick and reproducible analysis of LV function that includes volumes, ef and strain

4D LV-anaLysIs

View alignment

analysis tracking revision

timings Definition


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comprehensive right ventricular analysis, the right way

4D rV-FunCtion

* 4D RV-funcTIon is part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

The right ventricular quantification tool for clinical routine work, pulmonary hypertension and right sided heart failure.

4D RV-funcTIon* allows complete evaluation of the right ventricle and combines 3D and 2D values including eDV, eDVi, eSV, eSVi, ef and SV, RVlS, TA PSe and fAc.

4D RV-funcTIon helps to overcome the RV complexity by calculating standard values based on a 3D surface model. A detailed and easy to follow workflow allows users to adapt the proposed contour quick and easy.

automated 2D measurements with every 3D analysis

¬ 3D measurement results: RV EDV, EDVi, ESV, ESVi, EF, SV

¬ Guideline conform 2D measurement results: TaPSE, Distances, FaC

the two minutes tool for your right ventricle analysis

¬ automated contour proposal – no laborious contour drawing

¬ Quick and reproducible results

Visualize the complex rV shape in 3D

¬ Calculating right ventricular data based on a complex 3D surface model

¬ Validated model of the right ventricle

¬ Display your model in combination with 2D planes for a better control

overcome the challenges of right ventricle geometry.

4D rV-funCtIon AboutCliniCAl SolutionSAppliCAtionS

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4D MV-ASSESSMEnt

Increase your diagnostic confidence for mitral valve therapy

* 4D MV-ASSeSSMenT is part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

supports decision making and monitoring

¬ Pre-/postoperative monitoring

¬ Generic manual measurements allow for individual assessment in special cases

¬ Highlight findings with landmarks

facilitate communication within the heart team

¬ Schematic visualization of MV model together with 3D volume rendering

¬ Visualization from surgical or ventricular view direction

¬ Evaluation of flail/prolapse topology

mitral valve analysis based on 4D echo data

¬ Streamlined workflow with semi-automated annulus detection

¬ Manual review and the possibility to edit the automated model proposal

¬ Comprehensive automatic measurements for annulus, leaflets and coaptation

4D mV-assessment

4D MV-ASSeSSMenT* helps to analyze the complex anatomy of the mitral valve in 3D as well as its dynamic mechanics in systole. The mitral valve anatomy and topology are visualized with a comprehensive static and dynamic model.

Geometric measurements such as annular dimensions, leaflet morphology and coaptation descriptions can be used from the initial discovery of MV disease/pathology, support in device planning up to the monitoring of pre- and postoperative cases. Additionally, advanced navigation options and flexible manual measurements in 2D and 3D allow for individual planning of new devices.

Automated alignment and initialization proposals facilitate the workflow. Advanced edit options allow for definition and quantification of open coaptation Regions.

anterior leaflet area

D-shaped annulus area D-shaped annulus perimeter

Posterior leaflet area

Visualization and quantification of the mitral valve in 4D


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your vendor independent all-purpose solution to review and analyze 3D echo data

4D CArDio-ViEW

4D cARDIo-VIeW* is a vendor independent offline solution to review and analyze 3D echo data.

It offers easy and fast navigation to get

the perfect 3D view with just two clicks by using the unique D↑art tool. features like the multi-slice (multiple 2D slices), basic measurements and workflow based volume measurements make 4D cARDIo-VIeW an all-purpose solution for any cardiac structure.

All measurements and views can be stored as bookmarks for easy retrieval at any time.

no laborious navigation – get your perfect view of complex structures in a few seconds

¬ Unique D↑art navigation displays any 3D view with only two clicks

¬ D↑art multiple slice offers multiple 2D slices of a region of interest

¬ Smart region navigation reduces mouse miles substantially

¬ Landmark navigation shows your points of interest in one view

¬ Restore your views and measurements from bookmarks anytime

Improved visualization of multivendor 3D data

¬ Enhanced image rendering

¬ adapted presets for different vendors

¬ Store your own render preset adjusted to your preference

one generic tool for any cardiac structure

¬ Improved workflow for easier LV and generic volume measurements including LV myocardial mass

¬ Distance, area, curve and angle measurements for TaVR planning and pathologies like aSD, VSD size and location

¬ Measurements in volume rendered and 2D views

4D CarDIo-VIew

spend time on your patient, not on navigation. use the D↑art!

D↑artClick 1

Click 2

* 4D cARDIo-VIeW is part of ToMTec-ARenA. 4D cARDIo-VIeW and D↑art are trademarks of ToMTec Imaging Systems.


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rEportinG

Increase efficiency and quality with customized structured reporting

* RePoRTInG is part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

RePoRTInG* is a comprehensive solution for structured reporting in the Adult echocardiography, Pediatric and Vascular ultrasound labs. Study and measurement data are taken over automatically to generate professional reports in a quick and intuitive way. The guideline conform buildup of the workspaces increases the overall quality of clinical documentation. Physicians can tailor the report to individual and specific needs with easy to use customization. The reporting workspaces are fully web-based integrated with ToMTec-ARenA to offer a clinical solution that accelerates report generation and interfaces to hospital information & eMR systems for efficient report distribution.

Intuitive user Interface & navigation

¬ Easy navigation to specific cardiac and vascular structures

¬ Easy access to common clinical findings

¬ User customization at various levels

- Customized report templates

- Customized clinical findings

- Customized normal ranges

- Customized recommendedand required fields

- Customized measurement tables

streamline workflow

¬ Web-based structured Reporting

¬ Integrated workflow with imaging & analysis

¬ automatic import of study and measurement data from ultrasound devices

¬ Populate findings based on predefined QuickFills and prior studies with one click

¬ auto Summary

¬ Dynamic side by side preview of the report

high Quality Content

¬ Guideline conform reporting templates and norm values

¬ automated quality assessment of measurements based on published standards (QualitySeal* based on aSE and IaC standards)

web-based structured reporting – Create consistent high quality reports

rePortIng AboutCliniCAl SolutionSAppliCAtionS

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iMAGE-CoMoptionScATh

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CAtHlAb

* IMAGe-coM oPTIonS are part of ToMTec-ARenA. ToMTec-ARenA is a trademark of ToMTec Imaging Systems Gmbh.

cath tools embedded into your daily cath routine

coronary angiography is routinely used for diagnosis and treatment of patients who have or are at risk of coronary artery disease. In clinical practice visual estimation has limitations such as high variability associated with operator experience and only general estimation of the vessel dimensions. Quantitative coronary Analysis being highly accurate and reproducible can refine the visual estimate and provide important measurements of the coronary anatomy.

DSA is a clinical analysis package to visualize digital subtraction angiograms. it provides enhanced display of XA vessel images using automated image masking and DSA summation over time (vascular trace).

¬ DSa with default or user selected reference frame

¬ Compensation of motion artifacts using automated pixel shift

Clinical solution for quantitative coronary analysis based on an auto-mated contour detection of coronary angiograms

¬ Two-clicks – one border proposal

¬ Total control – verification of final results by user

¬ Stenosis quantification on calibrated and uncalibrated images

¬ Calculation of stenosis diameter and area, obstruction and reference diameters and obstruction length

¬ Graphical display: Diameter curves, Stenosis Overlays

Cath-QlVA is a clinical analysis package to quantify left ventricular volumes and function.

¬ Left ventricular volumes like EDV, ESV

¬ Ejection Fraction (EF), Stroke Volume (SV) and Cardiac Output (CO)

¬ Various Single Plane and Biplane calculation methods like area-Length and Simpson method of disk for all results

¬ Review, editing and verification of final results

Integrated cath solution for QCa and QLVa

DSA cATh-QcA cATh-QlVA


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Complete web solution for Cardiology

toMtECZEroWeBSoluTIon


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DIagnostIC ImagIng

HoW CAn i bEnEFit FroM toMtEC ZEro? Work remotely2,3, collaborate easily, gain mobility and flexibility with toMtEC ZEro, our web version of toMtEC’s proven cardiovascular software suite. Accessible through web browsers, it breaks down the barriers imposed by traditional workstations and the boundaries of hospitals. Every physician accessing ultrasound exams from any location (office, reading room, ward)2,3 now has access to all images and relevant clinical tools, including automated strain measurements and reporting for diagnosis

Cardiologists can review images in a web browser from anywhere. Whether they are in the hospital or work remotely2,3, essential information is just a click away.

Surgeons and Anesthesiologists can review clinical data on their web browser for surgical planning in 3D.

How will toMtEC ZEro support my clinical routine?

1 is part of toMtEC-ArEnA. toMtEC-ArEnA is a trademark of toMtEC imaging Systems GmbH

WHEn EVEry SEConD CountS, EFFiCiEnCy MAttErStherefore, toMtEC developed toMtEC ZEro to enable instant access to tools over the web supporting diagnosis. Diagnostic-grade image quality, automated measurements and prepopulated reports support your workflow to increase efficiency and to improve clinical outcome.

referring physicians can instantly access reports and studies to get results rapidly from the Cardiologists.

Collaboration2 done easily with the possibility to share cases and tools supporting diagnosis with satellite sites to deliver excellent patient care.

2 Any access outside the hospital requires a secure Vpn connection 3 Environments are hospitals, clinics, and physician´s offices

tomteC Zero AboutCliniCAl SolutionSAppliCAtionS

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tomteC Zero

toMtEC ZEro* is a cutting-edge Cardiology Diagnostic-Aid Suite accessible through web browsers.The proven ToMTec-ARenA application portfolio is now accessible over the web without the need to install any software: Whether you are inside the hospital, a practice network, or remote, ToMTec ZeRo provides diagnostic quality access to image review, image analysis as well as structured reporting.

natively designed for the web, it breaks down the barriers imposed by traditional workstations and organizational boundaries and allows new workflows. ToMTec ZeRo expands a ToMTec-ARenA installation and allows flexible use of all clinical tools either within a web browser or from a desktop-client in in a reading room.

ToMTec ZeRo can be seamlessly integrated into current workflows as it provides an open interface to your existing practice management system, cVIS, PAcS or eMR for quick access to your exams and reports.

Small private practiceyou expect the best clinical product, cost-effective licensing and minimal hardware requirements?

We offer a “small business” pricing model tailored to the needs of private practices, with a selection of clinical tools including premium ToMTec service with an up-to-date maintenance contract to ensure you benefit from latest development and comply with current medical standards and governmental regulations.

ToMTec ZeRo helps you to review and report remotely - anytime, anywhere2,3.

collaborate with clinics and other experts.

Hospital Echo Departments and integrated Delivery networks (iDns)tight collaboration with referring physicians, multiple departments, satellite locations challenge your it invest-ment strategy?

ToMTec ZeRo integrates seamlessly with existing eMR, PAcS, cVIS to manage your work. The enterprise setup of TTZ reduces the load on the hospital network with streaming of images rather than download image data to viewing clients and enables inter-departmental image and report review: access images no matter where you are in the clinical environment. Save on hardware and burden on IT with zero installation and configuration on viewing clients.

large private practice/Group practiceCollaboration and distributing work and outcomes within the team is key for you?

With ToMTec ZeRo you can share your licenses across the practice network, regardless if you work on a workstation or need to access clinical data via web.

connect clinic locations easily to facilitate collaboration and education and enable your team to review, analyze and report clinical cases from any location.

Pricing models for large practices include concurrent user or annual study volume licenses.

research labsConducting a clinical study together with other research labs and looking for an easy to host-, easy to deploy solution which ensures everyone using the same setup and tools?

ToMTec ZeRo provides easy access to study data for researchers in multiple locations. Avoid inter-vendor variability in analysis outcomes and software version variability with TTZ. one central installation, consistent workflow, no software installation required on clients, makes a setup easy and cost efficient. Simply connect to a secure server and go!

CHooSE your SEtup!

Within Clinical Environments (i.e. private practice, hospital, iDn, …) open Environments

WORKSTATION IN ECHO READING ROOM

WEBDESKTOP WEB

TTD SERVERTTZ AGENT

WEb ACCESSfrom warD, or, ICu

rEMotE ACCESSfrom referrIng PhysICIan, sateLLIte CLInIC, affILIate hosPItaL, CoLLaboratIon sIte, Core Lab, researCh Lab, ...

Vpn


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tomteC Zero key features

toMtEC ZEro is the web-based version of toMtEC-ArEnA. user experience on desktop-clients and web-clients is intuitive and seamless.

tomteC Zero

¬ Supports 19+ languages¬ Available in 160+ countries¬ More than 30,000 toMtEC-ArEnA modules in use worldwide¬ innovating the healthcare market for more than 30 years

bASiCyour Daily useroutine reading and reporting, manual measurements and worksheet

ESSEntiAlSAutomated, reproducible, Fast speed-up your workflow, improve diagnostic quality and reproducibility



StrESS ECHo1


Cath-QCA1

Clinical solution for quan-titative coronary analysis based on an automated contour detection of coronary angiograms

iMAGE-CoM1

2D and 3D multimodality image viewer with auto-mated measurements and access to advanced quantification


Display of 3D/4D cardiac ultrasound side-by-side with 2D images

Cath-QlVA1



Complete echocardiographic measurement package with labeled M-mode, Doppler and 2D measurements



rEportinGConsistent high quality reportsCustomized structured reporting, guideline conform measurements

MMS

REPORTINGSRs

MMS

REPORTINGSRs

GEnEriCComprehensive structured reporting package that can be readily adapted to customer needs for a dedicated medical area

MEASurEMEnt MAppinG SErViCE1

Standardization of different DICOM SR formats, tremendously reducing mapping efforts to information and reporting systems

ADult ECHoComprehensive structured reporting package that offers clinical workspaces for TTE, TEE, TEE Pre/Post OP and Stress echocardiography

pEDiAtriC AnD FEtAlComprehensive structured reporting package that offers clinical workspaces for pediatric and fetal echocardiographic reports

VASCulArComprehensive structured reporting package that offers clinical workspaces for vascular venous and arterial exam types

AutolA1




foR RouTIne AnD ADVAnceD APPlIcATIonS

iMAGE-CoM1

advanced cathlab viewer with Biplane imaging support, display of ECG and acquisition angles


Enhanced display of peripheral vessels with automatic image summation over time and com-pensation of motion artifacts

cAThlAB

cAThlAB

AutoiMt1


AutoStrAin1

Quantification of global and regional function, in-cluding longitudinal strain, based on automated con-tour detection and tracking

AutolV1

“Two click” Biplane left ventricular volume quantification with auto-mated contour proposals for EF assessment

ro

utI

ne

1 is part of toMtEC-ArEnA. toMtEC-ArEnA is a trademark of toMtEC imaging Systems GmbH


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tomteC Zero

no matter if you are a small business or a hospital chain, our flexible license models fit your budget and needs:

toMtEC ZEro is a web extension of your toMtEC-ArEnA application licenses. Share licenses between desktop-clients and web-clients to your needs.

toMtEC ZEro has been designed for native use in web browsers and supports the most common industry standards like Google Chrome or Microsoft Edge.healthcare organizations can decide to keep clinical data behind their own firewall. The IT administrator has full control over who and how the data can be accessed. no trace of opened files or related data is left within the browser or on the device!

ToMTec ZeRo is compliant with most current security standards by using state-of-the-art encryption through existing proxy4 setups which use SSl encryption.

liCEnSE MoDElS AVAilAblE For toMtEC ZEro

SECurE your DAtA

intEGrAtion

integration with existing it makes your work flowToMTec works hand-in-hand with many renowned global partners: our partnerships guarantee established technical interfaces and even more important great working relationships with clear responsibilities and defined key contacts to ensure a unified user experience especially in support cases.

Both ToMTec ZeRo and ToMTec-ARenA offer proprietary interfaces with most common PAcS and eMR systems to ensure flawless data transfer with excellent performance and the look-and-feel you are used to.

1. Concurrent user licensinglimit your cost by the number of users for certainfunctionality. Purchased applications can be accessedfrom desktop clients as well as from a web-environment.you determine, how many users are allowed to use web-access for the most economic pricing model with unlimitedannual study volume.

2. Annual Study Volumefits medical organizations with changing users, collaborationscenarios, remote location setups where the annual studyvolume is known, and all users should have access to allToMTec tools. This model is a capital purchase model. Anup-to-date maintenance contract keeps your mind at peaceand your focus on your patients.

4 requires certificates and proxy server which are not part of toMtEC-ArEnA

Concurrent user licensingsmaLL busIness, sIngLe user neeDs Large busIness, sCaLabLe

Annual Study Volume

limited user

unlimited users

unlimited use(Study Volume)

Well known use(Study Volume)

CliniCAl nEEDSAnD buDGEt

and many more

We believe everybody deserves the best possible personalized patient care

toMtECDAtACEntErThe MISSInG PIece


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DIagnostIC ImagIngtomteC DataCenter

the missing piece Every day most imaging departments face the same challenge: get instant access to all patient data at the point of care to provide accurate diagnostic services, efficiently generate reports and to optimize therapy decisions.

ToMTec offers a solution to this problem. With applications and analysis tools for 2D and 3D echo-cardiography, vascular ultrasound, angiography and nuclear medicine, combined with remote reading and reporting capabilities, ToMTec is here to meet and exceed all of your daily needs.

one Vendor independent platform – Many ApplicationsWhether it is a stand-alone workstation, network, complete pACS/VnA/EMr integration or a web-based solution, toMtEC DAtACEntEr scales and adapts to your requirements.

ToMTec DATAcenTeR can act as a multivendor modality platform, improve task sharing between acquisition and reading/post-processing, can act as a Mini PAcS or help researchers to accomplish their study goals without interfering with the clinical routine data flow.

Web-Access our web-based StuDy liSt allows access to clinical data anytime and anywhere2. the StuDy liSt acts as a unique entry point for daily routine and research workflows.

Every customer has something special for us We understand that every lab works differently and your needs might be very specific. Courtesy to our configurable solution and modular archi-tecture we can assign different roles to a specific user within working groups or assign studies to a physician under certain conditions. import/Export all studies are performed in an easy and fast way.

our Data Maintenance1 services include tools empowering each user to control selected studies and patients for:

¬ Study Information¬ Study/Image Deletion

the Core of your it

toMtEC DAtACEntEr enables clinicians to create, collaborate, exchange, and manage comprehensive medical imaging records throughout the continuum of care.

¬ Study/Patient editing¬ Study De-Identification

1 is part of toMtEC-ArEnA. toMtEC -ArEnA is a trademark of toMtEC imaging Systems GmbH. 2 Any access outside the hospital requires a secure Vpn connection.


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oPtImIZe your workfLow wIth sImPLe ruLes

workfLow, arChIVIng & CommunICatIon

ToMTec DATAcenTeR supports the most important industry standards for information exchange and beyond:¬ Dicom connectivity¬ Import/export¬ Support proprietary interfaces

and data formats

The archiving option connects all systems and imaging devices that are compliant with the DIcoM Standard to Query, Retrieve, Store and Move images. It can receive studies from modalities, save them to the local archive, query remote archives and search for specific examinations, send back all results to the long-term archive or copy to external storage devices.

Save time using our integrated DiCoM import tool.

It allows you to easily import all DIcoM files and folders into the local archive. Patient’s cD and DVD can be imported as well. Simple drag & drop of files and folders in the specific DIcoM Import Area will automatically start the import workflow.

Archivingyour data needs to be safe! patient history, follow-up visits and legal regulations require archiving of complete patient records.

ToMTec DATAcenTeR provides all means to archive your data using DIcoM Standards. While supporting SAn, nAS and other storage devices, the archiving option gives you the highest possible reliability and performance to accelerate your daily work.

Smart connectionsConnectivity between it systems is the key to information sharing, successful collaboration between clinicians, and information exchange with patients, other departments and referring physicians.

Communication Managerthe Communication Manager has been specifically designed to help execute performance sensitive actions like routing of studies via DiCoM or finalizing studies based on user defined triggers.

using a rule-based service, all actions can be triggered by different events e.g. based on time, study status or report status. The auto-forwardingfeature enables PAcS administrators to configure the archive service to automatically archive stored DIcoM images or send them to another PAcS.

Modalities can talk the same languageMeasurements are key to every diagnosis. Managing measurements is one of our core competencies.

MMS (Measurement Mapping Service) is a tool that allows the standardi-zation of different DIcoM SR formats from different ultrasound vendors into a standardized DIcoM format that reduces tremendous mapping efforts to information and reporting systems.

let us take care of customized measurements and the many DIcoM SR mappings that challenge your life every day!

Dicom Structured Reporting Templates, in addition to XMl based format templates, are available for exporting.

Empower enterprise imagingSave time using our integration interface.

use the integration interface to callup ToMTec DATAcenTeR from your eMR or other applications. The callup integration supports a direct launch into studies, images or reports available in ToMTec DATAcenTeR or ToMTec ZeRo.

measurement maPPIng serVICe

IntegratIon InterfaCe

Additional benefits are:

¬ Where the pACS does not accept 3D data or DiCoM encapsulated pDF files, perform DiCoM Sop Class specific archiving

¬ Schedule archiving to further reduce the workload during daytime

the benefits are:

¬ Get a look into images and report from your EMr within one click

¬ Automatically close toMtEC DAtACEntEr when you close your EMr application

¬ Easily export images and measurements to 3rd party reporting


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toMtECACADEMy

Detailed product trainings are offered exclusively for our up-to-date maintenance contract customers.

tomteC aCaDemy

Register today for unlimited complimentary sessions at www.tomtec.de/ academy

Info sessIon

¬ Complimentary for all customers

¬ Gain insight into our product portfolio

traInIng sessIon

¬ Exclusively for our up-to-date maintenance contract customers

¬ Refresh your knowledge and skills

¬ Live chat

¬ Open discussion round

¬ Demonstration of different case studies

¬ Customer ID is required

The TRAInInG AnD eDucATIon PRoGRAM foR ouR VAlueD cuSToMeRS

use these educational programs as a chance to increase your level of expertise or simply stay up-to-date with the newest toMtEC software.

D

Keeping you up-to-date on software advancements and clinical trends


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toMtEC iMAGinG SyStEMS GMbH Freisinger Strasse 985716 unterschleissheim Deutschland/Germanyo +49 89 32175 500e [email protected] www.tomtec.de

M.10.0001-08 © 2021toMtEC imaging Systems GmbH. All rights reserved.

toMtEC CorporAtion 525 W Monroe Street, Suite 2360, chicagoIl 60661, uSA o + 1 866 735 3740e [email protected] www.tomtecusa.com

Excellence in Digital Healthcare


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excellence in digital healthcare tomtec zero tomtec datacenter

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