Académique Documents
Professionnel Documents
Culture Documents
(Empty page)
SONOACE X8
Diagnostic Ultrasound System
Operation Manual
Version 2.03.00
English
M345-E20300-01
(Empty page)
(Empty page)
Safety Requirements
* Classifications:
- Type of protection against electrical shock: Class I
- Degree of protection against electrical shock (Patient connection): Type BF equipment
- Degree of protection against harmful ingress of water: Ordinary equipment
- Degree of safety of application in the presence of a flammable anesthetic material with air
or with oxygen or nitrous oxide: Equipment not suitable for use in the presence of a
flammable anesthetic mixture with air or with oxygen or nitrous oxide.
- Mode of operation: Continuous operation
* Electromechanical safety standards met:
-
Medical Electrical Equipment, Part 1: General Requirements for Basic Safety and
Essential Performance [IEC 60601-1:2005]
Medical Electrical Equipment, Part 1-2: General Requirements for Basic Safety and
Essential Performance - Collateral Standard: Electromagnetic Compatibility Requirements and Tests [IEC 60601-1-2:2007]
Medical Electrical Equipment, Part 1-6: General Requirements for Basic Safety and
Essential Performance- Collateral Standard: Usability [IEC 60601-1-6:2006]
Medical Electrical Equipment, Part 2-37: Particular Requirements for the Basic Safety
and Essential Performance of Ultrasonic Medical Diagnostic and Monitoring Equipment
[IEC60601-2-37:2007]
Medical Electrical Equipment, Part 1: General Requirements for Safety [IEC 606011:1988 with A1:1991 and A2:1995]
Medical Electrical Equipment - Part 1: General Requirements for Safety [CAN/CSA 22.2
No.601.1-M90:1990, with R2003, with R2005]
Standard Means for the Reporting of the Acoustic Output of Medical Diagnostic
Ultrasonic Equipment [IEC61157:2007]
* Declarations
NOTE
Some features are not available in some countries. The features with options, and
specifications that this manual present can be changed without notice.
Government approval is still pending in some nations.
WARNING
Used to indicate the presence of a hazard that can cause serious personal
injury, or substantial property damage.
CAUTION
NOTE
Revision History
DOCUMENT
DATE
NOTE
M345-E20300-01
2012-05-15
Initial Release
Table of Contents
Table of Contents
Chapter 1 - Safety
INDICATION FOR USE ............................................................................................... 1-2
SAFETY SIGNS .......................................................................................................... 1-3
SAFETY SYMBOLS ............................................................................................................. 1-3
LABELS ................................................................................................................................ 1-6
Chapter 3 Settings
PROBES & APPLICATIONS ....................................................................................... 3-3
PROBE SELECTION AND APPLICATION ........................................................................... 3-4
CHANGING APPLICATION................................................................................................... 3-4
EDITING PROBE PRESET VALUES .................................................................................... 3-4
Table of Contents
Table of Contents
Chapter 7 Maintenance
SYSTEM MAINTENANCE........................................................................................... 7-2
INSTALLATION REQUIREMENTS....................................................................................... 7-2
CLEANING AND DISINFECTIONS ...................................................................................... 7-3
FUSE REPLACEMENT ........................................................................................................ 7-5
CLEANING AIR FILTERS ..................................................................................................... 7-6
ACCURACY CHECK ............................................................................................................ 7-7
Chapter 8 Probes
PROBE ........................................................................................................................ 8-2
ULTRASOUND TRANSMISSION GEL ............................................................................... 8-10
SHEATHS ............................................................................................................................ 8-11
PROBE PRECAUTIONS ..................................................................................................... 8-12
CLIEANING AND DISINFECTING THE PROBE ................................................................ 8-13
MPTEE PROBE (OPTIONAL)............................................................................................. 8-22
BIOPSY...................................................................................................................... 8-26
BIOPSY KIT COMPONENT ................................................................................................ 8-26
USING THE BIOPSY KIT .................................................................................................... 8-27
CLEANING AND DISINFECTING OF BIOPSY KIT ............................................................ 8-29
ASSEMBLING THE BIOPSY KIT ........................................................................................ 8-31
** Reference Manual
SAMSUNG MEDISON is providing an additional SONOACE X8 Reference Manual (English).
GA tables and references for each application are included in the Reference Manual.
Chapter 1
Safety
Indication for Use ........................................................................................................... 2
Safety Signs ................................................................................................................... 3
Safety Symbols ......................................................................................................................... 3
Labels ....................................................................................................................................... 6
1-2
Contraindications
The SONOACE X8 system is not intended for ophthalmic use or any use causing the acoustic
beam to pass through the eye.
CAUTION
Chapter 1. Safety
1-3
Safety Signs
Please read this chapter before using the ultrasound system. It is relevant to the ultrasound
system, the probes, the recording devices, and any of the optional equipment.
SONOACE X8 is intended for use by, or by the order of, and under the supervision of, a
licensed physician who is qualified for direct use of the medical device.
Safety Symbols
The International Electro Technical Commission (IEC) has established a set of symbols for
medical electronic equipment, which classify a connection or warn of potential hazards. The
classifications and symbols are shown below.
Symbols
Description
Caution
1-4
Symbols
Description
Microphone connector
Protection against the effects of immersion.
Probe connector
Chapter 1. Safety
Symbols
Description
Symbols
Symbols
Description
Manufacturer
1-5
1-6
Labels
To protect the system, you may see Warning or Caution marked on the surface of the product.
[Label 1. ID label]
Chapter 1. Safety
1-7
1-8
Electrical Safety
This equipment has been verified as a Class I device with Type BF applied parts.
CAUTION
Chapter 1. Safety
1-9
systems. Attention is drawn to the fact that local laws take priority over the above-mentioned
requirements. If in doubt, consult your local representative or the technical service department.
Electric shock may exist result if this system, including and all of its
externally mounted recording and monitoring devices, is not properly
grounded.
Do not remove the covers on the system; hazardous voltages are
present inside. Cabinet panels must be in place while the system is in
use. All internal adjustments and replacements must be made by a
qualified MEDISON Customer Service Department.
WARNING
Check the face, housing, and cable before use. Do not use and
disconnect the power source, if the face is cracked, chipped, or torn,
the housing is damaged, or if the cable is abraded.
Always disconnect the system from the wall outlet prior to cleaning the
system.
All patient contact devices, such as probes and ECG leads, must be
removed from the patient prior to application of a high voltage
defibrillation pulse.
The use of flammable anesthetic gas or oxidizing gases (N2O) should
be avoided.
Avoid places where the system is likely to be difficult to operate the
disconnection device.
The system has been designed for 100-120VAC and 200-240VAC; you
should select the input voltage of printer and VCR. Prior to connecting
a peripheral power cord, verify that the voltage indicated on the power
cord matches the voltage rating of the peripheral device.
An isolation transformer protects the system from power surges. The
isolation transformer continues to operate when the system is in
standby.
CAUTION
1 - 10
ECG-Related Information
This device is not intended to provide a primary ECG monitoring
function, and therefore does not have means of indicating an
inoperative electrocardiograph.
WARNING
ESD
Electrostatic discharge (ESD), commonly referred to as a static shock, is a naturally occurring
phenomenon. ESD is most prevalent during conditions of low humidity, which can be caused by
heating or air conditioning. During low humidity conditions, electrical charges naturally build up
on individuals, creating static electricity. An ESD occurs when an individual with an electrical
energy build-up comes in contact with conductive objects such as metal doorknobs, file
cabinets, computer equipment, and even other individuals. The static shock or ESD is a
discharge of the electrical energy build-up from a charged individual to a lesser or non-charged
individual or object.
The level of electrical energy discharged from a system user or patient to
an ultrasound system can be significant enough to cause damage to the
system or probes.
CAUTION
Chapter 1. Safety
1 - 11
EMI
Although this system has been manufactured in compliance with existing EMI (Electromagnetic
Interference) requirements, use of this system in the presence of an electromagnetic field can
cause momentary degradation of the ultrasound image.
If this occurs often, MEDISON suggests a review of the environment in which the system is
being used, to identify possible sources of radiated emissions. These emissions could be from
other electrical devices used within the same room or an adjacent room. Communication
devices such as cellular phones and pagers can cause these emissions. The existence of
radios, TVs, or microwave transmission equipment nearby can also cause interference.
CAUTION
EMC
The testing for EMC(Electromagnetic Compatibility) of this system has been performed
according to the international standard for EMC with medical devices (IEC60601-1-2). This IEC
standard was adopted in Europe as the European norm (EN60601-1-2).
Compliance
Group 1
RF Emission
CISPR 11
Harmonic Emission
IEC 61000-3-2
Flicker Emission
IEC 61000-3-3
Class B
The Ultrasound System is suitable for use in all
establishments, including domestic establishments and
Class A
Complies
1 - 12
Cable
Type
Length
VGA
Shielded
Normal
Parallel
Shielded
Normal
RS232C
Shielded
Normal
USB
Shielded
Normal
LAN(RJ45)
Twisted pair
Any
S-Video
Shielded
Normal
Foot Switch
Shielded
2.5m
B/W Printer
Unshielded Coaxial
Normal
MIC
Unshielded
Any
Printer Remote
Unshielded
Any
Audio R.L
Shielded
Normal
VHS
Shielded
Normal
Shielded
< 3m
CAUTION
WARNING
Chapter 1. Safety
Immunity test
Electrotatic
discharge (ESD)
Compliance level
6KV Contact
6KV Contact
8KV air
8KV air
IEC 61000-4-4
2KV
for power supply lines
1KV
for input/output lines
2KV
for power supply lines
1KV
for input/output lines
Surge
IEC 61000-4-5
<5% U for 5 s
(<95% dip in U )
<5% U for 5 s
(<95% dip in U )
IEC 61000-4-2
Electrical fast
transient/burst
Voltage dips,
short
interruptions and
voltage variations
on power supply
input lines
IEC 61000-4-11
Power frequency
(50/60Hz)
magnetic field
3 A/m
3 A/m
IEC 61000-4-8
NOTE U is the a.c. mains voltage prior to application of the test level.
1 - 13
Electromagnetic
environment -guidance
Floors should be wood,
concrete or ceramic tile.
If floors are covered with
synthetic material, the relative humidity should be at
least 30%.
1 - 14
Immunity
test
IEC 60601
Test level
Conducted RF
3 Vrms
IEC 61000-4-6
150 kHz
to 80MHz
Compliance
level
0.01V
Electromagnetic
environment - guidance
Portable and mobile RF communications
equipment should be used no closer to any part
of the Ultrasound System, including cables,
than the recommended separation distance
calculated from the equation applicable to the
frequency of the transmitter.
Recommended separation distance
80MHz to 800MHZ
800MHz to 2.5GHz
Radiated RF
3 V/m
IEC 61000-4-3
80 MHz
to 2.5GHz
3V/m
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be
predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the measured field strength in
the location in which the Ultrasound System is used exceeds the applicable RF compliance level
above, the Ultrasound System should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or relocating
the Ultrasound System or using a shielded location with a higher RF shielding effectiveness and filter
attenuation.
b
Over the frequency range 150kHz to 80MHz, field strengths should be less than [V1] V/m.
Chapter 1. Safety
1 - 15
150kHz to 80MHz
80MHz to 800MHz
800MHz to 2.5GHz
V1=0.01Vrms
E1=3 V/m
E1=3V/m
0.01
35.00
0.11
0.23
0.1
110.68
0.36
0.73
350.00
1.16
2.33
10
1106.80
3.68
7.37
100
3500.00
11.66
23.33
For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in meters (m) can be estimated using the equation applicable to the frequency of the
transmitter, where p is the maximum output power rating of the transmitter in watts (W) according to
the transmitter manufacturer.
NOTE 1) At 80MHz and 800MHz, the separation distance for the higher frequency range applies.
NOTE 2) These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
CAUTION
1 - 16
Imaging Mode
2D or 3D
RF2
Power Line3
Change of operating
or system reset.
the image.
image.
Color
M mode lines.
background noise, or
audio, or both.
both.
1.
2.
3.
A medical device can either generate or receive electromagnetic interference. The EMC
standards describe tests for both emitted and received interference.
Medison Ultrasound Systems do not generate interference in excess of the referenced
standards.
An Ultrasound System is designed to receive signals at radio frequency and is therefore
Chapter 1. Safety
1 - 17
Does the interference show up only with one transducers operating at the same
frequency or with several transducer?
Do two different transducers operating at the same frequency have the same problem?
Is the interference present if the system is moved to a different location in the facility?
The answers to these questions will help determine if the problem reside with the system or
the scanning environment. After you answer the question, contact your local MEDISON
customer service department.
1 - 18
Mechanical Safety
Moving the Equipment
WARNING
The product weighs more than 100kg. Be extra careful when transporting it.
Careless transportation of the product may result in product damage or
personal injury.
Before transporting the product, check that the brakes on the front wheels are unlocked.
Also, make sure to retract the monitor arm completely so that it is secured in a stationary
position.
Always use the handles at the back of the console and move the product slowly.
This product is designed to resist shocks. However, excessive shock, for example if the product
falls over, may cause serious damage.
If the system operates abnormally after repositioning, please contact the MEDISON Customer
Service Department.
The Brakes
Brakes are mounted to the front wheels of the console only. To lock the brakes, press the top
part of the brake with your foot. To unlock them, press the part labelled OFF at the bottom of
the brake with your foot.
You can use the brakes to control the movement of the product. We recommend that you
lock the brakes when using the product.
Precautions on Ramps
Always make sure that the control panel is facing the direction of movement.
WARNING
When moving the product down a ramp or resting it temporarily on a ramp, the product may
tilt over even with the brakes on depending on the direction of the product. Do not rest the
product on ramps.
Chapter 1. Safety
1 - 19
Safety Note
Do not press the control panel excessively.
Never attempt to modify the product in any way.
Check the operational safety when using the product after a prolonged
break in service.
Make sure that other objects, such as metal pieces, do not enter the
system.
CAUTION
Please refer to Chapter 7. Maintenance for detailed information on protecting, cleaning and
disinfecting the equipment.
1 - 20
Biological Safety
For more safety information on probes and biopsy, please refer to Chapter 8 'Probes.'
Ultrasound waves may have damaging effects on cells and, therefore,
may be harmful to the patient. If there is no medical benefit, minimize the
exposure time and maintain the ultrasound wave output level at low.
Please refer to the ALARA principle.
WARNING
Do not use the system if an error message appears on the video display
indicating that a hazardous condition exists. Note the error code, turn off
the power to the system, and call your local MEDISON Customer Service
Department.
Do not use a system that exhibits erratic or inconsistent updating.
Discontinuities in the scanning sequence are indicative of a hardware
failure that should be corrected before use.
The system limits the maximum contact temperature to 43 degree
Celsius, and the ultrasonic waves output observes American FDA
regulations.
ALARA Principle
Guidance for the use of diagnostic ultrasound is defined by the as low as reasonably achievable (ALARA)
principle. The decision as to what is reasonable has been left to the judgment and insight of qualified
personnel. No set of rules can be formulated that would be sufficiently complete to dictate the correct
response for every circumstance. By keeping ultrasound exposure as low as possible, while obtaining
diagnostic images, users can minimize ultrasonic bioeffects.
Since the threshold for diagnostic ultrasound bioeffects is undetermined, it is the sonographers
responsibility to control the total energy transmitted into the patient. The sonographer must reconcile
exposure time with diagnostic image quality. To ensure diagnostic image quality and limit exposure time,
the ultrasound system provides controls that can be manipulated during the exam to optimize the results of
the exam.
The ability of the user to abide by the ALARA principle is important. Advances in diagnostic ultrasound not
only in the technology but also in the applications of the technology, have resulted in the need for more and
better information to guide the user. The output indices are designed to provide that important information
There are a number of variables, which affect the way in which the output display indices can be used to
implement the ALARA principle. These variables include mass, body size, location of the bone relative to
the focal point, attenuation in the body, and ultrasound exposure time. Exposure time is an especially
useful variable, because the user controls it. The ability to limit the index values over time support the
ALARA principle.
Chapter 1. Safety
1 - 21
Applying ALARA
The system-imaging mode used depends upon the information needed. 2D-mode and M-mode imaging
provide anatomical information, while Doppler, Power, and Color imaging provide information about
blood flow. Scanned modes, like 2D-mode, Power, or Color, disperse or scatter the ultrasonic energy
over an area, while an unscanned mode, like M-mode or Doppler, concentrates ultrasonic energy.
Understanding the nature of the imaging mode being used allows the sonographer to apply the ALARA
principle with informed judgment. The probe frequency, system set-up values, scanning techniques, and
operator experience aid the sonographer in meeting the definition of the ALARA principle.
The decision as to the amount of acoustic output is, in the final analysis, up to the system operator. This
decision must be based on the following factors: type of patient, type of exam, patient history, ease or
difficulty of obtaining diagnostically useful information, and the potential localized heating of the patient
due to probe surface temperatures. Prudent use of the system occurs when patient exposure is limited
to the lowest index reading for the shortest amount of time necessary to achieve acceptable diagnostic
results.
Although a high index reading does not mean that a bioeffect is actually occurring, a high index reading
should be taken seriously. Every effort should be made to reduce the possible effects of a high index
reading. Limiting exposure time is an effective way to accomplish this goal.
There are several system controls that the operator can use to adjust the image quality and limit the
acoustic intensity. These controls are related to the techniques that an operator might use to implement
ALARA. These controls can be divided into three categories: direct, indirect, and receiver control.
Direct Controls
Application selection and the output intensity control directly affect acoustic intensity. There are different
ranges of allowable intensity or output based on your selection. Selecting the correct range of acoustic
intensity for the application is one of the first things required during any exam. For example, peripheral
vascular intensity levels are not recommended for fetal exams. Some systems automatically select the
proper range for a particular procedure, while others require manual selection. Ultimately, the user
bears the responsibility for proper clinical use. The MEDISON system provides both automatic and
user-definable settings.
Output has direct impact on acoustic intensity. Once the application has been established, the output
control can be used to increase or decrease the intensity output. The output control allows you to select
intensity levels less than the defined maximum. Prudent use dictates that you select the lowest output
intensity consistent with good image quality.
Indirect Controls
The indirect controls are those that have an indirect effect on acoustic intensity. These controls affect
imaging mode, pulse repetition frequency, focus depth, pulse length, and probe selection.
The choice of imaging mode determines the nature of the ultrasound beam. 2D-mode is a scanning
mode, Doppler is a stationary or unscanned mode. A stationary ultrasound beam concentrates energy
on a single location. A moving or scanned ultrasound beam disperses the energy over a wide area and
the beam is only concentrated on a given area for a fraction of the time necessary in unscanned mode.
Pulse repetition frequency or rate refers to the number of ultrasound bursts of energy over a specific
period of time. The higher the pulse repetition frequency, the more pulses of energy in a given period of
1 - 22
time. Several controls affect pulse repetition frequency: focal depth, display depth, sample volume depth,
color sensitivity, number of focal zones, and sector width controls.
Focus of the ultrasound beam affects the image resolution. To maintain or increase resolution at a
different focus requires a variation in output over the focal zone. This variation of output is a function of
system optimization. Different exams require different focal depths. Setting the focus to the proper
depth improves the resolution of the structure of interest.
Pulse length is the time during which the ultrasonic burst is turned on. The longer the pulse, the greater
the time-average intensity value. The greater the time-average intensity, the greater the likelihood of
temperature increase and cavitations. Pulse length or burst length or pulse duration is the output pulse
duration in pulsed Doppler. Increasing the Doppler sample volume increases the pulse length.
Probe selection affects intensity indirectly. Tissue attenuation changes with frequency. The higher the
probe operating frequency, the greater the attenuation of the ultrasonic energy. Higher probe operating
frequencies require higher output intensity to scan at a deeper depth. To scan deeper at the same
output intensity, a lower probe frequency is required. Using more gain and output beyond a point,
without corresponding increases in image quality, can mean that a lower frequency probe is needed.
Receiver Controls
Receiver controls are used by the operator to improve image quality. These controls have no
effect on output. Receiver controls only affect how the ultrasound echo is received. These
controls include gain, TGC, dynamic range, and image processing. The important thing to
remember, relative to output, is that receiver controls should be optimized before increasing
output. For example; before increasing output, optimize gain to improve image quality.
Additional Considerations
Ensure that scanning time is kept to a minimum, and ensure that only medically required
scanning is performed. Never compromise quality by rushing through an exam. A poor exam
will require a follow-up, which ultimately increases the time. Diagnostic ultrasound is an
important tool in medicine, and, like any tool, should be used efficiently and effectively.
Chapter 1. Safety
1 - 23
1 - 24
Power
Power controls the system acoustic output. Two real-time output values are on the screen: a TI
Chapter 1. Safety
1 - 25
2D-mode Controls
2D-mode size
Narrowing the sector angle may increase the frame rate. This action will increase the TI. Pulse
voltage may be automatically adjusted down with software controls to keep the TI below the
system maximums. A decrease in pulse voltage will decrease MI.
Zoom
Increasing the zoom magnification may increase frame rate. This action will increase the TI. The
number of focal zones may also increase automatically to improve resolution. This action may
change MI since the peak intensity can occur at a different depth.
Persistence
A lower persistence will decrease the TI. Pulse voltage may be automatically increased. An
increase in pulse voltage will increase MI.
Focal no.
More focal zones may change both the TI and MI by changing frame rate or focal depth
automatically. Lower frame rates decrease the TI. MI displayed will correspond to the zone with
the largest peak intensity.
Focus
Changing the focal depth will change the MI. Generally, higher MI values will occur when the
focal depth is near the natural focus of the transducer.
Color Sensitivity
Increasing the color sensitivity may increase the TI. More time is spent scanning for color images.
Color pulses are the dominant pulse type in this mode.
1 - 26
will decrease the MI. If pulsed Doppler is also enabled then pulsed Doppler will
Scale
Using the SCALE control to increase the color velocity range may increase the TI. The system will
automatically adjust pulse voltage to stay below the system maximums. A decrease in pulse
voltage will also decrease MI.
Sec Width
A narrower 2D-mode sector width in Color imaging will increase color frame rate. The TI will
increase. MI will not change. If pulsed Doppler is also enabled, then pulsed Doppler will remain as
the primary mode and the TI change will be small.
Speed
M-mode and Doppler sweep speed adjustments will not affect the MI. When M-mode sweep
speed changes, TI changes.
Chapter 1. Safety
1 - 27
simultaneous modes, the TI is the sum of the contribution from the modes enabled and MI is the MI for
the focal zone and mode with the largest derated intensity. If a mode is turned off and then reselected,
the system will return to the previously selected settings.
Probe
Each probe model available has unique specifications for contact area, beam shape,
and center frequency. Defaults are initialized when you select a probe. MEDISON
factory defaults vary with probe, application, and selected mode. Defaults have been chosen
below the FDA limits for intended use.
Depth
An increase in 2D-mode depth will automatically decrease the 2D-mode frame rate. This would
decrease the TI. The system may also automatically choose a deeper 2D-mode focal depth. A
change of focal depth may change the MI. The MI displayed is that of the zone with the largest
peak intensity.
Application
Acoustic output defaults are set when you select an application. MEDISON factory defaults vary
with probe, application, and mode. Defaults have been chosen below the FDA limits for intended
use.
AIUM Report, January 28, 1993, Bioeffects and Safety of Diagnostic Ultrasound
Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1998:
Vol. 7, No. 9 Supplement
Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment. (AIUM, NEMA.
1998)
Acoustic Output Labeling Standard for Diagnostic Ultrasound Equipment (AIUM, 1998)
Second Edition of the AIUM Output Display Standard Brochure, Dated March 10, 1994. (A copy
of this document is shipped with each system.)
Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on
Diagnostic Ultrasound Equipment. (Revision 1, AIUM, NEMA. 1998)
1 - 28
the American Institute of Ultrasound in Medicine(AIUM) ratified a report prepared by its Bioeffects
Committee (Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept.
1988: Vol.7, No.9 Supplement), sometimes referred to as the Stowe Report, which reviewed available
data on possible effects of ultrasound exposure. Another report Bioeffects and Safety of Diagnostic
Ultrasound, dated January 28, 1993 provides more up to date information.
The acoustic output for this system has been measured and calculated in accordance with the
December 1985 510(K) Guide for Measuring and Reporting Acoustic Output of Diagnostic Ultrasound
Medical Devices, except that the hydrophone meets the requirements of Acoustic Output
Measurement Standard for Diagnostic Ultrasound Equipment (NEMA UD 2-1992)
( 0.23 alf )
a(dB/cm-MHz)
Brain
.53
Heart
.66
Kidney
.79
Liver
.43
Muscle
.55
( 0.069 lf )
Since this value is not the true In Situ intensity, the term derated is used.
The maximum derated and the maximum water values do not always occur at the same operating
condition; therefore, the reported maximum water and derated values may not be related to the In Situ
(derated) formula. Take for example a multi-zone array transducer that has maximum water value
intensities in its deepest zone: the same transducer may have its largest derated intensity in one if its
shallowest focal zones.
Chapter 1. Safety
1 - 29
ISPTA.3
ISPPA.3
The derated spatial-peak pulse-average intensity (watts per square centimeter). The
value of IPA.3 at the position of global maximum MI (IPA.3@MI) may be reported
instead of ISPPA.3 if the global maximum MI is reported.
MI
The Mechanical Index. The value of MI at the position of ISPPA.3, (MI@ISPPA.3) may
be reported instead of MI (global maximum value) if ISPPA.3 is
Pr.3
190W/cm2
The derated peak rarefactional pressure (megapascals) associated with the transmit
pattern giving rise to the reported MI value.
WO
The ultrasonic power (milliwatts). For the operating condition giving rise to ISPTA.3,
WO is the total time-average power;.
under ISPPA.3, WO is the ultrasonic power associated with the transmit pattern giving
rise to the value reported under ISPPA.3
fc
The center frequency (MHz). For MI and ISPPA.3, fc is the center frequency
associated with the transmit pattern giving rise to the global maximum value of the
respective parameter. For ISPTA.3, for combined modes involving beam types of
unequal center frequency, fc is defined as the overall ranges of center frequencies of
the respective transmit patterns.
ZSP
x-6,y-6
dimensions in
PD
The pulse duration (microseconds) associated with the transmit pattern giving rise to
the reported value of the respective parameter.
PRF
The pulse repetition frequency (Hz) associated with the transmit pattern giving rise to
the reported value of the respective parameter.
EBD
EDS
The entrance beam dimensions for the azimuth and elevation planes (centimeters).
The entrance dimensions of the scan for the azimuth and elevation planes (centimeters).
Quantity
Precision
Total Uncertainty
3.2 %
+21 % to - 24 %
Wo (acoustic power)
6.2 %
+/- 19 %
5.4 %
+/- 15 %
Fc (center frequency)
<1%
+/- 4.5 %
Systematic Uncertainties.
For the pulse intensity integral, derated rarefaction pressure Pr.3, center frequency and pulse
duration, the analysis includes considerations of the effects on accuracy of:
Hydrophone calibration drift or errors.
1 - 30
Environmental Protection
Chapter 1. Safety
1 - 31
CAUTION
This symbol is applied in the European Union and other European countries.
This symbol on the product indicates that this product shall not be treated as household waste.
Instead it shall be handed over to the applicable collection point for the recycling of electrical
and electronic equipment. By ensuring this product is disposed of correctly, you will help
prevent potential negative consequences for the environment and human health, which could
otherwise be caused by inappropriate waste handling of this product. The recycling of materials
will help to conserve natural resources. For more detailed information about recycling of this
product, please contact your local city office, your electrical and electronic waste disposal
service or the shop where you purchased the product.
Chapter 2
Introduction
And Installation
What is SONOACE X8? ................................................................................................. 2
Features and Advantages of SONOACE X8 ............................................................................ 2
Specifications ................................................................................................................. 3
Product Configuration and Installation ........................................................................... 6
Monitor ...................................................................................................................................... 6
Control Panel ............................................................................................................................ 8
Console................................................................................................................................... 17
Peripheral Devices.................................................................................................................. 20
Probe ...................................................................................................................................... 22
Accessories ............................................................................................................................ 23
Optional Functions.................................................................................................................. 24
2-2
High-end Digital Beam Forming The SONOACE X8 utilizes the newly developed
Digital Beam forming technology.
Various diagnostic Modes - 2D Mode, M Mode, Color Doppler Mode, Power Doppler
Mode, PW Spectral Doppler Mode, CW Spectral Doppler Mode, ElastoScanTM Mode,
etc.
Measurement and Report Functions Besides the basic distance, area, circumference
and volume measurement functions, the SONOACE X8 also provides applicationspecific measurement functions. The report function collates measurement data.
2-3
Specifications
Height: 1278mm (with monitor)
Physical Dimensions
Width: 510mm
Depth: 885mm
Weight: more than 101kg (with monitor)
2D imaging mode
M imaging mode
Color Doppler Imaging (CDI) mode
Power Doppler Imaging (PDI) mode
Directional Power Doppler Imaging (DPDI) mode
Power Pulse Inversion Imaging (PPII) mode
Pulse Wave (PW) Spectral Doppler imaging mode
Imaging modes
Gray Scale
256 (8 bits)
Focusing
selectable)
Digital dynamic receive focusing (continuous)
Curved Linear Array
C2-5EL, C2-5EP, C2-8, C3-7EP, C4-9/10ED
Linear Array
HL5-12ED, L4-7EL, L5-12EC, L5-12EP, L5-12/50EP, LN5-12
Probes
(Type BF / IPX7)
Phased Array
P2-4AH, P2-4AA, P3-5AC, P3-7AC
TEE
MPT4-7
Endocavity Curved Linear Array
ER4-9/10ED, EV4-9/10ED, NER4-9ES, NEV4-9ES
2-4
Volume Probe
Probes
Probe connections
Monitor
ECG
Rear Panel
Input / Output
Connections
Image Storage
Application
Electrical Parameters
Measurement
Packages
Signal processing
(Pre-processing)
TGC control
Mode-independent gain control
Acoustic power control (adjustable)
Dynamic aperture
Dynamic apodization
Dynamic range control (adjustable)
Image view area control
Signal processing
(Post-processing)
Frame average
Edge Enhancement / Blurring
Gamma-scale windowing
Image orientation (left/right and up/down, rotation)
White on black/black on white
Zoom
Trackball operation of multiple cursors
Measurement
Auxiliary
User Interface
Pressure Limits
Humidity Limits
Temperature Limits
Operating: 10 OC ~ 35OC
Storage & Shipping: -25OC ~ 60OC
2-5
2-6
Monitor
The monitor of this system is a color VGA monitor, which displays ultrasound images and
additional information. Use the monitor arm to adjust the height or position of the monitor.
Monitor Display
The monitor displays ultrasound images, operation menus and a variety of other information.
The screen is divided into six sections: Title, Menu, Image, Thumbnails, User
Information, and Flexible Softmenu.
2-7
Title Area
This section displays the Logo, Patient Name, Hospital Name, Application, Frame Rate &
Depth, Probe Information, Acoustic Output Information and Date & Time.
Menu
The menu is divided into 3 kinds: Image adjustment menu, Measurement menu, and
Utility menu. Use Menu dial-button to select an item from the menu.
Image Area
The ultrasound image, image information, annotation, and measurement are displayed in
the image area.
Thumbnails Area
Saved images, by pressing the Save button on the control panel, are displayed in the
thumbnails area.
Click a thumbnail with a pointer to enlarge.
Flexible Softmenu
The items that appear in the menu vary depending on the current status of the system.
To set or change a Softmenu item, use the flexible softmenu button with the
corresponding number in the control panel.
2-8
Control Panel
The control panel can be used for controlling the system. It consists of the following four
sections:
Function keys for mode selection and scanning, located on the right side of the control
panel.
Function keys for annotation and measurements, located around the Trackball.
Menu selection buttons, located on the left side of the control panel.
2-9
Power On/Off
On/Off
CAUTION
Pressing the On/Off button over five seconds turn off the power forcibly. It
can cause hard disk damage.
2 - 10
NOTE
If you turn on the power after turning off forcibly, the system can
turn on and off momentary. It is one of the character of Intel PC
main board, not system error.
Patient
End Exam.
2D / Ref. Slice
Pressing this button while in combine modes will return the system to single
image modes.
Turning this dial-button again when in 2D mode adjusts the 2D Gain. Also,
turning this dial-button when in 3D View adjusts the reference slice of the
image.
Press this dial-button to turn M Mode on / off.
M/z
Turning this dial-button adjusts the M Gain. Also, turning this dial-button
when in 3D View rotates the image along the Z-axis.
Color / y
Doppler Gain. Also, turning this dial-button when in Power Doppler mode
adjusts the Power Doppler Gain.
Turning this dial-button when in 3D View rotates the image along the Y-axis.
2 - 11
PW / x
Turning this dial-button adjusts the Spectral Doppler Gain. Also, turning this
dial-button when in 3D View rotates the image along the X-axis.
Press this button to turn CW Spectral Doppler Mode on / off.
CW
This mode can only be activated when using the Phased Array Probes or
Static CW Probes.
PD
3D/4D
Single
Press this button in Dual or Quad Mode to switch to Single Mode, in which
only a single diagnosis mode is available.
Dual
Quad
Harmonic
Image Adjustment
Freeze
DMR
(Optional)
SRF
2 - 12
Press this button to turn Quick Scan function on. The Q mark is displayed
on the top of the image.
QScan
Depth
Focus
Turn this dial clockwise / counter clockwise to rise / lower the focusing
point.
Press this button to turn Zoom mode on.
Zoom
Filter
Baseline
To exit Zoom Mode, press the Exit button or adjust the scan depth with
the Depth dial.
This is used to adjust Wall Filter values in Color Doppler Mode, Power
Doppler Mode and Spectral Doppler Mode.
Turn this dial clockwise / counter clockwise to increase / decrease the
Wall Filter values.
This is used to raise/lower the baseline in Color Doppler Mode, Power
Doppler Mode and Spectral Doppler Mode.
Turn this dial clockwise / counter clockwise to rise / lower the baseline.
Scale
Angle
This is used to adjust the speed of blood flow (or frequency) range in
Color Doppler Mode, Power Doppler Mode and Spectral Doppler Mode.
Turn this dial clockwise / counter clockwise to expands / reduces the
speed range (frequency).
2 - 13
Caliper
volume. Press the button repeatedly to cycle through all the available
measurement methods.
A different measurement menu appears, depending on the examination
Calc.
subject and diagnosis mode. The examination subject changes each time
the button is pressed.
BodyMarker
Indicator
Clear
When this is pressed, a Body Marker list appears. Select a specific Body
Marker, and it appears on the selected display.
When this is pressed, an arrow marker appears to point to the parts of the
displayed image.
When this is pressed, the text, Indicator, Body Marker, and measurement
data are erased from the displayed image.
This button is used to perform the special function as you set before.
Refer to Peripherals setup of Chapter 3. Setting.
Exit
This is used to move the cursor on the display and to scroll through CINE
images.
This is used to exit the current mode and return to initial settings.
This is used to change the current Trackball function. For example, you
Change
can reset the position of the last point specified during measurement or
change the position of the cursor during text input.
Pointer
2 - 14
Update
Set
Menu
Menu
Change Menu
Utility
Utility
Switch menus when using more than one menu. Each time the button is
Report
Print 1, 2
The functions of buttons can be set in Utility > Setup > Peripherals >
Print Setup > Print Key.
Store Clip
2 - 15
- Soft Menu Bottom (): Press the Soft Menu dial-button to select or adjust a function.
Keyboard
The alphanumeric keyboard is used to type in text. Some function keys are related to
measurement.
2 - 16
F2
F4~F12
Space bar
Bar TGC disappear from the screen in that order. After they have
disappeared, all three sets of data are displayed again if the Space Bar is
pressed.
CAUTION
2 - 17
Console
The console consists of two parts the inner unit and the outer unit. The interior of the console
mainly contains devices that produce ultrasound images. On the exterior of the console are
various connectors, probe holders, storage compartments, handles, wheels, etc.
2 - 18
Rear Panel
A monitor and other peripheral devices like printer, VCR, etc. are connected via the rear
panel at the back of the system.
VGA (Output)
The VGA signal is sent to the monitor.
Parallel (Output)
Devices such as standard PC printers are connected via the parallel port.
USB (Input/Output)
USB peripheral devices are connected via the USB port. There is another USB port in
the front panel to connect the USB storage device.
LAN (Input/Output)
DICOM can be connected via the LAN port. Patient information is transferred to another
server via the DICOM network.
AUDIO (Input/Output)
Use to Input or output Audio signals.
2 - 19
VHS (Input/Output)
Connect the VCR using the VHS method.
S-VHS (Input/Output)
Connect the VCR using the S-VHS method.
Printer (Output)
Echo printer connection.
Probe Holder
A probe holder is mounted at the left and right side of the control panel.
2 - 20
Peripheral Devices
NOTE
DVD-Multi
DVD-RW, DVD-RAM, DVD-R, DVD+R, DVD-ROM, CD-R, CD-RW, CD-ROM
CAUTION
When using a peripheral device from a USB port, always turn the power
off before connecting/disconnecting the device. Connection/disconnection of USB devices during power-on may lead to malfunction of the
system and USB devices.
NOTE
When remove the removable disk, use Utility > Storage manager.
USB ports are located both on the front panel and the rear panel of
the console.
We recommend that you connect USB storage devices (MO drive,
flash memory media, etc.) to the ports on the front panel and other
USB peripheral devices to the rear panel for added convenience.
2 - 21
CAUTION
CAUTION
The USB MO Drive should not be used with other USB storage
devices simultaneously.
NOTE
Foot Switch
Set the function of the foot switch in Utility > Setup > Peripherals > Foot Switch;
Freeze, Update, Record, Print, Store, or Volume Start.
Others
Flash Memory media
NOTE
If you use the USB 1.1 flash memory, the system cannot
recognize it. In the case of this, delete the flash memory from
the console and quip again.
Regarding file formats that are not ordinarily saved: Please
check first to see if it is possible to save the file format on a
desktop PC before trying to save the file on a Flash Memory.
2 - 22
Probe
Probes are devices that generate ultrasound waves and process reflected wave data for the
purpose of image formation.
NOTE
Connecting probes
Be sure to connect or disconnect probes when the power is off to ensure the safety of the
system and the probes.
1.
Equip probes to the probe connectors on the front panel of the system. A maximum
of three probes can be connected at one time. The CW probe should only be
connected to its own connector.
2 - 23
Accessories
An accessory box containing the items below is supplied with the product.
CAUTION
NOTE
2 - 24
Optional Functions
This product has the following optional functions:
4D
3D XI
CW Function
Cardiac Measurement
DICOM
Spatial Compound
XI STIC
Auto IMT
ElastoScan
Panoramic
Stressecho
Strain
For further information about optional functions, please refer to the relevant chapters in this
manual.
Chapter 3
Settings
PROBES & APPLICATIONS ...........................................................................................3
Probe Selection and Application ............................................................................................ 4
Changing Application ............................................................................................................. 4
Editing Probe Preset Values .................................................................................................. 4
3-2
UTILITY......................................................................................................................... 81
ECG ...................................................................................................................................... 82
Biopsy ................................................................................................................................... 84
Histogram ............................................................................................................................. 85
Post Curve ............................................................................................................................ 87
Setup .................................................................................................................................... 92
Measure Setup ..................................................................................................................... 92
Demo Play ............................................................................................................................ 92
Storage Manager .................................................................................................................. 93
Userset Manager .................................................................................................................. 95
Bodymarker Edit ................................................................................................................... 96
Chapter 3. Settings
3-3
CAUTION
Please refer to Chapter 8 Probes for more information about the probes
supported by this system.
Press the Probe button on the control panel and then the Probe Selection screen will appear.
In this window, you can select or change probes and applications and edit probe presets.
3-4
Changing Application
1. After checking the currently selected probe, select an application using the Trackball and
Set button.
2. Press the Flexible Soft dial-button [5] Ok on the screen. Press the Flexible Soft
dial-button [6] Cancel to cancel a selection.
A userset such as User1 and User2 can be selected for each setting. Usersets are
available under Preset.
Tip! User Preset
If user presets are specified as User 1, User 2, etc., the specified name will
appear in the title area.
For example, if the Cardiac application along with the preset User1 is selected,
Cardiac/User1 will be displayed in the title area.
2. Press the Flexible Soft dial-button [5] Ok on the screen. Press the Flexible Soft
dial-button [6] Cancel to cancel a selection.
Chapter 3. Settings
3-5
NOTE
To change the value for presets, press Utility. Refer to Utility in this
chapter for details.
3-6
Patient Information
Press the Patient button on the control panel and the Patient Information screen will appear on
the screen.
In this screen, you can enter, search, or change patient information. Patient information includes
basic information such as the patient ID, name, DOB, and gender, together with additional
information for applications.
NOTE
ID
Enter a patient ID.
-
To enter it automatically, select Auto ID Creation and press New. The icon is
changed to
If you enter an ID that exists already, the icon next to the ID field is changed to
Name
Enter patients full name.
- Last Name: Enter the patients last name.
- First Name: Enter the patients first name.
- Middle Name: Enter the patients middle name.
The name that you have entered will appear in the title area and reports.
Representation
Specify how the names of Asian patients, including Korean, Chinese and Japanese
are displayed.
- Roman: Type in Roman letters.
- Ideographic: Type in ideographic letters.
- Phonetic: Type in phonetic letters.
Chapter 3. Settings
3-7
NOTE
Birth
Enter the patients birth date in the specified format.
Age
Enter the patients age in yy-mm format. When a birth date is specified in the Birth
field, this information is automatically calculated and displayed.
Gender
Select the patient's gender.
Accession
When viewing the worklist for a patient via the DICOM server, this information is
automatically filled.
2.
3.
3-8
General
In Category, select General. Enter additional information. The items in General are also
included in the patient information screen for other applications.
Height
Enter the patients height in Inches (in.) or Centimetres (cm). Press the unit button to
change the unit. When the unit is changed, the entered number is automatically
recalculated and displayed in the changed unit.
Weight
Enter the patients weight in Ounces (oz), Pounds (lb) or Kilograms (Kg). Press the unit
to change it.
HR (Heart Rate)
Enter a heart rate.
Sonographer
Enter the name of the sonographer who scanned the patient. When there is more than
one sonographer available, you can use the combo button to make a selection.
Description
Enter a description of the diagnosis. If a description is entered, it can be searched for
and viewed under Description in SonoView.
Chapter 3. Settings
3-9
Indication
Enter a brief description of the symptom or disease.
OB
In Category, select OB. Enter additional information for OB.
GA (LMP)
It indicates the gestational age of a patient.
You can enter it manually in the specified format, or have it automatically calculated and
displayed with the LMP entered.
3 - 10
Ovul. Date
Enter an ovulation date in the specified format. LMP, GA, and EDD will be automatically
calculated and displayed.
Tips! Calculating LMP and EDD (LMP) with Ovul. Date
The following formulae are used:
Gestations
Enter the number of fetuses, up to maximum of 4.
Day of Cycle
Enter a menstrual period in number of days (dd).
Ectopic
Enter the number of ectopic pregnancies
Gravida
Enter the number of pregnancies.
Para
Enter the number of deliveries.
Aborta
Enter the number of miscarriages.
Chapter 3. Settings
3 - 11
New Pregnancy
Delete previous OB data for this patient.
Gynecology
In Category, select Gynecology. Enter additional information for Gyn. This is the same
information as for OB.
NOTE
Cardiac
In Category, select Cardiac. Enter additional information for Cardiac.
3 - 12
BP (Body Pressure)
Enter maximum/minimum blood pressures.
Urology
In Category, select Urology. Enter additional information for Urology.
Chapter 3. Settings
3 - 13
Local Search
Search through the information stored in the system.
1. In Search Source, select Local.
2. In Search By, select a search condition.
- Select Patient ID to search by ID, or select a patients name under Patient Name
to search by name.
3. In the search window, enter an ID or name and press Search. The list of patients
who meet the conditions will appear. Pressing Search All will show a list of all the
patients stored in the system.
In the list, press ID or Name to sort the information alphabetically or numerically by
the selected item.
4. Select the desired patient and press Apply. The information on the selected patient
will be applied to the system.
Press Select All to select all the patients in the list. Press Delete to delete the ID and other
information for the selected patient.
WARNING
3 - 14
Worklist Search
Perform a search by connecting to the DICOM Modality Worklist server in the hospital
network.
1. In Search Source, select Worklist.
2. Enter more than one item from among Patient ID, Last Name, Accession # or
Procedure ID, and then press Search. The list of patients who meet the condition will
appear.
-
In the list, press Date/Time or Patient Name to sort the information alphabetically
or numerically by the selected item.
3. Select the desired patient and press Apply. The information on the selected patient will
be applied to the system.
NOTE
The worklist server is configured under the DICOM tab on the Setup screen.
Please refer to DICOM Setting in this chapter.
Chapter 3. Settings
3 - 15
NOTE
The exam list appears only when a patient searches is completed and the
related patient information is applied to the system.
In addition to the patient ID, Age and Gender, information such as the Exam Date, the number
of images stored (Images), the measurement status (Measure), the report creation status
(Structured Report, SR), the stress echo exam status (Stress Echo, SE), the exam transfer
status (Storage Commit, SC) and the lock status are displayed. You can press ID or Name to
sort the information alphabetically or numerically by the selected item.
To select more than one exam, press the Set button while holding down the Ctrl button on the
keyboard.
Executing Exam
Use the Trackball and the Set button to select an exam, and then press Review Exam or
Continue Exam on the screen. For an exam currently being executed, the button is
displayed as Current Exam and disabled.
NOTE
If the selected exam has been executed in the past 24 hours, the
button in the lower left corner is displayed as Continue Exam. If the
exam was executed earlier than this, the button is displayed as
Review Exam.
3 - 16
Review Exam
The selected exam appears on the screen. Double-clicking a stored image in the
thumbnail area in the right side of the screen retrieves the image and displays the initial
execution date for the corresponding exam (Exam Reviewed) and the stored image
information. In the retrieved exam screen, you can perform measurements or enter text,
bodymarkers or indicators.
Viewing Exam
Select an exam by using the Trackball and the Set button, and press Review on the
screen. Switch to the SONOVEIW screen.
NOTE
Deleting Exam
Select an exam by using the Trackball and the Set button, and press Delete on the screen. All
images for the exam will be deleted. However, an exam in progress or a locked exam cannot be
deleted.
NOTE
NOTE
Chapter 3. Settings
1.
3 - 17
Select an exam(s) and then press Send on the screen. The DICOM Storage window
will appear.
- To check the connection between the server and DICOM before sending, press Test.
Select an image or report to send. You can select images under Storage Image, and
reports under Storage SR.
3.
Pressing Transfer starts a transfer and displays the transfer progress (%). To cancel
the transfer, press Close.
Select an exam(s) and then press Print on the screen. The DICOM Printer window
will appear.
- To check the connection between the server and DICOM before sending, press Test.
2.
3.
Pressing Print starts printing and displays the transfer progress (%). To cancel
printing, press Close.
3 - 18
Exporting Exam
You can save the selected exams in an external storage device.
1.
Select exam(s) and then press Export on the screen. The Image Export window will
be displayed.
2.
Under Drive, select a media where the selected exams will be saved. You can select
MO, CD-ROM or Flash Memory.
3.
Under File Name, specify the file name. The same file name is assigned to all images
associated with an exam. When there is more than one image, a serial number is
automatically appended to the end of the file name.
4.
Under File Format, specify a file format in which files will be saved. You can select
BMP, JPEG, TIFF or DICOM.
5.
Under Export Option, select a file option(s). You can select more than one option.
- 3D Volume Data: Export the 3D volume data along with an image.
- 2D Cine: Convert the stored Cine image to an .AVI file before exporting.
- 3D and Live Cine: Convert the 3D Cine and Live Cine images to an .AVI file before
exporting.
- Hide Patient Information: Export an image without a patient ID and name.
6.
Under Directories, select a location where the selected exams will be saved. To
create a new directory, press
press
7.
Chapter 3. Settings
3 - 19
Backing up Exam
You can back up the selected exams in an external storage device.
1. Connect a storage media for backup. MO, CD-ROM or Flash Memory can be used.
2. Select an exam(s) and then press Backup on the screen.
3. A confirmation window will appear asking whether to continue the backup. Press Yes
to continue. Press No to cancel.
4. The Select Drive window will appear. Under Drive, select the media where the
selected exams will be saved.
5. Press Ok to start the backup. Press Cancel to cancel.
3 - 20
Changing Measurements
In the Patient Information screen, press the Measure Data tab. Under the Measure Data tab,
you can enter obstetrics measurements for a patient or check the existing measurements. Press
the button, and the Insert screen will appear.
NOTE
This option is available for obstetrics only and enabled only when a
patient ID is selected.
Exam. Date
Enter the measurement date.
NOTE
Fetus
If the fetus is a twin, identify each fetus. Up to 4 fetuses (A, B, C, D) can be specified.
Exam No.
Up to 8 exam numbers can be entered for each date. An exam number appears next to
the Fetus field.
New Data
Cancel all measurement data entered for other exams and enter new measurement
data.
Clear
Cancel entering the measurement data.
Insert
Complete entering the measurement data.
Page Browse
Use the [>>] or [<<] button.
Chapter 3. Settings
3 - 21
View
Switch to the View screen.
Package
Select a measurement package to display on the screen. Enter the measurement date.
Refresh
Update the measurement data. New measurements, or the measurements entered,
are added.
Save
The Save To Excel window appears, allowing you to save information on the screen in
an Excel file. By default, the Excel file name is set to the measurement ID.
After specifying the target path and file name, press Save to save the information. To
cancel saving, press Close.
NOTE
Insert
Switch to the Insert screen.
3 - 22
Chapter 3. Settings
3 - 23
System Settings
This mode is used for system settings. It does not affect image output. The setup may be
modified depending on specific needs or preferences.
1.
Press the Utility button on the control panel and select Setup in the menu.
2.
The Setup screen will appear. Select a tab that has items to specify.
Tips! Selecting a tab
You can select a tab in either of two ways as desired.
-
3.
4.
Press Close to finish the setup. Press the Exit button on the control panel to cancel.
3 - 24
Title
You can specify information displayed in the title area on the screen.
Institution
Enter the name of the hospital/institution where the product is installed.
NOTE
Date
The current date is displayed. To change the date, press
NOTE
Press
2.
Set the date and time by using the Trackball and the Set button on the control
panel.
3.
If it is properly set, press Apply to apply changes. Press OK to close the Date & Time
window. To cancel, press Cancel or the Exit button on the control panel.
Chapter 3. Settings
3 - 25
Date Format
Specify the date format. Select a desired date format by pressing the combo button.
The date format that you specify will be applied to various date fields in Patient
Information.
Time
The current time is displayed.
Time Format
Specify the time format. Select a desired time format by pressing the combo button.
Prospective
When Store Clip is pressed during scanning, the subsequent images are saved.
Retrospective
When Store Clip is pressed during scanning, the previous images are saved.
Scan Mode
Simultaneous Mode
This determines whether to enable simultaneous mode in Spectral Doppler Mode.
- Off: Select this if you do not wish to use simultaneous mode.
- Allow B/PW: Select this if you do not wish to use simultaneous mode in 2D/C/PW
modes but do wish to use it in 2D/PW mode.
- Allow B/C/PW: Select this if you wish to use simultaneous mode for both 2D/PW and
for 2D/C/PW.
3 - 26
Control
You can specify display-related options.
Chapter 3. Settings
3 - 27
Display Settings
Select the Display tab in the Setup screen. Specify display-related options.
Display
Option
You can specify more than one item. Use the Trackball and the Set button to select a
desired item and check or uncheck it.
- Auto Freeze: If the product is unused for 10 minutes, the scan mode will be
automatically stopped.
NOTE
- Post Map: This sets whether to display the Post Map in the feedback area on the
screen.
- TGC Line: This sets whether to display the TGC line.
- VCR Counter: This sets whether to show the VCR Counter on the screen when a
3 - 28
Freeze Action
Select a function to execute when the Freeze button on the control panel is pressed.
Available options are Bodymarker, Caliper, Measure and None.
2D/C Live
Specify how Color Doppler Mode is displayed in 2D/C Live Mode. In the 2D menu, if
Horizontal Dual is On, it can be placed in the up/down positions, and if not, it can be
placed in the left/right positions.
- Left/Up: Color Doppler Mode is displayed in the left or up position.
- Right/Down: Color Doppler Mode is displayed in the right or down position.
- Disable Horizontal Format: Turn off the Horizontal Dual function in 2D/C Live Mode.
Font
Font
Select the font to use in.
Font Name
Select the font type to use.
Chapter 3. Settings
Font Size
Select the font size to use.
Font Color
Select the font colour to use.
Preview
Preview window displays the font you selected.
Default
Go back to the default setting like below.
Document Font
Font Name
Helvetica
Verdana
Font Size
11
11
Font Color
White
Yellow
NOTE
3 - 29
3 - 30
Peripherals Setup
Select the Peripherals tab in the Setup screen. You can configure keys, buttons and the
peripheral devices connected to the product.
Peripherals
VCR Model
Select the type of VCR Model from Panasonic MD 835, Sony DVO-1000MD, JVC BDX201 or Sony SVO 9500.
You should reboot the system before you can use the configured VCR.
COM
Configure a device to connect to a serial port. Available devices are VCR and Open
Line Transfer. If you select Reserve, the COM port will not be used.
Foot Switch
Set the function of the left and right pedals of the foot switch. You can select one of the following
functions for each pedal.
Update
Store
Record
Volume Start
Chapter 3. Settings
3 - 31
User Key
Set the function of the User 1 and User 2 buttons on the control panel. You can select
one of the following functions for each button.
User Key Functions
None
APTD
M-Line
EFW Measure
TTD
2D/C Live
EFW Result
FTA
Biopsy
Document
GS
Panoramic
BPD
CRL
Change Window
HC
TDI
Elastoscan
AC
Probe Change
StressEcho
FL
Application Change
Print Setup
Printer Orientation
This option is available only for an Echo printer that uses roll paper.
NOTE
Print Key
Set the functionality of the Print 1 and Print 2 buttons on the control panel. Select from
Analog Printer, Digital Printer or Record. Also set a printer or VCR to use when each
button is pressed.
3 - 32
NOTE
Chapter 3. Settings
3 - 33
System Information
Select the Infor tab in the Setup screen. Information about the system S/W version will be
displayed.
Press Detail to view more detailed information on the product version.
3 - 34
NOTE
For more information, please refer to the user manual for the server
equipment or the DICOM Conformance Statement.
DICOM Configuration
The information on the DICOM server used by the system is displayed.
You can change the information, or add or delete a server. The server information is used
to identify DICOM for the system in a network. It is also used to transfer data between
other DICOM servers.
NOTE
Chapter 3. Settings
3 - 35
AE Title
Enter the name of the DICOM AE (Application Entity). The title is used to identify
devices that use DICOM in a network. (E.g. US1, US2, etc.)
Station Name
Enter the name of the system. Along with AE Title, it is often used to identify the
system in the DICOM network. (E.g. X81, X82, etc.)
Port No.
Enter the port number of the server being used.
NOTE
The DICOM Send Format settings are applied at the time when an image
is saved. For example, when set to Gray, an image is saved as a
grayscale image.
DICOM Compression
Specify whether to compress the still (Cine) images for which DICOM services will be used.
Select either Uncompressed or JPEG Baseline by using the combo button. When
Uncompressed is selected, images are saved without being compressed.
NOTE
Display Compensation
Configure the post curve settings for the images for which DICOM services will be used.
Click this button to display the Display Compensation window.
Adjust gamma, brightness, and contrast by using the slider for each option. Click Default to
revert to the system defaults.
Display Compensation
Adjusting the post curve settings for images allows other monitors to display them as
close as possible to the original images, which is convenient in diagnosis.
3 - 36
Services
Select the type of service to use via DICOM. The supported DICOM servers are
Storage, Print, Worklist, PPS, SC and Storage SR.
Alias
Enter the name of the DICOM server.
AE Title
Enter the AE title of the DICOM server. Consult your network administrator before
specifying this option.
Transfer Mode
Select a transfer method:
- Batch: Send all saved images when you click the End Exam button.
- Send As You Go: Send an image whenever you press the Save button to save it.
- Manual: Send the specified image in Exam List or SonoView.
Connect Timeout
Specify how long the system will wait until it receives a response from the DICOM
server. You can specify it in seconds.
IP Address
Enter the IP address of the server being used. Consult your network administrator
before specifying this option.
Chapter 3. Settings
3 - 37
Port No.
Enter the port number of the server being used. Consult your network administrator
before specifying this option.
Retry Interval
Specify how long the system will wait before it retries when transmission fails. You can
specify it in seconds.
Maximum Retries
Specify how many times the system will retry when transmission fails.
Include 3D Volume
Specify whether to transfer the 3D volume data when transferring a 3D image.
NOTE
3 - 38
NOTE
Color
Specify whether to use colors. Select Grayscale or RGB.
Format
Specify the paper layout. Select from 11, 12, 22, 23, 33, 34, 35, 44,
45 and 46.
Orientation
Specify the paper orientation. Select Landscape or Portrait.
Magnification
When resizing an image to print, specify the interpolation. Select from Replicate,
Bilinear, Cubic and None.
Border Density
Specify the border density of an image to print. Select Black or White.
Empty Density
Specify the background color of an image to print. Select Black or White.
Chapter 3. Settings
3 - 39
Min Density
Specify the minimum brightness of an image to print. If this option is not specified, the
default value is applied.
Max Density
Specify the maximum brightness of an image to print. If this option is not specified, the
default value is applied.
Medium Type
Specify the paper type. Select from Paper, Clear Film, Blue Film, Mammo Clear Film
and Mammo Blue Film.
Film Size
Specify the paper size. Select from 8 inch10 inch, 5 inch11 inch, 10 inch12 inch,
10 inch14 inch, 11 inch14 inch, 11 inch17 inch, 14 inch14 inch, 14 inch17
inch, 24cm24cm, 24cm30cm, A4 and A3.
Destination
Specify the paper pathway. Select Magazine or Processor.
Smoothing Type
This option is available only when Magnification is set to CUBIC. Enter a value
specified in the DICOM Conformance Statement for the printer.
Priority
Specify a priority for the print command. Select from High, Med and Low.
Copies
Enter the number of copies between 1 and 99.
Configuration Info
Specify the unique value for a printer. Please refer to the DICOM Conformance
Statement for the printer.
3 - 40
Update Method
Specify the update method for Worklist.
- Only on user Request: Update only when asked by the user.
Tip!
To update a worklist, in the Search tab on the Patient Information screen, select
Worklist for Search Source and press Search.
- On Startup and Every : Update automatically at a specified interval after the system
boots and Worklist is updated.
NOTE
Chapter 3. Settings
3 - 41
Start Date
Specify the range of dates to search.
- Today: Retrieve the patient list for the current date.
- Range: Retrieve the patient list for n days before and n days after the current date.
- Past Week: Retrieve the patient list for 7 days before the current date.
- Past Month: Retrieve the patient list for a month before the current date.
- Custom Date: Specify a certain date and retrieve the patient list for that date.
SC Server Information
Select SC (Storage Commitment) under Services. Configure the Storage Commitment
3 - 42
Service using DICOM. The Storage Commitment Service is used after a diagnosis is finished
and all saved images and reports are transferred.
Chapter 3. Settings
3 - 43
Managing DICOM
Click Queue on the screen to switch to the DICOM Job Status screen. You can review the
current job status using the Job ID, Patient ID, etc.
The following describes the elements of the DICOM Job Status screen.
3 - 44
Description
Fail
Transfer
Imperfect
Wait
Wait Resp
Hold
The job is waiting for a retry. This occurs when the job has
failed but the maximum retry count is not yet reached.
Ready
The job is waiting for execution. This occurs when the network
is not connected.
Not Ready
Network Status
Display the network connection status. When connected, 'Connected' is displayed.
When disconnected, 'Disconnected' is displayed.
Number of Jobs
Display the number of jobs listed in the DICOM Job Status screen.
Log
Display the DICOM Log window.
Retry
Perform the selected job again. This button is enabled only when the status of the
selected job is Fail or Wait Resp.
Retry All
Retry all jobs for which the status is Fail.
Chapter 3. Settings
3 - 45
Delete
Delete the selected job. This button is enabled only when the status of the selected job
is Fail, Imperfect, Wait Resp, or Not Ready.
Clear
Delete all jobs.
DICOM Log
Click Log on the DICOM Job Status window to display the DICOM Log window. This is used
to manage the history of all DICOM services performed on this product.
Log Settings
Specify how log files will be managed.
- Delete archived log file after: Specify how long a log file will be archived. Enter a
number in days. If the specified time has elapsed after the log file was created, the
3 - 46
DICOM Log
Display a list of log files with their information.
- Select All: Select all log files.
- Delete Selected Files: Delete the selected log file.
- Copy Selected Files: Copy the selected log file to an external storage media.
- View Selected File: Display the details of the selected log file on the screen.
- Refresh: Update the information of a log file.
Chapter 3. Settings
3 - 47
Utilities Setup
Select the Utility tab in the Setup screen. You can configure settings for e-mail, text and
network status.
E-mail
You can specify a server through which you will send and receive e-mails.
Port No.
Enter a port number.
3 - 48
ID
Enter an ID for the e-mail server.
Password
Enter a password for the e-mail server.
Buzzer Control
Specify whether a buzzer sound will be generated when a button or dial-button is pressed.
Buzzer Sound
If Buzzer On is checked, a buzzer sound is generated whenever a button or dialbutton is pressed.
BodyMarker
Text Setup
You can specify whether to use Autotext or Quick Text.
Autotext Setup
If an abbreviation is entered, the system retrieves and enters a full word automatically.
When this option is selected, you can enter text more easily and quickly.
For example, to enter the text Abdominal Circumference, you only need to enter AC
and the system will search the full word from the abbreviation list and automatically
enter it.
To enable Autotext, check the Autotext checkbox with the Trackball. Otherwise,
uncheck the checkbox.
If this option is selected, the abbreviation list appears on the screen when text is
entered.
Chapter 3. Settings
3 - 49
3 - 50
Quick Text
If the checkbox is selected, the Quick Text function is enabled. Quick Text switches
the system to the text input mode immediately after a character key in the
Alphanumeric Keyboard is pressed.
NOTE
You can still enter text if this option is not enabled. If this is the
case, press the F2 key in the Alphanumeric Keyboard to switch
to the text mode.
NOTE
Name Formatting
Specify the order in which patient names are displayed.
- Default: Names are displayed in the order last name, first name and middle name
Chapter 3. Settings
3 - 51
Representation Priority
Specify how patient names are displayed. Select the precedence of Roman,
Ideographic and Phonetic letters.
3 - 52
Option Setup
Select the Option tab in the Setup screen. You can enable or disable optional software and
hardware.
Options
The list of optional software is displayed on the screen.
NOTE
Options
It shows the types of optional software that can be installed on the product. The
following table shows the list of optional software that is available with SONOACE X8:
4D
3D XITM
CW Function
Cardiac Measurement
Dynamic MRTM / Dynamic MR+
DICOM
Spatial Compound
XI STIC
Auto IMT
Elastoscan
Panoramic
Stressecho
Strain
Chapter 3. Settings
3 - 53
Status
It shows the current status of optional software.
Hardware Configuration
The list of optional hardware is displayed on the screen. Currently, only ECG is
supported.
Check the checkbox for hardware that will be used. Reboot the system to finish
settings.
3 - 54
Auto Calc
Select the AutoCalc tab in the Setup screen. The Auto Calc function calculates specified
measurement items automatically with measurement data and is supported in Spectral Doppler
Mode.
NOTE
The specified items will appear on the screen only when the Flexible Soft
dial-button [3] Auto Calc is on in Spectral Doppler Mode.
AutoCalc Setting
Enable or disable the following items for automatic calculation by checking their checkbox.
Peak Systolic Velocity
Time Averaged Mean Velocity
End Diastolic Velocity
Resistive Index
Pulsatility Index
PeakA
When the Peak Systolic Velocity and End Diastolic Velocity values are 0, not all results for
the items will be displayed n the screen.
In addition, the result value for Timed Averaged Mean Velocity is displayed only when Mean
Trace is is On.
Chapter 3. Settings
3 - 55
Measurement Setup
Specify various setup options for measurement. The setup may be modified depending on
specific needs or preferences.
1. Press the Utility button on the control panel and select Measure Setup in the menu.
2. When the Measure Setup screen appears, select a tab that has items to configure.
Tips! Selecting a tab
You can select a tab in either of two ways as desired.
- Use the Trackball and the Set button to select a tab.
- Rotate the Menu dial-button or the Flexible Soft dial-button [1] Page
Change to select a tab.
3. Specify settings for each item.
4. Press the Flexible Soft dial-button [6] Close to finish setting. Press the Exit button on
the control panel to cancel.
3 - 56
General Settings
Select the sub tab General under the General tab. You can specify basic measurement options.
Chapter 3. Settings
3 - 57
Line Type
From the following three options, select the line pattern to use when measuring a distance.
Dotted Line
Display with dotted line.
Display
Specify items to display during measurement by checking their checkbox.
3 - 58
NOTE
Measure Unit
Specify the measurement unit. For a small object, it is more convenient to use mm in
Dist. When blood flow is fast, it is better to use m/s in Vel.
- Dist: Select either a cm- or mm-scale for the unit of distance, area and volume.
- Vel: Select either cm/s or m/s for the unit of velocity.
NOTE
Packages
Select the Packages tab under the General tab. Specify the measurement packages that will be
used and the order in which they will appear on the screen when the Calculation button is
pressed.
Chapter 3. Settings
3 - 59
Menu Type
Specify the type of menu that will be displayed on the monitor screen.
Full Menu
Display the menu that contains all measurement items provided by this product.
Custom Menu
Display the custom menu you configured using Menu Customize.
on
3 - 60
Measure Application
OB
Gyn
Cardiac
Fetal Echo
Carotid
LE Vein
Abdomen
Renal
Neonatal
Pediatric Abdomen
Contrast Agent
Appendix
Radiology
Chapter 3. Settings
Probe Application
Urology
3 - 61
Measure Application
Urology
Prostate
Pediatric
Pediatric Hips
Breast
Breast
Thyroid
Thyroid
TCD
TCD
Musculoskeletal
Musculoskeletal
Menu Customize
Click this button to switch to the Custom Menu screen. In the Custom Menu screen, you
can set the menu items that appear when performing an application-specific
measurement according to your preferences.
Custom Menu
The Custom Menu screen appears when you click Menu Customize. Specify which
measurement items will appear on the custom menu according to your preferences.
NOTE
To use custom menu, set it from Utility > Measure Setup >
General > Package > Menu Type.
Package List
The calculation packages set in the Package screen appear in this list. If you select a
calculation package, it is outlined in orange.
Tip! Modifying the Package List
Click Package Order at the bottom of the screen to return to the Package screen.
Settings on Package screen will apply to custom menu.
Tab List
Display the tab menus that belong to the list of calculation packages selected in
3 - 62
Changing the order of tab menus: Select the tab menu and use
located to the right of the list.
or
Chapter 3. Settings
3 - 63
Setting whether to use a tab menu: Select the checkbox of the tab menu you
want to use. You should select at least one
Creating a new tab menu: To create a new tab menu, click New. If you want to
create a new tab menu by copying an existing tab menu, select it from Tab List
and then click Copy.
Deleting a tab menu: Select the tab menu and click Delete.
- Resetting tab menus: click Reset. Tab menu settings are reset.
4. Configure a list of the measurement items.
- Changing the order of measurement items: Select the measurement item and
click
or
located to the right of the User Menu List.
Adding a measurement item: Select the measurement item from Available Menu
List and click
Tip!
In the Available Menu List, if you select an item with the "+" symbol to the
left of it, its sub items are also selected. However you can not add whole
measurement package.
Report
Select the sub tab Report under the General tab. You can specify options for measurement
reports and printing.
Use SonoReport
Select whether or not to use SonoReport. If you select this check box, the SonoReport
screen appears when the Report button is pressed during the OB or GYN
measurements. This feature can be used only when you use the report tool, Sonoultra.
NOTE
Report Header
Specify header options for reports. You can specify more than one item and the specified
items appear in all measurement reports.
Hospital Info.
Shows information on the hospital where the product is installed.
3 - 64
Others
Shows other information.
Measure Result
Measure Result
Specify the measurement results output format for reports.
- Average: Shows the average of the last three measurement values.
- Last: Shows the last measurement value.
- Max: Shows the largest measurement value.
- Min: Shows the smallest measurement value.
Print Action
Select the report page(s) to print.
OB Trend Graph
Specify the print format for trend graphs in obstetrics reports.
Select from Only Current Page (the current screen), All Pages (1x1) and All Pages
(3x2). If 1x1 is selected, only one graph is printed per side of paper. If 3x2 is selected, 6
graphs are printed per side of paper.
Save Action
Set the report page(s) to save by selecting one out of the following two options.
Chapter 3. Settings
3 - 65
OB / FH Header Layout
Specify item(s) to display under the header of obstetrics or fetal echo measurement reports.
You can specify more than one item.
Print
Enter additional information for the header, title and footer to display when printing measurements.
Data Transfer
Select the sub tab Transfer under the General tab. Specify the data transfer method.
Save to file
Specify the file format in which files will be saved. You can select from a text format
and an XML format.
Serial Transfer
Specify the data format in which data will be transferred. You can select from a text
3 - 66
NOTE
Before setting, make sure that COM is set to Open Line Transfer
under the Peripherals tab in the Setup screen.
Measured Data
When the Write to file checkbox is selected, the Write to file button is created in the
report screen. The Write to file function allows you to convert a measurement report to a
file and save it in a storage media.
Caliper
Select the Caliper sub-tab under the General tab.
Specify whether additional information will be shown along with basic measurement values
when basic measurements are taken by pressing the Caliper button on the control panel. If this
option is selected, the additional information will be also saved and output along with
measurement results.
If Application is set to Cardiac, the D Velocity, D A/B and D Trace items are changed.
Chapter 3. Settings
NOTE
3 - 67
The Cardiac setting can be used only when probe preset is Cardiac or
Pediatric Cardiology.
3 - 68
General Settings
Select the sub tab General under the OB tab. You can specify basic options for obstetrics
measurement.
Percentile Info.
Percentile Criteria
Select a value that will be used for percentile calculation.
- GA by LMP: GA is calculated based on the maternal LMP.
- Estab. Due Date: GA is calculated based on the Estab. Due Date that is entered in
the Patient Information.
- Average US GA: GA is calculated using the average value of several ultrasound
measurements.
Chapter 3. Settings
3 - 69
Display
Table Settings
Select the sub tab Tables under the OB tab. You can specify references such as reference
tables and equations that will be used by each measurement item.
3 - 70
NOTE
Specify the order of measurement items when measuring EFW using the User 1 or User
2 button. Select the measurement item using trackball and the Set button and Change
the order of measurement item using arrow buttons.
Items
This setting is intended for measurement of the gestational age (GA) and fetal size
(Growth). Select items in the following order:
1. Select a measurement item in the list on the left.
2. Select a reference type from the GA table and Growth table.
3. Select a reference in the list on the right.
Fetal Weight
This setting is intended for measurement of the estimated fetal weight (EFW). Select
items in the following order:
1. Select the EFW measurement method from EFW equation and EFW growth.
2. Select a reference in the list on the below.
Chapter 3. Settings
3 - 71
Add Reference
NOTE
1. Press
If there are no Min and Max values, select Value Only for
Table Type.
NOTE
EFW Equation can set only Equation and EFW Growth can set
only Table as the reference type.
4. Press OK to go to the next step. The system will switch to the Editor screen.
Press Cancel to cancel.
5. Enter a reference.
6. Press Save to save the information. Press Cancel to cancel.
7. Press OK to finish. Press Cancel to cancel.
3 - 72
You should make over two rows; use [+] or [-] button to add or delete a row.
Press the Tab or Enter key on the Alphanumeric keyboard to save the current state
and move to next item.
Unit Information
The various units for the selected reference (Input, Output, SD) are displayed.
Table type
Specify the table type and SD (Standard Deviation) for the selected reference.
-
Range Type: The Min and Max values for the selected reference are shown in a
table. The SD value varies depending on the range specified by the user.
Value Type: Only measurements entered by the user are shown, regardless of Min,
Max or SD.
Chapter 3. Settings
3 - 73
Misc.
- Show In Days: When the checkbox is selected, the table unit is changed from wd (Weekday) to d (day).
- Cursor Movement for the Enter key: Specify the direction of cursor movement when the
Enter key on the alphanumeric keyboard is pressed while a table is being edited. Select
from Right, Down and Edit.
Add Reference Equation
If a reference appears in an equation, the following should be entered:
Equation
Enter a reference equation. Use the measurement calculator shown in the lower right
corner.
Input Value Ranges
Enter the minimum (Low) and maximum (High) ranges for the selected reference.
Tolerance Information
Select the tolerance from w, d and %.
3 - 74
Auto calculations
Specify an item that will be calculated automatically. For example, if the MAD checkbox is
selected as shown below, when APD and TAD are measured, the measurements are used
to calculate MAD automatically and display the result on the screen. The results of
Chapter 3. Settings
3 - 75
Ratio calculations
Specify a measurement item for which a ratio will be calculated. For example, if the FL/BPD
checkbox is selected, when FL and BPD are measured, the ratio between them is
calculated and displayed on the screen. This ratio also appears in a report.
Trend graph
Specify whether to include a graph for a certain item or ratio in an obstetrics report. Press
, and the Editor screen for the selected graph will appear.
3 - 76
LV Volume Method
Specify how the volume of the left ventricle is measured. Teichholz, Cubed or Gibson
can be selected. For more information on calculation formulae, please refer to
Chapter 5 Fetal Echo Measurement.
Display
Chapter 3. Settings
3 - 77
A/B Ratio
Specify each individual peak velocity for which a ratio between A and B will be calculated.
ICA/CCA Ratio
Specify each individual measurement item that will be used for the ICA/CCA ratio.
Display
3 - 78
Volume Method
Specify an equation that will be used for volume calculation.
- 3 Distance: The volume is calculated using three diameters in the longitudinal and
transverse planes (4 / 3 x x A/2 x B/2 x C/2).
- 3 Distance x Factor: The volume is calculated using three diameters in the longitudinal
and transversal planes, and a factor (F) value entered by the user (A x B x C x Factor).
- Ellipsoid: The volume is calculated using the length of the Main and Beside axes (4 / 3
x x Main / 2 x (Beside / 2)2).
- Sum of 20 Disks: The volume is calculated by summing the areas in the 20 parallel
planes (d / 20 x (A1 + A2 + ... A20), d : the sum of the distances between disks).
NOTE
Chapter 3. Settings
3 - 79
Display
3 - 80
LV Volume Method
Specify how the volume of the left ventricle is measured. For more information on
calculation formulae, please refer to reference manual.
Display
Chapter 3. Settings
3 - 81
Utility
Specify the system settings or use Biopsy or Histogram.
1. Press the Utility button on the control panel. The Utility menu and the Flexible Soft Menu
will be displayed on the screen.
2. Use the Menu dial-button to select an item to use.
[2] Presets
Use the Flexible Soft dial-button [2]. Rotate the dial-button to select a preset for the
probe.
3 - 82
[4] Save
Use the Flexible Soft dial-button [4]. This option appears in the menu only when User
Preset is not Default. Press the dial-button to save the settings of the current screen.
ECG
Select the ECG in the Utility menu. The ECG (echocardiogram) function allows viewing of the
cardiac pulsation. It shows an image of the heart beat and appears in the menu for cardiac
application only.
In Multi Image Mode such as Dual or Quad, ECG CINE can be used for each image.
In Loop Mode, you can press the dial-button to move to and specify a loop.
ECG Setup
Trigger
Use the Flexible Soft dial-button [2] Trigger to set the Trigger interval or Off. Turn
the dial-button set the value from 1 to 5 or off.
Trigger Time
Use the Flexible Soft dial-button [3] Trigger Time to set the Trigger time. Turn the
dial-button set the value from 0 to 1000msec.
Size
Use the Flexible Soft dial-button [4] Size to set the Trigger size. Turn the dial-button
Chapter 3. Settings
3 - 83
Position
Use the Flexible Soft dial-button [5] Position to set the position of ECG. When its
number is large, ECG will be displayed in upper side of screen.
In the Loop mode, press the dial-button to move to Loop and its setup.
If the ECG is less then 30Hz, the Heart Rate (HR) is not displayed.
CAUTION
In CW Mode, when ECG is active, the error ratio of the Heart Rate
(HR) should be within 2%.
3 - 84
Biopsy
Press Biopsy in the Utility menu.
CAUTION
Before performing biopsy, you should specify the Biopsy Guide Line.
1.
Press the Flexible Soft dial-button [2] Edit. The warning message will appear.
Chapter 3. Settings
3 - 85
2.
If you press OK, a screen will appear allowing you to edit the Guide Line.
3.
Use the Trackball and the Set button to edit the Biopsy Guide Line.
4.
Press the Flexible Soft dial-button [3] Save to save settings. A confirmation
message appears.
- Press the Flexible Soft dial-button [2] Edit to specify new settings.
5.
Press the OK button on the message to apply the changed Biopsy Guide Line. Press
Cancel to cancel saving.
Before performing biopsy, make sure that the Biopsy Guide Line is
adjusted.
1. Press the Flexible Soft dial-button [1] Biopsy On/Off. The warning message will
appear.
2. Press OK, and the Biopsy Guide Line will appear on the screen.
-
If the Biopsy Guide Line displayed is not correct, press the Flexible Soft dialbutton [2] Edit to edit it.
3. Insert a needle along the Guide Line. And then perform biopsy as desired.
4. When finished, press the Flexible Soft dial-button [1] Biopsy On/Off again. The
biopsy is completed.
Histogram
A histogram is a type of graph representing the distribution of echoes.
1. Press Histogram in the Utility menu.
2. Specify an area that a histogram is to cover. Use the Trackball and the Set button to
specify area 1, 2 and 3.
3. Histogram 1, 2 and 3 will appear on the left side of the screen.
Setting Histogram
Specify the position or type of a histogram.
Move Hist. 1
Use the Flexible Soft dial-button [1]. After pressing the dial-button, use the Trackball
to move the histogram position. Press the Set button to confirm the position.
3 - 86
Move Hist. 3
Use the Flexible Soft dial-button [3]. After pressing the dial-button, use the Trackball
to move the histogram position. Press the Set button to confirm the position.
Histogram Type
Use the Flexible Soft dial-button [6]. Determine the shape of the box specifying the
area by rotating the dial-button. Either Ellipse or Rectangle can be selected.
Chapter 3. Settings
Post Curve
Press Post Curve in the Utility menu. Specify various post map and Gamma values.
2D Post
Select 2D Post in the Post Curve menu. The 2D Post Menu appears.
3 - 87
3 - 88
Edit
Adjust a post curve. The adjusted post curve is also applied to post curve of 2D, M,
and PW spectral Doppler mode.
When you select this, the following item is enabled in the Flexible Soft Menu.
- Flexible Soft dial-button [1] Picker Pos: Select a point on a curve. Rotating the
button changes the position of the point.
- Flexible Soft dial-button [2] Insert: Add a point to a curve. It is added between the
current point and the next point.
Pseudo
Rotate the Menu dial-button to turn it on/off. When turned on, random color are applied
to an image displayed on the screen.
Pseudo Color
Use the Menu dial-button to select a pseudo color. Select an item from Type 1-9 or
User 1-3. When you select a User type, Pseudo Edit is enabled in the 2D Post Menu.
Pseudo Edit
You can select a Pseudo color as you want. The selection is available in each
diagnosis mode.
1. Select the user type you want to set by using Pseudo Color.
2. Adjust the color by using Red, Green, and Blue in the Flexible Soft Menu.
You can set a value between 0 and 255.
3. When you change the setting, Pseudo Save is enabled in the 2D Post
Menu. Press Pseudo Save to save the setting.
Return
Save the current setting of Post Map and return to the previous step of the menu.
Chapter 3. Settings
3 - 89
Color Map
Select Color Map in the Post Curve menu.
Color Map
Use the Menu dial-button to select the type of color map. 14 types of post curves are
supported.
Tag
Rotate the Menu dial-button to turn it on/off. When turned on, a random color is applied
to a certain area in an image.
Tag Width
Use the Menu dial-button to select the range of tags, from between 8~256. Tag Width
affect to Tag Pos.
Tag Pos
Use the Menu dial-button to select the position of tags, from between 0~248. Tag Pos
affect to Tag Width.
Capture
Rotate the Menu dial-button to turn it on/off. When turned on, a one-second image can
be acquired with Capture Frame.
Capture Frame
Use the Menu dial-button to select a value between 5~100. Capture Frame allows you
to capture an image with a user-defined frame for better observation of the image.
Return
When the current post map is configured, return to the previous step in the current
menu.
3 - 90
D Post
Select D Post in the Post Curve menu. The settings can be specified in the same way as
for 2D Post.
NOTE
For the post curve of D Post, you can select one from Type 1 to 8 or
User 1 to 2.
M Post
Select M Post in the Post Curve menu. The settings can be specified in the same way as
for 2D Post.
NOTE
For the post curve of M Post, you can select one from Type 1 to 8 or
User 1 to 2.
Chapter 3. Settings
3 - 91
Monitor Calibration
Select Monitor Calibration in the Post Curve menu.
Curve
With the Menu dial-button, specify a curve type between Type 1 Type 5 or User 1
User 3. If you select User 1 User 3, you can edit the post curve.
Brightness
With the Menu dial-button, specify a screen brightness between 0 100. The changed
setting only affects images on the screen.
Contrast
With the Menu dial-button, specify a screen contrast between 0 100. The changed
setting only affects images on the screen.
Edit
With the Flexible soft dial-button, adjust the RGB Curve.
NOTE
3 - 92
Gamma
Select Gamma in the Post Curve menu. Use the Menu dial-button to specify the
brightness and contrast. Off, Weak, Medium or Hard can be selected.
- Weak: Make the image brighter.
- Hard: Make the image darker.
Setup
Press Setup in the Utility menu. You can specify system settings. Please refer to System
Setup in this chapter.
Measure Setup
Press Measurement in the Utility menu. You can specify measurement settings. Please refer
to Measurement Setup in this chapter.
Demo Play
Press Demo Play in the Utility menu. The best images scanned with the product are presented.
You can use the Menu dial-button or the icon button in the lower right corner of the screen to
review images.
To finish the demo play, press the Exit button on the control panel.
Chapter 3. Settings
3 - 93
Storage Manager
Press Storage Manager in the Utility menu. All disk drives mounted in the system will be
shown. The drive type, available space and total space for each drive are displayed.
Storage Manager is a program that lets you manage various storage devices connected to the
system. You can remove, format or update a drive for which the checkbox in front of the drive
symbol is checked.
NOTE
You may not remove, format or update a drive mounted in the computer
within the system.
Press Exit on the screen or on the control panel to exit Storage Manager.
3 - 94
Eject / Remove
Disconnect the selected drive.
NOTE
Format
Initialize the selected drive. Under the Format window, you can initialize various
settings. Press Start to start initialization. Press Close to cancel.
NOTE
Refresh
Update the display of drives currently connected to the system.
NOTE
Chapter 3. Settings
3 - 95
Userset Manager
Select Userset Manager in the Utility menu. The User Export /Import window will be
displayed.
This option appears in the menu only when flash memory media is
connected to the system and User Preset is not Default.
NOTE
A folder list appears to the left and files appear to the right.
Export
Save the userset for the current probe in flash memory media.
Select a folder to copy from the folder list and then press Export.
NOTE
Import
Copy a userset from flash memory media into the current userset in the system.
Select a file to copy from the folder list and then press Import.
CAUTION
3 - 96
Bodymarker Edit
Select Bodymarker Edit in the Utility menu. The Bodymarker Edit window appears.
Bodymarker List: This varies by the group selected in Group. The current
page/total pages appear below the list. If there is more than one page, you can
change the page by using Prev or Next.
Bodymarker list of currently used probe or preset: The current page/total pages
appear below the list. If there is more than one page, you can change the page by
using Prev or Next.
NOTE
Adding a Bodymarker
Select and double click a bodymarker in the left list (). The selected bodymarker is
added to the right list (). Already existing bodymarkers cannot be added, and a
message appears when you try to add an existing bodymarker.
Removing a Bodymarker
Select and double-click a bodymarker in the right list ().
Chapter 3. Settings
3 - 97
3 - 98
NOTE
Protocol Screen
The Protocol Screen is the initial screen that appears when you start Stress Echo. You can
review an acquired Stress Echo image or select a protocol to start an examination.
NOTE
If you start Stress Echo when the Phased Array probe is not being used or
the patient ID has not been registered, the Protocol Template Editor screen
appears.
Chapter 3. Settings
3 - 99
Icon list: Display the icons for the functions you can use with the Protocol Screen.
Stress Echo information area: Display the Stress Echo setup information.
Icon List
3 - 100
Select All: Select all images in the Stress Echo Image area.
Unselect All: Unselect all images in the Stress Echo Image area. Then you can select a
stage you want to use using the trackball and the Set button.
Template Editor: Return to the Protocol Template Editor screen.
Exit: Exit the Protocol Screen.
Resume Protocol
Press the Flexible soft dial-button [2] to resume a paused protocol.
Pause Protocol
Press the Flexible soft dial-button [3] to pause a protocol.
Review
This appears on the menu only if an image is selected. Press the Flexible soft dialbutton [4] to switch to the Stress Echo Review screen.
Change View
This appears on the menu only if the Auto Assign function is selected. Rotate the
Flexible soft dial-button [5] to change the current View. The view in which an image is
being acquired is shown by a green line in the View area at the top of the screen.
Next Stage
Press the Flexible soft dial-button [5] to change to the next stage. The stage at which
an image is being acquired is shown by a green line in the Stage area at the left of the
screen.
Thumb Scroll
This appears on the menu only if four or more images have been acquired. Press the
Flexible soft dial-button [6] to change the current Thumbnail list page.
Protocol Templates
This product provides the following five protocol templates by default.
View
Protocol
Stage
Two Stage
Exercise Stress
Rest, Peak
Three Stage
Bicycle Stress
Four Stage
Pharmacological Stress
(TBD)
Stage 1 to 4
Diastolic Stress
Dobutamine Stress
3 - 102
4. Press the Flexible soft dial-button [1], End Protocol, to end acquiring images.
NOTE
You cannot transfer, delete, or change the five default protocols provided in
the product.
Protocol
Set a protocol. To select an existing protocol, use the combo button. To add a new
protocol, press the Flexible soft dial-button,[1] New Template or [3], Save As, and
then enter the protocol name.
Stage
Set a stage. You can add or delete a stage using the
buttons.
Use the combo button to select in default stage. Use the keyboard to enter a stage
directly.
NOTE
You must create at least two stages. You can add up to 10 stages.
View
Set a view. You can add or delete a view using the
buttons.
Use the combo button to select in default view. Use the keyboard to enter a view
directly.
NOTE
You must create at least two views. You can add up to 10 views.
Capture Unit
Set the image acquisition method that will be used when acquiring an image by
pressing the Store Clip button on the control panel.
- Beat: Acquire images based on the heart rate.
- Time: Acquire images based on the specified interval of seconds.
Cycle Time
Set the interval at which images are acquired when acquiring images by pressing the
Store Clip button on the control panel. Select from 1 to 4 seconds.
Capture Method
Set the range of images that will be acquired when acquiring images by pressing the
Store Clip button on the control panel.
- Prospective: Saves images after the time when the button is pressed.
- Retrospective: Saves images before the time when the button is pressed.
3 - 104
Export
Click this button to display the Protocol Export window. You can save the protocols
you added in an external storage device.
Import
Click this button to display the Protocol Import window. The protocols of an external
storage device are displayed.
New Template
Press the Flexible soft dial-button [1]. It will make a new template.
Save
Press the Flexible soft dial-button [2]. This button is unavailable when a default
protocol is selected.
Save As
Press the Flexible soft dial-button [3] to display the New Protocol Name window. You
can save the protocol under a new name.
Delete
Press the Flexible soft dial-button [4]. The currently selected protocol is deleted and a
new protocol template is displayed. This button is unavailable when a default protocol
is selected.
Close
Press the Flexible soft dial-button [6] to exit the Protocol Template Editor screen.
NOTE
3 - 106
NOTE
You can perform the measurement using the Caliper and Calc buttons. If
you press the Calc button, the cardiac measurement menu is displayed
and the current stage is displayed on the menu title bar.
WMS
Display four WMS diagrams. Each diagram is divided into 16 segments numbered from 1 to
16. After selecting a stage, enter WMS.
-
Segment Number
Basal Anterior
Basal Lateral
Basal Posterior
Basal Inferior
Basal Septum
Mid Anterior
Mid Lateral
Mid Posterior
10
Mid Inferior
11
Mid Septum
12
Apical Septum
13
Apical Anterior
14
Apical Lateral
15
Apical Inferior
16
3 - 108
Select the value you want to use in the Score menu at the bottom of the screen.
2.
Place your mouse pointer on the segment for which you want to enter a value and
press the Set button. The color of the segment changes and WMS is displayed.
Tip!
If WMS is entered for a segment, the same value is applied to all segments that
have the same segment number.
Deleting WMS
To delete an entered value, click N-NotScored in the score menu and then click the
segment for which you want to delete the value. The color of the selected segment is
initialized.
Tip!
To delete all WMS entered at the current stage, press the Flexible soft dial-button
[1], Delete WMS.
WMSI
This is the average of the WMS entered at the current stage. WMSI stands for Wall
Delete WMS
Press the Flexible soft dial-button [1]. All WMS entered at the current stage are
deleted.
Run / Stop
Press the Flexible soft dial-button [2]. All the cine images in the Stress Echo image
area are played or stopped.
Change Play
Select either Acquired or R-R as the cine image playback method by rotating the
Flexible soft dial-button [5].
R to R
As Acquired
Systole
Change Sync
Select Short, Long, or End to End as the synchronization method by rotating the
Flexible soft dial-button [6].
End to End: Playback four cine images with their beginning and end
synchronized.
Protocol Screen
Press the Flexible soft dial-button [6]. The Stress Echo Review screen is closed and
you are switched to the Protocol Screen.
NOTE
Chapter 4
Diagnosis Modes
INFORMATION .............................................................................................................. 3
DIAGNOSIS MODE TYPE................................................................................................................................................................................3
BASIC USE.......................................................................................................................................................................................................4
4-2
3D / 4D MODE ..............................................................................................................56
3D/4D MODE ...............................................................................................................................................................................................56
3D STANDBY MODE ...................................................................................................................................................................................60
3D VIEW-MPR............................................................................................................................................................................................64
VOCAL MODE ............................................................................................................................................................................................80
3D XI MODE (OPTIONAL)......................................................................................................................................................................86
XI STIC (OPTIONAL)...................................................................................................................................................................................96
4-3
Information
Diagnosis Mode Type
This product supports a variety of diagnosis modes including Basic Mode, Combined Mode,
Multi-Image Mode, and 3D Mode.
Basic Mode: Consists of different modes, each of which has a specific usage and function.
By default, 2D Mode is applied together with other mode.
Combined Mode: For an image, two or three Basic Modes are applied at the same time.
By default, 2D Mode is applied together with other mode. An image is viewed in a single
screen.
Multi-Image Mode: The screen is divided into two (dual) or four (quad) sub screens,
each of which is used to view an image. Since each sub screen can display a different
image, it can be a very useful feature, allowing multilateral views of an organ.
3D / 4D Mode: 3D images can be obtained. Consist of Freehand 3D, Static 3D Mode and
4D Modes.
The types of diagnosis mode that are available with the product are shown below:
Mode
Basic Mode
Combined Mode
Multi-Image Mode
3D / 4D Mode
NOTE
Type
2D Mode
Color Doppler Mode
Power Doppler Mode
M Mode
PW Spectral Doppler Mode
CW Spectral Doppler Mode
ElastoScan Mode
2D/C/PW Mode
2D/PD/PW Mode
2D/C/CW Mode
2D/PD/CW Mode
2D/C/M Mode
2D/C Live Mode
Dual Mode
Quad Mode
Freehand 3D Mode
Static 3D Mode
4D Mode
The functionalities for each mode may be restricted by the selected probe.
4-4
Basic Use
The items that can be used commonly in each diagnosis mode are shown below:
Gain
Use the dial-button on the control panel. The Gain button appears differently
depending on the diagnosis mode, and it is usually in the form of a dial-button used to
select a diagnosis mode.
You can adjust the brightness of an image. If you rotate the Gain dial-button clockwise,
its value increases.
Frequency
Use the Frequency button on the control panel.
Use the button to change the frequency of the current probe. Select from Res, Pen
and Gen.
- Res (Resolution): High frequency
- Gen (General): General frequency
- Pen (Penetration): Low frequency
The selected frequency is displayed in the title area, allowing you to determine the
state of the current frequency easily.
Focus
Use the Focus dial-button on the control panel.
You can adjust the focusing point. As you rotate the Focus dial clockwise, the focusing
point becomes shallower.
4-5
Depth
Use the Depth dial-button on the control panel.
You can adjust the scanning depth of an image. As you rotate the dial-button clockwise,
the depth increases.
The allowable range for adjustment varies with the selected probe.
Zoom
Use the Zoom dial-button on the control panel.
You can magnify an image. An image can be magnified by either Read Zoom or Write
Zoom.
- Read Zoom
This function allows you to zoom an image saved in a hard disk.
1. Rotate the Zoom dial-button on the control panel .
2. Use the Trackball to move the Zoom box. You can locate the Zoom box in
an image with the Zoom Navigation box on the left side of the screen.
3. View the magnified image. If you rotate the dial-button clockwise, the image
is magnified.
- Write Zoom
This function allows you to magnify and scan an image in real time.
1. Use the Zoom dial-button on the control panel. The Write Zoom box will
appear on the screen.
2.
Use the Change button to move and resize the Zoom box. Each time you
press the Change button, the current state of the Zoom box is displayed in
the lower left of the screen.
- PreZoom position: You can move the Zoom box. Use the Trackball to
move the Zoom box and press the Set button to specify its position.
- PreZoom size: You can resize the Zoom box. Use the Trackball to resize
the Zoom box and press the Set button to specify its size.
3. Press the Set button to start the Write Zoom function. Magnify an image and
scan it.
Press the Exit button to exit Zoom Mode. In Write Zoom Mode, changing the depth
also exits Zoom Mode automatically.
QuickScan
NOTE
4-6
Harmonic
Use the Harmonic button on the control panel. HAR mark is displayed in the image
information area.
This product provides the OHI (Optimal Harmonic Imaging) function that optimizes an
image with high frequencies.
NOTE
Using Menu
The items that can be used in each diagnosis mode are provided as menu items. You can
change the image format or optimize an image to facilitate your diagnosis.
1. In a diagnosis mode, press the Menu dial-button on the control panel. The menu for
the current diagnosis mode will appear.
You can move up or down through items by rotating the dial-button.
2. Press the Menu dial-button to select an item to adjust. The item becomes ready for
adjustment. To adjust the setting, rotate the dial-button.
Or, press the Pointer button to appear an arrow. Select an item and adjust the
setting with the arrow using the Trackball.
3. Once done, press the Menu dial-button again to adjust another item. Press the Exit
button to start scanning.
4-7
Basic Mode
2D Mode
This basic mode, also referred to as B Mode (Brightness mode), provides scan planes of
organs. This is used to display two-dimensional anatomy images in the direction of scanning in real time.
Entering 2D Mode
NOTE
4-8
2D Mode Menu
Power
Press the Power button in the menu.
Power is the intensity of the acoustic output. Select a value between 10 ~100.
2D Image Size
Press 2D Image Size in the menu.
You can adjust the overall size of a 2D image. Select a value between 80~100(%).
Focus
Select Focus in the menu.
Use the Menu dial-button to set the number of focusing points, from between 1 - 4.
View Area
Select View Area in the menu.
Use the Menu dial-button to set the image width to between 20 - 100%. Increasing the
image width reduces the frame rate.
Density
Press Density in the menu.
Use the Menu dial-button to select from Middle, High or Low. If it is set to High, the
number of scan lines increases, enhancing the image resolution. However, the frame
rate is reduced.
Edge Enhance
Press Edge Enhance in the menu.
This function allows you to view more accurate images of organ or tissue boundaries.
Use the Menu dial-button to select a value between -3 3. A higher value provides
more accurate images of boundaries.
Tissue
Press Tissue in the menu.
Optimize an image by using an appropriate ultrasound speed for the characteristics of
the object (tissue) to view. Use the Menu dial-button to select from Solid, Normal,
Adipose or Cystic.
Frame Rate
Press Frame Rate in the menu.
4-9
The frame rate is the number of images generated per second. Use the Menu dialbutton to select from Fast, Normal or Slow.
It is recommended to set a high frame rate for objects that are highly active or fastmoving.
U/D Flip
Press U/D Flip in the menu.
Each time you press the Menu dial-button, the image is flipped up or down.
Pseudo
Click Pseudo in the menu to turn the function on/off. When turned on, the colors of the
image displayed on the screen will be changed arbitrarily. Pseudo Color will be
enabled in the menu.
Pseudo Color
Click Pseudo Color in the menu.
Select a pseudo color. Select from Type 1 to Type 9 or from User 1 to User 3 by using
the Menu dial-button. You can change the settings for the user types in Utility > Post
Curve > 2D Post > Pseudo Color. For more information, refer to Post Curve in
Chapter 3. Settings'.
PPI
NOTE
NOTE
In the menu, press Low MI to select On/Off. The monitor changes to Low MI screen.
Refer to LOW MI Mode in this chapter for detail.
DynamicMR (Optional)
Press DynamicMR in the menu.
You can obtain a clearer image by eliminating noise and enhancing boundaries. Five
pre-configured indices are provided.
4 - 10
NOTE
SRF
In the menu, press SRF to select On/Off.
SRF stands for Speckle Reduction Filter. It is used to optimize an image by minimizing
noise and adjusting the brightness of boundaries automatically. Three pre-configured
indices are provided.
If SRF is set to On, SRF Index will appear in the menu. Use the Menu dial-button to
select an index.
Panoramic (Optional)
NOTE
Tap Panoramic in the menu. The Panoramic Ready screen appears. For more
information, see Panoramic Imaging in this chapter.
Change Window
NOTE
Tap Change Window in the menu. Each time the button is tapped the location of the
image being scanned is changed to left or right. The image being scanned is marked
by a yellow line in the upper part of the screen.
4 - 11
- Rotation: Turning the dial-button clockwise rotates the image in the same direction.
The rotation angle is 90.
- L/R Flip: Press the dial-button to flip the left and right sides of an image. The M mark
above an image indicates the current direction of the image.
NOTE
4 - 12
NOTE
This item appears in the Flexible Soft menu only when a Linear
Probe is used.
- Pulse Inversion: Press the dial-button to turn it on or off. If it is turned on, pulses are
inverted for a clear view of images.
NOTE
NOTE
mode,
see
Low MI
Low MI function will be displayed in the 2D menu under following conditions;
NOTE
CAUTION
4 - 13
Low MI Menu
- Low MI: Press the Menu dial-button to select On or Off. If you select Off, you will be
returned to the 2D menu.
- MI Control: Select the MI value by rotating the Menu dial-button. You can select from
1 to 60.
Meaning of MI Control
1~60 in MI Control are user-controlled steps that reflect 0.01~0.60 of actual low MI
value. MI Control refers to the adjustment of TX voltage and the actual MI value is
usually MI control value * 0.01, so it does not exceed a maximum of 0.6.
Because of the resolution of the TX voltage adjustment, when the TX voltage does
not change from the control step, MI value is expressed in MAX Hold format.
- Pseudo: Press the Menu dial-button to select On or Off. When turned on, the colors
of the image displayed on the screen will be changed arbitrarily. Pseudo Color will
be enabled in the menu.
- Pseudo Color: Select from Type 1 to Type 9 or from User 1 to User 3 by rotating the
Menu dial-button. You can change the settings for the user types in Utility > Post
Curve > 2D Post > Pseudo Color. For more information, refer to Post Curve in
Chapter 3. Settings'.
- Post Curve: Select from Type 1 to Type 9 or from User 1 to User 2 by rotating the
Menu dial-button.
4 - 14
The Panoramic Imaging function is available only in 2D mode for the Linear
and Convex probes.
4 - 15
2.
Press Flexible soft button [1], Start/Stop. The system will start acquiring a
panoramic image.
3.
To stop acquisition of a panoramic image, press Flexible soft button [1], Start/Stop
again. The Panoramic Review screen appears.
NOTE
L/R Flip, U/D Flip, and Magnifying are available only if Layout is
set to Full Screen.
In the Panoramic Review screen, you can review the Cine of the panoramic image
with the trackball. But, it is not available when Layout is set to Full Screen.
The Flexible Soft Menu changes as follows:
- Layout: Turn the Flexible soft dial-button [1] to select a layout of images displayed on
the screen.
Full Screen: Display the panoramic image in full screen mode.
Left/Right: Display the 2D and panoramic images at the left and right of the screen,
respectively.
Top/Down: Display the 2D and panoramic images at the upper and lower parts of the
screen, respectively.
- Return: Press the Flexible soft dial-button [1] to return to the Panoramic Ready screen.
- Rotation: Turn the Flexible soft dial-button [2] to rotate the panoramic image.
- L/R Flip: Press the Flexible soft dial-button [2] to reverse the left and right of the
4 - 16
- Exit: Press the Flexible soft dial-button [6] to exit Panoramic Imaging.
CAUTION
You can review a panoramic image using a VCR. However, when measuring
a panoramic image using a VCR, the measurement values may not be
accurate.
4 - 17
NOTE
The Strain Image function quantitatively displays cardiac motion using motion vectors and
diagnoses cardiac dysynchrony based on this motion.
Selecting an Image
Select the image you want to analyze using the trackball and the Set button.
Tip!
Select the image by referring to the following.
-
Quantification
Press Flexible soft dial-button [1] Quantification to switch to the Quantification screen.
In the Quantification screen, draw a contour line on the image and then select the diagnosis
method.
NOTE
If the selected image is not appropriate, you will not be switched to the
Quantification screen.
The view type of the image is displayed in Current View Type. To change the view type,
select either Apical or Short Axis View using the trackball and Set button.
4 - 18
Contouring
Draw a cardiac contour line by marking 4 to 12 points using the trackball and Set button.
To cancel the most recently marked point, specify another area around the point or
press the Exit button.
The method for drawing the contour line differs depending on the view type.
- Apical View: Draw the contour line in a direction from the left
of the base of the mitral valve Apex the right of the
base.
- Short Axis View: Draw the contour line clockwise starting from
12 o'clock.
4 - 19
Auto EF
In the Quantification screen, press Flexible soft dial-button [4] Auto EF to switch to the Auto
EF screen.
4 - 20
Strain
In the Quantification screen, press Flexible soft dial-button [5] Strain to switch to the Strain
screen.
NOTE
The Save, Print, and Store Clip buttons are available. To view a saved
video, click SONOVIEW in the Quantification screen.
4 - 21
Parametric Image: Display the image using the method selected in the Image Type
area.
Image Type: Click a button on the screen or use Flexible soft dial-button [3] Change
Image to change the image display method. You can select one of the following four
methods:
- Endocardial Vector: Display the vector direction, speed, strain, and moving
position of the inner wall.
- Endo+Epicardial Vector: Display the vector direction, speed, strain, and moving
position of the inner and outer walls.
- Trajectory: Sample and display some speckles.
- Contour Only: Display the motions of the contour line.
Endocardial Vector
Endo+Epicardial Vector
Trajectory
Contour Only
Graph: Display the graph selected in the Graph Type area. This is a graph in which
every segment of the contour line is analyzed. The white dotted line means Global
Strain and the orange line denotes the current position. If you select Strain
(Longitudinal) (or Strain (Circumference)) or Velocity for the graph type, a range
bar is displayed on the graph.
4 - 22
Range Bar
To resize the width of the range bar, place the cursor at the end of the range bar, hold
down the Set button and move the cursor to the left or right.
Graph Type: Click a button on the screen or use Flexible soft dial-button [4] Change
Graph to select the graph you want to analyze. You can select one of the following
four graphs:
- Strain (Longitudinal) / Strain (Circumference): Display Longitudinal / Circumference
Strain Graph and M Mode Graph.
In Strain Graph, if a peak analysis can be made, white circles are displayed. In
addition, if you move the pointer on Strain Graph, the frame time and strain value are
displayed for a short while.
On the graph in the Graph Analysis area, the peak value (minimum value) of each
interval is displayed. For each interval, the time taken to reach the peak is shown as
a relative number and the color of each interval shows whether it is normal. In
Maximum Wall Delay, the difference between the smallest peak value and the
largest peak value is displayed.
Strain (Longitudinal)
In Apical View, the name of this button is displayed as Strain (Longitudinal) but, in
Short Axis View, it is displayed as Strain (Circumferential).
M Mode Graph
Display the elements of the contour line using different color. A white dotted line
means the position of M line. An orange dotted line denotes the current position. The
position of M line is also displayed as white dots on the contour line of the parametric
image. If you change the position of M line, the corresponding segments and a graph
of mean values are displayed on the Strain Graph for a specific period of time.
You can change the color of M Mode Graph by using User Preset > Color Map
Setting in the screen. The upper part of the color map denotes + values and the
lower part denotes - values.
- Velocity: Display the velocity in the longitudinal / rotational direction and the velocity
in the radial direction.
4 - 23
Velocity
In Apical View, the velocities in the rotational and radial directions are displayed as a
graph. In Short Axis View, the velocities in the longitudinal and radial directions are
displayed as a graph.
On the graph in the Graph Analysis area, the peak value (maximum value) of each
interval is displayed. Other details are the same as for the descriptions of 'Strain
Time To Peak.
- Volume / Area: Display a graph that shows the changes in the overall volume / area
and the changes for each segment.
Volume / Area
In Apical View, the name of this button is displayed as Volume, but in Short Axis
View it is displayed as Area.
- Strain (Radial): Display Radial Strain Graph and M Mode Graph. The Graph
Analysis area will not be used.
Measure Result & User Preset: Click Measure Result on the screen to review and
approve the measurement results. Click User Preset on the screen to change the
settings.
- Measure Result: Display the measurement results. Check the Approval checkboxes
to approve the measurement results.
NOTE
-
User Preset: Display the tabs and items for various settings. You can change the
settings related to the strain image.
Delay Setting: Set a period of time (ms) to be used as the Time To Peak time.
Color Map Setting: Set the color for M Mode Graph.
Misc. Setting: Set the ECG display method.
Save / Load: Save a user preset or apply a saved user preset to the system. You
can save up to three user presets.
4 - 24
User Layout
4 - 25
In the Strain screen, press Flexible soft dial-button [6]. The User Layout screen
appears.
2. Select the check boxes of the items you want to use and then arrange the
elements on the screen.
- To adjust the size of an element that will be displayed on the screen, drag it using
the trackball and the Set button.
3.
Click Save Layout to save the current settings. Click Cancel to cancel the current
settings.
Compare
In the Quantification screen, press Flexible soft dial-button [6] Compare to compare and
observe two strain images.
NOTE
You can compare only Apical View strain data for which you have
approved the measurement results.
4 - 26
Compare / Result
The two selected strain images are displayed in the Before and After sections. The
comparison results for the EF and strain values are displayed in the Compare / Result
section. The improvement ratio of the 'After' image is displayed as a graph in the
Compare EF and Compare Strain sections. Click X in the upper left corner of the
screen to close the Compare screen.
You can change the settings using the following buttons on the screen:
- Speed: Adjust the playback speed of Cine image.
- Start / Stop: Play or stop playing Cine image.
- Change Parametric Image: Change the parametric image. Pressing this button
toggles between Endocardial Vector images and Trajectory images.
4 - 27
4 - 28
M Mode
The M Mode is used to specify an observation area in a 2D image with the M Line, and display
changes over time.
This mode is appropriate for the observation of organs with a lot of movement such as cardiac
valves. The 2D Mode image is also shown, allowing the marking and adjustment of an
observation area within the entire image.
4 - 29
M Mode Screen
M Line
Use the trackball on the control panel to move to the right or left. The M Line indicates
the relative position of the M Mode image in the 2D image. Therefore, you can move
the M Line to change the observation area.
M Mode Menu
Loop Format
Press Loop Format in the menu.
You can specify how the M and 2D images are placed in the screen. Top/Bottom
Format places the 2D image and M image at the top and the bottom, and Side by Side
Format places them on the right and the left, respectively.
Loop Size
Press Loop Size in the menu.
Resize the M image. Select a value between 30 70.
M Edge Enhance
Press M Edge Enhance in the menu.
This function allows you to view more accurate images of organ or tissue boundaries in
the M image. Use the Menu dial-button to choose a value between -3 3. Higher
values provide more accurate images of boundaries.
4 - 30
[6] FreeAngle M
NOTE
This item appears in the Flexible Soft menu only when a Phase
Array Probe is used.
1. Press the Flexible Soft dial-button [6] FreeAngle M. In the user information
area, M Point1 is displayed, indicating that the start point for the M Line can be
set.
2. Use the Trackball to specify the start point of the M Line (M Point 1) for the 2D
image.
3. Press the Change button to save the start point. M Point2 will appear in the
user information area.
4. Use the Trackball to specify the end point of the M Line (M Point 2) for the 2D
image.
5. To finish, press the Flexible Soft dial-button [6] again to turn off the
FreeAngle M function. If the system is switched to Combined Mode or Multi
Image Mode, FreeAngle M turns off automatically.
NOTE
4 - 31
4 - 32
C Mode Screen
ROI Box
ROI stands for Region of Interest. The ROI Box outlines the area of the 2D image
where color (blood flow) information is displayed in Color Doppler Mode.
Use the Change button to move and resize the ROI box. Each time you press the
Change button, the current state of the ROI box is displayed in the lower left of the
screen.
- ROI Position: You can move the ROI box. Use the Trackball to move the ROI box
and press the Set button to specify its position.
- ROI Size: You can resize the ROI box. Use the Trackball to resize the ROI box and
press the Set button to specify its size.
Color Bar
In Color Doppler Mode, the color bar indicates the direction and speed of blood flow.
Relative to the baseline in the centre, the red color indicates the direction and speed of
the blood flow towards a probe. By contrast, the blue color indicates the direction and
speed of the blood flow away from a probe.
- Adjusting the color bar baseline: Use the Baseline dial-button on the control panel. If
you rotate the Baseline dial-button clockwise, the baseline on the color bar rises.
The baseline cannot be adjusted only when the Color Doppler Mode value is set to
Varience.
Scale (PRF)
Use the Scale dial-button on the control panel. Rotating the Scale dial clockwise
makes the PRF (Pulse Repetition Frequency) increase so that the speed range of
the blood flow is widened, and vice versa.
Wall Filter
Wall Filter is an electrical filter used to eliminate low-frequency Doppler signals
caused by the motion of vessel walls. Adjust Cutoff Frequency to remove from the
screen the Doppler signals for which the frequencies are lower than the Cutoff
Frequency.
Use the Filter dial-button on the control panel. Rotating the Filter dial-button
clockwise increases the Cutoff Frequency for Wall Filter, and rotating it counterclockwise decreases the Cutoff Frequency for Wall Filter.
4 - 33
C Mode Menu
Display Mode
Press Display Mode in the menu.
Color Doppler Mode supports Color + B/W, Color Only and B/W Only displays.
Color Mode
Press Color Mode in the menu.
Select from Velocity, Power, Variance or Vel + Var. If Velocity or Vel + Var is
selected, numbers will be displayed above and below the color bar indicating the color
scale values. If Variance is selected, +1 and -1 will be displayed. If Power is selected,
no numbers will be displayed.
Color Map
Select Color Map in the menu.
You can select from Type 1 to Type 8.
Tag
Select Tag in the menu. Each time you press the button, the Tag function turns on and
off.
You can change the color of a tag within an image as desired. Use Tag Pos. and Tag
Width to set the position and range of a tag.
Tag Pos
Select Tag Pos in the menu.
You can select a value between 0~248. However, the sum of Tag Pos. and Tag
Width may not exceed 256.
Tag Width
Select Tag Width in the menu.
You can select a value between 8~256. However, the sum of Tag Pos. and Tag Width
may not exceed 256.
Capture
Select Capture in the menu. Each time you press the button; this function turns on and
off.
4 - 34
NOTE
The Steer function appears in the Flexible Soft menu only when
a Linear Probe is used.
Rotate the dial-button to adjust the angle of the ultrasound beam. This can minimize
loss of color information based on the angle of the ultrasound beam. Select ROI from
Left, None or Right.
- Invert
Press the dial-button to invert the color bar. Inverting the color bar also inverts the
colors displayed on the image.
[4] Density
Use the Flexible Soft dial-button [4].
For information on this item, please refer to 2D Menu.
4 - 35
[5] Balance
Use the Flexible Soft dial-button [5].
Adjust the range of color image display by comparing the Gray Level of the 2D image
with the Doppler signal values of the color image. As the Balance value increases,
the color image appears, even in regions with a high Gray Level in 2D image (bright
regions), expanding the range of the color image.
Use the dial-button to choose a Balance value between 1~16.
NOTE
It is available in Color Doppler Mode, Power Doppler Mode and PW Spectral Doppler
Mode. In TDI for Color Doppler Mode and Power Doppler Mode, cardiac tissues can
be checked with color information. In PW Spectral Doppler Mode, Color Doppler or
Power Doppler Mode can be used together to obtain changes in cardiac tissue over
time.
NOTE
4 - 36
4 - 37
PD Mode Screen
Color Bar
In Power Doppler Mode, the colour bar varies depending on the screen display for
Power Doppler Mode that is selected in the PD Mode menu.
- PD Mode: The colour bar indicates the presence of blood flow and its amount. The
top of the colour bar is the brightest section, where the amount of blood flow is at its
highest.
- DPDI Mode: The colour bar indicates the direction and speed of blood flow. With the
baseline in the centre, the red colour represents the direction and speed of blood flow
moving toward the probe, and the blue colour represents the direction and speed of
blood flow away from the probe.
ROI Box
The ROI (Region of Interest) outlines the area of the 2D image where color (blood flow)
information is displayed in Power Doppler Mode.
PD Mode Menu
PD Mode
Press PD Mode in the menu.
Select the screen display for Power Doppler Mode from PD Mode or DPDI Mode.
- PD Mode: Shows only the power of the blood flow.
- DPDI Mode: Directional Power Doppler Imaging (DPDI) shows the power, velocity
and direction of blood flow.
[1] Invert
Use the Flexible soft dial-button [1]. This button is enabled only when DPDI Mode is
selected for the screen display for Power Doppler Mode in the PD Mode menu.
Pressing the dial-button inverts the colour bar. If the colour bar is inverted, the colours
in an image are also inverted.
NOTE
Use of the menu and Flexible soft menu items is the same as in Color
Doppler Mode.
4 - 38
4 - 39
Sample Volume
When Sample Volume is on the blood flow of the 2D image, it represents Doppler
Spectrum. The size and depth of Sample volume is displayed in [mm] units. Its position
is moved with the Trackball and displayed in the xx.xx@yy.yy mm format. The format
means that a Sample Volume of xx.xx mm size is located at a depth of yy.yy mm.
For example, 2.00@16.70 mm means that a Sample Volume of 2.00mm size is located
at a depth of 16.07mm.
- Moving Sample Volume: Use the Trackball on the control panel.
- Resizing Sample Volume: Adjust the Sample Volume size by pressing the Change
button and using the Trackball on the control panel. Press the Change button again
to return to the Sample Volume Position Control screen. The icon showing the two
Trackball functions (SV Pos/SV Size) is shown for a second and then disappears.
- Adjusting the angle of Sample Volume: Use the Angle dial-button on the control
panel. If you rotate the dial-button clockwise, the angle increases from between 70
~ +70. Pressing the dial-button changes the angle as 60, 0 +60. Adjusting the
angle of Sample Volume allows more accurate speed measurement.
4 - 40
NOTE
CAUTION
The Phantom Gate position can be located outside the 2D image area in
Zoom Mode.
Make sure that sample volume and Phantom Gate are not placed
together in the measuring area. If more than two Sample Volumes are
located in the vessels, all Doppler components will appear in the
spectrum, causing noise.
Loop Format
Select Loop Format in the menu. Refer to Loop Format in the M mode.
Loop Size
Select Loop Size in the menu. You can change the size of the PW Spectral Doppler
image for the 2D image. You can select a value between 30 70.
Spectrum Type
Select Spectrum Type in the menu. You can select the spectrum type from Type 1 to
Type 3.
Post Curve
Select Post Curve in the menu. Then, select from Type 1 - 8 or User1 2.
Simultaneous
Select Simultaneous in the menu. Each time you press the button, the Simultaneous
function turns on and off.
NOTE
It appears in the PW menu only when Utility > Setup > General >
Simultaneous Mode is set to Allow.
If the Simultaneous function is enabled, you can view the 2D image and Spectral
Doppler image simultaneously in real time. If it is disabled, you can view only one of the
two images.
The Simultaneous function decreases Doppler PRF, thus decreasing the measurable
speed range.
4 - 41
AutoCalc Direction
Select AutoCalc Direction in the menu. You can select the part of spectrum to use
AutoCalc from Up, Down, or All.
Spectrum Enhancement
Select Spectrum enh in the menu. This function controls brightness and sensitivity of
Spectral Doppler images. You can select a value between 1-4.
Doppler Average
Select Doppler Avg in the menu.
This function determines availability (on/off) of FDRP (Fast DRP). It can enhance
expression of Spectral Doppler images. You can select this function On or Off.
[1] Invert
Use the Flexible Soft dial-button [1].
Positions of the + and speed indicators will be inverted.
Time Averaged
(TAP)
Peak
Velocity
PeakA
CAUTION
4 - 42
NOTE
NOTE
For information on the menu and other items in the Flexible Soft menu,
please refer to 2D Mode and Color Doppler Mode.
For information on TDW, please refer to the TDI topic in Color Doppler
Mode.
4 - 43
4 - 44
NOTE
4 - 45
ElastoScanTM Mode
The elasticity of ROI in a 2D image is shown in color. A scanned 2D image is also displayed to
indicate the relative position of ROI and allow the user to change the position.
NOTE
ElastoScanTM
This process converts the elastic modulus (ultrasound image data) of a target object,
obtained from continuous ultrasound images, into an elastogram. A lesion's location can be
estimated by using the differences in elastic modulus obtained from elastograms. The
function of elastography is to determine the difference in hardness or stiffness between
healthy organs and lesions. Palpation has been used to measure stiffness, but this method
is only useful at depths close to the surface of tissue. ElastoScan allows the user to
identify the existence of solid masses in tissue, and converts the hardness data into an
image by sonically enhancing the palpation.
Elastography shows the spatial distribution of tissue elasticity properties in a region of
interest by estimating the strain before and after tissue distortion caused by external or
internal forces. Quantitative elastography is not provided.
NOTE
Or press the 2D / Ref. Slice button on the control panel to exit E Mode.
4 - 46
E Mode Screen
E Dual Mode
4 - 47
E Single Mode
ROI Mode
ROI stands for Region of Interest. In E Mode, the ROI Box represents the area where
elasticity information is shown. Press the Flexible soft dial button [2] ROI Mode to
enter or exit ROI Mode.
The position and size of the ROI Box can be adjusted by using the Change button on
the control panel. Each time the Change button is pressed, the current status of the
ROI Box is shown in the lower left corner of the screen.
- E ROI Pos.: The position of the ROI Box can be changed. Move the ROI Box with
the Trackball to confirm the new position.
- E ROI Size: The size of the ROI Box can be changed. Resize the ROI Box with the
Trackball and press the Change button to confirm the new size.
4 - 48
NOTE
Scanning
When using ElastoScan, place a probe onto the surface of an area to observe and apply
periodic compression to it. The compression should be adjusted so that the strain stays
within 3 - 5 %.
Breast
A breast is a complex organ that consists of latecomer, laticifer, glandular mammaria,
fatty tissues, fibrous tissues and chest muscles. Moving a probe along vertically causes
unintended movements of the tissues. To observe a lesion in ElastoScanTM Mode (E
Mode), it is recommended to minimize lateral or other directional movements including
vertical movement of tissues along the axis.
4 - 49
Prostate
The prostate consists of tissues simpler than a breast, and there are relatively less
unintended movements.
The following figure shows an image of the prostate with a tumor.
(a) 2D Mode
Screen Layout
Color Bar
In E Mode, the color bar indicates the stiffness of a tissue. Regardless of the color, the
lower section of the bar indicates that the target area is stiffer than the surrounding
4 - 50
[1] E Gain
Use the Flexible soft dial-button [1]. Adjust the brightness of E image between 1 - 100%.
Rotate the dial-button to increase the gain.
4 - 51
NOTE
4 - 52
Combined Mode
In Combined Mode, three different modes are combined including the default 2D Mode. Note
that, in 2D/C Live Mode, only two modes are combined: 2D and Color Doppler Modes.
2D/C/PW Mode
Color Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously.
In Color Doppler Mode, press the PW/x dial-button on the control panel. Or, in PW Spectral
Doppler Mode, press the Color/y dial-button on the control panel.
2D/PD/PW Mode
Power Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously.
In Power Doppler Mode, press the PW/x dial-button on the control panel. Or, in PW Spectral
Doppler Mode, press the PD button on the control panel.
2D/C/CW Mode
Color Doppler Mode and CW Spectral Doppler Mode are displayed simultaneously. This mode
is available only with certain probes.
In Color Doppler Mode, press the CW button on the control panel. Or, in CW Spectral Doppler
Mode, press the Color/y dial-button on the control panel.
2D/PD/CW Mode
Power Doppler Mode and CW Spectral Doppler Mode are displayed simultaneously. This mode
is available only with certain probes.
In Power Doppler Mode, press the CW button on the control panel. Or, in CW Spectral Doppler
Mode, press the PD button on the control panel.
2D/C/M Mode
Color Doppler Mode and M Mode are displayed simultaneously.
In Color Doppler Mode, press the M dial-button on the control panel. Or, in M Mode, press the
4 - 53
Color/y dial-button on the control panel. (This button is enabled for specific diagnostic
applications with specific probes only.)
Changing menu
Press the Change Menu button on the control panel.
You can change the menu and Flexible Soft menu items without changing the active
image mode. Buttons for the active image mode appear on the control panel.
For example, if the Flexible Soft Menu for 2D Mode is displayed on the screen in
2D/C/PW Mode, press the Change Menu button to switch to the Flexible Soft Menu for
Color Doppler Mode.
NOTE
4 - 54
Multi-Image Mode
The product supports Dual Mode and Quad Mode.
In Multi-Image Mode, an image can be displayed in different combined modes. Button
operations in an active area are the same as in Combined Mode.
Dual Mode
Press the Dual button on the control panel.
You can compare two different images at the same time. Each time you press the Dual button,
one of the two images is selected. The current active image mode is displayed as a yellow line
at the top. Button and menu items for the current image mode are displayed.
Press the Single button on the control panel to exit Dual Mode.
4 - 55
Quad Mode
Press the Quad button on the control panel.
You can compare four different images at the same time. Each time you press the Quad button,
one of the four images is selected. The current active image mode is displayed as a yellow line
at the top. Button and menu items for the current image mode are displayed.
Press the Single button on the control panel to exit Quad Mode.
NOTE
4 - 56
3D / 4D Mode
An observation area is displayed in a 3D image. SONOACE X8 provides 3D and 4D Modes.
3D/4D Mode
3D Mode
In this mode, 3D or standard probes are used to obtain 3D images.
NOTE
4 - 57
Depending on the probe used and how images are obtained, 3D Mode can be divided into
the following:
2D/3D
In this mode, 3D or standard probes are used to obtain 3D images.
Tip!
In Static 3D Mode, a 3D probe is used. In Freehand 3D Mode, a standard probe is
used.
XI STIC
In this mode, a 3D probe is used to obtain a fetal cardiac pulsation cycle and STIC
image.
NOTE
In addition to the above modes, the following two modes are supported depending on what
is observed in 3D Mode:
- Color 3D Mode (3D/C): Press the 3D/4D button in Color Doppler Mode. Along with
3D images of the observation area, the speed and direction of blood flow are shown
in color.
- Power Doppler 3D Mode (3D/PD): Press the 3D/4D button in Power Doppler Mode.
Along with 3D images of the observation area, the presence of blood flow is shown in
color.
4 - 58
4D Mode
In this mode, a 3D probe is used to obtain 3D images in real time. It is also called Live 3D
Mode.
NOTE
4 - 59
ROI Box
In 3D/4D Mode, the ROI box is also called the Volume Box, which indicates an area in a
2D image to be converted into a 3D/4D image.
The location and size of the ROI box can be adjusted with the Change button on the
control panel. Each time the Change button is pressed, the state of the ROI box is
shown in the lower left corner of the screen as below:
- ROI Position: The ROI Box can be relocated. Use the Trackball to move the ROI box
to another location, and then press the Set button to set the new location.
- ROI Size: The ROI Box can be resized. Use the Trackball to change the size of the
ROI box, and then press the Set button to set the new size.
4 - 60
3D StandBy Mode
In this mode, various parameters can be set before 3D or 4D images are obtained.
Auto ROI
NOTE
This option appears only when the application for a 3D probe is set
to OB or OB Early.
Select Auto ROI in the menu. Press the button to turn it on or off. If it is turned on, the
Volume Box is automatically placed over an area that will be converted to a 3D image.
4 - 61
Scan Mode
Use the Flexible Soft dial-button [1]. Rotate the dial-button to select the desired 3D
Mode from 2D/3D, 4D and XI STIC.
When a standard probe is used, 2D/3D is displayed, and this may not be changed.
View Mode
Use the Flexible Soft dial-button [2]. Rotate the dial-button to select the desired View
Mode from MPR, MSV and Oblique View.
- MPR (Multi Planar Rendering): A standard 3D mode. Once 3D images are obtained,
the 3D View screen appears.
- MSV (Multi Slice View): A type of 3D XI. Once 3D images are obtained, the 3D Xi
screen appears.
- Oblique View: A type of 3D XI. Once 3D images are obtained, the Oblique View
screen of 3D Xi appears.
When a standard probe is used, MPR is displayed, and this may not be changed.
NOTE
Scan Angle
Use the Flexible Soft dial-button [3]. Rotate the dial-button to adjust the scan angle.
The desired scan angle varies depending on the probe used.
4 - 62
Load Preset
Use the Flexible Soft dial-button [6]. Rotate the dial-button to select the desired
preset.
When a standard probe is used, available options are Default or User1 - User5.
Scan Time
Use the Flexible Soft dial-button [4]. Use the dial-button to specify the image
acquisition duration between 7 and 15 seconds.
Trimester
Use the Flexible Soft dial-button [5]. Use the dial-button to specify the
pregnancy trimester. Available options are 1st, 2nd, 3rd or User Set. If it is specified
to between 1st and 3rd, the recommended Scan Time and STIC Angle for the
specified trimester are automatically set. Please see the following table:
Trimester
1st
2nd
3rd
Scan Time
10 seconds
12 seconds
15 seconds
STIC Angle
20
25
30
If Scan Time or STIC Angle is set to a value other than those listed in the table,
Trimester is switched to User Set.
Acquiring 3D Images
1. Select the desired 3D Mode in the Flexible Soft menu [1].
2. Specify the location and size of the ROI box as desired.
3. Use the Menu button and the Flexible Soft dial-buttons [2] - [6] to set various
parameters.
4 - 63
4. Once done, press the Freeze or Set button. The system will start acquiring 3D images.
5. Once 3D images are acquired, the 3D View or 3D XI screen appears.
- In the Flexible Soft menu [2], if MPR is selected, 3D View is enabled, and if MSV or
Oblique View is selected, 3D XI is enabled. Depending on the mode selected, 3D
View or 3D XI is displayed in the upper left corner of the screen.
- If a 3D image is acquired with its left and right sides flipped, it appears in 3D View or
3D XI with its sides flipped.
NOTE
4 - 64
3D View-MPR
This screen appears after 3D images are acquired when View Mode is set to MPR in 3D
StandBy Mode. 3D View is displayed in the upper left corner of the screen.
After optimizing the acquired 3D images, proceed with diagnosis and measurement.
NOTE
3D View Screen
Screen Layout
The main 3D View screen consists of Axial Section, Sagital Section and Coronal
Section surface images which are volume data cut by anatomical locations and 3D
images.
For the purpose of convenience, Axial Section is displayed as A plane, Sagital Section
4 - 65
Axial plane
Sagital plane
Coronal plane
3D plane
Trackball Mode
The current Trackball mode is displayed in the user information area. You can choose
Trackball mode from Cursor, Move and ROI. To change the Trackball mode, press the
Change button on the control panel. Each time the button is pressed, the Trackball
mode is toggled.
- Cursor: The Trackball can be used to position the cursor. Use the Trackball and Set
button to select the icon menu on the screen. Press the Pointer button on the
control panel to switch to the cursor mode.
- Move: The Trackball can be used to move 3D images. The acquired 3D image is
moved around according to the movement of the Trackball.
- ROI: The Trackball can be used to resize the ROI box. The size of the ROI box over
a 3D image is changed according to the Trackball movement. The ROI mode is
available only when Basic in the icon menu is set to ROI.
Moving Images
Place the Trackball pointer over an image to move, and then move it while pressing the
Set button. Alternatively, use the Trackball to move an image when Trackball mode is
set to Move.
- Set Button: An image can be rotated around the center.
- Exit Button: An image can be moved up/down/left/right.
Resizing ROI
When the Trackball mode is set to ROI, move the Trackball to resize the ROI box.
When the Trackball mode is set to Cursor, place the cursor over the ROI box and then
use the Trackball and Set button to resize it.
4 - 66
Showing/Hiding Menu
Press the Menu dial-button to show the menu on the screen. Press the Exit button to
hide the menu.
Selecting Items
Press the Menu dial-button.
Entering Text
Press the [F2] button on the alphanumeric keyboard.
NOTE
4 - 67
The Autotext and Quick Text features are not available in 3D View.
Entering Indicator
Press the Indicator button on the control panel.
Saving Images
Press the Save button on the control panel. The 3D Data Save window will appear.
Select Image under Save Type and then press the Save button to save images
NOTE
If images are saved with volume data, they can be converted to 3D rendering images
with SonoView.
Printing Image
Press the Print 1 or Print 2 button on the control panel.
4 - 68
2D
Axial, Sagital or Coronal plane images and Orientation Help (OH) are displayed on the
screen. OH shows the relative position of the selected plane in reference to volume
data.
Tips!
Since diagnosis is performed with multi-planar images only in 2D Mode, Flexible
Soft menu Full can be used for more detailed observation.
2D / 3D
Axial, Sagital or Coronal plane images and 3D images are displayed on the screen.
ROI 3D
Axial, Sagital or Coronal plane images and 3D images are displayed on the screen.
The ROI Box can be changed for better observation.
Fixed 3D
Axial, Sagital or Coronal plane images and the 3D image that is set within the ROI box
in ROI 3D Mode are displayed on the screen. The ROI Box does not appear.
4 - 69
Tips!
The following buttons in the control panel can be used to change Display Format:
- Single Button: Switches to the full screen in A3D Mode.
- Dual Button: Switches to A3D Mode.
- Quad Button: Switches to ROI Mode.
Ref. Image
Use the Menu dial-button to select a reference image from A, B and C. Depending on the
reference image selected, the direction of the arrow changes.
Transparency
Use the Menu dial-button to set transparency between 20 and 250.
The lowest value (20) is for complete transparency, and the highest value (250) is for complete
opacity.
NOTE
Auto Contour
Press the Menu dial-button to turn it on or off.
This function automatically locates the fetal face area in a fetus image scanned for Sagital. If
it is turned on, a contour line appears and a 3D image is contoured in the ROI box on A Plane.
NOTE
Contour Edit
Press the Menu dial-button to turn it on or off. Contour Edit appears in the menu only when
Auto Contour is turned on. If it is turned on, use the Trackball and Set button to change the
contour line.
3D Cine
Use the Menu dial-button to select 3D Cine in the 3D View menu. Then 3D Cine Mode will
be enabled.
4 - 70
Rotation Angle
Use the Flexible Soft dial-button [1] to set all of the rotation angles for an image.
Valid values are 30, 45, 60, 90, 180 and 360.
Step Angle
Use the Flexible Soft dial-button [2] to set the rotation angle by step for an image.
Valid values are 1, 3, 5 and 15.
The Difference between Rotation Angle and Step Angle
A Cine image rotates to the angle set in Rotation Angle in increments as set in Step Angle.
For example, if Rotation Angle is set to 360 and Step Angle is set to 15, 3D Cine rotates to
360 using 15 steps.
4 - 71
Rotate Axis
Use the Flexible Soft dial-button [3] to set the rotation direction to X or Y.
Start Pos.
Use the Flexible Soft dial-button [4] to set the start point of a Cine image. Valid
values are -180 to -1. If Start Pos. is set, Rotation Angle is disabled.
End Pos.
Use the Flexible Soft dial-button [5] to set the end point of a Cine image. Valid values
are 1 - 180. If End Pos. is set, Rotation Angle is disabled.
Mix
Use the Flexible Soft dial-button [6] to set the rendering mix. Valid values are 0 - 100.
Calculate
Press the Flexible Soft dial-button [6]. Start configuring a Cine image with the
specified settings.
3D Cine
Specify settings required for Cine execution.
Play Mode
Use the Flexible Soft dial-button [1] to select how 3D Cine is played.
- Loop: Continues to play 3D Cine in one direction repeatedly.
- Yoyo: Plays 3D Cine in one direction until the end is reached and then continues to
play it in the reverse direction.
Speed
Use the Flexible Soft dial-button [2] to set the playback speed of a Cine image. Valid
options are 25, 50,100, 200, 300 and 400%.
Mix
Use the Flexible Soft dial-button [4] to set the rendering mix. Valid values are 0 - 100.
Start / Pause
Use the Flexible Soft dial-button [4] to pause or resume playback.
4 - 72
Clear Cine
Use the Flexible Soft dial-button [6] to delete the current Cine image. Return to the
3D Cine Define screen.
4D Cine
Use the Menu dial-button to select 4D Cine in the 3D View menu. Then 4D Cine Mode will
be enabled.
NOTE
4 - 73
After specifying the playback mode and Cine type, press the Play button to start playing a
Cine image.
Cine Type
In the menu on the screen, use the Menu dial-button to select Cine type.
- Image: The standard Cine playback mode. Start Pos., End Pos., Speed(%) and
Position appear in the Flexible Soft menu.
- Volume: While a Cine image is being played, the MPR screen appears on the touch
screen. The display format can be changed to optimize Cine image playback. Vol.
Indexs appears in the Flexible Soft menu.
Start Pos.
Use the Flexible Soft dial-button [1] to set the start point of a Cine image. This option
appears only when Cine Type is Image.
End Pos.
Use the Flexible Soft dial-button [2] to set the end point of a Cine image. This option
appears only when Cine Type is Image.
Speed (%)
Use the Flexible Soft dial-button [3] to set the playback speed of a Cine image. Valid
values are 25 - 400%. This option appears only when Cine Type is Image.
Position
Use the Flexible Soft dial-button [4] to select a Cine image that will be shown on the
current screen. This option appears only when Cine Type is Image.
Play Mode
Use the Flexible Soft dial-button [5] to select the playback mode of a Cine image.
- Loop: Continues to play a Cine image in one direction repeatedly.
- Yoyo: Plays a Cine image in one direction until the end is reached and then
continues to play it in the reverse direction.
Vol. Index
Use the Flexible Soft dial-button [6] to select volume data that will be shown on the
current screen. This option appears only when Cine Type is Volume.
4 - 74
Preset
Use the Menu dial-button to select Preset in the 3D View menu. Set or rename a preset as
desired.
Preset
Use the Flexible Soft dial-button [6] to select a preset from Default or User1 5.
Press Default to revert to the initial preset value.
Load Preset
Press the Flexible Soft dial-button [6]. The selected preset will be applied to the
system.
User Rename
Press the Flexible Soft dial-button [4]. In the Name popup window, rename a User
Preset.
Save Preset
Press the Flexible Soft dial-button [5]. The changes to the preset will be saved.
Render Setup
Use the Menu dial-button to select Render Setup in the 3D View menu. Select the rendering
method from Gray, Color and SeeThru.
Gray
This mode shows volume data acquired by the gray method as a 3D rendering image.
Render Mode 1
Use the Flexible Soft dial-button [1] to set Render Mode 1.
- Surface: Represents a 3D image in the Ray-casting method where the surface of
an image is expressed with curves.
- Surface Smooth: Provides a 3D image that is smoother than Surface.
- Max: Represents a 3D image in maximum intensity. This option can be useful for
4 - 75
Render Mode 2
Use the Flexible Soft dial-button [2] to set Render Mode 2. Available options are the
same as for Render Mode 1.
Mix
Use the Flexible Soft dial-button [3] to set the render modes mix ratio. Valid values
are 0 - 100.
TH. Low
Use the Flexible Soft dial-button [4] to set the minimum threshold range. Valid values
are 0 - 254.
Tip! Threshold
A threshold is used to eliminate unnecessary data from an image. If it is
increased, more cyst components are shown. If it is decreased, more bone
components are shown.
TH.High
Use the Flexible Soft dial-button [5] to set the maximum threshold range. Valid values
are 1 - 255.
Render Direction
Use the Flexible Soft dial-button [6] to set the rendering direction. + indicates the
currently set direction. - indicates the opposite of the currently set direction.
Color
This mode shows volume data acquired by the Angio/CFM method as a 3D rendering
image. Available settings are the same as with Gray Render Mode.
NOTE
4 - 76
See Thru.
This mode shows a Gray + Angio or Gray + CFM combination of data as a 3D rendering
image.
NOTE
Use the Flexible Soft dial-buttons [1] and [2] to set the combination of Transp-Surface,
Transp-Transp, Max-Surface or Max-Transp rendering modes. Other settings are the same
as with Gray Render Mode.
Transp-Surface
View color data within gray data by adjusting the transparency of gray data. Parts
hidden by gray data may appear slightly darker.
Use the Flexible Soft dial-button [3] to adjust transparency. Use the Flexible Soft
dial-buttons [4] or [5] to set the threshold range.
Transp-Transp
View color data within gray data by adjusting the transparency of both gray and color
data. Parts hidden by gray data may appear slightly darker.
Use the Flexible Soft dial-button [3] to adjust transparency.
Max-Surface
View color data by setting gray data to Max and color data to Surface. Parts hidden
by the gray data may appear slightly brighter.
Use the Flexible Soft dial-button [3] to adjust the combination of two sets of data. Use
the Flexible Soft dial-buttons [4] or [5] to set the threshold range.
Max-Transp
View color data by setting gray data to Max and color data to Transp. Parts hidden by
the gray data may appear slightly brighter.
Use the Flexible Soft dial-button [3] to adjust the combination of two sets of data.
4 - 77
MagiCut
Use the Menu dial-button to select MagiCut in the 3D View menu. MagiCut can be used to
eliminate parts in a 3D image that are irrelevant for diagnosis.
NOTE
CutMode
Use the Menu dial-button to set Cut Mode.
- Inside Contour: Cuts the inside of the selected area.
- Outside Contour: Cuts the outside of the selected area.
- Inside Box: Cuts the inside of the box.
- Outside Box: Cuts the outside of the box.
- Small Eraser: Cuts with a small eraser.
4 - 78
Depth
Use the Menu dial-button to set Cut Depth.
- Full: Cuts the entire area.
- Defined: Cuts the defined area. Define an area to cut as below:
1.
Use the Trackball and the Set button to define an area to cut.
2. Use the Flexible Soft dial-button [1] Depth to set the cutting depth. Valid values
are 1 - 100.
- Flexible Soft dial-button [3] Redo: After restoring an image by pressing the
Undo button or the Undo All button, select the Redo button to cut the same
area again.
- Flexible Soft dial-button [4] Undo: Cancel the cutting of the selected area.
- Flexible Soft dial-button [5] Undo All: Cancel all cutting.
3. Press the Flexible Soft dial-button [6] Apply to complete the setting.
Palette
Use the Menu dial-button to select Palette in the 3D View menu. Then set the colors for 2D
and 3D images.
2D Palette
Use the Flexible Soft dial-button [1] to set the color of a 2D image. Valid options are
Palettes 0 - 9.
3D Palette
Use the Flexible Soft dial-button [2] to set the color of a 3D image. Valid options are
Palettes 0 - 9.
Select
Use the Flexible Soft dial-button [1] to select a Post Curve to change the settings for.
NOTE
Init
Press the Flexible Soft dial-button [1]. The initial 3D image and settings will be
4 - 79
restored.
Position
Use the Flexible Soft button [2] to change the location of a Post Curve that is
selected under Select. Valid values are 0 100.
Full
Press the Flexible Soft dial-button [2]. A 3D image will be displayed in the full screen
mode. Press the button again to return to the previous screen.
Bias
Use the Flexible Soft button [3] to change the bias of a Post Curve that is selected
under Select. Valid values are -100 to 100.
Mix
Use the Flexible Soft dial-button [4] to set the rendering mix between 0 and 100.
NOTE
Th.Low
Use the Flexible Soft dial-button [5] to set the value between 0 and 254.
Tip! Threshold
A threshold is used to eliminate unnecessary data from an image. If it is
increased, more cyst components are shown. If it is decreased, more bone
components are shown.
NOTE
Orientation
Use the Flexible Soft dial-button [6] to select from 0, 90, 180 and 270. Here, the
coordinate system rotates by the Z-axis in the 3D Standard Coordinate System.
NOTE
U/D Flip
Press the Flexible Soft dial-button [6]. An image is flipped upside down.
4 - 80
VOCAL Mode
Select the VOCAL tab in the menu. VOCAL stands for Virtual Organ Computer Aided anaLysis,
which is used to measure the volume of internal tissues in the human body.
VOCAL Mode proceeds in the order of Contour Edit Contour Accept Contour Shell
Histogram.
Contour
After setting various parameters, VOCAL data can be acquired.
Contour Type
Use the Menu dial-button to select Contour Type in the VOCAL menu.
4 - 81
Solid: Use this option when there are many echoes within an object.
General: Create a contour based on the nature of a general object. This option is
faster but less accurate than other automatic contour types.
Cystic: Use this option when there are few echoes within an object.
Sphere: After creating a spherical object, modify its contour to obtain the desired
shape.
Ref. Image
Use the Flexible Soft dial-button [1] to select a reference image from A, B and C.
Init
Press the Flexible Soft dial-button [1] to restore the initial 3D image and settings.
Ref. Angle
Use the Flexible Soft dial-button [2] to set the rotation angle to 12, 18 or 30.
Pole 1
Use the Flexible Soft dial-button [4] to set the location of Pole 1.
Tip! Pole Point
Poles 1 and 2 represent the range where VOCAL will be executed in a reference
image. In a reference image, Pole 1 indicates the location of the Up arrow and
Pole 2 indicates the location of the Down arrow.
To set the location of a pole point, use the Flexible Soft dial-buttons [3] and [4],
or place the Trackball pointer over an arrow in an image and then move the
Trackball while pressing the Set button.
Pole 2
Use the Flexible Soft dial-button [5] to set the location of Pole 2.
Next
Press the Flexible Soft dial-button [6]. VOCAL data will then be created.
Once data is created, volume information will be displayed on the screen.
4 - 82
- Press the Flexible Soft dial-button [3] New Contour to perform the VOCAL
process again.
NOTE
Edit Contour
When contouring is complete, the system is switched to the Edit Contour screen. Modify
the existing contour or create a new contour.
Shell Mode
Use the Menu dial-button to select Shell Mode in the VOCAL menu.
- Off: The shell is drawn on the created contour.
- Inside: The shell is drawn inside the created contour by the Shell Thickness
specified.
- Outside: The shell is drawn outside the created contour by the Shell Thickness
specified.
- Symmetric: A half of the shell is drawn inside the contour by half the Shell
Thickness specified and the other half of the shell is drawn outside the contour by
half the Shell Thickness specified.
4 - 83
Previous Image
Press the Flexible Soft dial-button [1] to go to the previous page.
Next Image
Press the Flexible Soft dial-button [2] to go to the next page.
Thickness
Use the Flexible Soft dial-button [2] to set the shell thickness to a value between 1
and 20 mm. This option is not available when Shell Mode is OFF.
New Contour
Press the Flexible Soft dial-button [4] to delete the current contour and return to the
initial VOCAL screen.
Clear Contour
Press the Flexible Soft dial-button [5] to delete all VOCAL data and return to the initial
VOCAL screen.
Accept Contour
Press the Flexible Soft dial-button [6] to save the shell contour. The Accept Contour
screen will appear.
Accept Contour
Perform various tasks with the accepted image.
Display Format
Use the Menu dial-button to select Display Format in the VOCAL menu.
- ROI 3D: Press the ROI 3D button on the touch screen. Along with Axial, Sagital and
Coronal plane images, a VOCAL image will be displayed on the screen.
- Fixed 3D: Press the Fixed 3D button on the touch screen. Along with Axial, Sagital
and Coronal plane images, the 3D image of the contoured area will be displayed on
the screen.
- Volume CT: Press the VCT button on the touch screen. The contour areas in the
Axial, Sagital and Coronal planes and the actual combination of them will be
displayed on the screen. The boundary of each plane is shown in a different color.
4 - 84
Ref. Image
Use the Flexible Soft dial-button [1] to select a reference image from A, B and C.
Init
Press the Flexible Soft dial-button [1] to return to the Contour screen
Mode
Use the Flexible Soft dial-button [1] to select either Surface or Wireframe mode.
This option appears only when the Display Format is ROI 3D.
Surface: Represent VOCAL data using the Ray-casting method where the surface
of an image is expressed with curves.
Niche
Use the Flexible Soft dial-button [3] to set a value between 1 8. This option
appears only when the Display Format is Volume CT.
Full
Press the Flexible Soft dial-button [3]. A 3D image will be displayed in full screen
mode. Press the button again to return to the previous screen.
Histogram
Press the Flexible Soft dial-button [4]. A shell histogram will be calculated.
The shell histogram represents the distribution of gray values in 2D and Power
Doppler images within an object for which a VOCAL process is performed. It also
shows Mean Gray (MG), Vascularization Index (VI), Flow Index (FI) and
Vascularization Flow Index (VFI) based on the distribution.
NOTE
VOCAL Edit
Press the Flexible Soft dial-button [5]. The system will switch to the Edit Contour
screen.
4 - 85
4 - 86
3D XI Mode (Optional)
If View Mode is set to MSV or Oblique View in 3D StandBy Mode, this screen appears when a
3D image is acquired. 3D XI is displayed in the upper left corner of the screen.
3D XI Mode also appears if MSV, Oblique View or Volume CT is selected in the 3D View
screen. 3D XI is displayed in the upper left corner of the screen.
In 3D XI Mode, the plane of an image is divided into several sections and displayed to
enhance the effectiveness of diagnosis. It has three sub-modes as below.
NOTE
MSV Mode
Press the MSV tab in the menu. MSV stands for Multi-Slice View, which allows you to divide
an image into several slices for better observation.
NOTE
4 - 87
Layout
Set the screen layout by selecting one out of the [1x1], [2x1], [3x2], [3x3], [4x3] and
[6x4] buttons on the touch screen.
Tips!
- If 11 is selected, one image can be viewed at a time. - If 64 is selected, 24 slice
images can be viewed at a time.
- Each time a new layout is selected, the currently selected image moves to the first
position on the screen.
Ref. Image
Choose a plane in which to view multi-slice images by selecting from A, B and C planes.
Ref. OH
Select a plane to be used as Reference OH.
- If Ref. OH is 3D: Indicates the location of the selected slice in relation to volume
data.
Orientation Dot
Press the Menu dial-button to turn it on or off. If it is turned on, a dot symbol appears in
the center of an image.
Ruler
Use the Flexible Soft dial-button [1] to specify where the ruler will be placed on the
screen. Available options are None, Right, Left, Top, Bottom and All.
Init
Press the Flexible Soft dial-button [1] to return to the initial screen in MSV Mode.
Position
Use the Flexible Soft dial-button [2] to adjust the location of a Post Curve. Valid
values are 0 100.
4 - 88
Index Change
Use the Flexible Soft dial-button [4] to change index. The selected index is shown in
a yellow frame.
Page Change
Use the Flexible Soft dial-button [5] to change page. This option is used when there
is more than one page due to multiple indices.
Cut Depth
Use the Flexible Soft dial-button [6] to set the cut depth for multi-slices. Valid values
are 0.5, 1.0, 2.0, 3.0, 4.0 and 5.0 mm.
NOTE
The Cut Depth represents the width of each slice in volume data
and not the actual anatomical location.
Rotation
If a reference plane is rotated, the rotation is applied to all planes.
Rotating by X-axis
Use the PW / x dial-button on the control panel. Alternatively, when the Trackball mode
is Cursor, place the cursor near the X-axis in an image and then move the Trackball
while pressing the Set button.
Rotating by Y-axis
Use the Color / y dial-button on the control panel. Alternatively, when the Trackball
mode is Cursor, place the cursor near the Y-axis in an image and then move the
Trackball while pressing the Set button.
Rotating by Z-axis
Use the M / z dial-button on the control panel. Alternatively, when the Trackball mode
is Cursor, place the cursor near the Z-axis in an image and then move the Trackball
while pressing the Set button.
Translation
Move multi-slice images. Use the Change button on the control panel and the Trackball.
Alternatively, move the Trackball in an image while pressing the Exit button. Move it to the Xor Y-axis in the coordinate system.
4 - 89
Post Processing
Use the Menu dial-button to select Post Processing in the 3D XI menu. The Post
Processing menu will appear.
This function allows you to perform post-processing on multi-slice images, and it is not
available in Volume CT.
Invert
Press the Menu dial-button to turn it on or off. If it is turned on, the brightness of multislice images is inverted.
Auto Contrast
Press the Menu dial-button to turn it on or off. If it is turned on, the brightness of multislice images is automatically adjusted.
Thres.
Press the Menu dial-button to turn it on or off.
This function moderates excessive brightness in an image. If it is turned on, Th. Low
and Th. High appear in the Flexible Soft menu.
- Th. Low: Use the Flexible Soft dial-button [3].
- Th. High: Use the Flexible Soft dial-button [4].
Sharp
Press the Menu dial-button to turn it on or off.
This function allows you to adjust the boundary of Multi-Slice images. If it is turned on,
Sharp appears in the Flexible Soft menu.
- Sharp: Use the Flexible Soft dial-button [5] to set the value between 100 and 400.
If it is set to a higher value, the boundary becomes clearer.
3D CI
Press the Menu dial-button to turn it on or off.
3D CI stands for 3D Compound Imaging, which eliminates noise and enhances the
image quality by compounding images. If it is turned on, CSI Offset appears in the
Flexible Soft menu.
- CSI Offset: Use the Flexible Soft dial-button [6] to set the distance between
images for 3D CI. Valid values are 1 10. CSI stands for Compound of Sectional
Image, which enhances the image quality of C Plane by overlapping images.
4 - 90
Gradient Mask
Press the Menu dial-button to turn it on or off. This function is used to adjust the
brightness of a specific area in multi-slice images. The selected area becomes brighter.
L/R Flip
Use the Flexible Soft dial-button [1]. When the button is pressed, the left and right
sides of an image are flipped.
U/D Flip
Use the Flexible Soft dial-button [2]. When the button is pressed, an image is flipped
upside down.
NOTE
Oblique View
Press the Oblique View tab in the menu. Perpendicular plane images can be viewed by
applying a line or contour on Coronal, Sagital and Axial images.
The View Direction of Perpendicular Plane Image
The direction of view is perpendicular to a cross-sectional plane in volume data.
Please refer to the following illustration:
NOTE
4 - 91
Dynamic Line
This allows you to draw a straight line and view a plane that is perpendicular to the line.
- Use the Trackball and the Set button to draw a straight line. For the line drawn, the
start point is marked with S and the end point is marked with E.
- Use the Change button on the control panel to move the line. Use the Trackball to
4 - 92
Contour
This allows you to contour a straight line or curve and view a plane that is perpendicular
to it. The contouring, moving and modifying of a line are the same as in Dynamic Line.
Multi- Line
This allows you to draw a straight line and view a plane that is perpendicular to the line.
The drawing, moving and modifying of a line are the same as in Dynamic Line.
NOTE
Multi Contour
This allows you to contour a straight line or curve and view a plane that is perpendicular
to it. The contouring, moving and modifying of a line are the same as in Dynamic Line.
Multi Parallel
If you draw a straight line, four lines parallel to it are applied to a reference image to
display an oblique image.
- After pressing Multi-Parallel, use the Trackball and the Set button to draw a
reference line. Parallel lines are then automatically drawn.
- Use the Flexible Soft dial-button [3] Line Offset to adjust the spaces between
parallel lines.
Multi Plumb
If you draw a straight line, four lines perpendicular to it are applied to a reference image
to display an oblique image.
- After pressing Multi-Plumb, use the Trackball and the Set button to draw a reference
line. Perpendicular lines are then automatically drawn.
- Use the Line Offset on the touch screen to adjust the spaces between perpendicular
lines.
NOTE
4 - 93
Select Line
Use the Flexible Soft dial-button [1] to select a line. This option is available only
when Multi-Line or Multi-Contour is selected in the Oblique View Mode menu.
Line Rotation
Use the Flexible Soft dial-button [2] to adjust the location of a line. This option is not
available when Contour or Multi-Contour is selected in the Oblique View Mode
menu.
Line Offset
Use the Flexible Soft dial-button [3] to adjust the spaces between parallel lines. This
option is available only when Multi-Parallel or Multi-Plumb is selected in the Oblique
View Mode menu.
Auto Increase
Press the Flexible Soft button [4] to turn it on or off. If it is turned on, more than one
line can be drawn. This option is available only when Multi-Parallel or Multi-Plumb is
selected in the Oblique View Mode menu.
Position
Use the Flexible Soft dial-button [5] to adjust the location of a Post Curve. Valid
values are 0 100.
Bias
Use the Flexible Soft dial-button [6] to adjust the bias of a Post Curve. Valid values are
-100 to 100.
Volume CT Mode
Press the Volume CT tab in the menu. In this mode, an image is divided into Axial, Sagital
and Coronal images, which are then recombined in 3D for display. This mode provides
information on surface images.
Volume CT Mode has two sub-modes: Cube VolumeCT and Cross VolumeCT.
NOTE
4 - 94
Cube Volume CT
Press the Cube in the Volume CT menu. This mode provides information on neighboring
external surface images in a cube.
Select Surface
Use the Menu dial-button to select a reference surface to view. Available options are
Front, Back, Left, Right, Up and Down. The selected surface appears in frontal view.
The orientation of the current cube is shown in the lower right corner of the screen.
Use the Flexible Soft dial-buttons [1] [6] to change the location of the selected
reference surface.
Init
Press the Flexible Soft dial-button [1] to return to the initial screen in Volume CT
Mode.
4 - 95
Boundary
Press the Flexible Soft button [3] to turn it on or off. This option allows you to show or
hide additional boundary lines in Cube Volume CT. Additional boundary lines indicate
the external area of the entire volume.
Rotation
Use the PW/X, Color/Y and M/Z dial-button on the control panel to rotate a Cube
Volume CT image by the X-, Y- or Z-axis.
Zoom
Use the Zoom dial-button on the control panel to zoom an image by 25 400 times.
Cross Volume CT
Press the Cross in the Volume CT menu. This mode provides information on images within
the planes intersecting each other.
4 - 96
B Plane
Use the Flexible Soft dial-button [2] to set the location of the Upper Surface from
between -127 and 127. It will be displayed in red frames on the screen.
C Plane
Use the Flexible Soft dial-button [3] to set the location of the Left Surface from
between -127 and 127. It will be displayed in frames on the screen.
Other usages are the same as for Cube Volume CT.
NOTE
XI STIC (Optional)
STIC stands for Spatio-Temporal Image Correlation. XI STIC obtains a fetal cardiac pulsation
cycle with 3D images of the fetal heart, reorganizes images, and represents like 4D image.
NOTE
XI STIC images are not real time 4D images but reorganized 3D images.
4 - 97
1.
In the 3D StandBy screen, use the Flexible Soft dial-button [1] to select XI STIC.
2.
3.
- Flexible Soft dial-button [3] Scan Angle: Set the scan angle to between 15 - 60.
- Flexible Soft dial-button [4] Acquisition Time: Set the image acquisition duration
to between 7 15 seconds.
- Flexible Soft dial-button [5] Trimester: Set a pregnancy trimester. Available
options are 1st, 2nd, 3rd or User set. If it is specified to between 1st - 3rd, the
recommended Scan Time and STIC Angle for the specified trimester are
automatically set. Please see the following table:
Trimester
1st
2nd
3rd
Scan Time
10 seconds
12 seconds
15 seconds
STIC Angle
20
25
30
If Scan Time or STIC Angle is set to a value other than those listed in the table,
Trimester is set to User Set.
5. The STIC Confirm window appears on the screen. The fetal heart rate will be
calculated and displayed on the screen. Press Yes to proceed. Press No to cancel
and scan again.
NOTE
If the heart rate is not available or there are too many motion
artifacts to calculate the heart rate, the system returns to the very
first XI STIC screen.
4 - 98
NOTE
- Fetal heart rate far to low or far to high compared with the value
from other measurement.
- Asynchronous movement in different parts of the image: for
example, the right part of the image is contracting and the left part
is expanding at the same time.
In all of the above cases the data has to be discarded and the
acquisition has to be repeated.
4 - 99
STIC Speed
Adjust the speed of image playback. Use the Menu dial-button to set it to All Cine, 25%,
33%, 50% or 100%.
If it is set to All CINE, all of the Volume CINE saved are reviewed regardless of their
speed. If it is set to a percent value, Volume CINE is played at the specified speed based
on the fatal heart rate (100%).
NOTE
Chapter 5
Measurements and
Calculations
Measurement Accuracy...................................................................................................3
CAUSES OF MEASUREMENT ERRORS ........................................................................................... 3
OPTIMIZATION OF MEASUREMENT ACCURACY............................................................................... 4
MEASUREMENT ACCURACY TABLE ............................................................................................... 6
5-2
THYROID CALCULATION.............................................................................................................. 90
BREAST CALCULATION ............................................................................................................... 91
TESTICLE CALCULATION ............................................................................................................. 93
SUPERFICIAL CALCULATION ....................................................................................................... 94
PEDIATRIC HIPS CALCULATION ................................................................................................... 95
MUSCULOSKELETAL CALCULATION ............................................................................................. 97
Report ........................................................................................................................... 98
VIEWING REPORT ...................................................................................................................... 98
EDITING REPORT ....................................................................................................................... 99
ADDING COMMENT...................................................................................................................100
PRINTING REPORT ...................................................................................................................101
SAVING REPORT ......................................................................................................................101
TRANSFERRING REPORT ..........................................................................................................102
STRESS ECHO .........................................................................................................................102
GRAPH FUNCTION....................................................................................................................104
CLOSING REPORT ....................................................................................................................108
5-3
Measurement Accuracy
Measurement values can vary, depending on the nature of the ultrasound, the bodys response
to ultrasound, the measurement tools, algorithms, product settings, probe type and user
operation.
Before using this product, make sure to read and understand the following information regarding
the causes of measurement errors, and measurement optimization.
- Errors due to a signal range may be minimized by adjusting focus settings. Optimizing
focus settings increases the resolution of the measurement area.
- Gain has a direct impact on resolution. Gain can be adjusted by using the Gain button
for each mode.
- In general, increasing the frequency of ultrasound enhances resolution.
Pixel Size
- An ultrasound images in the product consist of pixels.
- Since a single pixel represents the basic unit of an image, a measurement error may
result in the displacement of approximately 1 pixel when compared to the original
image size.
- However, this error becomes significant only when a narrow area in an image is
measured.
Ultrasound Velocity
- The velocity of ultrasound used during measurement is usually 1,540 m/s on average.
- The velocity of ultrasound may vary depending on the cell type.
- The possible range of error is between approximately 2-5% depending on the structure
of cells (about 2% for typical cells and about 5% for fatty cells).
5-4
Aliasing
- PW Spectral Doppler Mode uses a signal sampling technique to calculate the frequency
(or velocity) spectrum.
- Adjust the baseline or the velocity scale to minimize aliasing. A lower frequency probe
can also be used to reduce aliasing.
- Aliasing is dramatically reduced in CW Spectral Doppler Mode.
Calculation Equation
- Some of the calculation equations used for clinical purposes originate from hypotheses
and approximation.
Human Error
- Human error may occur due to inappropriate use or lack of experience.
- This can be minimized through compliance with and thorough understanding of the
manuals.
- Using the zoom function or minimizing the depth display makes distance or area
measurements more accurate.
5-5
M Mode
- The accuracy of time measurements can be increased when the sweep velocity and the
display format are set to high values.
- The accuracy of distance measurements can be increased when the display format is
set to higher values.
Doppler Mode
- It is recommended to use lower frequency ultrasound for measurement of faster blood
flows.
- The size of the sample volume is limited by the axial direction of the ultrasound.
- Using lower frequency ultrasound increases penetration.
- The accuracy of time measurements can be increased when the sweep velocity is
increased.
- The accuracy of velocity measurements can be increased when the vertical scale is set
to smaller values.
- It is most important to use an optimal Doppler angle to enhance the accuracy of velocity
measurements.
- In all applications, the amount of blood flow is measured in PW/CW Spectral Doppler
Mode.
Cursor Position
- All measurements are affected by input data.
- To ensure accurate positioning of the cursor:
Adjust the images on the screen so that they are displayed at maximum granularity.
Use the front edge or boundary point of a probe to make the start and end points of a
measurement object more distinct.
Make sure that the probe direction is always aligned during measurement.
5-6
NOTE
Modes Performance
Modes
Description
performance
Test
Accuracy(1)
Methodology
Based on
Specification
Frequency
Depth
< 2MHz
< 10cm
< 4MHz
< 8cm
Endo-Cavity
< 5.5MHz
< 5cm
Convex
< 7.5MHz
< 3cm
Mode
db
Linear
Penetration
Probe
Sensitivity
Phased Array
M , PW , CW
Phantom
Phantom
Acquisition
Acquisition
<75
PW
<90
CW
<90
2D Mode
(1)
Measurements:
System Tolerance:
(Whichever is greater)
Test
Methodology
Accuracy
Based on
Range(2)
Axial Distance:
Phantom
Acquisition
.01 25 cm
Lateral Distance:
Phantom
Acquisition
.01 35 cm
Axial Resolution:
Phantom
Acquisition
.01 25 cm
Lateral Resolution
Phantom
Acquisition
.01 35 cm
5-7
M Mode
Measurements:
System Tolerance:
(whichever is greater)
Test
Methodology
Accuracy (1)
Based on
Range (2)
Depth :
<+/- 5% or 3 mm
Phantom
Phantom
1 - 25 cm
Time:
Signal generator
Phantom
System Tolerance
(whichever is greater)
Methodology
Velocity
< 15%
Phantom
Time:
Signal generator
Range
(2)
5-8
Basic Measurements
Press the Caliper button on the control panel.
NOTE
The available measurement methods vary depending on the current diagnosis mode. Please
refer to the following table:
Measurement
Distance Measurement
Volume Measurement
Diagnosis
Mode
Measurement Method
2D, M, D, E
Distance
Line Trace
Angle
%StD
M Distance
D Velocity
D A/B
D Trace
2D, M, D, E
2D, M, D, E
Ellipse
Trace
%StA
3 Distance
1 Distance
Distance + Ellipse
Ellipse
MOD
CAUTION
The measurements taken in E Mode may not reflect the size of the actual
tissues. Possible reasons for this discrepancy are described in the following:
- The shape or size of tissue can be altered by the pressure exerted
during E Mode scanning.
- Measurements are affected by the hardness of the tissues at the
measurement site.
5-9
NOTE
NOTE
NOTE
5 - 10
Distance Measurement
Distance
This is a basic measurement that is available in all diagnosis modes. You can specify two
points in a 2D image and measure the straight distance between them.
1. Select Distance in the Flexible Soft menu [1]. Distance will appear in the user
information area.
2. Use the Trackball and the Set button on the control panel to specify both end points
of the measurement area.
- Use the Trackball to place the cursor at the desired position and press the Set
button.
Tip! Repositioning Point
Pressing the Change button before pressing the Set button to complete positioning resets
the position of a point just set.
3. Specify both end points and then the distance between them will be measured.
4. Once measurement is done, the result is displayed on the screen.
Line Trace
It is a basic measurement that is available in all diagnosis modes. You can specify a point
in a 2D image and trace a curve from that point to measure the distance between them.
1.
Select Line Trace in the Flexible Soft menu [1]. Line Trace will appear in the user
information area.
2.
Use the Trackball and the Set button on the control panel to specify the start point of
the measurement area.
- Use the Trackball to place the cursor at the desired position and press the Set
button.
3.
Use the Trackball to draw the desired curve and then press the Set button to set the end point.
Tip! Editing Curve
Before pressing the Set button to specify the end point, you can rotate the
Flexible Soft dial-button [5] Delete (trace) to delete a part of the curve being
traced.
4.
Specify both end points and then the length of the curve will be automatically
measured.
5 - 11
Angle
A basic measurement that is available in all diagnosis modes. Specify two straight lines in
a 2D image and measure the angle between them.
1. Select Angle in the Flexible Soft menu [1]. Angle will appear in the user information
area.
2. Draw two straight lines. For information on drawing a straight line, please refer to
Distance.
3. The angle between two lines will be calculated and displayed on the screen.
- When two angles are calculated, the smaller angle is displayed.
%StD
StD stands for Stenosis Distance, which is a basic measurement available in all diagnosis
modes. In a 2D image, the diameter of a vessel is measured and the stenosis ratio
calculated.
1. Select %StD in the Flexible Soft menu [1]. %StD will appear in the user information
area.
2. Measure the total diameter of a vessel using the Distance measurement method.
3. When a new cursor appears, measure the inner wall diameter of the vessel under stenosis.
4. Calculate %StD with the following equation:
%StD = (Outer Distance Inner Distance) / Outer Distance 100
M Distance
This is a basic measurement that is available in M Mode only. You can specify two points
in an M image and measure the distance, elapsed time and velocity between them.
1. Select M Distance in the Flexible Soft menu [1]. M Distance will appear in the user
information area.
2. Specify two points and then measure the shortest distance between them. The way that
it is measured is the same as in Distance.
3. Once measurement is done, the result is displayed on the screen.
D Velocity
This is a basic measurement that is available in Spectral Doppler Mode only. You can
specify two points in a Spectral Doppler image and measure the distance between them,
and the velocity at each point to calculate the velocity change, time change and
acceleration.
NOTE
5 - 12
- Acc: Acceleration
V1 V2
V1
- dV = V2 V1
- RI =
- Acceleration =
NOTE
(V2 V1 ) dV
=
(T2 T1 ) dT
D A/B
This is a basic measurement that is available in Spectral Doppler Mode only. You can
specify two points in a Spectral Doppler image and measure the velocity at each point to
calculate the ratio of the velocity between them.
1. Select D A/B in the Flexible Soft menu [1]. D A/B will appear in the user information
area.
2. Specify two points for which to measure velocity.
- Use the Trackball to place the cursor at the desired position and press the Set
button.
3. Once measurement is done, the result is displayed on the screen.
- V1: Velocity at Point 1
NOTE
5 - 13
D Trace
This is a basic measurement that is available in Spectral Doppler Mode only. You can
specify a point in a Spectral Doppler image and trace a curve from that point to calculate
the velocity, integral value and average velocity of blood flow.
1. Select the Flexible Soft button [1] D Trace. D Trace is displayed in the user
information area.
2. Trace a curve. The method for measuring a curve is the same as in 2D Line Trace.
3. When the measurement is finished, its result is shown on the screen.
- PSV: Peak Systolic Velocity
V mean =
VTI
Duration of flow
PSV EDV
PSV
PSV EDV
- PI =
Vmean
PSV
-S /D =
EDV
- RI =
NOTE
5 - 14
2. Use the Trackball and the Set button on the control panel to specify the diameter
(axis) of the measurement area.
- Place the cursor at a desired position with the Trackball, and press the Set button.
Tip! Repositioning Point
Pressing the Change button before pressing the Set button to complete positioning resets
the position of a point just set.
2
2
1 A B
+
2 2 2
a b , (a, b: Axis)
Trace
This is a basic measurement that is available in all diagnosis modes. You can measure the
circumference and area of an irregular object in a 2D image.
1. Select the Flexible Soft button [2] Trace. Trace is displayed in the user information
area.
2. Use the Trackball and the Set button on the control panel to specify the start point for
tracing over the contour of the measurement area.
- Place the cursor at a desired position with the Trackball, and press the Set button.
3. Trace the curve so that the measurement cursor returns to the start point, and then
press the Set button.
NOTE
Trace lines must be closed. If you press the Set button before
tracing is complete, tracing may be done over a straight line between
the current point and the start point, resulting in a significant error.
5 - 15
- Circ = sum
- Area = sum
%StA
StA stands for Stenosis Area, which is a basic measurement available in all diagnosis
modes. In a 2D image, the area of a vessel is measured and the stenosis ratio (%)
calculated.
1. Select %StA in the Flexible Soft menu [2]. %StA will appear in the user information
area.
2.
Measure the area of the vessel outer wall using the Area measurement method.
3. When a new cursor appears, measure the inner wall area of the vessel under stenosis.
4. Calculate %StA with the following equation:
%StA = (Outer Area Inner Area) / Outer Area 100
5 - 16
Volume Measurement
NOTE
Since Dual Mode simultaneously displays two images on the screen, you
don't have to return to the diagnosis mode to measure volume in Dual Mode.
3 Distance
This is a basic measurement that is available in all diagnosis modes. You can measure the
volume of an object in a 2D image by using 3 straight lines.
1. Select the Flexible Soft button [3] 3 Distance. 3 Distance is displayed in the user
information area.
2. Specify two points and measure the straight distance between them. The method for
measuring a line is the same as in Distance.
3. Measure the length of the remaining two straight lines as in the above. Measure other
two distance using the same method with 2.
4. When the measurement is finished, its result is shown on the screen. The volume of
the object along with the length of each straight line are calculated.
The equations used for 3 Distance measurement are as follows:
- Vol =
D D D
4
1 2 3 , (D: distance)
3
2 2 2
1 Distance
This is a basic measurement that is available in all diagnosis modes. You can measure the
volume of an object in a 2D image by using only one straight line.
1. Select the Flexible Soft button [3] 1 Distance. 1 Distance is displayed in the user
information area.
2. Specify two points and measure the straight distance between them. The method for
measuring a line is the same as in Distance.
3. When the measurement is finished, its result is shown on the screen. The volume of
the object along with the length of the straight line are calculated.
4 D
- Vol = , (D: distance)
3 2
5 - 17
Distance + Ellipse
This is a basic measurement that is available in all diagnosis modes. You can measure the
volume of an object in a 2D image by using one straight line and one circle (ellipse).
1. Select the Flexible Soft button [3] Distance + Ellipse. Distance + Ellipse is
displayed in the user information area.
2. Specify two points and measure the straight distance between them. The method for
measuring a line is the same as in Distance.
3. Specify the size of the circle (ellipse). The method for measuring a circle (ellipse) is the
same as in Ellipse.
4. When the measurement is finished, its result is shown on the screen.
- D: The length of a straight line
- Vol.: Volume
Vol =
Ellipse
A basic measurement that is available in all diagnosis modes. In a 2D image, the volume of
a conical object is measured using an ellipse.
1. Select Ellipse in the Flexible Soft menu [3]. Ellipse will appear in the user information
area.
2. Set the size of the ellipse. The way it is measured is the same as in Ellipse.
3. Once measurement is done, the result is displayed on the screen.
3
2
2
2
5 - 18
MOD
A basic measurement that is available in all diagnosis modes. In a 2D image, the area of
an irregular object and the length of its long axis are obtained to calculate its volume. MOD
is an abbreviation for Method of Disk.
1. Select MOD in the Flexible Soft menu [3]. MOD will appear in the user information
area.
2. Draw a contour to measure. The way it is measured is the same as in Trace.
3. Measure the length of the long axis. The way it is measured is the same as in
Distance.
4. Once measurement is done, the result is displayed on the screen.
5 - 19
Calculations by Application
Press the Calc button on the control panel.
Things to note
Before Taking Measurements
Register Patient
Make sure that the currently registered patient information is correct. If the patient is
not registered, press the Patient button on the control panel.
Check the probe name and application that are displayed in the title bar. Press
the Probe button on the control panel to use another probe or application.
- Check the preset settings in the Probe Selection screen.
Measurement Operations
The following gives information on the common button operations for measurements:
Change/Select Application
Use the Calculator button on the control panel. Each time the Calculator button is
pressed, the application toggles in the order determined under Measure Setup. The
order in which applications appear can be specified at Utility > Measure Setup >
General > Packages.
5 - 20
[Figure 5.1 The Flexible Soft Menu for Measurement Result Display]
[1] HR Cycle: Enabled when a heart rate is measured in M/D Mode. You can
specify the frequency of the heart beat to 1 20 beats.
[2] Trace Direction: Enabled after Auto or Limited Trace is performed in Spectral
Doppler Mode. Select the direction as Up, Dn, or All.
Up: Trace only positive part on the Doppler spectrum.
Dn: Trace only negative part on the Doppler spectrum.
All: Trace all Doppler spectrum.
[4] Result Action: Specify the position where the measurement results are
displayed.
Move: Change the position where the measurement results are displayed. After
changing the position, press the Set button.
NOTE
When there are too many measurement data and they cannot all
be displayed on the screen at one time, the Move button can be
used to navigate through the measurement data.
Reset: Press the Flexible Soft dial-button to initialise the position where the
measurement results are displayed.
[5] Delete: Enabled during Trace measurement. Rotate the Flexible Soft dial-button to
delete some of the curve being traced.
[6] Font Size: Rotate the dial-button to select the font size for measurement result
from 10 to 30.
NOTE
The measurement results are deleted from the screen but still
shown on the report for the corresponding application.
5 - 21
Exit Measurement
Press the Exit button on the control panel.
End Diagnosis
Press the End Exam button on the control panel. The diagnosis for the current patient
ends and all measurement results are saved.
NOTE
Auto Trace
A spectrum is traced automatically. It is enabled in the Measurement menu in
Spectral Doppler Mode.
1. Press Auto Trace in the Measurement menu.
2. The system traces a spectrum automatically.
3. When Trace is complete, the measurement results are displayed on the screen.
Things to consider for Doppler Spectrum Auto Trace
The state of a Doppler spectrum may affect measurement results. Please see the following:
Causes for Trace Failure
- If Gain is changed for a Doppler image in the Freeze state, Contour Trace and Peak
Trace will not work.
-
If there is little or no noise in an image without a spectrum, Contour Trace will not work.
- If the Clutter filter is set too high, Auto Trace or Limited Trace may not work.
5 - 22
- If PRF (Pulse Repetition Frequency) is lower than the velocity of the observation
area, aliasing may occur. If the original signals are separated from aliasing, Trace can
be done but the peak measurement may not be accurate.
-
If the peak of a spectral waveform is not clear or occurs intermittently, Trace can be
done but the peak measurement may not be accurate.
- If the Doppler Gain is set to high or low, it becomes difficult to distinguish spectrums.
This may result in measurement error(s).
- If the Wall Filter is set too high, only part of the spectrum is displayed. In this case, Trace
can be done but Peak measurement may not be accurate.
- If abnormal noise or artifact occurs, Trace can be done but Peak measurement may not
be accurate.
Misc.
- Use of the CW Probe may result in measurement error(s).
- Limited Trace is supported only for two-peak spectrums such as Mitral Valve
Inflow and Tricuspid Valve Inflow in the cardiology application.
Limited Trace
If you specify a measurement range, a spectrum is traced automatically. It is enabled
in the menu in Spectral Doppler Mode.
1. Press Limited Trace in the Measurement menu. A bar appears allowing you to
specify a measurement area.
2. Specify the measurement range.
- Place the bar at a desired position with the Trackball, and press the Set button.
3. The system traces spectrums within the specified range automatically.
4. When Trace is complete, the measurement results are displayed on the screen.
Manual Trace
A spectrum is traced manually. It is enabled in the menu in Spectral Doppler Mode.
1. Press Manual Trace in the Measurement menu. A measurement cursor appears
over a spectrum.
2. Trace the spectrum. The measuring method is the same as in D Trace.
3. When Trace is complete, the measurement results are displayed on the screen.
Itemized Measurement
In the Measurement menu, select an individual item and take a measurement.
5 - 23
1. Press the Calculator button on the control panel after obtaining a desired image.
2. Select a desired item in the Measurement menu. The + cursor appears over a
spectral waveform.
3. Position the + cursor and press the Set button.
4. The measurement results for the selected item are displayed on the screen.
Measurement items for Doppler Spectrum are as follows:
Type
Unit
Velocity
Velocity
cm/s or m/s
cm/s or m/s
Velocity
Velocity
Calculation
mmHg
Calculation
mmHg
4 PSV 2
Calculation
Ratio
(PSV / EDV)
Calculation
Ratio
EDV /PSV
RI (Resistivity Index)
Calculation
Ratio
PI (Pulsatility Index)
Calculation
Ratio
Item
Equation
cm/s or m/s
cm/s or m/s
PeakA
5 - 24
d2
4
TAMV 60
Stenosis Measurement
You can measure the stenosis of each blood vessel system by measuring and calculating
an area or distance.
% StA
Measure the area of the inner and outer walls of a blood vessel. StA stands for
Stenosis Area.
1. Select the %StA menu and the first cursor will appear in 2D Mode.
2. Measure the area of the vessels outer wall using the Circ/Area measurement
method.
3. When the second cursor appears, measure the area of the vessels inner wall
under stenosis.
%Stenosis Area. = (Outer Area Inner Area) / Outer Area 100
% StD
Measure the diameter of a blood vessel. StD stands for Stenosis Distance.
1. Select the %StD menu and the first cursor will appear in 2D Mode.
2. Measure the total diameter of a blood vessel using the Distance measurement
method.
3. When the second cursor appears, measure the diameter of the vessels inner wall
under stenosis.
%Stenosis Dist. = (Outer Distance Inner Distance) / Outer Distance 100
5 - 25
HR (Heart Rate)
You can calculate heart rates for a certain period of time.
1. Select HR in the Measurement menu. A bar appears allowing you to specify a
measurement area.
2. Specify the measurement range.
- Place the bar at a desired position with the Trackball, and press the Set button.
3. The system measures the heart rate within the specified range automatically. The
measurement results are displayed on the screen.
5 - 26
OB Calculation
Before Taking OB Measurements
OB Basic Information
Enter the information required for OB diagnosis in the Patient Information window.
The basic OB information includes LMP (Last Menstrual Period) and Gestations.
Once LMP is entered, EDD (Estimated Delivery Date) and GA (Gestational Age) are
calculated automatically. LMP is required for the calculation of values such as EDD
and SD in obstetrics measurement.
-
Regardless of LMP, enter the EDD with a physicians opinion into Estab. Due Date. If
LMP is not available, when Estab. Due Date is modified, LMP is automatically
calculated and the C mark is displayed next to the LMP information.
A maximum of four fetuses can be entered in the Gestations menu. The default value
is '1'. In the case of twins, enter '2'.
For further information about patient information menus and how to input patient
information, refer to Entering Patient Data in Chapter 3 Setting.
NOTE
5 - 27
Measurement Menu
When the measurements for the selected items are complete, the measurements and
gestational age are displayed on the screen. The measurement method for each item is the
same as for basic measurement.
Measured items are automatically recorded in a report.
Measurement
Menu
Fetal Biometry
Items
Mode
Methods
Unit
GS
All
Distance
cm, mm
CRL
All
Distance
cm, mm
YS
All
Distance
cm, mm
BPD, HC
All
Distance
cm, mm
BPD
All
Distance
cm, mm
OFD
All
Distance
cm, mm
HC
All
Circumference or
automatic calculation
cm, mm
5 - 28
Measurement
Menu
Fetal Biometry
Fetal Long
Bones
Fetal Cranium
Fetal Others
AFI
Items
Mode
Methods
Unit
APD
All
Distance
cm, mm
TAD
All
cm, mm
AC
All
FTA
All
Distance
Circumference or
automatic calculation
Area or
automatic calculation
FL
All
Distance
cm, mm
SL
All
Distance
cm, mm
APTD, TTD
All
Distance
cm, mm
APTD
All
Distance
cm, mm
TTD
All
cm, mm
ThC
All
Distance
Circumference or
automatic calculation
cm, mm
cm2, mm2
cm, mm
HUM
All
Distance
cm, mm
ULNA
All
Distance
cm, mm
TIB
All
Distance
cm, mm
RAD
All
Distance
cm, mm
FIB
All
Distance
cm, mm
CLAV
All
Distance
cm, mm
Vertebral
All
Distance
cm, mm
CEREB
All
Distance
cm, mm
CM
All
Distance
cm, mm
NF
All
Distance
cm, mm
NT
All
Distance
cm, mm
OOD
All
Distance
cm, mm
IOD
All
Distance
cm, mm
NB
All
Distance
cm, mm
Lat Vent
All
Distance
cm, mm
HW
All
Distance
cm, mm
Lat. Vent / HW
All
Automatic calculation
Foot
All
Distance
cm, mm
Ear
All
Distance
cm, mm
MP
All
Distance
cm, mm
Lt/Rt. Renal L
All
Distance
cm, mm
Lt/Rt.Renal AP
All
Distance
cm, mm
Pelvis
All
Distance
cm, mm
All
All
Distance
cm, mm
Q1
All
Distance
cm, mm
Q2
All
Distance
cm, mm
Q3
All
Distance
cm, mm
CTAR
PLI
Umb. Artery
MCA
5 - 29
Items
Mode
Methods
Unit
Q4
All
Distance
cm, mm
MVP
All
Circumference
cm, mm
Cervix Length
All
Distance
cm, mm
All (D)
All
ThD ap
All
Distance
cm, mm
ThD trans
All
Distance
cm, mm
HrtD ap
All
Distance
cm, mm
HrtD trans
All
Distance
cm, mm
All (A)
All
ThA
All
Area
cm2, mm2
HrtA
All
Area
2
2
cm , mm
All
PW
Sys Flow
PW
Velocity
A. Rev Flow
PW
Velocity
cm/s, m/s
Dias Flow
PW
Velocity
cm/s, m/s
Auto Trace
PW
Calculated after
distance measurement
Calculated after
area measurement
Calculated after
velocity measurement
Limited Trace
PW
Manual Trace
PW
cm/s, m/s
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Calculated after
area measurement
Calculated after
distance measurement
Calculated after
area measurement
Calculated after
distance measurement
%
%
%
%
5 - 30
Measurement
Menu
Rt. / Lt.
Uterine Artery
Plac. Artery
Rt. / Lt.
Fetal Carotids
Fetal Aorta
Items
Mode
Methods
Auto Trace
PW
Unit
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
Vesl. Area
All
Area
cm , mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
cm, mm
%
%
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
area measurement
Calculated after
distance measurement
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
Items
Mode
Methods
Unit
Vesl. Area
All
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Ductus Venosus
Renal Artery
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
PW
Velocity
cm/s, m/s
Volume Flow(Auto)
PW
Automatic calculation
ml/m
Volume Flow(D)
PW
Automatic calculation
ml/m
TAMV
PW
cm/s or m/s
Vesl. Dist.
All
Distance
cm, mm
Vesl. Area.
All
Area
cm2, mm2
PW
Heart Rate
NOTE
EDV
Volume Flow
Fetal HR
5 - 31
bpm
Automatic Calculation
Some items in the measurement menu are automatically calculated based on measurements of
other items.
HC
This is automatically calculated using the following formula, provided there are measured BPD
and OFD values.
5 - 32
HC = ( BPD 2 + OFD 2 ) / 2
Exception: when you use Merz reference, HC = 2.325 * BPD 2 + OFD 2
AC
This is automatically calculated using the following formula, provided there are measured APD
and TAD values.
AC = ( APD 2 + TAD 2 ) / 2
Exception: when you use Merz reference, AC = ( APD + TAD ) / 2
FTA
This is automatically calculated using the following formula, provided there are measured APD
and TAD values.
ThC
This is automatically calculated using the following formula, provided there are measured APTD
and TTD values.
BPD and AC
AC and FL
BPD, AC and FL
HC, AC and FL
BPD,HC, AC and FL
AC
NOTE
5 - 33
For reference, the Osaka University /Tokyo University methods are mainly
used in Asia, the Merz method in Europe, and the Shepard/ Hadlock
methods on the American continent.
NOTE
How to measure
1. Press the User Key1 (or User Key 2) on the control panel. OB menu and measure
items are displayed on the screen.
2. Measure the items for EFW calculation using trackball and the Set button.
3. Press the Freeze button to finish the first measurement.
4. Press the Freeze button to measure the next items.
5. When you finish the measurement for all items, the result will be displayed on the
monitor.
Campbell
AC
Hadlock
BPDAC
Hadlock1
ACFL
Hadlock2
BPDACFL
Hadlock3
HCACFL
Hadlock4
BPD, HCACFL
Hansmann
BPDTTD
Merz
BPDAC
Osaka
BPDFTAFL
Shepard
BPDAC
5 - 34
Reference
Shinozuka1
BPDACFL
Shinozuka2
BPDAPTD, TTDSL
Shinozuka3
BPDAPTD, TTDFL
Ferrero
ACFL
Higginbottom
AC
Thurnau
BPDAC
Warsof
BPDAC
Weiner1
HCAC
Weiner2
HCACFL
Woo
BPDACFL
5 - 35
Gynecology Calculation
Before Taking GYN Measurements
Enter the information required for GYN diagnosis in the Patient Information screen. Basic
Information for gynecology includes Gravida, Para, Aborta, Ovul Date, Day of Cycle and
Ectopic.
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
5 - 36
Measurement
Menu
Item
Mode
Vol.
All
Length
Height
Width
Endo. Thickness
Cervix Vol.
Cervix Length
Cervix Height
Cervix Width
All
All
All
All
All
All
All
All
Vol.
All
Length
Height
Width
All
All
All
Vol.
All
Length
Height
Width
All
All
All
1 ~ 12
All
Vol.
All
Length
Height
Width
Auto Trace
Limited Trace
Manual Trace
PSV
EDV
Auto Trace
All
All
All
PW
PW
PW
PW
PW
PW
Calculated after
distance measurement
Distance
Distance
Distance
Distance
Volume
Distance
Distance
Distance
Calculated after
distance measurement
Distance
Distance
Distance
Calculated after
distance measurement
Distance
Distance
Distance
Volume calculated after
distance measurement
Calculated after
distance measurement
Distance
Distance
Distance
Doppler spectrum trace
Doppler spectrum trace
Doppler spectrum trace
Velocity
Velocity
Doppler spectrum trace
Uterus
Mass 1~3
Pericystic
Method
Limited Trace
PW
Manual Trace
PW
Unit
ml
cm, mm
cm, mm
cm, mm
cm, mm
ml
cm, mm
cm, mm
cm, mm
ml
cm, mm
cm, mm
cm, mm
ml
cm, mm
cm, mm
cm, mm
cm, mm and ml
ml
cm, mm
cm, mm
cm, mm
cm/s, m/s
cm/s, m/s
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Endometrial
Endo. Polyp
Cervical Tumor
5 - 37
Item
Mode
Method
Unit
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
Vol.
All
Length
All
Velocity
Calculated after
distance measurement
Distance
ml
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
Vol.
All
Length
All
Velocity
Calculated after
distance measurement
Distance
Height
All
Distance
cm, mm
cm, mm
Width
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
ml
cm, mm
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
Vol.
All
Length
All
Velocity
Calculated after
distance measurement
Distance
Height
All
Distance
cm, mm
cm, mm
Width
All
Distance
Auto Trace
PW
ml
cm, mm
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
Vol.
All
Length
All
Velocity
Calculated after
distance measurement
Distance
ml
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
5 - 38
Measurement
Menu
Cervical Tumor
Ectopic
Item
Mode
Method
Unit
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
Vol.
All
Length
All
Velocity
Calculated after
distance measurement
Distance
ml
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
Fetal Heart Rate
PW
PW
Velocity
Heart Rate
cm/s, m/s
bpm
NOTE
5 - 39
Cardiac Calculation
NOTE
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Dist20
Traces the cardiac circumference and then draw the cardiac axis. The system
automatically draws 20 straight lines perpendicular to the axis and calculates its
volume.
NOTE
5 - 40
LV
Item
Mode
Method
Unit
LVd
All
Continuous measurement
IVSd
All
Distance
cm, mm
LVIDd
All
Distance
cm, mm
LVPWd
All
Distance
cm, mm
RVAWd
All
Distance
cm, mm
RVIIDd
All
Distance
cm, mm
LVs
All
Continuous measurement
IVSs
All
Distance
cm, mm
LVIDs
All
Distance
cm, mm
LVPWs
All
Distance
cm, mm
RVAWs
All
Distance
cm, mm
RVIDs
All
Distance
cm, mm
LV(M)
5 - 41
Item
Mode
Method
Unit
LV
Continuous measurement
IVSd
Distance
cm, mm
LVIDd
Distance
cm, mm
LVPWd
Distance
cm, mm
RVAWd
Distance
cm, mm
RVIIDd
Distance
cm, mm
IVSs
Distance
cm, mm
LVIDs
Distance
cm, mm
LVPWs
Distance
cm, mm
RVAWs
Distance
cm, mm
RVIDs
Distance
cm, mm
A2C Vol.d
All
Dist20
ml
LV Vol.
A2C Vol.s
All
Dist20
ml
(Simpson)
A4C Vol.d
All
Dist20
ml
A4C Vol.s
All
Dist20
ml
ml
LV Vol. (A/L)
LV Vol. (Bullet)
LV Mass
RV
RV (M)
Vol. d
All
Volume
Vol. s
All
Volume
ml
LVAd sax
All
Area
cm , mm2
LVAs sax
All
Area
cm2, mm2
LVLd apical
All
Distance
cm, mm
LVLs apical
All
Distance
cm, mm
Calculated after
All
All
All
Area
cm2, mm2
All
Area
cm2, mm2
area measurement
LVLd apical
All
Distance
cm, mm
RVAWd
All
Distance
cm, mm
RVIDd
All
Distance
cm, mm
RVAd
All
Area
cm2, mm2
RVAWs
All
Distance
cm, mm
RVIDs
All
Distance
cm, mm
RVAs
All
Area
cm2, mm2
RV Major
All
Distance
cm, mm
RV Minor
All
Distance
cm, mm
LPA Diam
All
Distance
cm, mm
MPA Diam
All
Distance
cm, mm
RPA Diam
All
Distance
cm, mm
RVAWd
Distance
cm, mm
RVIDd
Distance
cm, mm
RVAWs
Distance
cm, mm
5 - 42
Measurement
Menu
RV (M)
LA Vol.
Item
Mode
Method
Unit
RVIDs
Distance
cm, mm
RVPEP
Time
ms
RVET
Time
ms
Calculated after
All
All
LA Major
All
Distance
cm, mm
LA Minor
All
Distance
cm, mm
distance measurement
ml
LA Diam
All
Distance
cm, mm
All
Dist 20
ml
LA Vol.
LA EDV A2C
LA ESV A2C
All
Dist 20
ml
(Simpson)
LA EDV A4C
All
Dist 20
ml
LA ESV A4C
All
Dist 20
ml
Ao / LA
Ao / LA (M)
RA
RA
LVOT
All
All
Continuous measurement
Ao Root
All
Distance
cm, mm
LA Diam
All
Distance
cm, mm
LVOT Diam
All
Distance
cm, mm
Ao Arch
All
Distance
cm, mm
Asc Ao
All
Distance
cm, mm
Desc Ao
All
Distance
cm, mm
Ao Isth Diam
All
Distance
cm, mm
Ao ST Junct Diam
All
Distance
cm, mm
Ao Sinus Diam
All
Distance
cm, mm
All
Continuous measurement
Ao Root
Distance
cm, mm
AV Cusp Sep
Distance
cm, mm
LA Diam
Distance
cm, mm
LVPEP
Time
ms
LVET
Time
ms
RA Major
All
Distance
cm, mm
RA Minor
All
Distance
cm, mm
RAAd
All
Area
cm2, mm2
RAAs
All
Area
cm2, mm2
RAEDV
All
Dist20
Ml
RAESV
All
Dist20
Ml
All
Distance
cm, mm
All
Distance
cm, mm
All
Distance
cm, mm
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
LVOT
RVOT
AV
5 - 43
Item
Mode
Method
Unit
Manual Trace
PW
LVOT Diam
All
Distance
cm, mm
Vmax
PW
Velocity
cm/s, m/s
VTI
PW
Distance
cm, mm
AccT
PW
Time
ms
ms
ET
PW
Time
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
RVOT Diam
All
Distance
cm, mm
Vmax
PW
Velocity
cm/s, m/s
VTI
PW
Distance
cm, mm
ms
ET
PW
Time
AV Auto Trace
PW
AV Limited Trace
PW
AV Manual Trace
PW
AV Cusp
All
Distance
cm, mm
AV Diam
All
Distance
cm, mm
AVA Planimetry
All
Area
cm2, mm2
AV Vmax
PW
Velocity
cm/s, m/s
AV PHT
PW
Time
ms
AV VTI
PW
Distance
cm, mm
AV AccT
PW
Time
ms
AV DecT
PW
Time
ms
AV ET
PW
Time
ms
R-R Interval
M, PW
Heart Rate
Bpm
AR Auto Trace
PW
AR Limited Trace
PW
AR Manual Trace
PW
AR VC Diam
All
Distance
cm, mm
AR Vmax
PW
Velocity
cm/s, m/s
AR ed Vmax
PW
Velocity
cm/s, m/s
AR PHT
AR VTI
AR AccT
AR DecT
PW
Time
ms
PW
Distance
cm, mm
PW
Time
ms
PW
Time
ms
AR IVRT
PW
Time
ms
AR IVCT
PW
Time
ms
AR PISA-Rad.
Distance
cm, mm
AR Alias Vel.
Velocity
m/s
5 - 44
Measurement
Menu
MV (M)
MV
TV
Item
Mode
Method
Unit
All Points
Continuous measurement
D-E
Distance
cm, mm
E-F Slope
Velocity
cm/s, m/s
A-C Interval
Time
ms
EPSS
Distance
cm, mm
Propagation Vel.
Velocity
cm/s, m/s
MV Ann Diam
All
Distance
cm, mm
MV Diam 1
All
Distance
cm, mm
MV Diam 2
All
Distance
cm, mm
MVA Planimetry
All
Area
cm2, mm2
MV Limited Trace
PW
MV Manual Trace
PW
E-DT-A
PW
Time-Velocity-Time
ms and m/s
MV Peak E
PW
Velocity
cm/s, m/s
MV Peak A
PW
Velocity
cm/s, m/s
MV Vmax
PW
Velocity
cm/s, m/s
MV PHT
PW
Time
ms
MV VTI
PW
Distance
cm, mm
MV AccT
PW
Time
ms
MV DecT
PW
Time
ms
MV A Dur.
PW
Time
ms
MV ET
PW
Time
ms
MV IVRT
PW
Time
ms
MV IVCT
PW
Time
ms
R-R Interval
M, PW
Heart Rate
bpm
MR VC Diam
All
Distance
cm, mm
MR Auto Trace
PW
MR Limited Trace
PW
MR Manual Trace
PW
MR Vmax
PW
Velocity
cm/s, m/s
MR VTI
PW
Distance
cm, mm
MR dp / dt
PW
MR PISA-Rad.
Distance
cm, mm
MR Alias Vel.
Velocity
m/s
TV Limited Trace
PW
TV Manual Trace
PW
TV Ann Diam
All
Distance
cm, mm
TV Diam 1
All
Distance
cm, mm
TV Diam 2
All
Distance
cm, mm
Calculated after
time measurement
mmHg/s
TV
PV
5 - 45
Item
Mode
Method
Unit
TVA Planimetry
All
Area
cm2, mm2
TV Vmax
PW
Velocity
cm/s, m/s
TV Peak E
PW
Velocity
cm/s, m/s
TV Peak A
PW
Velocity
cm/s, m/s
TV PHT
PW
Time
ms
TV VTI
PW
Distance
cm, mm
TV AccT
PW
Time
ms
TV DecT
PW
Time
ms
TV A Dur.
PW
Time
ms
Q to TV Open
PW
Time
ms
bpm
R-R Interval
M, PW
Heart Rate
TR Auto Trace
PW
TR Limited Trace
PW
TR Manual Trace
PW
TR VC Diam
All
Distance
cm, mm
TR Vmax
PW
Velocity
cm/s, m/s
TR VTI
PW
Distance
cm, mm
TR dp / dt
PW
TR PISA-Rad.
Calculated after
time measurement
mmHg/s
Distance
cm, mm
m/s
TR Alias Vel.
Velocity
PV Auto Trace
PW
PV Limited Trace
PW
PV Manual Trace
PW
PV Ann Diam
All
Distance
cm, mm
PVA Planimetry
All
Area
cm2, mm2
PV Vmax
PW
Velocity
cm/s, m/s
PV PHT
PW
Time
ms
PV AccT
PW
Time
ms
PV DecT
PW
Time
ms
PV ET
PW
Time
ms
R-R Interval
M, PW
Heart Rate
Bpm
Q to PV Close
PW
Time
ms
PR Auto Trace
PW
PR Limited Trace
PW
PR Manual Trace
PW
PR VC Diam
All
Distance
cm, mm
PR Vmax
PW
Velocity
cm/s, m/s
MPA Vmax
PW
Velocity
cm/s, m/s
PR PHT
PW
Time
ms
5 - 46
Measurement
Menu
PV
Item
Mode
Method
Unit
PR AccT
PW
Time
ms
PR DecT
PW
Time
ms
Calculated after
All
Tei Index
Pulm. Veins
Hepatic Veins
Tissue Doppler
Qp: Qs
PE
HR
continuous measurement
MV TST
PW
Time
ms
MV ET
PW
Time
ms
MV IVCT
PW
Time
ms
ms
MV IVRT
PW
Time
All
PW
Continuous measurement
Sys Vel.
PW
Velocity
cm/s, m/s
Dias Vel.
PW
Velocity
cm/s, m/s
A. Rev Vel.
PW
Velocity
cm/s, m/s
ms
A. Rev Dur.
PW
Time
All
PW
Continuous measurement
Sys Vel.
PW
Velocity
cm/s, m/s
Dias Vel.
PW
Velocity
cm/s, m/s
A. Rev Vel.
PW
Velocity
cm/s, m/s
ms
A. Rev Dur.
PW
Time
All
PW
Continuous measurement
Peak E
PW
Velocity
cm/s, m/s
Peak A
PW
Velocity
cm/s, m/s
Peak S
PW
Velocity
cm/s, m/s
AccT
PW
Time
ms
DecT
PW
Time
ms
LVOT Diam
All
Distance
cm, mm
Sys.HR
PW
Heart Rate
bpm
Sys.VTI
PW
Distance
cm, mm
RVOT Diam
All
Distance
cm, mm
Plum. HR
PW
Heart Rate
bpm
Plum. VTI
PW
Distance
cm, mm
PEd
All
Distance
cm, mm
PEs
All
Distance
cm, mm
HR
M, PW
Heart Rate
bpm
NOTE
5 - 47
MPA Diam, RPA Diam, and LPA Diam are measured under Aortic
Valve Level in Parasternal Short Axis.
RVIDs, see
the
LV
5 - 48
Carotid Calculation
Before Taking Carotid Measurements
Set the related menus for convenient measurement. You can also specify how an area and
volume are calculated. Please refer to the Setting Measurements section in Chapter 3
Setting for more information on the measurement menus and settings.
Measurement Menu
NOTE
Measurement
Menu
Rt. / Lt.
Subclavian A
5 - 49
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Unit
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Calculated after
area measurement
Calculated after
distance measurement
%
%
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
IMT
All
Distance
cm, mm
Calculated after
area measurement
Calculated after
distance measurement
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
Vesl. Dist
All
Distance
cm, mm
IMT
All
Distance
cm, mm
Calculated after
area measurement
Calculated after
distance measurement
%
%
cm2, mm2
5 - 50
Measurement
Menu
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
Vesl. Dist
All
Distance
cm, mm
IMT
All
Distance
cm, mm
Calculated after
area measurement
Calculated after
distance measurement
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Unit
%
%
cm2, mm2
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
Vesl. Dist
All
Distance
cm, mm
IMT
All
Distance
cm, mm
Auto Trace
PW
Calculated after
area measurement
Calculated after
distance measurement
%
%
cm2, mm2
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
cm, mm
area measurement
Calculated after
distance measurement
IMT
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
%
%
cm/s, m/s
Item
Mode
EDV
PW
5 - 51
Method
Unit
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
cm, mm
area measurement
Calculated after
distance measurement
%
%
IMT
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
IMT
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
Vesl. Dist
All
Distance
cm, mm
IMT
All
Distance
cm, mm
area measurement
Calculated after
distance measurement
Calculated after
area measurement
Calculated after
distance measurement
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
%
%
%
%
cm2, mm2
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
Calculated after
area measurement
5 - 52
Measurement
Menu
Item
Mode
Method
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Calculated after
distance measurement
Limited Trace
PW
Manual Trace
PW
Unit
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Volume Flow(Auto)
PW
Automatic calculation
ml/m
Volume Flow(D)
PW
Automatic calculation
ml/m
General
Volume Flow
Calculated after
area measurement
Calculated after
distance measurement
%
%
TAMV
PW
cm/s or m/s
Vesl. Dist.
All
Distance
cm, mm
Vesl. Area.
All
Area
cm2, mm2
HR
PW
Heart Rate
bpm
HR
NOTE
5 - 53
Rular: The grid unit is 10 mm. This option is used when a vessel is lying laterally.
At the measurement location, press the Set button to take IMT measurement at
10 mm interval.
Range Bar: This option is used when a vessel is not lying laterally, or the length
of a specific segment is measured. Press and hold the Set button at the start
point, and then drag the Trackball to specify the end point.
Press Change to move the Near and Far zones that are automatically selected
with QI. The measurement value and color presentation are also changed.
However, if QI is 0, it will not be changed.
SD : Standard Deviation
QI: The distance ratio of the measured point in a distance for Quality Index
measurement.
5 - 54
If scanning is performed when the center of the vessel is aligned with the center
of the image area, IMT measurement starts automatically.
4. Use the Trackball and the Set button to set a location for IMT measurement.
Tip! Operation #1, #2
If Operation #1, #2 in the user information area is followed, IMT measurement
can be taken more easily.
-
5 - 55
If the vessel image quality is poor, select an area that is close to the Intima to
be measured.
Press Space Bar in the keyboard to turn on/off the Intima and Adventitia Marker.
5. Once the measurement location is set, measurement values are listed in a table.
User Graph can be used to customize a graph for better analysis of measurement
results.
3. Press the Flexible Soft dial-button [6] Analysis again to complete analysis.
The following materials were referred to when analyzing the measurements of Auto IMT.
Framingham
Correlation between the Framingham Risk Score and Intima Media Thickness: the
Paroi Arterielle et Risque Cardio-vasculair (PARC) Study.
Pierre-Jean Touboul, EricVicaut, Julien Labreuche, Jean-Pierre Belliard, Serge Cohen,
Serge Kownator, Jean-Jacques Portal, Isabelle Pithois-Merli, Pierre Amarenco. On
behalf of PARC Study participating physicians.
Risk Factor
Mannheim Carotid Intima-Media Thickness Consensus (2004~2006)
P.-J. Touboul, M.G. Hennerici, S.Meairs, H.Adams, P.Amarenco, N.Borstein, L.Csiba,
M.Desvarieux, S.Ebrahim, M.Fatar, R.Hermandez Hernandez, M.Jaff, S.Kownator,
P.Prati, T.Rundek, M.Sitzer, U.Schiminke, J.-C. Tardif, A.Taylor, E.Vicaut, K.S.Woo,
F.Zannad, M.Zureik
Normal IMT
Simon A, Gariepy J, Chironi G, Megnien JL, Levenson J: Intima-media thickness: a
new tool for diagnosis and treatment of cardiovascular risk. Journal of Hypertension
20:159-169, 2002
5 - 56
5 - 57
Urology Calculation
Before Taking Urology Measurements
Set the related menus for convenient measurement.
You can select the volume method for measurement. There are four types of volume
method. The factor value can be set manually for the formulae that need it.
For more information on the measurement menus and settings, please refer to Setting
Measurements in Chapter 3 Settings.
Measurement Menu
5 - 58
NOTE
3Distance
Calculate a volume by measuring three distances.
Measurement
Menu
Urology
Bladder Vol.
WG Prostate Vol.
T-Zone Vol.
Residual Vol.
Item
Mode
Method
Unit
Auto Trace
PW
cm, mm
Limited Trace
PW
cm, mm
Manual Trace
PW
cm, mm
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl.Area
All
Area
cm2, mm2
Vesl.Dist.
All
Distance
cm, mm
All
All
Length
All
area measurement
Calculated after
distance measurement
Calculated after
distance measurement
Distance
%
%
ml
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
All
All
Length
All
Calculated after
distance measurement
Distance
ml
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
All
All
Length
All
Calculated after
distance measurement
Distance
ml
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
Pre Vol.
All
Pre Length
All
Calculated after
distance measurement
Distance
ml
cm, mm
Residual Vol.
Item
Mode
Method
Unit
Pre Height
All
Distance
cm, mm
Pre Width
All
Distance
cm, mm
Post Vol.
Calculated after
All
ml
distance measurement
Post Length
All
Distance
cm, mm
Post Height
All
Distance
cm, mm
Post Width
All
Distance
cm, mm
All
Rt. / Lt. Renal Vol.
5 - 59
Calculated after
All
ml
distance measurement
Length
All
Distance
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
Renal Pelvis
All
Distance
cm, mm
3 Distance * Factor
The same as for 3 Distance.
Ellipsoid
Calculate a volume by using the Main Diameter and Beside Diameter values.
Measurement
Menu
Bladder Vol.
WG Prostate Vol.
T-Zone Vol.
Residual Vol.
Item
Mode
Vol.
All
Main Dia.
All
Beside Dia.
All
Vol.
All
Method
Calculated after
distance measurement
Unit
ml
Distance
cm, mm
Distance
cm, mm
Calculated after
distance measurement
ml
Main Dia.
All
Distance
cm, mm
Beside Dia.
All
Distance
cm, mm
Vol.
All
Main Dia.
All
Beside Dia.
All
Calculated after
distance measurement
ml
Distance
cm, mm
Distance
cm, mm
Calculated after
Pre All
All
All
Distance
cm, mm
All
Distance
cm, mm
distance measurement
ml
5 - 60
Measurement
Menu
Residual Vol.
Item
Mode
Method
Post All
All
All
Distance
cm, mm
All
Distance
cm, mm
All
All
Calculated after
distance measurement
Calculated after
distance measurement
Unit
ml
ml
Main Dia.
All
Distance
cm, mm
Beside Dia.
All
Distance
cm, mm
Renal Pelvis
All
Distance
cm, mm
Sum of 20 Disks
After measuring the circumference of a prostate, use the Trackball and the Set
button to calculate the volume by measuring the axis of the prostate.
Measurement
Menu
Item
Mode
Method
Unit
Bladder Vol.
Vol.
All
Dist20
ml
WG Prostate Vol.
Vol.
All
Dist20
ml
T-Zone Vol.
Vol.
All
Dist20
ml
Residual Vol.
Pre Vol.
All
Dist20
ml
Post Vol.
All
Dist20
ml
Vol.
All
Dist20
ml
Renal Pelvis
All
Distance
cm,
m
m
5 - 61
Measurement Menu
The measurement method for each item is the same as for basic measurement. In addition,
measurement items are similar to those for cardiac calculation.
Measured items are automatically recorded in a report.
NOTE
5 - 62
Measurement
Menu
LV Vol.
(Simpson)
2D Echo
Item
Mode
Method
Unit
A2C Vol.d
All
Dist20
ml
A2C Vol.s
All
Dist20
ml
A4C Vol.d
All
Dist20
ml
A4C Vol.s
All
Dist20
ml
Asc Ao
All
Distance
cm, mm
MPA Diam
All
Distance
cm, mm
Duct Art
All
Distance
cm, mm
LA Diam
All
Distance
cm, mm
RA Diam
All
Distance
cm, mm
RV Diam
All
Distance
cm, mm
IVS
All
Distance
cm, mm
LVIDd
All
Distance
cm, mm
LVIDs
All
Distance
cm, mm
LVPW
All
Distance
cm, mm
HrtC
All
Circumference
cm, mm
ThC
All
Circumference
cm, mm
Calculated after
All (D)
CTAR
MPA
distance measurement
ThD ap
All
Distance
cm, mm
ThD trans
All
Distance
cm, mm
HrtD ap
All
Distance
cm, mm
HrtD trans
All
Distance
cm, mm
Calculated after
All (A)
Fetal M-mode
All
All
area measurement
ThA
All
Area
cm2, mm2
HrtA
All
Area
cm2, mm2
All
Continuous measurement
cm, mm
IVSd
Distance
cm, mm
LVIDd
Distance
cm, mm
LVPWd
Distance
cm, mm
IVSs
Distance
cm, mm
LVIDs
Distance
cm, mm
LVPWs
Distance
cm, mm
RVDd
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Duct Artriosus
IVC
Duct Venosus
Asc Aorta
Dsc Aorta
MV Inflow
MV Regurg
TV Inflow
TV Regurg
PLI
5 - 63
Item
Mode
Method
Unit
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Peak E
PW
Velocity
cm/s, m/s
Peak A
PW
Velocity
cm/s, m/s
Vel.
PW
Velocity
cm/s, m/s
Peak E
PW
Velocity
cm/s, m/s
Peak A
PW
Velocity
cm/s, m/s
Vel.
PW
Velocity
cm/s, m/s
All
PW
Calculated after
velocity measurement
Sys Flow
PW
Velocity
cm/s, m/s
5 - 64
Measurement
Menu
PLI
Tei Index
Fetal HR
Item
Mode
Method
Unit
A. Rev Flow
PW
Velocity
cm/s, m/s
Dias Flow
PW
Velocity
cm/s, m/s
All
PW
Calculated after
continuous measurement
TST
PW
Time
ms
Eject T
PW
Time
ms
M, PW
Heart Rate
bpm
CTAR =
5 - 65
LE Artery Calculation
Measurement Menu
5 - 66
NOTE
Measurement
Menu
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Unit
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Calculated after
area measurement
Calculated after
distance measurement
%
%
%
%
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
area measurement
Calculated after
distance measurement
%
%
5 - 67
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
Unit
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
area measurement
Calculated after
distance measurement
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Calculated after
area measurement
Calculated after
distance measurement
Calculated after
area measurement
Calculated after
distance measurement
%
%
%
%
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
Calculated after
area measurement
5 - 68
Measurement
Menu
Rt. / Lt..
Peroneal A
Item
Mode
Method
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Calculated after
distance measurement
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Unit
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Calculated after
area measurement
Calculated after
distance measurement
%
%
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
area measurement
Calculated after
distance measurement
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Calculated after
area measurement
Calculated after
distance measurement
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
%
%
Item
Mode
Method
Unit
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Rt. / Lt.
Metatarsal A
5 - 69
%
%
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
area measurement
Calculated after
distance measurement
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
cm, mm
%
%
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
area measurement
Calculated after
distance measurement
%
%
5 - 70
Measurement
Menu
General
Volume Flow
HR
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
Unit
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
area measurement
Calculated after
distance measurement
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Vesl. Dist
Calculated after
area measurement
Calculated after
distance measurement
%
%
Area
cm2, mm2
All
Distance
cm, mm
Volume Flow(Auto)
PW
Automatic calculation
ml/m
Volume Flow(D)
PW
Automatic calculation
ml/m
TAMV
PW
cm/s or m/s
Vesl. Dist.
All
Distance
cm, mm
Vesl. Area.
All
Area
cm2, mm2
HR
M. PW
Heart Rate
bpm
5 - 71
UE Artery Calculation
Measurement Menu
NOTE
5 - 72
Measurement
Menu
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
Rt. / Lt.
EDV
PW
cm/s, m/s
Subclabian A
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Unit
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
%
%
%
%
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
General
Volume Flow
HR
5 - 73
Item
Mode
Method
Unit
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
%
%
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
Vesl. Area
All
Area
cm , mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
%
%
Vesl. Dist
All
Distance
cm, mm
Volume Flow(Auto)
PW
Automatic calculation
ml/m
Volume Flow(D)
PW
Automatic calculation
ml/m
TAMV
PW
cm/s or m/s
Vesl. Dist.
All
Distance
cm, mm
Vesl. Area.
All
Area
2
2
cm , mm
HR
M. PW
Heart Rate
bpm
5 - 74
LE Vein Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
NOTE
Rt. / Lt. FV
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
5 - 75
Unit
cm/s, m/s
Dur T
PW
Time
ms
Vesl. Dist.
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
cm/s, m/s
Dur T
PW
Time
ms
Vesl. Dist.
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
cm/s, m/s
Dur T
PW
Time
ms
cm, mm
Vesl. Dist.
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
cm/s, m/s
Dur T
PW
Time
ms
cm, mm
Vesl. Dist.
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
cm/s, m/s
Dur T
PW
Time
ms
Vesl. Dist.
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
cm/s, m/s
Dur T
PW
Time
ms
Vesl. Dist.
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
cm/s, m/s
5 - 76
Measurement
Menu
Rt. / Lt. Metatarsal V
General
Item
Mode
Method
Unit
Dur T
PW
Time
ms
cm, mm
Vesl. Dist.
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
cm/s, m/s
Dur T
PW
Time
ms
cm, mm
Vesl. Dist.
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Vmax
PW
Velocity
Dur T
PW
Time
ms
Vesl. Dist.
All
Distance
cm, mm
cm/s, m/s
5 - 77
UE Vein Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
NOTE
5 - 78
Measurement
Menu
Rt. / Lt.
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
cm/s, m/s
Internal Jugular
Vel B
PW
Velocity
Auto Trace
PW
Unit
%
%
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
2
Vesl. Area
All
Area
cm , mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
2
Vesl. Area
All
Area
cm , mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
5 - 79
Item
Mode
Method
Unit
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
Vesl. Area
All
Area
cm , mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
%
%
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
%
%
cm/s, m/s
5 - 80
Measurement
Menu
General
Item
Mode
Method
Unit
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
cm/s, m/s
%
%
%
%
Vel B
PW
Velocity
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
Velocity
Calculated after
area measurement
General
Item
Mode
Method
%StD
All
Calculated after
distance measurement
5 - 81
Unit
%
2
Vesl. Area
All
Area
cm , mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
5 - 82
Radiology Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
NOTE
Aorta
Celiac A
Splenic A
Splenic Vol.
Hepatic A
5 - 83
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Unit
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
cm, mm
Vol.
All
Distance
Calculated after
distance measurement
Length
All
Distance
cm, mm
Height
All
Distance
cm, mm
cm, mm
Calculated after
area measurement
Calculated after
distance measurement
Width
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
%
%
%
%
ml
5 - 84
Measurement
Menu
Item
Mode
Method
Unit
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Hepatic A
SMA
IMA
IVC
%
%
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
Vesl. Area
All
Area
cm , mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
cm, mm
%
%
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
%
%
Bladder Vol.
General
Item
Mode
Method
Unit
Vol.
All
Calculated after
distance measurement
ml
Length
All
Distance
cm, mm
Height
All
Distance
cm, mm
cm, mm
Width
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
%
%
Vesl. Area
All
Area
cm , mm2
Vesl. Dist
All
cm, mm
Vol.
All
Distance
Calculated after
distance measurement
ml
Length
All
Distance
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
cm/s, m/s
%StA
All
%StD
All
Velocity
Calculated after
area measurement
Calculated after
distance measurement
Vesl. Area
HR
5 - 85
All
%
%
2
Area
cm , mm2
Vesl. Dist
All
Distance
cm, mm
M, PW
Heart Rate
bpm
5 - 86
TCD Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
NOTE
NOTE
5 - 87
Item
Mode
Method
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
Unit
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
area measurement
Calculated after
distance measurement
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Calculated after
area measurement
Calculated after
distance measurement
Calculated after
area measurement
Calculated after
distance measurement
%
%
%
%
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
Calculated after
area measurement
5 - 88
Measurement
Menu
General
Item
Mode
Method
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Calculated after
distance measurement
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
Unit
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Calculated after
area measurement
Calculated after
distance measurement
%
%
Area
cm2, mm2
cm, mm
Vesl. Dist
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Auto Trace
PW
area measurement
Calculated after
distance measurement
Limited Trace
PW
Manual Trace
PW
%
%
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Calculated after
area measurement
Calculated after
distance measurement
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
%
%
Item
Mode
Method
Unit
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
PW
Automatic calculation
ml/m
Volume Flow(D)
PW
Automatic calculation
ml/m
General
Volume
Flow(Auto)
Volume Flow
5 - 89
Calculated after
area measurement
Calculated after
distance measurement
%
%
TAMV
PW
cm/s or m/s
Vesl. Dist.
All
Distance
cm, mm
Vesl. Area.
All
Area
cm2, mm2
5 - 90
Thyroid Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
NOTE
Measurement
Menu
Item
Mode
Vol.
All
Length
All
Method
Calculated after
distance measurement
Distance
Unit
ml
cm, mm
Height
All
Distance
cm, mm
Width
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
EDV
PW
Velocity
cm/s, m/s
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
cm/s, m/s
5 - 91
Breast Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
NOTE
see
Basic
5 - 92
Measurement
Menu
Item
Mode
Method
Vol.
All
Length
All
Distance
cm, mm
Depth
All
Distance
cm, mm
cm, mm
Calculated after
distance measurement
Width
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
Unit
ml
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Vesl. Area
All
Area
cm , mm
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
5 - 93
Testicle Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
NOTE
Measurement
Menu
Item
Mode
Method
Vol.
All
Length
All
Distance
cm, mm
Depth
All
Distance
cm, mm
cm, mm
Calculated after
distance measurement
Unit
ml
Width
All
Distance
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
5 - 94
Superficial Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
NOTE
Measurement
Menu
Vol.
Flow
Item
Mode
Vol.
All
Length
All
Method
Calculated after
distance measurement
Distance
Unit
ml
cm, mm
Depth
All
Distance
cm, mm
Width
All
Distance
cm, mm
Auto Trace
PW
Limited Trace
PW
Manual Trace
PW
PSV
PW
Velocity
cm/s, m/s
EDV
PW
Velocity
cm/s, m/s
Calculated after
%StA
All
%StD
All
Vesl. Area
All
Area
cm2, mm2
Vesl. Dist
All
Distance
cm, mm
Vel A
PW
Velocity
cm/s, m/s
Vel B
PW
Velocity
cm/s, m/s
area measurement
Calculated after
distance measurement
%
%
5 - 95
Item
Method
Unit
Hip Angle
Type
Three Distance
Measurement
Measurement Method
1.
Use the Trackball and the Set button on the control panel to specify the first straight
line.
- Place the cursor at a desired position with the Trackball, and press the Set button.
Tip! Repositioning Point
Pressing the Change button before pressing the Set button to complete positioning resets
the position of a point just set.
2.
3.
4.
5 - 96
Please refer to the table below for Hip Joint Type information:
Type
1a
60 90
0 55
1b
60 90
55 90
2a/b
50 60
0 90
2c
43 50
77 90
43 50
0 77
3/4
0 43
[Table 5.2 Hip Joint Type Table]
5 - 97
Musculoskeletal Calculation
Measurement Menu
The measurement method for each item is the same as for basic measurement. Measured
items are automatically recorded in a report.
Item
Method
Unit
1~10
Distance Measurement
cm, mm
1~10
Distance Measurement
cm, mm
1~10
Distance Measurement
cm, mm
1~10
cm, mm
5 - 98
Report
Measurement results are arranged by application and displayed on the screen in the form of a
report.
Viewing Report
Press the Report button on the control panel. The system switches to the Ultrasound Report
screen.
When measurement results cannot be displayed in a screen, they can be moved into the upper
and lower portions of the screen in three ways as below:
- Use the scroll bar on the right side of the screen.
- Rotate the Menu dial-button on the control panel.
- The measurement menus saved in the current application report are displayed in the
left side of the screen. Select a menu to review from them.
To view a report for another application, press Next App. on the screen. Each time Next App.
is pressed, reports for other applications are shown.
NOTE
5 - 99
SonoReport
When you set the Use SonoReport checkbox at Utility > Measure Setup > General >
Report, press the Report button on the control panel to view to the SonoReport screen. To
view the Ultrasound Report screen, press the F3 key on the keyboards during
measurement.
Editing Report
Press Edit on the Ultrasound Report screen to switch to a screen where the report can be
edited. You can edit measurement results or change the way that measurements are displayed.
Press OK on the screen or the Exit button on the control panel to save the changes and close
the edit screen. Press Cancel to close the edit screen without saving the changes.
Modify Measurements
Use the Trackball, the Set button and the alphanumeric keyboard on the control panel to
modify measurements. The values are displayed in grey, indicating that they are modified.
5 - 100
Avg.
Obtain the average of measurements and display it on the screen.
Last
Display the last measurements on the screen.
Max
Display the largest value of the measurements on the screen.
Min
Display the smallest value of the measurements on the screen.
Adding Comment
Press Comment on the Ultrasound Report screen to switch to a screen where text can be
entered. You can enter a comment or opinion. You can also modify existing comments.
Press OK on the screen or the Exit button on the control panel to save the changes and close
the edit screen. Press Cancel to close the edit screen without saving the changes.
5 - 101
Printing Report
Press Print in the report screen. If there is no connection with a printer, this button will not be
displayed.
NOTE
You can change the settings for printing measurement reports in Utility >
Setup > Peripherals > Print Setup > Measure Report Print. For more
information, refer to "Peripherals Setup" in Chapter 3. Setting".
Saving Report
Press Write to file on the report screen. You can save reports into a file.
NOTE
If Utility > Measure Setup > General > Data Transfer > Measured Data is
checked, this button will be displayed.
When the settings window appears, specify the directory, drive, filename and file type. When
using an external storage media, make sure to connect to or disconnect from the storage media
by using Storage Manager.
Press OK to save the report. Press Cancel to cancel.
5 - 102
Transferring Report
Press Transfer on the report screen. Transfer the report data using an RS232C cable. A button
is created when a measurement is completed.
To use this button,
1. Connect the RS232C cable with the console.
2. Set Utility > Setup > Peripherals > COM as Open Line Transfer.
Stress Echo
Click StressEcho on the Ultrasound Report screen to switch to the Template Report screen. You
can review the Stress Echo report.
NOTE
If you press the Report button on the control panel during Stress
Echo mode, the Template Report Screen will be displayed.
The StressEcho button appears on the screen only if there are any
Stress Echo (optional) measurement data.
5 - 103
Cardiac Report
Press Flexible soft dial-button [1] to exit the Template Report screen and switch to the
general Cardiac Report screen.
Scroll
Rotate Flexible soft dial-button [2] to scroll the report page up and down.
Zoom
Rotate Flexible soft dial-button [3] to zoom in/out of the report.
Fit
Press Flexible soft dial-button [3]. Pressing this button toggles the current zoom mode
between Fit Width, Fit Height and Fit Dual.
Fit Width: Fit to the width of the report page.
Fit Height: Fit to the height of the report page.
Fit Dual: Display two report pages on the screen at the same time.
5 - 104
Change Logo
Press Flexible soft dial-button [5]. Change the logo file to insert into the report. You
can select the logo image files from an external storage device.
Exit
Press Flexible soft dial-button [6] to exit the Template Report screen and switch to the
general Cardiac Report screen.
Graph Function
On the Ultrasound Report screen, pressing Graph switches to the graph screen, where you can
review graphs and history.
NOTE
Graph
The list of measured items appears in the left side of the screen. If you select an item, a
graph for the selected item will appear on the screen.
5 - 105
To display a graph, the LMP or Estab. Due Date should be saved under
Patient Information, and the GA table and Fetal Growth table should be
enabled.
A graph is created based on the patient ID, LMP and measurement date.
NOTE
Select Graph
Use the Trackball and the Set button to select an item from the list.
Display Graph
If the 2 x 2 checkbox is checked, 4 graphs will be displayed in a screen.
Specify a desired graph by checking the checkbox for a measurement item.
Percentile Criteria
Select from LMP, EstabDD and Avg.US GA.
- GA by LMP: GA is calculated based on the maternal LMP.
- Estab. Due Date: GA is calculated based on the Estab. Due Date that is entered
in the Patient Information.
- Average US GA: GA is calculated using the average value of several ultrasound
measurements.
- GA View: If the checkbox is checked, the current GA instead of the current date is
shown under History.
5 - 106
History
Press History in the left menu on the graph screen. The current and past measurements for
a fetus are displayed in a tabular format. You can change the percentile criteria as desired.
5 - 107
[Figure 5.28 The distribution of the Growth Table for the selected number of weeks (m:
Average, : Standard Deviation)]
When represented by SD, a point near the average indicates a value closer to 0 SD and a
point away from the average indicates a value closer to the maximum or minimum value. The
greater part of the range falls within 3 SD, and 1 SD represents 68.3% of the entire range.
Thus it can be seen that most fetal measurements are tightly clustered around the average
value.
The Percentile represents a point in distribution from between 0 and 100 inclusive. Therefore,
the average point is represented as 50 Percentile.
As shown in the figure, the average point corresponds to 0 SD (that is, 50 Percentile). If a point
is in the range between -1 SD and +1 SD, it falls within 68.3% of the entire range. This means
5 - 108
that the point falls within the range between 16 and 84.
Further, if a point is in the range between -2 SD and +2 SD, it falls within 95.5% of the entire
range. Thus, the point falls in the range between 3 and 97.
SD and Percentile are interchangeable. Percentile can be used when a fetal measurement
ranking is desired, and SD can be used when the distance between actual fetal measurements
and the average measurement is sought.
While the range of Growth Table references that are primarily used with OB measurement data
varies depending on the user, the typical range accepted by most users is as below:
1) When references are created based on SD:
-2.0 SD - +2.0 SD (when converted to Percentile: 2.28 Percentile - 97.72 Percentile)
-1.5 SD - +1.5 SD (when converted to Percentile: 6.68 Percentile - 93.32 Percentile)
-1.0 SD - +1.0 SD (when converted to Percentile: 15.87 Percentile - 84.13 Percentile)
Closing Report
Press Exit on the Ultrasound Report screen or on the control panel. The system will return to
the previous diagnosis mode screen.
Chapter 6
Image Management
REVIEWING IMAGES (CINE / LOOP) ........................................................................... 2
ANNOTATING IMAGES ................................................................................................. 5
TEXT .......................................................................................................................................... 5
BODY MARKER............................................................................................................................ 9
INDICATOR ................................................................................................................................ 11
SONOVIEWTM .............................................................................................................. 17
EXAM MODE ............................................................................................................................. 17
COMPARE MODE ....................................................................................................................... 19
MANAGING EXAM IMAGES .......................................................................................................... 20
6-2
Auto Run
Use the Flexible Soft dial-button [2]. You can adjust the automatic playback speed
for CINE or LOOP by rotating the dial-button. The allowable range for adjustment is
10-200% in increments/decrements of 10%.
Run / Stop
Use the Flexible Soft dial-button [2]. You can stop or resume playback of an image
by pressing the dial-button.
CINE / LOOP
Use the Flexible Soft dial-button [3]. This option appears only when both CINE and
LOOP are available, as in M Mode or Spectral Doppler Mode. You can select an
image to play in CINE and LOOP by pressing the dial-button. The selection is
displayed in the left side of the user information area.
First Pos
Use the Flexible Soft dial-button [4]. You can specify the first frame in the range in
which CINE or LOOP will be saved. After specifying the position of the first frame by
rotating the dial-button or using the Trackball, press the dial-button to save it.
Last Pos
Use the Flexible Soft dial-button [5]. You can specify the last frame in the range in
which CINE or LOOP will be saved. After specifying the position of the last frame by
rotating the dial-button or using the Trackball, press the dial-button to save it.
CINE Save
Use the Flexible Soft dial-button [6]. This has the same function as when the Clip
Store button on the control is pressed. You can save the specified image area by
pressing the dial-button.
The saved image appears in the thumbnail list on the screen, and can be reloaded or
replayed in scan mode or SONOVIEW.
You can select CINE or LOOP.
6-4
Annotating Images
Text
You can enter comments or text over an image. This function can be useful when the diagnosis
area is differentiated or displayed.
NOTE
When Quick Text is enabled, the system switches to text input mode
immediately after the Alphanumeric Keyboard is pressed.
6-6
Typing Text
Use the Alphanumeric Keyboard. Use the Document menu or the Flexible soft dial-button
[3] to enter text automatically. You can move the cursor by using the Trackball or the arrow
keys on the keyboard.
Home Position
Use the Flexible Soft dial-button [2]. Home Position represents the default position of
the cursor in the text mode.
Select Load or Set by rotating the dial-button. When Load is selected, press the dialbutton to return the cursor to the default position. When Set is selected, press the dialbutton to the default position of the cursor can be reset.
Text / Input
Use the Flexible Soft dial-button [3]. You can select a predefined text and enter it
into an image.
Select a text to enter from Text 1 10 by rotating the dial-button.
Press the dial-button to enter the selected text in an image.
Change App.
Use the Flexible Soft dial-button [5]. Change the application by rotating the dialbutton. As the application changes, the details of the Document menu change too.
The applications change in the following order: Userset 3D OB Gynecology
Cardiac Pediatric Cardiology Urology TCD Smallparts Abdomen
Vascular Pediatric Musculoskeletal.
Autotext
This function allows you to enter text automatically by using an abbreviation. In this way,
you can enter text easily and quickly. When Autotext is enabled, the autotext list appears on
the screen.
NOTE
Select Utility > Setup > Utility > Autotext Setup > Autotext.
Deleting Text
Press the Clear button on the control panel. All the text entered on the screen will be
deleted.
6-8
Body Marker
You can place a Body Marker over an image. This function can be useful when the diagnosis
area is differentiated or displayed.
The types of Body Marker shown in the Flexible Soft Menu vary with the diagnosis
mode.
A maximum of 56 body markers are displayed on the screen at any one time.
When there are more Body Markers than this, press the Body Marker button
6 - 10
2.
Press the Flexible Soft button for the Body Marker that you want. The Body Marker will
appear in the image.
3.
Position the probe cursor on the Body Marker using the Trackball.
4.
Use the Angle or the Menu dial on the control panel to adjust the angle of the probe
cursor.
- To change the angle degree, use the flexible soft dial-button [6] Angle Degree.
Select 15 or 45.
5.
2.
3.
Press the Change button on the control panel again to confirm the new position.
Indicator
You can place an Indicator over an image. This function can be useful when the diagnosis area
is differentiated or displayed. You can place one or more Indicators on specific positions.
Entering Indicator
1.
Press the Indicator button on the control panel and an Indicator will appear on the
screen.
2.
Select the size and type of indicator with the flexible soft dial-button [1] and [2].
6 - 12
3.
4.
Adjust the Indicator direction by using the Angle or the Menu dial on the control panel.
5.
Press the Set button to finish. Press the Exit button to cancel.
Deleting Indicator
Press the Clear button on the control panel and all Indicators displayed on the screen will
be deleted.
Press the Flexible Soft dial-button [1] Undo to delete the last entered indicator only.
WARNING
You must enter the patient ID because all images are saved
according to patient ID. Failure to enter a patient ID may result in a
loss of and/or critical error(s) in previously saved images.
Method
-
Manual: Specify the start and end of an image by using the Store Clip button.
That is, the image that is displayed when Clip Store is pressed for the first time is
saved, through to the image displayed when it is pressed for the second time.
ECG Beat: The images for the specified beat count are saved and the saving
process is automatically finished. Up to 8 beats can be specified.
Time: The images for the specified time duration are saved and the saving
process is automatically finished. Up to 50 seconds can be specified.
If there is no basic patient information, the Patient Information screen appears when a
Cine image is saved in Freeze Mode, but an image cannot be saved in Live Mode.
If all frames are saved in Live Mode, the saving process is automatically finished
regardless of the settings.
The saved images are added to the thumbnail list in the right.
6 - 14
Playing Images
The saved images can be played in SONOVIEW or in a diagnosis mode.
Transferring Images
SONOACE X8 allows you to transfer images to the PACS system supporting DICOM. You can
transfer all saved images automatically, or select a desired image and transfer it manually. For
information on the DICOM server settings and DICOM operations, please refer to Setting
DICOM in Chapter 3 Setting.
Sending Exam
Send all images for an exam.
1. Select an exam in the Exam List
2. Press the Send button at the bottom of the screen. All images for the selected
exam will be sent.
6 - 16
Set the function of Print 1 and Print 2 buttons first. Go to Utility > Setup >
Peripherals > Print Key.
Printing Images
Press the Print 1 (or Print 2) button on the control panel. Images are printed via an echo printer.
For information on how to setup a printer, please refer to Chapter 3 Setting.
Recording Images
Select VCR in the Utility menu.
NOTE
SONOVIEWTM
SONOVIEWTM is an integrated image management program. It provides a range of functions
including: saving/filing of images, image preview, deleting of images, and exporting files to a
standard PC.
The image file types used in this product follow the international standard DICOM (Digital
Imaging and Communication in Medicine). As a result, the PACS (Picture Archiving
Communication System) can be implemented in the SonoAce X8 without any additional costs,
and its easy to exchange image files with other hospitals or equipment.
This product supports the Bitmap file format (the .BMP extension), which is most commonly
used on standard PCs, ensuring easier exchange of image data.
Starting SONOVIEWTM
Press the SONOVIEW button on the control panel. The system will switch to the
SONOVIEW screen.
If there are the saved images available for the current exam, the information and saved
images for the exam appear when SONOVIEW starts.
WARNING
Exam Mode
Press Exam in the upper left corner of the screen. The button will appear in yellow.
In the Exam Mode, you can review the current or saved exam.
6 - 18
Image Scroll
The image of the previous or next page is displayed on the screen. Use the Flexible Soft
dial-button [2] Image Scroll or the Menu dial-button. Rotating the dial-button to the left
displays the previous page image and rotating it to the right displays the next page image.
However, this button may not be used when the number of exams saved is less than the
number of images that appear in a page under the current layout.
Selecting Exam
Use the trackball and the Set button to select a desired exam from the list in the left side of
the screen. The selected exam appears in the list and the saved images for it are displayed
on the screen.
Compare Mode
Press Compare in the upper left corner of the screen. The button will appear in yellow.
In Compare Mode, you can select the images relating to an exam to compare and review them.
Thumb Scroll
The image of the previous or next page is displayed on the thumbnail list. Use the Flexible
Soft dial-button [3] Thumb Scroll. Rotating the dial-button to the left displays the previous
page image and rotating it to the right displays the next page image.
6 - 20
Selecting Images
Use the Trackball and the Set button to select an image from the thumbnail list. The
selected image is highlighted in yellow in the list. Select a location on the screen where the
image will be displayed, and then the selected image will appear.
Use the arrow buttons below the thumbnail area to move to the next or previous
page in the thumbnail area.
NOTE
Layouts
You can adjust the number of images displayed on the screen. Use the Flexible Soft dialbutton [1] Layout or the button on the screen. A maximum of 16 images (4 X 4) can be
compared at the same time.
The numbers shown in the layout section indicate the column and row of an image to
display on the screen. You can change this setting to configure various layouts.
unhighlighted.
Post-Processing
Press
in the lower left corner of an image, and the post-processing menu will appear.
Use the menu to adjust the image for diagnosis. The effects of post-processing are not
saved into the image.
NOTE
6 - 22
Reviewing 3D Images
If the saved image is 3D, the 3D indication ( ) appears at the bottom of the image. Press
3D and the 3D View screen will appear allowing you to review the image.
Reviewing CINE
If the saved image is CINE, the playback and search scroll bar appear at the bottom of the
image. You can play, pause, stop or search forward/backward with the scroll bar.
NOTE
Searching Exam
1.
2.
Select a desired exam and press the Review button. The system will switch to the
SONOVIEW window showing the selected exam.
Measuring Distance
Press the Distance Caliper (
) icon on the screen. You can measure the distance
between two points on an image. Measurement results are not saved.
1. Place the cursor over an image and press the Set button. The image will be resized to
its original size.
2. Measure the desired distance. For information on measurements, please refer to
Basic Measurements in Chapter 5 Measurements.
3.
Typing Text
Press the Text Annotation (
1. Place the cursor over an image and press the Set button. The image will be resized to
its original size.
2. Position the cursor on the desired area and enter text.
-
To change the font color, use the Flexible Soft dial-button [4] Color.
To change the font size, use the Flexible Soft dial-button [5] Size.
3. Press the Set button to confirm the text. Press the icon again to finish the text input mode.
Printing Images
1. Press the Print Image (
) icon on
2. Press the Send button to transfer the selected image to the DICOM server. To
cancel saving, press Close.
) icon on the
6 - 24
2. Press the Transfer button to transfer the selected image to the DICOM server and
print it. To cancel saving, press Close.
Transferring Images
1. Press the Export Image (
appear.
2. Specify various parameters such as directory, drive, filename and file format.
3. Press the Export button to start a transfer. Press the Close button to cancel.
NOTE
The Export function is not activated when the file name and directory are
not entered.
Sending in E-mail
1. Press the Send E-mail (
NOTE
Deleting Images
Press the Delete Image (
) icon on the screen. Press OK to delete the selected image.
Please note that images for the current patient under diagnosis cannot be deleted.
Storage Manager
Press the Device (
) icon on the screen. The Storage Manager window will appear. For
information on Storage Manager, please refer to Chapter 3 Setting in this manual.
Closing SONOVIEW
Press the Exit (
) icon on the screen. Alternatively, you can press the SONOVIEW
button or the Exit button on the control panel to close SONOVIEW.
Chapter 7
Maintenance
System Maintenance .....................................................................................................2
Installation Requirements .....................................................................................................2
Cleaning and disinfections ....................................................................................................3
Fuse Replacement................................................................................................................5
Cleaning Air Filters................................................................................................................6
Accuracy Check ....................................................................................................................7
Administration of Information.........................................................................................8
User Setting Back up ............................................................................................................8
Patient information Back-up..................................................................................................8
Software ................................................................................................................................8
7-2
System Maintenance
The user must ensure that safety inspections are performed every
two years according to the requirements of safety standard EN
60601-1. Only trained persons are allowed to perform the safety
inspections mentioned above.
NOTE
Installation Requirements
When installing:
Avoid humidity.
Avoid places where the system is likely to be exposed to chemical substances or gases.
CAUTION
Chapter 7. Maintenance
7 -3
WARNING
Turn off the system and disconnect the system power cord from the
wall outlet. Otherwise, it may result in electric shock or fire.
Cleaning
CAUTION
Console
Use a soft cloth lightly dampened in a mild soap or detergent solution to clean exterior
surfaces on the system.
Cleaning Monitor
Wipe the LCD surface with a soft dry cloth. When the LCD panel has dirt on it, wipe it
2 - 3 times or more in one direction.
NOTE
For information on cleaning and disinfection of the probe & biopsy kit, please
refer to Chapter 8 Probes.
7-4
Disinfections
CAUTION
Country
Type
Active ingredient
FDA 510(k)
Cidex
USA
Liquid
Gluteraldehyde
K934434
Cidex Plus
USA
Liquid
Gluteraldehyde
K923744
1. Turn off the system and disconnect the system power cord from the wall outlet.
2. Mix the disinfection solution compatible with your system according to label instructions
for solution strength.
3. Wipe the system surfaces with the disinfectant solution, following the disinfectant label
instructions for wipe durations, solution strength, and disinfectant contact duration.
4. Air dry or towel dry with a sterile cloth according to the instructions on the disinfectant
label.
Chapter 7. Maintenance
7 -5
Fuse Replacement
The power protection fuse protects the product from excess current. If the power monitoring
protection circuit detects excess current, it shuts off the current to the equipment in order to
prevent overheating and to restrict the ultrasound power output.
If the fuse blows, replace it as shown below.
DANGER
To avoid risk of electric shock, always disconnect the plug from the system prior
to fuse replacement.
Turn off the system and disconnect the system power cord from the wall outlet. (See
2.
Press the fuse holder in the direction of the arrow and pull it out. (See
3.
4.
After installing the new fuse, connect the plug to the system.
Fuse Ratings
Maker
Order No.
100-120VAC
10AH/250V
Orisel
55T210000
200-240VAC
10A/H250V
Orisel
55T210000
7-6
CAUTION
Be sure to lock the brakes on the front wheels before cleaning the air filters
to avoid injury by any unexpected movement of the product.
NOTE
Allow the wet filter to dry thoroughly before installing. The wet filter can
cause the malfunction.
Chapter 7. Maintenance
7 -7
Accuracy Check
The products maintenance status may affect the measurements obtained using the product.
The product should be maintained in an optimal state to ensure reliable measurements.
To ensure optimal operation of the product, perform an accuracy check every year. The
equations and table related to measurement accuracy are included in Chapter 5
Measurements in this manual.
7-8
Administration of Information
CAUTION
Software
The product software may be updated to enhance performance. The user cannot make any changes to
the software. Please contact the MEDISON customer support for help in software changes.
CAUTION
Minor software updates may be carried out without the prior notice from the
manufacturer.
Should errors occur in the operating system (Windows XPTM), and should you desire to upgrade
the operating system, please follow the instructions of the operating system manufacturer.
Chapter 8
Probes
Probes .............................................................................................................................2
Ultrasound transmission Gel.................................................................................................10
Sheaths ................................................................................................................................. 11
Probe Precautions ................................................................................................................12
Cleaning and Disinfecting the Probe ....................................................................................13
MPTEE Probe (Optional) ......................................................................................................22
Biopsy............................................................................................................................26
Biopsy KIT Components .......................................................................................................26
Using the Biopsy Kit..............................................................................................................27
Cleaning and Disinfecting Biopsy Kit ....................................................................................29
Assembling the Biopsy Kit ....................................................................................................31
8-2
Probes
The probe is a device that sends and receives ultrasound for acquiring image data. It is also
called a Transducer or Scanhead.
The system limits patient contact temperature to 43 degrees Celsius, and acoustic output
values to their respective U.S. FDA limits. A power protection fuse circuit protects against overcurrent conditions. If the power monitor protection circuit senses an over-current condition, then
the drive current to the probe is shut off immediately, preventing overheating of the probe
surfaces and limiting acoustic output. Validation of the power protection fuse circuit is performed
under normal system operation. For invasive probes, additional protections are designed to
keep patient contact surface temperature under 43 degrees Celsius in the event of a single fault
failure.
Probe List
The ultrasound image scanner uses probes to obtain graphic data of the human body and
then displays it on the screen. Always use application-specific probes in order to obtain the
best quality images. It is also important to configure the probe with the best settings for the
particular organ being scanned.
Probe Application and Preset
Probes, applications and settings available for this product are as follows:
Probe
C2-5EL
C2-5EP
Application
Abdomen
Gynecology
OB
Abdomen
Gynecology
OB
Abdomen
C2-8
C3-7EP
Preset
Gynecology
OB
Abdomen
Gynecology
Chapter 8. Probes
Probe
C3-7EP
C4-9/10ED
L4-7EL
HL5-12ED
L5-12EC
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
Application
Preset
OB
Pediatric
Appendix
General, Appendix
Vascular
Musculoskeletal
Pediatric
General, Abdomen
Small Parts
Vascular
Musculoskeletal
Pediatric
General, Abdomen
Small Parts
Vascular
Musculoskeletal
Pediatric
General, Abdomen
Small Parts
Vascular
Musculoskeletal
Pediatric
General, Abdomen
Small Parts
Vascular
Musculoskeletal
Pediatric
General, Abdomen
Small Parts
Vascular
Musculoskeletal
Pediatric
General, Abdomen
Small Parts
Vascular
Abdomen
8-3
8-4
Probe
P2-4AH
P2-4AA
P3-5AC
P3-7AC
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET
Application
Preset
Cardiac
Pediatric Cardiology
TCD
General
Abdomen
Cardiac
Pediatric Cardiology
TCD
General
Abdomen
Cardiac
Pediatric Cardiology
TCD
General
Abdomen
Cardiac
Pediatric Cardiology
TCD
General
Cardiac
Gynecology
OB
Urology
Gynecology
OB
Urology
Gynecology
OB
Urology
Gynecology
OB
Urology
Abdomen
Chapter 8. Probes
Probe
3D2-6ET
3D4-8EK
3D4-8ET
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
CW4.0
NOTE
Application
Preset
Gynecology
OB
Abdomen
Gynecology
OB
Abdomen
Gynecology
OB
Gynecology
OB
Urology
Gynecology
OB
Urology
Abdomen
Gynecology
OB
Cardiac
General
Cardiac
General
Pediatric Cardiology
General
Refer to Chapter3. Setting for how to set probe and its preset.
8-5
8-6
Function list
Some functions depend on probe and its application. See following table.
Probe
C2-5EL
C2-5EP
C2-8
C3-7EP
Application
Q Scan
Abdomen
Gynecology
OB
Abdomen
Gynecology
OB
Abdomen
Gynecology
OB
Abdomen
Gynecology
OB
Har
PI
PPI
TDI
CM
ECG
Biopsy
Pediatric
C4-9/10ED
L4-7EL
HL5-12ED
L5-12EC
L5-12EP
Appendix
Vascular
Musculoskeletal
Pediatric
Small Parts
Vascular
Musculoskeletal
Pediatric
Small Parts
Vascular
Musculoskeletal
Pediatric
Small Parts
Vascular
Musculoskeletal
Chapter 8. Probes
Probe
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
P2-4AA
P3-5AC
P3-7AC
MPT4-7
ER4-9/10ED
Application
Q Scan
Har
PI
PPI
TDI
CM
ECG
Pediatric
Small Parts
Vascular
Musculoskeletal
Pediatric
Small Parts
Vascular
Musculoskeletal
Pediatric
Small Parts
Vascular
Abdomen
Cardiac
Pediatric Cardiology
TCD
Abdomen
Cardiac
Pediatric Cardiology
TCD
Abdomen
Cardiac
Pediatric Cardiology
TCD
Abdomen
Cardiac
Pediatric Cardiology
TCD
Cardiac
Gynecology
OB
Urology
8-7
Biopsy
8-8
Probe
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET
3D4-8EK
3D4-8ET
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
Application
Q Scan
Gynecology
OB
Urology
Gynecology
OB
Urology
Gynecology
OB
Urology
Abdomen
Gynecology
OB
Abdomen
Gynecology
OB
Abdomen
Gynecology
OB
Gynecology
OB
Urology
Gynecology
OB
Urology
Abdomen
Gynecology
OB
Cardiac
Cardiac
Pediatric Cardiology
CW4.0
Har
PI
PPI
TDI
CM
ECG
Biopsy
Chapter 8. Probes
8-9
C2-8
TIs
TIs
TIs
C3-7EP
TIb
TIs
TIs
C4-9/10ED
TIs
TIs
L4-7EL
TIs
TIs
TIs
TIs
HL5-12D
TIs
TIs
TIs
TIs
L5-12EC
TIs
TIs
TIs
TIs
L5-12EP
TIs
TIs
TIs
TIs
L5-12/50EP
TIs
TIs
TIs
TIs
LN5-12
TIs
TIs
TIs
TIs
TCD
TIs
Musculoskeletal
TIs
Appendix
TIb
Small Parts
C2-5EP
Vascular
TIs
Urology
TIs
PediatricCardiology
Abdomen
TIb
Cardiac
Gynecology
C2-5EL
Probe
Pediatric
Obstetrics
Application
TIs
P2-4AH
TIs
TIs
TIs
TIs
P2-4AA
TIs
TIs
TIs
TIs
P3-5AC
TIs
TIs
TIs
TIs
P3-7AC
TIs
TIs
TIs
TIs
MPT4-7
TIs
ER4-9/10ED
TIb
TIs
TIs
EV4-9/10ED
TIb
TIs
TIs
NER4-9ES
TIb
TIs
TIs
8 - 10
TIs
TIs
3D4-8ET
TIb
TIs
TIs
3D4-9ES
TIs
TIs
3D5-9EK
TIb
TIs
TIs
3DC2-6
TIs
TIs
TIs
TCD
TIb
Musculoskeletal
3D4-8EK
Appendix
TIs
Small Parts
TIs
Vascular
TIb
Urology
3D2-6ET
PediatricCardiology
TIs
Cardiac
TIb
Pediatric
Gynecology
NEV4-9ES
Probe
Abdomen
Obstetrics
Application
TIs
TIs
TIs
CW2.0
TIs
CW4.0
TIs
TIs
WARNING
Chapter 8. Probes
8 - 11
Sheaths
Sheaths are recommended for clinical applications of an invasive nature, including
intraoperative, transrectal, transvaginal, and biopsy procedures.
MEDISON does not supply sheaths so that you should purchase appropriate ones on your own.
WARNING
1.
Put on sterile gloves. Unpack the sheath and fill it with acoustic coupling gel.
2.
Insert the probe into the sheath and pull the latex tip to cover the probe completely. If
possible, cover the probe cable as well.
3.
Ensure that there is no air bubble within the ultrasound gel. If necessary, secure the
sheath to the probe and the probe cable.
4.
8 - 12
Probe Precautions
Do not apply mechanical shock to the probe.
CAUTION
Do not place the probe cable on the floor where the cable can be run over by
equipment wheels, etc. Do not apply excessive force to bend or pull the
cable.
Do not immerse the probe into any inappropriate substances such as
alcohol, bleach, ammonium chloride, and hydrogen peroxide.
Do not expose the probe to temperatures of +50C or higher.
The probe can easily be damaged by improper use or by contacting certain chemical
substances. Always follow the instructions in the user manual to inspect the probe cable, case
and lens before and after each use.
Check for cracks, broken parts, leaks and sharp edges. If there is any damage, immediately
stop using the probe and contact the MEDISON Customer Support Department. Using
damaged probes may result in electric shocks and other hazards to the patients and/or users.
WARNING
CAUTION
Sufficient washing and disinfecting must be carried out for preventing infection.
This is the responsibility of the user who manages and maintains the disinfection
procedures for the equipment. Always use legally approved detergents and
sheaths.
The ultrasonographic image scanner uses ultrasound, and it makes direct contact with the
patient when in use. Depending on the types of examinations, such contact can be made to a
wide variety of locations including the ordinary skin or the location of blood transfusion during
a surgery.
The most effective method to prevent infection among patients is to use each probe only once.
However, probes may need to be reused, as they are complex in design and expensive.
Consequently, protective devices such as sheaths must be used, and the safety instructions
must be followed carefully in order to minimize the risk of infection among patients.
Chapter 8. Probes
8 - 13
Electric Shocks
The probe uses electrical energy. If it touches conductive materials, there are risks of electric
shocks to the patient or the user.
Regularly receive short-circuit examination from the MEDISON Customer
Support Department.
Do not immerse the probe into liquid.
Do not drop the probe or apply mechanical shocks.
Inspect the housing, strain relief, lens and seal for damage, and check for
any functional problem before and after each use.
WARNING
Do not apply excessive force to twist, pull or bend the probe cable. It may
result in a short circuit.
The power protection fuse protects the probe and the product from excess
current. If the power monitoring protection circuit detects excess current, it
immediately shuts off the current to the probe in order to prevent the probe
surface from overheating and to restrict the ultrasound power output.
The temperature of the product for making contact with patients is limited
under 43C. The ultrasound power output (AP&I) is in compliance with US
FDA standards.
WARNING
8 - 14
Sani-Cloth Active
Setptiwipes
Clieanisept Wipes
Ster-Bac Blu
Trasneptic Spray
Incidin Foam
Super Sani-Cloth
Sani-Cloth
Germicidal
Asepti-Wipes
Asepti-Wipes II
CaviWipes
MetriWipes
Cidex 2%
C2-5EL
IPA
Active Ingredient
NA
Sani-Cloth Plus
Quaternary
Ammonium
(N-Alkyl)
Sani-Cloth HB
Type
T-Spray
Names
T-Spray II
Disinfectants
C2-5EP
C2-8
C3-7EP
C4-9/10ED
L4-7EL
HL5-12D
L5-12EC
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
P2-4AA
P3-5AC
P3-7AC
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET
3D4-8EK
3D4-8ET
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
CW4.0
Chapter 8. Probes
8 - 15
Sekusept Extra
Salvanios pH 7
Salvanios pH10
Steranios 2%
Surfaces Hautes
Sekusept Plus
Milton
Bleach 5.25%
C2-5EL
C2-5EP
C2-8
C3-7EP
C4-9/10ED
L4-7EL
HL5-12D
L5-12EC
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
P2-4AA
P3-5AC
P3-7AC
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET
3D4-8EK
3D4-8ET
Active Ingredient
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
CW4.0
Nonionic
surfactant
Glutaraldehyde
Type
3)
Names
Sodium
Hypochlorite
Wavicide-01
Omnicide - FG2
Omnicide 14NS
Omnicide
Metricide 2)
Cidex Plus 2)
Nuclean
Disinfectants
C2-8
C3-7EP
C4-9/10ED
L4-7EL
HL5-12D
L5-12EC
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
P2-4AA
P3-5AC
P3-7AC
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET
3D4-8EK
3D4-8ET
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
CW4.0
x
x
x
x
x
x
Isoproppyl
Alcohol
alcohol(80%)
Klenzyme
Isoproppyl
alcohol(70%)
L
x
x
Cidezyme
L
x
x
Alkazyme
NA
Enzol
Dodecylphenoleth
oxylate, Sodium
Xylene Sulfonate
PeraSafe
Hydrogen
Peroxide
C2-5EL
C2-5EP
Peracetic Acid
Active Ingredient
Hibitane
Gigasept FF
Gigasept
Chlorhexidine
gluconate
solution
Sporox
Bersteinsaure
Sporox
Cleaner
Gigasept AF 3)
Virkon
Type
Succindialdehyde,
formaldehyde
Names
NA
Disinfectants
Proteolytic
Enzymes
8 - 16
Chapter 8. Probes
C2-5EL
C2-5EP
C2-8
C3-7EP
C4-9/10ED
L4-7EL
HL5-12D
L5-12EC
L5-12EP
L5-12/50EP
LN5-12
P2-4AH
P2-4AA
P3-5AC
P3-7AC
MPT4-7
ER4-9/10ED
EV4-9/10ED
NER4-9ES
NEV4-9ES
3D2-6ET
3D4-8EK
3D4-8ET
3D4-9ES
3D5-9EK
3DC2-6
CW2.0
CW4.0
Natural Image
Aquasonics 100 3)
GE Ultrasound
Contact Gel
Clear Image
Kendall
Scan
Wavelength
Sonogel
NA
Ammonium
Chlorides
Active Ingredient
KcKesson
Gel
PCMX
(Chloroxylenol)
Metrizyme
Names
Propylene Glycol
Ethanol 75%
Type
Alcohol
Cleaner
8 - 17
8 - 18
Symbols
(1)
(2)
(3)
Has CE mark
(4)
Discontinued
(5)
Under Development
Spray
Wipe
Liquid
Powder
Gel
Compatible
Blank
Chapter 8. Probes
8 - 19
Manufacturer or Distributor
Telephone number
Aquasonics
Parker Co.
+1-800-631-8888(USA)
Cidex
CIVCO Co.
+1-800-445-6741(USA)
+1-319-656-4447(Worldwide)
Enzol
CIVCO Co.
+1-800-445-6741(USA)
+1-319-656-4447(Worldwide)
GIgasept AF
S&M(Schulke&mayr) Co.
+44-114-254-3500(UK)
Gigasept FF
S&M(Schulke&mayr) Co.
+44-114-254-3500(UK)
Local drugstore
None
Klenzyme
Steris Co.
+1-800-548-4873(USA)
Metricide
CIVCO Co.
+1-800-445-6741(USA)
+1-319-656-4447(Worldwide)
Metrizyme
+1-800-841-1428(USA)
Milton
+61-1800-028-280(Australia)
Nuclean
+1-800-526-3867(USA)
+44(0)-148-264-6020(UK)
Omnicide
Cottrell Ltd.
+1-800-843-3343 (USA)
Sani-cloth
+1-914-365-1602(USA)
+49-0211-797-0(Germany)
Sporox II
+1-800-637-8582(USA)
T-Spray
CIVCO Co.
+1-800-445-6741(USA)
+1-319-656-4447(Worldwide)
+1-403-286-1771(USA)
+1-800-252-1125(USA)
Sekusept Extra
Virkon
Wavicide
Cleaning
Cleaning is an important procedure that is carried out before disinfecting the probe. The
probe must be cleaned after each use.
Do not use a surgical brush when cleaning probes. The use of even soft
brushes can damage the probe.
CAUTION
During cleaning and disinfection, keep the parts of the probe that must
remain dry higher than the other parts during wetting until all parts are dry.
This will help prevent liquid from entering non-liquid-tight areas of the
probe.
8 - 20
1.
2.
Remove any biopsy adapters or biopsy needle guides. (Biopsy adapters are re-usable
and can be disinfected).
3.
4.
Use a soft cloth lightly dampened with mild soap or compatible cleaning solution to
remove any particulate matter and body fluid that remain on the probe or cable.
5.
6.
7.
Disinfection
Only disinfect vaginal and rectal probes. A 10-6 reduction in pathogens should be reached
following the disinfection procedures in this Manual and using the following MEDISON
recommended solutions.
WARNING
CAUTION
1.
Follow the instructions on the disinfectant label for storage, use and disposition of the
disinfectant.
2.
Mix the disinfectant compatible with your probe according to lavel instructions for
solution strength.
3.
Immerse the probe into the disinfectant as shown in the illustration below.
4.
Using the instructions on the disinfectant, rinse the probe after the immersion process
Chapter 8. Probes
is complete.
5.
8 - 21
8 - 22
Scan Head Tilting: Use dial . Clockwise rotation makes scan head bend to
forward of the lens. Counterclockwise rotation makes scan head bend to backward
of the lens. If you make the white line meet the centerline of the handle, the scan
head become a straight line.
Chapter 8. Probes
8 - 23
Locked Mode: It makes the action of the Head and lens unnaturally while using the
probe. To Lock the probe, turn the silver handle until the red sign is displayed.
Safety precautions
DANGER
WARNING
Do not move the system with MPTEE probe on the probe holder.
MPTEE probe can fall down because it is not set.
To protect the patient and the probe, unlock the deflection control when
inserting or withdrawing the probe.
8 - 24
If the temperature of surface temperature is over 40, the warning message will be appeared.
-
44: Critical scanhead temperature (MPTEE probe will be Lock up, and Probe
selection window will be displayed.)
CAUTION
Keep MPTEE probe clean because this is intracavity probe. Do not put
MPTEE probe on the floor.
Put MPTEE probe on the left holder of system. The right probe holder is
not fit for MPTEE probe.
NOTE
Maintenance
Adequate cleaning and, if necessary disinfection are carried out to prevent disease transmission.
It is the responsibility of the user to verify and maintain the effectiveness of the procedure used.
CAUTION
Keep the handle and probe connector out of any cleaning or disinfection
solutions. The handle and cable may be cleaned with a damp cloth, but only
the end of the probe up to the 100cm marker on the shaft may be placed into
a disinfection solution.
Cleaning
CAUTION
1.
Do not clean any portion of the probe with methanol or ethanol. Such
substance can cause irreparable damage to the probe.
Clean the scan head and flexible shaft with gauze pads soaked in mild soapy
lukewarm water (below 26C is recommended). Remove any materials that could
interfere with the disinfection procedure.
2.
Rinse the scan head and shaft with lukewarm water, in which one can hold one's
hand without pain. Proceed until all visible soap residue has been removed.
3.
Chapter 8. Probes
8 - 25
Disinfection
WARNING
Do not use other disinfection methods like ethanol, Iodine, Steam, Heat or
Ethylene Oxide.
The probe should never be left in the disinfection solution for more than
1 hour.
CAUTION
Place the cleaned and dried probe surface (the end of probe and up to the
100cm marker only) in contact with the disinfection solution.
2.
Rinse the scan head and shaft with water and dry prior to storage.
8 - 26
Biopsy
A biopsy is an examination method that surgically extracts tissue from the patient for
examination. The probe and the biopsy kit are used together when conducting a biopsy with the
ultrasonographic image scanner.
The ultrasound system shows the needle, which penetrates through the skin surface and veins,
along with the examination location, minimizing the risk to the patient.
Needle Guide: Guides the angle (direction) of the needle so that it can reach the
examination location accurately. It also secures the needle so that the needle is not loose.
Needle: This is the needle that is inserted into the patients body.
Sheath: Prevents the probe and adapter from getting soiled by any unwanted substances
during the examination (blood and other body fluids).
Ultrasound Gel: The space between the probe and the sheath is filled with the ultrasound
gel to obtain images of the best quality.
Chapter 8. Probes
8 - 27
WARNING
Verify the condition of the biopsy needle before use. Do not use a bent
biopsy needle.
The biopsy needle may bend during tissue penetration. The precise
location of the needle must be checked by monitoring the echo
generated from the needle.
WARNING
Do not attempt to use the biopsy until you read the instructions for
installing the sheath and verifying alignment of the needle guide.
Always ensure that the probe and the needle guide are secured on both
the left and the right.
Biopsy Procedure
The system generates a needle guideline though the displayed real-time ultrasound images
to indicate the anticipated path of the needle. You can use this guideline to ensure that the
needle or instrument is following the correct path.
1.
Ready the patient according to the procedure appropriate for the examination
objectives.
2.
3.
Set the system controls for the biopsy procedure.If necessary, apply acoustic gel to
the patient.
8 - 28
4.
Begin scanning the patient. Adjust the patient so that the location for examination fits
into the needle guideline on the screen.
5.
Insert the needle into the needle guide. Perform the puncture by sliding the needle
through the groove in the guide until the needle intercepts the target.
To keep the needle securely in the needle guide, press down on the top of the biopsy
adapter with your index finger.
6.
When the examination location is reached, take the needle out of the needle guide.
7.
Detach the needle guide, adapter and sheath from the probe.
8.
The needle used for this alignment verification must not be used for the
actual procedure. Always use a new, sterile needle for each biopsy
procedure.
WARNING
Chapter 8. Probes
8 - 29
WARNING
Always use protective eyewear and gloves when cleaning and disinfecting
biopsy kit.
Cleaning
1. After use, remove the biopsy kit from the probe.
2. Disassemble the biopsy kit into its component parts, if applicable.
3. Using a small brush and water, scrub each part to remove trapped material from
the biopsy kit.
4. Rinse with water to remove remaining particulates.
Disinfection
1.
2.
After disinfection, follow the proper post-disinfection procedure for the disinfection
method used. (Please refer to the disinfection user manual, etc.)
3.
Inspect the biopsy kit for damage such as cracks, rust or breakage. If damage is
evident, discontinue use of the biopsy kit and contact MEDISON Customer
Service Department.
8 - 30
Cleaning
1. After use, remove the biopsy kit from the probe.
2. Disassemble the biopsy kit into its component parts, if applicable. Discard the
single-use parts. These parts cannot be disinfected.
3. Using a small brush and water, scrub each part to remove trapped material from
the reusable components.
4. Rinse with water to remove remaining particulates.
Disinfection
CAUTION
Please refer to the user manual of the disinfectant for storage, use, and disposition of
the disinfectant.
1. Check the disinfection duration (generally 10 hours) and temperature of the
disinfectant.
2. After disinfection, follow the proper post-disinfection procedure for the disinfection
method used.
3. Inspect the components for damage such as cracks, rust or breakage. If damage
is evident, discontinue use of the biopsy kit and contact MEDISON Customer
Service Department.
Chapter 8. Probes
Specifications
Model name
Component
Material
Available Gauges
BP-KIT-010
Biopsy Adapter
1 EA
Box
1 EA
Acetal Copolymer
14G, 16G, 18G, 20G, 22G
Installation
2. Place the Probe Cover all the way down to the Adapter.
(a)
(b)
8 - 31
8 - 32
(c)
(d)
(e)
3. Choose a needle guide of the desired gauge and secure it to the adapter.
Chapter 8. Probes
8 - 33
Specifications
Model name
Component
Material
Available Gauges
BP-KIT-021
Biopsy Adapter
1 EA
Needle Guide
8 EA
Polyurethane
16G, 18G, 22G
Installation
1. Mount the Biopsy Adapter onto the probe.
2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
Adapter.
8 - 34
C2-8Biopsy Guide
Specification
Model name
Component
Material
Available Gauges
BP-KIT-035
Biopsy Bracket
1 EA
Needle Guide
24 EA
Acetal Copolymer
16G, 18G, 22G
Installation
1. Mount the adapter onto the probe.
Chapter 8. Probes
8 - 35
2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
Adapter.
Specifications
Model name
Component
Material
Available Gauges
BP-KIT-025
Adapter
1EA
8EA
BVerufucation kit
1EA
User Manual
1EA
Polyurethane
16G, 18G, 22G
8 - 36
2. Fill the sheath with the ultrasound gel and place the sheath all the way
down to the Adapter.
Chapter 8. Probes
Specifications
Model name
BP-KIT-014
Biopsy Adapter
Component
Material
Available Gauges
1 EA
Polyurethane
14G, 16G, 18G, 20G, 22G, 25G
Installation
2. Fill the sheath with ultrasound gel and insert the adapter fully into it.
1 EA
8 - 37
8 - 38
4. Mount the needle guide clip on the adapter to provide a desired gauge.
Chapter 8. Probes
8 - 39
Specifications
Model name
Component
Material
Available Gauges
BP-KIT-023
Biopsy Adapter
1 EA
Needle Guide
8 EA
Polyurethane
16G, 18G, 22G
Installation
1. Mount the adapter onto the probe.
2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
adapter.
8 - 40
Specifications
Model name.
Component
BP-KIT-022
Biopsy Adapter
1EA
3EA/Each
Material
Available Gauges
Adapters and the needle guide kits (24 different gauge types per pack) are available for
sale in packs.
Installation
Chapter 8. Probes
2. Insert gel into sheath. And cover it.
3.
Choose a needle guide of the desired gauge and secure it to the adapter.
4. Lock the needle guide like following (a), (b). and (c)
(a)
(b)
(c)
5. Press the needle guide like (c), and install the needle into the needle guide.
8 - 41
8 - 42
Specifications
Model name
Component
Material
Available Gauges
BPL-75/40-AC
Biopsyadapter
1EA
Box
1EA
Stainless (re-usable)
8G, 14G, 16G, 18G, 20G, 22G
Installation
1. Mount the adapter onto the probe.
2. Choose a needle guide of the desired gauge and secure it to the adapter.
Chapter 8. Probes
Specification
Model name
Component
Material
Available Gauges
BP-KIT-020
Biopsy Adapter
1EA
Needle Guide
8EA
Polyurethane
16G, 18G, 22G
Installation
1. Insert gel into the cover for the Kit and cover the adapter completely.
8 - 43
8 - 44
Specification
Model name
BP-KIT-040
Biopsy Adapter
Component
1 EA
Material
Available Gauges
Acetal Copolymer
16G, 18G, 22G
Chapter 8. Probes
8 - 45
Installation
2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
Adapter.
8 - 46
Specifications
Model name
Component
Material
Available Gauges
BP-KIT-024
Biopsy Adapter
1 EA
Sheath
2 EA
Stainless
16G
Installation
1. Fill the sheath with the ultrasound gel and place the sheath all the way down to the
Adapter. And then tie with rubber band.
3. Place the sheath again and tie with the rubber band again. Tie the lower part than 1.
Chapter 8. Probes
8 - 47
Specification
Model name
Component
Material
Available Gauges
BP-KIT-018
Package
24 EA
Biopsy Adapter
1 EA
Sheath
2 EA
Plastic
16G
Installation
1. Fill the sheath with ultrasound gel and insert the probe.
3. Place the thin sheath on the adapter again and insert the needle into the needle guide
for use.
8 - 48
Specification
Model name
BP-KIT-019
Component
Biopsy Adapter
Cleaning Brush
Material
Available Gauges
1 EA
5 EA
Stainless
16G
Installation
1. Fill the sheath with ultrasound gel and insert the probe.
Specification
Model name
Component
Material
Available Gauges
BP-KIT-033
Biopsy Adapter
1 EA
Needle Guide
1 EA
Ticona-Acetal
14G 23G (Except 19G)
Chapter 8. Probes
Installation
1. Place the biopsy adapter onto the probe.
2. Fill the sheath with ultrasound gel and insert the probe.
8 - 49
8 - 50
Specifications
Model name
BP-KIT-027
Component
Adapter
Material
Stainless
Available Gauges
16~22G
Installation
1. Fill the sheath with ultrasound gel and insert the probe.
1 EA
Chapter 8. Probes
Specifications
Model name
PEC-51
Component
Adapter
Guide
Case
User Manual
Material
Available Gauges
1 EA
1 EA
1 EA
1 EA
Stainless
16G, 18G, 22G
Installation
1. Mount the Biopsy adapter onto the probe.
2. Install the needle guide onto the adapter.
3. Insert the needle into the needle guide for use.
Specifications
Model name
PEC-47
Component
Adapter
Guide
Case
User Manual
Material
Available Gauges
Stainless
16G, 18G, 22G
1 EA
1 EA
1 EA
1 EA
8 - 51
8 - 52
Specifications
Model name
Component
Material
Available Gauges
BP-KIT-026
Biopsy Adapter
1 EA
Needle Guide
24 EA
Acetal Copolymer
16G, 18G, 22G
Chapter 8. Probes
Installation
1. Place the biopsy adapter onto the probe.
2. Fill the sheath with ultrasound gel and insert the probe.
8 - 53