alpha_6_instruction_manual_how_to_use_volume_1_of_2.pdf
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ULTRASOUND DIAGNOSTIC
INSTRUMENT
Instruction Manual
How to Use (volume 1/2)
Note
Instruction manuals consist of this manual,
Safety Instruction and Measurement.
Before using this instrument, please read
Safety Instruction.
MN1-5481 Rev.2
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MN1-5481 Rev.2
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Introduction
Introduction
This is an instruction manual for model Prosound α6, an ultrasound diagnostic instrument.
Before using this instrument, please read Safety Instruction. Especially be sure to read Chapter 1. "Safety Precautions".
Keep this manual securely for future reference.
This instrument and the manuals use the following symbols for safety use. Do understand the meaning before reading the text of this manual.
Danger
Indicates an imminently hazardous situation which, if not avoided, will result in
death or serious injury.
Warning
Indicates a potentially hazardous situation which, if not avoided, will result in death
or serious injury.
Caution
Indicates a potentially hazardous situation which, if not avoided, may result in
injury or property damage.
Note
Indicates a request concerning an item that must be observed in order to prevent
damage or deterioration of the instrument and also to ensure effective use.
Contents of cautions shows the following graphics.
This mark means the noted action is "alerted".
This mark means the noted action is "prohibited".
This mark means the noted action is required.
Classification of Prosound α6
• Protection against electric shock: Class I medical electrical equipment
• Applied parts:Type BF applied parts
• Protection against defibrillator emissions: Not compatible with defibrillator-proof applied parts
• Protection against harmful ingress of water or particulate matter: Ordinary protection (IPX0)
• Level of safety for use in air and flammable anesthetic gas, or in oxygen/nitrous oxide and flammable anesthetic
gas:
This instrument is not suitable for use in air and flammable anesthetic gas, or in oxygen/nitrous oxide and flammable anesthetic gas.
• Operation mode: Continuous operation
MN1-5481 Rev.2
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CONTENTS
This book consists of two separate volumes.
These two volumes have the same table of contents and the index respectively.
1. SWITCHES and COMMENTS
1-1.
Operation panel ............................................................................................................................................ 1-1
1-2.
Graphic Display ........................................................................................................................................... 1-2
1-3.
1-4.
1-5.
Treatment at the time of the discovery of abnormality................................................................................ 1-3
1-3-1.
Safety security of patient.............................................................................................................. 1-3
1-3-2.
Instrumental treatment ................................................................................................................. 1-3
Operating the various switches .................................................................................................................... 1-3
1-4-1.
+ .................................................................................................................................................. 1-3
1-4-2.
CANCEL...................................................................................................................................... 1-3
1-4-3.
CURSOR...................................................................................................................................... 1-3
1-4-4.
DEPTH/RANGE .......................................................................................................................... 1-4
1-4-5.
ENTER......................................................................................................................................... 1-4
1-4-6.
FOCUS......................................................................................................................................... 1-5
1-4-7.
FREEZE ....................................................................................................................................... 1-6
1-4-8.
B GAIN, MULTI GAIN .............................................................................................................. 1-6
1-4-9.
KEY BOARD............................................................................................................................... 1-7
1-4-10.
MEASUREMENT ....................................................................................................................... 1-7
1-4-11.
MENU .......................................................................................................................................... 1-8
1-4-12.
MODE .......................................................................................................................................... 1-8
1-4-13.
NEW PATIENT ........................................................................................................................... 1-9
1-4-14.
PRESET ..................................................................................................................................... 1-10
1-4-15.
PRINT(Archive Group) ............................................................................................................. 1-10
1-4-16.
PROBE....................................................................................................................................... 1-11
1-4-17.
REC ............................................................................................................................................ 1-12
1-4-18.
REVIEW .................................................................................................................................... 1-12
1-4-19.
SCAN AREA ............................................................................................................................. 1-13
1-4-20.
SEARCH .................................................................................................................................... 1-13
1-4-21.
SELECT ..................................................................................................................................... 1-14
1-4-22.
STC ............................................................................................................................................ 1-14
1-4-23.
STORE ....................................................................................................................................... 1-15
1-4-24.
VEL RANGE ............................................................................................................................. 1-15
1-4-25.
ZOOM ........................................................................................................................................ 1-15
1-4-26.
Full keyboard ............................................................................................................................. 1-18
Comment and annotation function............................................................................................................. 1-19
1-5-1.
Text entry ................................................................................................................................... 1-19
1-5-2.
↑and text entry ........................................................................................................................... 1-21
1-5-3.
Movement of a character string.................................................................................................. 1-22
1-5-4.
Deleting a character string ......................................................................................................... 1-22
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MN1-5481 Rev.2
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1-5-5.
Deleting a character .................................................................................................................... 1-23
1-5-6.
System dictionary function ......................................................................................................... 1-24
1-5-7.
Registration and deletion of a key word ..................................................................................... 1-25
2. Patient Information
2-1.
2-2.
2-3.
Before Starting an Examination ................................................................................................................... 2-1
2-1-1.
Explanation of ID entry screen ..................................................................................................... 2-1
2-1-2.
How to register a patient............................................................................................................. 2-13
2-1-3.
Search function ........................................................................................................................... 2-14
2-1-4.
Find ............................................................................................................................................ 2-15
2-1-5.
Worklist ...................................................................................................................................... 2-16
2-1-6.
Data Management....................................................................................................................... 2-18
Before Completing an Examination ........................................................................................................... 2-21
2-2-1.
When the instrument is not connected to the Worklist or MPPS server .................................... 2-21
2-2-2.
When the instrument is connected to the Worklist and MPPS servers via a network................ 2-22
2-2-3.
When connected via network to the DICOM SR Server............................................................ 2-26
User Authentication.................................................................................................................................... 2-28
2-3-1.
User Levels ................................................................................................................................. 2-28
2-3-2.
Login........................................................................................................................................... 2-29
2-3-3.
User Authentication .................................................................................................................... 2-29
2-3-4.
Setting new passwords................................................................................................................ 2-30
2-3-5.
Changing passwords ................................................................................................................... 2-31
2-3-6.
Log Off ....................................................................................................................................... 2-32
2-3-7.
User Management....................................................................................................................... 2-38
3. Image Display Modes
3-1.
3-2.
B mode.......................................................................................................................................................... 3-1
3-1-1.
Basic Operation Procedure ........................................................................................................... 3-1
3-1-2.
Direct to B..................................................................................................................................... 3-4
Tissue Harmonic Echo.................................................................................................................................. 3-5
3-2-1.
3-3.
B/M and M modes ........................................................................................................................................ 3-6
3-3-1.
3-4.
Basic operation procedure .......................................................................................................... 3-12
Flow mode, Power Flow mode, eFlow mode............................................................................................. 3-13
3-5-1.
3-6.
Basic operation procedure ............................................................................................................ 3-6
B/D and D modes ....................................................................................................................................... 3-11
3-4-1.
3-5.
Basic operation procedure ............................................................................................................ 3-5
Basic operation procedure .......................................................................................................... 3-14
Tissue Doppler Imaging display................................................................................................................. 3-17
3-6-1.
Basic operation procedure .......................................................................................................... 3-17
4. Save of Image
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4-1.
4-2.
4-3.
4-4.
Search........................................................................................................................................................... 4-1
4-1-1.
Search and scroll function............................................................................................................ 4-2
4-1-2.
Basic Operation Procedure........................................................................................................... 4-3
4-1-3.
Cine scale and search mark .......................................................................................................... 4-4
4-1-4.
Loop playback function................................................................................................................ 4-5
Store ............................................................................................................................................................. 4-7
4-2-1.
Images and Types feasible to acquire .......................................................................................... 4-9
4-2-2.
DDU-200, DV-800(B) and DDU-M01 disc operations............................................................. 4-12
4-2-3.
Setting of acquiring methods ..................................................................................................... 4-14
4-2-4.
Setting of Acquire data............................................................................................................... 4-15
4-2-5.
Basic Operation Procedure......................................................................................................... 4-16
4-2-6.
STORE(DDU-M01 HDD) ......................................................................................................... 4-21
Review ....................................................................................................................................................... 4-23
4-3-1.
Image Viewer ............................................................................................................................. 4-23
4-3-2.
Search for image data................................................................................................................. 4-29
4-3-3.
Saving method of images ........................................................................................................... 4-48
4-3-4.
Adjusting images........................................................................................................................ 4-62
4-3-5.
Printing an image ....................................................................................................................... 4-63
Video recording/Playing back with DVD.................................................................................................. 4-65
4-4-1.
Setting for DVD ......................................................................................................................... 4-65
4-4-2.
Recording Images....................................................................................................................... 4-66
4-4-6.
Playing back ............................................................................................................................... 4-69
5. Physiological signals
5-1.
Electrode setting........................................................................................................................................... 5-1
5-2.
Display of physiological signals .................................................................................................................. 5-1
5-3.
Electrocardiosynclonization display ............................................................................................................ 5-3
5-4.
Heart Rate Stability Display ........................................................................................................................ 5-4
6. Touch panel
6-1.
Operation on touch panel ............................................................................................................................. 6-3
6-1-1.
6-2.
Registration / Change of touch panel ........................................................................................... 6-3
User switch area ........................................................................................................................................... 6-7
6-2-1.
ACOUSTIC POWER................................................................................................................... 6-7
6-2-2.
Invert ............................................................................................................................................ 6-7
6-2-3.
FAM ............................................................................................................................................. 6-7
6-2-4.
Active(B1 - B4)............................................................................................................................ 6-8
6-2-5.
Body Mark ................................................................................................................................... 6-8
6-2-6.
Archive Group1 - 3 ...................................................................................................................... 6-9
6-2-7.
EXT .............................................................................................................................................. 6-9
6-2-8.
Imaging Information .................................................................................................................... 6-9
6-2-9.
M1 - M4 (Measurement1 to 4)................................................................................................... 6-10
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6-2-10.
6-3.
6-4.
End Study.................................................................................................................................... 6-10
Group area .................................................................................................................................................. 6-11
6-3-1.
Image Func B1 - B3.................................................................................................................... 6-11
6-3-2.
Puncture ...................................................................................................................................... 6-11
6-3-3.
Focus(B) ..................................................................................................................................... 6-11
6-3-4.
Angle Gain.................................................................................................................................. 6-11
6-3-5.
IP Regist (B) ...............................................................................................................................6-12
6-3-6.
STC Memory .............................................................................................................................. 6-12
6-3-7.
Image Func M1 - M3.................................................................................................................. 6-14
6-3-8.
Focus(M)..................................................................................................................................... 6-14
6-3-9.
IP Regist(M) ...............................................................................................................................6-15
6-3-10.
Image Func D1 - D3 ................................................................................................................... 6-15
6-3-11.
Focus(D) ..................................................................................................................................... 6-15
6-3-12.
IP Regist(D) ................................................................................................................................ 6-15
6-3-13.
Image Func F1 - F3..................................................................................................................... 6-16
6-3-14.
Image Func PF1 - PF3 ................................................................................................................ 6-16
6-3-15.
Image Func eF1 - eF3 ................................................................................................................. 6-16
6-3-16.
Color Map(Flow) ........................................................................................................................ 6-16
6-3-17.
Display Priority(Flow)................................................................................................................ 6-16
6-3-18.
IP Regist(Flow)........................................................................................................................... 6-17
6-3-19.
Image Function Other1 - 3.......................................................................................................... 6-17
6-3-20.
Post Processing ........................................................................................................................... 6-17
6-3-21.
Graphic Editor ............................................................................................................................ 6-19
6-3-22.
Physio ......................................................................................................................................... 6-19
6-3-23.
ECG Sync ................................................................................................................................... 6-19
6-3-24.
DVD Control .............................................................................................................................. 6-19
6-3-25.
Color Map(B/M/D)..................................................................................................................... 6-19
6-3-26.
Store Set Up................................................................................................................................ 6-20
Menu Function Area................................................................................................................................... 6-21
6-4-1.
B mode........................................................................................................................................ 6-21
6-4-2.
M mode....................................................................................................................................... 6-28
6-4-3.
D mode/TDI-D menu.................................................................................................................. 6-30
6-4-4.
Flow/Power Flow/eFlow/TDI Flow/TDI Power Flow .............................................................. 6-34
6-4-5.
Other ........................................................................................................................................... 6-39
7. Preset
7-1.
PRESET function ......................................................................................................................................... 7-1
7-2.
Procedure for Changing the Set Contents..................................................................................................... 7-2
7-3.
Common Preset............................................................................................................................................. 7-5
7-3-1.
Common Preset1 - 2 ..................................................................................................................... 7-5
7-3-2.
Probe Select .................................................................................................................................. 7-9
7-3-3.
Print (Freeze) .............................................................................................................................. 7-11
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7-4.
7-3-4.
Print (Realtime).......................................................................................................................... 7-12
7-3-5.
Print Select ................................................................................................................................. 7-13
7-3-6.
DICOM Store/Send, Address, Printer........................................................................................ 7-14
7-3-7.
DICOM SR................................................................................................................................. 7-18
7-3-8.
IHE/Auto Delete......................................................................................................................... 7-19
7-3-9.
Stress Echo ................................................................................................................................. 7-22
Preset Control............................................................................................................................................. 7-23
7-4-1.
Method of copying preset No. data to a USB memory .............................................................. 7-24
7-4-2.
When copying preset No. data inside the instrument................................................................. 7-25
7-4-3.
Copying preset No. data from the USB memory ....................................................................... 7-25
7-4-4.
When rearranging Preset No. data ............................................................................................. 7-26
7-4-5.
When copying data in Annotation Dictionary to a USB memory ............................................. 7-26
7-4-6.
When copying data in Annotation Dictionary from a USB memory......................................... 7-27
7-4-7.
When copying Common Preset data to a USB memory ............................................................ 7-27
7-4-8.
When copying Common Preset data from a USB memory ....................................................... 7-28
7-4-9.
When copying Color Map to a USB memory............................................................................ 7-28
7-4-10.
When copying Color Map from a USB memory ....................................................................... 7-29
7-4-11.
When copying Measurement to a USB memory........................................................................ 7-29
7-4-12.
When copying Measurement from a USB memory ................................................................... 7-29
7-5.
Preset Set-up Menu .................................................................................................................................... 7-30
7-6.
Display1 to 2 DISP-B,M -D,Flow ......................................................................................................... 7-31
7-7.
ID Comment............................................................................................................................................... 7-37
7-8.
Graphics ..................................................................................................................................................... 7-38
7-9.
Store, Cine ................................................................................................................................................. 7-40
7-10.
Body Mark ................................................................................................................................................. 7-42
7-11.
Menu-User SW Assign, -Group Assign, -Function Assign, Menu Analysis............................................. 7-44
7-12.
Custom SW,-Foot SW,-Keyboard ............................................................................................................. 7-48
7-13.
Physio......................................................................................................................................................... 7-50
7-14.
Image-B,M, AIP Level, IP Select ............................................................................................................. 7-52
7-15.
Focus .......................................................................................................................................................... 7-59
7-16.
Post Processing ......................................................................................................................................... 7-61
7-17.
Doppler1, 2................................................................................................................................................. 7-62
7-18.
Flow ........................................................................................................................................................... 7-66
7-19.
Power Flow ................................................................................................................................................ 7-69
7-20.
eFlow.......................................................................................................................................................... 7-72
7-21.
Tissue Doppler ........................................................................................................................................... 7-75
7-22.
Tissue Flow ................................................................................................................................................ 7-78
7-23.
Tissue Power Flow..................................................................................................................................... 7-81
7-24.
Stress Echo1, 2........................................................................................................................................... 7-84
7-25.
FAM ........................................................................................................................................................... 7-87
7-26.
Contrast Echo............................................................................................................................................. 7-88
7-27.
Echo Tracking ............................................................................................................................................ 7-93
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7-28.
Wave Intensity............................................................................................................................................ 7-94
7-29.
FMD............................................................................................................................................................ 7-95
7-30.
RT3D .......................................................................................................................................................... 7-96
7-31.
3D Scan..................................................................................................................................................... 7-102
7-32.
Flow 3D .................................................................................................................................................... 7-103
8. EFV
8-1.
8-2.
Switches to be used....................................................................................................................................... 8-2
8-1-1.
Touch panel .................................................................................................................................. 8-2
8-1-2.
Operation panel............................................................................................................................. 8-2
Basic operation procedure ............................................................................................................................ 8-3
9. Real Time Doppler Auto Trace
9-1.
Real time Doppler Auto Trace display screen.............................................................................................. 9-2
9-2.
Real Time Doppler Auto Trace Touch panel menu ..................................................................................... 9-3
9-3.
Basic operation procedure ............................................................................................................................ 9-4
9-3-1.
Tracing a real time doppler waveform.......................................................................................... 9-4
9-3-2.
Tracing of a doppler waveform at the time of freeze ................................................................... 9-4
9-3-3.
A transferring function to an applied measurement of the results of an operation....................... 9-4
10. RT 3D
10-1.
Rotation / Movement and Image display of Volume data.......................................................................... 10-2
10-2.
Meaning of terms........................................................................................................................................ 10-5
10-3.
Real Time 3D display screen...................................................................................................................... 10-6
10-3-1.
10-4.
10-5.
10-6.
Real Time 3D Transition State ................................................................................................... 10-7
Switches to be used and menu.................................................................................................................... 10-8
10-4-1.
Switches to be used..................................................................................................................... 10-8
10-4-2.
Touch panel menu....................................................................................................................... 10-9
Basic operation procedure of RT 3D mode ..............................................................................................10-20
10-5-1.
Setting an uptake range in Real Time 3D................................................................................. 10-20
10-5-2.
Displaying 3D image with Real Time 3D mode ...................................................................... 10-23
10-5-3.
Switching the display format of Real Time 3D mode .............................................................. 10-24
10-5-4.
Adjusting 3 perpendicular sections and a 3D image ................................................................ 10-24
10-5-5.
Store the displayed image as a file ........................................................................................... 10-26
Applied functional operation procedure ................................................................................................... 10-27
10-6-1.
Displaying a high-resolution 3D image.................................................................................... 10-27
10-6-2.
Erasing unnecessary echoes of a 3D image.............................................................................. 10-27
10-6-3.
Displaying Moving Image Loop playback of 3D image .......................................................... 10-28
10-6-4.
Searching 3D Images and Displaying 3D Loop Playback........................................................ 10-28
10-6-4-1. Saving Animation Data............................................................................................................. 10-29
10-6-5.
MN1-5481 Rev.2
Collect one-shot volume data ................................................................................................... 10-29
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10-6-6.
10-7.
10-8.
10-9.
Saving Two or More Volume Data.......................................................................................... 10-29
Basic operation method for 3D automatic volume measurement ............................................................ 10-30
10-7-1.
Editing and deleting the contour extraction range ................................................................... 10-33
10-7-2.
Transferring automatic volume measurement value ................................................................ 10-35
Basic operation method for 3D Scan mode ............................................................................................. 10-40
10-8-1.
Collecting 3D data in 3D Scan mode....................................................................................... 10-40
10-8-2.
Collecting color 3D data in 3D Scan mode.............................................................................. 10-40
10-8-3.
Free Hand 3D ........................................................................................................................... 10-42
Cutting a 3D image on any sections......................................................................................................... 10-44
10-10. Displaying the multiple sliced images from volume data simultaneously............................................... 10-46
11. Contrast Harmonic Echo
11-1.
11-2.
CHE mode.................................................................................................................................................. 11-1
11-1-1.
Contrast Harmonic Echo Touch panel menu ............................................................................. 11-2
11-1-2.
Basic operation procedure.......................................................................................................... 11-5
11-1-3.
Displaying the multiple sliced images from volume data simultaneously................................. 11-7
CHE Analysis............................................................................................................................................. 11-9
11-2-1.
Outline of Contrast Harmonic Echo analysis............................................................................. 11-9
11-2-2.
CHE Analysis Screen............................................................................................................... 11-11
11-2-3.
CHE Analysis Base Menu........................................................................................................ 11-13
11-2-4.
Basic operation procedure........................................................................................................ 11-20
11-2-5.
Time Intensity Curve................................................................................................................ 11-22
11-2-6.
Subtraction ............................................................................................................................... 11-23
11-2-7.
CHE Analysis touch panel menu ............................................................................................. 11-25
12. eTRACKING
12-1.
12-2.
12-3.
12-4.
Stiffness parameter (b) data acquisition..................................................................................................... 12-2
12-1-1.
Data acquisition screen .............................................................................................................. 12-2
12-1-2.
eTRACKING touch panel menu................................................................................................ 12-3
12-1-3.
Classification of data acquired .................................................................................................. 12-4
12-1-4.
Before starting an examination .................................................................................................. 12-5
12-1-5.
Data acquisition operating procedure for Stiffness parameter(b) .............................................. 12-6
Stiffness parameter(b) analysis .................................................................................................................. 12-8
12-2-1.
Arterial Stiffness analysis startup method.................................................................................. 12-8
12-2-2.
Description of Stiffness parameter(b) analysis screen ............................................................... 12-9
12-2-3.
Stiffness parameter(b) analysis operating procedure ............................................................... 12-11
Report....................................................................................................................................................... 12-16
12-3-1.
Description of measurement report screen............................................................................... 12-16
12-3-2.
Report operation procedure...................................................................................................... 12-17
Reference ................................................................................................................................................. 12-18
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13. Flow Mediated Dilation analysis (FMD)
13-1.
Summary of FMD examination.................................................................................................................. 13-2
13-1-1.
FMD operation screen ................................................................................................................ 13-3
13-1-2.
FMD touch panel menu ..............................................................................................................13-3
13-1-3.
Before starting an examination................................................................................................... 13-7
13-2.
FMD measurement procedure .................................................................................................................... 13-8
13-3.
FMD analysis............................................................................................................................................ 13-11
13-4.
13-5.
13-3-1.
Analyzing with saved data........................................................................................................ 13-11
13-3-2.
FMD analysis result screen....................................................................................................... 13-12
FMD analysis operation procedure........................................................................................................... 13-16
13-4-1.
Each index of baseline are calculated....................................................................................... 13-16
13-4-2.
Calculate the various indexes for FMD .................................................................................... 13-20
13-4-3.
Saving FMD analysis information............................................................................................ 13-23
13-4-4.
Report functions........................................................................................................................ 13-25
References ................................................................................................................................................ 13-26
14. Wave Intensity
14-1.
Summary of Wave Intensity ....................................................................................................................... 14-2
14-2.
Before starting an examination................................................................................................................... 14-3
14-3.
Wave Intensity data collection ................................................................................................................... 14-4
14-4.
14-5.
14-6.
14-7.
14-3-1.
WI operation screen.................................................................................................................... 14-4
14-3-2.
Wave Intensity touch panel menu............................................................................................... 14-4
Wave Intensity procedure........................................................................................................................... 14-8
Wave Intensity analysis ............................................................................................................................ 14-10
14-5-1.
Analyzing with saved data........................................................................................................ 14-10
14-5-2.
Wave Intensity analysis result screen ....................................................................................... 14-11
14-5-3.
Wave Intensity analysis operation procedure ........................................................................... 14-15
14-5-4.
Saving Wave Intensity analysis information ............................................................................ 14-18
Report ....................................................................................................................................................... 14-20
14-6-1.
Measurement Report Screen ......................................................................................... 14-20
14-6-2.
Report operation procedure ...................................................................................................... 14-21
Reference .................................................................................................................................................. 14-22
15. TDI Analysis
15-1.
15-2.
Screen , switches and menus ...................................................................................................................... 15-2
15-1-1.
TDI Analysis Screen................................................................................................................... 15-2
15-1-2.
Operation Panel .......................................................................................................................... 15-3
15-1-3.
Base Menu Function ................................................................................................................... 15-4
15-1-4.
TDI Analysis touch panel menu ............................................................................................... 15-18
Basic operation procedure ........................................................................................................................ 15-21
15-2-1.
MN1-5481 Rev.2
Analysis starting method .......................................................................................................... 15-21
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15-2-2.
Starting analysis using Review switch..................................................................................... 15-21
15-2-2-1. Starting analysis using the eTDI switch................................................................................... 15-22
15-2-3.
15-3.
Method of ending TDI analysis................................................................................................ 15-22
Analysis methods ..................................................................................................................................... 15-23
15-3-1.
Temporal VP(B mode)............................................................................................................. 15-23
15-3-2.
Regional VP(B mode) .............................................................................................................. 15-25
15-3-3.
Strain Rate(B mode)................................................................................................................. 15-26
15-3-4.
Strain(B mode) ......................................................................................................................... 15-27
15-3-5.
Myocardial Thickness(B mode)............................................................................................... 15-28
15-3-6.
Velocity Trace(M mode).......................................................................................................... 15-29
15-3-7.
Myocardial Thickness(M mode) .............................................................................................. 15-32
15-3-8.
Velocity Profile(M mode) ........................................................................................................ 15-34
16. Stress Echo
16-1.
16-2.
Image Acquisition ...................................................................................................................................... 16-2
16-1-1.
Stress Echo Protocol .................................................................................................................. 16-2
16-1-2.
Image acquisition method .......................................................................................................... 16-6
16-1-4.
Convenient functions for image acquisition ............................................................................ 16-15
16-1-5.
Comparative display(Shuffle) .................................................................................................. 16-19
16-1-6.
Scoring ..................................................................................................................................... 16-23
16-1-7.
Report....................................................................................................................................... 16-25
16-1-8.
Pause Protocol.......................................................................................................................... 16-28
16-1-9.
Stress Echo touch panel menu.................................................................................................. 16-29
Stress Echo Analysis................................................................................................................................ 16-33
16-2-1.
Starting analysis using the Review switch ............................................................................... 16-33
16-2-2.
Object Image Registration........................................................................................................ 16-34
16-2-3.
Scoring ..................................................................................................................................... 16-41
16-2-4.
Report....................................................................................................................................... 16-48
16-2-5.
Stress Echo Analysis touch panel menu................................................................................... 16-52
17. KI/A-SMA Analysis
17-1.
Principles of KI image ............................................................................................................................... 17-2
17-2.
KI/A-SMA screen ...................................................................................................................................... 17-3
17-3.
17-2-1.
Edge View screen....................................................................................................................... 17-3
17-2-2.
KI Synchronous screen .............................................................................................................. 17-4
17-2-3.
KI Continuous screen................................................................................................................. 17-5
17-2-4.
A-SMA Histogram screen.......................................................................................................... 17-6
17-2-5.
A-SMA Line Graph screen ........................................................................................................ 17-7
Base menu function.................................................................................................................................... 17-9
17-3-1.
Files menu .................................................................................................................................. 17-9
17-3-2.
Analysis menu.......................................................................................................................... 17-11
17-3-3.
Measure menu .......................................................................................................................... 17-12
12
MN1-5481 Rev.2
Page 13
17-4.
17-3-4.
Search menu.............................................................................................................................. 17-12
17-3-5.
ROI menu.................................................................................................................................. 17-12
17-3-6.
Image menu .............................................................................................................................. 17-12
17-3-7.
Display menu ............................................................................................................................ 17-13
Basic operation procedure ........................................................................................................................ 17-15
17-4-1.
Edge View ................................................................................................................................ 17-15
17-4-2.
KI Synchronous ........................................................................................................................ 17-17
17-4-3.
KI Continuous........................................................................................................................... 17-17
17-4-4.
A-SMA Histogram.................................................................................................................... 17-17
17-4-5.
A-SMA Line Graph .................................................................................................................. 17-18
18. Brachytherapy Guide Lines
18-1.
Basic operation procedure .......................................................................................................................... 18-2
18-2.
Brachytherapy Touch Panel Menu ............................................................................................................. 18-5
MN1-5481 Rev.2
13
Page 14
14
MN1-5481 Rev.2
Page 15
1.SWITCHES and COMMENTS
1-1.Operation panel
1. SWITCHES AND COMMENTS
1-1.
Operation panel
Touch panel
Rotary encoder1
Rotary encoder2
Rotary encoder3
Rotary encoder4
ENTER
Fig. operation panel
Rotary encoder 1
It is used for the menu displayed at the upper section of the touch panel.
Rotary encoder2
It is used for the menu displayed at the middle section of the touch panel.
Rotary encoder3
It is used for the menu displayed at the lower section of the touch panel.
Rotary encoder4
When functions of measurement or zoom are set, it is used.
ENTER
Press down on this and keep it depressed momentarily to finalize the
measurement function. When used on the analysis or the REVIEW screen, the
context menu is displayed. This is also used to relocate comments that have been
previously input.
This section consists of 26 pages.
MN1-5481 Rev.2
1-1
Page 16
1.SWITCHES and COMMENTS
1-2.Graphic Display
1-2.
Graphic Display
(3)
'00/02/28
:
Y
:M 11:23:36
M1 =0.73 TIS< 0.4 17%
:No ID
:
ALOKA
(1)
22Hz 1
(4)
3.75M R17.0 G60 C90
(2)
AIP
1:Abdomen
BbH
SCI
(5)
Fig. B mode image
(1)
Gray scale bar
(2)
Scale mark
(3)
Active mark
A[
] mark indicates an active state (An active image is the image on which operations can be performed
when two or more images are displayed.)
A[
] mark indicates inactive state.
(4)
Focus mark
(5)
AIP
BbH
SCI
: Indicates that AIP is operating.
For details, refer to Section 6-4-1-31. "AIP EDGE SENS".
: Indicates that broadband transmission is being performed in ExPHD (T.H.E.).
: Indicates that Spatial Compound is operating.
For details, refer to Section 6-4-1-28. "COMPOUND ANGLE".
[Remark]
For details, refer to Section 9. "SCREEN DISPLAY" of “Safety Instruction”.
1-2
MN1-5481 Rev.2
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1.SWITCHES and COMMENTS
1-3.Treatment at the time of the discovery of abnormality
1-3.
Treatment at the time of the discovery of abnormality
1-3-1. Safety security of patient
In use, watch it so that the instrument and the patient do not have any abnormality.
If any abnormality occurred while the use of the instrument, the probe shall be removed from the patient promptly,
and cancel the use.
When the patient is abnormal, do appropriate medical treatments.
1-3-2. Instrumental treatment
When an abnormality occurred to the instrument, refer to the 14. 'What to do in this case' of the Safety operation
manual and do appropriate treatments.
When any abnormality that is not described in the Safety operation manual occurred, the use is canceled, and a sign
indicating the trouble shall be displayed or an appropriate sign shall be attached to the instrument, and contact our
office listed in the back cover of the manual.
1-4.
Operating the various switches
Operating instructions of each switch are explained below.
1-4-1. +
This switch is used to activate the measurement function which are assigned to the switches.
<Operation method>
(1)
Press the
→
(2)
switch.
Activates the measurement cursor and measurement function.
Measure according to the measurement procedure.
For details, refer to the Measurement manual.
1-4-2. CANCEL
Used to terminate a selected operation or return to the previous step during a measurement.
1-4-3. CURSOR
The CURSOR function moves or sets the cursor and the baseline of the Doppler pattern.
<CURSOR>
<Operation method>
(1)
Press the M switch to change over from the 1B mode display to the B/M mode display.
→
(2)
The CURSOR switch is lighted in orange, and the cursor is displayed on the B mode image.
Using the trackball, move the cursor to the position where you wish to detect the M mode.
[Remark]
The method of operating the cursor in the B/D mode is the same as the description above.
MN1-5481 Rev.2
1-3
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1.SWITCHES and COMMENTS
1-4.Operating the various switches
The cursor cannot be moved when the B/M(B/D) image is frozen.
<BASE LINE SHIFT>
By shifting the baseline, the Doppler pattern can be displayed without the aliasing.
(1)
Press the PW switch to change over from the 1B mode display to the B/D mode display.
→
The CURSOR switch is lighted in orange, and a cursor is displayed on the B mode image.
(2)
Adjust the position of the baseline with rotary encoder 4.
(3)
Press the CURSOR switch.
→
(4)
The baseline is reset at the center position.
Press the CURSOR switch again.
→
This function is finished.
1-4-4. DEPTH/RANGE
The DEPTH/RANGE function switches over the display depth of the image.
The display depth is switched over based on the transmission point of the displayed image.
The depth is common to both the B and M mode images. The display depth that was last set remains, even if the
mode changes.
You cannot change the display depth of a frozen image.
<Operation method>
: If you press the switch lever upward, a displayed depth becomes shallow.
(The image is getting enlarged.)
The least depth is obtained by pressing this switch continuously until the depth no longer decreases.
: If you press the switch lever downward, a displayed depth becomes deepened.
(The image is getting reduced)
The greatest depth is obtained by pressing the switch continuously until the depth no longer increases.
1-4-5. ENTER
This function changes over the control function when you are controlling various functions with the trackball.
It is used mainly when inputting a measurement, a preset, a review, and comments.
Press down on this and keep it depressed momentarily to finalize the measurement function. When used on the analysis or the REVIEW screen, the context menu is displayed. This is also used to relocate comments that have been
previously input.
<Operation method>
Example: Performing measurement
(1)
Perform measurement.
1-4
MN1-5481 Rev.2
Page 19
1.SWITCHES and COMMENTS
1-4.Operating the various switches
(2)
Press the ENTER switch.
→
(3)
The measurement caliper mark divides into two marks.
Press the ENTER switch and keep it depressed momentarily.
→
The caliper position is defined.
<Operation method>
Example: Moving comments
(1)
Position the cursor over the comment that you want to move and press on the ENTER switch, keeping it depressed momentarily.
→
(2)
The selected comment becomes highlighted.
Using the cursor, move the comment and press the ENTER switch, keeping it depressed momentarily.
→
The migration of the comment is established.
1-4-6. FOCUS
The FOCUS function converges the ultrasound beam to make a clearer image.
A focal point can be changed when the ultrasound beam is being transmitted.
B mode image has eight transmission focal points, F1 to F8 in the depth direction. You can set the focus at up to any
four of these points.
In the case of an M mode image, one optimum focal point is set near the center of the display range. (The display
range varies with the display depth and the M-WINDOW.) The above also applies when only an M mode image is
displayed.
In the case of a B/D mode display, one focal point is set according to the sample volume. (Only when you set the
Auto)
Also, when an M mode image or a D mode image in a B/* mode display is frozen, you can perform multi-stage focus
setting.
[Remark]
You can not turn off all focal points. At least one focal point must be selected.
<Operation method>
Select the auto focus or the manual focus on the menu.
For details, refer to Section 6. "Touch panel".
(1)
Press the FOCUS switch.
→
(2)
The transmission focus position can be set.
Using the trackball, move the transmission focus position.
→
Rolling the trackball up moves the transmission focus position to the shallow depth point, and rolling
the trackball down moves the transmission focus position to the deep depth point.
[Remark]
When the AUTO focus is set at two or more points, you can change the distance between the focal points by using
rotary encoder 4.
[Remark]
The focus position can not go outside the displayed depth in AUTO focus.
MN1-5481 Rev.2
1-5
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1.SWITCHES and COMMENTS
1-4.Operating the various switches
[Remark]
After changing the focus position to any place in AUTO focus, changing the depth with the DEPTH/RANGE switch
changes the focus position to the optimum position according to the changed depth.
[Remark]
In Manual focus, the focus position can be positioned to the maximum depth for a particular probe being used. Furthermore, even if you change the depth, the focus position will remain unchanged.
Note
If you set multiple focus points, that results in obtaining an image with high resolution, but decreasing the
frame rate.
Select the optimum setting so as to suit the desired body part while checking the acoustic power index.
1-4-7. FREEZE
The FREEZE function freezes a moving image.
When you press the FREEZE switch, the B mode image freezes upon the completion of one ultrasound wave scan,
and the M and D mode images freeze immediately, or the M and D mode images freeze just after they are displayed
completely. Also, stops counting the date and time and ultrasound transmission.
[Remark]
In order to protect the instrument, you can set the instrument so that the freeze condition automatically goes ON
when you do not perform a panel operation for a certain period. (You can set this period to between 1 and 20 minutes
using a preset. You can also turn this function OFF when you wish to use the monitor for a long period.
For details, refer to Section 7. "PRESET".)
By connecting an optional foot switch, you can turn the freeze function ON and OFF using either the FREEZE
switch or the foot switch.
<Operation method>
(1)
Press the FREEZE switch.
→
(2)
The switch is lighted in orange, and the displayed image freezes.
Press the FREEZE switch.
→
The switch is lighted in blue, and the frozen image becomes a real time image.
1-4-8. B GAIN, MULTI GAIN
MULTI GAIN
B GAIN
The gain adjust and FREEZE function are operable by the B GAIN switch while the MULTI GAIN switch acts as
1-6
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Page 21
1.SWITCHES and COMMENTS
1-4.Operating the various switches
an aggregate of each gain adjustment in the M, D and FLOW modes. With the MULTI GAIN switch, you can adjust
sensitivity in the M, D and FLOW modes according to the switching between these modes.
<Operation method>
(1)
Rotate the switch left or right and adjust the sensitivity to a suitable level while observing an image.
→
(2)
Turning the switch clockwise increases the image sensitivity, and vice versa.
Press on the MULTI GAIN switch when the PW Doppler is displayed in the B FLOW mode.
→
If you press on the MULTI GAIN switch, you can adjust the FLOW gain. If you press on the MULTI
GAIN switch again, you can adjust the Doppler gain. Each time you press on the MULTI GAIN switch,
the gains that can be adjusted are toggled.
1-4-9. KEY BOARD
Display the full keyboard on the touch panel menu.
The full keyboard is displayed automatically when ID is input or the Preset setting screen is displayed.
[Remark]
The full keyboard can be displayed on the touch panel menu if an optional keyboard unit is attached.
<Operation method>
(1)
Press the
→
switch.
The virtual keyboard is displayed on the touch panel menu.
1-4-10. MEASUREMENT
This switch is used to display measurement menus.
<Operation method>
(1)
Press the
→
(2)
switch.
The measurement menu is displayed on the touch panel menu.
Measure according to the measurement procedure.
For details, refer to the Measurement manual.
MN1-5481 Rev.2
1-7
Page 22
1.SWITCHES and COMMENTS
1-4.Operating the various switches
1-4-11. MENU
This switch is used to displays menus.
<Operation method>
(1)
Press the MENU switch.
→ The menu is displayed on the touch panel menu.
(2)
Select the item, follow the setting procedure to register it.
For details, refer to Section 6. "Touch panel".
1-4-12. MODE
Image mode selection to display on a screen is made.
The modes which can be displayed are as follows:
B
B/B
4B
B/M
M
PW
M/PW
CW
FLOW
POWERFLOW
eFLOW
<Operation method>
: The instrument enters the B mode (only a B mode image is displayed on the screen).
If you press on the B mode switch and keep it depressed momentarily when the Doppler (B
FLOW, PW or CW) is displayed during B FLOW mode, you will be returned to the B mode (2D)
[Remark]
Use the Preset to configure how long the B mode switch should be kept depressed to activate this function. Refer to
Section 7. "PRESET".
: The instrument enters the 2B mode (two B mode images are displayed on the screen).
4B
: The instrument enters the 4B mode (four B mode images are displayed on the screen).
[Remark]
4B switch can be selected on the touch panel menu. Register it on the touch panel menu with the preset beforehand.
: The instrument enters the B/M mode.
: The instrument enters the B/PW mode.
M/PW
: The instrument enters the B/M/PW mode.
[Remark]
M/PW Mode is only available when the Phased Array is active and is in use.
Press the M/PW switch when operating in B/PW mode to change to B/M/PW mode.
The M/PW switch can be selected from the touch panel menu or the operation panel (the function must be set to the
touch panel or the operation panel in the Preset).
: The instrument enters the B/CW mode. (Option: UCW-ALPHA6 is necessary.)
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1.SWITCHES and COMMENTS
1-4.Operating the various switches
: Displays a B mode image or an M mode image in Flow.
: Displays a B mode image or an M mode image in eFLOW.
[Remark]
The eFlow mode can be selected from the touch panel or the operation panel (the function must be set to the touch
panel or the operation panel in the Preset).
<Request function>
At the time of two-screen display such as 2B, B/M, and B/D mode, it is a function that, after freezing only one image
is called up to the screen and can be displayed.
A transition diagram by each mode is shown.
(Transition Diagram)
2B mode
B/M mode
OR
①
②
Full M/D
①
②
Full M/D
②
OR
①
[Remark]
The Full M/D is displayed only on the touch panel menu.
[Remark]
The transition of a B/D mode is the same as B/M mode.
1-4-13. NEW PATIENT
This function enables you to turn the system to initial settings.
This function is convenient for examining a new patient after completion of previous examination.
<Operation method>
(1)
Press the NEW PATIENT switch.
→
MN1-5481 Rev.2
This instrument returns to an initial setting, and the ID input screen is displayed.
1-9
Page 24
1.SWITCHES and COMMENTS
1-4.Operating the various switches
For details, refer to Section 2-1. "Before Starting an Examination".
1-4-14. PRESET
This function enables you to switch over to a preset that is suitable for the area being diagnosed, or to change the set
contents.
For the method of changing the set contents, refer to Section 7. "PRESET".
<Operation method>
(1)
Press the PRESET switch.
→
(2)
The preset list is displayed on the screen.
Using the trackball, move the arrow to a preset that you desired to set, and press the ENTER switch.
→
The set conditions registered in the selected preset are activated.
[Remark]
A preset list is displayed on the touch panel menu when the PRESET switch is pressed. You can select a preset that
you desired to set.
1-4-15. PRINT(Archive Group)
Outputs images to a recording device connected to the unit. Recording is possible in real time, or in freeze mode.
When the recording device is set, the optimum gamma correction is applied to record at the appropriate time.
[Remark]
Adjust the setting in advance from the preset for a particular recording device connected to the unit. Refer to Section
7-3-3. "PRINT (FREEZE)" or Section 7-3-4. "PRINT (REALTIME)".
[Remark]
Correct recording is not possible if the recording instrument set by the preset and that actually connected do not
match. Check that the recording instrument matches.
<When printing is performed after freezing>
[Remark]
Assign the recording device name to the Archive Group in Print (Freeze) of Common preset. Up to three recording
devices can be set. Refer to Section 7-3-3. "PRINT (FREEZE)".
<Operation method>
(1)
Display the optimum image, then press the FREEZE switch to freeze the image.
(2)
Use the Search function to display the image to be recorded.
[Remark]
For detail of the Search function, refer to Section 1-4-19. "SCAN AREA".
(3)
Press the
→
or
switch.
The displayed image will be recorded as a still image.
1-10
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1.SWITCHES and COMMENTS
1-4.Operating the various switches
[Remark]
While recording, the second and subsequent recording operations will not be accepted.
<If printing is performed in real time>
[Remark]
Assign the recording device name to the Archive Group in Print (Realtime) of Common preset. One recording device
can be set. Refer to Section 7-3-4. "PRINT (REALTIME)".
<Operation method>
(1)
Display the optimum image in real time.
(2)
Press the
→
or
switch.
The image that is on display at the time when the switch is pressed is recorded as a still image.
[Remark]
If the
or
switch is pressed in real time when Print(Realtime) has not been assigned, the following
message is displayed: <FREEZE> the image, Then try again.
1-4-16. PROBE
The probe function selects the probe to be used when several probes are connected to the instrument.
[Remark]
If the probe is registered with the probe menu of the Preset beforehand, it may be convenient.
For details, refer to Section 7-3. "Common Preset".
Moreover, when Next Probe is assigned to the touch panel, the probe is sequentially switched from one.
<Operation method>
(1)
Press the PROBE switch when the freeze status is Off.
→
A menu of probe such as the following example is displayed.
It corresponds to the number of
a probe connecting terminal.
Connector Select
A switch corresponding
to the number of
a connector is displayed.
An application for the selected
probe being registered on
a preset is displayed.
Probe Select
The probe name being
registered on a preset is
displayed.
MN1-5481 Rev.2
1-11