prosound -α 7 Instruction Manual Volume 2 of 2 rev 9

Page 1

ULTRASOUND DIAGNOSTIC

INSTRUMENT

Instruction Manual

How to Use

(volume 2/2)

(volume 1/2)

Instruction manuals consist of Safety

Instruction, this manual and

Measurement.

Before using this instrument, please

read Safety Instruction.

MN1-5369 rev.9

Page 2

The ProSound logo is registered mark of Hitachi Aloka Medical, Ltd. in Japan and other countries.

Copyright©Hitachi Aloka Medical, Ltd. All rights reserved.

Microsoft and Windows Media player is registered trademark of Microsoft Corporations in United States and/or other

countries. All brand name and product name are trademarks or registered trademarks of their respective companies. In

this manual, ® and ™ are omitted.

VS-FlexGrid Pro copyright©1999-2000 Videosoft Corporation. Portions of this software are based in part on the work

of the Independent JPEG Group.

Real-time Tissue Elastography is a registered trademark of Hitachi Medical Corporation.

MN1-5369 rev.9

Page 3

Introduction

Introduction

This is an instruction manual for model ProSound α7, an ultrasound diagnostic instrument.

Read the manual carefully before using the instrument. Take special note of the items in Chapter

1, "Safety Precautions" of Safety Instruction manual.

Keep this manual securely for future reference.

Symbols Used in this Document

The following items are important in preventing harm or injury to equipment operator or patient.

There are four levels of harm/damage that can be caused by ignoring instructions/displays or

using the equipment incorrectly: "Danger," "Warning," "Caution," and "Note."

These types are indicated by the following symbols.

Indicates an imminently hazardous situation that will result in the death of or

serious injury to the equipment operator.

Indicates a hazardous situation that could result in death or serious injury.

Indicates a hazardous situation that may result in slight or moderate injury, or

property damage.

Indicates a request concerning an item that must be observed in order to

prevent damage or deterioration to the equipment and also to ensure effective

use.

Contents of cautions shows the following graphics.

This mark indicates and alert, additional information.

This mark indicates that the action is not allowed.

This mark indicates that the action is required.

Conventions used in this manual.

NOTE:

Notes containing additional information.

IMPORTANT:

Information that is considered especially important.

Input, output and screen-messages are presented in the following font: message.

Menus and switches are written as Menu. Submenus are indicated by the use of angle brackets:

Menu > sub-menu > sub-menu.

MN1-5369 rev.9

3

Page 4

Introduction

About the model “ProSound α7”

The ProSound α7 is intended to be used by doctors and other qualified personnel in fracture

diagnostics and hemodynamic diagnostics.

However, this equipment is not designed to be used in ophthalmic ultrasound diagnosis, as its

sound intensity is not compliant with ophthalmic restrictions established by the FDA.

Only physicians and other qualified personnel should operate this equipment for diagnostic

purposes. Read section 1-1 of the Safety Instruction.

1)

PRECAUTIONS Concerning the Use/Management of the ProSound α7

•

Do not disassemble, repair or remodel this equipment or optional features without our

consent.

NOTE:

Disassemble is removing the parts or options from the equipment using

tools.

NOTE:

Remodel is installing or connecting the unspecified parts or equipment,

including replacement of power cord.

•

Assemble of the equipment or optional accessories shall be performed by our third party

certified. Please contact one of our offices listed on back cover.

NOTE:

Assemble is installing and connecting the parts or optional accessories in

the main equipment using tools.

2)

•

Transporting this equipment (via automobile/ship) shall be performed by a third party

certified by the manufacturer. Please contact one of our offices listed on back cover.

•

Please conduct routine cleaning and inspection of the equipment. Refer to Chapter 5 of the

Safety Instruction for details. .

•

Ensure that the output level of the scan conforms to the required duration of diagnosis.

•

If any malfunction or abnormality is discovered during operation of the equipment, remove

the probe from the patient immediately and discontinue use. If any abnormality is observed

in the patient, provide proper care as quickly as possible. Refer to Chapter 4 of the Safety

Instructions for more information on dealing with the equipment appropriately. If the

malfunction is not listed in Chapter 4 of the Safety Instructions, contact one of our offices

listed on back cover.

PRECAUTIONS for the ProSound α7 Installation

This equipment is a medical electrical equipment that intended for use in hospitals,

research facilities. The equipment should be installed in accordance with the following

guidelines.

•

Install in accordance with Chapter 3 of the Safety Instructions. .

•

Install in an environment that conforms to the operating environments indicated in section

2-2-2 of the Safety Instructions.

•

Install in an environment that ensures electromagnetic compatibility, in accordance with

section 1-2-6 of the Safety Instructions, "Precautions Concerning the Maintenance of

Electromagnetic Compatibility," and Item 1-3, "Guidelines for Electromagnetic

compatibility."

NOTE:

The electromagnetic compatibility (EMC) is ability of device to function

satisfactorily in its electromagnetic environment without introducing intolerable

electromagnetic disturbance to anything in that environment.

4

MN1-5369 rev.9

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Introduction

Classification of model “ProSound α7”

• Protection against electric shock (ME equipment): class I • ME equipment

• Protection Against Electric Shock (Applied Parts): Type BF Applied Parts

–

Probe/scanner applied parts and parts treated as applied parts:

Refer to the following diagram (Probe/Scanner Pattern Diagram) and table.

Figure: Probe/Scanner Pattern Diagram

Above illustrates a surface/intraoperative probe. Below shows a coelomic probe.

B

C

A

connector

D

connector

Applicable part

of body

C

Applied part

A

parts treated as applied

parts

B - C length

surface of body

Ultrasonic irradiation area (D)

A to B

100 cm

Intraoperative

Ultrasonic irradiation area (D)

A to B

20 cm

A to C

A to C

N/A

Endocavity

–

Physiological signal applied part: ECG electrodes

Part treated as applied part: 2m from the ECG electrode of the ECG patient cable (consult

following diagram)

2 meters

ECG electrodes

connector

ECG patient lead

• Protection against electric shock (Defibrillation-proof applied parts): Not suitable

• Protection against harmful ingress of water or particulate matter

–

equipment: IPX0 (Ordinary equipment)

–

Probe applied part: IPX7 (Watertight equipment)

• Suitability for use in an oxygen rich environment: Not suitable

• Method(s) of sterilization: Not suitable for sterilization/disinfection with medicinal

solution, gas or radiation.

• Mode of operation: Continuous operation

MN1-5369 rev.9

5

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1-5-1.

Text entry.................................................................................................................................... 1-22

1-5-2.

↑and text entry............................................................................................................................ 1-23

1-5-3.

Movement of a character string .................................................................................................. 1-24

1-5-4.

Deleting a character string .......................................................................................................... 1-24

1-5-5.

Deleting a character .................................................................................................................... 1-25

1-5-6.

System dictionary function ......................................................................................................... 1-26

1-5-7.

Registration and deletion of a key word ..................................................................................... 1-27

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............................................................................................................. 2-12

2-1-3.

Search function ........................................................................................................................... 2-13

2-1-4.

Find ............................................................................................................................................ 2-14

2-1-5.

Worklist ...................................................................................................................................... 2-15

2-1-6.

Data Management....................................................................................................................... 2-17

Before Completing an Examination ........................................................................................................... 2-20

2-2-1.

When the instrument is not connected to the Worklist or MPPS server .................................... 2-20

2-2-2.

When the instrument is connected to the Worklist and MPPS servers via a network................ 2-21

2-2-3.

When connected via network to the DICOM SR Server............................................................ 2-25

User Authentication.................................................................................................................................... 2-27

2-3-1.

User Levels ................................................................................................................................. 2-27

2-3-2.

Login........................................................................................................................................... 2-28

2-3-3.

User Authentication .................................................................................................................... 2-28

2-3-4.

Setting new passwords................................................................................................................ 2-29

2-3-5.

Changing passwords ................................................................................................................... 2-30

2-3-6.

Log Off ....................................................................................................................................... 2-31

2-3-7.

User Management....................................................................................................................... 2-37

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..................................................................................................................................... 3-3

3-1-3.

Tissue Harmonic Echo.................................................................................................................. 3-4

3-1-4.

Dynamic Slow Motion Display (DSD)......................................................................................... 3-5

B/M and M modes ...................................................................................................................................... 3-10

3-2-1.

3-3.

B/D and D modes ....................................................................................................................................... 3-15

3-3-1.

3-4.

MN1-5369 Rev.9

Basic operation procedure .......................................................................................................... 3-16

Flow mode, Power Flow mode, eFlow mode............................................................................................. 3-20

3-4-1.

3-5.

Basic operation procedure .......................................................................................................... 3-10

Basic operation procedure .......................................................................................................... 3-20

Tissue Doppler Imaging display................................................................................................................. 3-23

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3-5-1.

Basic operation procedure.......................................................................................................... 3-23

4. Save of Image

4-1.

Search........................................................................................................................................................... 4-1

4-1-1.

4-2.

4-3.

4-4.

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.

DV-800 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................................................................................................................. 4-28

4-3-3.

Saving method of images ........................................................................................................... 4-44

4-3-4.

Adjusting images........................................................................................................................ 4-56

4-3-5.

Printing an image ....................................................................................................................... 4-58

Video recording/Playing back with DVD.................................................................................................. 4-60

4-4-1.

Setting for DVD ......................................................................................................................... 4-60

4-4-2.

Recording Images....................................................................................................................... 4-62

4-4-3.

Playing back ............................................................................................................................... 4-65

5. Protocol Assistant

5-1.

Features ........................................................................................................................................................ 5-1

5-2.

Registering and Editing Examination Protocols .......................................................................................... 5-2

5-3.

5-2-1.

Adding or Inserting Examination Item ........................................................................................ 5-2

5-2-2.

Deleting Examination Item .......................................................................................................... 5-9

Using Examination Protocols to Perform Examinations ........................................................................... 5-10

5-3-1.

Preparations Before an Examination.......................................................................................... 5-10

5-3-2.

Performing an Examination According to an Examination Protocol (1)................................... 5-11

5-3-3.

Performing an Examination According to an Examination Protocol (2)................................... 5-12

6. Physiological signals

6-1.

Electrode setting........................................................................................................................................... 6-1

6-2.

Display of physiological signals .................................................................................................................. 6-1

6-3.

Electrocardiosynclonization display ............................................................................................................ 6-4

6-4.

Heart Rate Stability Display ........................................................................................................................ 6-5

8

MN1-5369 Rev.9

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7. Touch panel

7-1.

Operation on touch panel.............................................................................................................................. 7-3

7-1-1.

7-2.

7-3.

MN1-5369 Rev.9

Registration / Change of touch panel............................................................................................ 7-4

User switch area............................................................................................................................................ 7-7

7-2-1.

Invert............................................................................................................................................. 7-7

7-2-2.

FAM.............................................................................................................................................. 7-7

7-2-3.

Active(B1 - B4) ............................................................................................................................ 7-8

7-2-4.

Body Mark .................................................................................................................................... 7-8

7-2-5.

Archive Group1 - 3....................................................................................................................... 7-9

7-2-6.

EXT............................................................................................................................................... 7-9

7-2-7.

Imaging Information..................................................................................................................... 7-9

7-2-8.

M1 - M4 (Measurement1 to 4) ..................................................................................................... 7-9

7-2-9.

End Study...................................................................................................................................... 7-9

7-2-10.

Map Editor .................................................................................................................................. 7-10

7-2-11.

Cursor (CW) ...............................................................................................................................7-12

Group area .................................................................................................................................................. 7-13

7-3-1.

Image Func B1 - B3.................................................................................................................... 7-13

7-3-2.

Puncture ...................................................................................................................................... 7-13

7-3-3.

Focus(B) ..................................................................................................................................... 7-13

7-3-4.

Angle Gain.................................................................................................................................. 7-14

7-3-5.

IP Regist (B) ...............................................................................................................................7-14

7-3-6.

STC Memory .............................................................................................................................. 7-15

7-3-7.

Image Func M1 - M3.................................................................................................................. 7-16

7-3-8.

Focus(M)..................................................................................................................................... 7-16

7-3-9.

IP Regist(M) ...............................................................................................................................7-17

7-3-10.

Image Func D1 - D3 ................................................................................................................... 7-17

7-3-11.

Focus(D) ..................................................................................................................................... 7-17

7-3-12.

IP Regist(D) ................................................................................................................................ 7-18

7-3-13.

Image Func F1 - F3..................................................................................................................... 7-18

7-3-14.

Image Func PF1 - PF3 ................................................................................................................ 7-18

7-3-15.

Image Func eF1 - eF3 ................................................................................................................. 7-18

7-3-16.

Color Map(Flow) ........................................................................................................................ 7-18

7-3-17.

Display Priority(Flow)................................................................................................................ 7-19

7-3-18.

IP Regist(Flow)........................................................................................................................... 7-19

7-3-19.

Image Function Other1 - 3.......................................................................................................... 7-20

7-3-20.

Post Processing ........................................................................................................................... 7-20

7-3-21.

Graphic Editor ............................................................................................................................ 7-21

7-3-22.

Physio1, 2 ................................................................................................................................... 7-21

7-3-23.

ECG Sync ................................................................................................................................... 7-22

7-3-24.

VCR Control...............................................................................................................................7-22

7-3-25.

Color Map(B/M/D)..................................................................................................................... 7-22

7-3-26.

Store Set Up................................................................................................................................ 7-22

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Page 10

7-4.

Menu Function Area .................................................................................................................................. 7-23

7-4-1.

B mode ....................................................................................................................................... 7-23

7-4-2.

Menu function area(M mode) .................................................................................................... 7-31

7-4-3.

D mode/TDI-D menu ................................................................................................................. 7-33

7-4-4.

Flow / Power Flow / eFlow / TDI Flow / TDI Power Flow....................................................... 7-38

7-4-5.

Menu function area(Other)......................................................................................................... 7-43

8. Preset

8-1.

PRESET function......................................................................................................................................... 8-1

8-2.

Procedure for Changing the Set Contents .................................................................................................... 8-2

8-3.

Common Preset ............................................................................................................................................ 8-5

8-4.

8-5.

8-3-1.

Common Preset1 ........................................................................................................................ 8-5

8-3-2.

Common2..................................................................................................................................... 8-7

8-3-3.

Common3..................................................................................................................................... 8-9

8-3-4.

Probe Select................................................................................................................................ 8-10

8-3-5.

Print (Freeze).............................................................................................................................. 8-12

8-3-6.

Print(Realtime)........................................................................................................................... 8-13

8-3-7.

Print Select ................................................................................................................................. 8-14

8-3-8.

DICOM Store/Send.................................................................................................................... 8-15

8-3-9.

DICOM Server ........................................................................................................................... 8-17

8-3-10.

DICOM Address ........................................................................................................................ 8-18

8-3-11.

DICOM Printer........................................................................................................................... 8-19

8-3-12.

DICOM SR................................................................................................................................. 8-20

8-3-13.

IHE/Auto Delete......................................................................................................................... 8-21

8-3-14.

Stress Echo ................................................................................................................................. 8-24

8-3-15.

Protocol Assistant....................................................................................................................... 8-25

Preset Control............................................................................................................................................. 8-26

8-4-1.

Method of copying preset No. data to a USB memory .............................................................. 8-27

8-4-2.

When copying preset No. data inside the instrument................................................................. 8-28

8-4-3.

Copying individual information of Preset No. from the USB memory ..................................... 8-28

8-4-4.

When rearranging Preset No. data ............................................................................................. 8-29

8-4-5.

When copying data in Annotation Dictionary to a USB memory ............................................. 8-29

8-4-6.

When copying data in Annotation Dictionary from a USB memory......................................... 8-30

8-4-7.

When copying Common Preset data to a USB memory ............................................................ 8-30

8-4-8.

When copying Common Preset data from a USB memory ....................................................... 8-31

8-4-9.

When copying Color Map to a USB memory............................................................................ 8-31

8-4-10.

When copying Color Map from a USB memory ....................................................................... 8-32

8-4-11.

When copying Measurement to a USB memory........................................................................ 8-32

8-4-12.

When copying Measurement from a USB memory ................................................................... 8-32

8-4-13.

When copying Protocol Assistant to a USB memory ................................................................ 8-33

8-4-14.

When copying Protocol Assistant from a USB memory ........................................................... 8-33

Preset Set-Up Menu ................................................................................................................................... 8-34

10

MN1-5369 Rev.9

Page 11

8-5-1.

Preset Set-up Menu..................................................................................................................... 8-36

8-5-2.

Display1...................................................................................................................................... 8-37

8-5-3.

Display2...................................................................................................................................... 8-39

8-5-4.

DISP-B,M ................................................................................................................................... 8-41

8-5-5.

DISP-D,Flow .............................................................................................................................. 8-43

8-5-6.

ID Comment ...............................................................................................................................8-45

8-5-7.

Graphics...................................................................................................................................... 8-47

8-5-8.

Store, Cine ................................................................................................................................. 8-49

8-5-9.

Body Mark .................................................................................................................................. 8-51

8-5-10.

Menu ........................................................................................................................................... 8-53

8-5-11.

Custom SW, Custom-Foot SW, Custom-Keyboard, Custom Remote ....................................... 8-56

8-5-12.

Physio ......................................................................................................................................... 8-58

8-5-13.

Image-B,M1................................................................................................................................ 8-61

8-5-14.

Image-B,M2................................................................................................................................ 8-64

8-5-15.

Focus........................................................................................................................................... 8-70

8-5-16.

Post Processing .......................................................................................................................... 8-72

8-5-17.

Doppler1 ..................................................................................................................................... 8-73

8-5-18.

Doppler2 ..................................................................................................................................... 8-76

8-5-19.

Flow ............................................................................................................................................ 8-78

8-5-20.

Power Flow................................................................................................................................. 8-81

8-5-21.

eFlow .......................................................................................................................................... 8-84

8-5-22.

Tissue Doppler............................................................................................................................ 8-87

8-5-23.

Tissue Flow................................................................................................................................. 8-90

8-5-24.

Tissue Power Flow ..................................................................................................................... 8-93

8-5-25.

Stress Echo1................................................................................................................................ 8-96

8-5-26.

Stress Echo2................................................................................................................................ 8-99

8-5-27.

FAM.......................................................................................................................................... 8-100

8-5-28.

Contrast Echo1.......................................................................................................................... 8-101

8-5-29.

Contrast Echo2.......................................................................................................................... 8-104

8-5-30.

Echo Tracking........................................................................................................................... 8-107

8-5-31.

Wave Intensity .......................................................................................................................... 8-108

8-5-32.

FMD.......................................................................................................................................... 8-109

8-5-33.

RT3D1 ...................................................................................................................................... 8-110

8-5-34.

RT3D2 ...................................................................................................................................... 8-114

8-5-35.

RT3D3 ...................................................................................................................................... 8-116

8-5-36.

3D Scan..................................................................................................................................... 8-117

8-5-37.

STIC.......................................................................................................................................... 8-118

8-5-38.

Vol.Measurement...................................................................................................................... 8-119

8-5-39.

Flow 3D .................................................................................................................................... 8-121

9. Extended Field of View (EFV)

9-1.

MN1-5369 Rev.9

Switches to be used....................................................................................................................................... 9-2

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Page 12

9-2.

9-1-1.

Touch panel.................................................................................................................................. 9-2

9-1-2.

Operation panel ............................................................................................................................ 9-2

Basic operation procedure............................................................................................................................ 9-3

10. Real Time Doppler Auto Trace

10-1.

Real time Doppler Auto Trace display screen ........................................................................................... 10-2

10-2.

Real Time Doppler Auto Trace Touch panel menu................................................................................... 10-3

10-3.

Basic operation procedure.......................................................................................................................... 10-4

10-3-1.

Tracing a real time doppler waveform ....................................................................................... 10-4

10-3-2.

Tracing of a doppler waveform at the time of freeze................................................................. 10-4

10-3-3.

A transferring function to an applied measurement of the results of an operation .................... 10-5

11. Real-Time 3D (RT3D)

11-1.

11-2.

Displaying the 3D image............................................................................................................................ 11-3

11-1-1.

Displaying 3D image with Real Time 3D mode........................................................................ 11-3

11-1-2.

Displaying a 3D image after the data is acquired ...................................................................... 11-7

11-1-3.

Real Time 3D display screen ................................................................................................... 11-16

Adjust or modify a 3D image................................................................................................................... 11-17

11-2-1.

Switching the display format ................................................................................................... 11-17

11-2-2.

Rotation / Movement and Image display of Volume data ....................................................... 11-18

11-2-3.

Rotation and translation in Free Axis of MPR (FMPR) mode, and the images displayed ...... 11-21

11-2-4.

Adjusting 3 perpendicular sections and a 3D image................................................................ 11-22

11-2-5.

Displaying a high-resolution 3D image ................................................................................... 11-23

11-2-6.

Erasing unnecessary echoes of a 3D image ............................................................................. 11-24

11-2-7.

Cutting a 3D image on any sections......................................................................................... 11-25

11-2-8.

Switching BW image and Color image.................................................................................... 11-26

11-2-9.

Multi Slice Imaging.................................................................................................................. 11-27

11-2-10. Volume Slice Imaging.............................................................................................................. 11-28

11-2-11. Displaying Moving Image Loop playback of 3D image.......................................................... 11-30

11-2-12. Searching 3D Images ............................................................................................................... 11-30

11-3.

11-4.

3D volume measurement ......................................................................................................................... 11-31

11-3-1.

3D Automated Volume Measurement ..................................................................................... 11-31

11-3-2.

Traced Volume Measurement (TVM) ..................................................................................... 11-36

11-3-3.

Multi-Follicle Volume ............................................................................................................. 11-39

11-3-4.

3D measurement of STIC data................................................................................................. 11-45

11-3-5.

Transferring volume measurement value................................................................................. 11-47

Output 3D image...................................................................................................................................... 11-54

11-4-1.

Output a display image as a still image.................................................................................... 11-54

11-4-2.

Output a display image as moving image ................................................................................ 11-54

11-4-3.

Saving Two or More Volume Data.......................................................................................... 11-54

11-5.

Panel Switches in the RT3D mode .......................................................................................................... 11-55

11-6.

RT3D Touch panel menu......................................................................................................................... 11-57

12

MN1-5369 Rev.9

Page 13

11-7.

Meaning of terms...................................................................................................................................... 11-77

12. Contrast Harmonic Echo (CHE)

12-1.

Contrast Harmonic Echo Touch panel menu.............................................................................................. 12-2

12-2.

Basic operation procedure .......................................................................................................................... 12-9

12-3.

CHE Analysis ........................................................................................................................................... 12-14

12-3-1.

Outline of Contrast Harmonic Echo analysis ........................................................................... 12-14

12-3-2.

CHE Analysis Screen ............................................................................................................... 12-17

12-3-3.

CHE Analysis Base Menu ........................................................................................................ 12-19

12-3-4.

Basic operation procedure ........................................................................................................ 12-26

12-3-5.

Time Intensity Curve ................................................................................................................ 12-28

12-3-6.

Subtraction................................................................................................................................ 12-30

12-3-7.

CHE Analysis touch panel menu..............................................................................................12-32

13. eTRACKING

13-1.

13-2.

13-3.

13-4.

Stiffness parameter (b) data acquisition ..................................................................................................... 13-2

13-1-1.

Data acquisition screen ............................................................................................................... 13-2

13-1-2.

eTRACKING touch panel menu ................................................................................................13-3

13-1-3.

Classification of data acquired ................................................................................................... 13-5

13-1-4.

Before starting an examination................................................................................................... 13-5

13-1-5.

Data acquisition operating procedure for Stiffness parameter(b)............................................... 13-6

Stiffness parameter(b) analysis................................................................................................................... 13-8

13-2-1.

Arterial Stiffness analysis startup method .................................................................................. 13-8

13-2-2.

Description of Stiffness parameter(b) analysis screen................................................................ 13-9

13-2-3.

Stiffness parameter(b) analysis operating procedure................................................................ 13-11

Report ....................................................................................................................................................... 13-16

13-3-1.

Description of measurement report screen ............................................................................... 13-16

13-3-2.

Report operation procedure ...................................................................................................... 13-17

Reference .................................................................................................................................................. 13-18

14. Flow Mediated Dilation (FMD) analysis

14-1.

Summary of FMD examination.................................................................................................................. 14-1

14-2.

Before starting an examination................................................................................................................... 14-2

14-2-1.

FMD operation screen ................................................................................................................ 14-2

14-2-2.

FMD touch panel menu ..............................................................................................................14-3

14-3.

FMD measurement procedure .................................................................................................................... 14-6

14-4.

FMD analysis.............................................................................................................................................. 14-9

14-4-1.

Analyzing with saved data.......................................................................................................... 14-9

14-5.

FMD analysis result screen....................................................................................................................... 14-10

14-6.

FMD analysis operation procedure........................................................................................................... 14-14

14-6-1.

MN1-5369 Rev.9

Saving FMD analysis information............................................................................................ 14-20

13

Page 14

14-6-2.

14-7.

Report functions ....................................................................................................................... 14-22

References................................................................................................................................................ 14-23

15. Wave Intensity

15-1.

Summary of Wave Intensity ...................................................................................................................... 15-1

15-2.

Before starting an examination .................................................................................................................. 15-2

15-3.

Wave Intensity data collection................................................................................................................... 15-3

15-3-1.

WI operation screen ................................................................................................................... 15-3

15-3-2.

Wave Intensity touch panel menu .............................................................................................. 15-3

15-4.

Wave Intensity procedure .......................................................................................................................... 15-6

15-5.

Wave Intensity analysis ............................................................................................................................. 15-8

15-6.

15-7.

15-5-1.

Analyzing with saved data ......................................................................................................... 15-8

15-5-2.

Wave Intensity analysis result screen ........................................................................................ 15-9

15-5-3.

Wave Intensity analysis operation procedure .......................................................................... 15-13

15-5-4.

Saving Wave Intensity analysis information............................................................................ 15-16

Report....................................................................................................................................................... 15-18

15-6-1.

Measurement Report Screen.......................................................................................... 15-18

15-6-2.

Report operation procedure...................................................................................................... 15-19

Reference ................................................................................................................................................. 15-20

16. TDI Analysis

16-1.

TDI Analysis Screen .................................................................................................................................. 16-2

16-2.

Operation Panel.......................................................................................................................................... 16-3

16-3.

Base Menu Function .................................................................................................................................. 16-4

16-4.

16-3-1.

Files Menu.................................................................................................................................. 16-4

16-3-2.

Analysis Menu ......................................................................................................................... 16-12

16-3-3.

Measure menu .......................................................................................................................... 16-12

16-3-4.

Search menu ............................................................................................................................. 16-13

16-3-5.

ROI menu ................................................................................................................................. 16-14

16-3-6.

Display Menu ........................................................................................................................... 16-16

16-3-7.

Process menu............................................................................................................................ 16-18

16-3-8.

Common pop-up menu items ................................................................................................... 16-18

16-3-9.

TDI Analysis touch panel menu............................................................................................... 16-19

Analysis Methods..................................................................................................................................... 16-22

16-4-1.

Basic operation procedure........................................................................................................ 16-22

16-4-2.

Temporal VP(B mode)............................................................................................................. 16-24

16-4-3.

Regional VP(B mode) .............................................................................................................. 16-26

16-4-4.

Strain Rate(B mode)................................................................................................................. 16-27

16-4-5.

Strain(B mode) ......................................................................................................................... 16-28

16-4-6.

Myocardial Thickness(B mode)............................................................................................... 16-29

16-4-7.

Velocity Trace(M mode).......................................................................................................... 16-30

16-4-8.

Myocardial Thickness(M mode) .............................................................................................. 16-32

14

MN1-5369 Rev.9

Page 15

16-4-9.

Velocity Profile(M mode)......................................................................................................... 16-34

17. Stress Echo

17-1.

Stress Echo .................................................................................................................................................17-1

17-1-1.

Stress Echo Protocol ................................................................................................................... 17-1

17-1-2.

How to change a protocol ........................................................................................................... 17-3

17-1-3.

How to customize a protocol ...................................................................................................... 17-4

17-1-4.

Image acquisition method........................................................................................................... 17-6

17-1-5.

Convenient functions for image acquisition .............................................................................17-16

17-1-6.

Comparative display(Shuffle)................................................................................................... 17-21

17-1-7.

Scoring...................................................................................................................................... 17-26

17-1-8.

Report ....................................................................................................................................... 17-28

17-1-9.

Pause Protocol .......................................................................................................................... 17-31

17-1-10. Stress Echo touch panel menu .................................................................................................. 17-32

17-2.

Stress Echo Analysis ................................................................................................................................ 17-36

17-2-1.

Starting analysis using the Review switch................................................................................ 17-36

17-2-2.

Object Image Registration ........................................................................................................ 17-37

17-2-3.

Scoring...................................................................................................................................... 17-44

17-2-4.

Report ....................................................................................................................................... 17-51

17-2-5.

Stress Echo Analysis touch panel menu ................................................................................... 17-55

18. KI/A-SMA Analysis

18-1.

Principles of KI image................................................................................................................................ 18-2

18-2.

KI/A-SMA screen....................................................................................................................................... 18-3

18-3.

18-4.

MN1-5369 Rev.9

18-2-1.

Edge View screen ....................................................................................................................... 18-3

18-2-2.

KI Synchronous screen ............................................................................................................... 18-4

18-2-3.

KI Continuous screen ................................................................................................................. 18-5

18-2-4.

A-SMA Histogram screen .......................................................................................................... 18-6

18-2-5.

A-SMA Line Graph screen......................................................................................................... 18-7

Base menu function .................................................................................................................................... 18-9

18-3-1.

Files menu................................................................................................................................... 18-9

18-3-2.

Analysis menu .......................................................................................................................... 18-11

18-3-3.

Measure menu........................................................................................................................... 18-12

18-3-4.

Search menu.............................................................................................................................. 18-12

18-3-5.

ROI menu.................................................................................................................................. 18-12

18-3-6.

Image menu .............................................................................................................................. 18-13

18-3-7.

Display menu ............................................................................................................................ 18-13

Basic operation procedure ........................................................................................................................ 18-15

18-4-1.

Edge View ................................................................................................................................ 18-15

18-4-2.

KI Synchronous ........................................................................................................................ 18-17

18-4-3.

KI Continuous........................................................................................................................... 18-17

18-4-4.

A-SMA Histogram.................................................................................................................... 18-17

15

Page 16

18-4-5.

A-SMA Line Graph.................................................................................................................. 18-18

19. Brachytherapy Guide Lines

19-1.

Basic operation procedure.......................................................................................................................... 19-1

19-2.

Brachytherapy Touch Panel Menu............................................................................................................. 19-5

20. Remote Control

20-1.

20-2.

Before you use the remote controller......................................................................................................... 20-2

20-1-1.

Replacing the battery.................................................................................................................. 20-2

20-1-2.

Setting the channel ..................................................................................................................... 20-3

20-1-3.

Setting the remote controller operation sound ........................................................................... 20-3

Buttons ....................................................................................................................................................... 20-4

20-2-1.

Assigning functions to buttons................................................................................................... 20-4

20-2-2.

Operating the remote controller ................................................................................................. 20-5

20-3.

Switching display modes ........................................................................................................................... 20-6

20-4.

The function menu ..................................................................................................................................... 20-7

20-4-1.

Making function menu settings.................................................................................................. 20-8

20-4-2.

Selecting function menu items ................................................................................................... 20-9

16

MN1-5369 Rev.9

Page 17

9. Extended Field of View (EFV)

The Extended Field of View function Software (SOP-ALPHA7-1) option is required for this function.

By using the EFV (Extended Field of View) mode, it is possible to carry out observations that are too wide in scope

to fit on a single screen when using regular B mode. By moving the probe over the body surface, monochrome and

color slice images are acquired, constructed, and displayed as a single image that spreads farther than the field of

vision. These are EFV images. Color EFV images consist of the construction and creation of Flow mode and Power

Flow mode sectional images. Besides images constructed by parallel scanning of probes, EFV can be used to delineate and display in an arc shape bulging internal organs.

The following probes can be used with this instrument: UST-9130, UST-5412, UST-567, UST-9135P, UST-5411,

UST-5548, UST-5712, UST-5417, and UST-9115.

To effectively implement the EFV mode, it is necessary to assign

Extend F-View in advance to the touch panel menu using the

Menu-USER SW screen of the Preset Set-Up menu. It is possible

to assign functions using Preset on the touch panel menu and panel.

[Remark]

During EFV operations, restrictions are placed on the operations

of the image adjustment functions. Carry out EFV functions after

image adjustments have taken place.

[Remark]

The process of image construction is very sensitive to brightness

variations in the sectional images generated by probe scanning. Always carry out operations while being duly careful

of the brightness level. Satisfactory image construction may not occur when there is a radical change in brightness.

This section consists of 4 pages.

MN1-5369 Rev.9

9-1

Page 18

9.Extended Field of View (EFV)

9-1.Switches to be used

9-1.

Switches to be used

9-1-1. Touch panel

Extend F-View:An EFV mode becomes active, if it is ON. The EFV mode is finished if the switch is pressed

again.

Image Rotation:After the EFV image is captured and the EFV image is frozen, select the image ROTATE.

Rotate the rotary encoder within the range of 10 ° to 350 ° (10 ° step) to rotate the EFV

image.

[Remark]

This function enables you to assign on the touch panel menu and a panel with a preset. After assigning necessary

functions to the touch panel and a operation panel of the instrument, start an examination.

9-1-2. Operation panel

SELECT switch:Capturing is started by pressing the SELECT switch on an EFV mode. A B mode image is mainly

used after an capture ends, this is used.

FREEZE switch:Press the FREEZE switch to finish the capture.

MEASUREMENT switch:After capturing ends, press the MEASUREMENT switch to display the measurement

menu.

+switch:After capturing ends, press the + switch to display the caliper mark.

BODY MARK switch:After capturing ends, press the Body Mark switch to display the Body Marks.

STORE switch:Press the STORE switch after freezing to record the EFV image (a still image) to a Media which is

set as the destination to save.

ZOOM switch:After capturing ends, press the ZOOM switch to be able to enlarge, reduce and move the EFV image.

When the rotary encoder 4 is turned to the right, an EFV image is enlarged and when turned to the left, it is reduced.

In addition, when the trackball is rolled, an EFV image makes a movement (Pan).

SEARCH switch:When pressing the SEARCH switch after freeze, a white frame on an EFV

image is displayed. Inside the white frame, B mode image before displaying a compound image is displayed. Because the white frame moves with the trackball or rotary encoder 4, it is moved to a desired location on the display.

When the B switch or the SELECT switchis pressed, a B mode image is displayed at the center.

9-2

MN1-5369 Rev.9

Page 19

9.Extended Field of View (EFV)

9-2.Basic operation procedure

9-2.

Basic operation procedure

[Remark]

Make sure to spread ample echo gel over the area to be examined in advance. After setting STC and Gain to assure

that the center of the image is always satisfactorily illuminated, carry out scanning. If the center of the image is dark,

image construction processing may not be carried out satisfactorily. When color images are to be constructed and

displayed as EFV images, set the Flow Area wider in advance. If the Flow Area is too narrow, the instrument will

automatically expand it at the time of EFV function startup.

When capturing Color image, turn on EFV when Color is on. When EFV is turned On, the Color on/off and

adjustment of Flow Area cannot be performed.

<Operation method>

(1)

Turn the Extend F-View (EFV Mode) on the touch panel menu to On.

→

(2)

B mode image is displayed. The B mode image displayed at this time is smaller than the normal B mode

image. In addition, picture quality and the frame rate are different from a normal B mode image.

Press the SELECT switch on the operation panel.

→

Starts the capturing process for EFV.

As B mode image or B color image is displayed as a compound image, scan the range that is desired

with moving a probe.

Then, scan it along the arranged direction of wave transducer as depicted in chart below.

[Remark]

When an edge of the images which is compound travels beyond the screen, the image automatically adjusts to fit on

the screen. An image shrinks when quantity of a compound increases. When the quantity of compound is increased,

the capture time gets shorter. In addition, when the amount increases and the limitation in this equipment is exceeded, capture is automatically ended.

(3)

Press the FREEZE switch on the operation panel.

→

(4)

A capture of an EFV image is finished, and the EFV image stands

Press the Measurement switch on the operation panel.

→

The measurement menu is displayed on the touch panel menu, and measure it according to the measurement procedure.

[Remark]

For details, refer to the Measurement manual.

MN1-5369 Rev.9

9-3

Page 20

9.Extended Field of View (EFV)

9-2.Basic operation procedure

(5)

Press the BODY MARK switch on the operation panel.

→

(6)

When the body mark menu is not displayed in the touch panel, press the Body Mark switch to display

the body mark menu in the touch panel menu. The selected body mark is displayed in the EFV image.

Press the STORE switch on the operating panel or press the PRINT switch.

→

The EFV image (a still image) is saved, or outputted to a printer.

[Remark]

The Line moving image preservation and the Multi Image moving image cannot be preserved using the STORE

switch while EFV is operating. Please use peripherals such as DVD of the option when you preserve moving image.

[Remark]

When recapturing the EFV image, press the Freeze switch again. The EFV image is deleted and you are returned to

status (1). In this case, measurements are terminated, and body marks are also not displayed. Carry out the operations

from (2) and thereafter.

(7)

Press the FREEZE switch, and press the EFV on the touch panel menu.

→

The screen returns to a conventional B mode.

[Remark]

When bulging internal organs are scanned, the constructed image may advance in a slanted direction. In this case, it

is possible to use the Image Rotation function after operation (3) to correct the image.

On the factory default, the Image Rotation function is not assigned to any switches and others. When corrections are

necessary, it is recommended that you assign the Image Rotation function to the touch panel menu or others, in advance.

9-4

MN1-5369 Rev.9

Page 21

10. Real Time Doppler Auto Trace

Real Time Doppler Auto Trace is a function that detects the R-wave of the ECG during a real-time D mode display,

calculates the subsequent Doppler information corresponding to the latest heartbeat, automatically traces a Doppler

waveform, and displays the results on the screen.

An automatic trace can also be performed immediately after the image is frozen.

In addition, the calculated doppler information can be transferred to an applied measurement.

The Real time DOP Auto Trace software (SOP-ALPHA7-3) option is required for this function.

[Remark]

It is necessary to assign D.Trace on the touch panel menu beforehand. For the setting method, refer to Section 8.

"PRESET".

Note

To improve measurement accuracy, observe the following safety measures when using this function.

1. For a measurement object image and a blood vessel.

・Preferably, use it with a beat waveform of peripheral vessels artery such as the carotid artery.

・When the result of an operation of Real time Doppler Auto Trace is not suitable, perform auto and manual

trace of a measurement function after freeze.

・When PI and RI are calculated using this function, the minimum flow velocity point during a single

heartbeat is EDV. In the case of a waveform in which the polarity of the blood flow changes during the

interval between the systole and the diastole, as is the case with the arteries of the lower extremities,

the peak of the waveform that has undergone a polarity change is detected as EDV.

2. For Doppler waveform drawing condition settings

This function is activated based on Doppler signals, so the quality of the image signal created affects the

measured values to a certain extent. Optimize each setting so that an accurate Doppler waveform is displayed.

・Setting a velocity range

Set so that aliasing does not occur.

・Setting of Dop Filter

In PI/RI measurement, the mean flow velocity is calculated. The mean flow velocity is calculated for all

flow velocity components corresponding to the latest heartbeat, so an excessively small evaluation index

will be made in the case of a Doppler waveform whose low velocity component is missing, such as when

Dop Filter is applied to an excessive degree. Note that this will also affect the value of PI.

・Setting of Dop Gain

Adjust the DOP gain in such a degree as no noise is distinguishable

・Setting of Angle compensation

Use a Doppler waveform set on an Angle compensation.

This section consists of 6 pages.

MN1-5369 Rev.9

10-1

Page 22

10.Real Time Doppler Auto Trace

10-1.Real time Doppler Auto Trace display screen

10-1. Real time Doppler Auto Trace display screen

When you turn on the D.Trace with menu, you can perform the Real time Doppler Auto Trace function.

When D.Trace is on in real time, the R-wave search line, the trace line, and a result of calculation are displayed.

One latest heartbeat

R wave search

cursor line

Trace line

Display of

an operation Result

• An R-wave search line cursor, a trace line

When an ECG signal is displayed, a line cursor is displayed by the timing detecting R-wave.

When the image is frozen, a line cursor is displayed by the timing detecting R-wave.

The method of trace is the Peak method.

[Remark]

You can change dB value with D. Trace Level of menu to adjust the trace line.

• Display of an operation result

In the arithmetic processing of the measured value, the Doppler information for the latest heartbeat based on the

R-wave information is calculated, and the measured values of PI, RI, S/D, PSV, EDV, and so on, are displayed.

[Remark]

When a doppler waveform which is necessary for a measurement is not obtained properly, it is displayed as “***”.

[Remark]

The display of a measurement value is updated whenever a new R-wave is recognized (the latest heartbeat is updated) in real time.

[Remark]

While an image is frozen, it is updated when the trace line is redrawn, or when the “latest heartbeat on the screen”

changes as a result of a scroll search, a change in the sweep velocity, or a request operation.

In addition, a measured value is not displayed on the screen when there is no effective heartbeat detected by these

operations.

[Remark]

The items comprising the results of an arithmetic operation can be selected by using D.Trace Display Items in preset.

10-2

MN1-5369 Rev.9

Page 23

10.Real Time Doppler Auto Trace

10-2.Real Time Doppler Auto Trace Touch panel menu

10-2. Real Time Doppler Auto Trace Touch panel menu

The Real Time Doppler Auto Trace can be changed with the setting of the following menu.

Example of Touch panel display:

It is necessary to assign to a menu.

D.Trace :

ON/OFF of the Real time Doppler Auto Trace function.

When a doppler waveform in real time of D mode is traced, it is selected. While it freezes, the ON/OFF of the trace

line is operable.

D.Trace Direction :

The trace range can be selected from amongst the following four choices.

Make the baseline a boundary, upper side (Toward)

Make the baseline a boundary, lower side (Away)

Make the baseline a boundary, both sides (Both)

Standardize the baseline position, the larger side of the display (Auto)

D.Trace Level :

A trace line can be adjusted with the rotary encoder between 0 and -22 d B.

D.Trace Smooth :

Smoothens the line trace. You can select High or Low.

Locate :

When a result display Window is moved, it is selected.

Transfer List Display :

Displays a menu for measurement transfer when you want to transfer results to applied measurements.

[Remark]

It is necessary to assign this function in advance to the touch panel menu using the preset.

Refer to Section 8-5-10. "MENU".

MN1-5369 Rev.9

10-3

Page 24

10.Real Time Doppler Auto Trace

10-3.Basic operation procedure

10-3. Basic operation procedure

10-3-1. Tracing a real time doppler waveform

(1)

In a real time state on D mode, select D.Trace on the touch panel menu.

→

A trace line and results of the operation are displayed on a doppler waveform on a D mode image.

[Remark]

The results of an arithmetic operation are in the range corresponding to the latest heartbeat.

[Remark]

To select a trace range, D.Trace Direction is selected.

(2)

Adjust a Trace line.

→

(3)

When a waveform does not conform with a trace line, D.Trace Level on the touch panel menu, is used

for adjustment.

Press the FREEZE switch.

→

A doppler waveform and the result of an operation freezes along with the image.

10-3-2. Tracing of a doppler waveform at the time of freeze

To trace automatically right after freeze without displaying a trace line in real time.

It operates if the Freeze Trigger is ON with a preset.

(1)

Press the FREEZE switch.

→

A trace line and the result of an operation are displayed on a D mode image automatically.

[Remark]

When the condition of an image changes as a result of the search function, a change in the sweep velocity, or a request, for example, the trace line and the measured results are re-written.

10-4

MN1-5369 Rev.9

Page 25

10.Real Time Doppler Auto Trace

10-3-3.A transferring function to an applied measurement of the results of an operation

10-3-3. A transferring function to an applied measurement of the results of an operation

Measurement results displayed after freeze and data, can be transferred to the doppler measurement of each applied

measurement (except a cardiac activity measurement). Meantime, the basic measurement cannot be transferred.

Two methods for transferring the applied measurement, can be made by the Auto/Manual switch of the Measurement Transfer of a preset.

(1)

Method to transfer data after the Transfer List Display or the MEASUREMENT switch of a D menu is

pressed and the Transfer is selected (Manual).

(2)

Method which displays a transferring list simultaneously at the time of freeze and is ready for transferring

(Auto).

[Remark]

As for the Auto, it is operable in the case of the Measurement + search of T.B.Prioirity (Frz On) with a preset.

<Operation method> An example to transfer to ICA of a PV measurement is explained

(1)

Depict the doppler waveform of the right ICA and press the D.Trace.

→

(2)

A trace line and the measurement results are displayed.

Press the FREEZE switch on the operation panel, and press the Transfer List Display of a menu on the touch

panel menu or the Transfer of the MEASUREMENT menu.

→

The menu for transferring applied measurements is displayed.

[Remark]

A transferring menu is displayed at a point of Freeze when Measurement Transfer of a preset is Auto.

(3)

Press the ICA on the touch panel menu, and press the Flow Trace.

→

The results of Real time Doppler Auto Trace are replaced with the results of ICA.

[Remark]

When the results of an operation of Real Time Doppler Auto Trace are not suitable, a trace measurement is selected

from the measurement menu, then it can be measured again. When the trace measurement is selected, the results of

Real time Doppler Auto Trace and a trace line are erased.

MN1-5369 Rev.9

10-5