ALOKA

ProSound Ultrasound Systems

prosound F75 Instruction Manual How to Use Volume 1 of 3 rev 10

Instruction Manual

420 Pages

File Type: PDF

File Size: 20MB

File Name: prosound_f75_instruction_manual_how_to_use_volume_1.pdf

Available for download

Page 1

DIAGNOSTIC ULTRASOUND

SYSTEM

Instruction Manual

How to Use

(volume 1/3)

Instruction manuals consist of this

manual, Safety Instruction, Power

Data Book, and Measurement.

Before using this system, please read

Safety Instruction.

MN1-5671 rev.10

Page 2

ProSound logo is a registered trademark or trademark of Hitachi Aloka Medical, Ltd. in the Japan and/or other

countries.

Microsoft, Windows and Windows Media are either registered trademarks or trademarks of Microsoft Corporation in

the United States and/or other countries.

Portions of this software are based in part on the work of the Independent JPEG Group.

All brand name, product name, and system name are registered trademarks or trademarks of their respective owners.

In this manual, ™ and ® are omitted.

Real-time Tissue Elastography and HI REZ is registered trademarks of Hitachi Medical Corporation in Japan.

MN1-5671 rev.10

Page 3

INTRODUCTION

Introduction

This is an instruction manual for model ProSound F75, an diagnostic ultrasound system.

Read the manual carefully before using the system. 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 the operator of the equipment

and the patient. There are 4 levels of harm/damage that can be caused by ignoring

instructions/displays and using the equipment incorrectly: "Danger," "Warning," "Caution,"

and "Note."

These types are indicated by the following symbols.

Indicates an imminently hazardous situation which, if not avoided, will result

in the death or serious injury of the operator of the equipment.

Indicates a hazardous situation which, if not avoided, may result in death or

serious injury.

Indicates a hazardous situation which, if not avoided, 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 equipments and also to ensure effective

use.

Contents of cautions shows the following graphics.

This mark means the corresponding item is "alerted".

This mark means the corresponding item is "prohibited".

This mark means the corresponding item is "required".

The format of this document shows the following contents.

NOTE:

shows common notes.

IMPORTANT:

shows important considerations.

Input items, output from the equipment and messages on screen are described as message.

Menu and Switches are described as Menu. Sub-menus under the main menu are described as

Menu > sub-menu > sub-menu.

MN1-5671 rev.10

Page 4

INTRODUCTION

About the ProSound F75

The ProSound F75 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.

PRECAUTIONS Concerning the Use/Management of the ProSound F75

•

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 equipments,

including replacement of power cord.

•

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

certified by us. 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.

•

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 F75 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

2-2-1of 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.

MN1-5671 rev.10

Page 5

INTRODUCTION

Classification of the ProSound F75

• 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.

connector

Applicable part

of body

Applied part

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

N/A

Endocavity

–

ECG, PCG, Pulse

Applied part can be used up to 2 m from each cable's electrodes (refer to image below)

e.g.: ECG

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

MN1-5671 rev.10

Page 6

CONTENTS

1 Basic Operations

1-1

Screen display ....................................................................................................................... 1-1

1-2

Operation panel ..................................................................................................................... 1-4

1-2-1

1-2-2

Operation panel .......................................................................................................................1-4

Appearance of touch panel .....................................................................................................1-7

1-3

Probe/Preset switching: PROBE/PRESET ............................................................................ 1-9

1-4

Comment input ..................................................................................................................... 1-10

1-4-1

1-4-2

1-4-3

1-4-4

1-4-5

1-4-6

1-4-7

1-5

Entering text ..........................................................................................................................1-11

Entering text with an arrow ....................................................................................................1-12

Moving text strings ................................................................................................................1-12

Deleting text ..........................................................................................................................1-13

Deleting text strings ...............................................................................................................1-13

Registering keywords ............................................................................................................1-14

Deleting a registered keyword ...............................................................................................1-15

Body mark ............................................................................................................................ 1-16

1-5-1

1-5-2

1-5-3

Changing the body mark display ...........................................................................................1-16

Setting the position of the probe mark ...................................................................................1-17

Moving the displayed body mark position .............................................................................1-17

1-6

Volume Control .................................................................................................................... 1-18

1-7

Safety ................................................................................................................................... 1-19

2 Patient Information

2-1

User authentication ................................................................................................................ 2-1

2-1-1

2-1-2

2-1-3

2-1-4

2-1-5

2-2

Before you begin examination ............................................................................................. 2-11

2-2-1

2-2-2

2-2-3

2-3

Entering patient information ..................................................................................................2-12

Searching for patient information stored on the instrument: Search .....................................2-25

Loading patient information from HIS: Find ...........................................................................2-26

Patient information management: Data Management ......................................................... 2-29

2-3-1

2-3-2

2-3-3

2-3-4

2-4

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

Registering password for new user .........................................................................................2-3

Changing password .................................................................................................................2-4

Logoff ......................................................................................................................................2-5

User management ...................................................................................................................2-6

Loading patient information from external medium ...............................................................2-30

Saving patient information on external memory ....................................................................2-31

Deleting patient information ...................................................................................................2-32

Modifying patient information ................................................................................................2-33

Before finishing examination ................................................................................................ 2-35

MN1-5671 rev.10

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2-4-1

2-4-2

2-4-3

2-4-4

Finishing/starting examination: MPPS server is not connected ............................................2-35

Finishing and starting examination: Connected to MPPS server ..........................................2-36

Interrupting an examination: Connected to MPPS server .....................................................2-37

Sending a DICOM SR file ......................................................................................................2-39

3 Image Display Mode

3-1

B mode ................................................................................................................................... 3-1

3-1-1

3-1-2

3-1-3

3-1-4

3-1-5

3-1-6

3-1-7

3-1-8

3-1-9

3-1-10

3-1-11

3-1-12

3-1-13

3-2

M mode ................................................................................................................................ 3-21

3-2-1

3-2-2

3-3

Displaying the PW mode .......................................................................................................3-31

Displaying in the CW mode ...................................................................................................3-33

Displaying in Dual Doppler mode ..........................................................................................3-35

Adjusting the gain ..................................................................................................................3-37

Reducing aliasing phenomena in the Doppler pattern: Baseline Shift ..................................3-37

Flow mode: Flow, Power Flow, eFlow, TDI .......................................................................... 3-38

3-4-1

3-4-2

3-5

B/M and M modes .................................................................................................................3-22

Free Angular M mode: FAM ..................................................................................................3-25

D mode: PW, CW ................................................................................................................. 3-30

3-3-1

3-3-2

3-3-3

3-3-4

3-3-5

3-4

Single screen display: 1B ........................................................................................................3-1

Dual-screen display: 2B ..........................................................................................................3-3

Quarter-screen display: 4B ......................................................................................................3-5

Switching the display depth .....................................................................................................3-6

Image zoom .............................................................................................................................3-7

Moving the focus position ......................................................................................................3-11

Gain adjustment: Gain ...........................................................................................................3-13

Adjusting the scan area: Scan Area ......................................................................................3-14

Adaptive Image Processing: AIP ...........................................................................................3-14

Tissue Harmonic Echo: T.H.E. ..............................................................................................3-16

Spatial Compound Imaging (SCI) ..........................................................................................3-18

Trapezoidal Scan ..................................................................................................................3-19

Quick Setter ...........................................................................................................................3-20

Displaying in the Flow, Power Flow, or eFlow mode .............................................................3-39

Tissue Doppler Imaging: TDI .................................................................................................3-44

Dynamic Slow Motion Display (D.S.D.) ................................................................................ 3-45

3-5-1

3-5-2

3-5-3

3-5-4

Displaying with DSD ..............................................................................................................3-46

Changing the playback speed and refresh interval of slow-motion images ...........................3-47

Storing a moving image .........................................................................................................3-48

Exiting DSD ...........................................................................................................................3-48

4 Physiological Signal

4-1

Attaching the electrodes ........................................................................................................ 4-1

4-2

Displaying the physiological signals ....................................................................................... 4-2

4-3

ECG sync display: SYNC ....................................................................................................... 4-4

4-4

Heart rate stability display ...................................................................................................... 4-5

MN1-5671 rev.10

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5 Brachytherapy

5-1

Brachytherapy ........................................................................................................................ 5-1

5-1-1

Procedure for displaying targets ..............................................................................................5-1

5-2

Setting puncturing location ..................................................................................................... 5-2

5-3

Displaying the target .............................................................................................................. 5-4

6 Recording and Storing Images

6-1

Search .................................................................................................................................... 6-1

6-1-1

6-1-2

6-1-3

6-1-4

6-2

Image storage and output: STORE ........................................................................................ 6-7

6-2-1

6-2-2

6-2-3

6-2-4

6-3

Screen display .......................................................................................................................6-19

Image file format ....................................................................................................................6-28

Image search .........................................................................................................................6-30

Selecting images ...................................................................................................................6-34

Playing back a selected image ..............................................................................................6-36

Comparing images from the current examination with past images ......................................6-39

Copying a selected image .....................................................................................................6-40

Deleting selected images ......................................................................................................6-44

Store in a different file format: Save ......................................................................................6-46

Resaving an image ................................................................................................................6-52

Writing data in the CD-R Buffer to a CD-R ............................................................................6-53

Formatting a DVD-RAM ........................................................................................................6-54

Checking remaining capacity in various media .....................................................................6-55

Printing a selected image ......................................................................................................6-56

Transferring a selected image ...............................................................................................6-60

Using a selected image in optional function ..........................................................................6-64

Recording and playback with the DVD ................................................................................ 6-65

6-5-1

6-5-2

6-5-3

6-5-4

Printing from real-time display ...............................................................................................6-18

Printing from freeze ...............................................................................................................6-18

Image review: Review .......................................................................................................... 6-19

6-4-1

6-4-2

6-4-3

6-4-4

6-4-5

6-4-6

6-4-7

6-4-8

6-4-9

6-4-10

6-4-11

6-4-12

6-4-13

6-4-14

6-4-15

6-4-16

6-5

Notes regarding image records and storage media ................................................................6-8

Image file format ......................................................................................................................6-9

Storing still images ................................................................................................................6-10

Storing a moving image .........................................................................................................6-12

Printing: Print (Archive Group) ............................................................................................. 6-18

6-3-1

6-3-2

6-4

Search and scroll .....................................................................................................................6-2

Searching and scrolling B, M, PW, and CW mode images .....................................................6-3

Searching and scrolling B/M, B/PW, and B/CW mode images ................................................6-4

Loop playback .........................................................................................................................6-4

DVD recorders approved for connection ...............................................................................6-66

DVD recording .......................................................................................................................6-67

Displaying DVD remaining capacity ......................................................................................6-68

DVD playback ........................................................................................................................6-69

MN1-5671 rev.10

Page 9

7 Custom Switch Menu

7-1

Appearance of touch panel .................................................................................................... 7-1

7-1-1

7-1-2

Switch operation ......................................................................................................................7-3

Setting touch panel menu registration .....................................................................................7-4

7-2

User switch area .................................................................................................................... 7-5

7-3

Menu function area ................................................................................................................ 7-8

7-3-1

7-3-2

7-3-3

7-3-4

7-3-5

7-3-6

7-3-7

7-3-8

B mode menu ........................................................................................................................7-10

M mode menu .......................................................................................................................7-26

D mode menu ........................................................................................................................7-28

Flow mode menu ...................................................................................................................7-33

Other menu ...........................................................................................................................7-42

Slow Motion Menu .................................................................................................................7-63

Dual Doppler .........................................................................................................................7-65

FAM menu .............................................................................................................................7-66

8 Preset

8-1

Preset ..................................................................................................................................... 8-1

8-2

Changing the settings ............................................................................................................ 8-2

8-3

Common Preset ..................................................................................................................... 8-4

8-3-1

8-3-2

8-3-3

8-3-4

8-3-5

8-3-6

8-3-7

8-3-8

8-3-9

8-3-10

8-3-11

8-3-12

8-3-13

Common1 ................................................................................................................................8-5

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

Common3 ..............................................................................................................................8-12

Probe Connector Order .........................................................................................................8-14

Print (Freeze) ........................................................................................................................8-15

Print (RealTime) ....................................................................................................................8-16

Print Select ............................................................................................................................8-17

DICOM-Store, Send ..............................................................................................................8-19

DICOM-Server .......................................................................................................................8-22

DICOM-Address ....................................................................................................................8-24

DICOM-Printer .......................................................................................................................8-25

DICOM-SR ............................................................................................................................8-27

IHE/Auto Delete .....................................................................................................................8-29

8-4

Probe Registration ............................................................................................................... 8-33

8-5

Preset Control ...................................................................................................................... 8-35

8-6

User Admin .......................................................................................................................... 8-38

8-7

Preset Set-Up Menu ............................................................................................................ 8-39

8-7-1

8-7-2

8-7-3

8-7-4

8-7-5

8-7-6

8-7-7

8-7-8

MN1-5671 rev.10

Preset Set-Up Menu ..............................................................................................................8-41

Menu-USER SW ...................................................................................................................8-43

Menu Tab Assign ..................................................................................................................8-44

Menu-Function ......................................................................................................................8-45

Find/Tile View Menu Assign ..................................................................................................8-47

Menu-Analysis .......................................................................................................................8-48

Menu-Remote ........................................................................................................................8-50

Custom SW ...........................................................................................................................8-51

Page 10

8-7-9

8-7-10

8-7-11

8-7-12

8-7-13

8-7-14

8-7-15

8-7-16

8-7-17

8-7-18

8-7-19

8-7-20

8-7-21

8-7-22

8-7-23

8-7-24

8-7-25

8-7-26

8-7-27

8-7-28

8-7-29

8-7-30

Custom-Foot ..........................................................................................................................8-53

Custom-Keyboard .................................................................................................................8-54

Custom-Remote ....................................................................................................................8-55

Custom-Analysis Button ........................................................................................................8-56

ID, Comment .........................................................................................................................8-58

Graphics, Information ............................................................................................................8-61

Store, Cine ............................................................................................................................8-65

Body Mark .............................................................................................................................8-70

Physio ....................................................................................................................................8-72

Quick Setter ...........................................................................................................................8-75

Image Optimizer ....................................................................................................................8-92

Mode Common1 ....................................................................................................................8-94

Mode Common2 ....................................................................................................................8-98

B,M ......................................................................................................................................8-102

Doppler ................................................................................................................................8-110

Dual Doppler .......................................................................................................................8-113

Flow .....................................................................................................................................8-115

Power Flow ..........................................................................................................................8-117

eFlow ...................................................................................................................................8-119

Tissue Doppler ....................................................................................................................8-121

Tissue Flow .........................................................................................................................8-123

Tissue Power Flow ..............................................................................................................8-125

8-7-31

FAM ： Free Angular M mode ..............................................................................................8-127

9 eTracking

9-1

Stiffness parameter (β) data acquisition ................................................................................ 9-2

9-1-1

9-1-2

9-1-3

Stiffness parameter (β) data acquisition screen ......................................................................9-2

Touch panel menu ...................................................................................................................9-3

Echo Tracking preset ..............................................................................................................9-5

9-2

Acquiring data ........................................................................................................................ 9-7

9-3

Stiffness parameter (β) analysis .......................................................................................... 9-10

9-3-1

9-4

Stiffness analysis report ....................................................................................................... 9-17

9-4-1

9-5

Analyzing arterial stiffness .....................................................................................................9-12

Displaying, editing, and outputting reports ............................................................................9-18

References ........................................................................................................................... 9-19

10 Flow Mediated Dilation (FMD) Analysis

10-1

FMD overview ...................................................................................................................... 10-2

10-2

FMD measurement .............................................................................................................. 10-3

10-2-1

10-2-2

10-2-3

10-2-4

10-3

FMD measurement screen ....................................................................................................10-3

Touch panel menu .................................................................................................................10-4

FMD preset ............................................................................................................................10-7

FMD measurement procedure ............................................................................................10-10

FMD analysis ..................................................................................................................... 10-14

MN1-5671 rev.10

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10-3-1

10-3-2

10-3-3

10-3-4

10-3-5

Modifying the vessel diameter at rest ..................................................................................10-18

Modifying the maximum and minimum vessel diameters during vasodilation .....................10-21

Modifying the blood flow information ...................................................................................10-22

Outputting measurement results .........................................................................................10-23

Ending the FMD analysis ....................................................................................................10-24

10-4

FMD analysis report ........................................................................................................... 10-25

10-5

References ......................................................................................................................... 10-26

11 Wave Intensity

11-1

Wave Intensity overview ...................................................................................................... 11-1

11-2

WI measurement .................................................................................................................. 11-2

11-2-1

11-2-2

11-2-3

11-2-4

11-3

Wave Intensity analysis ..................................................................................................... 11-11

11-3-1

11-4

WI analysis procedures .......................................................................................................11-15

WI report ............................................................................................................................ 11-19

11-4-1

11-5

Wave Intensity screen ...........................................................................................................11-2

Touch panel menu .................................................................................................................11-3

Wave Intensity preset ............................................................................................................11-6

Performing WI measurement ................................................................................................11-8

Displaying, editing, and outputting reports ..........................................................................11-20

References ......................................................................................................................... 11-21

12 TDI Analysis

12-1

TDI analysis overview .......................................................................................................... 12-1

12-1-1

12-2

Analysis procedures ............................................................................................................. 12-4

12-2-1

12-2-2

12-2-3

12-2-4

12-2-5

12-2-6

12-2-7

12-3

MN1-5671 rev.10

Temporal VP (B) ....................................................................................................................12-4

Regional VP (B) .....................................................................................................................12-6

Strain Rate (B) .......................................................................................................................12-7

Strain (B) ...............................................................................................................................12-9

Myocardial Thickness (B) ....................................................................................................12-11

Graph display ......................................................................................................................12-17

Measurements .....................................................................................................................12-22

Saving and Output ............................................................................................................. 12-23

12-3-1

12-3-2

12-4

TDI analysis screen ...............................................................................................................12-3

Storing screens and images ................................................................................................12-23

Outputting TDI analysis results ...........................................................................................12-25

Preset ................................................................................................................................. 12-27

12-4-1

12-4-2

Common ..............................................................................................................................12-28

2D Common ........................................................................................................................12-29

12-4-3

Temporal VP (B) tab ............................................................................................................12-31

12-4-4

12-4-5

12-4-6

12-4-7

Regional VP (B) tab .............................................................................................................12-32

Strain Rate (B) .....................................................................................................................12-33

Strain (B) tab .......................................................................................................................12-35

Myocardial Thickness (B) tab ..............................................................................................12-37

Page 12

12-4-8

12-5

Menu .................................................................................................................................. 12-40

12-5-1

12-5-2

12-5-3

12-5-4

12-6

Tool Bar ...............................................................................................................................12-39

Base menu ..........................................................................................................................12-40

Toolbar icons ......................................................................................................................12-47

Pop-up menu .......................................................................................................................12-49

Touch panel menu ...............................................................................................................12-51

Message ............................................................................................................................ 12-53

13 2D Tissue Tracking Analysis

13-1

Setting the Analysis Range .................................................................................................. 13-3

13-1-1

13-1-2

13-1-3

13-1-4

13-1-5

13-1-6

13-1-7

13-1-8

13-1-9

13-2

Analysis between any 2 points: Free Use .......................................................................... 13-21

13-2-1

13-2-2

13-2-3

13-3

13-5

Specifying the endocardium or epicardium .........................................................................13-28

Viewing analysis images .....................................................................................................13-31

Viewing graphs ....................................................................................................................13-34

Switching graphs .................................................................................................................13-35

Switching the labels .............................................................................................................13-38

Overlaying analysis results ..................................................................................................13-40

Adjusting a graph ................................................................................................................13-41

Viewing a twist graph display ..............................................................................................13-45

Hiding a graph .....................................................................................................................13-47

Analysis of apical images: Apex-S ..................................................................................... 13-52

13-4-1

13-4-2

13-4-3

13-4-4

13-4-5

13-4-6

Specifying the endocardium or epicardium .........................................................................13-53

Viewing analysis images .....................................................................................................13-56

Viewing graphs ....................................................................................................................13-58

Switching graphs .................................................................................................................13-59

Displaying the global strain .................................................................................................13-62

Switching the labels .............................................................................................................13-63

13-4-7

13-4-8

Overlaying analysis results ..................................................................................................13-64

Adjusting a graph ................................................................................................................13-66

Volume Analysis: Apex-V ................................................................................................... 13-72

13-5-1

13-5-2

Specifying analysis lines .....................................................................................................13-22

Viewing analysis images .....................................................................................................13-24

Viewing graphs ....................................................................................................................13-25

Endo/epicardium analysis: SAX ......................................................................................... 13-27

13-3-1

13-3-2

13-3-3

13-3-4

13-3-5

13-3-6

13-3-7

13-3-8

13-3-9

13-4

Launching 2D Tissue Tracking Analysis ...............................................................................13-3

Searching for images ............................................................................................................13-6

Setting the analysis frame range ...........................................................................................13-8

Modifying the Beat Separate Line .......................................................................................13-11

Displaying the time phase information cursor .....................................................................13-13

Undoing the last operation ..................................................................................................13-14

Changing trace methods and/or conditions .........................................................................13-15

Adjusting a line graph ..........................................................................................................13-16

Hiding a graph .....................................................................................................................13-19

Specifying the endocardium ................................................................................................13-73

Displaying the center of gravity position ..............................................................................13-77

MN1-5671 rev.10

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13-5-3

13-5-4

13-6

Measurements ................................................................................................................... 13-82

13-6-1

13-6-2

13-6-3

13-6-4

13-6-5

13-6-6

13-7

Saving in DICOM format .....................................................................................................13-95

Selecting the file format to save ..........................................................................................13-97

Storing analyzed conditions ................................................................................................13-99

Output ................................................................................................................................13-100

Preset ............................................................................................................................... 13-102

13-8-1

13-8-2

13-8-3

13-9

Measuring between any two points: Point to Point ..............................................................13-83

Measuring between specified frames: Time to Peak ...........................................................13-85

Calculating the time difference between any of the three time phases: 3point ...................13-87

Measuring an image: Distance ............................................................................................13-89

Modifying measurement results ..........................................................................................13-91

Switching the type of measurement ....................................................................................13-94

Saving and Output ............................................................................................................. 13-95

13-7-1

13-7-2

13-7-3

13-7-4

13-8

Viewing graphs ....................................................................................................................13-78

Displaying with the bi-plane method ....................................................................................13-80

Selecting presets ...............................................................................................................13-102

Changing preset settings ...................................................................................................13-103

Preset items ......................................................................................................................13-106

Reference ........................................................................................................................ 13-119

13-9-1

13-9-2

13-9-3

13-9-4

13-9-5

13-9-6

Base menu ........................................................................................................................13-119

Pop-up menu .....................................................................................................................13-125

Touch panel menu .............................................................................................................13-126

Tool bar icons ....................................................................................................................13-129

Error codes ........................................................................................................................13-131

Messages ..........................................................................................................................13-132

14 Stress Echo

14-1

Acquiring the images ........................................................................................................... 14-2

14-1-1

14-1-2

14-1-3

14-1-4

14-1-5

14-1-6

14-1-7

14-1-8

14-2

Selecting a protocol ...............................................................................................................14-3

Setting up the acquisition parameters ...................................................................................14-4

Setting up the display preferences ........................................................................................14-4

Acquiring the images .............................................................................................................14-5

Adding Stages or Views during an examination ....................................................................14-9

Skip Stages or Views during an examination ........................................................................14-9

Changing labels ...................................................................................................................14-10

Ending a protocol ................................................................................................................14-11

Comparing images ............................................................................................................. 14-12

14-2-1

14-2-2

14-2-3

Shuffle Stage .......................................................................................................................14-13

Shuffle View ........................................................................................................................14-14

Compare ..............................................................................................................................14-15

14-3

Scoring ............................................................................................................................... 14-16

14-4

Reports .............................................................................................................................. 14-18

14-4-1

14-4-2

14-5

MN1-5671 rev.10

Displaying reports ................................................................................................................14-19

Storing reports .....................................................................................................................14-19

Touch panel menu ............................................................................................................. 14-20

Page 14

14-5-1

14-5-2

Stress Acquire menu ...........................................................................................................14-23

Protocol menu .....................................................................................................................14-24

14-6

Exiting Stress Echo ............................................................................................................ 14-25

14-7

Preset ................................................................................................................................. 14-26

14-8

14-7-1

Stress Echo (Common Preset) ............................................................................................14-26

14-7-2

Stress Echo (Preset Set-Up Menu) .....................................................................................14-30

Reference .......................................................................................................................... 14-34

14-8-1

14-8-2

14-8-3

Chart formula (16myocardium segments) ...........................................................................14-34

Abbreviations .......................................................................................................................14-35

Protocol List .........................................................................................................................14-37

15 Remote Control

15-1

Before using the remote controller ....................................................................................... 15-2

15-1-1

15-1-2

15-1-3

15-2

Replacing the battery ............................................................................................................15-2

Setting the channel ................................................................................................................15-3

Setting the remote controller operation sound ......................................................................15-3

Name of switch .................................................................................................................... 15-4

15-2-1

15-2-2

Assigning functions to buttons ...............................................................................................15-4

Operating the remote controller .............................................................................................15-5

15-3

Switching display modes ...................................................................................................... 15-6

15-4

Function menu ..................................................................................................................... 15-7

15-4-1

15-4-2

Making function menu settings ..............................................................................................15-8

Selecting function menu settings ...........................................................................................15-9

16 Real Time Doppler Auto Trace

16-1

Real Time Doppler Auto Trace display ................................................................................ 16-2

16-1-1

16-2

Touch panel menu .................................................................................................................16-3

Tracing Doppler waveform ................................................................................................... 16-4

16-2-1

16-2-2

Tracing real-time Doppler waveform .....................................................................................16-4

Trace the Doppler waveform after freezing ...........................................................................16-5

17 Extended Field of View (EFV)

17-1

Displaying in the EFV mode ................................................................................................. 17-2

17-2

Switches used in EFV mode ................................................................................................ 17-4

18 Real Time 3D: RT3D

18-1

RT3D screen, switches and menu ....................................................................................... 18-3

18-1-1

18-1-2

18-1-3

18-2

Real Time 3D display screen ................................................................................................18-3

Operation panel switches ......................................................................................................18-5

Touch panel menu .................................................................................................................18-6

Displaying a 3D image in the Real Time 3D mode ............................................................ 18-23

MN1-5671 rev.10

Page 15

18-2-1

18-2-2

18-2-3

18-2-4

18-2-5

18-2-6

18-2-7

18-2-8

18-2-9

18-2-10

18-2-11

18-2-12

18-3

STIC ................................................................................................................................... 18-37

18-3-1

18-3-2

18-4

Acquiring STIC data ............................................................................................................18-38

Dedicated 3D measurements of STIC data .........................................................................18-40

3D Volume measurement .................................................................................................. 18-43

18-4-1

18-4-2

18-5

Defining the data capture area and 3D display area ...........................................................18-24

Switching the ROI display format ........................................................................................18-26

Setting the viewpoint direction of the 3D image ..................................................................18-26

Moving and rotating volume data ........................................................................................18-27

Switching the rendering mode of 3D images .......................................................................18-30

Adjusting brightness and correcting Gamma value .............................................................18-32

Adjusting the quality of 3D image ........................................................................................18-32

Adjusting opacity .................................................................................................................18-33

Removing unwanted echo in 3D image ...............................................................................18-33

Playing a 3D animation in a 3D loop ...................................................................................18-34

Searching for a 3D image: 4D Loop ....................................................................................18-35

Recording 3D images ..........................................................................................................18-36

3D automatic volume measurement ....................................................................................18-43

Manual 3D volume measurement (TVM) ............................................................................18-48

3D Scan ............................................................................................................................. 18-56

18-5-1

18-5-2

18-5-3

18-5-4

Acquiring 3D data ................................................................................................................18-57

Acquiring 3D data in color ...................................................................................................18-59

Cutting the 3D image at given cross-section .......................................................................18-61

Freehand 3D .......................................................................................................................18-62

18-6

Displaying multiple sliced images from volume data simultaneously ................................. 18-63

18-7

Preset ................................................................................................................................. 18-65

18-7-1

18-7-2

18-8

RT3D ...................................................................................................................................18-65

Quick Setter .........................................................................................................................18-76

Terminology ....................................................................................................................... 18-81

19 Contrast Echo (CE)

19-1

Making real-time observation ............................................................................................... 19-1

19-1-1

19-1-2

19-1-3

19-1-4

19-1-5

19-2

Outline of Contrast Echo Analysis ..................................................................................... 19-18

19-2-1

19-2-2

19-2-3

19-2-4

19-2-5

19-2-6

19-2-7

MN1-5671 rev.10

Setting the MI value in advance ............................................................................................19-1

Displaying only the contrast image ........................................................................................19-2

Displaying the tissue image superimposed on the contrast agent image .............................19-4

Touch panel menu .................................................................................................................19-5

Preset ..................................................................................................................................19-10

Specifying the analysis range ..............................................................................................19-20

Time Intensity Curve ...........................................................................................................19-28

Subtraction ..........................................................................................................................19-44

Measurements .....................................................................................................................19-54

Saving and Output ...............................................................................................................19-62

Preset ..................................................................................................................................19-68

Reference ............................................................................................................................19-79

Page 16

20 Real time Tissue Elastography (RT Elasto)

20-1

Features of RT Elast ............................................................................................................ 20-1

20-2

RT Elasto Mode Display Screen .......................................................................................... 20-2

20-3

Touch panel Menu ............................................................................................................... 20-3

20-3-1

20-4

Setting the pressurization status guide ................................................................................ 20-4

20-4-1

20-4-2

20-5

Graph Setting Menu ..............................................................................................................20-3

Strain graph ...........................................................................................................................20-4

Pressurization status indicator ..............................................................................................20-5

Displaying the elasticity image ............................................................................................. 20-6

20-5-1

20-5-2

20-5-3

Adjusting the Elasticity Image ...............................................................................................20-7

Displaying an average image ................................................................................................20-8

Displaying the elasticity image under stable pressurization ..................................................20-8

20-6

Strain Ratio Measurement ................................................................................................... 20-9

20-7

Preset ................................................................................................................................. 20-11

20-7-1

20-7-2

Elastography .......................................................................................................................20-12

Quick Setter setting items: Elastography ............................................................................20-15

21 Cardiac 3D

21-1

Overview .............................................................................................................................. 21-1

21-2

Cardiac 3D screen, switches and menus ............................................................................. 21-2

21-2-1

21-2-2

21-2-3

21-2-4

21-3

Cardiac 3D display screen ....................................................................................................21-2

Operation panel switches ......................................................................................................21-6

Rotate tomographic image switch operation .........................................................................21-7

Touch panel menu .................................................................................................................21-8

Displaying the 3D image in 3D Zoom mode ...................................................................... 21-13

21-3-1

21-3-2

21-3-3

21-3-4

21-3-5

21-3-6

21-3-7

21-3-8

21-3-9

21-3-10

21-3-11

Displaying data acquisition range and 3D image ................................................................21-14

Switching the ROI display format ........................................................................................21-16

Setting the viewpoint of the 3D image .................................................................................21-17

Moving and rotating an MPR or 3D image ..........................................................................21-20

Adjusting the brightness of the 3D image ............................................................................21-22

Adjusting the image quality of MPR or 3D images ..............................................................21-22

Deleting unnecessary regions of a 3D image ......................................................................21-22

Playing a 3D video in a 3D loop ..........................................................................................21-23

Searching for a 3D image: 4D Loop playback .....................................................................21-23

Recording 3D images ..........................................................................................................21-24

Cutting the 3D image at a given cross-section ....................................................................21-25

21-4

Displaying the image in Full Volume mode ........................................................................ 21-27

21-5

Preset ................................................................................................................................. 21-29

21-5-1

Cardiac 3D ..........................................................................................................................21-29

22 BiPlane

22-1

The BiPlane Screen ............................................................................................................. 22-1

MN1-5671 rev.10

Page 17

22-2

Rotate tomographic image switch operation ........................................................................ 22-2

22-3

Displaying the image in BiPlane mode ................................................................................ 22-3

22-4

Touch panel menu ............................................................................................................... 22-4

MN1-5671 rev.10

Page 18

MN1-5671 rev.10

Page 19

1 Basic Operations

1-1 Screen display

Basic Operations

1-1

Screen display

The following screen (B mode) is displayed immediately after the start-up.

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(1)

Hospital name

(2)

Patient identification information such as ID and NAME

(3)

Current date and time

(4)

Automatic display area 1

(8)

MI=0.84

Mechanical index. This value is displayed in all modes.

TIS<0.4

Thermal index (TIS, TIB or TIC)

Set the display type with Thermal Index in the menu or preset

(PRESET Set-Up Menu > Graphic, Information).

(5)

MN1-5671 rev.10

84%

Acoustic output setting

6 Hz

No. of frames displayed per 1 sec

Screen number (1 or 2)

Automatic display area 2

2.50MR

Frequency of the selected probe

R17.0

Display depth (cm)

1-1

Page 20

1 Basic Operations

1-1 Screen display

(6)

G50

Image gain

D73

Dynamic range

Automatic display area 3

Display frame number/number of images stored in the cine memory

300/300

(7)

(8)

Automatic display area 4 (2 Lines)

Sonographer

Sonographer's name entered on the ID screen (displayed only when it is

entered)

2:Abdomen

Name and number of active preset

Probe:9130

Selected probe

AIP

Indicates that AIP is in operation.

BbH

Indicates that Broadband Harmonics is in operation.

SCI

Indicates that Spatial Compound Imaging is in operation.

CBP

Indicates that Compound Broadband Pulse is in operation.

Automatic display area 5 (2 Lines)

Punc:##°

Puncture angle at Puncture Guideline

S.V.:##.#mm

Sample volume

D Angle:##°

Correction value for Doppler angle

Depth:##.#cm Sample depth

(9)

Comment input area

Thumbnails

Area

1-2

Comment Area

MN1-5671 rev.10

Page 21

1 Basic Operations

1-1 Screen display

The image below shows graphics of the following contents:

(1)

(2)

(3)

(4)

(5)

(1)

Thumbnail area (displayed on the left or right of the screen)

Displays the stored image in thumbnail view. The display position is set with Thumbnail Position

in the preset (PRESET Set-Up Menu > Graphics, Information).

(2)

Grayscale bar (gradation of B mode image)

The display position is set with Scale Bar Position (PRESET Set-Up Menu > Graphics,

Information).

(3)

Active mark: This mark coincides with the front direction mark on the probe.

●

Active state: An active image is the image on which operations can be performed when

two or more images are displayed.

○

Inactive state

(4)

Focus mark: Indicates the set focal points.

(5)

Scale mark: The scale interval differs depending on the display range.

When B Scale Display is set to On in the Preset (PRESET Set-Up Menu > B, M), the scale

value is displayed.

MN1-5671 rev.10

Display range

Scale (small)

Scale (large)

R0.5 – R2.0

0.1 cm

0.5 cm

R2.5 – R6.0

0.5 cm

1.0 cm

R7.0 – R29.0

1.0 cm

5.0 cm

R30

5.0 cm

10.0 cm

1-3

Page 22

1 Basic Operations

1-2 Operation panel

1-2

Operation panel

The operation panel consists of the panel switches and the switches used on the touch panel.

For details of the touch panel menu, refer to Chapter 5. The most of panel switches can be

assigned to the touch panel menu or the custom switches.

This section describes each button on the operation panel by the factory default settings.

1-2-1

Operation panel

The switches on the operation panel consist of the following switches:

Custom SW: Yes means that a different function can be assigned to the switch from

Preset Set-Up Menu > Custom SW. For the setting method, refer to Chapter 7 Preset

(Menu-USER SW → p. 8-43).

Custom

Yes

Name of switch

(Display)

3D/4D

Function

Switches from the current display mode to the real time 3D mode.

Ends the real-time 3D mode.

1-4

Displays in the B mode.

Yes

B/B

Displays in the B/B mode.

Yes

BODY MARK

Displays the Body Mark menu on the touch panel.

MN1-5671 rev.10

Page 23

1 Basic Operations

1-2 Operation panel

Name of switch

(Display)

Custom

Yes

Function

+ (Caliper)

Starts the measurement menu assigned to this switch.

CANCEL

Cancels the selected operation. Or, goes back to the previous step if

measurement was in progress.

Yes

CURSOR

Moves or sets the cursor and the baseline of the Doppler pattern.

Yes

Displays in the B/CW mode.

DEPTH/ZOOM

Changes the display depth of the image when the blue light is on.

Zooms up the B mode image when the orange light is on.

Yes

eFLOW

Displays eFLOW on a B mode image or a M mode image.

ENTER

Sets measurement/preset/thumbnail operations, comment input,

analysis, Flow Area setup, etc.

Yes

FLOW

Displays FLOW on a B mode image or a M mode image.

Yes

FOCUS

Adjusts the focal point.

(FREEZE)

Press: Switches between the real time display and the still image

display.

Rotate: Works as the B GAIN knob to adjust B Gain.

Yes

Displays the ID input screen without returning to the initial settings.

(ID)

Yes

IMAGE OPTIMIZER

Adjusts the gain in the B or M mode image.

Yes

Displays in the B/M mode.

Yes

Displays the measurement menu on the touch panel.

(Measurement)

Displays the menu on the touch panel.

MULTI GAIN

Adjusts sensitivity in the M, D or FLOW modes according to the

switching between these modes.

NEW PATIENT

Returns to the initial settings. Displays the ID input screen.

(POINTER)

Links to the trackball to provide supplementary control as Rotary

Encoder 9 when the blue light is on.

Displays the pointer cursor on the screen when the orange light is

on.

(POWER)

The blue light indicates that the power is ON and the orange-light

indicates STAND BY mode.

(PRINT 1)

Records images to a recording instrument connected to this

instrument.

(PRINT 2)

Records images to a recording instrument connected to this

instrument.

Yes

MN1-5671 rev.10

PROBE/PRESET

Displays the Probe/Preset Select menu on the touch panel.

Displays in the B/PW mode.

1-5

Page 24

1 Basic Operations

1-2 Operation panel

Custom

Name of switch

(Display)

Function

Yes

REC

Records an image to a DVD connected to the instrument.

Yes

REVIEW

Switches the Tile View display between show and hide.

Yes

SCAN AREA

Adjusts the scanning range or the flow area of the B mode image.

Yes

Switches the display to the image stored in the cine memory.

Yes

SELECT

Selects the active screen when two or more images (B/B, B/M, etc.)

are displayed.

If one of the displays was shown in real time such as 2B mode, the

real-time display can be switched. If both images are displayed in

real time, such as in the B/M or the B/D mode, only the M or D

mode image can be switched and displayed in real time.

(SEND)

Forwards measurement results of an applied measurement to a

report.

Displays the pop-up menu on the thumbnail.

Yes

STORE

Saves a still or a moving image on the screen.

STC

Adjusts sensitivity at the display depth corresponding to the value.

Keyboard

1-6

F1 – F13

Function keys

Comment

Enters comments on the screen or ends comment input.

Displays the ID input screen without returning to the initial settings.

MN1-5671 rev.10

Page 25

1 Basic Operations

1-2 Operation panel

1-2-2

Appearance of touch panel

The functions that cannot operate directly on the operation panel are displayed in the touch

panel menu. The touch panel allows to set the conditions as needed.

MN1-5671 rev.10

10)

Touch panel

Displays the menu. It is used for selecting the items to be set.

Rotary encoder 1