prosound_f75_instruction_manual_how_to_use_volume_3.pdf
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DIAGNOSTIC ULTRASOUND
SYSTEM
Instruction Manual
How to Use
(volume 3/3)
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
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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.
VS-FlexGrid Pro copyright©1999-2000 Videosoft Corporation.
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.
Copyright©Hitachi Aloka Medical, Ltd. All rights reserved.
MN1-5671 rev.10
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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
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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.
1)
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.
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 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.
4
MN1-5671 rev.10
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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.
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
–
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
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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
6
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
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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
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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
8
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
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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
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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
10
FMD measurement screen ....................................................................................................10-3
Touch panel menu .................................................................................................................10-4
FMD preset ............................................................................................................................10-7
FMD measurement procedure ............................................................................................10-10
FMD analysis ..................................................................................................................... 10-14
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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
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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
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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
12
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
Page 13
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
13
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
14
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
15
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
16
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
17
Page 18
18
MN1-5671 rev.10
Page 19
15 Remote Control
15
Remote Control
The remote controller can be used to remotely control the instrument, using infra-red
communications. The optional remote controller (RM-700) is required for this function.
STORE
FREEZE
STATUS
LED
JOG SHUTTLE
L (Left)
Transmitted
JOG SHUTTLE
R (Right)
MODE
MODE
UP
MENU
LEFT
RIGHT
JOG Shuttle
Switches
DOWN
Channel Switch
ittch
c
Battery Cover
MN1-5671 rev.10
15-1
Page 20
15 Remote Control
15-1 Before using the remote controller
15-1
Before using the remote controller
15-1-1 Replacing the battery
The STATUS LED lights up briefly when any switch is pressed. The color of the STATUS
LED indicates the remaining battery power. If STATUS LED lights up in red, or not at all,
replace the battery (CR-2032).
Color of lit STATUS LED and remaining battery power
• Blue: Battery power is sufficient.
• Orange: Battery power has decreased.
• Red or unlit: Battery is almost exhausted. Replace the battery.
1.
Slide the battery cover and remove it.
2.
To remove the battery, insert the battery cover into the slit between the battery and its
holder.
3.
Insert a new battery (CR2032) with the plus side facing up, into the holder so that it
engages on the hook, and press down.
4.
Press the RESETswitch.
RESET
E
switch
5.
15-2
Slide the battery cover into place.
MN1-5671 rev.10
Page 21
15 Remote Control
15-1 Before using the remote controller
15-1-2 Setting the channel
Set the channels of the remote controller and the instrument itself to the same number. It is also
possible to prevent the instrument from being controlled by the remote control.
15-1-2-1 Remote controller channel
Use the Channel switch on the right side of the remote controller (arrowed in the diagram
below) to set the remote controller channel. The remote controller channels are, from the
top,Ch1, Ch2, Ch3, and Ch4.
Channel Switch
tch
ch
15-1-2-2 Instrument channel
1.
Select Common Preset > Common2 in Preset.
2.
On the Remote Control select Off (disables remote control) or Ch1 to Ch4.
15-1-3 Setting the remote controller operation sound
1.
Select Common Preset > Common2 in Preset.
2.
To turn off the sound using the Sound Select (Panel), select Off and to turn it on, select
A, B or C.
MN1-5671 rev.10
15-3
Page 22
15 Remote Control
15-2 Name of switch
15-2
Name of switch
The functions of the remote controller buttons are set by presets.
15-2-1 Assigning functions to buttons
Use preset settings to set the functions of remote controller button.
1.
Select Preset Set-Up Menu > Custom Remote in Presets.
→
The Custom Remote is displayed.
2.
Place the cursor on the image of the button to set and press ENTER.
3.
Place the cursor on the function to register from the displayed Select Items list and press
ENTER.
Deleting a registered function (making it blank)
Move the cursor to the Select Items list of registered functions and press ENTER.
15-4
MN1-5671 rev.10
Page 23
15 Remote Control
15-2 Name of switch
15-2-2 Operating the remote controller
• Press PRINT, STORE, ○ and □ .
The function assigned to each button is activated.
• Press FREEZE.
Switches between frozen image and real-time display, in the same way as the button on the
instrument.
→
• Use the JOG Shuttle.
The jog shuttle can be pressed as well as moved up and down. The operation method varies with
the assigned functions.
Assigned function
Moving up and down
Pressing
Doppler Trace
N/A
Turns Real Time Doppler Auto
Trace on and off.
Depth Range
Adjusts the value.
N/A
Velocity Range
Adjusts the value.
N/A
Multi Gain Select
Adjusts gain (with Freeze on or
off).
In hybrid mode, it switches
between modes, in the sequence B,
Flow, D, M, B. “Multi Gain: *” is
displayed on the screen. Inactive
modes are skipped.
• Press UP/DOWN/LEFT/RIGHT.
The operations controlled by pressing these buttons vary by mode and context, such as when
controlling gain, Depth/Range, Flow Area, M/D cursor position, and search.
Mode
MN1-5671 rev.10
Up/Down
Left/Right
Realtime B
B Gain
Depth/Range
Realtime M
N/A
M cursor
Realtime Flow
Flow Area (up/down movement)
Flow Area (left/right movement)
Realtime D
Doppler cursor (up/down
movement)
Doppler cursor (left/right
movement)
Freeze
B gain after freeze
Cine search
15-5
Page 24
15 Remote Control
15-3 Switching display modes
15-3
Switching display modes
Use the remote controller to display the mode menu and change the display mode.
1.
Press MODE or MODE
→
.
The remote controller mode menu is displayed on the monitor. The currently active mode
is displayed in orange.
If the operation panel is used when the mode menu is displayed, the menu disappears.
2.
Press the intended switch.
→
15-6
The display mode changes to the selection and the remote controller mode menu
disappears.
MN1-5671 rev.10
Page 25
15 Remote Control
15-4 Function menu
15-4
Function menu
Menus can be called and settings changed with the remote controller. Use the following remote
controller buttons.
UP
MENU
LEFT
RIGHT
DOWN
UP
DOWN
Changes the setting for the highlighted menu item.
LEFT
RIGHT
Shifts the highlight within the function menu.
MENU
MN1-5671 rev.10
Shows/hides the function menu.
15-7