prosound F75 Instruction Manual Measurement Volume 2 of 3 rev 1

Page 1

ULTRASOUND DIAGNOSTIC

INSTRUMENT

Instruction Manual

Measurement

(volume1/2)

2/3)

(volume

Instruction manuals consist of Safety

Instruction, How to Use and this manual.

Before using this instrument, please read

Safety Instruction.

MN1-5672 rev.1

Page 2

The prosound logo are registered mark of ALOKA co., ltd. in Japan and other countries.

Copyright©2010 ALOKA co.ltd.All rights reserved.

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

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

this manual, ® and ™ are omitted.

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

Independent JPEG Group. VS-FlexGrid Pro copyright©2000 Videosoft Corporation.

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

Elastography include technology used under license of Hitachi Medical Corporation.

MN1-5672 rev.1

Page 3

INTRODUCTION

Introduction

This is an instruction manual for model prosound F75, an ultrasound diagnostic instrument.

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

1, "Safety Precautions"of Safety Instruction manual.

Keep this manual securely for future reference.

Symbols Used in this Document

The following items are important in preventing harm or injury to 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 effictive

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 comtents.

NOTE:

shows common notes.

IMPORTANT:

shows important considerations.

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

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

Menu > sub-menu > sub-menu.

MN1-5672 rev.1

3

Page 4

INTRODUCTION

About the model “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 the

consent of ALOKA.

NOTE:

Disassemble is removing the parts or options from the equipment using tool.

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 ALOKA. Please contact any of our offices listed on the back cover.

NOTE:

Assemble is installing and connecting the parts or optional accessories in

the main equipment using tool.

2)

•

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

certified by the manufacturer. Please contact any of our offices listed on the 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 our offices listed

on the 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

2-2-2 of the Safety Instructions.

•

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

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

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

compatibility."

NOTE:

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

satisfactorily in its electromagnetic environment without introducing intolerable

electromagnetic disturbance to anything in that environment.

4

MN1-5672 rev.1

Page 5

INTRODUCTION

Classification of model “prosound F75”

• Protection against electric shock (ME equipement): 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

A

C

Applied part

parts treated as applied

parts

B - C length

surface of body

Ultrasonic irraditaion area (D)

A to B

100 cm

Intraoperative

Ultrasonic irraditaion area (D)

A to B

20 cm

A to C

A to C

N/A

Endocavity

–

Physiological signal applied part: ECG electrodes

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

following diagram)

2 meters

ECG electrodes

connector

ECG patient lead

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

• Protection against harmful ingress of water or particulate matter

–

equipment: IPX0 (Ordinary equipment)

–

Probe applied part: IPX7 (Watertight equipment)

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

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

solution, gas or radiation.

• Mode of operation: Continuous operation

MN1-5672 rev.1

5

Page 7

2-3-2.

2-4.

Report Function .......................................................................................................................................... 2-23

2-4-1.

2-4-2.

2-4-3.

2-4-4.

2-4-5.

2-4-6.

2-4-7.

2-4-8.

2-4-9.

2-5.

Preset Settings.............................................................................................................................................. 2-42

Priset List ..................................................................................................................................................... 2-43

Calculation Formula & Reference..............................................................................................................2-49

2-6-1.

2-6-2.

2-7.

Basic Operation of a Report......................................................................................................................... 2-23

Report Block ................................................................................................................................................ 2-24

Description of Various Data Displayed in a Report .................................................................................... 2-29

Graph............................................................................................................................................................ 2-32

W. Trace....................................................................................................................................................... 2-33

Function that Attaches an Ultrasound Image to a Report ............................................................................ 2-35

Printing Function ......................................................................................................................................... 2-38

Output to a Personal Computer.................................................................................................................... 2-40

Output to a CSV File.................................................................................................................................... 2-41

Preset Function ........................................................................................................................................... 2-42

2-5-1.

2-5-2.

2-6.

D mode......................................................................................................................................................... 2-14

Calculation ................................................................................................................................................... 2-49

Clinical References ...................................................................................................................................... 2-49

Abbreviation ............................................................................................................................................... 2-50

3. Urological Measurement

3-1.

3-2.

Preface .......................................................................................................................................................... 3-1

Urological Measurement Functional Outline ............................................................................................... 3-2

3-2-1.

3-2-2.

3-3.

Measurement Operation Procedure .............................................................................................................. 3-4

3-3-1.

3-3-2.

3-4.

Preset Settings.............................................................................................................................................. 3-39

Preset List..................................................................................................................................................... 3-40

Calculation Formula & Reference..............................................................................................................3-44

3-6-1.

3-6-2.

3-7.

Basic Operation of a Report......................................................................................................................... 3-20

Report Block ................................................................................................................................................ 3-21

Description of Various Data Displayed in a Report .................................................................................... 3-25

Graph Function ............................................................................................................................................ 3-30

Function that Attaches an Ultrasound Image to a Report ............................................................................ 3-31

Printing Function ......................................................................................................................................... 3-34

Output to a Personal Computer.................................................................................................................... 3-37

Output to a CSV File.................................................................................................................................... 3-38

Preset Function ........................................................................................................................................... 3-39

3-5-1.

3-5-2.

3-6.

B mode ........................................................................................................................................................... 3-6

D mode......................................................................................................................................................... 3-18

Report Function .......................................................................................................................................... 3-20

3-4-1.

3-4-2.

3-4-3.

3-4-4.

3-4-5.

3-4-6.

3-4-7.

3-4-8.

3-5.

Urological Measurement Functional List ...................................................................................................... 3-2

Items of Particular Note ................................................................................................................................. 3-3

Calculation ................................................................................................................................................... 3-44

References.................................................................................................................................................... 3-44

Abbreviation ............................................................................................................................................... 3-46

4. Small Parts Measurement

4-1.

4-2.

Preface .......................................................................................................................................................... 4-1

Overview of the Small Parts Measurement Function................................................................................... 4-2

4-2-1.

4-2-2.

MN1-5672 Rev.1

Small Parts Measurement Function List ........................................................................................................ 4-2

Items of Special Note..................................................................................................................................... 4-3

7

Page 8

4-3.

Measurement Operation Procedure.............................................................................................................. 4-3

4-3-1.

4-3-2.

4-4.

Report Function.......................................................................................................................................... 4-12

4-4-1.

4-4-2.

4-4-3.

4-4-4.

4-4-5.

4-4-6.

4-4-7.

4-5.

Preset Settings.............................................................................................................................................. 4-34

Preset List .................................................................................................................................................... 4-35

Calculation Formula & References............................................................................................................ 4-38

4-6-1.

4-6-2.

4-7.

Basic Operation for Reports ........................................................................................................................ 4-12

Report Block................................................................................................................................................ 4-13

Description of Various Data Displayed in a Report .................................................................................... 4-18

Function to Attach Ultrasound Images to a Report ..................................................................................... 4-27

Printing Function ......................................................................................................................................... 4-30

Output to a Personal Computer.................................................................................................................... 4-32

Output to a CSV File ................................................................................................................................... 4-33

Preset Function........................................................................................................................................... 4-34

4-5-1.

4-5-2.

4-6.

B mode........................................................................................................................................................... 4-5

D mode......................................................................................................................................................... 4-10

Calculation................................................................................................................................................... 4-39

Clinical References...................................................................................................................................... 4-39

Abbreviation............................................................................................................................................... 4-39

5. Obstetrical Measurement

5-1.

5-2.

Preface.......................................................................................................................................................... 5-1

Obstetrical Measurement Functional Outline .............................................................................................. 5-2

5-2-1.

5-2-2.

5-2-3.

5-3.

Measurement Operation Procedure............................................................................................................ 5-10

5-3-1.

5-3-2.

5-3-3.

5-3-4.

5-3-5.

5-4.

Preset Settings.............................................................................................................................................. 5-66

Preset List .................................................................................................................................................... 5-68

Calculation Formula & Reference & Table ............................................................................................... 5-79

5-6-1.

5-6-2.

5-6-3.

5-6-4.

5-6-5.

5-7.

Basic Operation of a Report ........................................................................................................................ 5-36

Report Block................................................................................................................................................ 5-37

Description of Various Data Displayed in a Report .................................................................................... 5-42

Function that Attaches an Ultrasound Image to a Report............................................................................ 5-58

Printing Function ......................................................................................................................................... 5-61

Output to a Personal Computer.................................................................................................................... 5-64

Output to a CSV File ................................................................................................................................... 5-65

Preset Function........................................................................................................................................... 5-66

5-5-1.

5-5-2.

5-6.

B mode......................................................................................................................................................... 5-12

M mode........................................................................................................................................................ 5-26

D mode......................................................................................................................................................... 5-28

Multiple Pregnancies ................................................................................................................................... 5-33

Interval Growth Rate ................................................................................................................................... 5-35

Report Function.......................................................................................................................................... 5-36

5-4-1.

5-4-2.

5-4-3.

5-4-4.

5-4-5.

5-4-6.

5-4-7.

5-5.

Obstetrical Measurement Functional List...................................................................................................... 5-2

List of Obstetrical Measurement Name Built into System............................................................................ 5-5

Items of Special Note..................................................................................................................................... 5-9

Calculation................................................................................................................................................... 5-79

Anatomy Check List .................................................................................................................................... 5-82

BPP Scoring................................................................................................................................................. 5-85

References.................................................................................................................................................... 5-87

Data in the Fetal Growth Table inside the System .................................................................................... 5-105

Abbreviation............................................................................................................................................. 5-145

8

MN1-5672 Rev.1

Page 9

6. Gynecological Measurement

6-1.

6-2.

Preface .......................................................................................................................................................... 6-1

Gynecological Measurement Functional Outline ......................................................................................... 6-2

6-2-1.

6-2-2.

6-3.

Measurement Operation Procedure .............................................................................................................. 6-4

6-3-1.

6-3-2.

6-4.

Preset Settings.............................................................................................................................................. 6-32

Preset List..................................................................................................................................................... 6-33

Calculation Formula & Reference..............................................................................................................6-38

6-6-1.

6-6-2.

6-6-3.

6-7.

Basic Operation of a Report......................................................................................................................... 6-15

Report Block ................................................................................................................................................ 6-16

Description of Various Data Displayed in a Report .................................................................................... 6-20

Function that Attaches an Ultrasound Image to a Report ............................................................................ 6-25

Printing Function ......................................................................................................................................... 6-28

Output to a Personal Computer.................................................................................................................... 6-30

Output to a CSV File.................................................................................................................................... 6-31

Preset Function ........................................................................................................................................... 6-32

6-5-1.

6-5-2.

6-6.

B mode ........................................................................................................................................................... 6-6

D mode......................................................................................................................................................... 6-13

Report Function .......................................................................................................................................... 6-15

6-4-1.

6-4-2.

6-4-3.

6-4-4.

6-4-5.

6-4-6.

6-4-7.

6-5.

Gynecological Measurement Functional List ................................................................................................ 6-2

Items of Special Note..................................................................................................................................... 6-3

Calculation ................................................................................................................................................... 6-38

Anatomy Check List .................................................................................................................................... 6-38

Clinical References ...................................................................................................................................... 6-39

Abbreviation ............................................................................................................................................... 6-41

7. Cardiac Measurement

7-1.

7-2.

Preface .......................................................................................................................................................... 7-1

Cardiac Measurement Functional Outline.................................................................................................... 7-2

7-2-1.

7-2-2.

7-2-3.

7-3.

Measurement Operation Procedure ............................................................................................................ 7-11

7-3-1.

7-3-2.

7-3-3.

7-3-4.

7-4.

Preset Settings(Cardiac Measurement) ........................................................................................................ 7-95

Preset List..................................................................................................................................................... 7-96

Calculation Formula & Reference............................................................................................................7-104

7-6-1.

7-6-2.

MN1-5672 Rev.1

Basic Operation of a Report......................................................................................................................... 7-81

Report Block ................................................................................................................................................ 7-82

Description of Various Data Displayed in a Report .................................................................................... 7-86

Function that Attaches an Ultrasound Image to a Report ............................................................................ 7-88

Printing Function ......................................................................................................................................... 7-91

Output to a Personal Computer.................................................................................................................... 7-93

Output to a CSV File.................................................................................................................................... 7-94

Preset Function ........................................................................................................................................... 7-95

7-5-1.

7-5-2.

7-6.

B mode ......................................................................................................................................................... 7-13

M mode ........................................................................................................................................................ 7-34

D mode......................................................................................................................................................... 7-43

Flow mode ................................................................................................................................................... 7-74

Report Function .......................................................................................................................................... 7-81

7-4-1.

7-4-2.

7-4-3.

7-4-4.

7-4-5.

7-4-6.

7-4-7.

7-5.

Cardiac Measurement Functional List ........................................................................................................... 7-2

Items of Special Note..................................................................................................................................... 7-8

Measurement Views for Measuring Cardiac Functions................................................................................. 7-9

Calculation ................................................................................................................................................. 7-104

Clinical References .................................................................................................................................... 7-113

9

Page 10

7-7.

Abbreviation............................................................................................................................................. 7-121

8. Vascular Measurement

8-1.

8-2.

Preface.......................................................................................................................................................... 8-1

Vascular Measurement Functional Outline.................................................................................................. 8-2

8-2-1.

8-2-2.

8-3.

Measurement Operation Procedure.............................................................................................................. 8-4

8-3-1.

8-3-2.

8-4.

Preset Settings.............................................................................................................................................. 8-46

Preset List .................................................................................................................................................... 8-47

Calculation Formula & Reference ............................................................................................................. 8-53

8-6-1.

8-6-2.

8-6-3.

8-7.

Basic Operation of a Report ........................................................................................................................ 8-25

Report Block................................................................................................................................................ 8-26

Description of Various Data Displayed in a Report .................................................................................... 8-30

W. Trace Function ....................................................................................................................................... 8-37

Function that Attaches an Ultrasound Image to a Report............................................................................ 8-39

Printing Function ......................................................................................................................................... 8-42

Output to a Personal Computer.................................................................................................................... 8-44

Output to a CSV File ................................................................................................................................... 8-45

Preset Function........................................................................................................................................... 8-46

8-5-1.

8-5-2.

8-6.

B mode........................................................................................................................................................... 8-6

D mode......................................................................................................................................................... 8-16

Report Function.......................................................................................................................................... 8-25

8-4-1.

8-4-2.

8-4-3.

8-4-4.

8-4-5.

8-4-6.

8-4-7.

8-4-8.

8-5.

Vascular Measurement Functional List ......................................................................................................... 8-2

Items of Special Note..................................................................................................................................... 8-3

Calculation................................................................................................................................................... 8-53

Anatomy Check List .................................................................................................................................... 8-53

Clinical References...................................................................................................................................... 8-56

Abbreviation............................................................................................................................................... 8-57

9. eTRACKING Measurement

9-1.

9-2.

Preface.......................................................................................................................................................... 9-1

eTRACKING Measurement Functional Outline ......................................................................................... 9-1

9-2-1.

9-2-2.

9-3.

Report Function............................................................................................................................................ 9-2

9-3-1.

9-3-2.

9-3-3.

9-3-4.

9-3-5.

9-3-6.

9-3-7.

9-4.

Outline of Function........................................................................................................................................ 9-1

Measurement Operation Procedure ............................................................................................................... 9-1

Basic Operation of a Report .......................................................................................................................... 9-2

Report Block.................................................................................................................................................. 9-3

Description of Various Data Displayed in a Report ...................................................................................... 9-5

Function that Attaches an Ultrasound Image to a Report.............................................................................. 9-7

Printing Function ......................................................................................................................................... 9-10

Output to a Personal Computer.................................................................................................................... 9-12

Output to a CSV File ................................................................................................................................... 9-13

Preset Function........................................................................................................................................... 9-14

9-4-1.

9-4-2.

Preset Settings.............................................................................................................................................. 9-14

Preset List .................................................................................................................................................... 9-15

10

MN1-5672 Rev.1

Page 11

2. ABDOMINAL MEASUREMENT

2-1.

Preface

The description concerning the Abdominal measurement functions is divided into the following six sub-sections.

2-1.

Preface

2-2.

Abdominal Measurement Functional Outline

2-3.

Measurement Operation Procedure

2-4.

Report Function

2-5.

Preset Function

2-6.

Calculation Formula & Reference

This section describes the procedure for carrying out abdominal measurements, based on the assumption that products are on the factory default.

Descriptions of the basic operations of the measurement functions and each measurement method (mark type =

Caliper, Trace, etc.) are given in the Section 1. "Measurement Functions".

This section consists of 50 pages.

MN1-5672 Rev.1

2-1

Page 12

2.Abdominal Measurement

2-2.Abdominal Measurement Functional Outline

2-2.

Abdominal Measurement Functional Outline

2-2-1. Abdominal Measurement Functional List

Abdominal measurements use studies consisting of various combinations of the measurement menu, report display,

and so on, depending which part is being examined and the purpose of the examination.

[Remark]

On the factory default, it contains Basic Study.

The abdominal measurement is divided as shown in the figure below for each mode.

: Items that are displayed on the factory default.

2-2-1-1.

B mode

Measurement

function

Gallbladder

measurement

Measurement

menu

Gallbladder

GB-L

GB Wall-T

GB Wall-T

CBD measurement

CBD

Liver measurement

Liver (Left Lobe)

Liver (Right Lobe)

Pancreas

measurement

Pancreas

P-Duct

Renal measurement

Display items

Renal Volume

(Right, Left)

Remark

GB-W

Measured at one cross-section.

CBD

Measured at one cross-section.

L1

L2

Head

Body

Measurement of left lobe and

right lobe.

Tail

P-Duct

Measured at one cross-section.

Vol.

Rnl-L

Rnl-W

Spleen measurement Spleen

a

b

SI

Space-occupying

lesion measurement

SOL1

SOL2

d1

d2

d3

Blood vessel

diameter

measurement

Aorta Diam

% stenosis

measurement

PV Diam

%STENO Diam

%STENO Area

Measured at multiple crosssections.

Rnl-AP

Measured at two cross-sections.

SI: Spleen Index(axb).

Area

Measured at two cross-sections.

Volume

Aorta Diam

Measured at one cross-section.

PV Diam

Vessel

Resid

2-2

%STENO

Diagnosis for the rate of stenosis.

MN1-5672 Rev.1

Page 13

2.Abdominal Measurement

2-2-1.Abdominal Measurement Functional List

2-2-1-2.

D mode

Measurement

function

Artery

measurement

Renal Artery

measurement

Measurement

menu

A-Ao, CA, CHA, SA, SMA,

IMA, CIA, HA, Prandial SMA,

Artery1, Artery2, Artery3

*Artery1— 3: It is possible to

freely define and use a name

according to the particular

purpose and application.

Renal-A

Display items

Remark

PI

RI

S/D

PSV

EDV

MnV

ACC

AccT

PI

RI,

S/D

PSV

EDV

MnV

ACC

AccT

FlowT

AccT/FT

Vm

Diagnosis for the rate of

stenosis.

CIA: Consists of Right/

Left.

Prandial SMA: Consists

of Pre/Pst.

Diagnosis of degree of

stenosis.

Consists of Right/Left.

Vm

Portal vein

measurement

Main PV

Rt.PV

Lt.PV

pV

For portal vein blood

flow.

Shunt blood

vessel

measurement

Pre Shunt PV

Prox Shunt

Mid Shunt

Distal Shunt

pV

For shunt blood flow

measurement.

2-2-1-3.

B mode, D mode

Measurement

function

Flow quantity

measurement

Measurement

menu

FV(Artery)

Abdom

MeanV

VTI

Display items

Remark

MnV

PSV

EDV

dv

dt

VTI

PI

RI

FT

AccT

ACC

AccT/FT

S/D

Vm

CSD

CSA

MnV

PSV

EDV

dv

dt

VTI

PI

RI

FT

AccT

ACC

AccT/FT

S/D

Vm

FV(beat)

FV(min)

CSD

CSA

HR

For arterial blood flow.

FV(MnV) FVm(MnV)

*For peripheral blood vessels.

FV(Vein)Abdom

MN1-5672 Rev.1

MnV

pV

VTI

AccT

ACC

FV

CSD

CSA

2-3

For steady state blood

flow.

Page 14

2.Abdominal Measurement

2-2.Abdominal Measurement Functional Outline

2-2-2. Items of Particular Note

For blood flow velocity measurement: When recording an arterial flow Doppler waveform (pulse method), if the

Doppler incident angle exceeds 60× the measurement error becomes large.

The measured values of the blood flow values obtained using this equipment are the absolute values displayed on

the observation monitor. They are controlled as positive and negative values for the purpose of calculating the arithmetic index.

If the display of each measured value in a report is set to “Average” in a preset, the positive and negative values are

added together and displayed as a mean value. Consequently, when performing multiple measurements of blood

flow on the blood flow waveform drawn using the color Doppler method as a guide, use identical recording conditions (forward and reverse flow directions) for all of the blood flow waveforms in order to correctly display each of

the arithmetic values arranged in the report.

2-4

MN1-5672 Rev.1

Page 15

2.Abdominal Measurement

2-3.Measurement Operation Procedure

2-3.

Measurement Operation Procedure

Abdominal measurement has the Basic Study.

When multiple Studies are set by the preset function, it can be possible to switch the Study & Application by the

touch panel.

<Displaying marks of registered reports>

When the registration of the report is made after a measurement is made for each item, the number of registration

times is displayed on the touch panel.

The number of registration times

[Remark]

The display examples of the measurement results, in this chapter, are displayed with a vertical display layout.

MN1-5672 Rev.1

2-5

Page 16

2.Abdominal Measurement

2-3.Measurement Operation Procedure

2-3-1. B mode

2-3-1-1.

Gallbladder measurement

This is the measurement of the length and width of the vertical cross-section of the gallbladder.

<Operation method>

(1)

Record a slice image of the gall bladder in the B mode.

(2)

Select the Gallbladder on the touch panel.

The + mark is displayed, so measure the Length.

(3)

Press the + switch.

Width

→Measure the Width.

(4)

Length

Press the SEND switch.

GB Wall-T

→Measurement is finalized.

<Example of Gallbladder results display>

Gallbladder

GB-L:

.

cm

GB-W:

.

cm

2-3-1-2.

φ Length of the gallbladder

φ Width of the gallbladder

GB Wall-T measurement

This is the measurement of the thickness of the gallbladder wall.

<Operation method>

(1)

Record a slice image of the gallbladder in the B mode.

(2)

Select the GB Wall-T on the touch panel.

→The + mark is displayed, so measure the GB wall thickness.

(3)

Press the SEND switch.

→Measurement is finalized.

<Example of GB Wall-T results display>

GB-Wall-T:

.

cm

φ Thickness of gallbladder wall

2-6

MN1-5672 Rev.1

Page 17

2.Abdominal Measurement

2-3-1.B mode

2-3-1-3.

CBD measurement

This is the measurement of the diameter of the common bile duct.

<Operation method>

(1)

Record a slice image of the common bile duct in the

B mode.

(2)

Select the CBD on the touch panel.

A + mark appears, so measure the diameter of

the common bile duct.

(3)

CBD

Press the SEND switch.

→Measurement is finalized.

<Example of CBD results display>

CBD:

.

2-3-1-4.

cm

φ Common Bile Duct

φ Diameter of the common bile duct

Liver measurement

This is the measurement of the left and right lobes of the liver.

The method of measurement for both the left and right lobes is the same.

<Operation method>

(1)

Record a slice image of the right (or

left) lobe in the B mode.

(2)

Select Right or Left of Liver on the

touch panel.

Length1

Length1

→The + mark is displayed, so

measure the Length1.

(3)

Press the + switch.

Left Lobe

→Measure the Length2.

(4)

Right Lobe

Press the SEND switch.

→Measurement is finalized.

?Liver??????

Liver(Right)

L1:

.

cm

L2:

.

cm

MN1-5672 Rev.1

Liver(Left)

L1:

.

cm

L2:

.

cm

φ Length 1 of the right or left lobe of the liver

φ Length 2 of the right or left lobe of the liver

2-7

Page 18

2.Abdominal Measurement

2-3.Measurement Operation Procedure

2-3-1-5.

Pancreas measurement

This is the measurement of the head, body and tail of the pancreas from its cross-section.

<Operation method>

(1)

Record a slice image showing the head of the pancreas.

(2)

Select the Pancreas on the touch panel, and then select

Head.

P-Duct

→The + mark is displayed, so measure the Head.

(3)

Record a slice image showing the body of the pancreas,

and then press the + switch.

Tail

Body

Head

→Measure the Body.

(4)

Record a slice image showing the tail of the pancreas, and then press the + switch.

→Measure the Tail.

(5)

Press the SEND switch.

→Measurement is finalized.

<Example of Pancreas results display>

Pancreas

Head:

.

Body:

.

Tail:

.

2-3-1-6.

cm

cm

cm

φ Diameter of head of pancreas

φ Diameter of body of pancreas

φ Diameter of tail of pancreas

P-Duct measurement

This is the measurement of the diameter of the pancreatic duct.

<Operation method>

(1)

Record a slice image of the pancreas showing the pancreatic duct in the B mode.

(2)

Select the P-Duct on the touch panel.

The + mark is displayed, so measure the pancreatic duct.

(3)

Press the SEND switch.

Measurement is finalized.

<Example of P-Duct results display>

P-Duct:

.

cm

φ Diameter of pancreatic duct

2-8

MN1-5672 Rev.1

Page 19

2.Abdominal Measurement

2-3-1.B mode

2-3-1-7.

Renal volume measurement

Approximate each of the left and right renal volume to an ellipsoid, measure the major and minor axes of the transverse image (Width, A-P) and the length of the major axis of the longitudinal image (Length), and calculate the volume of each renal.

A-P

Length

Width

Transverse Image

Longitudinal Image

[Remark]

Measure these three axes in such a way that they intersect each other.

The switching between the Right and Left can be made with the touch panel.

The operation procedure for both kinds of measurement is the same.

<Operation method>

The case of the Right of the Renal Volume is explained.

(1)

Display the longitudinal and transverse images of the right kidney in the 2B mode.

(2)

Select the Right of the Renal Volume on the touch panel.

→The + mark is displayed, so measure the Length using the longitudinal image.

(3)

Press the + switch.

→Measure the Width using the transverse image.

(4)

Press the + switch.

→Measure the A-P using the transverse image.

Volume (Rt.Renal Vol.) is computed.

(5)

Press the SEND switch.

→Measurement is finalized.

<Example of Renal Volume results display>

Rt. Renal

Vol. :

Rnl-L :

Rnl-W :

Rnl-AP:

MN1-5672 Rev.1

Vol.

.

cm3

.

cm

.

cm

.

cm

φ

φ

φ

φ

φ

Right Renal Volume

Volume of Renal

Lengthof Renal

Width of Renal

Anterior-posterior of Renal

2-9

Page 20

2.Abdominal Measurement

2-3.Measurement Operation Procedure

2-3-1-8.

Spleen measurement

This measurement is for obtaining the spleen index (SI = axb) from the major diameter (a) and the thickness (b) of

the spleen.

<Operation method>

(1)

Record a slice image of the spleen in the B mode.

(2)

Select the Spleen on the touch panel.

A + mark appears, so measure the major diameter a.

(3)

b

Press the + switch.

Measure the thickness b.

(4)

a

Press the SEND switch.

Measurement is finalized.

<Example of Spleen results display>

Spleen

a :

.

b :

.

SI:

.

2-3-1-9.

cm

cm

cm2

φ Major diameter of spleen

φ Thickness of spleen

φ Spleen Index (=axb)

SOL (Space Occupying Lesions) measurement

This is the measurement of the length of the three axes of a space-occupying lesion, such as a tumor, for calculating

the volume of the lesion using an elliptical approximation.

The same operation is used for both SOL1 and SOL2.

<Operation method>

(1)

Record a slice image showing the SOL in the 2B mode.

(2)

Select the SOL1 on the touch panel.

Diam1

A + mark appears, so measure the first axis.

(3)

Diam2

Press the + switch.

Diam3

Measure the second axis.

(4)

Press the + switch.

Measure the third axis.

(5)

Press the SEND switch.

Measurement is finalized.

2-10

MN1-5672 Rev.1

Page 21

2.Abdominal Measurement

2-3-1.B mode

<Example of SOL results display>

SOL1

Vol.:

Area:

d1 :

d2 :

d3 :

.

.

.

.

.

cm3

cm2

cm

cm

cm

φ

φ

φ

φ

φ

Volume

Area

Diameter of first axis

Diameter of second axis

Diameter of third axis

2-3-1-10. Blood vessel diameter measurement

This is the measurement of the diameter of the aorta and the portal vein. The method of measurement used for both

the aorta and the portal vein is the same.

<Operation method>

(1)

Record a slice image of the aorta (or the portal vein) in the B mode.

(2)

Select the Aorta Diam or PV Diam on the touch panel.

→A + mark appears, so measure the diameter of the aorta (or the portal vein).

(3)

Press the SEND switch.

→Measurement is finalized.

<Example of Aorta Diam results display>

Aorta Diam:

.

cm

φ Diameter of aorta

<Example of PV Diam results display>

PV Diam:

.

MN1-5672 Rev.1

cm

φ Diameter of portal vein

2-11

Page 22

2.Abdominal Measurement

2-3.Measurement Operation Procedure

2-3-1-11. Rate of %Stenosis measurement

One of the following two methods can be used to evaluate the % stenosis.

1)

Evaluation by calculation from the diameter (% STENO-Diam)

2)

Evaluation by calculation from the cross-sectional area (% STENO-Area)

1) % STENO-Diameter measurement

Measure the % stenosis of a blood vessel by measuring the blood vessel lumen diameter using a transverse image.

<Operation method>

The following description is based on the case of % STENO-D.

[Remark]

You can perform this measurement using the Study for the arterial system.

(1)

Display the transverse image of the short axis that intersects the location of the stenosis at right angles to it.

(2)

Select the% STENO-D on the touch panel.

Measure the intrinsic internal diameter a of the blood

vessel (Vessel).

(3)

Press the + switch.

Using the same operation as (2), measure the residual

lumen diameter b (Residual) of the stenosis.

(4)

%STENO=(a - b) / a × 100?(a > b)

a: Vessel lumen

b: Residual

Press the SEND switch.

Measurement is finalized.

<Example of % STENO-Diameter results display>

STENO-Diam

Vessl:

.

Resid:

.

%STENO: .

mm

mm

%

φ The diameter of the lumen of the original blood vessel (Vessel)

φ The diameter of the lumen of the stenosis part of the blood vessel (Residual)

φ Rate of the stenosis

2-12

MN1-5672 Rev.1

Page 23

2.Abdominal Measurement

2-3-1.B mode

2) % STENO-Area measurement

Measure the % stenosis of a blood vessel by measuring the cross-sectional area of the blood vessel using a transverse

image.

<Operation method>

The following description is based on the case of % STENO A.

[Remark]

You can perform this measurement using the Study for the arterial system.

(1)

Display the transverse image of the short axis that intersects the location of the stenosis at right angles to it.

(2)

Select the % STENO A on the touch panel.

Trace the intrinsic internal diameter A of the blood

vessel (Vessel) using the Ellipse method.

(3)

Press the + switch.

Trace the residual lumen diameter B (Residual) of the

stenosis using the Trace method.

(4)

Press the SEND switch.

Measurement is finalized.

%STENO=(a - b) / a × 100?(a > b)

a: Vessel lumen

b: Residual

[Remark]

Vessel measurement is set to the Ellipse method, and Residual measurement to the Trace method, by means of a

preset.

You can change the preset to other methods (Trace, Circle).

For the method of using each method, refer to Section 1-7-4-2. "Method of performing a measurement using

Ellipse", Section 1-7-4-3. "The measurement procedure of the Circle mark method" and Section 1-7-4-4. "The

measurement procedure of the B-Trace method".

<Example of % STENO-Area results display>

STENO-Area

Vessl:

.

Resid:

.

%STENO: .

MN1-5672 Rev.1

cm2 φ The area of the lumen of the original blood vessel (Vessel)

cm2 φ The area of the lumen of the stenosis part of the blood vessel (Residual)

%

φ Rate of the stenosis

2-13

Page 24

2.Abdominal Measurement

2-3.Measurement Operation Procedure

2-3-2. D mode

2-3-2-1.

Measurements of abdominal region arterial blood flow

With tracing or pointing the Doppler waveforms (pulse method) of arterial blood flows in the abdominal region, it

is demanded of the blood flow measurement data (PSV, EDV, and S/D of bloodstream).

As measurement menu, A-Ao, CA, CHA, SA, SMA, IMA, CIA, Renal-A, HA and Prandial SMA are arranged.

In the CIA, HA and Renal-A, these can be switched for performing the Right/Left switching on the touch panel.

Also, Prandial SMA enables you to perform the changeover from before eating to after eating by using Pre/Post on

the touch panel.

For each blood flow measurement, there are two measurement procedures (Trace or Caliper) available and they are

selected with the touch panel.

[Remark]

For the calculation of PI and RI, a systolic maximum blood flow rate (PSV) and an end-diastolic blood flow rate

(EDV)are used.

In addition, as for the index, there is a report that an end-diastolic minimum blood flow rate is used.

An end-diastolic blood flow rate and an end-diastolic minimum blood flow rate are not necessarily correlation with

each other. Therefore, when these measurements are carried out, move the time phase of EDV to the end-diastolic

or the minimum blood flow velocity point with manual operation.

The PI and RI are calculated with the blood flow rates at these points.

1) Operation using Doppler trace

<Operation method>

The following procedure applies to the CA Dop. Trace method.

(1)

Display the blood flow Doppler waveform of a celiac artery.

(2)

Select the CA, and select the Flow Trace on the touch panel.

→The line cursor (vertical line) is displayed. (The + mark is

displayed in the case of the Manual Trace method.)

S

D

(3)

Using the Dop Trace method, trace the blood flow Doppler waveform.

PI, RI, S/D, etc. are calculated, and a line cursor is automatically

displayed at the rising point in the waveform in addition to the line

cursors accompanied by the letters "S" and "D".

[Remark]

Adjust the line cursors accompanied by the letters "S" and "D" and the rising point in the waveform using ENTER

and the trackball.

"S": Peak Systolic Velocity point "D": End Diastolic Velocity point

[Remark]

In the Dop Trace method, the operation method of Auto Trace differs from that of Manual Trace.

For details of the Manual Trace method and the operation method when multiple heartbeats are set, refer to Section

1-9-3-11. "Pulsatility Index (PI)".

(4)

Press the SEND switch.

2-14

MN1-5672 Rev.1

Page 25

2.Abdominal Measurement

2-3-2.D mode

→Measurement is finalized.

<Example of CA results display>

CA

PI :

.

RI :

.

S/D:

.

PSV:

.

cm/s

EDV:

.

cm/s

MnV:

.

cm/s

[ 1Beat avg.]

φ

φ

φ

φ

φ

φ

φ

φ

Celiac Artery

Pulsatility Index

Resistance Index

Systolic/Diastolic velocity Ratio

Peak systolic velocity

End diastolic velocity

Mean Velocity

Number of heartbeats detected

2) Operation using points

<Operation method>

The following description is based on CA Dop. Caliper.

(1)

Display the blood flow Doppler waveform of a celiac artery.

(2)

Select the CA, and select the Caliper on the touch panel.

→The + line cursor is displayed, then move the + mark to the peak

systolic velocity (PSV) point.

(3)

Press the ENTER switch.

→Move the + mark to the end diastolic velocity (EDV) point.

(4)

Press the SEND switch.

→Measurement is finalized.

<Example of CA results display>

CA

RI :

S/D:

PSV:

EDV:

.

.

.

cm/s

cm/s

φ

φ

φ

φ

φ

Celiac Artery

Resistance Index

Systolic/Diastolic velocity Ratio

Peak systolic velocity

End diastolic velocity

[Remark]

Other measurements are executed in the same way as in the case of CA Dop. Caliper.

MN1-5672 Rev.1

2-15