SSD-α10 How to E2 Manual Number MN1-5206 Rev14 ver 7.1

Page 1

MN1-5206 Rev.14

ULTRASOUND DIAGNOSTIC

INSTRUMENT

SSD-α10

Manual Number : MN1-5206

Rev.14

0123

Page 2

MN1-5206 Rev.14

VS-FlexGrid Pro

Copyright(C)1999 Videosoft Corporation

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

Page 3

MN1-5206 Rev.14

Safety alert symbols

Safety alert symbols

The four indications [Danger], [Warning], [Caution] and [Note] used on this instrument and in this instruction manual have the following meaning.

Danger

Indicates an imminently hazardous situation which, if not avoided, will result in death or serious injury.

A warning message is inserted here.

Warning

Indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury.

A warning message is inserted here.

Caution

Indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate injury.

A caution message is inserted here.

Note

Indicates a strong request concerning an item that must be observed in order to prevent damage or deterioration of the instrument and also to ensure that it is used efficiently.

An explanatory text is inserted here.

Classification of SSD-α10

• Protection against electric shock: Class I medical electrical equipment

• Applied parts:Type BF applied parts

• Protection against defibrillator emissions: Not compatible with defibrillator-proof applied parts

• Protection against harmful ingress of water or particulate matter: Ordinary protection (IPX0)

• Level of safety for use in air and flammable anesthetic gas, or in oxygen/nitrous oxide and flammable anesthetic

gas:

This instrument is not suitable for use in air and flammable anesthetic gas, or in oxygen/nitrous oxide and flammable anesthetic gas.

• Operation mode: Continuous operation

1

Page 5

MN1-5206 Rev.14

1-5.

1-6.

1-7.

1-4-5.

Worklist ...................................................................................................................................... 1-32

1-4-6.

Data Management....................................................................................................................... 1-33

Before Completing an Examination ........................................................................................................... 1-36

1-5-1.

When the instrument is not connected to the Worklist or MPPS server .................................... 1-36

1-5-2.

When the instrument is connected to the Worklist and MPPS servers via a network................ 1-37

1-5-3.

When connected via network to the DICOM SR Server............................................................ 1-41

User Authentication.................................................................................................................................... 1-43

1-6-1.

User Levels ................................................................................................................................. 1-43

1-6-2.

Login........................................................................................................................................... 1-44

1-6-3.

User Authentication .................................................................................................................... 1-44

1-6-4.

Setting new passwords................................................................................................................ 1-45

1-6-5.

Changing passwords ................................................................................................................... 1-46

1-6-6.

Log Off ....................................................................................................................................... 1-47

1-6-7.

User Management....................................................................................................................... 1-53

B Mode ....................................................................................................................................................... 1-59

1-7-1.

1-8.

1-8-1.

1-9.

Basic operation procedure .......................................................................................................... 1-62

B/M and M modes ...................................................................................................................................... 1-63

1-9-1.

1-10.

Basic Operation Procedure ......................................................................................................... 1-59

Tissue Harmonic Echo................................................................................................................................ 1-62

Basic operation procedure .......................................................................................................... 1-63

B/D and D modes ....................................................................................................................................... 1-68

1-10-1.

Basic operation procedure .......................................................................................................... 1-68

1-11.

Flow mode, Power Flow mode, eFlow mode............................................................................................. 1-71

1-12.

Tissue Doppler Imaging display................................................................................................................. 1-74

1-11-1.

1-12-1.

1-13.

1-14.

Basic operation procedure .......................................................................................................... 1-71

Basic operation procedure .......................................................................................................... 1-74

Comment and annotation function ............................................................................................................. 1-75

1-13-1.

Text entry.................................................................................................................................... 1-76

1-13-2.

↑and text entry............................................................................................................................ 1-77

1-13-3.

Movement of a character string .................................................................................................. 1-77

1-13-4.

Deleting a character string .......................................................................................................... 1-78

1-13-5.

Deleting a character .................................................................................................................... 1-78

1-13-6.

System dictionary function ......................................................................................................... 1-79

1-13-7.

Registration and deletion of a key word ..................................................................................... 1-80

Treatment at the time of the discovery of abnormality .............................................................................. 1-82

1-14-1.

Safety security of patient ............................................................................................................ 1-82

1-14-2.

Instrumental treatment ................................................................................................................ 1-82

2. Save of Image

2-1.

Search ........................................................................................................................................................... 2-1

2-1-1.

Search and scroll function ............................................................................................................ 2-2

2-1-2.

Basic Operation Procedure ........................................................................................................... 2-3

3

Page 6

MN1-5206 Rev.14

2-2.

2-3.

2-1-3.

Cine scale and search mark .......................................................................................................... 2-4

2-1-4.

Loop playback function................................................................................................................ 2-5

Store ............................................................................................................................................................. 2-7

2-2-1.

Inserting the Disc ......................................................................................................................... 2-9

2-2-2.

How to Connect USB Memory .................................................................................................. 2-10

2-2-3.

Images and Types feasible to acquire ........................................................................................ 2-13

2-2-4.

Setting of acquiring methods ..................................................................................................... 2-15

2-2-5.

Setting of Acquire data............................................................................................................... 2-16

2-2-6.

Basic Operation Procedure......................................................................................................... 2-17

Review ....................................................................................................................................................... 2-24

2-3-1.

Image Viewer ............................................................................................................................. 2-24

2-3-2.

Search for image data................................................................................................................. 2-29

2-3-3.

Saving method of images ........................................................................................................... 2-47

2-3-4.

Adjusting images........................................................................................................................ 2-60

2-3-5.

Printing an image ....................................................................................................................... 2-61

3. Video recording/Playing back with VCR/DVD

3-1.

Setting for VCR/DVD.................................................................................................................................. 3-1

3-2.

Recording Images ........................................................................................................................................ 3-3

3-3.

3-2-1.

Starting and Pausing a Recording ................................................................................................ 3-3

3-2-2.

Remaining DVD capacity display................................................................................................ 3-4

3-2-3.

Recording Counter Number ......................................................................................................... 3-5

3-2-4.

Title Menu, Chapter Menu........................................................................................................... 3-6

Playing back................................................................................................................................................. 3-7

3-3-1.

HS-MD3000(2)(MITSUBISHI) or SVO-9500MD2(SONY) ...................................................... 3-7

3-3-2.

BD-X201ME(Victor) ................................................................................................................... 3-8

3-3-3.

DVO-1000MD(SONY).............................................................................................................. 3-11

3-3-4.

Playback (DV-800) .................................................................................................................... 3-13

4. Physiological signals

4-1.

Electrode setting........................................................................................................................................... 4-1

4-2.

Display of physiological signals .................................................................................................................. 4-1

4-3.

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

4-4.

Heart Rate Stability Display ........................................................................................................................ 4-5

5. Touch panel

5-1.

Operation on touch panel ............................................................................................................................. 5-3

5-1-1.

5-2.

Registration / Change of touch panel ........................................................................................... 5-4

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

5-2-1.

Invert ............................................................................................................................................ 5-7

5-2-2.

FAM ............................................................................................................................................. 5-7

4

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MN1-5206 Rev.14

5-3.

5-4.

5-2-3.

Active(B1 - B4) ............................................................................................................................ 5-8

5-2-4.

Body Mark .................................................................................................................................... 5-8

5-2-5.

Archive Group1 - 3....................................................................................................................... 5-9

5-2-6.

EXT............................................................................................................................................... 5-9

5-2-7.

Imaging Information..................................................................................................................... 5-9

5-2-8.

M1 - M4 (Measurement1 to 4) ..................................................................................................... 5-9

5-2-9.

End Study...................................................................................................................................... 5-9

5-2-10.

Map Editor .................................................................................................................................. 5-10

Group area .................................................................................................................................................. 5-13

5-3-1.

Image Func B1 - B3.................................................................................................................... 5-13

5-3-2.

Puncture ...................................................................................................................................... 5-13

5-3-3.

Focus(B) ..................................................................................................................................... 5-13

5-3-4.

Angle Gain.................................................................................................................................. 5-14

5-3-5.

IP Regist (B) ...............................................................................................................................5-14

5-3-6.

STC Memory .............................................................................................................................. 5-15

5-3-7.

Image Func M1 - M3.................................................................................................................. 5-16

5-3-8.

Focus(M)..................................................................................................................................... 5-16

5-3-9.

IP Regist(M) ...............................................................................................................................5-17

5-3-10.

Image Func D1 - D3 ................................................................................................................... 5-17

5-3-11.

Focus(D) ..................................................................................................................................... 5-17

5-3-12.

IP Regist(D) ................................................................................................................................ 5-18

5-3-13.

Image Func F1 - F3..................................................................................................................... 5-18

5-3-14.

Image Func PF1 - PF3 ................................................................................................................ 5-18

5-3-15.

Image Func eF1 - eF3 ................................................................................................................. 5-18

5-3-16.

Color Map(Flow) ........................................................................................................................ 5-18

5-3-17.

Display Priority(Flow)................................................................................................................ 5-19

5-3-18.

IP Regist(Flow)........................................................................................................................... 5-19

5-3-19.

Image Function Other1 - 3.......................................................................................................... 5-20

5-3-20.

Post Processing ........................................................................................................................... 5-20

5-3-21.

Graphic Editor ............................................................................................................................ 5-21

5-3-22.

Physio1, 2 ................................................................................................................................... 5-21

5-3-23.

ECG Sync ................................................................................................................................... 5-22

5-3-24.

VCR Control...............................................................................................................................5-22

5-3-25.

Color Map(B/M/D)..................................................................................................................... 5-22

5-3-26.

Store Set Up................................................................................................................................ 5-22

Menu function area(B mode)...................................................................................................................... 5-23

5-4-1.

AGC(B)....................................................................................................................................... 5-23

5-4-2.

Beam Processing......................................................................................................................... 5-23

5-4-3.

Beam Steer(B) ............................................................................................................................ 5-23

5-4-4.

Contrast(B) ................................................................................................................................. 5-23

5-4-5.

Edge Optimizer........................................................................................................................... 5-23

5-4-6.

Edge Optimizer Level................................................................................................................. 5-23

5

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MN1-5206 Rev.14

5-5.

5-4-7.

ExPHD(T.H.E.).......................................................................................................................... 5-24

5-4-8.

Extend F-View(Extended Field of View) .................................................................................. 5-24

5-4-9.

FTC(B) ....................................................................................................................................... 5-24

5-4-10.

Frame CORRE Type .................................................................................................................. 5-24

5-4-11.

Frame CORRE(B)...................................................................................................................... 5-24

5-4-12.

Frame Rate(B)............................................................................................................................ 5-24

5-4-13.

Image Direction(LR).................................................................................................................. 5-25

5-4-14.

Image Direction(UL).................................................................................................................. 5-25

5-4-15.

Image Enhance ........................................................................................................................... 5-25

5-4-16.

Image Freq(B/M) ....................................................................................................................... 5-25

5-4-17.

Image Rotation(B)...................................................................................................................... 5-25

5-4-18.

IP Select(B) ................................................................................................................................ 5-25

5-4-19.

OMNI Angle .............................................................................................................................. 5-26

5-4-20.

PRF Limit................................................................................................................................... 5-26

5-4-21.

Puncture G.Line ......................................................................................................................... 5-26

5-4-22.

Puncture Measure....................................................................................................................... 5-26

5-4-23.

Biopsy Select.............................................................................................................................. 5-27

5-4-24.

Relief(B)..................................................................................................................................... 5-27

5-4-25.

Angle Sel(Punc) ......................................................................................................................... 5-27

5-4-26.

Smoothing(B)............................................................................................................................. 5-27

5-4-27.

T.H.E.(Tissue Harmonic Echo).................................................................................................. 5-27

5-4-28.

Spatial Compound...................................................................................................................... 5-28

5-4-29.

Compound Angle ....................................................................................................................... 5-28

5-4-30.

Trapezoidal Scan........................................................................................................................ 5-28

5-4-31.

AIP(Adaptive Image Processing)............................................................................................... 5-29

5-4-32.

AIP Effect................................................................................................................................... 5-29

5-4-33.

AIP Edge Sens............................................................................................................................ 5-29

5-4-34.

AIP Edge Enhance ..................................................................................................................... 5-29

5-4-35.

AIP SR Level ............................................................................................................................. 5-29

5-4-36.

AIP Resolution ........................................................................................................................... 5-29

5-4-37.

AIP Level ................................................................................................................................... 5-30

5-4-38.

Image Optimizer......................................................................................................................... 5-30

5-4-39.

Brightness Level......................................................................................................................... 5-30

5-4-40.

Brightness Reset......................................................................................................................... 5-30

Menu function area(M mode) .................................................................................................................... 5-31

5-5-1.

AGC(M) ..................................................................................................................................... 5-31

5-5-2.

Echo Erase.................................................................................................................................. 5-31

5-5-3.

Contrast(M) ................................................................................................................................ 5-31

5-5-4.

FTC(M) ...................................................................................................................................... 5-31

5-5-5.

IP Select(M) ............................................................................................................................... 5-31

5-5-6.

Relief(M).................................................................................................................................... 5-32

5-5-7.

Sweep Speed(M) ........................................................................................................................ 5-32

6

Page 9

MN1-5206 Rev.14

5-6.

5-7.

Menu function area(D mode/TDI-D menu)................................................................................................5-33

5-6-1.

Angle Correct.............................................................................................................................. 5-33

5-6-2.

Auto Angle Correct..................................................................................................................... 5-33

5-6-3.

Base Line Shift(D)...................................................................................................................... 5-33

5-6-4.

Beam Steer(D) ............................................................................................................................ 5-33

5-6-5.

Comp Curve(D) .......................................................................................................................... 5-33

5-6-6.

Contrast(D) ................................................................................................................................. 5-33

5-6-7.

Filter Control(D)......................................................................................................................... 5-34

5-6-8.

Filter(D) ...................................................................................................................................... 5-34

5-6-9.

Freeze Trigger............................................................................................................................. 5-34

5-6-10.

Image Polarity(D) ....................................................................................................................... 5-34

5-6-11.

Image Select(D) .......................................................................................................................... 5-34

5-6-12.

IP Select(D) ................................................................................................................................ 5-35

5-6-13.

M/PW(M/PW Mode) .................................................................................................................. 5-35

5-6-14.

Resolution Select(D)................................................................................................................... 5-35

5-6-15.

Sample Volume ......................................................................................................................... 5-35

5-6-16.

Image Freq(D) ............................................................................................................................ 5-35

5-6-17.

Spectrum Invert .......................................................................................................................... 5-35

5-6-18.

Sweep Speed(D) ......................................................................................................................... 5-36

5-6-19.

Transfer List................................................................................................................................ 5-36

5-6-20.

D.Trace Direction ....................................................................................................................... 5-36

5-6-21.

D.Trace Smooth.......................................................................................................................... 5-36

5-6-22.

D.Trace ....................................................................................................................................... 5-36

5-6-23.

D.Trace Locate ........................................................................................................................... 5-36

5-6-24.

D.Trace Level ............................................................................................................................. 5-36

Menu function area(Flow/Power Flow/TDI Flow/TDI Power Flow) ........................................................ 5-37

5-7-1.

Average(Flow)............................................................................................................................ 5-37

5-7-2.

Baseline Shift(Flow)................................................................................................................... 5-37

5-7-3.

Beam Steer(Flow)....................................................................................................................... 5-37

5-7-4.

Capture Mode(Flow) .................................................................................................................. 5-37

5-7-5.

Capture Time(Flow) ................................................................................................................... 5-37

5-7-6.

Color Line Correlation................................................................................................................ 5-38

5-7-7.

Color Polarity.............................................................................................................................. 5-38

5-7-8.

Frame Rate Accelerator ..............................................................................................................5-38

5-7-9.

DDD............................................................................................................................................ 5-38

5-7-10.

Directional(Flow) ....................................................................................................................... 5-39

5-7-11.

Edge Smooth...............................................................................................................................5-39

5-7-12.

Flow Edge................................................................................................................................... 5-39

5-7-13.

Filter(Flow)................................................................................................................................. 5-39

5-7-14.

Frame CORRE(Flow)................................................................................................................. 5-39

5-7-15.

Frame Rate(Flow)....................................................................................................................... 5-40

5-7-16.

Image Freq(Flow) ....................................................................................................................... 5-40

7

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MN1-5206 Rev.14

5-8.

5-7-17.

Image Select(Flow) .................................................................................................................... 5-40

5-7-18.

IP Select(Flow)........................................................................................................................... 5-40

5-7-19.

PFD Range ................................................................................................................................. 5-41

5-7-20.

Priority Level ............................................................................................................................. 5-41

5-7-21.

Rejection(Flow).......................................................................................................................... 5-41

5-7-22.

Smoothing(Flow) ....................................................................................................................... 5-41

5-7-23.

Wall Motion Reduction.............................................................................................................. 5-41

5-7-24.

AWR(Advanced Wall Motion Reduction)................................................................................. 5-42

5-7-25.

TDI PF PreSTC .......................................................................................................................... 5-42

Menu function area(Other)......................................................................................................................... 5-43

5-8-1.

Area Lock................................................................................................................................... 5-43

5-8-2.

B Refresh.................................................................................................................................... 5-43

5-8-3.

B/* Format ................................................................................................................................. 5-43

5-8-4.

Beam Steer(B/F/D)..................................................................................................................... 5-43

5-8-5.

Beam Steer(F/D) ........................................................................................................................ 5-43

5-8-6.

Element Select............................................................................................................................ 5-44

5-8-7.

Graphic Color............................................................................................................................. 5-44

5-8-8.

Imaging Information .................................................................................................................. 5-44

5-8-9.

Invert Link.................................................................................................................................. 5-44

5-8-10.

Steering Link.............................................................................................................................. 5-44

5-8-11.

Thermal Index ............................................................................................................................ 5-44

5-8-12.

Print Queue................................................................................................................................. 5-45

5-8-13.

View Gamma ............................................................................................................................. 5-45

5-8-14.

Zoom Lock ................................................................................................................................. 5-45

5-8-15.

ECG Display ............................................................................................................................. 5-45

5-8-16.

ECG Posi ................................................................................................................................... 5-45

5-8-17.

ECG Sens ................................................................................................................................... 5-45

5-8-18.

ECG Invert ................................................................................................................................. 5-46

5-8-19.

Drift Filter .................................................................................................................................. 5-46

5-8-20.

R Wave Beep.............................................................................................................................. 5-46

5-8-21.

R-Delay Time............................................................................................................................. 5-46

5-8-22.

PCG Display............................................................................................................................... 5-46

5-8-23.

PCG Filter ................................................................................................................................. 5-46

5-8-24.

PCG Posi .................................................................................................................................... 5-46

5-8-25.

PCG Sens .................................................................................................................................. 5-47

5-8-26.

Pulse Display ............................................................................................................................. 5-47

5-8-27.

Pulse Posi .................................................................................................................................. 5-47

5-8-28.

Pulse Sens................................................................................................................................... 5-47

5-8-29.

Resp Display ............................................................................................................................. 5-47

5-8-30.

Resp Disp Method...................................................................................................................... 5-47

5-8-31.

Resp Posi ................................................................................................................................... 5-48

5-8-32.

Resp Sens .................................................................................................................................. 5-48

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MN1-5206 Rev.14

5-8-33.

ECG Sync ................................................................................................................................... 5-48

5-8-34.

B/Sync Mode .............................................................................................................................. 5-48

5-8-35.

VCR Counter Display................................................................................................................. 5-48

5-8-36.

DVD Remain .............................................................................................................................. 5-48

5-8-37.

Counter ....................................................................................................................................... 5-49

5-8-38.

Acquire Method .......................................................................................................................... 5-49

5-8-39.

Acquire Mode ............................................................................................................................. 5-49

5-8-40.

Video Clip Auto Stop ................................................................................................................. 5-49

5-8-41.

ECG Cycle .................................................................................................................................. 5-49

5-8-42.

Time Cycle.................................................................................................................................. 5-50

5-8-43.

Store Media................................................................................................................................. 5-50

5-8-44.

Loop Mode.................................................................................................................................. 5-50

5-8-45.

Thumbnail Display ..................................................................................................................... 5-50

5-8-46.

Thumbnail Page .......................................................................................................................... 5-50

5-8-47.

Print Area.................................................................................................................................... 5-51

5-8-48.

Auto Clipping ............................................................................................................................. 5-51

5-8-49.

Log Off ....................................................................................................................................... 5-51

5-8-50.

Fixed MI ..................................................................................................................................... 5-51

5-8-51.

HR Stability Display................................................................................................................... 5-51

5-8-52.

HR Stability Display(Avg.) ........................................................................................................ 5-52

5-8-53.

HR Stability Display(Conti) ....................................................................................................... 5-52

5-8-54.

Power Limit Override ................................................................................................................. 5-52

6. Preset

6-1.

PRESET function ......................................................................................................................................... 6-1

6-2.

Procedure for Changing the Set Contents..................................................................................................... 6-2

6-3.

Common Preset............................................................................................................................................. 6-5

6-4.

6-3-1.

Common Preset1 - 2 ..................................................................................................................... 6-5

6-3-2.

Probe Select .................................................................................................................................. 6-9

6-3-3.

Print (Freeze) .............................................................................................................................. 6-11

6-3-4.

Print(Realtime) ........................................................................................................................... 6-12

6-3-5.

Print Select.................................................................................................................................. 6-13

6-3-6.

DICOM Store/Send, Address, Printer ........................................................................................ 6-14

6-3-7.

DICOM SR ................................................................................................................................. 6-18

6-3-8.

IHE/Auto Delete ......................................................................................................................... 6-19

6-3-9.

Stress Echo.................................................................................................................................. 6-22

Preset Control ............................................................................................................................................. 6-23

6-4-1.

Method of copying preset No. data to a floppy disk................................................................... 6-24

6-4-2.

When copying preset No. data inside the instrument ................................................................. 6-25

6-4-3.

When copying Preset No. data from a floppy disk ..................................................................... 6-25

6-4-4.

When rearranging Preset No. data .............................................................................................. 6-26

6-4-5.

When copying data in Annotation Dictionary to a floppy disk .................................................. 6-26

9

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MN1-5206 Rev.14

6-4-6.

When copying data in Annotation Dictionary from a floppy disk............................................. 6-27

6-4-7.

When copying Common Preset data to a floppy disk ................................................................ 6-27

6-4-8.

When copying Common Preset data from a floppy disk ........................................................... 6-28

6-4-9.

When copying Color Map to a floppy disk................................................................................ 6-28

6-4-10.

When copying Color Map from a floppy disk ........................................................................... 6-29

6-4-11.

When copying Measurement to a floppy disk............................................................................ 6-29

6-4-12.

When copying Measurement from a floppy disk....................................................................... 6-30

6-5.

Preset Set-Up Menu ................................................................................................................................... 6-31

6-6.

Display1 to 2 DISP-B,M -D,Flow ......................................................................................................... 6-32

6-7.

ID Comment............................................................................................................................................... 6-38

6-8.

Graphics ..................................................................................................................................................... 6-39

6-9.

Store, Cine ................................................................................................................................................. 6-41

6-10.

Body Mark ................................................................................................................................................. 6-43

6-11.

Menu-User SW Assign, -Group Assign, -Function Assign, Menu Analysis............................................. 6-45

6-12.

Custom SW, -Foot SW, -Keyboard ........................................................................................................... 6-49

6-13.

Physio......................................................................................................................................................... 6-51

6-14.

Image-B,M1,M2 IP Select(B),(THE),(ExPHD),(Spatial Compound),(Spatial Compound,THE/ExPHD)

AIP Level(B),(THE),(ExPHD) IP Select(M) ............................................................................................ 6-54

6-15.

Focus .......................................................................................................................................................... 6-62

6-16.

Post Processing ......................................................................................................................................... 6-64

6-17.

Doppler1, 2................................................................................................................................................. 6-65

6-18.

Flow ........................................................................................................................................................... 6-69

6-19.

Power Flow ................................................................................................................................................ 6-72

6-20.

eFlow.......................................................................................................................................................... 6-75

6-21.

Tissue Doppler ........................................................................................................................................... 6-78

6-22.

Tissue Flow ................................................................................................................................................ 6-81

6-23.

Tissue Power Flow..................................................................................................................................... 6-84

6-24.

Stress Echo1, 2........................................................................................................................................... 6-87

6-25.

FAM ........................................................................................................................................................... 6-90

6-26.

Contrast Echo1, 2....................................................................................................................................... 6-91

6-27.

Echo Tracking ............................................................................................................................................ 6-96

6-28.

Wave Intensity ........................................................................................................................................... 6-97

6-29.

FMD ........................................................................................................................................................... 6-98

6-30.

RT3D.......................................................................................................................................................... 6-99

6-31.

3D Scan .................................................................................................................................................... 6-105

6-32.

Flow 3D.................................................................................................................................................... 6-106

6-33.

KI1, 2 ....................................................................................................................................................... 6-108

7. OPTIONAL FUNCTION

7-1.

EFV mode (Option: SOP-ALPHA10-1 and EU-9102 are necessary) ......................................................... 7-1

7-1-1.

Switches to be used ...................................................................................................................... 7-2

7-1-2.

Basic operation procedure............................................................................................................ 7-3

10

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MN1-5206 Rev.14

7-2.

7-3.

7-4.

7-5.

7-6.

7-7.

Real Time Doppler Auto Trace (Option:SOP-ALPHA10-3 is necessary)................................................... 7-5

7-2-1.

Real time Doppler Auto Trace display screen.............................................................................. 7-6

7-2-2.

Real Time Doppler Auto Trace Touch panel menu...................................................................... 7-7

7-2-3.

Basic operation procedure ............................................................................................................ 7-8

RT3D (Option: SOP-ALPHA10-4 and EU-9102 are necessary) ............................................................... 7-10

7-3-1.

Rotation / Movement and Image display of Volume data.......................................................... 7-11

7-3-2.

Meaning of terms........................................................................................................................ 7-14

7-3-3.

Real Time 3D display screen...................................................................................................... 7-15

7-3-5.

Switches to be used and menu .................................................................................................... 7-17

7-3-6.

Basic operation procedure .......................................................................................................... 7-30

7-3-7.

Applied functional operation procedure ..................................................................................... 7-37

7-3-8.

Basic operation method for 3D automatic volume measurement

(Option: SOP-ALPHA10-20 is necessary)................................................................................. 7-40

7-3-9.

Transferring automatic volume measurement value................................................................... 7-46

7-3-10.

Basic operation method for 3D Scan mode ................................................................................ 7-51

7-3-11.

Cutting a 3D image on any sections ........................................................................................... 7-53

7-3-12.

Displaying the multiple sliced images from volume data simultaneously ................................. 7-55

Contrast Harmonic Echo (Option: CHM- ALPHA10 is necessary)........................................................... 7-57

7-4-1.

Contrast Harmonic Echo Touch panel menu.............................................................................. 7-58

7-4-2.

Basic operation procedure .......................................................................................................... 7-64

CHE Analysis(Option: SOP- ALPHA10-14 is necessary)......................................................................... 7-69

7-5-1.

Outline of Contrast Harmonic Echo analysis ............................................................................. 7-69

7-5-2.

CHE Analysis Screen ................................................................................................................. 7-71

7-5-3.

CHE Analysis Base Menu .......................................................................................................... 7-73

7-5-4.

Basic operation procedure .......................................................................................................... 7-81

7-5-5.

Time Intensity Curve .................................................................................................................. 7-83

7-5-6.

Subtraction.................................................................................................................................. 7-85

7-5-7.

CHE Analysis touch panel menu................................................................................................7-87

eTRACKING (Option: SOP- ALPHA10-11 is necessary) ........................................................................ 7-90

7-6-1.

Stiffness parameter (b) data acquisition ..................................................................................... 7-90

7-6-2.

Stiffness parameter(b) analysis................................................................................................... 7-96

7-6-3.

Report ....................................................................................................................................... 7-104

7-6-4.

Reference .................................................................................................................................. 7-106

FMD (Flow Mediated Dilation) analysis (Option: SOP-ALPHA10-16 is necessary) ............................. 7-107

7-7-1.

Summary of FMD examination ................................................................................................ 7-107

7-7-2.

Before starting an examination................................................................................................. 7-108

7-7-3.

FMD operation screen .............................................................................................................. 7-108

7-7-4.

FMD touch panel menu ............................................................................................................7-109

7-7-5.

FMD measurement procedure .................................................................................................. 7-112

7-7-6.

FMD analysis............................................................................................................................ 7-114

7-7-7.

FMD analysis result screen....................................................................................................... 7-116

7-7-8.

FMD analysis operation procedure........................................................................................... 7-120

11

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MN1-5206 Rev.14

7-7-9.

7-8.

7-9.

7-10.

7-11.

7-12.

References ................................................................................................................................ 7-131

Wave Intensity (Option: SOP-ALPHA10-25 is necessary)..................................................................... 7-132

7-8-1.

Summary of Wave Intensity..................................................................................................... 7-132

7-8-2.

Before starting an examination ................................................................................................ 7-133

7-8-3.

Wave Intensity data collection ................................................................................................. 7-133

7-8-4.

Wave Intensity procedure ........................................................................................................ 7-137

7-8-5.

Wave Intensity analysis............................................................................................................ 7-139

7-8-6.

Report....................................................................................................................................... 7-151

7-8-7.

Reference.................................................................................................................................. 7-153

TDI Analysis(Option: SOP- ALPHA10-13B is necessary)..................................................................... 7-154

7-9-1.

TDI Analysis Screen ................................................................................................................ 7-155

7-9-2.

Operation Panel........................................................................................................................ 7-156

7-9-3.

Base Menu Function ................................................................................................................ 7-157

7-9-4.

Basic operation procedure........................................................................................................ 7-174

7-9-5.

Temporal VP(B mode)............................................................................................................. 7-176

7-9-6.

Regional VP(B Mode).............................................................................................................. 7-178

7-9-7.

Strain Rate(B Mode) ................................................................................................................ 7-179

7-9-8.

Strain(B Mode)......................................................................................................................... 7-180

7-9-9.

Myocardial Thickness(B Mode) .............................................................................................. 7-181

7-9-10.

Velocity Trace(M mode).......................................................................................................... 7-182

7-9-11.

Myocardial Thickness(M mode) .............................................................................................. 7-184

7-9-12.

Velocity Profile(M mode) ........................................................................................................ 7-186

7-9-13.

TDI Analysis touch panel menu............................................................................................... 7-188

Stress Echo (Option: SOP- ALPHA10-15B is necessary)....................................................................... 7-191

7-10-1.

Stress Echo Protocol ................................................................................................................ 7-191

7-10-2.

Image acquisition method ........................................................................................................ 7-196

7-10-3.

Convenient functions for image acquisition ............................................................................ 7-207

7-10-4.

Comparative display(Shuffle) .................................................................................................. 7-212

7-10-5.

Scoring ..................................................................................................................................... 7-216

7-10-6.

Report....................................................................................................................................... 7-218

7-10-7.

Pause Protocol.......................................................................................................................... 7-222

7-10-8.

Stress Echo touch panel menu.................................................................................................. 7-223

Stress Echo Analysis(Option: SOP- ALPHA10-15B is necessary)......................................................... 7-227

7-11-1.

Starting analysis using the Review switch ............................................................................... 7-227

7-11-2.

Object Image Registration........................................................................................................ 7-228

7-11-3.

Scoring ..................................................................................................................................... 7-235

7-11-4.

Report....................................................................................................................................... 7-242

7-11-5.

Stress Echo Analysis touch panel menu................................................................................... 7-246

KI/A-SMA/CQ/WT Analysis (Option: EU-9100 is necessary)............................................................... 7-248

7-12-1.

KI ............................................................................................................................................. 7-248

7-12-2.

A- SMA.................................................................................................................................... 7-249

7-12-3.

CQ(Cardiac Quantification) ..................................................................................................... 7-255

12

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MN1-5206 Rev.14

7-13.

7-14.

7-12-4.

WT(Wall Thickness) ................................................................................................................ 7-257

7-12-5.

KI, A-SMA Touch Panel Menu................................................................................................ 7-259

7-12-6.

CQ Touch Panel Menu ............................................................................................................. 7-265

7-12-7.

WT touch panel menu .............................................................................................................. 7-268

7-12-8.

KI, A-SMA Operation Procedure ............................................................................................ 7-271

7-12-9.

Notice for the use of A-SMA, CQ, and WT .............................................................................7-281

Brachytherapy Guide Lines ..................................................................................................................... 7-283

7-13-1.

Basic operation procedure ........................................................................................................ 7-283

7-13-2.

Brachytherapy Touch Panel Menu ........................................................................................... 7-287

Ultrasonic Gastrovideo Scope(Option: SOP-ALPHA10-18 is necessary)............................................... 7-288

7-14-1.

Degree of display viewing angles............................................................................................. 7-288

7-14-2.

Adjusting Display position ....................................................................................................... 7-289

13

Page 16

MN1-5206 Rev.14

14

Page 17

MN1-5206 Rev.14

7-1.EFV mode (Option: SOP-ALPHA10-1 and EU-9102 are necessary)

7. OPTIONAL FUNCTION

7-1.

EFV mode (Option: SOP-ALPHA10-1 and EU-9102 are necessary)

A compound display of an image is enabled by using an EFV (Extend Field of View) mode.

By using this function, area wider than a normal B mode can be observed.

In addition, the EFV mode enables an image to be constructed by means of a parallel probe scan, and also a protuberant organ to be traced and its profile displayed in the form of an arc.

In order to use the EFV mode, it is necessary to assign Extend F-View function to B mode menu on the touch panel

beforehand.

The probes that support this mode are: UST-9130, UST-9115, UST-5712, UST-5411, UST-5412, UST-5548, UST9135, UST-567.

[Remark]

The image creation process is readily affected by changes in brightness of the slice image generated by the probe

scanning operation. Always pay attention to the brightness level when using this mode.

When the brightness intensity varies markedly, it may sometimes be impossible to create an accurate image.

7-1

Page 18

MN1-5206 Rev.14

7-1.EFV mode (Option: SOP-ALPHA10-1 and EU-9102 are necessary)

7-1-1. Switches to be used

[Remark]

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

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

7-1-1-1.

Touch panel

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

pressed again.

Image Rotation(B)

7-1-1-2.

: After an EFV image extraction, rotate the rotary encoder (or press the Up Down switch)

to rotate the EFV image. The range of 0 × to 350 × (10 × step) can rotate.

Operation panel

SELECT switch

: A capture is started by pressing the SELECT switch on an EFV mode. A B mode

image is mainly used after an capture ends, this is used.

FREEZE switch

: Press the FREEZE switch to finish the capture.

ZOOM switch

: Press the ZOOM switch to be able to enlarge, reduce and move the EFV image.

When the rotary encoder 4 is turned to the right, an EFV

image is enlarged and when turned to the left, it is reduced.

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

SEARCH switch

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

image is displayed. Inside the white frame, B mode image before displaying a compound

image is displayed. Because the white frame moves with the trackball or rotary encoder

4, it is moved to a desired location on the display. When the B switch or the SELECT

switch is pressed, a B mode image is displayed at the center.

STORE switch

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

a Media which is set as the destination to save.

MEASUREMENT switch : After an capture ends, press the MEASUREMENT switch to display the measurement

menu.

+switch

BODY MARK switch

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

: After an capture ends, press the Body Mark switch to display the Body Marks.

7-2

Page 19

MN1-5206 Rev.14

7-1.EFV mode (Option: SOP-ALPHA10-1 and EU-9102 are necessary)

7-1-2. Basic operation procedure

With the EFV mode, captured B mode image is displayed as a compound.

[Remark]

A compound display of Color mode is also supported. Color supports Flow mode, Power Flow mode and Directional

Power Flow mode.

[Remark]

The EFV function can only be turned on when EFV compatible Probe is in use.

[Remark]

On the EFV mode, no switching the change of DEPTH and On/Off of T.H.E. mode are allowed.

[Remark]

When capturing Color modes, turn on EFV when Color is on. When EFV is turned On, Color on/off and adjustment

of Flow Area cannot be performed.

(1)

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

→

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

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

[Remark]

Apply an adequate amount of acoustic coupling gel to the region which will be scanned to display a compound image.

Move the probe to the location where a compound display is desired.

[Remark]

Scan it after setting STC and Gain properly so that the center of an image always becomes appropriate brightness.

If the center of an image is dark, a compound image will not be properly displayed.

[Remark]

To properly display a color image as a compound, set the Flow Area wider in advance. When the Flow Area is narrow, turning on EFV automatically enlarges the area.

(2)

Press the SELECT switch on the operation panel.

→

A capture for a EFV image is started.

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

with moving a probe.

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

[Remark]

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

fit in the screen. An image shrinks when quantity of a compound increases.

7-3

Page 20

MN1-5206 Rev.14

7-1.EFV mode (Option: SOP-ALPHA10-1 and EU-9102 are necessary)

[Remark]

When the quantity of compound is increased, the capture time gets shorter.

(3)

Press the FREEZE switch on the operation panel.

→

A capture of an EFV image is finished, and the EFV image stands still as a one screen display. Zoom,

Search, and Image Rotation operations are performed if necessary.

[Remark]

When bulging organs are scanned, there are cases that the display of compound images may advance in slanted

direction. In this case it can be revised with the Image Rotation rotary function after freeze. As Image Rotation is

not assigned to the factory default, assign Image Rotation to the touch panel menu or others beforehand.

(4)

Press the Measurement switch on the operation panel.

→

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

procedure.

[Remark]

For details, refer to the Measurement manual.

(5)

Press the BODY MARK switch on the operation panel.

→

(6)

Body mark menu is displayed on the touch panel, so select it to display on the screen.

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

→

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

[Remark]

On the state being a compound display using EFV mode, it is not possible to save Line moving images and Video

Clip moving images using the STORE switch. Save moving images with voluntary VTR peripheral instrument.

(7)

Press the FREEZE switch again.

→

An EFV image is erased, and it is returned to the state of (1). A compound image is displayed again in

this state by pressing the SELECT switch again. When returning to a conventional B mode, turn the EXTEND F-View switch Off on this state.

[Remark]

If you cancel freeze, the measurement finishes and the body mark is hidden. Turning off EFV mode also finishes the

measurement.

7-4

Page 21

MN1-5206 Rev.14

7-2.Real Time Doppler Auto Trace (Option:SOP-ALPHA10-3 is necessary)

7-2.

Real Time Doppler Auto Trace (Option:SOP-ALPHA10-3 is necessary)

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

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

waveform, and displays the results on the screen.

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

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

[Remark]

It is necessary to assign D.Trace on the touch panel menu beforehand. For the setting method, refer to Section 6.

“PRESET”.

Note

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

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

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

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

trace of a measurement function after freeze.

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

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

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

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

2. For Doppler waveform drawing condition settings

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

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

• Setting a velocity range

Set so that aliasing does not occur.

• Setting of Dop Filter

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

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

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

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

• Setting of Dop Gain

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

• Setting of Angle compensation

Use a Doppler waveform set on an Angle compensation.

7-5

Page 22

MN1-5206 Rev.14

7-2.Real Time Doppler Auto Trace (Option:SOP-ALPHA10-3 is necessary)

7-2-1. Real time Doppler Auto Trace display screen

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

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

One latest heartbeat

R wave search

cursor line

Trace line

Display of

an operation Result

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

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

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

The method of trace is the Peak method.

[Remark]

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

• Display of an operation result

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

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

[Remark]

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

[Remark]

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

[Remark]

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

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

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

operations.

[Remark]

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

7-6

Page 23

MN1-5206 Rev.14

7-2.Real Time Doppler Auto Trace (Option:SOP-ALPHA10-3 is necessary)

7-2-2. Real Time Doppler Auto Trace Touch panel menu

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

Example of Touch panel display:

It is necessary to assign to a menu.

D.Trace:

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

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

line is operable.

D.Trace Direction:

Sets the trace range to upward (Toward), downward (Away), both directions (Both) or Automatic (Auto) with

respect to the baseline as boundary.

D.Trace Level:

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

D.Trace Smooth:

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

Locate:

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

Transfer List Display:

When results are wanted to be transferred to a built-in applied measurement, a menu for transferring measurement

is displayed.

7-7

Page 24

MN1-5206 Rev.14

7-2.Real Time Doppler Auto Trace (Option:SOP-ALPHA10-3 is necessary)

7-2-3. Basic operation procedure

Real Time Doppler Auto Trace has two methods for operation; tracing a doppler waveform in real time on D mode

or tracing it automatically right after freeze.

7-2-3-1.

(1)

Tracing a real time doppler waveform

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

→

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

[Remark]

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

[Remark]

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

(2)

Adjust a Trace line.

→

(3)

Press the FREEZE switch.

→

7-2-3-2.

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

adjustment.

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

Tracing of a doppler waveform at the time of freeze

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

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

(1)

Press the FREEZE switch.

→

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

[Remark]

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

7-8

Page 25

MN1-5206 Rev.14

7-2.Real Time Doppler Auto Trace (Option:SOP-ALPHA10-3 is necessary)

7-2-3-3.

A transferring function to an applied measurement of the results of an operation

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

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

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

(1)

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

pressed and the Transfer is selected (Manual).

(2)

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

(Auto).

[Remark]

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

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

(1)

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

→

(2)

A trace line and the measurement results are displayed.

Press the FREEZE switch on the operation panel, and press the Transfer List on the touch panel or the

Transfer from the MEASUREMENT menu.

→

The menu for transferring applied measurements is displayed.

[Remark]

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

(3)

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

→

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

[Remark]

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

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

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

7-9