User Manual
67 Pages
Preview
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User Manual
Special Notes to Operators and Maintenance Managers ★ Before using this system, be sure to thoroughly read this manual and familiarize yourself with the system. ★ After reading this manual, keep it near the system, in a handy location where you can refer to it easily.
Tokyo, Japan © Hitachi, Ltd. 2013,2016. All rights reserved. Q2E-ES1155-18
About the ultrasound scanner display Note that the ultrasound scanner display referred to in this User Manual might differ from the display actually displayed.
Manufacturer Hitachi, Ltd. 2-16-1, Higashi-Ueno, Taito-ku, Tokyo, 110-0015, Japan +81-3-6284-3668 http://www.hitachi.com/businesses/healthcare/index.html
European Representative Hitachi Medical Systems GmbH Otto-von-Guericke-Ring 3 D-65205 Wiesbaden, Germany
(ⅱ)
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A table of contents Before starting examination Turning the Power ON or OFF
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Panel Key Description
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Examination screen (Screen buttons)
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Selecting the Examination Conditions
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ID Input
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Examination of each mode B Mode
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M Mode
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Color Mode
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Doppler Mode
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Real-time Tissue Elastography ※ Display
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Strain Graph
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Strain Ratio, FLR, Strain Histogram Measurement
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ECG and Physiologic Module ※
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BodyMark
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Comments and Annotations
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Basic Measurement
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Filing Media Handling
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Formatting
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Recording and Loading Images
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Image Search and Play
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Copy to media and Edit
28 ※option (ⅲ)
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A table of contents Contrast Echo ※ Startup and Exit
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Adjustment
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MTI・TIC
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Real-time Virtual Sonography ※ Preparation
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Startup and Exit
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Loading volume data
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Volume data adjustment
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Corresponding to the SYNAPSE 3D data
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3D body mark
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Marking function
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RVS mode start
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Adjust
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Performing when RVS mode is executed
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Combination of RVS and Contrast mode
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Advanced Measurement ※ IMT
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%WT
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Color Tissue Tracking
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LA Tracking
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※option (ⅳ)
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A table of contents 4D (Real-time 3D) ※ Preparation
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Scanning, Volume operation
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Function
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Volume Data Save and Load
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HI DEF 3D (Scanning)
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HI DEF 3D (Function)
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HI DEF 3D (Multi Slice mode)
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HI DEF 3D (CFM 3D mode)
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STIC function ※
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3D (Freehand 3D) ※ Preparation
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Scanning
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※option (ⅴ)
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Before starting examination Turning the Power ON or OFF Turning the Power ON ① Turn the Breaker switch ON.
Breaker switch
② Press the ON/STANDBY key. The operation panel lights up, and the device starts up.
Examination ready screen
Start-up screen ③ Cancel the FREEZE key to start examination.
Turning the Power OFF ① Press the ON/STANDBY key. ② Click the OK button in the message.
The light of the operation panel goes out completely black when the device shuts down.
Before turning the Breaker switch off, make sure that the system has completely shut down. ③ Turn the Breaker switch OFF.
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Before starting examination Panel Key Description 『ON/STANDBY』 Key Powers on or shuts down the device.
『Elasto/TDI mode selection』 Key Activates Elasto or TDI mode. Note that the activated mode depends on the settings.
『PROBE』 Key Displays the probe switching dialog box.
『Dual Doppler Mode』 Key Activates Dual Doppler.
『End Exam』 Key Image Print, transfer images to storage servers, and delete measurement results.
『Fine Flow / CFA Mode』 Key Switches Fine Flow or CFA on or off. Note that the mode depends the settings.
『Patient』 Key Displays dialog boxes for entering or modifying patient information.
『HI Zoom』 Key Turns high-definition zoom on or off.
『PSS』 encoder Switches between the image adjustment parameter settings (data registered from the PSS setup menu).
『PAN Zoom』 Key Turns PAN zoom on or off.
『Multi』 encoder Operates the function selected from the screen button area.
『READ』 Key Starts the Filing window.
『Image Menu』 Key Reflects the image adjustment parameters on screen buttons.
『UPDATE (NEXT)』 Key Initiates the sweep of Doppler Mode or M mode.
『Function1』・『Function2』 Key Activates the preset option functions or displays a list of options in the form of screen buttons.
Panel key colors Illuminated in orange: The key is selected. Illuminated in white: The key can be selected. Not illuminated: The key cannot be selected.
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Before starting examination Examination screen (Screen buttons) Area to display thumbnail
Area to display tab menu
Screen button area. Can be operated by touching directly.
How to use the screen buttons
Types of screen buttons
You can use the screen buttons in any of the following ways: - Directly touch the button. - Use the pointer by means of the trackball and the ENTER key.
Turns the selected function on or off. ON
Menu
Encoder
OFF Refreshes the screen buttons so that they reflect the selected function menu. You can operate the selected function using the Multi encoder. Or, you can operate also by screen button Up/Down. Scrolls through functions when the button is pressed.
- Use the Function keys on the operation panel. Rotation
Executes the selected function when pressed. Push The actual buttons displayed vary depending on the examination mode. Function keys
Multi encoder Performs operations related to the Encoder Func. button selected from the screen button area.
System Information Display Operating state of Multi encoder is displayed here.
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*Possible to operate by screen buttons as well.
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Before starting examination Selecting the Examination Conditions Selecting the probe and application Press the PROBE key to display the Select Probe/Application window.
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2
Use the trackball to move the pointer on the window.
Present application is displayed here. ① Select the probe to be used. ② Select the application, and then press the ENTER key. The selected application is activated, and the probe is selected. You are ready to scan the patient.
Selecting from the default application The default application functionality allows you to assign frequently used application settings for each probe. For details on how to assign application settings for each probe, see the instruction manual for the device. ① Use the trackball to move the pointer on the window. ② Place the pointer over the default application for the desired probe, and then press the ENTER key to select it.
The selected application is activated, and the probe is directly selected. You are ready to scan the patient.
Creating a new application (Editing) You can add a new setting to the applications registered for each probe of the equipment, or edit the registered application settings. For further details, see the instruction manual.
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Before starting examination ID Input Entering patient information ① Press the Patient key to display the Patient Information window.
② Enter the ID from the keyboard. Use the trackball to move the pointer on the window, and then press the ENTER key to select the next item to be entered. Enter patient information, and then click the Save button to save the data. The next time you don’t have to enter ID, you can select from the list of IDs displayed in the lower part of the window.
The item to be entered varies depending on the display format. Standard
OB/GYN
The ID and name entry fields can be enlarged. To do this, press the Patient key and the Setting button in the lower right corner of the Patient Information window. Select Large for Font size on page Item setting. ③ After you enter the necessary information or made the necessary changes, place the pointer over the Start Exam button, and then press the ENTER key.
Automatic assignment of ID number ① Press the Patient key. ② Press the Start Exam key without inputting ID. ③ Press the OK button from Confirmation screen. ID number is automatically assigned.
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Examination of each mode B Mode ① B Mode image display
Changing frequency Higher frequency
Brighter Press the center of the B Mode encoder.
Lower frequency
Darker Turn the encoder to adjust the gain.
* Frequency indication is not displayed according to the mode used.
Use the HI-Support key to optimize the B gain and depthspecific gain.
Display depth
Focus position Shallower
Shallower display depth
Deeper Deeper display depth Use the DEPTH (MAG.) encoder to change the display size.
Focus settings Focus Set.
To display the focus-related screen buttons, press the Focus Set. button. To go back to the general menu, press the Focus Set. button again.
Focus width
Focus step
# Focus Width
# Focus Step
Increase steps
Increase width
Decrease steps
Decrease width Note: Enabled only if the focus width is greater than 1.
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Examination of each mode B Mode ② Display settings Display Set.
To display the display setting menu, press the Display Set. screen button. To go back to the general menu, press the Display Set. button again.
Left/Right inversion
Up/Down inversion
To invert the displayed image vertically, press the Invert U/D button.
To invert the displayed image horizontally, press the Invert L/R button.
Steering images
Changing the depth Up/Down Shift
Image Steering
Deeper
Shallower
To change the depth, activate the Up/Down Shift button, and then use the trackball.
Image Size
To steer the image, activate the Image Steering button, and then use the trackball.
Viewing Angle/Display Width
# Image Size
# Angle
Increase size
Wider
Decrease size
Narrower
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Examination of each mode B Mode ③ Selecting Harmonic Mode
Spatial Compound (HI Com) Compound imaging by multidirectional scanning
dTHI
Use of HI Com
When dTHI is on, use the REF FREQ key to shift through the following modes: HdTHI-R: High definition (Standard) mode
Up
ON
HI Com
OFF
HI Com ON/OFF are switched with each pressing of HI Com button.
HdTHI-P: High definition (Deep scan) mode
Steering HI Com
dTHI-W-R: High resolution (Standard) mode
Down
HI Com
HI Com is on.
HI Com
To change the compound direction, use the OBLIQUE toggle. Changes can be made at a maximum of 3 levels in each direction.
dTHI-W-P: High resolution (Deep scan) mode
Left
dTHI-P: Deep scan mode *Different by probes.
Level 3
Level 2
Right
Steering OFF
dTHI-R: Standard mode
Level 1
Level 1
Level 2
Level 3
※ Level 3 can be selected only during a linear probe, with the emphasized effect of a puncturing needle.
Oblique B Mode image (for linear probe only) HI Com
Trapezoid display (for linear probe only)
HI Com is off.
Trapezoid
B Mode Image
To switch the trapezoid display mode ON or OFF, press the Trapezoid button.
Select of needle guide bracket Registration of a needle guideline needs to be registered for every probe. Please carry out registration by the service member.
When two or more needle guide brackets are registered, please choose from the Tool tab menu and Bracket Select.
GUIDE
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Examination of each mode B Mode ④ HI Zoom
PAN Zoom
This feature allows you to enlarge only the ROI (region of interest) and render it in high definition. This will also increase the frame rate.
You can enlarge an image and then move it to change its display position.
Press the HI Zoom key. ROI is displayed.
Press the PAN Zoom key.
Use the trackball to move the ROI to the desired location.
Enlarge
To change the size of the ROI, press the ENTER key. A dot () appears at the lower right corner of the ROI. Use the trackball to change the size of the ROI.
If you press the ENTER key again, or do not touch the trackball for over five seconds, the mark disappears, and the ROI can be moved again.
Reduce
Use the trackball to change the display position of the image. Press the PAN Zoom key again to cancel the zoom mode.
Press the UPDATE (NEXT) key to the zoom mode. . Press the HI Zoom key again to cancel the zoom mode.
Frame-by-frame playback of cine memory
Dual display To switch between single-window and dual-window mode, use the DUAL/SINGLE key. When use the linear probe that can use Up/Down display.
Press the CINE key after freezing the image.
* To change Up/Down display, select a Setup-Application-Edit Data-Application Data Setting-B item-Image split. Real-time
Cine memory images can be played back by frame with a trackball.
Real-time
Frozen Frozen
Frozen Frozen
Real-time Real-time
To switch between the Left(Up) and Right(Down) windows, use the L(U) and R(D) keys. 9
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Examination of each mode M Mode M Mode display
Omni-directional M Mode (ODM Mode) display
Press the center of the M Mode encoder. Press the M Mode encoder again to exit M Mode. Brighter
To switch ODM Mode ON or OFF, press the ODM button displayed during M Mode. Normal M Mode
ODM Mode
ODM
ODM
Turn the encoder to adjust the gain. Darker To play the M Mode cine memory images frame by frame, freeze the display, and then turn the M Mode encoder. (If this causes the gain to change, press the center of the encoder and then turn it.)
Moving the M Mode cursor
Rotating and moving the ODM cursor line
Use the trackball to move the cursor right or left.
Turn the Angle encoder so that the cursor line rotates around the mark. Press the center of the encoder to turn the cursor line 45 degrees at a time. Use the trackball to move the cursor line position.
Dual ODM display To switch between Single Directional ODM and Dual Directional ODM, press the Dual ODM button. The ODM image indicated by the ODM Symbols mark .
Dual ODM The ODM image indicated by the ODM Symbols mark .
Use the UNDO key to select the ODM cursor to be moved. The selected cursor is highlighted in yellow. During Dual ODM you can use screen buttons to switch between the two cursor line control options. Independent
Both cursors have their own rotation center, and therefore move separately.
Independent
Both cursors share the same rotation center, and therefore move together.
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Examination of each mode Color Mode Color Doppler (CFI Mode) display
Tissue Doppler image (TDI Mode) display
Press the center of the CFI Mode encoder. To exit CFI Mode, press the CFI Mode encoder again. Brighter
Press the Elasto/TDI Mode encoder to switch TDI Mode ON or OFF. Turn the encoder to adjust the gain. * Depending on the probe or application being executed, this might cause the Elasto to be activated. For details, see the Instruction Manual.
Turn the encoder to adjust the gain.
Darker
Switching between the Power Doppler (CFA Mode) and Fine Flow modes
Changing the position and size of the color box
Press the Fine Flow/CFA Mode key. To exit Fine Flow mode, press the Fine Flow/CFA Mode key again. Turn the CFI Mode encoder to adjust the gain.
Use the trackball to move the color box.
Fine Flow and CFA are switched by each pressing of a screen button. To CFA
To Fine Flow
Fine Flow mode is selected. (High-definition blood flow power display)
CFA is selected.
Changing the velocity range
To change the size of the ROI, press the ENTER key. A dot () appears at the lower right corner of the ROI. Use the trackball to change the size of the ROI.
Parallel display of colored and black-andwhite images
Higher velocity
To switch the parallel display ON or OFF, press the Dual CFM button. Lower velocity
Dual CFM OFF
Dual CFM ON
Dual CFM
Dual CFM
Oblique color box (for linear probe only)
Tilt the OBLIQUE key in the direction to which you want to tilt the ROI.
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* Depending on the linear probe application being executed, this might cause the Up/Down image be activated.
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Examination of each mode Doppler Mode ① Doppler Mode display To activate Pulse Doppler, press the PW Mode encoder. To activate Continuous Wave Doppler, press the CW Mode key. To exit the current mode, press the same encoder or key again. When you cannot get the Doppler wave form just by Doppler cursor, press UPDATE (NEXT) key to start the sweep of Doppler wavform.
To adjust the gain, turn the PW Mode encoder.
Use the trackball to move the Doppler cursor. If the Doppler cursor is not yellow, press the TRACKBALL key to turn it yellow, and then move the cursor.
Sample gate adjustment
Pulse repetition frequency (PRF) adjustment Greater PRF
Wider
Less PRF
Narrower
Volume adjustment
Wall filter You can change the signal removal level. Remove higher frequency
# Sound Volume
Lower volume Select the Sound Volume button, and then use the Multi encoder to adjust the volume.
Remove lower frequency
Switching of simultaneous Real-time display Simult. OFF
Frozen
Real-time
Frozen
Angle correction Press the encoder to bring up the angle bar. Slightly turn the encoder to adjust the bar so that it is aligned with the direction of blood flow. Clockwise
Real-time
Simult.
Simult. ON
Higher volume
blood flow.
Counterclockwise Real-time
Every time the encoder is pushed, the display in registered angle, reversing, and erasing of the angle bar are repeated.
Real-time
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Examination of each mode Doppler Mode ② Dual Doppler Mode display Press the Dual Doppler Mode key.
Turn the PW Mode encoder to adjust the gain.
If only the Doppler cursor is displayed with no waveform shown, press the UPDATE (NEXT) key.
Moving and changing the Doppler cursor Press UNDO key to switch the priority of Doppler cursor.
The cursor is displayed in yellow when it is active.
Doppler image corresponding to Doppler cursor 1
Move yellow Doppler cursor with a trackball.
Doppler image corresponding to Doppler cursor 2
Once frozen, you can also change the Doppler cursor by pressing the screen button marked Sel.Dop.. Sel. Dop.;D1
Sel. Dop.;D2
Doppler image of the upper window is displayed
Doppler image of the lower window is displayed
Combinations of Dual Doppler images Use screen buttons to switch between combinations of Dual Doppler images. PW/PW
D1:PW
TDI/TDI
PW/TDI
PW
PW
TDI
PW
TDI
TDI
D2:PW
D1:PW
D2:TDI
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D1:TDI
D2:TDI
Real-time Tissue Elastography Display
option
Display Elasto Mode To turn the Elasto mode ON or OFF, press the Elasto/TDI Mode key. * Depending on the probe or application that is being executed, the TDI is activated. * When using mechanical compression unit (option) for intraluminal probe, select “E_Balloon_Urology” in “Select Probe with Application” screen, and boot up the Elasto Mode.
Parallel display of the Elasto Mode and B Mode images
The Dual Elasto screen button switches the display. * Depending on the linear probe application being executed, this might cause the Up/Down image be activated.
Dual Elasto
Dual Elasto
ROI adjustment ① Make sure that the mark is selected and illuminated in yellow in the trackball priority section in the lower right of the examination window. If not selected, press the TRACKBALL key to select the trackball. ② Use the trackball to move the ROI or change its size. To switch between the two functions, press the ENTER key.
If the mark appears in the lower right corner of the ROI, you can change the size of the ROI. Use the trackball to adjust the size of the ROI.
The ROI size is fixed. Use the trackball to move the ROI to the desired location.
The ROI can be adjusted not only in real time image but also in frozen image. Press the ROI ReConfig. button, and then set the ROI as described in steps 1 and 2 above. Pressing the ROI ReSet button returns the ROI to its state immediately after the freeze. Canceling the freeze state causes the ROI to return to the location before the freeze.
ROI ReConfig.
Frozen
Use the trackball to select the frame.
Image quality adjustment High：Image quality priority
To adjust the Elasto frequency, use the REF FREQ key. (Depending on the probe, the frequency might be fixed.)
Low：Sensitivity priority
To make other adjustments, press the Image Menu key, and then use the displayed screen buttons. Next
Prev.Page
E-Dyn.
MapL
MapR
Frame Rata
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Frame Rej.
Noize Rej.
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Persistence
Density
Real-time Tissue Elastography Strain Graph
option
About Strain Graph The strain graph displays the variation over time of tissue strain caused by compression in real time. Pressing the tissue which you want to image so that the periods and amplitudes of the Strain Graph are constant makes it possible to create a stable Elasto Mode image. Pressing probe (applying pressure to tissue) Positive value Withdrawing probe (releasing pressure from tissue) Negative value * Stronger pressure increases the amplitude. Gentler pressure reduces the amplitude. Display Strain Graph 【Freeze ON】
【Freeze OFF】
Sector mode Select Strain Graph Sector Press the Sector button and use the encoder to set the number of sectors. If the frame is changed with the trackball, the sector box operates synchronizing with the time phase bar.
# Sector * Sector mode is activated by specifying 1 or more for the sector setting.
Frame selection
Recording video image at the time of Sector mode When Recording Multi Images using the REC2 key during the freeze, Multi Images in the Sector are recorded automatically.
Frame Select Function This function displays Elastography images under stable compression automatically. Each time the Frame select button or UPDATE (NEXT) key is pressed, three candidate images extracted by the system are displayed in rotation. Frame select;#
Stable pressure
Unstable pressure
* When executing by means of the UPDATE (NEXT) key, before executing change the trackball priority to cine memory frame-byframe playback or to the pointer.
Image is selected automatically.
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