GE Voluson 730Pro Quick manual

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®
B
BA AS SI IC C U US SE ER R M MA AN NU UA AL L
GE Medical Systems
Kretztechnik GmbH & Co OHG

GE Medical Systems
Kretz Ultrasound
Basic
User Manual
105831
Revision 0
VOLUSON
®
730Pro
0366
Copyright© 2002 by GE Medical Systems - Kretztechnik GmbH & Co OHG
User Documentation

Revision History
Table i-1: Reason for Change
REV DATE REASON FOR CHANGE
Rev.0 July 31, 2002 Initial Release
Table i-2: List of effective Pages
CHAPTER- / PAGE NUMBER REV # CHAPTER- / PAGE NUMBER REV #
Cover 0 Chapter 11 - Volume Mode 0
Revision History 0 Chapter 12 - Utilities 0
Contents 0 Chapter 13 - Basic Measurements 0
Chapter 1 - General 0 Chapter 14 - Calculations and Patient Reports 0
Chapter 2 - Safety 0 Chapter 15 - Sonoview 0
Chapter 3 - Description of the System 0 Chapter 16 - Printing / Recording / Saving / Sending 0
Chapter 4 - Starting the System 0 Chapter 17 - System Setup 0
Chapter 5 - 2D Mode 0 Chapter 18 - Measurement Setup 0
Chapter 6 - M Mode 0 Chapter 19 - Biopsy Setup 0
Chapter 7 - Spectral Doppler Mode 0 Chapter 20 - Probes and Biopsy 0
Chapter 8 - CFM Mode 0 Chapter 21 - Connections 0
Chapter 9 - PD Mode 0 Chapter 22 - MAN ECG preamplifier 0
Chapter 10 - TD Mode 0 Chapter 23 - Technical Data / Information 0
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CONTENTS
REVISION HISTORY………………………………………………………………………i-1
1. GENERAL...................................................................................................... 1-2
2. SAFETY ......................................................................................................... 2-2
2.1 Important Instructions for Safety ...................................................................................... 2-2
2.2 Electric installation.............................................................................................................. 2-3
2.3 Symbols Used ....................................................................................................................... 2-3
2.4 Remarks for Safe Use .......................................................................................................... 2-5
2.5 Environmental Conditions for Operation ......................................................................... 2-6
2.6 Instruction for Use............................................................................................................... 2-6
2.7 Biopsy Lines ......................................................................................................................... 2-7
2.8 ECG preamplifier (MAN)................................................................................................... 2-7
2.9 Cleaning and Maintenance ................................................................................................. 2-8
2.10 Safety Test ............................................................................................................................ 2-8
2.11 Manufacturer Responsibility.............................................................................................. 2-9
2.12 Service Documents...............................................................................................................2-9
2.13 Basic Interaction between Ultrasound and Matter........................................................... 2-9
2.13.1 Bioeffects......................................................................................................................... 2-9
2.13.2 Intensities Measured in Water and Recalculated In Situ ............................................... 2-11
2.13.3 Derivation and Meaning of the Thermal and Mechanical Indices................................. 2-12
2.13.4 FDA-Limits for Acoustic Output and Bioeffects .......................................................... 2-15
2.13.5 Summary........................................................................................................................ 2-15
2.13.6 Display Accuracy of the Indices.................................................................................... 2-16
2.13.7 Recommendation to Use and for the Need for Following the ALARA Principle ......... 2-16
2.13.8 Notes for Acoustic Output Tables for Track 3 .............................................................. 2-17
2.13.9 Acoustic Measurement Uncertainties ............................................................................ 2-18
2.13.10 Acoustic Output Tables ................................................................................................. 2-18
2.14 3D Resolution and Sensitivity........................................................................................... 2-19
2.15 Disposal............................................................................................................................... 2-19
3. DESCRIPTION OF THE SYSTEM ................................................................. 3-2
3.1 System Survey ...................................................................................................................... 3-2
3.1.1 Product Description ......................................................................................................... 3-2
3.1.2 Biological Safety ............................................................................................................. 3-3
3.1.3 Limitation Vectors........................................................................................................... 3-3
3.1.4 Bioeffects......................................................................................................................... 3-4
3.2 Mechanical Design...............................................................................................................3-4
3.2.1 System Configuration ...................................................................................................... 3-4
3.2.2 Mechanical Adjustment................................................................................................... 3-5
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CONTENTS
3.3 System Assembly..................................................................................................................3-6
3.3.1 Basic System....................................................................................................................3-6
3.3.2 Optional Peripheral Devices ............................................................................................3-6
3.3.3 Optional Modules.............................................................................................................3-7
3.3.4 Position of Display Annotation........................................................................................3-7
3.4 Concept of Operation...........................................................................................................3-8
3.4.1 Changing of Menus..........................................................................................................3-9
3.4.2 Layout of the 2D-Mode Main Menu................................................................................ 3-9
3.4.3 Control Panel .................................................................................................................3-11
3.4.4 Hard keys .......................................................................................................................3-12
3.4.4.1 Function of the Trackball at Diverse Dialog Pages ..................................................3-18
3.4.4.2 Keyboard keys ..........................................................................................................3-19
3.5 Electronic User Manual (EUM)........................................................................................3-20
3.5.1 To exit the electronic User Manual................................................................................ 3-20
3.5.2 Searching with the Help Topic: Contents .....................................................................3-21
3.5.3 Searching with the Help Topic: Index ..........................................................................3-22
3.5.4 Searching with the Help Topic: Find ............................................................................3-23
3.5.4.1 Setup of the Find Options ......................................................................................... 3-24
4. STARTING THE SYSTEM.............................................................................. 4-2
4.1 General Remarks .................................................................................................................4-2
4.2 Safety Warnings ...................................................................................................................4-2
4.3 Turn on Power......................................................................................................................4-2
4.4 Transducer Connection .......................................................................................................4-3
4.5 Probe/Program Selection.....................................................................................................4-4
4.5.1 Starting the System ..........................................................................................................4-5
4.5.2 To Freeze an Image..........................................................................................................4-6
4.6 Entering Patient Data ..........................................................................................................4-6
4.6.1 Patient ID Menu...............................................................................................................4-6
4.6.1.1 Edit Patient Info..........................................................................................................4-8
4.6.2 Standard Input..................................................................................................................4-9
4.6.3 To Retrieve Patient Data via External Worklist Server .................................................4-11
4.6.3.1 Patient Information - General ...................................................................................4-12
4.6.3.2 Patient Information - OB ..........................................................................................4-13
4.6.3.3 Patient Information - GYN ....................................................................................... 4-14
4.6.3.4 Patient Information - Cardio .....................................................................................4-15
4.6.4 To Search in the Patient List..........................................................................................4-16
4.7 Image Annotation...............................................................................................................4-17
4.7.1 Annotation......................................................................................................................4-17
4.7.2 Auto Annotation.............................................................................................................4-18
4.7.3 Indicator .........................................................................................................................4-20
4.7.4 Pictogram .......................................................................................................................4-21
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5. 2D MODE ....................................................................................................... 5-2
5.1 2D Main Menu ..................................................................................................................... 5-2
5.2 2D Mode Depth .................................................................................................................... 5-4
5.3 2D Image Angle.................................................................................................................... 5-4
5.4 2D Gain................................................................................................................................. 5-5
5.5 TGC Slider Controls............................................................................................................ 5-5
5.6 2D Automatic Optimization................................................................................................ 5-6
5.7 Transmit Power ................................................................................................................... 5-6
5.8 Transmitter Focus ...............................................................................................................5-7
5.9 Receiver Frequency Range ................................................................................................. 5-7
5.9.1 Harmonic Imaging........................................................................................................... 5-8
5.10 Optimized Tissue Imaging (OTI) ...................................................................................... 5-8
5.11 Beta View (β-View) ............................................................................................................. 5-9
5.12 Focus and Frequency Composite (FFC) ........................................................................... 5-9
5.13 Trapezoid Mode ................................................................................................................. 5-10
5.14 Image Orientation.............................................................................................................. 5-10
5.15 Multi Format...................................................................................................................... 5-11
5.15.1 Dual-Screen Format....................................................................................................... 5-11
5.15.2 Quad-Screen Format...................................................................................................... 5-13
5.16 Cine Mode........................................................................................................................... 5-15
5.16.1 Cine-Split Function........................................................................................................ 5-15
5.16.2 2D Auto Cine................................................................................................................. 5-16
5.17 Pan Zoom............................................................................................................................ 5-17
5.18 High Resolution Zoom....................................................................................................... 5-18
5.19 2D Sub Menu...................................................................................................................... 5-19
5.19.1 Quality ........................................................................................................................... 5-19
5.19.2 Line Filter ...................................................................................................................... 5-20
5.19.3 Enhance .........................................................................................................................5-20
5.19.4 Dynamic Control ........................................................................................................... 5-20
5.19.5 Persistence Filter............................................................................................................ 5-21
5.19.6 Reject............................................................................................................................. 5-21
5.19.7 Exit the 2D Sub menu.................................................................................................... 5-21
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CONTENTS
6. M MODE ......................................................................................................... 6-2
6.1 M Main Menu.......................................................................................................................6-2
6.1.1 Principle ...........................................................................................................................6-3
6.2 M Operation .........................................................................................................................6-4
6.2.1 Cursor Position.................................................................................................................6-4
6.2.2 Activation of M Mode......................................................................................................6-4
6.2.3 Sweep Speed ....................................................................................................................6-5
6.2.4 Invert................................................................................................................................6-5
6.2.5 Frequency......................................................................................................................... 6-5
6.2.6 TGC Slide Controls..........................................................................................................6-5
6.2.7 M Mode Depth.................................................................................................................6-5
6.2.8 M Gain Control................................................................................................................ 6-6
6.2.9 M Cineloop ......................................................................................................................6-6
6.3 M Sub Menu .........................................................................................................................6-7
6.3.1 Format..............................................................................................................................6-7
6.3.2 Enhance............................................................................................................................6-8
6.3.3 Dynamic Control.............................................................................................................. 6-8
6.3.4 Reject ...............................................................................................................................6-8
6.3.5 Exit the M Submenu ........................................................................................................6-8
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7. SPECTRAL DOPPLER MODE ...................................................................... 7-2
7.1 PW Mode (Pulsed Wave Doppler) ..................................................................................... 7-2
7.1.1 PW Main Menu ............................................................................................................... 7-3
7.1.2 PW Operation .................................................................................................................. 7-4
7.1.2.1 Gate Position and Gate Width .................................................................................... 7-4
7.1.2.2 Activation of PW Mode.............................................................................................. 7-5
7.1.2.3 PW Gain Control ........................................................................................................ 7-5
7.1.2.4 PW Automatic Optimization ...................................................................................... 7-6
7.1.2.5 Sweep Speed............................................................................................................... 7-6
7.1.2.6 Audio Signal............................................................................................................... 7-6
7.1.2.7 Invert ..........................................................................................................................7-7
7.1.2.8 Angle Correction ........................................................................................................ 7-7
7.1.2.9 Baseline ...................................................................................................................... 7-8
7.1.2.10 WMF .......................................................................................................................... 7-8
7.1.2.11 Velocity Range (PRF) ................................................................................................ 7-8
7.1.2.11.1 HPRF Mode....................................................................................................... 7-9
7.1.2.12 Real Time Trace ......................................................................................................... 7-9
7.1.2.13 Freeze ....................................................................................................................... 7-10
7.1.2.14 PW Cineloop ............................................................................................................ 7-10
7.1.3 PW Sub Menu................................................................................................................ 7-11
7.1.3.1 Scale ......................................................................................................................... 7-11
7.1.3.2 Format ...................................................................................................................... 7-12
7.1.3.3 Frequency ................................................................................................................. 7-12
7.1.3.4 Dynamic ................................................................................................................... 7-13
7.1.3.5 Exit the PW Submenu .............................................................................................. 7-13
7.1.4 PW + 2D + Color Information (Triplex Mode) ............................................................ 7-13
7.2 CW Mode (Continuous Wave Doppler)........................................................................... 7-14
7.2.1 CW Main Menu............................................................................................................. 7-14
7.2.2 CW Operation................................................................................................................ 7-15
7.2.2.1 Cursor Position and Focus........................................................................................ 7-15
7.2.2.2 Activation of CW Mode ........................................................................................... 7-15
7.2.2.3 CW Gain Control...................................................................................................... 7-16
7.2.2.4 Sweep Speed............................................................................................................. 7-16
7.2.2.5 Audio Signal............................................................................................................. 7-16
7.2.2.6 Invert ........................................................................................................................ 7-17
7.2.2.7 Angle Correction ...................................................................................................... 7-17
7.2.2.8 Baseline .................................................................................................................... 7-18
7.2.2.9 WMF ........................................................................................................................ 7-18
7.2.2.10 Velocity Range (PRF) .............................................................................................. 7-18
7.2.2.11 Real Time Trace ....................................................................................................... 7-19
7.2.2.12 Freeze ....................................................................................................................... 7-19
7.2.2.13 CW Cineloop............................................................................................................ 7-19
7.2.3 CW Sub Menu ............................................................................................................... 7-20
7.2.3.1 Scale ......................................................................................................................... 7-20
7.2.3.2 Format ...................................................................................................................... 7-21
7.2.3.3 Dynamic Range ........................................................................................................ 7-21
7.2.3.4 Exit the CW Submenu .............................................................................................. 7-22
7.2.4 CW + 2D + Color Information (Triplex Mode)............................................................ 7-22
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8. CFM MODE (COLOR FLOW MODE)............................................................ 8-2
8.1 CFM Main Menu .................................................................................................................8-2
8.2 CFM Operation....................................................................................................................8-3
8.2.1 CFM Box Position and CFM Box Size............................................................................8-4
8.2.2 CFM Gain Control ...........................................................................................................8-4
8.2.3 Quality..............................................................................................................................8-5
8.2.4 WMF................................................................................................................................8-5
8.2.5 Velocity Range (PRF)......................................................................................................8-6
8.2.6 Frequency......................................................................................................................... 8-6
8.2.7 Invert................................................................................................................................8-7
8.2.8 2D + 2D/C........................................................................................................................8-7
8.2.9 Threshold .........................................................................................................................8-7
8.3 CFM Sub Menu....................................................................................................................8-8
8.3.1 Display Modes .................................................................................................................8-9
8.3.2 Scale...............................................................................................................................8-12
8.3.3 Line Filter.......................................................................................................................8-12
8.3.4 Gently Color...................................................................................................................8-12
8.3.5 Artifact Suppression.......................................................................................................8-12
8.3.6 Baseline..........................................................................................................................8-13
8.3.7 Ensemble........................................................................................................................8-13
8.3.8 Line Density...................................................................................................................8-13
8.3.9 CFM Map.......................................................................................................................8-14
8.3.10 Balance........................................................................................................................... 8-14
8.3.11 Dynamic Set...................................................................................................................8-15
8.3.12 Smoothing...................................................................................................................... 8-15
8.3.13 Exit the CFM Submenu..................................................................................................8-15
8.3.14 CFM + 2D + Spectral Doppler (Triplex Mode)............................................................. 8-16
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9. PD MODE (POWER-DOPPLER MODE)....................................................... 9-2
9.1 PD Main Menu..................................................................................................................... 9-3
9.2 PD Operation ....................................................................................................................... 9-4
9.2.1 PD Box Position and PD Box Size.................................................................................. 9-4
9.2.2 PD Gain Control .............................................................................................................. 9-5
9.2.3 Quality ............................................................................................................................. 9-5
9.2.4 Frequency ........................................................................................................................ 9-6
9.2.5 WMF................................................................................................................................ 9-6
9.2.6 Velocity Range (PRF)...................................................................................................... 9-7
9.2.7 2D + 2D/PD..................................................................................................................... 9-7
9.2.8 Threshold......................................................................................................................... 9-7
9.3 PD Sub Menu ....................................................................................................................... 9-8
9.3.1 Line Filter ........................................................................................................................ 9-9
9.3.2 Gently Color ....................................................................................................................9-9
9.3.3 Artifact Suppression ........................................................................................................ 9-9
9.3.4 Ensemble ....................................................................................................................... 9-10
9.3.5 Line Density .................................................................................................................. 9-10
9.3.6 PD-Map ......................................................................................................................... 9-10
9.3.7 Balance .......................................................................................................................... 9-11
9.3.8 Dynamic Set .................................................................................................................. 9-12
9.3.9 Smoothing...................................................................................................................... 9-12
9.3.10 Exit the PD Submenu..................................................................................................... 9-12
9.3.11 PD + 2D + Spectral Doppler (Triplex Mode)................................................................ 9-13
10. TD MODE (TISSUE DOPPLER MODE)...................................................... 10-2
10.1 TD Main Menu................................................................................................................... 10-2
10.2 TD Operation ..................................................................................................................... 10-3
10.2.1 TD Box Position and TD Box Size................................................................................ 10-4
10.2.2 TD Gain Control............................................................................................................ 10-4
10.2.3 Quality ........................................................................................................................... 10-5
10.2.4 Velocity Range (PRF).................................................................................................... 10-5
10.2.5 Invert.............................................................................................................................. 10-5
10.2.6 2D + 2D/TD................................................................................................................... 10-6
10.3 TD Sub Menu ..................................................................................................................... 10-7
10.3.1 Scale............................................................................................................................... 10-8
10.3.2 Line Filter ...................................................................................................................... 10-8
10.3.3 Gently Color .................................................................................................................. 10-8
10.3.4 Baseline ......................................................................................................................... 10-9
10.3.5 Ensemble ....................................................................................................................... 10-9
10.3.6 Line Density ................................................................................................................ 10-10
10.3.7 TD Map........................................................................................................................ 10-10
10.3.8 Balance ........................................................................................................................ 10-11
10.3.9 Dynamic Set ................................................................................................................ 10-11
10.3.10 Smoothing.................................................................................................................... 10-12
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CONTENTS
11. VOLUME MODE........................................................................................... 11-3
11.1 Volume Acquisition with Volume Probes ........................................................................11-4
11.1.1 Principle of Volume Acquisition ...................................................................................11-5
11.1.2 Principal Scanning Modes .............................................................................................11-5
11.1.3 What is Interactive 3D Image Rendering ? ....................................................................11-6
11.1.3.1 What is Interactive ? ................................................................................................. 11-6
11.1.4 Image Orientation (All Acquisition Modes) ..................................................................11-7
11.1.5 The Render Box ............................................................................................................. 11-9
11.1.6 General Advices to Obtain Good Rendered 3D Images ..............................................11-10
11.1.6.1 Examples of Rendered Images................................................................................11-11
11.2 Volume Acquisition: 3D Sectional Planes.....................................................................11-12
11.2.1 3D Acquisition During Active High Resolution Zoom ...............................................11-14
11.2.2 After the 3D Sectional Planes Acquisition...................................................................11-15
11.2.2.1 Orientation Help Graphic........................................................................................11-16
11.2.3 Principle of Sectional Image Analysis ......................................................................... 11-16
11.2.3.1 Image Position ........................................................................................................11-18
11.2.3.2 Image Magnifier .....................................................................................................11-18
11.2.3.3 Choosing a Reference Image ..................................................................................11-18
11.2.4 Selecting a Sectional Plane ..........................................................................................11-19
11.2.5 Rotations ......................................................................................................................11-19
11.2.6 Translations..................................................................................................................11-22
11.2.6.1 Initial Condition......................................................................................................11-23
11.2.6.2 A,B,C - Sectional Plane Mode................................................................................ 11-25
11.2.6.3 Reference Image Mode...........................................................................................11-25
11.2.6.4 Niche Display Mode ...............................................................................................11-25
11.3 Sub Menus ........................................................................................................................11-28
11.3.1 Render View Direction ................................................................................................11-29
11.3.2 3D Gray Chroma Map..................................................................................................11-29
11.3.3 Contrast........................................................................................................................11-30
11.3.4 Background ..................................................................................................................11-30
11.3.5 Balance......................................................................................................................... 11-30
11.3.6 Power Threshold ..........................................................................................................11-30
11.4 Volume Acquisition: 3D Rendering...............................................................................11-31
11.4.1 After the 3D Rendering Acquisition ............................................................................11-33
11.4.1.1 3D ROI Mode ......................................................................................................... 11-33
11.4.1.2 Adjust Size and Content of the Render Box ........................................................... 11-34
11.4.1.3 3D Pictogram Mode................................................................................................ 11-35
11.4.2 Render Parameter – Basic Mode and Render Algorithm.............................................11-39
11.4.2.1 Gray Render Mode..................................................................................................11-40
11.4.2.1.1 Threshold Control in Gray Render Mode 11-41
11.4.2.1.2 Transparency in Gray Render Mode 11-41
11.4.2.2 Color Render Mode ................................................................................................11-42
11.4.2.2.1 Threshold Control in Color Render Mode 11-43
11.4.2.2.2 Transparency in Color Render Mode 11-43
11.4.2.3 Glass Body Render Mode....................................................................................... 11-44
11.4.3 3D Rotation Cine .........................................................................................................11-45
11.4.3.1 To calculate a 3D Rotation Cine Sequence.............................................................11-45
11.4.3.2 Start/Stop the Calculated Sequence ........................................................................11-47
11.4.4 MagiCut .......................................................................................................................11-48
11.4.4.1 MagiCut Operation .................................................................................................11-49
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11.5 Real Time 4D Acquisition ............................................................................................... 11-52
11.5.1 Possible Display Adjustment Before Starting Acquisition.......................................... 11-54
11.5.2 Real Time 4D Acquisition During Active High Resolution Zoom ............................. 11-55
11.5.2.1 Display of sectional Planes..................................................................................... 11-56
11.5.2.2 Display of REF-Image............................................................................................ 11-57
11.5.2.3 Display of ROI 4D.................................................................................................. 11-58
11.5.2.4 Display of 4D ......................................................................................................... 11-59
11.5.2.5 Display of A-ROI 4D ............................................................................................. 11-60
11.5.3 4D Controls.................................................................................................................. 11-61
11.5.4 After the Real Time 4D Acquisition............................................................................ 11-63
11.6 VOCAL............................................................................................................................. 11-64
11.6.1 VOCAL - New ROI..................................................................................................... 11-67
11.6.1.1 Sphere – Computer-assisted Contour Mode........................................................... 11-69
11.6.1.2 Manual Contour Mode ........................................................................................... 11-70
11.6.2 VOCAL - Edit Contour ............................................................................................... 11-71
11.6.3 VOCAL - Static 3D ..................................................................................................... 11-74
11.6.4 Render Mode and Display of the Shell Geometry....................................................... 11-76
11.7 Volume Histogram........................................................................................................... 11-77
12. UTILITIES .................................................................................................... 12-2
12.1 Gray Chroma Map ............................................................................................................ 12-3
12.1.1 2D Gray Map ................................................................................................................. 12-3
12.1.2 3D Gray Map ................................................................................................................. 12-4
12.1.3 Gray Edit Menu ............................................................................................................. 12-5
12.1.4 Chroma Map .................................................................................................................. 12-6
12.2 Histogram ........................................................................................................................... 12-7
12.2.1 2D Histogram ................................................................................................................ 12-7
12.2.2 3D Histogram ................................................................................................................ 12-8
12.2.3 Volume Histogram......................................................................................................... 12-8
12.3 Extern Video....................................................................................................................... 12-9
12.4 Internet ............................................................................................................................. 12-10
12.5 Display of Biopsy Guideline............................................................................................ 12-11
12.6 Thermal Indices ............................................................................................................... 12-12
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13. BASIC MEASUREMENTS ........................................................................... 13-2
13.1 Basic Operations ................................................................................................................13-3
13.2 Distance Measurements.....................................................................................................13-4
13.2.1 2D Distance Measurement.............................................................................................13-4
13.2.2 M Distance Measurement ..............................................................................................13-5
13.3 Area Measurements ...........................................................................................................13-5
13.3.1 Measurement using Ellipse ............................................................................................13-6
13.3.2 Measurement using Trace ..............................................................................................13-6
13.4 Volume Measurements ......................................................................................................13-7
13.4.1 3 Distance Measurement................................................................................................13-7
13.4.2 1 Distance + Ellipse Measurement................................................................................. 13-8
13.4.3 1 Distance Measurement................................................................................................13-8
13.4.4 1 Ellipse Measurement...................................................................................................13-9
13.4.5 3D MultiPlane Measurement .......................................................................................13-10
13.5 Doppler Measurements....................................................................................................13-11
13.5.1 Accelerated Velocity (also for immediate pressure gradient measurement)................13-11
13.5.2 Velocity Ratio ..............................................................................................................13-12
13.5.3 Average Velocity (Manual Trace) ..............................................................................13-12
13.5.4 Average Velocity (Auto Trace)...................................................................................13-13
13.6 Diverse Measurements.....................................................................................................13-14
13.6.1 Hip Joint Measurement ................................................................................................13-14
13.7 Measurement Accuracy of the System ...........................................................................13-15
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14. CALCULATIONS AND PATIENT REPORTS.............................................. 14-3
14.1 Basic Calculation Functionality........................................................................................ 14-3
14.2 Basic Patient Report Functions ........................................................................................ 14-5
14.2.1 To view a Patient Report ............................................................................................... 14-5
14.2.2 To save / send a Patient Report...................................................................................... 14-6
14.2.3 To edit a Patient Report ................................................................................................. 14-7
14.2.4 To view previous Reports.............................................................................................. 14-8
14.2.5 To transfer a Patient Report........................................................................................... 14-8
14.2.6 To print a Patient Report................................................................................................ 14-8
14.3 OB Calculations ................................................................................................................. 14-9
14.3.1 The Items of OB Calculations ....................................................................................... 14-9
14.3.2 Before starting OB Calculations.................................................................................. 14-10
14.3.3 To enter Basic OB Information ................................................................................... 14-10
14.3.4 The OB Calculations Method ...................................................................................... 14-11
14.3.4.1 To calculate the Distance........................................................................................ 14-11
14.3.4.2 To calculate the Circumference.............................................................................. 14-12
14.3.4.3 To calculate AFI ..................................................................................................... 14-13
14.3.4.4 To perform Fetal Doppler Measurements .............................................................. 14-14
14.3.4.4.1 Auto Trace..................................................................................................... 14-14
14.3.4.4.2 Manual Trace................................................................................................. 14-15
14.3.4.4.3 Measurement of Each Item............................................................................ 14-15
14.3.4.4.4 To measure Fetal Heart Rate ......................................................................... 14-16
14.4 OB Patient Report ........................................................................................................... 14-17
14.4.1 To view the Graph ....................................................................................................... 14-18
14.5 GYN Calculations ............................................................................................................ 14-19
14.5.1 The Items of GYN Calculations .................................................................................. 14-19
14.5.2 Before starting GYN Calculations............................................................................... 14-19
14.5.3 To enter Basic GYN Information ................................................................................ 14-20
14.5.4 The GYN Calculations Method ................................................................................... 14-20
14.5.4.1 GYN Calculations in the 2D Mode ........................................................................ 14-21
14.5.4.2 GYN Calculations in the Spectral-Doppler Mode.................................................. 14-22
14.5.4.2.1 Auto Trace..................................................................................................... 14-22
14.5.4.2.2 Manual Trace................................................................................................. 14-23
14.5.4.2.3 Measurement of Each Item............................................................................ 14-23
14.6 GYN Patient Report ........................................................................................................ 14-24
14.7 Cardiac Calculations ....................................................................................................... 14-25
14.7.1 Items of Cardiac Calculations...................................................................................... 14-25
14.7.2 Before starting Cardiac Calculations ........................................................................... 14-26
14.7.3 To enter Basic Cardiac Information............................................................................. 14-26
14.7.4 The Cardiac Calculations Method ............................................................................... 14-27
14.7.4.1 Simpson .................................................................................................................. 14-28
14.7.4.2 Vol A/L (Area Length)........................................................................................... 14-28
14.7.4.3 2D Measurements................................................................................................... 14-29
14.7.4.4 LV Mass ................................................................................................................. 14-30
14.7.4.5 LVOT- or RVOT Diameter .................................................................................... 14-30
14.7.4.6 LV (Left Ventricle)................................................................................................. 14-31
14.7.4.6.1 To measure all Items at a Time ..................................................................... 14-31
14.7.4.6.2 To measure the Items One by One ................................................................ 14-32
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14.7.4.7 Ao/LA ..................................................................................................................... 14-33
14.7.4.7.1 To measure all Items at a Time......................................................................14-33
14.7.4.7.2 To measure the Items One by One.................................................................14-33
14.7.4.8 Heart Rate (HR)......................................................................................................14-34
14.7.4.9 MV (Mitral Valve) in M Mode..............................................................................14-34
14.7.4.9.1 To measure the Items One by One.................................................................14-34
14.7.4.9.2 To measure all Items at a Time......................................................................14-35
14.7.4.10 MV (Mitral Valve) in Spectral-Doppler Mode......................................................14-36
14.7.4.10.1 Auto Trace .....................................................................................................14-36
14.7.4.10.2 Manual Trace.................................................................................................14-37
14.7.4.10.3 To measure the Items One by One.................................................................14-37
14.7.4.11 R-R Interval ............................................................................................................14-38
14.7.4.12 AoV (Aortic Valve) ................................................................................................14-39
14.7.4.13 TV (Tricuspid Valve)..............................................................................................14-39
14.7.4.14 PV (Pulmonary Valve)............................................................................................14-39
14.7.4.15 LVOT Doppler........................................................................................................14-39
14.7.4.16 RVOT Doppler .......................................................................................................14-39
14.7.4.17 Pulmonic Veins.......................................................................................................14-40
14.7.4.18 PAP (Pulmonary Artery Pressure Measurement) ...................................................14-41
14.7.4.19 Heart Rate (HR)......................................................................................................14-41
14.7.4.20 PISA Radius and PISA Alias Velocity ...................................................................14-42
14.8 Cardiac Patient Report....................................................................................................14-43
14.9 Vascular Calculations......................................................................................................14-44
14.9.1 Items of Vascular Calculations ....................................................................................14-44
14.9.2 Before starting Vascular Calculations..........................................................................14-44
14.9.3 The Vascular Calculations Method.............................................................................. 14-44
14.9.3.1 Auto Trace ..............................................................................................................14-45
14.9.3.2 Manual Trace ..........................................................................................................14-46
14.9.3.3 Measurement of Each Item .....................................................................................14-46
14.9.3.4 Heart Rate ...............................................................................................................14-47
14.9.3.5 To calculate Stenosis % ..........................................................................................14-48
14.9.3.6 To measure Vessel Area / Distance ........................................................................14-49
14.10 Vascular Patient Report ..................................................................................................14-50
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15. SONOVIEW.................................................................................................. 15-2
15.1 Selecting Exams ................................................................................................................. 15-3
15.1.1 To Use the Exams List................................................................................................... 15-3
15.1.2 To Select the Exams ...................................................................................................... 15-4
15.1.3 To Sort the Exams ......................................................................................................... 15-4
15.1.4 To Search for Exams ..................................................................................................... 15-4
15.1.5 To View the Exams ....................................................................................................... 15-5
15.1.6 To Delete Exams............................................................................................................ 15-5
15.1.7 To Send Exams.............................................................................................................. 15-5
15.1.8 To Print Exams .............................................................................................................. 15-5
15.1.9 To Export Exams ........................................................................................................... 15-5
15.1.10 To Backup the Exams.................................................................................................... 15-6
15.1.11 To Restore the Backup Exams....................................................................................... 15-7
15.2 Image Review ..................................................................................................................... 15-7
15.2.1 View Mode .................................................................................................................... 15-8
15.2.2 Exam Mode.................................................................................................................... 15-8
15.2.3 Compare Mode .............................................................................................................. 15-8
15.2.4 Layouts .......................................................................................................................... 15-9
15.2.5 Full Screen..................................................................................................................... 15-9
15.2.5.1 3D Mode................................................................................................................... 15-9
15.2.5.2 2D Cine Mode ........................................................................................................ 15-10
15.2.5.3 3D Rotation Cine Mode.......................................................................................... 15-10
15.2.5.4 4D Image Cine Mode ............................................................................................. 15-10
15.2.5.5 Images with Text Comment ................................................................................... 15-10
15.2.5.6 Images with Voice Comment ................................................................................. 15-10
15.2.6 To Delete an Image from an Exam.............................................................................. 15-11
15.3 Tools.................................................................................................................................. 15-12
15.3.1 To Print Images ........................................................................................................... 15-13
15.3.2 To Export Images ........................................................................................................ 15-13
15.3.3 To Magnify Images...................................................................................................... 15-14
15.3.4 Report .......................................................................................................................... 15-14
15.3.5 To Measure Distance ................................................................................................... 15-14
15.3.6 To Measure Ellipse...................................................................................................... 15-15
15.3.7 Voice Recorder ............................................................................................................ 15-15
15.3.8 Input of Comment........................................................................................................ 15-16
15.3.9 DICOM Send............................................................................................................... 15-16
15.3.10 DICOM Print ............................................................................................................... 15-17
15.3.11 To Send E-mails .......................................................................................................... 15-18
15.3.12 Settings ........................................................................................................................ 15-19
15.3.13 MO and CD-RW Formatting ....................................................................................... 15-20
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16. PRINTING / RECORDING / SAVING / SENDING ........................................ 16-2
16.1 Printing ...............................................................................................................................16-2
16.1.1 DICOM Print ................................................................................................................. 16-3
16.2 VCR Recording ..................................................................................................................16-5
16.3 Saving..................................................................................................................................16-6
16.3.1 Saving 2D Images ..........................................................................................................16-7
16.3.2 Saving 2D Cine .............................................................................................................. 16-8
16.3.3 Saving 3D.......................................................................................................................16-9
16.3.4 Saving 4D.....................................................................................................................16-10
16.3.5 Save as AVI file ...........................................................................................................16-12
16.3.6 Save with Comment.....................................................................................................16-13
16.3.7 Sending Images to a DICOM Server ...........................................................................16-14
16.3.7.1 DICOM Configuration............................................................................................ 16-15
17. SYSTEM SETUP .......................................................................................... 17-2
17.1 To invoke the Setup Procedure.........................................................................................17-3
17.2 To exit from the Setup Procedure ....................................................................................17-3
17.3 The Setup Desktop Pages ..................................................................................................17-4
17.3.1 General...........................................................................................................................17-5
17.3.1.1 To Enter Date, Time and Time Zone ........................................................................17-6
17.3.2 User Settings ..................................................................................................................17-7
17.3.2.1 To Save a User Program ...........................................................................................17-8
17.3.2.2 To Save a 3D/4D Program........................................................................................ 17-9
17.3.2.3 To Enter/Overwrite Text Auto................................................................................17-10
17.3.3 Peripherals....................................................................................................................17-12
17.3.4 Options.........................................................................................................................17-13
17.3.5 Service..........................................................................................................................17-15
17.3.6 Backup Save.................................................................................................................17-16
17.3.7 Backup Load ................................................................................................................17-17
17.3.8 DICOM ........................................................................................................................17-19
17.3.8.1 To Specify a DICOM Address................................................................................17-20
17.3.9 System Info ..................................................................................................................17-22
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18. MEASUREMENT SETUP ............................................................................ 18-2
18.1 To Invoke the Setup Procedure ........................................................................................ 18-3
18.2 To Exit from Measurement Setup.................................................................................... 18-3
18.3 The Measurement Setup Pages......................................................................................... 18-3
18.3.1 General Measurement Setup.......................................................................................... 18-4
18.3.2 Obstetric Measurement Setup........................................................................................ 18-5
18.3.2.1 To Define a New User.............................................................................................. 18-6
18.3.2.2 Tables ....................................................................................................................... 18-8
18.3.2.3 To Display the Exact Formula.................................................................................. 18-9
18.3.2.4 To Enter a New Table or Equation......................................................................... 18-10
18.3.2.5 To Delete User Defined Tables or Equations......................................................... 18-11
18.3.3 Cardiac Measurement Setup ........................................................................................ 18-12
19. BIOPSY SETUP........................................................................................... 19-2
19.1 To program a Biopsy Line ................................................................................................ 19-3
20. PROBES AND BIOPSY ............................................................................... 20-2
20.1 Ergonomics......................................................................................................................... 20-2
20.2 Cable Handling .................................................................................................................. 20-2
20.3 Probe Orientation .............................................................................................................. 20-3
20.4 Labeling .............................................................................................................................. 20-4
20.5 Applications........................................................................................................................ 20-5
20.6 Features .............................................................................................................................. 20-6
20.7 Specifications...................................................................................................................... 20-7
20.8 Probe Usage........................................................................................................................ 20-8
20.9 Care and Maintenance ...................................................................................................... 20-8
20.9.1 Inspecting Probes........................................................................................................... 20-8
20.9.2 Environmental Requirements ........................................................................................ 20-8
20.10 Probe Safety ....................................................................................................................... 20-9
20.10.1 Handling Precautions..................................................................................................... 20-9
20.10.2 Watertightness ............................................................................................................... 20-9
20.10.3 Electrical Shock Hazard ................................................................................................ 20-9
20.10.4 Mechanical Hazards..................................................................................................... 20-10
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20.11 Special Handling Instructions.........................................................................................20-10
20.11.1 Using Protective Sheaths .............................................................................................20-10
20.12 Probe Handling and Infection Control ..........................................................................20-11
20.12.1 Definition of “Applied Section” and “User Section”....................................................20-12
20.12.2 Probe Cleaning Process................................................................................................20-16
20.12.3 Disinfecting Probes......................................................................................................20-17
20.12.4 Coupling Gels ..............................................................................................................20-19
20.12.5 Planned Maintenance ...................................................................................................20-19
20.13 Introduction......................................................................................................................20-20
20.13.1 Curved Array (Convex) Probes....................................................................................20-21
20.13.2 Linear Array Probes.....................................................................................................20-22
20.13.3 Phased Array (Sector) Probes ......................................................................................20-22
20.13.4 3D/4D Probes...............................................................................................................20-23
20.13.5 Pencil Probes................................................................................................................20-24
20.14 Biopsy Special Concerns..................................................................................................20-25
20.14.1 Preparing the Patient ....................................................................................................20-25
20.14.2 Mounting......................................................................................................................20-25
20.14.3 Programming and Display ...........................................................................................20-26
21. CONNECTIONS ........................................................................................... 21-2
21.1 How to Connect Auxiliary Devices Safely........................................................................21-2
21.2 To Connect Internal and External Accessories ...............................................................21-3
21.2.1 Main Module..................................................................................................................21-4
21.2.2 Power Supply (rear side)................................................................................................21-6
21.2.3 Power Supply (for auxiliary equipment)........................................................................21-7
21.2.4 Side of the Main Module-Connectors............................................................................21-8
21.2.5 Connector Panel (rear side)............................................................................................21-9
21.2.6 Color Video Monitor Connection ................................................................................21-10
21.2.7 B/W Video Printer Connection Scheme ......................................................................21-11
21.2.8 S-VHS Videorecorder Connection Scheme .................................................................21-12
21.2.9 Color Video Printer Connection Scheme..................................................................... 21-13
21.2.9.1 Sony UP-D21MD ...................................................................................................21-13
21.2.9.2 Mitsubishi CP770DW.............................................................................................21-14
21.2.10 Line Printer Connection Scheme .................................................................................21-15
21.2.11 ECG-preamplifier (MAN 6) Connection ....................................................................21-16
21.2.12 Foot Switch (MFT 7) Connection...............................................................................21-17
21.3 Important Notes: Connecting Auxiliary Equipment ....................................................21-18
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