Siemens ACUSON NX3 series User manual

Quick Reference Guide
ACUSON NX3™ Series
siemens.com/nx3

Contents
System Overview 3
Getting Started 8
2D Mode and M-mode 12
Color and Spectral Doppler 24
Measurements and Calculations 38
Text, Arrows and Pictograms 48
Data and Image Management 54
2

System Overview
Control Panel
1. Power ON / OFF
(QuikStart Standby Mode)
2. Patient Study Controls
3. User-defined Keys
4. Soft Key Rotary Controls
5. Alphanumeric Keyboard
6. Text, Arrows and Pictograms
7. Major Modes
8. Angle, Steer, Select
9. TGO Image Optimization
10. DCG Controls
11. Depth, Zoom, Focus
12. UD (User-defined Key), Dual
13. Print, Store and Clip
14. Freeze
15. Home Base Controls
1
2
3
4
5
68 9
10
11
12
13
14
15
7
1
System
Overview
Getting
Started
2D Mode
and M-mode
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
3

System Overview
1. Left Set
2. Right Set
3. Update / View
4. Escape
5. Caliper
6. Trackball (CINE review)
7. Wrist Support
Home Base Area
1
3
6
7
2
45
4

1. Select Key
2. Update Key
3. Trackball
4. Escape Key
5. Caps Lock
6. Wireless Connection
7. Insert / Overwrite
Status Icons
1 2 3 4 5 6 7
Getting
Started
2D Mode
and M-mode
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
System
Overview
5

Connecting Transducer
In the unlocked position, insert the transducer
into the port located on the front of the system.
Turn the lock clockwise until it locks into place.
System Overview 6

Wheel Locks
Unlocked (wheels can swivel and roll). Locked (wheels cannot swivel and roll).
Getting
Started
2D Mode
and M-mode
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
System
Overview
7

Getting Started
Patient Registration
New Patient
1. Press
New Patient
2. Enter patient information.
3. Select the Transducer and Exam type and
select OK.
Transducer can also be selected
from the Touch Screen (if 3 or more
transducers are connected to the
system) after patient registration or
by selecting Exam on the Control
Panel.
TIP
8

1. Press
2. Use the keyboard to edit patient information.
3. Select OK to save.
Patient Registration – Worklist
1. Press
New Patient
2. Enter patient information to search.
3. Select Worklist at the upper left side of
the form
- Select US (Ultrasound) Search
- Select the study and press Select
- Select OK to begin the study.
System must be connected to a HIS / RIS
server to access patient worklist.
Edit Study
System
Overview
Getting
Started
2D Mode
and M-mode
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
9

Transducer / Study
Control Panel and Touch Screen
1. Select
Exam
or
4XLFN6HW
2. Select a transducer from the upper left menu
on the image screen.
3. To change transducers during an exam,
press Exam or the user-defined key assigned
to the transducer.
4. Select the transducer on the Touch Screen.
Selection of transducers via the
Touch Screen is available once three
or more transducers are connected.
TIP
Getting Started 10

Store, Print, Review and End Exam
1. Press to acquire and save the clip.
2. Press
Freeze
to freeze the clip / image frame.
3. If desired, roll trackball for frame-by-frame
CINE review.
- Press to save a static image.
- Press to save and print.
4. Press , then
- Press
Select
to view 1x1 format
- Rotate
Select
to move between images.
5. Press END on the keyboard to end the study.
Starting a new patient also ends
a current exam.
A compatible printer must be connected
and assigned to the print function in the
Presets menu before the print function
becomes active. Print Store 1 and 2 are
customized in the Presets menu.
TIP
Review
Select
System
Overview
2D Mode
and M-mode
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
Getting
Started
11

2D Control Panel
Control Panel Controls Function
2D
Brightness Mode
Press to enter / exit 2D mode.
Rotate to adjust overall 2D gain / brightness.
TGO
(TGO™ Tissue Grayscale
Optimization Technology)
One-button image optimization
Press to optimize the overall image displayed.
Press twice to deactivate.
Note: Available on live image only.
DGC
Manually adjusts gain / brightness at depth
Default all slide controls in the center.
Note: Available on live image only.
Focus
Adjusts the focal zone
Rotate to move up / down and press to activate multiple focal zones.
Note: Only available with certain transducers.
2D Mode and M-mode 12

Depth / Zoom
Adjusts the scanning depth and magnifies the image
Rotate clockwise / counter-clockwise to increase / decrease depth.
Press to activate zoom.
Rotate to change region of interest (ROI) size and press to activate.
Press again to exit zoom.
Note: Zoom available in live or frozen images.
HD Zoom
Displays a high density zoom
Press to activate.
Rotate the Depth / Zoom to increase / decrease ROI.
Press Depth / Zoom or HD Zoom to activate.
Dual
Displays two separately acquired images side-by-side
Press Dual to activate and toggle between images.
Press the 2D key to exit.
System
Overview
Getting
Started
2D Mode
and M-mode
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
13

2D Touch Screen
Touch Screen Controls Function
TGO Gain*
Controls the TGO gain offset
Select to adjust up / down.
Note: TGO must be active to adjust.
Trapezoid
Displays linear or trapezoid image format
Select to activate / deactivate.
Note: Available on live image only. Available on linear transducers
only. Defaults to SieClear 2 upon activation.
4B
Displays four separately acquired images
Select to activate and add each image.
Note: Available on live image only in 2D and Color Doppler.
Image Presets*
Image optimization presets
Select to view available image presets.
Note: Available on live image only.
Customizable in a user-defined exam only.
THI (Tissue Harmonic
Imaging)
Increases contrast and lateral resolution. Reduces noise and clutter.
Select to activate / deactivate.
Note: Available on live image only.
2D Mode and M-mode 14

SieClear (SieClear™
Multi-view Spatial
Compounding)* and
AdvSieClear (Advanced
SieClear™ Spatial
Compounding)*
Enhances contrast resolution and boundary detection
Increase for more compounding.
Decrease for less compounding.
Note: Available on live image only. Settings are transducer and mode
dependent.
Edge*
Sharpens the contours of a structure
Increase for more sharpness.
Decrease for less sharpness.
To deactivate, select zero.
Note: Available on live image only.
RS (Resolution / Speed)*
Balances line density (spatial resolution) and frame rate
Increase to improve image detail.
Decrease to improve frame rate.
Note: Available on live image only.
DTCE
(Dynamic TCE™ Tissue
Contrast Enhancement
Technology)*
Reduces speckle and enhances tissue contrast
Settings are Low, Medium and High.
Note: Available on live or frozen images.
Configurable for the soft key rotary controls and/or touch screen user interface.*
System
Overview
Getting
Started
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
2D Mode
and M-mode
15

Touch Screen Controls Function
Split Activates two simultaneous images in dual format
Select to activate / deactivate.
DTO
(DTO™ Dynamic Tissue
Optimization Technology)
Activates level of gain compensations. Reduces bright whites.
Increase to reduce whites.
ClarifyVE
(Clarify™ Vascular
Enhancement (VE)
Technology)
Decreases artifacts, increases contrast resolution and boundary
detection in structures with flow
Press to activate / deactivate.
Note: Available on live imaging only.
ClarifyVE Levels*
Adjusts levels of sensitivity when using ClarifyVE
Rotate clockwise to increase sensitivity.
Rotate counterclockwise to decrease sensitivity.
Select a higher level to increase.
Select a lower level to decrease.
Note: Available on live imaging only.
2D Mode and M-mode
2D Touch Screen
16

Persist (Persistence)*
Frame averaging – determines the number of frames combined into
the final image
Increase for more frame averaging.
Decrease to demonstrate motion.
To deactivate, select 0.
Note: Available only on live image when SieClear is set to Off.
U/D Flip (Up / Down flip)
R/L Flip (Right / Left flip)
Adjusts orientation on image screen
Select to switch between orientations [up(U) or down(D) and right(R)
or left(L)].
Note: Available on live or frozen image.
Clip Capture >>
Selects type of clip capture
Chronology: Prospective, Retrospective.
Acquisition Rate: Normal, High.
Trigger Type: Time Capture, Beat Capture, Rwave Capture.
Note: Available on live image only.
Configurable for the soft key rotary controls and/or touch screen user interface.*
System
Overview
Getting
Started
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
2D Mode
and M-mode
17

2D Soft Keys
Soft Key Controls Function
P (Transmit Power)
Adjusts acoustic energy delivered to the patient
Rotate clockwise to increase power.
Rotate counterclockwise to decrease power.
Note: Available on live image only. Changes Mechanical (MI) and
Thermal (TIS, TIB) Indices.
DR (Dynamic Range)*
Adjusts number of gray shades displayed
Rotate clockwise for a softer / grayer image.
Rotate counterclockwise to increase contrast.
Note: Available on live or frozen images.
MultiHertz
(MultiHertz™ Multiple
Frequency Imaging)
Balances between resolution and penetration
Use higher frequency to increase resolution.
Use lower frequency to increase penetration.
Note: Available on live image only.
2D Mode and M-mode 18

Map
Processing curves that assign echo amplitudes to gray shades
Maps A – I are from low to high contrast.
Maps 1– 3 are customizable maps (Modify Map).
Note: Available on live or frozen images.
Tint
Colorizes the grayscale image
Press and rotate for tints from 0 –15.
Note: Available on live or frozen images.
Rotate
Adjusts image orientation in 90 degree increments
Rotate to adjust.
Note: Available on live image only.
Configurable for the touch screen controls and/or soft rotary keys.*
System
Overview
Getting
Started
Color and
Spectral Doppler
Measurements
and Calculations
Text, Arrows
and Pictograms
Data and Image
Management
2D Mode
and M-mode
19

M-mode Control Panel
Control Panel Controls Function
M (M-mode)
Enters / exits M-mode and adjusts overall M-mode gain
Press to activate / deactivate.
Roll the trackball to position the M-mode cursor.
Rotate to adjust overall M-mode gain.
Note: Available on live image only.
Update / View
Alternates between 2D / M-mode formats on the Touch Screen
Press to move between modes.
Note: Available on live image only.
Color M-mode
Enters / exits color M-mode
With Color Doppler activated, press M (M-mode).
Place cursor and Press M.
Press Mto exit.
Note: Only available with cardiac transducers.
2D Mode and M-mode 20