Mindray TE7 Operator's Manual
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Mindray TE7 Operator's Manual

Diagnostic ultrasound system
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TE7/TE5
Diagnostic Ultrasound System
Operator's Manual
[Advanced Volume]

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Summary of Contents for Mindray TE7

  • Page 1 TE7/TE5 Diagnostic Ultrasound System Operator’s Manual [Advanced Volume]...

  • Page 3: Table Of Contents

    Content Content ..........................i Intellectual Property Statement ...................... I Preface ............................II Safety Precautions ........................III Overview ........................1-1 Basic Operations and Buttons ..................1-1 Measurement Menu......................1-1 1.2.1 Measurement Location ..................... 1-2 1.2.2 Measurement Tool....................1-2 Measurement, Calculation and Study ................1-3 Measurement Caliper ......................
  • Page 4 3.2.2 Distance ........................3-1 3.2.3 Angle ........................3-2 3.2.4 Area & Circumference ....................3-2 3.2.5 Volume ........................3-3 3.2.6 Ratio (D) ........................3-3 3.2.7 Ratio (A) ........................3-3 3.2.8 Time ........................3-4 3.2.9 Slope ........................3-4 3.2.10 HR ........................... 3-4 3.2.11 Velocity ........................
  • Page 5 Basic Cardiac Measurement Procedures ................. 6-1 Cardiac Measurement Tools .................... 6-2 Cardiac Measurement Operations ................... 6-5 6.4.1 Measurement Tool Operations .................. 6-5 6.4.2 Calculation Tool Operations ..................6-6 6.4.3 Study Tool Operations ....................6-6 Cardiac Exam Report ....................6-16 References ........................6-16 Vascular ........................
  • Page 6 10 Small Parts ......................10-1 10.1 Small Parts Exam Preparations ..................10-1 10.2 Basic Small Parts Measurement Procedures ..............10-1 10.3 Small Parts Measurement Tools ..................10-1 10.4 Small Parts Measurement Operations................10-3 10.4.1 Measurement Tool Operations ................10-3 10.4.2 Calculation Tool Operations ..................10-3 10.4.3 Study Tool Operations ....................

  • Page 7: Intellectual Property Statement

    SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter referred to as Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyright or patents and does not convey any license under the patent rights or copyright of Mindray or of others.

  • Page 8: Preface

    Preface This manual details the procedures for operating the TE7/TE5 Diagnostic Ultrasound System. Carefully read and understand the manual before using the system to ensure its safe and correct operation. NOTE: When operating the system, refer to the following manuals: ...

  • Page 9: Safety Precautions

    Safety Precautions 1. Meanings of Signal Words Danger WARNING CAUTION In this manual, the signal words and NOTE are used regarding safety and other important instructions. The signal words and their meanings are defined as follows. Please understand their meanings clearly before reading this manual. Signal word Meaning Indicates an imminently hazardous situation that, if not avoided, will...
  • Page 10 In dual-B imaging mode, the measurement results of the merged image can be inaccurate. Therefore, the results are provided for reference only, not for confirming diagnoses. Ensure that measurement data correctly corresponds to the fetus during the Obstetric Measurement. 10. Fully understand the functionality of this system by referring to the Operator’s Manual - Basic Volume.

  • Page 11: Overview

    Overview Basic Operations and Buttons Basic Measurement Procedures 1. Tap [End] to end the last exam. 2. Tap [Patient] and enter the patient information, This includes patient ID, name, height, weight, etc. Enter manually for a new patient or load from iStation or Worklist for an anonymous patient.

  • Page 12: Measurement Location

    1.2.1 Measurement Location The location widgets are used to select the measurement locations.  Side (Left/Right): belongs to items (e.g., kidney) that contain measurements of left/right side parameters respectively.  Location (Prox./Mid./Dist.): belongs to items (e.g., vascular) that contain measurements of Proximal, Middle or Distal parameters.

  • Page 13: Measurement, Calculation And Study

    1. Select the tool: Tap the screen to select the item and tap again to confirm. 2. After finishing the measurement, perform other necessary operations. Select Measurement Method Online Some measurement tools have multiple methods to select. 1. Select item in the menu. 2.

  • Page 14: Measurement Caliper

    For example, EFW (Estimated Fetal Weight) in the OB measurement. If all measurements related to a calculation tool are completed, the system will automatically calculate the result. If some measurement tools are performed again, the system will automatically update the calculation result using the latest measurement results. Study A group of measurements and/or calculations for a specific clinical advanced, which are indicated by “...

  • Page 15: Moving The Results Window

     No result displays when a measurement item/tool is activated but without fixing the start point.  The result displays as digits when the value obtained is within the clinical range.  The result displays as “?” when it is out of the ultrasonic range. 1.5.2 Moving the Results Window To move the results window,...

  • Page 16: Viewing Reports

    1.7.1 Viewing Reports Items on the report page are described as follows:  Each measurement contains one measured value.  The report only displays results of tools that are displayed in the report template by default and are completed, as shown in the figure above. ...

  • Page 17: Editing Reports

    1.7.2 Editing Reports Editing Measurement Data Input appropriate data when editing the measurement values, otherwise CAUTION: misdiagnosis may occur.  The measurement values in the text boxes are editable. Move the cursor to the text box and tap on the screen to type on the popped up keyboard. ...

  • Page 18: Printing Reports

    3. Tap on [Done] to confirm. Analysis information displays after the measurement values in the report. 1.7.3 Printing Reports Tap [Preview] on the report page to preview. On the preview page, you can: Print report: Tap [Print]. Select ultrasound Select from the drag-down list. Options: image layout: 1/Row, 2/Row, 3/Row, 4/Row, Comments/...

  • Page 19: Measurement Preset

    Measurement Preset Basic Preset Procedures The basic measurement preset procedures are as follows: 1. Tap icon on the upper right corner and select [Setup] to enter the Setup: 2. Preset the measurement parameters. Enter [Setup] -> [System] -> [Measure] to preset the measurement ruler, etc. See “2.2 Measurement Parameters Preset”...

  • Page 20: Obstetric Preset

    Tools Descriptions The number of cardiac cycles in the heart rate calculation. (In heart Heartbeat rate measurement, the number of cardiac cycles should match the preset number.) If unselected, the connecting line between the measuring ends will be Cursor Line Display hidden after measurement.
  • Page 21 Tools Hadlock Tokyo Jeanty Nelson Robinson Rempen Hansmann China ASUM RobinsonBMUS Verburg Hadlock Tokyo Jeanty Kurtz Hansmann Merz Rempen ChittyOI Osaka China Nicolaides ASUM Verburg(O-O) Hadlock Jeanty Hansmann ChittyPL ChittyDer Nicolaides ASUM Hadlock Jeanty Merz Nicolaides ASUM CFEF Hansmann Chitty Measurement Preset 2-3...
  • Page 22 Tools Hadlock Tokyo Jeanty Hohler Merz Hansmann Warda Chitty Osaka China Nicolaides ASUM Hansmann Nicolaides ASUM OSAKA Hansmann Jeanty ASUM Hill Nicolaides Daya Mean Sac Diam Hellman Fetal Weight Formulae EFW is a calculation item. If all tools required for the EFW formula have been performed, EFW will be obtained automatically.
  • Page 23 Formulae Descriptions Units EFW = 10 ^ (1.3596 - (0.00386*AC*FL) + (0.0064*HC) + Hadlock (0.00061*BPD*AC) + (0.0424*AC) + (0.174*FL)) (AC, FL, HC, BPD) SD = 0.146*EFW SD Type = ± 2SD EFW (Kg) = 10 ^ (-1.7492 + (0.166*BPD) + (0.046*AC) - Shepard (2.646*AC*BPD/1000)) (AC, BPD)

  • Page 24: Obstetric Preset Operations

    2.3.2 Obstetric Preset Operations 2.3.2.1 Basic Procedures Basic procedures in the OB preset are as follows: 1. Enter the [Setup] -> [System] -> [OB] page. 2. Set the default formula. (1) On the [Fetal Gestational Age] or [Fetal Weight] page, select an OB Item in the left column. (2) Select a formula in the right column.

  • Page 25: Measurement Preset

    Measurement Preset Basic Procedures: 1. Tap icon on the right upper corner and select [Setup] to enter the [Setup]. 2. Select [Presets]-> [Measure] in the [Setup] menu. 3. Tap [Caliper] and [Measure] to preset the basic measurement and advanced measurement. For details, see “2.4.1 General Basic Measurement Preset”...
  • Page 26 3. Add/Remove the item. To add the item(s), select one or more items from the left column, hold until the items become “floating” and attached with the cursor, then drag them to the right column. To remove the item(s), operate similarly with adding item(s) except to drag the item from right to left.

  • Page 27: Advanced Measurement Preset

    Attributes Descriptions Select the calculation method for the tool. The selected calculation tool influences only the final result on the report. Meas. Method Tap “CalcMethod” column of each item to select. Tap [OK] to confirm the setting. 7. Select the measurement sequence. ...

  • Page 28: Setting Default Report Template

    The operations of adding, removing and setting default items are the same with the basic items. For details on measurement tool property settings, see “2.4.1 General Basic Measurement Preset”. 4. Select the measurement sequence.  [Repeat]: after the current measurement is completed, the system automatically activates the current tool again.

  • Page 29: Basic Measurement

    Basic Measurement There are 2D (B/Color/Power), M and Doppler (PW/CW) basic measurement tools. Basic Measurement Procedures 1. Start the exam. 2. Select the imaging mode, then scan the image. 3. Tap [Measure] to enter the measurement menu. Item available in current exam mode are displayed.

  • Page 30: Angle

    Tap [Update] to switch between the fixed end and active end of the caliper. Or Tap [Clear All] to cancel setting the starting point. 4. Tap on the screen to set the end point. 3.2.3 Angle Function: On B/C image, measures the angle of two crossing planes on the image and the range is: 0°...

  • Page 31: Volume

    3.2.5 Volume Function: On B/C image, calculates the volume of the target object by the method of 3-distance. For calculating the object's volume with 3 axes of two images scanned in the plane perpendicular to each other in B mode. The calculation formula is as follows: ...

  • Page 32: Time

    Cross 1. Select [Cross] in the menu. The cursor appears on the screen. 2. Move the cursor to an area of interest. 3. Tap on the screen to fix the starting point of the first axis. 4. Move the cursor to position the end point of the first axis and then Tap [Update] to switch between the start point and the end point of the first axis.

  • Page 33: Velocity

    The number of cardiac cycles “n” can be preset in the [System] -> [Measure] preset page. See “2.2 Measurement Parameters Preset” for details. During the measurement, the number of cardiac cycles between the CAUTION: measurement start and end points must be exactly the same as preset ([Preset] ->...
  • Page 34 Drag the cursor left to correct the trace line already drawn. Trace the end point to be measured and tap on the screen to fix the point. Result parameters The results obtained from D trace are: Parameters Descriptions The highest velocity of the red blood cells crossing the Peak Systolic Velocity sample volume.
  • Page 35 Function: measures the velocity, pressure gradient and correction angle between two points on the Doppler spectrum. 1. Select [2 PT] method in the measurement menu, the cursor displays as 2. Move the cursor to the starting point to be measured and tap on the screen to fix the point. 3.

  • Page 36: D Trace (Car)

    Parameters Descriptions The time of the blood velocity accelerating from the end of diastole to the systolic peak. This is usually the time Acceleration Time interval between the end of the first cardiac cycle and the peak of the next cardiac cycle. Choose the first peak when two peaks exist in the systolic cycle.

  • Page 37: Imt

    Tap on [Volume Flow] in the measurement menu.  Click [Vas Area] to select the method for calculating the area: dist. or trace.  Click [PW Scope] to select the scope to be traced. Measure the vascular area. Click [TAMEAN] or [TAMAX] to calculate the volume flow. Item Description Method or formula...

  • Page 38: References

    References Emamian, S.A., et al., “Kidney Dimensions at Sonography: Correlation With 3Dist Volume: Age, Sex, and Habitus in 665 Adult Volunteers,” American Journal of Radiology, January, 1993, 160:83-86. Dorland’s Illustrated Medical Dictionary, ed. 27, W. B. Sanders Co., general measurement): Philadelphia,1988, p.

  • Page 39: Abdomen

    Abdomen The abdomen measurement tools are applied in but not limited to the following exam modes:  Adult ABD  EM ABD  EM AAA Abdomen Exam Preparations Make the following preparations before measuring: 1. Confirm that the current probe is appropriate. 2.

  • Page 40: Abdomen Measurement Tools

    Abdomen Measurement Tools NOTE: The measurement tools mentioned below are configured in the system. The advanced measurement packages provided in this system are generally different combinations of measurement tools. Measurement, calculation and study measurement items in 2D and Doppler mode (no M mode measurement items) are listed below: ...
  • Page 41 Methods in Basic Tools Descriptions Measurement Mid Inf ABD Aorta Mid Infrarenal ABD Aorta Distal ABD Aorta Inferior Vena Cava Velocity  Study items Tools Measurement items included Methods or formulae Spleen Spleen L, Spleen H, Spleen W Prox Aorta Aneurysm L Prox Aorta Aneurysm Prox Aorta Aneurysm H Prox Aorta Aneurysm W...

  • Page 42: Abdomen Measurement Operations

    Abdomen Measurement Operations See the table in “4 Abdomen Measurement Tools” above for measurement tools Tip: and methods. For the definitions of measurement, calculation and study, see “1.3 Measurement, Calculation and Study”. 1. Select the item/tool in the measurement menu. 2.

  • Page 43: Obstetrics

    Obstetrics Obstetric measurements are used to estimate the GA and EDD and calculate the growth indices, including the EFW. The obstetric measurement tools are applied in but not limited to the following exam modes:   OB2/3  EM OB Obstetric Exam Preparations Make the following preparations before measuring: 1.

  • Page 44: Ultrasound Ga

    The calculation methods are listed as follows:  LMP: enter the LMP, the system will calculate the GA and EDD.  DOC: enter the DOC, the system will calculate the GA and EDD.  IVF: after you enter IVF, the system will calculate the GA and EDD. ...

  • Page 45: Obstetric Measurement Tools

    Obstetric Measurement Tools The system supports the following 2D/M/Doppler obstetric measurements.  Measurement items Tools Descriptions Methods in Basic Measurement Crown Rump Length Distance, Trace and Spline. Gestational Sac Diameter Distance Cerebellum Diameter Distance Biparietal Diameter Distance Head Circumference Ellipse, Trace, Cross and Spline Abdominal Circumference Femur Length Humerus Length...

  • Page 46: Obstetric Measurement Operations

    Tools Descriptions Methods in Basic Measurement Sac Diam1 Gestational Sac Diameter 1 Sac Diam2 Gestational Sac Diameter 2 Sac Diam3 Gestational Sac Diameter 3 Amniotic Fluid 1 Amniotic Fluid 2 Amniotic Fluid 3 Amniotic Fluid 4 Cervix L Cervical Length Distance, Trace and Spline UT L Uterine Length...

  • Page 47: Measurement Tool Operations

    For the definitions of measurement, calculation and study, see “1.3 Measurement, Calculation and Study.” 5.5.1 Measurement Tool Operations Take the HC measurement as an example. 1. Select the [HC] item/tool in the measurement menu. See “Select Measurement Method Online” for details on how to select a method online. 2.

  • Page 48: Fetal Biophysical Profile

    5.6.1 Fetal Biophysical Profile Fetal Biophysical Profile means to first obtain a few indices related to fetal growth through experiment or measurement and then evaluate the hazardous situation that the fetus is facing by grading these indices respectively. 1. Tap [Checklist] on the OB report page, the fetus Score is listed after the fetal analysis. The scoring criteria the system provides are based on the Vintzileos formula, as shown in the table below.
  • Page 49 in Chapter 38 of “Ultrasound Medicine” (3rd edition) Science & Technology Literature Press, 1997 Rempen A., 1991 Arztliche Fragen. Biometrie in der Fruhgraviditat (i.Trimenon): 425-430. Hansmann M., Hackelö er B.J., Staudach A. Ultraschalldiagnostik in Geburtshilfe und Gynä kologie 1985 Hadlock F.P., et al. Fetal Crown-Rump Length: Reevaluation of Relation to Menstrual Age (5-18 weeks) with High-Resolution Real-time US.
  • Page 50 Ultrasound Obstet Gynecol 2008; 31: 388–396 Published online 17 March 2008 Wiley InterScience (www.interscience.wiley.com). DOI:10.1002/uog.5225 Merz E., Werner G. & Ilan E. T. “Ultrasound in Gynecology and Obstetrics” Textbook and Atlas 312, 326-336. 1991 Georg Thieme Verlag, pp.326~327 Rempen A., 1991 Arztliche Fragen. Biometrie in der Fruhgraviditat (i.Trimenon): 425-430.
  • Page 51 R. J. M. Snijders and K. H. Niicolaides. Fetal biometry at 14-40 weeks’ gestation. Ultrasound Obstet. Gynecol. 4 (1994) 34-48 Norio Shinozuka, Takashi Okai, Masahiko Mizuno. Issued by Shindan & Tiryo Sya Tokyo University, School of Medicine, OB/GYN dept. How to interpret OB/GYN ultrasound measurement data.
  • Page 52 Hadlock F.P., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology 1984; 152 (No. 2):499. Jeanty P., Romero R. A longitudinal study of fetal abdominal growth, “Obstetrical Ultrasound.” MacGraw-Hill Book Company, 1984. Chitty L.S., Altman D.G. British Journal of Obstetrics and Gynaecology January 1994, Vol.101 P29-135.
  • Page 53 O'Brien G.D., Queenan J.T. (1981) Growth of the ultrasound femur length during normal pregnancy, American Journal of Obstetrics and Gynecology 141:833-837. Jeanty P., Rodesch F., Delbeke D., Dumont J. Estimation of gestational age from measurements of fetal long bones. Journal of Ultrasound Medicine February 1984;...
  • Page 54 R. J. M. Snijders and K. H. Niicolaides; Fetal biometry at 14-40 weeks’ gestation Ultrasound Obstet. Gynecol. 4 (1994) 34-48 Fetal Growth Chart Using the Ultrasonotomographic Technique Keiichi Kurachi, Mineo Aoki Department of Obstetrics and Gynecology, Osaka University Medical School Revision 3 (September 1983) Merz E., Werner G.
  • Page 55 Studies on Fetal Growth and Functional Developments, Takashi Okai Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo Brenner W.E., Edelman D.A., Hendricks C.H. A standard of fetal growth for the United States of America. VOL. 91, NO. 6, JUNE 1998 Hadlock F.P., Harrist R., Martinez-Poyer J.
  • Page 56 HC/AC(Campbell) Campbell S. Ultrasound Measurement of Fetal Head and Abdomen Circumference Ratio in the Assessment of Growth Retardation. Obstetrics and Gynaecology, Vol 84, 165- 174, March 1977 FL/BPD Hohler C.W., Quetel, T:A: Comparison of Ultrasound Femur Length and Biparietal Diameter in Late pregnancy.

  • Page 57: Cardiology

    Cardiology The cardiac measurement tools are applied in but not limited to the following exam modes:  Adult Cardiac  Cardiac Diff   EM Cardiac  Cardiac Exam Preparations Make the following preparations before measuring: 1. Confirm that the current probe is appropriate. 2.

  • Page 58: Cardiac Measurement Tools

    Cardiac Measurement Tools The system supports the following cardiac measurements: NOTE: The heartbeat of the traced spectrum in VTI measurement should be equal to that preset, otherwise the obtained HR (Heart Rate) will be incorrect. See “2.2 Measurement Parameters Preset” for the relevant preset. ...
  • Page 59 Methods in basic Tools Descriptions measurement RV Area(d) Right Ventricular area at end-diastole The system automatic calculates RV FAC value. RV FAC=((RV Area(d)- RV RV Area(s) Right Ventricular area at end-systole Area(s))/ RV Area(d)）*100% IVC Time Inferior Vena Cava Time Time MV VTI Mitral Valve Velocity-Time Integral...
  • Page 60 Methods in basic Tools Descriptions measurement MV Aa(medial) Mitral Valve medial Late diastolic motion MV Sa(medial) Mitral Valve medial Systolic motion D Vel. in Doppler General Measurements MV Aa(lateral) Mitral Valve lateral Late diastolic motion MV Sa(lateral) Mitral Valve lateral Systolic motion MV ARa(medial) Mitral Valve medial Acceleration Rate MV DRa(medial)

  • Page 61: Cardiac Measurement Operations

    *2 means:  Study items See section 6.4.3. Cardiac Measurement Operations See the table in “6.3 Cardiac Measurement Tools” above for measurement tools and Tip: methods. For the definitions of measurement, calculation and study, see “1.3 Measurement, Calculation and Study.” 6.4.1 Measurement Tool Operations 1.

  • Page 62: Calculation Tool Operations

    Item Description SV (A2C/A4C/BP) Stroke Volume SI (A2C/A4C/BP) SV Index EF (A2C/A4C/BP) Ejection Fraction CO (A2C/A4C/BP) Cardiac Output CI (A2C/A4C/BP) Cardiac output index  Operation 1. Select the [AutoEF] in the measure menu. 2. In apical two-chamber view, measure the following parameters: Left ventricular endocardium at end-diastolic, the EDV(A2C) is obtained automatically.
  • Page 63 Methods in basic Measurements items measurement Left Ventricular Internal Diameter at end- LVIDs (2D/M) systole Left Ventricular Posterior Wall Thickness at LVPWs (2D/M) End Systole RVDd (2D/M) Right Ventricular Diameter at end-diastole Right Ventricular Anterior wall thickness at RVAWd (2D/M) end-diastole Hear Rate HR(2D): Input...
  • Page 64 4. Obtain HR (input HR in 2D mode, input or manually measure HR in M mode). The CO value is obtained. If the height and weight have already been entered, the SI, CI EDV Index and ESV Index are calculated. 6.4.3.2 CO (LVOT) ...
  • Page 65 LVOT Vmean LVOT PGmean 4. Input or meaure HR manually. The LVOT CO is obtained. If the height and weight have already been entered, the LVOT SI and LVOT CI are calculated. 6.4.3.3 RVSP The RVSP measures the right ventricular systolic pressure. ...
  • Page 66 Results Descriptions Formulae Pulmonary Valve Regurgitation Pressure PR PGed Get from PR Ved measurement Gradient at end- Diastole PAEDP Pulmonary Pressure at    PAEDP(mmHg mmHg end-Diastole  Operating Procedures See the table above for methods and formulae for the measurement items. 6.4.3.5 Simpson You may select to measure single plane (A2C or A4C) only or both planes (A2C and A4C) to study.
  • Page 67 Tools Descriptions Formulae End-systolic Left ESV (BP) Ventricular Volume (BP) End-diastolic Left EDV Index Ventricular Volume Index EDV Index=EDV/BSA (A2C/A4C/BP) (A2C/A4C/BP) End-systolic Left ESV Index Ventricular Volume Index ESV Index=ESV/BSA (A2C/A4C/BP) (A2C/A4C/BP) Stroke Volume Cardiac Output See table in “6.4.3.1 LV (2D/M)” Ejection Fraction SV Index CO Index...
  • Page 68 (1) Simpson single plane measurement (measure apical A2C or A4C only)  Operating Procedures 1. Select [Simpson] from the menu. 2. Measure the endocardium. Measure the left ventricular endocardium at end-diastolic and set the long axis, the EDV is obtained. Measure the left ventricular endocardium at end-systolic and set the long axis, the ESV is obtained.
  • Page 69 (3) Tap on the screen outside the line to confirm the adjustment. (2) Simpson Bi-plane measurement When using Simpson to measure LV function, be sure to keep the CAUTION: apical four-chamber view and apical two-chamber view perpendicular. Otherwise the measurement result will be incorrect. ...
  • Page 70 Tools Descriptions Operations Left Ventricular Area at Papillary Muscle level at LVAs sax PM end-systole in short axis view Heart Rate Enter directly 6-14 Cardiology...
  • Page 71  Study Results Tools Descriptions Formulae EDV(Mod.Simpson) End-diastolic Left Ventricular Volume ESV(Mod.Simpson) End-systolic Left Ventricular Volume End-diastolic Left Ventricular Volume EDV Index=EDV/BSA Index(Mod.Simpson) Index End-systolic Left Ventricular Volume ESV Index=ESV/BSA Index(Mod.Simpson) Index SV(Mod.Simpson) Stroke Volume CO(Mod.Simpson) Cardiac Output See table in “6.4.3.1 LV (2D/M)” EF(Mod.Simpson) Ejection Fraction SI(Mod.Simpson)

  • Page 72: Cardiac Exam Report

    Cardiac Exam Report During or after a measurement, Tap [Report] to browse the report. For details about report browsing, printing and exporting, etc., see “1.7 Report.” References Body Surface Are (BSA):  DuBois, D., DuBois, E.F., “A Formula to Estimate the Approximate Surface Area if Height and Weight Be Known,”...
  • Page 73  Roelandt, Joseph, Practical Echocardiology, Ultrasound in Medicine Series, Vol. 1, Denis White, ed., Research Studies Press, 1977, p. 270. Schiller, N.B., et al., “Recommendations for Quantification of the LV by Two-Dimensional  Echocardiography,” J Am Soc Echo, Sept-Oct, 1989, Vol. 2, No. 5,p. 364. MV E/A: ...

  • Page 75: Vascular

    Vascular The vascular measurement tools are applied in but not limited to the following exam modes:  Vascular  Carotid  EM Vascular  Vascular Exam Preparations Make the following preparations before measuring: 1. Confirm that the current probe is appropriate. 2.
  • Page 76 Tools Descriptions Methods in basic measurement Pop. V Popliteal Vein TP Trunk V Tibial Peroneal Trunk Vein Peroneal V Peroneal Vein P.Tib. V Posterior Tibial Vein A.Tib. V Anterior Tibial Vein Inferior Vena Cava Anterior Cerebral Artery Middle Cerebral Artery Posterior Cerebral Artery 2PT, Manual, Spline, Auto AComA...

  • Page 77: Vascular Measurement Operations

    Types Tools Descriptions Methods or formulae Stenosis (No unit) = |(A1-A2)/ MAX(A1,A2)|*100% Stenosis Where A1 and A2 refer to the measured vascular area, and MAX (A1, A2) represents the larger value of the two. You may select different method for the two area measurement.

  • Page 78: Study Tool Operations

    ICA/CCA Function: measures the flow velocity ratio between ICA and CCA to calculate the stenosis. 1. Tap [ICA/CCA] in the measurement menu. 2. Measure the PS value of the ICA and CCA using the 2 PT method in D trace, and the system calculates the stenosis.

  • Page 79: Vascular Exam Report

     IMT Max.  IMT Min.  IMT Mean  IMT SD  IMT ROI Length  IMT Measure Length  IMT Quality Index The Quality Index indicates the reliability of one measurement. Manual trace or re-scan of an image with clear endocardium edges is recommended if the Quality Index value is small. Tip: To achieve a good trace result, try to place the ROI box parallel with the vessel and adjust the box size to reduce unwanted interference.

  • Page 81: Gynecology

    Gynecology The gynecology measurement tools are applied in but not limited to the following exam modes:  Gynecology Exam Preparations Make the following preparations before measuring: 1. Confirm that the current probe is appropriate. 2. Check that the current system date is correct. 3.

  • Page 82: Gynecology Measurement Operations

    Tools Descriptions Methods in basic measurement Follicle1~16 L Follicle 1~16 Length Follicle1~16 W Follicle 1~16 Width Follicle1~16 H Follicle1~16 Height Ovarian A Ovarian Artery 2PT, Spline, Manual, Auto Ut A Uterine Artery Ovarian V Ovarian Vein Velocity  Calculation and Study items Types Tools Descriptions...

  • Page 83: Study Tool Operations

    UT Vol Function: measures the UT L, UT H and UT W, calculates the UT Vol. 1. Tap [UT Vol.] in the measurement menu. 2. Use the Distance method in 2D Basic Measurements to measure the UT L, UT H and UT W. The UT Vol.

  • Page 84: Gynecology Exam Report

    Results Method Formulae    Length  2-distance Vol＝ Width    3-distance Vol＝ length Width Height Up to 16 follicles can be measured. Specify the follicle serial numbers before measuring a follicle. NOTE: needs to be measured on the left and right sides respectively. Take Follicle1 as an example.

  • Page 85: Urology

    Urology The urology measurement tools are applied in but not limited to the following exam modes:  Urology  Testical Urology Exam Preparations Make the following preparations before performing a urology exam: 1. Confirm that the current probe is appropriate. 2.

  • Page 86: Urology Measurement Operations

    Method in basic Tools Descriptions measurement Pre-BL H Pre-void Bladder Height Pre-BL W Pre-void Bladder Width Post-BL L Post-void Bladder Length Post-BL H Post-void Bladder Height Post-BL W Post-void Bladder Width Epididymis L Epididymis Length Epididymis W Epididymis Width Epididymis H Epididymis Height Scrotal Wall Thickness Testicular A...

  • Page 87: Measurement Tool Operations

    9.4.1 Measurement Tool Operations All Urology measurement tool operations are the same as the Distance measurement of 2D Basic Measurements. The measurement procedures are as follows, taking the Prostate L measurement as an example: 1. Tap [Prostate L] in the measurement menu. 2.

  • Page 88: Study Tool Operations

    Post-BL Vol. Function: measures the Post-BL L, Post-BL H and Post-BL W, calculates the Post-BL Vol. 1. Tap [Post-BL Vol] in the measurement menu. 2. Use the Distance method in Basic Measurements to measure Post-BL L, Post-BL H and Post- BL W.

  • Page 89: Urology Exam Report

    Bladder Function: measures the Pre-BL L, Pre-BL H, Pre-BL W, Post-BL L, Post-BL H and Post-BL W, calculates the Pre-BL Vol., Post-BL Vol and Mictur.Vol. 1. Tap [Bladder] in the measurement menu. 2. Use the Distance method in 2D Basic Measurements to measure the Pre-BL L, Pre-BL H and Pre-BL W.

  • Page 91: Small Parts

    Small Parts The small parts measurement tools are applied in but not limited to the following exam modes:  Thyroid  Breast  Testicle  Superficial  10.1 Small Parts Exam Preparations Make the following preparations before measuring: 1. Confirm that the current probe is appropriate. 2.
  • Page 92 Tools Descriptions Methods or formulae Testis L Testicular Length Testis H Testicular Height Testis W Testicular Width Breast Mass1~10 L Breast Mass Length Breast Mass1~10 H Breast Mass Height Breast Mass1~10 W Breast Mass Width Nip.-Mass 1~10 Dist. Distance between nipple and mass Skin-Mass 1~10 Dist.

  • Page 93: Small Parts Measurement Operations

    10.4 Small Parts Measurement Operations See table “10.3 Small Parts Measurement Tools” above for measurement tools Tip: and methods. For the definitions of measurement, calculation and study, see “1.3 Measurement, Calculation and Study.” 10.4.1 Measurement Tool Operations Take the measurement “Thyroid L” for example. The measurement procedure is as follows: 1.

  • Page 94: Small Parts Exam Report

    Thyroid Cyst Function: measures the Thyroid Cyst L, Thyroid Cyst H and Thyroid Cyst W to calculate the Thyroid Cyst Volume. Up to 3 cysts can be measured. Taking Mass1 as an example, the procedure is as follows: 1. Select [Thyroid Cyst 1] in the measurement menu. Select left or right side from the sub-menu.

  • Page 95: Pediatrics

    Pediatrics The HIP (Hip Joint Angle) measurement is used in pediatric Pediatrics. Such measurement provides early diagnosis for infant hip joint dislocation. 11.1 Pediatrics Exam Preparations Make the following preparations before measuring: 1. Confirm that the current probe is appropriate. 2.

  • Page 96: Pediatrics Measurement Tools

    11.3 Pediatrics Measurement Tools NOTE: The measurement tools mentioned below are configured in the system. The application measurement packages provided in this system are generally different combinations of measurement tools. For more information about package preset, see “2.4.2 Advanced Measurement Preset.” The HIP calculation assists in assessing the development of the infant hip.

  • Page 97: Hip Measurement Operations

    HIP-Graf The measurement items, results and procedures are the same as “HIP.” Measures the distance between the baseline and bottom line of the osseous acetabular and the maximum width of the hip to estimate the hip osseous acetabular coverage. 1. Select [d/D] in the measurement menu. 2.

  • Page 98: References

    For details about report browsing, printing and exporting, etc., see “1.7 Report.” 11.6 References Graf R., “Sonographic diagnosis of hip dysplasia. Principles, sources of error and consequences” Ultraschall Med. 1987 Feb;8(1):2-8 Schuler P., “Principles of sonographic examination of the hip” Ultraschall Med. 1987 Feb;8(1):9-1 Graf, R.

  • Page 99: Emergency&Critical

    Emergency&Critical The following optional emergency exam modes are available in the current system:  EM ABD  EM FAST  EM OB  EM Vascular  EM Superficial  EM AAA  EM Cardiac 12.1 Basic Measurement Procedures 1. Check the system time, current probe and exam mode are correct. 2.

  • Page 101: Nerve

    Nerve 13.1 Basic Measurement Procedures 1. Check if the system time, current probe and exam mode are correct. 2. Tap [Patient] to register patient information. 3. Scan the desired ultrasonic views and save image(s). 4. Tap [Measure] to enter the measurement menu. 5.
  • Page 103 P/N: 046-006962-01 (5.0)

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