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Mindray DC-8 EXP Operator's Manual

Diagnostic ultrasound system
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Diagnostic Ultrasound System
Operator's Manual
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Summary of Contents for Mindray DC-8 EXP

  • Page 1 DC-8 EXP 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   1   Overview ........................1-1   1.1   Basic Operations and Buttons ....................1-1   1.2   Measurement Menu ......................1-2   1.2.1  ...
  • Page 4 2.4.2   Application Measurement Preset ................2-13   2.4.3   Report Preset ......................2-21   2.5   Fast OB Measurement ....................... 2-23   3   General Measurement ....................3-1   3.1   Basic Procedures of General Measurement ................ 3-1   3.2  ...
  • Page 5 4   Abdomen ........................4-1   4.1   Abdomen Exam Preparations ....................4-1   4.2   Basic Abdomen Measurement Procedures ................4-1   4.3   Abdomen Measurement Tools ..................... 4-2   4.4   Abdomen Measurement Operations ..................4-4   4.5   Abdomen Exam Report ......................
  • Page 6 7   Vascular ........................7-1   7.1   Vascular Exam Preparations ....................7-1   7.2   Basic Vascular Measurement Procedures ................7-1   7.3   Vascular Measurement Tools ....................7-2   7.4   Vascular Measurement Operations ..................7-4   7.4.1   Measurement Tool Operations ..................7-4   7.4.2  ...
  • Page 7 10.5   Small Parts Exam Report ....................10-4   10.6   References ......................... 10-4   11   Orthopedics ........................11-1   11.1   Orthopedics Exam Preparations ..................11-1   11.2   Basic Orthopedics Measurement Procedures ..............11-1   11.3   Orthopedics Measurement Tools ..................11-2   11.4  ...

  • Page 9: Intellectual Property Statement

    SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called 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 10: Preface

    Preface This manual details the procedures for operating the DC-8 EXP Diagnostic Ultrasound System. Carefully read and understand the manual before using the system to ensure its safe and correct operation. When you operate the system, you can refer to the following manuals: NOTE: Operator’s Manual (Basic Volume)

  • Page 11: Safety Precautions

    Safety Precautions 1. Meanings of Signal Words Danger In this manual, the signal words and NOTE are WARNING CAUTION 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 12 Pressing the < Clear> key will clear the measurement caliper, all data in the result window, comments and body mark. 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 a diagnosis. 10.

  • Page 13: Overview

    Overview Basic Operations and Buttons The following descriptions for buttons and keys are used in this manual: Tips: < >: Denotes key/ button on the control panel or keyboard. E.g. <Set>. [ ]: Denotes button/item on the screen menu or touch screen. E.g. [OK]. Click/Select [item/button]: to move the cursor over the item/button and press <Set>.

  • Page 14: Measurement Menu

    Keys Basic Operations Short press: to return to the previous measurement step, or delete the caliper backwards. Clear Long press: to clear all measurement calipers on the screen and data in the result window. Report To enter/ exit the report page. Cursor To show the cursor.

  • Page 15: Measurement Location

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

  • Page 16: Measurement Tool

    1.2.2 Measurement Tool There are two kinds of measurement tools. General tools: Basic measurement tools in General Measurement, such as the "distance" and "Area". Application tools: The measurement tools in Application Measurement. These items are classified and combined in clinical application package such as Abdomen, Obstetric, etc. E.g. HC (head circumference) in the Obstetric measurement is one of the application tools.

  • Page 17: Mode Switching

    1.2.3 Mode Switching You can always use the mode tabs on touch screen to switch to other measurement menu available for other modes, as shown in figure below. 1.2.4 Measurement Library Switching During application measurement, rotate the knob under [Library] on the touch screen, to select among the available measurement libraries under the current probe of the current exam mode.

  • Page 18: Measurement Caliper

    Measurement Caliper A measurement caliper is a graphics consists of several points and straight line or curve drawn on the ultrasound image. Fixed/ Active End The ends of calipers can be active or fixed. The active end is called a Cursor. Caliper Color An active caliper appears green while a fixed one appears white in the system default preset.

  • Page 19: Result Window Assignment

    1.5.3 Result Window Assignment An application measurement result can be assigned to a general measurement item from the result window. The application item can be an existing item in system or a new user-defined one. Assigning an Existing Application Item The procedures are as follows: 1.

  • Page 20: Cross-Window Measurement

    b) Select the application region. 3. Click [OK] to assign the general result to the new item. Re-assignment for the assigned general result is not available. NOTE: Exiting Result Assignment Select [Cancel] in the matching list to exit. Auto Spectrum Calculation Assignment Like a general measurement result, you can assignment the auto spectrum calculation results to an application item, with the same steps described above.

  • Page 21: Viewing Report

    1.7.1 Viewing Report Items in the report page are described as follows: Each measurement contains three latest values and a final value. The report only displays results of the tools that are default to be displayed in the report template and completed, as shown in figure above. Select [Previous] or [Next] to flip the pages if the report has more than one page.
  • Page 22 Editing Measurement Data Input appropriate data when editing the measurement values, otherwise CAUTION: misdiagnosis may occur. The 3 measurement values in text boxes are editable, move the cursor to the text box and press <Set>. The modified value(s) is (are) underlined. The final value displays in the [Value] column.
  • Page 23 [>>] To add all images in the left column into the right column. [<] To remove selected image in the right column. [<<] To remove all images in the right column. b) Adjust the image arrangement. Select an image in the right column and click [Move Up] or [Move Down] to adjust the image sequence, in which the images are arranged in the report.
  • Page 24 a) Adding/ Removing the image with: Adding the selected graphic. Adding all optional graphics to the selected items. Removing the selected single graphic. Removing all added graphics. b) Adjusting the graphic’s sequence. Select a graphic from the selected items. Click [Move Left] or [Move Right] to adjust the graphic sequence in the list.

  • Page 25: Viewing History Report

    3. Select the desired directory. To return to the parent directory, double-click [..]. 4. Input the filename for the report to export. 5. Select the file type. 6. Click [OK] to confirm. You can create, delete or rename the directory by pressing: [New]: To create a new template.

  • Page 26: Fetal Growth Curve

    Type Description Choose the item (s) to be displayed on the report: ultrasound image, anatomical graphic, analysis and comments. Set the layout for ultrasound image and anatomical graphic for printing. Select the ultrasound image to be printed. Ultrasound Image Print Then, set the image layout for printing.

  • Page 27: Measure Preset

    Measure Preset Before measuring, preset the following parameters: Measurement Parameters Preset Obstetric Preset General Measurement Preset Application Measurement Preset Report Preset Basic Preset Procedures The basic measure preset procedures are as follows: 1. Press <F10> to enter the Preset: 2. Preset the measurement parameters. Enter [Setup] ->...

  • Page 28: Obstetric Preset

    Measurement Ruler You can preset: Tools Descriptions Types of cursor displays on the measurement caliper and result window. Value options: Number: the cursor always displays as "+" while different Cursor Type measurements are marked with numbers. Symbols: the cursor displays sequentially in 8 symbols to identify different measurements.

  • Page 29: Obstetric Formula

    2.3.1 Obstetric Formula The obstetric formulae are used in GA, EFW calculations and Fetal Growth Curve. GA and FG Formulae GA will be automatically calculated after the corresponding measurements are completed. The system will recalculate the GA after new measurements are completed. For preset of the default formula, See "Set the default formula."...
  • Page 30 Tools Hadlock Hadlock Tokyo Tokyo Jeanty Jeanty Kurtz Kurtz Hansmann Sabbagha Merz Hansmann Rempen Merz ChittyOI Rempen Osaka ChittyOI China Osaka Nicolaides Nicolaides ASUM ASUM CFEF CFEF Hadlock Hadlock Merz Jeanty Jeanty Hansmann Hansmann ChittyDer ChittyPL ChittyPL ChittyDer Nicolaides Nicolaides ASUM ASUM CFEF...
  • Page 31 Tools Hadlock Hadlock Tokyo Tokyo Jeanty Jeanty Hohler Merz Merz Hansmann Hansmann O'Brien Warda Warda Chitty Chitty Osaka Osaka China Nicolaides Nicolaides ASUM ASUM CFEF CFEF Hansmann Hansmann Merz Nicolaides Nicolaides ASUM ASUM Jeanty APAD Merz Merz CFEF CFEF Osaka Osaka Hansmann Hansmann...
  • Page 32 Tools Hill Hill Goldstein Nicolaides Nicolaides Jeanty Vertebrae Cist Magna Nicolaides Mean Sac Diam Daya MCA PI JSUM MCA RI JSUM Umb A PI JSUM Umb A RI JSUM Moore FL/HC (Hadlock) Hadlock HC/AC(Campbell) / Campbell Fetal Weight Formulae EFW is a calculation item. If all tools required for EFW formula have been performed, EFW will be obtained automatically.

  • Page 33: Obstetric Preset Operations

    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 = 10^(-1.7492+ (0.166*BPD)+ (0.046*AC)- (2.646*AC*BPD/1000)) Shepard SD=0.202*EFW SD Type=±2SD Merz1 EFW=-3200.40479+(157.07186*AC)+(15.90391*(BPD^2)) Merz2 EFW=0.1*(AC^3) EFW = (-1.05775*BPD)+ (0.0930707*(BPD^2)+ Hansmann (0.649145*THD)- (0.020562*(THD^2)+ 0.515263 Tokyo EFW=(1.07*(BPD^3))+(3.42*APTD*TTD*FL) Osaka...
  • Page 34 b) Select a formula in the right column. c) Click [Default], the default formulae is marked with a √. In [Fetal Gestational Age] page, you can select whether to display SD or EDD in the obstetric result. In [Fetal Gestational Age] page, you can select whether to display EFW derived GA in the report.
  • Page 35 Import/Export an OB GA Table or Formula 1. Select [Import] or [Export] in the Fetal Gestational Age or Fetal Growth page. 2. The system pops up the [Load Data] dialog box. 3. Select the drive and file path the data located. 4.
  • Page 36 GA table Table Type Author Name SD Type Meas Value Unit The author name Value of standard Unit of the standard deviation deviation Row number (N) Row Num of the table Meas Value SD(-) SD(+) Measurement Standard deviation GA value Standard value deviation (+)

  • Page 37: Measure Preset

    Measure Preset Basic Procedures: 1. Press <F10> to show the [Setup] menu. 2. Select [Measure Preset] in the [Setup] menu. 3. Preset the general measurement and application measurement. For details, refer to "2.4.1 General Measurement Preset" and "2.4.2 Application Measurement Preset".
  • Page 38 [>] To add the tool selected from the [Available Items] into the [Selected Items]. To add all tools (need not selected) in the [Available Items] into the [Selected [>>] Items]. To remove the tool selected from the [Selected Items] to the [Available [<] Items].

  • Page 39: Application Measurement Preset

    Attributes Descriptions Results obtained from D trace are listed. The selected items will be displayed in the result window. If PV is selected, other results become deselected (except the temporary result “velocity”). Some results such as PS and ED can derived via simply method (e.g. Item Name &...
  • Page 40 2. Select the 2D, M or Doppler scanning mode. 3. Choose or edit the Measurement Package. Generally, the corresponding package appears in the [Measure Package] when the [Exam Mode] is selected. If no package appears, you can input the package name directly in the [Measure Package] text box then add items to edit the current package.
  • Page 41 2.4.2.2 Measurement Package Preset During measurement, the preset package displays in menu and touch screen. Items in package are presettable and may belong to different application region. Click [Advanced] to enter the following page. Where, [Available Items]: shows application packages configured in the system but not assigned to the current mode yet.
  • Page 42 Deleting Package 1. Select a package in the [Available Items] list. 2. Click [Delete]. To delete an item in [Selected Items], you need to remove it to the [Available Items] first. Tips: Setting Default Package 1. Select a package in the [Selected Items] list, click [Default]. 2.
  • Page 43 The order in the list is also the item position in the menu. 2.4.2.4 User-defined Measurement/Calculation/Study Please guarantee the correctness and validity of the formula defined, otherwise Mindray NOTE: will not be liable for damage caused by improper definition of the formula.
  • Page 44 Descriptions of the attributes in the dialog box are shown in the following table. Attributes Descriptions General measurement tool type of the user-defined item. E.g. select Tool Type Dist if you want to add a new item to measure the distance. Has Multi- If selected, you can choose different fetus in the measurement menu Fetus...
  • Page 45 In the meantime, the user-defined measurement item will be added automatically to the “Selected Items” in the Report template. If the item is completed in an exam, the result will be displayed in the report. For detailed information of Report template, please refer to “2.4.3 Report Preset”. User-defined Calculation The user-defined calculation is derived from arithmetic operations, in which the parameters are measurement, calculation or study results obtained in measurement items existing in system or...
  • Page 46 Attributes Descriptions All available measurement items of the application region selected in the previous step. Measurement Item You can select from measurement/calculation/study items in 2D/M/Doppler mode. Calculator/ Used to input numbers and functions in the formula. Function Unit Used to set the Unit of result. For example, to create a user-defined measurement item (HC/AC).

  • Page 47: Report Preset

    Remove User-defined Item Remove Measurement/Calculation 1. Select “User-defined” in the “Available Items”, select the desired item. 2. Click [Delete] on the right. Remove Study Select an user-defined study, click [<]. NOTE: 1. Adding B-Hist to the study is not supported. 2.
  • Page 48 Descriptions of items and functions are shown in table below. Item Description Report Name Name of the report template. Select the application region. Patient information items displays Application Region in the report are different for each category. Image Layout Select numbers and arrangement of images display in the report. User Define Layout Select the template for the user-defined layout.

  • Page 49: Fast Ob Measurement

    7. Adjusting the item position. Select an item in the [Selected Item] list, click [Move Up]/ [Move Down] to adjust the position of the item in the list as well as in the report template. 8. Click [OK] to confirm. 2.4.3.2 Deleting Report Template 1.

  • Page 51: General Measurement

    General Measurement General Measurement Tools: 2D (B/ Color/ Power/ DirPower) Mode M General Measurements Doppler(PW/ CW) Mode Basic Procedures of General Measurement 1. Start the exam. 2. Select the imaging mode (B/M/Doppler), then scan the image. 3. Press <Caliper> to enter the 2D/M/Doppler general measurement menu. 4.

  • Page 52: Distance

    3.2.2 Distance Function: Measures the distance between two points on the image. 1. Click [Distance] in the measurement menu, and the cursor appears on the screen. 2. Move the cursor to the starting point with the trackball. 3. Press <Set> to set the starting point. 4.

  • Page 53: Volume

    2. Move the cursor to an area of interest. 3. Press <Set> to fix the starting point. 4. Move the cursor along the target to trace the outline of the target. To modify the trace line, please rotate the <Angle> knob: Anticlockwise: to cancel a series of points.

  • Page 54: Double Dist

    π × × × ＝ olume Where, D1, D2, D3 are the length of three axes of the target object. Ellipse To calculate the object's volume by its horizontal section area. Calculation formula is as follow: π × × ＝ olume Where, is the length of the major axis of the ellipse while...

  • Page 55: Parallel

    Press <Clear> to cancel setting the starting point of the first axis. 5. Press <Set> to set the starting point of the first line segment. The second line segment perpendicular to the fixed line segment appears on the screen. 6. Move the cursor to the starting point of the second line segment. 7.

  • Page 56: Ratio (D)

    5. Press <Set> twice to set the end point of the spline. 3.2.9 Ratio (D) Function: Measures the lengths of two line segments and then calculates their ratio. 1. Click [Ratio (D)] in the measurement menu, and the cursor appears on the screen. 2.

  • Page 57: Color Vel

    Ellipse See "Ellipse" in the "3.2.4 Area" for detailed procedures. Trace See "Trace" in the "3.2.4 Area" for detailed procedures. Spline See "Spline" in the "3.2.4 Area" for detailed procedures. 3.2.12 Color Vel This measurement item is meant for a general estimation, not for accurate Tips: measurement.

  • Page 58: Strain-Hist

    In B+E dual display mode, rotate the knob under [Shadow] on the touch screen to be On, measurements on any of the window will be displayed on the other window. Rotate the knob under [Shell Thick] on the touch screen to set the mass shell size. 3.

  • Page 59: M General Measurements

    M General Measurements 3.3.1 Distance Function: Measures the distance between two points on the M Mode image. 1. Click [Distance] in the measurement menu, and two dotted lines perpendicular to each other appear on the screen. 2. Move the crossing point of the dotted lines to the measurement starting point and press <Set>. 3.
  • Page 60 Here, Press <Update> to switch between the fixed end and active end of the caliper. Or, Press <Clear> to cancel setting the starting point. 4. Press <Set> to set the end point. 3.3.5 Function: Measures the time of n (n≤8) cardiac cycles on the M Mode image and calculates the heart rate.

  • Page 61: Doppler General Measurements

    Doppler General Measurements 3.4.1 Time Function: Measures the time interval between two points on the Doppler image. The operations are similar to the Time measurement in M Mode. See "3.3.2 Time" for details. 3.4.2 Function: measures the time interval between n (n≤8) cardiac cycles on the M Mode image and calculates the number of heart beats per minute (BPM).
  • Page 62 When doing D trace, please set systolic starting time as the starting point and diastolic NOTE: ending time as end point. That is, by tracing the Doppler spectrum from systolic to diastolic to calculate indices. Operations: Click [D Trace] in the measurement menu, and the cursor appears on the screen. Move the cursor to the starting point to be measured and press the [Set] key to fix the point.
  • Page 63 Parameters Descriptions Average pressure gradient in the whole traced Doppler spectrum. MPG: Maximum Pressure Gradient. ∫ − mmHg Average Pressure Where V(t) is the peak systolic velocity. Gradient MMPG: Mean velocity Mean Pressure Gradient. (Obtained during auto-spectrum calculation.) ∫ − MMPG mmHg Where V(t) is the mean systolic velocity.

  • Page 64: Ps/Ed

    Measurement Method The measurement method varies by the result selected, where, Velocity Function: measures the velocity, pressure gradient and correction angle of a certain point on the Doppler spectrum. The operations are similar to the Time measurement in M Mode. See "3.4.3 D Vel" for details. 2 PT Function: measures the velocity, pressure gradient and correction angle between two points on the Doppler spectrum.

  • Page 65: Velocity Ratio

    Rotate the knob under [Vas Area] to select the method for calculating the area: dist or trace. Rotate the knob under [PW Scope] to select the scope to be traced. Measure the vascular area. Click [TAMEAN] or [TAMAX] to calculation the volume flow. Item Description Method or formula...

  • Page 66: 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 Philadelphia,1988, p. 1425. measurement): Powis, R., Schwartz, R.

  • Page 67: Abdomen

    Abdomen Abdomen Exam Preparations Make the following preparations before measurement: 1. Confirm that the current probe is appropriate. 2. Check if the current date of the system is correct. 3. Press <Patient>, register the patient information in [Patient Info] -> [ABD] dialog box. 4.

  • Page 68: Abdomen Measurement Tools

    Abdomen Measurement Tools Measurement tools mentioned below are configured in the system. The application NOTE: 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 item) are list below: 2D Abdomen Measurements Types...
  • Page 69 Types Tools Descriptions Methods or formulae Post-void Bladder Post-BL H Height Post-BL W Post-void Bladder Width Renal Vol Renal Volume See “Renal Vol” Pre-void Bladder Pre-BL Vol See “Pre-BL Vol” Volume Calculation Post-void Bladder Post-BL Vol See “Post-BL Vol” Volume Mictur.Vol Micturated Volume See “Mictur.Vol”...

  • Page 70: Abdomen Measurement Operations

    Descriptions Types Tools Methods or formulae Superior Mesenteric Vein Ratio of Renal Artery RAR (no unit)= |Renal A PS PS the Abdominal Aorta (cm/s)/ Aorta PS (cm/s)| Ratio of Superior SMA/Ao (no unit)= |SMA PS Calculation Mesenteric Artery PS (cm/s)/ Aorta PS (cm/s)| SMA/Ao and Abdominal Aorta PS Ratio of Celiac Axis PS...

  • Page 71: Obstetrics

    Obstetrics Obstetric measurements are used to estimate the GA and EDD, to calculate the growth indices, including the EFW. The growth estimation is determined by growth curve and fetal biophysical profile. Obstetric Exam Preparations Make the following preparations before measurement: 1.

  • Page 72: Ultrasound Ga

    The calculating methods are listed as follows: LMP: input the LMP, the system will calculate the GA and EDD. DOC: input the DOC, the system will calculate the GA and EDD. IVF: After you enter IVF, the system will calculate GA and EDD. PRV: input the date and GA of the last exam, the system will calculate a new GA and EDD.
  • Page 73 CUA is calculated according to formulae based on some measurement items (the involved items are among biparietal diameter (BPD), head circumference (HC), abdomen circumference (AC), and femur length (FL)). To calculate CUA, all the GA formulae of the parameters involved must be Hadlock, the unit of the parameters is cm, and unit of CUA is week.

  • Page 74: Obstetric Measurement Tools

    The system does not calculate the OB growth percentile if: A FG table is not normal distributed. There is no upper/ lower deviation set in the FG table. The FG table has the upper/ lower deviation set, but certain clinical GA value has no upper/ lower deviation or the deviation value is not plus.
  • Page 75 Types Tools Descriptions Methods or formulae Abdominal Transversal Diameter Anteroposterior Abdominal APAD Diameter Cerebellum Diameter Cist Magna Cist Magna Lateral Ventricle Width Hemisphere Width Outer Orbital Diameter Inter Orbital Diameter Humerus Length Distance in 2D General Measurements Ulna Ulna Length Radius Length Tibia Tibia Length...
  • Page 76 Types Tools Descriptions Methods or formulae 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 Left Ventricular Internal LVIDd Diameter at End-diastole Left Ventricular Internal LVIDs...
  • Page 77 Types Tools Descriptions Methods or formulae Area in 2D General HrtA Heart area Measurements MV Diam Mitral Valve diameter PV Diam Pulmonary valve Diameter Ao Asc Diam Ascending Aorta Diameter Ao Desc Descending Aorta Diameter Diam Duct Art Ductus Arteriosus Diameter Diam Distance in 2D General Measurements...
  • Page 78 Types Tools Descriptions Methods or formulae TCD/AC TCD / AC LVW/HW LVW / HW × 100% LVD/RVD LV Diam/RV Diam LAD/RAD LA Diam/RA Diam AoD/MPAD Ao Diam/MPA Diam LAD/AoD LA Diam/Ao Diam UT Vol UT Volume See “UT Vol” in 8.4.2 Uterus Sum See “...

  • Page 79: Obstetric Measurement Operations

    Doppler Obstetric Measurements Types Tools Descriptions Methods or formulae Umb A Umbilical Artery Duct Veno Ductus Veno Placenta A Placenta Artery Middle Cerebral Artery D trace in General D measurements Fetal Ao Fetal Aorta Desc Aorta Descending Aorta Measurement Ut A Uterine Artery Ovarian A Ovarian Artery...

  • Page 80: Calculation Tool Operations

    Auto OB Measurement (Smart OB) There is an auto measurement method for commonly-used OB measurement items. The procedures are as follows: 1. Scan the proper image. 2. Select the OB measurement item from the menu, and select the [Auto] method. 3.

  • Page 81: Obstetric Exam Report

    3. In the Obstetric report, select [Fetus A], [Fetus B], or [Fetus C] to switch among results of different fetuses. 4. Click [Fetus Compare] in report page to see a visualized comparison result. 5. In the [Obstetric Growth Curve] dialog box, select [A], [B], or [C] on the lower part to display the growth curves of different fetuses.

  • Page 82: Compare Bar

    The scoring criteria the system provides are based on Vintzileos formula, as shown in table below. Fetal growth Observation 0 score 2 score Remarks index time Reactive FHR <2, or Reactive FHR ≥15bpm, 30 minutes ≤15bpm duration≥15s, ≥2 times FM ≥3 times The score(s) (Continuous can be...

  • Page 83: Z-Score

    5.7.3 Z-Score As FL, BPD and GA is most relevant to fetus cardiac structure, and Z-Score regression equation is related to natural logarithm value of FL, BPD and GA variables, Z-Score of cardiac structures can be obtained by looking in the Z-Score table, which is important in fetus cardiac growth evaluation and intrauterine interventional therapy.

  • Page 84: References

    References Rempen A., 1991 Arztliche Fragen. Biometrie in der Fruhgraviditat (i.Trimenon): 425-430. Hansmann M, Hackelöer BJ, Staudach A Ultraschalldiagnostik in Geburtshilfe und Gynäkologie 1985 Hellman LM, Kobayashi M, Fillisti L, et al. Growth and development of the human fetus prior to the 20th week of gestation. Am J Obstet Gynecol 1969; 103:784-800. Studies on Fetal Growth and Functional Developments, Takashi Okai, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo China...
  • Page 85 University of Tokyo Pam Loughna1, Lyn Chitty, Tony Evans, Trish Chudleigh. Fetal size and dating:Fetal size and dating: charts recommended for clinical obstetric practice. British Medical Ultrasound Society. ULTRASOUND August 2009 Volume 17 Number 3 China Written by Zhou Yiongchang & Guo Wanxue in Chapter 38 of "Ultrasound Medicine"...
  • Page 86 Obstetrics and Gynecology Vol. 10: 174-191, 1997 Hadlock FP, et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology 1984:152: 497-501 Hansmann, Hackeloer, Staudach, Wittmann. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, 1985 Jeanty P., Cousaert E., Hobbins J.C., Tack B., Bracken M., Cantraine F. A longitudinal Study of fetal head biometry.
  • Page 87 Hansmann M, Hackelöer BJ, Staudach A Ultraschalldiagnostik in Geburtshilfe und Gynäkologie 1985 Chitty LS, Altman DG British Journal of Obstetrics and Gynaecology January 1994, Vol.101 P29-135. Chitty L.S., Altman D.G., Hendesson A., Campell S., Charts of fetal size: 2 Head measurements, Br J Obstetric Gynecology 1994, Vol 101, P 35-43.
  • Page 88 Hansmann, Hackeloer, Staudach, Wittmann. Ultrasound Diagnosis in Obstetrics and Gynecology Springer- Verlag, New York, 1986, p.431. Jeanty P., Cousaert E., Cantraine F. Normal Growth of the Abdominal Perimeter. American Journal of Perinatology; Volume 1 Number 2; January 1984; pages 129- R.
  • Page 89 longitudinal Study of fetal limb growth” American Journal of Perinatology; Volume 1; Number 2; January 1984;136-144 Jeanty P., Rodesch F., Delbeke D., Dumont J. “Estimation of Gestational Age from Measurements of Fetal Long Bones” Journal of Ultrasound Medicine, 3: 75-79, February, 1984 China Written by Zhou Yiongchang &...
  • Page 90 Journal of Ultrasound in Medicine 4:467-470, September 1985. Goldstein I, et al. Cerebellar measurements with ultrasonography in the evaluation of fetal growth and development. Am J Obstet Gynecol 1987; 156:1065-1069. Hill LM, et al. Transverse cerebellar diameter in estimating gestational age in the large for gestational age fetus, Obstet Gynecol 1990;...
  • Page 91 R. J. M. Snijders and K. H. Niicolaides. Fetal biometry at 14-40 weeks’ gestation. Cist Ultrasound Obstet. Gynecol. 4 (1994) 34-48 Magna Estimated Fetal Weight (EFW) Merz E., Werner G. & Ilan E. T., Ultrasound in Gynaecology and Obstetrics. Textbook and Atlas 1991 Georg Thieme Verlag, 308-338 Hansmann M, Hackelöer BJ, Staudach A Ultraschalldiagnostik in Geburtshilfe und Gynäkologie 1995...
  • Page 92 Dynamic ultrasound-based fetal Assessment: The Fetal Biophysical Profile Score, Clinical obstetrics and gynecology, Manning FA,38:26-44,1995a. Weight Percentile for Age ， Hadlock FP Harrist R, Martinez-Poyer J. In utero analysis of fetal growth: A sonographic standard. Radiology 1991;181:129-133. https://www.cfef.org/archives/communication/biometrie2000/tableau.html Thomas R, Moore MD, Jonathan E, Cayle MD. The amniotic fluid index in normal human pregnancy.

  • Page 93: Cardiology

    Cardiology Cardiac Exam Preparations Make the following preparations before measurement: 1. Confirm that the current probe is appropriate. 2. Check if the current date of the system is correct. 3. Press <Patient>, input patient information in [Patient Info] -> [CARD] page. For more details, refer to "Exam Preparation ->...

  • Page 94: Cardiac Measurement Tools

    Cardiac Measurement Tools The system supports the following cardiac measurements: Measurement tools mentioned below are configured in the system. The application NOTE: measurement packages provided in this system are generally different combinations of measurement tools. For more information about package preset, see "2.4.2.2 Application Measurement Preset".
  • Page 95 Types Tools Descriptions Methods or formulae Left Ventricular Internal LVIDd Diameter at end-diastole Left Ventricular Internal LVIDs Diameter at end-systole Right Ventricular Diameter at RVDd end-diastole Right Ventricular Diameter at RVDs end-systole Left Ventricular Posterior wall LVPWd thickness at end-diastole Left Ventricular Posterior wall LVPWs thickness at end-systole...
  • Page 96 Types Tools Descriptions Methods or formulae Main pulmonary Artery MPA Diam Diameter Right Ventricular Outflow Tract RVOT Diam Diameter MV Diam Mitral Valve diameter Area in 2D General Mitral Valve area Measurements Mitral Valve Cusp Separation Distance between point E and Distance in 2D General EPSS Interventricular Septum when...

  • Page 97: M Cardiac Measurements

    Types Tools Descriptions Methods or formulae Study See below 6.3.2 M Cardiac Measurements Types Tools Descriptions Methods or formulae LA Diam Left Atrium Diameter Left Ventricular Internal Diameter LVIDd at end-diastole Left Ventricular Internal Diameter LVIDs at end-systole Right Ventricular Diameter at end- RVDd diastole Right Ventricular Diameter at end-...

  • Page 98: Doppler Cardiac Measurements

    Types Tools Descriptions Methods or formulae Right Ventricular outflow tract RVOT Diam Diameter Amplitude of the Mitral Valve E MV E Amp wave Amplitude of the Mitral Valve A MV A Amp wave MV E-F Slope Mitral Valve E-F slope Slope in M General Measurements MV D-E Slope...
  • Page 99 Types Tools Descriptions Methods or formulae Mitral Valve E-wave Velocity- MV E VTI Time Integral Mitral Valve A-wave Velocity- D Trace in Doppler General MV A VTI Time Integral Measurements Mitral Valve Velocity-Time MV VTI Integral Mitral Valve Acceleration MV AccT Time Acceleration in Doppler General Measurements...
  • Page 100 Types Tools Descriptions Methods or formulae Tricuspid Valve E-wave Flow TV E Vel Velocity Tricuspid Valve A-wave Flow TV A Vel Velocity Tricuspid Valve Velocity-Time D trace in Doppler General TV VTI Integral measurements Tricuspid Valve Acceleration TV AccT Time Acceleration in Doppler General Measurements Tricuspid Valve Deceleration...
  • Page 101 Types Tools Descriptions Methods or formulae Inferior Vena Cava IVC Vel (Expir) Expiration Maximum Velocity Superior Vena Cava SVC Vel (Insp) Inspiration Maximum Velocity Superior Vena Cava SVC Vel (Expir) Expiration Maximum Velocity Mitral Valve Regurgitation MR Vmax Maximum Velocity Mitral Valve Regurgitation D trace in Doppler General MR VTI...

  • Page 102: Tdi Cardiac Measurements

    Types Tools Descriptions Methods or formulae Patent Ductus Arteriosus PDA Vel(d) Velocity at End-diastole Patent Ductus Arteriosus PDA Vel(s) Velocity at End-systole Coarc Pre-Duct Coarctation of Pre-Ductus Coarc Post-Duct Coarctation of Post-Ductus Heart Rate Select from the pop-up dialog box or input a value Right Atrium Pressure manually.

  • Page 103: Cardiac Measurement Operations

    Types Tools Descriptions Methods or formulae MV ARa(lateral) Mitral Valve lateral Acceleration Rate Mitral Valve lateral Deceleration MV DRa(lateral) Rate Calculation Study See below Cardiac Measurement Operations Tips: 1. See the table in "6.3 Cardiac Measurement Tools" above for measurement tools and methods.
  • Page 104 Result Descriptions Formulae Fractional FS (No unit) = (LVIDd (cm) – LVIDs [cm]) / LVIDd (cm) Shortening Mean Velocity of MVCF Circumferential MVCF = (LVIDd(cm) – LVIDs(cm)) / (LVIDd (cm) × ET (s) ) Fiber Shortening The HR value inputted manually should be within the range of 1~999. NOTE: S-P Ellipse Study Items...
  • Page 105 Operating Procedures 1. Select [S-P Ellipse] in the measurement menu. 2. In apical long-axis view at end-diastole, measure the following parameters: LVLd apical LVAd apical EDV value is then calculated. 3. In apical long-axis view at end-systole, measure the following parameters: LVLs apical LVAs apical ESV value is then calculated.
  • Page 106 Study Results Tools Descriptions Formulae End-diastolic Left EDV(BP Ellipse) Ventricular Volume End-systolic Left ESV(BP Ellipse) Ventricular Volume End-diastolic Left EDV Index(BP Ellipse) EDV Index=EDV/BSA Ventricular Volume Index End-systolic Left ESV Index(BP Ellipse) ESV Index=ESV/BSA Ventricular Volume Index SV(BP Ellipse) Stroke Volume CO(BP Ellipse) Cardiac Output See table in “6.4.3.1 Left Ventricular...
  • Page 107 Bullet Study Items Tools Descriptions Operations Left Ventricular Long-axis Length at End- LVLd apical diastole in apical view Distance in 2D General Measurements Left Ventricular Long-axis Length at End- LVLs apical systole in apical view Left Ventricular Area at Mitral Valve level at LVAd sax MV End-diastole in Short-axis view Area in 2D General...
  • Page 108 Mod.Simpson Study Items Tools Descriptions Operations Left Ventricular Long-axis Length at End-diastole in LVLd apical apical view Distance in 2D General Measurements Left Ventricular Long-axis Length at End-systole in LVLs apical apical view Left Ventricular Area at Mitral Valve level at End- LVAd sax MV diastole in Short-axis view Left Ventricular Area at Mitral Valve level at End-...
  • Page 109 Operating Procedures 1. Select [Mod.Simpson] in the measurement menu. 2. In apical long-axis view, measure the following parameters: At end diastole: LVLd apical At end systole: LVLs apical 3. In short-axis view at mitral valve level, measure the following parameters: At end diastole: LVAd sax MV At end systole: LVAs sax MV 4.
  • Page 110 Tools Descriptions Formulae End-diastolic Left EDV Index(Simp SP) Ventricular Volume EDV Index=EDV/BSA Index End-systolic Left ESV Index(Simp SP) Ventricular Volume ESV Index=ESV/BSA Index Stroke Volume Cardiac Output Ejection Fraction See table in “6.4.3.1 Left Ventricular Function“ SV Index CO Index Operating Procedures 1.
  • Page 111 a) Rotate the trackball to position the cursor on the long axis (which turns yellow), and then press <Set>; b) Rotate the trackball, adjust the point D (with point C unchanged) after the cursor changes to Adjust the trace line a) Rotate the trackball to position the cursor on the trace line (which turns yellow), and then press <Set>;...
  • Page 112 Tools Descriptions Formulae SV(Simpson BP) Stroke Volume CO(Simpson BP) Cardiac Output See table in “6.4.3.1 Left EF(Simpson BP) Ejection Fraction Ventricular Function” SI(Simpson BP) SV Index CI(Simpson BP) CO Index *1 means: ∑ LVLd LVLd π × × × ＝ *2 means: ∑...
  • Page 113 2. In apical two-chamber view, measure the following parameters: Left ventricular endocardium at end-diastolic, and set the long axis, the EDV(A2C) is obtained; Left ventricular endocardium at end-systolic, and set the long axis, the ESV(A2C) is obtained; 3. In apical four-chamber view, measure the following parameters: Left ventricular endocardium at end-diastolic, and set the long axis, the EDV(A4C) is obtained;...
  • Page 114 Tools Descriptions Formulae EF(Cube) Ejection Fraction FS(Cube) Fractional Shortening Mean Velocity of Circumferential Fiber MVCF(Cube) Shortening SI(Cube) SV Index CI(Cube) CO Index Operating Procedures (take the method using LVIDd, LVIDs, HR as an example) 1. Select [Cube] in the measurement menu. 2.
  • Page 115 Tools Descriptions Formulae Interventricular Septal Thickness IVSs at End-systole Left Ventricular Posterior Wall LVPWs Thickness at End-systole End-diastolic Left Ventricular EDV(ml)=(7×(LVIDd(cm)) )/(2.4+LVIDd EDV(Teichholz) Volume (cm)) End-systolic Left Ventricular ESV(ml)=(7×(LVIDs(cm)) )/(2.4+LVIDs( ESV(Teichholz) Volume cm)) End-diastolic Left Ventricular EDV Index(Teich) EDV Index=EDV/BSA Volume End-systolic Left Ventricular ESV Index(Teich)
  • Page 116 Study Results Tools Descriptions Formulae Interventricular Septal IVSd Thickness at End-diastole Left Ventricular Posterior Wall LVPWd Thickness at End-diastole Distance in 2D/M General Measurements Interventricular Septal IVSs Thickness at End-systole Left Ventricular Posterior Wall LVPWs Thickness at End-systole End-diastolic Left Ventricular π...
  • Page 117 Study Results Tools Descriptions Formulae LV Mass (g) = 1.04 × ((LVPWd(cm) + IVSd(cm) + LV Mass (Cube) Left Ventricular Mass LVIDd(cm)) - LVIDd(cm) ) - 13.6 Index of Left See LV Mass-I formula in “Left Ventricular Mass (LV LV MASS-I (Cube) Ventricular Mass Mass)”...
  • Page 118 The LV Mass (A-L) is calculated. If height and weight have been input already, LV Mass-I(A-L) is calculated. LV Mass (T-E) Study Items Tools Descriptions Operations Left Ventricular Epicardial Area at Papillary LVAd sax Epi Muscle level at end-diastole in Short-axis view Area in 2D General Measurements Left Ventricular Endocardial Area at Papillary...
  • Page 119 6.4.3.3 Mitral Valve Area (MVA) Mitral Valve Area (MVA) can be calculated by two methods: pressure half time (PHT) or velocity- time integral (VTI). MVA Calculation by PHT method should be performed in CW mode, See MVA(PHT) in Tips: “6.3.3 Doppler Cardiac Measurement” for formula of MVA Calculated by PHT method. MVA(VTI) Study Items Tools...
  • Page 120 Operating Procedures See table above for methods and formulae of the measurement items. 6.4.3.5 LA Vol LA Vol (Left Atrium Volume) used to estimate the size of left atrium. LA Vol(A-L) Estimates Left Atrium Volume using area and length. Study Items Tools Descriptions Operations...
  • Page 121 Study Items and Results Tools Descriptions Operations Right Atrium Volume at RA Vol(A4C) Same as Simpson SP measurement apical 4-chamber view RA Vol Index Right Atrium Volume Index RA Vol Index= RA Vol/ BSA (A4C) Operating Procedures See “Simpson SP” for measurement procedures. 6.4.3.7 LV TEI (LVIMP) LVIMP (Left Ventricular Index of Myocardial Performance) is used to analyze the integrative...
  • Page 122 Operating Procedures 1. Select [RVSP] in the measurement menu. 2. Measure TR Vmax in Doppler mode. The TR PGmax is calculated. 3. Select [RAP] in the [RVSP] sub-menu, and select (or enter) the pressure in the dialog box popped up. As shown in figure below: Range of input values is [0, 50.0mmHg].
  • Page 123 Study Items Tools Descriptions Operations TV C-O dur Tricuspid Valve close-open Duration Time in Doppler General Measurements RVET Right Ventricular Ejection Time Study Results Except for values in upper table, the following results can be obtained in this study: Tools Descriptions Formulae Right Ventricular Index of...
  • Page 124 Item Description Operations Flow ration of Pulmonary circulation and Qp/Qs Systemic circulation See below Flow difference of Pulmonary circulation Qp-Qs and Systemic circulation Where, π × ＝ RVOT SV(ml) RVOT Diam(cm)/2 RVOT VTI(cm) π × ＝ LVOT SV(ml) LVOT Diam(cm)/2 LVOT VTI(cm) RVOT...
  • Page 125 Tools Descriptions Formulae MR Flow Mitral Regurgitation π × Flow Rate(ml/s) Rad(cm) Als.Vel(cm Rate Flow Rate Mitral Valve Flow(ml) × MR Fraction Regurgitation Fraction (Nounit) SV(ml) Fraction Mitral Valve π × Effective Rad(cm) Als.Vel(cm MR EROA EROA(cm) Regurgitant Orifice Vmax(cm/s) Area Operating Procedures 1.
  • Page 126 Tools Descriptions Formulae Aortic Valve π × Effective Rad(cm) Als.Vel(cm AR EROA EROA(cm) Regurgitant Orifice Vmax(cm/s) Area Operating Procedures Same with the PISA MR measurement. PISA TR Tricuspid valve regurgitation (PISA TR) needs to be measured in Color and Doppler mode. Study Items Tools Descriptions...
  • Page 127 Study Items Tools Descriptions Operations Pulmonary Valve Stenosis PR Rad PISA measurement Radius Pulmonary Valve PR VTI Regurgitation Velocity-Time D Trace in Doppler General Measurements Integral Pulmonary Valve You can select to use top aliasing velocity or PR Als.Vel Regurgitation Aliasing bottom aliasing velocity or input the value Maximum Velocity directly.
  • Page 128 6.4.3.13 TDI Study Items Tools Descriptions Operations MV Sa(medial) Mitral Valve medial Systolic motion D Vel in Doppler General MV Ea(medial) Mitral Valve medial Early diastolic motion Measurements MV Aa(medial) Mitral Valve medial Late diastolic motion MV ARa(medial) Mitral Valve medial Acceleration Rate Acceleration in Doppler General Measurements MV DRa(medial)

  • Page 129: Cardiac Exam Report

    Tools Descriptions Formulae Calculate after measuring MV E Vel, MV Ea(medial) and MV Ea(lateral) ＝ medial lateral Nounit E/Ea(medial+lateral) MVEa medial MVEa lateral Operating Procedures See table above for methods and formulae of the measurement items. Cardiac Exam Report During or after a measurement, press <Report> on the Control Panel to browse the report. For details about report browsing, printing and exporting etc., see "1.7 Report".
  • Page 130 Belenkie, Israel, et al., "Assessment of Left Ventricular Dimensions and Function by Echocardiography," American Journal of Cardiology, June 1973, Vol. 31 Cardiac output Index (CI): The Merck Manual of Diagnosis and Therapy, ed. 15, Robert Berkon, ed., Merck and Co., Rahway, NJ, 1987, p.
  • Page 131 Dodge, H.T., Sandler, D.W., et al., "The Use of Biplane Angiography for the Measurement of Left Ventricular Volume in Man," American Heart Journal, 1960, Vol. 60, pp. 762-776. Belenkie, Israel, et al., "Assessment of Left Ventricular Dimensions and Function by Echocardiography,"...
  • Page 132 Goldberg, Barry B., Kurtz, Alfred B., Atlas of Ultrasound Measurements, Year Book Medical Publishers, Inc., 1990, p. 65. Stamm, R. Brad, et al., “Quantification of Pressure Gradients Across Stenotic Valves by Doppler Ultrasound,” J Am Coll Cardiol, 1983, Vol. 2, No. 4,pp. 707-718. Right Ventricular Systolic Pressure: Stevenson, J.G., "Comparison of Several Noninvasive Methods for Estimation of Pulmonary Artery Pressure,"...

  • Page 133: Vascular

    Vascular Vascular Exam Preparations Make the following preparations before measurement: 1. Confirm that the current probe is appropriate. 2. Check if the current date of the system is correct. 3. Press <Patient>, input patient information in [Patient Info] -> [VAS] page. For more details, refer to "Exam Preparation ->...

  • Page 134: Vascular Measurement Tools

    Vascular Measurement Tools Vascular measurements are mainly used for carotid, cerebral, upper and lower extremities vessels. The system supports the following 2D and Doppler vascular measurements. Measurement tools mentioned below are configured in the system. The application NOTE: measurement packages provided in this system are generally different combinations of measurement tools.
  • Page 135 Types Tools Descriptions Methods or formulae Subclav A Subclavian Artery Axill A Axillary Artery Brachial A Brachial Artery Ulnar A Ulnar Artery D trace in General D measurements Radial A Radial Artery Subclav A Subclavian Artery Axill V Axillary Vein Cephalic V Cephalic Vein Basilic V...

  • Page 136: Vascular Measurement Operations

    Types Tools Descriptions Methods or formulae Middle Cerebral Artery Posterior Cerebral Artery AComA Ant.communicating br. PComA Post.communicating br. Basilar Artery Internal Iliac Artery Deep Femoral Artery Ba V Basilar Vein Brachial V Brachial Vein Internal Iliac Vein D trace in General D measurements Common Femoral Vein Measurement Superficial Femoral...

  • Page 137: Calculation Tool Operations

    2. Perform the measurement referring to methods in table above. 7.4.2 Calculation Tool Operations Stenosis D Function: Measures Normal Diam and Resid Diam, calculates Stenosis D. 1. Select [Stenosis D] in the measurement menu. 2. Use the method of Distance measurement of 2D General Measurements to measure Normal(D) and Resid(D).

  • Page 138: Vascular Exam Report

    The ROI box is green while you can: Adjust the size of the ROI box. Erase the trace lines inside the box by pressing <Clear>. (Long press <Clear>: to clear all measurement calipers on the screen.) Trace manually a) Move the cursor to a trace line. The trace line turns yellow. Press <Set>. b) Move the cursor along the interface of vessel.

  • Page 139: References

    An IMT report is applied to record results in IMT measurements, where selecting the patient conditions (smoker or not, diabetic or not etc.) and modifying the result data are available. References Honda, Nobuo, et al., "Echo-Doppler Velocimeter in the Diagnosis of Hypertensive Stenosis D: Patients: The Renal Artery Doppler Technique,"...

  • Page 141: Gynecology

    Gynecology Gynecology Exam Preparations Make the following preparations before measurement: 1. Confirm that the current probe is appropriate. 2. Check if the current date of the system is correct. 3. Register patient information in [Patient Info] -> [GYN] dialog box. For more details, refer to "Exam Preparation ->...

  • Page 142: Gynecology Measurement Tools

    Gynecology Measurement Tools The system supports the following gynecology measurements. Measurement tools mentioned below are configured in the system. The application NOTE: measurement packages provided in this system are generally different combinations of measurement tools. For more information about package preset, see "2.4.2.2 Application Measurement Preset".

  • Page 143: Gynecology Measurement Operations

    Gynecology Measurement Operations See the table in "8.3 Gynecology Measurement Tools" above for measurement Tips: tools and methods. For the definitions of measurement, calculation and study, refer to "1.3 Measurement, Calculation and Study". The order of the measurement items is presettable, see "2.4.2 Application Measurement Preset"...

  • Page 144: Study Tool Operations

    2. Use the Distance method in 2D General Measurements to measure UT L and Cervix L. The system calculates UT-L/CX-L. 8.4.3 Study Tool Operations Uterus Function: measures UT L, UT H, UT W and Endo, calculates UT Vol, Uterine Body and UT-L/CX-L. 1.

  • Page 145: Gynecology Exam Report

    2. Use the method of Distance measurement of 2D General Measurements to measure Follicle1 L, Follicle1 W and Follicle1 H. The system automatically calculates the average value of Follicle1 L, Follicle1 W and Follicle1 H as well as the volume of Follicle1. Wherein the calculation methods of the follicle diameter and volume can be preset via [Setup]- >...

  • Page 147: Urology

    Urology Urology Exam Preparations Make the following preparations before performing a urology exam: 1. Confirm that the current probe is appropriate. 2. Check if the current date of the system is correct. 3. Press <Patient>, register the patient information in [Patient Info] -> [URO] dialog box. For more details, refer to "Exam Preparation ->...

  • Page 148: Urology Measurement Tools

    Urology Measurement Tools Measurement tools mentioned below are configured in the system. The application NOTE: measurement packages provided in this system are generally different combinations of measurement tools. For more information about package preset, see "2.4.2.2 Application Measurement Preset". The system supports the following measurements (no measurement tools in M mode). Modes Types Tools...
  • Page 149 Modes Types Tools Descriptions Methods or formulae Prostate Mass1 d1-3 Prostate Mass2 d1-3 Prostate Mass3 d1-3 Testis Mass1 d1-3 Distance in 2D General Testis Mass2 Measurement Measurements d1-3 Testis Mass3 d1-3 Epididymis L Epididymis Length Epididymis W Epididymis Width Epididymis H Epididymis Height Scrotal Wall Thickness...

  • Page 150: Urology Measurement Operations

    Urology Measurement Operations See the table in "9.3 Urology Measurement Tools" above for measurement tools Tips: and methods. For the definitions of measurement, calculation and study, refer to "1.3 Measurement, Calculation and Study". The order of the measurement items is presettable, see "2.4.2 Application Measurement Preset"...

  • Page 151: Study Tool Operations

    NOTE: Need to be measured in left and right side respectively. 1. Select [Testis Vol] in the measurement menu. 2. Use the method of Distance measurement of 2D General Measurements to measure Testis L, Testis H and Testis W. The Testis Vol is calculated automatically. Pre-BL Vol Function: measures the Pre-BL L, Pre-BL H and Pre-BL W, calculates the Pre-BL Vol.
  • Page 152 PSAD (ng/ml ) = Serum PSA (ng/ml) / Prostate Vol (ml) Here, PPSA Coefficient and Serum PSA are input in [Patient Info] -> [URO] dialog box. The default value of PPSA Coefficient is 0.12. 1. Select the [Prostate] in the measurement menu. 2.

  • Page 153: Urology Exam Report

    Urology Exam Report During or after a measurement, press <Report> on the Control Panel to browse the report. For details about report browsing, printing and exporting etc, see "1.7 Report". References Peter J. Littrup MD, Fed LeE. MD, Curtis Mettin. PD.Prostate Cancer Screening: PPSA: Current Trends and Future Implications.

  • Page 155: Small Parts

    Small Parts 10.1 Small Parts Exam Preparations Make the following preparations before measurement: 1. Confirm that the current probe is appropriate. 2. Check if the current date of the system is correct. 3. Press <Patient>, register the patient information in [Patient Info] -> [SMP] dialog box. For more details, refer to "Exam Preparation ->...

  • Page 156: Small Parts Measurement Tools

    10.3 Small Parts Measurement Tools The system supports the following small parts measurements. Measurement tools mentioned below are configured in the system. The application NOTE: measurement packages provided in this system are generally different combinations of measurement tools. For more information about package preset, see "2.4.2.2 Application Measurement Preset".

  • Page 157: Small Parts Measurement Operations

    Modes Types Tools Descriptions Methods or formulae Superior Thyroid Artery D trace in General D Measurement measurements Inferior Thyroid Doppler Artery Calculation Study 10.4 Small Parts Measurement Operations See table "10.3 Small Parts Measurement Tools" above for measurement tools Tips: and methods.

  • Page 158: Small Parts Exam Report

    2. Use the Distance tool in 2D General Measurements to measure Thyroid L, Thyroid H and Thyroid W. The Thyroid Vol is calculated automatically. Mass Function: measures Mass L, Mass W and Mass H to calculate the Mass Volume, as well as measures the Nip.-Mass Dist and Skin-Mass Dist.

  • Page 159: Orthopedics

    Orthopedics HIP (Hip Joint Angle) measurement is used in pediatric orthopedics. Such measurement provides early diagnosis for infant hip joint dislocation. 11.1 Orthopedics Exam Preparations Make the following preparations before measurement: 1. Confirm that the current probe is appropriate. 2. Check if the current date of the system is correct. 3.

  • Page 160: Orthopedics Measurement Tools

    11.3 Orthopedics Measurement Tools Measurement tools mentioned below are configured in the system. The application NOTE: measurement packages provided in this system are generally different combinations of measurement tools. For more information about package preset, see "2.4.2.2 Application Measurement Preset". The HIP calculation assists in assessing the development of the infant hip.

  • Page 161: Hip Measurement Operations

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

  • Page 162: References

    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. “Fundamentals of Sonographic Diagnosis of Infant Hop Dysplasia.” Journal Pediatric Orthopedics, Vol.

  • Page 163: Emergency

    Emergency The following optional emergency exam modes are available in current system: EM ABD EM FAST EM OB EM Vascular EM Superficial 12.1 Basic Measurement Procedures 1. Press <Patient>, register patient information in proper page under [Patient Info] screen. 2. Scan the desired ultrasonic views and save image(s). 3.
  • Page 165 P/N: 046-006766-00 (V4.0)

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