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Rev. 02 February 2021 MyLabX9 ADVANCED OPERATIONS 350080400...
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MyLab - A D V A N C E D O P E R A T I O N S...
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Introduction This manual details operations and describes the available optional MyLab packages. The manual is composed of the following sections: Section 1: Advanced Features. Section 2: Image Optimization. Section 3: Measurements. Section 4: Archiving. Advanced tools, like 3D/4D, are described in dedicated and optional manuals.
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System features are dependent on your system configuration, transducer, and exam type. Not all the system features are approved in all Countries. Keep the manual with the equipment for future reference. All the information included in this manual is relative to the following Esaote ultrasound equipments: MyLabX9...
I N D E X Table of Contents 1 Annotations................... 1-1 Free Text Annotations................1-2 By Sentence / By Word Annotations............1-2 Glossary by Word..................1-2 Glossary by Sentence ................1-3 Editing and Relocating Annotations............1-4 Annotations Configuration ............... 1-4 Settings for All Applications..............
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I N D E X Correct management and privacy of patient data........4-8 Data interface and transmission protocol ..........4-10 Wired network...................4-10 Wireless network................4-10 Storage media ..................4-10 Storage format...................4-10 5 Remote Service................5-1 How to Access to Remote Service ............5-1 Pre Conditions..................5-1 Network Connection................5-2 Remote Service Connection ..............5-2 6 Using the Needle Guides..............6-1 Displaying the Needle Guide ..............6-1...
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I N D E X Exam End....................9-2 Reviewing a VPan Image................9-3 Measurements....................9-4 Storing the Reconstructed Image............. 9-4 10 HyperDoppler................10-1 Overview....................10-1 Activation....................10-1 Procedure for frozen clips..............10-1 Procedure for archived clips ..............10-2 Touchscreen controls in HyperDoppler ..........10-3 HyperDoppler Deactivation ..............
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I N D E X MyLab - A D V A N C E D O P E R A T I O N S...
Chapter 1 - Annotations Annotations function provides the capability to place comments and arrows on an image to identify anatomical structures and locations. Annotations can be activated typing a comment of free text by the QWERTY keyboard (Free Text Annotations) and/or inserting pre-defined comments from a glossary by pressing (By Sentence or By Word Annotations).
A N N O T A T I O N S DELETE LINE cancels the whole row where the cursor is without exiting. INSERT ARROW when pressed, it displays an arrow; rotating the knob, it rotates the arrow. Place the arrow using the trackball and confirm the final position by pressing key.
A N N O T A T I O N S 3. If necessary swipe to scroll the touchscreen pages. 4. Tap on the desired word: it is displayed on the screen in HOME position or at the right side of the last word settled or at cursor position.
A N N O T A T I O N S Editing and Relocating Annotations Once the annotation is confirmed on the screen it can be edited and moved in another place. Text Editing To edit Free Text and By Word Annotations (By Sentence Annotations can not be modified): 1.
A N N O T A T I O N S Settings for All Applications When has been selected, the menu allows the user to ALL APPLICATIONS enable the following parameters: Parameter Action FONT SIZE It sets the font size. AUTOMATIC WORD It enables the Automatic word recognition.
A N N O T A T I O N S Fig. 1-2: Glossary Configuration Menu The glossary configuration menu shows: in the center the touchscreen layout. Both modalities “By Word” and “By Sentence” have their dedicated touchscreen, selectable through the corresponding tab; ...
A N N O T A T I O N S new word to the list. To delete a customized word, C U S T O M place the cursor on the word to be removed and, by keeping pressed, drop it into the waste bin. EN TER Glossary Organization in the Touchscreen Words can be freely positioned within the touchscreen.
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A N N O T A T I O N S MyLab - A D V A N C E D O P E R A T I O N S 1 - 8...
Chapter 2 - Bodymarks Bodymarks are schematic drawings of anatomical sections. A vector overlays the mark to indicate the probe position. Active bodymarks with probe markers are displayed at the bottom left of the screen. Bodymarks are organized in groups: each application has its specific set of bodymarks.
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B O D Y M A R K S Once confirmed, bodymark can be moved in any position on the image by selecting it and dragging it to the new position. Bodymarks can be moved over annotations and measurements; when this happens the label is maintained below the bodymark itself.
B O D Y M A R K S Bodymarks Configuration Refer to the “Getting Press then to enter in the Bodymarks Configuration B O D Y M A R K S M EN U Started” manual for Menu. It is organized in two main areas: the left side shows the list of all saved information on the bodymark libraries, organized by applications, and the right side the bodymark configuration procedure.
B O D Y M A R K S Bodymark Configuration To create a customized bodymark library, follow this procedure: Procedure 1. using the trackball scroll the application list displayed on the right and click on the desired combo to access the single bodymark;...
Chapter 3 - Acquisition Protocols This chapter explains how to create and configure protocols. Configuration Menu A protocol is a sequence of actions that can be defined by the user to support procedures. A protocol is useful to: make it easier the usage of the MyLab ...
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A C Q U I S I T I O N P R O T O C O L S How to create an Acquisition Protocol Once buttons have been pressed, the following menu is N E W C L O N E displayed: Fig.
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A C Q U I S I T I O N P R O T O C O L S Configuration After have been pressed, follow this procedure to create a N E W C L O N E protocol: 1.
A C Q U I S I T I O N P R O T O C O L S Available Actions Set Acquisition This action allows to set the desired acquisition mode and its typical setting. Fig. 3-2: Set Acquisition Windows field allows to input a description for the action under S U M M A R Y definition.
A C Q U I S I T I O N P R O T O C O L S Select Frame & Measurement This action allows to select the desired frame and runs the selected measure on it. Fig. 3-3: Select Frame & Measurement Windows The desired measure can be selected from the list of measures available for the current application.
A C Q U I S I T I O N P R O T O C O L S Manage Annotations This action allows to write on the image the selected text. Fig. 3-4: Manage Annotation Windows Fill the field with the text to be displayed on the ANNOTATIONS TO BE ADDED screen.
A C Q U I S I T I O N P R O T O C O L S Working with Protocols Refer to the “General When protocols have been created and associated to the eTouch button, you Setup” chapter in this can work with them using the following procedure: section for further 1.
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A C Q U I S I T I O N P R O T O C O L S MyLab - A D V A N C E D O P E R A T I O N S 3 - 8...
This chapter also describes the precautions implemented on MyLab suggested by Esaote to avoid attacks from viruses. You can assign different accessing profiles to different system configurations. If the security login described below is not enabled on your...
S E C U R I T Y exits the menu without saving the new settings. C A N C E L Settings Tab Only administrators can access this option. Table 4-1: Settings available in Settings Tab Field Action INACTIVITY TIME Sets the inactivity time (in days) after which DISABLING LOGIN (DAYS) the account automatically expires.
S E C U R I T Y Users Tab To access to the configuration menu press: to modify the selected user profile; E D I T to add a new profile; N E W U S E R ...
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NORMAL and ADMINISTRATOR users, can disable the access control and the EMERGENCY access, etc. ESAOTE NO (dongle) Like ADMINISTRATOR MyLab - A D V A N C E D O P E R A T I O N S...
S E C U R I T Y Security Access to the System When security is enabled, a password is required to access the system. When starting up, the system requires to enter user name and password. Emergency Access When the Emergency option is active, exams can be performed button) without entering any user name and password.
Unfortunately, as for any other computer-based system, internal security measures cannot ensure a complete protection of against malware. For MyLab this reason the user must be aware of Esaote countermeasures and must know which is the best approach to work with in the best possible MyLab security conditions.
, a corrective MyLab software version is released and provided to the user by the Esaote service or authorized service partner. Firewall It is anyway advisable to close to the malware any possible access from the...
MyLab The internal Windows 10 firewall can be enabled by the Esaote Service personnel. Should further information be needed, please contact Esaote personnel. Correct management and privacy of...
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S E C U R I T Y - inconsistency between patient data stored on images – and modified – on the system and data present on the same printed images, sent via the network, saved on removable media and/or stored on PACS prior to data modifications.
Imaging Communications Medicine): international standard for medical images and related information (ISO 12052) Esaote proprietary format UAF The exam data can be exported in the following formats: Report: MyLab - A D V A N C E D O P E R A T I O N S...
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S E C U R I T Y PDF format • Images: Bitmap (.bmp) • Portable Network Graphics (.png) • Joint Photographic Expert (.jpg) • Clips: Audio Video Interleave (.avi) • MyLab - A D V A N C E D O P E R A T I O N S 4 - 11...
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S E C U R I T Y MyLab - A D V A N C E D O P E R A T I O N S 4 - 12...
Chapter 5 - Remote Service This chapter describes how to access to the Remote Service offered by Esaote. How to Access to Remote Service option of the key allows the Service personnel R E M O T E S E R V I C E...
R E M O T E S E R V I C E Network Connection Before contacting the Service personnel, it is recommended to verify the connection following the procedure below: Procedure 1. Configure the network. 2. Connect the system to the network. 3.
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R E M O T E S E R V I C E Fig. 5-2: Remote Service Connection This menu allows to chat with the Service personnel: the bottom field can be used to exchange information with the Service personnel. Press either button or place the cursor on the Cross icon and D I S C O N N E C T...
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R E M O T E S E R V I C E MyLab - A D V A N C E D O P E R A T I O N S 5 - 4...
Chapter 6 - Using the Needle Guides A wide range of Esaote probes can be equipped with optional kits for needle guided insertion procedures. Use only Esaote approved Needle Guides and accessories. Refer to the WARNING “Probes and Consumables” manual for the complete list and for mounting instructions.
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U S I N G T H E N E E D L E G U I D E S Mount the adaptor, following the instruction provided by the manufacturer WARNING of the biopsy kit. Before inserting biopsy needle, ensure orientation groove on bracket is aligned with orientation rib on probe handle.
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If the needle is not following the expected path, discontinue the procedure WARNING and contact your Esaote representative. MyLab - A D V A N C E D O P E R A T I O N S...
U S I N G T H E N E E D L E G U I D E S Thin needles can bend when entering tissue. WARNING Reverberation and tissue artifacts may produce false needle images which WARNING can be mixed-up with the real needle image. Be sure the needle path follows the guideline and that you are not using a false needle image to locate the needle.
U S I N G T H E N E E D L E G U I D E S Press to change trackball function as usual. ACTI O N After the Examination When the biopsy procedure has been completed, remove the needle and the guide from the probe.
If the needle is not following the expected path, discontinue the procedure WARNING and contact your Esaote representative. Needle Enhanced Imaging The Needle Enhanced Imaging provides a better visualization of the needle in the real time image. The displayed image is the composition of a standard B-Mode image plus a steered image where the needle brightness is increased.
U S I N G T H E N E E D L E G U I D E S The enhanced needle algorithm works in a portion of the entire B-mode WARNING image. The needle enhancement is intended to get evidence of the needle trajectory once in tissue.
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U S I N G T H E N E E D L E G U I D E S MyLab - A D V A N C E D O P E R A T I O N S 6 - 8...
Chapter 7 - QPack QPack (Quantification Curves) provides capabilities to evaluate time/ intensity curves of Doppler or CnTI signals within the organ under examination. CnTI (Contrast Tuned Imaging) is a technology dedicated to ultrasound Contrast Media (CA). Refer to the dedicated section of Advanced Operation manual for further information.
Q P A C K CALCULATE 8. Tap to start the processing; the system calculates the mean signal intensity within the defined ROI for all frames in the loop. 9. If necessary, repeat points 7 and 8 to add and analyze new ROIs.
Q P A C K 6. Select a frame where the contrast effect or Doppler signal is visible, 7. Define a ROI on the portion of the image to be analyzed; you can draw the ROI by ELLIPSE , by TRACE or by VERTEX...
Q P A C K LEFT TRIM changes the left and right extremes of the selected loop. RIGHT TRIM CHANGE LOOP At QPack activation, the clip is automatically segmented in loops each of them consistent in term of depth, frequency and other image parameters. Rotate the knob to select the loop you want to analyze.
Q P A C K Fig. 7-1: Intensity curve during QPack analysis. On top-left of the screen, information on ROI and intensity curve are displayed, as well as measurements made automatically on the curve: AUC Area Under the Curve ...
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Q P A C K MyLab - A D V A N C E D O P E R A T I O N S 7 - 6...
Chapter 8 - Screen sharing and MyLab Remote The screen content of can be replicated on external devices to be MyLab shared with observers. Screen sharing can be done: connecting an external second monitor to MyLab streaming the video on any device connected to the same network;...
S C R E E N S H A R I N G A N D M Y L A B R E M O T E Fig. 8-1: Monitor Settings Physical clone When the external monitor supports the same resolution of systems MyLab (1920x1080), the image on the external monitor is displayed exactly as it...
S C R E E N S H A R I N G A N D M Y L A B R E M O T E provides an external remote controller for ultrasound MyLab Remote MyLab scanner duplicating the keyboard and touchscreen controls on a remote device like a computer or a tablet connected to the same network of MyLab requires a dedicated licence.
S C R E E N S H A R I N G A N D M Y L A B R E M O T E but it is strongly advised to modify it on the first access. Keep pressed MyLab on the eye on the box to the left to show the password and edit it.
S C R E E N S H A R I N G A N D M Y L A B R E M O T E MyLab Remote tab When is checked, you can remotely control your ENABLE MYLAB REMOTE through the controls replicated on an external tablet.
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IP address and the remote password in the MyLab address bar of the browser of your remote device to begin the connection. When is active, beside the Esaote logo at top-left of the MyLab Remote MyLab screen, a connection active icon is displayed. You can always control...
S C R E E N S H A R I N G A N D M Y L A B R E M O T E Use in sterile environment The tablet can not be disinfected not sterilized. Use a protective sterile sheath for tablet when in a sterile environment. WARNING In the case tablet is used in sterile environment, a sterile sheath for tablet is provided...
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S C R E E N S H A R I N G A N D M Y L A B R E M O T E The streamed video contains pictures of the patient that are not WARNING anonymized. IMAGE CLIP to save an image or clip with camera image overlapped.
Chapter 9 - VPan VPan allows to acquire B-Mode images on extended surfaces. The final image is composed of consecutive frames placed side by side so that the whole surface can be reconstructed. Do not use the VPan acquisition in structures having black areas or in NOTE moving structures.
V P A N CENTERED Both the reconstructed image and the reference frame are shown and the reference frame is centered on the screen. CURVED Both the reconstructed image and the reference frame are shown and the reconstructed image is centered on the screen. 6.
V P A N Reviewing a VPan Image Once the acquisition is completed, the system automatically freezes and shows the VPan image at full screen. The following controls are displayed on the touchscreen: FILTER modifies the filter applied to the panoramic image, increasing or decreasing the smooth.
V P A N exits from VPan image revision activating the real-time. FREEZE Measurements Both generic and specific measurements can be performed on a VPan image. The frame visualization is suggested to perform measurements. A poor image quality can considerably twist and degrade the measure WARNING accuracy: it is strongly suggested not to perform measurements on twisted and misaligned images.
Chapter 10 - HyperDoppler Overview HyperDoppler is a tool intended for the investigation of the intra-cardiac flows in humans to provide a better understanding of cardiac physiological or pathological state. HyperDoppler is able to derive information related to the intra-cardiac flow formation by processing Color Doppler (CFM) clips and ECG trace.
H Y P E R D O P P L E R 6. Select the desired cardiac cycle; HYPERDOPPLER 7. Tap in the touchscreen Tools section, to start the flows analysis; the system processes the clip and in a while it displays the results. Additional touchscreen controls will be displayed too.
H Y P E R D O P P L E R Touchscreen controls in HyperDoppler When HyperDoppler analysis has been performed, the results of processing are displayed on the image as well as the related calculated parameters. A HyperDoppler tab with the following controls is displayed on the touchscreen.
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H Y P E R D O P P L E R Steady Image, top-right, represents the steady vorticity. The map represents the mean value of the duration of the cycle. Polar Plot, bottom-right, is a polar plot of the pressure gradient.
H Y P E R D O P P L E R FRAME Rotate the knob to scroll the sequence frame by frame. ARROW LENGTH Rotate the knob to change the length of the arrows displayed on the ultrasound image. Arrows on ultrasound image show blood flow direction and intensity improving the perception of blood motion.
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H Y P E R D O P P L E R , when checked, lets arrows be displayed on the ultrasound SHOW ARROWS CFM image as default at HyperDoppler activation. Table 10-1: Map Selection Fields Action ULTRASOUND MAP Here you can select which elaborated parameter is superimposed on the ultrasound image: ɯ: vorticity Psi: streamfunction...
H Y P E R D O P P L E R Appendix Flux and vorticity The two-dimensional velocity vector field v (x,y,t), v (x,y,t) is evaluated from Doppler velocity field. Vorticity (a scalar function) is defined as the curl of velocity ω(x,y,t)= ∂v /∂y- ∂v /∂x;...
H Y P E R D O P P L E R The total kinetic energy or dissipation or enstrophy (defined as the square of vorticity) is the value of the quantity integrated over the whole field. Kinetic energy and dissipation are normalized with the total steady-streaming kinetic energy, the enstrophy with the steady-streaming enstrophy.
Appendix Appendix A - ECG Cables Refer to the system The ECG cable supplied by Esaote are 3-Lead ECG Cable (Black, yellow and documentation for ECG red colors) and includes leads which are equipped with a pliers terminal. capabilities. The ECG cables are compliant to both IEC (International Electrotechnical Commission) and AHA (American Heart Association) standards.
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E C G C A B L E S Agent Destined for Indicated by the manufacturer Disinfecting the electrodes Cleaning Procedure 1. Disconnect the cable from the system. 2. Dust the cable connector with a soft cloth. 3. Clean the cable and the leads by rubbing them gently with a soft cloth dampened with water and a mild detergent.
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I N D E X Table of Contents 1 B-Mode Controls and Optimization ..........1-1 Activation of B-Mode ................1-1 Controls in B-Mode..................1-1 Basic Controls ..................1-1 Advanced Controls.................. 1-6 Controls in Freeze ................. 1-10 EasyMode ....................1-11 Joystick controls..................1-11 Right Joystick ..................
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I N D E X Q-Mode - M CFM Mode ................4-5 Activation of Q-Mode Format...............4-5 MyLab - A D V A N C E D O P E R A T I O N S...
Chapter 1 - B-Mode Controls and Optimization B-Mode provides two-dimensional images of body organs taken by ultrasound scan. Activation of B-Mode The system automatically enters in B-Mode each time a new exam is started. B-Mode format can be re-displayed from any other mode using the key.
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N CNTI This key is displayed if the CnTI option has been enabled for examinations with contrast media.
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N FREQ FUNDAMENT share the same knob; tap it to toggle between the two FUNDAMENT controls, rotate it to increase/decrease the frequency ( FREQ...
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N POWER changes the transmitted power. Tap the key to open the following sub-menu: FACTORY resets the transmitted power at the default value.
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N XVIEW The XView algorithm reduces the unwanted effect of speckle in the ultrasound image due to noise and movement artifacts.
B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N Advanced Controls B-STEER steers the sector. Available with Linear Array probes only. AUTOADJUST OFF deactivates the automatic adjustment.
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N propagation speed of the tissues under examination is different from 1540 m/sec. Rotate the knob clockwise/counterclockwise to increase/decrease the speed of sound.
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N PHYSIO When the ECG is available, this key allows to display the ECG trace and/or the EDR trace.
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N Do not use the physiological trace displayed on the screen for diagnosis or WARNING monitoring.
B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N selects the XView algorithm to be set. (available only with specific probes in specific applications) increases the image definition.
B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N EasyMode EasyMode provides an easy way to optimize image parameters by quickly operating with three simple sliders.
B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N Left Joystick ZO O M Rotate clockwise to enlarge the B-Mode Area. For the first two LEFT JO YSTI CK steps the enlarged image is entirely displayed on the screen, than, due to the zoom factor, the image is crop;...
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N AUTO Pressing it automatically adjusts both the overall gain and TGC distribution improving the contrast resolution of the image.
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B - M O D E C O N T R O L S A N D O P T I M I Z A T I O N MyLab - A D V A N C E D O P E R A T I O N S 1 - 14...
Chapter 2 - M-Mode Controls and Optimization M-Mode provides information concerning tissue motion occurring over time along a single vector. Activation of M-Mode 1. Starting from B-Mode, press to view the M- LI N E UPDATE Mode cursor. 2. Place the cursor with the trackball on the corresponding B- Mode line.
M - M O D E C O N T R O L S A N D O P T I M I Z A T I O N On the left of the touchscreen the available presets are listed. Refer to previous chapter to get more information on the controls not described here.
M - M O D E C O N T R O L S A N D O P T I M I Z A T I O N DUAL splits the screen vertically, with the B-Mode reference image on the left and the M-Mode trace on the right. BACK goes back to main menu keeping the modifications.
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M - M O D E C O N T R O L S A N D O P T I M I Z A T I O N MyLab - A D V A N C E D O P E R A T I O N S 2 - 4...
Chapter 3 - Doppler Controls and Optimization PW (Pulsed Wave) and CW (Continuous Wave) Doppler provide information concerning the velocity of moving tissues and flows. In CW Doppler information is sampled along a line through the body, and all velocities detected at each time point are presented (on a time line). In PW Doppler information is sampled from only a small region, called sample volume, defined in 2D image and presented on a timeline.
D O P P L E R C O N T R O L S A N D O P T I M I Z A T I O N Position the sample volumes so that only one of them finds itself in NOTE correspondence of the flow under exam and the other ones on the fixed structures so that the Doppler signal is not ambiguous.
D O P P L E R C O N T R O L S A N D O P T I M I Z A T I O N The Doppler analysis of some pathologies could require low WARNING RESOLUTION FFT RESOLUTION values.
Chapter 4 - Color Doppler Controls and Optimization Color Flow Mapping (CFM) and Power Doppler (PD) are Doppler Modes providing information concerning the relative velocity and direction of fluid motion presented as a color-coded overlay on top of a B-mode image. Activation of Color Doppler Format 1.
C O L O R D O P P L E R C O N T R O L S A N D O P T I M I Z A T I O N The lower line of control is associated to six knobs. These knobs are usually shared by two controls: the blue one is the active one whose value can be changed rotating the knob while the other control can be made active by tapping it.
C O L O R D O P P L E R C O N T R O L S A N D O P T I M I Z A T I O N Advanced Controls COLOR MAP opens a sub-menu allowing the selection of a different Color Map: COLOR MAP selects the threshold above which the velocity is displayed.
C O L O R D O P P L E R C O N T R O L S A N D O P T I M I Z A T I O N Controls in Freeze HIDE CFM enables or disables the Color presentation displaying only B-Mode reference image.
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C O L O R D O P P L E R C O N T R O L S A N D O P T I M I Z A T I O N Only one transmitting focal point is active in CFM, regardless of the B- NOTE Mode settings, and it is automatically positioned at the center of the ROI CFM.
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C O L O R D O P P L E R C O N T R O L S A N D O P T I M I Z A T I O N When more modes are active, the navigation tab M-MODE allows you to NOTE...
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I N D E X Table of Contents 1 Measurements ................1-1 Introduction....................1-1 How to Take Measurements..............1-2 Additional Controls during measurements.......... 1-3 How to Take the Measurements .............. 1-3 Distance ....................1-3 Vertex ......................1-4 Trace ......................1-4 Ellipse......................
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I N D E X Procedure to add a formula..............2-10 3 Accuracy..................3-1 Measurement Accuracy ................3-1 Derived Data....................3-2 4 MyLab Worksheet and Report............4-1 MyLab Worksheet..................4-1 MyLab Report....................4-2 End of the Report..................4-3 Configurations .....................4-3 Report Configuration ................4-3 Observations Configuration..............4-6 5 Abdominal Measurements............5-1 Abdominal Advanced Measurements in B-Mode ........5-1 Bladder.......................5-1 Renal......................5-2...
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I N D E X Auto EF calculation on frozen clips ..........8-15 Auto EF calculation on archived clips.......... 8-15 After Calculation..................8-16 9 Gynecologic Measurements ............9-1 Application Data..................9-1 Gynecologic Advanced Measurements in B-Mode ....... 9-2 Gynecologic Advanced Measurements in Doppler....... 9-2 Gynecology Worksheet Organization .............
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I N D E X 12 Urologic Measurements............. 12-1 Application Data ..................12-1 Urologic Advanced Measurements in B-Mode ........12-2 Urologic Advanced Measurements in Doppler ........12-3 Urologic Worksheet Organization............12-3 Structure Evaluation ................12-4 Urologic Measurement Set Up..............12-7 Advanced Folder..................12-7 13 Vascular Measurements.............. 13-1 Application Data ..................13-1 Vascular Advanced Measurements in B-Mode........13-2 Vascular Advanced Measurements in Doppler ........13-3...
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I N D E X dex ......................A-10 Ejection Fraction (Simpson and Area-Length) ....... A-10 Stroke Volume ..................A-11 Stroke Index ..................A-11 Cardiac Output ..................A-11 Cardiac Index ..................A-12 Left Ventricle/Right Ventricle Area Fractional Shortening ..A-12 Diameter Fractional Shortening ............A-12 Ejection Fraction (Left Ventricle) .............
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I N D E X Flow by Diameter ................... C-5 Pressure Half-Time ................C-5 Cardiology....................C-6 Mitral Valve Area ................... C-6 E Wave/A Wave ..................C-6 Miocardiac Performance Index ............C-7 dP/dt Ratio ..................... C-7 Regurgitation Flow (PISA) ..............C-8 Effective Regurgitation Orefice (PISA) ..........
Chapter 1 - Measurements Introduction Measurements can be taken in all modes and applications both in real time on frozen images and in archive review. provides two types of measurements: MyLab Generic Measurements, set of measurement related to the operating mode.
M E A S U R E M E N T S How to Take Measurements Procedure 1. Press to activate measurements, the +… + M EASURE touchscreen displays the list of available measurements, which are automatically identified according to the active mode, application and preset.
M E A S U R E M E N T S Additional Controls during measurements The touchscreen menu depends on the active measurement: ADD TO REPORT At the end of measure, it adds the Generic Measurement to the exam worksheet and report.
M E A S U R E M E N T S Vertex This measurement requires to place vertices on a B-Mode image: the result of the measurement is obtained connecting all vertices. Procedure 1. Using the trackball, place the caliper on the first vertex and press to confirm.
M E A S U R E M E N T S Velocity These measurements require to trace a line on an M-Mode trace. Procedure 1. Using the trackball, place the caliper on the initial point and press to confirm. EN TER 2.
M E A S U R E M E N T S Displayed Description Results Diastolic Velocity/ Systolic Velocity Heart Rate (for OB measurements) Acceleration Acc T Acceleration Time Max PG Maximum Peak Gradient Mn PG Mean Peak Gradient Any adjustment performed on the velocity scale orientation, on the display format and on the angle correction will automatically re-calculate the parameters.
M E A S U R E M E N T S Procedure 1. Using the trackball move the bar on the first point of the cycle and press to confirm. EN TER 2. Using the trackball move the bar on the end point of the cycle and press to confirm.
M E A S U R E M E N T S Activation Automatic Doppler tracings can be activated in real time both in PW and CW Doppler and in Freeze. activates the automatic Doppler detection. Once activated, the Doppler profile is displayed in yellow, overlaid on the spectrum itself.
M E A S U R E M E N T S Make sure that the profile of the automatically detected Doppler flow (yellow line) corresponds to the real profile. Freeze and Archive Bibliographic formulas and references in appendix In Freeze the Doppler sequence can be seen by scrolling the frames: the marker on the automatic Doppler profile moves accordingly.
M E A S U R E M E N T S only when images are acquired at the same depth, with the same orientation, without steering and zoom. Before performing measurements on the two frames of a Dual format, WARNING check that the whole image (for example both side by side frames) is consistent with the structure under exam.
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M E A S U R E M E N T S Table 1-3: Generic Measurements available in B-Mode Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation) (Label) results Distance Distance Distance (D) Distance Distance Ratio Distance Ratio Distance1 (D1) Distance (Distance Ratio) Distance2 (D2)
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M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation) (Label) results Angle (3 points) Hip Angle Distance Angle Table 1-4: Generic Measurements available in M-Mode Measurement Measurement Input Measurement Displayed Input Type...
M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation) (Label) results Heart Rate HR (HR) R-R1 Time R-R# Systolic velocity to Caliper Diastolic velocity (S/D) Caliper Ratio Cardiac VTI Cardiac VTI (VTI) Profile Cardiac VTI...
M E A S U R E M E N T S the selected group and the other available groups as tab on the Navigation bar. If you want to select a different group, tap on the related tab. Refer to the following chapters for the Advance Measurements available in each application.
Chapter 2 - Measurement Configuration Accessing to the Configuration Menu To access the measurement configuration menu press then select M EN U , the list of configurable items will be displayed on the left of the M E A S U R E screen.
M E A S U R E M E N T C O N F I G U R A T I O N Application Measurements Folder Fig. 2-2: Configuration of Application Measurements Check to activate the average for all ENABLE APPLICATION AVERAGE application measurements (except generic measurements).
M E A S U R E M E N T C O N F I G U R A T I O N : the measure is included in the automatic measurement AUTO sequence. : the measure is disabled. ...
M E A S U R E M E N T C O N F I G U R A T I O N in the center the touchscreen layout. Each mode (selectable by the corresponding tab) has its dedicated touchscreen. ...
M E A S U R E M E N T C O N F I G U R A T I O N Additional dedicated settings are available for some applications. Refer to next chapters for further information about it. Configuration for Measurement Folder Select a Measurement Folder and press or double click on it to enter...
M E A S U R E M E N T C O N F I G U R A T I O N How to Create a Measurement Folder When accessed the measurement configuration menu, to create a customized Measurement Folder follow the procedure below: Procedure 1.
M E A S U R E M E N T C O N F I G U R A T I O N How to create a new group When accessed the measurement configuration menu, to create a custom measurement group double click on the desired application, then press N E W , the window below is displayed.
M E A S U R E M E N T C O N F I G U R A T I O N Fig. 2-5: Custom Measurement Creation The configuration menu shows: on the left the list of the available generic measurements in each mode.
M E A S U R E M E N T C O N F I G U R A T I O N 3. If the measurement requires suspension (that is a temporarily stop to execution for the selection either of a different frame or of a different mode), set the desired modality: Table 2-3: Measurement modality Modality...
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M E A S U R E M E N T C O N F I G U R A T I O N Fig. 2-6: Adding Formula 3. Assign a name, an abbreviation and a label to any item composing the custom measurement.
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M E A S U R E M E N T C O N F I G U R A T I O N Table 2-4: List of the available mathematical operators Operator Action SIN and ASIN Sinus and Arc Sine COS and ACOS Cosine and Arc Cosine TAN and ATAN...
Chapter 3 - Accuracy This chapter is intended to provide information to evaluate the error that should be considered when performing both Generic and Advanced Measurements with MyLab Please be advised that measurements in ultrasound are dependent upon the propagation velocity of sound through tissue. The propagation velocity usually varies with the type of tissue, but an average velocity of 1540 m/s is assumed, so the accuracy of the system is based on this assumption.
A C C U R A C Y Mode Measurement Units Accuracy M-Mode split and Distance ±[1.6%Depth(mm)+0.1]mm ±5 dual screen Time ±[1%Time(s)+0.005]s ±3 Doppler full screen Inst.velocity ±[2%VR(m/s)+0.01]m/s ±6 Time ±[1%Time(s)+0.005]s ±3 Doppler split and Inst.velocity ±[2.5%VR(m/s)+0.01]m/s ±8 dual screen Time ±[1%Time(s)+0.005]s ±3...
Chapter 4 - MyLab Worksheet and Report MyLab Worksheet WORKSHEET button can be pressed at any time to display all performed measurements both generic and advanced. Fig. 4-1: MyLab Worksheet The worksheet is organized in pages, one page for each application indicated by the corresponding tab.
M Y L A B W O R K S H E E T A N D R E P O R T Averaged measurements When average is enabled on measurement configuration menu (refer to previous chapter for further details), the worksheet shows the average value in the first column and the values of the individual measurements in the following columns.
M Y L A B W O R K S H E E T A N D R E P O R T Observations Additional text can be inserted in this section of the report. Place the cursor on the desired field and: ...
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M Y L A B W O R K S H E E T A N D R E P O R T Fig. 4-2: Report Configuration Page Once a profile has been selected from the list on the left, here you can modify it (pressing ), delete it ( ) or create a new profile starting from...
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M Y L A B W O R K S H E E T A N D R E P O R T Fig. 4-3: Profile configuration page When in edit mode, on the right are listed all the report elements that can be modified.
M Y L A B W O R K S H E E T A N D R E P O R T Observations Configuration Observations Configuration allows to create groups of words and sentences to be used in the report for each application. Press then to enter in the Observation...
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M Y L A B W O R K S H E E T A N D R E P O R T Fig. 4-5: Observations Configuration Menu Once is pressed, the following is displayed: E D I T in the first column the list of the fields for the selected application;...
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M Y L A B W O R K S H E E T A N D R E P O R T Each added sentence will be listed when the key is pressed by NOTE UN DO entering comments in the corresponding field. Moving fields and Drag and drop up or down any sentence to change its position in the list.
Chapter 5 - Abdominal Measurements This chapter lists all the Advanced Measurements available for the Abdominal application. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements. Abdominal Advanced Measurements in B-Mode Bladder...
A B D O M I N A L M E A S U R E M E N T S Renal Table 5-2: Renal Advanced Measurements group in B-Mode Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results Right Kidney Length (L)
A B D O M I N A L M E A S U R E M E N T S Organ Table 5-3: Organ Advanced Measurements group in B-Mode Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation) (Label) Results Pancreas Body Pancreas Body...
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A B D O M I N A L M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation) (Label) Results Common Bile Duct Common Bile Duct Diameter (Diam) Distance Diam Gallbladder Calculi...
A B D O M I N A L M E A S U R E M E N T S Abdominal Advanced Measurements in Doppler Abdomen Table 5-4: Abdomen Advanced Measurements group in Doppler Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label)
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A B D O M I N A L M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results Middle Superior Mesenteric Mid Sup Mesenteric A Caliper Artery Caliper Distal Superior Mesenteric...
Chapter 6 - Breast Measurements This chapter lists all the Advanced Measurements available for the Breast application. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements. Breast Advanced Measurements in B- Mode Breast Mass...
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B R E A S T M E A S U R E M E N T S Table 6-2: Evaluations in Breast when Mass measurement is selected Parameter Evaluation Location O’clock: from 1 to 12 Region: Nipple, Areolar, Subareolar, Axillary Quadrants: Upper Inner, Lower Inner, Upper Outer, Lower Outer Profile: Posterior, Middle, Anterior...
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B R E A S T M E A S U R E M E N T S Parameter Evaluation Associated Architectural Distortion: Yes, No Features Duct Changes: Yes, No Skin Changes: Absent, Skin Thickening, Skin Retraction Edema: Yes, No Vascularity: Absent, Internal Vascularity, Vessels in Rim Special Cases 1...
B R E A S T M E A S U R E M E N T S This product incorporates the Breast Imaging Reporting and Data System NOTE (BI-RADS®) ATLAS of the American College of Radiology, Copyright 1992, 1993, 1995, 1998, 2003, and 2013. The developer of this product is independently owned and operated, and is not an affiliate of the American College of Radiology.
Chapter 7 - Adult Cephalic Measurements This chapter lists all the Advanced Measurements available for the Adult Cephalic application. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements.
A D U L T C E P H A L I C M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R Dist ICA R Dist ICA Depth (Depth) Distance Depth Right...
A D U L T C E P H A L I C M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R C6 Profile Right C6 depth VTI The measurement is bilateral VTI = Velocity Time Integral...
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A D U L T C E P H A L I C M E A S U R E M E N T S MyLab - A D V A N C E D O P E R A T I O N S 7 - 4...
Chapter 8 - Cardiac and Pediatric Cardiac Measurements This chapter lists all the Advanced Measurements available for the Cardiac and Pediatric Cardiac applications. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements.
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C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S the same macro-measurement have been executed, displays calculation MyLab results for this macro-measurement.
C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S Cardiac Advanced Measurements in M- Mode Table 8-5: Cardiac and Pediatric Cardiac Advanced Measurements in M-Mode Measurement...
C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S Cardiac Advanced Measurements in Doppler Table 8-6: Cardiac and Pediatric Cardiac Advanced Measurements in Doppler Measurement...
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C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type...
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C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type...
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C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type...
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C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type...
C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S Automatic Ejection Fraction Automatic Ejection Fraction (Auto EF) is an automatic tool to calculate the Ejection Fraction on: ...
C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S How to perform an Auto EF calculation The Automatic Ejection Fraction calculation can be performed both on frozen and on archived clips.
C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S After Calculation When the Ejection Fraction has been automatically calculated, the results are displayed on the left side of the screen, the End Diastolic frame automatically contoured is also displayed and the touchscreen provides the following...
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C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S MODIFY CONTOUR- If the contour automatically traced by the system for End Diastolic and End Systolic is not satisfying, you can modify it.
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C A R D I A C A N D P E D I A T R I C C A R D I A C M E A S U R E M E N T S MyLab - A D V A N C E D O P E R A T I O N S 8 - 18...
Chapter 9 - Gynecologic Measurements This chapter lists all the Advanced Measurements available for the Gynecology application. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements. Application Data Fig.
G Y N E C O L O G I C M E A S U R E M E N T S Gynecologic Advanced Measurements in B-Mode Table 9-2: Gynecologic Advanced Measurements in B-Mode Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation)
G Y N E C O L O G I C M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation) (Label) Results R Uterine A Velocity Right Uterine Artery Velocity Peak Velocity R Ovary A...
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G Y N E C O L O G I C M E A S U R E M E N T S MyLab - A D V A N C E D O P E R A T I O N S 9 - 4...
Chapter 10 - Obstetric Measurements This chapter lists all the Advanced Measurements available for the Obstetric application. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements. Refer to “Obstetrics and Gynecology Section”...
O B S T E T R I C M E A S U R E M E N T S Field FIRST DGA Diagnostic gestational age estimated at the first exam Expected Delivery Date based on LMP or DGA values Gestational Age based on LMP or DGA values GRAVIDA Number of pregnancies...
O B S T E T R I C M E A S U R E M E N T S Fetal Age and Fetal Growth tables bibliography Both fetal age (FA) and fetal growth (FG) can be estimated basing on different bibliographic references that can be selected in the obstetrics measurement configuration menu.
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O B S T E T R I C M E A S U R E M E N T S FG Table FA Table Measurement Bibliography Bibliography Hadlock Hadlock Crown-Rump Length Osaka U Osaka U Hansmann Hansmann JSUM 2001 JSUM 2001 Robinson Rempen...
O B S T E T R I C M E A S U R E M E N T S FG Table Measurement Parameter Bibliography Merz Uterine Gomez Uterine Artery Merz Estimated Fetal Weight and Growth Fetal Weight can be automatically estimated by the system when at least two parameters are measured.
O B S T E T R I C M E A S U R E M E N T S the diagnostic gestational age (GA) estimated according to the criteria set on the Patient ID page. the parameter under measure. ...
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O B S T E T R I C M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results Ulna Length Ulna Length Distance (UL) Tibia Length Tibia Length Distance (TL)
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O B S T E T R I C M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results Foot Length Foot Length Foot L Distance Foot L (Foot L) Nose Bone Length Nose Bone Length...
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O B S T E T R I C M E A S U R E M E N T S APxT If both APTD and TTD distances are performed, the APxT is calculated using the following formula: APxT APTD TTD Nuchal Both in fetal age and in fetal growth...
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O B S T E T R I C M E A S U R E M E N T S and it can be performed following two methods that can be selected at the start of measurement: inner - inner ...
O B S T E T R I C M E A S U R E M E N T S Mother Measurements Refer to the chapter on Gynecological Advanced Measurements for further information about these measurements. Obstetric Advanced Measurements in M- Mode Fetal Biometry / First Trim allows to measure the fetal heart rate, averaging it on more cycles that...
O B S T E T R I C M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation) (Label) Results R Middle Cerebral Profile Right Middle Cerebral Artery VTI Ductus Arteriosus Ductus Arteriosus Profile...
O B S T E T R I C M E A S U R E M E N T S delivery date estimated from the AUA is displayed in the first row. The AUA value is displayed in the gestational age graph, available in the Graphics folder. Calculations The parameter ratios are displayed in this folder.
O B S T E T R I C M E A S U R E M E N T S Fig. 10-2: OB Fetal trend The X axis displays the weeks while the Y axis the parameter selected in the upper left part of the screen.
O B S T E T R I C M E A S U R E M E N T S Survey Folder The Survey Folder contains a list of predefined observations for both fetuses and mother: Fetal Heart, ...
O B S T E T R I C M E A S U R E M E N T S Obstetric Measurement Set Up To access the Obstetric Measurement configuration menu press then M EN U select , and then double click on .
O B S T E T R I C M E A S U R E M E N T S When is selected, the measure is not closed till you have confirmed it NOTE AUTO pressing EN TER When is selected, it enables the ENABLE MEASUREMENT OF 3 DIAMETERS calculation of GS (gestational Sac) by 3 diameters, instead of a single distance.
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O B S T E T R I C M E A S U R E M E N T S exits the menu. C L O S E When creating ( ) or editing ( ) a custom table the N E W T A B L E E D I T T A B L E system displays the following menu:...
O B S T E T R I C M E A S U R E M E N T S Set the fields: Field Values FORMAT MIN-MEAN-MAX, MEAN-DEV OR MEAN MEASURE UNIT cm or mm RANGE SD1, SD2, SD3, 3%-50%-97%, 5%-150%- 95% OR 10%-50%-90% DAY, WEEK OR WEEK+DAY ...
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O B S T E T R I C M E A S U R E M E N T S Field Action MEASUREMENT AREA - ROW 1 Sets the parameter to be displayed on the first MEASUREMENT AREA - ROW 2 and second rows of the measurement area.
O B S T E T R I C M E A S U R E M E N T S Field Action INCLUDE CALCUL SECTION Includes the related section in the report. INCLUDE BIOPHYSICAL SECTION Includes the related section in the report. INCLUDE OBSERV SECTION Includes the related section in the report.
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O B S T E T R I C M E A S U R E M E N T S MyLab - A D V A N C E D O P E R A T I O N S 10 - 22...
Chapter 11 - Thyroid Measurements This chapter lists all the Advanced Measurements available for the Thyroid application. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements. Thyroid Advanced Measurements in B- Mode Table 11-1: Thyroid Advanced Measurements in B-Mode...
T H Y R O I D M E A S U R E M E N T S Thyroid Worksheet Organization Here are described the additional fields dedicated to the Thyroid Worksheet. Structure Evaluation The worksheet, besides displaying the single measurements, also allows the insertion of an evaluation of the structures under exam.
T H Y R O I D M E A S U R E M E N T S Group Parameter Evaluation Margins Smooth, Irregular, Infiltrating Shape Oval, Round Hilar Line Absent, Normal, Thickened Evaluations can also be added from Measurement environment tapping EVALUATE and then selecting the group.
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T H Y R O I D M E A S U R E M E N T S MyLab - A D V A N C E D O P E R A T I O N S 11 - 4...
Chapter 12 - Urologic Measurements This chapter lists all Advanced Measurements available for the Urologic application. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements. Application Data Fig.
U R O L O G I C M E A S U R E M E N T S Urologic Advanced Measurements in B- Mode Table 12-2: Urologic Advanced Measurements in B-Mode Measurement Measurement Input Measurement Input Displayed Description (Abbreviation) (Label) Type...
U R O L O G I C M E A S U R E M E N T S Urologic Advanced Measurements in Doppler Table 12-3: Urologic Advanced Measurements in Doppler Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results...
U R O L O G I C M E A S U R E M E N T S Fig. 12-2: Urologic Worksheet The correction factors displayed in the report can be modified as follows: place the cursor on the corresponding field and press EN TER ...
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U R O L O G I C M E A S U R E M E N T S Table 12-4: Evaluations in Urology Group Parameter Evaluation PROSTATE Hyperplasia Refer to table 12-5 Capsule Continuous, Discontinuous Swollen, Discontinuous Extra Invasion, Discontinuous Hyperdense Echos BLADDER Urinary...
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U R O L O G I C M E A S U R E M E N T S Table 12-6: Evaluations for Focal Regions Group Parameter Evaluation Location Side Right, Left Zone Peripheral, Transitional, Central, Anterior fibromuscular stroma Sector Base, Midgland, Apex Region...
U R O L O G I C M E A S U R E M E N T S Urologic Measurement Set Up To access the Urologic Measurement configuration menu press then M EN U select then M E A S U R E U R O L O G Y A P P L I C A T I O N tabs provide specific options for the...
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U R O L O G I C M E A S U R E M E N T S MyLab - A D V A N C E D O P E R A T I O N S 12 - 8...
Chapter 13 - Vascular Measurements This chapter lists all the Advanced Measurements available for the Vascular application. The listed measurements are organized in groups. You can customize the Advanced Measurements package to adapt it to your work-flow: the touchscreen will display only the set measurements. Application Data Fig.
V A S C U L A R M E A S U R E M E N T S Field DIASTOLIC in mmHg PRESSURE Vascular Advanced Measurements in B- Mode Table 13-2: Carotid Advanced Measurements group in B-Mode Measurement Measurement Input Measurement Input...
V A S C U L A R M E A S U R E M E N T S Vascular Advanced Measurements in Doppler Table 13-4: Carotid Advanced Measurements group in Doppler Measurement Input Measurement Input Displayed Measurement Description (Abbreviation) (Label) Type...
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V A S C U L A R M E A S U R E M E N T S VTI = Velocity Time Integral Table 13-5: Lower Limb Veins Advanced Measurements group in Doppler. Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation)
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V A S C U L A R M E A S U R E M E N T S Measurement Measurement Input Measurement Displayed Input Type Description (Abbreviation) (Label) Results R Hunterian Reflux T Reflux Time (Refl T) Time Refl T Right Hunterian vein...
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V A S C U L A R M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R Iliac A Bif Caliper Right iliac artery bifurcation Caliper velocities R Iliac A Bif VTI...
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V A S C U L A R M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R Mid Sup Femoral A Caliper Right middle superficial femoral Caliper artery velocities R Mid Sup Femoral A...
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V A S C U L A R M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R Dist Ant Tibial A Caliper Right distal anterior tibial artery Caliper velocities R Dist Ant Tibial A...
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V A S C U L A R M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R Prox Brachial A Caliper Right proximal brachial artery Caliper velocities R Prox Brachial A VTI...
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V A S C U L A R M E A S U R E M E N T S Table 13-9: Aorta Advanced Measurements group in Doppler Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results Proximal aorta velocities Prox Aorta Caliper Caliper...
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V A S C U L A R M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results Proximal splenic artery velocities Prox Splenic A Caliper (Prox Splenic A) Caliper Proximal splenic artery VTI Prox Splenic A VTI...
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V A S C U L A R M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R Dist A Art Anast Caliper Right distal arterial anastomosis Caliper velocities R Dist Art Anast VTI...
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V A S C U L A R M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R Puncture 2 Caliper Right puncture 2 velocities Caliper R Puncture 2 VTI Profile Right...
V A S C U L A R M E A S U R E M E N T S Measurement Input Measurement Displayed Measurement Description Input Type (Abbreviation) (Label) Results R Segm1 Upper Caliper Right upper arterial segment 1 Caliper R Segm1 Upper P VTI Profile...
V A S C U L A R M E A S U R E M E N T S Status Evaluation Compressibility Yes, No, Partial Reflux Light, Moderate, Severe Thrombus Yes, No, Partial Vascular Measurement Set Up To access the Vascular Measurement configuration menu press then M EN U select...
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V A S C U L A R M E A S U R E M E N T S MyLab - A D V A N C E D O P E R A T I O N S 13 - 16...
Appendix A - Formula and References in B-Mode Volume in abdominal and breast Formula Volume [ml] or [cm -- - -- - --- - ---- - Volume in thyroid Formula Volume [ml] or [cm ...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Volume by Ellipse Formula -- - a b a: Major semi axis b: Minor semi axis Volume by Trace and by Area-Length...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Formula Volume (cm --- - D when D <D : First diameter : Second diameter : Third diameter...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Predicted PSA Density Formula Predicted PSA (ng/ml/cc) = -- - A: PSA serum B: Volume Reference Fred Lee, M.D., et al., “Predicted Prostate Specific Antigen Results Using...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Stenosis Area Formula %ST = – ----- - : Residual diameter : True diameter Accuracy ±16% Reference...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Left Ventricle/Left Atrium/Right Atrium Simpson Volume - Single Plane Formula Volume (ml) = ...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Left Ventricle Diastolic/Systolic and Left Atrium Systolic Volume Index Formula Index = ---------- - A: LV diastolic volume or LV systolic volume or LA systolic volume...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Stroke Volume Formula SV (ml) = – A: Diastolic volume B: Systolic volume Accuracy ±42% Reference Weyman A., Principles and Practice of Echocardiography, Lea &...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Cardiac Index Formula -- - A: Cardiac Output B: BSA Reference Oh J, Seward J, Tajik A The echo manual-Second edition, Lippincott Williams &Wilkins Left Ventricle/Right Ventricle Area Fractional Shortening...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Ejection Fraction (Left Ventricle) Derived Parameter 100 – ------------------------------ - ------------------ - 2 4 ...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Right Ventricle Volume Formula Volume (ml) = -- - A: Area B: Long axis Accuracy ±21% Pulmonary Artery/RVOT Area...
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Indexed IVC Size Formula Size = -- - A: Maximum IVC diameter B: BSA Reference J.M.Brennan, A.Ronan.
F O R M U L A A N D R E F E R E N C E S I N B - M O D E Relative Wall Thickness Formula RWT = 2 x LVPWd / LVIDd LVPWd: LV Posterior wall - Diastole LVIDd: LV diameter - Diastole Reference Marwick et al., “Recommendations on the Use of Echocardiography in Adult...
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F O R M U L A A N D R E F E R E N C E S I N B - M O D E MyLab - A D V A N C E D O P E R A T I O N S A - 18...
F O R M U L A A N D R E F E R E N C E S I N M - M O D E Stroke Volume Formula SV (ml) = – A: Diastolic volume B: Systolic volume Accuracy ±42% Reference G Kronik, J Slany et al.
F O R M U L A A N D R E F E R E N C E S I N M - M O D E Cardiac Output Formula CO (l/min) = HR – A: Diastolic volume B: Systolic volume Accuracy ±45% Reference...
F O R M U L A A N D R E F E R E N C E S I N M - M O D E Septum Thickening Formula 100 – ------------------------------ - A: Intraventricular septum in systole B: Intraventricular septum in diastole Accuracy ±10% Reference...
F O R M U L A A N D R E F E R E N C E S I N M - M O D E LA/Aorta Diameters Ratio Formula Ratio = -- - A: Left atrium diameter B: Aortic diameter Accuracy ±10% Excentricity Index...
Appendix C - Formula and References in Doppler Gradient Formula G (mmHg) = V: Velocity Accuracy ±16% Reference Weyman A, “Principles and Practice of Echocardiography”, Lea & Febiger, 1994. p.516 Peak Gradient Formula Gradient (mmHg) = V: Peak velocity Accuracy ±16% Reference Weyman A., Principles and Practice of Echocardiography, Lea &...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Pulsatility Index Formula PI = – --------------------- - Applicable where the flow doesn’t go through the baseline PI = –...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Resistive Index Formula RI = – --------------------- - Applicable where the flow doesn’t go through the baseline RI = –...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Flow by Trace and by Ellipse Formula Flow (ml/s) = : Time average velocity : Area by Trace or by Ellipse Flow by Diameter...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Cardiology Mitral Valve Area Formula Area (cm ----------- - Accuracy ±28% Reference Weyman A., Principles and Practice of Echocardiography, Lea &...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Miocardiac Performance Index Formula Index = ------------ - A: Isovolumetric contraction time B: Isovolumetric relation time C: Ejection time Accuracy ±6%...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Regurgitation Flow (PISA) Formula Flow (ml/s)= 628 R R: Radius V: Aliasing velocity Accuracy ±14% Reference...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Mitral Regurgitation Volume (PISA) Formula Volume (ml)= 6 28 ------------------------------ ...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Systolic Pressure Formula Pressure (mmHg)= Set pressure gradient V: Regurge velocity Accuracy ±16% Reference Currie P.J.
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Qp/Qs Formula Qp/Qs = -- - A: Pulmonary artery stroke volume B: LVOT stroke volume Accuracy ±42% Reference...
F O R M U L A A N D R E F E R E N C E S I N D O P P L E R Pulmonary Capillary Wedge Pressure Formula PCWP = 1.24 [E/e'] + 1.9 E: Mitral peak velocity - E wave e’: Lateral E’...
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I N D E X Table of Contents 1 Digital Archiving ................1-1 Archive Icons ....................1-4 Saving and Exporting Configuration............1-5 Saving Options..................1-5 Multimedia Export .................. 1-6 Clip Quality ..................1-6 Image Quality..................1-7 2 How to Review Archived Exams..........2-1 Access to the Archive ................
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I N D E X 5 MyLabDesk Evo ................5-1 MyLabDesk Evo Description ..............5-2 Calculations Packages and Advanced Tools ........5-2 MyLabDesk Evo Installation..............5-3 PC requirements for MyLabDesk Evo installation......5-3 Operating Systems................5-3 Minimum PC Requirements .............5-3 Recommended PC Requirements ............5-3 Note for installation on PC with Windows 10 ........5-3 MyLabDesk Evo Installation Procedure..........5-4 Information about the Screen ..............5-5 How to Import Exams ................5-6...
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I N D E X IP Configuration Folder ................. 7-3 Network Directories Folder..............7-3 Modifying and Deleting Existing Directories........ 7-4 Wireless Folder ..................7-4 How to Set a Wireless Network ............7-5 CONNECTED Field................ 7-6 CONNECT Button................7-6 AUTOCONN Button............... 7-6 8 Printer Management..............
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I N D E X MyLab - A D V A N C E D O P E R A T I O N S...
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Chapter 1 - Digital Archiving is equipped with an internal hard disk (local archive) where exams can MyLab be archived. During the exam, acquired still images and clips are temporarily saved into the local archive and listed as thumbnails at the right side of the screen. At the end of the exam, when is pressed, they can be definitively EN D EXAM...
D I G I T A L A R C H I V I N G Beside each destination the field shows the estimated time for the TIME operation while the field shows the estimated size of data. SIZE The exam can be: ...
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Exported exams are organized in folders: each exam is included in a specific folder with its images, clips and report. 1. DVLite is a DICOM viewer developed by Esaote. MyLab - A D V A N C E D O P E R A T I O N S...
D I G I T A L A R C H I V I N G Archive Icons The icons identifying archiving media are displayed on the left of the footer bar. Fig. 1-2: Archive Icons DICOM Hard Disk USB Medium Burner Network When background operations are running, the corresponding icon is filled...
D I G I T A L A R C H I V I N G Saving and Exporting Configuration Saving Options Refer to the “Getting Saving Options allows to configure the settings to save the data at the end of Started”...
D I G I T A L A R C H I V I N G Multimedia Export Refer to the “Getting These options allow to set the compression format of single images and clips. The Started” manual for defined formats will be used each time images and clips are exported. information on the You can assign specific export configurations to different system configurations: configuration procedure.
D I G I T A L A R C H I V I N G Image Quality The following formats are available: ensuring the high image quality; HIGH (UNCOMPRESSED BMP) ensuring a medium image quality; MEDIUM (LOSSLESS PNG) ...
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D I G I T A L A R C H I V I N G MyLab - A D V A N C E D O P E R A T I O N S 1 - 8...
Chapter 2 - How to Review Archived Exams Access to the Archive Archived data can be accessed by pressing ARCHI VE Once the button is pressed the system displays the screen below and at the same time the touchscreen displays dedicated key for Archive controls. Fig.
H O W T O R E V I E W A R C H I V E D E X A M S Fig. 2-2: Exam Archive Icons Hard Disk Burner USB Medium Network The selected archive is displayed on a brighter background, available archives on a darker background.
H O W T O R E V I E W A R C H I V E D E X A M S Archive Management Touchscreen Controls ARCH MANAGER Once has been tapped, the touchscreen, within tab, ARCHI VE provides two control levels containing the following buttons and knobs: Basic Controls DEL EXAMS...
H O W T O R E V I E W A R C H I V E D E X A M S SELECT INTERVAL selects more than one exam: using the trackball position the cursor on the first exam and press .
H O W T O R E V I E W A R C H I V E D E X A M S Back Up Reminder This folder displays the list of all the exams where no operation has been done BACK UP REMINDER according to the set searching criteria.
H O W T O R E V I E W A R C H I V E D E X A M S Selection of Single Exams Place the cursor on the exam and press . Move the cursor on the next ACTI O N exam to be selected and press again.
DICOM data have been exported with specific DICOM settings (header and report) from Esaote systems. Contact Esaote personnel for all information on compatible Esaote systems and on how to correctly import these databases. Imported DICOM exams can be reviewed and XStrain analyzed (contact...
H O W T O R E V I E W A R C H I V E D E X A M S Query/Retrieve from PACS When the importing procedure from PACS is selected, the system displays the list of all the patients and the details of the exam, study and series. Fig.
H O W T O R E V I E W A R C H I V E D E X A M S Only ultrasound images can be downloaded from PACS and it is not NOTE possible to perform measurements on them. This symbol is displayed on the screen when the loaded image size is W A R N I N G WARNING...
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H O W T O R E V I E W A R C H I V E D E X A M S EXAM scrolls the exams (when more exams are reviewed). EXPORT exports the selected image/clip in multimedia formats on an external medium.
H O W T O R E V I E W A R C H I V E D E X A M S Multiple Selection To speed up exporting and deleting operations, allows the multiple MyLab of Images and Clips selection of images and clips using the same procedures described for multiple selection of exams in Archive Review.
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H O W T O R E V I E W A R C H I V E D E X A M S In post processing it is possible to perform measurements on the image NOTE while annotations, bodymarks, print and export are disabled. The controls available in Post Processing are a subset of those available in every mode: refer to the “Image Optimization”...
Chapter 3 - Visual Comparison This chapter explains how to compare archived exams. How to Activate Visual Comparison Saved images and clips can be simultaneously compared both with each other (in Exam Revision and in Archive Revision) and with archived images and clip of the same patient or of other patients.
V I S U A L C O M P A R I S O N How to Compare Images and Clips Different modalities have to be followed to compare images and clips. These modalities depend both whether the compared images/clips belonged to the same patient or to different patients and whether the images and clips are archived in the internal data base or not.
V I S U A L C O M P A R I S O N Images and clips of In this case the images and clips to be compared have to be opened before the different activating the Visual Comparison modality. patients 1.
V I S U A L C O M P A R I S O N Measurements in Visual Comparison Generic measurements ( key) on single frames can be done on the 1x2 +… + format: automatically activates the generic measures available for the MyLab application of the selected image.
Chapter 4 - Archive Media Menus Right clicking on the Archive Media (Devices) icons displayed in the footer area gives access to contextual menus with the following controls: Operations, Retry failed operations, Properties, Delete temporary directories, ...
A R C H I V E M E D I A M E N U S When more than one USB media is connected, right clicking on the USB NOTE icon you can select the desired USB media and the controls listed will act only on the selected USB media.
A R C H I V E M E D I A M E N U S Retry Failed Operations The system automatically repeats all failed operations. Position the cursor on the option and press to repeat or delete. EN TER Properties This option shows the free space available in the internal hard disk, the whole disk space and the used system memory.
A R C H I V E M E D I A M E N U S Erase CD/DVD This option is used to delete all data stored on rewritable CD/DVDs. Insert the CD/DVD in the burner, select the option from the menu, place the cursor on Yes field and press to begin the erasing procedure.
Chapter 5 - MyLabDesk Evo is a viewer with the intended use of displaying the ultrasound MyLabDesk Evo studies stored within the device. The Software is provided “AS IS”. MyLab Fig. 5-1: MyLabDesk Evo Display has not to be used in order to take a medical decision, MyLabDesk Evo WARNING including the interpretation for diagnostic purposes of any image, image...
The DICOM Media class is supported only for USB media and network NOTE directories. 1. Refer to Esaote DICOM conformance statement. MyLab - A D V A N C E D O P E R A T I O N S...
M Y L A B D E S K E V O MyLabDesk Evo Installation PC requirements for MyLabDesk Evo installation has to be installed on a PC having specific characteristics. Here MyLabDesk Evo below are reported more detailed specifications. Operating Systems The supported operating systems are: ...
M Y L A B D E S K E V O MyLabDesk Evo Installation Procedure set up is organized in two folders: the “Archive” folder, MyLabDesk Evo containing copied exams, and the “MyLabDeskSetUp” folder with the installation files. It is highly recommended to assign a dedicated PC to to get NOTE MyLabDesk Evo...
Once the installation is over, the desktop will include the icon. MyLabDesk Evo Esaote is not responsible for data loss if other software is installed on the CAUTION Viruses, malware and harmful software may damage . The...
DICOM connection requires a hardware key to be connected to the PC. NOTE Refer to Esaote personnel for further information. General Configuration The menu allows the user to set date and time format, height and weight format the clip presentation and the application preset.
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M Y L A B D E S K E V O MyLab - A D V A N C E D O P E R A T I O N S 5 - 8...
C A N C E L These options are available if the system is DICOM licensed. NOTE Refer to the site www.esaote.com for the supported DICOM classes. NOTE How to Configure DICOM Profile The configuration menu is organized with internal folders, selectable using the tabs displayed on the top of the menu.
D I C O M C O N F I G U R A T I O N General Folder This option sets the . The factory setting is MyLab LOCAL AE TITLE “MyLab”. field relates to the SC DICOM class and defines the TCP LISTEN PORT port used by for Storage Commitment.
D I C O M C O N F I G U R A T I O N This option allows the user to set the configuration , its DESCRIPTION AE TITLE ), the number of the port used to HOST NAME IP ADDRESS communicate with...
D I C O M C O N F I G U R A T I O N MPPS When the MPPS DICOM class is enabled, displays a warning message MyLab whenever an exam is started without any patient data inserted. button is added to the End Exam window.
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D I C O M C O N F I G U R A T I O N The same configuration menu allows to configure query parameters for the Worklist. Field Action NARROW QUERY When enabled, automatically runs a control MyLab on the scheduled exam before starting it to detect eventual modifications.
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D I C O M C O N F I G U R A T I O N Field Action The query searches all the exams in the Worklist. SPECIFIC The query searches the exam having the entered criteria. To do it, place the cursor on the field, press and set EN TER...
D I C O M C O N F I G U R A T I O N Start Exam Page WORKLIST button is displayed in the Start Exam window when the Worklist DICOM class is enabled. When pressed the menu below is displayed: Fig.
, when this option is selected, the clip LOW (LOSSY JPEG) quality is affected by a maximum compression; , clips can be left uncompressed but MAX (UNCOMPRESSED) this option has to be set only when the Esaote compression algorithm compatible with other DICOM environments, as explained in the following warning, displayed on the screen.
in the center the list of the available printing profiles; 1. SuiteEstensa is an Esaote Software for CIS/RIS/PACS systems. Refer to www.esaote.com for further information. MyLab - A D V A N C E D O P E R A T I O N S...
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C A N C E L button allows to add a new DICOM printer model. Contact N E W M O D E L Esaote personnel for further information. Procedure To create a customized profile follow the procedure below: 1. press the button to add a new DICOM printer profile;...
D I C O M C O N F I G U R A T I O N QUERY/RETRIEVE Folders When the QUERY/RETRIEVE DICOM class is configured, archive MyLab is able to retrieve data from a PACS. Only ultrasound images can be retrieved from the PACS. NOTE Procedure To create a customized profile follow the procedure below:...
D I C O M C O N F I G U R A T I O N MyLabTablet Folder allows to remotely access the archive to review images and MyLabTablet MyLab clips. Data transfer uses a DICOM protocol. The application MyLabTablet communicates with the Web server to fetch and represent images on your...
D I C O M C O N F I G U R A T I O N Management of DICOM Printers Positioning the trackball pointer on the DICOM printer icons displayed in the footer area and pressing give access to a contextual menu with the UN DO following controls: ...
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D I C O M C O N F I G U R A T I O N displays all operations, except the E X C L U D E D O N E T A S K S ones already completed;...
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D I C O M C O N F I G U R A T I O N MyLab - A D V A N C E D O P E R A T I O N S 6 - 16...
Chapter 7 - Network Configuration Refer to the “Getting Press then to enter in the Network Configuration Menu. It N E T W O R K M EN U Started” manual for is organized in two main areas: the left side shows the list of configured information on the network profiles and the right side the network configuration menu.
N E T W O R K C O N F I G U R A T I O N The network connection enables: to use network shared printers, to use network directories, to use the supported DICOM Classes (for example worklist, SC).
N E T W O R K C O N F I G U R A T I O N IP Configuration Folder The menu allows the user to set, for both the LAN and the wireless networks, a dynamic ( box checked) or static ( box checked) DHCP...
N E T W O R K C O N F I G U R A T I O N Fig. 7-2: Network Directory Configuration 4. enter a folder description in the field; DESCRIPTION 5. enter the folder path in the field.
N E T W O R K C O N F I G U R A T I O N at the bottom the fields to manage wireless connection. can be connected only to secured wireless network. NOTE MyLab Data ought to be exchanged through wireless network only when the Signal Strength level is higher than 80%: the operation could fail when the signal level is below this threshold.
N E T W O R K C O N F I G U R A T I O N CONNECTED Field Depending on the network configuration this field displays the following status: CONNECTED, when is connected to this network. MyLab Any device (printer, network directory.) connected to this network can be used;...
Remote control can be configured only for printers which are already NOTE installed. manages a wide range of printers, visit the Esaote website or contact MyLab your Esaote sales representative to know the supported models. How to Configure a Printer Profile...
P R I N T E R M A N A G E M E N T Fig. 8-1: Printer Configuration Menu To edit a printer configuration follow this procedure: Procedure 1. if necessary modify the printing profiles as described in the Printing Profiles paragraph further in this chapter;...
P R I N T E R M A N A G E M E N T The same printer key can manage both an USB and a DICOM printer at NOTE the same time. When both printers are configured on the same key, the system will print two printings each time the key is pressed.
The slider allows to change the background color of the printed image from black (0) to white (255). INCLUDE LOGO When selected the Esaote logo is included on printing. saves and activates the settings and exits the menu without C A N C E L saving the new settings.
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P R I N T E R M A N A G E M E N T Fig. 8-3: Configure Printer Menu Select a printer from the list of , then press: AVAILABLE PRINTERS to set the printers properties like paper type, format and so P R O P E R T I E S to delete the selected printer.
FOR USB) continue. 13. When the system asks to install the printer driver, select SEARCHING... It is suggested to require the driver CD to the Esaote Service Department. NOTE 14. Press to select the proper driver to be installed and B R O W S E proceed with the installation.
P R I N T E R M A N A G E M E N T Select the folder Win10_systems. NOTE 15. Press several times to continue the installation. N E X T 16. When the system displays the message WOULD YOU LIKE TO press I N S T A L L...
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15. The system detects the driver model. 16. When the system asks to install the printer driver, select SEARCHING... It is suggested to require the driver CD to the Esaote Service Department. NOTE 17. Press to select the proper driver to be installed and B R O W S E proceed with the installation.
P R I N T E R M A N A G E M E N T Management of Remote-Controlled Printers Positioning the trackball pointer on the printer icons displayed in the footer area and pressing give access to a contextual menu with the following UN DO controls: ...
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P R I N T E R M A N A G E M E N T MyLab - A D V A N C E D O P E R A T I O N S 8 - 10...
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