Esaote MyLabX9 Advanced Operation Manual
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Esaote MyLabX9 Advanced Operation Manual

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Rev. 02
February 2021
MyLabX9
ADVANCED OPERATIONS
350080400

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Summary of Contents for Esaote MyLabX9

  • Page 1 Rev. 02 February 2021 MyLabX9 ADVANCED OPERATIONS 350080400...
  • Page 2 MyLab - A D V A N C E D O P E R A T I O N S...
  • Page 3 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.
  • Page 4 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...
  • Page 5 ADVANCED FEATURES...

  • Page 7: Table Of Contents

    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..............
  • Page 8 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...
  • Page 9 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 ..............
  • Page 10 I N D E X MyLab - A D V A N C E D O P E R A T I O N S...

  • Page 11: Annotations

    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).

  • Page 12: Free Text 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.

  • Page 13: Glossary By Sentence

    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.

  • Page 14: Editing And Relocating Annotations

    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.

  • Page 15: Settings For All Applications

    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.

  • Page 16: Glossary Configuration

    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; ...

  • Page 17: Glossary Organization In The Touchscreen

    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.
  • Page 18 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...

  • Page 19: Bodymarks

    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.
  • Page 20 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.

  • Page 21: Bodymarks Configuration

    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.

  • Page 22: Bodymark Configuration

    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;...

  • Page 23: Acquisition Protocols

    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 ...
  • Page 24 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.
  • Page 25 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.

  • Page 26: Available Actions

    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.

  • Page 27: Select Frame & Measurement

    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.

  • Page 28: Manage Annotations

    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.

  • Page 29: Working With Protocols

    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.
  • Page 30 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...

  • Page 31: Security

    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...

  • Page 32: Settings Tab

    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.

  • Page 33: Users Tab

    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 ...
  • Page 34 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...

  • Page 35: Security Access To The System

    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.

  • Page 36: Access Security Control

    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.

  • Page 37: Malware Infection

    , 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...

  • Page 38: Correct Management And Privacy Of Patient Data

    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...
  • Page 39 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.

  • Page 40: Data Interface And Transmission Protocol

    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...
  • Page 41 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...
  • Page 42 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...

  • Page 43: Remote Service

    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...

  • Page 44: Network Connection

    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.
  • Page 45 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...
  • Page 46 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...

  • Page 47: Using The Needle Guides

    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.
  • Page 48 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.
  • Page 49 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...

  • Page 50: Needle Length

    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.

  • Page 51: After The Examination

    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.

  • Page 52: Needle Enhanced Imaging

    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.

  • Page 53: Biopsy Configuration

    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.
  • Page 54 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...

  • Page 55: Qpack

    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.

  • Page 56: Qpack Analysis On Archived Clips

    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.

  • Page 57: Touchscreen Controls In Qpack

    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...

  • Page 58: Intensity Curve

    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.

  • Page 59: Qpack Deactivation

    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 ...
  • Page 60 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...

  • Page 61: Screen Sharing And Mylab Remote

    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;...

  • Page 62: Physical Clone

    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...

  • Page 63: Web Portal Tab

    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.

  • Page 64: Streaming Tab

    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.

  • Page 65: Mylab Remote Tab

    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.
  • Page 66 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...

  • Page 67: Use In Sterile Environment

    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...
  • Page 68 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.

  • Page 69: Vpan

    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.

  • Page 70: Exam End

    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.

  • Page 71: Reviewing A Vpan Image

    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.

  • Page 72: Measurements

    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.

  • Page 73: 10 - Hyperdoppler

    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.

  • Page 74: Procedure For Archived Clips

    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.

  • Page 75: Touchscreen Controls In Hyperdoppler

    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.
  • Page 76 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.

  • Page 77: Hyperdoppler Deactivation

    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.
  • Page 78 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...

  • Page 79: Appendix

    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;...

  • Page 80: Steady Streaming

    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.

  • Page 81: A Ecg Cables

    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.
  • Page 82 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.
  • Page 83 IMAGE OPTIMIZATION...
  • Page 85 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 ..................
  • Page 86 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...

  • Page 87: Mode Controls And Optimization

    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.
  • Page 88 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.
  • Page 89 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...
  • Page 90 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.
  • Page 91 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.

  • Page 92: Advanced Controls

    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.
  • Page 93 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.
  • Page 94 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.
  • Page 95 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.

  • Page 96: Controls In Freeze

    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.

  • Page 97: Easymode

    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.

  • Page 98: Left Joystick

    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;...
  • Page 99 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.
  • Page 100 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...

  • Page 101: Mode Controls And Optimization

    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.

  • Page 102: Basic Controls

    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.

  • Page 103: Joystick Controls

    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.
  • Page 104 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...

  • Page 105: Doppler Controls And Optimization

    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.

  • Page 106: Basic Controls

    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 changed rotating the knob while the other control can be made active by tapping it.

  • Page 107: Advanced Controls

    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.

  • Page 108: Joystick Controls

    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.

  • Page 109: Color Doppler Controls And Optimization

    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.

  • Page 110: Basic Controls

    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.

  • Page 111: Advanced Controls

    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.

  • Page 112: Controls In Freeze

    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.
  • Page 113 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.
  • Page 114 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...
  • Page 115 MEASUREMENTS...
  • Page 117 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......................
  • Page 118 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...
  • Page 119 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 .............
  • Page 120 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...
  • Page 121 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) .............
  • Page 122 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) ..........

  • Page 123: Measurements

    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.

  • Page 124: How To Take Measurements

    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.

  • Page 125: Additional Controls During Measurements

    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.

  • Page 126: Vertex

    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.

  • Page 127: Velocity

    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.

  • Page 128: Manual Measurement

    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.

  • Page 129: Automatic Measurement

    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.

  • Page 130: Controls In Automatic Doppler Measurements

    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.

  • Page 131: Freeze And Archive

    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.

  • Page 132: Measurement On Clip Of Trace

    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.
  • Page 133 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)
  • Page 134 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...

  • Page 135: Advanced Measurements

    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...

  • Page 136: Application Data

    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.

  • Page 137: Measurement Configuration

    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.

  • Page 138: Configuration For A Specific Application

    M E A S U R E M E N T C O N F I G U R A T I O N  to access the configuration menu of the selected item and E D I T modify it. ...

  • Page 139: Application Measurements Folder

    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).

  • Page 140: Generic Measurements Folder

    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. ...

  • Page 141: Measure Units Folder

    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. ...

  • Page 142: Configuration For Measurement Folder

    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...

  • Page 143: How To Create A Measurement Folder

    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.

  • Page 144: How To Create A New Group

    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.

  • Page 145: Procedure To Add A Measurement

    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.

  • Page 146: Procedure To Add A Formula

    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...
  • Page 147 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.
  • Page 148 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...

  • Page 149: Measurement Accuracy

    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.

  • Page 150: Derived Data

    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...

  • Page 151: Mylab Worksheet And Report

    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.

  • Page 152: Mylab Report

    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.

  • Page 153: End Of The Report

    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: ...
  • Page 154 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...
  • Page 155 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.

  • Page 156: Observations Configuration

    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...
  • Page 157 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;...
  • Page 158 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.

  • Page 159: Abdominal Measurements

    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...

  • Page 160: Renal

    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)

  • Page 161: Organ

    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...
  • Page 162 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...

  • Page 163: Abdominal Advanced Measurements In Doppler

    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)
  • Page 164 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...

  • Page 165: Breast Measurements

    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...
  • Page 166 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...
  • Page 167 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...

  • Page 168: Breast Measurement Set Up

    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.

  • Page 169: Adult Cephalic Measurements

    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.

  • Page 170: Adult Cephalic Advanced Measurements In Doppler

    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...

  • Page 171: Adult Cephalic Worksheet Organization

    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...
  • Page 172 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...

  • Page 173: Cardiac And Pediatric Cardiac Measurements

    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.
  • Page 174 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.

  • Page 175: Application Data

    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 Application Data Fig.

  • Page 176: Cardiac Advanced Measurements In B-Mode

    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 Pediatric BSA ...
  • Page 177 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...
  • Page 178 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...
  • Page 179 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...

  • Page 180: Cardiac Advanced Measurements In M-Mode

    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...

  • Page 181: Cardiac Advanced Measurements In Doppler

    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...
  • Page 182 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...
  • Page 183 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...
  • Page 184 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...
  • Page 185 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...

  • Page 186: Automatic Ejection Fraction

    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: ...

  • Page 187: How To Perform An Auto Ef Calculation

    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.

  • Page 188: After Calculation

    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...
  • Page 189 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.
  • Page 190 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...

  • Page 191: Gynecologic Measurements

    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.

  • Page 192: Gynecologic Advanced Measurements In B-Mode

    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)

  • Page 193: Gynecology Worksheet Organization

    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...
  • Page 194 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...

  • Page 195: Obstetric Measurements

    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”...

  • Page 196: Gestational Age By" Area

    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...

  • Page 197: Fetal Age And Fetal Growth Tables Bibliography

    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.
  • Page 198 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...

  • Page 199: Estimated Fetal Weight And Growth

    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.

  • Page 200: Obstetric Advanced Measurements In B-Mode

    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. ...
  • Page 201 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)
  • Page 202 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...
  • Page 203 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...
  • Page 204 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 ...

  • Page 205: Mother Measurements

    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...

  • Page 206: Mother Measures

    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...

  • Page 207: Graphics Folder

    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.

  • Page 208: Biophysical Profile 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.

  • Page 209: Survey Folder

    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, ...

  • Page 210: Obstetric Measurement Set Up

    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 .

  • Page 211: Adding And Editing Ob Custom Tables

    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.
  • Page 212 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:...

  • Page 213: Advanced Folder

    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 ...
  • Page 214 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.

  • Page 215: 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.
  • Page 216 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...

  • Page 217: 11 - Thyroid Measurements

    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...

  • Page 218: Thyroid Worksheet Organization

    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.

  • Page 219: Thyroid Measurement Set Up

    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.
  • Page 220 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...

  • Page 221: Urologic Measurements

    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.

  • Page 222: Urologic Advanced Measurements In B-Mode

    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...

  • Page 223: Urologic Advanced Measurements In Doppler

    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...

  • Page 224: Structure Evaluation

    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 ...
  • Page 225 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...
  • Page 226 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...

  • Page 227: Urologic Measurement Set Up

    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...
  • Page 228 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...

  • Page 229: Vascular Measurements

    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.

  • Page 230: Vascular Advanced Measurements In B-Mode

    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...

  • Page 231: Vascular Advanced Measurements In Doppler

    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...
  • Page 232 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)
  • Page 233 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...
  • Page 234 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...
  • Page 235 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...
  • Page 236 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...
  • Page 237 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...
  • Page 238 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...
  • Page 239 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...
  • Page 240 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...
  • Page 241 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...

  • Page 242: Vascular Worksheet Organization

    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...

  • Page 243: Vascular Measurement Set Up

    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...
  • Page 244 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...

  • Page 245: A Formula And References In B-Mode

    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  ...

  • Page 246: Formula

    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 Length by Vertex Formula  L   : Umpteenth length Area by Ellipse Axes Formula ...

  • Page 247: Volume By Ellipse

    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...

  • Page 248: Uterus, Fibroma, Ovary And Mass Volumes

    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 Uterus, Fibroma, Ovary and Mass Volumes Formula Vol (cm -- -  ...

  • Page 249: Whole Gland And Transitional Zone Prostate 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 Whole Gland and Transitional Zone Prostate Volume Formula Volume (cm   ...

  • Page 250: Predicted Psa Level

    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...

  • Page 251: Predicted Psa Density

    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...

  • Page 252: Stenosis 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 Stenosis Area Formula %ST =  – ----- - : Residual diameter : True diameter Accuracy ±16% Reference...

  • Page 253: Left Ventricle/Left Atrium/Right Atrium Simpson Volume - Single Plane

    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) = ...

  • Page 254: Left Ventricle Diastolic/Systolic And Left Atrium Systolic Volume In

    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...

  • Page 255: Stroke Index

    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 &...

  • Page 256: Cardiac Index

    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...

  • Page 257: Ejection Fraction (Left Ventricle

    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 ...

  • Page 258: Outflow Tract 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 Outflow Tract Area Formula OTA (cm     --- - ...

  • Page 259: Right Ventricle 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 Right Ventricle Volume Formula Volume (ml) =   -- - A: Area B: Long axis Accuracy ±21% Pulmonary Artery/RVOT Area...

  • Page 260: Indexed Ivc Size

    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.

  • Page 261: Relative Wall Thickness

    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...
  • Page 262 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...

  • Page 263: B Formula And References In M-Mode

    Appendix B - Formula and References in M-Mode Left Ventricle Ejection Fraction Derived Parameter   100  –  ------------------------------ - ------------------ -  D: Diameter in diastole  ------------------ - 2 4  D: Diameter in systole Accuracy ±30% Reference Teichholz L.E., et al.

  • Page 264: Stroke Volume

    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.

  • Page 265: Cardiac Output

    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...

  • Page 266: Septum Thickening

    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...

  • Page 267: Left Ventricle Mass

    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 Left Ventricle Mass Formula LVM (g) =      ...

  • Page 268: La/Aorta Diameters Ratio

    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...

  • Page 269: C Formula And References In Doppler

    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 &...

  • Page 270: Flow Velocity Integral

    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 Velocity Integral Formula VTI (cm) =  V   T ...

  • Page 271: Pulsatility Index

    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 = –...

  • Page 272: Resistive Index

    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 = –...

  • Page 273: Flow By Trace And By Ellipse

    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...

  • Page 274: Cardiology

    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 &...

  • Page 275: Miocardiac Performance Index

    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%...

  • Page 276: Regurgitation Flow (Pisa

    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...

  • Page 277: Mitral Regurgitation Volume (Pisa

    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 ------------------------------ ...

  • Page 278: E' Wave/A' Wave

    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 E’ Wave/A’ Wave Formula E’/A’ = -- - A: E’ wave peak velocity B: A’...

  • Page 279: Effective Aortic Valve Area

    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 Effective Aortic Valve Area Formula Derived Parameters Area (cm  A VTI ...

  • Page 280: Systolic Pressure

    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.

  • Page 281: Heart Rate

    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 Heart Rate Formula HR (bpm) = ----- - T: R-R interval Accuracy ±3% Stroke Volume Formula...

  • Page 282: Cardiac Output

    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 Cardiac Output Formula Derived Parametes CO (l/min)=   A VTI HR ...

  • Page 283: Qp/Qs

    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...

  • Page 284: Pulmonary Capillary Wedge Pressure

    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’...
  • Page 285 ARCHIVING...
  • Page 287 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 ................
  • Page 288 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...
  • Page 289 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..............
  • Page 290 I N D E X MyLab - A D V A N C E D O P E R A T I O N S...
  • Page 291 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...

  • Page 292: Digital Archiving

    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: ...
  • Page 293 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...

  • Page 294: Archive Icons

    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...

  • Page 295: Saving And Exporting Configuration

    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”...

  • Page 296: Multimedia Export

    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.

  • Page 297: Image Quality

    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) ...
  • Page 298 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...

  • Page 299: How To Review Archived Exams

    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.

  • Page 300: Exam Patient List

    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.

  • Page 301: Archive Management Touchscreen Controls

    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...

  • Page 302: Advanced Controls

    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 .

  • Page 303: How To Select 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 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.

  • Page 304: Exam Exported On Cd/Dvd

    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.

  • Page 305: Import Exams From The Dicom Database

    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...

  • Page 306: Query/Retrieve From Pacs

    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.

  • Page 307: How To Review Archived 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 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...
  • Page 308 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.

  • Page 309: Image Post Processing (Raw Data From Archive)

    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.
  • Page 310 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”...

  • Page 311: Visual Comparison

    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.

  • Page 312: How To Compare Images And Clips

    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.

  • Page 313: Visual Comparison Touchscreen

    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.

  • Page 314: Measurements In Visual Comparison

    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.

  • Page 315: Archive Media Menus

    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, ...

  • Page 316: Operations Menu

    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.

  • Page 317: Retry Failed Operations

    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.

  • Page 318: Erase Cd/Dvd

    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.

  • Page 319: Mylabdesk Evo

    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...

  • Page 320: Mylabdesk Evo Description

    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...

  • Page 321: Mylabdesk Evo Installation

    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: ...

  • Page 322: Mylabdesk Evo Installation Procedure

    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...

  • Page 323: Information About The Screen

    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...

  • Page 324: How To Import Exams

    MyLab 1. Only for exams saved in DICOM on MyLab Esaote systems. MyLab - A D V A N C E D O P E R A T I O N S 5 - 6...

  • Page 325: Dicom Configuration

    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.
  • Page 326 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...

  • Page 327: Dicom Configuration

    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.

  • Page 328: General Folder

    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.

  • Page 329: Storage Folder

    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...

  • Page 330: Mpps

    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.
  • Page 331 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.
  • Page 332 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...

  • Page 333: Start Exam Page

    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.

  • Page 334: Quality Folder

    , 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.

  • Page 335: Printers Folder

     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...
  • Page 336 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;...

  • Page 337: Printing Profile

    D I C O M C O N F I G U R A T I O N  if necessary, verify the connection status by pressing the button; V E R I F I C A T I O N ...

  • Page 338: Query/Retrieve Folders

    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:...

  • Page 339: Mylabtablet Folder

    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...

  • Page 340: Management Of Dicom Printers

    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: ...
  • Page 341 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;...
  • Page 342 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...

  • Page 343: Network Configuration

    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.

  • Page 344: How To Configure The Network

    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).

  • Page 345: Ip Configuration Folder

    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...

  • Page 346: Modifying And Deleting Existing Directories

    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.

  • Page 347: Wireless Folder

    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.

  • Page 348: Connected Field

    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;...

  • Page 349: Printer Management

    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...

  • Page 350: Printer Remote Control

    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;...

  • Page 351: Printing Profiles

    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.

  • Page 352: Configure Printer

    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.
  • Page 353 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.

  • Page 354: Printer Installation

    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.

  • Page 355: How To Install A Network Printer

    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...
  • Page 356 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.

  • Page 357: Management Of Remote-Controlled Printers

    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: ...
  • Page 358 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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