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Philips SONOS 7500 User Manual

Ultrasound imaging systems.
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SONOS 7500/5500
System Basics

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Table of Contents

   Also See for Philips SONOS 7500

   Summary of Contents for Philips SONOS 7500

  • Page 1 SONOS 7500/5500 System Basics...
  • Page 2 User’s Guide System Basics Guide Philips SONOS 7500 Philips SONOS 5500...
  • Page 3 Explosion Hazard M2424-30000-sb-02 a particular purpose. Edition 6 Do not operate the system in Published November, 2002 Philips Ultrasound shall not be the presence of flammable liable for errors contained anesthetics. Printed in U.S.A. Dangerous voltages symbol: herein or for incidental or...
  • Page 4 Printing History Edition Publication Date Software Revision Edition 1 June 1997 Edition 2 January 31, 1998 Edition 3 April 1999 Edition 4 June 2000 Edition 5 June 2002 Edition 6 November 2002 Revision D.0...
  • Page 5: Revision D

    Revision D.0 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS D.0\System Basics D.0\Frame Files\Front.fm add.2...
  • Page 6 Preface Preface This guide describes the basic operation of the Philips SONOS 7500 and SONOS 5500 ultrasound imaging systems. What’s New In This Guide For D.0 The following major additions, deletions, and changes were made to this guide for software revision D.0: •...
  • Page 7: Conventions Used In This Guide

    Preface The SONOS D.0 Documentation Set Use this guide in conjunction with the following books: • Controls Reference—Provides a detailed description of all system controls. • Safety and Standards Guide—Provides information on safety issues. • Measurements and Calculations Reference—Provides information on measurements and calculations that you can perform on your ultrasound system.
  • Page 8 Preface viii Revision D.0...
  • Page 9: Table Of Contents

    Contents Contents 1 The System Main Components ............1-1 Control Panel .
  • Page 10 Philips-Defined Presets ........
  • Page 11 Contents 4 Peripheral Devices Introduction............. . . 4-1 System Monitor.
  • Page 12 Contents Configuring the RS-232 Interface ..........4-20 Using the Remote Service Feature .
  • Page 13 Contents 6 Doing Exams Introduction............. . . 6-1 Selecting a Preset .
  • Page 14 Contents Harmonic Fusion Imaging........... . 7-8 Introduction .
  • Page 15 Contents 2D/BMode Imaging ............7-30 Introduction .
  • Page 16 Contents Color Imaging ............7-60 Introduction .
  • Page 17 Contents Using PW Imaging ........... . 7-93 Auto Trace in PW (noncardiac) .
  • Page 18 Contents 8 Annotation Introduction ............. . . 8-1 Screen and Touch Panels.
  • Page 19 Contents 9 Measurements Introduction............. . . 9-1 Screen and Touch Panels .
  • Page 20 Contents 10 Analysis Introduction ............. . 10-1 Screen and Touch Panels.
  • Page 21 Contents 11 Loops Introduction............. . 11-1 Screen and Touch Panels .
  • Page 22 Contents 12 Disk Introduction ............. . 12-1 Screen and Touch Panels.
  • Page 23: The System

    The System Main Components Transducer holders Tilt and swivel monitor Optical disk drive Service floppy disk drive Optional VCR Touch panels Keyboard controls Transducer connections Circuit breaker (on back) Main power switch Optional peripheral Live-3D or IDI PC or other peripheral Wheel lock 6apc0147 Revision D.0...
  • Page 24: Control Panel

    The System Control Panel Control Panel Touch panels contain most of the controls Volume control Volume Reset Test Setup Gain Compress Depth Patient Size Position Erase Tape Alphanumeric keyboard Trace Acquire and function keys Caliper Print ‘ Shift Shift Enter Freeze Image tuning controls Measurement and trackball controls...
  • Page 25: Touch Panels

    The System Touch Panels Touch Panels When you touch a control, the system highlights it to indicate the control is active. System controls, such as Presets, Tools, Physio, and Probes are located on the left touch panel. Imaging modalities, such as 2D, MMode, Color, PW, CW, and Angio appear on the primary right touch panel.
  • Page 26 The System Touch Panels Left Touch Panel Right Touch Panel Contains system-specific controls. Contains mode-specific controls. Secondary Controls Each rotary control adjusts the highlighted control Secondary Touch Panel above it. To change the Contains less frequently used controls. value displayed, turn the rotary control to the right or left.
  • Page 27: System Power

    The System System Power System Power All systems have a separate circuit-breaker switch on the back panel, near the power-cord connection. This switch has on and off settings. If the SONOS system does not power up when the main power switch is turned on, this circuit-breaker may have tripped or may be set to off.
  • Page 28 The System System Power NOTE Turning the main power switch back on before the shutdown message is displayed stops the shutdown procedure. The system and PC remain on. NOTE After the shutdown message has displayed, the system ignores further changes to the main power-switch setting, and shutdown completes.
  • Page 29: Setting Up The System

    The System Setting Up the System Setting Up the System Press Setup Setup Touch System. System Perform Setup tasks described in the following sections. Revision D.0 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS D.0\System Basics D.0\Frame Files\1CH.FM add.2...
  • Page 30: Entering Your Institution Name

    The System Setting Up the System Entering Your Institution Name Touch Institute Name. System Institute Name Type the name of your institution. You can type up to 32 characters on two lines. If you make a mistake, use to erase the previous characters.
  • Page 31: Setting The Date

    The System Setting Up the System Setting the Date Turn the Year rotary control to the right to increase the year setting, or to the left to decrease it. System Year 1999 Turn the Month rotary control to the right to select a month later in the year, or to the left to select an earlier month.
  • Page 32: Setting The Time

    The System Setting Up the System Setting the Time Turn the Hour rotary control to the right to increase the hour setting, or to the left to decrease it. The system uses a 24-hour format. System Hour Turn the Minute rotary control to the right to increase the minutes setting, or to the left to decrease it.
  • Page 33: Adjusting The Control Panel And Touch Panel Lighting

    The System Setting Up the System Adjusting the Control Panel and Touch Panel Lighting Tip: Keep the Touch To adjust the lighting of the touch controls, touch the Touch Light Light setting as low as control and turn the Touch Light rotary control to the right to brighten possible for the the touch controls, or to the left to dim them.
  • Page 34: Adjusting The Monitor Position

    The System Setting Up the System Adjusting the Monitor Position You can move the monitor up and down to find the position that is most comfortable for you. CAUTION Do not push the release bar under the center front of the monitor unless you want to take the monitor off its base.
  • Page 35: Calibrating The Monitor

    The System Setting Up the System Calibrating the Monitor CAUTION You must calibrate the monitor lighting correctly, or improper adjustment of system controls can occur. This can result in poor real-time image quality, VCR recording quality, or print quality. There are two versions of SONOS monitor. You calibrate one using brightness/ contrast dials.
  • Page 36: Calibrating Monitors With Brightness/contrast Push Buttons On The Front

    The System Setting Up the System On the monitor, turn the brightness dial down just until the bottom grayscale bar (the 16th bar) looks pure black and disappears into the screen background. When the monitor is properly calibrated, 15 grayscale bars are visible, running from white (top) to nearly black (bottom).
  • Page 37 The System Setting Up the System On the monitor, press and hold the left brightness button only until the bottom grayscale bar (the 16th bar) looks pure black and disappears into the screen background. When the monitor is properly calibrated, 15 grayscale bars are visible, running from white (top) to nearly black (bottom).
  • Page 38: Using The Foot Switch

    The System Using the Foot Switch Using the Foot Switch If you are using the foot switch, plug it into the back of the system into the connector labelled Foot Switch. Use the foot switch as follows: • Left pedal to freeze •...
  • Page 39: Supplies And Accessories

    Supplies and Accessories To order supplies and accessories from within the U.S.A., visit: http://shop.medical.philips.com or call Medical Supplies at 1-800-225-0230. From other countries, contact your local Philips representative or sales office. Revision D.0 1-17 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 40 The System Supplies and Accessories 1-18 Revision D.0...
  • Page 41: Transducers

    Troubleshooting transducers (page 2-6) NOTE Be sure that you use only Philips-approved transducers for your ultrasound system. See the Transducer Reference, Safety and Standards Guide, and Using 3-Dimensional and BiPlane Imaging Guide for specific information about Philips ImagePoint and SONOS transducer specifications, cleaning, maintenance, and applications (including the x4 transducer used for Live-3D and BiPlane imaging).
  • Page 42: Connecting Transducers

    Transducers Connecting Transducers Connecting Transducers Imaging Transducers With the latch in the vertical position, insert the transducer connector. Never force a transducer into place. If you feel any resistance, check the pin positions and try reinserting it. Vertical 6apc0148 Lock the connector by flipping the transducer lever to horizontal. Horizontal Revision D.0...
  • Page 43: Nonimaging Doppler Pencil Transducers

    Transducers Connecting Transducers Nonimaging Doppler Pencil Transducers Align the connector’s prongs with the receptacle. 6apc0149 Insert the connector. 6apc0148 Revision D.0 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 44: Activating Transducers

    Transducers Activating Transducers Activating Transducers Touch Probe. Probe Touch the control indicating where the transducer is connected. Probe Left Center Right Nonimage Revision D.0...
  • Page 45: Disconnecting And Storing Transducers

    Transducers Disconnecting and Storing Transducers Disconnecting and Storing Transducers Unlock and remove the transducer. Unlocked 6apc0148 Store external imaging transducers in the holders. Place connectors in the individual side pockets to protect the pins. Store TEE transducers on a wall-mounted rack. Transducer holder 300e008a NOTE...
  • Page 46: Transducer Troubleshooting

    Transducers Transducer Troubleshooting Transducer Troubleshooting Always make sure that the active preset is appropriate for the study being performed. Symptoms Suggestions No Probe or ?? Place the transducer connector lock in the horizontal Probe is displayed position. on the imaging Make sure the correct transducer slot is selected on the screen.
  • Page 47 Make sure gel completely covers the face of the loses part of image. transducer. NOTE If the pins on the transducer connector are bent and if the troubleshooting suggestions do not help, contact your Philips Service Representative. Revision D.0 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 48 Transducers Transducer Troubleshooting Revision D.0...
  • Page 49: Presets

    You can also use presets to determine patient the left touch panel. information screens, measurements, calculations, and annotation labels for the selected study. This chapter provides information about • Philips-defined presets (page 3-2) • Choosing presets (page 3-3) •...
  • Page 50: Philips-defined Presets

    When you turn on or reset the system, it activates the last preset used. Before starting a study, check the preset shown on the screen and, if necessary, touch a more appropriate preset. Always select the Philips preset at the start of the study to return to the initial values.
  • Page 51: Choosing Presets

    Presets Choosing Presets Choosing Presets Touch Preset. Preset Touch the exam type (if applicable). Preset Cardiac Exam Touch the preset you want to use for this study. Preset Cardiac Exam Dr. R Revision D.0 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS D.0\System Basics D.0\Frame Files\3CH.FM add.2...
  • Page 52: Modifying Presets

    Presets Modifying Presets Modifying Presets Touch the preset you want to alter. You can modify all Philips and Tip: If you modify a Philips preset, you custom presets. need to save it as a new preset. Preset Cardiac Exam Dr. R.
  • Page 53 Presets Modifying Presets To change Setup values, such as lighting and display options, press Tip: Be sure the Annotation labels and make the necessary adjustments. Press again to exit Setup Setup and Analysis Setup mode. measurements and calculations are appropriate for the Setup new preset.
  • Page 54: Creating Presets

    Presets Creating Presets Creating Presets You can define your own presets for each exam type and are only limited by the amount of available space on the touch panel. To create a new preset, use the following procedure: Touch Preset. Preset Vascular Cardiac...
  • Page 55 Presets Creating Presets Adjust the controls to display the image as you want to see it. To change Setup values, such as lighting and display options, press Setup and make the necessary adjustments. Press again. Setup Touch Save Preset. Preset Save Preset Highlight Create New with the trackball and press...
  • Page 56: Storing Presets

    Presets Storing Presets Storing Presets You can store modified or newly created presets, and are only limited by the amount of available space on the touch panel. To store a modified or new preset, use the following procedure: After you have finished modifying or creating a preset to your satisfaction (as described on page 3-4 page...
  • Page 57: Copying Presets To A Different Sonos System

    Presets Copying Presets to a Different SONOS System Copying Presets to a Different SONOS System To copy presets from one SONOS system to another, do the following: On the system that is currently using the preset, store the preset on a floppy diskette using the Backup Preset control.
  • Page 58: Deleting Presets

    Deleting Presets Deleting Presets If the preset memory is full, you may have to delete a preset before creating new ones. You cannot delete Philips presets, but you can delete customized presets. Touch the preset you want to delete. Preset...
  • Page 59: Peripheral Devices

    IEC 601-1-1. If you have additional questions, contact your Philips representative. This chapter provides information about the SONOS •...
  • Page 60: System Monitor

    Peripheral Devices System Monitor System Monitor Adjusting the Monitor Position For information about adjusting the system monitor for user comfort, see “Adjusting the Monitor Position” on page 1-12. Calibrating the Monitor There are two versions of the SONOS monitor. You calibrate one using brightness/contrast dials.
  • Page 61: Floppy Drive

    DOS compatibility. If you have the Integrated Digital Interface option, you must turn the system off then on again after formatting a diskette. Install Options Installs optional software provided by Philips. Only used by Philips service organization. Read Diskette Reads text files stored on a floppy diskette.
  • Page 62: Accessing The Service Floppy Disk Drive

    Peripheral Devices Floppy Drive Accessing the Service Floppy Disk Drive Press Setup Setup Touch Service Floppy. Service Floppy Select the option you want and follow the instructions. Press Setup return to imaging. Service Floppy Format Clear Read Backup Restore Diskette Diskette Diskette Preset...
  • Page 63: Optical Disk Drive

    SONOS system using a 5 1/4-inch optical-disk drive: Media Compatibility and Drive Revision Capacity SONOS 7500/5500 1X (read only) 600 MB A.0 through B.0 2X (read/write) 1.2 GB 4X (read/write) 2.3 GB SONOS 7500/5500 1X (read only) 600 MB B.1 through D.0...
  • Page 64: Vcr

    Peripheral Devices A PC is installed on systems that receive the optional Live-3D imaging software. This PC allows users to perform the following Live-3D operations: • Save study images to the PC disk. • Review, retrieve, and delete studies that are stored on the PC disk. •...
  • Page 65 Peripheral Devices PAUSE Pauses and resumes recording or playback, without disengaging the VCR heads. PLAY Activates VCR playback. RECORD Indicates that the system is recording the display onto a VCR tape. Rapidly rewinds a VCR tape. SEARCH Pauses the VCR playback picture and puts the system into search mode.
  • Page 66: Setup

    Peripheral Devices Setup Blink, Normal, and Inverse are available for both Tape Number and Tape Time. With VCR highlighted, press and select either Tape Number or Setup Tape Time. Turn the rotary control beneath the highlighted selection to select Blink, Normal, or Inverse. Press again to return to imaging.
  • Page 67: Vcr Troubleshooting

    Peripheral Devices VCR Troubleshooting Symptoms Suggestions Tape controls do not Make sure there is a tape in the VCR. Tip: Always use high display. quality tapes for best results. Cannot hear sounds Turn up the Volume control. on the tape. Images are too light Make sure the monitor controls are...
  • Page 68: Printers

    The SONOS system allows you to send an image to your local printer or to a networked DICOM printer. NOTE The DICOM Print support option must be installed by your Philips Customer Engineer. The ultrasound system must include an Integrated Digital Interface (IDI) configured for DICOM networking. The system must also be configured for DICOM printers.
  • Page 69 Peripheral Devices Printers Press Tip: If Quad Print Format is on in Setup, you must press four Print times to produce a four-image print. Print Revision D.0 4-11 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 70: Dicom Printers

    Peripheral Devices Printers DICOM Printers DICOM print allows you to print ultrasound still frames to a networked DICOM black and white or color printer. Images are automatically sent to the printer when the study ends. When Network Autosend is enabled, a sheet of images is printed when the sheet is full.
  • Page 71 Peripheral Devices Printers If the system is configured for both a color and a black and white DICOM printer, the DICOM rotary control choices are Tip: The settings that • Off—Disables DICOM print. you select must match the settings of •...
  • Page 72: Using Dicom Prints

    Peripheral Devices Printers Using DICOM Prints Acquiring Images When DICOM print is enabled, pressing or touching Acquire Frame Acquire when a still frame is displayed places the current image in the queue for DICOM print. A print exposure indicator window is displayed for four seconds, at the bottom right of the imaging screen.
  • Page 73: Retrieving Stored Images For Dicom Printing

    Peripheral Devices Printers Retrieving Stored Images for DICOM Printing Images stored on the system’s hard disk or optical disk can be queued for DICOM printing by using the Disk Retrieve control in Loop mode. After Disk Retrieve loads an image into system memory, it can be printed to the DICOM printer when the current study ends, provided the DICOM rotary control is enabled.
  • Page 74: Selecting A Different Printer

    Peripheral Devices Printers Selecting a Different Printer Use the following procedure to select the print device. Press , and touch Print. Setup Print Adjust controls to change where black and white, color, VCR, Report, Tip: If External appears on the or Serial Port pages are printed.
  • Page 75: Printing An Analysis Report

    Peripheral Devices Printers Printing an Analysis Report After you complete configuring the RS232 interface, you can send analysis reports to an external printer or to a PC. Touch Analysis. Analysis Touch Report. Analysis Results Report Press Print Revision D.0 4-17 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 76: Printer Troubleshooting

    Peripheral Devices Printers Printer Troubleshooting Symptoms Suggestions Paper jams during Fan the paper before loading it. Tip: Always use high printing. quality paper for best Store paper flat. If it is curled, try to flatten it before results. loading. Make sure paper trays fit securely into the printer. Prints have white Check the paper supply and remove any pieces with lines.
  • Page 77 Peripheral Devices Printers Symptoms Suggestions The colors do not Press , touch Print, touch UP-5xxx Adjust Setup look right. (control name depends on printer), and alter the settings, as necessary. The default values for the UP-5200 are • Contrast – 6 •...
  • Page 78: Configuring The Rs-232 Interface

    Peripheral Devices Configuring the RS-232 Interface Configuring the RS-232 Interface You can configure the RS-232 interface for sending analysis reports to either an external printer or a PC. The RS-232 interface is a 25-pin connector port located on the back of the ultrasound system (J1). See “Connecting the Ultrasound System to a Modem”...
  • Page 79 Peripheral Devices Configuring the RS-232 Interface Use the trackball to highlight a setting, and make your selections by typing in the information. On the Serial Port Setup window, enter data such as baud rate, stop and data bits, and select parity and print range according to the external printer device that is connected.
  • Page 80: Using The Remote Service Feature

    Peripheral Devices Using the Remote Service Feature Using the Remote Service Feature This option may or The Remote Service feature gives your Philips Service Representative access to may not be available in your the system via a modem. local area. For details, contact your This section describes how to use the Remote Service feature.
  • Page 81: Connecting The Ultrasound System To A Modem

    Peripheral Devices Using the Remote Service Feature Connecting the Ultrasound System to a Modem 1. Disconnect all transducers and other external peripherals. 2. Connect the modem to the RS-232C 25-pin connector port located on the back of the ultrasound system (J1). Analog output Aux outputs for display Red, Green, Blue, Sync...
  • Page 82: Selecting Remote Service Mode

    To return to Imaging mode, press Test After a short delay, the system displays a message indicating it is ready to accept a call from the local Philips Service Center. The system is in Remote Service Mode Status Idle Exit Remote Service Mode 4-24 Revision D.0...
  • Page 83: Exiting Remote Service Mode

    Note that the information in the Status box is Idle Indicates the system is not logged on to remote service. not an indicator that the Philips Remote User Indicates the Service Center is connected to the system. Representative Connected is done working on the system.
  • Page 84 Peripheral Devices Using the Remote Service Feature 4 To exit from the Test Menu and return to Imaging mode, press Test Test Menu Run Basic Test Run Extended Basic Key PRocessor Scan Converter Scanner Other Tests and Utilities Test Setup Run Time Error Log System Information Remote Service Mode...
  • Page 85: Physios

    Physios Introduction Using SONOS physios, you can connect ECG and other physical sensors to the patient and monitor their heart sounds, pulse, respiration, and ECG waveforms in real time. This chapter provides information about • Physio imaging screen and touch panels (page 5-2) •...
  • Page 86: Screen And Touch Panels

    Physios Screen and Touch Panels Screen and Touch Panels Heart sound waveform Pulse waveform Respiration waveform ECG waveform 300e050 Physio Rwave Resp Pulse Hrtsound Beep Physio Suppress Test Invert Trigger Delay Beats Gain 40% Position Revision D.0...
  • Page 87: Controls

    Physios Controls Controls Primary When Trigger ECG is active, adjusts the number of Beats beats between the triggered updates of a 2D, Color, Angio, or Spectral Doppler image. AutoBeat Defines the sequencing of R-wave acquisition of Sequence images in Triggering mode. Delay When Trigger ECG is active, updates the 2D, Color, Angio, or spectral Doppler image at a specified number...
  • Page 88 Physios Controls Turns Hrtsound, Pulse, and Resp physio waveforms Physio Suppress Tip: To suppress the on or off. ECG waveform, you must turn ECG off in Position [Position ECG, Position Pulse, Position Resp or Physio Setup. Position Hrtsound] Adjusts the vertical position of the active waveform. Available in MMode, spectral CW and PW, and when Acoustic Quantification (AQ) waveforms are displayed.
  • Page 89 Physios Controls Trigger Selects the triggering mode: Off, ECG, Timer, Loop/ ECG or Loop/Timr. Trigger activates either Beats and Delay or time Interval for triggering 2D, Color, Angio, or Doppler (with or without spectral) updates. Loop/ECG and Loop/Timr are available in Contrast or AD only.
  • Page 90: Setup

    Physios Controls Setup Selects an input source for the ECG waveform, or turns the waveform off. ECG Output Lets you take the ECG signal from the ECG output on the back of the system and use the signal as input to another device.
  • Page 91: Setting Up Physios

    Physios Setting Up Physios Setting Up Physios Press , and touch Physio. Setup Physio Turn the rotary controls to adjust the Physios setup for the waveforms you want to view, or turn the rotary control to Off for those that you do not need.
  • Page 92: Setting Up Triggering Modes

    Physios Setting Up Triggering Modes Setting Up Triggering Modes Touch Physio. Use the Trigger rotary control to select ECG, Timer, Loop/ECG, or Loop/Timr mode. (Loop/ECG and Loop/Timr only appear if Contrast or AD is on. For complete details, see Using Contrast Imaging).
  • Page 93 Physios Setting Up Triggering Modes Turn the Trigger rotary control to Loop/ECG or Loop/Timr in Tip: Triggered images can only be Contrast or AD mode, to view a real-time image and acquire triggered acquired in Contrast images. and AD modes. Physio Beats Trigger...
  • Page 94: Connecting Physios

    Physios Connecting Physios Connecting Physios NOTE Your system may not have all of the physios shown. Make sure that ECG Normal is displayed in Setup. Insert the ECG cable connector into the ECG receptacle under the keyboard. HEART ECG AUX RESP PULSE SOUND PATIENT CONNECTION...
  • Page 95 Physios Connecting Physios Attach the electrodes and ECG leads to the patient as shown. Proper ECG lead placement is critical for receiving a good ECG and respiration signal. Right Arm Left Arm Left Leg NOTE Lead placements in the drawing above are anatomically incorrect; however, this placement obtains optimal triggering for AQ, CK, AD, and 3D.
  • Page 96: Viewing Physios

    Physios Viewing Physios Viewing Physios NOTE The Pulse waveform is unavailable in 2D, Color, Angio, nonspectral Doppler modes, and AQ. Touch Physio. Only waveforms that you have set up appear. Physio Suppress must be off to see all available waveforms. Physio Verify that the ECG complex size is correct for each mode by touching the mode (2D, MMode, PW, CW, or AQ) and ECG.
  • Page 97 Physios Viewing Physios Check the trace positions by touching each mode and then each waveform you want to see in that mode. Only one waveform control can be active at a time. The Gain and the Position rotary controls pertain to the active waveform. If an active Trace is not displayed, touch Test.
  • Page 98: Physio Troubleshooting

    Physios Physio Troubleshooting Physio Troubleshooting Always make sure that the active preset is appropriate for the study being performed. Symptoms Suggestions Physio does not For physios other than ECG, make sure Physio display. Suppress is off. Check to ensure the physio cable is secure in the correct connection and is correctly attached to the patient.
  • Page 99 Physios Physio Troubleshooting Symptoms Suggestions 2D reference image Make sure 2D Hold or BMode Hold is off in CW and does not update PW modes. Verify that is off. Verify that the ECG leads are Freeze connected properly. Adjust Delay or Beats rotary control if an R-wave is present, or Interval rotary control if there is no R-wave (all Physio Trigger controls).
  • Page 100 Physios Physio Troubleshooting 5-16 Revision D.0...
  • Page 101: Doing Exams

    Doing Exams Introduction This chapter outlines the basic steps for performing an ultrasound imaging exam. The basic procedure is to: • Select a preset (page 6-1) • Set up the exam (page 6-2) • Connect a transducer (page 6-10) • Optimize the image (page 6-10)
  • Page 102: Setting Up The Exam

    Doing Exams Setting up the Exam Setting up the Exam Make sure all peripherals are on and the recording medium is correctly inserted. NOTE You can operate the VCR using the controls on the touch panel. See Chapter 4 for more information. Select or reselect the preset to match the study you are about to perform.
  • Page 103 Doing Exams Setting up the Exam Press to display the Patient Information window. The Patient ID window is preset-dependent. It contains information pertinent to the exam type. Patient Enter NOTE Patient information is automatically stored to the Analysis report, and can only be edited on the Patient Information window.
  • Page 104 Doing Exams Setting up the Exam To enter new patient data: If a PATIENT SELECTION window is onscreen, highlight Man- ual Entry and press Enter Highlight New and press Enter Type in the new patient information. A red box outlines the active field.
  • Page 105 Doing Exams Setting up the Exam 5. To edit patient data, highlight Edit and press . Type in your changes. Enter Patient Information Current Date mm/dd/yyyy Reset Edit Prior Last Name: First/Middle: MRN: DOB: MM/DD/YYYY Accession: Sex: Misc: Location: Physician: Performed by: Height: inches...
  • Page 106 Doing Exams Setting up the Exam To enter this patient information and return to live imaging, press twice, or press Enter Patient ID Patient Enter Revision D.0...
  • Page 107 Doing Exams Setting up the Exam To specify the information that will appear on the screen, press Setup Then touch System on the right touch panel and ID Display. Use the trackball to select the patient identification information that will be displayed on the screen.
  • Page 108 Doing Exams Setting up the Exam Touch the mode you want to use. (If a noncardiac preset is active, the BMode touch control appears instead of the 2D touch control.) 2D MMode Color PW CW Angio AQ Revision D.0...
  • Page 109 Doing Exams Setting up the Exam Touch any of the mode-specific controls that are displayed. See the section on the mode you are using for detailed information. 2D MMode Color PW CW Angio AQ 10. Adjust imaging controls applicable to this mode, as necessary. General imaging controls are described in Chapter 7 Gain...
  • Page 110: Connecting A Transducer

    Doing Exams Connecting a Transducer Connecting a Transducer For information about connecting transducers and physio sensors to the SONOS system, see Chapter 2 Chapter Optimizing the Image For information about optimizing images, see the specific imaging-modality sections in Chapter 6-10 Revision D.0...
  • Page 111: Videotaping The Exam

    Doing Exams Videotaping the Exam Videotaping the Exam Make sure the VCR is on, and that a tape is in. To record time or frame Tip: The tape icon appears on numbers, touch Tape Time or Tape Number (only one appears, the imaging depending on what you select in Setup.) screen when a...
  • Page 112 Doing Exams Videotaping the Exam When you are done recording, press . If you are using the foot Tip: The VCR is Tape turned off switch, press Record to pause taping. automatically when you turn off the system. Tape 6-12 Revision D.0...
  • Page 113: Viewing Taped Images

    Doing Exams Videotaping the Exam Viewing Taped Images With the VCR on and a tape inserted, touch PLAY. If necessary, use Color to adjust the intensity of color recorded on a tape. PLAY Color Use SONOS controls, as necessary, to view specific segments. To make measurements on taped images, first follow the steps in “Calibrating Videotaped Images for Measurement”...
  • Page 114: Vcr Troubleshooting

    Doing Exams Videotaping the Exam VCR Troubleshooting Symptoms Suggestions Tape controls do not Make sure there is a tape in the VCR. Tip: Always use high display. quality tapes for best results. Cannot hear sounds Turn up the Volume control. on the tape.
  • Page 115: Storing The Image

    Doing Exams Storing the Image Storing the Image For information about storing images, see Chapter 11 Chapter Sending the Image Over a Network For information about sending images over a network, see Chapter Revision D.0 6-15 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 116 Doing Exams Sending the Image Over a Network. 6-16 Revision D.0...
  • Page 117: Imaging Modalities

    Imaging Modalities Introduction This chapter provides information about how to use the SONOS system • General Imaging Controls (page 7-2) • Frequency Fusion Imaging (page 7-4) • Harmonic Fusion Imaging (page 7-8) • Zoom Mode (page 7-15) • Dual Imaging Mode (page 7-19) •...
  • Page 118: General Imaging Controls

    Imaging Modalities General Imaging Controls General Imaging Controls The controls described in this section pertain to all modes, unless otherwise specified. Compress Adjusts the dynamic range of returning echoes, thereby affecting the 2D/BMode or the MMode. Depth Adjusts the vertical acoustic field of view for the structure being imaged.
  • Page 119 Imaging Modalities General Imaging Controls TGCs (Time Gain Compensation controls) Each of the eight sliders adjusts the amplification of returning 2D/BMode and AQ signals at a specific image depth. Adjust the TGCs in a smooth curve to compensate for acoustic attenuation. Trackball In conjunction with , resizes the active 2D/...
  • Page 120: Frequency Fusion Imaging

    Imaging Modalities Frequency Fusion Imaging Frequency Fusion Imaging Introduction Frequency Fusion settings control the transducer frequencies that are used to generate 2D images. The SONOS system offers up to five settings, which depend on the transducer and configure it for the optimum combination of •...
  • Page 121: Screen And Touch Panels

    Imaging Modalities Frequency Fusion Imaging Screen and Touch Panels MI: 1.0 2/0/E/F3 Frequency Fusion setting GAIN 50 COMP 70 16CM 62HZ Frequency Fusion icon 300e004 Probe Secondary Zoom Controls Nonimage Right Left Center Soft Echo Harmonic Colorize Invert Enhance Fusion Focal Zones 2 Postproc...
  • Page 122: Icons

    Imaging Modalities Frequency Fusion Imaging Icons The Frequency Fusion icon represents 2D image quality changes between penetration (P), texture (T), and resolution (R). • When the blue triangle is on the left side, penetration is optimized. • When the blue triangle is on the right side, resolution is optimized. •...
  • Page 123: Using Frequency Fusion

    Imaging Modalities Frequency Fusion Imaging Using Frequency Fusion To change the current transducer’s Frequency Fusion setting 1. If the Harmonic Fusion control is highlighted in the right touch panel, touch it to turn Harmonic Fusion off. 2. Turn the Frequency Fusion rotary control knob (below the right touch panel) to select a new setting.
  • Page 124: Harmonic Fusion Imaging

    Imaging Modalities Harmonic Fusion Imaging Harmonic Fusion Imaging Introduction Harmonic Fusion for tissue provides improved visualization of the endocardial border, particularly with patients who are difficult to image. Harmonic Fusion imaging activates harmonics for a 2D image only—all Doppler modes remain at the fundamental frequency.
  • Page 125 Imaging Modalities Harmonic Fusion Imaging Screen and Touch Panels MI: 1.5 Acoustic output index Transducer label 2/0/E/H1 GAIN 50 COMP 70 16CM 30 HZ Transmit/Receive frequencies 300e004 Probe Harmonics Secondary Zoom Plus Controls Harmonic Soft Echo Colorize Invert Fusion Enhance Focal Zones 1 Magnify...
  • Page 126: Icons

    Imaging Modalities Harmonic Fusion Imaging Icons In Harmonic Fusion imaging using an s4 transducer, one of the following icons appears and replaces the Frequency Fusion icon: 1.8, 2.1 = Transducer transmit frequency in megahertz (MHz) 3.6, 4.2 = Transducer receive frequency in megahertz The Harmonic Fusion icon on the left shows penetration selected, as indicated by a circled P, and shows a transducer transmitting at 1.8 MHz and receiving at 3.6 MHz.
  • Page 127 Imaging Modalities Harmonic Fusion Imaging The Harmonic Fusion icon on the far left shows penetration selected, as indicated by a circled P, and shows the transducer transmitting at 1.3 MHz and receiving at 2.6 MHz. The Harmonic Fusion icon on the far right shows resolution selected, as indicated by a circled R, and shows the transducer transmitting at 1.6 MHz and receiving at 3.2 MHz.
  • Page 128: Controls

    Imaging Modalities Harmonic Fusion Imaging Controls Primary Harmonic Fusion Activates Harmonic Fusion for imaging tissue. (Touch Control) Activates Harmonics for a 2D image only. Available only with a harmonics-ready transducer, such as the s3, s4, s8, 11-3L, c3540, OmniPlane III, or x4. Harmonic Fusion Selects the Harmonic Fusion setting and is available (Rotary Control)
  • Page 129: Using Harmonic Fusion

    Imaging Modalities Harmonic Fusion Imaging Using Harmonic Fusion Touch Probe. Probe Touch the control indicating where the harmonics-ready transducer is connected. Probe Right Center Nonimage Left Touch Preset and select an exam type. Preset Cardiac Exam Adult Revision D.0 7-13 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS D.0\System Basics D.0\Frame Files\7CH.FM add.2...
  • Page 130 Imaging Modalities Harmonic Fusion Imaging Touch Harmonic Fusion to activate Harmonic Fusion imaging. Preset Zoom Harmonics Secondary Plus Controls Cardiac Exam Soft Echo Harmonic Colorize Invert Fusion Enhance Adult Harmonic Magnify Postproc Fusion 1 Focus Turn the Harmonic Fusion rotary control to optimize the image. Preset Harmonics Zoom...
  • Page 131: Zoom Mode

    Imaging Modalities Zoom Mode Zoom Mode Introduction Zoom mode allows you to magnify the image without resizing it. Zoom mode has the following features: • Zoom is also available from a frozen nonzoomed image and during loop replay. • A magnification rotary control allows you to quickly magnify the image without resizing.
  • Page 132: Screen And Touch Panels

    Imaging Modalities Zoom Mode Screen and Touch Panels The following illustration shows how the Zoom preview box changes on the imaging screen as the Magnify rotary-control setting is increased. Zoom preview box Zoom preview box Zoom preview box Magnify = 1.0 Magnify = 2.0 Magnify = 3.0 NOTE...
  • Page 133: Using Zoom Mode

    Imaging Modalities Zoom Mode Using Zoom Mode 1. When zoom is first activated, the default Zoom area is outlined by a Zoom preview box, at a Magnify setting of 2.0. 2. To increase or decrease the Zoom magnification, turn the Magnify rotary control.
  • Page 134 Imaging Modalities Zoom Mode Zoom mode has the following limitations: • You cannot zoom in on the following frozen images: triggered trapezoid, triggered color compare, interval-triggered 2D hold, dual, and multi-frame trigger. • The Size and Position key controls are unavailable during side-by-side MMode.
  • Page 135: Dual Imaging Mode

    Imaging Modalities Dual Imaging Mode Dual Imaging Mode Introduction Dual Imaging mode allows you to display and manipulate two independent scans on the SONOS imaging screen. This mode has the following features: • Each image has its own color bar and Fusion icon. •...
  • Page 136: Screen And Touch Panels

    Imaging Modalities Dual Imaging Mode Screen and Touch Panels The following illustration shows the Dual Imaging mode screen: MI: 0.6 S4 PATIENT NAME Philips Medical 2.7 MHZ 2.7 MHZ Systems 2 / 0 / E/ M2 /A 225-77-3332 Adult G 50 C 70...
  • Page 137: Controls

    Imaging Modalities Dual Imaging Mode Controls The Left and the Right touch controls allow you to select the active image. Only one image can be active at a time. The active image is identified by a clear orientation dot - ;...
  • Page 138: Dual Imaging Mode Restrictions

    Imaging Modalities Dual Imaging Mode Dual Imaging mode restrictions Dual Imaging mode is not available in MMode, AQ, or Doppler modes. You cannot change the preset while in Dual Imaging mode. You cannot display an Angio image next to a color image. You cannot adjust the •...
  • Page 139: 2d Imaging

    Imaging Modalities 2D Imaging 2D Imaging Introduction When any transducer other than a Doppler-only transducer is being used in a cardiac preset, the default imaging modality is 2D mode. In this mode, the imaging screen displays a two-dimensional black-and-white scan. Revision D.0 7-23 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 140: Screen And Touch Panels

    Imaging Modalities 2D Imaging Screen and Touch Panels Lateral Gain Control profile MI: 1.0 Acoustic output index Transducer label 2/2/B/F3 Persistence, Postproc, and Frequency Fusion setting TGC Curve GAIN 70 COMP 60 16CM Depth selection 55 Hz Frame rate grayscale Black/white Frequency Fusion icon 300e004...
  • Page 141: Controls

    Imaging Modalities 2D Imaging Controls Primary Colorize Optimizes contrast resolution by activating the current colorization map, and overlaying the grayscale image. To change the active map, turn the color rotary control just under the Colorize touch control. Focal Zones Selects transmit focal zones for sector transducers. The preset and the transducer determine the available number of focal zones.
  • Page 142: Secondary

    Imaging Modalities 2D Imaging Harmonic Fusion Selects the Harmonic Fusion setting when Harmonic (Rotary Control) Fusion is on. Changes are reflected in the Harmonic Fusion icon and on the process line displayed at the top left corner of the screen in Cardiac presets. Not available when the image has been frozen using the key.
  • Page 143 Imaging Modalities 2D Imaging TGC Curve Turns the TGC Curve display on or off. Press Setup and touch TGC Curve. Then press again to Setup return to the live display. TGC sliders affect the screen display only in 2D and Tissue Doppler modes. Trapezoid Activates trapezoidal imaging, which widens the linear image to a trapezoidal shape.
  • Page 144 Imaging Modalities 2D Imaging Secondary Adaptive Power Activates 2D imaging with Adaptive Power. Automatically adjusts the transmit power as focus is adjusted. When Adaptive Power is on, moving the focal carat to the near field reduces clutter. When multiple focal zones are active, the power adapts to the deepest focal carat.
  • Page 145: Setup

    Imaging Modalities 2D Imaging Setup Acquire Works in conjunction with the Maximize Transfer/ Max:120/300Hz Frames touch control in Disk Setup. Acquire Max:120 Hz limits frame rate to 120 Hz. Acquire Max:300 Hz allows frame rates up to 300 Hz. Depth Marks Displays fixed depth marks along the right side of the image.
  • Page 146: 2d/bmode Imaging

    Imaging Modalities 2D/BMode Imaging 2D/BMode Imaging Introduction When any transducer other than a Doppler-only transducer is being used in a noncardiac preset, the default imaging modality is 2D/BMode. In this mode, the imaging screen displays a two-dimensional black-and-white scan. NOTE 2D/BMode is available in noncardiac presets.
  • Page 147: Screen And Touch Panels

    Imaging Modalities 2D/BMode Imaging Screen and Touch Panels MI: 0.5 Acoustic output index ll-3L Transducer label 2/1/F Preproc (MMode), Carotid Persistence, Postproc GAIN 60 COMP 90 4 CM Depth selection Grayscale bar Frequency Fusion icon 5apc060 Probe BMode Spectral Zoom Secondary Controls Soft Echo...
  • Page 148: Controls

    Imaging Modalities 2D/BMode Imaging Controls Primary BMode is used for all presets except cardiac. Colorize Optimizes contrast resolution by activating the current colorization map and overlaying the grayscale image. To change the active map, turn the color rotary control just under the Colorize touch control. Focal Strength When on, the focus is increased at the selected focal zone or zones, producing better resolution in the area of...
  • Page 149: Secondary

    Imaging Modalities 2D/BMode Imaging LGCs (Lateral Gain Controls) Each of the eight sliders adjusts the amplification of returning signals within a specific lateral 2D/BMode or AQ image area. Available only with sector and curvilinear array transducers. Magnify Increases or decreases the magnification factor of an image in Zoom or Zoom Preview modes.
  • Page 150 Imaging Modalities 2D/BMode Imaging Secondary Adaptive Power Activates 2D imaging with Adaptive Power. Automatically adjusts transmit power as focus is adjusted. When Adaptive Power is on, moving the focal carat to the near field reduces clutter. When multiple focal zones are active, the power adapts to the deepest focal carat.
  • Page 151: Setup

    Imaging Modalities 2D/BMode Imaging Setup Acquire Works in conjunction with the Maximize Transfer/ Max:120/300Hz Frames touch control in Disk Setup. Acquire Max: 120 Hz limits frame rate to 120 Hz. Acquire Max: 300 Hz allows frame rate to 300 Hz. Revision D.0 7-35 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 152: Using 2d/bmode

    Imaging Modalities 2D/BMode Imaging Using 2D/BMode Ensure the active preset is correct for the study. To change a preset, touch Preset and choose the exam type (if applicable) and the preset. Preset Vascular Exam Carotid Touch BMode. BMode 7-36 Revision D.0...
  • Page 153 Imaging Modalities 2D/BMode Imaging Adjust the imaging controls sliders, as necessary. You may also need to increase the Power settings to increase the acoustic power and adjust the TGC and Gain settings. Gain Compress Depth Position Size Optimize the image using the touch controls. To adjust the image Tip: Narrowing the image width location or width, press...
  • Page 154: Displaying A Time Gain Compensation (tgc) Curve

    Imaging Modalities 2D/BMode Imaging Displaying a time gain compensation (TGC) curve To display a TGC curve: 1. In 2D or BMode, press Setup 2. Touch TGC Curve on the right touch panel. 3. Press to exit. Setup 7-38 Revision D.0...
  • Page 155: Biopsy Support

    Imaging Modalities 2D/BMode Imaging Biopsy Support Introduction Your system supports the use of biopsy needle guides on these probes: • E6509 • c3540 • C5040 Biopsy support is available when • A probe (for which biopsy needle guides are available) is connected to the system and selected •...
  • Page 156: Biopsy Screens

    Imaging Modalities 2D/BMode Imaging Biopsy screens The following illustration shows the biopsy gun graphic. It indicates the ideal biopsy needle path as a dotted line at an angle to the image. When the needle can be mounted in more than one position, the Crossover Depth rotary control selects the angle.
  • Page 157 Imaging Modalities 2D/BMode Imaging The following illustration shows the biopsy needle graphic. The diverging dotted lines show the area in which the needle can be expected to travel. These display guidelines should be used as an indicator only. Needle deflection or bending may occur as it passes through tissue.
  • Page 158 Imaging Modalities 2D/BMode Imaging The following illustration shows an example of the crossover depth. Biopsy needles mount on probes at an angle to the probe center line. Some biopsy guides, for example the C5040, can support more than one needle position. Each needle position on the guide is marked with its crossover depth.
  • Page 159: Controls

    Imaging Modalities 2D/BMode Imaging Controls The SONOS biopsy controls and displays help direct the operation of the biopsy needle. CAUTION During biopsy operations, it is important that you activate onscreen biopsy guide- lines and carefully watch the image during needle insertion, to verify the needle path.
  • Page 160: Probes Supporting Biopsy

    E-mail: info@civcomedical.com www.civco.com Phone inside US: (800) 445-6741 Phone outside US: 1-319-656-4447 Fax orders to: 1-319-656-4451 For information about ordering other Philips Medical Systems supplies and accessories, see “Supplies and Accessories” on page 1-17. NOTE See the Transducer Reference for safety and maintenance information about the use of biopsy needles and guides.
  • Page 161: 2d/bmode Troubleshooting

    Imaging Modalities 2D/BMode Imaging 2D/BMode Troubleshooting Always make sure the transducer and active preset are appropriate for the study being performed. If necessary, adjust the monitor controls for ambient light. After adjusting any control, always check the transducer position Symptom Suggestion Image is difficult to Adjust the screen’s background using the Backgrnd...
  • Page 162 Imaging Modalities 2D/BMode Imaging Image has too much Postproc to decrease grayscale contrast. contrast or is grainy. Compress to increase low-level echoes. Frequency Fusion. Increase transmit power by moving the transmit carat downward, if Adaptive Power is on or if using the control on the secondary touch panel.
  • Page 163 Imaging Modalities 2D/BMode Imaging Cannot see cardiac Check the transducer position, and adjust if necessary. image. Gain. Frequency Fusion. Otherwise, change to a lower frequency transducer. Touch Harmonic Fusion and choose setting 1. Increase the frame rate by decreasing the width with and the trackball.
  • Page 164: Mmode Imaging

    Imaging Modalities MMode Imaging MMode Imaging Introduction 2D/MMode is useful for timing the movement of cardiac structures. Any movement along the line of sight through the heart is translated into onscreen traces that accompany the scan image. NOTE MMode is not available in Color mode using a linear transducer or in Angio mode.
  • Page 165: Screen And Touch Panels

    Imaging Modalities MMode Imaging Screen and Touch Panels Cardiac MI:0.5 TIS:0.1 GAIN 50 COMP 45 Depth selection Philips Medical 38HZ 16CM Systems 1/0/C/F2 Preproc, Persistence Adult (2D), and Postproc settings Time markers (200 milliseconds per marker) Depth markers (1 cm each)
  • Page 166: Noncardiac

    Imaging Modalities MMode Imaging Noncardiac TIS:0.1 GAIN 50 COMP 45 Depth selection Philips Medical 38HZ 16CM Systems 1/0/C/F2 Preproc, Persistence Carotid (2D), and Postproc settings Time markers Depth markers Frequency Fusion icon 5apc062 MMode Spectral Zoom Full Scroll Sweep Screen...
  • Page 167: Controls

    Imaging Modalities MMode Imaging Controls Cardiac If Color is active when you enter MMode, a subset of the Color controls appear instead of the MMode controls shown here. Colorize Optimizes contrast resolution by activating the current colorization map, and overlaying the grayscale image. To change the active map, turn the color rotary control just under the Colorize touch control.
  • Page 168: Noncardiac

    Imaging Modalities MMode Imaging Turns zoom (magnification) on or off. To move the zoom Zoom Tip: When activated, preview area, use the trackball ( is active when you Zoom is first outlined Position by a box. This first enter zoom preview). To resize the zoom preview area, indicates zoom press and use the trackball.
  • Page 169 Imaging Modalities MMode Imaging Scroll Toggles between scrolling the trace display and the reference image. To use the Scroll Image, first press Freeze Spectral Reformats the screen display to turn a Doppler spectral trace on or off. Sweep Changes the sweep speed for MMode images. Available speeds are 25, 50, 100, and 150 mm/sec.
  • Page 170: Using Mmode

    Imaging Modalities MMode Imaging Using MMode Optimize the 2D or BMode image. To use Color MMode, touch Color and optimize the image using the keyboard imaging controls. Press to return trackball control to the cursor line. Enter Gain Compress Depth Position the cursor line with the trackball.
  • Page 171 Imaging Modalities MMode Imaging Tip: If Color is on, but Touch MMode. you do not want to see it, touch Color Suppress. Color MMode Zoom Invert Sweep Colorize Preproc Postproc Steering Optimize the display using the MMode touch controls. Color MMode Zoom Invert...
  • Page 172 Imaging Modalities MMode Imaging Adjust the keyboard imaging controls, as necessary. To scroll an Tip: Touching the 2D/BMode Gain MMode display, press and use the trackball. To return to live Freeze setting affects the imaging, press again. Freeze MMode gain. Gain Compress Depth...
  • Page 173: Displaying Spectral And Mmode Traces

    Large image on top with small trace on bottom • Side-by-side image and trace • Full-screen trace The following illustration shows the side-by-side display: MI: 1.1 Philips Medical Systems 2/0/D/F3 Adult 1.8 MHZ q = 0 GATE: 8.0CM = 20 GAIN 50 LEN: 0.35CM...
  • Page 174: Displaying Side-by-side Mmode Or Doppler

    Imaging Modalities MMode Imaging The following figure shows the full-screen display: MI: 1.1 S4 Philips Medical Systems 2/0/D/F3 12CM Adult GAIN 50 COMP Displaying side-by-side MMode or Doppler To display the side-by-side format in MMode or Doppler 1. Touch Image on the left touch panel.
  • Page 175: Mmode Troubleshooting

    Imaging Modalities MMode Imaging MMode Troubleshooting Always make sure the active preset is appropriate for the study being performed If necessary, adjust the monitor controls for ambient light. Symptoms Suggestions Trackball moves Move the large dot on the cursor line toward the too fast or too bottom of the image, using the trackball.
  • Page 176: Color Imaging

    Imaging Modalities Color Imaging Color Imaging Introduction Color mode uses color to represent the mean ‘velocity and direction of either blood (Color Flow) or tissue (Tissue Doppler). Different shades of colors in a defined color spectrum represent different velocities and directions of blood or tissue movement within the selected color area.
  • Page 177: Screen And Touch Panels

    Imaging Modalities Color Imaging Screen and Touch Panels Cardiac Color bar and baseline indicator Color flow frequency 3.7 MHz Highest mean velocity toward transducer 2/O/E/M2/A Preproc Color persist Postproc Packet size/Filter Color Map Highest mean velocity away from transducer Color area - adjust with trackball, and Position and Size keys Frequency Fusion icon...
  • Page 178: Noncardiac

    Imaging Modalities Color Imaging Noncardiac Color bar and baseline indicator Color flow frequency 3.9 MHZ Highest mean velocity TIS: 0.2 toward transducer 11-3L 2/0/F/L2/A Preproc, Color Persist, Postproc, packet size/ filter, Carotid color map Highest mean velocity GAIN 60 away from transducer COMP 90 Color area - adjust 4 CM...
  • Page 179: Controls

    Imaging Modalities Color Imaging Controls Cardiac primary With Color active, touch PW, CW, or MMode to go into PW Color, CW Color, or MMode Color (combination) mode. The second mode control (PW, CW, or MMode) is highlighted, and the Color touch control is outlined by a box, indicating that Color mode is still active.
  • Page 180 Imaging Modalities Color Imaging Frequency Fusion Optimizes frequencies for penetration, texture or resolution. Changes are reflected in the Frequency Fusion icon. Gain Adjusts system sensitivity to received color flow signals. Increasing the color gain percentage increases the amount of color displayed. Magnify Increases or decreases the magnification factor of an image in Zoom or Zoom Preview modes.
  • Page 181: Cardiac Secondary

    Imaging Modalities Color Imaging Cardiac secondary Adaptive Flow Selects an optimal color flow frequency and focal depth and adjusts the PRF based on the size and location of the color flow window. (See “Using Color Imaging” on page 7-70.) Colorize Optimizes contrast resolution by activating the current colorization map, and overlaying the grayscale image.
  • Page 182: Noncardiac Primary

    Imaging Modalities Color Imaging Power Adjusts transmit power in decibels (dB) where 0.0dB = maximum power and -30.0dB = minimum power. Is displayed as a primary right-touch-panel control set when Contrast is on. Secondary Switches between the primary and secondary touch Controls panels.
  • Page 183 Imaging Modalities Color Imaging Filter Removes low-level signals and reduces noise in the image. It is recommended that you use Filter T with turbulence maps only. Focus Repositions the acoustic depth of the color focal zone. Frequency Fusion Optimizes frequencies for penetration, texture, or resolution.
  • Page 184: Noncardiac Secondary

    Imaging Modalities Color Imaging Steering Steers linear color images to the right or left, to achieve optimal color flow angles. The baseline also returns automatically to the selected position. Turns zoom (magnification) on or off. To move the Zoom Tip: When activated, zoom preview area, use the trackball ( is active Zoom is first outlined...
  • Page 185: Setup

    Imaging Modalities Color Imaging Peak Hold Displays, in color, the accumulated maximum flow velocities detected during a period of time (which must be defined using Setup). Persist Adjusts the amount of color frame averaging, which can give a smoother appearance. Power Adjusts transmit power in decibels (dB) where 0.0dB = maximum power and -30.0dB = minimum...
  • Page 186: Using Color Imaging

    Imaging Modalities Color Imaging Using Color Imaging Optimize the 2D/BMode image using the keyboard imaging controls. Gain Compress Depth Touch Color. Color 7-70 Revision D.0...
  • Page 187 Imaging Modalities Color Imaging Adjust the location of the color area with the trackball. The Position key is active when you first enter Color. To change the size of the color area, press and use the trackball. Size Size Position Adjust Color Gain, as necessary.
  • Page 188: Adaptive Flow

    Imaging Modalities Color Imaging Adaptive Flow Adaptive Flow provides the best color sensitivity at every depth, while keeping the velocity scale constant. The following illustration shows Adaptive Flow side- by-side images with the color box set to different depths: 2.5 MHz 3.5 MHz + 52 + 52...
  • Page 189: Color Compare

    Imaging Modalities Color Imaging Color Compare Color Compare mode allows you to quickly compare color and grayscale versions of the same image. The color image is displayed on the right, and the grayscale on the left. Color Compare is not available with spectral Doppler. 1.
  • Page 190 Imaging Modalities Color Imaging The following illustration shows the Color Compare screen: TIS: 0.9 Philips 2.7 MHZ 1 / 4 / F/ L3 /L Medical Systems Carotid GAIN 50 COMP 45 12HZ 7-74 Revision D.0...
  • Page 191: Color Troubleshooting

    Imaging Modalities Color Imaging Color Troubleshooting Always make sure the active preset is appropriate for the study being performed. If necessary, adjust the monitor controls for the ambient light. Symptoms Suggestions Not sensitive. Adjust Color Gain. It could be either too high or too low.
  • Page 192 Imaging Modalities Color Imaging Symptoms Suggestions Color is too Smoothing to smooth the image. speckled. Gain. For slow-moving blood or structures, Persist. Excessive When using turbulence maps, always use Filter T (for turbulence seen vascular presets only). using turbulence maps. Color display is Scale to see more high-velocity blood flow aliasing.
  • Page 193 Imaging Modalities Color Imaging Symptoms Suggestions Need better color Adjust Steering. filling. Color Gain. Scale. Smoothing. Color Filter. Adjust Focus. If a decrease in frame rate is acceptable Packet size. Filter. Disable Adaptive Flow. For slow-moving blood or structures, Persist. Use Peak Hold to accumulate color velocities.
  • Page 194 Imaging Modalities Color Imaging Symptoms Suggestions Color image is Smoothing to smooth the image. Tip: Mechanical heart valves occasionally noisy, flashing, or Filter. cause unavoidable has artifacts. flashing artifacts. Scale. Artifacts also could be caused by external Color Gain. sources such as lighting, other equipment, or For slow-moving blood or structures, Persist to...
  • Page 195: Pw And Cw Imaging

    Imaging Modalities PW and CW Imaging PW and CW Imaging Introduction Pulsed Wave Doppler (PW) mode provides a “spectral” representation of the velocity of blood flow or tissue movement. Velocities are represented on graphs that use a cm/sec scale to enable velocities to be measured and tracked over time. The “Pulsed”...
  • Page 196: Screen And Touch Panels

    Imaging Modalities PW and CW Imaging Screen and Touch Panels Cardiac Triggered 2D reference Sample volume Diamond-shaped high PRF gate Maximum positive velocity limit Time markers (1 sec- High PRF indicator HPRF 1.8 MHz Doppler frequency Maximum positive frequency (KHz), if set up Velocity markers Baseline GATE: 8.0CM...
  • Page 197: Pw Spectral (noncardiac)

    Imaging Modalities PW and CW Imaging PW Spectral (Noncardiac) BMode image Color box Sample volume 3.4MHZ Doppler frequency Time markers Velocity markers GATE: 2.1CM LEN: 0.06CM Gate depth, length, and cursor angle Baseline = 20 Difference between velocity markers 5apc059 Velocity scale Secondary Triplex...
  • Page 198: Controls

    Imaging Modalities PW and CW Imaging Controls Cardiac primary NOTE The screen can display an image and trace using four different formats. For more information, see “Displaying spectral and MMode traces” on page 7-57. Unless otherwise specified, controls pertain to both PW and CW Doppler. Angio mode can be combined with both PW and CW imaging.
  • Page 199 Imaging Modalities PW and CW Imaging Gain Adjusts the amplitude of received Doppler signals and noise. Nonimage Xducer Activates nonimage CW transducer. Appears only when a nonimaging transducer is plugged in. Produces a hard copy of the screen display. If the Print onscreen image is live, it briefly freezes during printing and then returns to live imaging.
  • Page 200: Cardiac Secondary

    Imaging Modalities PW and CW Imaging Cardiac secondary Turns adaptive Doppler on and off. Adaptive Doppler enhances the signal in a spectral display relative to the background noise. Cursor Angle Adjusts the angle-correction cursor to an estimated angle of flow direction (from 0 to 80 degrees). Gate Length Adjusts the size of the PW gate.
  • Page 201: Cardiac Setup

    Imaging Modalities PW and CW Imaging Cardiac setup With CW or PW active, press to adjust these controls. Press again Setup Setup to return to live imaging. Baseline Suppress Removes spectral representations of frequencies below the filter setting. Frequency Scales Turns the display of frequency scales and frequency measurements on or off.
  • Page 202: Noncardiac Primary

    Imaging Modalities PW and CW Imaging Noncardiac primary Unless otherwise specified, controls pertain to both PW and CW Doppler. Angio and Color modes can be combined with both PW and CW imaging. Audio Turns PW Doppler audio on or off. Available when PW is on and Spectral and Color are off.
  • Page 203 Imaging Modalities PW and CW Imaging Duplex Activates simultaneous Duplex Doppler mode for PW Doppler vascular, abdominal, or OB/GYN exams. Not available when Color is on. Filter Removes audible signals of frequencies below the hertz level specified. For lower filter settings, both audio and spectral information are removed.
  • Page 204 Imaging Modalities PW and CW Imaging Scale Adjusts the range of Doppler velocities displayed. When the Scale setting is increased beyond standard PW levels, high PRF is activated. The HPRF label is displayed above the waveform, and diamond-shaped gates are displayed on the image. The high PRF feature displays higher velocity flow.
  • Page 205 Imaging Modalities PW and CW Imaging Sweep Changes the sweep speed for the Doppler spectrum. Is displayed only when Spectral is on. Available speeds are 25, 50, 100, and 150 mm/sec. Threshold Determines the type of signals used in calculating the trace waveform.
  • Page 206: Noncardiac Secondary

    Imaging Modalities PW and CW Imaging Noncardiac secondary The Meas Bar controls are available only when you are doing an automatic Doppler trace. To activate the Meas Bar controls, press and then Freeze . To do an automatic Doppler trace, be sure that the Doppler Trace Trace control is enabled in Setup.
  • Page 207 Imaging Modalities PW and CW Imaging Meas Bar Adjusts the position of the Measure Bar S velocity S (vel) markers on a Doppler Trace. The Measure Bar S markers indicate the systolic velocity and time points (S) that have been automatically chosen by the system. To use, first press Freeze Meas Bar...
  • Page 208: Noncardiac Setup

    Imaging Modalities PW and CW Imaging Noncardiac setup With PW active, press to adjust these controls. Press again to Setup Setup return to live imaging. Baseline Suppress Removes spectral representations of frequencies below the Filter setting. Frequency Scales Turns the display of frequency scales and frequency measurements on or off.
  • Page 209: Using Pw Imaging

    Imaging Modalities PW and CW Imaging Using PW Imaging NOTE Angio and Color modes can be combined with PW imaging. Optimize the 2D/BMode image using the keyboard imaging controls. Gain Compress Depth Position the cursor line with the trackball. Place the larger dot on the cursor line where you want the PW sample volume to be.
  • Page 210 Imaging Modalities PW and CW Imaging Tip: Spectral turns Touch PW, and adjust the sample volume position, as necessary. Touch the spectral display Image Size to change the 2D/BMode image size. Use the Volume on or off. Activating slider to adjust the audio. 2D Live or BMode Live lets you more accurately place the...
  • Page 211: Auto Trace In Pw (noncardiac)

    Imaging Modalities PW and CW Imaging Auto Trace in PW (noncardiac) Use Trace to obtain a quick, comprehensive vascular measurement. Optimize the PW image. Gain Compress Depth With Preset, Vascular Exam, and Carotid active, touch PW and Tip: You can also Spectral.
  • Page 212 Imaging Modalities PW and CW Imaging Press Freeze Freeze Adjust the Threshold if necessary. Touch Trace Auto and touch the Tip: When adjusting Threshold settings, a desired Trace setting (Auto, Top, or Bottom). higher setting indicates lower level pixels are used in calculating the Preset trace waveform.
  • Page 213: Nonimaging Pw

    Imaging Modalities PW and CW Imaging Nonimaging PW Activate the nonimaging transducer by touching Probe and Nonimage on the left touch panel. If CW is the default for this transducer, touch PW. Use the Volume slider to adjust the audio. Probe Nonimage - Volume +...
  • Page 214 Imaging Modalities PW and CW Imaging Optimize the spectral display. Probe Nonimage D5009V Filter Gain Baseline 400 Hz Compress Reject Scale To return to imaging, touch 2D or BMode. 7-98 Revision D.0...
  • Page 215: Using Triplex Doppler In Pw Imaging

    Imaging Modalities PW and CW Imaging Using Triplex Doppler in PW imaging The Triplex control activates triplex Doppler mode. Triplex Doppler mode is the simultaneous display of a live BMode image, with a live Color or Angio image, and a live Spectral trace. Triplex is available only with the 11-3L transducer in a vascular preset.
  • Page 216 Imaging Modalities PW and CW Imaging To activate Triplex Doppler 1. Touch Color. 2. Touch PW, and optimize the image using the keyboard imaging controls. (If Depth Marks is set to Off in Setup, Spectral mode is automatically turned on). BMode MMode Color...
  • Page 217: Using Cw Imaging

    Imaging Modalities PW and CW Imaging Using CW imaging Steerable CW Optimize the 2D/BMode image using the keyboard imaging controls. Gain Compress Depth Position the cursor line with the trackball. Place the larger dot on the cursor line where you want the CW focal point (diamond) to be. 300e004a Revision D.0 7-101...
  • Page 218 Imaging Modalities PW and CW Imaging Touch CW. Touch Spectral to turn the spectral display on and off. Use the Volume slider to adjust the audio. Spectral - Volume + Gain Compress Depth Adjust the Baseline, Gain, Filter, Compress, Reject, and Scale controls, as necessary.
  • Page 219: Nonimaging Cw

    Imaging Modalities PW and CW Imaging Nonimaging CW Activate the nonimaging transducer by touching Probe and Nonimage on the left touch panel. Use the Volume slider to adjust the audio. Probe Nonimage - Volume + Gain Compress Depth Optimize the spectral display. Probe Secondary Nonimage...
  • Page 220 Imaging Modalities PW and CW Imaging To return to imaging, touch 2D or BMode. Nonimage Xducer 7-104 Revision D.0...
  • Page 221: Pw And Cw Troubleshooting

    Imaging Modalities PW and CW Imaging PW and CW Troubleshooting Always make sure the active preset is appropriate for the study being performed. If necessary, adjust the monitor controls for the ambient light. Symptoms Suggestions Not sensitive. Power. Gain, Compress, and Reject to increase the amount of Doppler information displayed.
  • Page 222 Imaging Modalities PW and CW Imaging Symptoms Suggestions Signal is audible, Make sure the monitor is adjusted for the ambient but cannot see it. light. See “Calibrating the Monitor” on page 1-13 details. Gain to display more Doppler information. Compress and Reject to increase the range of echoes displayed.
  • Page 223 Imaging Modalities PW and CW Imaging Tip: Mechanical heart Symptoms Suggestions valves occasionally Spectrum is cut off. Adjust Baseline to move the baseline down. cause unavoidable artifact. Artifact could Scale to increase the range of displayed velocities also be caused by (also decreases the waveform size).
  • Page 224: Angio Imaging

    Imaging Modalities Angio Imaging Angio Imaging Introduction Angio is an “amplitude-only” mode that translates the magnitudes of returning ultrasound echoes into shades of a single color. It is used mostly with Contrast Imaging, because it is more sensitive to reactions of contrast-agent microbubbles that are struck by ultrasound.
  • Page 225: Screen And Touch Panels

    Imaging Modalities Angio Imaging Screen and Touch Panels Angio/Color bar 3.7 MHz Angio flow frequency 2/2/D/L2/E Preproc Angio persist Postproc Packet size Filter Angio map Angio area - adjust with trackball, and Position and Size keys Frequency Fusion icon Angio Secondary Zoom Controls...
  • Page 226: Controls

    Imaging Modalities Angio Imaging Controls This section discusses controls for Angio. For information on using Angio with contrast agents in cardiac presets, see Using Contrast Imaging. With Angio active, touch PW or CW to go into PW Angio or CW Angio (combination) mode.
  • Page 227 Imaging Modalities Angio Imaging Gain Adjusts system sensitivity to received angio signals. Increasing the angio gain percentage increases the amount of color displayed. Magnify Increases or decreases the magnification factor of an image in Zoom or Zoom Preview modes. When the Pan control is on, repositioning and resizing affect the color area.
  • Page 228: Secondary

    Imaging Modalities Angio Imaging Secondary Adaptive Angio Changes the Angio frequency as a function of focal depth. When the Angio box is at the top (shallow depth), the highest frequency is displayed, and vice- versa. Angio Displays all received Angio data by giving higher Priority priority to Angio and overriding the BMode information.
  • Page 229 Imaging Modalities Angio Imaging Secondary Switches between the primary and secondary touch Controls panels. When the control is highlighted, the secondary controls are active. Smoothing Adjusts the amount of angio scan line averaging, affecting the smoothness and sensitivity of the angio display.
  • Page 230: Using Angio Imaging

    Imaging Modalities Angio Imaging Using Angio Imaging Optimize the 2D/BMode image using the keyboard imaging controls. Angio Gain Compress Depth Touch Angio. Angio Zoom Secondary Controls Angio Angio Sweep Suppress Suppress Compare Gain Filter Threshold Density -_^_+ Frequency Magnify Focus Scale Fusion 3 7-114...
  • Page 231 Imaging Modalities Angio Imaging Adjust the location of the Angio area with the trackball. The Position key is active when you first enter Angio. To change the size of the Angio area, press and use the trackball. Size Size Position Adjust Gain.
  • Page 232: Adaptive Angio

    Imaging Modalities Angio Imaging Adaptive Angio Adaptive Angio provides the best angio sensitivity at every depth, while keeping the PRF (Pulse Rate Frequency) scale constant. The following illustration shows Adaptive Angio side-by-side images with the color box set to different depths: 2.5 MHz 3.5 MHz Focus...
  • Page 233: Angio Compare

    The live Angio image is displayed on the right, and the grayscale version on the left, as illustrated in the following diagram: TIS: 0.9 11-3L PATIENT NAME 2.7 MHZ Philips 4.1 MHZ Medical Systems 2 / 0 / E/ M2 /A 225-77-3332 Carotid...
  • Page 234: Angio Troubleshooting

    Imaging Modalities Angio Imaging Angio Troubleshooting Symptoms Suggestions Not sensitive. Scale. Adjust Angio Gain; it could be too low. Adjust Focus to point at the area of interest. Choose a filter to reduce flash or improve sensitivity. Reposition the transducers, or try another imaging window.
  • Page 235 Imaging Modalities Angio Imaging Symptoms Suggestions Need better Place transducer focus at location of interest with Angio resolution. Adaptive Angio on. Vascular: With linear transducers, use Steering to achieve optimal Angio flow angles by steering the image to the right or left.
  • Page 236 Imaging Modalities Angio Imaging Symptoms Suggestions Cannot see slow Adjust Gain. moving Scale to see more low-velocity blood flow velocities. information. Filter. Persist. Use Steering to make color as parallel to flow as possible. Adjust Focus to area of concern. Threshold.
  • Page 237: Tissue Doppler Imaging

    Imaging Modalities Tissue Doppler Imaging Tissue Doppler Imaging Introduction Tissue Doppler enhances image information by translating tissue movement and vascular flow velocities into color. NOTE Tissue Doppler imaging is not available using a linear transducer. Revision D.0 7-121 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS D.0\System Basics D.0\Frame Files\7CH.FM add.2...
  • Page 238: Screen And Touch Panels (2d Tissue Doppler)

    Imaging Modalities Tissue Doppler Imaging Screen and Touch Panels (2D Tissue Doppler) Color bar and baseline indicator Color flow frequency 3.7 MHz Highest mean velocity toward transducer 2/O/E/M2/A Preproc Color persist Postproc Packet size/Filter Color Map Highest mean velocity away from transducer Color Doppler area - adjust with trackball, and Position and Size...
  • Page 239: Using Tissue Doppler Imaging

    Imaging Modalities Tissue Doppler Imaging Using Tissue Doppler Imaging The following section describes Tissue Doppler controls and how to use them. Note the following Doppler mode guidelines: • Touching PW or CW turns on Spectral, unless depth marks are used. •...
  • Page 240 Imaging Modalities Tissue Doppler Imaging These values can be adjusted and preset independently from the corresponding imaging control values outside of Tissue Doppler. Tissue Doppler is available on the s3, s4, s8, s12, and OmniPlane transducers and only in Cardiac presets. Tissue Doppler is not available when the image has been frozen using the key, Freeze...
  • Page 241: Annotation

    Annotation Introduction The SONOS system allows you to add text, notes, and labels to your exam images. This chapter provides information about • Annotation screen and touch panels (page 8-2) • Controls (page 8-3) • Annotation procedure (page 8-4) • Using body markers (page 8-13)
  • Page 242: Screen And Touch Panels

    Annotation Screen and Touch Panels Screen and Touch Panels To change the cursor’s home location, touch Home Set. Annotation cursor – the label touched or letters typed appear here. Active preset and mode determine labels shown – you can edit and store these.
  • Page 243: Controls

    Annotation Controls Controls Arrow Puts an arrow graphic on the screen at the current Annotation cursor location. Body Marker Enters or exits the Body Marker function. When activated, displays a body marker on the screen and allocates the body marker control on the annotation touch panel.
  • Page 244: Annotation Procedure

    Annotation Annotation Procedure Annotation Procedure Touch Annotate. You can manually enter text whenever Annotate is active. To exit Annotation mode, touch Annotate again. The SONOS ultrasound system has a Quick Text feature that allows you to type text annotations starting from the Home location without pressing the Annotate touch control.
  • Page 245 Annotation Annotation Procedure Touch the label you want, or type your own. Annotate Revision D.0 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS D.0\System Basics D.0\Frame Files\8CH.FM add.2...
  • Page 246: Changing The Home Cursor Location

    Annotation Annotation Procedure Changing the Home Cursor Location Touch Annotate and position the Annotation cursor with the trackball. Put the cursor where you want to see it when you touch Home Cursor. Annotate Home Cursor Touch Home Set. Annotate Home Revision D.0...
  • Page 247: Editing Labels On The Screen

    Annotation Annotation Procedure Editing Labels on the Screen With Annotate active, use the trackball to select the label you want to change. Type the new label and press . If you make a mistake use Enter to erase characters to the left of the cursor. Enter Revision D.0 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 248 Annotation Annotation Procedure Edit additional labels, as needed. To put an arrow on the screen, place the Annotation cursor where you want the arrow. Touch Arrow, and if necessary, use the Rotate Arrow rotary control to change the orientation of the arrow. Revision D.0...
  • Page 249: Moving Annotation Labels And Arrows

    Annotation Annotation Procedure Moving Annotation Labels and Arrows With Annotate active, use the trackball to select the label or arrow you want to move. Touch Move. Annotate Move Reposition the label with the trackball, and press to anchor it. Enter Revision D.0 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS D.0\System Basics D.0\Frame Files\8CH.FM add.2...
  • Page 250: Erasing Annotation Labels And Arrows

    Annotation Annotation Procedure Erasing Annotation Labels and Arrows With Annotate active, use the trackball to select what you want to delete. To delete all labels and arrows, press or touch Clear All. Erase Touch Erase Label. To delete another label or arrow, repeat these steps.
  • Page 251: Editing The Annotation Touch Panel Labels

    Annotation Annotation Procedure Editing the Annotation Touch Panel Labels With Annotate active, press Setup Annotate Touch a label you want to edit. To remove a label, press Erase Annotate Type the new label, and select Okay. Tip: Hyphenate labels that do not fit on one line.
  • Page 252: Quick Text Mode

    Annotation Annotation Procedure Quick Text Mode Quick Text mode allows you to directly type a label from the Home position at any time, without entering Text Annotation mode. Quick Text mode is always active, except when you are using another application that requires the use of the keyboard, such as when you are entering patient ID information.
  • Page 253: Using Body Markers

    If Dual imaging mode is on, two body markers appear (one for each image). The following figure shows a sample body marker: MI: 0.2 c3540 2/1/K Philips Medical Systems Pelvis Body Marker Transducer graphic Revision D.0...
  • Page 254: Controls

    Annotation Using Body Markers Controls The following illustration shows the location of the individual body marker controls on the left touch panel: A Body Marker on/off B Select Body Marker rotary control C Select Small Parts rotary control D Erase Marker E Rotate Probe rotary control F Probe Size selection rotary control G Left Active/Right Active control (Dual mode only)
  • Page 255: Using Body Markers

    Annotation Using Body Markers Using Body Markers 1. Touch Annotate on the left touch panel. 2. Touch Body Marker. 3. Turn the marker-category rotary control (the second from left rotary control below the left touch panel) to choose the body marker category. 4.
  • Page 256: Disabling/enabling The Body Marker Function

    Annotation Using Body Markers 4. Follow the directions under “Using Body Markers” on page 8-15 to specify the body marker for the active image. Disabling/Enabling the Body Marker Function You can disable or enable the Body Marker function through Annotation Setup. 1.
  • Page 257: Measurements

    Measurements Introduction The SONOS system allows you to extract a variety of physical measurements from live and videotaped exam images. This chapter provides information about • Measurement screen and touch panels (page 9-1) • Controls (page 9-2) • Measurement setup (page 9-7) •...
  • Page 258: Controls

    Measurements Controls Controls Cardiac Primary The set of “Quick Calcs” and measurements available varies with measurement type, and the active imaging mode and preset. Box Position Changes the placement of the measurement box currently on the screen. Box Position is part of the Image control set (left touch panel).
  • Page 259: Cardiac Setup

    Measurements Controls Cardiac Setup When you press and touch Measure, the following controls appear on Setup the right touch panel. Additionally, the Measurements Setup window appears on the imaging screen. This window is specific to the mode the system is in. See “Measurement Setup”...
  • Page 260: Noncardiac Primary

    Measurements Controls Noncardiac Primary The set of “Quick Calcs” and measurements available varies with measurement type, and the active imaging mode and preset. Box Position Changes the placement of the measurement box currently on the screen. Box Position is part of the Image control set (left touch panel).
  • Page 261 Measurements Controls Meas Bar Adjusts the position of the Measure Bar S time markers S (time) on a Doppler Trace. The Measure Bar S markers indicate the systolic velocity and time points (S) that have been automatically chosen by the system. Meas Bar Adjusts the position of the Measure Bar S velocity S (vel)
  • Page 262: Noncardiac Setup

    Measurements Controls Noncardiac Setup When you press and touch Measure, the following controls appear on Setup the right touch panel. Additionally, the Measurements Setup window appears on the screen. This window is specific to the mode the system is in. See “Measurement Setup”...
  • Page 263: Measurement Setup

    Measurements Measurement Setup Measurement Setup You can set up the measurements you want for each mode through the Measurements Setup window. You can then save the measurement configuration to a preset. Press to enter Setup mode. Setup Setup Touch Measure on the right touch panel. The Measurements Setup window for the mode you are in appears.
  • Page 264 Measurements Measurement Setup Use the trackball to highlight the measurements you want and press Tip: If you want to keep the changes, You must check at least one box under each heading. The Enter make sure that you measurements you select appear in the measurement box on the save them to a preset.
  • Page 265: Online Measurements

    Measurements Online Measurements Online Measurements The SONOS system allows you to perform for following online measurements: • MMode or 2D/BMode (page 9-10) • 2D/BMode trace (page 9-12) • LV volume (page 9-13) • Doppler velocity (page 9-14) • Manual Doppler trace (page 9-15) •...
  • Page 266: Mmode Or 2d/bmode Linear Measurements

    Measurements Online Measurements MMode or 2D/BMode Linear Measurements DIST 5.5 CM TIME .030 SEC SLP 192. CM/S 1. Press Freeze scroll to the appropriate area, and press Caliper 2. Position the starting point with trackball, and press Caliper 3. Position the end point with trackball, and press Enter...
  • Page 267: The Mmode Reference Line

    Measurements Online Measurements The MMode Reference Line The MMode reference line is a fixed, solid vertical line that helps you more accurately position calipers during MMode protocol measurements. When displayed, this line can be aligned with the ECG. It is locked in the vertical plane, and calipers can not be moved left or right of the line.
  • Page 268: 2d/bmode Trace Measurements

    Measurements Online Measurements 2D/BMode Trace Measurements A X AREA 23.6 CM2 CIRC 19.4 CM 1. Press , and Freeze press Trace 2. Position the starting point with trackball, and press Trace 3. Trace the area to measure with the trackball, and press Enter 4.
  • Page 269: Lv Volume Measurements

    Measurements Online Measurements LV Volume Measurements 1. Press Freeze 2. Press AREA Trace CIRC place the caliper at LENGTH the MV annulus. MOD-VOL 3. Press , outline Trace the endocardium area to other MV annulus with the trackball, and press .
  • Page 270: Doppler Velocity Measurements

    Measurements Online Measurements Doppler Velocity Measurements Measurements and To adjust PW calculations are gate, complete displayed in cm/s active MAX V 1. Press units even when measurement. Freeze TIME you select m/s as scroll to the SLOPE appropriate area, the units for the Doppler scale.
  • Page 271: Manual Doppler Trace Measurements

    Measurements Online Measurements Manual Doppler Trace Measurements To perform additional MAX V measurements (up to a MEAN V total of four per screen) press Caliper MAX PG repeat steps 2 and 3. MEAN PG 1. Press Freeze scroll to the appropriate area, and press Caliper...
  • Page 272: Doppler Auto Trace Measurements (noncardiac Presets)

    Measurements Online Measurements Doppler Auto Trace Measurements (Noncardiac Presets) In this example Doppler Trace is turned on in To perform an additional Measurements Setup. measurement (up to two per screen), press Enter 1. Press , and press Freeze and repeat steps 1 .
  • Page 273 Measurements Online Measurements Tip: With a manual To manually trace a portion of a frozen spectrum, press , then , and Caliper Freeze trace, up to three use the trackball to place the starting point to the left of the waveform. Press additional and use the trackball to outline the waveform.
  • Page 274: Doppler Trace Measurements (noncardiac Presets)

    Measurements Online Measurements Doppler Trace Measurements (Noncardiac Presets) This section describes how to use Doppler Trace, a system function that speeds up your exam by automatically tracing the frozen spectral Doppler display, calculating key measurements, and displaying all information you need. The SONOS system uses the end-diastolic velocity for the pulsatility index (PI) and resistivity index (RI) calculations.
  • Page 275: One-point Depth Measurement

    Measurements One-Point Depth Measurement One-Point Depth Measurement When you are scanning in BMode using a noncardiac preset, one-point depth measurement permits you to measure the depth of a caliper from the top of an image by pressing the key. Caliper Depth is calculated from the apex of the image to the center of the crosshair for sector probes, and from the transducer-edge of the image to the center of the crosshair for linear and curvilinear probes.
  • Page 276: Making A One-point Depth Measurement

    Measurements One-Point Depth Measurement Making a One-point Depth Measurement To make a one-point depth measurement press . The caliper is displayed Caliper on the imaging screen, and the depth measurement in a results box. DEPTH 3.00 CM Making Angle Measurements in the OB Preset To make an angle measurement in the OB preset: 1.
  • Page 277 Measurements One-Point Depth Measurement 9. Touch a a a a Line to get a new crosshair, and repeat steps 7 and 8 to position and approve the a line. 10.To establish another angle, touch b b b b Line to get a new crosshair, and repeat steps 7 and 8 to position and approve the b line.
  • Page 278: Calibrating Videotaped Images For Measurement

    Measurements Calibrating Videotaped Images for Measurement Calibrating Videotaped Images for Measurement These steps pertain to any images that have been videotaped, even if you are viewing those images in Loop mode or Disk mode. 1. Press Freeze 2. Press Caliper 3.
  • Page 279 Measurements Calibrating Videotaped Images for Measurement 8. To perform additional measurements of the same type on the same frozen image, press , highlight Same Cal, and press . To use this Caliper Enter method for loops, you must be making measurements on the same loop. 9.
  • Page 280: Measurement Troubleshooting

    Measurements Measurement Troubleshooting Measurement Troubleshooting Be sure to calibrate any images that have been videotaped (or were stored with older systems), even if you are viewing those images in Loop or Disk, before making measurements. Symptoms Suggestions Cannot erase a Linear measurements: measurement.
  • Page 281: 10 Analysis

    10 Analysis Introduction The SONOS system allows you to perform a variety of computations using your exam measurements. This chapter provides information about • Analysis screen and touch panels (page 10-2) • Controls (page 10-3) • Customizing analysis touch controls (page 10-7) •...
  • Page 282: Screen And Touch Panels

    Analysis Screen and Touch Panels Screen and Touch Panels Touch to see a brief description of the active measurement. Analysis Touch these controls to use the measurements that are Keyboard Explain displayed on the screen. Entry EF & Area Dimension Mass Volume The active preset and mode...
  • Page 283: Controls

    Analysis Controls Controls Primary Clears all entries from the results box. Available only Erase Box when no measurement is active. Explain Briefly describes the active measurement in a window Tip: The Measurements on the screen. and Calculations training toolkit contains Keyboard Entry Lets you enter data for any active measurement, except details on Analysis use...
  • Page 284: Reports

    Analysis Controls Reports When Report is active, controls showing report types based on the active mode and preset, appear. Touch a report type to view it. Acquire Report Captures the displayed report onto a page in loop memory. Analysis Report Indicates that a report page is displayed on the right touch panel.
  • Page 285: Setup

    Analysis Controls Right Selects the report for the right side of the body, when performing bilateral studies. Available only with vascular, abdominal, or OB/GYN presets. Serial Output Connects to a separate serial printer. Short Format Displays a report showing only measurements and calculations that are active in Setup and that contain data.
  • Page 286: Of Measurements And Calculations

    Analysis Controls Of measurements and calculations Edit Lets you add, delete, or move measurements or calculations that are part of the active group. Multiple Delete Removes multiple measurements and calculations at one time. Of reports English/Metric Sets the units to be used for body surface area (inches and pounds, or centimeters and kilograms).
  • Page 287: Customizing Analysis Touch Controls

    Analysis Customizing Analysis Touch Controls Customizing Analysis Touch Controls Make sure the active preset and mode are appropriate for the changes you want to make. Analysis touch controls are preset and mode dependent. Preset BMode Vascular Exam Touch Analysis and press Setup BMode Analysis...
  • Page 288 Analysis Customizing Analysis Touch Controls Touch the group you want to customize. Analysis BMode Indices Highlight the task you want to do with the trackball and press Enter Follow the instructions on the screen. Group Meas/Calc Create Edit Rename Multiple Delete Delete Report Copy...
  • Page 289: Configuring Weight Percentiles Report Display

    Analysis Customizing Analysis Touch Controls Configuring Weight Percentiles Report Display 1. Touch OB/GYN Exam. 2. Touch the OB preset. 3. Touch Analysis. 4. Press Setup 5. Use the trackball to select Weight Percentiles and press . The Weight Enter Percentiles window is displayed. Weight Percentiles Select Fetal Weight Percentile Usage Use no fetal growth curves...
  • Page 290: Analysis Procedure

    Analysis Analysis Procedure Analysis Procedure Touch Analysis. Be sure that the active mode and preset are appropriate for the measurement or calculation you want to perform. Analysis Touch the group containing the measurement or calculation you want to perform. Analysis Area 10-10 Revision D.0...
  • Page 291 Analysis Analysis Procedure Touch the measurement or calculation you want to perform. To enter a measurement value, touch Keyboard Entry and type a value. To use a measurement value, touch the symbol corresponding to the value that you want. Tip: All needed measurements appear Analysis for a calculation.
  • Page 292 Analysis Analysis Procedure To view the report for this patient, touch Report. Use Report controls to edit data, as necessary. Touching Report again removes the report from the screen. The results box shows the measurement or calculation just completed. Analysis Results Report 10-12...
  • Page 293: Ob Growth Curves

    Analysis OB Growth Curves OB Growth Curves You can display growth graphs for obstetrical studies (obstetrical presets only). The resulting growth curves plot gestational age (GA) on the x-axis against the measurement upon which the derived age is based (for example, BPD) on the y-axis.
  • Page 294 Analysis OB Growth Curves The following illustration shows a sample gestational age graph. Each biometry has its own growth curve. The curves displayed represent the 50th percentile gestational ages from established studies. Depending upon the measurements in use, curves showing +/- standard deviation from the 50th percentile are also shown.
  • Page 295: Displaying Obstetrical Growth Graphs

    Analysis OB Growth Curves Displaying Obstetrical Growth Graphs SONOS displays obstetrical growth graphs for configured gestational age calculations. When appropriate data is acquired, SONOS plots a fetus on the graph. If data has not been acquired to produce a graph, the system displays the normative curves with the text NO DATA at the top left of the graph.The following figure shows the obstetrical growth graph controls.
  • Page 296: Displaying Ob Graphs For Multiple Fetuses

    Analysis OB Growth Curves Displaying OB Graphs for Multiple Fetuses You can graph up to three fetuses on one display. By observing the different markers for each fetus (X for Fetus A; O for Fetus B; D for Fetus C), you can compare the data among the fetuses as well as between each fetus and the established-norm curves.
  • Page 297: Analysis Troubleshooting

    On some systems, characters may appear blurred, particularly in frozen or paused studies played back from a video recording. To assure the best possible legibility, Philips recommends the following: • When possible, review reports and measurements live, as they are produced.
  • Page 298 Analysis Analysis Troubleshooting 10-18 Revision D.0...
  • Page 299: 11 Loops

    11 Loops Introduction SONOS loop controls allow you to acquire, store, retrieve, bookmark, and review looping sequences of images. This chapter provides information about • Loop screen and touch panels (page 11-2) • Controls (page 11-3) • Setting up loop images (page 11-9) •...
  • Page 300: Screen And Touch Panels

    Loops Screen and Touch Panels Screen and Touch Panels This illustration shows frozen acquired images displayed in split format. Newton, S. Patient ID Selected loop image Selected image Frame ECG trace Time - frame line 2.02 1.05 Loop length - time Page number Loop speed Loop...
  • Page 301: Controls

    Loops Controls Controls Primary The number of frames acquired in a loop varies, depending on how the loop was acquired (that is, beats versus time), the frame rate of the system, and how much memory is in the system. Captures a frame or the next series of frames onto a Acquire page in loop memory.
  • Page 302 Loops Controls Color Suppress Removes color from looping color images. Colorize Optimizes contrast resolution by activating the current colorization map and overlaying the grayscale image. To change the active map, turn the color rotary control just under the Colorize touch control. Compare Displays a real-time image beside one or more looping images.
  • Page 303 Loops Controls Format Lets you select the format for acquiring and displaying loops. The formats are • Full—Acquires in full screen format. • Cropped—Acquires within a region of interest, the highest quad format resolution. • Reduced—Acquires a quad format that lets you display the entire imaging sector.
  • Page 304 Loops Controls Manual Entry One of the selections available when you turn the Comment rotary control. Lets you type or change the disk storage comment. In Disk Setup the comment can be set to System Generate, Manual Entry, or an exam type.
  • Page 305 Loops Controls Show Displays only the bookmarked loops and frames. Touch Bookmarks Show Bookmarks again to see all of the acquired images. Time Sets the loop length in seconds. Available only when Loop Type is set to Time. T-Set A T-Set is a multiple frame triggered set of frames. The T-Set control adjusts the number of T-Sets.
  • Page 306: Setup

    Loops Controls Setup Display Options Sets the loop display options to Manual Display or Auto Display. Manual display—Does not display a loop after it has been acquired. You must manually enter Display mode by touching the Display control. Auto display after each acquire—Automatically enters Display mode after a loop has been acquired, showing the acquired loop.
  • Page 307: Setting Up Loop Images

    Loops Setting Up Loop Images Setting Up Loop Images Press , touch Loop, and touch Display Options to choose the Tip: Many loop and Setup disk settings can be display options. preset. You can choose many combinations to best Loop meet your needs and store them to your own preset.
  • Page 308 Loops Setting Up Loop Images Press again to leave Setup mode. Setup Setup 11-10 Revision D.0...
  • Page 309: Acquiring Loop Images

    Loops Acquiring Loop Images Acquiring Loop Images You can acquire images onto multiple pages of loop memory and review them after each acquisition or review them at the end of all of the acquisitions. If your system has the digital storage and retrieval option, you can automatically store all images to disk, store the currently selected image, or bookmark certain images and store only the bookmarked images to disk.
  • Page 310 Loops Acquiring Loop Images During acquisition, the box disappears, indicating that acquisition is in progress. When the box reappears, the acquisition is complete. You can continue acquiring or touch Display to review all acquired loops using the Page rotary control. With 2D, BMode, Color, Angio, or AQ active, touch Loop.
  • Page 311 Loops Acquiring Loop Images To see how much memory the acquired loops have used, touch Memory Gauge. Loop Memory Gauge Format FULL Touch Acquire Loop or press to capture the upcoming series Acquire of frames into loop memory. Note that the light on the Acquire turns on during the acquisition and turns off when the acquisition is complete.
  • Page 312 Loops Acquiring Loop Images If you are using the touch controls or if Manual Display is enabled and you want to reacquire the loop, touch Display, Delete Page, Display, and then touch Acquire Loop. If you are using the key and Auto Display is enabled, see the Acquire next section for information on how to reacquire a loop.
  • Page 313: Using The Acquire And Enter Keys In Auto Display Mode

    Loops Acquiring Loop Images Using the Acquire and Enter Keys in Auto Display Mode When Auto Display is enabled, you can use the keys to Acquire Enter easily acquire, delete, accept, and reacquire loops. 1 Press to capture the upcoming series of frames into loop memory, Acquire which are displayed automatically.
  • Page 314: Acquiring Images In Compare Mode

    Loops Acquiring Images in Compare Mode Acquiring Images in Compare Mode Use the Compare control to display a live image next to an acquired image. This can be helpful in the operating room when you want to compare a prebypass image with a postbypass image.
  • Page 315 Loops Acquiring Images in Compare Mode The newly acquired image is automatically displayed, even if your display option is set to Manual Display. Touch Display to leave Compare mode. Loop Acquire Display Loop NOTE If you do not want the newly acquired image added to loop memory, touch Delete Loop or Delete Page to mark it for deletion.
  • Page 316: Acquiring Quick Review Images

    Loops Acquiring Quick Review Images Acquiring Quick Review Images Quick Review allows you to capture and display images at higher frame rates, up to 300 Hz. You can use Quick Review to view an image frame by frame by scrolling with the trackball. Quick Review is always available regardless of loop format or loop memory.
  • Page 317 Loops Acquiring Quick Review Images Use the trackball to scroll through the frames. If you want to see the loop in real time, touch Replay. The end points of the loop automatically cycle on the last R-to-R interval that occurred before you pressed Freeze Loop...
  • Page 318 Loops Acquiring Quick Review Images Use Edit Start and Edit End to adjust the start and end points of the Tip: Edit the loop before you loop. acquire it to use less memory. Loop Loop Display Replay Edit Edit Start Select the desired loop Format (Full, Vsplit, Reduced, or Cropped).
  • Page 319: Reviewing Studies

    Loops Reviewing Studies Reviewing Studies Once you have acquired all of the loops and frames for your study, you can display them and review the entire study. When you review the study, you can • Edit the loops by changing the start and end points or synchronizing the start and end times •...
  • Page 320 Loops Reviewing Studies If you acquired more than one loop, the Page rotary control appears on the left touch panel. Turn Page to view all of the pages in the study. The number of loops on a page varies, depending on the loop format. Loop Loop Display...
  • Page 321: Editing Loops

    Loops Reviewing Studies Editing Loops NOTE Depending on how your storage options are set up, loops may or may not be automatically stored to disk. If loops are stored to disk, the frames between the start and end points are the portion of the loop that is stored to disk. See Chapter 12 for more information on storing images.
  • Page 322: Bookmarking Loops

    Loops Reviewing Studies Bookmarking Loops You can bookmark individual loops or pages so that only those loops or pages are displayed on the screen. For example, you might want to bookmark the loops that you want a physician to review. Turn the Page rotary control to find the loop or page that you want to bookmark.
  • Page 323 Loops Reviewing Studies Touch Show Bookmarks. The loops or pages you bookmarked are displayed. Touch Show Bookmarks again if you want to see all of the acquired loops and pages. Loop Show Display Bookmarks Page Revision D.0 11-25 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 324: Storing Bookmarked Loops To A New Study

    Loops Reviewing Studies Storing Bookmarked Loops to a New Study You can create a subset of your study by storing only the bookmarked loops to a new study. Touch Disk. Disk Store All Loops Touch Store All Loops. The following window appears. Store All Loops To current study: To new Study:...
  • Page 325: Deleting Loops From Loop Memory

    Loops Reviewing Studies Deleting Loops from Loop Memory You can mark loops and pages for deletion by using the Delete Loop and Delete Page controls. The loops are not deleted from loop memory until you exit Display mode and return to live imaging. To set up delete options, see “Setting Up Loop Images”...
  • Page 326 Loops Reviewing Studies If there is more than one loop on a page, turn the Select rotary control to highlight the loop that you want to delete and touch Delete Loop. The message “Marked for Deletion” appears on the loop and the Delete Loop control changes to Undelete Loop.
  • Page 327 Loops Reviewing Studies To delete the marked loops and pages from loop memory, return to live imaging by touching Display or Loop Display. Loop Loop Display Display Revision D.0 11-29 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 328: Deleting All Pages

    Loops Reviewing Studies Deleting All Pages You can delete all loops and pages from loop memory by using the Delete All Pages control. Touch Display to show the loops in the study. Loop Display Touch Display again to unhighlight it. Touch Delete All Pages.
  • Page 329: Loop Troubleshooting

    Loops Loop Troubleshooting Loop Troubleshooting Symptoms Suggestions Cannot see Move the start and end points of the loop to their original frames removed locations with Edit Start or Edit End. from a loop. Looping image or The loop was acquired when the system’s frame rate text flickers, or exceeded the monitor’s maximum frame rate (that is looks blocky.
  • Page 330 Loops Loop Troubleshooting 11-32 Revision D.0...
  • Page 331: 12 Disk

    12 Disk Introduction The standard SONOS system configuration includes an • Internal hard disk—For temporary storage of exam images • Optical disk drive—For permanent offline storage of exam images • Floppy disk drive—For saving and loading system presets, upgrading software, installing software options, and servicing the system This chapter provides information about •...
  • Page 332: Screen And Touch Panels

    Disk Screen and Touch Panels Screen and Touch Panels Disk Copy to Store Disk Optical Study All Loops Space Rescue Init Study Disk List Rebuild Delete Files Database File System Generate Jones Studies listed are based on the current patient ID. Indicates that images were saved in a study format, and shows the...
  • Page 333: Controls

    Disk Controls Controls NOTE The Optical Disk feature may not be available on your system. If your system has the Integrated Digital Interface, see the Using Integrated Digital Interface (IDI) User’s Guide. Primary Copy to Optical Copies disk storage and retrieval (DSR) files from the IDI hard disk to the optical disk.
  • Page 334 Enable Optical is on. CAUTION: The SONOS system hard disk is initialized before shipment. Do not initialize the SONOS hard disk unless a Philips Service Representative asks you to do so. Initializing the SONOS hard disk erases all information on the disk.
  • Page 335 NOTE To avoid possible file corruption, it is recommended that you write protect the optical disk medium prior to installing or retrieving files on a Philips SONOS or EnConcert System when using a third party program. Revision D.0 12-5...
  • Page 336: Setup

    CAUTION: The SONOS system hard disk is formatted before shipment. Do not format the SONOS hard disk unless a Philips Service Representative asks you to do so. Formatting the SONOS hard disk erases all information on the disk.
  • Page 337 This control is off by default. It is a system-wide files on the optical disk, control that, when set, remains set until you change it. Philips recommends that The Enable Optical window appears before every disk you write-protect the optical disk on both the...
  • Page 338 Disk Controls Selects a subdirectory storage format (study format) for Study Mode Tip: To facilitate file management, Study saving images to disk. Storing and retrieving images Mode is on with Study Mode on facilitates study management. default Study Mode must be on to transfer studies to the network storage server.
  • Page 339: Commenting Options

    Disk Controls Commenting Options Comment Option Description and Usage Exam-Type List Selects a comment from a customizable comment list. Can be used in conjunction with Comment Auto-Advance. Highlight View Exam Contents to view and edit the comment list. Tip: The comment list can be customized and saved to a preset.
  • Page 340 Disk Controls Comment Option Description and Usage Manual Entry Allows you to enter a comment for each acquisition file, if Automatic Commenting is off. Automatic Commenting Disables the DSR comment box. The image is stored with the current comment automatically applied to the file. Select the comment using the Comment rotary control before storing the loop.
  • Page 341: Formatting A Disk

    CAUTION Do not format or initialize the hard disk unless requested to by your Philips service representative. Formatting an optical disk or hard disk erases all information on the disk.
  • Page 342 Disk Formatting a Disk Select Optical Disk, highlight Okay with the trackball, and press Enter Depending on disk capacity, formatting can take up to one hour. You can continue to image while the disk is being formatted. To format the other side of the disk, turn it over and touch Format Disk again.
  • Page 343: Initializing A Disk

    You must initialize each side of an optical disk before using it for the first time. CAUTION Do not format or initialize the hard disk unless requested to by your Philips service representative. Initializing an optical disk or hard disk erases all informa- tion on the disk.
  • Page 344: Configuring Disk Storage

    Disk Configuring Disk Storage Configuring Disk Storage Use the following controls to set up the disk options: Tip: Many Disk and Loop settings can be preset. You can • Study Mode choose many • Enable Optical combinations to best meet your needs and •...
  • Page 345 Disk Configuring Disk Storage Touch Enable Optical if you want to store data on an optical disk. Enable Optical is off by default. Disk Maximize Format Disk Transfer Study Delete Network Comment Enable Mode Options Autosend Options Optical Touch Delete Options to choose the autodelete settings. Disk Format Maximize...
  • Page 346 Disk Configuring Disk Storage Use the trackball to select the autodelete options and press . The Enter system defaults to No for both options, including Delete loop from memory after successful store to disk? This means that loops that have been stored on the disk are not deleted from loop (CLR) memory. You may review and edit your studies on the ultrasound system.
  • Page 347 Disk Configuring Disk Storage Touch Network Autosend when you want to send images to the network server while the session is in progress. This command is available under the Disk touch controls when you press Setup Sending a complete study to a network can take some time. When you enable Network Autosend, as soon as an image is stored to the local disk, IDI begins sending the image to the network server.
  • Page 348 Disk Configuring Disk Storage Use the trackball to select the comment options, select , and Okay press Enter Disk Storage Comment Options Storage Comment Type Exam-Type List System Generate Manual Entry Automatic Commenting Comment Auto-Advance View Exam Comments Okay Cancel When you store a loop: •...
  • Page 349 Disk Configuring Disk Storage • If Manual Entry is on and Automatic Commenting is off, the DSR comment box is blank. Type in the comment or use the Manual Entry control on the left touch panel to select a comment, use the trackball to select Okay, and press Enter Select View Exam Comments to display the exam-type comments.
  • Page 350 Disk Configuring Disk Storage 13. Press to leave Setup mode. Setup Setup 12-20 Revision D.0...
  • Page 351: Storing Images To Disk

    Disk Storing Images to Disk Storing Images to Disk You can store images to disk by touching one of the following controls: • Disk Autostore—Available under the Loop control. Automatically stores a loop or frame after you acquire and accept it. Images are stored under the current patient ID.
  • Page 352: Using Disk Autostore With Auto Display

    Disk Storing Images to Disk Using Disk Autostore with Auto Display Use Disk Autostore in conjunction with Auto Display to acquire a loop, review it, and decide whether or not you want to store it to disk. This configuration provides you with a quality check on the loops stored to disk because you can review the loops during the exam and easily reacquire them, if necessary.
  • Page 353 Disk Storing Images to Disk 3. Touch Disk Autostore to enable it. 4. Press and enter the patient information. (See “Setting up the Exam” Patient ID on page 6-2 for more information.) 5. Acquire the desired loops, frames, or report pages. Each image is acquired to a page in loop memory, and the system automatically displays the image.
  • Page 354: Using Disk Autostore With Manual Display

    Disk Storing Images to Disk Using Disk Autostore with Manual Display Use Disk Autostore in conjunction with Manual Display to automatically store acquired loops without stopping to review them. Everything you acquire is automatically stored to disk and you can continue acquiring while the images are being stored.
  • Page 355 Disk Storing Images to Disk 5. Acquire the desired loops, frames, or report pages. Each image is acquired to a page in loop memory and is automatically stored to disk. During acquisition, the white box in the screen’s lower right corner disappears, indicating that acquisition is in progress.
  • Page 356: Using Disk Store With Auto Display

    Disk Storing Images to Disk Using Disk Store with Auto Display Use Disk Store in conjunction with Auto Display to acquire a loop, to review it, and to decide whether you want to store it to disk or reacquire it. This configuration provides you with a quality check and can be helpful if you want to review the images during the exam so you can easily reacquire them, if necessary.
  • Page 357: Using Store All Loops

    Disk Storing Images to Disk Using Store All Loops Use Store All Loops to • Store all of the unstored loops to the current study. For example, you can enable Manual Display, continually acquire loops without stopping to review them, and then store them all to disk at the end of the study. The patient ID is retained.
  • Page 358 Disk Storing Images to Disk 3. Press and enter the patient information. (See “Setting up the Exam” Patient ID on page 6-2 for more information.) 4. Acquire the desired loops, frames, or report pages. 5. Bookmark specific loops, if desired. (See Chapter 11 for details on bookmarking.)
  • Page 359: Retrieving Loops From Disk

    Disk Retrieving Loops from Disk Retrieving Loops from Disk Touch Loop. Loop Touch Disk Retrieve to see studies matching the current patient ID. The system displays a list of studies that match the current patient ID information. If there is no match, a message appears telling you that the patient ID does not exist.
  • Page 360 Disk Retrieving Loops from Disk To see a list of just the patient IDs on the current side of the disk, select Change Patient. To see a list of all of the patient IDs and associated studies on current side of the disk, select Display All from the Change Patient window.
  • Page 361 Disk Retrieving Loops from Disk To see a list of all of the files in the study, highlight List Contents and Tip: If you select a stress study, the system press Enter automatically activates the Stress option, and the Stress control Highlight study or file to retrieve.
  • Page 362: Deleting Files From Disk

    Disk Deleting Files from Disk Deleting Files from Disk Touch Disk and then touch Delete File. Tip: To quickly delete all files on the hard disk or one side of an optical disk, touch Disk Init Disk. Init Disk Delete File Using the trackball, move the arrow to the study you want to delete.
  • Page 363 Disk Deleting Files from Disk With the trackball highlight Okay and press . A window appears Enter asking you to confirm the deletion. Highlight Okay and press to delete the file. Enter Enter Revision D.0 12-33 ssn February 10, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\CD FILES SONOS...
  • Page 364: Optical Disk Troubleshooting

    Disk Optical Disk Troubleshooting Optical Disk Troubleshooting Symptoms Suggestions Cannot store files to Make sure the image or loop you want to store is the disk. displayed. Make sure the optical disk is initialized. Make sure the optical disk is not write-protected. Make sure the optical disk media is compatible with the current SONOS revision.
  • Page 365 Index Index Numerics 2D/BMode – biopsy support 7-39 7-44 2D controls Abdominal exam performing online linear – Acquire Max 7-29 Color controls 7-66 7-69 – measurements 9-10 9-11 Adaptive Power 7-28 Measurement controls 9-4 performing online trace Colorize 7-25 MMode screen and touch measurements 9-12 Depth Marks 7-29 panels 7-50...
  • Page 366 Index Analysis Setup controls for Meas/ Steering 7-111 Calculation Touch Panel Calcs 10-6 Sweep 7-111 10-2 Setup controls for reports Threshold 7-111 configuring weight 10-6 Trapezoid 7-113 percentiles report display Weight Percentile for Zoom 7-111 10-9 reports 10-6 Annotating images customizing touch controls Analysis Report control 10-4 changing Home Cursor...
  • Page 367 Index Auto Display Loop control 11-8 probes and needle guides for Body Markers 11-11 11-15 12-22 12-26 7-39 controls for 8-3 8-14 Auto Trace Measurements probes supporting 7-44 disabling/enabling 8-16 – – 9-16 9-17 using controls 7-43 7-44 icons 8-13 AutoBeat Sequence control 5-3 Blink Setup VCR control 4-8 using 8-15...
  • Page 368 Index Cardiac preset 3-2 Packet 7-68 Comments Clear All Annotation control 8-3 Packet size 7-65 Auto Commenting off – Clear Diskette Service Floppy Pan 7-64 7-67 option 12-10 12-18 12-19 control 4-3 Peak Hold 7-69 Auto Commenting on option Clear Field Report control 10-4 Persist 7-65 7-69 12-10...
  • Page 369 Index Creating Density Rescue Study 12-5 – new presets 3-6 Angio controls 7-110 Store All Loops 12-5 12-21 new study, with Color controls 7-63 7-66 Study Mode 12-8 bookmarked loops 11-26 Depth Imaging control 7-2 Disks – 12-27 12-28 Depth Marks capacities (optical) 4-5 –...
  • Page 370 Index Doppler trace Editing Filter displaying side-by-side or annotation labels on screen Angio controls 7-110 – – full screen 7-57 7-58 Color controls 7-63 7-67 Measurement control 9-6 annotation touch panel Filter control 5-6 measurements See labels 8-11 PW and CW controls 7-82 Measurements comments 12-19 PW controls 7-87...
  • Page 371 Index Freeze controls Graph Analysis control 10-15 General Imaging 7-2 Groups, Analysis and 10-5 – Measurement 9-2 Growth curves 10-13 10-16 2D control 7-28 MMode 7-56 Frame lock 7-25 Freeze Loop control 11-5 11-18 Icons Frequency Fusion Body Marker 8-13 Harmonic Fusion 2D controls 7-25 bookmark 11-24...
  • Page 372 Index Install Options Service Floppy Line Adjust PW controls 7-87 Manual Display 11-8 control 4-3 Line Angle PW controls 7-87 11-11 12-24 Integrated Backscatter (IBS) Linear measurements See Manual Entry 11-6 7-28 Measurements Map 11-6 Interval List File Disk control 12-4 Map Invert 11-6 Physio control 5-3 Long Format Report control...
  • Page 373 Index frame rates 11-18 Manual Entry/System Generate Hide Box 9-4 length of loop display (sec/ Disk control 12-4 Manual Trace 9-6 – beats) 11-12 Manual Trace Measurement Meas Bar 9-4 Manual Display 11-8 control 9-3 M-Mode Ref Line 9-6 11-11 12-24 setting up 9-2 memory used 11-13...
  • Page 374 Index Mid/Main Monitor Graph control 10-15 Analysis control 10-3 adjusting lighting 1-13 growth curves, described – Report control 10-4 adjusting position 1-12 10-13 10-14 MMode brightness 1-14 1-15 setting up weight percentiles cardiac, screen and touch calibrating 1-13 1-14 10-6 panels 7-49 contrast 1-13 1-14...
  • Page 375 Index – Philips Service Center and troubleshooting 5-14 5-15 – – Remote Service 4-24 4-25 viewing 5-12 5-13 Packet Philips SONOS Systems waveforms, types of 5-2 Angio control 7-112 company contact PLAY VCR control 4-7 Color controls 7-68 information 1-17...
  • Page 376 Index – Printers and DICOM 4-12 4-15 Cursor Angle 7-84 Duplex 7-87 Printing Filter 7-82 Filter 7-87 – locally 4-10 4-11 Focus 7-82 Focus 7-87 – networked 4-12 4-15 Frequency Scales 7-85 Frequency Scales 7-92 overview 4-10 Full Screen 7-82 Full Screen 7-90 reports 4-17 Gain 7-83...
  • Page 377 Index Left 10-4 Long Format 10-4 – Quick Review 11-18 11-20 Same Start Loop control 11-6 Mid/Main 10-4 Quick Text mode 8-12 Saving Next Page 10-4 – images on disk 12-21 12-28 Prev Page 10-4 loops to disk 11-15 11-23 Right 10-5 See also Storing Serial Output 10-5...
  • Page 378 – disks 12-6 12-10 displaying traces 7-57 7-58 12-18 English/Metric units for General Imaging control 7-2 System see Philips SONOS reports 10-6 MMode controls 7-53 System Groups 10-5 PW and CW controls 7-83 institution name 1-8 PW controls 7-88 –...
  • Page 379 Index TGC (Time Gain Compensation) PW and CW (cardiac) 7-79 Troubleshooting – Curve Secondary controls 1-3 2D/BMode 7-45 7-47 – 2D controls 7-27 system 1-3 Analysis 10-17 – General Imaging controls Trace controls Angio 7-118 7-120 – Measurement (Cardiac) 9-2 Color 7-75 7-78 using 7-38...
  • Page 380 Index Velocity measurements See Measurements Vascular exam Velocity Smooth – Color controls 7-66 7-69 PW and CW controls 7-85 Measurement controls 9-4 PW controls 7-92 MMode screen and touch Volume measurements See panel 7-50 Measurements preset for 3-2 – PW controls 7-86 7-89 blurred playback 10-17 Waveform Suppress PW controls...

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