Volume 1

WARRANTY

Samsung Medison provides the following warranty to the purchaser of this unit. This warranty is valid for
a period of one year from the date of installation and covers all problems caused by faulty workmanship
or faulty material. Samsung Medison will, as sole and exclusive remedy and at no charge, replace any such
defective unit returned to Samsung Medison within the designated warranty period.

The warranty does not cover damages and loss caused by outside factors including, but not limited to, fire,
flood, storm, tidal wave, lightning, earthquake, theft, abnormal conditions of operation, and intentional
destruction of the equipment. Damage caused by equipment relocation is not covered.

The warranty is void in cases where the equipment has been damaged as a result of an accident, misuse,
abuse, dropping, or when attempts to modify or alter any part or assembly of the equipment have taken
place.

Parts with cosmetic defects or deterioration will not be replaced. Replacement of batteries, training
materials, and supplies are not covered.

Samsung Medison will not be responsible for incidental or consequential damages of any kind arising
from or connected with the use of the equipment.

Samsung Medison will not be responsible for any loss, damage, or injury resulting from a delay in services
rendered under the warranty

This limited warranty is in lieu of all other warranties expressed or implied, including warranties of
merchant ability or fitness for any particular use. No representative or other person is authorized to
represent or assume for Samsung Medison any warranty liability beyond that set forth herein.

Defective equipment shipped from you to Samsung Medison must be packed in the replacement
cartons. Shipping and insurance costs are the responsibility of the customer. To return defective material
to Samsung Medison contact the Samsung Medison Customer Service Department.

Samsung Medison or a local distributor will make available, upon request, circuit diagrams, a component
parts list, descriptions, calibration instructions and other information which will assist your appropriately
qualified technical personnel to repair those parts of the equipment which are designed by Samsung
Medison as repairable.

CAUTION: United State federal law restricts this device to sale by or on the order of physicians.

MANUFACTURER : SAMSUNG MEDISON CO., LTD.

42, Teheran-ro 108-gil, Gangnam-gu, Seoul, Korea

Customer Service Department : SAMSUNG MEDISON CO., LTD.

TEL : 82-2-2194-1234 FAX : 82-2-2194-1071
Website: www.samsungmedison.com

EC Representative : SAMSUNG ELECTRONICS (UK) LTD.

Blackbushe Business Park, Saxony Way,
Yateley, Hampshire, GU46 6GG, UK
Diagnostic Ultrasound System

Operation Manual
Version 2.01.00
English

MI68-02577A
PROPRIETRAY INFORMATION AND SOFTWARE LICENSE
The Customer shall keep confidential all proprietary information furnished or disclosed to the Customer
by Samsung Medison unless such information has become part of the public domain through no fault of
the Customer. The Customer shall not use such proprietary information, without the prior written consent
of Samsung Medison, for any purpose other than the maintenance, repair or operation of the goods.

Samsung Medison systems contain Samsung Medison proprietary software in machine-readable form.
Samsung Medison retains all its rights, title and interest in the software except that purchase of this
product includes a license to use the machine-readable software contained in it. The Customer shall not
copy, trace, disassemble or modify the software. Transfer of this product by the Customer shall constitute
a transfer of this license that shall not be otherwise transferable. Upon cancellation or termination of this
contract or return of the goods for reasons other than repair or modification, the Customer shall return to
Samsung Medison all such proprietary information.
 Safety Requirements
Classifications:
„„

Type of protection against electrical shock: Class I

XX

Degree of protection against electrical shock (Patient connection): Type BF or CF Applied Part
XX

Degree of protection against harmful ingress of water: Ordinary equipment

XX

Degree of safety of application in the presence of a flammable anesthetic material with air or
XX
with oxygen or nitrous oxide: Equipment not suitable for use in the presence of a flammable
anesthetic mixture with air or with oxygen or nitrous oxide.

Mode of operation: Continuous operation

XX

Electromechanical safety standards met:

„„

Medical Electrical Equipment, Part 1: General Requirements for Basic Safety and Essential
XX
Performance [IEC 60601-1:2005]

Medical Electrical Equipment, Part 1-2: General Requirements for Basic Safety and Essential
XX
Performance- Collateral Standard: Electromagnetic Compatibility - Requirements and Tests
[IEC 60601-1-2:2007]

Medical Electrical Equipment, Part 1-6: General Requirements for Basic Safety and Essential
XX
Performance- Collateral Standard: Usability [IEC 60601-1-6:2010]

Medical Electrical Equipment, Part 2-37: Particular Requirements for the Basic Safety and Essential
XX
Performance of Ultrasonic Medical Diagnostic and Monitoring Equipment [IEC 60601-2-37:2007]

Medical Electrical Equipment, Part 1: General Requirements for Safety [IEC 60601-1:1988 with
XX
A1:1991 and A2:1995]

Medical Electrical Equipment, Part 1-1: General Requirements for Safety - Collateral Standard: Safety
XX
Requirement for Medical Electrical Systems [IEC 60601-1-1:2000]

Medical Electrical Equipment, Part 1-2: General Requirements for Safety - Collateral Standard:
XX
Electromagnetic Compatibility - Requirements and Test [IEC 60601-1-2:2001, A1:2004]

Medical Electrical Equipment, Part 1-4: General Requirements for Safety - Collateral Standard:
XX
Programmable Electrical Medical Systems [IEC 60601-1-4:1996, A1:1999]
 Medical Electrical Equipment, Part 2-37: Particular Requirements for Safety - Ultrasonic Medical
XX
Diagnostic and Monitoring Equipment [IEC 60601-2-37:2001 with A1:2004, A2:2005]

Medical Devices – Application of Risk Management to Medical Devices [ISO 14971:2007]

XX

Medical Electrical Equipment, Part 1: General Requirements for Safety [UL 60601-1:2003]
XX

Medical Electrical Equipment - Part 1: General Requirements for Safety [CAN/CSA C22.2 No. 601.1-
XX
M90:1990, with R2003, with R2005]

Biological Evaluation of Medical Devices, Part 1: Evaluation and Testing within a risk management
XX
process [ISO 10993-1:2009]

Standard Means for the Reporting of the Acoustic Output of Medical Diagnostic Ultrasonic Equipment
XX
[IEC 61157:2007]

Declarations
„„

This is the CSA symbol for Canada and the United States of America.

This is the manufacturer’s declaration of product compliance with applicable EEC

directive(s) and the European notified body.

This is the manufacturer’s declaration of product compliance with applicable EEC

directive(s).

This is the GMP symbol for Korean Good Manufacturing Practice quality system
regulation.
 Read This First
You should be familiar with all of these areas before attempting to use this manual or your ultrasound
system.

Please keep this user guide close to the product as a reference when using the system.
„„

For safe use of this product, you should read ‘Chapter 1. Safety’ and ‘Chapter 8. Maintenance’ in this
„„
manual, prior to starting to use this system.

This manual does not include diagnosis results or opinions. Also, check the measurement reference for
„„
each application’s result measurement before making the final diagnosis.

This product is an ultrasound scanner and cannot be used from a user’s PC. We are not responsible for
„„
errors that occur when the system software is run on a user’s PC.

Only medical doctors or persons supervised by medical doctors should use this system. Persons who are
„„
not qualified must not operate this product.

The manufacturer is not responsible for any damage to this product caused by carelessness and/or
„„
neglect by the user.

Information contained in this operating manual is subject to change without prior notice.
„„

Products that are not manufactured by Samsung Medison are marked with the trademark of their
„„
respective copyright holders.

The headings below describe vitally important precautions necessary to prevent hazards.
„„

DANGER: Ignoring a DANGER warning will risk life-threatening injury.

WARNING: Used to indicate the presence of a hazard that can cause serious personal injury, or
substantial property damage.

CAUTION: Indicates the presence of a hazard that can cause equipment damage.

NOTE: The accompanying information covers an installation, operation, or maintenance

procedure that requires careful attention of the user, but has little chance of leading directly to a
dangerous situation.
If You Need Assistance
If you require a copy of the service manual or assistance with the product, please contact Samsung
Medison customer service department or your distributor.
 Revision History
This operation manual’s revision history is as follows:

VERSION DATE NOTE

v2.01.00-00 2013-05-23 Initial Release

System Upgrades and Manual Set Updates

Upgrades may be announced that consist of hardware or software improvements. Updated manuals will
accompany those system upgrades.

Check if this version of the manual is correct for the system version. If not, please contact the Customer
Service Department.
 Table of Contents

Table of Contents – Volume 1

Chapter 1 Safety
Indication for Use........................................................................................................................ 1-3
Contraindications ............................................................................................................................................................... 1-3

Safety Signs.................................................................................................................................. 1-4

Safety Symbols..................................................................................................................................................................... 1-4
Symbols.................................................................................................................................................................................. 1-5
Labels....................................................................................................................................................................................... 1-6

Electrical Safety........................................................................................................................... 1-8

Prevention of Electric Shock........................................................................................................................................... 1-8
ECG-Related Information...............................................................................................................................................1-10
ESD..........................................................................................................................................................................................1-10
EMI..........................................................................................................................................................................................1-11
EMC........................................................................................................................................................................................1-11

Mechanical Safety..................................................................................................................... 1-18

Moving the Equipment...................................................................................................................................................1-18
Safety Notes........................................................................................................................................................................1-19

Biological Safety....................................................................................................................... 1-21

ALARA Principle.................................................................................................................................................................1-21

Environmental Protection....................................................................................................... 1-35

Correct Disposal of This Product (Waste Electrical & Electronic Equipment)............................................1-35

Chapter 2 Introduction
Specifications.............................................................................................................................. 2-3
Product Configuration............................................................................................................... 2-5
Monitor................................................................................................................................................................................... 2-7
Control Panel........................................................................................................................................................................ 2-9
Console.................................................................................................................................................................................2-14
Peripheral Devices............................................................................................................................................................2-16
Probes....................................................................................................................................................................................2-19
Accessories..........................................................................................................................................................................2-20
Optional Functions...........................................................................................................................................................2-21

15
 Operation Manual

Chapter 3 Starting Diagnosis

Power Supply............................................................................................................................... 3-3
Powering On......................................................................................................................................................................... 3-3
Powering Off......................................................................................................................................................................... 3-3

Probes & Applications ............................................................................................................... 3-4

Probe and Application Selection.................................................................................................................................. 3-5
Probe Userset Management........................................................................................................................................... 3-6

Patient Information.................................................................................................................... 3-9

Patient Information Entry..............................................................................................................................................3-11
Changing Measurements..............................................................................................................................................3-23
Work list Search.................................................................................................................................................................3-26
Searching for Patient Information..............................................................................................................................3-27
Restarting the Exam.........................................................................................................................................................3-35

Chapter 4 Diagnosis Modes

Information.................................................................................................................................. 4-3
Diagnosis Mode Types...................................................................................................................................................... 4-3
Basic Use................................................................................................................................................................................. 4-4

Basic Mode................................................................................................................................... 4-7

2D Mode................................................................................................................................................................................. 4-7
M Mode.................................................................................................................................................................................4-22
Color Doppler Mode........................................................................................................................................................4-25
Power Doppler Mode......................................................................................................................................................4-30
PW Spectral Doppler Mode...........................................................................................................................................4-33
CW Spectral Doppler Mode..........................................................................................................................................4-38
TDI Mode..............................................................................................................................................................................4-40
TDW Mode...........................................................................................................................................................................4-42
ElastoScan Mode...............................................................................................................................................................4-44

Combined Mode....................................................................................................................... 4-51

2D/C/PW Mode..................................................................................................................................................................4-51
2D/PD/PW Mode...............................................................................................................................................................4-51
2D/C/CW Mode..................................................................................................................................................................4-51
2D/PD/CW Mode...............................................................................................................................................................4-51
2D/C/M Mode.....................................................................................................................................................................4-52
Dual Live Mode..................................................................................................................................................................4-52
2D/TDI/TDW........................................................................................................................................................................4-52

16
 Table of Contents

MULTI-IMAGE MODE................................................................................................................ 4-54

Dual Mode...........................................................................................................................................................................4-54
Quad Mode..........................................................................................................................................................................4-55

3D/4D Mode............................................................................................................................... 4-56

3D Stand By.........................................................................................................................................................................4-60
3D View - MPR....................................................................................................................................................................4-64
VOCAL...................................................................................................................................................................................4-74
3D XI.......................................................................................................................................................................................4-83
XI VOCAL...............................................................................................................................................................................4-93
4D......................................................................................................................................................................................... 4-100
XI STIC................................................................................................................................................................................. 4-101
3D Utility Menu............................................................................................................................................................... 4-105

Chapter 5 Measurements and Calculations

Measurement Accuracy............................................................................................................. 5-3
Causes of Measurement Errors...................................................................................................................................... 5-3
Optimization of Measurement Accuracy................................................................................................................... 5-5
Measurement Accuracy Table........................................................................................................................................ 5-7

Basic Measurements.................................................................................................................. 5-8

Distance Measurements.................................................................................................................................................5-11
Circumference and Area Measurement...................................................................................................................5-19
Volume Measurement.....................................................................................................................................................5-21

Calculations by Application.................................................................................................... 5-24

Things to note....................................................................................................................................................................5-24
Common Measurement Methods..............................................................................................................................5-29
OB Calculations..................................................................................................................................................................5-34
Gynecology Calculations...............................................................................................................................................5-43
Cardiac Calculations.........................................................................................................................................................5-46
Vascular Calculations.......................................................................................................................................................5-64
Fetal Heart Calculations..................................................................................................................................................5-77
Urology Calculations........................................................................................................................................................5-81
Abdomen Calculations ..................................................................................................................................................5-85
Small Parts Calculations .................................................................................................................................................5-89
TCD Calculations ..............................................................................................................................................................5-94
Pediatric Hip Calculations..............................................................................................................................................5-96
Musculoskeletal Calculations.......................................................................................................................................5-98

17
 Operation Manual

Reports........................................................................................................................................ 5-99
Report View.........................................................................................................................................................................5-99
Editing Reports............................................................................................................................................................... 5-107
Data Management......................................................................................................................................................... 5-117
Closing Reports............................................................................................................................................................... 5-118

Reference Manual

Samsung Medison is providing an additional Accuvix A30 Reference Manual (English version).

18
Chapter 1
Safety

‹‹Indication for Use..............................................1-3

Contraindications ....................................................................1-3

‹‹Safety Signs.......................................................1-4
Safety Symbols..........................................................................1-4
Symbols........................................................................................1-5
Labels............................................................................................1-6

‹‹Electrical Safety.................................................1-8
Prevention of Electric Shock.................................................1-8
ECG-Related Information.....................................................1-10
ESD...............................................................................................1-10
EMI................................................................................................1-12
EMC..............................................................................................1-12

‹‹Mechanical Safety......................................... 1-19

Moving the Equipment........................................................1-19
Safety Notes..............................................................................1-20

‹‹Biological Safety............................................ 1-22

ALARA Principle......................................................................1-22

‹‹Environmental Protection............................ 1-36

Correct Disposal of This Product
(Waste Electrical & Electronic Equipment)...................1-36
 Chapter 1 Safety

Indication for Use

The Accuvix A30 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound
imaging and fluid analysis of the human body.

The clinical applications include: Fetal, Abdominal, Pediatric, Small Organs, Neonatal Cephalic, Adult
Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (conventional, superficial), Cardiac Adult, Cardiac
Pediatric and Peripheral-vessel.

Contraindications
The Accuvix A30 system is not intended for ophthalmic use or any use causing the acoustic beam to pass
through the eye.

CAUTION:
XX
Federal law restricts this device to sale by or on the order of a physician.
XX
The method of application or use of the device is described in the manual ‘Chapter 3. Starting
Diagnosis’ and ‘Chapter 4. Diagnosis Modes’.

1-3
 Operation Manual

Safety Signs
Please read this chapter before using the Samsung Medison ultrasound system. It is relevant to the
ultrasound system, the probes, the recording devices, and any of the optional equipment.

Accuvix A30 is intended for use by, or by the order of, and under the supervision of, a licensed physician
who is qualified for direct use of the medical device.

Safety Symbols
The International Electrotechnical Commission (IEC) has established a set of symbols for medical
electronic equipment, which classify a connection or warn of potential hazards. The classifications and
symbols are shown below:

Symbols Description Symbols Description

AC (Alternating Current) voltage source Left and right Audio / Video input

Electric shock hazard warning Left and right Audio / Video output

Classification based on degree of

Remote print output
protection against electric hazard (Type BF)

Classification based on degree of

Foot switch connector
protection against electric hazard (Type CF)

Power switch (Supplies/cuts the power to

ECG connector
the product)

OFF (Cuts the power to a part of the

USB connector
product)

WARNING: The accompanying information

must be followed to prevent serious Microphone connector
accidents and/or damage to property.

CAUTION: The accompanying information

Protection against the effects of
helps to avoid accidents and/or damage
immersion
to property.

1-4
 Chapter 1 Safety

Symbols Description Symbols Description

Refer to the operation manual Protection against dripping water

ON (Supplies power to a part of the

Probe connector
product)

Identifies an equipotential ground ESD (Electrostatic Discharge) caution

Indicates dangerous voltages over 1000V

Do not sit on the control panel
AC or 1500V DC

Protective earth connected to conductive

parts of Class I equipment for safety Do not push the product
purposes

Data Output port Do not lean against the product

Data Input port Follow the operation manual

Data Input/Output port

Symbols
Symbols Description Symbols Description

Authorized Representative In The

Manufacturer
European Community

1-5
 Operation Manual

Labels
Phrases containing the words ‘warning’ and/or ‘caution’ are displayed on the product’s surface in order to
protect it.

[Label 1. ID label]

ATTENTION
Do not push the product with
excessive force or lean against it.
ŝࠥ⦽ ⯹ᮝಽ ᱽ⣩ᮥ ၡÑӹ ʑ‫ݡ‬ḡ ษᝎ᜽᪅.

䇋࣓⫼࡯᥼य़ѻક⾈៪䴴೼݊ϞDŽ
Не толкайте изделие и не опирайтесь
275-K-A858C
на него.

[Label 2. Tip-over caution label]

[Label 3. Control panel caution label]

1-6
 Chapter 1 Safety

MADE IN KOREA SAMSUNG MEDISON CO., LTD.

275-K-A544C
CW 2.0
MADE IN KOREA SAMSUNG MEDISON CO., LTD.

275-K-A511C
CW 4.0
MADE IN KOREA SAMSUNG MEDISON CO., LTD.

275-K-B083B
CW 6.0
[Label 4. Probe ID Label]

1-7
 Operation Manual

Electrical Safety
This product is categorized as a Class I device.

CAUTION:
XX
As for US requirement, the LEAKAGE CURRENT might be measured from a center-tapped circuit
when the equipment connects in the United States to 240V supply system.
XX
To help assure grounding reliability, connect to a “hospital grade” or “hospital only” grounded
power outlet.

Prevention of Electric Shock

In a hospital environment, hazardous current can form due to potential differences between exposed
conductive parts and connected devices. The solution to the problem is consistent equipotential
bonding. Medical equipment is connected with connecting leads made up of sockets which are angled
to the equipotential bonding network in medical rooms.

Equipotential Terminal
Connection Lead
(Socket)
Earth in Medical

Equipotential Connector
[Figure 1.1 Equipotential Bonding]

1-8
 Chapter 1 Safety

Additional equipment connected to medical electrical equipment must comply with the respective IEC
standards (e.g., IEC 60950/EN 60950 for data processing equipment, IEC 60601-1/EN 60601-1 for medical
devices). Furthermore, all components of the product shall comply with the requirements for medical
electrical systems IEC 60601-1-1/EN 60601-1-1. Any person connecting additional equipment to the
signal input and output ports of medical electrical equipment must verify that the equipment complies
with IEC 60601-1-1/EN 60601-1-1.

WARNING:
XX
Electric shock may result if this system, including all of its externally mounted recording and
monitoring devices, is not properly grounded.
XX
Never remove the cover from the product. Hazardously high voltage flows through the product.
All internal adjustments and replacements must be made by a qualified Samsung Medison
Customer Service Department.
XX
Always check the product’s casing, cables, cords, and plugs for damage before using the
product. Disconnect and do not use the power source if the face is cracked, chipped, torn, the
housing is damaged, or if the cable is abraded.
XX
Always disconnect the system from the wall outlet prior to cleaning it.
XX
All patient contact devices, such as probes and ECG leads, must be removed from the patient
prior to the application of a high voltage defibrillation pulse.
XX
The use of flammable anesthetic gas or oxidizing gases (N2O) should be avoided. Doing so may
cause an explosion.
XX
Avoid placing the system where it is likely to be difficult to operate, or disconnect.
XX
Do not use together with HF surgical equipment. HF surgical equipment may be damaged,
which may result in fire.
XX
The System must only be connected to a supply mains with protective earth to avoid risk of electric
shock.

CAUTION:
XX
The system has been designed for 100-120VAC and 200-240VAC; you should select the input
voltage of the printer and VCR. Prior to connecting a peripheral power cord, verify that the
voltage indicated on the power cord matches the voltage rating of the peripheral device.
XX
An isolation transformer protects the system from power surges. This continues to operate when
the system is on standby.
XX
Do not immerse the cable in liquids. Cables are not waterproof.
XX
The auxiliary socket outlets installed on this system are rated 100-120V and 200-240V, with a
maximum total load of 150VA. Only use these outlets for supplying power to equipment that is
intended to be part of the ultrasound system. Do not connect additional multiple-socket outlets
or extension cords to the system.
XX
Do not connect any peripheral devices not listed in this manual to the auxiliary socket outlets of
the system.
XX
Do not touch SIP/SOP and the patient simultaneously. There is a risk of electric shock from
current leakage.

1-9
 Operation Manual

ECG-Related Information
WARNING:
XX
This product does not support ECG monitoring. Therefore, it will not recognize incompatible
ECG signals.
XX
Do not use the ECG electrodes of HF surgical equipment. Any malfunctions in the HF surgical
equipment may result in burns to the patient.
XX
Do not use ECG electrodes during cardiac pacemaker procedures or other electrical stimulators.
XX
Do not use ECG leads and electrodes in an operating room.

ESD
Electrostatic discharge (ESD), commonly referred to as a static shock, is a naturally occurring
phenomenon. ESD is most prevalent during conditions of low humidity, which can be caused by heating
or air conditioning. The static shock, or ESD, is a discharge of the electrical energy build-up from a
charged individual to a lesser or uncharged individual or object. An ESD occurs when an individual with
an electrical energy build-up comes in to contact with conductive objects such as metal doorknobs, file
cabinets, computer equipment, and even other individuals.

CAUTION:
XX
The level of electrical energy discharged from a system user or a patient to an ultrasound system
can be significant enough to cause damage to the system or probes.
XX
Always perform the pre-ESD preventive procedures before using connectors marked with the
ESD warning label.
− Apply anti-static spray to carpets or linoleum.
− Use anti-static mats.
− Ground the product to the patient table or bed.
XX
It is highly recommended that the user be given training on ESD-related warning symbols and
preventive procedures.

1-10
 Chapter 1 Safety

EMI
This product complies with EMI (Electromagnetic Interference) standards. However, using the system
inside an electromagnetic field can lower the quality of ultrasound images and even damage the product.

If this occurs often, Samsung Medison suggests a review of the environment in which the system is being
used, to identify possible sources of radiated emissions. These emissions could be from other electrical
devices used within the same room or an adjacent room. Communication devices, such as cellular
phones and pagers, can cause these emissions. The existence of radios, TVs, or microwave transmission
equipment nearby can also cause interference.

CAUTION: In cases where EMI is causing disturbances, it may be necessary to relocate the system.

EMC
The testing for the EMC (Electromagnetic Compatibility) of this system has been performed according to
the international standard for EMC with medical devices (IEC 60601-1-2). This IEC standard was adopted
in Europe as the European norm (EN 60601-1-2).

Guidance and Manufacturer’s Declaration – Electromagnetic Emissions

This product is intended for use in the electromagnetic environment specified below. The customer or
the user of this product should assure that it is used in such an environment.

Emission test Compliance Electromagnetic environment guidance

The Ultrasound System uses RF energy only for its internal

RF Emission
Group 1 function. Therefore, its RF emissions are very low and are not
CISPR 11
likely to cause any interference in nearby electronic equipment.

RF Emission
Class B
CISPR 11
The Ultrasound System is suitable for use in all establishments,
Harmonic Emission including domestic establishments and those directly
Class A
IEC 61000-3-2 connected to the public low-voltage power supply network that
supplies buildings used for domestic purposes.
Flicker Emission
Complies
IEC 61000-3-3

1-11
 Operation Manual

Approved Cables, Transducers and Accessories for EMC

Approved Cable for Electromagnetic Compliance

„„
Cables connected to this product may affect its emissions. Refer to the table below for recommended
cable types and lengths:
Cable Type Length

VGA Shielded Normal

RS232C Shielded Normal

USB Shielded Normal

LAN(RJ45) Twisted pair Any

S-Video Shielded Normal

Foot Switch Shielded 2.5m

B/W Printer Unshielded Coaxial Normal

MIC Unshielded Any

Printer Remote Unshielded Any

Audio R.L Shielded Normal

VHS Shielded Normal

ECG AUX input Shielded < 3m

Parallel Shielded Normal

Probe
„„
The probes listed in ‘Chapter 9. Probes’ of this manual comply with Group1 Class B emission
requirements of International Standard CISPR 11.

Approved Accessories for Electromagnetic Compliance

„„
Accessories used with this product may affect its emissions.

CAUTION: When connecting other customer-supplied accessories to the system, such as a remote
printer, it is the user’s responsibility to ensure the electromagnetic compatibility of the system. Use
only CISPR 11 or CISPR 22, CLASS B compliant devices.

1-12
 Chapter 1 Safety

WARNING: The use of cables, transducers, and accessories, other than those specified, may result
in increased emissions or decreased immunity of the Ultrasound System.

Electromagnetic environment
Immunity test IEC 60601 test level Compliance level
guidance
Floors should be wood, concrete
Electrostatic
±6KV contact ±6KV contact or ceramic tile.
discharge (ESD)
If floors are covered with synthetic
±8KV air ±8KV air material, the relative humidity
IEC 61000-4-2
should be at least 30%.
Electrical fast ±2KV ±2KV
Mains power quality should be
transient/burst for power supply lines for power supply lines
that of a typical commercial or
±1KV ±1KV
hospital environment.
IEC 61000-4-4 for input/output lines for input/output lines
Surge ±1KV differential mode ±1KV differential mode Mains power quality should be
that of a typical commercial or
IEC 61000-4-5 ±2KV common mode ±2KV common mode hospital environment.
<5% Uт for 0.5 cycles <5% Uт for 0.5 cycles
(>95% dip in Uт) (>95% dip in Uт) Mains power quality should be
Voltage dips, short that of a typical commercial or
interruptions and 40% Uт for 5 cycles 40% Uт for 5 cycles hospital environment. If the user
voltage variations on (60% dip in Uт) (60% dip in Uт) of this product requires continued
power supply input operation during power mains
lines 70% Uт for 25 cycles 70% Uт for 25 cycles interruptions, it is recommended
(30% dip in Uт) (30% dip in Uт) that this product be powered from
IEC 61000-4-11 an uninterruptible power supply
<5% Uт for 5 s <5% Uт for 5 s or a battery.
(<95% dip in Uт ) (<95% dip in Uт )
Power frequency
Power frequency magnetic fields
magnetic field (50/60
should be at levels characteristic
Hz) 3 A/m 3 A/m
of a typical commercial or hospital
environment.
IEC 61000-4-8
NOTE: Uт is the AC mains voltage, prior to application of the test level.

1-13
 Operation Manual

IEC 60601 Electromagnetic

Immunity test Compliance level
test level environment guidance

Conducted RF 3Vrms 0.01V Portable and mobile RF communications

IEC 61000-4-6 150 kHz equipment should be used no closer to any part
to 80MHz of the Ultrasound System, including cables, than
the recommended separation distance. This is
calculated using the equation applicable to the
frequency of the transmitter.

Recommended separation distance

80MHz a 800MHZ

800MHz a 2,5GHz

Radiated RF 3 V/m 3V/m Where P is the transmitter’s maximum output

IEC 61000-4-3 80MHz power rating in watts (W) according to the
to 2.5GHz transmitter’s manufacturer, and d is the
recommended separation distance in meters (m).

Field strengths from fixed RF transmitters, as

determined by an electromagnetic site survey, a
should be less than the compliance level in each
frequency range. b

Interference may occur in the vicinity of

equipment marked with the following symbol:

NOTE 1) At 80MHz and 800MHz, the higher frequency range applies.
NOTE 2) These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a
F ield strengths from fixed transmitters, such as base stations for radio, (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcasts and TV broadcasts cannot be predicted with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site
survey should be considered. If the measured field strength, in the location in which the Ultrasound System
is used, exceeds the applicable RF compliance level above, the Ultrasound System should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be necessary, such
as reorienting or relocating the Ultrasound System or using a shielded location with a higher RF shielding
effectiveness and filter attenuation.
b
Over the frequency range 150kHz to 80MHz, field strengths should be less than V1 V/m.

1-14
 Chapter 1 Safety

Recommended separation distances between portable and mobile RF

communications equipment and ACCUVIX A30
This product is intended for use in an electromagnetic environment, in which radiated RF disturbances
are controlled. The customer or the user of this product can help prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and this product. These distances are recommended below, according to the maximum
output power of the communications equipment.

Separation distance, according to frequency of transmitter [m]

Rated maximum output 150kHz to 80MHz 80MHz to 800MHz 800MHz to 2.5GHz

power of transmitter
[W]

V1=0.01Vrms E1=3V/m E1=3V/m

0.01 35.00 0.11 0.23

0.1 110.68 0.36 0.73

1 350.00 1.16 2.33

10 1106.80 3.68 7.37

100 3500.00 11.66 23.33

For transmitters rated at a maximum output power not listed above, the recommended separation distance d
in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where p is the
maximum output power rating of the transmitter in watts (W), according to the transmitter’s manufacturer.

NOTE 1) At 80MHz and 800MHz, the separation distance for the higher frequency range applies.
NOTE 2) These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects and people.

Electromagnetic Environment – Guidance

The Ultrasound System must only be used in a shielded location with a minimum RF shielding
effectiveness, and each cable should also be connected and used within the shielded location. Field
strengths outside the shielded location from fixed RF transmitters, as determined by an electromagnetic
site survey, should be less than 3V/m.

It is essential that the actual shielding effectiveness and filter attenuation of the shielded location be
verified to assure that they meet the minimum specification.

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 Operation Manual

CAUTION: If the system is connected to other customer-supplied equipment, such as a local

area network (LAN) or a remote printer, Samsung Medison cannot guarantee that the remote
equipment will work correctly in the presence of electromagnetic phenomena.

Avoiding Electromagnetic Interference

Typical interference on ultrasound imaging systems varies depending on electromagnetic phenomena.
Please refer to the following table:

Imaging Mode ESD1 RF2 Power Line3

For sector imaging probes,

white radial bands or flashes
in the centerlines of the
image. White dots, dashes, diagonal
2D For linear imaging lines, or diagonal lines near
probes, white vertical the center of the image.
bands, sometimes more
pronounced on the sides of
Change of operating the image.
mode, system settings, or
system reset. Increase in the image White dots, dashes, diagonal
M background noise or white lines, or increase in image
Brief flashes in the
displayed or recorded M mode lines. background noise.
image. Color flashes, radial or
Color flashes, dots, dashes,
vertical bands, increase
Color or changes in the color noise
in background noise, or
level.
changes in color image.

Horizontal lines in the

Vertical lines in the spectral
spectral display or tones,
Doppler display, popping type noises
abnormal noise in the audio,
in the audio, or both.
or both.

1. ESD caused by discharging of electric charge build-up on insulated surfaces or persons.

2. RF energy from RF transmitting equipment such as portable phones, hand-held radios, wireless devices,
commercial radio and TV, and so on.
3. Conducted interference on power lines or connected cables caused by other equipment, such as switching
power supplies, electrical controls, and natural phenomena such as lightning.

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 Chapter 1 Safety

A medical device can either generate or receive electromagnetic interference. The EMC standards
describe tests for both emitted and received interference.

Samsung Medison ultrasound systems do not generate interference in excess of the referenced
standards.

The Ultrasound System is designed to receive signals at radio frequency and is therefore susceptible
to interference generated by RF energy sources. Examples of other sources of interference are medical
devices, information technology products, and radio and television transmission towers. Tracing the
source of radiated interference can be a difficult task. Customers should consider the following in an
attempt to locate the source:

−− Is the interference intermittent or constant?

−− Does the interference show up only with one transducer operating at the same frequency or
with several transducers?

−− Do two different transducers operating at the same frequency have the same problem?

−− Is the interference present if the system is moved to a different location in the facility?

The answers to these questions will help determine if the problem resides with the system or the
scanning environment. After you answer this question, contact your local Samsung Medison customer
service representative.

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 Operation Manual

Mechanical Safety

Moving the Equipment

WARNING: The product weighs more than 100kg. Be extra careful when transporting it. Careless
transportation of the product may result in product damage or personal injury.

Before transporting the product, check that the wheel brakes are unlocked. Also, make sure to retract the
„„
monitor arm completely, so that it is secured in a stationary position.

Always use the handles at the back of the console and move the product slowly.
„„

This product is designed to resist shocks. However, excessive shock, for example – if the product falls over,
may cause serious damage.

If the system operates abnormally after being repositioned, please contact Samsung Medison customer
service department.

The Brakes
You can use the brakes to control the movement of the product. The front wheel brakes are on the
center of the consol pedal and the back wheel brakes are on the top of each wheel. The brakes at the
front can help you to control the two front wheels simultaneously, using the pedal.

The front wheel brakes: To lock the brakes, press the front part of the brake with your foot. To
XX
unlock the brakes, press the back of the pedal.

To lock the brakes, press the bottom part of the brake with your foot. To unlock them, press the
XX
part labeled OFF at the top of the brake with your foot.

We recommend that you lock the brakes when using the product.

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 Chapter 1 Safety

Precautions on Ramps
Always make sure that the control panel is facing the direction of movement.

WARNING: Be aware of the castors, especially when moving the system. Samsung Medison
recommends that you exercise caution when moving the product up or down ramps.

When moving the product down a ramp or resting it temporarily on a ramp, the product may tilt over
even with the brakes on depending on the direction the product is facing. Do not leave the product
on ramps.

Safety Notes
CAUTION:
XX
Do not press the control panel excessively.
XX
Never attempt to modify the product in any way.
XX
Check the operational safety when using the product after a prolonged break in service.
XX
Make sure that other objects, such as metal pieces, do not enter the system.
XX
Do not block the ventilation slots.
XX
Do not pull on the power cord to unplug it. Doing so can damage the cord and cause short-
circuiting and cord snapping. Always unplug by pulling on the plug itself.
XX
Excessive bending or twisting of cables, on parts that are applied to the patient, may cause
failure or intermittent operation of the system.
XX
Improper cleaning or sterilization, of parts that are applied to the patient, may cause permanent
damage.
XX
Servicing the product, including repairs and replacement of parts, must be done by qualified
Samsung Medison service personnel . Assuming that the product is used in accordance with
the guidelines contained in this manual and maintained by qualified service personnel, the
expected lifespan of the product is approximately 7 years.

For detailed information on cleaning and disinfecting the product, refer to “Chapter 8. Maintenance”.

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 Operation Manual

Monitor Safety Note

When adjusting the height or position of the monitor, be careful of the space in the middle of the
monitor arm. Having your fingers, or other body parts, caught in it may result in injury.

275-K-A730B

[Figure 1.2 Monitor Safety Note]

Control Panel Caution

CAUTION:
XX
Do not press on the control panel with excessive force or lean against it.
XX
Do not sit on the control panel or apply too much pressure to it.

When adjusting the control panel’s height or position, be mindful of the space between the panel and
the lift. Having your fingers, or other body parts, caught in it may result in injury.

275-K-B003A

[Figure 1.3 Control Panel Caution]

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 Chapter 1 Safety

Biological Safety
For safety instructions concerning probes and biopsies, refer to “Chapter 9. Probes”.

WARNING:
XX
Ultrasound waves may have damaging effects on cells and, therefore, may be harmful to the
patient. If there is no medical benefit, minimize the exposure time and maintain the ultrasound
wave output level at low. Please refer to the ALARA principle.
XX
Do not use the system if an error message appears on the video display indicating that a
hazardous condition exists. Note the error code, turn off the power to the system, and call
Samsung Medison customer service department.
XX
Do not use a system that exhibits erratic or inconsistent functioning. Discontinuities in the
scanning sequence are indicative of a hardware failure that should be corrected before use.
XX
The system limits the maximum contact temperature to 43 degrees Celsius, and the ultrasonic
wave output observes American FDA regulations.

ALARA Principle
Guidance for the use of diagnostic ultrasound is defined by the “As Low As Reasonably Achievable”
(ALARA) principle. The decision as to what is reasonable has been left to the judgment and insight of
qualified personnel. No set of rules can be formulated that would be sufficiently complete to dictate
the correct response to every circumstance. By keeping ultrasound exposure as low as possible, while
obtaining diagnostic images, users can minimize ultrasonic bioeffects.

Since the threshold for diagnostic ultrasound bioeffects is undetermined, it is the sonographer’s
responsibility to control the total energy transmitted into the patient. The sonographer must reconcile
exposure time with diagnostic image quality. To ensure diagnostic image quality and limit exposure time,
the Ultrasound System provides controls that can be manipulated during the exam to optimize the results.

The ability of the user to abide by the ALARA principle is important. Advances in diagnostic ultrasound, not
only in the technology but also in its applications, have resulted in the need for increased and improved
information to guide the user. The output indices are designed to provide that important information.

There are a number of variables, which affect the way in which the output display indices can be used
to implement the ALARA principle. These variables include mass, body size, location of the bone relative
to the focal point, attenuation in the body, and ultrasound exposure time. Exposure time is an especially
useful variable, because the user controls it. The ability to limit the index values over time supports the
ALARA principle.

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 Operation Manual

Applying ALARA
The system imaging mode used depends upon the information needed. 2D-mode and M-mode
imaging provide anatomical information, while Doppler, Power, and Color imaging provide
information about blood flow. Scanned modes, like 2D-mode, Power, or Color, disperse or scatter the
ultrasonic energy over an area, while an unscanned mode, like M-mode or Doppler, concentrate the
ultrasonic energy. Understanding the nature of the imaging mode being used allows the sonographer
to apply the ALARA principle with informed judgment. The probe frequency, system set-up values,
scanning techniques, and operator experience aid the sonographer in meeting the ALARA principle.
The decision as to the amount of acoustic output is, in the final analysis, up to the system operator. This
decision must be based on the following factors: type of patient, type of exam, patient history, ease
or difficulty of obtaining diagnostically useful information, and the potential localized heating of the
patient due to probe surface temperatures. Prudent use of the system occurs when patient exposure
is limited to the lowest index reading for the shortest amount of time necessary to achieve acceptable
diagnostic results.

Although a high index reading does not mean that a biological effect is actually occurring, it should
be taken seriously. Every effort should be made to reduce the possible effects of a high index reading.
Limiting exposure time is an effective way to accomplish this goal.

There are several system controls that the operator can use to adjust the image quality and limit
the acoustic intensity. These controls are related to the techniques that an operator might use to
implement ALARA and can be divided into three categories: direct, indirect, and receiver control.

Direct Controls
Application selection and the output intensity control directly affect acoustic intensity. There are
different ranges of allowable intensity or output depending on your selection. Selecting the correct
range of acoustic intensity for the application is one of the first things required during any exam. For
example, peripheral vascular intensity levels are not recommended for fetal exams. Some systems
automatically select the proper range for a particular procedure, while others require manual selection.
Ultimately, the user bears the responsibility for proper clinical use. Samsung Medison systems provide
both automatic and user-definable settings.

Output has direct impact on acoustic intensity. Once the application has been established, the output
control can be used to increase or decrease the output intensity. The output control allows you to
select intensity levels less than the defined maximum. Prudent use dictates that you select the lowest
output intensity consistent with good image quality.

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 Chapter 1 Safety

Indirect Controls
The indirect controls are those that have an indirect effect on acoustic intensity. These controls affect
imaging mode, pulse repetition frequency, focus depth, pulse length, and probe selection.

The choice of imaging mode determines the nature of the ultrasound beam. 2D-mode is a scanning
mode, Doppler is a stationary or unscanned mode. A stationary ultrasound beam concentrates energy
on a single location. A moving or scanned ultrasound beam disperses the energy over a wide area and
the beam is only concentrated on a given area for a fraction of the time that is necessary in unscanned
mode.

Pulse repetition frequency or rate refers to the number of ultrasound bursts of energy over a specific
period of time. The higher the pulse repetition frequency, the more pulses of energy in a given period
of time. Several controls affect pulse repetition frequency: focal depth, display depth, sample volume
depth, color sensitivity, number of focal zones, and sector width controls.

The focus of the ultrasound beam affects the image resolution. To maintain or increase resolution at a
different focus requires a variation of output over the focal zone. This variation of output is a function
of system optimization. Different exams require different focal depths. Setting the focus to the proper
depth improves the resolution of the structure of interest.

Pulse length is the time during which the ultrasonic burst is turned on. The longer the pulse, the greater
the time-average intensity value. The greater the time-average intensity, the greater the likelihood of
temperature increase and cavitations. Pulse length, burst length or pulse duration is the output pulse
duration in pulsed Doppler. Increasing the Doppler sample volume, increases the pulse length.

Probe selection affects intensity indirectly. Tissue attenuation changes with frequency. The higher
the probe operating frequency, the greater the attenuation of the ultrasonic energy. Higher probe
operating frequencies require higher output intensity to scan at an increased depth. To scan deeper at
the same output intensity, a lower probe frequency is required. Using more gain and output beyond
a point, without corresponding increases in image quality, can mean that a lower frequency probe is
needed.

Receiver Controls
„„
Receiver controls are used by the operator to improve image quality. These controls have no effect
on output. Receiver controls only affect how the ultrasound echo is received. These controls include
gain, TGC, dynamic range, and image processing. The important thing to remember, relative to
output, is that receiver controls should be optimized before increasing output. For example; before
increasing output, optimize gain to improve image quality.

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 Operation Manual

Additional Considerations
Ensure that scanning time is kept to a minimum, and ensure that only medically required scanning
is performed. Never compromise quality by rushing through an exam. A poor exam will require a
follow-up, which ultimately increases the scanning time. Diagnostic ultrasound is an important tool in
medicine, and, like any tool, should be used efficiently and effectively.

Output Display Features

The system output display comprises two basic indices: a mechanical index and a thermal index. The
thermal index consists of the following indices: soft tissue (TIs), bone (TIb) and cranial bone (TIc). One
of these three thermal indices will be displayed at all times. Which one depends upon the system’s
default setting or user choice, depending upon the application at hand.

The mechanical index is continuously displayed over the range of 0.0 to 1.9, in increments of 0.1.
The thermal index consists of the three indices, and only one of these is displayed at any one time.
Each probe application has a default selection that is appropriate for that combination. The TIb or
TIs is continuously displayed over the range of 0.0 to the maximum output, based on the probe and
application, in increments of 0.1.

The application-specific nature of the default setting is also an important factor of index behavior.
The default setting is a system control state, which is preset by the manufacturer or the operator.
The system has default index settings for the probe application. The default settings are invoked
automatically by the Ultrasound System when power is turned on, new patient data is entered into the
system database, or a change in application takes place. The decision as to which of the three thermal
indices to display should be based on the following criteria:

Appropriate index for the application: TIs is used for imaging soft tissue; and TIb for a focus at or near
bone.Some factors might create artificially high or low thermal index readings, e.g. the presence
of fluid or bone, or the flow of blood. A highly attenuated tissue path, for example, will cause the
potential for local zone heating to be less than the thermal index displays.

Scanned modes versus unscanned modes of operation affect the thermal index. For scanned modes,
heating tends to be near the surface; for unscanned modes, the potential for heating tends to be
deeper in the focal zone.

Always limit ultrasound exposure time but do not rush the exam. Ensure that the indices are kept to a
minimum and that exposure time is limited without compromising diagnostic sensitivity.

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 Chapter 1 Safety

Mechanical Index (MI) Display

„„
Mechanical bioeffects are threshold phenomena that occur when a certain level of output is
exceeded. The threshold level varies, however, with the type of tissue. The potential for mechanical
biological effects varies with peak pressure and ultrasound frequency. The MI accounts for these
two factors. The higher the MI value, the greater the likelihood of mechanical bioeffects occurring.
However, there is no specific MI value that means that a mechanical bioeffect will actually occur.
The MI should be used as a guide for implementing the ALARA principle.

Thermal Index (TI) Display

„„
The TI informs the user about the potential for temperature increase occuring at the body surface,
within body tissue, or at the point of focus of the ultrasound beam on bone. The TI is an estimate
of the temperature increase in specific body tissues. The actual amount of any temperature rise is
influenced by factors such as tissue type, vascularity, mode of operation, etc. The TI should be used
as a guide for implementing the ALARA principle.
The bone thermal index (TIb) informs the user about potential heating at or near the focus, after
the ultrasound beam has passed through soft tissue or fluid, for example, at or near second or third
trimester fetal bone.
The cranial bone thermal index (TIc) informs the user about the potential heating of bone at or near
the surface of, for example, cranial bone. TIc is displayed when you select a trans-cranial application.
The soft tissue thermal index (TIs) informs the user about the potential for heating within soft
homogeneous tissue.
You can select TI Display in Utility > Setup > Display > Display.

Precision and Accuracy of Mechanical and Thermal Indices Displays

„„
The mechanical and thermal indices on the system are precise to 0.1 units.
The MI and TI display accuracy estimates for the system are given in the Acoustic Output Tables
Manual. These accuracy estimates are based on the various range of probes and systems, inherent
acoustic output modeling errors, and measurement variation, as described below.
The displayed values should be interpreted as relative information to help the system operator
achieve the ALARA principle through prudent use of the system. The values should not be interpreted
as actual physical values from investigated tissue or organs. The initial data that is used to support
the output display is derived from laboratory measurements based on the AIUM measurement
standard. The measurements are then put into algorithms for calculating the displayed output
values.

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 Operation Manual

Many of the assumptions used in the process of measurement and calculation are conservative
in nature. Over-estimation of actual in situ exposure, for the vast majority of tissue paths, is built
into the measurement and calculation process. For example, the measured water tank values are
derated using a conservative, industry standard, attenuation coefficient of 0.3dB/cm-MHz.
Conservative values for tissue characteristics were selected for use in the TI models. Conservative
values for tissue or bone absorption rates, blood perfusion rates, blood heat capacity, and tissue
thermal conductivity were selected.
A steady state temperature rise is assumed in the industry standard TI models, and the assumption
is made that the ultrasound probe is held steady in one position long enough for a steady state to
be reached.
A number of factors are considered when estimating the accuracy of display values: hardware
variations, algorithm accuracy estimation and measurement variation. Variation among probes and
systems is a significant factor. Probe variation results from piezoelectric crystal efficiencies, process-
related impedance differences, and sensitive lens focusing parameter variations. Differences in the
system pulse voltage control and efficiencies are also a contributor to variability. There are inherent
uncertainties in the algorithms used for estimating acoustic output values over the range of
possible system operating conditions and pulse voltages. Inaccuracies in laboratory measurements
are related to differences in hydrophone calibration and performance, positioning, alignment and
digitization tolerances, as well as variation among test operators.
The conservative assumptions of the output estimation algorithms of linear propagation, at all
depths, through a 0.3dB/cm-MHz attenuated medium are not taken into account in calculation of
the accuracy estimate displayed. Neither linear propagation, nor uniform attenuation at the 0.3dB/
cm-MHz rate, occur in water tank measurements or in most tissue paths in the body. In the body,
different tissues and organs have dissimilar attenuation characteristics. In water, there is almost no
attenuation. In the body, and particularly in water tank measurements, non-linear propagation and
saturation losses occur as pulse voltages increase.
The display accuracy estimates take into account the varying ranges of probes and systems, inherent
acoustic output modeling errors, and measurement variations. Display accuracy estimates are not
based on errors in, or caused by measuring according to, the AIUM measurement standards. They
are also independent of the effects of non-linear loss on the measured values.

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 Chapter 1 Safety

Control Effects – Control Affecting the Indices

As various system controls are adjusted, the TI and MI values may change. This will be most apparent as
the POWER control is adjusted; however, other system controls will affect the on-screen output values.

Power
„„
Power controls the system acoustic output. Two real-time output values are on the screen: a TI and
an MI. They change as the system responds to POWER adjustments.
In combined modes, such as simultaneous Color, 2D-mode and pulsed Doppler, the individual
modes each add to the total TI. One mode will be the dominant contributor to this total. The
displayed MI will be from the mode with the largest peak pressure.

2D-mode Controls

2D-Mode Size
„„
Narrowing the sector angle may increase the frame rate. This action will increase the TI. Pulse
voltage may be automatically adjusted down via software controls to keep the TI below the system
maximums. A decrease in pulse voltage will decrease the MI.

Zoom
„„
Increasing the zoom magnification may increase the frame rate. This action will increase the TI.
The number of focal zones may also increase automatically to improve resolution. This action may
change the MI, since the peak intensity can occur at a different depth.

Persistence
„„
A lower persistence will decrease the TI. Pulse voltage may be automatically increased. An increase
in pulse voltage will increase the MI.

Focal No.
„„
More focal zones may change both the TI and MI by changing the frame rate or focal depth
automatically. Lower frame rates decrease the TI. The MI displayed will correspond to the zone with
the largest peak intensity.

Focus
„„
Changing the focal depth will change the MI. Generally, higher MI values will occur when the focal
depth is near the natural focus of the transducer.

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 Operation Manual

Color and Power Controls

Color Sensitivity
„„
Increasing the color sensitivity may increase the TI. More time is spent scanning for color images.
Color pulses are the dominant pulse type in this mode.

Color Sector Width

„„
Narrower color sector width will increase color frame rate and the TI will increase. The system may
automatically decrease pulse voltage to stay below the system maximum. A decrease in pulse
voltage will decrease the MI. If pulsed Doppler is also enabled, then pulsed Doppler will remain as
the primary mode and the TI change will be small.

Color Sector Depth

„„
Deeper color sector depth may automatically decrease color frame rate or change color focal zone
or color pulse length. The TI will change due to the combination of these effects. Generally, the
TI will decrease with increased color sector depth. MI will correspond to the peak intensity of the
dominant pulse type, which is a color pulse. However, if pulsed Doppler is also enabled then pulsed
Doppler will remain the dominant mode and the TI change will be small.

Scale
„„
Using the SCALE control to increase the color velocity range may increase the TI. The system will
automatically adjust pulse voltage to stay below the system maximums. A decrease in pulse voltage
will also decrease MI.

Sec Width
„„
A narrower 2D-mode sector width in Color imaging will increase the color frame rate. The TI will
increase and the MI will not change. If pulsed Doppler is also enabled, then pulsed Doppler will
remain as the primary mode and the TI change will be small.

M-mode and Doppler Controls

Speed
„„
M-mode and Doppler sweep speed adjustments will not affect the MI. When M-mode sweep speed
changes, the TI changes.

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 Chapter 1 Safety

Simultaneous and Update Methods

„„
Use of combination modes affects both the TI and MI through the combination of pulse types.
During simultaneous mode, the TI is additive. During auto-update and duplex, the TI will display
the dominant pulse type. The displayed MI will be from the mode with the largest peak pressure.

Sample Volume Depth

„„
When Doppler sample volume depth is increased, the Doppler PRF may automatically decrease. A
decrease in PRF will decrease the TI. The system may also automatically decrease the pulse voltage
to remain below the system maximum. A decrease in pulse voltage will decrease the MI.

Doppler, CW, M-mode, and Color Imaging Controls

When a new imaging mode is selected, both the TI and the MI will change to default settings. Each
mode has a corresponding pulse repetition frequency and maximum intensity point. In combined or
simultaneous modes, the TI is the sum of the contribution from the modes enabled and the MI is for
the focal zone and mode with the largest derated intensity. If a mode is turned off and then reselected,
the system will return to the previously selected settings.

Probe
„„
Each probe model available has unique specifications for contact area, beam shape, and center
frequency. Defaults are initialized when you select a probe. Factory defaults vary with probe,
application, and selected mode. Defaults have been chosen below the FDA limits for intended use.

Depth
„„
An increase in 2D-mode depth will automatically decrease the 2D-mode frame rate. This would
decrease the TI. The system may also automatically choose a deeper 2D-mode focal depth. A
change of focal depth may change the MI. The MI displayed is that of the zone with the largest peak
intensity.

Application
„„
Acoustic output defaults are set when you select an application. Factory defaults vary with probe,
application, and mode. Defaults have been chosen below the FDA limits for intended use.

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Related Guidance Documents

For more information about ultrasonic bioeffects and related topics refer to the following:

AIUM Report, 28th January, 1993, “Bioeffects and Safety of Diagnostic Ultrasound”.
XX

Bioeffect Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1998:
XX
1998: Vol. 7, No. 9 Supplement.

Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment. (AIUM, NEMA.
XX
1998).

Acoustic Output Labeling Standard for Diagnostic Ultrasound Equipment (AIUM, 1998).
XX

Second Edition of the AIUM Output Display Standard Brochure, Dated 10th March, 1994. (A copy
XX
of this document is shipped with each system.)

Information for Manufacturer Seeking Marketing Clearance of Diagnostic Ultrasound Systems

XX
and Transducers. FDA. September 1997.

Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic
XX
Ultrasound Equipment. (Revision 1, AIUM, NEMA., 1998)

WFUMB. Symposium on Safety of Ultrasound in Medicine: Conclusions and Recommendations

XX
on Thermal and Non-Thermal Mechanisms for Biological Effects of Ultrasound, Ultrasound in
Medicine and Biology, 1998: Vol. 24, Supplement 1.

Acoustic Output and Measurement

Since the first usage of diagnostic ultrasound, the possible human biological effects (bioeffects) of
ultrasound exposure have been studied by various scientific and medical institutions. In October 1987,
the American Institute of Ultrasound in Medicine (AIUM) ratified a report prepared by its Bioeffects
Committee (Bioeffect Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept.
1988: Vol. 7, No. 9 Supplement), sometimes referred to as the Stowe Report, which reviewed available
data on possible effects of ultrasound exposure. Another report, “Bioeffects and Safety of Diagnostic
Ultrasound,” dated 28th January, 1993, provides more up to date information.

The acoustic output for this system has been measured and calculated in accordance with the December
1985 “510(K) Guide for Measuring and Reporting Acoustic Output of Diagnostic Ultrasound Medical
Devices,” except that the hydrophone meets the requirements of “Acoustic Output Measurement
Standard for Diagnostic Ultrasound Equipment” (NEMA UD 2-1992).

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 Chapter 1 Safety

In Situ, Derated, and Water Value Intensities

All intensity parameters are measured in water. Since water does not absorb acoustic energy, these
water measurements represent a worst case value. Biological tissue does absorb acoustic energy. The
true value of the intensity at any point depends on the amount and type of tissue and the frequency
of the ultrasound that passes through the tissue. The intensity value in the tissue, In Situ, has been
estimated using the following formula:
In Situ = Water [e - (0,23 alf)]
Where: In Situ = In Situ Intensity Value
Water = Water Value Intensity
e = 2.7183
a = Attenuation Factor
Tissue a (dB/cm-MHz)
Brain .53
Heart .66
Kidney .79
Liver .43
Muscle .55
l = skin line to measurement depth (cm)
f = Center frequency of the transducer/system/mode combination (MHz)

Since the ultrasonic path during an examination is likely to pass through varying lengths and types of
tissue, it is difficult to estimate the true In Situ intensity. An attenuation factor of 0.3 is used for general
reporting purposes. Therefore, the In Situ value which is commonly reported uses the formula:
In Situ (derated) = Water [e -(0,069 lf)]
Since this value is not the true In Situ intensity, the term “derated” is used.

The maximum derated and the maximum water values do not always occur at the same operating
condition. Therefore, the reported maximum water and derated values may not be related to the In Situ
(derated) formula. For example, a multi-zone array transducer that has maximum water value intensities
in its deepest zone: the same transducer may have its largest derated intensity in one if its shallowest focal
zones.

1-31
 Operation Manual

Acoustic Output and Measurement

The terms and symbols used in the acoustic output tables are defined in the following paragraphs.

ISPTA.3 The derated spatial-peak temporal-average intensity (milliwatts per square centimeter).

ISPPA.3 The derated spatial-peak pulse-average intensity (watts per square centimeter). The value
of IPA.3 at the position of global maximum MI (IPA.3@MI) may be reported instead of ISPPA.3
if the global maximum MI is reported.

MI The Mechanical Index. The value of MI at the position of ISPPA.3, (MI@ISPPA.3) may be
reported instead of MI (global maximum value) if ISPPA.3 is 190W/cm2.

Pr.3 The derated peak rarefactional pressure (megapascals) associated with the transmit pattern,
giving rise to the reported MI value.

WO The ultrasonic power (milliwatts). For the operating condition giving rise to ISPTA.3, WO
is the total time-average power; For operating conditions subject to reporting under
ISPPA.3, WO is the ultrasonic power associated with the transmit pattern, giving rise to the
value reported under ISPPA.3

Fc The center frequency (MHz). For MI and ISPPA.3, Fc is the center frequency associated with
the transmit pattern, giving rise to the global maximum value of the respective parameter.
For ISPTA.3, for combined modes involving beam types of unequal center frequency, Fc is
defined as the overall ranges of center frequencies of the respective transmit patterns.

ZSP The axial distance at which the reported parameter is measured (centimeters).

x-6,y-6 These are respectively the in-plane (azimuth) and out-of-plane (elevation) -6 dimensions in
the x-y plane where ZSP is found (centimeters).

PD The pulse duration (microseconds) associated with the transmit pattern, giving rise to the
reported value of the respective parameter.

PRF The pulse repetition frequency (Hz) associated with the transmit pattern, giving rise to the
reported value of the respective parameter.

EBD The entrance beam dimensions for the azimuth and elevation planes (centimeters).

EDS The entrance dimensions of the scan for the azimuth and elevation planes (centimeters).

1-32
 Chapter 1 Safety

Acoustic Measurement Precision and Uncertainty

The Acoustic Measurement Precision and Acoustic Measurement Uncertainty are described below.

Quantity Precision Total Uncertainty

PII.3 (derated pulse intensity integral) 3.2 % +21 % to -24 %

WO (acoustic power) 6.2 % +/- 19 %

Pr.3 (derated rarefaction pressure) 5.4 % +/- 15 %

Fc (center frequency) <1% +/- 4.5 %

Systematic
„„ Uncertainties – for the pulse intensity integral, derated rarefaction
pressure, Pr.3

Center frequency and pulse duration, the analysis includes considerations of the
„„
effects on accuracy of:
Hydrophone calibration drift or errors.
Hydrophone / Amp frequency response.
Spatial averaging.
Alignment errors.
Voltage measurement accuracy, including:

−− Oscilloscope vertical accuracy.

−− Oscilloscope offset accuracy.

−− Oscilloscope clock accuracy.

−− Oscilloscope digitization rates.

−− Noise.

The systematic uncertainties of acoustic power measurements using a radiation force are measured
through the use of calibrated NIST acoustic power sources.

We also refer to a September 1993 analysis done by a working group of the IEC technical committee
87 and prepared by K. Beissner, as a first supplement to IEC publication 1161.

1-33
 Operation Manual

The document includes analysis and discussion of the sources of error/measurement effects due to:

−− Balance system calibration.

−− Absorbing (or reflecting) target suspension mechanisms.

−− Linearity of the balance system.

−− Extrapolation to the moment of switching the ultrasonic transducer (compensation for ringing
and thermal drift).

−− Target imperfections.

−− Absorbing (or reflecting) target geometry and finite target size.

−− Target misalignment.

−− Ultrasonic transducer misalignment.

−− Water temperature.

−− Ultrasonic attenuation and acoustic streaming.

−− Coupling or shielding foil properties.

−− Plane-wave assumption.

−− Environmental influences.

−− Excitation voltage measurement.

−− Ultrasonic transducer temperature.

−− Effects due to non-linear propagation and saturation loss.

The overall findings of the analysis give a rough Acoustic Power accuracy figure of +/-10% for the
frequency range of 1 - 10 MHz.

Training
The users of this ultrasound system must familiarize themselves with the ultrasound system to optimize
the performance of the device and to detect possible malfunctions. It is recommended that all users
receive proper training before using the device. You can receive training on the use of the product
from the Samsung Medison service department, or any of the customer support centers worldwide.

1-34
 Chapter 1 Safety

Environmental Protection
CAUTION:
XX
For disposing of the system or accessories that have come to the end of their lifespan, contact
the vendor or follow appropriate disposal procedures.
XX
You are responsible for complying with the relevant regulations for disposing of wastes.
XX
The lithium ion battery used in the product must be replaced by a Samsung Medison service
engineer or an authorized dealer.

Correct Disposal of This Product

(Waste Electrical & Electronic Equipment)

Applicable in countries with separate collection systems

This marking on the product, accessories or literature indicates that the product and its electronic
accessories (e.g. charger, headset, USB cable) should not be disposed of with other household waste
at the end of their working life. To prevent possible harm to the environment or human health from
uncontrolled waste disposal, please separate these items from other types of waste and recycle them
responsibly to promote the sustainable reuse of material resources.

Household users should contact either the retailer where they purchased this product, or their local
government office, for details of where and how they can take these items for environmentally safe
recycling.

Business users should contact their supplier and check the terms and conditions of the purchase
contract. This product and its electronic accessories should not be mixed with other commercial wastes
for disposal.

1-35
Chapter 2
Introduction

‹‹Specifications....................................................2-3

‹‹Product Configuration.....................................2-5
Monitor.........................................................................................2-7
Control Panel..............................................................................2-9
Console.......................................................................................2-14
Peripheral Devices..................................................................2-16
Probes.........................................................................................2-19
Accessories................................................................................2-20
Optional Functions................................................................2-21
 Chapter 2 Introduction

Specifications
Height: 1,415 – 1,760mm (with monitor)
Physical Dimensions
Width: 549mm
Depth: 1,002 -1,137mm
Weight: 111kg (with monitor)
2D-Mode
M-Mode
Color Doppler
Pulsed Wave (PW) Spectral Doppler
Continuous Wave (CW) Doppler
Tissue Doppler Imaging (TDI)
Imaging modes Tissue Doppler Wave (TDW)
Power Doppler (PD)
Directional Power Doppler (DPD)
Color M-Mode
Anatomical M mode
3D imaging mode
4D imaging mode
Gray Scale 256 (8 bits)

Focusing
Transmit focusing, maximum of eight points (four points simultaneously selectable)
Digital dynamic receive focusing (continuous)

Linear Array
L4-7, L5-13IS, L5-13/50, L7-16IS, LS6-15
Curved Array
C2-6IC, CF4-9 (old name: C5-8), EC4-9IS, SC1-6, VR5-9
Probes Phased Array
(Type BF / IPX7) P2-4BA
3D
V2-6, V4-8, V5-9
CW
CW 2.0, CW 4.0, CW 6.0

Probe connections 5 Active Probe Ports (including pencil probe)

Monitor
21.5 inch LCD monitor (LED backlight unit, LED connector)
called "LCD monitor" henceforth
ECG Type BF
Audio in / out
Microphone
Rear Panel External Trigger in / out
Input / Output External monitor DVI-I
Connections Network
USB
Foot switch

2-3
 Operation Manual

Maximum 12700 frames for Cine memory

Image Storage Maximum 8192 lines for Loop memory
Image filing system

Application
Obstetrics, Gynecology, Urology, Abdomen, Cardiac, Vascular, Small Part, Pediatric,
TCD, MSK, Contrast
Electrical Parameters 100-240V~, 1100VA, 50/60Hz or 100-120/200-240V~, 1100VA, 50/60Hz
OB, Gynecology, Cardiac, Vascular, Fetal Heart, Urology, Abdomen, Small Parts,
Measurement Packages Muskuloskeletal, TCD, Pediatric Hips
* Refer to Chapter 5 for additional information
TGC control
Mode-independent gain control
Acoustic power control (adjustable)
Signal Processing Dynamic aperture
(Pre-Processing) Dynamic apodization
Dynamic range control (adjustable)
Image view area control
M-mode sweep speed control
Frame average
Edge enhancement/blurring
Signal Processing Gamma-scale windowing
(Post-Processing) Image orientation (left/right, up/down, and rotation)
White on black/black on white
Zoom
Trackball operation of multiple cursors
2D mode: Linear measurements and area measurements using elliptical
Measurement approximation or trace
M mode: Continuous readout of distance, time, and slope rate
Doppler mode: Velocity and trace
USB Video Printer
USB to RS-232 Serial Cable
Auxiliary
Foot Switch(IPX1)
USB Flash Memory Media
USB HDD
Monitor
User Interface English, German, French, Spanish, Italian, Russian, Chinese

Pressure Limits
Operating: 700hPa to 1060hPa
Storage: 700hPa to 1060hPa

Humidity Limits
Operating: 30% to 75%
Storage & Shipping: 20% to 90%

Temperature Limits
Operating: 10°C ~ 35°C
Storage & Shipping: -25°C ~ 60°C

2-4
 Chapter 2 Introduction

Product Configuration
This Product consists of the monitor, the control panel, the console, the peripheral devices, and the
probes.

Item Descriptions
1 1 Monitor
2 Monitor arm
2 3 DVD drive
4 Speaker
5 Control panel
6 Probe holder
3 7 Keyboard
4 8 Lift
5 6 9 ECG port
0 CW probe port
! Probe port
7 @ Air filter
9
# Brake
8 0 $ Wheels

#
$ @

[Figure 2.1 Front of the ACCUVIX A30]

2-5
 Operation Manual

Item Descriptions
1 Handle
2 Storage compartments
3 Ventilation
4 USB and LAN ports
5 Rear panel
6 Cable holder
1
7 Power connection part
2

6 5

[Figure 2.2 Back of the ACCUVIX A30]

Principles of Operation
Tips!
Medical ultrasound images are created by computer and digital memory from the transmission
and reception of mechanical high-frequency waves applied through a probe. The mechanical
ultrasound waves spread through the body, producing an echo where density changes occur.
For example, in the case of tissue, an echo is created where a signal passes from an adipose tissue
region to a muscular tissue region. The echoes return to the probe where they are converted back
into electrical signals.
These echo signals are highly amplified and processed by analog and digital circuits having filters
with many frequency and time response options, transforming the high-frequency electrical signals
into a series of digital image signals which are stored in memory. Once in memory, the image can
be displayed in real-time on the image monitor. All signal transmission, reception and processing
characteristics are controlled by computer.

2-6
 Chapter 2 Introduction

Monitor
Ultrasound images and other information are displayed on the color LCD monitor.

 Screen Layout
The screen of this product displays ultrasound images, various information, menus for operating the
system, and other content. The screen is divided into five areas: 1 Title area, 2 EZ Exam area, 3
Image Area, 4 Thumbnail area, 5 User Information area, and 6 User Key Area.

1
3 4
2

5
6
[Figure 2.3 Monitor Display]

1 Title Area
Displays patient name, hospital name, application, frame rate and depth, probe information,
acoustic output information, and date and time.

2 EZ Exam Area
EZ Exam menu is displayed in accordance with the applications supported by the currently
mounted probe.

NOTE: You can set up the EZ Exam at EZ Exam Setup; please refer to 'Chapter 7. Utilities' for
information on EZ Exam Setup.

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 Operation Manual

3 Image Area
Displays ultrasound images. TGC, image information, annotation, and measurement information
are also displayed.

4 Thumbnail Area
Up to five saved images are displayed. (Save by pressing the Save button.) Pressing Quad icon
displays up to 16 saved images. Click a thumbnail to enlarge.

5 User Information Area

The user information area provides a variety of information that you need to use the system, such
as current system status, image information, selectable items, etc.

6 User Key Area

Position of the trackball, Exit, and Set buttons, and the currently configured user keys are displayed.

NOTE: For information on User Key Setup, please refer to 'Chapter 7. Utilities'.

2-8
 Chapter 2 Introduction

Control Panel
The system can be controlled by using the control panel.

TGC

Patient

Angle/TB Zoom
Probe

Color/Ref. Slice
PW/z 2D

CW/LR Focus

Report
PD/y Depth

User 2

M/x Print

User 3

3D/4D
Save
User 1 Freeze

[Figure 2.4 Control Panel]

The control panel consists of a keyboard, soft menus, buttons, dials, dial-buttons, a slider, and a trackball.

The dial-button can be used both as a dial and a button.

2-9
 Operation Manual

 Functions of the Control Panel

The following are the descriptions and instructions for the controls on the control panel. For more
information on controls with multiple functions, see Chapter 3 onwards in this manual.

Button Turns the system on/off.

On/Off

Patient
Displays the Patient Information screen for patient selection and
Button
information entry.

Probe
Displays the Probe screen, which allows you to select or change probes
Button
and diagnosis items.
SonoView Button Runs SonoView - the image filing program.

Report
Displays the Report screen that shows the measurement results of the
Button
current application and other information.

End Exam
Finishes the exam of the currently selected patient and resets the related
Button
data.

2D
Button: Press this dial-button to start 2D mode.
Dial-button
Dial: Adjusts the 2D gain.
Button: Press this dial-button to start/stop M mode.
M/x Dial-button Dial: Adjusts the M gain. Also, turning this dial-button when in 3D View,
rotates the image along the x-axis.
Button: Press this dial-button to start/stop Power Doppler mode
PD / y Dial-button Dial: Adjusts the PW gain. Also, turning this dial-button, when in 3D View,
rotates the image along the y-axis.
Button: Press this dial-button to start/stop PW Spectral Doppler mode.
PW / z Dial-button Dial: Adjusts the PD gain. Also, turning this dial-button, when in 3D View,
rotates the image along the z-axis.

Color/Ref. Slice
Button: Press this dial-button to start/stop Color Doppler mode.
Dial-button
Dial: Adjusts the C gain. Moves the reference slice horizontally in the 3D View.
3D/4D Button Starts or ends 3D/4D mode.
Button: Press this dial-button to start/stop CW Spectral Doppler mode.
CW/LR Dial-button Dial: Adjusts the CW gain. Adjusts left and right margins of ROI in 3D View-
MPR. LR is an abbreviation for “Left-Right”.
Button: Adjusts the angle of the sample volume in Spectral Doppler mode.
Angle / TB
It is also used to adjust the BodyMarker’s probe cursor or indicator angle.
Dial-button
Dial: Adjusts top and bottom margins of ROI in 3D View-MPR. TB is an
abbreviation for “Top-Bottom”.
Depth Dial-button Adjusts the scanning depth of the image.

Focus
Changes location and number of focus on the target location you wish to
Dial-button
study.

2-10
 Chapter 2 Introduction

Zoom Dial-button You can magnify an image.

Press this button to turn the Quick Scan function on. The “Q Scan’’
Q Scan Button mark will appear at the top of an image. It can be used only in specific
applications with specific probes.
Freeze Button Pauses/resumes scanning.

Save Button Saves an image or a report displayed on the screen in the system database.

Print Button Prints an image on the screen using the printer connected to the system.

User 1
This button is used to perform special functions that you have preset. The
Button
function of each button can be set in Utility > Setup > User Defined Key.

User 2-3
This button is used to perform special functions that you have preset. The
Dial-button
function of each button can be set in Utility > Setup > User Defined Key.
This button is used to perform special functions that you have preset. The
function of each button can be set in Utility > Setup > User Defined Key.
Button Set: Select an item or value using the trackball. Used to also change the
Set / Exit function of the trackball.
Exit: Exits the currently used function and returns to the previous function.

When this is pressed, an arrow marker appears to point to parts of the

Button
Pointer displayed image.

Deletes text, indicator, BodyMarker, and measurement result, etc.

Button
Clear displayed on an image.

Button This is used to change the current trackball function.

Change

Button Starts to take measurements of each diagnosis item.

Calculator

Button Starts to measure distance, circumference, area, and volume.

Caliper

Trackball Trackball Moves the cursor on the screen. Also scrolls through Cine images.

TGC
Adjusts TGC values for each depth using 8 settings. TGC stands for Time
Slider
Gain Compensation.

CAUTION: Too great a difference in the gain value settings of adjacent TGC sliders may cause
stripes in an image.

2-11
 Operation Manual

Keyboard
„„
The keyboard is used to type in text.

[Figure 2.5 Keyboard]

 Touch-Screen
The touch screen is an operating tool that can be touched by the user to input data. The functions that
are available in the current mode are shown in the form of buttons or a dial-button.

Touch Screen Layout

„„

1 Information Area: Shows the title of the touch screen currently displayed.

2 Tab Area: Shows diagnostic modes and utilities under different tabs. The touch screen can be
changed by pressing one of the tabs.

3 Menu Area: The menu items that are available in the current input mode are shown in the form
of buttons. The user can access the desired menu item by pressing the corresponding button.
The menu currently in use is shown in orange.

4 Soft Menu Area: The soft menu items that are available in the current input mode are shown on
screen. The menus in use are shown with orange borders. Press or rotate the dial-buttons right
below each menu.

When there are two Soft Menus

Tips!
When there are two menus available – upper and lower, both menus can be adjusted with the
corresponding dial-button. Press a desired menu button on the touch screen and then use the
dial-button.

2-12
 Chapter 2 Introduction

1
2

[Figure 2.6 Touch Screen]

 Adjusting the Control Panel

CAUTION:
XX
Do not apply excessive force to the control panel.
XX
Use the handle at the back of the product when moving it.

Adjusting to the right and left

„„
Hold the control panel handle and move it carefully to the right or left.

Adjusting the height

„„
Press the lever on the control panel handle and move it carefully up or down.

2-13
 Operation Manual

Console
The console consists of two parts – the inner and outer units. The interior of the console mainly contains
devices that produce ultrasound images. On the exterior of the console are various connectors, probe
holders, storage compartments, handles, and wheels, etc.

 Rear Panel
A monitor and other peripheral devices are connected via the rear panel at the back of the system.

275-K-B107A

Item Descriptions

1 Audio port (Output): Used to output audio signals.

Microphone port (Input): Connect a microphone to this

2
SOUND R port.

1 3 Trig port (In/Out): Not used.

SOUND L 4 DVI port (Output): Outputs digital signals to the monitor.

2
WARNING
⌂ᮥ
ᩕḡ
ษᝎ᜽᪅
Do not remove the cap.
Abdeckung nicht entfernen.
TRIG
3 Ne pas retirer le cache.
Не снимайте крышку.
Љ੽ՈЈ‫ܔ‬त澞
䜻䝱䝑䝥䜢ྲྀ䜚እ䛥䛺䛔䛷䛟䛰䛥䛔䚹

4 DVI
R.G.B

[Figure 2.7 Rear Panel]

NOTE: Connecting the Full HD wide monitor is recommended if you use the DVI port and
connector. If you connect an RGB monitor, it might not display properly.

2-14
 Chapter 2 Introduction

 Power Connection Part

The power connection part is located at the bottom on the rear panel.

1 3

[Figure 2.8 Power Connection Part]

1 Power switch: Supplies or blocks power to the entire system.

2 Power Inlet: For the power cable to connect to external power.

3 Power Outlet (Input): The part to which power is provided from the internal power device of the
product.

 Probe Holders
Probe holders are mounted at the left and right-hand sides of the control panel.

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 Operation Manual

Peripheral Devices
CAUTION: Do not place peripheral devices, not listed in this manual, inside the patient
environment. If you place them in the patient environment, it may cause electrical hazard.

N

N N
N


[Figure 2.9 Patient Environment]

NOTE: Refer to the operation manual of the peripheral device for its operating information.

 Internal Peripheral Devices

These are peripheral devices mounted in the system.

DVD-Multi
„„
DVD-RW, DVD+RW, DVD-R, DVD+R, CD-R, CD-RW, CD-ROM

Hard Disc Drive

„„
At least 500 GB

2-16
 Chapter 2 Introduction

 External Peripheral Devices

These are peripheral devices that can be connected for use when needed and are connected via the
USB port located at the rear panel.

CAUTION: When using a peripheral device via a USB port, always turn the power off before
connecting/disconnecting the device. Connection/disconnection of USB devices during power-on
may lead to malfunction of the system and the USB devices.

NOTE:
XX
When removing the removable disk, use Utility > Storage manager.
XX
USB ports are located both on the front panel and the rear panel of the console.
We recommend that you connect USB storage devices (flash memory media, etc.) to the ports
on the front panel and other USB peripheral devices to the rear panel for convenience.

The following products are recommended:

USB video printer

„„

Black and White: Mitsubishi P-95DE, Sony UP-D897

XX

Color: Mitsubishi CP-30DW, Sony UP-D25MD

XX

CAUTION:
XX
You must install a Microsoft Windows XP™ or above compatible printer and driver. Contact
Samsung Medison customer service department for inquiries about printer driver installation.
XX
When connecting the printer, ensure that the printer is configured under Microsoft Windows™
or system setup and has been chosen as the default printer.
XX
Please check the port that the printer uses before connecting. Printers should be connected to
the printer port while the USB printer should be connected to the USB port.

USB to RS-232C Serial Cable

„„
USB to Serial (RS-232C) Converter with FTDI Chipset (FTDI FT232BM Compatible)

NOTE: For more information about the Open Line Transfer, refer to 'Chapter 5. Measurements and
Calculations'.

2-17
 Operation Manual

Foot Switch
„„
To configure the foot switch function, go to Utility > Setup > Peripherals > Foot Switch. Select
from Freeze, Update, Record, Print1, Save, Store Clip, and Volume Start, or EZ Exam.

WARNING: Foot Switch cannot be used in the operating room.

Misc.
„„
Flash Memory Media

NOTE:
XX
The system cannot recognize USB 1.1 flash memory. Remove the flash memory from the console
and equip again with an appropriate device.
XX
Regarding file formats that are not ordinarily saved: Please check first to see if it is possible to
save the file format on a desktop PC before trying to save the file on flash memory.

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 Chapter 2 Introduction

Probes
Probes are devices that generate ultrasound waves and process reflected wave data for the purpose of
image formation.

NOTE: For detailed information, refer to ‘Chapter 9. Probes’.

 Connecting probes
Be sure to connect or disconnect probes when the power is off to ensure the safety of the system and
the probes.

1. Connect probes to the probe connectors on the front panel of the system. A maximum of five probes
including the CW probe can be connected at one time. The CW probe should only be connected to
its own connector.

2. To install, turn the connector turning handle clockwise.

[Figure 2.10 Probe Connector]

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 Operation Manual

Accessories
An accessory box containing the items below is supplied with the product.

CAUTION: Main cord set, separately certified according to the relevant standards, is to be used
when supplied to EU and USA/CAN.

NOTE: Accessories can be different according to the country.

SONO GEL
FUSE

GROUND CABLE

MANUAL

POWER CORD

DVI2RGB GENDER
WINDOWS XP LABEL

[Figure 2.11 Accessories]

2-20
 Chapter 2 Introduction

Optional Functions
This product has the following optional functions:

4D
XX Stress Echo
XX

3D XI
XX ElastoScan
XX

CW Function
XX Panoramic
XX

Cardiac Measurement
XX 3DMXI Upgrade
XX

DICOM
XX HDVI
XX

Spatial Compound Imaging

XX VolumeNT
XX

Spatial Compound Imaging Convex

XX ADVR
XX

XI STIC
XX ECI
XX

Auto IMT
XX FRV
XX

Auto IMT+
XX Strain
XX

For further information about optional functions, please refer to the relevant chapters in this manual.

2-21
Chapter 3
Starting Diagnosis

‹‹Power Supply.....................................................3-3
Powering On...............................................................................3-3
Powering Off..............................................................................3-3

‹‹Probes & Applications .....................................3-4

Probe and Application Selection........................................3-5
Probe Userset Management................................................3-6

‹‹Patient Information..........................................3-9
Patient Information Entry....................................................3-11
Changing Measurements....................................................3-23
Work list Search.......................................................................3-26
Searching for Patient Information...................................3-27
Restarting the Exam..............................................................3-35
 Chapter 3 Starting Diagnosis

Power Supply
Boot up the system for use.

CAUTION: Make sure to connect the probes and peripheral devices that will be used before
powering on the system. If you attempt to connect them during system use, it may lead to patient
injury or irreparable damage to the console.

Powering On
Press the On/Off button when the power is off. Booting begins, and the product logo appears on the
screen. When booting is completed, the 2D mode screen appears in End Exam status.

CAUTION: Before starting the diagnosis, you must register the patient information.

NOTE:
XX
The product should turn on about 10 seconds after the power switch at the back of the product
is turned on.
XX
During system booting, do not press any key on the keyboard. It may cause product
malfunction.
XX
If you turn on the power after turning it off suddenly, the system may turn on and off
momentarily. This is one of the characteristics of the Intel® PC main board, not a system error.

Powering Off
Press the On/Off button while using the system to initiate shutdown.

CAUTION:
XX
Pressing the On/Off button for longer than five seconds will immediately turn the power off
and result in damage to the hard disk. Please refrain from such use unless there is a serious
emergency.
XX
To ensure that the product is safely cut off from electrical power, set the power switch at the rear
of the product to Off position after using the product.

3-3
 Operation Manual

Probes & Applications

Before scanning, select a probe, an application and a Preset/Userset.

Press the Probe button on the control panel and the Probe screen will be displayed on the touch screen.
From this screen, you can select or change the probe, application, Preset or Userset.

Press the Probe button again or the Exit button to exit from the Probe screen without applying the
changes.

CAUTION: Refer to ‘Chapter 9. Probes’ for more information on probes and applications and the
Preset/Userset supported by the system.

Probe Screen
The Probe screen consists of the following items:

1
2

3 4

[Figure 3.1 Probe - Touch Screen]

Probe tab (1): Displays a list of probes currently connected to the system.
XX

Application group: Displays a list of applications (2) and their presets that the selected probe
XX
supports(3).

Userset group (4): Displays a list of settings you can configure according to your preferences.
XX

3-4
 Chapter 3 Starting Diagnosis

Probe and Application Selection

Select Probe > Application > Probe Preset/Userset. Tapping the Preset/Userset loads the settings and
initiates the diagnosis mode. The selected probe and settings are shown in the title area of the monitor.
The selected probe and Preset/Userset are displayed in yellow on the Probe screen.

Changing Pages
Use the Page Index dial-button to change the touch screen page.

3-5
 Operation Manual

Probe Userset Management

Adding a Probe Userset

The application and settings currently in use are added to the Userset.

1. Tap ‘+’ in the Userset group on the touch screen. The Name window is then shown on the touch
screen.

2. Enter the name you want to use and tap OK. Click Cancel to cancel.

3. Userset and the application name are added to Userset group.

Userset Group Name

Tips!
The application name of the Userset which is added to the Userset list first time is entered as the
name of Userset group. Go to Edit > Rename > Application to edit the name of Userset group.

Changing the Position of the Group

You can change the position of the application group or Userset group currently in use.

1. Tap Edit on the touch screen.

2. Rotate the App Name dial-button to change the position.

3. Tap Edit again to confirm the new position.

Overwriting a Userset
You can save the current probe settings to the selected Userset.

1. Tap Edit on the touch screen.

2. Tap Overwrite on the touch screen. The confirmation message ‘Save Success’ will be displayed on
the monitor.

3. Tap Edit again to confirm the overwritten value.

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 Chapter 3 Starting Diagnosis

Renaming a Userset

NOTE: You cannot edit or delete the Userset name currently in use.

1. Tap Edit on the touch screen.

2. Use the Rename dial-button to select the Userset to rename. Select Application or Preset.

3. Tap the dial-button to display the Rename window on the touch screen.

Application: The Application Rename window will be displayed. Change a Userset group name
XX
using this screen.

Preset: The Rename window will be displayed. Change a Userset name using this screen. You
XX
cannot change an application shown with the Userset name.

4. Change the name and tap OK. Click Cancel to cancel.

5. Tap Edit again to confirm the change.

Deleting a Userset

NOTE: You cannot edit or delete the Userset currently in use.

1. Tap Edit on the touch screen.

2. Select a userset and tap Delete on the touch screen.

3. Tap Edit again to confirm the change.

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 Operation Manual

Exporting/Importing a Userset

NOTE: The Userset Manager button is only active when a USB flash memory device is being used.

You can export and import Usersets to and from external storage media.

1. Tap Edit on the touch screen.

2. Select a Userset and tap Userset Manager on the touch screen. The Userset Export/Import window
is then shown on the monitor.

3. To save the Userset on USB flash memory, tap the Export button. To copy a userset from USB flash
memory to the system, tap the Import button. Tap Close on the screen.

4. Tap Edit again to confirm the change.

[Figure 3.2 Userset Export / Import]

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 Chapter 3 Starting Diagnosis

Patient Information
Press the Patient button on the control panel and the Patient Information screen will appear. In this
screen, you can enter, search, or change patient information.

NOTE: The ID and name fields are required.

Once you have entered the patient information, tap on the OK button on the monitor or the touch screen
to exit. Press Cancel to cancel. Alternatively, you can press the control panel’s Patient button once more
or the Exit button.

Patient Information Screen

The Patient Information screen consists of two sections.
1 Page Tab: Pages related to patient information entry are shown as tabs.
2 Study Information Tab: Depending on the selected menu option, the patient information entry or
management screen is shown.

[Figure 3.3 Patient Information]

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 Operation Manual

Use the trackball and the Set button to select the desired field. Press a button on the touch screen to
enter information using the touch screen.

Click OK on the screen to save the information and exit. Click Cancel or tap Cancel on the touch screen
to cancel. Tap the Search button on the touch screen to switch to Worklist.

[Figure 3.4 Patient Information - Touch Screen]

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 Chapter 3 Starting Diagnosis

Patient Information Entry

From the Patient Information screen, tap on the Patient tab. Alternatively, use the touch screen’s Page
dial-button to select Patient.

[Figure 3.5 Patient Information]

The Patient Information Entry screen has the following layout:

1 Basic Patient Information: Enter or edit ID, name, age, gender, and other types of basic patient
information.

2 Application Information: Add or edit required information for individual applications. To select an
application, select the corresponding tab or use the touch screen’s Category dial-button.

Clear Measurements
„„
Clears all measured values previously entered.

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 Operation Manual

Basic Patient Information Entry

ID
„„
Enter a patient ID.

To enter it manually, enter an ID in the ID field.

XX

To enter it automatically, select Auto ID Creation and click New. The icon, next to the ID field, is
XX
changed to .

If you enter an ID that already exists, the icon, next to the ID field, is changed to
XX .

Name
„„
Enter the patient’s full name. The name that you have entered will appear in the title area and reports.

Last Name: Enter the patient’s last name.

XX

First Name: Enter the patient’s first name.

XX

Middle: Enter the patient’s middle names if they have any.

XX

Ez Exam Setup
„„
Ez Exam Setup allows you to specify exam items and their order.

NOTE: For more information on Ez Exam Setup, refer to ‘Chapter 7. Utilities’.

Accession
„„
When viewing the work list for a patient via the DICOM server, this information is automatically
displayed in the appropriate fields.

Representation
„„
Specify how the names of Asian patients, including Korean, Chinese and Japanese are displayed.

Roman: Type in Roman letters.

XX

Ideographic: Type in ideographic letters.

XX

Phonetic: Type in phonetic letters.

XX

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 Chapter 3 Starting Diagnosis

NOTE:
XX
This button appears on the screen only in a product that supports Asian patient names.
XX
For information on specifying the order or way in which names are displayed, refer to ‘Screen
Display Settings’ in ‘Chapter 7. Utilities’.

Birth
„„
Enter the patient’s birth date in the specified format.

Age
„„
Enter the patient’s age in “yy-mm” format. When a birth date is specified in the Birth field, this
information is automatically calculated and displayed.

Gender
„„
Select the patient’s gender.

General
Enter additional information. Information entered in General is applied to all application information
entry screens.

Exam Type
„„
You may enter the type of exam that has been conducted. You may use the + and - buttons to
organize the information you have entered into a list for convenient management.

Height
„„
Enter the patient’s height. Height can be specified in inches (in.) or centimeters (cm). Tap on the
Unit button to change units. When the unit is changed, the entered number is automatically
recalculated and displayed in the new unit of measurement.

Weight
„„
Enter the patient’s weight. Supported units are ounces (oz), pounds (lb), and kilograms (Kg). Press
the corresponding unit button to change the unit of measurement.

BSA
„„
When the height and weight are entered, the BSA (Body Surface Area) is automatically calculated
and displayed.

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 Operation Manual

HR
„„
Enter a heart rate.

Diag. Physician
„„
Enter the name of the physician who diagnosed the patient. When there is more than one physician
involved, you can use the Combo button to make a selection.

Typing in Korean, Japanese or Chinese

Tips!
Diag. Physician, Ref. - The Physician, Sonographer, Description and Indication can be entered in
Korean, Japanese or Chinese. Choose the desired language by using the Language button on the
touch screen.
XX
Korean: Entry in Korean.
XX
Alpha: Entry in English.

Ref. Physician
„„
Enter the name of the referring physician. When there is more than one sonographer involved, you
can use the Combo button to make a selection.

Sonographer
„„
Enter the name of the sonographer who scanned the patient. When there is more than one
sonographer involved, you can use the Combo button to make a selection.

Description
„„
Enter a description of the diagnosis. If a description is entered, it can be searched for and viewed
under Description in SonoView.

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 Chapter 3 Starting Diagnosis

[Figure 3.6 General Information]

OB
Enter the obstetrical information.

LMP (Last Menstrual Period)

„„
Enter the last menstrual period for a patient. You can enter it manually or have it automatically
calculated and displayed with the GA entered.

Ovul. Date
„„
Enter the expected ovulation date. LMP, GA, and EDD will be automatically calculated and displayed.

Calculating LMP and EDD (LMP) with Ovul. Date

Tips!
The following formulae are used:
XX
LMP = Ovul. Date - 14
XX
EDD = (280 -14) + Ovul. Date

NOTE: Values that have been calculated and entered cannot be changed.

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 Operation Manual

GA (LMP)
„„
Indicates the gestational age of a patient. You can enter it manually or have it automatically
calculated and displayed with the LMP entered.

EDD (LMP)
„„
With the LMP or GA entered, EDD (expected date of delivery) is calculated and displayed.

Calculating EDD (LMP)

Tips!
EDD can be calculated by entering LMP or GA.
XX
When LMP is entered: GA and EDD are automatically calculated and displayed on the screen.
XX
When GA is entered: LMP and EDD are automatically calculated and displayed on the screen.

Estab. Due Date

„„
Enter the expected delivery date in the prescribed format. Once the expected delivery date is
entered, LMP, GA (LMP), and EDD (LMP) are automatically calculated and displayed.

Number of Fetuses
„„
Enter the number of fetuses. Up to four may be entered.

Day of Cycle
„„
Enter a menstrual period in number of days (dd).

Ectopic
„„
Enter the number of ectopic pregnancies.

Gravida
„„
Enter the number of pregnancies.

Aborta
„„
Enter the number of miscarriages.

Para
„„
Enter the number of deliveries.

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 Chapter 3 Starting Diagnosis

New Pregnancy
„„
Deletes the patient’s existing OB information.

[Figure 3.7 OB Information]

Gynecology
Enter the gynecological information.

NOTE:
XX
In the GYN information input screen, even if the Ovul. Date is entered, LMP and EDD will not be
calculated automatically.
XX
For other gynecological information, refer to the OB section.

[Figure 3.8 Gynecology Information]

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 Operation Manual

Adult Echo
Enter cardiologic information.

BP
„„
Enter systolic/diastolic pressure (blood pressure).

Additional Information
„„
Select the applicable check boxes. Enter detailed information on the patient's history (Indication) in
the free text window below the check box.

Smoker Hypertension
Diabetes Hyperlipidemia
Family History Surgery History

Murmur Heart Failure

Coronary Heart Disease Angina

Myocardial Infarction Jugular Venous Distension

Dyspnea Syncope
Arrhythmia Rheumatic Heart Disease
Congenital Heart Disease Heart Valve Disease

[Figure 3.9 Adult Echo Information]

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 Chapter 3 Starting Diagnosis

Ped. Echo
Enter pediatric cardiac information.

Additional Information
„„
Select the applicable check boxes. Enter detailed information on the patient's history (Indication) in
the free text window below the check box.
Murmur Dyspnea

Palpitation Fever

Cyanosis Paroxysm

Fainting Chest Pain

Cardiomegaly Dextrocardia

Pacemaker Family History

VSD (Ventricular Septal Defect) ASD (Atrial Septal Defect)

PDA (Patent Ductus Arteriosus) COA (Coarctation of the Aorta)

TOF (Tetralogy of Fallot) PS (Pulmonic Stenosis)

AS (Aortic Stenosis) TGA (Transposition of the Great Arteries)

[Figure 3.10 Pediatric Echo Information]

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 Operation Manual

Fetal Heart
Enter additional information about the fetal heart. Information that can be entered in this section is
identical to the information in the cardiac section.

[Figure 3.11 Fetal Heart Information]

Vascular
Enter vascular information.

Additional Information
„„
Select the applicable check boxes. Enter detailed information on the patient's history (Indication) in
the free text window below the check box.

Smoker Hypertension
Diabetes Hyperlipidemia
Family History Surgery History
Dizziness Headache
Migraine Stroke
Peripheral Neuropathy

[Figure 3.12 Vascular Information]

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 Chapter 3 Starting Diagnosis

TCD
Enter additional information for Transcranial Doppler (TCD).

Additional Information
„„
Select the applicable check boxes. Enter detailed information on the patient's history (Indication) in
the free text window below the check box.

Smoker Hypertension
Diabetes Family History
Dizziness Vertigo
Migraine Headache
Diplopia Dysarthria
Dysphagia Tinnitus
Stroke Peripheral Neuropathy
TIA Numbness
Paralysis

[Figure 3.13 TCD Information]

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 Operation Manual

Urology
Enter urological information.

PSA
„„
Enter the Prostate Specific Antigen (PSA) value.

[Figure 3.14 Urology Information]

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 Chapter 3 Starting Diagnosis

Changing Measurements
From the Patient Information Entry screen, tap on the Measure Data button.

NOTE: Appears only when a patient ID has been selected.

Insert Measurement Data Screen

Click the Insert tab on the screen. You can enter the existing obstetrical measurements.

[Figure 3.15 Insert Measurement Data]

Exam Date
„„
Enter the measurement date.

Fetus
„„
If there are multiple fetuses, identify each one. Up to four fetuses (A, B, C, D) can be specified.

Exam No.
„„
Up to eight exam numbers can be entered for each date. The Exam number is displayed at the
bottom of the screen.

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 Operation Manual

New Data
„„
Cancel all measurement data entered for all exams and enter new measurement data.

Clear
„„
Cancel entering the measurement data.

Insert
„„
Complete entering the measurement data.

Page Browse
„„
Use the [>>] or [<<] button.

Study Information
„„
Loads application-specific Patient Information screen.

View Measurement Data Screen

Click the View tab on the screen. You can view the measurements on the screen, or save them as an
Excel file. The * symbol next to Date indicates that the data is the current measurement data.

[Figure 3.16 View Measurement Data]

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 Chapter 3 Starting Diagnosis

Package
„„
Select a measurement package to display on the screen.

Refresh
„„
Update the measurement data. Newly calculated measurements, or the measurements entered,
are added.

Save
„„
The Save To Excel window appears, allowing you to save information on the screen in an Excel file.

1. Designate the path.

To create a folder, select Create.

XX

To delete a folder, select Delete.

XX

2. Enter the file name. By default, the Excel file name is set to the measurement ID.

3. Select Save to finish. Press Close to cancel.

NOTE: Checking the HTML checkbox saves information as an HTML file instead of an Excel file.

[Figure 3.17 Save to Excel]

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 Operation Manual

Work list Search

On the Patient Information screen, select the Work list tab. Alternatively, use the touch screen’s Page
dial-button to select Work list. Perform a search by connecting to the DICOM Modality Work list server
in the hospital network.

NOTE: A work list search is available only when DICOM is enabled. The Work list Server can be
specified at Utility > Setup > DICOM. Refer to the ‘Setting DICOM’ section of ‘Chapter 7. Utilities’

1. After entering at least one item out of Patient ID, Last Name, Accession # (work list number) and
Procedure ID, click Search. The list of patients who match the criteria will be displayed.

Clicking items such as Date/Time or Patient Name sorts entries into alphabetical or numerical order
Tips!
for the selected criteria.

2. Select a patient list and tap on the Apply button. This applies the selected patient information to
the system. Tapping on the Start Exam button applies the patient information to the system and
switches the system to scan mode.

[Figure 3.18 Work list]

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 Chapter 3 Starting Diagnosis

Searching for Patient Information

On the Patient Information screen, select the Search tab. Alternatively, use the touch screen’s Page dial-
button to select Search. Search through the patient information stored in the system.

[Figure 3.19 Search]

1. In Search By, select a search condition.

Select ID to search using a patient ID or Name to search using a patient name.

XX

2. Select a drive under Drive. Information about the selected drive is shown under Current
Information.

3. After entering the required ID or name in the search box, click Search. The list of patients who
match the search criteria will be displayed.

XX
Entering Exam Date, Period, Category, and other types of additional information will provide a
Tips! more accurate search return.
XX
Clicking items such as ID or Name sorts entries into alphabetical or numerical order for the
selected criteria.

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 Operation Manual

Exam List
Displays a list of exams returned from Search. In addition to patient ID, name, age, and gender, the
exam list contains the following information:

Exam Date: Exam date.

XX

Images: Number of images on record.

XX

Measurements: Measurement status.

XX

SR: Structured report status.

XX

SE: Stress echo exam status.

XX

SC: The transfer status of the exam (Storage Commit).

XX

Lock Status: Lock status.

XX

When you tap one of the fields, such as Patient ID and Name, the data is sorted by the alphabetic or
Tips!
numeric order of the selected field.

Multi Select
Tips!
It’s possible to select multiple exams using one of the following two options:
XX
Tap on the Multi Select button and then select the desired exams.
XX
Hold down the keyboard’s Ctrl key, press the Set button, and then select the desired exams.

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 Chapter 3 Starting Diagnosis

Viewing Exam
Select an exam by using the trackball and the Set button, and click Review on the screen.

Switch to the SonoView screen.

NOTE: For instructions on using SonoView, refer to ‘Chapter 6. Image Management’.

Deleting Exam
Select an exam by using the trackball and the Set button, and click Delete on the screen. All images
from the exam will be deleted. However, an exam in progress or a locked exam cannot be deleted.

Select either to delete only the image or to delete only the exam. An exam without Measurement Data
will not be displayed on the screen if only the image is deleted.

NOTE: Once deleted, exams cannot be recovered.

To select more than one image, press the Set button while holding down the Ctrl key on the
Tips!
keyboard.

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 Operation Manual

Sending Exams via DICOM

You can send selected exams via the DICOM network.

NOTE: Before using this feature, make sure that DICOM is properly configured. For instructions on
configuring DICOM, refer to ‘Chapter 7. Utilities’.

Perform the following steps to send the selected exam via DICOM:

1. Select exam(s) and then click Send on the screen. The DICOM Storage window will appear.

To select more than one image, press the Set button while holding down the Ctrl key on the
Tips!
keyboard.

2. Select the alias you wish to transmit. You can select images under Stored Images and reports under
Storage SR.

3. Click Transfer. The transfer will be started and its progress (%) will be displayed. Press Close to
cancel.

Click Test, before sending the exam, to check the DICOM’s connection with the server.
XX

[Figure 3.20 DICOM Storage]

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 Chapter 3 Starting Diagnosis

Printing Exams via DICOM

NOTE: Before using this feature, make sure that DICOM is properly configured. For instructions on
configuring DICOM, refer to the Set DICOM section of ‘Chapter 7. Utilities’.

Perform the following steps to print the selected exam via DICOM:

1. After selecting an exam, click Print on the screen. The DICOM Printer window will be displayed.

To select more than one image, press the Set button while holding down the Ctrl key on the
Tips!
keyboard.

2. Click Transfer. The transfer will be started and its progress (%) will be displayed. Press Close to
cancel.

Click Test, before sending the exam, to check the DICOM’s connection with the server.
XX

[Figure 3.21 DICOM Printer]

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 Operation Manual

Exporting the Exam

Perform the following steps to export the selected exam to an external storage device:

1. After selecting an exam, click Export on the screen. The Image Export window will be displayed.

To select more than one image, press the Set button while holding down the Ctrl key on the
Tips!
keyboard.

2. In Drive, select the device on which the exam will be saved. You can select CD-ROM, or flash memory.

3. In File Name, enter the file name. The same file name is given to all images of an exam. When an
exam contains multiple images, a serial number is automatically added to the end of the file name.

4. In File Format, select the format in which the files will be saved. You can select BMP, JPEG, TIFF, or
DICOM.

5. In Export Option, select the options to apply to the files. You can select multiple options.

3D Volume Data: Export the 3D volume data together with the image.
XX

2D Cine: Export the stored Cine images after converting them to video files (AVI files).
XX

3D and Live Cine: Export 3D Cine and Live Cine images after converting them to video files (AVI
XX
files).

Hide Patient Information: Export images from which the patient ID and name have been deleted.
XX

6. In Directories, select the location in which the exam will be saved. To create a new directory, click
and enter the name. To delete a directory, select it and click . In Files, the files currently saved
in the selected directory are displayed.

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 Chapter 3 Starting Diagnosis

7. Click Export to begin exporting. Press Close to cancel.

[Figure 3.22 Image Exporting]

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 Operation Manual

Backing Up the Exam

You can back-up the selected exams on an external storage device.

NOTE: USB devices with anti-virus software installed are not supported.

1. Insert a storage medium for backups. CD-ROM or flash memory can be used.

2. Select exam(s) and then click Back-up on the screen.

To select more than one image, press the Set button while holding down the Ctrl key on the
Tips!
keyboard.

3. A Confirmation window will appear asking whether to continue the back-up. Click Yes to continue.
Click No to cancel.

4. The Back-up window will appear. Under Drive, select the media where the selected exams will be
saved.

5. Click OK to start the back-up. Press Cancel to cancel.

[Figure 3.23 Exam Back-up]

NOTE: Guaranteed external media for saving and backing up the exam are as follows:
Mitsubishi+RW, Imation+RW, HP+RW, Melody+RW

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 Chapter 3 Starting Diagnosis

Restarting the Exam

Click the Search tab on the Patient Information screen. Alternatively, use the touch screen’s Page dial-
button to select Search. This is a convenient way to update an exam that was performed within the past
24 hours with information from the current scan.

NOTE: Only the exams from the last 24 hours are displayed.

[Figure 3.24 Continue Exam]

Executing Exam
Select an exam by using the trackball and the Set button. Click Review Exam on the screen. The
selected exam is shown on the screen, and the system switches over to scan mode. The initial exam
date (Exam Reviewed) for each exam will also be shown in the user information area.

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Chapter 4
Diagnosis Modes

‹‹Information.......................................................4-3
Diagnosis Mode Types............................................................4-3
Basic Use......................................................................................4-4

‹‹Basic Mode.........................................................4-7
2D Mode......................................................................................4-7
M Mode......................................................................................4-22
Color Doppler Mode.............................................................4-25
Power Doppler Mode............................................................4-30
PW Spectral Doppler Mode................................................4-33
CW Spectral Doppler Mode................................................4-38
TDI Mode...................................................................................4-40
TDW Mode................................................................................4-42
ElastoScan Mode....................................................................4-44

‹‹Combined Mode............................................. 4-51

2D/C/PW Mode.......................................................................4-51
2D/PD/PW Mode....................................................................4-51
2D/C/CW Mode.......................................................................4-51
2D/PD/CW Mode....................................................................4-51
2D/C/M Mode..........................................................................4-52
Dual Live Mode.......................................................................4-52
2D/TDI/TDW.............................................................................4-52
Chapter 4
‹‹MULTI-IMAGE MODE...................................... 4-54
Dual Mode.................................................................................4-54
Quad Mode...............................................................................4-55

‹‹3D/4D Mode................................................... 4-56

3D Stand By..............................................................................4-60
3D View - MPR..........................................................................4-64
VOCAL.........................................................................................4-74
3D XI............................................................................................4-83
XI VOCAL....................................................................................4-93
4D..............................................................................................4-100
XI STIC......................................................................................4-101
3D Utility Menu....................................................................4-105
 Chapter 4 Diagnosis Modes

Information

Diagnosis Mode Types

This product supports a variety of diagnosis modes, including Basic Mode, Combined Mode, Multi-Image
Mode, and 3D/4D Mode.

Basic Mode: Consists of several different modes, each of which has a specific usage and function. By
„„
default, 2D Mode is applied together with another mode.

Combined Mode: For an image, two or three Basic Modes are applied at the same time. By default, 2D
„„
Mode is applied together with another mode. An image is viewed on a single screen.

Multi-Image Mode: The screen is divided into two (dual) or four (quad) sub screens, each of which is used
„„
to view an image. Since each sub screen can display a different image, it can be a very useful feature,
allowing multilateral views of an organ.

3D/4D Mode: 3D and 4D images can be obtained.

„„

The types of diagnosis mode that are available with the product are shown below:
Mode Type
2D Mode
Color Doppler Mode
Power Doppler Mode
M Mode
Basic Mode PW Spectral Doppler Mode
CW Spectral Doppler Mode
TDI (Tissue Doppler Imaging)
TDW (Tissue Doppler Wave Mode)
ElastoScan Mode
2D/C/PW Mode
2D/PD/PW Mode
2D/C/CW Mode
Combined Mode 2D/PD/CW Mode
2D/C/M Mode
2D/TDI/TDW
Dual Live Mode
Dual Mode
Multi-Image Mode
Quad Mode
3D Mode
3D/4D Mode
4D Mode

NOTE: The functionalities for each mode may be restricted by the selected probe.

4-3
 Operation Manual

Basic Use
The items that can be used commonly in each diagnosis mode are shown below:

Using Control Panel

The items that can be used in each diagnosis mode are provided as menu items. You can change the
image format or optimize an image to facilitate your diagnosis.

Gain
„„
Use the dial-button on the control panel. The appearance of the Gain button may differ depending
on the diagnosis mode that you select, but it is usually in the form of the same dial-button that you
used to select a diagnosis mode.
You can adjust the brightness of an image. If you rotate the Gain dial-button clockwise, its value
increases.

TGC (Time Gain Compensation)

„„
Use the TGC slider on the control panel.
In general, ultrasound penetration gets weaker with depth. TGC can be used to compensate for this
effect.
The product provides eight TGC sliders for varying depths, allowing you to adjust Gain by area.
Among the eight sliders, the top slider represents the shallowest area, while the lower sliders
represent the deeper ones.
Move the slider to the right to increase Gain and brighten the image.

Focus
„„
Use the Focus dial-button on the control panel.
You can adjust the focus point. As you rotate the Focus dial clockwise, the focus point moves deeper.
You can also change the number of focus.

Depth
„„
Use the Depth dial-button on the control panel.
You can adjust the scanning depth of an image. As you rotate the dial-button clockwise, the depth
increases.
The allowable range for adjustment varies with the selected probe.

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 Chapter 4 Diagnosis Modes

Zoom
„„
Use the Zoom dial-button on the control panel.
You can magnify an image. An image can be magnified by either Read Zoom or Write Zoom.

Read Zoom: This function allows you to zoom in or out of an image saved on a hard disk.
XX

1. Rotate the Zoom dial-button on the control panel.

2. Use the Trackball to move the Zoom box. You can locate the Zoom box in an image with the
Zoom Navigation box on the left side of the screen.

3. View the magnified image. If you rotate the dial-button clockwise, the image is magnified.

Write Zoom: This function allows you to magnify and scan an image in real time.
XX

1. Use the Zoom dial-button on the control panel. The Write Zoom box will appear on the
screen.

2. Use the Change button to move and resize the Zoom box.

3. When you press the Set button, it changes to Write Zoom. To finish Zoom mode, press the
Zoom dial-button once again. Or press the Exit button on the control panel. When using
Write Zoom, changing Depth automatically finishes Zoom mode.

Q Scan
„„

NOTE: Q Scan function is only available with specific probes and applications.

Use the Q Scan button on the control panel. The ‘Q Scan’ mark will appear at the top of an image. Q
Scan stands for Quick Scan.
In 2D Mode, Q Scan is used to optimize the contrast and brightness of an image by adjusting Gain
and TGC automatically. In PW Spectral Doppler Mode, Q Scan is used to optimize the spectrum by
adjusting Scale and Baseline automatically.
To finish Quick Scan mode, press the Q Scan button once again. Or press the Exit button on the
control panel.

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 Operation Manual

Using Touch Screen Menu

The items that can be used in each diagnosis mode are provided as touch screen menu items. You can
change the image format or optimize an image to facilitate your diagnosis.

1. In diagnosis mode, menu items that are in use are shown on the touch screen.

In a combined mode that uses more than one diagnosis mode, press a tab on the touch screen
XX
to specify settings for each mode.

When there is more than one menu on the touch screen, use the
XX or button to navigate
through pages.

2. Select a value by pressing a button or by rotating the dial-button on the touch screen.

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 Chapter 4 Diagnosis Modes

Basic Mode

2D Mode
This basic mode, also referred to as B Mode (Brightness mode), provides scan planes of organs. This is
used to display two-dimensional anatomical images in the direction of scanning in real time.

[Figure 4.1 2D Mode]

Entering 2D Mode

NOTE: Because 2D Mode is applied by default for all diagnosis modes, it cannot be terminated.

Press the 2D dial-button on the control panel.

If you press the 2D dial-button in other diagnosis modes, it will switch to the basic 2D Mode.

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 Operation Manual

2D Mode Menu

[Figure 4.2 Touch screen for 2D Mode]

Harmonic
„„
Turn it on or off by tapping Harmonic on the touch screen. The ‘Har’ mark is displayed in the
image information area.
This product provides the OHI (Optimal Harmonic Imaging) function that optimizes an image with
high frequencies.

NOTE: The Harmonic function is only available with specific probes.

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 Chapter 4 Diagnosis Modes

Elasto Scan
„„
The elasticity of the ROI in a 2D image is shown in color. The 2D Mode image is also shown, allowing
the marking and adjustment of the ROI within the scanned image. Press the Elasto Scan button to
enter Scan Mode.

NOTE: This item only appears in the menu when specific probes are used.

Trapezoidal
„„

NOTE: The Trapezoidal item appears in the menu only when a Linear Probe is used.

Turn this function on or off by tapping Trapezoidal on the touch screen.

In general, the rectangular frame provided by a Linear Probe is changed to a trapezoidal shape. This
allows a wider view of an image.
The Trapezoid function may not be available for certain depths. In addition, the Write Zoom function
cannot be accessed with the Zoom button when the Trapezoidal function is in use. (However, Read
Zoom can still be used.)

M Line
„„
An M Line appears on the image. The M Line indicates where the observed image is located in the
2D image when M or PW Mode is used together with 2D Mode.
Tap M Line on the touch screen and select On or Off.

M Line and Sample Volume

Tips!
When M Line is in use, a sample volume is displayed together with the M Line. The angle and depth
information for the sample volume is displayed on the screen.

Dual Live
„„
Tap Dual Live on the touch screen and select On or Off.
The 2D image and Color Doppler image for the scanned area can be displayed simultaneously in
real time.

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 Operation Manual

Pulse Inversion
„„
Turn this function on or off by tapping Pulse Inversion on the touch screen.
If it is turned on, pulses are inverted to sharpen the displayed image. The ‘PI’ mark appears at the
top of the image.

NOTE: Pulse Inversion is only available with specific probes.

Panoramic
„„

NOTE:
XX
Panoramic is an optional feature on this model.
XX
Available only in 2D mode with Linear and Convex probes.

The touch screen will be switched to the Panoramic Ready screen. For more information, please
refer to ‘Panoramic’ in this chapter.

Low MI
„„

NOTE: Low MI is only available under 2D mode with specific probes.

The touch screen will be switched to the Contrast Agent screen. Refer to ‘LOW MI Mode’ in this
chapter for detail.

Spatial Comp (SCI)

„„

NOTE:
XX
Spatial Comp is an optional feature of this product.
XX
The menu is shown on the touch screen only when a Linear probe is being used.
XX
Convex SCI is an optional feature in your product, and may or may not be supported in your
country. Please contact your dealer for more information.

Spatial Comp stands for Spatial Compound. The Spatial Compound mark appears on the image
information. Spatial Comp, which can be used to select a value for Spatial Compound, is enabled
on the touch screen. Tap the button on the touch screen or use the dial-button to select Low,
Medium, or High for Spatial Compound.

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 Chapter 4 Diagnosis Modes

DMR+
„„
Turn this function on or off by tapping DMR+ on the touch screen. The ‘DMR+‘ mark is displayed
in the image information area. DMR+ stands for Dynamic MR+.
This function removes the noise in images and intensifies boundary lines to make images more
vivid. Five predefined indexes are available.
If it is turned on, DMR+ Index is enabled on the touch screen.

DMR+ Index
„„
DMR+ removes the noise in images and intensifies boundary lines to make images more vivid. To
set the DMR+ index, select a value between 1 and 5 by tapping a button on the touch screen or
using the dial-button.

Chroma Map
„„
Turn on or off by tapping the button on the touch screen. If On is selected, Chroma Map, which
allows image color setting, is enabled. Select a value between Type 1 and 15, or between User 1 and
3, by tapping the button on the touch screen or using the dial-button.

NOTE: User types can be changed in Utility > Post Curve > 2D Post > Chroma Map. For more
information, please refer to ‘Post Curve’ in ‘Chapter 7. Utilities’.

Frequency
„„
For setting the probe frequency. Select Res, Pen, or Gen by tapping the corresponding button or
using the dial-button on the touch screen. The selected frequency is displayed in the title area.

Res: High Frequency (Resolution)

XX

Gen: Normal Frequency (General)

XX

Pen: Low Frequency (Penetration)

XX

Scan Area
„„
Select the width (%) of the image. Increasing the image width reduces the frame rate. Select a value
between 40-100 by tapping the button on the screen or using the dial-button.

NOTE: View Area varies depending on the preset.

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 Operation Manual

Dynamic Range
„„
Dynamic Range adjusts contrast by changing the ratio of the minimum and maximum values of
input signals. When this value becomes higher, the image is displayed more smoothly.
Select a value between 50 and 200 by tapping the desired button or using the dial-button on the
touch screen.

Frame Avg
„„
When an image is updated, Frame Avg averages the present image and the previous image. When
you scan the same diagnosis site repeatedly, speckles may appear on the updated image. Frame
Avg is used to minimize these speckles. Frame Avg stands for Frame Average.
Select a value between 0 and 15 by tapping the desired button or using the dial-button on the
touch screen.

FSI
„„
Renders data gained in 2D mode into images, using frequencies of numerous characteristics.
Therefore, shallow observation depths yield higher resolution and deep observation depths yield
higher penetration.
To do this, tap the corresponding button or use the dial-button on the touch screen. Select a value
between 1 and 3. FSI is an abbreviation of Full Spectrum Imaging.

Reject Level
„„
This function is used to eliminate noise or low level echo for clearer signals. Select a value between
1 and 32 by tapping the desired button or using the dial-button on the touch screen.

2D Image Size
„„
Set the size of the 2D image by tapping the button on the touch screen or using the dial-button.
Select a value between 50-100 by tapping the button on the screen or using the dial-button.

Gray Map
„„
This changes the 2D Post Curve. Select a value between 1 and 13 by tapping a button on the touch
screen or using the dial-button.

U/D Flip
„„
Tap the up and down flip icon on the touch screen.
The image flips up or down each time this button is pressed.

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 Chapter 4 Diagnosis Modes

L/R Flip
„„
Tap the left and right flip icon on the touch screen.
The image flips left or right each time this button is pressed. The M mark at the top of the image
indicates the present direction of the image.

Change Window
„„
Each press of this touch screen button changes the active image area. The image being scanned is
outlined in yellow at the top of it.

NOTE: To change the window setting, go to Utility > Setup > General > Dual Mode. For more
information, refer to ‘Setup’ in ‘Chapter 7 Utilities’.

Top-Bottom Dual
„„
Use this touch screen button to change left and right display to top and bottom display in Dual
mode.

2D Image Panning
„„
Turn on or off by tapping the button on the touch screen. If it is turned on, you may reposition the
2D image by using the trackball.

View Angle
„„
Adjust the image angle by tapping the desired button or using the dial-button on the touch screen.
The button is enabled only when Scan Area is less than 100%.

Store Method
„„
Select the type of Cine image that is saved when Save is pressed on the control panel. Select Time,
Manual, or Beat by tapping the button on the touch screen or using the dial-button.

Time: The images are saved over a set time period. Set the time (in seconds) by tapping the
XX
button on the touch screen or using the dial-button.

Manual: The images are saved from the time when the Save button is pressed until the button
XX
is pressed again.

Beat: Specify the heartbeat as 1 – 8 beats.

XX

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 Operation Manual

Line Density
„„
Set the scan line density. Select Low, Medium, or High by tapping the button on the touch screen
or using the dial-button.
Selecting High increases the number of scan lines and improves the image resolution. However, the
frame rate is reduced.

Edge Enhance
„„
Provides a clearer view of tissue and organ outlines. A higher value provides more accurate images
of the boundaries.
Select a value between -3 and 3 by tapping the desired button or using the dial-button on the
touch screen.

Speed
„„
Select a value between 1440 and 1620m/s by tapping the desired button on the touch screen or by
using the dial-button.

Power
„„
Used to select the ultrasound output intensity. Select a value between 10 and 100 by tapping a
button on the touch screen or using the dial-button.

Rotation
„„
Rotate 2D image by using the touch screen buttons or the dial button.

Low MI
NOTE: Low MI function will be displayed in the 2D menu under following conditions;
XX
Probe: SC1-6
XX
Application: Contrast
XX
Preset: General

This function is used to observe tissues with a contrast agent injected.

Tap Low MI on the touch screen to select On or Off. If set to On, the touch screen will switch to the
Contrast Agent screen, and the Contrast menu will be displayed in the touch screen soft menu. On the
monitor screen, the Low MI symbol and the Low MI timer are displayed on the Agent image and
the Tissue image, respectively.

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 Chapter 4 Diagnosis Modes

Low MI Mode
Tips! When you turn the Low MI button on, the screen will switch to the Contrast Agent screen, and
XX
you will enter CEUS Mode; the symbol will be displayed on the Agent image. CEUS, which
stands for Contrast Enhanced Ultrasound, enhances the contrast of ultrasound images to aid
diagnosis.
XX
Displays Dual Live Mode by default.
XX
Cannot be switched to other diagnosis modes.

Low MI Type
„„
Used to select Low MI type. Select between Agent and Tissue using the touch screen buttons.

Agent: Displays image in Pulse Inversion. Sensitivity adjustments to CEUS are applied, and each
XX
image is displayed in Pulse Inversion, Power Modulation, and Power Modulated Pulse Inversion.

Tissue: Displays image in 2D Mode.

XX

Timer
„„

Start/Reset: Starts or resets the Low MI timer.

XX

Flash
„„
Turn Flash on or off by tapping Harmonic on the touch screen. The images are shown at a higher
brightness setting for the number of frames specified in Frame.

Frame
„„
Set a value between 3 and 100 frames to specify the period of time for which the Flash function will
operate.

MI control
„„
Select the Low MI value from 3 to 60.

Sensitivity
„„
Rotate the dial-button 1 to set the CEUS Sensitivity to Low, Middle, or High.

Low: The sensitivity to the contrast agent is low, but the elimination of the surrounding anatomy
XX
is greater.

Middle: Compared with Low Sensitivity, the sensitivity to the contrast agent is higher, and the
XX
elimination of the surrounding anatomy is lower.

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 Operation Manual

High: This has the highest sensitivity to the contrast agent, with moderate elimination of
XX
anatomy. The frame rate, however, is the lowest.

Frame Rate Limit

„„
The value specified as the Frame Rate Limit determines the overall frame rate. Select a Frame Rate
Limit between 2 and 12.

Cine Save
„„
Saves Cine image.

Cine Play
„„
Plays Cine image.

Trim First
„„
After specifying the position of the first frame by rotating the dial-button or using the trackball, tap
the dial-button to save it.

Trim Last
„„
After specifying the position of the last frame by rotating the dial-button or using the Trackball, tap
the dial-button to save it.

Cine Speed
„„
Rotate the dial-button to adjust the auto playback speed.

TIC
„„
Press the Freeze button on the control panel in Low MI Mode, and the TIC will be displayed. Draw
a rectangular, elliptical, or polygonal ROI on the screen, and calculate the TIC to show it as a graph.
You may add up to 10 ROIs. If more than 10 are added, the assigned number will begin again at
number 1.
If the + cursor appears in the TIC Agent image, you can select the ROI.

NOTE:
XX
TIC can be applied only to Cine data that contains an Agent image such as Dual Live View or
Single Toggle View.
XX
For Dual Live View, ROI will be drawn in the Agent image and the Tissue image at the same time,
and the TIC for the Agent image will be calculated.

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 Chapter 4 Diagnosis Modes

The Time Intensity Curve is the time change curve of the average intensity of the Agent image's
XX
ROI.

The Current Intensity Result provides a numerical representation of the average intensity and
XX
the standard deviation for the Agent image currently being displayed on screen.

Rectangle/Ellipse: Draw a rectangular or elliptical ROI.

XX

1. Use the Set button to select the start point and size of the ROI.

2. You can press the Exit button on the control panel to cancel drawing a ROI.

Polygonal ROI: Draw a polygonal ROI.

XX

1. Use the Set button to select the start point. Each time you press the Set button, a vertex will
be created.

2. Once you have created three or more vertices, you can press the Exit button on the control
panel to calculate the TIC.

Delete All: Delete all the values of the TIC and return to the initial state.
XX

Delete ROI: Delete the active ROI and the corresponding TIC curve.
XX

Copy ROI: Copy the shape of the active ROI to create a new ROI. Use the trackball to select the
XX
location of where to draw the ROI. Press the Exit button to exit.

ROI: If there is more than one ROI, select the active ROI. The TIC for the selected ROI will be
XX
highlighted.

Curve Fitting: You may fit the TIC value into three types of curve.
XX
Wash-In Curve Fitting: Shows the TIC as an increasing curve.
Wash-Out Curve Fitting: Shows the TIC as a decreasing curve.
Wash-In/Out Curve Fitting: Shows the TIC as a curve that shows both increase and decrease.

Value Comparison: Calculates and displays the intensity and time differences and the gradient
XX
between two points you select on the TIC Curve.

1. Use the trackball to position the Current Frame Bar at the location you wish to select.

2. Press the Set button to select a point; the intensity and time at the selected point will be
displayed.

3. When you select another point you wish to compare, the intensity and time differences and
the gradient between the two points will be displayed in Value Comparison Table.

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 Operation Manual

4. If you select a new point, only the last selected point will be updated; the point you selected
first will remain fixed.

5. You can also make comparison between two separate TIC Curves. Change the active ROI before
selecting the second point to select the TIC Curve you want.

Cine Loop Control: You can use the trackball to change the frame of the image, the current frame
XX
bar of the TIC, and the current intensity and STD value for the current intensity result.

Trim First/Last: Set the start and end points for Cine. Rotate the dial-button to select the range,
XX
and press the dial-button to set the points.

Save to File: Save the TIC Curves for all ROIs as a CSV file. This is enabled only when a USB drive is
XX
mounted; the time of saving will be used as the filename. Use MS Excel to view the Time Intensity
Curve value.

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 Chapter 4 Diagnosis Modes

[Figure 4.3 Low MI - Touch Screen]

NOTE: For more information on other soft menu options and functions, refer to the ‘2D Mode’
section.

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 Operation Manual

Panoramic
NOTE:
XX
Panoramic is an optional feature on this model.
XX
Available only in 2D mode with Linear and Convex probes.

Panoramic Imaging is the function that acquires images over a wider range by using continuous
ultrasonographic images. Up to 500 frames can be used.

Acquiring a Panoramic Image

„„

1. Tap Panoramic on the touch screen. The touch screen will be switched to the Panoramic Ready
screen.

2. Tap Start/Stop on the touch screen. The system will begin to acquire a panoramic image.

3. Tap Start/Stop to end the acquisition of the panoramic image. The touch screen will be switched
to the Panoramic Review screen.

Cautions for Acquiring a Panoramic Image

Tips!
XX
When scanning a curved surface, ensure that the scan surface and the contact surface of the
probe are always at right angles.
XX
Moving in the opposite direction while acquiring an image erases the previous saved frames
and saves new frames.
XX
The image quality may deteriorate if the contact surface of the probe loses contact with the
scan surface.
XX
If the scan speed is fast or the contact surface of the probe changes in angle, artifacts may occur.

[Figure 4.4 Panoramic Ready - Touch Screen]

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 Chapter 4 Diagnosis Modes

Reviewing a Panoramic Image

„„

NOTE:
XX
You can perform basic measurements using the Caliper button. But other functions on the
control panel are not available.
XX
L/R Flip, U/D Flip, and Magnifying are only available when Layout is set to Full Screen.

[Figure 4.5 Panoramic Review - Touch Screen]

L/R Flip: Flip the panoramic image horizontally.

XX
U/D Flip: Flip the panoramic image vertically.
XX
Ruler: Tap the button to turn on or off. When turned on, the ruler is displayed on the panoramic
XX
image.
Cine Save: Saves Cine images.
XX
Layout: Specify how the panoramic image will be displayed on the screen.
XX
−− Full Screen: Display the panoramic image in full screen mode.
−− Left/Right: Display the 2D and panoramic images at the left and right of the screen, respectively.
−− Top/Down: Display the 2D and panoramic images at the upper and lower parts of the screen,
respectively.
Rotation: Rotate the panoramic image.
XX
Magnifying: Magnify the panoramic image.
XX
Return: Return to the Panoramic Ready screen.
XX
Exit: Exit Panoramic Imaging.
XX

NOTE: For information on other menu items, please refer to ‘2D Mode. ‘

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 Operation Manual

M Mode
The M Mode is used to specify an observation area in a 2D image with the M Line, and the display changes
over time.

This mode is appropriate for the observation of organs with a lot of movement, such as cardiac valves.
The 2D Mode image is also shown, allowing the marking and adjustment of an observation area within
the entire image.

[Figure 4.6 M Mode]

Entering & Exiting M Mode

Tap the M/x dial-button on the control panel. Tap the same button again. M Mode will be terminated
and the mode switched to 2D.

M Mode Screen

M Line
„„
Use the trackball on the control panel to move to the right or left. The M Line indicates the relative
position of the M Mode image in the 2D image. Therefore, you can move the M Line to change the
observation area.

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 Chapter 4 Diagnosis Modes

M Mode Menu

Anatomical M
„„
Tap Anatomical M on the touch screen and select On or Off. When turned on, it is possible to adjust
the length of the M line. You can also use the Change button to specify the line’s position between
M Point 1 and M Point 2.

NOTE: This is only supported in Phased Array Probe or Cardiac applications.

Sweep Speed
„„
Select 60Hz, 120Hz, 180Hz, 240Hz, 300Hz, or 360Hz using the touch screen buttons or the dial-
button.

Negative
„„
This function inverts the color of M images. Turn it on or off by tapping the Negative button on the
touch screen.

Store Method
„„
Specify how cine images are to be saved when the control panel’s Save button is pressed. Select
between Time and Manual.

Loop Size
„„
Select a value between 30 - 70 by tapping the button on the touch screen or using the dial-button.

Display Mode
„„
Change the screen layout of M Image. Select between Top/Bottom and SidebySide.

NOTE: This is enabled when M/PW Loop Side By Side is checked at Setup > General > Option.

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 Operation Manual

M Edge Enhance
„„
Used to specify the M image’s Edge Enhancement value. Select a value between -3 and 3 by tapping
a button on the touch screen or using the dial-button. Higher values provide more accurate images
of boundaries.

[Figure 4.7 Touch Screen for M Mode]

NOTE: For information on other menu items, please refer to ‘2D Mode‘.

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 Chapter 4 Diagnosis Modes

Color Doppler Mode

This mode displays the colored blood flow pattern of the ROI (Region of Interest) within the 2D image.

It is appropriate for examining the presence of the blood flow, as well as its average speed and direction.
The 2D Mode image is also shown, allowing the marking and adjustment of the ROI within the entire
image.

[Figure 4.8 Color Doppler Mode]

Entering & Exiting C Mode

From the control panel, tap on the Color/Ref. Slice dial-button. Tap the button again to end C mode
and switch to 2D mode.

C Mode Screen

ROI Box
„„
ROI stands for Region of Interest. The ROI Box outlines the area of the 2D image where color (blood
flow) information is displayed in Color Doppler Mode.
Use the Change button to move and resize the ROI box. Each time you tap the Change button, the
current state of the ROI box is displayed in the lower left of the screen.

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 Operation Manual

ROI Position: In this state, the position of the ROI box can be changed. Use the trackball to move
XX
and position the ROI Box.

ROI Size: In this state, the size of the ROI box can be changed. Use the trackball to move the ROI
XX
Box and specify its size.

Color Bar
„„
In Color Doppler mode, the color bar indicates the direction and speed of blood flow. Based on the
Baseline at the middle, red indicates the direction and speed of blood flow toward the probe. By
contrast, the blue color indicates the direction and speed of the blood flow away from the probe.

Color Bar Baseline Adjustment: Use the Baseline dial-button on the touch screen. If you rotate
XX
the Baseline dial-button clockwise, the baseline on the color bar rises.

C Mode Menu

Color Invert
„„
The color bar is inverted each time the Color Invert button is tapped. When the color bar is inverted,
the colors on the image are also inverted.

Frequency
„„
For setting the probe frequency. Select between Pen and Gen using the touch screen’s buttons or
the dial-button.

Filter
„„
Eliminates low-frequency Doppler signals created by vessel wall movement. Adjust the Cutoff
Frequency to remove doppler signals whose frequency is lower than the cutoff frequency.
Select an index between 0 - 3 by tapping the desired button or using the dial-button on the touch
screen.

Scale
„„
Used to adjust PRF (Pulse Repetition Frequency). Rotate the dial-button clockwise to increase the PRF
value and broaden the displayed blood flow speed range. Rotate the dial-button counterclockwise
to decrease the PRF value and narrow the displayed blood flow speed range.

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 Chapter 4 Diagnosis Modes

Baseline
„„
Rotating the dial-button clockwise increases the color bar’s baseline.
In Color Doppler mode, the color bar indicates the direction and speed of blood flow. Based on the
Baseline at the middle, red indicates the direction and speed of blood flow toward the probe. By
contrast, the blue color indicates the direction and speed of the blood flow away from the probe.

Balance
„„
The range of a color image can be adjusted by comparing the gray levels of 2D images with the
Doppler signal values of color images. Select a value between 1 and 31 by tapping a button on the
touch screen or using the dial-button.
When the Balance value increases, the color image also appears in the part where the gray level of
a 2D image is high (the bright part), increasing the range of the color image.

Display Mode
„„
Used to configure the display method in Color Doppler mode. Select Color + BW or BW Only using
the touch screen’s buttons or the dial-button.

Color Mode
„„

NOTE: The button for the Color Mode is only enabled in Phased Array Probe or Fetal Heart Preset.

Sets details of the color display. Select Velocity or Vel+Var using the touch screen’s buttons or the
dial-button. Vel stands for Velocity, and Var for Variance.

Sensitivity
„„
Used to select color image sensitivity. Select a value between 8 and 31 by tapping a button on the
touch screen or using the dial-button.
When this value increases, the sensitivity of a color image improves, but the frame rate becomes
lower.

Smooth
„„
Smoothes color images. Select a value between 1 and 8 by tapping a button on the touch screen
or using the dial-button.

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 Operation Manual

Alpha Blending
„„
Superimposes a color image over a 2D image in the color image area.

Blending Level
„„
Specify the blending ratio between the 2D image and the color image. Select a value between 1
and 26 by tapping a button on the touch screen or using the dial-button. A lower number gives the
2D image greater prominence. The lower the number, the higher the ratio of the 2D image gets.

Low / Mid / High

„„
Adjusts the frame rate of the color image. Make a selection by tapping the corresponding button
on the touch screen.

NOTE: This function may be restricted depending on the current probe and/or application.

Density
„„
Select the density of the scan line. Select Low, Middle1, Middle2, or High by tapping the Density
button on the touch screen or using the dial-button.
Selecting High increases the number of scan lines and improves the image resolution. However, the
frame rate is reduced.

Steer
„„

NOTE: The button for the Steer function is only activated when a Linear probe is being used.

Adjusts the angle of the ultrasound beam to minimize loss of color information. Select from Left,
Right, and None using the touch screen’s buttons or the dial-button.

TDI
„„
Tapping the TDI button on the touch screen changes to TDI mode. TDI stands for Tissue Doppler
Imaging.

NOTE:
XX
This function can only be used with Phased Array Probe and cardiac application.
XX
For more information on TDI, see TDI Mode.

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 Chapter 4 Diagnosis Modes

[Figure 4.9 Touch Screen for Color Doppler Mode]

NOTE: For information on other menu items, please refer to ‘2D Mode. ‘

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 Operation Manual

Power Doppler Mode

This mode uses colors to represent the intensity of blood flow within the ROI in the 2D image.

It is appropriate for examining the presence and amount of blood flow. The 2D Mode image is also shown,
allowing the marking and adjustment of the ROI within the entire image.

[Figure 4.10 Power Doppler Mode]

Entering & Exiting PD Mode

Tap the PD/y dial-button on the control panel. Tap the button again. PD Mode will be terminated and
the mode switched to 2D.

PD Mode Screen
Color Bar
„„
The color bar changes based on the power Doppler mode display setting under the PD mode menu.

PD Mode: The color bar indicates the presence of blood flow and its amount. The top of the color
XX
bar is the brightest section, where the amount of blood flow is at its highest.

DPDI Mode: The color bar indicates the direction and speed of blood flow. Based on the Baseline
XX
at the middle, red indicates the direction and speed of blood flow toward the probe. By contrast,
the blue color indicates the direction and speed of the blood flow away from the probe.

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 Chapter 4 Diagnosis Modes

ROI Box
„„
The ROI (Region of Interest) outlines the area of the 2D image where color (blood flow) information
is displayed in Power Doppler Mode.

PD Mode Menu

Color Invert
„„
The color bar is inverted each time this touch screen button is tapped. Inverting the color bar also
inverts the color displayed on the image.

NOTE: The Color Invert button only appears on the touch screen when PD Mode is set to DPDI.

PD Mode
„„
Used to configure the power Doppler mode display setting. Select either PD Mode or DPDI Mode
using the touch screen buttons or the dial-button.

PD Mode: Displays blood flow intensity (Power) only.

XX

DPDI Mode: DPDI is an abbreviation of Directional Power Doppler Imaging. If selected, blood
XX
flow intensity, speed, and direction are shown.

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 Operation Manual

[Figure 4.11 Touch Screen for Power Doppler Mode]

NOTE: For information on other touch screen menu items, please refer to the ‘2D Mode ‘ and ‘Color
Doppler Mode ‘ sections.

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 Chapter 4 Diagnosis Modes

PW Spectral Doppler Mode

PW stands for Pulse Wave. This mode displays blood flow speed at a specific vessel location over specific
time frames. Distance (depth) information can also be obtained by transmitting pulses over time frames.

This mode is useful for measuring low-speed blood flow such as in the abdomen and peripheral vessels.
The 2D Mode image is also shown, allowing the marking and adjustment of an observation area within
the entire image.

[Figure 4.12 PW Spectral Doppler Mode]

Entering & Exiting PW Spectral Doppler Mode

Press the PW/z dial-button on the control panel. Press it again to return to 2D Mode.

Press the Set button on the control panel to obtain a spectral doppler image.

NOTE:
XX
The doppler image can only be obtained in D Only or Simultaneous state.
XX
When the M Line is enabled, you can instantly get a spectral doppler image in PW mode.

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 Operation Manual

PW Spectral Doppler Mode Screen

„„
The doppler spectrum is displayed when the Sample Volume is overlaid on the blood flow on the
2D image. The size and depth of Sample Volume is displayed in [mm] units. Its position is moved
with the Trackball and displayed in the xx.xx@yy.yy mm format. The displayed value indicates xx.xx
mm sample volume size at yy.yy mm depth.
For example, 2.00@16.70 mm indicates 2.00mm sample volume at 16.07mm depth.

Moving Sample Volume

XX

Use the Trackball on the control panel.

Resizing Sample Volume

XX
On the control panel: After pressing the Change button on the control panel, adjust the size
of the sample volume by using the trackball. Press the Change button again to return to the
Sample Volume Position Control screen.
On the touch screen: Tap SV Size on the touch screen. Select a value between 0.5 - 15 by tapping
the desired button or using the dial-button on the touch screen.

Adjusting Sample Volume Angle

XX

Select a value between -70° and 70° by rotating the Angle dial-button on the control panel. You
can quickly select –60°, 0°, or 60° by pressing the Angle dial-button.

Adjusting Doppler Baseline

„„
Adjust the Baseline by rotating the dial-button on the touch screen.

HPRF
„„

NOTE:
XX
Enable/disable HPRF from Utility > Setup > General > Scan Mode > Option.
XX
HPRF is not activated in Simultaneous Mode. In addition, HPRF will not be activated if twice the
PRF value is greater than 23KHz.

HPRF detects the blood flow above the speed limit at a specific depth. This increases the scale. This
function is only available in PW Spectral Doppler Mode (D Only). HPRF stands for High PRF.

Activating HPRF
XX
Continuing to increase the scale value at a specific depth initiates HPRF. The Phantom Gate will
appear on the D Line at a position higher than the sample volume. Once HPRF starts, PRF does
not increase even if you increase the scale value.

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 Chapter 4 Diagnosis Modes

Finishing HPRF
XX
While HPRF is in use, decrease the scale value by one step to finish HPRF. Here, the PRF value
becomes the maximum value in the current PW Spectral Doppler Mode.

Moving Sample Volume

XX
To move the Sample Volume position in the D Only state, the system calculates PRF values and
the Phantom Gate position, and updates them on the PW Spectral Doppler image. HPRF is
terminated when HPRF cannot be activated.
When Sample Volume is moved in the 2D Only state, the PRF values don’t change.

CAUTION:
XX
While zoomed in, the Phantom Gate’s position can end up outside the 2D image area.
XX
Make sure that the sample volume and the Phantom Gate are not placed together in the
measuring area. If more than two Sample Volumes are located in the vessels, all Doppler
components will appear in the spectrum, causing noise.

PW Spectral Doppler Mode Menu

Simultaneous
„„

NOTE: This mode appears in the PW menu only when Utility > Setup > General > Simultaneous
Mode is set to Allow.

Each time you tap the touch screen button, the Simultaneous function turns on or off.
Turning the Simultaneous function on initiates real-time observation of both 2D images and
spectral Doppler images. With it turned off, however, you can only observe one of the two. The
Simultaneous function decreases Doppler PRF, thus decreasing the measurable speed range.

Doppler Invert
„„
Tap Doppler Invert on the touch screen. Each time the button is pressed, the speed indicator (+ /
–) for a spectrum is inverted.

Sound
„„
Adjusts the doppler volume. Select a value between 0 and 100 by tapping the button on the touch
screen or using the dial-button.

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 Operation Manual

Mean Trace
„„
Tap Mean Trace on the touch screen. Mean Trace for the selected spectrum is performed.

Auto Calc
„„
Turn this function on or off by pressing Auto Calc on the touch screen.
If it is turned on, a Doppler Trace is performed and its results are displayed. Up to 6 calculations can
be defined from Utility > Setup > Auto Calc. If it is turned on, the Mean Trace button is enabled.
For calculation configuration instructions, refer to the Measure Setup section in ‘Chapter 7. Utilities’.

CAUTION: The measurements done by Auto Trace under Measure and Real Time Automatic
Doppler Trace (Automatic Calculator) may be different from each other. This is because the
algorithms for these two methods are different. It is recommended that you use Auto Trace under
Measure for more accurate measurement.

Things to Consider when using Real Time Automatic Doppler Trace

Tips! 1. Aliasing occurs when PRF is too low in comparison to the image speed, or the spectrum is clustered
around the baseline because PRF is too high.
2. Peaks may be indistinct or intermittent, such as in Spectral waveforms for veins.
3. Meaningful spectrum distinction becomes difficult when Doppler Gain is set too high or too low.
4. An index is displayed during the transition time after Sample Volume is moved with the Trackball.
5. The major spectral signals are cut off when Doppler Wall Filter is set too high.
6. Peak Trace is interrupted when there is abnormal Doppler noise or artifacts, and the heart rate is
above approximately 140 bpm.
The above cases may result in inaccurate Real Time Automatic Doppler Trace results. Furthermore,
during auto calculation, results will not be displayed if the Freeze function is run against inaccurate
values.

AutoCalc Direction
„„
Select the calculations that you wish to make using Auto Calc in Spectrum. Select All, Up, or Down
using the touch screen buttons or the dial-button.

TDW
„„

NOTE:
XX
This function can only be used with Phased Array Probe and cardiac application.
XX
For information on TDW, please refer to ‘TDW Mode. ‘

The system will switch to TDW Mode. TDW stands for Tissue Doppler Wave.

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 Chapter 4 Diagnosis Modes

Spectrum Ehn.
„„
Used to configure the brightness and sensitivity levels for spectral Doppler images. Select an index
between 1 - 4 by tapping the desired button or using the dial-button on the touch screen. Spectrum
Ehn stands for Spectrum Enhancement.

Spectrum Type
„„
Select the spectrum type. Select from Type 1 to Type 3 by tapping the corresponding button or
using the dial-button on the touch screen.

[Figure 4.13 Touch Screen for PW Spectral Doppler Mode]

NOTE: For information on other touch screen menu items, please refer to the ‘2D Mode ‘ and ‘Color
Doppler Mode‘ sections.

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 Operation Manual

CW Spectral Doppler Mode

CW stands for Continuous Wave. This mode displays blood flow speed and direction at a specific vessel
location over specific time frames. Unlike PW Spectral Doppler Mode, it does not provide Sample Volume.

NOTE:
XX
CW Spectral Doppler Mode is an optional feature on this model.
XX
CW Spectral Doppler Mode can only be used with the Phased Array or Static CW probe.

[Figure 4.14 CW Spectral Doppler Mode]

Steered CW Spectral Doppler Mode

„„
This mode is only available with a Phase Array Probe. The 2D Mode image is also shown, allowing
the marking and adjustment of an observation area within the entire image.

Static CW Spectral Doppler Mode

„„
This mode is only available with a Static CW Probe. The 2D image is not displayed.

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 Chapter 4 Diagnosis Modes

Entering & Exiting CW Spectral Doppler Mode

Press the CW/LR dial-button on the control panel. Press it again to return to 2D Mode.

CW Spectral Doppler Mode Menu

[Figure 4.15 Touch Screen for CW Spectral Doppler Mode]

NOTE: Description for touch screen menu items is the same as for PW Spectral Doppler Mode.

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 Operation Manual

TDI Mode
TDI stands for Tissue Doppler Imaging. TDI mode represents the movements of tissues such as the heart.
TDI is available in Color Doppler Mode. In Color Doppler or Power Doppler Mode, TDI shows cardiac
tissues in color.

NOTE: This function can only be used with Phased Array Probe and cardiac application.

[Figure 4.16 Tissue Doppler Imaging Mode]

Starting and Ending TDI Mode

Press the touch screen’s TDI button in C mode to enter TDI mode. Press the button again to exit TDI mode
and enter C mode.

Starting TDI mode using User Key

Tips!
Set User Key 2 or User Key 3 to TDI Mode. You can start TDI mode using a button while performing
scan. User Key can be set from Utility > Setup > User Defined Key > User Key Setup.

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 Chapter 4 Diagnosis Modes

TDI Mode Menu

[Figure 4.17 Touch Screen for TDI Mode]

NOTE: For information on other menu items, please refer to ‘PW Spectral Doppler Mode. ‘

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 Operation Manual

TDW Mode
TDW stands for Tissue Doppler Wave. TDW mode represents the movements of tissues such as the heart.
TDW Mode is available in PW Spectral Doppler Mode. If it is used in Spectral Doppler Mode along with
Color Doppler or Power Doppler Mode, changes in cardiac tissues can be observed over time.

NOTE: This option is only available when the cardiac application is selected for a Phased Array
probe.

[Figure 4.18 TDW Mode]

Starting and Ending TDW Mode

Press the PW/z dial-button while in TDI mode. Or tap the TDW button on the touch screen in PW
Spectral mode. Tap on the corresponding button once more to toggle between TDI mode and PW
mode.

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 Chapter 4 Diagnosis Modes

TDW Mode Menu

[Figure 4.19 Touch Screen for TDW Mode]

NOTE: For information on other menu items, please refer to ‘PW Spectral Doppler Mode. ‘

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 Operation Manual

ElastoScan Mode
The elasticity of an ROI in a 2D image is shown in color. A scanned 2D image is also displayed to indicate
the relative position of the ROI and allow the user to change the position.

NOTE:
XX
ElastoScan Mode is an option for this product.

XX
The probes, applications, and presets that support ElastoScan are as follows:
L5-13IS (Smallparts – Breast, Thyroid (Except North America)), L5-13/50 (Smallparts – Breast,
Thyroid (Except North America)), EC4-9IS (Urology – Prostate, Gynecology – General, Adnexa),
VR5-9 (Urology – Prostate, Gynecology – General, Adnexa)

ElastoScan
Tips!
This process converts the elastic modulus (ultrasound image data) of a target object, obtained from
continuous ultrasound images, into an elastogram. A lesion's location can be estimated by using
the differences in elastic modulus obtained from elastograms. The function of elastography is to
determine the difference in hardness or stiffness between healthy organs and lesions. Palpation
has been used to measure stiffness, but this method is only useful at depths close to the surface of
tissue. ElastoScan allows the user to identify the existence of solid masses in tissue, and converts the
hardness data into an image by sonically enhancing the palpation.
Elastography shows the spatial distribution of tissue elasticity properties in a region of interest
by estimating the strain before and after tissue distortion caused by external or internal forces.
Quantitative elastography is not provided.

Entering and Exiting E Mode

While in 2D mode, tap on the touch screen’s ElastoScan button. Tap on the button once again to
return to 2D Mode.

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 Chapter 4 Diagnosis Modes

E Mode Screen

E Dual Mode
„„
This mode displays elastography and 2D images on the screen at the same time. Tap Single/Dual on
the touch screen to switch between Single and Dual Mode.
To facilitate comparative observation, the 2D image is shown on the left and an E image is shown
on the right.

[Figure 4.20 E Dual Mode]

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 Operation Manual

E Single Mode
„„
In E Single Mode, only an E image is displayed on the screen. Tap Single/Dual on the touch screen
to select either Single or Dual Mode.

[Figure 4.21 E Single Mode]

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 Chapter 4 Diagnosis Modes

ROI Mode
„„
ROI stands for Region of Interest. In E Mode, the ROI Box represents the area where elasticity
information is shown. Tap ROI Mode on the touch screen to enter or exit ROI Mode.
You can adjust the position and size of the ROI box by using the Change button on the control
panel. Each time the Change button is pressed, the current status of the ROI Box is shown in the
lower left corner of the screen.

E ROI Pos.: The position of the ROI Box can be changed. Move the ROI Box with the Trackball to
XX
confirm the new position.

E ROI Size: The size of the ROI Box can be changed. Resize the ROI Box with the Trackball and
XX
press the Change button to confirm the new size.

[Figure 4.22 ROI Mode]

NOTE: ROI Mode is available in E Single Mode as well as in E Dual Mode.

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 Operation Manual

Scan Methods
When using ElastoScan, place a probe onto the surface of the area that you wish to observe and apply
periodic compression to it. The compression should be adjusted so that the strain stays within 3 - 5 %.

Breast
„„
A breast is a complex organ that consists of latecomer, laticifer, glandular mammaria, fatty tissues,
fibrous tissues and chest muscles. Moving a probe along vertically causes unintended movements
of the tissues. To observe a lesion in ElastoScan Mode (E Mode), it is recommended that you minimize
lateral or other directional movements, including vertical movement of tissues along the axis.
Below are images of a breast tumor that were scanned in 2D and E modes.
a: b:

[Figure 4.23 Breast Tumor Images (a: 2D Mode, b: E Mode)]

Prostate
„„
The prostate consists of tissues that are simpler than those of a breast, and there are relatively fewer
unintended movements.
Below are images of a prostate tumor that were scanned in 2D and E modes.
a: b:

[Figure 4.24 Prostate Tumor Images (a: 2D Mode, b: E Mode)]

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 Chapter 4 Diagnosis Modes

Screen Layout

Color Bar
„„
In E Mode, the color bar indicates the stiffness of a tissue. Regardless of the color, the lower section
of the bar indicates that the target area is stiffer than the surrounding tissues, and the upper section
indicates that the target area is less stiff than the surrounding tissues.

E Mode Menu

[Figure 4.25 Touch screen for E Mode]

Invert Color Map

„„
Tapping on the corresponding touch screen button inverts the color bar. Inverting the color bar
also inverts the color displayed on the image.

Alpha Blending
„„
Tap Alpha Blending on the touch screen to switch this function on or off.
Alpha Blending blends 2D and E images so that they appear to overlap with each other. Use
Blending Level to adjust the blending ratio.

E Gain
„„
Adjust the brightness of the E image between 1 - 100%.

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 Operation Manual

Contrast
„„
Used to adjust the contrast level of elastography images. Set to between 1 - 100%.

Enhancement
„„
Adjusts the enhancement of the image. Select a value between 0% and 100% by tapping the
button on the touch screen or using the dial-button. A higher value provides more accurate images
of boundaries. However noise may increase according to the value.

Color Map Index

„„
Used to adjust the coloration of elastography images. Select from Type 1 to Type 5 by tapping
the corresponding button or using the dial-button on the touch screen. Changing the color map
changes the color bar accordingly.

Blending Level
„„
Select the ratio of Alpha Blending. Use the touch screen buttons or the dial-button to set this value
to between 0% and 100%, in 1% increments. Setting it to 0% shows an E image only, and setting it
to 100% shows a 2D image only.

Persistence Level
„„
Specify the rate of change between frames. Use the touch screen buttons or the dial-button to set
this value to between 0% and 100%, in 1% increments. The higher the value, the faster the rate of
frame changes.

Thyroid Scan Methods in E mode

Tips!
XX
Motion Tracking Bar: Display the movements detected by the probe in real time for 4 seconds.
The faster movements provides red color of Motion Tracking Bar. However the slower
movements provides green color.
XX
ECI(Elasticity Contrast Index): Indicates the contrast level of elastography images using the
adjustable ROI when the Freeze function is in effect. Specify the size of the ellipse, and adjust the
size using the 8 points.

NOTE:
XX
The Following are not available or available only for limited use in E mode;
−− Unavailable functions: Angle, Scan Area, ECG Histogram.
−− Available only one Focus.
−− Available Biopsy On and Off only.
−− Only the measurements that can be performed in 2D mode (distance, circumference, area, and
volume) are supported.
−− Thyroid scan in E mode is supported except North America.

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Combined Mode
In Combined Mode, three different modes are combined, including the default 2D Mode. Note that in
Dual Live Mode, only two modes are combined: 2D and Color Doppler.

2D/C/PW Mode
Color Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously.

In Color Doppler Mode, press the PW/z dial-button on the control panel. Alternatively, while in PW
Spectral Doppler Mode, press the control panel’s Color/Ref. Slice dial-button.

2D/PD/PW Mode
Power Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously.

In Power Doppler Mode, press the PD/y dial-button on the control panel. Or, in PW Spectral Doppler
Mode, press the PW/z dial-button on the control panel.

2D/C/CW Mode
Color Doppler Mode and CW Spectral Doppler Mode are displayed simultaneously. This mode is available
only with certain probes.

In Color Doppler Mode, press the CW/LR dial-button on the control panel. Alternatively, while in CW
Spectral Doppler Mode, press the control panel’s Color/Ref. Slice dial-button.

2D/PD/CW Mode
Power Doppler Mode and CW Spectral Doppler Mode are displayed simultaneously. This mode is available
only with certain probes.

In Power Doppler Mode, press the CW/LR dial-button on the control panel. Or, in CW Spectral Doppler
Mode, press the PD/y dial-button on the control panel.

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2D/C/M Mode
Color Doppler Mode and M Mode are displayed simultaneously.

In Color Doppler Mode, press the M/x dial-button on the control panel. Alternatively, while in M Mode,
press the control panel’s Color/Ref. Slice dial-button. (Color/Ref. Slice button is only enabled for specific
diagnostic applications with specific probes.)

Dual Live Mode

2D Mode and Color Doppler Mode are displayed simultaneously. While in 2D Mode or C Mode, select
Dual Live on the touch screen.

2D/TDI/TDW

NOTE: This function can only be used with Phased Array Probe and cardiac application.

TDI Mode and TDW Mode are displayed simultaneously. Tap TDI on the touch screen in PD Mode or Color
Doppler Mode, and then press the PW/z dial-button.

Changing Combined Mode Format

Changing the active image mode

„„
Press the Set button on the control panel. The current active image mode - ‘D Only’ or ‘2D Only’ - is
displayed above the menu on the screen.
In Combined Mode, more than two image modes are used at the same time. The image mode
currently in use is called ‘Active Image Mode.’ For example, if Sample Volume is moved with the
Trackball in 2D/C/PW Mode, PW Spectral Doppler Mode becomes the current active image mode.
Because the menu and button options vary depending on the active image mode, use the Set
button change the active image mode.
Note that the active image mode cannot be changed with the Set button when the Freeze function
is in effect.

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Changing menu
„„
You can change the menu and touch screen menu items without changing the active image mode.
The buttons on the control panel depend on the active image mode.
For example, when the touch screen menu for 2D mode is displayed on the screen in 2D/C/PW
mode, you can select another mode on the touch screen menu to switch to it.

NOTE: For instructions on optimizing the images in combined mode, refer to the Basic Mode
section.

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MULTI-IMAGE MODE
The product supports Dual Mode and Quad Mode.

In Multi-Image Mode, an image can be displayed in different combined modes. Button operations in an
active area are the same as in Combined Mode.

Dual Mode
Press the Dual button on the touch screen.

You can compare two different images at the same time. Each time you press the Dual button, one of the
two images is selected. The current active image mode is indicated by a blue line at the top. The buttons
and menu operate according to the image mode that is currently in use.

To exit from Dual Mode, tap on the touch screen’s Single button or press the 2D dial-button.

1 2

[Figure 4.26 Dual mode]

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Quad Mode
Press the Quad button on the touch screen.

You can compare four different images at the same time. Each time you press the Quad button, one
of the four images is selected. The current active image mode is indicated by a blue line at the top. The
buttons and menu operate according to the image mode that is currently in use.

To exit from Quad Mode, tap on the touch screen’s Single button or press the 2D dial-button.

1 2

3 4

[Figure 4.27 Quad mode]

Multi-Image Mode Screen Layout

Tips!
In Multi-Image Mode, recent Cine images are displayed on the screen by default.
Dual Mode
XX
Tap on the touch screen’s Dual button to display the current Cine image and the most recent
Cine image in the order of 1  2.
Quad Mode
XX
Tap on the touch screen’s Quad button to display the current Cine image and the three most
recent Cine images in the order of 1  2  3  4.

NOTE: For instructions on optimizing the images in Multi-Image Mode, refer to the Basic Mode
section.

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3D/4D Mode
These modes show 3D images of the region being examined. ACCUVIX A30 provides both 3D Mode and
4D Mode (optional).

NOTE:
XX
Standard probes cannot be used for 3D/4D Modes.
XX
This manual has been prepared based on the 3D MXI Upgrade.

Entering and Exiting 3D/4D Mode

Press the 3D/4D button on the control panel. Press it again to exit 3D/4D Mode and return to 2D Mode.

3D/4D Mode Screen

ROI Box
„„
In 3D/4D Mode, the ROI box is also referred to as the volume box. It indicates the area for conversion
into a 3D/4D image.
You can adjust the position and size of the ROI box by using the Change button on the control
panel. Each time the Change button is pressed, the state of the ROI box is displayed in the lower
middle part of the screen as follows:

ROI Position: In this state, the position of the ROI box can be changed. You can move the ROI box
XX
using the trackball.

ROI Size: In this state, the size of the ROI box can be changed. After resizing the ROI box with the
XX
trackball, press the Change button to confirm the new size.

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3D Mode
You can capture 3D images using a 3D probe. This product provides 3D Mode and Xl STIC.

[Figure 4.28 3D Mode]

3D
„„
In this mode, you can capture 3D images using a 3D probe.

XI STIC
„„
In this mode, fetal cardiac cycle and STIC volume data can be obtained with 3D probes. For more
information, please refer to ‘XI STIC’ in this chapter.

NOTE: XI STIC is an optional feature of this product.

Color 3D Mode
Tips!
With ACCUVIX A30, 3D Mode can be used in combination with Color Doppler or Power Doppler
Mode.
3D/C Mode: Press the 3D/4D button in Color Doppler Mode. Along with a 3D image of the
XX
observation area, the speed and direction of blood flow will be shown in color.
3D/PD Mode: Press the 3D/4D button in Power Doppler Mode. Along with a 3D image of the
XX
observation area, the presence and amount of blood flow will be shown in color.

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4D Mode (Optional)
In 4D Mode, 3D images can be obtained in real time with 3D probes. This mode is also called Live 3D
Mode.

NOTE: 4D Mode is an optional feature of this product.

[Figure 4.29 D Mode]

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Acquiring 3D/4D Images

1. Specify the location and size of the ROI Box as desired.

2. Set the required parameters in the 3D Stand By screen on the touch screen.

Select the Menu tab and go to View Mode Ò Rendering Preset Ò Miscellaneous and configure
XX
the options.

3. Press the Freeze or Set button on the control panel. The system will start acquiring 3D images.

4. Once 3D images are acquired, the 3D View or 3D XI screen is displayed.

If a horizontally-reversed 3D image is obtained, the image will also be shown horizontally-

XX
reversed in 3D View or 3D XI.

5. Optimize the acquired images as needed for diagnosis. Press the 3D/4D button to acquire 3D
images again.

How to Improve 3D Image Quality

Tips!
XX
Consider the direction, size and section of the viewpoint as well as the visibility of an object.
XX
Before acquiring 3D images, adjust the contrast in 2D Mode.
XX
The bigger the ROI box, the slower the rendering speed. Therefore, set an appropriate ROI box
size.
XX
To see the 3D image of a fetus in frontal view, position the fetal head in the direction of the
Direction Mark, putting it in the coronal plane. Then scan the fetus from back to abdomen.
XX
The 3D image of a fetal face can be more easily located in the coronal plane than in the Sagittal
plane.
XX
To determine surface contour, subjects such as amniotic fluid that do not generate echoes
should be insulated with hypo-echoic textures.
XX
To clean up an acquired 3D image, adjust the Low-Threshold level. The general rule is not to
adjust High Threshold; set it to the maximum value of 255.

NOTE: You can cancel a scan job by pressing the Exit button.

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 Operation Manual

3D Stand By
This screen is displayed on the touch screen when 3D/4D Modes are entered. Set the required parameters
to specify how 3D images are acquired.

[Figure 4.30 3D Stand By - Touch Screen]

Menu Tab
Select a tab for 3D/4D Modes. The tabs that are enabled on the touch screen vary depending on the
probe being used and whether Color 3D Mode is enabled.

In Color 3D Mode, only the 3D or XI STIC tab is enabled.

Adjusting 2D Images in 3D/4D Modes

Tips!
Tap the 2D Menu tab on the touch screen to optimize a 2D image before acquiring the
corresponding 3D image.
Once the 2D image is optimized, tap the 3D Menu tab on the touch screen to return to 3D Stand
By Mode.

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View Mode
Select a view mode to use after 3D images are acquired.

3D View
„„
The standard view mode for 3D image review. Press MPR.

3D XI
„„

NOTE: 3D XI is an optional feature of this product.

The view mode for 3D XI image review. Select either MSV or Oblique View. For more information,
please refer to ‘3D XI Mode. ‘

Rendering Preset
Select a preset for the 3D image. For detailed instructions, refer to the Preset information in the section
covering 3D View-MPR Mode.

Auto ROI

NOTE: Auto ROI is only available under the OB application.

Tap the corresponding button on the touch screen to turn Auto ROI on or off. If it is turned on, the ROI
box will be automatically placed in the area that will be converted to a 3D image.

When Auto ROI is used, the following should be taken into account:

Only images of the fetal body can be acquired.

XX

Once Auto ROI is turned on, the position or size of the ROI box cannot be changed.
XX

Auto ROI selection is affected by the brightness or contrast of 2D images.

XX

Auto ROI is not available in Color 3D Mode.

XX

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ROI Curve
NOTE:
XX
It cannot be used when OH (Orientation Help) is on.
XX
It is supported when the Render Direction is ‘C+’.
XX
It is supported in Dual and Quad modes.

Press the Curved ROI button to turn it on or off. If set to On, adjust the ROI Line in the form of a curve
to select the rendering area.

[Figure 4.31 ROI Curve]

Scan Quality

NOTE: Scan Quality is not available under the XI STIC menu tab.

Select the quality of 3D images. Tap the touch screen or use dial-button to select Low, Medium 1,
Medium 2, High, or Extreme.

Extreme: Provides superior image quality. Use for studying a highly detailed image.
XX

High: Provides faster 3D image capturing (or rendering) speed than Extreme setting, at the
XX
expense of image quality.

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Medium 1, Medium 2: Provides better image capturing speed and lower image quality than the
XX
High setting.

Low: Provides the fastest 3D image capturing speed and the lowest image quality.
XX

Scan Angle
Set the scan angle by tapping the touch screen or using the dial-button. The angle range varies
depending on the probe in use.

NOTE:
XX
In XI STIC, set the scan angle between 15° and 60°.
XX
In NT preset, set the scan angle between 40° and 50°.

ScanTime
Set the image acquisition time. Select a value between 7s and 15s by tapping the corresponding
button on the touch screen or using the dial-button. The ScanTime button is only enabled in XI STIC.

NOTE: For more information, refer to the XI STIC section.

Trimester
Set the pregnancy trimester. Select from 1st, 2nd and 3rd by tapping the corresponding button on the
touch screen or using the dial-button. The Trimester button is only enabled in XI STIC.

NOTE: For more information, refer to the XI STIC section.

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3D View - MPR
This view mode is enabled upon acquisition of images when MPR is selected in 3D Stand By. The 3D View
indicator appears in the upper left corner of the screen, and 3D images are displayed in MPR.

You can optimize 3D images, perform diagnosis, and take measurements.

Changing View Mode

Tips!
Select the 3D Menu tab on the touch screen to change the view mode.

The Basics of 3D View Mode

Screen Layout
„„

2 3

5
4

[Figure 4.32 3D View]

1 In MPR Mode, Mix, Threshold Low, Render Direction, and Render Mode 1, 2 are displayed together
with the present mode in the 3D image information.
3D Image Information: The present 3D mode and image information are displayed on the monitor.
You can switch the display on or off by pressing the spacebar of the keyboard.

2 A Plane: Axial Section Image

3 B Plane: Sagittal Section Image

4 C Plane: Coronal Section Image

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5 3D Image

6 Trackball status indication: The current status of the trackball appears at the bottom of the screen.
You can select Pointer, Move, or ROI for trackball. Press the Change button on the control panel to
change the trackball state. The trackball state changes sequentially each time the button is pressed.

Move: Move 3D images with the trackball. The acquired 3D image moves as you move the
XX
trackball.

ROI: You can resize the ROI box with the trackball. The ROI box on the 3D image is resized as you
XX
move the trackball.

Pointer: You can reposition the ROI box. Pressing the Pointer button on the control panel
XX
switches to Pointer state. You can rotate the ROI box around the image axis by using the pointer
while pressing the Set button. Press the Change button again to switch to another state.

Touch Screen Layout

„„
Only the buttons that are available in the current mode are enabled.

[Figure 4.33 3D View Menu]

1 3D Menu

2 3D Utility Menu: This menu appears vertically at the right side of the touch screen. You can move to
another page using the  and  buttons above the Utility Menu. For more details, see 3D Utility
Menu in this chapter.

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Zooming In/Out Image

„„
Turn the Zoom dial-button on the control panel to zoom in/out of images. The current zoom factor
appears on the left side of the screen.

Adjusting ROI’s Top and Bottom Margins

„„
Use the Angle/TB dial-button on the control panel to adjust the top and bottom margins of the
ROI. TB is an abbreviation for Top-Bottom.

Adjusting ROI’s Left and Right Margins

„„
Use the CW/LR dial-button on the control panel to adjust the left and right side margins of the ROI.
LR is an abbreviation for Left-Right.

Ref. Slice
„„
From the control panel, use the Color/Ref. Slice dial-button to move the Reference Slice to the left
and the right in parallel.

Niche Zoom
„„

NOTE: This option is available with VCT.

Use the Zoom dial-button on the control panel. Pressing the dial-button activates the Niche zoom
feature. Turn the dial-button to zoom in/out of VCT images. The current niche zoom factor appears
on the left side of the screen.

Rotating Image by X-axis

„„
Use the M/x dial-button on the control panel.

Rotating Image by Y-axis

„„
Use the PD/y dial-button on the control panel.

Rotating Image by Z-axis

„„
Use the PW/z dial-button on the control panel.

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Measurements by Application
„„

NOTE:
XX
Measurements can only be taken for images in MPR, MSV or 4D Mode.
XX
Only the SonoView, Patient, and Report buttons are available during measurement.

Press the Calculator button on the control panel. Measurement-taking methods are identical to
those described in ‘Chapter 5. Measurements and Calculations’.

Basic Measurement
„„
Press the Caliper button on the control panel. For more details, refer to the Basic Measurements
section of ‘Chapter 5. Measurements and Calculations’.

Entering Text
„„
Press the Annotation button on the touch screen. Enabling Quick Text changes keyboard input into
text mode. For more information, refer to the Text Input section of ‘Chapter 6. Image Management’.

Entering Indicator
„„
Tap Annotation on the touch screen and then press a button for which an Indicator can be set. For
more information, refer to the Indicator Input section of ‘Chapter 6. Image Management’.

NOTE: Calculator and Caliper options cannot be used in any of the modes.

Saving Images
„„

NOTE: If volume data contains both 4D and 3D Cine images, you can choose to save in either 4D or
3D.

1. Press the Save button on the control panel. The 3D Data Save screen is displayed on the touch
screen.

2. Specify settings such as Data Type, Save Item, and Volume Format.

3. Tap Acquire on the touch screen to save the image. Press Cancel to cancel.

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Volume Data
Tips!
1. If volume data contains a Cine image, it is saved at the same time.
2. If images are saved with volume data, they can be converted to new 3D rendering images with
SonoView.

[Figure 4.34 3D Data Save]

Printing Image
„„
Press the Print button on the control panel.

Mode
Select the display format in which 3D images are presented.

Render
„„
Shows Axial, Sagittal and Coronal plane images and 3D image.

VCT
„„
Displays Axial, Sagittal and Coronal plane images, as well as combinations of the three. Each plane
is displayed with a different colored frame. VCT is an abbreviation for Volume CT.

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2D
„„
Axial, Sagittal and Coronal plane images, along with OH (Orientation Help), are displayed on the
screen. OH indicates the relative position of the currently selected plane with respect to the volume
data.

Tips! Tap Single on the touch screen for a more detailed view.

Display Format
Use the touch screen to select the Display Format.

Single: Displays the 3D image in full screen view.

XX

Dual: Displays one 2D image and one 3D image.

XX

Quad: Displays all 2D and 3D images.

XX

NOTE: In 2D or VCT mode, the only available options are Single and Quad Formats.

Ref. Image
Select a reference image from A, B, or C by tapping the corresponding button on the touch screen. The
selected image will be highlighted with orange borders.

A: Axial Section
XX

B: Sagittal Section
XX

C: Coronal Section
XX

OH
„„

NOTE: Available in Render and 2D.

Tap the button on the touch screen to turn this feature on or off. If it is turned on, a 3D image will be
displayed along with OH. OH is an abbreviation for Orientation Help.

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3D Rotation

NOTE: This option is available with Render.

Select -90°, 90° or 180° by tapping the button on the touch screen. Rotation is achieved based on the
current 3D image.

Init
Tap on the touch screen button to reset the 3D image’s position data.

FAD
Automatically detects the face of the fetus and removes the images of any limbs that obscure the face.

FAD stands for Fetal Face Auto Detection.

VSI
Displays a realistic image by using depth and intensity information. When Surface or Surface Smooth
is enabled in Render Mode 1, Shading is enabled in Render Mode 2.

VSI stands for Volume Shading Imaging.

Accept ROI

NOTE: Available in Render and Mirror View.

Tap the button on the touch screen to turn it on or off. If it is turned on, ROI will not be displayed.

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Mix

NOTE: This option is available with Render.

Set the combination of Render Modes 1 and 2. Select a value between 0:100 and 100:0(%) by tapping
the button on the touch screen or using the dial-button. For more information about the Render
mode, refer to the Render Setup details in the section covering the 3D Utility Menu.

Th.Low

NOTE: This option is available with Render.

Specify the minimum threshold value. Select an index between 0 - 254 by tapping the desired button
or using the dial-button on the touch screen.

Threshold
Tips!
This option allows you to adjust the threshold value in order to eliminate unnecessary data from
images. As the number increases, cyst elements become more apparent. As the number decreases,
bone elements become more apparent.

Select
Select Post Curve. Select from 2D or 3D by tapping the corresponding button on the touch screen or
using the dial-button.

NOTE: In Mirror View, the Select function is only enabled in Color 3D mode.

Position
Set the position of the post curve selected with the Select function. Select an index between 0 - 100
by tapping the desired button or using the dial-button on the touch screen.

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Bias
Set the bias of the post curve selected with the Select function. Select a value between -100 and 100
by tapping a button on the touch screen or using the dial-button.

Initializing Post Curve

Tips!
When the trackball is in Pointer state, you can double-click Post Curve at the left side of the screen
to initialize the Post Curve.

Transparency

NOTE: This option is available with Render.

Set the transparency of a 3D image. Select a value between 20 and 250 by tapping a button on the
touch screen or using the dial-button.

The lowest value (20) is for complete transparency, and the highest value (250) is for complete opacity.

DMR+

NOTE: For more information on DMR+ and DMR+ Index, refer to the 2D Mode Menu in this
Chapter.

DMR+ removes the noise in images and intensifies boundary lines to make images more vivid. Five
predefined indexes are available.

If it is turned on, DMR+ Index is enabled on the touch screen.

DMR+ Index
Tap DMR+ Index on the touch screen. Select an index between 1 and 5 by tapping the button on the
touch screen or using the dial-button.

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HDVI

NOTE: HDVI is an optional feature of this product.

HDVI filters 3D images to express outlines more vividly and improve images. Five predefined indexes
are available.

HDVI Index
Tap HDVI Index on the touch screen. Select an index between 1 and 5 by tapping the button on the
touch screen or using the dial-button.

HDVI Type
You can choose the measurement site from among Face, Brain, Early OB, Heart, Spine, Gyn, Breast,
Thyroid, Carotid, Abdomen, and Kidney by tapping the button on the touch screen to adjust the image.

NOTE: The DMR and HDVI options are enabled in MPR, MSV, or Oblique View modes.

NOTE:
XX
The following 3D Utility Menu items are enabled in MPR mode: Mirror View, 3D Cine, 4D Cine,
Auto Contour, Contour Edit, Volume Slice, NTD, Post Processing, Render Setup, Preset, and
Chroma.
XX
For more information on 3D Utility, see the 3D Utility Menu.

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VOCAL
Measure the volume of tissues within the human body. VOCAL is an acronym for Virtual Organ Computer
Aided anaLysis.

VOCAL can be performed in the following order: VOCAL Define Ò VOCAL Edit Ò VOCAL.

[Figure 4.35 VOCAL]

VOCAL Define
Specify the settings required for VOCAL execution. Information on the current mode, contour type and
step angle is displayed in the 3D image information area.

[Figure 4.36 VOCAL Define Image Information]

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Contour Type
Select the contour line type. A contour line is automatically created for all types except Manual.

Solid
„„
Used for object data with many echoes.

General
„„
Draw a contour line based on a typical object. It is faster than other automatic contour types, but
less accurate.

Prostate
„„
Used for prostate data.

Cystic
„„
Used for object data with fewer echoes.

Sphere
„„
After creating a spherical object, edit its contour to make it into the desired shape.

Manual
„„
Create the desired shape of an object manually.

Ref. Image
Select a reference image from A, B, or C by tapping the corresponding button on the touch screen. The
selected image will be highlighted with orange borders.

Step Angle
Set the rotation angle. Select from 12, 18 or 30 by tapping the corresponding button on the touch
screen.

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Pole Point Move Using Trackball

Set the particular area where you want to perform VOCAL in a reference image. In a reference image,
Pole 1 and Pole 2 respectively refer to top and bottom arrow positions.

Tap Pole1 and Pole2 on the touch screen, and then use the trackball on the control panel to set the
area that you want to use VOCAL on.

Or, tap None, and then use the dial-button on the touch screen.

Init
Tap on the corresponding touch screen button to reset the 3D image’s position data.

Start
Tap the corresponding button on the touch screen to begin creation of VOCAL data.

When Contour Type is set to Manual

Tips!
1. Tap Start on the touch screen. The Image Position screen will be displayed on the touch screen.
2. After tapping the Set button that appears over an image on the screen, move the trackball to
create a contour.
−− Tap Next to move to the next frame.
−− Tap Previous to move to the previous frame.
3. Tap Done on the touch screen. Start VOCAL.
−− If you tap Done without contouring, VOCAL is performed over a sphere.

[Figure 4.37 VOCAL Define - Touch Screen]

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VOCAL Edit
Once VOCAL data is created, volume information will be displayed on the screen. In VOCAL Edit Mode,
you can modify or redraw the existing contour lines.

The current mode, Shell Mode and current frame number out of the total number of frames (e.g. 5/10)
are displayed in 3D Image Data.

[Figure 4.38 VOCAL Edit Image Information]

Shell Mode
Set the shell of an object based on its contour line.

Off
„„
Do not use Shell Mode. The created contour and the shell overlap.

Inside
„„
A shell of the thickness specified by the Shell Thick. setting is drawn inside the generated contour.

Outside
„„
A shell of the thickness specified by the Shell Thick. setting is drawn outside the generated contour.

Symmetric
„„
Half of the shell is drawn inside the contour and the other half is drawn outside the contour, with
each measuring half of the Shell Thick. specified.

Shell Thick.
Set the shell thickness of an object. Select a value between 1 and 20mm by tapping the Shell Thick
button on the touch screen or using the dial-button. This option only appears on the touch screen
when Shell Mode is used.

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Image Position
Review the contour lines for each frame. Use Previous and Next to move through frames.

Multi Edit
Modify more than one contour line at once. Tap the corresponding button on the touch screen to turn
this setting on or off. If it is turned on, up to 6 contour lines can be displayed simultaneously on the
screen. When there are more than 6 lines, use the MEV Page dial-button to navigate through pages.
MEV is an abbreviation for Multi Edit View.

Use Pole 1 and Pole 2 to edit contour lines. You can also use the trackball and the Set button on the
control panel to edit contour lines. Once editing is complete, tap Multi Edit again to turn it off.

Clear Contour
When you tap the Clear Contour button on the touch screen, the VOCAL data are deleted, the settings
are maintained, and the VOCAL Define step is displayed on the screen.

New Contour
When you tap the New Contour button on the touch screen, the VOCAL data and settings are all
deleted and the initial setting stage of VOCAL Define is displayed on the screen.

Accept Contour
Tap the corresponding button on the touch screen to apply changes to the contour. The system will
switch to the Review VOCAL Data screen.

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[Figure 4.39 VOCAL Edit - Touch Screen]

VOCAL
Optimize VOCAL data for review. Information on the current mode and display format is shown in the 3D
image information area.

[Figure 4.40 VOCAL Image Information]

Mode
Specify how VOCAL data are presented.

ROI 3D
„„
Shows images in the Axial, Sagittal and Coronal planes, and VOCAL data.

Fixed 3D
„„
Shows images in the Axial, Sagittal and Coronal planes, and 3D images for VOCAL data.

VCT
„„
Shows combinations of images in the Axial, Sagittal and Coronal planes and VOCAL data.

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Display Format
When you tap the Display Format button on the touch screen and select Single or Quad, the VOCAL
data are displayed in full screen. This can be used in every mode. When you tap the Display Format
button again, the display returns to the previous screen.

Ref. Image
Select a reference image from A, B, or C by tapping the corresponding button on the touch screen. The
selected image will be highlighted with orange borders.

VOCAL Edit
Tap the corresponding button on the touch screen to return to the VOCAL Edit stage.

Init
Tap on the touch screen button to reset the 3D image’s position data.

Histogram

NOTE: Histogram is only available for 2D and Power Doppler 3D images.

A shell histogram is calculated and displayed on the screen.

It represents the gray value distribution within the 2D and Power Doppler images of an object for
which VOCAL is performed. It also indicates Mean Gray (MG), Vascularization Index (VI), Flow Index (FI)
and Vascularization Flow Index (VFI).

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Formula for Shell Histogram:

Tips!
XX
MG: The average value of gray voxel brightness (gray)
MG = The sum of brightness (gray) / The total number of voxels
XX
VI: The ratio of color voxels to all voxels within the shell
VI = The number of color voxels / The total number of voxels
XX
FI: The average value of brightness (color) for color voxels within the shell
FI = The sum of brightness (color) / The total number of color voxels
XX
VFI: The average value of brightness (color) for all voxels within the shell
VFI = The sum of brightness (color) / The total number of voxels

Niche

NOTE: This option is available with Volume CT.

Select from Type 1 to Type 8 by tapping the corresponding button on the touch screen or using the
dial-button.

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Mode

NOTE: This option is available with ROI 3D.

Specify how the surface of VOCAL data is presented. Select Surface or Wireframe by clicking the
corresponding button or using the dial-button on the touch screen.

Surface: VOCAL data are represented using the method of expressing the exterior of images by
XX
curves.

Wireframe: VOCAL data are represented by dots and lines.

XX

[Figure 4.41 VOCAL - Touch Screen]

NOTE:
XX
The following 3D Utility Menu items are enabled in VOCAL mode: Render Setup, 3D Cine, and
Chroma
XX
For more information on 3D Utility, see the 3D Utility Menu.

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3D XI
NOTE:
XX
3D XI is an optional feature of this product.
XX
3D XI is only available when 3D probes are used.

This view mode is enabled if 3D image acquisition is completed when MSV or Oblique View is selected
in 3D Stand By. ‘3D XI’ is shown in the upper left corner of the screen.

An image can be viewed in multiple slices.

MSV
An image can be viewed in multiple slices. MSV is an abbreviation for Multi-Slice View.

[Figure 4.42 Multi Slice View]

NOTE: Functions such as Calculator and Caliper can be used.

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MSV Screen
The images sliced at the thickness set in Slice Thick. are displayed on the screen. Slice Number/Total
Slices is shown at the bottom of each slice. The currently selected slice image is indicated by an orange
contour.

The image information displays the current mode, Ref.Image, and Slice Thick. The 3D XI-MSV screen is
displayed on the touch screen.

Rotating Image
„„
Rotating the reference plane affects all planes.

X-axis Rotation: Use the M/x dial-button on the control panel. After the trackball goes into the
XX
pointer state, move the trackball near the X-axis of the image.

Y-axis Rotation: Use the PD/y dial-button on the control panel. After the trackball goes into the
XX
pointer state, move the trackball near the Y-axis of the image.

Z-axis Rotation: Use the PW/z dial-button on the control panel. After the trackball goes into the
XX
pointer state, move the trackball near the Z-axis of the image.

Moving Image
„„
Set the trackball to Move Mode, and then move it up/down/left/right. Move the image to the X- and
Y-axes on the coordinate system.

[Figure 4.43 Multi Slice View - Touch Screen]

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Display Format
Set the layout of slice images. Select from 1*1, 2*1, 2*2, 3*2, 3*3 or 4*3 by tapping the corresponding
button on the touch screen. The number of slices that can be displayed simultaneously on the screen
varies based on this setting. If the layout is changed, the currently selected slice image moves to the
first position on the screen.

Ref. Image
Select a reference image from A, B, or C by tapping the corresponding button on the touch screen.

MSV OH
„„
Tap the corresponding button on the touch screen to turn this function on or off. If it is turned on,
then the A, B, and C planes of the selected slice image will be displayed on the screen. The selected
slice and reference images will be highlighted with orange borders.

Previous / Next
Change the page on the screen. This option can be useful when the total number of slice images
exceeds the number allowed by the current Display Format. Select a page by tapping the Previous
and Next buttons on the touch screen or using the dial-button.

Selected Slice
Select a slice image to observe. Select a slice by tapping the button on the touch screen or using the
dial-button. The selected slice will be highlighted with orange borders.

Slice Thick.

NOTE: The Slice Thick. represents the slice width in volume data, rather than the actual anatomical
position.

Set the cut depth of images. Select a value from 0.5, 1.0, 2.0, 3.0, 4.0, 5.0 or 10.0mm by tapping the
corresponding button on the touch screen or using the dial-button. Depending on your selection, the
number of slices and pages will vary.

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Position
Set the position of the post curve. Select an index between 0 - 100 by tapping the desired button or
using the dial-button on the touch screen.

Bias
Set the bias of the post curve. Select a value between -100 and 100 by tapping a button on the touch
screen or using the dial-button.

Ruler
Set the position of the ruler. Select from None, Right, Left, Top, Bottom, or All by tapping the
corresponding button on the touch screen or using the dial-button.

NOTE: The following 3D Utility Menu items are enabled in MSV mode: Orientation Dot, 3D CI,
Chroma, 4D Cine, Volume CT, Post Processing, Auto Contrast, Negative, Preset.
For more information, refer to the 3D Utility Menu section.

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Oblique View
After drawing a straight or curved line in the selected image in MSV Mode, you can observe the related
oblique image. To do this, follow the procedure below:

1. Select Display Format and then specify the number of oblique images for observation.

2. Set Oblique Cut Type.

3. Draw a straight or curved line in a reference image by using the trackball and the Set button. An
oblique image will appear with the start (S) and end (E) points shown.

If the Cut Type is Line and the trackball is in Move Mode, the position of the line can be changed.
XX

4. Optimize the image for observation by using other buttons on the touch screen

NOTE: When Display Format is 2*1, measurement functions such as Calculator and Caliper can be
used.

[Figure 4.44 Oblique View]

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Oblique View Screen

The reference image that is selected in MSV Mode is displayed on the screen. The reference image is
highlighted with orange borders and always placed in the upper left corner of the screen.

When more than one line is used for observation, each line is indicated by a different color and number.

The image information displays the current mode, Ref.Image, Oblique Cut Type, and Plumb Size (or
Slice Thick.). The 3D XI-Oblique View screen is displayed on the touch screen.

NOTE: When OVIX is used, the image information also displays OVIX Line Offset, Mix, Threshold
Low, and Render Mode 1, 2.

Direction of View of Oblique Image

Tips!
The observer is located perpendicular to the section of a reference image. Please see the view
direction below:

Display Format
Set the layout of the oblique images. Select from 2x1, 3x2 or 3x3 by tapping the corresponding button
on the touch screen. Depending on this setting, the number of oblique images and the Oblique Cut
Type will vary.

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Oblique Cut Type

Specify how images are cut by tapping the corresponding button on the touch screen.

Line
„„
The oblique image of a straight line can be observed.

Contour
„„
The oblique image of a curved line or contour line can be observed.

Multi Line & Multi Contour

Tips!
If Display Format is set to 3x2 or 3x3, enable Auto Increment to draw more than one line.

Multi Parallel
„„

NOTE: This cannot be used when Display Format is 2*1.

The oblique image of a straight line and its parallel lines can be observed. If a straight line is drawn,
its parallel lines are automatically shown on the screen.

Multi Plumb
„„

NOTE: This cannot be used when Display Format is 2*1.

The oblique image of a straight line and its perpendicular lines can be observed. If a straight line is
drawn, its perpendicular lines are automatically shown on the screen.

Image Rotation
Specify the direction of an oblique image. Select 90°, 180°, or -90°, by tapping the button on the screen.
Select the oblique image for which the direction is to be changed from Selected Slice.

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Clear Line
Tap the corresponding button on the touch screen to delete an oblique image.

Selected Slice

NOTE: This cannot be used when Display Format is 2*1.

Select a line by tapping the button on the touch screen or using the dial-button. The oblique image of
the selected line is indicated by a blue contour.

Plumb Size

NOTE: This is used only when Oblique Cut Type is Multi Plumb.

Adjust the length of the vertical line by tapping the button on the touch screen or using the dial-
button. You can adjust the length in 1 mm units from the center line, and the current length is displayed
in the image information.

Slice Thick.

NOTE: This is used only when Oblique Cut Type is Multi Parallel.

Adjust the interval of the vertical lines by tapping the button on the touch screen or using the dial-
button. You can adjust in 1mm units from the center line, and the current length is displayed in the
image information.

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Rotate Line
NOTE: This cannot be used when:
XX
Oblique Cut Type is Contour; or
XX
Oblique Cut Type is Line and Selected Slice is Select All.

Rotate a straight line by tapping the button on the touch screen or using the dial-button. When the
line is rotated, the oblique image is also changed accordingly.

OVIX

NOTE: This cannot be used when Oblique Cut Type is Contour.

OVIX is the acronym for Oblique View extended, which sets the cross-sectional thickness of an oblique
image and shows the image in 3D.

Tap the button on the touch screen to turn this function on or off. When this is on, an OVIX Line
appears in the reference image, which indicates the cross-sectional thickness of the oblique image of
the reference image. OVIX Post Curve is also displayed at the left of the monitor screen.

The thickness of the OVIX Line can be adjusted by using the OVIX Thick setting. To change the 3D
image settings, select and adjust Render Setup or OVIX Post Curve from the 3D Utility Menu.

OVIX Thick.
Adjust the thickness of the OVIX line by tapping the button on the touch screen or using the dial-
button. The 3D image for the set thickness appears.

Init
When you tap the Init button on the touch screen, the oblique image is deleted and the position
information for the Ref. Image is initialized.

NOTE: The following 3D utility menu items are enabled in Oblique View mode: Render Setup,
Chroma, Orientation Dot, 4D Cine, Volume CT, Post Processing, Preset
For more information on 3D Utility, see the 3D Utility Menu.

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[Figure 4.45 Oblique View - Touch Screen]

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XI VOCAL

NOTE: XI VOCAL is one of the 3D XI features. It is available as an optional feature of this product.

XI VOCAL enables you to measure the volume of tissues in 3D XI Mode.

[Figure 4.46 XI VOCAL]

VOCAL vs XI VOCAL
Tips!
XX
VOCAL: Measures the volume of an object in a standard 3D image. Rotational slices are used.
XX
XI VOCAL: Measures the volume of an object in the selected reference image in MSV Mode by
using parallel slices. Horizontal slices are used. The object is cut into numerous sectional slices to
determine its volume.

XI VOCAL can be performed in the following order: XI VOCAL Define Ò XI VOCAL Edit Ò XI VOCAL.

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XI VOCAL Define
Specify how slice and contour lines are retrieved.

Reference images and slice lines are displayed on the left side of the screen. On the right side of the
screen, slice images with the start (S) and end (E) points of a slice line are displayed. The current mode,
reference image, contour type, and # of slices are shown in the 3D image information area. The 3D XI-XI
VOCAL screen is displayed on the touch screen.

[Figure 4.47 XI VOCAL Define]

Contour Type
Select the contour line type. A contour line is automatically created for all types except Manual.

Solid
„„
Used for object data with many echoes.

Cystic
„„
Used for object data with fewer echoes.

General
„„
Draw a contour line based on a typical object. It is faster than other automatic contour types, but
less accurate.

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Manual
„„
Create the desired shape of an object manually. A contour line can be specified in the XI VOCAL Edit
screen.

Ref. Image
Select a reference image from A, B, or C by tapping the corresponding button on the touch screen. The
selected image will be highlighted with orange borders.

Ref. Contour
„„
Tap the corresponding button on the touch screen to turn this function on or off. If it is turned on, a
contour line can be drawn by using the trackball and the Set button.

Slice Direction
Set the direction of a slice line. Select from Vertical or Horizontal by tapping the corresponding button
on the touch screen. Changing the direction of a slice line also changes the slice image displayed on
the screen.

Init
Tap the touch screen to initialize the position of a 3D image.

Start
Tap the touch screen to switch to the XI VOCAL Edit screen.

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# of Slice
Specify the number of slice images. Select a value from 5, 10, 15, or 20 by tapping the corresponding
button on the touch screen or using the dial-button. Depending on the selected number of images,
the interval between slices will vary.

[Figure 4.48 XI VOCAL Define - Touch Screen]

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XI VOCAL Edit
Specify the contour extraction range or run XI VOCAL.

Based on slice lines, slice images and pole points will be displayed on the screen. A pole point is a
reference point against which an object contour is extracted. Two pole points appear in each slice image.

The selected slice image is highlighted with orange borders. ‘The image number / the total number of slice
images’ is shown at the bottom of each image. The current mode is shown in the 3D image information
area.

Reference Image and Slice Line

Tips!
The Reference Image and Slice Line always appear in the lower right corner of the XI VOCAL Edit
screen. They can be useful when you need to consider the position of a slice image.

[Figure 4.49 XI VOCAL Edit]

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Ref. Page
Change the page by tapping the corresponding button or using the dial-button on the touch screen.

New Contour
Tap the corresponding button on the touch screen to delete the current data and return to the XI
VOCAL Define stage.

Accept Contour
Tap the corresponding button on the touch screen to apply changes and run XI VOCAL. The system
will switch to the XI VOCAL screen.

When Contour Type is set to Manual

Tips!
Use the Set button and the trackball to draw a contour line before tapping Accept Contour.
tapping Accept Contour without drawing an outline creates a general type outline.

[Figure 4.50 XI VOCAL Edit - Touch Screen]

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XI VOCAL
Optimize XI VOCAL data for review.

Slice images with their contour lines shown and 3D reference images are displayed. The 3D reference
image is highlighted with orange borders, and the calculated volume is shown at the bottom of the
image. The current mode is shown in the 3D image information area.

3D Reference Image
Tips!
Use XI VOCAL to display an object for which volume has been obtained in 3D. Press the Zoom, M/x,
PD/y or PW/z dial-buttons on the control panel to zoom or rotate the image for observation.

All Slice View

Tap the corresponding button on the touch screen to turn this view on or off. If it is turned on, all XI
VOCAL data - including reference image, slice line and slice image - will be displayed simultaneously
on the screen.

Edit Contour
Tap anywhere on the touch screen to return to the XI VOCAL Edit screen. You can use the trackball and
the Set button to modify the contour.

[Figure 4.51 XI VOCAL - Touch Screen]

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4D
NOTE:
XX
4D Mode is an optional feature of this product.
XX
4D Mode is only available when 3D probes are used.

In 4D Mode, 3D images can be obtained in real time with 3D probes. This mode is also called Live 3D
Mode.

Images can be acquired in the same way as for standard 3D images.

4D Mode Screen
Under the current mode in the image information area, ‘Live’ appears to indicate 4D mode is active.

Press the Freeze button on the control panel to switch to the 4D Cine screen.

NOTE: In 4D state, only MPR, MSV, and Oblique View modes are available. For more information, see
3D View-MPR and 3D XI.

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XI STIC
NOTE:
XX
XI STIC is an optional feature of this product.
XX
XI STIC is only available when 3D probes are used.
XX
XI STIC only appears when Application is set to OB.
XX
When you enter 3D Standby in Fetal Echo Application, the system will automatically switch to
STIC.

This option can be used to obtain the fetal cardiac cycle with volume data on fetal cardiac area, and to
recompile the volume data for display. STIC is an abbreviation for Spatio-Temporal Image Correlation.

[Figure 4.52 XI STIC]

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Acquiring XI STIC Image

NOTE:
XX
When a heart rate cannot be calculated because motion artifacting is severe or a cardiac cycle is
not present, the system returns to the initial XI STIC screen.
XX
In Color STIC, the cardiac cycle can only be measured when the frame rate is 20 or above.

1. Select the XI STIC tab in the 3D Stand By screen on the touch screen.

2. Set the various parameters as you would for acquisition of standard 3D images.

3. Press the Freeze or Set button on the control panel. The system will start acquiring 3D images.

4. When image acquisition is complete, XI STIC is displayed on the monitor screen, and the XI STIC
Confirm screen appears on the touch screen. Check that the fetal cardiac cycle has been calculated.

5. Tap Yes on the touch screen to continue. Tap No to cancel and acquire images again.

6. Optimize the acquired images as needed for diagnosis.

How to Improve STIC Volume Data

Tips!
Scan Angle: Specify a small scan angle for small fetal hearts.
Scan Position: Adjust the scan position so that the center of the scan angle and the fetal heart are
aligned properly.
ROI Box: Adjust the size of the volume box so that it nearly fits the size of the fetal heart.

Scan Angle
Set the scan angle. Select an angle between 15° and 60° by tapping the corresponding button on the
touch screen or using the dial-button.

Scan Time
Set the image acquisition time. Select a value between 7s and 15s by tapping the corresponding
button on the touch screen or using the dial-button.

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Trimester
Set the pregnancy trimester. Select from 1st, 2nd and 3rd by clicking the corresponding button or
using the dial-button on the touch screen.

Trimester
Tips!
When the 1st, 2nd, or 3rd trimester is set, the recommended scan time and STIC angle are
automatically set as shown in the following table:

Trimester 1st 2nd 3rd

Scan Time 10 seconds 12 seconds 15 seconds

STIC Angle 20˚ 25˚ 30˚

If a scan time and STIC angle other than those in the above table are set, the trimester is then
displayed as user set.

NOTE: For information on how to use, please refer to ‘3D Stand By ‘.

Reviewing XI STIC Image

XI STIC images are played as Volume Cine. XI STIC information, including Img. Angle, Vol. Angle, Scan
Time, HR, and Volume Pos., is shown on the left side of the screen.

NOTE: The only available modes with Volume Cine are MPR, MSV and Oblique View.

Press the Freeze button on the control panel to stop Volume Cine playback.

Speed (%)
Set the playback speed for XI STIC images. Select a speed between 25% and 400% by tapping the
corresponding button on the touch screen or using the dial-button. This rate is based on the fetal
heart rate (100%).

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Volume Pos.
Select an index by tapping the corresponding button on the touch screen or using the dial-button.
The selected index will be highlighted with orange borders.

NOTE:
XX
Only available in Freeze state.
XX
For information on other usage, please refer to ‘3D View-MPR‘ and ‘3D XI‘.

[Figure 4.53 XI STIC - Touch Screen]

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3D Utility Menu
This menu is always displayed on the touch screen in view mode. Only the buttons that are available in
the current mode are enabled.

If the 3D Utility Menu has more than 2 pages, you can move to a different page by tapping the Ò and Ñ
buttons on the touch screen.

NOTE: The information in this section focuses on features common to all modes. For information
on features unique to specific modes, such as OVIX and Auto Increment, refer to their
corresponding sections.

3D Cine
The 3D images that have been temporarily saved in the system can be reviewed. The 3D Cine Define
screen is displayed on the touch screen.

3D Cine Define
„„
Specify the settings needed for the creation of a Cine image.

Rotation Angle
„„
Set the overall rotation angle by tapping the corresponding button on the touch screen. Select a
value from 30°, 45°, 60°, 90°, 180°, or 360°.

Step Angle
„„
Set the rotation angle for a single step in an image by tapping the corresponding button on the
touch screen. Select a value from 1°, 3°, 5°, or 15°.

The Difference between Rotation Angle and Step Angle

Tips!
A Cine image rotates to the angle specified under Rotation Angle. During this process, each
rotational step is equivalent to the angle specified under Step Angle. For example, if Rotation Angle
is set to 360° and Step Angle is set to 15°, a 3D Cine image rotates to 360°in 25 steps, each of which
requires a rotation of 15°.

Rotate Axis
„„
Set the rotational axis by tapping the corresponding button on the touch screen.

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Start Angle
„„
Set the start angle of a Cine image by tapping the button on the touch screen or using the dial-
button. When Start Angle is set, Rotation Angle is cancelled.

End Angle
„„
Set the end angle of a Cine image by tapping the button on the touch screen or using the dial-
button. When End Angle is set, Rotation Angle is cancelled.

Play Mode
„„
Specify how a Cine image is played. Select from Loop or Yoyo by tapping the corresponding button
on the touch screen or using the dial-button.

Loop: Repeats playback in one direction.

XX

Yoyo: Plays until the end in one direction, and then plays in the reverse direction.
XX

[Figure 4.54 3D Cine Define - Touch Screen]

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3D Cine

Temporarily save the 3D Cine to the system for review.

Generate Cine
„„
Cine images are generated by applying the current settings. Once the images are generated, the
touch screen switches to 3D Cine Review.

Review Cine
„„
Review Cine images generated previously. The touch screen switches to 3D Cine Review.

3D Cine Review

Specify the settings needed to review a Cine image. The Cine Bar is shown on the monitor. The Cine Bar
indicates Current Cine Frame Number/Total Number of Cine Frames.

[Figure 4.55 3D Cine Review]

Play Mode
„„
Used to configure Cine image playback mode. Select Loop or Yoyo by tapping the button on the
touch screen.

Loop: Repeats playback in one direction.

XX

Yoyo: Plays until the end in one direction, and then plays in the reverse direction.
XX

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Cine Play
„„
Tap the corresponding button on the touch screen to turn this feature on or off. Cine images are
played when this is on. If it is turned off, Cine Frame will appear on the touch screen.

New Cine
„„
Clears the current Cine image and creates a new one. The system switches to the 3D Cine Define
screen.

Cine Speed
„„
Set the playback speed for a Cine image by tapping the corresponding button on the touch screen
or using the dial-button. Select a value from 25, 50,100, 200, 300 or 400%.

Cine Frame
„„

NOTE: This option is available when Play is turned off. Displays Current Cine Frame Number/Total
Number of Frames.

Select a Cine frame to review. To do this, tap the corresponding button on the touch screen or use
the dial-button. You can also move the trackball to the left or right.

[Figure 4.56 3D Cine Review - Touch Screen]

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Stereo Cine

Generate a 3D Cine image, and save it to portable media such as a USB device. The 3D Cine image is
generated using XVID encoder, so that it can be played directly on a Samsung 3D Smart TV.

[Figure 4.57 3D Stereo Cine - Generate Cine]

Generate Cine
„„
On the 3D Cine screen, press the Generate Cine button. A 3D Cine image based on the exam data
will be generated. Progress will be shown on the screen in the order of: 'Generating stereo image
Ò Creating video Ò Play’.

Generate Still
„„
on the 3D Cine screen, press the Generate Still button. A 3D Still image based on the exam data
will be generated. Progress will be shown on the screen in the order of: 'Generating stereo image
Ò Play’.

Export
„„
Save the created 3D Cine images to a portable device. All images of the patient that have been
created during the 90 days preceding the current exam will be saved. Select a medium to save to in
Drive, and press the Export button.
You may create or delete a folder in the Export window.
Press the button to create a folder; press the button to delete a folder.

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[Figure 4.58 3D Stereo Cine - Stereo Cine Export]

Difference between 3D Cine and Stereo Cine: 5D Art

Tips!
While both 3D Cine and Stereo Cine generate and store 3D ultrasound images, you can use a
Samsung 3D Smart TV and 3D glasses to play 3D images created as Stereo Cine 3D for superior
depth.

NOTE:
XX
Check t he capacity of the media before recording.
XX
If you run out of available external memory while exporting, an error message will be displayed,
and exporting will stop.

MagiCut
NOTE:
XX
Available in MPR mode only.
XX
If MagiCut is enabled, Accept ROI is turned on automatically.
XX
After MagiCut is enabled, if the system is switched to a mode other than MPR Mode, MagiCut is
automatically disabled.

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The MagiCut screen is displayed on the touch screen. You can use this mode to cut out the parts of 3D
images that are not relevant to diagnosis. Set the area to cut by using the trackball and the Set button.

Mode
„„
Set the way that parts are cut by tapping the corresponding button on the touch screen.

Inside Contour: Cuts the inside of the selected area.

XX

Outside Contour: Cuts the outside of the selected area.

XX

Inside Box: Cuts the inside of the box.

XX

Outside Box: Cuts the outside of the box.

XX

Small Eraser: Cuts the selected contour line.

XX

Big Eraser: Cuts the selected contour line. Used for thicker contours than Small Eraser.
XX

Full
„„
Tap the button on the touch screen to turn this feature on or off. If it is turned on, the entire area will
be cut. If it is turned off, Depth will appear on the touch screen.

Depth
„„
Set the cut depth. Select a value between 1 and 100 by tapping the corresponding button on the
touch screen or using the dial-button.

Undo
„„
Cancel the previous task(s).

Undo: Cancel the last task.

XX

Undo All: Cancel all tasks that have been carried out so far.
XX

SmoothCut Mode
„„

Erase Small: Enables to use the trackball to rub out the portion you wish to erase.
XX

Erase Big: Erases larger area.

XX

Recovery Small: Restores the volume image for the desired portion
XX

Recovery Big: Restores an image with larger area.

XX

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Mix
„„
Set the combination of Render Modes 1 and 2. Select a value between 0:100 (%) and 100:0 (%) by
tapping the button on the touch screen or using the dial-button.

Th.Low
„„
Set the minimum threshold value. Select a value between 0 and 254 by tapping the corresponding
button on the touch screen or using the dial-button.

[Figure 4.59 MagiCut - Touch Screen]

VCE

NOTE: Available in MPR’s Render mode only.

Tap the button on the touch screen to turn this feature on or off. If it is turned on, the contrast of a 3D
image will be enhanced. VCE is an abbreviation for Volume Contrast Enhancement.

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Volume Slice
Volume data can be viewed in multiple slices. The Volume Slice screen is displayed on the touch screen.

NOTE: Tapping Volume Slice in a mode other than Render will switch the system over to Render
mode and initiate Volume Slice. Render mode settings therefore apply to Volume Slice images.

MSV vs. Volume Slice

Tips!
MSV allows you to divide a 3D image into multiple slices, which can then be viewed as 2D images.
On the other hand, Volume Slice allows you to view slice images in 3D. It also allows you to adjust
the settings of each slice image separately.

Volume Slice Screen

„„
9 images are displayed on the screen. At the center, reference images are displayed in the order of
2D, 3D and OH. On the other rows, Volume Slice images created based on those reference images
are displayed.
The ROI position and the Slice number are shown for 3D reference images and Volume Slice images.
The ROI box and the slice line are shown for 2D reference images. The ROI position and Index number
are displayed in the 3D Reference and Volume Slice images.

[Figure 4.60 Volume Slice]

Slice Number
Tips!
Because 3 images are divided before and after a reference image, respectively, the Slice number is
shown as a number between -3 and 3.

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Ref. Image
„„
Select a reference image from A, B, or C by tapping the corresponding button on the touch screen.
The selected image is displayed in 2D Image.

A: Axial Section
XX

B: Sagittal Section
XX

C: Coronal Section
XX

3D Rotation
„„
Set the orientation of a Volume Slice image. Select -90°, 90° or 180° by tapping the button on the
touch screen.

Slice Thick.
„„
Select the slice line intervals. Select a value by tapping the button on the touch screen or using the
dial-button. The Volume Slice images are updated accordingly.

Selected Slice
„„
Select a slice line. Select a value between -3 and 3 by tapping a button on the touch screen or using
the dial-button. The selected slice line also appears in the 2D Reference Image. In addition, the
Volume Slice image for the selected slice line is indicated by an orange contour.

NOTE: For descriptions of other menu items, see the menu of 3D Mode.

Performing Volume Slice Again

Tips!
To perform Volume Slice again based on a particular Volume Slice image:
XX
While the trackball is in Pointer mode, use the trackball and the Set button to select a Volume
Slice image.
XX
Double-click the selected Volume Slice image. Volume Slice will be performed again based on
the selected image. The result will be reflected in the reference images.

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[Figure 4.61 Volume Slice - Touch Screen]

Post Processing
The Post Processing screen is displayed on the touch screen.

[Figure 4.62 Post Processing - Touch Screen]

Gradient Mask
„„
Adjust the brightness of a specific area in an image. Make a selection by tapping the corresponding
button on the touch screen.

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Flip Image
„„
Flip the orientation of an image.

NOTE: This option is only available in MSV Mode. However, the option will not be available if OH is
enabled.

Tap the image on the touch screen and flip the image left and right or up and down.

Clear SFVI
„„
Tap this button on the touch screen to turn this feature on or off. The Post Processing screen will
appear. It reduces noise if it is turned on.
SFVI stands for Smart Filter Volume Imaging.

Detailed SFVI
„„
Tap this button on the touch screen to turn this feature on or off. The Post Processing screen will
appear. Select a value from 0 – 100 by using the Strength dial-button on the touch screen if it is
turned on.

VC
„„
Press the VC button to turn on or off. If set to On, use the dial-button to select a value between 1
and 5.
VC stands for Volume Compound.

Negative
„„
Tap the corresponding button on the touch screen to turn this function on or off. If it is turned on,
the brightness of an image will be inverted.

Auto Contrast
„„
Tap the corresponding button on the touch screen to turn this function on or off. If it is turned on,
the contrast of an image will be adjusted automatically.

Thres.
„„
Tap the corresponding button on the touch screen to turn this function on or off. If it is turned on,
the Th. Low or Th. High dial-button can be used to adjust the threshold.

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Sharp
„„
Tap the corresponding button on the touch screen to turn this function on or off. If it is turned on,
the boundary of an image will become more apparent. Select a value between 100 and 400 by
using the Sharp dial-button.

3D CI
„„
Tap the corresponding button on the touch screen to turn this feature on or off. 3D CI is an
abbreviation for 3D Compound Imaging.
When this is on, images are combined to remove noise and improve image quality.
Set the distance between images for 3D CI to between 1 and 10 by using the 3D CI Offset dial-
button.

Preset
The Preset screen appears on the touch screen. You will then be able to configure or edit 3D mode
presets and usersets.

[Figure 4.63 Preset - Touch Screen]

Default
„„
Uses the probe’s default settings (general preset).

Load Preset
„„
Tapping this touch screen button loads the selected preset and exits from the Preset screen.

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Save Preset
„„
Tapping this touch screen button saves the current preset settings and exits from the Preset screen.

Rename
„„
Change the name of the selected Rendering Preset. When you tap the Rename button on the touch
screen, the Name screen appears. After changing the name, tap OK to save the changed name. Tap
Cancel to cancel the change.

Reset
„„
The Reset button is only activated when a userset has been selected. Tapping this touch screen
button restores the preset to the system’s default settings, and exits from the Preset screen.
Resetting, however, does not affect the position information.

4D Cine
The 4D images that have been temporarily saved in the system can be reviewed. The 4D Cine screen is
displayed on the touch screen.

NOTE: You can also press the Freeze button in 4D Mode to execute 4D Cine.

The Cine Bar is shown on the monitor. The Cine Bar indicates Current Cine Frame Number/Total
Number of Cine Frames.

Display Format
„„
Use the touch screen to select the Display Format.

Single: Displays the 3D image in full screen view.

XX

Dual: Displays one 2D image and one 3D image.

XX

Quad: Displays all 2D and 3D images.

XX

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Play Mode
„„
Specify how a Cine image is played. Select from Loop or Yoyo by clicking the corresponding button
or using the dial-button on the touch screen.

Loop: Repeats playback in one direction.

XX

Yoyo: Plays until the end in one direction, and then plays in the reverse direction.
XX

Cine Type
„„
Select the Cine image type by tapping the corresponding button on the touch screen.

Volume: The Volume button appears when Cine images are played. The MPR, MSV, or Oblique
XX
buttons are enabled, depending on the state before the beginning of 4D Cine. Cine images
can be played by changing Display Format, etc. The Volume Pos. button appears on the touch
screen.

Image: This is the general Cine playing method. The Image Pos. button appears on the touch
XX
screen.

Cine Play
„„
Tap the corresponding button on the touch screen to turn this function on or off. Cine images are
played when this is on.

Cine Speed
„„
Set the speed at which Cine images are played. Select a value between 25% and 400% by tapping
the Cine Speed button on the touch screen or using the dial-button.

Image Pos.
„„

NOTE: This can be used when Cine Type is Image.

Select a Cine image to examine. Indicates Current Cine Frame Number/Total Number of Frames.

Volume Pos.
„„

NOTE:
XX
This can be used when Cine Type is Volume.
XX
This cannot be used while Cine images are being played.

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Select the volume data to examine. Current Volume Data Number/Total Number of Volume Data is
shown.

[Figure 4.64 4D Cine - Touch Screen]

Mirror View
3D images can be viewed in multiple directions. The Mirror View screen is displayed on the touch
screen.

NOTE: Pressing Mirror View in a mode other than Render will switch the system over to Render
mode and initiate Mirror View. Render mode settings therefore apply to Mirror View images.

Mirror View Screen

„„
The front, top, left and right images of a 3D image are displayed on the screen. In addition, a
reference image is shown in the upper right corner of the screen, indicating the direction of images.
1 A reference image for Mirror View.
2 The left view image of the reference object.
3 The top view image of the reference object.
4 The right view image of the reference object.
5 A reference image indicating the direction of each image.

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3
5

2
4

[Figure 4.65 Mirror View]

Trackball State
„„
The current status of the trackball appears at the bottom of the screen. You can select Pointer, Move,
or ROI for trackball. Press the Change button on the control panel to change the trackball state. The
trackball state changes sequentially each time the button is pressed.

Move: Move 3D images with the trackball. The acquired 3D image moves as you move the
XX
trackball.

ROI: You can resize the ROI box with the trackball. The ROI box on the 3D image is resized as you
XX
move the trackball.

Pointer: You can reposition the ROI box. Pressing the Pointer button on the control panel
XX
switches to Pointer state. You can resize an image or the ROI box in this state. Press the Change
button again to switch to another state.

Center View
„„
Select an image by tapping the corresponding button on the touch screen. The selected image will
be displayed as the front image. Select from Top, Left, or Right.

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Display Format
„„

NOTE: Center View cannot be changed when Display Format is Single.

When you tap the Display Format button on the touch screen, the front image is displayed in full
screen.

Position
„„
Set the position of the post curve. Select an index between 1 - 100 by tapping the desired button or
using the dial-button on the touch screen.

Bias
„„
Set the bias of the post curve. Select a value between -100 and 100 by tapping a button on the
touch screen or using the dial-button.

Initializing Post Curve

Tips!
When the trackball is in Pointer state, you can double-click Post Curve at the left side of the screen
to initialize the Post Curve.

Transparency
„„
Set the transparency of a 3D image. Select a value between 20 and 250 by tapping the corresponding
button on the touch screen or using the dial-button.
The lowest value (20) is for complete transparency, and the highest value (250) is for complete
opacity.

Mix
„„
Set the combination of Render Modes 1 and 2. Select a value between 0:100 and 100:0(%) by
tapping the button on the touch screen or using the dial-button.

Th.Low
„„
Set the lowest threshold. Select an index between 0 - 254 by tapping a desired button or using the
dial-button on the touch screen.
When you tap the TH. Low button on the touch screen, the front image is displayed in full screen.

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Init
„„
Initialize the position of images.

NOTE: To reset non-position information settings, tap Preset, and then Default.

Auto Run
„„

NOTE: Auto Run is supported only for Mirror View and Volume Slice.

Tap the corresponding button on the touch screen to turn this function on or off. When this is on,
the image rotates 360° around the Y-axis. You can also choose to turn the image around the X or Z
axes.

Performing Mirror View Again

Tips!
To perform Mirror View again based on a particular Mirror View image:
While the trackball is in Pointer mode, use the trackball and the Set button to select a Mirror
XX
View image.
XX
Double-click the selected Mirror View image. Mirror View will be performed again, based on the
selected image. The selected image will be displayed as the front image.

[Figure 4.66 Mirror View - Touch Screen]

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Render Setup

NOTE: In Oblique View Mode, this option is available only when OVIX is On.

The Rendering Setup screen is displayed on the touch screen. Specify the image rendering method.

After selecting the rendering mode tab on the touch screen, specify the required settings, including
Render Direction and Render Mode. The specified settings will be displayed in the image information
area.

This product provides 4 rendering modes: Gray, Color, See Thru., and Inversion.

NOTE: The Color and See Thru. tabs are available with color 3D images only.

[Figure 4.67 Render Setup - Touch Screen]

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Gray
Specify how volume data acquired with the gray method should be rendered into 3D images.

Render Direction
„„
Set the rendering direction by tapping the corresponding button on the touch screen. ‘+’ indicates
the facing direction and ‘-’ indicates the opposite of the facing direction.

Render Mode 1, 2
„„
Enter Render Modes 1 and 2 by tapping the corresponding button on the touch screen.

Surface: Represents 3D images by using the Ray-Casting method, which shows the shell of an
XX
image with curved surfaces.

Surface Smooth: Represents 3D images that are smoother than those produced by the normal
XX
Surface rendering.

Max: Represents 3D images at maximum intensity. It can be useful for the observation of bone
XX
structures in a human body.

Min: Represents 3D images at minimum intensity. It can be useful for observation of vessels or
XX
hollow parts of a human body.

Light: Represents the depth of 3D images in terms of brightness.

XX

X-Ray: Represents 3D images in terms of average intensity. It shows images that are similar to
XX
X-ray images.

VSI (Volume Shading Imaging) This displays a realistic image by using depth and intensity
XX
information.When Surface or Surface Smooth is enabled in Render Mode 1, Shading is enabled
in Render Mode 2.

NOTE: For descriptions of other menu items, see Render Setup.

Mix
„„
Set the combination of Render Modes 1 and 2. Select an index between 1 - 100 by tapping a desired
button or using the dial-button on the touch screen.

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Th.High
„„
Set the highest threshold. Select a value between 1 and 255 by tapping the corresponding button
on the touch screen or using the dial-button.

Th.Low
„„
Specify the minimum threshold value. Select a value between 0 and 254 by tapping the
corresponding button on the touch screen or using the dial-button.

Threshold
Tips!
This option allows you to adjust the threshold value in order to eliminate unnecessary data from
images. As the value increases, cyst elements become more apparent. As the value decreases, bone
elements become more apparent.

Th.Power
„„
Used to set the threshold for the color section. Select an index between 1 - 255 by tapping the
corresponding button on the touch screen or using the dial-button. As this value increases, more
color is removed from an image.

Color
Specify how the volume data acquired with the Angio/CFM method should be rendered into 3D images.
Other settings can be specified in the same way as with Gray Render Mode.

See Thru
Specify how the combined data of Gray+Angio or Gray+CFM should be rendered into 3D images. Except
for Render Modes 1 and 2, the settings can be specified in the same way as with Gray Render Mode.

Transparent-Transparent
„„
Adjust the transparency of both gray and color data to view color data as gray data. The parts
hidden by gray data may appear slightly darker.

Transparent-Surface
„„
Adjust the transparency of gray data to view color data as gray data. The parts hidden by gray data
may appear slightly darker.

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 Chapter 4 Diagnosis Modes

Max-Transparent
„„
Set gray data to Max and color data to Transp in order to view color data. The parts hidden by gray
data may appear slightly brighter.

Max-Surface
„„
Set gray data to Max and color data to Surface in order to view color data. The parts hidden by gray
data may appear slightly brighter.

Inversion
This option shows inverted images when the volume data acquired by the gray method is rendered into
3D images. Other settings can be specified in the same way as with Gray Render Mode.

FRV
This semitransparent rendering technique is useful for detecting morphological abnormalities or
malformations of fetuses. Pressing the FRV button turns on Clear SFVI, HDVI, and VC.

FRV stands for Feto Realistic View.

Clear SFVI
„„
Tap this button on the touch screen to turn this feature on or off. Turning it on reduces noise
SFVI stands for Smart Filter Volume Imaging.

VC
„„
Press the VC button to turn on or off. If set to On, use the dial-button to select a value from 1-5.
VC stands for Volume Compound.

Light Direction
„„
Use the touch screen or the trackball to reposition the direction of the light that is applied to volume.

NOTE: You need to press the Move Light button to enter trackball mode.

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 Operation Manual

Set Color
„„
Use the dial-button to select the Color Set applied to FRV. You can choose from values 1-5.

NOTE: You can use the Hue, Saturation, Lightness dial-buttons to set colors.

[Figure 4.68 FRV - Touch Screen]

Chroma
The Chroma Map screen is displayed on the touch screen. Set the color of 2D and 3D images by tapping
the corresponding button on the touch screen.

[Figure 4.69 Chroma Map - Touch Screen]

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 Chapter 4 Diagnosis Modes

Auto Contour
NOTE:
XX
Available in MPR mode only.
XX
This function is supported only in Render + Quad mode, where the Render Direction of Render
Setup is ‘C+.'
XX
You cannot use this function together with Accept ROI.
XX
This option appears only when Application is set to OB.

Tap the button on the touch screen to turn this function on or off. Auto Contour automatically locates
the facial area in a fetal image scanned in Sagittally. If turned on, a blue contour line (dotted) is shown
in A Plane’s ROI box. In addition, the Contour Edit button is shown on the touch screen.

Volume NT
NOTE:
XX
Volume NT is an optional feature of this product.
XX
Available in MPR mode only.

[Figure 4.70 VolumeNT]

Use the VolumeNT feature to locate the mid-Sagittal view and measure the nuchal translucency (NT)
of the fetus. The VolumeNT window appears on the touch screen.

Use the trackball to position the NT Seed in the NT area and press the Set button to display the NT
measurement in plane A.

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 Operation Manual

[Figure 4.71 VolumeNT - Touch Screen]

How to get good results

Tips!
XX
Obtain the fetus’s Sagittal view as precisely as possible.
XX
A higher contrast between the fetus’s palate and nasal bone will yield better results.
XX
Preferably, the lateral orientation of the probe should be parallel to the orientation of the fetus’s
body.
XX
For optimal results, make sure that the angle between the probe and the fetus’s nasal bone is as
close to 30° as possible.

NT Caliper Placement
„„
Tap the corresponding button on the touch screen to select an NT measurement type.

On to On: Measures NT by positioning the cursor on the NT’s inner-inner.

XX

Cursor

On to Max Brightness: Positions one side of the cursor on the outside of the NT to measure inner-
XX
outer. This measurement method is used when harmonic methods have already been used, and
one side of the nuchal translucency was blurred.

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Cursor

In to In: This measurement method is similar to On to On, as it takes a measurement by inner-

XX
inner; however, it uses a narrower cursor interval.

Cursor

Items
„„

NT: Images in planes A, B, and C, as well as the automatically measured NT, are displayed in the
XX
3D view screen.

IT: Locates mid-sagittal view and tests fetus for spina bifida.
XX

Assign
„„
Tap the touch screen to include the selected items in the OB report.

Init
„„
Resets the image’s position information.

Hide All
„„
Pressing the button will hide the marker and the measurements for NT and IT from the screen.

Auto
„„
Tap the button on the touch screen to turn this function on or off. If it is on, the mid-Sagittal view
will be located automatically. To calculate the NT value, position the cursor in the NT area and press
the Set button on the control panel.

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 Operation Manual

Edit
„„
Edit the marker for each item shown as a result.
If the trackball is in cursor state, the marker’s color will change from green to orange as you move
the cursor near the + marker.
You can freely edit the marker by pressing the Set button and moving the trackball.

ROI Height
„„
Use the dial-button to adjust the ROI Line's Height to define the scope of the application. The ROI
Height may be adjusted while measurements are being taken or in Edit mode.

Marker Size
„„
You can select Small, Medium, or Large for the marker size by tapping the button on the screen or
using the dial-button.

Contour Edit

NOTE: This option is only available when Auto Contour is turned on.

Tap the button on the touch screen to turn this function on or off. When it is on, use the trackball and
the Set button to modify a contour line.

Orientation Dot
Tap the button on the touch screen to turn this function on or off. When this is on, a dot appears at the
center of the reference image.

NOTE: This option is only available in MSV Mode.

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 Chapter 4 Diagnosis Modes

3D CI
Tap the corresponding button on the touch screen to turn this function on or off. 3D CI is an
abbreviation for 3D Compound Imaging. When this is on, images are combined to remove noise and
improve image quality. Set the distance between images for 3D CI to between 1 and 10 by using the
3D CI Offset dial-button.

NOTE:
XX
When 3D CI in Post Processing under the 3D Utility Menu is set to On, the 3D CI Offset button is
created, which can then be used to adjust the distance between images.
XX
This option is only available in MSV Mode.

Volume CT
A 3D image is divided into Axial, Sagittal and Coronal images and then recompiled for display. In this
way, information on slice images can be obtained. The current mode and the display format are shown
in the image information area.

NOTE:
XX
This option is only available in MSV Mode.
XX
Measurement functions such as Calculator and Caliper cannot be used.

Display Format
„„
Specify how Volume CT images are presented. Select from Cube or Cross by tapping the
corresponding button on the touch screen. The touch screen menu will vary based on this setting.

Cube Volume CT
Shows the external slice image of a cube.

View Direction
„„
Set the view direction for the external slice of a cube. Select from Front, Back, Left, Right, Up, or
Down by tapping the corresponding button on the touch screen.

Offset
„„
Adjust the position of the external slice by tapping the corresponding button or using the dial-
button on the touch screen.

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 Operation Manual

[Figure 4.72 Cube VolumeCT]

[Figure 4.73 Cube VolumeCT - Touch Screen]

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 Chapter 4 Diagnosis Modes

Cross Volume CT
The internal cross-sectional images where the Coronal, Sagittal, and Axial Planes meet are shown.

A Plane Offset: Front surface position adjustment. It is indicated by a blue contour on the screen.
XX

B Plane Offset: Up surface position adjustment. It is indicated by a red contour on the screen.
XX

C Plane Offset: Left surface position adjustment. It is indicated by a yellow contour in the screen.
XX

Init
„„

NOTE: To reset non-position information settings, tap Preset, and then Default.

Resets the image’s position information.

Boundary
„„
Tap the corresponding button on the touch screen to turn this function on or off. If it is turned on,
the boundary lines of a cube will be shown. Boundary lines indicate the external boundary for the
entire volume data.

[Figure 4.74 Cross VolumeCT]

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 Operation Manual

[Figure 4.75 Cross Volume CT - Touch Screen]

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Chapter 5 Measurements and
Calculations

‹‹Measurement Accuracy...................................5-3
Causes of Measurement Errors............................................5-3
Optimization of Measurement Accuracy........................5-5
Measurement Accuracy Table..............................................5-7

‹‹Basic Measurements........................................5-8
Distance Measurements......................................................5-11
Circumference and Area Measurement.........................5-19
Volume Measurement..........................................................5-21

‹‹Calculations by Application......................... 5-24

Things to note..........................................................................5-24
Common Measurement Methods...................................5-29
OB Calculations.......................................................................5-34
Gynecology Calculations.....................................................5-43
Cardiac Calculations..............................................................5-46
Vascular Calculations............................................................5-64
Fetal Heart Calculations.......................................................5-77
Urology Calculations.............................................................5-81
Abdomen Calculations ........................................................5-85
Small Parts Calculations ......................................................5-89
TCD Calculations ....................................................................5-94
Pediatric Hip Calculations...................................................5-96
Musculoskeletal Calculations............................................5-98
Chapter 5
‹‹Reports............................................................ 5-99
Report View..............................................................................5-99
Editing Reports.....................................................................5-107
Data Management..............................................................5-117
Closing Reports....................................................................5-118
 Chapter 5 Measurements and Calculations

Measurement Accuracy
Measurement values can vary, depending on the nature of the ultrasound, the body’s response to
ultrasound, the measurement tools, algorithms, product settings, probe type and user operation.

Before using this product, make sure to read and understand the following information regarding the
causes of measurement errors, and measurement optimization.

Causes of Measurement Errors

Image Resolution
The resolution of ultrasound images may be limited by the available space.

Errors due to signal range may be minimized by adjusting the focus settings. Optimizing focus
XX
settings increases the resolution of the measurement area.

In general, lateral resolution is lower than axial resolution. Therefore, measurements should be
XX
performed along the axis of the ultrasound beam to obtain accurate values.

Gain has a direct impact on resolution. Gain can be adjusted by using the Gain button for each
XX
mode.

In general, increasing the frequency of the ultrasound enhances resolution.

XX

Pixel Size
Ultrasound images in the product consist of pixels.
XX

Since a single pixel represents the basic unit of an image, a measurement error may result in the
XX
displacement of approximately ±1 pixel when compared to the original image size.

However, this error becomes significant only when a narrow area in an image is measured.
XX

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 Operation Manual

Ultrasound Velocity
The velocity of the ultrasound used during measurement is usually 1,540 m/s on average.
XX

The velocity of the ultrasound may vary depending on the cell type.
XX

The possible range of error is between approximately 2-5%, depending on the structure of the
XX
cells (about 2% for typical cells and about 5% for fatty cells).

Doppler Signal Adjustment

During velocity measurement, an error may occur depending on the cosine angle between the
XX
blood flow and the ultrasound beam.

For Doppler velocity measurements, the most accurate results can be ensured when the
XX
ultrasound beam is aligned in parallel with the blood flow.

If that is not possible, the angle between them should be adjusted by using the Angle options.
XX

Aliasing
PW Spectral Doppler Mode uses a signal sampling technique to calculate the frequency (or
XX
velocity) spectrum.

Adjust the baseline or the velocity scale to minimize aliasing. A lower frequency probe can also
XX
be used to reduce aliasing.

Aliasing is dramatically reduced in CW Spectral Doppler Mode.

XX

Calculation Equation
Some of the calculation equations used for clinical purposes originate from hypotheses and
XX
approximation.

All calculation equations are based on medical reports and articles.

XX

Human Error
Human error may occur due to inappropriate use or lack of experience.
XX

This can be minimized through compliance with and thorough understanding of the manuals.
XX

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 Chapter 5 Measurements and Calculations

Optimization of Measurement Accuracy

2D Mode
Resolution is in proportion to the frequency of the probe.
XX

Penetration is in inverse proportion to the frequency of the probe.

XX

The highest resolution can be obtained at the focus of the probe, where the ultrasound beam is
XX
narrowest.

The most accurate measurements can be obtained at the focus depth. The accuracy decreases as
XX
the distance from the focus increases, widening the beam width.

Using the zoom function, or minimizing the depth display, makes distance or area measurements
XX
more accurate.

M Mode
The accuracy of time measurements can be increased when the sweep velocity and the display
XX
format are set to high values.

The accuracy of distance measurements can be increased when the display format is set to
XX
higher values.

Doppler Mode
It is recommended to use lower frequency ultrasound for measurement of faster blood flows.
XX

The size of the sample volume is limited by the axial direction of the ultrasound.
XX

Using lower frequency ultrasound increases penetration.

XX

The accuracy of time measurements can be increased when the sweep velocity is increased.
XX

The accuracy of velocity measurements can be increased when the vertical scale is set to lower
XX
values.

It is most important to use an optimal Doppler angle to enhance the accuracy of velocity
XX
measurements.

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 Operation Manual

Color/Power Doppler Mode

A protocol is not specified for images in Color Doppler Mode or Power Doppler Mode. Therefore,
XX
the same limitations imposed when measurements are taken in B/W images apply to the
accuracy of the measurements taken in these modes.

It is not recommended to use images in Color/Power Doppler Mode for measurement of accurate
XX
blood flow velocity.

The amount of blood flow is calculated based on the average velocity, rather than the peak
XX
velocity.

In all applications, the amount of blood flow is measured in PW/CW Spectral Doppler Mode.
XX

Cursor Position
All measurements are affected by input data.
XX

To ensure accurate positioning of the cursor:

XX

Adjust the images on the screen so that they are displayed at maximum granularity.

Use the front edge or boundary point of a probe to make the start and end points of a
measurement object more distinct.

Make sure that the probe direction is always aligned during measurement.

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 Chapter 5 Measurements and Calculations

Measurement Accuracy Table

The following tables show the accuracy of the measurements possible when using The Product. Ensure
that the results of measurement accuracy checks are kept within the ranges specified in the table. Except
for certain applications or probes, the following accuracy ranges should be maintained for measurement
of a straight distance.

NOTE: An accuracy check must be performed once a year to ensure measurement accuracy.
Contact Samsung Medison customer service department if the measurement accuracy is outside
the range of the table shown below.

2D Mode

Accuracy Test Accuracy

Measurements Range
(Whichever is greater) Methodology Based on

Axial Distance < ± 4% or 1mm Phantom Acquisition Full Screen

Lateral Distance < ± 4% or 2mm Phantom Acquisition Full Screen

M Mode

Accuracy Test Accuracy

Measurements Range
(Whichever is greater) Methodology Based on

Depth < ± 5% or 3 mm Phantom Acquisition 1 – 25 cm

Time < ± 5% Signal generator Acquisition 0.01 – 11.3 sec

PW/CW Spectral Doppler Mode

Doppler Accuracy Test

Accuracy based on Range
Measurement (Whichever is greater) Methodology

PW: 0.1cm/s – 8.8 m/s

Velocity < ± 15% Phantom Acquisition
CW: 0.1cm/s – 19.3 m/s
Time < ± 5% Signal Generator Acquisition 10 ms – 9.44 s

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 Operation Manual

Basic Measurements
Press the Caliper button on the control panel.

NOTE: This performs a simple measurement, such as distance and area, regardless of applications.
For information on measurements for each application, please refer to ‘Measurements by
Application’ in this chapter.

The available measurement methods vary depending on the current diagnosis mode. Please see the
following table:
Diagnosis
Measurement Measurement Methods
Modes

Distance
Line Trace
2D, M, D 3 Points Angle
2 Lines Angle
%StD

M M Distance
Distance Measurement
D Velocity
D A/B
Manual Trace
D
Limited Trace
Auto Trace
D Time

Ellipse
Circumference and Area
2D, M, D Area Trace
Measurement
%StA

3 Distance Vol.
MOD Vol.
Volume Measurement 2D, M, D 1 Distance Vol.
Ellipse Vol.
Dist. + Ellipse Vol.

[Table 5.1 Basic Measurements by Diagnosis Mode]

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 Chapter 5 Measurements and Calculations

Basic Measurement Operations

The following is the information on common button operations for basic measurements:

Changing/selecting measurement method

„„
Select a measurement method on the touch screen. The menu items that can be selected on the
touch screen vary according to diagnosis mode. The selected measurement method is displayed in
the user information area.

Adjusting font size

„„
Adjust the font size by tapping Font Size on the touch screen or rotating the dial-button.
Select a font size for the measurement results, from between 10 and 30, using the dial-button.

Canceling measurement results

„„

Undo: Tap Undo on the touch screen. Doing this discards the immediately preceding readings
XX
and allows you to take the measurement again.

NOTE: Undo can be used only for 3 Distance Vol. and Dis.+ Ellipse Vol. among the volume
measurement items.

Delete: When you tap Delete on the touch screen or rotate the dial-button, part of the curve
XX
being traced is deleted.

NOTE: The back trace function can be used only for Line Trace, Area Trace, and MOD Vol. among
the distance measurement items.

Setting the display position of the measurement results

„„
Select Move or Reset by tapping Result Action on the touch screen or pressing the [6] dial-button.

Move: Change the display position of the measurement results using the trackball and then
XX
press the Set button.

Reset: When you press the dial-button, the display position of the measurement results is reset.
XX

NOTE: When there are multiple pages of measurement results, you can find the desired result
using Move.

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 Operation Manual

Delete measurement results

„„
Press the Clear button on the control panel.

Print measurement results

„„
Press the Print button on the control panel.

Exiting basic measurements

„„
Press the Caliper button again on the control panel. Or press the Exit button.

NOTE: To change settings such as measurement units, tap Utility on the touch screen and select
Measure Setup > General. For more information, refer to ‘Chapter 7. Utilities’ in this manual.

[Figure 5.1 Caliper]

NOTE: The displayed measurement results vary depending on the settings in Utility > Measure
Setup > General > Caliper.

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 Chapter 5 Measurements and Calculations

Distance Measurements

Distance
A basic measurement that is available in all diagnosis modes. You can specify two points in a 2D image
and measure the straight distance between them.

1. Tap Distance on the touch screen. ‘Distance’ is displayed in the user information area.

2. Use the trackball and the Set button on the control panel to specify both end points of the
measurement area:

Use the trackball to place the cursor at the desired position and press the Set button.
XX

Repositioning Point
Tips!
Instead of pressing the Set button to confirm the point position, you can press the Change button
to reset it.

3. Specify both end points and then the distance between them will be measured.

4. When the measurement is finished, the result is shown on the screen.

Line Trace
A basic measurement that is available in all diagnosis modes. You can specify a point in a 2D image and
trace a curve from that point to measure the distance between them.

1. Tap Line Trace on the touch screen. ‘Line Trace’ is displayed in the user information area.

2. Use the trackball and the Set button on the control panel to specify the start point of the
measurement area:

Use the trackball to place the cursor at the desired position and press the Set button.
XX

3. Use the trackball to draw the desired curve and then press the Set button to set the end point.

Editing Curves
Tips!
Moving the trackball in the opposite direction, before designating the end point by pressing the
Set button, deletes the trace line. Also, rotating the touch screen’s Delete button partially deletes
the contour being traced.

4. Specify both end points and then the length of the curve will be automatically measured.

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 Operation Manual

3 Points Angle
A basic measurement that is available in all diagnosis modes. Specify three points in a 2D image and
measure the angle between them.

1. Tap 3 Points Angle on the touch screen.

2. Specify three points.

3. The angle formed by the three points will be calculated and displayed on the screen.

2 Lines Angle
A basic measurement that is available in all diagnosis modes. Specify two straight lines in a 2D image
and measure the angle between them.

1. Tap 2 Lines Angle on the touch screen.

2. Draw two straight lines. For information on drawing a straight line, please refer to Distance.

3. The angle between the two lines will be calculated and displayed on the screen.

When two angles are calculated, the smaller angle is displayed.

XX

%StD
StD stands for Stenosis Distance, which is a basic measurement available in all diagnosis modes. In a
2D image, the diameter of a vessel is measured and the stenosis ratio calculated.

1. Tap %StD on the touch screen. ‘%StD’ is displayed in the user information area.

2. Measure the total diameter of a vessel using the Distance measurement method.

3. When a new cursor appears, measure the inner wall diameter of the vessel under stenosis.

4. Calculate %StD with the following equation:

%StD = (Outer Distance – Inner Distance) / Outer Distance x 100

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 Chapter 5 Measurements and Calculations

M Distance
This is a basic measurement that is available in M Mode only. You can specify two points in an M image
and measure the distance, elapsed time and velocity between them.

1. Tap M Distance on the touch screen. ‘M Distance’ is displayed in the user information area.

2. Specify two points and measure the straight distance between them. The method for measuring a
line is the same as in ‘Distance.’

3. When the measurement is finished, the result is shown on the screen.

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 Operation Manual

D Velocity
This is a basic measurement that is available in Spectral Doppler Mode only. You can specify two points
in a Spectral Doppler image, measure the distance between them, and the velocity at each point in
order to calculate the velocity change, time change and acceleration.

NOTE: In a Spectral Doppler image, the X- and Y-axes represent time and velocity, respectively.

1. Tap D Velocity on the touch screen. ‘D Velocity’ is displayed in the user information area.

2. Specify two points and measure the straight distance between them. The method for measuring a
line is the same as in ‘Distance.’

3. When the measurement is finished, the result is shown on the screen. The displayed measurement
results vary depending on the settings in Utility > Measure Setup > General > Caliper.

V1: Velocity at Point 1

XX Time: Change in Time
XX

V2: Velocity at Point 2

XX RI: Resistivity Index
XX

PGmax: Maximum Pressure Gradient

XX S/D: Systolic to Diastolic Ratio
XX

V2-V1: Change in Velocity

XX Acc: Acceleration
XX

The equations used for D Velocity measurement are as follows:

XX

XX

XX

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 Chapter 5 Measurements and Calculations

D A/B
This is a basic measurement that is available in Spectral Doppler Mode only. You can specify two points
in a Spectral Doppler image and measure the velocity at each point to calculate the ratio of the velocity
between them.

1. Tap D A/B on the touch screen. ‘D A/B’ is displayed in the user information area.

2. Specify two points at which to measure velocity.

Use the trackball to place the cursor at the desired position and press the Set button.
XX

3. When the measurement is finished, the result is shown on the screen. The displayed measurement
results vary depending on the settings in Utility > Measure Setup > General > Caliper.
V1: Velocity at Point 1
XX PGmax: Maximum Pressure Gradient
XX

V2: Velocity at Point 2

XX V1/V2: The Ratio of Velocity
XX

Manual Trace
This is a basic measurement that is available in Spectral Doppler Mode only. You can specify a point in
a Spectral Doppler image and trace a curve from that point to calculate the velocity, integral value and
average velocity of blood flow.

1. Tap Manual Trace on the touch screen. ‘Manual Trace’ is displayed in the user information area.

2. Trace a curve. The method for measuring a curve is the same as in ‘Line Trace.’

3. When the measurement is finished, the result is shown on the screen. The displayed measurement
results vary depending on the settings in Measure Setup > General > Caliper.

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 Operation Manual

PSV: Peak Systolic Velocity

XX PGmean: Mean Pressure Gradient
XX

EDV: End Diastolic Velocity

XX VTI: Velocity Time Integral
XX

PI: Pulsatility Index

XX PHT: Pressure Half Time
XX

RI: Resistivity Index

XX Acc: Acceleration
XX

S/D: Ratio of PSV to EDV

XX AccT: Acceleration Time
XX

Vmax: Maximum Velocity

XX Dec: Deceleration
XX

Vmean: Mean Velocity

XX DecT: Deceleration Time
XX

PGmax: Maximum Pressure Gradient

XX

The equations used for Manual Trace measurement are as follows:

XX

XX

XX

XX

Limited Trace
This is a basic measurement that is only available in Spectral Doppler mode. You can specify a point
in a Spectral Doppler image and trace a curve from that point to calculate the velocity, integral value,
and average velocity of blood flow.

1. Tap Limited Trace on the touch screen. Limited Trace will be displayed in the User Information area.

2. Trace the curve. Measurement is taken in the same way as ‘Line Trace’.

3. When the measurement is finished, its result is shown on the screen. The displayed measurement
results will vary depending on the settings you have selected in Utility > Measurement Setup >

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 Chapter 5 Measurements and Calculations

General > Caliper.

PSV: Peak Systolic Velocity
XX PGmean: Mean Pressure Gradient
XX

EDV: End Diastolic Velocity

XX VTI: Velocity Time Integral
XX

PI: Pulsatility Index

XX PHT: Pressure Half Time
XX

RI: Resistivity Index

XX Acc: Acceleration
XX

S/D: Ratio of PSV to EDV

XX AccT: Acceleration Time
XX

Vmax: Maximum Velocity

XX Dec: Deceleration
XX

Vmean: Mean Velocity

XX DecT: Deceleration Time
XX

PGmax: Maximum Pressure Gradient

XX

The equations used for Limited Trace measurements are as follows:

XX

XX

XX

XX

NOTE: The displayed measurement results for D Velocity, D A/B, Manual Trace, and Limited Trace
vary according to application (General or Cardiac).

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 Operation Manual

Auto Trace
This is a basic measurement that is only available in Spectral Doppler Mode. A Spectrum is traced
automatically.

1. Tap Auto Trace on the touch screen.

2. When the measurement is finished, its result will be shown on the screen. The displayed measurement
results vary depending on the settings in Utility > Measure Setup > General > Caliper.

NOTE: For more information on Auto Trace, please refer to 'Common Measurement Methods' in
this chapter.

D Time
This is a basic measurement that is available in Spectral Doppler Mode only. You can specify two bars
on a Spectral Doppler image and calculate the time between them.

1. Tap D Time on the touch screen. ‘Time’ is displayed in the user information area.

2. Set two bars on the spectrum with the trackball and the Set button.

3. When the measurement is finished, the result is shown on the screen.

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 Chapter 5 Measurements and Calculations

Circumference and Area Measurement

Ellipse
A basic measurement that is available in all diagnosis modes. You can measure the circumference and
area of a circular (elliptical) object in a 2D image.

1. Tap Ellipse on the touch screen. ‘Ellipse’ is displayed in the user information area.

2. Use the trackball and the Set button on the control panel to specify the diameter (axis) of the
measurement area.

Use the trackball to place the cursor at the desired position and press the Set button.
XX

Repositioning Point
Tips!
You can press the Change button to free the cursor for repositioning. Press the Set button to
confirm the new point position.

3. Specify the size of the circle (ellipse).

Adjust the size using the trackball, and press the Set button.
XX

4. When the measurement is finished, the result is shown on the screen.

The following equation is used for the measurement of ellipses:

(A: (A: Long axis, B: Short axis)

Area (a, b: Axis)

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 Operation Manual

Area Trace
A basic measurement that is available in all diagnosis modes. You can measure the circumference and
area of an irregular object in a 2D image.

1. Tap Area Trace on the touch screen. ‘Trace’ is displayed in the user information area.

2. Use the trackball and the Set button on the control panel to specify the start point for tracing over
the contours of the measurement area.

Use the trackball to place the cursor at the desired position and press the Set button.
XX

3. Trace the curve so that the measurement cursor returns to the start point, and then press the Set
button.

NOTE: Trace lines must be closed. If you press the Set button before tracing is complete, tracing
may be done over a straight line between the current point and the start point, resulting in a
significant error.

4. When the measurement is finished, the result is shown on the screen.

The equations used for Trace measurement are as follows:

sum (N = 1,2… last point)

Area sum (N = 1,2… last point)

%StA
StA stands for Stenosis Area, which is a basic measurement available in all diagnosis modes. In a 2D
image, the area of a vessel is measured and the stenosis ratio (%) calculated.

1. Tap %StA on the touch screen. ‘%StA’ is displayed in the user information area.

2. Measure the area of the vessel’s outer wall using the Area measurement method.

3. When the second cursor appears, measure the area of the vessel’s inner wall under stenosis.

4. Calculate %StA with the following equation:

%StA = (Outer Area – Inner Area) / Outer Area x 100

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Volume Measurement
NOTE: Since Dual Mode simultaneously displays two images on the screen, you don't have to
return to the diagnosis mode to measure volume in Dual Mode.

3 Distance Vol.
A basic measurement that is available in all diagnosis modes. You can measure the volume of an object
in a 2D image by using 3 straight lines.

1. Tap 3 Distance Vol. on the touch screen. ‘3 Distance’ is displayed in the user information area.

2. Specify two points and measure the straight distance between them. The method for measuring a
line is the same as in ‘Distance.’

3. Measure the length of the remaining two straight lines as above.

4. When the measurement is finished, the result is shown on the screen. The volume of the object,
along with the length of each straight line, are calculated.

Pressing the touch screen’s Undo button while measurement is in progress discards the readings
XX
taken up to that point and starts taking readings again from the current step.

The equations used for 3 Distance measurement are as follows:

(D: distance)

MOD Vol.
A basic measurement that is available in all diagnosis modes. In a 2D image, the area of an irregular
object and the length of its long axis are obtained to calculate its volume. MOD is an abbreviation for
Method of Disk.

1. Tap MOD Vol. on the touch screen. ‘MOD’ is displayed in the user information area.

2. Draw a contour to measure. The way it is measured is the same as in ‘Trace’.

3. Measure the length of the long axis. The way it is measured is the same as in ‘Distance’.

4. When the measurement is finished, the result is shown on the screen.

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 Operation Manual

Editing Curves
Tips!
Before specifying the end point by pressing the Set button, you can delete part of the curve being
traced by rotating the Delete dial-button on the touch screen.

1 Distance Vol.
A basic measurement that is available in all diagnosis modes. You can measure the volume of an object
in a 2D image by using only one straight line.

1. Tap 1 Distance Vol. on the touch screen. ‘1 Distance’ is displayed in the user information area.

2. Specify two points and measure the straight distance between them. The method for measuring a
line is the same as in ‘Distance.’

3. When the measurement is finished, the result is shown on the screen. The volume of the object
along with the length of the straight line are calculated.

The equations used for 1 Distance measurement are as follows:

(D: distance)

Ellipse Vol.
A basic measurement that is available in all diagnosis modes. In a 2D image, the volume of a conical
object is measured using an ellipse.

1. Tap Ellipse Vol. on the touch screen. ‘Ellipse’ is displayed in the user information area.

2. Specify the size of the circle (ellipse). The way it is measured is the same as in ‘Ellipse’.

3. When the measurement is finished, the result is shown on the screen.

The following equation is used for Ellipse measurement:

Long Short Short

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Dist. + Ellipse Vol.

A basic measurement that is available in all diagnosis modes. You can measure the volume of an object
in a 2D image by using one straight line and one circle (ellipse).

1. Tap Dist. + Ellipse Vol. on the touch screen. ‘Distance + Ellipse’ is displayed in the user information
area.

2. Specify two points and measure the straight distance between them. The method for measuring a
line is the same as in ‘Distance.’

3. Specify the size of the circle (ellipse). The way it is measured is the same as in ‘Ellipse’.

4. When the measurement is finished, the result is shown on the screen.

D: The length of a straight line
XX
Area: The area of a circle
XX
Long: The length of the long axis in an ellipse
XX
Vol.: Volume
XX
Short: The length of the short axis in an ellipse
XX

Press the Undo button on the touch screen to cancel the current measurement and take it again.
XX

The equations used for Distance + Ellipse measurement are as follows:

(a : Short axis, b : Long axis , d : Distance)

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Calculations by Application
Press the Calculator button on the control panel.

Things to note

Before starting measurement:

Register Patient
„„
Make sure that the currently registered patient information is correct. If the patient is not registered,
press the Patient button on the control panel.
Use the Study Information tab to enter or change a patient’s information per diagnosis category.
For the Patient Information menu and entry method, refer to ‘Patient Information’ in ‘Chapter 3.
Starting Diagnosis’.

Check Probe, Application & Preset

„„

Check the probe name and application that are displayed in the title bar. Press the Probe button
XX
on the control panel to use another probe or application.

Check the preset settings on the Probe screen.

XX

Measurement Menu Settings

„„
Set the related menus for convenient measurement. Refer to the ‘Setting Measurements’ section in
‘Chapter 7. Utilities’ for additional information.

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 Chapter 5 Measurements and Calculations

Measurement Menu Touch Screen

Measurement menu options for each diagnosis item are shown on the touch screen. The measurement
menu touch screen is made up of four sections as shown below:

1. Measurement Menu Tabs: Available menu tabs for the current measurement package are shown.
The measurement menu options shown on the touch screen will vary depending on which tab is
selected.

2. Measurement Menu Options: Available menu options for the current tab are shown. Items shown
on the touch screen will vary depending on which menu option is selected.

3. Measurement Items: Available measurement items for the current menu option are shown. Tapping
on the button starts the selected measurement.

4. Common Control Options: These options are always available regardless of which measurement
option was selected.

[Figure 5.2 Measurement Menu Touch Screen]

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 Operation Manual

Measurement Operations
The following gives information on the common button operations for measurements:

Change Measurement Method

„„
Press the Change button on the control panel. If the current measurement item can be measured
in more than one way, the measurement method can be changed according to your preferences.
The current measurement method is displayed in the user information area. Once measurement
has started, the method cannot be changed.

Measurement Unit Change

„„
Exit from the current measurement and select the desired unit from Utility > Measure Setup >
General > General > Display > Measurement Unit on the touch screen.

Delete Trace Line1

„„
Delete a trace line by moving the trackball in the opposite direction. The trace line can only be
erased when measuring Doppler spectrum using Manual Trace.

Delete Measurement Result

„„
Press the Clear button on the control panel.

NOTE: The measurement results are deleted from the screen but are still shown on the report for
the corresponding application.

Print Measurement Result

„„
Press the Print button on the control panel.

Exit Measurement
„„
Press the Calculator button again on the control panel. Or press the Exit button.

End Diagnosis
„„
Press the End Exam button on the control panel. The diagnosis for the current patient ends and all
measurement results are saved.

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Package
„„
Select a measurement package by tapping Package on the touch screen or rotating the dial-button.

Laterality
„„
Select left (Lt) or right (Rt) for the position of the measurement item by tapping Laterality on
the touch screen or rotating the dial-button. This appears on the touch screen only with specific
packages.

Trace Direction
„„
Set the trace direction of the Doppler spectrum by tapping Trace Direction on the touch screen
or rotating the dial-button. This is enabled only after Auto or Limited Trace is carried out in Spectral
Doppler Mode.

Up: Only the + part of the Doppler waveform is traced.

XX

Down: Only the – part of the Doppler waveform is traced.

XX

All: All parts of the Doppler waveform are traced.

XX

Threshold
„„
Set the threshold by tapping Threshold on the touch screen or rotating the dial-button. This is
enabled only after Auto or Limited Trace is carried out in Spectral Doppler Mode. Adjusting the
threshold facilitates Doppler spectrum analysis.

Font Size
„„
Tap the Font Size button on the touch screen or use the dial button to set the font size of the
measurement result.

HR Cycle
„„
Set the heart rate (HR) cycle by tapping HR Cycle on the touch screen or rotating the dial-button.
This is enabled only when ‘HR’ is selected for the measurement item.

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 Operation Manual

Result Action
„„
Set the position of the measurement result by tapping Result Action on the touch screen or
rotating the dial-button.

Move: Change the display position of the measurement results. Change the position with the
XX
trackball and then press the Set button.

Reset: Resets the location where measurement results are displayed.

XX

Tips! When there are multiple pages of measurement results, you can find the desired result using Move.

Undo
„„
Cancel the last measurement by tapping Undo on the touch screen.

Edit Data
„„
Tapping Edit Data on the touch screen switches to the Report screen.

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Common Measurement Methods

This section provides information on the common measurement methods used for applications.

Measurements in Spectral Doppler Mode

In general, if you trace a Doppler spectrum, you can obtain results for various measurement items
automatically. There are 3 ways to trace a Doppler spectrum.

ACCUVIX A30 also allows you to select a specific item under the Measurement menu and take
measurements individually, without tracing a Doppler spectrum.

Auto Trace
„„
A spectrum is traced automatically. It is enabled in the Measurement menu in Spectral Doppler
Mode.

1. Press Auto Trace in the Measurement menu.

2. The system traces a spectrum automatically.

3. When the trace is complete, the measurement results are displayed on the screen.

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 Operation Manual

Things to consider for Doppler Spectrum Auto Trace

Tips!
The state of a Doppler spectrum may affect measurement results. Please see the following:
Causes for Trace Failure
XX
If the Gain is changed for a Doppler image in the Freeze state, Contour Trace and Peak Trace will
not work.
XX
If there is little or no noise in an image without a spectrum, Contour Trace will not work.
XX
If there is severe noise in an image, Contour Trace will not work.
XX
If the Clutter filter is set too high, Auto Trace or Limited Trace may not work.
Causes for Inaccurate Peak Trace
XX
If PRF (Pulse Repetition Frequency) is lower than the velocity of the observation area, aliasing
may occur. If the original signals are separated from aliasing, a trace can be done but the peak
measurement may not be accurate.
XX
If the peak of a spectral waveform is not clear or occurs intermittently, a trace can be done but
the peak measurement may not be accurate.
XX
If the Doppler Gain is set too high or low, it becomes difficult to distinguish spectrums. This may
result in measurement error(s).
XX
If the Wall Filter is set too high, only part of the spectrum is displayed. In this case, a trace can be
done but the peak measurement may not be accurate.
XX
If abnormal noise or artifact occurs, a trace can be done but the peak measurement may not be
accurate.
Misc.
XX
Use of the CW Probe may result in measurement error(s).
XX
Limited Trace is supported only for two-peak spectrums such as Mitral Valve Inflow and Tricuspid
Valve Inflow, in the cardiology application.

Limited Trace
„„
If you specify a measurement range, a spectrum is traced automatically. It is enabled in the menu
in Spectral Doppler Mode.

1. Press Limited Trace in the Measurement menu. A bar appears allowing you to specify a
measurement area.

2. Specify the measurement range.

Place the bar at a desired position with the trackball, and press the Set button.
XX

3. The system traces spectrums within the specified range automatically.

4. When the trace is complete, the measurement results are displayed on the screen.

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Manual Trace
„„
A spectrum can be traced manually. This is enabled in the menu in Spectral Doppler Mode.

1. Press Manual Trace in the Measurement menu. A measurement cursor appears over a spectrum.

2. Trace the spectrum. The measuring method is the same as in ‘D Trace.’

3. When the trace is complete, the measurement results are displayed on the screen.

Itemized Measurement
„„
In the Measurement menu, select an individual item and take a measurement.

1. Press the Calculator button on the control panel after obtaining a desired image.

2. Select a desired item in the Measurement menu. The ‘+’ cursor appears over a spectral waveform.

3. Position the ‘+’ cursor and press the Set button.

4. The measurement results for the selected item are displayed on the screen.

Item Type Method Equation

PSV (Peak Systolic Velocity) Velocity cm/s or m/s -

EDV (End Diastolic Velocity) Velocity cm/s or m/s -

TAMV(L) (Time Average Mean Velocity) Velocity cm/s or m/s -

TAPV (Time Average Peak Velocity) Velocity cm/s or m/s -

PGmean (Mean Pressure Gradient) Calculation mmHg -

PGmax (Maximum Pressure Gradient) Calculation mmHg 4 × PSV2

S/D (Ratio of PSV to EDV) Calculation Ratio (PSV / EDV)

D/S (Ratio of EDV to PSV) Calculation Ratio EDV /PSV

RI (Resistivity Index) Calculation Ratio (PSV – EDV) / PSV

PI (Pulsatility Index) Calculation Ratio (PSV – EDV) / TAPV

NOTE: If the measurement item is OB or Vascular, you can select the measurement item in Doppler
spectrum.
You can select this from Measure Setup > OB > General > OB Doppler Results or Measure setup >
Vascular > Doppler Results.

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 Operation Manual

Taking measurements via Auto Calc

Tips!
You can use Auto Calc to take measurements on predetermined item(s).
Refer to the Auto Calc section of Chapter 7. Utilities for more information on measurement item
selection.

Volume Flow Measurement

Select Volume Flow in the Measurement menu.

Volume Flow allows you to measure and calculate an area or distance. For information on distance or
area measurements, please refer to ‘Basic Measurements.’ The TAMV(L) (Time Avg. Mean Velocity) value
is automatically measured.

Vesl. Area (Vessel Area)

„„
Measure the area of a blood vessel and calculate TAMV(L) and Volume Flow.

Vesl. Dist. (Vessel Distance)

„„
Measure the width of a blood vessel and calculate TAMV(L) and Volume Flow.

Stenosis Measurement
You can measure the stenosis of each blood vessel system by measuring and calculating an area or
distance.

%StA
„„
Measure the area of the inner and outer walls of a blood vessel. (StA stands for Stenosis Area.)

1. Select the %StA menu and the first cursor will appear in 2D Mode.

2. Measure the area of the vessel’s outer wall using the Circ/Area measurement method.

3. When the second cursor appears, measure the area of the vessel’s inner wall under stenosis.

%StA = (Outer Area – Inner Area) / Outer Area x 100

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%StD
„„
Measure the diameter of a blood vessel. (StD stands for Stenosis Distance).

1. Select the %StD menu and the first cursor will appear in 2D Mode.

2. Measure the total diameter of a vessel, using the Distance measurement method.

3. When a new cursor appears, measure the diameter of the vessel’s inner wall under stenosis.

%StD = (Outer Distance – Inner Distance) / Outer Distance x 100

Heart Rate Measurement

HR (Heart Rate)
„„
You can calculate heart rates for a certain period of time.

1. Select HR in the Measurement menu. A bar appears allowing you to specify a measurement area.

2. Specify the measurement range.

Place the bar at a desired position with the trackball, and press the Set button.
XX

3. The system automatically measures the heart rate within the measurement range.

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OB Calculations
NOTE:
XX
Ductus Venosus, Fetal HR can only be measured in Doppler Mode.
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.
XX
For references on measurement items, see the ‘Reference Manual Part 1’.

Before Taking OB Measurements

OB Basic Information
„„
Enter the information required for OB diagnosis in the Patient Information window. The basic OB
information includes LMP (Last Menstrual Period) and Gestations.
Once LMP is entered, EDD (Estimated Delivery Date) and GA (Gestational Age) are calculated
automatically. LMP is required for the calculation of values such as EDD and SD in obstetrics
measurements.

EDD (LMP) = LMP + 280 days

XX

GA (LMP) = Current System Date – LMP

XX
When you input ovulation date, the system calculates LMP, GA (LMP), and EDD (LMP) automatically.

LMP = Ovul. Date -14

XX
Regardless of LMP, enter the EDD, after consulting a physician, into Estab. Due Date. If LMP is not
available, when Estab. Due Date is modified, LMP is automatically calculated and the ‘C’ mark is
displayed next to the LMP information.
A maximum of four fetuses can be entered in the Gestations menu. The default value is ‘1’. In the
case of twins, enter ‘2’, etc.
For further information about patient information menus and how to input patient information,
refer to ‘Entering Patient Data’ in ‘Chapter 3. Settings’.

OB Measurement Menu Settings

„„
Set up the GA Equation, GA Table and OB measurement menus that are used in obstetrics
measurements. The user can manually write, back up or restore GA Tables. For more information on
the GA Equation and Table, refer to the Reference Manual.

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 Chapter 5 Measurements and Calculations

NOTE:
XX
It will be convenient to set the function of the User 2 and User 3 buttons on the control panel
to the two obstetrics measurement items you want to use. Set their functions in Utility > Setup
> User Defined key > User Key Setup.
XX
For twins, distinguish fetuses by specifying them as Fetus A and Fetus B in the Measurement
menu. To change between the fetuses when measuring, press the Change button on the
control panel or use the touch screen’s Select Fetus dial-button.

Refer to the ‘Setting Measurements’ section in ‘Chapter 7. Utilities’, for additional information on
other measurement-related menu items.

Early OB Measurement Menu

When the measurements for the selected items are complete, the measurements and gestational
age are displayed on the screen. The measurement method for each item is the same as for basic
measurements. Measured items are automatically recorded in a report.

[Figure 5.3 Early OB Measurement Menu]

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 Operation Manual

Measurement Menu Item Mode Method Units

GS All Distance Measurement cm, mm

YS All Distance Measurement cm, mm

CRL All Distance Measurement cm, mm

NT All Distance Measurement mm

NB All Distance Measurement cm, mm

Fetal Biometry
BPD All Distance Measurement cm, mm

FL All Distance Measurement cm, mm

Circumference or automatic
AC All cm, mm
calculation

Fetal HR M, PW Heart Rate bpm

EFW All

Duct V All PW Velocity cm/s, m/s

Duct V S Vmax PW Velocity cm/s, m/s

Duct Venosus Duct V D Vmax PW Velocity cm/s, m/s

Duct V A Vmax PW Velocity cm/s, m/s

Fetal HR PW Velocity cm/s, m/s

Automatic calculation
Some items in the Measurement menu are automatically calculated based on the measurements of
other items.

HC
„„
This is automatically calculated using the following formula, provided there are measured BPD and
OFD values.

Exception: when you use Merz reference,

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 Chapter 5 Measurements and Calculations

AC
„„
This is automatically calculated using the following formula, provided there are measured APD and
TAD values.

Exception: when you use Merz reference,

FTA
„„
This is automatically calculated using the following formula, provided there are measured APD and
TAD values.

MAD
„„
This is automatically calculated using the following formula, provided there are measured APD and
TAD values.

ThC
„„
This is automatically calculated using the following formula, provided there are measured APTD
and TTD values.

APTD x TTD
„„
This is automatically calculated, provided there are measured APTD and TTD values.

NOTE: For reference, the Osaka University/TOKyo University methods are mainly used in Asia, the
Merz method in Europe, and the Shepard/Hadlock methods in the American continent.

NOTE:
XX
To measure TAMV(L), check TAMV in Measure Setup > Doppler Results. Otherwise, the
measurement result will not be displayed on screen.
You can add the TAMV(L) measurement menu in Measure Setup > Measure Menu.
XX
XX
For more information on adding measurement menus, refer to 'Chapter 7. Utilities'.

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General OB Measurement Menu

When the measurements for the selected items are complete, the measurements and gestational
age are displayed on the screen. The measurement method for each item is the same as for basic
measurements. Measured items are automatically recorded in a report.

[Figure 5.4 General OB Measurement Menu]

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 Chapter 5 Measurements and Calculations

Measurement Menu Item Mode Method Units

BPD All Distance Measurement cm, mm

HC All Circumference or Automatic Calculation cm, mm
AC All Circumference or Automatic Calculation cm, mm
FL All Distance Measurement cm, mm
EFW All
Lat Vent All Distance Measurement cm, mm
CEREB All Distance Measurement cm, mm
Fetal Biometry CM All Distance Measurement cm, mm
NF All Distance Measurement cm, mm
OFD All Distance Measurement cm, mm
Fetal HR M, PW Heart Rate bpm
Cervix L All Distance Measurement cm, mm
HUM All Distance Measurement cm, mm
APD All Distance Measurement cm, mm
TAD All Distance Measurement cm, mm
All All Distance Measurement cm, mm
Q1 All Distance Measurement cm, mm
Q2 All Distance Measurement cm, mm
AFI
Q3 All Distance Measurement cm, mm
Q4 All Distance Measurement cm, mm
MVP All Circumference cm, mm
Auto Trace PW Doppler Spectrum Trace
Limited Trace PW Doppler Spectrum Trace
Manual Trace PW Doppler Spectrum Trace

Rt. Uterine A PSV PW Velocity Measurement cm/s, m/s

Lt. Uterine A
EDV PW Velocity Measurement cm/s, m/s
Mid Cereb Artery
Umbilical Artery %StA All Calculation after Area Measurement %
%StD All Calculation after Distance Measurement %
Vesl. Area All Area Measurement cm , mm2
2

Vesl. Dist All Distance Measurement cm, mm

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AFI (Amniotic Fluid Index)

Measure the amniotic fluid index. Measurements are performed by dividing the pregnant woman’s
abdomen into four parts. The distance between the fetus and the farthest point of each area
is measured. To obtain a specific image from each quadrant plane, press the Freeze button to go
to the diagnosis mode. After obtaining the image, press the Freeze button again to return to the
measurement mode.

Calculating Estimated Fetal Weight (EFW)

When measurements for the following items are complete, the system uses the results to automatically
calculate the estimated fetal weight. For an equation for calculating fetal weight, please refer to
‘Estimated Fetal Weight Formula’ in the Reference Manual Part 1.
XX BPD and AC XX AC and FL

BPD, FL and FTA

XX BPD, AC and FL
XX

BPD, APTD, TTD and FL

XX HC, AC and FL
XX

BPD, APTD, TTD and SL

XX BPD,HC, AC and FL
XX

BPD and TTD

XX AC
XX

Continuous Measurement / Review for EFW Calculation

You can measure OB item(s) continuously for EFW calculation.

Before starting measurement:

Tips!
1. It will be convenient to set the function of the User 2 and User 3 buttons on the control panel to
the two obstetrics measurement items you want to use for continuous EFW measurement. Set
their functions in Utility > Setup > User Defined key > User Key Setup. For more information,
refer to the ‘User Defined Key’ section of ‘Chapter 7. Utilities’.
2. Check EFW Reference. You can select or change it from Utility > Measure Setup > OB > Tables.

NOTE: This function is not available in 3D Mode.

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 Chapter 5 Measurements and Calculations

Measurement Methods
„„

1. Press User 2 (or User 3) on the control panel. The OB menu and measurement items are displayed
on the screen.

2. Measure the items for EFW calculation, using the trackball and the Set button.

3. Press the Freeze button to finish the first measurement.

4. Press the Freeze button to measure the next items.

5. Once all the measurements have been taken, EFW is displayed on the screen.
EFW measurements and their sequences are as follows:

Reference Measure Item (by Order)

Campbell AC
Hadlock BPDgAC
Hadlock1 ACgFL
Hadlock2 BPDgACgFL
Hadlock3 ACgFLgHC
Hadlock4 BPD, HCgACgFL
Hansmann BPDgTTD
Merz BPDgAC
Osaka BPDgFTAgFL
Shepard BPDgAC
Shinozuka1 BPDgACgFL
Shinozuka2 BPDgAPTD, TTDgSL
Shinozuka3 BPDgAPTD, TTDgFL
Ferrero ACgFL
Higginbottom AC
Thurnau BPDgAC
Warsof BPDgAC
Weiner1 ACgHC
Weiner2 ACgFLg HC
Woo BPDgACgFL

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Changing Measurement Sequence

Tips!
To change the measurement sequence, go to Utility > MeasureSetup > OB > Tables > EFW
Sequential Measurement. You can use the EFW dial-button on the touch screen to change the
EFW Reference.

Review the Results of EFW Calculation

„„

1. Press User 2 (or User 3) on the control panel. Measured items of EFW Calculation and the results
are displayed on the screen.

2. To remove the results, press the Clear button on the control panel.

NOTE:
XX
To measure TAMV(L), check TAMV in Measure Setup > Doppler Results. Otherwise, the
measurement result will not be displayed on screen.
XX
You can add the TAMV(L) measurement menu in Measure Setup > Measure Menu.
XX
For more information on adding measurement menus, refer to 'Chapter 7. Utilities'.

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 Chapter 5 Measurements and Calculations

Gynecology Calculations
NOTE:
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.
XX
For references on measurement items, see the ‘Reference Manual Part 2’.

Before Taking GYN Measurements

Enter the information required for GYN diagnosis in the Patient Information window. Basic Information
for gynecology includes Gravida, Para, Aborta, Ovul.Date, Day of Cycle, and Ectopic.

Measurement Menu
The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

[Figure 5.5 GYN Measurement Menu]

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 Operation Manual

Measurement Menu Item Mode Method Units

All All Calculation after distance measurement ml

L All Distance Measurement cm, mm
H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Endo. Thick All Distance Measurement cm, mm
Uterine Tumor 1 All All Distance Measurement cm, mm
Uterine Tumor 1 L All Distance Measurement cm, mm
Uterus
Uterine Tumor 1 H All Distance Measurement cm, mm
Uterine Tumor 1 W All Distance Measurement cm, mm
Cervix All All Volume Measurement ml
Cervix L All Distance Measurement cm, mm
Cervix H All Distance Measurement cm, mm
Cervix W All Distance Measurement cm, mm
Cervical Tumor All All Calculation after distance measurement ml
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Rt. Uterine A
Lt. Uterine A Manual Trace PW Doppler spectrum trace
Endometrial
PSV PW Velocity Measurement cm/s, m/s
EDV PW Velocity Measurement cm/s, m/s

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 Chapter 5 Measurements and Calculations

Measurement Menu Item Mode Method Units

All All Calculation after distance measurement ml

L All Distance Measurement cm, mm
H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Rt. Ovary
Manual Trace PW Doppler spectrum trace
Lt. Ovary
PSV PW Velocity Measurement cm/s, m/s
EDV PW Velocity Measurement cm/s, m/s
Ovarian Mass All All Calculation after distance measurement ml
Ovarian Mass L All Distance Measurement cm, mm
Ovarian Mass H All Distance Measurement cm, mm
Ovarian Mass W All Distance Measurement cm, mm
Rt. Follicles Volume calculated after distance cm, mm
1 ~ 12 All
Lt. Follicles measurement and ml
All All Calculation after distance measurement ml

Rt. Cyst L All Distance Measurement cm, mm

Lt. Cyst H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Pericystic Manual Trace PW Doppler spectrum trace
PSV PW Velocity Measurement cm/s, m/s
EDV PW Velocity Measurement cm/s, m/s

Most of the gynecology measurements are distance measurements and volume measurements, based
on the distance measurement results. If multiple images, such as long axis images and transverse axis
images are needed, press the Freeze button to switch to Scan Mode and obtain images from another
perspective.

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 Operation Manual

Cardiac Calculations

NOTE: Cardiac measurement is an optional item.

The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

NOTE:
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.
XX
For references on measurement items, see the ‘Reference Manual, Part 2’.

Dist. 20
„„
Traces the cardiac circumference and then draws the cardiac axis. The system automatically draws
20 straight lines perpendicular to the axis and calculates its volume.

NOTE:
XX
In Dual 2D Mode, two images can be viewed simultaneously.
XX
For RVAWd, RVIDd, RVAWs, and RVIDs, see the LV measurement method.
XX
MPA Diam, RPA Diam, and LPA Diam are measured under Aortic Valve Level in Parasternal
Short Axis.
XX
C Mode is mainly used for measuring reverse cardiac blood flow.
XX
As PISA-Radius or PISA-Alias Vel. measurements require Velocity values, you have to select
color display for Velocity or Vel + Var in C Mode. For more information, see the ‘Color Doppler
Mode’ section in ‘Chapter 4. Diagnosis Mode’.
XX
Tissue Doppler can be measured in TDI Mode.

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 Chapter 5 Measurements and Calculations

Adult Echo – Chamber Measurement Menu

[Figure 5.6 Adult Echo - Chamber Measurement Menu]

Measurement Menu Item Mode Method Units

All LVd (2D) All Continuous measurement

IVSd All Distance Measurement cm, mm

LVIDd All Distance Measurement cm, mm

LVPWd All Distance Measurement cm, mm

LV (2D)
All LVs (2D) All Continuous measurement

IVSs All Distance Measurement cm, mm

LVIDs All Distance Measurement cm, mm

LVPWs All Distance Measurement cm, mm

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 Operation Manual

Measurement Menu Item Mode Method Units

All LV (M) M Continuous measurement

IVSd M Distance Measurement cm, mm

LVIDd M Distance Measurement cm, mm

LVPWd M Distance Measurement cm, mm

LV (M) IVSs M Distance Measurement cm, mm

LVIDs M Distance Measurement cm, mm

LVPWs M Distance Measurement cm, mm

LVET M Time Measurement ms

LVPEP M Time Measurement ms

LVEDV A4C All Dist 20 ml

LVESV A4C All Dist 20 ml

LVEDV A2C All Dist 20 ml

LVESV A2C All Dist 20 ml

LV Vol. (Simpson)
LVEDV A4C AL All Dist 20 ml

LVESV A4C AL All Dist 20 ml

LVEDV A2C AL All Dist 20 ml

LVESV A2C AL All Dist 20 ml

All All Continuous measurement

LVAd SAX PM Epi All Area Measurement cm2, mm2

LVAd SAX PM All Area Measurement cm2, mm2

LV Mass
LVLd Apical All Distance Measurement cm, mm

LV TE a All Distance Measurement cm, mm

LV TE d All Distance Measurement cm, mm

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 Chapter 5 Measurements and Calculations

Measurement Menu Item Mode Method Units

All All Calculation after distance measurement ml

LA Major All Distance Measurement cm, mm

LA Minor All Distance Measurement cm, mm

LA Diam (2D) All Distance Measurement cm, mm

LA / Ao (2D) All Distance Measurement cm, mm

LA LA / Ao (M) M Distance Measurement cm, mm

LA Diam (M) M Distance Measurement cm, mm

LAEDV A4C All Area Measurement cm2, mm2

LAESV A4C All Area Measurement cm2, mm2

LAEDV A2C All Area Measurement cm2, mm2

LAESV A2C All Area Measurement cm2, mm2

RVAWd All Distance Measurement cm, mm

RVIDd All Distance Measurement cm, mm

RVAd All Area Measurement cm2, mm2

RVAWs All Distance Measurement cm, mm

RV (2D)
RVIDs All Distance Measurement cm, mm

RVAs All Area Measurement cm2, mm2

RV Major All Distance Measurement cm, mm

RV Minor All Distance Measurement cm, mm

All All Continuous measurement

RVAWd M Distance Measurement cm, mm

RVIDd M Distance Measurement cm, mm

RV (M) RVAWs M Distance Measurement cm, mm

RVIDs M Distance Measurement cm, mm

RVPEP M Time Measurement ms

RVET M Time Measurement ms

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 Operation Manual

Measurement Menu Item Mode Method Units

RA Major All Distance Measurement cm, mm

RA Minor All Distance Measurement cm, mm

RAAd All Area Measurement cm2, mm2

RA
RAAs All Area Measurement cm2, mm2

RAEDV All Dist 20 Ml

RAESV All Dist 20 Ml

Ao Diam (2D) All Distance Measurement cm, mm

Ao Diam (M) M Distance Measurement cm, mm

Asc Ao Diam All Distance Measurement cm, mm

Desc Ao Diam All Distance Measurement cm, mm

Aorta
Ao Arch Diam All Distance Measurement cm, mm

Ao Isth Diam All Distance Measurement cm, mm

Ao ST Junct Diam All Distance Measurement cm, mm

Ao Sinus Diam All Distance Measurement cm, mm

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 Chapter 5 Measurements and Calculations

Adult Echo-Valve Measurement Menu

[Figure 5.7 Adult Echo-Valve Measurement Menu]

Measurement
Item Mode Method Units
Menu

Manual Trace PW Doppler spectrum trace

Vmax PW Velocity Measurement cm/s, m/s

LVOT VTI PW Doppler spectrum trace cm, mm

Diam All Distance Measurement cm, mm

HR M, PW Heart Rate bpm

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Measurement
Item Mode Method Units
Menu

Cusp All Distance Measurement cm, mm

Cusp (M) M Distance Measurement cm, mm

Diam All Distance Measurement cm, mm

AVA Planimetry All Area Measurement cm2, mm2

Manual Trace PW Doppler spectrum trace

Vmax PW Velocity Measurement cm/s, m/s

AV PHT PW Time Measurement ms

VTI PW Doppler spectrum trace cm, mm

AccT / ET All Continuous measurement

AccT PW Time Measurement ms

ET PW Time Measurement ms

DecT PW Time Measurement ms

R-R Interval M, PW Heart Rate bpm

VCW All Distance Measurement cm, mm

PISA Rad C PISA-Radius cm, mm

Alias Vel. C Velocity Measurement cm/s, m/s

Manual Trace PW Doppler spectrum trace

Vmax PW Velocity Measurement cm/s, m/s

AR ed Vmax PW Velocity Measurement cm/s, m/s

PHT PW Time Measurement ms

VTI PW Doppler spectrum trace cm, mm

AccT PW Time Measurement ms

DecT PW Time Measurement ms

HR M, PW Heart Rate bpm

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 Chapter 5 Measurements and Calculations

Measurement
Item Mode Method Units
Menu

All MV (M) M Distance Measurement cm, mm

Vp M Distance Measurement cm, mm

Diam 1 All Distance Measurement cm, mm

Diam 2 All Distance Measurement cm, mm

MVA Planimetry All Area Measurement cm2, mm2

Manual Trace PW Doppler spectrum trace

E-DT-A PW Time-Speed-Time Measurement ms and m/s

MV E/A PW Velocity Measurement cm/s, m/s

Vmax PW Velocity Measurement cm/s, m/s

PHT PW Time Measurement ms

AccT PW Time Measurement ms

DecT PW Time Measurement ms

A Dur. PW Time Measurement ms

ET PW Time Measurement ms

R-R Interval M, PW Heart Rate bpm

VCW PW Distance Measurement cm, mm

PISA Rad C PISA-Radius cm, mm

Alias Vel. C Velocity Measurement cm/s, m/s

Manual Trace PW Doppler spectrum trace

MR
Vmax PW Velocity Measurement cm/s, m/s

VTI PW Doppler spectrum trace cm, mm

dp / dt PW Calculation after Time Measurement mmHg/s

HR M, PW Heart Rate bpm

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 Operation Manual

Measurement
Item Mode Method Units
Menu

Manual Trace PW Doppler spectrum trace

Vmax PW Velocity Measurement cm/s, m/s

RVOT VTI PW Doppler spectrum trace cm, mm

Diam All Distance Measurement cm, mm

HR M, PW Heart Rate bpm

Ann Diam All Distance Measurement cm, mm

PVA Planimetry All Area Measurement cm2, mm2

Manual Trace PW Doppler spectrum trace

Vmax PW Velocity Measurement cm/s, m/s

PHT PW Time Measurement ms

VTI PW Doppler spectrum trace cm, mm

PV
AccT / ET All Continuous measurement

AccT PW Time Measurement ms

ET PW Time Measurement ms

DecT PW Time Measurement ms

Q to PV Close PW Time Measurement ms

R-R Interval M, PW Heart Rate bpm

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 Chapter 5 Measurements and Calculations

Measurement
Item Mode Method Units
Menu

VCW PW Distance Measurement cm, mm

PISA Rad C PISA-Radius cm, mm

Alias Vel. C Velocity cm/s, m/s

Manual Trace PW Doppler spectrum trace

Vmax PW Velocity Measurement cm/s, m/s

PR MPA Vmax PW Velocity Measurement cm/s, m/s

PHT PW Time Measurement ms

VTI PW Doppler spectrum trace cm, mm

AccT PW Time Measurement ms

DecT PW Time Measurement ms

HR M, PW Heart Rate bpm

Ann Diam All Distance Measurement cm, mm

Diam 1 All Distance Measurement cm, mm

Diam 2 All Distance Measurement cm, mm

TVA Planimetry All Area Measurement cm2, mm2

Manual Trace PW Doppler spectrum trace

Vmax PW Velocity Measurement cm/s, m/s

E/A PW Velocity Measurement cm/s, m/s

TV
PHT PW Time Measurement ms

VTI PW Doppler spectrum trace cm, mm

AccT PW Time Measurement ms

DecT PW Time Measurement ms

A Dur. PW Time Measurement ms

Q to TV Open PW Time Measurement ms

R-R Interval M, PW Heart Rate bpm

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 Operation Manual

Measurement
Item Mode Method Units
Menu

VCW PW Distance Measurement cm, mm

PISA Rad C PISA-Radius cm, mm

Alias Vel. C Velocity Measurement cm/s, m/s

Manual Trace PW Doppler spectrum trace

TR Vmax PW Velocity Measurement cm/s, m/s

VTI PW Doppler spectrum trace cm, mm

dp / dt PW Calculation after Time Measurement mmHg/s

RAP PW RAP mmHg

HR M, PW Heart Rate bpm

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 Chapter 5 Measurements and Calculations

Adult Echo-System Measurement Menu

[Figure 5.8 Adult Echo-System Measurement Menu]

Measurement Menu Item Mode Method Units

S/D PW Continuous measurement

S Vmax PW Velocity Measurement cm/s, m/s

Pulm. Veins
D Vmax PW Velocity Measurement cm/s, m/s
Hepatic Veins
A Vmax PW Velocity Measurement cm/s, m/s

A Dur PW Time Measurement ms

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Measurement Menu Item Mode Method Units

MPA Diam All Distance Measurement cm, mm

LPA Diam All Distance Measurement cm, mm

RPA Diam All Distance Measurement cm, mm

PEd All Distance Measurement cm, mm

PEs All Distance Measurement cm, mm

SVC S/D PW Continuous measurement

SVC S Vmax PW Velocity Measurement cm/s, m/s

Shunts SVC D Vmax PW Velocity Measurement cm/s, m/s

SVC A Vmax PW Velocity Measurement cm/s, m/s

SVC A Dur PW Time Measurement ms

IVC S/D PW Continuous measurement

IVC S Vmax PW Velocity Measurement cm/s, m/s

IVC D Vmax PW Velocity Measurement cm/s, m/s

IVC A Vmax PW Velocity Measurement cm/s, m/s

IVC A Dur PW Time Measurement ms

Systemic VTI PW Doppler spectrum trace cm, mm

Plumonic VTI PW Doppler spectrum trace cm, mm

Qp / Qs
LVOT Diam All Distance Measurement cm, mm

RVOT Diam All Distance Measurement cm, mm

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 Chapter 5 Measurements and Calculations

Measurement Menu Item Mode Method Units

All LV TDI PW Continuous measurement

LV Peak E’ PW Velocity Measurement cm/s, m/s

LV Peak A’ PW Velocity Measurement cm/s, m/s

LV Peak S’ PW Velocity Measurement cm/s, m/s

LV AccT PW Time Measurement ms

LV DecT PW Time Measurement ms

Tissue Doppler
All RV TDI PW Continuous measurement

RV Peak E’ PW Velocity Measurement cm/s, m/s

RV Peak A’ PW Velocity Measurement cm/s, m/s

RV Peak S’ PW Velocity Measurement cm/s, m/s

RV AccT PW Time Measurement ms

RV DecT PW Time Measurement ms

All LV PW Continuous measurement

LV TST PW Time Measurement ms

LV ET PW Time Measurement ms

LV IVCT PW Time Measurement ms

LV IVRT PW Time Measurement ms

Tei Index
All RV PW Continuous measurement

RV TST PW Time Measurement ms

RV ET PW Time Measurement ms

RV IVCT PW Time Measurement ms

RV IVRT PW Time Measurement ms

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 Operation Manual

Ped. Echo Measurement Menu

[Figure 5.9 Ped. Echo Measurement Menu]

Measurement Menu Item Mode Method Units

All LVd (2D) All Continuous measurement

RVIDd All Distance Measurement cm, mm

IVSd All Distance Measurement cm, mm

LVIDd All Distance Measurement cm, mm

LVPWd All Distance Measurement cm, mm

All LVs (2D) All Continuous measurement

IVSs All Distance Measurement cm, mm

LV (2D)
LVIDs All Distance Measurement cm, mm

LVPWs All Distance Measurement cm, mm

RVAWd All Distance Measurement cm, mm

LVEDV A4C All Dist 20 ml

LVESV A4C All Dist 20 ml

LVEDV A2C All Dist 20 ml

LVESV A2C All Dist 20 ml

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 Chapter 5 Measurements and Calculations

Measurement Menu Item Mode Method Units

All LV (M) M Continuous measurement

RVIDd M Distance Measurement cm, mm

IVSd M Distance Measurement cm, mm

LVIDd M Distance Measurement cm, mm

RV (M) LVPWd M Distance Measurement cm, mm

IVSs M Distance Measurement cm, mm

LVIDs M Distance Measurement cm, mm

LVPWs M Distance Measurement cm, mm

RVAWs M Distance Measurement cm, mm

All LV TDI PW Continuous measurement

LV Peak E’ PW Velocity Measurement cm/s, m/s

LV Peak A’ PW Velocity Measurement cm/s, m/s

LV Peak S’ PW Velocity Measurement cm/s, m/s

Tissue Doppler
All RV TDI PW Continuous measurement

RV Peak E’ PW Velocity Measurement cm/s, m/s

RV Peak A’ PW Velocity Measurement cm/s, m/s

RV Peak S’ PW Velocity Measurement cm/s, m/s

LA Diam (2D) All Distance Measurement cm, mm

MV Diam 1 All Distance Measurement cm, mm

MV E-DT-A PW Continuous measurement

Lt. Inflow
MV Dect

MR Vmax PW Velocity Measurement cm/s, m/s

MR dp / dt PW Calculation after Time Measurement mmHg/s

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 Operation Manual

Measurement Menu Item Mode Method Units

LVOT Diam All Distance Measurement cm, mm

Ao Sinus Diam All Distance Measurement cm, mm

Ao Diam (2D) All Distance Measurement cm, mm

Ao ST Junct Diam All Distance Measurement cm, mm

Asc Ao Diam All Distance Measurement cm, mm

Ao Arch Diam All Distance Measurement cm, mm

Lt. Outflow
Ao Isth Diam All Distance Measurement cm, mm

Desc Ao Diam All Distance Measurement cm, mm

AV Vmax PW Velocity Measurement cm/s, m/s

AR DecT PW Time Measurement ms

AR ed Vmax PW Velocity Measurement cm/s, m/s

AR PHT PW PHT ms

S/D PW Continuous measurement

S Vmax PW Velocity Measurement cm/s, m/s

Pulm. Veins
D Vmax PW Velocity Measurement cm/s, m/s
Hepatic Veins
A Vmax PW Velocity Measurement cm/s, m/s

A Dur PW Time Measurement ms

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 Chapter 5 Measurements and Calculations

Measurement Menu Item Mode Method Units

Systemic VTI PW Doppler spectrum trace cm, mm

Pulmonic VTI PW Doppler spectrum trace cm, mm

LVOT Diam All Distance Measurement cm, mm

RVOT Diam All Distance Measurement cm, mm

SVC S/D PW Continuous measurement

SVC S Vmax PW Velocity Measurement cm/s, m/s

SVC D Vmax PW Velocity Measurement cm/s, m/s

Qp / Qs
SVC A Vmax PW Velocity Measurement cm/s, m/s

SVC A Dur PW Time Measurement ms

IVC S/D PW Continuous measurement

IVC S Vmax PW Velocity Measurement cm/s, m/s

IVC D Vmax PW Velocity Measurement cm/s, m/s

IVC A Vmax PW Velocity Measurement cm/s, m/s

IVC A Dur PW Time Measurement ms

RA Major All Distance Measurement cm, mm

TV Diam 1 All Distance Measurement cm, mm

Rt. Inflow TR Vmax PW Velocity Measurement cm/s, m/s

RAP PW RAP mmHg

TV E/A PW Continuous measurement

RVOT Diam All Distance Measurement cm, mm

PV Ann Diam All Distance Measurement cm, mm

PV AccT PW Time Measurement ms

Rt. Outflow
PR DecT PW Time Measurement ms

PR Vmax PW Velocity Measurement cm/s, m/s

MR dp / dt PW Calculation after Time Measurement mmHg/s

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 Operation Manual

Vascular Calculations
The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

NOTE:
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.
XX
For references on measurement items, see the ‘Reference Manual, Part 1’.

Carotid Measurement Menu

[Figure 5.10 Carotid Measurement Menu]

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 Chapter 5 Measurements and Calculations

Measurement
Item Mode Method Units
Menu

Auto Trace PW Doppler spectrum trace

Prox CCA PSV PW Velocity Measurement cm/s, m/s

Mid CCA
Distal CCA EDV PW Velocity Measurement cm/s, m/s
Bulb
ECA %StA All Area Measurement %
Prox ICA
Mid ICA %StD All Distance Measurement %

IMT All Distance Measurement cm, mm

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace

Manual Trace PW Doppler spectrum trace

PSV PW Velocity Measurement cm/s, m/s

Vertebral A
EDV PW Velocity Measurement cm/s, m/s
General
%StA All Area Measurement %

%StD All Distance Measurement %

Vesl. Area All Area Measurement cm2, mm2

Vesl. Dist. All Distance Measurement cm, mm

Volume
PW Automatic calculation ml/m
Flow(Auto)

Volume Flow(D) PW Automatic calculation ml/m

Vol. Flow
Vesl. Dist. All Distance Measurement cm, mm

Vesl. Area All Area Measurement cm2, mm2

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 Operation Manual

Auto IMT (Optional)

This function allows you to take IMT measurements easily and quickly.

NOTE:
XX
Auto IMT is available only under the following conditions:
−− Probe: Linear Probe, Micro Convex Probe
−− Application: Vascular
−− Diagnosis Mode: 2D, C or PD Mode (the button is enabled in the 2D menu)

Auto IMT Screen

Risk Color Bar

„„
It is shown in colors based on the IMT thickness. If the thickness is <= 0.5 mm, the entire bar is shown
in green. If the thickness is >= 1.1 mm, the entire bar is shown in red. For a thickness between these
values, it is shown in the corresponding color.

Ruler and Range Bar

„„
Use the trackball and Set button to specify the location and range at which IMT will be measured.

Ruler: The grid unit is 10mm. This option is used when a vessel is lying laterally. At the measurement
XX
location, press the Set button to take IMT measurements at 10mm intervals.

Range Bar: This option is used when a vessel is not lying laterally, or the length of a specific
XX
segment needs measuring. Press and hold the Set button at the start point, and then drag the
trackball to specify the end point.

Intima and Adventitia Pair

„„

Between the Near and Far zones, the one with the higher QI is automatically selected as a
XX
measurement value and is represented by the appropriate color of the Risk Color Bar.

A pair with a lower QI is represented by dark blue.

XX

Press the Change button on the control panel to move the Near and Far zones that are
XX
automatically selected with QI. The measurement value and color presentation are also changed.
However, if QI is 0, it will not be changed.

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 Chapter 5 Measurements and Calculations

Measurement Result Table

„„

Max: The maximum thickness of the Intima/Adventitia pair.

XX

Mean: The average thickness of the Intima/Adventitia pair.

XX

SD : Standard Deviation
XX

QI: The distance ratio of the measured point in a distance, for Quality Index measurement.
XX

Points: The total number of the measured Intima/Adventitia pairs.

XX

[Figure 5.11 Auto IMT]

Auto IMT Measurement

1. After checking the probe, application and preset, start carotid measurement.

2. If the desired images are obtained, press Freeze. Use the trackball to select an image for IMT
measurement.

3. Tap Auto IMT on the touch screen. The Auto IMT screen will appear.

If scanning is performed when the center of the vessel is aligned with the center of the image
XX
area, IMT measurement starts automatically.

4. Use the trackball and the Set button to set a location for IMT measurement.

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 Operation Manual

Operation #1, #2
Tips!
If ‘Operation #1, #2’ in the user information area is followed, IMT measurement can be taken more
easily.

Select a point between Near and Far.

XX

If the vessel image quality is poor, select an area that is close to the Intima to be measured.
XX

If a detailed area has to be selected, use the Range Bar.

XX

Press the Space Bar on the keyboard to turn on/off the Intima and Adventitia Marker.
XX

5. Once the measurement location is set, measurement values are listed in a table.

Auto IMT Measurements’ Analysis

1. Tap Analysis on the touch screen. The Analysis screen appears.

2. Select the desired analysis among Framingham/CHD, Risk Factor, Normal IMT, and User Graph
using the trackball and the Set button.

A bar corresponding to the measurement result is displayed on each graph. However, no bar is
XX
displayed if the measurement result is smaller than Framingham/CHD or the Risk Factor.

User Graph
Tips!
You can use User Graph to adjust the graph and analyze the measurement results as you want.

3. To finish analysis, tap Analysis again on the touch screen.

The following materials were referred to when analyzing the measurements of Auto IMT.

Framingham/CHD
„„
Correlation between the Framingham Risk Score and Intima Media Thickness: the Paroi Arterielle et
Risque Cardio-vasculaire (PARC) Study.
Pierre-Jean Touboul, EricVicaut, Julien Labreuche, Jean-Pierre Belliard, Serge Cohen, Serge Kownator,
Jean-Jacques Portal, Isabelle Pithois-Merli, Pierre Amarenco. On behalf of PARC Study participating
physicians.

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 Chapter 5 Measurements and Calculations

Risk Factor
„„
Mannheim Carotid Intima-Media Thickness Consensus (2004~2006)
P.J. Touboul, M.G. Hennerici, S. Meairs, H. Adams, P. Amarenco, N. Borstein, L. Csiba, M. Desvarieux,
S. Ebrahim, M. Fatar, R. Hermandez Hernandez, M. Jaff, S. Kownator, P. Prati, T. Rundek, M. Sitzer, U.
Schiminke, J.-C. Tardif, A. Taylor, E. Vicaut, K.S. Woo, F. Zannad, M. Zureik.

Normal IMT
„„
Simon, J . Gariepy, G. Chironi, J.L. Megnien, J. Levenson: Intima-media thickness: a new tool for
diagnosis and treatment of cardiovascular risk. Journal of Hypertension 20:159-169, 2002.

[Figure 5.12 Analysis]

Saving Auto IMT Measurement Values

1. Select the direction of the measurement site by tapping Direction on the touch screen or using
the dial-button.

2. Select the position of the measurement site by tapping Position on the touch screen or using the
dial-button.

3. Select the name corresponding to the measurement site by tapping it on the touch screen. When
you press this, the measurement values are saved and the Auto IMT Measurement Mode finishes.
The details are displayed on the screen.

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Auto IMT+
This system supports optional Auto IMT+. Auto IMT+ uses a more powerful engine than Auto IMT to
provide more accurate measurements.

NOTE:
XX
If both Auto IMT and Auto IMT+ options are installed, using this function will perform Auto IMT+;
If you disable the Auto IMT+ option, the function will automatically switch to Auto IMT.
XX
The button for using this function, as well as the on-screen description, will read ‘Auto IMT’,
regardless of whether Auto IMT or Auto IMT+ is being used.

UE Artery Measurement Menu

[Figure 5.13 UE Artery Measurement Menu]

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Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace

Manual Trace PW Doppler spectrum trace

Subclabian A
Axillary A PSV PW Velocity Measurement cm/s, m/s
Brachial A
Radial A EDV PW Velocity Measurement cm/s, m/s
Ulnar A
SPA %StA All Area Measurement %
General
%StD All Distance Measurement %

Vesl. Area All Area Measurement cm2, mm2

Vesl. Dist All Distance Measurement cm, mm

Volume Flow(Auto) PW Automatic calculation ml/m

Volume Flow(D) PW Automatic calculation ml/m

TAMV(L) PW Doppler spectrum trace cm/s, m/s

Vol. Flow
Vesl. Dist. All Distance Measurement cm, mm

Vesl. Area All Area Measurement cm2, mm2

HR M, PW Heart Rate bpm

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LE Artery Measurement Menu

[Figure 5.14 LE Artery Measurement Menu]

Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

CIA Limited Trace PW Doppler spectrum trace
IIA
EIA Manual Trace PW Doppler spectrum trace
CFA
SFA PSV PW Velocity Measurement cm/s, m/s
DFA
Popliteal A EDV PW Velocity Measurement cm/s, m/s
ATA
PTA %StA All Area Measurement %
Peroneal A
DPA %StD All Distance Measurement %
Metatarsal A
Digital A Vesl. Area All Area Measurement cm2, mm2

Vesl. Dist All Distance Measurement cm, mm

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Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace

Manual Trace PW Doppler spectrum trace

PSV PW Velocity Measurement cm/s, m/s

EDV PW Velocity Measurement cm/s, m/s

General
%StA All Area Measurement %

%StD All Distance Measurement %

Vesl. Dist All Area Measurement cm, mm

Vesl. Area All Distance Measurement cm2, mm2

HR M, PW Heart Rate bpm

Vol. Flow(Auto) PW Automatic calculation ml/m

Vol. Flow(D) PW Automatic calculation ml/m

TAMV(L) PW Doppler spectrum trace cm/s, m/s

Vol. Flow
Vesl. Dist. All Distance Measurement cm, mm

Vesl. Area All Area Measurement cm2, mm2

HR M, PW Heart Rate bpm

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 Operation Manual

UE Vein Measurement Menu

[Figure 5.15 UE Vein Measurement Menu]

Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

Internal Jugular V
Innominate V Limited Trace PW Doppler spectrum trace
Subclavian V
Manual Trace PW Doppler spectrum trace
Axillary V
Brachial V
Vmax PW Velocity Measurement cm/s, m/s
Basilic V
Radial V Dur T PW Time Measurement ms
Ulnar V
Vesl. Dist. All Distance Measurement cm, mm

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace

Manual Trace PW Doppler spectrum trace

General Vmax PW Velocity Measurement cm/s, m/s

Dur T PW Time Measurement ms

Vesl. Dist. All Distance Measurement cm, mm

Vesl. Area All Area Measurement cm2, mm2

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 Chapter 5 Measurements and Calculations

Measurement Menu Item Mode Method Units

Vol. Flow(Auto) PW Automatic Calculation ml/m

Vol. Flow(D) PW Automatic Calculation ml/m

Vol. Flow TAMV (L) PW Doppler spectrum trace cm/s, m/s

Vesl. Area All Area Measurement cm2, mm2

Vesl. Dist. All Distance Measurement cm, mm

LE Vein Measurement Menu

[Figure 5.16 LE Vein Measurement Menu]

Measurement Menu Item Mode Method Units

CIV Auto Trace PW Doppler spectrum trace

IIV
EIV Limited Trace PW Doppler spectrum trace
CFV Vmax PW Velocity Measurement cm/s, m/s
PFV
SFV Dur T PW Time Measurement ms
GSV
Popliteal V
LSV
ATV Vesl. Dist. All Distance Measurement cm, mm
PTV
Peroneal V

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Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
General Vmax PW Velocity Measurement cm/s, m/s
Dur T PW Time Measurement ms
Vesl. Dist. All Distance Measurement cm, mm
Vesl. Area All Area Measurement cm2, mm2
Vol. Flow(Auto) PW Automatic Calculation ml/m
Vol. Flow(D) PW Automatic Calculation ml/m
Vol. Flow TAMV(L) PW Doppler spectrum trace cm/s, m/s
Vesl. Area All Area Measurement cm2, mm2
Vesl. Dist. All Distance Measurement cm, mm

NOTE:
To measure TAMV(L), check TAMV in Measure Setup > Doppler Results. Otherwise, the
XX
measurement result will not be displayed on screen.
XX
You can add the TAMV(L) measurement menu at Measure Setup - Measure Menu.
XX
For more information on adding measurement menus, refer to 'Chapter 7. Utilities'.

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 Chapter 5 Measurements and Calculations

Fetal Heart Calculations

The measurement method for each item is the same as for basic measurements. In addition, measurement
items are similar to those for cardiac calculation. Measured items are automatically recorded in a report.

NOTE:
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.
XX
For references on measurement items, see the ‘Reference Manual Part 2’.

Fetal Heart – General Measurement Menu

[Figure 5.17 Fetal Heart - General Measurement Menu]

Measurement Menu Item Mode Method Units

LVEDV A2C All Dist 20 ml

LVESV A2C All Dist 20 ml
LV Vol. (Simpson)
LVEDV A4C All Dist 20 ml
LVESV A4C All Dist 20 ml

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Measurement Menu Item Mode Method Units

Asc Ao All Distance Measurement cm, mm

MPA Diam All Distance Measurement cm, mm
Duct Art All Distance Measurement cm, mm
LA Diam All Distance Measurement cm, mm
RA Diam All Distance Measurement cm, mm
2D Echo
IVS All Distance Measurement cm, mm
LVIDd All Distance Measurement cm, mm
LVIDs All Distance Measurement cm, mm
LVPW All Distance Measurement cm, mm
HrtC All Distance Measurement cm, mm
CTAR All (D) All Continuous measurement %
ThD ap All Distance Measurement cm, mm
ThD trans All Distance Measurement cm, mm
CTAR HrtD ap All Distance Measurement cm, mm
HrtD trans All Distance Measurement cm, mm
ThA All Area Measurement cm2, mm2
HrtA All Area Measurement cm2, mm2
Fetal M-mode (All) M Continuous measurement cm, mm
IVSd M Distance Measurement cm, mm
LVIDd M Distance Measurement cm, mm
Fetal M-mode LVPWd M Distance Measurement cm, mm
IVSs M Distance Measurement cm, mm
LVPWs M Distance Measurement cm, mm
RVDd M Distance Measurement cm, mm

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CTAR (Cardio-Thorax Area Ratio)

„„
This measurement is for comparing the sizes of the fetus chest and heart. The comparison is made
by obtaining the ThD ap, ThD trans, HrtD ap, and HrtD trans values.

Fetal Heart – Doppler Measurement Menu

[Figure 5.18 Fetal Heart - Doppler Measurement Menu]

Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace

MPA
Duct Artriosus Manual Trace PW Doppler spectrum trace
Asc Aorta
Dsc Aorta PSV PW Velocity Measurement cm/s, m/s
IVC
EDV PW Velocity Measurement cm/s, m/s

Fetal HR M, PW Heart Rate bpm

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Measurement Menu Item Mode Method Units

All PW Velocity Measurement cm/s, m/s

S Vmax PW Velocity Measurement cm/s, m/s

Duct Venosus
D Vmax PW Velocity Measurement cm/s, m/s
PLI
A Vmax PW Velocity Measurement cm/s, m/s

Fetal HR M, PW Heart Rate bpm

E/A PW Velocity Measurement %

E PW Velocity Measurement cm/s, m/s

MV
A PW Velocity Measurement cm/s, m/s
TV
MR Vmax PW Velocity Measurement cm/s, m/s

Fetal HR M, PW Heart Rate bpm

Calculation after Continuous

All PW
Measurement

TST PW Time Measurement ms

Tei Index
ET PW Time Measurement ms

Fetal HR M, PW Heart Rate bpm

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Urology Calculations

Before Taking Urology Measurements

Set the related menus for convenient measurement.

You can select the volume method for measurement. There are four types of volume method. The
factor value can be set manually for the formulae that need it.

For more information on the measurement menus and settings, please refer to ‘Measure Setup’ in
‘Chapter 7. Utilities’.

Urology Measurement Menu

[Figure 5.19 Urology Measurement Menu]

The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

XX
The measurement methods of each menu vary with the Volume Method, set at Utility >
Measure Setup > Urology.
XX
If you change the volume measurement method, the touch screen menu will automatically
change as well.
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.
XX
For references on measurement items, see the ‘Reference Manual Part 2’.

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3Distance 3 Distances
„„
Calculate a volume by measuring three distances.

Measurement
Item Mode Method Units
Menu

All All Calculation after distance measurement ml

WG Prostate Vol. L All Distance Measurement cm, mm
T-Zone Vol.
Bladder Vol. H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Pre All All Calculation after distance measurement ml
Pre L All Distance Measurement cm, mm
Pre H All Distance Measurement cm, mm
Pre W All Distance Measurement cm, mm
Residual Vol.
Post All All Calculation after distance measurement ml
Post L All Distance Measurement cm, mm
Post H All Distance Measurement cm, mm
Post W All Distance Measurement cm, mm
All All Calculation after distance measurement ml
L All Distance Measurement cm, mm
Rt. / Lt. Renal Vol. H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Renal Pelvis All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace cm, mm
Limited Trace PW Doppler spectrum trace cm, mm
Manual Trace PW Doppler spectrum trace cm, mm
PSV PW Velocity Measurement cm/s, m/s
General EDV PW Velocity Measurement cm/s, m/s
%StA All Calculation after Area Measurement %
%StD All Calculation after distance measurement %
Vesl.Area All Area Measurement cm , mm2
2

Vesl.Dist. All Distance Measurement cm, mm

The measurements for Transitional Zone Prostate Volume, Bladder Volume, Left Renal Volume, and
Right Renal Volume are the same as for Prostate Volume.

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3 Distance * Factor
„„
The same as for ‘3 Distances.’ Volume is calculated based on Factor value.
Volume (ml) = Factor x Distance1 x Distance2 X Distance3

Ellipsoid
„„
Calculate a volume by using the Main Diameter and Beside Diameter values.

Measurement
Item Mode Method Units
Menu

WG Prostate Vol.
T-Zone Vol. All All Calculation after distance measurement ml
Bladder Vol.
Pre Vol. All Calculation after distance measurement ml
Residual Vol.
Post Vol. All Calculation after distance measurement ml
All All Calculation after distance measurement ml
Rt. / Lt. Renal Vol.
Renal Pelvis All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace cm, mm
Limited Trace PW Doppler spectrum trace cm, mm
Manual Trace PW Doppler spectrum trace cm, mm
PSV PW Velocity Measurement cm/s, m/s
General EDV PW Velocity Measurement cm/s, m/s
%StA All Calculation after Area Measurement %
%StD All Calculation after distance measurement %
Vesl.Area All Area Measurement cm , mm2
2

Vesl.Dist. All Distance Measurement cm, mm

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Sum of 20 DisksSum of 20 Disks

„„
After measuring the circumference of a prostate, use the trackball and the Set button to calculate
the volume by measuring the axis of the prostate.

Measurement
Item Mode Method Units
Menu

WG Prostate Vol.
T-Zone Vol. All All Calculation after Distance Measurement ml
Bladder Vol.
Pre Vol. All Calculation after Distance Measurement ml
Residual Vol.
Post Vol. All Calculation after Distance Measurement ml
Rt. / Lt. Renal Vol. Renal Pelvis All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace cm, mm
Limited Trace PW Doppler spectrum trace cm, mm
Manual Trace PW Doppler spectrum trace cm, mm
PSV PW Velocity Measurement cm/s, m/s
General
EDV PW Velocity Measurement cm/s, m/s
%StD All Calculation after distance measurement %
Vesl.Area All Area Measurement cm2, mm2
Vesl.Dist. All Distance Measurement cm, mm

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Abdomen Calculations
The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

NOTE:
XX
It is convenient to calculate each measurement value on the Spectral Doppler image.
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.

Abdomen Measurement Menu

[Figure 5.20 Abdomen Calculations Measurement Menu]

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Measurement Menu Item Mode Method Units

All All Calculation after distance measurement ml

Liver
Spleen L All Distance Measurement cm, mm
Rt. Kidney H All Distance Measurement cm, mm
Lt. Kidney
W All Distance Measurement cm, mm
CBD All Distance Measurement cm, mm
GB Wall All Distance Measurement cm, mm
All All Calculation after distance measurement ml
Gallbladder
L All Distance Measurement cm, mm
H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Head All Distance Measurement cm, mm
Body All Distance Measurement cm, mm
Pancreas
Tail All Distance Measurement cm, mm
Duct All Distance Measurement cm, mm
Stomach Wall All Distance Measurement cm, mm
Bowel Small Bowel Wall All Distance Measurement cm, mm
Large Bowel Wall All Distance Measurement cm, mm

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Abd. Vascular Measurement Menu

[Figure 5.21 Abd. Vascular Measurement Menu]

Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace

M Portal V Manual Trace PW Doppler spectrum trace

M Hepatic V
Splenic V Vmax PW Velocity Measurement cm/s, m/s
Mid IVC
Rt./ Lt. Renal V Dur T PW Time Measurement ms

Vesl. Area All Area Measurement cm2, mm2

Vesl. Dist. All Distance Measurement cm, mm

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Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace

C Hepatic A Manual Trace PW Doppler spectrum trace
R Hepatic A
L Hepatic A PSV PW Velocity Measurement cm/s, m/s
Splenic A
Mid Aorta EDV PW Velocity Measurement cm/s, m/s
Rt. Renal A
Lt. Renal A %StA All Calculation after Area Measurement %
Mid SMA
IMA %StD All Calculation after distance measurement %

Vesl. Area All Area Measurement cm2, mm2

Vesl. Dist All Distance Measurement cm, mm

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Small Parts Calculations

The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

NOTE:
XX
It is convenient to calculate each measurement value on the Spectral Doppler image.
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.

Thyroid Measurement Menu

[Figure 5.22 Thyroid Measurement Menu]

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Measurement Menu Item Mode Method Units

All All Calculation after distance measurement ml

Mass 1~5 L All Distance Measurement cm, mm

Thyroid Vol. H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity Measurement cm/s, m/s
EDV PW Velocity Measurement cm/s, m/s
Thyroid Flow %StA All Calculation after Area Measurement %
%StD All Calculation after distance measurement %
Vesl. Area All Area Measurement cm , mm2
2

Vesl. Dist All Distance Measurement cm, mm

Vel. A PW Velocity Measurement cm/s, m/s
Vel. B PW Velocity Measurement cm/s, m/s

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 Chapter 5 Measurements and Calculations

Breast Measurement Menu

[Figure 5.23 Breast Measurement Menu]

Measurement Menu Item Mode Method Units

All All Calculation after distance measurement ml

L All Distance Measurement cm, mm
Mass1~8
D All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity Measurement cm/s, m/s
EDV PW Velocity Measurement cm/s, m/s
Breast Flow %StA All Calculation after Area Measurement %
%StD All Calculation after distance measurement %
Vesl. Area All Area Measurement cm2, mm2
Vesl. Dist. All Distance Measurement cm, mm
Vel. A PW Velocity Measurement cm/s, m/s
Vel. B PW Velocity Measurement cm/s, m/s

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Testis Measurement Menu

[Figure 5.24 Testis Measurement Menu]

Measurement Menu Item Mode Method Units

All All Calculation after distance measurement ml

Mass 1~5 L All Distance Measurement cm, mm

Testis Vol. H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity Measurement cm/s, m/s
EDV PW Velocity Measurement cm/s, m/s
Testis Flow %StA All Calculation after Area Measurement %
%StD All Calculation after distance measurement %
Vesl. Area All Area Measurement cm , mm2
2

Vesl. Dist. All Distance Measurement cm, mm

Vel. A PW Velocity Measurement cm/s, m/s
Vel. B PW Velocity Measurement cm/s, m/s

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Superficial Measurement Menu

[Figure 5.25 Superficial Measurement Menu]

Measurement Menu Item Mode Method Units

All All Calculation after distance measurement ml

Mass 1~5 L All Distance Measurement cm, mm

Superficial Vol. H All Distance Measurement cm, mm
W All Distance Measurement cm, mm
Auto Trace PW Doppler spectrum trace
Limited Trace PW Doppler spectrum trace
Manual Trace PW Doppler spectrum trace
PSV PW Velocity Measurement cm/s, m/s
EDV PW Velocity Measurement cm/s, m/s
Superficial Flow %StA All Calculation after Area Measurement %
%StD All Calculation after distance measurement %
Vesl. Area All Area Measurement cm2, mm2
Vesl. Dist. All Distance Measurement cm, mm
Vel. A PW Velocity Measurement cm/s, m/s
Vel. B PW Velocity Measurement cm/s, m/s

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TCD Calculations
NOTE:
XX
It is convenient to calculate each measurement value on the Spectral Doppler image.
XX
For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.

General Measurement Menu

The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

[Figure 5.26 TCD Measurement Menu]

Measurement Menu Item Mode Method Units

Auto Trace PW Doppler spectrum trace

Limited Trace PW Doppler spectrum trace
ACA Manual Trace PW Doppler spectrum trace
MCA
PCA(P1) PSV PW Velocity Measurement cm/s, m/s
PCA(P2)
EDV PW Velocity Measurement cm/s, m/s
Distal Basilar A
Mid Basilar A %StA All Calculation after Area Measurement %
Prox Basilar A
General %StD All Calculation after distance measurement %
Vesl. Area All Area Measurement cm2, mm2
Vesl. Dist All Distance Measurement cm, mm

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Measurement Menu Item Mode Method Units

Vol. Flow(Auto) PW Automatic calculation ml/m

Vol. Flow(D) PW Automatic calculation ml/m
Vol. Flow TAMV(L) PW Doppler spectrum trace cm/s or m/s
Vesl. Dist. All Distance Measurement cm, mm
Vesl. Area All Area Measurement cm2, mm2

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Pediatric Hip Calculations

Pediatric Hip Measurement Menu

The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

NOTE: For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.

[Figure 5.27 Pediatric Hip Measurement Menu]

Measurement Menu Item Mode Method Units

Rt. Hip Angle Calculation of angle after measurement

Hip Angle All
Lt. Hip Angle of three straight lines

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Measurement Methods
1. Specify the first straight line by using the trackball and the Set button.

Use the trackball to place the cursor at the desired position and press the Set button.
XX

Repositioning Point
Tips!
Instead of pressing the Set button to confirm the point position, you can press the Change button
to reset it.

2. Repeat the process above to specify two more straight lines.

3. The angle between them will be calculated automatically.

α: The angle made by the first and second straight line.

XX

β: The angle made by the first and third straight line.

XX

4. When the measurement is finished, the result is shown on the screen.

See the table below for Hip Joint Type information:

Type α β

1a 60 ≤ α < 90 0 < ß < 55

1b 60 ≤ α < 90 55 ≤ ß < 180
2a/b 50 ≤ α < 60 0 < ß < 180
2c 43 ≤ α < 50 77 ≤ ß< 180
d 43 ≤ α < 50 0 < ß < 77
3/4 0 < α < 43

[Table 5.2 Hip Joint Type Table]

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Musculoskeletal Calculations

Measurement Menu
The measurement method for each item is the same as for basic measurements. Measured items are
automatically recorded in a report.

NOTE: For information on basic measurement methods, see ‘Basic Measurements’ and ‘Common
Measurement Methods’.

[Figure 5.28 Musculoskeletal Measurement Menu]

Measurement Menu Item Method Units

Shoulder
Wrist
1~10 Distance Measurement cm, mm
Knee
Ankle

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Reports
Press the Report button on the control panel. The Ultrasound Report screen will appear.

NOTE: Only the reports of the applications that have measurement results are shown.

Report View

Report
Tap the Report button on the touch screen and the Report screen will appear. The screen will move to
the Ultrasound measure Report screen.

The measurement results are summarized by application, and shown on the screen in a report format.

NOTE: Only the reports of applications that have measurement results are shown.

[Figure 5.29 Report Screen]

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[Figure 5.30 Report- Touch Screen]

Scroll
„„
Rotate the Scroll dial-button on the touch screen to move the Report page up or down. The position
of the current page will be displayed next to ‘Current Page’ at the bottom of the screen.

Moving the report page

Tips!
You can move the report page using the scroll bar at the right of the screen.

Zoom/Fit
„„

Zoom: Rotate the [3] Zoom/Fit dial-button to zoom in or out of the Report page. The zoom ratio
XX
will be displayed next to ‘Current Zoom’ at the bottom of the screen.

Fit: Select a display method for the Report page. Press the [3] Zoom/Fit dial-button to select one
XX
of the following three options. The selected method will be displayed next to ‘Current Zoom’ at
the bottom of the screen.

−− Fit Width: The screen is adjusted in line with the width of the report.

−− Fit Height: The screen is adjusted in line with the height of the report.

−− Fit Dual Page: Two pages of the report are displayed on one screen.

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Report For Echo paper

„„
Set the preview of the report in print format.

Video Out Mode

„„
Choose whether to fit the size of the Report screen to 1024 x 768.

Next App.
Tap Next App. on the touch screen. Reports for other diagnosis items are shown. Note that this
function is available only when there are more than two diagnosis items which have measurement
results.

Graph

NOTE: The graph function can be used only with OB reports.

Tapping Graph on the touch screen switches to the Graph screen. You can review the graph and
history. The list of graphs appears on the left side of the screen.

NOTE:
XX
To display a graph, the LMP or Estab. Due Date should be saved under Patient Information, and
the GA table and Fetal Growth table should be enabled.
XXA graph will be created based on the patient ID, LMP and measurement date.

Select a Graph
„„
Select a graph from the list. The graph will be shown on the screen.
Use the Page dial-button to select a graph. The current graph being selected is shown in yellow in
the report page list.
You can also use the trackball and the Set button to check a checkbox from the list.
Click Select All in the list to select all the graphs.

Graph Layout
„„
If the 2 x 2 checkbox is checked, 4 graphs will be displayed on the screen.
Specify a desired graph by checking the appropriate checkbox in the list of graphs.

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Pctl. Criteria (Percentile Criteria)

„„
Select from LMP, EstabDD and AUA, GA View.

LMP: The GA is calculated based on the maternal LMP.

XX

Estab. DD: The GA is calculated based on the Estab. Due Date under Patient Information.
XX

AUA (Average US GA): The GA is calculated using the average values of several ultrasound
XX
measurements.

History
„„
The current and past measurements for a fetus are displayed in a concise format.

Print Checked Graph

„„
Set the graph layout when you wish to print the reports.

NOTE: Only the graphs selected from the list will be printed.

Print Current Graph: Only the selected graph is printed.

XX

Print Checked Graph (1 x 1): The selected graph is printed in a 1 x 1 format.

XX

Print Checked Graph (3 x 2): The selected graph is printed in a 3 x 2 format.

XX

Print Screenshot: Capture the screen to print the graph.

XX

Patient
„„
View patient information, fetus information, and comments.

Measure
„„
View measurement data.

Trend
„„
Select a graph you want, or select all.

Tips! Different color or shape will be used for multiple fetuses to display the measurement.

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[Figure 5.31 Graph]

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History

NOTE: The history function can only be used with OB reports.

Tap History on the touch screen. The past and present measurement values of the fetus are displayed
in a table format.

[Figure 5.32 History]

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Standard Deviation & Percentile

Tips!
Among the OB information, the Growth table and the typical fetal distribution, for the same number
of weeks, are used to determine the following information:
XX
The normal distribution curve.
XX
The measurements for an actual fetus or a position in EFW distribution.
XX
Whether a distribution point is within the normal range.
The number of weeks referenced for the Growth table can be set to LMP, Estab. Due Date, or
Average US GA, under Pctl. Criteria. The typical setting is LMP.
When the LMP is not known or uncertain, or when the difference between the LMP and the
Average US GA is substantial, care must be taken, as selecting different Pctl.Criteria can result in a
significant difference.
The distribution of the number of weeks in the Growth table for the selected reference is a normal
distribution. It is laterally symmetrical around 50% (the average), and it shows the distance from the
average as a deviation. The deviation can be represented by Standard Deviation (SD) or Percentile.

[Figure 5.33 The distribution of the Growth table for the selected number of weeks
(m: Average, s: Standard Deviation)]

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When represented by SD, a point near the average indicates a value closer to ±0 SD and a point
Tips! away from the average indicates a value closer to the maximum or minimum value. The greater
part of the range falls within ±3 SD, and ±1 SD, representing 68.3% of the entire range. Thus it can
be seen that most fetal measurements are tightly clustered around the average value.
The Percentile represents a point in distribution from between 0 and 100 inclusive. Therefore, the
average point is represented as 50 Percentile.
As shown in the figure, the average point corresponds to 0 SD (that is, 50 Percentile). If a point is in
the range between -1 SD and +1 SD, it falls within 68.3% of the entire range. This means that the
point falls within the range between 16 and 84.
Further, if a point is in the range between -2 SD and +2 SD, it falls within 95.5% of the entire range.
Thus, the point falls in the range between 3 and 97.
The SD and Percentile are interchangeable. Percentile can be used when a fetal measurement
ranking is desired, and SD can be used when the distance between actual fetal measurements and
the average measurement is sought.
While the range of Growth table references that are primarily used with OB measurement data
varies depending on the user, the typical range accepted by most users is as below:
1) When references are created based on SD:
XX
-2.0 SD – +2.0 SD (when converted to Percentile: 2.28 – 97.72 Percentile)
XX
-1.5 SD – +1.5 SD (when converted to Percentile: 6.68 – 93.32 Percentile)
XX
-1.0 SD – +1.0 SD (when converted to Percentile: 15.87 – 84.13 Percentile)
2) When references are created based on Percentile:
XX
2.5 – 97.5 Percentile (when converted to SD: -1.96 SD – 1.96 SD)
XX
5.0 – 95.0 Percentile (when converted to SD: -1.645 SD – 1.645 SD)
XX
10.0 – 90.0 Percentile (when converted to SD: -1.288 SD – 1.288 SD)

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Editing Reports

Edit Data
Tapping Edit Data on the touch screen switches to the Report Edit screen. Edit the measurement
results or change how to display the measured values.

Change the measured values using the trackball and the Set button. The changed values are shown
in gray.

To finish editing after saving the changes, tap OK on the touch screen or click OK in the monitor
screen. If you wish to end the edit screen without saving changes, tap Cancel. Tap Next App on the
touch screen to edit reports for other diagnosis items.

Page
„„
Move between report pages by turning the Page dial-button on the touch screen. The current page
being reviewed is shown in yellow in the report pages list.

Measurement Display Method

„„
The product allows you to measure one measurement item several times. However, only the first
three measurement results are saved in a report.
When taking measurements for the same item more than once, measurements can be displayed in
four ways. On the Edit Report screen, you can specify or change the measurement display method.

Avg: Obtain the average of the measurements and display it on the screen.
XX

Last: Display the last measurement on the screen.

XX

Max: Display the largest value of the measurements on the screen.

XX

Min: Display the smallest value of the measurements on the screen.

XX

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Composite GA
„„
Select the method to use for calculating Average GA. Use the combo box to select between AUA
and CUA(Hadlock1-Hadlock15).

If AUA is selected: You may manually specify which items to include when calculating the Average
XX
GA. Select the check boxes next to the calculation items you want to include.

If CUA is selected: You may select among Hadlock1-Hadlock15; only the calculation items that
XX
apply to the selected reference will be included in the Average GA calculation.

CUA: References and Formulas

Tips!
XX
Reference: Hadlock,F.P., Deter,R.L., Harrist,R.B., Park,S.K.,” Estimating fetal age: computer-assisted
analysis of multiple fetal growth parameters”, Radiology Vol. 152 No. 2, 1984, pages 497-501.
XX
Hadlock1(BPD) = 9.54 + 1.482 x BPD + 0.1676BPD2
XX
Hadlock2(HC) = 8.96 + 0.540 x HC + 0.0003 x HC3
XX
Hadlock3(AC) = 8.14 + 0.753 x AC + 0.0036 x AC2
XX
Hadlock4(FL) = 10.35 + 2.460 x FL + 0.170 x FL2
XX
Hadlock5(BPD, HC) = 10.32 + 0.009 x HC2 + 1.3200 x BPD + 0.00012 x HC3
XX
Hadlock6(BPD, AC) = 9.57 + 0.524 x AC + 0.1220 x BPD2
XX
Hadlock7(BPD, FL) = 10.50 + 0.197 x BPD x FL + 0.9500  FL + 0.7300 x BPD
XX
Hadlock8(HC, AC) = 10.31 + 0.012 x HC2 + 0.3850 x AC
XX
Hadlock9(HC, FL) = 11.19 + 0.070 x HC x FL + 0.2630 x HC
XX
Hadlock10(AC, FL) = 10.47 + 0.442 x AC + 0.3140 x FL2 – 0.0121 • FL3
XX
Hadlock11(BPD, HC, AC) = 10.58 + 0.005 x HC2 + 0.3635 x AC + 0.02864 x BPD x AC
XX
Hadlock12(BPD, HC, FL) = 11.38 + 0.070 x HC  FL + 0.9800BPD
XX
Hadlock13(BPD, AC, FL) = 10.61 + 0.175 x BPD x FL + 0.2970 x AC + 0.7100  FL
XX
Hadlock14(HC, AC, FL) = 10.33 + 0.031 x HC x FL + 0.3610 x HC + 0.0298 x AC x FL
XX
Hadlock15(BPD, HC, AC, FL)= 10.85 + 0.060 x HC x FL + 0.6700 x BPD + 0.1680 x AC

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[Figure 5.34 Edit Report]

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Fetal Description
Move the trackball and select Fetal Description. This item only becomes active when OB measurement
is available. You can select Normal, Abnormal, Not seen, and Seen for each option. However, for
Placenta Previa you can select either Yes or No. If you select one of the group selection items in the
combo box, it will be applied to all items.

[Figure 5.35 Fetal Description]

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Comment
Tap Comment on the touch screen. A screen in which you can enter opinions appears.

To finish editing after saving the changes, tap OK on the touch screen, or click OK on the monitor
screen. If you wish to end the edit screen without saving changes, tap Cancel.

Comment Editor
„„
Tap Comment button on the touch screen, and then tap Comment Editor.
Enter your comment and tap Apply to apply it now.
Tap Save to Save up to 10 comments. To close, tap Close

Next App.
„„
Tap Next App. on the touch screen to edit reports for other diagnosis items.

[Figure 5.36 Comment]

[Figure 5.37 Comment Editor]

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Edit Template
Tap Edit Template on the touch screen. You may change various settings to configure the report.

[Figure 5.38 Edit Template]

Layout

General
„„
Select the basic form of the report.

Full: All measurement values are shown.

XX

Short: Only the final results (Avg., GA, Pctl) of the measurement values are shown.
XX

2 Columns: Measurements are shown in two columns.

XX

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Report

Patient Info.
„„
Select the page range for patient information.

All pages: The patient information is displayed on every page.

XX

Only 1st Page: The patient information is displayed only on the first page.
XX

Report
„„

Header 1/2: Set the content to be displayed in the header of the report.
XX

Footer: Set the content to be displayed in the footer of the report.

XX

Title
„„

Ultrasound Report: This is the default title to be displayed on reports. The user may edit this title
XX
freely.

Institution: Set the title from Setup > General > Title > Institute.
XX

Logo
„„
Select whether or not to display the logo at the top of the page.

Show Date in footer

„„
Select whether or not to insert the print date in the report.

Change Logo
„„
Press this button, and the dialog window will appear. You can select JPEG or BMP format on USB or
CD-ROM.

NOTE: The file does not appear in the list if the file name is in a language that is not supported by
this product.

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Print

Range
„„

All Pages: This is the system's default setting; all pages are printed.
XX

Current Page: Only the current page is printed.

XX

Color
„„

Black and White: This is the system's default setting; prints black text on a white background.
XX

Same as Preview: The report is printed in the same colors as shown in the preview.
XX

NOTE: If the printer type does not match the report type, a warning dialog will appear.

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Insert Image
Select this if you want to attach images to the report. Tap Insert Image on the touch screen, and a
window for selecting images will appear.

[Figure 5.39 Insert Image]

1. Select images from the Image List. The selected images will appear in View.

2. You may enter a description in the Description field. Press Add to include the description you
have entered at the bottom of the report.

3. When you select an image in Selected Images, the Modify button is enabled and you can modify
the description.

4. Press OK to save. The selected image will be included in the Report screen.

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Stress Echo Report

Pressing the Report button on the control panel while measuring the Stress Echo opens the Stress
Echo Report.

NOTE:
XX
The Stress Echo Report cannot be edited.
XX
Otherwise, it may be used in the same way as general reports.
XX
For information on the Stress Echo, please refer to 'Chapter 7. Utilities'.

[Figure 5.40 Stress Echo Report]

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Data Management

Store SR
Becomes active when DICOM option is turned on.

Tapping Store SR on the touch screen saves the SR file containing the measurements.

Export
Tap Export on the touch screen. The Export window appears, allowing you to save the report in
external storage media.

When the Export window appears, specify the directory, drive, file name, and file format. Click OK on
the screen to save the report. Click Cancel to cancel.

[Figure 5.41 Export]

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Data Transfer
Tap Data Transfer on the touch screen. A report can be sent using the RS232C cable connected to the
system.

To use this button,

1. Connect the RS232C cable to the console.

2. Select Open Line Transfer from the Utility > Setup > Peripherals > Peripherals > COM menu.

NOTE: Select the Utility > Measure Setup > General > Data Transfer > Serial Transfer menu to
set the type of data to transfer. For more information, refer to ‘Chapter 7. Utilities’.

Printing Reports
Tips!
Press the Print 1 (or Print 2) button on the control panel. The report is printed out via a connected
printer.

NOTE: Specify the printer for printing measurement reports from Utility
> Setup > Peripherals > Print Setup > Measure Report Print. For more
information, refer to the Peripherals section of ‘Chapter 7. Utilities’.

Closing Reports
Tap Exit on the touch screen, or press the Exit button on the control panel.

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