UGEO - HM70A - Operation Manual (Vol2)

Diagnostic Ultrasound System
Operation Manual
Version 1.00.00
English
MI68-02769A
Table of Contents
Table of Contents – Volume 2

Chapter 6 Starting Diagnosis
System Power.............................................................................................................................. 6-3
AC Adapter Connection.................................................................................................................................................... 6-3
Turning the Power On ...................................................................................................................................................... 6-3
Shutting Down the System............................................................................................................................................. 6-4
Monitor and Audio .................................................................................................................... 6-5

Monitor Brightness Adjustment.................................................................................................................................... 6-5
Adjusting Audio Volume.................................................................................................................................................. 6-5
Probes and Applications .......................................................................................................... 6-6

Probe Connection............................................................................................................................................................... 6-7
Application Selection........................................................................................................................................................ 6-7
Changing Probe Preset..................................................................................................................................................... 6-7
Patient Information.................................................................................................................... 6-9

Basic Patient Information Entry..................................................................................................................................... 6-9
Patient Information for Each Application................................................................................................................6-11
Searching Patient Information.....................................................................................................................................6-18
Managing Patient Exams...............................................................................................................................................6-21
Changing Measurements..............................................................................................................................................6-28
Sleep Mode................................................................................................................................ 6-31
5
Operation Manual
Chapter 7 Diagnosis Mode

Information.................................................................................................................................. 7-3
Types of Diagnosis Modes............................................................................................................................................... 7-3
Basic Operating Instructions.......................................................................................................................................... 7-4
Basic Mode................................................................................................................................... 7-6

2D Mode................................................................................................................................................................................. 7-6
M Mode.................................................................................................................................................................................7-14
Color Doppler Mode........................................................................................................................................................7-17
Power Doppler Mode......................................................................................................................................................7-21
PW Spectral Doppler Mode...........................................................................................................................................7-23
CW Spectral Doppler Mode .........................................................................................................................................7-28
TDI Mode..............................................................................................................................................................................7-30
TDW Mode...........................................................................................................................................................................7-31
ElastoScan Mode...............................................................................................................................................................7-32
Combined Mode....................................................................................................................... 7-37

2D/C/PW Mode..................................................................................................................................................................7-37
2D/PD/PW Mode...............................................................................................................................................................7-37
2D/C/CW Mode..................................................................................................................................................................7-37
2D/PD/CW Mode...............................................................................................................................................................7-37
2D/C/M Mode.....................................................................................................................................................................7-38
Dual Live Mode..................................................................................................................................................................7-38
2D/TDI/TDW Mode...........................................................................................................................................................7-38
Dual Mode.................................................................................................................................. 7-40

Quad Mode................................................................................................................................ 7-41
3D/4D Mode............................................................................................................................... 7-42
3D Stand By.........................................................................................................................................................................7-43
3D View-MPR.......................................................................................................................................................................7-46
VOCAL...................................................................................................................................................................................7-64
3D XI.......................................................................................................................................................................................7-72
XI VOCAL...............................................................................................................................................................................7-81
4D............................................................................................................................................................................................7-86
XI STIC....................................................................................................................................................................................7-88
6
Table of Contents
Chapter 8 Measurements and Calculations

Measurement Accuracy............................................................................................................. 8-3
Causes of Measurement Errors...................................................................................................................................... 8-3
Optimization of Measurement Accuracy................................................................................................................... 8-5
Measurement Accuracy Table........................................................................................................................................ 8-7
Basic Measurements.................................................................................................................. 8-8

Distance Measurement...................................................................................................................................................8-10
Circumference and Area Measurement...................................................................................................................8-15
Volume measurement.....................................................................................................................................................8-17
Calculations by Application ................................................................................................... 8-20

Things to Note....................................................................................................................................................................8-20
Common Measurement Methods .............................................................................................................................8-24
OB Calculations..................................................................................................................................................................8-29
Gynecology Calculations ..............................................................................................................................................8-36
Cardiac Calculations.........................................................................................................................................................8-39
Carotid Calculations.........................................................................................................................................................8-53
Upper Extremity (UE) Artery Calculations ..............................................................................................................8-59
Lower Extremity (LE) Artery Calculations................................................................................................................8-60
Upper Extremity (UE) Vein Calculations ..................................................................................................................8-61
Lower Extremity (LE) Vein Calculation......................................................................................................................8-63
Fetal Echo Calculations...................................................................................................................................................8-65
Urology Calculations........................................................................................................................................................8-68
Abdomen Calculations...................................................................................................................................................8-71
Small Parts Calculations..................................................................................................................................................8-72
TCD Calculations...............................................................................................................................................................8-77
Pediatric Hips Calculations............................................................................................................................................8-78
MSK Measurement (Musculoskeletal Calculations).............................................................................................8-79
Report......................................................................................................................................... 8-81
Viewing Reports ...............................................................................................................................................................8-81
Editing Report....................................................................................................................................................................8-82
Fetal Description...............................................................................................................................................................8-84
Adding Comments...........................................................................................................................................................8-85
Printing Reports.................................................................................................................................................................8-86
Saving Reports...................................................................................................................................................................8-86
Transferring Report..........................................................................................................................................................8-87
Graphs...................................................................................................................................................................................8-87
Closing Report....................................................................................................................................................................8-92
7
Operation Manual
Chapter 9 Image Management

Cine / Loop................................................................................................................................... 9-3
Annotating Images..................................................................................................................... 9-6
Text........................................................................................................................................................................................... 9-6
BodyMarker........................................................................................................................................................................... 9-9
Arrow.....................................................................................................................................................................................9-11
Saving, Playing and Transferring Images...........................................................................................9-12

Saving Images....................................................................................................................................................................9-12
Playing Images...................................................................................................................................................................9-13
Transferring Images.........................................................................................................................................................9-14
Printing and Recording Images............................................................................................. 9-15

Printing Images..................................................................................................................................................................9-15
Recording Images.............................................................................................................................................................9-15
SonoView.................................................................................................................................... 9-16
Exam Mode..........................................................................................................................................................................9-17
Compare Mode..................................................................................................................................................................9-19
Managing Exam Images ................................................................................................................................................9-20
**Reference Manual
A Reference Manual (English) is supplied with this product.
8
Chapter 6
Starting Diagnosis
System Power....................................................6-3
AC Adapter Connection.........................................................6-3
Turning the Power On ...........................................................6-3
Shutting Down the System...................................................6-4
Monitor and Audio ...........................................6-5

Monitor Brightness Adjustment.........................................6-5
Adjusting Audio Volume........................................................6-5
Probes and Applications .................................6-6

Probe Connection....................................................................6-7
Application Selection..............................................................6-7
Changing Probe Preset...........................................................6-7
Patient Information..........................................6-9
Basic Patient Information Entry..........................................6-9
Patient Information for Each Application......................6-11
Searching Patient Information..........................................6-18
Managing Patient Exams.....................................................6-21
Changing Measurements....................................................6-28
Sleep Mode..................................................... 6-31

System Power
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.
NOTE: Samsung Medison recommends that you use an AC power source whenever possible.
AC Adapter Connection
Use the power port located on the rear of the product. Connecting the AC adapter automatically begins
to recharge the battery pack.
WARNING: Before connecting the AC adapter, make sure it’s the right way up. Forcing the adapter
into the product in the wrong way can damage the product.
NOTE:
XX
If powering the product with a battery pack, do not connect the AC adapter.
XX
For more information on battery pack replacement and maintenance, refer to ‘Chapter 4.
Maintenance’.
Turning the Power 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.
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Operation Manual
Shutting Down the System

Press the On/Off button while using the system to initiate shutdown. You can use Show Selection
Dialog, Shutdown, or Sleep functions by pressing the On/Off button for less than 4 seconds depending
on the settings in Setup > Power > Power Button Setting.
CAUTION: Holding down the On/Off button for four seconds or longer forces the product to
power off, and might cause hard disk damage.
NOTE:
XX
Do not press keyboard keys or buttons while booting is in progress. Doing so may cause the
system to malfunction.
XX
If you turn on the power after a forced shutdown, the system might turn on and then
immediately turn off. This is a characteristic of the Intel® PC main board, and not a system error.
XX
Disconnect the AC adapter mains plug from the outlet to ensure the system is disconnected
from the power source.
6-4
Monitor and Audio

You can adjust monitor and audio settings while performing a diagnosis.
Monitor Brightness Adjustment

Use the up and down arrows on the keyboard. Press  to decrease brightness and  to increase it.
Adjusting Audio Volume

Use the left and right arrows on the keyboard. Press  to increase volume and  to decrease it. These
controls are used to adjust the Doppler sound level while in Spectral Doppler Mode.
NOTE: For information on miscellaneous settings, refer to ‘Chapter 3. Utilities’.
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Operation Manual
Probes and Applications

Before scanning, you need to select a probe and an application.
NOTE: Refer to ‘Chapter 5. Probes’ for more information on probes and applications supported by
the system.
2
3
[Figure 6.1 Probe Selection]
Probe Selection Screen

Press the Probe button on the control panel to load the Probe Selection screen. From this screen, you
can select an application and change the probe settings. The Probe Selection screen consists of the
following:
1 Probe list: Displays a list of probes currently connected to the system.
2 Application list: Displays a list of applications the selected probe supports.
3 Preset list: Display a list of presets the selected application supports.
4 Userset list: Displays a list of presets you can configure according to your preferences.
6-6
Probe Connection
Be sure to connect or disconnect probes when the power is off to ensure the safety of the system and
the probes.
1. Lower the probe’s lockdown switch and disconnect the probe.
2. Connect the probe to the probe port.
3. Lift the probe’s lockdown switch to lock it in place.
NOTE: Debris trapped between the probe and the port can cause connection problems. If you
experience a connection problem, attempt to remove any debris and try again.
Application Selection
Select an application from the Probe Selection screen’s application list.
1. Use the trackball and the Set button to select an application.
2. Click OK at the bottom of the screen. Click Cancel to cancel.
Changing Probe Preset

Change the probe preset from the Probe Selection screen’s preset or userset list.
The optimal preset for the probe and the selected application is loaded by default. However, the user
can choose to change the preset.
Creating a Userset
1. Click Add on the screen to create a Userset.
2. The Name window is then shown on the monitor.
3. Enter the name you want to use and click OK. Click Cancel to cancel.
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Operation Manual
Overwriting a Userset
You can save the current probe settings to the selected Userset.
1. Click Overwrite on the screen.
2. Click OK at the bottom of the screen again to complete the deletion.
Renaming a Userset
NOTE: You cannot rename Usersets that are currently in use.
1. Click User Rename on the screen.
2. The Rename window will be displayed. Change a Userset name using this screen. You cannot
change an application shown with the Userset name.
3. Change the name and click OK. Click Cancel to cancel.
Deleting a Userset
NOTE: You cannot delete Usersets that are currently in use.
1. After selecting the Userset to delete, select and click Delete on the screen.
6-8
Patient Information
Press the Patient key on the control panel and the Patient Information screen will appear.
In this screen, you can enter, search, or change patient information. Patient information includes basic
information such as the patient ID, name, DOB, and gender, together with additional information for
applications.
NOTE: The ID and name fields are required.
Basic Patient Information Entry

You may enter or change basic patient information at the top of the Patient Information screen.
Use the trackball and the Set button to select the desired field.
ID

Enter a patient ID.
To enter a patient ID manually, type the appropriate ID into the ID field.

XX
To enter a patient ID automatically, select Auto ID Creation and click New. The icon is changed
XX
to .
Name

Enter the patient’s full name. The name that you have entered will appear in the title area and
reports.
Last (Family): Enter the patient’s last name.

XX
First (Given): Enter the patient’s first name.

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

XX
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Operation Manual
Accession

When viewing the worklist for a patient via the DICOM server, this information is automatically
displayed in the appropriate fields.
Date of Birth

Enter the patient’s date of birth 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.
[Figure 6.2 General Patient Information]
6-10
Patient Information for Each Application

You can add or change application-specific patient information.
1. In the Patient Information screen, click the Study Information tab.
2. Select an application under Category.
3. Enter additional information required for diagnosis.

To delete all past measurement values, click Clear Measure on the screen.
General
In Category, select General. Enter additional information. The items in General are also included in
the patient information screen for other applications.
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). Click
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.
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.
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Operation Manual
Ref. Physician

Enter the referring physician’s name. When there is more than one physician 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.
[Figure 6.3 Patient Information – General]
6-12
OB
Select OB under Category. Enter the additional obstetrical information.
LMP

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 in accordance with the entry format. LMP, GA, and EDD will be
automatically calculated and displayed.
Ovul. 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.
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 established due date using the proper format. Once the expected delivery date is
entered, LMP, GA (LMP), and EDD (LMP) are automatically calculated and displayed.
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Operation Manual
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.
New Pregnancy

Deletes the patient’s existing OB information.
Gynecology
In Category, select Gynecology.
NOTE:
XX
In the GYN information input screen, even if Ovul. Date is entered, LMP and EDD will not be
calculated automatically.
XX
For other gynecological information, refer to the OB section.
6-14
Adult Echo
In Category, select Adult Echo. Enter additional information for Cardiac.
BP

Enter systolic/diastolic pressure (Blood Pressure).
Additional Information

Select the applicable check boxes.
Smoker Hypertension
Angina Hyperlipidemia
Surgery History Heart Failure
Coronary Heart Disease Diabetes
Jugular Venous Distension Family History
Myocardial Infarction Murmur
Rheumatic Heart Disease Dyspnea
Congenital Heart Disease Syncope
Heart Valve Disease Arrhythmia
Angina : Angina pectoris

Heart Valve Disease : Valvular heart disease
Syncope : Fainting
Bioprosthetic: Bioprosthetic valve

XX
Mechanical: Artificial heart

XX
Repair: Valve reconstruction

XX
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Operation Manual
Ped Echo
In Category, select Ped Echo. Enter pediatric cardiac information.

Murmur Pacemaker
Fever ASD
Fainting TOF
Dextrocardia TGA
VSD Palpitation
COA Paroxysm
AS Cardiomegaly
Dyspnea Family History
Cyanosis PDA
Chest Pain PS
VSD : Ventricular Septal Defect ASD : Atrial Septal Defect

COA : Coarctation of the Aorta TOF : Tetralogy of Fallot
AS : Aortic Stenosis TGA : Transposition of the Great Arteries
Fetal Heart
In Category, select Fetal Heart. Enter fetal heart-related information.
Vascular
In Category, select Vascular. Enter vascular information.

Smoker Headache
Hyperlipidemia Peripheral Neuropathy
Dizziness Diabetes
6-16
Stroke Surgery History
Hypertension Migraine
Family History
TCD
In Category, select TCD. Enter additional information for Transcranial Doppler (TCD).

Smoker Headache
Family History Dysphagia
Migraine Numbness
Dysarthria TIA
Stroke Diabetes
Peripheral Neuropathy Vertigo
Paralysis Diplopia
Hypertension Tinnitus
Dizziness
Monoplegia: Paralysis of a single limb

XX
Hemiplegia: Total paralysis on one side of the body

XX
Paraplegia: Paralysis of lower extremities

XX
Urology
In Category, select Urology. Enter additional information for Urology.
PSA

Enter the Prostate Specific Antigen (PSA) value.
6-17
Operation Manual
Searching Patient Information

In the Patient Information screen, select the Search and Worklist tabs.
You can search for patient information by using the following two methods:
Search
Search through the information stored in the system.
1. In Search, select a search condition.
Select ID To search by patient ID, or select a patient’s name under Name to search by name.
XX
2. Enter the ID or name in the search field and click Search. The list of patients who match the
criteria will be displayed.
XX
To display a list of all the patients that are available in the system, click Search All.
Tips!
XX
Clicking items such as ID or Name sorts entries in alphabetical or numerical order for the
selected criteria.
3. Select the patient list you want to use and click the Apply button. This applies the selected patient
information to the system.
To delete the ID and all other information for the selected patient, click Delete.
XX
To select all patients in the list, click Select All.

XX
To deselect all patients in the list, click De-select All.

XX
WARNING: If a patient ID is deleted, all related patient data and images stored in SonoView are also
erased.
6-18
[Figure 6.4 Search]
Worklist Search
Perform a search by connecting to the DICOM Modality Worklist server in the hospital network.
NOTE: A worklist search is available only when DICOM is enabled. The Worklist Server can be
specified at Utility > Setup > DICOM. Refer to the DICOM settings in ‘Chapter 3. Utilities’.
1. Select Worklist.
2. 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.
3. Select the patient list you want to use and click the Apply button. This applies the selected patient
information to the system.
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Operation Manual
[Figure 6.5 Worklist]
6-20
Managing Patient Exams

A list of exams performed on the patient whose ID was entered under Search is displayed.
NOTE: The exam list is only displayed after a patient information search has been performed and
the patient information has been loaded onto the system.
In addition to patient ID, name, age, and gender, the exam list contains the following information:
Exam Date: The date of the exam.

XX
Images: Number of images on record.

XX
Measure: Measurement status.

XX
SR: Structured report status.

XX
SE: Stress echo exam status.

XX
SC: Exam transfer status (Storage Commit).

XX
Lock status: Lock status.

XX
Clicking items such as Patient ID or Name sorts entries into alphabetical or numerical order for the
Tips! selected criteria.
Executing Exam
Select an exam, and then click Review Exam or Continue Exam on the screen. For an exam currently
being executed, the button is displayed as Current Exam, and disabled.
NOTE: If the selected exam has been executed in the past 24 hours, the button in the lower left
corner is displayed as Continue Exam. If the exam was executed earlier than this, the button is
displayed as Review Exam.
Continue Exam

In addition to using the Resume Exam function, you can update the current scan with a
previously executed exam.
The selected exam appears on the screen and scanning is available. The date when the exam was
resumed (Exam Resumed) is displayed in the feedback area.
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Operation Manual
Double-clicking a stored image in the thumbnail area on the right side of the screen retrieves the
image and displays the stored image information. In the retrieved exam screen, you can perform
measurements or enter text, BodyMarkers or indicators.
Review Exam

The selected exam appears on the screen. Double-clicking a stored image in the thumbnail area
on the right side of the screen retrieves the image and displays the date when the exam was last
reviewed (Exam Reviewed) and the stored image information. In the retrieved exam screen, you
can perform measurements or enter text, BodyMarkers, or indicators.
Viewing Exam
Select an Exam and click SonoView on the screen. The screen will switch to the SonoView screen.
NOTE: For instructions on using SonoView, refer to 'Chapter 9. Image Management’.
Deleting Exam
After selecting an exam, 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.
NOTE: Once deleted, exams cannot be recovered.
To select more than one Exam, press the Set button while holding down the Ctrl key on the
Tips!
keyboard.
6-22
Sending Exams via DICOM
NOTE: Before using this feature, make sure that DICOM is properly configured. For instructions on
configuring DICOM, refer to the DICOM settings in ‘Chapter 3. 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.
Tips!
keyboard.
2. Select an image or report to send. You can select images under Storage Image, and reports under
Storage SR.
3. Click Transfer. The transfer will be started and its progress (%) will be displayed. Click Close to
cancel.
Click Test to check the DICOM’s connection with the server.

XX
[Figure 6.6 DICOM Storage]
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Operation Manual
Printing Exams via DICOM
NOTE: Before using this feature, make sure that DICOM is properly configured. For instructions on
configuring DICOM, refer to the DICOM settings in ‘Chapter 3. Utilities’.
[Figure 6.7 DICOM Printer]
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.
Tips!
keyboard.
2. Click Transfer. The transfer will be started and its progress (%) will be displayed. Click Close to
cancel.
Click Test to check the DICOM’s connection with the server.

XX
6-24
Exam Export
Save the Exam selected in the order shown below to external storage media.
NOTE: The system only supports USB storage devices.
1. After selecting an exam, click Export on the screen. The Image Export window will be displayed.
Tips!
keyboard.
2. In Drive, select the device on which the exam will be saved.
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 may select BMP, JPEG (Lossy),
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
XX
deleted.
6. In Directory, select the location where you want to save the exam. To create a new directory, click
and enter the name. To delete a directory, click . In Files, the files currently saved in the
selected directory are displayed.
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Operation Manual
7. Click Export to begin exporting. Click Close to cancel.
[Figure 6.8 Image Export]
6-26
Exam Backup
You can back up the selected exams on an external storage device.
NOTE: The system supports USB and DVD storage devices.
1. Connect the storage device that you want to use to back up the data.
2. Select exam(s) and then click Backup on the screen.
Tips!
keyboard.
3. A Confirmation window will appear asking whether to continue the backup. Click Yes to continue.
Click No to cancel.
4. The Backup window will appear. Under Drive, select the media where the selected exams will be
saved.
5. Click OK to start the backup. Click Cancel to cancel.
[Figure 6.9 Exam Backup]
6-27
Operation Manual
Changing Measurements
In the Patient Information screen, press the Measure Data tab. Use Measure Data to enter a patient’s
OB measurements or review entered measurements.
NOTE:
XX
Appears only when a patient ID has been selected.
XX
If obstetrics data has been changed by using New Pregnancy in Patient Information > Study
Information > OB, enter LMP as a piece of obstetrics data before changing measurement data.
View Screen
Click View on the screen to display the ‘View’ screen. You can view the measurements entered or
save them in an Excel file. The * symbol next to the Exam Date indicates that the data is the current
measurement data.
Package

Select a measurement package to display on the screen.
Refresh

Update the measurements. Newly calculated measurements, or the measurements entered, are
added.
Save

The Save To Excel window appears, allowing you to save information on the screen to an Excel file.
The Excel file will be assigned the ID of the measurement data as a filename.
After specifying the target path and filename, click Save to save the information. Click Close to
cancel.
NOTE: Checking the HTML checkbox saves information as an HTML file instead of an Excel file.
Insert

Switch to the Insert screen.
6-28
[Figure 6.10 Measure Data – View]
Insert Screen
Click Insert on the screen to display the ‘Insert’ screen. You can enter the existing obstetrical
measurements.
Exam. Date

Enter the measurement date.
NOTE: If OB data has been changed by using New Pregnancy, you can only enter a date between
the newly entered LMP and yesterday.
Fetus

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

Display unit.
New Data

Delete 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 << or >>.
View

Switch to the View screen.
[Figure 6.11 Measure Data – Insert]
6-30
Sleep Mode
You may put the system into Sleep mode, so that it boots faster when you start the system. Sleep mode
cannot be used during initial booting.
NOTE:
XX
You need to select Sleep in Setup > Power > Lid Setting to use this feature.
XX
Ensure that the battery is sufficiently charged to prevent the system from running out of power
and turning off.
6-31
Chapter 7
Diagnosis Mode
Information.......................................................7-3
Types of Diagnosis Modes....................................................7-3
Basic Operating Instructions................................................7-4
Basic Mode.........................................................7-6
2D Mode......................................................................................7-6
M Mode......................................................................................7-14
Color Doppler Mode.............................................................7-17
Power Doppler Mode............................................................7-21
PW Spectral Doppler Mode................................................7-23
CW Spectral Doppler Mode ...............................................7-28
TDI Mode...................................................................................7-30
TDW Mode................................................................................7-31
ElastoScan Mode....................................................................7-32
Combined Mode............................................. 7-37

2D/C/PW Mode.......................................................................7-37
2D/PD/PW Mode....................................................................7-37
2D/C/CW Mode.......................................................................7-37
2D/PD/CW Mode....................................................................7-37
2D/C/M Mode..........................................................................7-38
Dual Live Mode.......................................................................7-38
2D/TDI/TDW Mode................................................................7-38
Chapter 7
Dual Mode...................................................... 7-40
Quad Mode..................................................... 7-41
3D/4D Mode................................................... 7-42

3D Stand By..............................................................................7-43
3D View-MPR............................................................................7-46
VOCAL.........................................................................................7-64
3D XI............................................................................................7-72
XI VOCAL....................................................................................7-81
4D.................................................................................................7-86
XI STIC.........................................................................................7-88
Information
Types of Diagnosis Modes

Basic, Combined, Dual, Quad, and 3D/4D modes are available.
Basic Mode: Consists of different modes, each of which has a specific usage and function. Includes

2D mode.
Combined Mode: Provides two or three Basic modes for a single image at the same time. Includes

2D mode.
Dual Mode: Splits the screen into two, allowing you to view two images at the same time. Since

each sub screen can display a different image, it can be a very useful feature, allowing multilateral
views of an organ.
Quad Mode: Splits the screen into four, allowing you to view four images at the same time.

3D/4D Mode: Provides 3D stereographic images.

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) Mode
TDW (Tissue Doppler Wave) Mode
ElastoScan Mode
2D/C/PW Mode
2D/PD/PW Mode
2D/C/CW Mode
2D/PD/CW Mode
Combined Mode
2D/C/M Mode
2D/TDI/TDW Mode
2D/E Mode
Dual Live Mode
Dual Mode Dual Mode, Quad Mode
3D Mode
3D/4D Mode
4D Mode
7-3
Operation Manual
NOTE: The functionalities for each mode may be restricted by the selected probe.
Basic Operating Instructions

The items that are commonly used in each diagnosis mode are shown below:
Using the 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.
Q Scan / Gain

Q Scan: Pressing the relevant dial-button enables Quick Scan. The ‘Q Scan’ mark will appear at
XX
the top of an image. In 2D Mode, it is used to optimize the contrast and brightness of an image
by adjusting Gain and TGC automatically. In PW Spectral Doppler Mode, it is used to optimize
the spectrum by adjusting Scale and Baseline automatically.
NOTE: The Quick Scan function is only available with specific probes and applications.
Gain: Rotate this dial-button to adjust Gain. The Gain button appears differently depending
XX
on the diagnosis mode, but it is usually in the form of a dial-button 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.
Angle

NOTE: Available in 2D mode and Spectral Doppler mode only.
Rotating the dial in Spectral Doppler mode adjusts the angle of the sample volume in 1°
increments. In 2D mode, rotating the dial scrolls the image left and right if Scan Area is not at
100%.
7-4
TGC (Time Gain Compensation)

Use the TGC sliders 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, brightening the image.
Depth

Use the Depth button on the control panel to adjust the scanning depth of an image. Pressing
the top part of the button decreases the depth and the bottom part of the button increases the
depth.
The allowable range for adjustment varies depending on the probe type.
Focus

Use the Focus button on the control panel
You can adjust the focus point. Pressing the top part of the button brings the focus point up.
Zoom

Used to zoom in on or out from the image. Usage instructions are as follows:
1. Rotate the Zoom dial-button on the control panel. Rotating the dial to the right enlarges the
image, while rotating to the left shrinks the image. The current position of the zoom box is shown
in the zoom navigation box, which is located on the left side of the screen.
2. Reposition the zoom box with the trackball.

Examine the image in its zoomed in/out state. Continuing to press the appropriate part of the
button zooms in on or out from the image even further.
Using the Soft Menu

The Soft Menu consists of the most commonly used options and functions for each diagnosis mode.
These options and functions can be selected and executed by using the corresponding Soft Menu
dial-buttons.
If the Soft Menu spans over more than a single page, press the Next and Prev. buttons on the control
panel to change pages.
7-5
Operation Manual
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 anatomy images in the direction of scanning in real time.
[Figure 7.1 2D Mode]
Entering 2D Mode
Press the 2D button on the control panel.
If you press the 2D button in other diagnosis modes, it will switch to the basic 2D Mode.
NOTE: Because 2D Mode is applied by default for all diagnosis modes, it cannot be terminated.
7-6
2D Mode Soft Menu
NOTE: The Soft Menu referred to in this manual can be accessed from default settings at Utility >
Menu Edit.
Frequency

Used to change the probe’s frequency. Select from Res, Pen, and Gen by rotating the Soft Menu
dial-button 1.
Res(Resolution): High frequency

XX
Gen(General): General frequency

XX
Pen(Penentration): Low frequency

XX
The selected frequency is displayed in the title area, allowing you to determine the state of the
current frequency easily.
Harmonic

Pressing the Soft Menu dial-button 1 adds the ‘HAR’ mark to the image information. This product
provides the OHI (Optimal Harmonic Imaging) function that optimizes an image with high
frequencies.
NOTE: Harmonic is only available with specific probes.
Frame Avg

When an image is updated, the present image and the previous image are averaged. Turn the
Soft Menu dial-button 2 and select a value between 0 and 15. When you scan the same diagnosis
site repeatedly, speckles may appear on the updated image. Frame Avg is used to minimize these
speckles.
Pulse Inversion

Pressing the Soft Menu dial-button 2 adds the ‘PI’ mark to the image information. If Pulse Inversion
is turned on, pulses are inverted to sharpen the displayed image.
NOTE: Pulse Inversion is only available with specific probes.
7-7
Operation Manual
Dynamic Range

Adjust the image contrast by changing the minimum and maximum values of the input signal.
Turn the Soft Menu dial-button 3 and select a value between 50 and 200. If you increase the
range, the image will become smoother.
Dual Live

Press the Soft Menu dial-button 3. The 2D image and the Color Doppler image for the scanned
area can be displayed simultaneously in real time.
Reject Level

Clears up the image by eliminating noise and echo. Turn the Soft Menu dial-button 4 and select a
value between 1 and 32.
L/R Flip

Pressing the Soft Menu dial-button 4 flips the image horizontally. The S mark located on the upper
part of the image indicates the current image direction.
Gray Map

Changes the Gray Map. Select a value from 1 through 13 by rotating the Soft Menu dial-button 5.
U/D Flip

Press the Soft Menu dial-button 5. Each press of the dial-button flips the image vertically.
Spatial Comp

NOTE:
XX
Spatial Compound is an optional feature of this product.
XX
This item only appears in the menu when a Linear Probe is used.
Spatial Comp stands for Spatial Compound. Rotate the Soft Menu dial-button 6 to turn this option
on or off.
7-8
Trapezoidal

NOTE: The Trapezoidal item only appears in the menu when a Linear Probe is used.
Press the Soft Menu dial-button 6 to turn this option on or off. In general, the rectangular frame
provided by a linear probe is changed to a trapezoidal frame when this option is turned on. This
allows a wider view of an image. The Trapezoidal function may not be available for certain depths.
SDMR

You can obtain a clearer image by eliminating noise and enhancing boundaries. Five predefined
Indices are provided. Select between Off, or a value from 1 to 5 by rotating the Soft Menu dial-
button 7. The ‘SDMR’ mark will be displayed at the right side of the screen.
Scan Area

Press the Soft Menu dial-button 7 to move to the next page. Select the image width. Set to a value
between 40% and 100% by pressing the Soft Menu dial-button 1. Increasing the image width
reduces the frame rate.
ElastoScan

The elasticity of 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. For more information, please
refer to ‘ElastoScan’ in this chapter.
2D Image Size

Used to specify 2D image size. Select a value from 50 through 100 by rotating the Soft Menu dial-
button 2.
7-9
Operation Manual
Panoramic

NOTE:
XX
Panoramic is an optional feature of this product.
XX
The Panoramic function is only available in 2D mode with Linear and Convex probes.
Switch to the Panoramic Ready screen. For more information, please refer to ‘Panoramic’ in this
chapter.
Tissue

Optimizes the image by selecting the ideal frequency and speed settings for the type of tissue
being scanned. Set the speed to a value between 1440m/s and 1620m/s by rotating the Soft
Menu dial-button 3.
FSI

Synthesizes the images using data measured at different frequencies in 2D mode. Shallow
observation depths yield higher resolution and deep observation depths yield higher penetration.
Set to a value between 1 and 3 by pressing the Soft Menu dial-button 3. FSI is an acronym for Full
Spectrum Imaging.
Edge Enhance

Allows you to view more accurate images of organ or tissue boundaries. Turn the Soft Menu dial-
button 4 to select a value between -3 and 3. A higher value provides more accurate images of
boundaries.
M Line

An M line appears on the image. Press the Soft Menu dial-button 4 to turn the M line on or off. The
M line indicates where the observed image is located in the 2D image when either M or PW mode
is used together with 2D mode.
Needle Mate

Helps to visualize the biopsy needle on an ultrasound image. Set Needle Enhance to Low, Middle,
or High.
NOTE:
XX
The Needle Mate function is displayed if you add the item to Menu Edit in ‘Chapter 3. Utilities’.
XX
The Needle Mate feature is operated in the MSK application for the linear probe.
7-10
Focus Number

This function is used to define the number of focusing points. Select a value from 1 through 4 by
rotating the Soft Menu dial-button 6.
Line Density

Set the scan line density. Select from Middle, High, and Low by pressing the Soft Menu dial-button
6. Selecting High increases the number of scan lines and improves the image resolution. However,
the frame rate is reduced.
Power

Used to adjust the ultrasound output. Select a size from 10 to 100 by rotating the Soft Menu dial-
button 7.
Read Zoom

Performs scan conversion again on the ROI and displays the resulting image. Read Zoom function
allows you to zoom in on an image saved on a hard disk.
Rotate the Zoom dial-button on the control panel.

XX
Use the Trackball to move the Zoom box. You can locate the Zoom box in an image with the
XX
Zoom Navigation box on the left side of the screen.
Observe the magnified image. Rotating the Zoom dial-button clockwise magnifies the image.
XX
Write Zoom

This function allows you to magnify and scan an image in real time. Magnify and scan the image.
Use the Change button to move and resize the Zoom box. Each time you press the Change
button, the current state of the Zoom box is displayed in the lower left of the screen.
PreZoom Position: Enables you to move the Zoom Box. You can move the zoom box by using
XX
the trackball.
PreZoom Size: Enables you to resize the Zoom box. You can resize the zoom box by using the
XX
trackball.
When using Write Zoom, changing the Depth automatically finishes Zoom mode.
7-11
Operation Manual
Panoramic (Optional)
NOTE: The Panoramic function is only available 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. Press the Soft Menu dial-button 7 to move to the next page.
2. Press the Soft Menu dial-button 2. Switch to the Panoramic Ready screen.
3. Press Start/Stop. The system will begin to acquire a panoramic image.
4. Press the Soft Menu dial-button 1 to finish acquiring the panoramic image. This will launch 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 angle of the contact surface of the probe changes, artifacts may
occur.
Reviewing a Panoramic Image

NOTE:
XX
You can perform basic measurements by using the Caliper button. But other functions on the
control panel are not available.
XX
L/R Flip, U/D Flip, and Magnifying are available only when the Layout is set to ‘Full Screen’.
NOTE: The Panoramic function is only available in 2D mode with Linear and Convex probes.
7-12
Layout: Specify how the panoramic image will be displayed on the screen.
XX
Full Screen: Display the panoramic image in full screen mode.

XX
Left/Right: Display the 2D and panoramic images at the left and right of the screen,
XX
respectively.
Top/Down: Display the 2D and panoramic images at the upper and lower parts of the screen,
XX
respectively.
Return: Return to the Panoramic Ready screen.

XX
Rotation: Rotate the panoramic image.

XX
L/R Flip: Flip the panoramic image horizontally.

XX
Magnifying: Magnify the panoramic image.

XX
U/D Flip: Flip the panoramic image vertically.

XX
Ruler: Click this button to turn this option on or off. When turned on, the ruler is displayed on
XX
the panoramic image.
Cine Save: Saves Cine image.

XX
Exit: Exit Panoramic Imaging.

XX
7-13
Operation Manual
M Mode
The M Mode is used to specify an observation area in a 2D image with the M Line, and 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 7.2 M Mode]
Entering & Exiting M Mode

Press the M button on the control panel. Press this button again. M Mode will be terminated and the
mode switched to 2D.
7-14
M Mode Screen
M Line

Use the trackball on the control panel to move the line 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.
M Mode Soft Menu
Menu Edit.
Anatomical M

NOTE: Available only with the phased array probe or the cardiac application.
Press the Soft Menu dial-button 2 to select On or Off. Once turned on, you can change the M line
length. Use the Change button to reposition M Point 1 and M Point 2.
Negative

Inverts the M image’s colors. Press the Soft Menu dial-button 3 to turn this function on or off.
M Edge Enhance

Used to select the M image’s edge enhancement value. Select a value from -3 through 3 by
rotating the Soft Menu dial-button 4. Higher values provide more accurate images of boundaries.
Chroma Map

Press the Soft Menu dial-button 5 to turn Auto ROI on or off. Once turned on, rotate the Soft Menu
dial-button 5 and set the image color to Type 1 through 13, or User 1 through 3.
NOTE: User types can be changed from Utility > Post Curve > M Post > Chroma Map. For more
information, refer to ‘Post Curve’ in ‘Chapter 3. Utilities’.
7-15
Operation Manual
Sweep Speed

Used to adjust the M image speed. Select 60Hz, 120Hz, 180Hz, 240Hz, 300Hz or 360Hz by rotating
the Soft Menu dial-button 7.
Loop Size

Press the Soft Menu dial-button 7 to move to the next page. Used to adjust the M image’s size.
Select a size from 30 to 70 by rotating the Soft Menu dial-button 1.
Display Mode

Used to configure M image and 2D image layout. Press the Soft Menu dial-button 1 to choose
between Top/Bottom and Side By Side.
Top/Bottom: The 2D image is displayed at the top and the M image at the bottom.
XX
Side By Side: The 2D image is displayed at the left and the M image at the right.
XX
NOTE: For more information on other Soft Menu options and functions, refer to the ‘2D Mode’
section.
7-16
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 blood flow, its average speed, and its direction. The 2D
Mode image is also shown, allowing the marking and adjustment of the ROI within the entire image.
[Figure 7.3 Color Doppler Mode]
Entering & Exiting C Mode

Press the C button on the control panel to enter C mode. Press the C button again to exit C mode and
return to 2D mode.
7-17
Operation Manual
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. Whenever the Change button is pressed,
the current ROI box status appears at the bottom left of the screen.
ROI Position: In this state, the position of the ROI box can be changed. You can move the ROI
XX
box by using the trackball.
ROI Size: In this state, the size of the ROI box can be changed. Press the Change button to
XX
designate the size.
C Mode Soft Menu
Menu Edit.
Color Invert

Pressing the Soft Menu dial-button 1 inverts the color bar. Inverting the color bar also inverts the
color displayed on the image.
Steer

Loss of color information resulting from ultrasound beam angle adjustment is minimized. Rotate
the Soft Menu dial-button 2 and set ROI to Left, None, or Right.
NOTE: The Steer function is only available when using a linear probe.
7-18
TDI

NOTE:
XX
This can only be used when the cardiac application is selected in Phased Array Probe.
XX
For more information on TDI, see ‘TDI Mode’.
Change to TDI mode. TDI stands for Tissue Doppler Imaging.
Blending Level

Select the ratio of Alpha Blending. You may adjust the ratio in 1% increments between 0 and 100%
by rotating the Soft Menu dial-button 3. Setting the value to 0% shows only the color image;
setting it to 100% shows only the 2D image.
Alpha Blending

Use the Soft Menu dial-button 3 to press Alpha Blending and turn it On or Off. Alpha Blending
blends 2D and color images so that they appear to overlap with each other. Use Blending Level
to adjust the blending ratio.
Filter

Filters out low-frequency Doppler signals produced by blood vessel wall movement. Adjust the
Cutoff Frequency to remove doppler signals whose frequency is lower than the cutoff frequency.
Select a value from 0 through 3 by rotating the Soft Menu dial-button 4.
Scale

Use the Soft Menu dial-button 5 to select the function. Rotating the dial-button in the clockwise
direction increases the PRF (Pulse Repetition Frequency), displaying a wider range of blood flow
speed. Rotating the dial-button in the counterclockwise direction decreases the PRF, displaying a
narrower range of blood flow speed.
BaseLine

Rotating the Soft Menu dial-button 6 clockwise increases the 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 blood flow away from the probe.
7-19
Operation Manual
Color Hide

Hides the color bar and ROI from the screen.
Balance

The range of a color image is adjusted by comparing the gray levels of 2D images with the
doppler signal values of color images. Select a size from 1 to 31 by rotating the Soft Menu dial-
button 7.
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.
Color Mode

Press the Soft Menu dial-button 7 to move to the next page. Used to specify the display method
in Color Doppler mode. Rotate the Soft Menu dial-button 1 and select between Velocity and Vel
+ Var. Vel stands for velocity; it indicates the velocity, amount, and direction of the blood flow. Var
stands for variance; it indicates the velocity and distribution of the blood flow.
NOTE: Color Mode can only be used when the cardiac application is selected in Phased Array
Probe. Otherwise, only Velocity is available.
Color Map

Used to configure the post curve in a color image. Choose from Type 1 through 15 by rotating the
Soft Menu dial-button 2.
Sensitivity

Used to adjust the color image sensitivity. Rotate the Soft Menu dial-button 3 and set to a value
between 2 and 31. When this value increases, the sensitivity of a color image improves, but the
frame rate becomes lower.
Display Mode

Select the C Mode to use. Rotate the Soft Menu dial-button 6 to select BW Only, Color Only, or
Color+BW.
NOTE: For more information on other Soft Menu options and functions, refer to the ‘2D Mode’
section.
7-20
Power Doppler Mode

This mode displays the intensity of blood flow in color 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 7.4 Power Doppler Mode]
Entering & Exiting PD Mode

Press the PD button on the control panel to enter PD mode. Press this button again. PD Mode will be
terminated and the mode will switch to 2D.
7-21
Operation Manual
PD Mode Screen
Color Bar

The color bar displayed varies depending on the Power Doppler mode display method selected in
PD mode.
PD Mode: The color bar indicates the presence of blood flow and its amount. The area above
XX
the baseline is the brightest section, where the amount of blood flow is at its highest.
S-Flow Mode: The color bar indicates the strength and direction of blood flow. Based on the
XX
Baseline at the middle, red indicates the strength and direction of blood flow toward the probe.
By contrast, the blue color indicates the strength and direction of blood flow away from the
probe.
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 Soft Menu
Menu Edit.
PD Mode

Rotate the Soft Menu dial-button 2 to select between PD Mode and S-FlowMode.
PD Mode: Displays blood flow intensity elements only.

XX
S-Flow Mode: Displays information on the intensity and direction of blood flow.
XX
NOTE: For more information on other Soft Menu options and functions, refer to the 2D Mode and
Color Doppler Mode sections.
7-22
PW Spectral Doppler Mode

PW stands for Pulse Wave. This mode displays the blood flow speed at a specific blood vessel location
within a specific time frame. 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 7.5 PW Spectral Doppler Mode]
Entering & Exiting PW Spectral Doppler Mode

Press the PW button on the control panel to enter PW Spectral Doppler mode. Press it again to return
to 2D Mode.
Press the Set button on the control panel to obtain a spectral doppler image.
7-23
Operation Manual
PW Spectral Doppler Mode Screen
Sample Volume

The Doppler spectrum is displayed when the sample volume is located above 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 information is formatted to
indicate a sample volume that is xx.xx mm in size at a depth of yy.yy mm.
For example, 2.00@16.70mm means a 2.00mm sample volume at 16.07mm in depth.
Moving Sample Volume: Use the trackball on the control panel.

XX
Resizing Sample Volume After pressing the Change button on the control panel, adjust the size
XX
of the sample volume by using the trackball. Press the Change button again to return to the
Sample Volume Position Control screen. Here, an icon is displayed in the bottom center of the
screen to indicate whether the trackball function of the upper left corner of the screen is set to
‘SV Position’ or ‘SV Size’.
Adjusting Sample Volume Angle: Use the control panel’s Angle dial-button. Rotating the Angle
XX
dial-button clockwise increases the angle within a range of -70 to +70.
HPRF Function

NOTE:
XX
Enable or disable HPRF at Utility > Setup > General > Scan Mode > Option.
XX
HPRF is not activated in Simultaneous Mode. In addition, HPRF cannot be enabled if 200% of PRF
is higher than 23KHz.
Adjust the blood flow above the speed limit at a specific depth. Using this functions doubles the
current scale, and is only available in PW Spectral Doppler mode. HPRF stands for High PRF.
Activating HPRF
XX
Increasing the scale at a specific depth to a certain point automatically activates 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.
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.
7-24
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 in a zoomed in state, the Phantom Gate position can move outside the 2D image area.
XX
Make sure that sample volume and 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 Soft Menu
Menu Edit.
Doppler Invert

Press the Soft Menu dial-button 1. Each time the button is pressed, the speed indicator (+ / –) for a
spectrum is inverted.
SV Size

Used to specify the sample volume size. Select a value from 0.5 through 15 by rotating the Soft
Menu dial-button 2.
Angle

Adjusting the sample volume angle enables accurate speed measurement. Pressing the Soft
Menu dial-button 2 changes the angle in the order of -60˚, 0˚, and 60˚.
AutoCalc Direction

Used to specify the part of the spectrum to calculate when using AutoCalc. Rotate the Soft Menu
dial-button 3 to select from Up, Down, and All.
7-25
Operation Manual
AutoCalc

Press the Soft Menu dial-button 3 to turn this function on or off.
If the function is turned on, Doppler Trace is performed and its results are displayed. Up to 6
calculations can be selected under Utility > Setup > AutoCalc. If this function is turned on, the
Mean Trace button is enabled.
For information on selecting calculations, refer to the ‘Setting Measurements’ section in ‘Chapter 3.
Utilities’.
CAUTION: The measurements carried out 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 to use Auto Trace under
Measure for more accurate measurement.
Things to Consider for Real Time Automatic Doppler Trace

Tips! 1. Aliasing occurs because PRF is too low in comparison to the image speed, or the spectrum is
clustered around the baseline because PRF is too high.
2. Peak is indistinctive or intermittent such as in Spectral waveforms for veins.
3. Meaningful spectrum distinction becomes difficult because 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 because Doppler Wall Filter is set too high.
6. The Peak Trace is distorted by abnormal Doppler noise or artifact. Heart rate is approximately 140
bpm or higher.
If any of the above apply, Real Time Automatic Doppler Trace may not produce an accurate trace or
results. In addition, during Auto Calculation, results will not be displayed if the Freeze function is run
against inaccurate values.
Mean Trace

NOTE: Appears in the soft menu when AutoCalc is turned on.
Performs a Doppler trace and displays the mean value. Press the Soft Menu dial-button 4 to turn
this function on or off.
Simultaneous

Press the Soft Menu dial-button 5 to turn this function on or off.
7-26
NOTE: This option appears in the PW menu only when Utility > Setup > General > Scan Mode >
Simultaneous Mode is set to Allow.
If the Simultaneous option is turned on, you can view real-time 2D and spectral Doppler images
at the same time. If the option is not turned on, however, you will only be able to view the image
from one of the modes.
The Simultaneous function decreases Doppler PRF, thus decreasing the measurable speed range.
Baseline

Use the Soft Menu dial-button 6 to select the function. Rotate the dial-button and adjust the
position of the Doppler image’s horizontal axis.
TDW

NOTE:
XX
This can only be used when the cardiac application is selected in Phased Array Probe.
XX
For more information on TDW, see TDW Mode.
Pressing the Soft Menu dial-button 6 switches the mode to TDW mode. TDW stands for Tissue
Doppler Wave.
Spectrum Enh

Used to adjust Spectral Doppler image brightness and sensitivity levels. Select a value from
1 through 4 by rotating the Soft Menu dial-button 2. Spectrum Enh stands for Spectrum
Enhancement.
Spectrum Type

Select Spectrum Type. Choose from Type 1 through 3 by rotating the Soft Menu dial-button 3.
NOTE: For more information on other Soft Menu options and functions, refer to the 2D Mode and
Color Doppler Mode sections.
7-27
Operation Manual
CW Spectral Doppler Mode

CW stands for Continuous Wave. This mode displays the blood flow speed and direction at a specific
blood vessel location within a specific time frame. Unlike PW Spectral Doppler Mode, it does not
provide Sample Volume.
NOTE:
XX
CW Spectral Doppler mode is an optional feature of this product.
XX
This dial-button can be used with the Phased Array or Static CW probes.
[Figure 7.6 CW Spectral Doppler Mode]
Steered CW Spectral Doppler Mode

This mode can only be used if the Phased Array probe is used. 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.
7-28
Entering & Exiting CW Spectral Doppler Mode

Press the CW button on the control panel to enter CW Spectral Doppler Mode. Press it again to
return to 2D Mode.
CW Spectral Doppler Mode Soft Menu
Menu Edit.
NOTE: For more information on the Soft Menu, refer to the ‘PW Spectral Doppler Mode’ section.
7-29
Operation Manual
TDI Mode
NOTE: Appears on the Soft Menu only when using the phased array probe and the cardiac
application.
TDI stands for Tissue Doppler Imaging. TDI mode represents the movements of tissues such as the
heart.
Cannot be activated in Color Doppler mode. In Color Doppler mode, TDI shows cardiac tissues in color.
[Figure 7.7 Tissue Doppler Imaging Mode]
Starting and Ending TDI Mode

TDI Mode can be activated while in Color Doppler mode by pressing the Soft Menu dial-button.
Pressing the button once more switches the mode from TDI to C.
NOTE: For more information on the Soft Menu, refer to the ‘Color Doppler Mode’ section.
7-30
TDW Mode
TDW stands for Tissue Doppler Wave. TDW mode represents the movements of tissues such as the
heart. TDW Mode is available in the PW Spectral Doppler Mode. If it is used in Spectral Doppler Mode
along with Color Doppler mode, changes in cardiac tissues over time can be observed.
NOTE: This can only be used when the cardiac application is selected in Phased Array Probe.
[Figure 7.8 TDW Mode]
Entering and Exiting TDW Mode

TDW Mode can be activated while in PW Spectral Doppler mode by pressing the Soft Menu dial-
button. Pressing the button once more switches the mode from TDW to PW Spectral Doppler mode.
NOTE: For more information on the Soft Menu, refer to the PW Spectral Mode section.
7-31
Operation Manual
ElastoScan Mode
The elasticity of 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.
NOTE:
XX
ElastoScan Mode is an option for this product.
XX
The probes, applications, and presets that support ElastoScan are as follows: L5-13 (Smallparts -
Breast), EVN4-9 (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.
7-32
Entering and Exiting E Mode

Press ElastoScan in 2D mode. Press the button again to return to 2D Mode.
[Figure 7.9 E Mode]
E Mode Screen
E Dual Mode

In this mode, the elastogram and the 2D image are displayed together on the screen. Press Single
or Dual to select either Single or Dual mode.
To facilitate comparative observation, the 2D image is shown on the left and an E image is shown
on the right.
E Single Mode

In E Single Mode, only an E image is displayed in the screen. Press Single or Dual to select either
Single or Dual mode.
7-33
Operation Manual
ROI Mode

ROI stands for Region of Interest. In E Mode, the ROI Box represents the area where elasticity
information is shown. Press ROI Mode 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.
NOTE: ROI Mode is available in E Single Mode as well as in E Dual Mode.
Performing a Scan
When using ElastoScan mode, place a probe onto the surface of an area 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 which consists of lactiferous ducts, lactiferous glands, fibrous tissue,
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 to minimize tissue
movements in axial, lateral, and any other directions.
The following are the images of a breast tumor scanned in 2D mode and E mode.
a: b:
[Figure 7.10 Image of a Breast Tumor (a: 2D Mode, b: E Mode)]
7-34
Prostate

The prostate consists of tissues simpler than a breast, and there are relatively less unintended
movements.
The following are the images of a prostate tumor scanned in 2D mode and E mode.
a: b:
[Figure 7.11 Image of a Prostate Tumor (a: 2D Mode, b: E Mode)]
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
Invert Color Map

Tapping the button reverses the color bar. Inverting the color bar also inverts the color displayed
on the image.
Alpha Blending

Press Alpha Blending to turn 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 E image between 1 - 100%.
7-35
Operation Manual
Contrast

Select the contrast of the elastogram. Select a value between 0 and 100%.
Enhancement

Adjusts the enhancement of the image. Use the Soft Menu dial-button to select a value between
0 - 100%. A higher value provides more clearly defined boundaries, at the expense of increased
noise.
Color Map Index

Select the color of the elastogram. Use the Soft Menu dial-button to select a value between 1 and
5. If you change the Color Map, the color bar will also change accordingly.
Blending Level

Select the ratio of Alpha Blending. You can adjust the level in 1% increments between 0 and 100%
by using the Soft Menu dial-button. Setting the value to 0% shows an E image only and setting it
to 100% shows a 2D image only.
Persistence Level

Specify the speed of change between frames. You can adjust the level in 1% increments between
0 and 100% by using the Soft Menu dial-button. Selecting a higher value increases the rate of
frame change.
NOTE:
The Following are not available or have limited functionality in E mode;
XX
Unavailable functions: Angle, Scan Area, ECG, Histogram
XX
Only one Focus option is available.
XX
Biopsy can only be turned On or Off.
XX
Only distance, circumference, area, volume, and other measurements that can be taken in 2D
mode are supported.
7-36
Combined Mode
In Combined Mode, three different modes are combined, including the default 2D Mode. Note that, in
2D/C Live Mode, only two modes are combined:2D and Color Doppler Modes.
2D/C/PW Mode
Color Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously.
In Color Doppler Mode, press the PW dial-button on the control panel. Or, in PW Spectral Doppler
Mode, press the C button on the control panel.
2D/PD/PW Mode
Power Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously.
In Power Doppler Mode, press the PW button on the control panel. Or, in PW Spectral Doppler Mode,
press the PD 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 dial-button on the control panel. Or, in CW Spectral Doppler
Mode, press the C button on the control panel.
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 dial-button on the control panel. Or, in CW Spectral Doppler
Mode, press the PD button on the control panel.
7-37
Operation Manual
2D/C/M Mode
Color Doppler Mode and M Mode are displayed simultaneously.
In Color Doppler Mode, press the M button on the control panel. Or, in M mode, press the C button on
the control panel. (This mode is enabled for specific diagnostic applications with specific probes only.)
Dual Live Mode

2D Mode and Color Doppler Mode are displayed simultaneously. In 2D mode, select the Soft Menu dial-
button 3 Dual Live.
2D/TDI/TDW Mode
NOTE: This can only be used when the cardiac application is selected in Phased Array Probe.
TDI Mode and TDW Mode are displayed simultaneously. In PD mode or Color Doppler mode, press the
Soft Menu dial-button TDI, and then press the PW 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 the ‘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, you can use
the Set button to 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.
7-38
Changing the menu

Press the Active Mode button on the control panel.
This changes the menu and the Soft Menu without affecting the active image mode. The
functions of the buttons on the control panel vary depending on the active image mode.
For example, pressing the Active Mode button while in 2D/C/PW mode with the 2D mode soft
menu loaded on the screen loads the Color Doppler mode Soft Menu.
NOTE: For information on optimizing an image in Combined Mode, please refer to ‘Basic Mode’.
7-39
Operation Manual
Dual Mode
Press the Dual button on the control panel. This lets you compare images from two different diagnosis
modes or combined mode.
Each time you press the Dual button, one of the two images is activated. The active image is identified
with an orange line. Control panel and Soft Menu operation depends on which diagnosis mode has
been activated.
To exit Dual mode, press the Single button on the control panel.
[Figure 7.12 Dual mode]
Change Window

The active image is changed with each press of the Soft Menu dial-button. The image that is
currently being scanned is displayed with a yellow outline at the top.
7-40
Quad Mode
Press the Quad button on the control panel to enter Quad mode.
You can compare four different images at the same time. Each time you press the Quad button, one of
the four images is selected in turn. The current active image mode is indicated by a orange line at the
top. The buttons and menu operate according to the image mode that is currently in use.
To exit Quad mode, press the Single button on the control panel or the 2D button.
[Figure 7.13 Quad mode]
NOTE: For information on optimizing an image in Multi-Image Mode, please refer to ‘Basic Mode’.
7-41
Operation Manual
3D/4D Mode
These modes show 3D images of the region being examined. UGEO HM70A provides 3D Mode and 4D
Mode (optional).
NOTE:
XX
Standard probes cannot be used for 3D/4D Modes.
XX
4D mode and 3D XI are optional features in this product.
3D Mode

You can capture 3D images by using a 3D probe.
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.
Entering and Exiting 3D/4D Mode

Press the 3D/4D button on the control panel. This loads the 3D stand By screen. Press the button
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. The box is used to indicate
3D/4D conversion areas.
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
XX
box by using the trackball.
ROI Size: In this state, the size of the ROI box can be changed. After resizing the ROI box with
XX
the trackball, press the Change button to confirm the new size.
7-42
3D Stand By
This screen is displayed when 3D/4D mode is activated. This is where you configure the 3D image
acquisition method.
[Figure 7.14 3D Stand By]
3D Stand By Soft Menu
Scan Mode

Select the 3D mode you wish to use. Rotate the Soft Menu dial-button 1 to select 3D, 4D, or XI
STIC.
View Mode

Select a view mode to use after 3D images are acquired. Select from MPR, MSV, and Oblique
View by rotating the Soft Menu dial-button 2. For more information on the view modes, refer to
the ‘3D View-MPR’ or ‘3D XI’ section.
7-43
Operation Manual
Preset

Select a preset for the 3D image. Select Default or User1 through User5 by rotating the Soft
Menu dial-button 3. For more information, refer to the preset information contained in the ‘3D
View-MPR Mode’ section.
Scan Quality

Set the 3D image quality. Rotate the Soft Menu dial-button 6 to select Low, Medium, Medium2,
High, or Extreme.
Extreme: Provides superior image quality. Use for studying a highly detailed image.
XX
High: Provides higher 3D image capturing (or rendering) speed than Extreme setting, at the
XX
expense of image quality.
Medium, Medium2: Provides better image capturing speed and lower image quality than High
XX
setting.
Low: Provides the highest 3D image capturing speed and the lowest image quality.
XX
Scan Angle

Used to adjust the scan angle. Rotate the Soft Menu dial-button 7 to adjust the scan angle. The
available scan angle range varies depending on the probe being used.
Acquiring 3D/4D Images

1. Press the 3D/4D button on the control panel. This loads the 3D standby screen.
2. Select the desired 3D mode by using the soft menu 1.
3. Specify the location and size of the ROI Box as desired.
4. Configure the settings by using the soft menu 2 through 6.
5. Press the Freeze or Set button on the control panel. The system will begin acquiring 3D images.
6. Once 3D image acquisition is complete, the 3D View screen will be shown (if configured to do so).
If the Soft Menu 2 is set to MPR, 3D View will be launched. If it is set to MSV or Oblique View,
XX
3D XI will be launched.
If a left/right-reversed 3D image is obtained, the image will also be shown left/right reversed in
XX
3D View or 3D XI.
7-44
7. You can perform diagnosis by optimizing images. 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 the surface contour, subjects such as amniotic fluid that do not generate echoes
should be insulated with hypo-echoic textures.
XX
Once 3D image acquisition is complete, you can adjust the low-threshold level to clean up the
image. The general rule is not to adjust High Threshold; set it to the maximum value of 255.
7-45
Operation Manual
3D View-MPR
This viewing mode is launched when an image is acquired from 3D standby with View Mode set to
MPR. Alternatively, you can select the MPR tab from the view mode menu.
The Basics of 3D View Mode
Screen Layout

2 3
4 5
[Figure 7.15 3D View - MPR]
1 View Mode Menu: Specify a viewing mode, optimize the 3D image, and then perform the
diagnosis and take measurements.
2 A Plane: Image of the axial section.
3 B Plane: Image of the sagittal section.
4 C Plane: Image of the coronal section.
5 3D Image
6 Trackball state indication: The current state of the trackball is displayed at the bottom of the
monitor 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.
7-46
Pointer: The trackball is used like a cursor in this state. Use the trackball and the Set button
XX
to select on-screen icons. Pressing the Pointer button activates the cursor immediately.
Move: Moves the 3D image with the trackball. The acquired 3D image moves as you move
XX
the trackball.
ROI: You can resize the ROI box with the trackball. The ROI box on the 3D image is resized as
XX
you move the trackball. Available only with Display in the MPR tab set to ROI 3D.
Zooming In to/Out of Images

Press the Zoom button on the control panel to zoom in to or out from images. The current Zoom
ratio is displayed in the Image Info at the top of the page.
Resizing ROI

With the trackball in ROI state, you can move the trackball to adjust the ROI boundaries. With the
trackball in the cursor state, position the cursor on the ROI box and use the trackball and the Set
button to adjust the boundaries.
Moving an Image

Place the trackball pointer on the image to move, and move it while pressing the Set button. Or
you may move it by using the trackball when the trackball is in Move state.
Set Button: Rotates the image around the center.

XX
Rotating Image around X Axis

Use the Soft Menu dial-button 5 to select the function. Or move the trackball when it is in Cursor
state on the A Plane image, while pressing the Set button.
Rotating Image around Y Axis

state on the B Plane image, while pressing the Set button.
Rotating Image around Z Axis

state on the C Plane image, while pressing the Set button.
7-47
Operation Manual
Show/Hide Menu

Press Hide in the menu to hide the menu from the screen. To show the menu, press the Menu/
Angle dial-button.
Item Selection

Use the Menu/Angle dial-button on the control panel.
Return to Previous Menu

Press Prev in the menu to return to the upper level menu.
Changing View Mode

Use the control panel’s trackball and the Set button to select a view mode menu tab. In 4D mode,
however, the menu tab can only be changed while in the freeze state.
Measurements by Application

NOTE:
XX
Measurements can be taken only 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 methods are identical to those
described in ‘Chapter 8. Measurements and Calculations’.
Basic Measurement

Press the Caliper button on the control panel. For more information, refer to ‘Basic Measurements’
in ‘Chapter 8. Measurements and Calculations’.
Entering Text

Press the keyboard’s Text button. With quick text activated, pressing any key on the keyboard
immediately activates text input mode. For more information, refer to ‘Chapter 9. Image
Management’, and specifically the ‘Entering Text’ section.
Entering Arrows

Press the Arrow button on the keyboard. For more information, refer to ‘Arrow’ in ‘Chapter 9.
Image Management’.
7-48
Saving Images

NOTE: If volume data contains both 4D and 3D Cine images, choose either 4D or 3D for saving.
1. Press the Save button on the control panel. The 3D Data Save window will be displayed.
2. Specify settings such as Save Type, Save Item, and Volume Format.
3. To save using the specified settings, click the Save button on the screen. Click Cancel to cancel.
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 7.16 3D Data Save]
Printing Images

Press the Save (Print 1 or Print 2) button on the keyboard.
7-49
Operation Manual
MPR Mode Soft Menu
Mix

Configure the mix of Render modes 1 and 2. Select a size from 0 to 100 by rotating the Soft Menu
dial-button 1. For more information on render modes, refer to the ‘Render Setup’ section.
NOTE: This function can only be used in 2D/3D, ROI 3D, and Fixed 3D.
Init

Press the Soft Menu dial-button 1. This restores the acquired 3D image to its original state and
settings.
Th.Low

Use the Soft Menu dial-button 2 to set Th.Low to a value between 0 and 254.
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.
Full

Press the Soft Menu dial-button 2. Pressing this button displays the 3D image in full screen mode.
When you press this button again, the display returns to the previous screen.
Ref. Slice

Rotate the Soft Menu dial-button 4 to move the Reference Slice horizontally.
7-50
Niche Zoom

NOTE: This option is available with VCT.
Use the Zoom button on the control panel. Press the button to switch to Niche Zoom function.
Turn the dial-button to zoom in to/out of VCT images. The current Niche Zoom ratio is displayed in
the Image Info at the top of the page.
Rotate X / Y / Z

Rotates the image in the direction of the selected axis. Use the Soft Menu dial-buttons 5, 6, and 7
to rotate the image in the direction of the X, Y, and Z axes, respectively.
Next Page

Press the Soft Menu dial-button 7 to move to the next page.
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
XX
In the Next Page, rotate the Soft Menu dial-button 1 to select a speed between 1 and 5.
HDVI Type
XX
You can choose the measurement site from among Face, Brain, Early OB, Heart, Spine, Gyn,
Breast, Thyroid, Carotid, Abdomen, and Kidney by rotating the Soft Menu dial-button 2
Select

Rotate the Soft Menu dial-button 3 and choose the post curve
7-51
Operation Manual
Position

Used to reposition the post curve selected under Select. Select a value from 0 through 100 by
rotating the Soft Menu dial-button 4.
Bias

Used to change the bias of the post curve selected under Select. Select a value from -100 through
100 by rotating the Soft Menu dial-button 5.
Transparency

Set the transparency of a 3D image. Select a size from 20 to 250 by rotating the Soft Menu dial-
button 6.
The lowest value (20) is for complete transparency, and the highest value (250) is for complete
opacity.
Prev Page

Press the Soft Menu dial-button 7 to move to the previous page.
Mode
Select the display format in which 3D images are presented.
Render

Shows images in the Axial, Sagittal and Coronal planes, along with the 3D image.
VCT

Axial, Sagittal and Coronal plane images and combinations of them are displayed. Each plane is
displayed with a different colored frame. VCT is an abbreviation for Volume CT.
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 in regard to volume data.
7-52
Tips! Press the Single button on the control panel for a more detailed view.
MagiCut
MagiCut cuts out 3D image sections that serve no purpose in diagnosing the patient. Press this
button to bring up the MagiCut screen.
NOTE:
XX
Available in MPR mode only.
XX
Not supported in 4D mode.
XX
After MagiCut is enabled, if the system is switched to a mode other than MPR Mode, MagiCut is
disabled.
CutMode

Used to select a cut mode.
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. This uses a thicker contour line than Small Eraser.
XX
Depth

Used to specify the cut depth.
Full: Cuts out the entire area.

XX
Define: Cuts out a user-defined area. Define an area as follows:

XX
1. Use the trackball and the Set button to select the area.
2. Press Depth and specify the depth of the cut. You can select a depth between 1 and 100.
3. Press Apply to finish. To cancel or start over, use the Soft Menu Undo, Undo All, and Redo
commands.
7-53
Operation Manual
Undo: Cancels the cut.

XX
Redo: Reapplies the cut.

XX
Undo All: Cancels all cuts.

XX
3D Cine
Click the 3D Cine button in the screen menu to switch to the 3D Cine Define screen.
7-54
3D Cine Define
Specify the settings needed for creation of a Cine image.
Rotation Angle

Used to specify the total image rotation angle. Set to 30, 45, 60, 90, 180, or 360° by rotating the
Soft Menu dial-button 1.
Step Angle

Used to specify the rotation angle per step. Set to 1, 3, 5, or 15° by rotating the Soft Menu dial-
button 2.
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 22 steps, each of which
involves a rotation of 15°.
Rotate Axis

Used to specify the rotation axis of the image. Rotate the Soft Menu dial-button 3 and select
between X and Y.
Generate Cine

Cine images are generated by applying the current settings. When the images have been
generated, the screen switches to 3D Cine Review.
Review Cine

Review Cine images generated previously. The screen switches to 3D Cine Review.
New Cine

Press the Soft Menu dial-button 1 to set a new Cine mode. The system returns to the 3D Cine
Define screen.
Cine Speed (%)

Set the speed at which Cine images are played. Set to 25, 50, 100, 200, 300, or 400% by rotating
the Soft Menu dial-button 2.
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Operation Manual
Cine Frame

Used to select a specific Cine image for viewing. Select a frame by rotating the Soft Menu dial-
button 3.
This option only appears in the menu when Cine playback has been stopped. The current frame
number in relation to the total number of frames is shown in the menu.
Exit

Press the Soft Menu dial-button 7 to delete the current Cine image. This ends 3D Cine.
[Figure 7.17 3D Cine]
Accept ROI
NOTE: This option may be used in Render.
Set Accept ROI in the on-screen menu to On or Off. If it is set to on, ROI will not be displayed.
7-56
Preset
Used to select or edit a 3D mode preset. Pressing this button brings up the Preset screen.
Preset

Select Default or User1 through User3 as the preset to use. Pressing Default loads the probe’s
general preset.
Load Preset

Loads the selected preset and exits from the Preset screen.
Save Preset

Saves the current preset.
Rename

Change the name of the selected Rendering Preset. Pressing this button brings up the Name
window. After changing the name, press OK to save the changed name. Press Cancel to cancel the
change.
OH
NOTE: Available in Render and 2D.
Click OH in the on-screen menu to turn this function On or Off. If it is turned on, a 3D image will be
displayed along with OH. OH stands for Orientation Help.
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Operation Manual
Volume NT
NOTE:
XX
Volume NT is an optional feature of this product.
XX
Available in MPR mode only.
This feature locates the Mid-Sagittal View and measures the thickness of the nuchal translucency
(NT) of the fetus. The VolumeNT screen will be displayed.
Locates mid-sagittal view and tests the fetus for spina bifida.
Use the trackball to place NT Seed in the NT area, and then press the Set button to display the NT
measurement on the A Plane.
How To get good results

Tips! XX
You can get better results when the Sagittal View of the fetus is captured as accurately as
possible.
XX
The higher the contrast between the fetus’ palate and nasal bone, the better.
XX
It is preferable to have the lateral direction of the probe be parallel to the body orientation of the
fetus.
XX
It is preferable to have the probe’s angle to the fetus’ nasal bone as close to 30 degrees as
possible.
NT/IT Caliper Placement

Select the NT/IT measurement type.
On to On: Measure by placing the cursor on the NT/IT’s inner-inner.

XX
Cursor
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On to Max Brightness: One side of the cursor is placed on the outside of the NT/IT, and the
XX
measurement is taken with inner-outer. This method is used when Harmonic is used and one
side of the nuchal translucency is blurred.
Cursor
In to In: Similar to On to On, this method takes the measurement with inner-inner, albeit with a
XX
narrower cursor interval.
Cursor
Items

NT: The acquired A, B, and C plane images and the automatically measured NT are displayed in
XX
the 3D View screen.
IT: The acquired A, B, and C plane images and the automatically measured IT are displayed in
XX
the 3D View screen.
Init

Resets the positional information of the image.
Hide All

Tapping this button hides the marker, NT, and IT measurements on the screen.
Auto

Click the Auto button in the on-screen menu to turn this function On or Off. If set to On, the
function automatically locates the Mid-Sagittal View. To calculate NT, place the cursor on the NT
area and press the Set button on the control panel.
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Operation Manual
Marker Size

You can select Small, Medium or Large for the marker size by using the Soft Menu dial-button 3.
Edit

Edit markers for each item that is displayed as a result.
If the trackball’s state is Cursor, moving the cursor near a + marker will change the marker’s color
from green to orange.
Press the Set button and move the trackball to edit the marker as desired.
Assign

Include the selected items in the results in the OB report.
Post Processing
Post Processing is used to process slice images. Pressing the relevant button displays the Post
Processing screen.
Gradient Mask

Used to adjust the brightness level at a specific area of a slice image. Select Top, Bottom, Left, or
Right. The brightness level at the selected area is increased.
Flip Image

Flip the orientation of an image.
NOTE: This option is available only in MSV Mode. It may not be used when OH is set to On,
however.
Click the image in the on-screen menu to reposition the image from left to right or from up to
down.
Sharpen

Used to adjust the slice image’s boundaries. Click this button to turn this option on or off. Turning
this on shows the Sharpen option in the soft menu.
Sharpen: Set the sharpness of the slice image’s boundaries to a value between 100 and 400 by
XX
using the Soft Menu dial-button 4. The higher the number, the sharper the boundaries.
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Thres.

Changing the threshold eliminates levels of brightness that are not necessary for the image. Press
the Soft Menu dial-button 3 to turn this option on or off. Turning this option on creates Th. Low
and Th. High options in the menu.
Th. Low: Use the Soft Menu dial-button 2 to select this function.
XX
Th. High: Use the Soft Menu dial-button 3 to select this function.
XX
3D CI

This feature combines images to eliminate noise and increase picture quality. Turning this on
shows the 3D CI Offset option in the Soft Menu. 3D CI is an abbreviation for 3D Compound
Imaging.
CSI Offset: CSI, or Compound of Sectional Image, overlaps images to create a higher quality C
XX
plane image. Select the distance between images used for 3D CI from 1 - 10 by using the Soft
Menu dial-button 5.
Auto Contrast

Press the Soft Menu dial-button 6 to turn this option on or off. Turning this option on
automatically adjusts the slice image contrast level.
Clear SFVI

Click the menu button on the screen to turn this option on or off. It reduces noise if it is turned on.
SFVI stands for Smart Filter Volume Imaging.
Detailed SFVI

Click the menu button on the screen to turn this option on or off. If set to On, you can select a
value from 0 - 100 by using the Strength dial-button.
Render Setup
Specify the image rendering method. Press the relevant button to switch to the Gray Render Mode
screen.
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Operation Manual
Gray
Specify how volume data acquired with the Gray method should be rendered into 3D images.
Render Direction

Select the rendering orientation.
Render Mode

Select the render mode.
Surface Smooth: Provides 3D images that are smoother than Surface.

XX
Surface: Represents 3D images in the Ray-Casting method, which shows the shell of an image
XX
with curved surfaces.
Max: Represents 3D images at maximum intensity. It can be useful for observing bone
XX
structures in a human body.
Min: Represents 3D images at minimum intensity. It can be useful for observing vessels or
XX
hollow parts in 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. Provides images that are similar to
XX
X-ray images.
Th. Low

Specify the minimum range of Threshold. Use the Soft Menu dial-button 4 to set a value between
0 and 254.
Th. High

Set the maximum range of Threshold. Use the Soft Menu dial-button 5 to set a value between 0
and 255.
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Color
Specify how the volume data acquired with the Angio/CFM method can 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 can be rendered into 3D images. Except
for Render Modes 1 and 2, it can be set 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.
Max-Transparent

Set gray data to ‘Max’ and color data to ‘Transp’ to study color data. The parts hidden by gray data
may appear slightly brighter.
Max-Surface

Set gray data to ‘Max’ and color data to ‘Surface’ to study 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.
Chroma
The Chroma Map screen is displayed. This screen is used to configure 2D/3D image color.
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Operation Manual
VOCAL
Measure the volume of tissues within the human body. VOCAL is an abbreviation for Virtual Organ
Computer Aided analysis.
VOCAL is performed in the following order: VOCAL Define  VOCAL Edit  VOCAL.
[Figure 7.18 VOCAL]
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VOCAL Define
Configure the settings required for performing VOCAL. Information on the current mode, contour type,
and Step Angle is displayed in the 3D image information area.
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. This 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.
Moving Pole Points by using the Trackball

Set the range in which to perform VOCAL in a reference image. In a reference image, Pole 1 indicates
the position of the upper arrow and Pole 2 indicates the position of the lower arrow.
Press the Pole1 and Pole 2 buttons, and then use the trackball and the Set button on the control
panel. Press the NONE button to cancel the range setting state.
You may rotate the Soft Menu dial-buttons 2 and 3 to specify the range in which to perform VOCAL.
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Operation Manual
Ref. Image
Rotate the Soft Menu dial-button 1 to select A, B, or C as the reference image. The selected image will
be highlighted with orange borders.
Init
Press the Soft Menu dial-button 1 to reset the positional information of the 3D image.
Step Angle
Rotate the Soft Menu dial-button 4 to select the angle of rotation. Select from 12, 18, or 30.
Next
Click Next in the monitor left menu, or press the Soft Menu dial-button 7 to begin creating the
VOCAL data.
When the Contour Type is set to Manual

Tips! 1. Press Next. The Image Position screen will be displayed.
2. Press the Set button over an image, and then move the trackball to draw the contour line.
XX
Press Next Image to move to the next frame.
XX
Press Previous Image to move to the previous frame.
3. Press Done. Start VOCAL.
XX
If you tap Done without contouring, VOCAL is performed over a sphere.
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.
Information on the current mode, shell mode, the current frame number, and the total number of
frames is displayed in the 3D image information area.
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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

The shell is drawn inside the contour generated by the Shell Thick. specified.
Outside

The shell is drawn outside the contour generated by the Shell Thick. specified.
Symmetric

Half the shell is drawn inside the contour and the other half of the shell is drawn outside the
contour, with each drawn at half of the Shell Thick. specified.
Shell Thick.
Specify the thickness of the shell. Select a size from between 1 and 20 by rotating the Soft Menu dial-
button 1. This is only displayed if you are using Shell mode.
New Contour
Press the Soft Menu dial-button 1 to delete all VOCAL data and settings and return to the initial setup
stage of VOCAL Define.
Multi Edit
Modify more than one contour line at a time. Press the Soft Menu dial-button 2 to turn this function
on or off. If it is turned on, up to 6 contour lines can be displayed simultaneously on the screen. If
there are six or more lines, rotate the Soft Menu dial-button 4 MEV Page to move between the pages.
MEV is an abbreviation for Multi Edit View.
For Pole 1 and Pole 2, rotate the Soft Menu dial-buttons 2 and 3 to modify the contour. You can also
use the trackball and the Set button on the control panel to edit contour lines. When modification is
complete, press the Soft Menu dial-button 2 again to turn it off.
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Operation Manual
Clear Contour
Press the Soft Menu dial-button 3 to delete VOCAL data, but preserve the settings, and then return to
the initial setup stage of VOCAL Define.
Previous Image
Review contour lines for each frame. Press the Soft Menu dial-button 5 to move between the frames.
Next Image
Review contour lines for each frame. Press the Soft Menu dial-button 6 to move between the frames.
Accept Contour
Press the Soft Menu dial-button 7 to apply the changes. The screen will switch to the VOCAL data
review screen.
VOCAL
Optimizes VOCAL data for review. Information on the current mode and display format is shown in the
3D image information area.
Mode
Specify how VOCAL data are presented.
ROI 3D

Shows images in the Axial, Sagittal and Coronal planes, together with VOCAL data.
Fixed 3D

Shows images in the Axial, Sagittal and Coronal planes, together with 3D images for VOCAL data.
VCT

Shows actual combinations of images in the Axial, Sagittal and Coronal planes and VOCAL data.
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Display Format
Select 1*1 or 2*2 from the monitor screen’s left side menu. This can be used in every mode.
Ref. Image
Select A, B, or C as the reference image. The selected image will be highlighted with orange borders.
VOCAL Edit
Return to the VOCAL Edit stage.
Init
Resets the positional information of the 3D image.
Histogram
NOTE: Histogram is available only for 2D and Power Doppler 3D images.
Press the Soft Menu dial-button 3, or Histogram in the monitor screen’s left side menu. A shell
histogram is calculated and displayed on the screen.
This represents the gray value distribution within the 2D and Power Doppler images of an object for
which VOCAL is performed. It also displays Mean Gray (MG), Vascularization Index (VI), Flow Index (FI)
and Vascularization Flow Index (VFI).
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Operation Manual
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 over 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
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Niche
NOTE: This option is available with VCT.
Choose from Type 1 through 8 by rotating the Soft Menu dial-button 2.
Mode
NOTE: This option is available with ROI 3D.
Specify how the surface of VOCAL data is presented. Select Surface or Wireframe by using the soft
Menu dial-button 1.
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
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Operation Manual
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 StandBy. ‘3D XI’ is displayed at the top left corner of the monitor screen.
An image can be viewed in multiple slices.
MSV Mode
An image can be viewed in multiple slices. Press the MSV tab from the View Mode menu to bring up
the MSV screen. MSV is an abbreviation for Multi-Slice View.
[Figure 7.19 MSV]
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MSV Screen

The images sliced at the thickness set in Slice Thick. are displayed on the screen. Slice Number/
Total Number of Slices is shown at the bottom part of each slice image. 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.
NOTE: Available options are Calculator, Caliper, Text and Indicator.
MSV Mode Soft Menu
Selected Slice

Select a slice image to observe. Use the dial-button 1 on the Soft Menu to select a slice. The
selected slice will be highlighted with orange borders.
Init

Press the Soft Menu dial-button 1. This returns you to MSV mode’s initial screen.
Slice Thick.

Set the cut depth of images. Rotate the Soft Menu dial-button 2 to select 0.5, 1.0, 2.0, 3.0, 4.0, 5.0,
or 10.0mm. Depending on your selection, the number of slices and pages will vary.
NOTE: Slice thickness is the slice interval within the volume data, and does not represent actual
anatomical locations.
Orientation Dot

Press the Soft Menu dial-button 2 to turn this function on or off. When this is ‘On’, a dot appears at
the center of the image.
SDMR

Press the Soft Menu dial-button 3 to turn this function on or off. When this is ‘On’, ‘SDMR’ mark
appears at the center of the image. Rotate the Soft Menu dial-button 3 to select between 1 to 5.
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Operation Manual
Ruler

Used to position the on-screen ruler. Use the Soft Menu dial-button 4 to select None, Right, Left,
Top, Bottom, or All.
Previous / Next

Change the page on the screen. This option can be useful when the total number of slice images
exceeds what is specified in Display Format. Press the Soft Menu dial-buttons 4 and 5 to select
the page.
Rotate X / Y / Z

Rotates the image in the direction of the selected axis. Use Soft Menu dial-buttons 4, 5, and 6 to
rotate the image in the direction of the X, Y, and Z axes, respectively.
Page Change

If there are multiple pages of images, then you can use the Soft Menu dial-button 5 to change the
page. Used if there are two or more pages.
Next Page

Press the Soft Menu dial-button 7. This brings up the next Soft Menu page.
Bias

Adjust the bias of the post curve. Use the Soft Menu dial-button 2 to select a value between -100
and 100.
Position

Used to adjust the post curve position. Use the Soft Menu dial-button 3 to set a value between 0
and 100.
Zoom

Use the Soft Menu dial-button 4 to set a value between 25 and 400.
L/R Flip

Use the Soft Menu dial-button 4 to select the function. Each press of the button flips the image
horizontally.
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U/D Fip

Use the Soft Menu dial-button 5 to select the function. Each press of the button flips the image
vertically.
Prev Page

Press the Soft Menu dial-button 6. This brings up the previous Soft Menu page.
Display Format
Set the layout of slice images. Select 1*1, 2*1, 2*2, 3*2, 3*3, or 4*3. The number of slices that can be
displayed simultaneously on the screen varies based on this setting. If the layout is changed, the
selected slice image moves to the first position on the screen.
Ref. Image
Select A, B, or C as the reference image.
MSV OH

If this function is turned on, 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.
Orientation Dot
Click Next on the left screen menu on the monitor, and select Orientation Dot. When this is ‘On’, a
dot appears at the center of the image.
Oblique View
After drawing a straight or curved line in the selected image in MSV Mode, you can study the related
oblique image. Usage instructions are as follows:
1. Select Display Format, and then specify the number of oblique images to study.
2. Select the Oblique Cut Type.
3. Draw a straight or curved line on 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.
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Operation Manual
If Cut Type is set to Line and the trackball is in Move state, you can reposition the line.
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.
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:
Oblique View Screen

The reference image that is selected in MSV Mode is displayed on the screen. The reference image
is highlighted with yellow borders, and always placed in the left corner of the screen.
When more than one line is used for observation, each line is indicated by a different color and
number.
Oblique View Mode Soft Menu
Selected Slice

Use the dial-button 1 on the Soft Menu to select a line. This option is only available if Multi Line or
Multi Contour has been selected from the Oblique View mode menu.
Init

Pressing the Soft Menu dial-button 1 deletes the Oblique image and resets the positional
information of the Ref. Image.
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Rotate Line

Use the Soft Menu dial-button 2 to rotate the line that was selected in Selected Slice. This option
is not available if Contour or Multi Contour was selected from the Oblique View mode menu.
Slice Thickness

Use the dial-button 3 on the Soft Menu to adjust the gap between the parallel lines. This option is
only available if Parallel or Plumb has been selected from the Oblique View mode menu.
Orientation Dot

Press the Soft Menu dial-button 2 to turn this function on or off. When this is ‘On’, a dot appears at
the center of the image.
Rotate X / Y / Z

Rotates the image in the direction of the selected axis. Use the Soft Menu dial-buttons 5, 6, and 7
to rotate the image in the direction of the X, Y, and Z axes, respectively.
Auto Increment

Click Next on the left screen menu on the monitor, and select Auto Increment. Turning this
option on automatically increases the number of lines in Multi Line and Multi Contour to a
maximum of five.
Next Page

Press the Soft Menu dial-button 7. This brings up the next Soft Menu page.
Position

Used to adjust the post curve position. Use the Soft Menu dial-button 2 to set a value between 0
and 100.
Bias

Adjust the bias of the post curve. Use the Soft Menu dial-button 4 to select a value between -100
and 100.
Prev Page

Press the Soft Menu dial-button 7. This brings up the previous Soft Menu page.
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Operation Manual
[Figure 7.20 Oblique View]
Oblique Cut Type

Use the relevant button on the left side of the monitor to select the cut type.
Line

The oblique image of a straight line can be studied.
Contour

The oblique image of a curved line or contour line can be studied.
Multi Line & Multi Contour

Tips!
If Display Format is set to 3x2 or 3x3, enable Auto Increase to draw more than one line.
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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 studied. If a straight line is drawn,
its parallel lines are automatically shown on the screen.
Press Parallel and draw the reference line by using the trackball and the Set button. Parallel
XX
lines will be inserted automatically.
To adjust the gap between the parallel lines, use the Soft Menu dial-button 2 Slice Thickness.
XX
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.
Press Plumb and draw the reference line by using the trackball and the Set button.
XX
Perpendicular lines will be inserted automatically.
To adjust the length of the perpendicular lines, use the Soft Menu dial-button 2 Plumb Size.
XX
You can adjust the length in 1mm increments; the current length is displayed in the Image
Information.
Display Format
Set the layout of oblique images. Select 2*1, 3*2, or 3*3. Depending on this setting, the number of
oblique images and the Oblique Cut Type will vary.
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Operation Manual
OVIX
NOTE: This cannot be used when Oblique Cut Type is Contour.
OVIX is the abbreviation for Oblique View eXtended, which sets the cross-sectional thickness of an
oblique image and shows the image in 3D.
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. The thickness of the OVIX Line can be
adjusted by OVIX Thick.
OVIX Thick.

Rotate the Soft Menu dial-button 4 OVIX Thick. to adjust the thickness of OVIX. The 3D image for
the set thickness appears.
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XI VOCAL
NOTE: XI VOCAL is one of the features of 3D XI, and an optional feature of this product.
Measure the volume of tissues in 3D XI Mode.
[Figure 7.21 XI VOCAL]
VOCAL vs XI VOCAL
Tips! XX
VOCAL: Measures the volume of an object in a general 3D image. Uses rotating slices.
XX
XI VOCAL: Measures the volume of an object in the selected reference image in MSV Mode by
using parallel slices. Uses parallel slices. Calculates the volume of an object by cutting it into
multiple slices.
XI VOCAL is performed in the following order: XI VOCAL Define  XI VOCAL Edit  XI VOCAL.
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Operation Manual
XI VOCAL Define
Specify how slice and contour lines are extracted.
Reference images and slice lines are displayed on the left side of the screen. Slice images with the
start (S) and end (E) points of a slice line are displayed on the right side of the screen. The 3D image
information displays the current mode, as well as the Ref. Image, Contour Type, and # of Slices
(number of images). The 3D XI-XI VOCAL screen will be displayed on the monitor.
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. This is faster than other automatic contour types,
but less accurate.
Manual

Create the desired shape of an object manually. A contour line can be specified in the XI VOCAL
Edit screen.
Slice Direction
Set the direction of a slice line. Select Vertical or Horizontal. Changing the direction of a slice line also
changes the slice image displayed on the screen.
Ref. Image
Select A, B, or C as the reference image. The selected image will be highlighted with orange borders.
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Ref. Contour
Press the on-screen menu button to turn this option on or off. If it is turned on, a contour line can be
drawn by using the trackball and the Set button.
Init
Resets the positional information of the 3D image.
Start
The system will switch to the XI VOCAL Edit screen.
NOTE: If the Contour Type is set to Manual, the system switches to the XI VOCAL screen when
Start is pressed.
# of Slices
Specify the number of slice images. Use the dial-button to select 5, 10, 15, or 20. Depending on the
selected number of images, the interval between slices will vary.
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Operation Manual
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!
These always appear in the lower right corner of the XI VOCAL Edit screen. They can be useful when
the position of a slice image needs to be considered.
Ref. Page
Rotate the Soft Menu dial-button 1 to change the screen page.
New Contour
Press the Soft Menu dial-button 1 to delete the current data and return to the XI VOCAL Define stage.
Accept Contour
Apply the changes and perform XI VOCAL. The system will switch to the XI VOCAL screen.
When the Contour Type is set to Manual

Tips!
Use the Set button and the trackball to draw a contour line before pressing Accept Contour.
If you press Accept Contour without drawing a contour line, a general type contour line will be
extracted.
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XI VOCAL
Optimize XI VOCAL data for review.
Slice images with their contour line 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. Use the Zoom
button on the control panel to zoom in on the object.
View All Slice

Click the View All Slice button on the left side of the monitor screen, or press the Soft Menu dial-
button 3, to turn this option on or off. If it is turned on, all XI VOCAL data - including reference image,
slice line and slice image - will be displayed on the screen simultaneously.
Edit Contour
The system will return to the XI VOCAL Edit screen. You can edit the contour line by using the trackball
and the Set button.
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Operation Manual
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’ will be displayed to indicate 4D.
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.
[Figure 7.22 4D]
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4D Cine
The 4D images saved temporarily in the system can be reviewed. Press this button to bring up the 4D
Cine screen.
NOTE: You can also press the Freeze button in 4D Mode to execute 4D Cine.
The cine bar is shown on the screen. The cine bar includes the Current Cine Frame Number/Total
Number of Cine Frames.
[Figure 7.23 4D Cine]
NOTE: For information on Soft Menu items in 4D Cine mode, refer to ‘3D Cine’.
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Operation Manual
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
This only appears when the Application is set to OB.
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 7.24 XI STIC]
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Acquiring XI STIC Images

NOTE:
XX
If the motion artifacting is severe, data does not contain the cardiac cycle, or the heart rate
cannot be calculated for any other reason, you will be returned to the XI STIC initial 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 StandBy 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 begin acquiring 3D images.
4. When image acquisition is complete, XI STIC is displayed on the monitor screen and the XI STIC
Confirm screen is displayed. Check the fetal cardiac cycle calculated.
5. To proceed, press the Soft Menu dial-button 3 YES. To cancel and obtain a new image, press the Soft
Menu dial-button 5 NO.
6. You can perform diagnosis by optimizing images.
How to Improve STIC Volume Data

Tips! XX
Scan Angle: Specify a small scan angle for small fetal hearts.
XX
Scan Position: Adjust the scan position so that the center of the scan angle and the fetal heart
are aligned properly.
XX
ROI Box: Adjust the size of the volume box so that it nearly fits the size of the fetal heart.
Scan Time
Set the image acquisition time. Select a value from 7 through 15 by rotating the Soft Menu dial-
button 4.
Trimester
Set the pregnancy trimester.
Rotate the Soft Menu dial-button 5 to select 1st, 2nd, 3rd, or User Set.
7-89
Operation Manual
Trimester
Tips!
If 1st–3rd are set, the recommended scan time and STIC angle are automatically set for the specified
trimester. Please see 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 displayed
as User Set.
Scan Angle
Set the scan angle. Select an angle from between 15° and 60° by rotating the Soft Menu dial-button
7.
NOTE: For information on other usage, please refer to ‘3D Stand By’.
Reviewing XI STIC Image

The XI STIC image is played as Volume Cine; Img. Angle, Vol. Angle, Scan Time, HR, Volume Pos. and
other XI STIC information is displayed at the bottom left corner of the monitor 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.
7-90
Speed (%)
NOTE: This option is only available in MPR or MSV Mode during Volume Cine playback.
Set the playback speed for XI STIC images. In the Next Page, rotate the Soft Menu dial-button 1 to
select a speed between 25 and 400%. This rate is based on the fetal heart rate (100%).
Volume Pos.
NOTE: This option is only available in MPR or MSV Mode when Freeze is enabled.
In the Next Page, rotate the Soft Menu dial-button 1 to select Index. The selected index will be
highlighted with orange borders.
NOTE: For other instructions, refer to 3D View-MPR and 3D XI.
7-91
Chapter 8 Measurements and
Calculations
Measurement Accuracy...................................8-3
Causes of Measurement Errors............................................8-3
Optimization of Measurement Accuracy........................8-5
Measurement Accuracy Table..............................................8-7
Basic Measurements........................................8-8
Distance Measurement........................................................8-10
Circumference and Area Measurement.........................8-15
Volume measurement..........................................................8-17
Calculations by Application ......................... 8-20

Things to Note.........................................................................8-20
Common Measurement Methods ..................................8-24
OB Calculations.......................................................................8-29
Gynecology Calculations ....................................................8-36
Cardiac Calculations..............................................................8-39
Carotid Calculations..............................................................8-53
Upper Extremity (UE) Artery Calculations ....................8-59
Lower Extremity (LE) Artery Calculations......................8-60
Upper Extremity (UE) Vein Calculations ........................8-61
Lower Extremity (LE) Vein Calculation............................8-63
Fetal Echo Calculations........................................................8-65
Urology Calculations.............................................................8-68
Abdomen Calculations.........................................................8-71
Small Parts Calculations.......................................................8-72
Chapter 8
TCD Calculations.....................................................................8-77
Pediatric Hips Calculations.................................................8-78
MSK Measurement (Musculoskeletal Calculations)....8-79
Report.............................................................. 8-81
Viewing Reports .....................................................................8-81
Editing Report..........................................................................8-82
Fetal Description.....................................................................8-84
Adding Comments.................................................................8-85
Printing Reports......................................................................8-86
Saving Reports........................................................................8-86
Transferring Report................................................................8-87
Graphs.........................................................................................8-87
Closing Report.........................................................................8-92
Measurement Accuracy
Measurement values can vary depending on the nature of the ultrasound wave, the body’s response
to ultrasound waves, the measurement tools, algorithms, product settings, probe type, and operations
performed by the user.
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 an ultrasound image may be limited by spatial causes.
Errors caused by 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 ultrasound enhances resolution.

XX
Pixel Size
This product’s ultrasound images 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 is significant only when a narrow interval is being measured on the monitor.
XX
8-3
Operation Manual
Ultrasound Velocity
The velocity of ultrasound used during measurement is usually 1,540 m/s on average.
XX
The velocity of ultrasound may vary depending on the cell type.

XX
The possible range of error is approximately 2-5%, depending on the structure of cells. (About 2%
XX
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 option.
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 be
XX
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
8-4
Optimization of Measurement Accuracy
2D Mode
Resolution is in proportion to the frequency of the probe.
XX
Penetration is inversely proportional 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. As the distance from the
XX
focus increases, the beam width increases, which results in lower accuracy.
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 a
XX
higher value.
Doppler Mode
Using lower frequency ultrasound is recommended 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 smaller
XX
values.
It is most important to use an optimal Doppler angle to enhance the accuracy of velocity
XX
measurements.
8-5
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 on measurements taken in B/W images also apply to the accuracy
of measurements taken in Color Doppler and Power Doppler Modes.
Using Color/Power Doppler Mode images for measuring accurate blood flow velocity is not
XX
recommended.
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, do the following:

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 remains the same during measurement.
8-6
Measurement Accuracy Table

The following tables show the accuracy of the measurements that can be taken using this 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 distance on a straight line.
NOTE: To ensure accurate measurements, an accuracy check should be performed at least once
per year. If the measurement accuracy falls outside the ranges specified in the following table,
contact the Samsung Medison Service Department.
2D Mode
System Tolerance
Measurements Test Methodology Accuracy Based on Range
(Whichever is greater)
Axial Distance < ± 4% or 1mm Phantom Acquisition Full Screen
Lateral Distance < ± 4% or 2mm Phantom Acquisition Full Screen
M Mode
System Tolerance
Measurements Test Methodology Accuracy Based on Range
(whichever is greater)
Depth < ± 5% or 3mm Phantom Acquisition 1 - 25cm
Time < ± 5% Signal generator Acquisition 0.01 - 11.3 sec
PW/CW Spectral Doppler Mode
System Tolerance
Doppler Measurement Accuracy based on Range
(whichever is greater)
PW: 0.1cm/s - 8.8 m/s

Velocity < ± 15% Acquisition
CW: 0.1cm/s - 19.3 m/s
Time < ± 5% Acquisition 10ms - 9.44 s
8-7
Operation Manual
Basic Measurements
Press the Caliper button on the control panel.
NOTE: Perform basic measurements of distance and area regardless of the application. 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 refer to
the following table:
Measurement Category Diagnosis Modes Measurement Methods
Distance
Line Trace
2D, M, D
Angle
%StD
Distance measurement M M Distance
D Velocity
D A/B
D
D Trace
D time
Ellipse
Circumference and Area
2D, M, D Trace
Measurement
%StA
3 Distance
1 Distance
Volume measurement 2D, M, D Distance + Ellipse
Ellipse
MOD
[Table 8.1 Basic Measurements by Diagnosis Mode]
Basic Measurement Operations

The following is the information on common button operations for basic measurements:
Selecting/changing measurement method

Use the Soft Menu dial-button 1-3. The options displayed on the Soft Menu vary by application.
The selected measurement method is displayed in the User Information area.
8-8
Specifying measurement result position

Use the Soft Menu dial-button 4.
Move: Changes the location where measurement result values are displayed. Change the
XX
location by using the trackball, and then 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 by
using Move.
Canceling measurement results

Use the Soft Menu dial-button 5.
Delete: Rotating the dial-button deletes a portion of the curve being traced.
XX
NOTE: Delete is only available for Line Trace, Area Trace, and MOD.
Undo: Pressing the dial-button cancels the last measured item and measures it again.
XX
NOTE: Of all the volume measurements, only 3 Distance and Distance+Ellipse provide the Undo
function.
Deleting Measurement Results

Press the Clear button on the control panel. The measurement displayed on screen will be
deleted.
Printing Measurement Results

Press the Print 1 (or Print 2) button on the control panel.
Exiting Basic Measurement

Press the Exit button on the control panel.
NOTE: To change the measurement unit or other settings, select Utility > Measure Setup > General.
For more information, refer to ‘Chapter 3. Utilities’ in this manual.
8-9
Operation Manual
Distance Measurement
Distance
This is a basic measurement that is available in all diagnosis modes. Specify two points on a 2D
image and measure the length of the straight line between the points.
1. Press the Caliper button, and then select ‘Distance’ from the Soft Menu 1. ‘Distance’ will be
displayed in the User Information area.
Use the trackball and the Set button to specify both end points of the measurement area.
XX
2. Use the trackball to place the cursor at the desired position, and then press the Set button.
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, its result is shown on the screen.
Line Trace
This is a basic measurement that is available in all diagnosis modes. Specify a point on a 2D image
and trace a curve from that point to measure its length.
1. Press the Caliper button, and then select ‘Line Trace’ from the Soft Menu 1. ‘Line Trace’ will be
2. Use the trackball and the Set button to specify the start point of the measurement area.
Use the trackball to place the cursor at the desired position, and then 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!
Before specifying the end point by pressing the Set button, you can delete part of the curve being
traced by rotating the Soft Menu dial-button 5 Delete.
4. Specify both end points and then the length of the curve will be measured automatically.
8-10
Angle
This is a basic measurement that is available in all diagnosis modes. Specify two straight lines on a 2D
image to measure the angle between the two lines.
1. Press the Caliper button, and then select ‘Angle’ from the Soft Menu 1. ‘Angle’ will be displayed in
the User Information area.
2. Draw two straight lines. Refer to ‘Distance’ for instructions on how to draw a straight line.
3. The angle between 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. The
diameter of a blood vessel is measured on a 2D image to calculate its stenosis ratio (%).
1. Press the Caliper button, and then select ‘%StD’ from the Soft Menu 1. ‘%StD’ will be displayed in
2. Measure the total diameter of a vessel using the Distance measurement method.
3. When the second cursor appears, measure the diameter of the vessel’s inner wall under stenosis.
4. Calculate %StD with the following equation:

%StD = (Outer Distance – Inner Distance)/Outer Distance x 100
M Distance
This is a basic measurement that is only available in M mode. Specify two points on an M image, and
measure the distance, elapsed time, and velocity between the two points
1. Select ‘M Distance’ from the Flexible Soft Menu 1. ‘M Distance’ will be displayed in the User
Information area.
2. Specify two points and measure the length of the straight line between the points. Measurement
is taken in the same way as ‘Distance’.
8-11
Operation Manual
D Velocity
This is a basic measurement that is only available in Spectral Doppler mode. Specify two points on
a Spectral Doppler image and measure the velocity at each point to calculate the velocity gradient,
time gradient, and acceleration.
NOTE: In a Spectral Doppler image, the X- and Y-axes represent time and velocity, respectively.
1. Press the Caliper button, and then select ‘D Velocity’ from the Soft Menu 1. ‘D Velocity’ will be
V1: Velocity at point 1

XX Time: Time gradient
XX

XX Acc: Acceleration
XX
PGmax: Max Pressure Gradient

XX RI: Resistivity Index
XX
V2-V1: Velocity gradient

XX S/D: Systolic to Diastolic Ratio
XX
The equations used for D Velocity measurement are as follows:
XX
XX
XX
NOTE: If ‘Application’ is set to Cardiac at Utility > Measure Setup > General > Caliper, results such as
Vmax, PGmax, V2-V1, Time, Acc will be displayed on screen.
8-12
D A/B
This is a basic measurement that is only available in Spectral Doppler mode. Specify two points on
a Spectral Doppler image and measure the velocity at each point to calculate the ratio of velocity
between the two points.
1. Press the Caliper button, and then select ‘D A/B’ from the Soft Menu 1. ‘D A/B’ will be displayed in
2. Specify two points for which to measure velocity.
XX

XX PGmax: Max Pressure Gradient
XX

XX V1/V2: Ratio of velocity
XX
Vmax, PGmax, and V2-V1 will be displayed on screen.
D 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. Press the Caliper button, and then select ‘D Trace’ from the Soft Menu 1. ‘D Trace’ will be displayed
in the User Information area.
2. Trace the curve. Measurement is taken in the same way as ‘Line Trace’.
PSV: Peak Systolic Velocity

XX PI: Pulsatility Index
XX
EDV: End Diastolic Velocity

XX S/D: Ratio of PSV to EDV
XX
RI: Resistivity Index

XX Vmean: Mean velocity
XX
The equations used for D Trace measurement are as follows:
8-13
Operation Manual
XX
XX
XX
XX
Vmax, Vmean, PGmax, PGmean, VTI, PHT, Acc, AccT, Dec, and DecT will be displayed on screen.
D Time
This is a basic measurement that is only available in Spectral Doppler mode. Specify two bars on a
Spectral Doppler image to calculate the time between the bars.
1. Press the Caliper button, and then select ‘D Time’ from the Soft Menu 1. ‘Time’ will be displayed in
2. Set two bars on the spectrum with the trackball and the Set button.
8-14
Circumference and Area Measurement
Ellipse
This is a basic measurement that is available in all diagnosis modes. Measure the circumference and
area of circle (ellipse)-shaped objects on a 2D image.
1. Press the Caliper button, and then select ‘Ellipse’ from the Soft Menu 2. ‘Ellipse’ will be displayed in
2. Use the trackball and the Set button to specify the diameter (axis) of the measurement area.
XX
Repositioning Point
Tips!
to reset it.
3. Specify the size of the circle (ellipse).
Adjust the size by using the trackball, and then press the Set button.
XX
The following equation is used for Ellipse measurement:
(A: Long axis, B: Short axis)
Area (a, b: Axis)
8-15
Operation Manual
Trace
This is a basic measurement that is available in all diagnosis modes. Measure the circumference and
area of an irregularly shaped object on a 2D image.
1. Press the Caliper button, and then select ‘Trace’ from the Soft Menu 2. ‘Trace’ will be displayed in
2. Use the trackball and the Set button to specify the start point for tracing over the contour of the
measurement area.
XX
3. Trace the curve so that the measurement cursor returns to the start point, and then press the Set
button.
NOTE: The Trace Line must be a closed curve. If you press the Set button before tracing is
complete, a straight line will be traced between the current position and the start point, resulting in
a significant error.
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. The area
of a blood vessel is measured on a 2D image to calculate its stenosis ratio (%).
1. Press the Caliper button, and then select ‘%StA’ from the Soft Menu 2. ‘%StA’ will be displayed in
2. Measure the area of the vessel outer wall using the Area measurement method.
3. When the second cursor appears, measure the area of the stenosed vessel’s inner wall.
4. Calculate %StA with the following equation:

%StA = (Outer Area – Inner Area) / Outer Area x 100
8-16
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
This is a basic measurement that is available in all diagnosis modes. Measure the volume of an object
by using three straight lines on a 2D image.
1. Press the Caliper button, and then select ‘3 Distance’ from the Soft Menu 3. ‘3 Distance’ will be
3. Measure the length of the remaining two straight lines using the same method as above.
4. When the measurement is finished, its result is shown on the screen. The volume (Vol.) will be
calculated along with the length of each line.
Tapping Undo on the touch screen while taking a measurement cancels the last measurement
XX
taken and restarts the measurement step.
The equations used for 3 Distance measurement are as follows:
(D: distance)
8-17
Operation Manual
1 Distance
by using only one straight line on a 2D image.
1. Press the Caliper button, and then select ‘3 Distance’ from the Soft Menu 1. ‘1 Distance’ will be
3. When the measurement is finished, its result is shown on the screen. The volume (Vol.) will be
calculated along with the length of the line.
The equations used for 1 Distance measurement are as follows:
(D: distance)
Dist. + Ellipse
by using one straight line and one circle (ellipse) on a 2D image.
1. Press the Caliper button, and then select ‘Dist. + Ellipse’ from the Soft Menu 3. ‘Distance + Ellipse’
will be displayed in the User Information area.
3. Specify the size of the circle (ellipse). Measurement is taken in the same way as ‘Ellipse’.
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
The equations used for Distance + Ellipse measurement are as follows:
(a : Short axis, b : Long axis, d : Distance)
8-18
Ellipse
This is a basic measurement that is available in all diagnosis modes. Measure the volume of a cone-
shaped object by using one circle (ellipse) on a 2D image.
1. Press the Caliper button, and then select ‘Ellipse’ from the Soft Menu 3. ‘Ellipse’ will be displayed in
2. Specify the size of the circle (ellipse). Measurement is taken in the same way as ‘Ellipse’.
The following equation is used for Ellipse measurement:
Long Short Short
MOD
This is a basic measurement that is available in all diagnosis modes. Calculate the volume of an
irregularly shaped object by measuring the area and the length of its long axis on a 2D image. MOD
stands for Method of Disk.
1. Press the Caliper button, and then select ‘MOD’ from the Soft Menu 3. ‘MOD’ will be displayed in
2. Draw the contour of the area to be measured. Measurement is taken in the same way as ‘Trace’.
3. Measure the length of the long axis. Measurement is taken in the same way as ‘Distance’.
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 soft menu dial-button 5 Delete.
8-19
Operation Manual
Calculations by Application
Press the Calculator button on the control panel.
Things to Note
Before Starting Measurement
Register Patient

Make sure the currently registered patient information is correct. If the patient is not registered,
press the Patient button on the control panel to register the patient.
For information on the Patient Information menu and how to enter the information, refer to
‘Patient Information’ in ‘Chapter 6. Starting Diagnosis’.
Check the Probe, Application and Preset

Check the name of the probe and the application displayed in the Title area. To use a different
XX
probe or application, press the Probe button on the control panel.
Check the preset settings in the Probe Selection screen.

XX
Configure Measurement Menu

You can configure the measurement menu so that it only includes the items you want. Refer to the
‘Measurement Settings’ section in ‘Chapter 3. Utilities’ for information on measurement menus and
how to set them up.
Measurement Operations
The following gives information on the common button operations for measurements:
Select Measurement Item

Move the cursor with the trackball or the Menu/Angle dial-button, and press the Set button or
the Menu/Angle dial-button.
To configure Measurement Menu items, use Utility > Measure Setup > General > Calc Menu.
8-20
Change Measurement Method

Press the Change button on the control panel. If the current measurement may be taken in more
ways than one, the measurement method may be changed. The current measurement method
will be displayed in the User Information area. Once measurement starts, the method cannot be
changed.
Change Measurement Unit

After completing the current measurement, you may go to Utility > Measure Setup > General >
General > Display > Measurement Unit to select the unit you want.
Delete Trace Line

Move the trackball in the opposite direction to delete the traced line. You can only delete the line
while you are manually tracing the Doppler spectrum.
Deleting Measurement Results

Press the Clear button on the control panel.
NOTE: The measurement results are deleted from the screen, but will still be shown on the report
for the corresponding application.
Printing Measurement Results

Press the Print 1 (or Print 2) button on the control panel.
Exit Measurement

Press the Exit button on the control panel.
End Diagnosis

Press the End Exam button on the control panel. The study for the currently registered patient will
end, and all measurement results will be saved.
NOTE: For various settings for applications, refer to ‘Chapter 3. Utilities’ in this manual.
8-21
Operation Manual
Soft Menu
The Soft Menu available during a measurement for each application is as follows:
HR Cycle

Activated when measuring the Heart Rate in M or D mode. Rotate the Soft Menu dial-button 1 to
select the cycle of Heart Rate; you may select a value between 1 and 20 beats.
Package

Select a measurement package by rotating the Soft Menu dial-button 1. The application changes
whenever you rotate the dial.
Laterality

Press the Soft Menu dial-button 1 to select the location of the measured object between Left (Rt)
and Right (Lt). The left side of the measured object is displayed at Rt. This is only displayed in the
menu in certain applications.
Trace Direction

Select the trace direction of the Doppler spectrum. Rotate the Soft Menu dial-button 2, and select
from Up, Down, and All. This is activated only after Auto or Limited Trace has been performed 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
Tab

Select a measurement package by rotating the Soft Menu dial-button 2. The menu tab of the
current application changes whenever you rotate the dial.
RAP

Rotate the Soft Menu dial-button 3 to select the blood pressure (Right Atrium Pressure). This is
only available in the cardiac application.
Apply RAP

Press the Soft Menu dial-button 3 to save the selected RAP to the report.
8-22
Result Action

Rotate the Soft Menu dial-button 4 to select the position of the measurement result.
Move: Changes the location where measurement result values are displayed. Change the
XX
location by using the trackball, and then press the Set button.
Reset: When you press the dial-button, the display position of the measurement results is reset.
XX
When there are multiple pages of measurement results, you can find the desired result by using
Tips!
Move.
Threshold

Set threshold by rotating the Soft Menu dial-button 7. This is activated only after Auto or
Limited Trace has been performed in Spectral Doppler mode. Adjusting Threshold is helpful for
contouring the Doppler spectrum.
8-23
Operation Manual
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 obtain results for various measurement items
automatically. There are 3 ways to trace a Doppler spectrum.
Also, you can select a specific item under the measurement menu and take measurements
individually without tracing a Doppler spectrum.
Auto Trace

Spectrum is traced automatically. This can be enabled in the measurement menu in Spectral
Doppler Mode.
1. Press Auto Trace in the measurement menu.
2. The system traces the spectrum automatically.
3. When the Trace is complete, the measurement results are displayed on the screen.
8-24
Things to Consider when using Doppler Spectrum Auto Trace

Tips!
The state of a Doppler spectrum may affect measurement results. Please pay attention to the
following:
Causes for Trace Failure

XX
If Gain is changed for a Doppler image in 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 the PRF (Pulse Repetition Frequency) is lower than the velocity at the site being examined,
aliasing may occur. If the original signals are separated from aliasing, a Trace can be carried out,
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 carried out,
but the peak measurement may not be accurate.
XX
If the Doppler Gain is set too high or too low, it becomes difficult to distinguish spectra. This may
result in measurement error.
XX
If the Wall Filter is set too high, the spectrum will only be partially displayed. In this case, a Trace
can be carried out, but Peak measurement may not be accurate.
XX
If abnormal noise or artifacting occurs, a Trace can be carried out, but Peak measurement may
not be accurate.
Other
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

Specify a measurement range, and a spectrum will be traced automatically. This can be enabled in
the measurement menu in Spectral Doppler Mode.
1. Select Limited Trace in the measurement menu. A bar will appear, with which you can specify
range.
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.
8-25
Operation Manual
Manual Trace

A spectrum is traced manually. This can be enabled in the measurement menu in Spectral Doppler
Mode.
1. Select Manual Trace in the measurement menu. The measurement cursor will appear over the
spectrum.
2. Trace the spectrum. Measurement is taken in the same way as ‘D Trace’.
Measurement by Item

In the Measurement menu, select an individual item and take a measurement.
1. After obtaining the desired image, press the Calculator button.
2. Select the item you want from the Measurement menu. The + cursor will appear over the
spectral waveform.
3. Position the “+” cursor and press the Set button.
4. The measurement results for the selected item are displayed on the screen.
The following items are measured on a Doppler spectrum:
Item Category Unit Equation
PSV (Peak Systolic Velocity) Velocity cm/s or m/s
EDV (End Diastolic Velocity) Velocity cm/s or m/s
TAMV (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 (Max Pressure Gradient) Calculation mmHg 4 × PSV 2
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
8-26
Taking measurements via Auto Calc

Tips!
You can use Auto Calc to take measurements on predetermined items.
For information on setting up measurement items, refer to the ‘Auto Calc’ section in ‘Chapter 3.
Utilities’.
Volume Flow Measurement

Select Volume Flow in the measurement menu.
Volume Flow can be calculated by measuring an area or distance. For information on measuring
distance or area, refer to ‘Basic Measurement’. TAMV(Time Avg. Mean Velocity) value is measured
automatically.
Vesl. Area(Vessel Area)

Measure the area of a blood vessel and calculate TAMV and Volume Flow.
Vesl. Dist.(Vessel Distance)

Measure the width of a blood vessel and calculate TAMV and Volume Flow.
Stenosis Measurement
You can measure the stenosis of each blood vessel system by measuring and calculating an area or
distance.
%StA

Measures the area of the inner wall and the outer wall of the 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 stenosed vessel’s inner wall.
%StA = (Outer Area – Inner Area) / Outer Area x 100
8-27
Operation Manual
%StD

Measure the diameter of the 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 blood vessel using the Distance measurement method.
3. When the second cursor appears, measure the diameter of the stenosed vessel’s inner wall.
%StD = (Outer Distance – Inner Distance) / Outer Distance x 100
Heart Rate Measurement
HR(Heart Rate)

You can calculate heart rates over a certain period of time.
1. Select HR from the Measurement menu. A bar will appear, with which you can specify range.
2. Specify the measurement range.
Place the bar at a desired position with the trackball, and press the Set button.
XX
3. The system will automatically measure the heart rate within the measurement range.
8-28
OB Calculations
NOTE:
XX
Ductus Venosus and Fetal HR can only be measured in Doppler Mode.
XX
For information on basic measurement methods, refer to ‘Basic Measurements’ and ‘Common
Measurement Methods’ in this chapter.
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 Number of Fetuses.
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
measurement.
EDD(LMP) = LMP + 280days

XX
GA(LMP) = Current System Date - LMP

XX
Regardless of LMP, enter the EDD with a physicians opinion 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 as Number of Fetuses. The default value is ‘1’. In the
case of twins, enter ‘2’.
For further information about patient information menus and how to input patient information,
refer to ‘Entering Patient Data’ in Chapter 6 ‘Starting Diagnosis’.
OB Measurement Menu Settings

NOTE:
XX
For your convenience, you may want to assign obstetrics measurement functions to the User1,
User 2, and User 3 buttons on the control panel. You can do this at 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. Press the Change button on the control panel to change the fetus to be measured.
8-29
Operation Manual
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.
Refer to the ‘Setting Measurements’ section in ‘Chapter 3 Utilities’ for additional information.
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
measurement. Measured items are automatically recorded in a report.
Item Sub-Item Mode Method Unit
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
BPD - All Distance measurement cm, mm
Circumference or Auto
AC - All cm, mm
Calculation
FL - All Distance measurement cm, mm
EFW - All
Duct Venosus All PW Velocity measurement cm/s, m/s
Duct Venosus S Vmax PW Velocity measurement cm/s, m/s

Duct Venosus
Duct Venosus D Vmax PW Velocity measurement cm/s, m/s
Duct Venosus A Vmax PW Velocity measurement cm/s, m/s
Fetal HR - M, PW Heart Rate bpm
8-30
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,
AC

This is automatically calculated using the following formula, provided there are measured APD
and TAD values.
Exception: when you use Merz reference,
FTA

and TAD values.
MAD

and TAD values.
ThC

This is automatically calculated using the following formula, provided there are measured APTD
and TTD values.
8-31
Operation Manual
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 on the American continent.
General 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
measurement. Measured items are automatically recorded in a report.
BPD - All Distance measurement cm, mm
HC - All Circumference or Auto Calculation cm, mm
AC - All Circumference or Auto Calculation cm, mm
FL - All Distance measurement cm, mm
Lat Vent - All Distance measurement cm, mm
CEREB - All Distance measurement cm, mm
CM - All Distance measurement cm, mm
NF - All Distance measurement cm, mm
OFD - All Distance measurement cm, mm
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
EFW - All
8-32
AFI All All Distance measurement cm, mm
Q1 All Distance measurement cm, mm
AFI Q2 All Distance measurement cm, mm
Max Vertical Pocket - All Circumference 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

Mid Cereb A
EDV PW Velocity measurement cm/s, m/s
Umbilical A
Lt. Uterine A Calculation after area
Rt. Uterine A %StA All %
measurement
Calculation after distance

%StD All %
measurement
Vesl. Area All Area measurement cm2, mm2
Vesl. Dist All Distance measurement cm, mm
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.
8-33
Operation Manual
Calculating Estimated Fetal Weight (EFW)

When measurements for the following items are complete, the system uses the results to calculate
the estimated fetal weight automatically. For an equation for calculating fetal weight, please refer to
‘Estimated Fetal Weight Formula’ in the Reference Manual Part 1.
BPD, AC
XX AC, FL
XX
BPD, FL, FTA

XX BPD, AC, FL
XX
BPD, APTD, TTD, FL

XX HC, AC, FL
XX
BPD, APTD, TTD, SL

XX BPD, HC, AC, FL
XX
BPD, TTD
XX AC
XX
Continuous Measurements for Calculating EFW

You can measure a series of OB items to calculate the EFW.
Before starting measurement:

Tips! XX
For convenience, you may want to assign the EFW Measure function to the User key. You can
do this at Utility > Setup > User Defined key > User Key Setup. For more information, refer to the
‘User Defined Keys’ section in ‘Chapter 3. Utilities’ in this manual.
XX
Check EFW Reference. You can select or change it from Utility > Measure Setup > OB > Tables.
NOTE: This function is not available in 3D mode.
Measurement Methods

1. Press EFW in the measurement menu. Or, if you have assigned the ‘EFW Measure’ function to
the User key, press the User key. The obstetrics measurement will start.
2. Measure the items for EFW calculation by using the trackball and the Set button.
3. Once an item has been measured, the result will be displayed, and measurement of the next
item will begin.
4. Once all measurements have been taken, the EFW is displayed on screen.
The EFW measurements taken and the order in which they are measured are as follows:
8-34
Reference Measure Item (by Order)
Campbell AC
Hadlock BPDAC
Hadlock1 ACFL
Hadlock2 BPDACFL
Hadlock3 ACFLHC
Hadlock4 BPD, HCACFL
Hansmann BPDTTD
Merz BPDAC
Osaka BPDFTAFL
Shepard BPDAC
Shinozuka1 BPDACFL
Shinozuka2 BPDAPTD, TTDSL
Shinozuka3 BPDAPTD, TTDFL
Ferrero ACFL
Higginbottom AC
Thurnau BPDAC
Warsof BPDAC
Weiner1 ACHC
Weiner2 ACFLHC
Woo BPDACFL
Changing Measurement Sequence

Tips!
To change the measurement sequence, go to Utility > Measure Setup > OB > Tables > EFW
Sequential Measurement.
Reviewing the Result of EFW Calculation

Tips!
If the ‘EFW Result’ function has been assigned to the User key, pressing the User key will display the
result of the EFW calculation on the screen. Otherwise, press Calculator to review the result in the
obstetrics measurement menu.
8-35
Operation Manual
CAUTION:
To calculate the GA and the EFW by measuring a specific part of a fetus, an accurate reference must
be selected.
XX
If the EFW Reference of the UGEO HM70A is changed, the existing EFW is recalculated with the
new reference and then shown on the report. Therefore, it is recommended that you do not
change the EFW Reference of a patient.
XX
Since multiple GAs and EFW References are provided, the specialist must make a choice based
on his or her clinical judgment. Choosing an inappropriate reference may result in incorrect
measurements.
XX
When performing an exam, one must bear in mind that measurements may vary depending on
the posture of the fetus.
XX
In cases where there are multiple fetuses, be sure to verify the Fetus ID to avoid confusion.
XX
The GA and EFW Reference possess national and regional characteristics, which must be taken
into consideration when selecting a reference.
Gynecology Calculations
NOTE:
XX
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.

The measurement method for each item is the same as for basic measurement. Measured items are
automatically recorded in a report.
8-36

Uterus All All ml
measurement
Uterus L All Distance measurement cm, mm
Uterus H All Distance measurement cm, mm
Uterus W All Distance measurement cm, mm

Uterus
Endo. Thick 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

Rt. Uterine A
Lt. Uterine A

All All ml
measurement
L All Distance measurement cm, mm
H All Distance measurement cm, mm
W All Distance measurement cm, mm

Rt. Ovary
Lt. Ovary Auto Trace PW Doppler spectrum trace
Rt. Follicles Volume calculated after distance cm, mm,

1 ~ 12 All
Lt. Follicles measurement and ml
8-37
Operation Manual
Endometrial Manual Trace PW Doppler spectrum trace

Rt. / Lt. Cyst All All ml
measurement
Rt. / Lt. Cyst L All Distance measurement cm, mm

Cyst
Rt. / Lt. Cyst H All Distance measurement cm, mm
Rt. / Lt. Cyst W All Distance measurement cm, mm
Pericystic Manual Trace PW Doppler spectrum trace
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.
8-38
Cardiac Calculations
NOTE: The cardiac measurement package is an optional feature of this product.
NOTE:
XX
XX
Dist 20

Trace the circumference of the heart, and then draw the axis of the heart. The system
automatically draws 20 lines perpendicular to the axis to calculate the volume.
NOTE:
XX
In Dual 2D Mode, two images can be viewed simultaneously.
XX
For RVAWd, RVIDd, RVAWs, and RVIDs, refer to the measurement method for LV.
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
Since velocity data is required for measuring PISA-Radius or PISA-Alias Vel., set color display
to Velocity or Vel + Var in C mode. For information on relevant settings, refer to ‘Color Doppler
Mode’ in ‘Chapter 7. Diagnosis Mode’.
XX
Tissue Doppler can be measured in TDI Mode.
8-39
Operation Manual
Adult Echo - Chamber Measurement Menu
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
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

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
8-40
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

All All ml
measurement
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
LAAd A2C All Area measurement cm2, mm2
LAAs A2C All Area measurement cm2, mm2
LAAd A4C All Area measurement cm2, mm2
LAAs A4C 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
8-41
Operation Manual
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
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
HR - M, PW Heart Rate bpm
8-42
Adult Echo - Valve Measurement Menu
LVOT Manual Trace PW Doppler spectrum trace
LVOT Vmax PW Velocity measurement cm/s, m/s

LVOT
LVOT VTI PW Doppler spectrum trace cm, mm
LVOT Diam All Distance measurement cm, mm
AV Cusp All Distance measurement cm, mm
AV Cusp (M) M Distance measurement cm, mm
AV Diam All Distance measurement cm, mm
AVA Planimetry All Area measurement cm2, mm2
AV Manual Trace PW Doppler spectrum trace
AV AV Vmax PW Velocity measurement cm/s, m/s
AV PHT PW Time measurement ms
AV VTI PW Doppler spectrum trace cm, mm
AV AccT PW Time measurement ms
AV ET PW Time measurement ms
AV DecT PW Time measurement ms
8-43
Operation Manual
AR VCW All Distance measurement cm, mm
AR PISA Rad PW Velocity measurement cm/s, m/s
AR Alias Vel. PW Velocity measurement cm/s, m/s
AR Manual Trace PW Doppler spectrum trace
AR Vmax PW Velocity measurement cm/s, m/s

AR
AR ed Vmax PW Velocity measurement cm/s, m/s
AR PHT PW Time measurement ms
AR VTI PW Doppler spectrum trace cm, mm
AR AccT PW Time measurement ms
AR DecT PW Time measurement ms
8-44
All MV (M) M Distance measurement cm, mm
MV Vp M Distance measurement cm, mm
MV Diam 1 All Distance measurement cm, mm
MVA Planimetry All Area measurement cm2, mm2
MV Manual Trace PW Doppler spectrum trace
MV E-DT-A PW Time-velocity-time measurement ms, m/s
MV E/A PW Velocity measurement cm/s, m/s
MV Vmax PW Velocity measurement cm/s, m/s
MV PHT PW Time measurement ms
MV MV AccT PW Time measurement ms
MV DecT PW Time measurement ms
MV A Dur. PW Time measurement ms
MV ET PW Time measurement ms
R-R Interval M, PW Heart Rate bpm
MR VCW PW Distance measurement cm, mm
MR PISA Rad C PISA-Radius cm, mm
MR Alias Vel. C Velocity measurement cm/s, m/s
MR Manual Trace PW Doppler spectrum trace
MR Vmax PW Velocity measurement cm/s, m/s
MR VTI PW Doppler spectrum trace cm, mm
RVOT Manual Trace PW Doppler spectrum trace
RVOT Vmax PW Velocity measurement cm/s, m/s

RVOT
RVOT VTI PW Doppler spectrum trace cm, mm
RVOT Diam All Distance measurement cm, mm
8-45
Operation Manual
PV Ann Diam All Distance measurement cm, mm
PVA Planimetry All Area measurement cm2, mm2
PV Manual Trace PW Doppler spectrum trace
PV Vmax PW Velocity measurement cm/s, m/s
PV PHT PW Time measurement ms
PV PV VTI PW Doppler spectrum trace cm, mm
PV AccT PW Time measurement ms
PV ET PW Time measurement ms
PV DecT PW Time measurement ms
Q to PV Close PW Time measurement ms
PR VCW PW Distance measurement cm, mm
PR PISA Rad C PISA-Radius cm, mm
PR Alias Vel. C Velocity measurement cm/s, m/s
PR Manual Trace PW Doppler spectrum trace
PR Vmax PW Velocity measurement cm/s, m/s

PR
MPA Vmax PW Velocity measurement cm/s, m/s
PR PHT PW Time measurement ms
PR VTI PW Doppler spectrum trace cm, mm
PR AccT PW Time measurement ms
PR DecT PW Time measurement ms
8-46
TV Ann Diam All Distance measurement cm, mm
TV Diam 1 All Distance measurement cm, mm
TVA Planimetry All Area measurement cm2, mm2
TV Manual Trace PW Doppler spectrum trace
TV Vmax PW Velocity measurement cm/s, m/s
TV E/A PW Velocity measurement cm/s, m/s
TV PHT PW Time measurement ms
TV VTI PW Doppler spectrum trace cm, mm
TV AccT PW Time measurement ms
TV TV DecT PW Time measurement ms
TV A Dur. PW Time measurement ms
Q to TV Open PW Time measurement ms
TR VCW PW Distance measurement cm, mm
TR PISA Rad C PISA-Radius cm, mm
TR Alias Vel. C Velocity measurement cm/s, m/s
TR Manual Trace PW Doppler spectrum trace
TR Vmax PW Velocity measurement cm/s, m/s
TR VTI PW Doppler spectrum trace cm, mm
RAP PW RAP mmHg
8-47
Operation Manual
Adult Echo - System Measurement Menu
S/D PW Continuous measurement
S Vmax PW Velocity measurement cm/s, m/s

Plum. 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
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
Pulmonic VTI PW Doppler spectrum trace cm, mm

Qp / Qs
8-48
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 Tei Index 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 Tei Index 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
HR – M, PW Heart Rate bpm
8-49
Operation Manual
Pediatric Measurement Menu
All LVd (2D) All Continuous measurement
RVIDd All Distance measurement cm, mm
IVSd All Distance measurement cm, mm
LVPWd All Distance measurement cm, mm
All LVs (2D) All Continuous measurement
IVSs All Distance measurement cm, mm

LV / RV (2D)
LVPWs All Distance measurement cm, mm
RVAWd All Distance measurement cm, mm
All LV (M) M Continuous measurement
RVIDd M Distance measurement cm, mm
LV / RV (M) LVPWd M Distance measurement cm, mm
IVSs M Distance measurement cm, mm
RVAWs M Distance measurement cm, mm
8-50
LA Diam (2D) All Distance measurement cm, mm
Lt. Inflow MV E-DT-A PW Continuous measurement
MV Dect
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
8-51
Operation Manual
Systemic VTI PW Doppler spectrum trace cm, mm
Pulmonic VTI PW Doppler spectrum trace 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

Rt. Inflow
RAP PW RAP mmHg
PV Ann Diam All Distance measurement cm, mm
Rt. Outflow PV AccT PW Time measurement ms
PR DecT PW Time measurement ms
PR Vmax PW Velocity measurement cm/s, m/s
8-52
Carotid Calculations
NOTE:
XX
XX

Prox CCA
Mid CCA PSV PW Velocity measurement cm/s, m/s
Distal CCA
Bulb
ECA
%StA All Area measurement %
Prox ICA
Mid ICA %StD All Distance measurement %
Distal ICA
IMT All Distance measurement cm, mm

Vertebral A
General
%StA All Area measurement %
%StD All Distance measurement %
Vesl. Area. All Area measurement cm2, mm2
Vesl. Dist. All Distance measurement cm, mm
8-53
Operation Manual
Vol.Flow(Auto) PW Automatic calculation ml/m
Vol. Flow(D) PW Automatic calculation ml/m
Vol. Flow TAMV PW Doppler spectrum trace cm/s, m/s
Auto IMT (Optional)

This function allows you to take IMT measurement easily and quickly.
NOTE:
Auto IMT is available only under the following conditions:
XX
Probe: Linear probe, CF4-9 probe
XX
Application: Vascular
XX
Diagnosis Mode: 2D, C or PD Mode
8-54
Auto IMT Screen
[Figure 8.1 Auto IMT]
Risk Color Bar

Provides color representation of IMT thickness. Thickness of 0.5mm or less is shown in green color;
thickness of 1.1mm or greater is shown in red. Thicknesses that fall between those two extremes
are shown in the appropriate color.
Ruler and Range Bar

Use the trackball and the Set button to specify the location and range at which IMT will be
measured.
Ruler: Each gradation on the ruler represents a length of 10mm. This s used if the blood vessel
XX
lies horizontally. Press the Set button at the location you want to measure, and the IMT will be
measured in the 10mm section.
Range Bar: This is used if the blood vessel does not lie horizontally, or if you want to measure
XX
the length of a specific section. Press and hold the Set button at the starting point, and drag
with the trackball until you reach the end point.
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Operation Manual
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 color of the Risk Color Bar.
The pair with lower QI is represented in dark blue.

XX
To change the position from Near or Far, which has been automatically selected from the QI
XX
value, press Change. The measurement and color are also automatically changed. However, no
change will be made if QI is 0.
Measure 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 measured Intima/Adventitia pairs

XX
Auto IMT Measurement

1. After checking the probe, application and preset, start carotid measurement.
2. Press Freeze to obtain the desired image. Use the trackball to select the image you want to
measure the IMT on.
3. Press Auto IMT. The Auto IMT screen will be displayed.
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.
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 the Intima and Adventitia Marker on/off.
XX
5. Once the measurement position has been selected, the measurement result will be displayed in a
table.
8-56
Auto IMT Measurements Analysis

1. Press Analysis, and the Analysis screen will be displayed.
2. Select the desired analysis among Framingham / CHD, Risk Factor, Normal IMT, and User
Graph by using the trackball and the Set button.
The bar that corresponds to the measurement will be displayed on each graph. However, if the
XX
measurement is smaller than Framingham / CHD Risk Factor, no bar will be displayed.
User Graph
Tips!
You can use User Graph to adjust the graph and analyze the measurement results as you want.
3. To finish analysis, press Analysis again.
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-vasculair (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.
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 A, Gariepy J, Chironi G, Megnien JL, Levenson J: Intima-media thickness: a new tool for
diagnosis and treatment of cardiovascular risk. Journal of Hypertension 20:159-169, 2002
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Operation Manual
Saving Auto IMT Measurement Values

Click the Annotation button at the bottom left of the image and select Direction to choose a
direction for the measurement section.
1. Select Position #1 to choose the position of the measurement section.
2. Select Position #2 to choose the name of the measurement section. After selection, click OK to
record the location of the selected position onto the annotation button. Click Cancel to cancel
and exit.
8-58
Upper Extremity (UE) Artery Calculations

Takes measurements of the Upper Extremity Artery.
NOTE:
XX
It is convenient to calculate each measurement value on the Spectral Doppler image.
XX
XX

Subclavian 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 %
Volume Flow(Auto) PW Automatic calculation ml/m
Volume Flow(D) PW Automatic calculation ml/m
8-59
Operation Manual
Lower Extremity (LE) Artery Calculations

Takes measurements of the Lower Extremity Artery.
NOTE:
XX
XX
XX

CIA Auto Trace PW Doppler spectrum trace

IIA
EIA Limited Trace PW Doppler spectrum trace
CFA
SFA Manual Trace PW Doppler spectrum trace
DFA
Popliteal A PSV PW Velocity measurement cm/s, m/s
ATA
PTA
Peroneal A %StA All Area measurement %
DPA
MPA %StD All Distance measurement %
LPA
Metatarsal A Vesl. Area All Area measurement cm2, mm2
Digital A
General Vesl. Dist All Distance measurement cm, mm
Vol. Flow(Auto) PW Automatic calculation ml/m
8-60
Upper Extremity (UE) Vein Calculations

Takes measurements of the Upper Extremity Vein.
NOTE:
XX
XX
XX
Internal Jugular V Auto Trace PW Doppler spectrum trace

Innominate V
Subclavian V
Axillary V Limited Trace PW Doppler spectrum trace
Brachial V
Cephalic V Vmax PW Velocity measurement cm/s, m/s
Basilic V
Radial V
Ulnar V Dur T PW Time measurement ms
General Vmax PW Velocity measurement cm/s, m/s
Dur T PW Time measurement ms
8-61
Operation Manual
8-62
Lower Extremity (LE) Vein Calculation

Takes measurements of the Lower Extremity Vein.
NOTE:
XX
XX
XX

CIV Auto Trace PW Doppler spectrum trace

IIV
EIV
CFV Limited Trace PW Doppler spectrum trace
PFV
SFV
Vmax PW Velocity measurement cm/s, m/s
GSV
Popliteal V
LSV Dur T PW Time measurement ms
ATV
PTV
Peroneal V Vesl. Dist. All Distance measurement cm, mm
General Vmax PW Velocity measurement cm/s, m/s
Dur T PW Time measurement ms
8-63
Operation Manual
8-64
Fetal Echo Calculations

The measurement method for each item is the same as for basic measurement. In addition,
measurement items are similar to those of cardiology measurements (Cardiac Calculations). Measured
items are automatically recorded in a report.
NOTE:
XX
XX

LV Vol. (Simpson)
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
RV Diam All Distance measurement cm, mm

2D Echo
IVS All Distance measurement cm, mm
LVPW All Distance measurement cm, mm
HrtC All Distance measurement cm, mm
ThC All Distance measurement cm, mm
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Operation Manual
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
LVPWd M Distance measurement cm, mm

Fetal M-mode
IVSs M Distance measurement cm, mm
RVDd M Distance measurement cm, mm
CTAR (Cardo-Thorax Area Ratio)

This measurement compares the size of the fetus’s heart in relation to the size of its thorax. ThD ap,
ThD trans, HrtD ap, and HrtD trans values are acquired to obtain the comparative value.
8-66
Doppler Measurement Menu
MPA Limited Trace PW Doppler spectrum trace

Duct A
Asc Aorta Manual Trace PW Doppler spectrum trace
Dsc Aorta
IVC PSV PW Velocity measurement cm/s, m/s
All PW Velocity measurement cm/s, m/s
S Vmax PW Velocity measurement cm/s, m/s

Duct Venosus PLI
D Vmax PW Velocity measurement cm/s, m/s
A Vmax PW Velocity measurement cm/s, m/s
MV E/A PW Velocity measurement %
MV E PW Velocity measurement cm/s, m/s

MV
MV A PW Velocity measurement cm/s, m/s
TV E/A PW Velocity measurement %
TV E PW Velocity measurement cm/s, m/s

TV
TV A PW Velocity measurement cm/s, m/s
Calculation after continuous

All PW
measurement
Tei Index
TST PW Time measurement ms
ET PW Time measurement ms
8-67
Operation Manual
Urology Calculations
Before Taking Urology Measurements

Set the related menus for convenient measurement.
You can select the Volume Method to use for measuring volume. There are four types of Volume
Method; in equations that require a factor, you may define the factor as desired.
For menus related to measurement and their settings, refer to the ‘Measurement Settings’ in ‘Chapter
3. Utilities’ of this manual.

NOTE:
XX
The measurement methods of each menu vary with the Volume Method set at Utility > Measure
Setup > Urology.
XX
If you change the Volume Method, you need to reconfigure the measurement menu
appropriately as well.
XX
XX
3Distance

Calculate a volume by measuring three distances.

All All ml
measurement
WG Prostate Vol.
T-Zone Vol.
Bladder Vol.
8-68

Pre All All ml
measurement
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 ml
measurement
Post L All Distance measurement cm, mm
Post H All Distance measurement cm, mm
Post W All Distance measurement cm, mm

All All ml
measurement

Rt. Renal Vol.
Lt. Renal Vol. H All Distance measurement cm, mm
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

General
%StA All Calculation after area measurement %

%StD All %
measurement
Vesl.Area All Area measurement cm2, mm2
Vesl.Dist. All Distance measurement cm, mm
The measurement for Transitional Zone Prostate Volume, Bladder Volume, Left Renal Volume,
Right Renal Volume are the same as for Prostate Volume.
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Operation Manual
3 Distance * Factor

Measurement is taken in the same way as ‘3 Distance’. Calculates volume by using a factor.
Volume (ml) = Factor x Distance1 x Distance2 x Distance3
Ellipsoid

Calculate a volume by using the Main Diameter and Beside Diameter values.
WG Prostate Vol.
T-Zone Vol. All All ml
measurement
Bladder Vol.

Pre Vol. All ml
measurement
Residual Vol.
Post Vol. All ml
measurement

All All ml
Rt. Renal Vol. measurement
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

General

%StD All %
measurement
Vesl.Area All Area measurement cm2, mm2
Vesl.Dist. All Distance measurement cm, mm
Sum of 20 Disks

After measuring the circumference of the prostate, use the Trackball and the Set button to
calculate the volume by measuring the axis of the prostate.
8-70
Abdomen Calculations
NOTE:
XX
XX

All All ml
measurement
Liver
Spleen L All Distance measurement cm, mm
Rt. Kidney
Lt. Kidney H All Distance measurement cm, mm
GBD All Distance measurement cm, mm
Wall All Distance measurement cm, mm

All All ml
measurement
Gallbladder
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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Operation Manual
Abd. Vascular Measurement Menu

M Portal V
M Hepatic V Manual Trace PW Doppler spectrum trace
Splenic V
Vmax PW Velocity measurement cm/s, m/s
Mid IVC
Rt. Renal V Dur T PW Time measurement ms
Lt. Renal V

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 Calculation after distance
%StD All %
Celiac A measurement
Small Parts Calculations

NOTE:
XX
XX
8-72
Thyroid Measurement Menu

All All ml
measurement

Mass 1~5
D All Distance measurement cm, mm

All All ml
measurement

Thyroid Vol.

Thyroid Flow
%StD All %
measurement
Vel. A PW Velocity measurement cm/s, m/s
Vel. B PW Velocity measurement cm/s, m/s
8-73
Operation Manual
Breast Measurement Menu

All All ml
measurement

Mass1~8
D All Distance measurement cm, mm

Breast Flow
%StD All %
measurement
8-74
Testicle Measurement Menu

All All ml
measurement
Mass 1~5 L All Distance measurement cm, mm

Testis Vol.

Testis Flow
%StD All %
measurement
8-75
Operation Manual
Superficial Measurement Menu

All All ml
measurement
Mass 1~5 L All Distance measurement cm, mm

Superficial Vol.

Superficial Flow
%StD All %
measurement
8-76
TCD Calculations
NOTE:
XX
XX

Measurement
Sub-Item Mode Method Unit
Menu

ACA
MCA PSV PW Velocity measurement cm/s, m/s
PCA(P1)
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 Calculation after distance
%StD All %
measurement
Vol. Flow TAMV PW Doppler spectrum trace cm/s or m/s
8-77
Operation Manual
Pediatric Hips Calculations

NOTE: For information on basic measurement methods, refer to ‘Basic Measurements’ and
‘Common Measurement Methods’ in this chapter.
Rt. Hip Angle Calculation of angle after

Hip Angle All
Lt. Hip Angle measurement of three straight lines
8-78
MSK Measurement (Musculoskeletal Calculations)

NOTE: For information on basic measurement methods, refer to ‘Basic Measurements’ and
‘Common Measurement Methods’ in this chapter.
Measurement Menu Sub-Item Method Unit
Shoulder
Wrist
1~10 Distance measurement cm, mm
Knee
Ankle
Measurement Methods
1. Specify the first straight line by using the trackball and the Set button.
XX
Repositioning Point
Tips!
to reset it.
2. Repeat the above process to specify two other straight lines.
3. The angles between them will be calculated automatically.
α: The angle between the first and the second straight lines
XX
β: The angle between the first and the third straight lines
XX
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Operation Manual
See the table below for Hip Joint Type information:
Type α β
1a 60 ≤ α < 90 0 < β < 55
1b 60 ≤ α < 90 55 ≤ β < 180
2a/b 50 ≤ α < 60 0 < β < 180
2c 43 ≤ α < 50 77 ≤ β < 180
d 43 ≤ α < 50 0 < β < 77
3/4 0 < α < 43
[Table 8.2 Hip Joint Type Table]
8-80
Report
The measurement results are summarized by application, and shown on the screen in a report format.
Viewing Reports
Press the Report button on the control panel. The Ultrasound Report screen will be displayed.
NOTE: Only the reports of the applications that have measurement results are shown.
If there are too many measurements to display on one screen, use the scroll bar on the right side of the
screen or the Menu/Angle dial-button to scroll the screen up or down.
Press Next App. to view reports for other applications. Pressing Next App. shows the saved reports of
other applications in turn.
[Figure 8.2 Report]
8-81
Operation Manual
Editing Report
Pressing the Edit key in the Ultrasound Report screen will display the edit screen. You can edit the
measurement results or change how to display the measured values.
If you press OK on the screen or press Exit on the control panel, the changes will be saved and the edit
screen will end. If you wish to end the edit screen without saving changes, press Cancel.
Modify Measurements
Change the measured values by using the trackball and the Set button. Modified values are shown
in grey to indicate that they have been modified.
Measurement Display Method

The product allows you to measure one measurement item multiple 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.
Last

Display the last measurement on the screen.
Max

Display the largest value of the measurements on the screen.
Min

Display the smallest value of the measurements on the screen.
8-82
[Figure 8.3 Editing Report]
8-83
Operation Manual
Fetal Description
Move the trackball to select the Description on the screen. This item only becomes active when OB
measurement is available. You may select Normal, Abnormal, Not seen, or Seen. For Placenta Previa,
however, you need to 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 8.4 Fetal Description]
8-84
Adding Comments
[Figure 8.5 Comment]
Pressing the Comment key in Ultrasound Report screen will display the comment entry screen. You may
enter your opinion or comment on this screen. You may also edit a previously entered comment.
If you press OK on the screen or press Exit on the control panel, the comments will be saved and the
edit screen will end. If you wish to end the edit screen without saving changes, press Cancel.
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Operation Manual
Printing Reports
Select Print in the Ultrasound Report screen. This button will be enabled only if a connected printer is
available.
NOTE: You may change the settings for printing measurement reports at Utility > Setup >
Peripherals > Print Setup > Measure Report Print, Measure Setup > General> Report. For more
information, refer to the ‘Peripherals’ section in ‘Chapter 3. Utilities’.
Saving Reports
Select Write to file in the Ultrasound Report screen. You can save the report to a file.
NOTE: This button is only enabled if Utility > Measure Setup > General > Data Transfer >
Measurement Data is set to ‘Write to file’.
When the Write to file window opens, specify a directory, drive, filename, and file type.
Click OK on the screen to save the report. Click Cancel to cancel.
[Figure 8.6 Saving a Report]
NOTE: To remove a USB storage device from the system, go to Utility > Storage Manager.
8-86
Transferring Report
Select Transfer in the Ultrasound Report screen. Report data is transferred via the RS232C cable. The
Transfer button is generated after measurement has been taken.
Graphs
Press Graph on the Ultrasound Report screen, and the screen will switch to the Graph screen, where you
can review the graph, history, etc.
NOTE: The graph function can only be used with OB reports.
To return to the report screen, press Report.
Graphs
The list of measured items appears on the left side of the screen. If you select an item, a graph for the
selected item will appear on the screen.
8-87
Operation Manual
[Figure 8.7 Graph]
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.
XX
A graph is created based on the patient ID, LMP and measurement date.
Select a Graph

Use the Trackball and the Set button to select an item from the list.
Display Graph

If the 2 x 2 checkbox is checked, 4 graphs will be displayed on the screen.
Specify the desired graph by checking the checkbox for a measurement item.
Percentile Criteria

LMP, EstabDD, Avg. US GA - select one.
GA by LMP: The GA is calculated based on the maternal LMP.

XX
8-88
Estab. Due Date: The GA is calculated based on the Estab. Due Date under Patient Information.
XX
Average US GA: The GA is calculated by using the average values of several ultrasound
XX
measurements.
GA View: Selecting the checkbox will display the current GA in History, instead of the current
XX
date.
History

The current and past measurements for a fetus are displayed in a concise format.
Print Checked Graph

Set up the graph layout for printing reports.
NOTE: Only the graphs selected from the list will be printed.
Print Current Graph: Only the currently 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 the graph you want, or select all graphs.
8-89
Operation Manual
History
Select History in the Ultrasound Report screen. The past and present measurement values for the
fetus are displayed in a table. You can review the values by changing their Percentile Criteria.
[Figure 8.8 History]
8-90
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 8.9 The distribution of the Growth Table for the selected week (m: mean, σ: standard deviation)]
8-91
Operation Manual
When expressing with SD, a value approaches ±0 SD as it approaches the mean, and approaches
Tips! the minimum or the maximum value as it deviates from the mean. The greater part of the range
falls within ±3 SD, with ±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 (if converted to percentile, 2.28 percentile ~ 97.72 percentile)
XX
XX
2) When references are created based on Percentile:
XX
2.5 percentile ~ 97.5 percentile (if converted to SD, -1.96 SD ~ 1.96 SD)
XX
XX
Closing Report
Click OK in the Ultrasound Report screen, or press the Exit or Report buttons on the control panel. The
screen will switch to the Diagnosis Mode screen that was displayed before loading the report.
8-92
Chapter 9
Image Management
Cine / Loop.........................................................9-3
Annotating Images...........................................9-6
Text.................................................................................................9-6
BodyMarker................................................................................9-9
Arrow...........................................................................................9-11
Saving, Playing and Transferring Images.........9-12

Saving Images..........................................................................9-12
Playing Images........................................................................9-13
Transferring Images...............................................................9-14
Printing and Recording Images................... 9-15

Printing Images.......................................................................9-15
Recording Images..................................................................9-15
SonoView........................................................ 9-16
Exam Mode...............................................................................9-17
Compare Mode.......................................................................9-19
Managing Exam Images .....................................................9-20
Cine / Loop
Images are automatically saved to the system during scanning. Saved images can then be used to
diagnose the patient, or for reviewing purposes.
The saved images can be in Cine or Loop, depending on the diagnosis mode.
Cine: Images that are saved in all modes other than M Mode and Doppler Mode.
XX
Loop: Images that are saved in M Mode and Doppler Mode.

XX
[Figure 9.1 Cine/Loop]
NOTE: Change of probe, application, or preset is not included on the Cine screen.
Starting and Ending Cine/Loop

During scanning, press the Freeze button on the control panel. This stops the scan and switches the
unit to the image review mode screen.
Press the Freeze button again to return to the scan mode.
9-3
Operation Manual
How to Review Images

Move the cursor to the Cine or Loop bar in the user information area to review an image. You can
search through saved images by moving the cursor with the trackball. The total number of saved
images and the number of the image currently being reviewed are shown next to the bar.
Cine/Loop Soft Menu

The Soft Menu is changed when images are reviewed.
Menu Edit.
Cine Speed

Used to adjust automatic Cine or Loop playback speed. Adjust the speed to between 50% and
200% by rotating the Soft Menu 2 dial-button. Adjustments are made in 50% increments.
Cine Play

Pressing Soft Menu dial-button 2 starts/pauses playback.
Trim First

You can specify the first frame of the range that you wish to save as part of the Cine or Loop.
Rotate the Soft Menu dial-button 3 or use the trackball to position the frame.
CINE Save

Pressing Soft Menu dial-button 3 saves the images from the defined range.
The saved image appears in the thumbnail list on the screen, and can be reloaded or replayed in
Scan Mode or SonoView.
Trim Last

You can specify the last frame of the range that you wish to save as part of the Cine or Loop.
Rotate the Soft Menu dial-button 4 or use the trackball to position the frame.
9-4
Cine / Loop

Used to switch between the Cine and Loop bars for image review. Activated only when both Cine
and Loop are available, such as in M Mode or Spectral Doppler Mode.
Press Soft Menu dial-button 4 and select Cine or Loop. Pressing the button displays the selected
bar type in the user information area.
Selecting Cine / Loop Bar

Tips!
You can also select a bar by pressing the control panel’s Change button.
Reviewing Images in Multi-Image Mode

Only images in an active area can be reviewed. To review images in another area, change the active
area by using the Dual or Quad button on the touch screen. Alternatively, after pressing Pointer on
the control panel, place the cursor in the area you want to activate and then press the Set button on
the control panel.
9-5
Operation Manual
Annotating Images
Text
Allows the user to place text on an image. This function is useful for differentiating or marking a
diagnosis area.
Starting Text Input

Press the Text key on the keyboard. This activates the text input mode.
NOTE: With quick text activated, pressing any key on the keyboard immediately activates text input
mode.
[Figure 9.2 Text Input Mode]
9-6
Entering and Deleting Text
Text Position

Use the keyboard. You can move the cursor by using the Trackball or the arrow keys on the
keyboard.
Typing Text

Rotate the Menu/Angle dial-button to select between Text 1-20, and then press the Menu/Angle
dial-button to insert the selected text into the image.
Deleting Text

Press the Clear button on the control panel. All the text entered on the screen will be deleted.
Text Input Mode Soft Menu

The soft menu changes in text input mode.
Font Size

Select which font size to use. Select a value from 10 through 30 by rotating the Soft Menu dial-
button 2.
Default size

The font resets to the default size (11) when the Soft Menu dial-button 2 is pressed.
Home Position

Home Position is the default cursor position in text input mode. You can choose to Load or Set a
Home Position by rotating the Soft Menu dial-button 3.
Load / Set

Perform the function selected for Home Position by pressing the Soft Menu dial-button 3. When
Load is selected and the Soft Menu dial-button 3 is pressed, the cursor appears at the default
position. If ‘Set’ is selected and the Soft Menu dial-button 3 is pressed, a new default position for
the cursor is set.
9-7
Operation Manual
Edit

Pressing dial-button 4 in the soft menu brings up the Text Edit screen. Type new text into text
fields 1 to 20, or edit existing text.
Click OK to finish. Click Cancel to cancel.
Autotext
This function allows you to enter text automatically by using an abbreviation. In this way, you can
enter t ext easily and quickly. When Autotext is enabled, the Autotext list appears on the screen.
NOTE: Enable/disable Autotext under Utility > Setup > Annotate > Text Setup. For more
information, refer to ‘Chapter 3. Utilities’.
Exiting Text Mode

Press the Text key on the keyboard again. Or press the Exit button on the control panel.
9-8
BodyMarker
Place BodyMarkers on top of images. This function is useful for differentiating or marking a diagnosis
area.
[Figure 9.3 BodyMarker Input Mode]
Starting BodyMarker Input Mode

Press the keyboard’s BodyMarker key. This activates the BodyMarker input mode and displays the
BodyMarkers in the thumbnail area.
NOTE: If Utility > Setup > General > Scan Mode > Freeze Action is set to BodyMarker, pressing the
Freeze button immediately activates BodyMarker input mode.
9-9
Operation Manual
Inserting BodyMarkers
1. Pressing the BodyMarker key displays the BodyMarker list in the thumbnail area.
The BodyMarker list displayed in the thumbnail area varies depending on the selected
XX
application.
A maximum of 5 BodyMarkers are displayed on the screen at any one time. If more than 5
XX
BodyMarkers have been provided, you can press the BodyMarker key repeatedly or rotate the
Soft Menu dial-button 7 to navigate through the pages.
2. Rotate the Menu/Angle dial-button to select the BodyMarker you want, and then press the
Menu/Angle dial-button to enter the BodyMarker. The BodyMarker is inserted into the image.
3. Adjust the position and angle of the BodyMarker’s probe cursor.
Positioning the Probe Cursor: Use the trackball on the control panel.
XX
Probe Cursor Angle Adjustment: Use the Soft Menu dial-button 3 to select the function. Rotate
XX
the Soft Menu dial-button 2 to select between 15° and 45°.
4. Once you have finished, press the Set button on the control panel. To cancel, press the control
panel’s Exit button or Soft Menu dial-button 7 Exit.
Repositioning BodyMarker
1. Press the Change button on the control panel.
2. Move the BodyMarker to a desired position by using the trackball.
3. Press the Change button again to confirm the new position.
Deleting BodyMarker
Press the Clear button on the control panel.
Ending BodyMarker Input Mode

Press the Soft Menu dial-button 7 Exit. Alternatively press ESC on the keyboard, or the Exit button on
the control panel.
9-10
Arrow
You can enter an arrow over an image. This function is useful for differentiating or marking a diagnosis
area. Up to 50 arrows can be entered.
Starting Arrow Entry Mode

Press the Arrow key on the keyboard. Arrow Entry Mode will start.
Entering Arrow
1. Pressing the keyboard’s Arrow key brings up the arrow on the screen.
2. Move the arrow to the desired position by using the trackball.
3. Rotate the Soft Menu dial-button 2 to adjust the direction of the arrow.
4. Press the Set button to finish. Press Exit to cancel.
Deleting Arrows
When you press the Clear button on the control panel, all arrows entered on the screen are cleared.
If you only want to delete the last indicator that you entered, press the Soft Menu dial-button 5 Erase
Last Indicator.
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Operation Manual
Saving, Playing and Transferring Images
Saving Images
WARNING: Register the patient ID before saving the images. Since images are saved according to
patient ID, failure to enter a patient ID may result in a loss of and/or critical errors in previously saved
images.
The saved images are displayed in the thumbnail area. The saved images can be edited and managed
with SonoView.
Saving Still Images

Press the Save button on the control panel.
Saving Multi Frame Images
NOTE: In Dual Mode, only Cine in the active area is saved.
Depending on the current state (Freeze or Live), multi-frame images can be saved in two ways:
Freeze State

Use the trackball or Soft Menu dial-button 3 Cine Save to define the range of images that you wish
to save. Refer to the ‘Cine / Loop’ in this chapter.
Live Mode

Save images by pressing the User1 button on the control panel or the foot switch’s Store Clip
function.
Store Clip Settings

Tips!
To change Store Clip settings, go to Utility > Setup > General > Store Clip Settings.
To use the Store Clip function, go to Utility > Setup > User Defined Key > User Key Setup > User Key
or Utility > Setup > User Defined Key > Foot Switch. For more information, please refer to ‘Chapter
3. Utilities’.
9-12
Playing Images
The saved images can be played in SonoView or in Diagnosis Mode.
Playing Images in SonoView
NOTE: Refer to the ‘SonoView’ section in this chapter.
Playing Images in Diagnosis Mode

Use the Pointer button on the control panel. Note that this function is available only when there are
images saved in the thumbnail list.
1. Press the Pointer button and the cursor will appear on the screen.
2. Select an image you wish to view from the thumbnail list. The image will be displayed in the
image area.
In Dual Mode, you can view images by specifying a location. For 3D images, 3D View is loaded.
9-13
Operation Manual
Transferring Images
This product allows you to transfer images to PACS systems that support DICOM. You can transfer all
saved images automatically, or select a desired image and transfer it manually. For information on the
DICOM server settings and DICOM operations, please refer to ‘DICOM’ in ‘Chapter 3. Utilities’.
Transferring Images in Diagnosis Mode

This product allows you to transfer images automatically. Images are transferred by using the
transmission method of the storage server.
DICOM Settings
Tips!
To configure the DICOM server, go to Utility > Setup > DICOM. For more information, please refer to
‘Chapter 3. Utilities’.
Transferring Images in SonoView

This product also allows you to transfer images manually. The following two methods are available:
Sending Exam

Send all images from an exam.
1. Select an exam from the Exam List.
2. Click the Send button on the right side of the screen. All images for the selected exam will be
sent.
Sending Selected Images

Lets you select which of the exam images you wish to transfer.
1. Search an exam in the SonoView screen.
2. Select an image.
3. Press the Send Image to DICOM Storage icon at the bottom of the screen. The selected
images will be sent.
9-14
Printing and Recording Images
Printing Images
Press the Print 1 or Print 2 button. Images are printed via an echo printer. For information on
configuring the printer, refer to ‘Chapter 3. Utilities’.
Recording Images
Select VCR in the Utility menu. The screen will switch to the ADVR screen.
For more information, please refer to ‘Chapter 3. Utilities’.
CAUTION: Check the capacity of the media before recording.
9-15
Operation Manual
SonoView
This is the integrated image management program for UGEO HM70A. It offers image saving,
referencing, and deleting functions, as well as data exchange compatibility with most commonly used
computers.
The image file types used in this product follow the international standard DICOM (Digital Imaging and
Communication in Medicine). As a result, the PACS (Picture Archiving Communication System) can be
implemented without any additional costs, and it’s easy to exchange image files with other hospitals
and equipment.
This product supports the Bitmap file format (.bmp), which is commonly used on standard PCs,
ensuring easier exchange of image data.
Starting SonoView
Press the SonoView button on the control panel. The screen will switch to the SonoView screen.
If there are saved images available for the current exam, the information and saved images for the
exam appear when SonoView starts.
WARNING:
Make sure to register a patient before saving images or using SonoView.
All diagnosis information in the product is saved and managed for each patient ID. As a result,
saving images without entering a patient ID may result in a loss of and/or critical errors in previously
saved images.
NOTE: Backing up is not supported in SonoView. You can back up patients’ basic information
and scanned images by selecting the Search tab in the Patient Information screen. For more
information, please refer to ‘Chapter 6. Starting Diagnosis'.
9-16
Exam Mode
Press Exam in the upper left corner of the screen. The button will appear in yellow.
In Exam Mode, you can review the current exam and previously saved exams.
Exam Mode Screen

Exams for each patient ID are displayed by date in a tree structure on the left side of the screen. The
numbers in parentheses represent the numbers of the saved images. To show or hide exams, use the
trackball and the Set button to select a desired ID.
Image Scroll
The image of the previous or next page is displayed on the screen. Use Soft Menu dial-button 2
Image Scroll. Rotating the dial-button to the left displays the previous page image, while rotating it
to the right displays the next page image.
However, this button may not be used when the number of exams saved is less than the number of
images that appear on a page under the current layout.
Selecting Exam
Use the trackball and the Set button to select a desired exam from the list on the left side of the
screen. The selected exam will be marked on the list in yellow. The saved image will also be displayed
on screen.
9-17
Operation Manual
[Figure 9.4 Exam Mode]
9-18
Compare Mode
Click Compare in the upper left corner of the screen. The button will appear in yellow.
Compare Mode is used to compare images during an exam.
[Figure 9.5 Compare Mode]
Compare Mode Screen

As in Exam Mode, exams for each ID appear on the screen. In addition, images for the selected exam
are displayed in a thumbnail format.
Thumb Scroll
The image of the previous or next page is displayed on the thumbnail list.
Use Soft Menu dial-button 3 Thumb Scroll. Rotating the dial-button to the left displays the previous
page’s images in the thumbnail list. Rotating it to the right displays the next page’s images in the
thumbnail list.
9-19
Operation Manual
Select an image
Use the trackball and the Set button to select an image from the thumbnail list. The selected image
is highlighted in yellow in the list. Select a location on the screen where the image will be displayed,
and then the selected image will appear.
Managing Exam Images

Use the icons on the screen or the Soft Menu dial-buttons. There are numerous functions available for
assessing images.
Reviewing the current exam

Press Current Exam on the screen. The current exam and its images will be displayed on the screen.
Reviewing the Most Recent Exam

Press Continue Exam on the screen. The exams that were performed within the last 24 hours, and
their images, are displayed. The initial exam date (Exam Resumed) for each exam will also be shown
in the feedback area.
In the loaded exam screen, you can make measurements and enter text, BodyMarkers, or indicators.
Show in Image Area

The images stored for an exam are displayed in the thumbnail area on the right side of the screen.
To review an image, double-click the image to review it in the thumbnail area.
Use the arrow buttons below the thumbnail area to move to the next or previous page of
XX
thumbnails.
The stored image information is displayed in the feedback area.
NOTE: Only scan data can be retrieved into the image area.
Ending Continue Exam

Press the End Exam button on the control panel.
9-20
Closing Exam Review

Press Close on the screen. To close all exams in the list, click the Close All button.
Layouts
You can adjust the number of images displayed on the screen. Use Soft Menu dial-button 1 Layout or
the buttons on the screen. A maximum of 16 images (4 x 4) can be compared at the same time.
The numbers shown in the layout section indicate the column and row of an image to display on the
screen. You can change the numbers shown in the layout section to configure various layouts.
Displaying in Full Screen

Place the cursor on an image and press the Set button twice to display the image in full screen.
Selecting Multiple Images

Use the trackball and Set button to select images. The selected image is highlighted in yellow.
Selecting All Images

Click the Select All Images icon on the screen. All images saved for the current exam are
selected and highlighted in yellow.
Deselecting All Images

Press the Deselect All Images icon on the screen. All images are deselected and no longer
highlighted.
Post Processing
Select the button located at the lower left corner of an image, and the post-processing menu
will appear. Use the menu to adjust the image for diagnosis. The image is not saved with the post-
processing effects.
9-21
Operation Manual
NOTE: CINE images can only be played in the 2 x 2 or less layout.
Reviewing 3D Images
If the saved image is 3D, the 3D Indicator appears at the bottom of the image. Click 3D and the
3D View screen will appear, allowing you to review the image.
Reviewing Cine
If the saved image is Cine, the playback and search scroll bar appear at the bottom of the image. You
can play, pause, stop or search forward/backward by using the scroll bar.
NOTE: CINE images can only be played in the 2 x 2 or less layout.
Searching Exam
1. Press the Exam Search icon on the screen. The Exam List screen will appear.
2. Select an exam and click Review to bring up the SonoView window and view the selected exam.
Distance
Press the Distance Caliper icon on the screen. You can measure the distance between two
points on an image. Measurement results are not saved.
1. Place the cursor over an image and press the Set button. The image will be resized to its original
size.
2. Measure the desired distance. For information on measurement methods refer to ‘Chapter 8.
Measurements and Calculations’.
3. Press the icon again to end measurement.
9-22
Circumference and Area Measurement

Press the Ellipse Caliper icon on the screen. You can measure the circumference and area of the
desired area in an image. Measurement results are not saved.
size.
2. Measure the circumference or area. For information on measurement methods refer to ‘Chapter 8.
Measurements and Calculations’.
3. Press the Measurement icon again.
Typing Text
Press the Text Annotation icon on the screen. You can enter text onto an image.
size.
2. Position the cursor on the desired area and enter text.
Soft Menu Dial-Button 4 Color: Change the font color.

XX
Soft Menu Dial-Button 5 Size: Change the font size.

XX
3. Press the Set button to confirm the text. To exit from Text Input Mode, press the icon once more.
9-23
Operation Manual
Printing Images
1. Click the Print Image icon on the screen. The Image Print window will appear.
2. Configure the Setup and Comment options.
3. Click the Print button to print the image. Click Close to cancel.
[Figure 9.6 Image Print]
9-24
Transferring Images via DICOM

This product allows you to transfer selected images via DICOM. The icon is enabled only when an
image is selected. The icon is disabled in a system where DICOM is not enabled.
1. Select an image and click the Send Image to DICOM Storage icon on the screen. The
DICOM Storage window will appear.
2. Click the Transfer button to transfer the selected image to the DICOM server. Click Close to
cancel.
[Figure 9.7 DICOM Storage]
9-25
Operation Manual
Printing via DICOM

You can print the selected images via DICOM. The icon is enabled only when an image is selected.
The icon is disabled in a system where DICOM is not enabled.
1. Select an image and click the Send Image to DICOM Print icon on the screen. The DICOM
Printer window will be displayed.
2. Click the Transfer button to transfer the selected image to the DICOM server and print it. Click
Close to cancel.
[Figure 9.8 DICOM Printer]
9-26
Transferring Images
NOTE: Image transfer will not be performed if there are spaces in the file or directory name.
1. Press the Export Image icon on the screen. The Image Export window will be displayed.
2. Specify the various parameters, such as directory, drive, filename and file format.
3. Click the Export button to start a transfer. Click the Close button to cancel.
[Figure 9.9 Image Export]
DICOM Flush
Click the DICOM Flush icon. This transfers all images that have been stored locally up to that
point to the DICOM Storage server.
9-27
Operation Manual
Sending in E-mail
1. Click the Send E-mail icon on the screen. The E-mail window will appear.
2. Specify the various parameters, such as Sender and Recipient.
3. Check the images that you want to attach from the thumbnail list, and then enter the body text.
4. Click the Send button to transfer the selected images. Click Close to cancel.
NOTE: When e-mail cannot be transferred, even though the mail server is working properly, please
check the following:
XX
The connection of the LAN cable
XX
E-mail settings in Utility > Setup > Miscellaneous
XX
This shows whether or not ICMP (ping) is open for the corresponding Mail Server. If ICMP (ping)
is closed, the E-mail function may not work properly.
[Figure 9.10 E-mail]
9-28
Deleting Images
Click the Delete Image icon on the screen. Click OK to delete the selected image. Please note
that images for the patient currently being diagnosed cannot be deleted.
Storage Manager
Click the Device icon on the screen. The Storage Manager window will appear. For more
information about Storage Manager, refer to ‘Chapter 3. Utilities’.
Exiting SonoView
Click the Exit icon on the screen. Alternatively, you can press the SonoView button or the Exit
button on the control panel to close SonoView.
9-29

UGEO - HM70A - Operation Manual (Vol2)

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Diagnostic Ultrasound System

Table of Contents – Volume 2

Monitor and Audio .................................................................................................................... 6-5

Probes and Applications .......................................................................................................... 6-6

Patient Information.................................................................................................................... 6-9

Sleep Mode................................................................................................................................ 6-31

Chapter 7 Diagnosis Mode

Basic Mode................................................................................................................................... 7-6

Combined Mode....................................................................................................................... 7-37

Dual Mode.................................................................................................................................. 7-40

Chapter 8 Measurements and Calculations

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

Calculations by Application ................................................................................................... 8-20

Chapter 9 Image Management

Saving, Playing and Transferring Images...........................................................................................9-12

Printing and Recording Images............................................................................................. 9-15

A Reference Manual (English) is supplied with this product.

Monitor and Audio ...........................................6-5

Probes and Applications .................................6-6

Sleep Mode..................................................... 6-31

Turning the Power On

Shutting Down the System

Monitor and Audio

Monitor Brightness Adjustment

Adjusting Audio Volume

NOTE: For information on miscellaneous settings, refer to ‘Chapter 3. Utilities’.

Probes and Applications

[Figure 6.1 Probe Selection]

Probe Selection Screen

1 Probe list: Displays a list of probes currently connected to the system.

2 Application list: Displays a list of applications the selected probe supports.

3 Preset list: Display a list of presets the selected application supports.

1. Lower the probe’s lockdown switch and disconnect the probe.

2. Connect the probe to the probe port.

3. Lift the probe’s lockdown switch to lock it in place.

1. Use the trackball and the Set button to select an application.

2. Click OK at the bottom of the screen. Click Cancel to cancel.

Changing Probe Preset

2. The Name window is then shown on the monitor.

1. Click Overwrite on the screen.

2. Click OK at the bottom of the screen again to complete the deletion.

NOTE: You cannot rename Usersets that are currently in use.

1. Click User Rename on the screen.

3. Change the name and click OK. Click Cancel to cancel.

4. Click OK at the bottom of the screen again to complete the deletion.

NOTE: You cannot delete Usersets that are currently in use.

2. Click OK at the bottom of the screen again to complete the deletion.

NOTE: The ID and name fields are required.

Basic Patient Information Entry

To enter a patient ID manually, type the appropriate ID into the ID field.

Last (Family): Enter the patient’s last name.

First (Given): Enter the patient’s first name.

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

[Figure 6.2 General Patient Information]

Patient Information for Each Application

1. In the Patient Information screen, click the Study Information tab.

2. Select an application under Category.

3. Enter additional information required for diagnosis.

[Figure 6.3 Patient Information – General]

Ovul. Calculating LMP and EDD (LMP) with Ovul. Date

Calculating EDD (LMP)

Estab. Due Date

Surgery History Heart Failure

Monitor and Audio ...........................................6-5

Probes and Applications .................................6-6

Sleep Mode..................................................... 6-31

Combined Mode............................................. 7-37

Quad Mode..................................................... 7-41

3D/4D Mode................................................... 7-42