prosound F75 Instruction Manual Measurement Volume 3 of 3 rev 09

ProSound logo is a registered trademark or trademark of Hitachi Aloka Medical, Ltd. in the Japan and/or other countries. Microsoft, Windows and Windows Media are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. VS-FlexGrid Pro copyright©1999-2000 Videosoft Corporation. Portions of this software are based in part on the work of the Independent JPEG Group. All brand name, product name, and system name are registered trademarks or trademarks of their respective owners. In this manual, ™ and ® are omitted. Real-time Tissue Elastography and HI REZ is registered trademarks of Hitachi Medical Corporation in Japan. Copyright©Hitachi Aloka Medical, Ltd. All rights reserved.

MN1-5672 rev.9

INTRODUCTION

Introduction This is an instruction manual for model ProSound F75, an diagnostic ultrasound system. Read the manual carefully before using the system. Take special note of the items in Chapter 1, "Safety Precautions"of Safety Instruction manual. Keep this manual securely for future reference.

Symbols Used in this Document The following items are important in preventing harm or injury to the operator of the equipment and the patient. There are 4 levels of harm/damage that can be caused by ignoring instructions/displays and using the equipment incorrectly: "Danger," "Warning," "Caution," and "Note." These types are indicated by the following symbols. Indicates an imminently hazardous situation which, if not avoided, will result in the death or serious injury of the operator of the equipment. Indicates a hazardous situation which, if not avoided, may result in death or serious injury. Indicates a hazardous situation which, if not avoided, may result in slight or moderate injury, or property damage. Indicates a request concerning an item that must be observed in order to prevent damage or deterioration to equipments and also to ensure effective use.

Contents of cautions shows the following graphics.

This mark means the corresponding item is "alerted".

This mark means the corresponding item is "prohibited".

This mark means the corresponding item is "required".

The format of this document shows the following contents. NOTE: shows common notes. IMPORTANT: shows important considerations.

Input items, output from the equipment and messages on screen are described as message. Menu and Switches are described as Menu. Sub-menus under the main menu are described as Menu > sub-menu > sub-menu.

MN1-5672 rev.9

3

INTRODUCTION

About the ProSound F75 The ProSound F75 is intended to be used by doctors and other qualified personnel in fracture diagnostics and hemodynamic diagnostics. However, this equipment is not designed to be used in ophthalmic ultrasound diagnosis, as its sound intensity is not compliant with ophthalmic restrictions established by the FDA. Only physicians and other qualified personnel should operate this equipment for diagnostic purposes. Read section 1-1 of the Safety Instruction. 1)

PRECAUTIONS Concerning the Use/Management of the ProSound F75 •

Do not disassemble, repair or remodel this equipment or optional features without our consent. NOTE:

Disassemble is removing the parts or options from the equipment using

tools. NOTE:

Remodel is installing or connecting the unspecified parts or equipments, including replacement of power cord. •

Assemble of the equipment or optional accessories shall be performed by a third party certified by us. Please contact any of our offices listed on the back cover. NOTE:

Assemble is installing and connecting the parts or optional accessories in the main equipment using tools.

2)

•

Transporting this equipment (via automobile or ship) shall be performed by a third party certified by the manufacturer. Please contact any of our offices listed on the back cover.

•

Please conduct routine cleaning and inspection of the equipment. Refer to Chapter 5 of the Safety Instruction for details. .

•

Ensure that the output level of the scan conforms to the required duration of diagnosis.

•

If any malfunction or abnormality is discovered during operation of the equipment, remove the probe from the patient immediately and discontinue use. If any abnormality is observed in the patient, provide proper care as quickly as possible. Refer to Chapter 4 of the Safety Instructions for more information on dealing with the equipment appropriately. If the malfunction is not listed in Chapter 4 of the Safety Instructions, contact our offices listed on the back cover.

PRECAUTIONS for the ProSound F75 Installation This equipment is a medical electrical equipment that intended for use in hospitals, research facilities. The equipment should be installed in accordance with the following guidelines. •

Install in accordance with Chapter 3 of the Safety Instructions. .

•

Install in an environment that conforms to the operating environments indicated in section 2-2-1 of the Safety Instructions.

•

Install in an environment that ensures electromagnetic compatibility, in accordance with section 1-2-6 of the Safety Instructions, "Precautions Concerning the Maintenance of Electromagnetic Compatibility," and Item 1-3, "Guidelines for Electromagnetic compatibility." NOTE:

The electromagnetic compatibility (EMC) is ability of device to function satisfactorily in its electromagnetic environment without introducing intolerable electromagnetic disturbance to anything in that environment.

4

MN1-5672 rev.9

INTRODUCTION

Classification of the ProSound F75 • Protection against electric shock (ME equipment): class I • ME equipment • Protection Against Electric Shock (Applied Parts): Type BF Applied Parts –

Probe/scanner applied parts and parts treated as applied parts: Refer to the following diagram (Probe/Scanner Pattern Diagram) and table.

Figure: Probe/Scanner Pattern Diagram Above illustrates a surface/intraoperative probe. Below shows a coelomic probe. B

C

A

connector

D

connector

C

A

Applicable part of body

Applied part

parts treated as applied parts

B - C length

surface of body

Ultrasonic irradiation area (D)

A to B

100 cm

Intraoperative

Ultrasonic irradiation area (D)

A to B

20 cm

Endocavity

A to C

A to C

N/A

–

ECG, PCG, Pulse Applied part can be used up to 2 m from each cable's electrodes (refer to image below) e.g.: ECG 2 meters ECG electrodes

connector ECG patient lead

• Protection against electric shock (Defibrillation-proof applied parts): Not suitable • Protection against harmful ingress of water or particulate matter –

equipment: IPX0 (Ordinary equipment)

–

Probe applied part: IPX7 (Watertight equipment)

• Suitability for use in an oxygen rich environment: Not suitable • Method(s) of sterilization: Not suitable for sterilization/disinfection with medicinal solution, gas or radiation. • Mode of operation: Continuous operation

MN1-5672 rev.9

5

CONTENTS This book consists of three separate volumes. These three volumes have the same table of contents and the index respectively.

1. Measurement Functions 1-1. 1-2. 1-3.

Preface... 1-1 Flow of Measurement Operations... 1-2 Switches Used for Measurement... 1-3 1-3-1.

1-4.

Basic Operation Procedure for Measurement ... 1-4 1-4-1.

1-5.

Composition of the Preset Function ... 1-83 Basic Operations and Function of Each Button... 1-84 Initializing Preset ... 1-86 Create Measurement Tools ... 1-87 Application Measurement Tools... 1-94 Study Assignment... 1-104 SW Assignment ... 1-108

Calculation Formula & Reference ... 1-113 1-11-1.

1-12.

B mode... 1-26 M mode... 1-45 D mode... 1-50 B/D mode... 1-67 B (Flow) mode... 1-74 Calibration ... 1-78

Preset Function... 1-83 1-10-1. 1-10-2. 1-10-3. 1-10-4. 1-10-5. 1-10-6. 1-10-7.

1-11.

Basic Measurement Functional List ... 1-23

Measurement Operation Procedure... 1-26 1-9-1. 1-9-2. 1-9-3. 1-9-4. 1-9-5. 1-9-6.

1-10.

Measurement Mark and Measurement Method... 1-13 Auxiliary Line Type Marks ... 1-13 Display Mark ... 1-14 The Basic Operating Method for Each Mark Type ... 1-15

Basic Measurement Functional Outline... 1-23 1-8-1.

1-9.

When the Measurement Study is Changed... 1-9 When the Measurement Application is Changed ... 1-10

Executing the Application Measurement Using the Transfer Function... 1-11 Measurement Mark and Measurement Method ... 1-13 1-7. 1-7-2. 1-7-3. 1-7-4.

1-8.

Method of Starting Measurement ... 1-4

Explanation of the Measurement Menus ... 1-9 1-5-1. 1-5-2.

1-6. 1-7.

The Function of the Panel Switch Used by the Measurement Operation... 1-3

Calculation... 1-113

Abbreviation... 1-117

2. Abdominal Measurement 2-1. 2-2.

Preface... 2-1 Abdominal Measurement Functional Outline... 2-2 2-2-1. 2-2-2.

2-3.

Abdominal Measurement Functional List ... 2-2 Items of Particular Note... 2-4

Measurement Operation Procedure... 2-5 2-3-1.

B mode... 2-6

6

MN1-5672 rev.9

2-3-2.

2-4.

Report Function ... 2-24 2-4-1. 2-4-2. 2-4-3. 2-4-4. 2-4-5. 2-4-6. 2-4-7. 2-4-8. 2-4-9.

2-5.

Preset Settings... 2-43 Preset List... 2-44

Calculation Formula & Reference...2-50 2-6-1. 2-6-2.

2-7.

Basic Operation of a Report... 2-24 Report Block ... 2-25 Description of Various Data Displayed in a Report ... 2-30 Graph... 2-33 W. Trace... 2-34 Function that Attaches an Ultrasound Image to a Report ... 2-36 Printing Function ... 2-39 Output to a Personal Computer... 2-41 Output to a CSV File... 2-42

Preset Function ... 2-43 2-5-1. 2-5-2.

2-6.

D mode... 2-14

Calculation ... 2-50 Clinical References ... 2-50

Abbreviation ... 2-51

3. Urological Measurement 3-1. 3-2.

Preface ... 3-1 Urological Measurement Functional Outline ... 3-2 3-2-1. 3-2-2.

3-3.

Measurement Operation Procedure ... 3-4 3-3-1. 3-3-2.

3-4.

Preset Settings... 3-38 Preset List... 3-39

Calculation Formula & Reference...3-43 3-6-1. 3-6-2.

3-7.

Basic Operation of a Report... 3-20 Report Block ... 3-21 Description of Various Data Displayed in a Report ... 3-25 Graph Function ... 3-30 Function that Attaches an Ultrasound Image to a Report ... 3-31 Printing Function ... 3-34 Output to a Personal Computer... 3-36 Output to a CSV File... 3-37

Preset Function ... 3-38 3-5-1. 3-5-2.

3-6.

B mode ... 3-6 D mode... 3-18

Report Function ... 3-20 3-4-1. 3-4-2. 3-4-3. 3-4-4. 3-4-5. 3-4-6. 3-4-7. 3-4-8.

3-5.

Urological Measurement Functional List ... 3-2 Items of Particular Note ... 3-3

Calculation ... 3-43 References... 3-43

Abbreviation ... 3-45

4. Small Parts Measurement 4-1. 4-2.

Preface ... 4-1 Overview of the Small Parts Measurement Function... 4-2 4-2-1. 4-2-2.

MN1-5672 rev.9

Small Parts Measurement Function List ... 4-2 Items of Special Note... 4-3

7

4-3.

Measurement Operation Procedure... 4-3 4-3-1. 4-3-2.

4-4.

Report Function... 4-12 4-4-1. 4-4-2. 4-4-3. 4-4-4. 4-4-5. 4-4-6. 4-4-7.

4-5.

Preset Settings... 4-34 Preset List ... 4-35

Calculation Formula & References... 4-39 4-6-1. 4-6-2.

4-7.

Basic Operation for Reports ... 4-12 Report Block... 4-13 Description of Various Data Displayed in a Report ... 4-18 Function to Attach Ultrasound Images to a Report ... 4-27 Printing Function ... 4-30 Output to a Personal Computer... 4-32 Output to a CSV File ... 4-33

Preset Function... 4-34 4-5-1. 4-5-2.

4-6.

B mode... 4-5 D mode... 4-10

Calculation... 4-39 Clinical References... 4-39

Abbreviation... 4-40

5. Obstetrical Measurement 5-1. 5-2.

Preface... 5-1 Obstetrical Measurement Functional Outline ... 5-2 5-2-1. 5-2-2. 5-2-3.

5-3.

Measurement Operation Procedure... 5-10 5-3-1. 5-3-2. 5-3-3. 5-3-4. 5-3-5.

5-4.

Preset Settings... 5-67 Preset List ... 5-69

Calculation Formula & Reference & Table ... 5-80 5-6-1. 5-6-2. 5-6-3. 5-6-4. 5-6-5.

5-7.

Basic Operation of a Report ... 5-38 Report Block... 5-39 Description of Various Data Displayed in a Report ... 5-44 Function that Attaches an Ultrasound Image to a Report... 5-60 Printing Function ... 5-63 Output to a Personal Computer... 5-65 Output to a CSV File ... 5-66

Preset Function... 5-67 5-5-1. 5-5-2.

5-6.

B mode... 5-12 M mode... 5-28 D mode... 5-30 Multiple Pregnancies ... 5-35 Interval Growth Rate ... 5-37

Report Function... 5-38 5-4-1. 5-4-2. 5-4-3. 5-4-4. 5-4-5. 5-4-6. 5-4-7.

5-5.

Obstetrical Measurement Functional List... 5-2 List of Obstetrical Measurement Name Built into System... 5-5 Items of Special Note... 5-9

Calculation... 5-80 Anatomy Check List ... 5-84 BPP Scoring... 5-86 References... 5-88 Data in the Fetal Growth Table inside the System ... 5-103

Abbreviation... 5-144

8

MN1-5672 rev.9

6. Gynecological Measurement 6-1. 6-2.

Preface ... 6-1 Gynecological Measurement Functional Outline ... 6-2 6-2-1. 6-2-2.

6-3.

Measurement Operation Procedure ... 6-4 6-3-1. 6-3-2.

6-4.

Preset Settings... 6-32 Preset List... 6-33

Calculation Formula & Reference...6-38 6-6-1. 6-6-2. 6-6-3.

6-7.

Basic Operation of a Report... 6-15 Report Block ... 6-16 Description of Various Data Displayed in a Report ... 6-20 Function that Attaches an Ultrasound Image to a Report ... 6-25 Printing Function ... 6-28 Output to a Personal Computer... 6-30 Output to a CSV File... 6-31

Preset Function ... 6-32 6-5-1. 6-5-2.

6-6.

B mode ... 6-6 D mode... 6-13

Report Function ... 6-15 6-4-1. 6-4-2. 6-4-3. 6-4-4. 6-4-5. 6-4-6. 6-4-7.

6-5.

Gynecological Measurement Functional List ... 6-2 Items of Special Note... 6-3

Calculation ... 6-38 Anatomy Check List ... 6-38 Clinical References ... 6-39

Abbreviation ... 6-41

7. Cardiac Measurement 7-1. 7-2.

Preface ... 7-1 Cardiac Measurement Functional Outline... 7-2 7-2-1. 7-2-2. 7-2-3.

7-3.

Measurement Operation Procedure ... 7-11 7-3-1. 7-3-2. 7-3-3. 7-3-4.

7-4.

Preset Settings(Cardiac Measurement) ... 7-95 Preset List... 7-96

Calculation Formula & Reference...7-104 7-6-1. 7-6-2.

MN1-5672 rev.9

Basic Operation of a Report... 7-81 Report Block ... 7-82 Description of Various Data Displayed in a Report ... 7-86 Function that Attaches an Ultrasound Image to a Report ... 7-88 Printing Function ... 7-91 Output to a Personal Computer... 7-93 Output to a CSV File... 7-94

Preset Function ... 7-95 7-5-1. 7-5-2.

7-6.

B mode ... 7-13 M mode ... 7-34 D mode... 7-43 Flow mode ... 7-74

Report Function ... 7-81 7-4-1. 7-4-2. 7-4-3. 7-4-4. 7-4-5. 7-4-6. 7-4-7.

7-5.

Cardiac Measurement Functional List ... 7-2 Items of Special Note... 7-8 Measurement Views for Measuring Cardiac Functions... 7-9

Calculation ... 7-104 Clinical References ... 7-113

9

7-7.

Abbreviation... 7-121

8. Vascular Measurement 8-1. 8-2.

Preface... 8-1 Vascular Measurement Functional Outline... 8-2 8-2-1. 8-2-2.

8-3.

Measurement Operation Procedure... 8-4 8-3-1. 8-3-2.

8-4.

Preset Settings... 8-51 Preset List ... 8-52

Calculation Formula & Reference ... 8-58 8-6-1. 8-6-2. 8-6-3.

8-7.

Basic Operation of a Report ... 8-28 Report Block... 8-29 Description of Various Data Displayed in a Report ... 8-33 W. Trace Function ... 8-41 Function that Attaches an Ultrasound Image to a Report... 8-43 Printing Function ... 8-46 Output to a Personal Computer... 8-49 Output to a CSV File ... 8-50

Preset Function... 8-51 8-5-1. 8-5-2.

8-6.

B mode... 8-6 D mode... 8-16

Report Function... 8-28 8-4-1. 8-4-2. 8-4-3. 8-4-4. 8-4-5. 8-4-6. 8-4-7. 8-4-8.

8-5.

Vascular Measurement Functional List ... 8-2 Items of Special Note... 8-3

Calculation... 8-58 Anatomy Check List ... 8-59 Clinical References... 8-61

Abbreviation... 8-63

9. eTRACKING Measurement 9-1. 9-2.

Preface... 9-1 eTRACKING Measurement Functional Outline ... 9-1 9-2-1. 9-2-2.

9-3.

Report Function... 9-2 9-3-1. 9-3-2. 9-3-3. 9-3-4. 9-3-5. 9-3-6. 9-3-7.

9-4.

Outline of Function... 9-1 Measurement Operation Procedure ... 9-1 Basic Operation of a Report ... 9-2 Report Block... 9-3 Description of Various Data Displayed in a Report ... 9-5 Function that Attaches an Ultrasound Image to a Report... 9-7 Printing Function ... 9-10 Output to a Personal Computer... 9-12 Output to a CSV File ... 9-13

Preset Function... 9-14 9-4-1. 9-4-2.

Preset Settings... 9-14 Preset List ... 9-15

10

MN1-5672 rev.9

7. CARDIAC MEASUREMENT 7-1.

Preface The description concerning the cardiac measurement functions is divided into the following six sub-sections. 7-1.

Preface

7-2.

Cardiac Measurement Functional Outline

7-3.

Measurement Operation Procedure

7-4.

Report Function

7-5.

Preset Function

7-6.

Calculation Formula & Reference

This section describes the procedure for carrying out cardiac measurements, based on the assumption that products are on the factory default. Descriptions of the basic operations of the measurement functions and each measurement method (mark type = Caliper, Trace, etc.) are given in the Section 1. "Measurement Functions".

This section consists of 126 pages. MN1-5672 rev. 9

7-1

7.Cardiac Measurement 7-2.Cardiac Measurement Functional Outline

7-2.

Cardiac Measurement Functional Outline

7-2-1. Cardiac Measurement Functional List Cardiac Measurement use studies consisting of various combinations of measurement menu, report display, and so on, depending upon the part being examined and the purpose of the examination. [Remark] On the factory default, it contains Cardiac Func., Coronary, TDI, and Asynchrony. The cardiac measurement is divided as shown in the figure below for each mode. : Items that are displayed on the factory default

7-2-1-1.

B mode

Measurement function Left Ventricular function measurement

Measurement menu Area-Length

BP-Ellipse

Display items LVLd

LVLAd

LVLs

LVLAs

HR

EDV

ESV

SV

CO

EF

BSA

SVI

COI

AreaEF

LVLd

LVLAd

LVSAMVd

LVSLMVd

LVLs

LVLAs

LVSAMVs

LVSLMVs

HR

EDV

ESV

SV

CO

EF

BSA

SVI

COI

AreaEF

*Measured at two cross-sections. Modified Simpson

LVLd

LVSAMVd

LVSAPMd

LVLs

LVSAMVs

LVSAPMs

HR

EDV

ESV

SV

CO

EF

BSA

SVI

COI

AreaEF

*Measured at three cross-sections. Simpson (Disc)

LVL4d

LVLA4d

LVL2d

LVLA2d

LVL4s

LVLA4s

LVL2s

LVLA2s

HR

EDV

ESV

SV

CO

EF

BSA

SVI

COI

AreaEF4

AreaEF2

%difD

%difS

*Displayed in the Simpson (Disc) block in the report. Bullet

Pombo

LVLd

LVSAPMd

LVLs

LVSAPMs

HR

EDV

ESV

SV

CO

EF

BSA

SVI

COI

AreaEF

LVIDd

LVIDs

HR

EDV

ESV

SV

CO

EF

RVDd

RVDs

IVSd

IVSs

LVPWd

LVPWs

%IVSTF

%PWTF

IVS/LVPW

BSA

SVI

COI

FS

LVM

LVM/BSA

mFS

7-2

MN1-5672 rev. 9

7.Cardiac Measurement 7-2.Cardiac Measurement Functional Outline

Measurement function Left Ventricular function measurement

Measurement menu Teichholz

Gibson

Aortic valve area measurement

AVA

Mitral valve area measurement

MVA

Display items LVIDd

LVIDs

HR

EDV

ESV

SV

CO

EF

RVDd

RVDs

IVSd

IVSs

LVPWd

LVPWs

%IVSTF

%PWTF

IVS/LVPW

BSA

SVI

COI

FS

LVM

LVM/BSA

mFS

LVIDd

LVIDs

HR

EDV

ESV

SV

CO

EF

RVDd

RVDs

IVSd

IVSs

LVPWd

LVPWs

%IVSTF

%PWTF

IVS/LVPW

BSA

SVI

COI

FS

LVM

LVM/BSA

mFS

AVA

a-axis

b-axis

*Selected Trace or Ellipse in the Preset. *Displayed in the LA/AO (B) block in the report. MVA

a-axis

b-axis

*Selected Trace or Ellipse in the Preset. *Displayed in the Mitral Valve block in the report.

Right Ventricular Diameter RV Dimension measurement

RVAWd

RVAWs

RVDd

RVDs

*Displayed in the B mode LV Function block in the report.

Left Atrial Diameter/Aortic LA/AO root Diameter measurement

LADs

AODd

LA/AO

LADd

AODs

IVS/LVPW ratio measurement

IVSd

LVPWd

IVS/LVPW

IVSs

LVPWs

%IVSTF

%PWTF

LVM

BSA

LVM/BSA

Ratio

LVIDd

*Displayed in the B mode LV Function block in the report. Aepi

Aend

LVLd

thick

LVM/BSA

LALA2s

LA Vol.

%difS

LAL2s

LALA2s

LA Vol.

%difS

RALA4s

RAL2s

RALA2s

RA Vol.

%difS

RALA4s

RAL2s

RALA2s

RA Vol.

%difS

Left ventricular mass measurement

LV Mass(AL)

Inferior Vena Cava

IVC

Insp

Exp

% Collapse

Left Atrial Volume measurement

LA Vol. (Simpson)

LAL4s

LALA4s

LAL2s

LALA4s

LVM

*Displayed in the B mode LV Function block in the report.

LA Vol.(AL)

LAvol/BSA LAL4s LAvol/BSA

Right Atrial Volume measurement

RA Vol. (Simpson)

RAL4s RAvol/BSA

RA Vol.(AL)

RAL4s RAvol/BSA

MN1-5672 rev. 9

7-3

7.Cardiac Measurement 7-2.Cardiac Measurement Functional Outline

7-2-1-2.

M mode

Measurement function Left Ventricular function measurement

Measurement menu Pombo

Teichholz

Gibson

Mitral Valve measurement

Mitral Valve

Display items LVIDd

LVIDs

HR

EDV

ESV

SV

CO

EF

RVDd

RVDs

IVSd

IVSs

LVPWd

LVPWs

%IVSTF

%PWTF

IVS/LVPW

BSA

SVI

COI

FS

MVCF

ET

LVM

LVM/BSA

mFS

LVIDd

LVIDs

HR

EDV

ESV

SV

CO

EF

RVDd

RVDs

IVSd

IVSs

LVPWd

LVPWs

%IVSTF

%PWTF

IVS/LVPW

BSA

SVI

COI

FS

MVCF

ET

LVM

LVM/BSA

mFS

LVIDd

LVIDs

HR

EDV

ESV

SV

CO

EF

RVDd

RVDs

IVSd

IVSs

LVPWd

LVPWs

%IVSTF

%PWTF

IVS/LVPW

BSA

SVI

COI

FS

MVCF

ET

LVM

LVM/BSA

mFS

C-E amp

C-A amp

E-F slop

EPSS

A/E

E/A

E-F slop

D-E slop

A/E

AODs

AVDs

*Method of specifying each point. Tricuspid Valve measurement

Tricuspid Valve

C-E amp

C-A amp

D-E amp

E/A *Method of specifying each point.

Pulmonary Valve measurement

Pulmonary Valve

A wave

E-F slop

B-C slop

B-C amp

*Method of specifying each point.

Left Atrial Diameter/Aortic LA/AO root Diameter measurement

LADs

AODd

LA/AO

Inferior Vena Cava

IVC

Insp

Exp

% Collapse

Asynchrony measurement

IntraV.Async.

SPWMD

T1

T2

7-4

LADd

T3

MN1-5672 rev. 9

7.Cardiac Measurement 7-2.Cardiac Measurement Functional Outline

7-2-1-3.

D mode

Measurement function Left ventricular out

Measurement menu LVOT Flow

Display items VTI

CSA(LVOT)

SV

HR

CO

pV

PG

MnV

MPG

PEP

ET

PEP/ET

AccT

AccT/ET

Qp/Qs

BSA

SVI

VTI

CSA

COI *In order to obtain AVA, perform AS measurement. Aortic stenosis flow measurement

AS Flow

pV LVOT

PG

MnV

VTI(LVOT)

MPG AVA

*AVA is calculated using a continuity equation. Aortic regurgitant flow measurement

AR Flow

Right ventricular outflow tract RVOT Flow measurement

pV

PG

VTI

MnV

MPG

P1/2T

CSA(RVOT)

SV

HR

CO

pV

PG

MnV

MPG

PEP

ET

PEP/ET

AccT

AccT/ET

Qp/Qs

BSA

SVI

COI Pulmonary stenosis flow measurement

PS Flow

pV

PG

MnV

MPG

Pulmonary regurgitant flow measurement

PR Flow

pV

PG

MnV

MPG

Trance Mitral flow measurement

Trans M Flow

eV

aV

A/E

EPG

APG

MnV

MPG

IRT

AccT

DecT

E/A

P1/2T

MVA

VTI

Edur

Adur

LVDFT

RR

LVDFT/RR *When you perform TDI PW MA measurement, it displays E/Em. pV

MnV

MPG

PG

P1/2T

MVA

PG

MnV

MPG

dP/dt

Flow T

Mitral stenosis flow measurement

MS Flow

Mitral regurgitant flow measurement

MR Flow

Tricuspid stenosis flow measurement

TS Flow

pV

MnV

MPG

PG

P1/2T

Flow T

Tricuspid regurgitant flow measurement

TR Flow

pV

PG

MnV

MPG

dP/dt

Flow T

RVSP

RAP

Flow T pV

*When the dP/dt display is ON, it displays PG1, PG2, V1, V2 and dt.

*When the dP/dt display is ON, it displays PG1, PG2, V1, V2 and dt. Pulmonary vein flow measurement

MN1-5672 rev. 9

PV Flow

PVS

PVD

S/D

SF

S-VTI

D-VTI

7-5

PVA

PVAdur

DecT

7.Cardiac Measurement 7-2.Cardiac Measurement Functional Outline

Measurement function PISA measurement

Measurement menu MR Vol. PISA

Display items RV

EROA

pV

SV

FR

PISAr

VTI(MV annu)

Vr

VTI(MR)

MV Diam.

RF

Vr

VTI(AR)

LVOT

RF

Vr

VTI(TR)

TV Diam.

RF

Vr

VTI(PR)

RVOT

RF

Angle AR Vol. PISA

RV

EROA

pV

SV

FR

PISAr

VTI(LVOT)

Angle TR Vol. PISA

RV

EROA

pV

SV

FR

PISAr

VTI(TV annu)

Angle PR Vol. PISA

RV

EROA

pV

SV

FR

PISAr

VTI(RVOT)

Angle TDI PW measurement

TDI PW MA TDI PW1 TDI PW2 Name Assignment

Coronary measurement

Sm1

sMnV

Sm2

Em

Am

dMnV

Em/Am

E/Em

RIVRT

RIVCT

time

vel1

vel2

AccT

ACC

TDI PW1

TDI PW2

S D pDSVR S-MnV D-MnV mDSVR prox LAD(Rest) prox LAD(Peak) DDecT VHT pCFVR S-VTI D-VTI D-AccT distal LAD(Rest) mCFVR distal LAD(Peak) RCA(Rest), RCA(Peak) *When the Peak and the Rest are measured, pCFVR and mCFVR LCX(Rest), LCX(Peak) are calculated. Graft(Rest), Graft(Peak) *When the Doppler trace is used, the AccT is calculated. Coronary1,2,3(Rest)(Peak) Coronary Stenosis

Pre D-pV

Pre D-MnV

Pre/Stenosis peak-pV Asynchrony measurement

AV Async.

LVDFT

RR

InterV.Async.

LVPEP

RVPEP

Time to Onset

BS

BL

Steno-D-pV

Steno D-MnV

Pre/Stenosis D-MnV LVDFT/RR

RV

BP

IMD

Intra

Inter

Intra+Inter *Use of TDI to analyze regional myocardial speed Time to Peak

A4CH

BS

BL

MS

ML

A2CH

BI

BA

MI

MA

ALAX

BP

BAS

MP

MAS

avg

SD

*Use of TDI to analyze regional myocardial speed

[Remark] You can obtain the area of the stenosis valve orifice by using either a B mode measurement method (Trace or Ellipse) method or an application measurement method (Trans M Flow measurement, AS Flow measurement, MS Flow measurement). 7-6

MN1-5672 rev. 9

7.Cardiac Measurement 7-2.Cardiac Measurement Functional Outline

7-2-1-4.

Flow mode

Measurement function M TDI measurement

Measurement menu M TDI mFS M TDI WT(LVPW) M TDI WT(IVS)

Display items mDd

mDs

mFS

LVIDd

LVIDs

FS

d total

dEn/dEp

dEn

dEp

En:Ep

En-EH

EH-Ep *M tissue doppler

MN1-5672 rev. 9

7-7

7.Cardiac Measurement 7-2.Cardiac Measurement Functional Outline

7-2-2. Items of Special Note Description of the left ventricle volume measurement. The following description is applicable to the 2B mode using the 2B Mapping function. When using 2B Mapping, you can display end-diastolic and end-systolic images for the same cardiac cycle. Use this function to measure the volume of the left ventricle. Be careful of the following points when performing a blood flow measurement related to Doppler. Angle correction operation: Before starting Doppler measurement, perform angle correction. [Remark] If the Doppler angle exceeds 20 degrees, the accuracy of the measurement results may be adversely affected. For this reason, we recommend that you project the beam parallel to the blood vessel as far as possible. Re-using existing measurement values: You can re-use existing measurement values, so there is no need to repeat the same measurement. A description of the layout and functions of the switches and keys used for measurement is given in the section entitled, Description of basic operations for, refer to Section 1. "Measurement Functions". The measured values of the blood flow values obtained using this equipment are the absolute values displayed on the observation monitor. They are controlled as positive and negative values for the purpose of calculating the arithmetic index. If the display of each measured value in a report is set to “Average” in a preset, the positive and negative values are added together and displayed as a mean value. Consequently, when performing multiple measurements of blood flow on the blood flow waveform drawn using the color Doppler method as a guide, use identical recording conditions (forward and reverse flow directions) for all of the blood flow waveforms in order to correctly display each of the arithmetic values arranged in the report.

7-8

MN1-5672 rev. 9

7.Cardiac Measurement 7-2-3.Measurement Views for Measuring Cardiac Functions

7-2-3. Measurement Views for Measuring Cardiac Functions The ultrasound image views for measuring the cardiac functions with this equipment are shown below.

7-2-3-1.

B mode relation

Parasternal Long Axis View

Short Axis view-Aortic-Level

Short Axis view-Mitral Level

Short Axis view-Papillary Level

Apical Four Chamber View

Apical Long Axis View

Right Ventricular View

Apical Two Chamber View

7-2-3-2.

M mode relation Aortic valve M-Mode Systole

Diastole

Left ventricular M-Mode

Mitral valve M-Mode Diastole Systole

Interventricular septal

LV posterior wall

MN1-5672 rev. 9

7-9

7.Cardiac Measurement 7-2.Cardiac Measurement Functional Outline

7-2-3-3.

D mode relation

As an example, the Doppler image for the left ventricular system is shown below. Trans Mitral Flow : Measurement of trans-mitral flow waveform

E A

LVOT Flow : Measurement of left ventricular out tract flow waveform

AS Flow : Aortic stenosis measurement

Waveform at left ventricular out tract

Waveform after flow through orifice

MS Flow : Measurement of mitral stenosis

7-10

MN1-5672 rev. 9